Aespire

User’s Reference Manual

Software Revision 1.X/2.X
User Responsibility
This Product will perform in conformity with the description thereof
contained in this User’s Reference manual and accompanying labels
and/or inserts, when assembled, operated, maintained, and repaired
in accordance with the instructions provided. This Product must be
checked periodically. A defective Product should not be used. Parts
that are broken, missing, plainly worn, distorted, or contaminated
should be replaced immediately. Should repair or replacement
become necessary, the manufacturer recommends that a telephonic
or written request for service advice be made to the nearest
manufacturer’s Customer Service Center. This Product or any of its
parts should not be repaired other than in accordance with written
instructions provided by the manufacturer and by manufacturer-
trained personnel. The Product must not be altered without the prior
written approval of the manufacturer. The user of this Product shall
have the sole responsibility for any malfunction which results from
improper use, faulty maintenance, improper repair, damage, or
alteration by anyone other than the manufacturer.

CAUTION U.S. Federal law restricts this device to sale by or on the

order of a licensed medical practitioner. Outside the
U.S.A., check local laws for any restriction that may apply.
Datex-Ohmeda products have unit serial numbers with coded logic
which indicates a product group code, the year of manufacture, and a
sequential unit number for identification. The serial number can be in
one of two formats.

AAAX11111 AAAXX111111AA
The X represents an alpha The XX represents a number
character indicating the year indicating the year the product
the product was manufactured; was manufactured; 04 = 2004,
H = 2004, J = 2005, etc. I and 05 = 2005, etc.
O are not used.

7100 Ventilator, Aespire, Advanced Breathing System,

ComWheel, D-fend, Disposable Multi Absorber, Link-25,
Reusable Multi Absorber, Tec 6 Plus, and Tec 7 are registered
trademarks of Datex-Ohmeda, Inc.
Other brand names or product names used in this manual are
trademarks or registered trademarks of their respective holders.
 Table of Contents

1 Introduction

What is an Aespire? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Symbols used in the manual or on the equipment . . . . . . . . 1-4
Typeface conventions used . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
2 System Controls and Menus

Anesthesia system controls . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Advanced breathing system (ABS) components . . . . . . . . . 2-6
Flow port adapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Optional ABS components . . . . . . . . . . . . . . . . . . . . . . . 2-8
ACGO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Scavenging the ACGO sample flow . . . . . . . . . . . . . . . . 2-9
Scavenging from an auxiliary manual breathing circuit 2-10
Scavenging a gas monitor sample flow . . . . . . . . . . . . 2-10
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Ventilator screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Using menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13
3 Operation

Turning on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Ventilator setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Using quick keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Changing ventilator modes and settings . . . . . . . . . . . . 3-3
Setting inspiratory pause . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Screen and Audio Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Set the screen contrast . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Set the alarm loudness . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

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Show or hide alarm limits . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Show or hide units of measure . . . . . . . . . . . . . . . . . . . 3-4
Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Setting volume alarms . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Setting alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Setting an audible alarm for circuit leaks . . . . . . . . . . . . 3-5
Cardiac Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Pressure waveform (optional) . . . . . . . . . . . . . . . . . . . . . . . 3-8
EZchange Canister (optional) . . . . . . . . . . . . . . . . . . . . . . . 3-9
Condenser (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Passive AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Active AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Connecting active AGSS with a flow indicator . . . . . . . 3-13
Connecting active adjustable AGSS . . . . . . . . . . . . . . 3-13
4 Preoperative Checkout

Every day before your first patient . . . . . . . . . . . . . . . . . . . . 4-2

Before every patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
5 Preoperative Tests

Inspect the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Power failure alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Minimize alarms (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Pipeline test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Cylinder test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Flow control test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Systems without O2 monitoring . . . . . . . . . . . . . . . . . . . 5-5
Systems with O2 monitoring . . . . . . . . . . . . . . . . . . . . . . 5-7
Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Negative low-pressure leak test . . . . . . . . . . . . . . . . . . 5-10
Positive low-pressure leak test . . . . . . . . . . . . . . . . . . 5-11
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

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 Table of Contents

Breathing system tests . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

Bellows test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Breathing circuit test . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
APL valve test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Monitor and ventilator tests . . . . . . . . . . . . . . . . . . . . . . . . 5-15
6 Alarms and Troubleshooting

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Monochrome display . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Color display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Latching alarms with software version 1.X . . . . . . . . . . . 6-2
Latching alarms with software version 2.X . . . . . . . . . . . 6-3
List of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Ventilate manually alarms . . . . . . . . . . . . . . . . . . . . . . 6-10
Breathing system problems . . . . . . . . . . . . . . . . . . . . . . . . 6-11
Electrical problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
7 User Maintenance

Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Maintenance summary and schedule . . . . . . . . . . . . . . . . . 7-2
User maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Trained service person . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Breathing system maintenance . . . . . . . . . . . . . . . . . . . . . . 7-3
O2 cell replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
O2 cell calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
21% O2 cell calibration . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
100% O2 cell calibration . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Zeroing flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Prevent water buildup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

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8 Setup and Connections

Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

When to change the absorbent . . . . . . . . . . . . . . . . . . . 8-6
Removing a canister . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Removing an EZchange Canister . . . . . . . . . . . . . . . . . 8-7
Reusable Multi Absorber canister filling . . . . . . . . . . . . . 8-8
Electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Outlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Mains inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Serial port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11
Pneumatic connections . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
Pipeline Inlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
Scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
Sample gas return port . . . . . . . . . . . . . . . . . . . . . . . . 8-13
Suction regulator (optional) . . . . . . . . . . . . . . . . . . . . . 8-13
Auxiliary O2 flowmeter (optional) . . . . . . . . . . . . . . . . . 8-14
How to install gas cylinders . . . . . . . . . . . . . . . . . . . . . . . . 8-15
Pin indexed cylinder yokes . . . . . . . . . . . . . . . . . . . . . 8-15
DIN cylinder connections . . . . . . . . . . . . . . . . . . . . . . . 8-15
High-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . 8-16
How to attach equipment to the top of the machine . . . . . . 8-16
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16
9 Cleaning and Sterilization

Breathing system autoclavable parts . . . . . . . . . . . . . . . . . . 9-3

Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
How to clean and disinfect the flow sensors . . . . . . . . . . . . 9-5
CIDEX disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Remove the breathing system bag hose . . . . . . . . . . . . . . . 9-8
Remove the breathing system . . . . . . . . . . . . . . . . . . . . . . . 9-8
Disassemble the breathing system . . . . . . . . . . . . . . . . . . 9-10
Disassemble the bellows assembly . . . . . . . . . . . . . . . . . . 9-15
Assemble the bellows assembly . . . . . . . . . . . . . . . . . . . . 9-17
Bellows assembly test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-19

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 Table of Contents

Assemble the breathing system . . . . . . . . . . . . . . . . . . . . . 9-21

Install the breathing system . . . . . . . . . . . . . . . . . . . . . . . . 9-26
Remove the AGSS receiver . . . . . . . . . . . . . . . . . . . . . . . . 9-27
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . 9-29
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-30
Mechanical cleaning in washer or washer-disinfector . 9-30
Manual cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-30
High level disinfection . . . . . . . . . . . . . . . . . . . . . . . . . 9-30
EZchange Canister and condenser . . . . . . . . . . . . . . . . . . 9-31
10 Parts

Flow sensor module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Breathing circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
EZchange Canister system . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . 10-10
11 Specifications and Theory of Operation

System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . 11-2

Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
O2 flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
Air and N2O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
Mixed gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
EZchange Canister . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
ACGO Port relief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10

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Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11

Flow specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Breathing system specifications . . . . . . . . . . . . . . . . . . . . 11-12
Gas scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . 11-14
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . . 11-15
Auxiliary O2 flowmeter (optional) . . . . . . . . . . . . . . . . . . . 11-15
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-16
O2 monitor theory of operation . . . . . . . . . . . . . . . . . . 11-17
Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-17
Ventilator operating specifications . . . . . . . . . . . . . . . . . . 11-19
Pneumatics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-19
Fresh gas compensation . . . . . . . . . . . . . . . . . . . . . . 11-19
Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-19
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-19
Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-19
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . 11-20
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . 11-22
Guidance and manufacturer’s declaration -
electromagnetic emissions . . . . . . . . . . . . . . . . . . . . . 11-22
Guidance and manufacturer’s declaration -
electromagnetic immunity . . . . . . . . . . . . . . . . . . . . . 11-23
Radiated immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-23
Recommended separation distances . . . . . . . . . . . . . 11-24
Electrical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
IEC-60601-1 Classification . . . . . . . . . . . . . . . . . . . . . . . 11-25
Index

Warranty

vi M1116146
 1 Introduction

In this section What is an Aespire? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Symbols used in the manual or on the equipment . . . . . . . . 1-4
Typeface conventions used . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

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What is an Aespire?
The Aespire anesthesia system is a compact, integrated and intuitive
anesthesia delivery system. The 7100 Ventilator provides mechanical
ventilation for patients during surgery as well as monitoring and
displaying various patient parameters.
The 7100 Ventilator uses a microprocessor-controlled ventilator with
internal monitors, electronic PEEP, Volume Mode, and other optional
features. A serial interface permits communication to cardiovascular
and respiratory gas monitoring.
The Aespire anesthesia system is not suitable for use in an MRI
environment.
This system must only be operated by authorized medical personnel
well trained in the use of this product. It must be operated according
to the instructions in this User’s Reference manual.
Note Configurations available for this product depend on local market and
standards requirements. Configurations covered in this manual
include the Aespire and Aespire 100 anesthesia systems. Illustrations
in this manual may not represent all configurations of the product.
This manual does not cover the operation of every accessory. Refer
to the accessory documentation for further information.

1-2 M1116146
 1 Introduction

AB.74.121

Figure 1-1 • Front view

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Symbols used in the manual or on the equipment

Symbols replace words on the equipment, on the display, or in
manuals.
Warnings and Cautions tell about the dangerous conditions that can
occur if the instructions in the manual are not followed.
Warnings tell about a condition that can cause injury to the operator
or the patient.
Cautions tell about a condition that can cause damage to the
equipment. Read and follow all warnings and cautions.

On (power) Off (power)

Standby
O2+ O2 flush button

Type BF equipment Type B equipment

Dangerous voltage Frame or chassis ground

Direct current Alternating current

Caution Attention, refer to product instructions, IEC

60601-1

Refer to product instructions, ISO 15223 Exhaust

Electrical input Electrical output

Electrical input/output Sample gas inlet to scavenging

Pneumatic inlet Pneumatic outlet

SN Serial number
REF Stock number

1-4 M1116146
 1 Introduction

Equipotential Lamp, lighting, illumination

Protective earth ground Earth ground

Variability Variability in steps

Suction bottle outlet Vacuum inlet

Max Vacuum

+ Plus, positive polarity

- Minus, negative polarity

Bag position/manual ventilation Mechanical ventilation

Inspiratory flow Expiratory flow

Movement in one direction Movement in two directions

Lock Unlock

Isolation transformer Low pressure leak test

134°C
Autoclavable Not autoclavable

Bellows volumes are approximate

O2% O2 cell connection

APL settings are approximate Anesthetic Gas Scavenging System

Pinch hazard Read to top of float

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EZchange Canister (CO2 bypass) Caution: federal law prohibits dispensing

without prescription

Open drain (remove liquid) Close drain

Alarm silence touch key Menu touch key

Alarm silence touch key (Tec 6) Volume alarms On/Off touch key

End case touch key Cylinder

Systems with this mark agree with the Authorized representative in the European
European Council Directive (93/42/EEC) for Community
Medical Devices when they are used as
specified in their User’s Reference manuals.
The xxxx is the certification number of the
Notified Body used by GE Healthcare’s
Quality Systems.

Manufacturer Date of manufacture

Indicates that the waste of electrical and GOST R Russian certification

electronic equipment must not be disposed
as unsorted municipal waste and must be
collected separately. Please contact an
authorized representative of the
manufacturer for information concerning the
decommissioning of equipment.

This way up

1-6 M1116146
 1 Introduction

Typeface conventions used

Names of hard keys on the display and modules are written in bold
typeface; for example, Normal Screen.
Menu items are written in bold italic typeface; for example, Main
Menu.
Messages that are displayed on the screen are enclosed in single
quotes: for example, ‘Check Fresh Gas Flow.’
When referring to different sections and other documents, the names
are written in italic typeface and enclosed in double quotes; for
example, “System Controls and Menus.”

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1-8 M1116146
 2 System Controls and Menus

In this section Anesthesia system controls . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Advanced breathing system (ABS) components . . . . . . . . . 2-6
ACGO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11
Ventilator screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Using menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

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Anesthesia system controls

WARNING Explosion Hazard. Do not use this system with flammable

anesthetic agents.

w Do not use antistatic or electrically-conductive breathing

tubes or masks. They can cause burns if used near high
frequency surgical equipment.

11

1
10
2
3
9
4
5

6
8
AB.74.121

1. Dovetail rails
2. Vaporizer
3. Pipeline pressure gauge(s) (upper row)
4. Cylinder pressure gauge(s) (lower row)
5. System switch
6. Integrated suction (optional)
7. Brake
8. O2 flush button
9. Breathing system
10. Flow controls
11. Ventilator display (color or monochrome)
Figure 2-1 • Front view

2-2 M1116146
 2 System Controls and Menus

Item, Figure 2-1 Description

5 System switch Set the switch to the On (I) position to permit gas flow and
to turn on the system.
6 Integrated suction Turn the switch to Max for full vacuum. Turn the switch to
(optional) Off for no vacuum. Turn the switch to On for adjustable
vacuum. When in adjustable vacuum, turn the knob
clockwise to increase the vacuum and counterclockwise to
decrease the vacuum.
7 Brake Push down to lock. Lift to release.
8 O2 flush button Push the O2 flush button to supply high flows of O2 to the
breathing system.
10 Flow controls Turn the control counterclockwise to increase the flow and
clockwise to decrease. The system switch must be On for
gas to flow.

M1116146 2-3
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1
2

5
4

AB.74.004

1. Outlet circuit breaker

2. Electrical outlet
3. Equipotential stud
4. Mains inlet
5. System circuit breaker
6. Cylinder
7. Pipeline connections
Figure 2-2 • Rear view

2-4 M1116146
 2 System Controls and Menus

Vaporizer controls Refer to the vaporizer operation and maintenance manual for more
detailed information on the vaporizer.

3 3

4 4

AB.80.009
AA43051
5

1 2
1. Tec 6 Plus
2. Tec 7
3. Lock lever
4. Concentration control and release
5. Indicators (Tec 6 Plus)
6. Alarm silence touch key (Tec 6 Plus)
Figure 2-3 • Vaporizer controls

Item, Figure 2-3 Description

3 Lock lever Turn the lever fully clockwise to lock the vaporizer in
position.

4 Concentration control Push the release and turn the concentration control to set
and release the agent concentration. The Tec 6 Plus concentration
control does not turn as long as the warm-up indicator is on.

5 Indicators (Tec 6 Plus) All indicators come on briefly at the start. The warm-up
indicator goes off after approximately 10 minutes when the
operational indicator comes on. Other indicators come on to
advise the user of required action.
6 Alarm silence touch key Push to silence alarms. Hold for 4 seconds to sound the
(Tec 6 Plus) speaker and light all indicators (alarm test).

M1116146 2-5
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Advanced breathing system (ABS) components

15

14

13
12 1
2
11 3
10 4

9 5
6

AB.74.005

1. Expiratory check valve

2. Inspiratory check valve
3. Auxiliary common gas outlet (ACGO) switch
4. ACGO
5. Inspiratory flow sensor or flow port adapter
6. Expiratory flow sensor or flow port adapter
7. Absorber canister
8. Absorber canister release
9. Leak test plug
10. Breathing system release
11. Manual bag port
12. Adjustable pressure-limiting (APL) valve
13. Bag/Vent switch
14. Bellows assembly
15. Airway pressure gauge
Figure 2-4 • Advanced breathing system

2-6 M1116146
 2 System Controls and Menus

Item, Figure 2-4 Description

3 Auxiliary common gas outlet Sends fresh gas to the ACGO when the switch is activated.
(ACGO) switch The ACGO provides fresh gas to an external manual
breathing circuit.
5, 6 Inspiratory flow sensor or Flow sensors provide volume measurements for some
flow port adapter, Expiratory monitoring functions and tidal volume delivery.
flow sensor or flow port Flow port adapters have no measurement capabilities.
adapter
8 Absorber canister release Push to remove the canister. This causes the breathing
system to vent to the room (unless the EZchange Canister
option is installed). Be sure to hold the canister by the
handle before releasing the canister.

12 Adjustable pressure-limiting Adjusts breathing system pressure limit during manual

(APL) valve ventilation. The scale shows approximate pressures. Above
30 cmH2O, the knob will click as it turns.

MI
N

13 Bag/Vent switch Selects between manual ventilation (bag) or mechanical

ventilation (ventilator).

Flow port adapters Flow port adapters have no measurement capabilities.

Systems without volume compensation have a flow port adapter in
the inspiratory position of the flow sensor module and a flow sensor in
the expiratory position of the flow sensor module.
Systems without volume compensation and without volume
monitoring have flow port adapters in both the inspiratory and
expiratory positions of the flow sensor module.
All other systems have flow sensors in both locations.

M1116146 2-7
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Optional ABS
components

AB.74.120
AB.82.043
4

1. Bag support arm

2. EZchange Canister system (CO2 bypass)
3. EZchange Canister release
4. Condenser drain button
5. Condenser
Figure 2-5 • Breathing system options

Item, Figure 2-5 Description

1 Bag support arm Squeeze the button to raise or lower the arm.

3 EZchange Canister release Push to drop the canister to EZchange position. This seals
the breathing circuit, permitting continued ventilation and
rebreathing of exhaled gases. Be sure to hold the canister
by the handle before releasing the canister.
4 Condenser drain button Push to drain water out of the condenser.

2-8 M1116146
 2 System Controls and Menus

ACGO
Fresh gas flow is directed through the Auxiliary Common Gas Outlet
(ACGO) on the front of the system when the ACGO switch is in the
ACGO position. Mechanical ventilation is not available when
operating an auxiliary manual breathing circuit with fresh gas from the
ACGO. The Bag/Vent switch, APL valve, and bag arm are not part of
the external circuit. Volume and pressure monitoring are not
available.
O2 monitoring of fresh gas is available automatically when the ACGO
is selected if the system has the O2 cell monitoring option. A sample
of the fresh gas is diverted to the O2 cell in the breathing system. The
sample flow to the O2 cell is dependent on the pressure in the
external circuit. The sample flow reduces the fresh gas flow rate to
the auxiliary breathing circuit equal to the amount delivered to the O2
cell.
Fresh gas oxygen concentration is displayed on the screen. Set the
alarm limits appropriately. Note that fresh gas oxygen concentration
may not reflect FiO2 during spontaneous breathing or in rebreathing
circuits. Use an external O2 monitor if using a rebreathing circuit on
ACGO.
Do not use an external ventilator on the ACGO. Do not use the ACGO
to drive external ventilators or for jet ventilation.
See “Scavenging” in the “Setup and Connections” section for more
information on connections.

WARNING The maximum pressure at the ACGO can be up to 55 kPa

(8 psi). Use a breathing circuit with pressure relief.

Scavenging the A sample of the fresh gas is diverted to the O2 cell in the breathing
ACGO sample flow system. If an auxiliary manual breathing circuit is used with N2O or
volatile anesthetics, this sample flow should be scavenged.
1. Attach a circle breathing circuit to the inspiratory and expiratory
ports. Occlude the circle circuit by connecting the Y-piece to the
plug located to the rear of the expiratory port.
2. Check for clinically correct settings. Set the Bag/Vent switch to
mechanical ventilation mode. (Mechanical ventilation will not start
when ACGO is selected.) Alternatively, set the Bag/Vent switch
to the bag mode, set the APL valve to MIN, and attach a bag.
3. The bellows, or bag, fills slowly with the fresh gas sample flow
and then spills to the AGSS.

M1116146 2-9
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Scavenging from an Scavenge the exhaust if an auxiliary manual breathing circuit is used
auxiliary manual with N2O or volatile anesthetics.
breathing circuit An auxiliary inlet is available for active and passive AGSS units. It
provides a female connection with 30 mm - 30 mm male connector
(or a 30 mm - 19 mm male connector) into the auxiliary port under the
breathing system. Do not use these connectors as an outlet for
exhaust flow.
The auxiliary inlet is a convenience inlet to the air brake of active
AGSS units. There is a reservoir to capture exhaust flows higher than
the extract flow.
A separate exhaust hose is needed from the auxiliary manual
breathing circuit to the disposal point for all AGSS units.

Scavenging a gas Sample gas from a gas monitor can be scavenged using the sample
monitor sample flow gas return port or the AGSS. To scavenge from a gas monitor using
the sample gas return port, connect the tubing from the monitor to the
sample gas return port. To scavenge from a gas monitor using the
AGSS, connect tubing from the monitor to the male luer inlet on the
bottom of the AGSS underneath the breathing system.

2-10 M1116146
 2 System Controls and Menus

Ventilator controls
The ventilator controls include touch keys, menu screens, and a
control knob. The system switch provides power functions to the
ventilator display. The Bag/Vent switch starts and stops mechanical
ventilation.

11
1

10
2

8 7 6 5 4 AB.43.161

1. Volume alarms On/Off key

2. Menu key
3. ComWheel (control knob)
4. PEEP selection key
5. Plimit selection key
6. I:E ratio selection key
7. Breathing rate selection key
8. Tidal volume (VT) or airway pressure (Pinsp) selection key
9. Mains indicator
10. End case key
11. Silence alarms key
Figure 2-6 • Ventilator controls

M1116146 2-11
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Ventilator screen

6 3
4

5 AB.43.162

1. Alarm message field

2. Bar graph or waveform field
3. Circuit type field
4. Ventilation mode
5. Ventilator settings
6. Mechanical ventilation status
7. Measured values field
Figure 2-7 • Normal view

2-12 M1116146
 2 System Controls and Menus

Using menus
Push the Menu key to display the Main Menu. Use the ComWheel to
navigate through the menu. The screen returns to the normal view 25
seconds after the last action.
1. Push the Menu key to show the Main Menu.
2. Turn the ComWheel counterclockwise to highlight the next menu
item. Turn the ComWheel clockwise to highlight the previous
menu item.
3. Push the ComWheel to enter the adjustment window or a sub
menu.
4. Turn the ComWheel clockwise or counterclockwise to highlight
the desired selection.
5. Push the ComWheel to confirm the selection.
6. Push the Menu key to exit the menu and return to the normal
monitoring screen.

M1116146 2-13
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2-14 M1116146
 3 Operation

WARNING Maintain sufficient fresh gas flow when using sevoflurane.

In this section Turning on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Ventilator setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Screen and Audio Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Pressure waveform (optional) . . . . . . . . . . . . . . . . . . . . . . . . 3-8
EZchange Canister (optional) . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Condenser (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Passive AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Active AGSS (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12

M1116146 3-1
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Turning on the system

1. Plug the power cord into an electrical outlet. Make sure the
system circuit breaker is on.
• The mains indicator comes on when AC power is connected.
Battery is charging if not already fully charged.
2. Check that the breathing system is properly connected.

CAUTION Do not turn on the system with the right-hand (inspiratory)

port plugged.
3. Turn the System switch to On.
• The display shows the power-up screen.
• The system does a series of automated self tests.

Start mechanical ventilation

WARNING Make sure that the patient circuit is correctly assembled

and that the ventilator settings are clinically appropriate
before starting ventilation.
1. Set the ACGO switch to the circle system position.
2. Set the Bag/Vent switch to Vent.
3. Push the O2 flush button to inflate the bellows if needed.

Stop mechanical ventilation

1. Connect a manual breathing circuit.
2. Make sure that the APL valve is set to approximately 20 cmH2O.
3. Set the Bag/Vent switch to Bag.

3-2 M1116146
 3 Operation

Ventilator setup
The system has two modes of mechanical ventilation:
• Volume Control.
• Pressure Control (optional).
Note See the “Specifications and Theory of Operation” section for more
information on ventilation modes.

Using quick keys The five main ventilator settings for each mode can be easily
changed using the ventilator quick keys.
1. Push a ventilator quick key to select the corresponding ventilator
setting.
2. Turn the ComWheel to make a change.
3. Push the ComWheel to activate (confirm) the change.

Changing ventilator 1. Push the Menu key.

modes and settings 2. Select Ventilation Mode.
3. Select either Volume Control or Pressure Mode.
4. Set the values for the selected ventilation mode.
• The area around the value flashes while setting the value.
• The Pinsp bar graph scale is dependent on the set value.
5. Push the ComWheel to activate the change.
• The area around the value being set stops flashing.
• The system returns to the normal monitoring screen.
• The ventilation modes shows on the screen.

Setting inspiratory Inspiratory pause is only available in volume control ventilation mode.
pause The inspiratory volume stays in the patient’s lungs for the set pause
time at the end of inspiration. Inspiratory pause can be set to Off or 5
to 60 percent of the inspiratory time in increments of 5.
1. Push the Menu key.
2. Select Setup.
3. Select Inspiratory Pause.
4. Select the setting and push the ComWheel to activate the
change.
5. Select Go to Main Menu to return to the Main Menu, or push the
Menu key to return to the normal monitoring screen.

M1116146 3-3
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Screen and Audio Setup

Set the screen 1. Push the Menu key.

contrast 2. Select Screen and Audio Setup.
3. Select Screen Contrast.
4. Select a new contrast level.
5. Push the ComWheel to confirm the change.
6. Select Go to Main Menu to return to the Main Menu, or push the
Menu key to return to the normal monitoring screen.

Set the alarm 1. Push the Menu key.

loudness 2. Select Screen and Audio Setup.
3. Select Alarm Loudness.
• A tone sounds at the current volume setting.
4. Select a new volume.
• A tone sounds at the new volume selected.
5. Push the ComWheel to confirm the change.
6. Select Go to Main Menu to return to the Main Menu, or push the
Menu key to return to the normal monitoring screen.

Show or hide alarm Simplify the screen by hiding the alarm limits. If the screen is set to
limits hide the alarm limits, the limits automatically show when an alarm
occurs, volume monitoring is off, or the auxiliary common gas outlet is
selected.
1. Push the Menu key.
2. Select Screen and Audio Setup.
3. To hide alarm limits, select Alarm Limits and set to Hide.
4. To show the alarm limits, select Alarm Limits and set to Show.
5. Select Go to Main Menu to return to the Main Menu, or push the
Menu key to return to the normal monitoring screen.

Show or hide units of Simplify the screen by hiding the units of measure.
measure 1. Push the Menu key.
2. Select Screen and Audio Setup.
3. To hide the units of measure, select Units of Measure and set to
Hide.
4. To show the units of measure, select Units of Measure and set
to Show.
5. Select Go to Main Menu to return to the Main Menu, or push the
Menu key to return to the normal monitoring screen.

3-4 M1116146
 3 Operation

Alarm Settings

Setting volume The volume alarms key turns the volume alarms on and off. When the
alarms alarms are off, an X covers the alarm limits. Use this control during
manual ventilation when constant attention is on the patient.
Use the End Case key to minimize alarms between cases. The
alarms will activate when two or more breaths are detected within 30
seconds.

WARNING Do not turn off volume alarms for a spontaneously

breathing patient. The system will not alarm for a low
volume.

Setting alarm limits If the Alarm Settings menu shows Ve Auto Limits during
mechanical ventilation, the system is set to automatically calculate
VE limits to the ventilator parameter settings.
1. Push the Menu key.
2. Select Alarm Settings.
3. Scroll to the desired alarm.
4. Select the alarm limit and change the value.
5. Select Go to Main Menu to return to the Main Menu, or push the
Menu key to return to the normal monitoring screen.

Setting an audible The patient circuit leak alarm activates during mechanical ventilation
alarm for circuit leaks if less than half of the inspired volume returns though the expiratory
flow sensor. Prevent nuisance alarms from known circuit leaks by
setting the Circuit Leak to Audio Off.
Volume alarms must be on and the low VE limit must be set to a value
other than off.
1. Push the Main menu key.
2. Select Alarm Settings.
3. Select Circuit Leak.
4. Select the desired setting.
• ‘Circuit Leak Audio Off’ shows on the screen when Audio Off
is selected.
5. Select Go to Main Menu to return to the Main Menu, or push the
Menu key to return to the normal monitoring screen.

M1116146 3-5
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Cardiac Bypass Cardiac Bypass suspends alarms for patients on cardiac bypass
when the ventilator is not mechanically ventilating. Mechanical
ventilation must be off. When mechanical ventilation is turned on,
Cardiac Bypass is turned off, the alarms are enabled, and monitoring
is available.

WARNING Cardiac Bypass mode should only be used when the

patient is receiving extra-corporeal oxygenation by means
of a heart-lung machine. This mode of ventilation is not
intended to provide metabolic levels of ventilation to the
patient.
1. Set the Bag/Vent switch to Bag.
2. Push the Menu key.
3. Select Alarm Settings.
4. Select Cardiac Bypass.
5. Set Cardiac Bypass to In Progress.
6. Push the ComWheel to activate the change.
• The screens shows ‘Cardiac Bypass’ and ‘Apnea Alarm Off.’
7. Select Go to Main Menu to return to the Main Menu, or push the
Menu key to return to the normal monitoring screen.

3-6 M1116146
 3 Operation

Measure circuit compliance

Exhaled tidal volume (VTE) measures the gas needed to fill the
patient circuit at the measured pressure. The compliance factor can
be used to calculate the approximate gas compression in patient
tubes. This amount of gas compressed in the tubes at each breath
shows in the tidal volume but does not reach the patient.
1. Set the ventilator to volume control ventilation mode.
2. Adjust the ventilator settings:
• VT = 500 ml
• Rate = 10
• I:E = 1:1
• Plimit = 20 cmH2O
3. Occlude the patient Y.
4. Turn on mechanical ventilation.
5. Monitor the exhaled tidal volume (VTE) and the measured peak
airway pressure (Pmax).
6. Calculate the tubing compliance factor:
• VTE/(Pmax - 2.5* cmH2O) = Compliance factor in ml/cmH2O.
• Example:
— Pmax = 20 cmH2O
— VTE = 24 ml
— 24/(20 - 2.5) = 1.4 ml/cmH2O
*Force of the bellows.

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Pressure waveform (optional)

The pressure waveform represents instantaneous values of airway
pressure. The waveform automatically adjusts the time and pressure
scales. The time scale changes with the respiratory rate. The
pressure scale changes with the pressure limit.

Respiratory Rate (breaths per minute) Time scale (seconds)

4 to 25 0 to 14.4
26 to 65 0 to 7.2

1
3

AB.29.104
2

1. Pmean
2. PEEP
3. Pmax
Figure 3-1 • Volume control mode waveform

Pressure Limit (cmH2O) Pressure scale (cmH2O)

12 to 40 -5 to 40
41 to 60 -5 to 60
61 to 99 -5 to 100

1
3
2
AB.29.103

1. Pinsp
2. PEEP
3. Pmax
Figure 3-2 • Pressure mode waveform

3-8 M1116146
 3 Operation

EZchange Canister (optional)

Push the absorber canister release to activate the EZchange Canister
mode. The canister will drop to the EZchange position. The
EZchange Canister mode seals the breathing circuit when the
canister holder is down. This permits continued ventilation and
rebreathing of exhaled gases.
Systems with EZchange Canister have the following label on the
canister holder. When the system is in EZchange position, the
message ‘No CO2 Absorption’ shows on the ventilator display.

AB.82.042
To return to absorber mode, reinsert the canister into the holder and
push the canister back up and snap it into absorber position. When
the canister is in the absorber position, the exhaled gas flows through
the absorber, removing CO2.
Note Check the absorber canister to ensure it has side rails. If the canister
does not have side rails, it will not work on the EZchange Canister
holder.
AB.74p.043

M1116146 3-9
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Condenser (optional)
Visually check the condenser reservoir daily. If needed, drain the
reservoir. Place a container under the reservoir. Push the drain
button to empty any water in the condenser reservoir.

AB.75p.080

3-10 M1116146
 3 Operation

Passive AGSS (optional)

WARNING Always verify the proper operation of any gas scavenging

system; ensure the scavenging system is not occluded.
The passive AGSS (Anesthesia Gas Scavenging System) contains
both positive and negative pressure relief valves to protect the
breathing system and the patient. The outlet is a 30-mm connector on
the bottom of the receiver.
There is also a connector that may be used for scavenging the
sample from a gas monitor. The male luer inlet connection is located
near the 30-mm connector.
Passive AGSS is intended primarily for use in operating room
environments which have no active gas extraction system for waste
gas disposal. The disposal system generally consists of large
diameter tubing directly linking the passive AGSS with the building
exterior. The tubing should be as large in diameter and as short as
possible for the particular application.
Passive AGSS may also be used with a non-recirculating facility
ventilation system for waste gas disposal. The tubing connection from
passive AGSS to the non-recirculating facility ventilation system
should be an open connection, essentially at atmospheric pressure,
such as to an exhaust grill.

M1116146 3-11
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Active AGSS (optional)

WARNING Always verify the proper operation of any gas scavenging

system; ensure the scavenging system is not occluded.
There are several versions of the optional active AGSS (Anesthesia
Gas Scavenging System) available depending on the hospital’s type
of waste gas disposal system.
Each version has a two-liter reservoir to capture peak exhaust flows
that briefly exceed the extract flow. The disposal system normally
entrains room air through an air brake (located in a receiver
underneath the breathing system), but will spill from this port during
extended periods of high exhaust flow. Its effectiveness is limited by
the extract flow of the particular active AGSS device.
• The active low flow system is for use with high vacuum disposal
systems. It requires a vacuum system capable of a continuous
nominal flow of 36 l/min and 300 mmHg (12 inHg) or greater
vacuum pressure. A flow indicator on the system indicates when
the unit is in operation.
• The active high flow system is for use with low vacuum (blower
type) disposal systems. This requires a system capable of
providing a continuous nominal flow of 50 l/min. A flow indicator
on the system indicates when the unit is in operation.
• Another version is the active adjustable flow. It provides the
capability to adjust the flow with a needle valve (located in a
receiver underneath the breathing system) and a visual indicator
bag which should be properly inflated. It requires a vacuum
system capable of a continuous nominal flow of 36 l/min and 300
mmHg (12 inHg) or greater vacuum pressure. A flow indicator on
the system indicates when the unit is in operation.
• The active low flow system with a 12.7 mm hose barb connector
is for use with low vacuum disposal system. It requires an
external venturi system with flowmeter and 36 l/min extract flow.
• The active low flow system with a 25 mm barb connector is for
use with low vacuum disposal systems. It requires an external
venturi/ejector system with 36 l/min extract flow. A flow indicator
on the system indicates when the unit is in operation.
• The active low flow system with 30-mm ISO taper is for use with
low vacuum disposal systems. It requires an external venturi/
ejector system with 36 l/min extract flow. A flow indicator on the
system indicates when the unit is in operation.

3-12 M1116146
 3 Operation

Connecting active To use the optional active AGSS on a system that has a flow
AGSS with a flow indicator, connect it as follows.
indicator 1. Connect the proper hose to the AGSS outlet connector on the
bottom of the AGSS underneath the breathing system. Attach the
other end to the hospital disposal system.
2. With the AGSS operating, verify that the flow indicator ball on the
flow indicator rises to the green zone, indicating adequate flow.
Note The ball in the upper red zone indicates excessively high extraction
flow. The ball in the lower red zone indicates extraction flow rate is
too low or a blocked filter.
3. Complete the tests in the “Preoperative Tests” section of this
manual.

Connecting active The active adjustable AGSS option flow rate is limited to 30 l/min with
adjustable AGSS this option.
To use the optional active AGSS installed on the system which uses
the three-liter bag as a visual indicator, connect it as follows.
1. Connect a disposal hose to the DISS connector on the needle
valve on the bottom of the AGSS (underneath). The hose should
be flexible and reinforced to help prevent kinking and crushing.
2. Attach the other end of the hose to the hospital disposal system.
3. Attach the three-liter bag to the 30-mm auxiliary 1 port on the
bottom of the AGSS.
4. Use the needle valve to adjust the flow rate to match the amount
of gas being scavenged. Use the visual indicator bag when
adjusting the flow rate. The bag should remain partially inflated.
AB.75p.110

5. Complete the tests in the “Preoperative Tests” section of this

manual.

M1116146 3-13
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3-14 M1116146
 4 Preoperative Checkout

WARNING Read each component’s User’s Reference manual and

understand the following before using this system:
• All system connections.
• All warnings and cautions.
• How to use each system component.
• How to test each system component.

w Before using this system:

• Complete the preoperative checkout.
• For in-depth test instructions, see the “Preoperative
Tests” section.
• Test all other system components.

w If a test fails, do not use the equipment.

Have a manufacturer-trained service representative repair
the equipment.

In this section Every day before your first patient . . . . . . . . . . . . . . . . . . . . 4-2

Before every patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

M1116146 4-1
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Every day before your first patient

† Check that necessary emergency equipment is available and in good

condition.

† Check that the equipment is not damaged and that components are
correctly attached.

† Check that pipeline gas supplies are connected and cylinders are
installed.

† Check the vaporizer installation:

• The top of each vaporizer is horizontal (not on crooked).
• Each vaporizer is locked and cannot be removed.
• The alarms and indicators operate correctly (Tec 6 series
vaporizers).
• More than one vaporizer cannot be turned on at the same time.
• All vaporizers are adequately filled.

† Check that the breathing circuit is correctly connected, not damaged,

and the breathing system contains sufficient absorbent.

† Turn the System switch to On.

† Connect the scavenging and verify proper operation.

† Do the Pipeline and cylinders tests.

† Do the Flow control tests.

† Do the Vaporizer back pressure tests.

† Do a Low-pressure leak test.

† Do the Alarm tests.

† Do the Breathing system tests

† Set the appropriate controls and alarm limits for the case.

4-2 M1116146
 4 Preoperative Checkout

Before every patient

Note This check does not need to be done before the first case of the day if
the “Every day before your first patient” check was done.

† Check that necessary emergency equipment is available and in good

condition.

† Check the vaporizer installation:

• The top of each vaporizer is horizontal (not on crooked).
• Each vaporizer is locked and cannot be removed.
• The alarms and indicators operate correctly (Tec 6 series
vaporizers).
• More than one vaporizer cannot be turned on at the same time.
• All vaporizers are adequately filled.

† Do the Breathing system tests.

† Set the appropriate controls and alarm limits for the case.

M1116146 4-3
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4-4 M1116146
 5 Preoperative Tests

In this section Inspect the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Power failure alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Minimize alarms (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Pipeline test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Cylinder test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Flow control test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Breathing system tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
Monitor and ventilator tests. . . . . . . . . . . . . . . . . . . . . . . . . 5-15

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Inspect the system

WARNING The top shelf weight limit is 34 kg (75 lb).

w Make sure that the breathing circuit is correctly connected

and not damaged. Replace the breathing circuit if it is
damaged.

w Do not leave gas cylinder valves open if the pipeline

supply is in use. Cylinder supplies could be depleted,
leaving an insufficient reserve supply in case of pipeline
failure.
Before using the system, make sure that:
• The equipment is not damaged.
• Components are correctly attached.
• The breathing circuit is correctly connected, not damaged, and
the breathing system contains sufficient absorbent.
• The vaporizers are locked in position and contain sufficient agent.
• Pipeline gas supplies are connected and the pressures are
correct.
• Cylinder valves are closed on models with cylinder supplies.
• Models with cylinder supplies have a cylinder wrench attached to
the system.
• Models with cylinder supplies have a reserve supply of O2
connected to the machine during system checkout.
• The necessary emergency equipment is available and in good
condition.
• Equipment for airway maintenance, manual ventilation, tracheal
intubation, and IV administration is available and in good
condition.
• Applicable anesthetic and emergency drugs are available.
• If an optional O2 flowmeter is present, ensure there is adequate
flow.
• If an optional suction regulator is present, ensure there is
adequate suction.
• The casters are not loose and the brakes are set and prevent
movement.
• The power cord is connected to a wall outlet. The mains indicator
comes on when AC power is connected. If the indicator is not on,
the system does not have mains (electrical) power. Use a
different outlet, close the circuit breaker, or replace or connect the
power cable.
• The O2 flush button is in working condition.

5-2 M1116146
 5 Preoperative Tests

Power failure alarm test

1. With the System switch set to On, unplug the power cord.
2. Make sure that the power failure alarm sounds.
3. Connect the power cord to the electrical outlet.
4. Verify that the alarm tone stops.

Minimize alarms (optional)

1. Push the volume alarms key to set the volume alarms to Off.
2. Push the Menu key.
3. Select Alarm Settings.
4. Set the low O2 alarm limit to 21.
5. Set the high O2 alarm limit to Off.
6. Set the Bag/Vent switch to Bag.

Pipeline test
1. Disconnect the pipeline supplies and close all cylinder valves.
2. If the pipeline and cylinder pressure gauges are not at zero:
• Connect an O2 supply.
• Set the System switch to On.
• Set the flow controls to mid range.
• Make sure that all of the gauges except for O2 go to zero.
• Disconnect the O2 supply.
• Make sure that the O2 gauge goes to zero. As the pressure
decreases, the alarms for O2 supply failure should occur.
3. Connect the pipeline supplies.
4. Verify the pipeline pressure is between 280 and 600 kPa.

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Cylinder test

CAUTION To prevent damage to the system, open the cylinder

valves slowly and do not force the flow controls.

WARNING Do not leave gas cylinder valves open if the pipeline

supply is in use. Cylinder supplies could be depleted,
leaving an insufficient reserve supply in case of pipeline
failure.
1. Disconnect the pipeline supplies and close all cylinder valves.
2. If the pipeline and cylinder pressure gauges are not at zero:
• Connect an O2 supply.
• Set the System switch to On.
• Set the flow controls to mid range.
• Make sure that all of the gauges except for O2 go to zero.
• Disconnect the O2 supply.
• Make sure that the O2 gauge goes to zero. As the pressure
decreases, the alarms for O2 supply failure should occur.
3. Make sure that the cylinders are full:
• Open each cylinder valve.
• Make sure that each cylinder has sufficient pressure.
• If the cylinder does not have sufficient pressure, close the
cylinder valve and install a full cylinder.
4. Set the System switch to Standby.
5. Turn off the auxiliary O2 flowmeter.
6. Turn off the suction.
7. Test one cylinder at a time for high-pressure leaks.
• Open the cylinder.
• Record the cylinder pressure.
• Close the cylinder valve.
• Wait for one minute and record the cylinder pressure again.
• If the cylinder pressure for air or O2 decreases more than
5000 kPa, there is a leak.
• If the cylinder pressure for N2O decreases more than
694 kPa, there is a leak.

5-4 M1116146
 5 Preoperative Tests

Flow control test

WARNING The Link system cannot replace an O2 monitor. Sufficient

O2 in the fresh gas may not prevent hypoxic mixtures in
the breathing circuit.

w Nitrous oxide (N2O), if available, flows through the system

during this test. Use a safe and approved procedure to
collect and remove the N2O.

w Incorrect gas mixtures can cause patient injury. If the Link

system does not supply O2 and N2O in the correct
proportions, do not use the system.

Systems without O2
monitoring

WARNING This procedure tests for significant malfunction of the Link

system. It does not confirm the proper calibration of the
Link system. Perform periodic calibrations using an
accurate and properly calibrated O2 monitor as
recommended in the “User Maintenance” section.
1. Connect the pipeline supplies or slowly open the cylinder valves.
2. Turn all flow controls fully clockwise for minimal flow.
3. Set the System switch to On.
Note Do not use the system if the ‘Low Battery Voltage’ or any ventilator
failure alarms occur.
4. Make sure that the O2 flow tube shows approximately 0.025 to
0.075 l/min.

WARNING Keep the Link system engaged. Adjust only the test
control for the following steps.
• Test first N2O and then O2.
• If the test control is adjusted too far, set the flow
controls to the previous position and do the step again.

M1116146 5-5
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5. Test the Link system with the flow increasing:

• Turn the N2O and the O2 flow controls fully clockwise for
minimum flow.
• Slowly turn the N2O flow control counterclockwise.
• Set the N2O flow control to the rates shown in the table.

N2O flow l/min O2 flow greater than l/min

0.8 0.2
2 0.5
4 1
10 2.5

6. Test the Link system with flow decreasing.

• Set the N2O flow to 9 l/min.
• Set the O2 flow to 3 l/min or higher.
• While reducing the O2 flow, set the N2O flow to the rates
shown in the table. The O2 flow must be greater than the
minimum limits.

N2O flow l/min O2 flow greater than l/min

8 2
4 1
0.8 0.2

7. Adjust the flow of all gases through the full range and make sure
that the flow tube floats move smoothly.
8. Disconnect the O2 pipeline supply or close the O2 cylinder valve.
9. Make sure that:
• The low O2 supply alarm occurs.
• The N2O and the O2 flows stop. The O2 flow should stop last.
• The air flow continues.
• The gas supply alarms occur on the ventilator if the ventilator
uses O2 as the drive gas.
10. Turn all the flow controls fully clockwise for minimum flow.
11. Reconnect the O2 pipeline supplies or open the O2 cylinder valve.

5-6 M1116146
 5 Preoperative Tests

Systems with O2 1. Test the O2 monitor as described in the “Alarm tests.”

monitoring 2. Connect the pipeline supplies or slowly open the cylinder valves.
3. Turn all flow controls fully clockwise for minimal flow.
4. Set the System switch to On.
Note Do not use the system if the Low Battery or any ventilator failure
alarms occur.
5. Make sure that the O2 flow tube shows approximately 0.025 to
0.075 l/min.
• Single-tube systems should show 0.200 l/min.
• The other flow tubes must show no gas flow.

WARNING Keep the Link system engaged. Adjust only the test
control for the following steps.
• Test first N2O and then O2.
• The O2 cell must be correctly calibrated.
6. Test the Link system with the flow increasing:
• Turn the N2O and the O2 flow controls fully clockwise for
minimum flow.
• Slowly turn the N2O flow control counterclockwise.
• Make sure that the O2 flow increases. The measured O2
concentration must be greater than or equal to 21% through
the full range.
7. Test the Link system with flow decreasing.
• Set the N2O flow to 9 l/min.
• Set the O2 flow to 3 l/min or higher.
• Slowly turn the O2 flow control clockwise.
• Make sure that the N2O flow decreases. The measured O2
concentration must be greater than or equal to 21% through
the full range.
8. Adjust the flow of all gases through the full range and make sure
that the flow tube floats move smoothly.
9. Disconnect the O2 pipeline supply or close the O2 cylinder valve.
10. Make sure that:
• The low O2 supply alarm occurs.
• The N2O and the O2 flows stop. The O2 flow should stop last.
• The air flow continues.
• The gas supply alarms occur on the ventilator if the ventilator
uses O2 as the drive gas.
11. Turn all the flow controls fully clockwise for minimum flow.
12. Reconnect the O2 pipeline supplies or open the O2 cylinder valve.

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Vaporizer installation

WARNING Use only Datex-Ohmeda, Inc. Selectatec series

vaporizers Tec 4 or greater.

w Do not use a vaporizer if it lifts off the manifold when the

lock lever is in the locked position.

w Do not use the system if more than one vaporizer can be

turned on at the same time.

w Tec 6 Plus vaporizers need the power cable to go through

the channel on the bottom of the vaporizer for proper
alignment. Do not put the power cable on the top of the
manifold or between the vaporizers.
1. Place the vaporizer straight on the manifold.
2. Make sure that the top of each vaporizer is horizontal.
• If a vaporizer is not horizontal, remove it and reinstall it.
3. Set each vaporizer lock lever to the locked position.
4. Try to lift each vaporizer straight up off the manifold.
• Do not pull forward on the vaporizer.
• Do not rotate the vaporizer on the manifold.
5. If the vaporizer lifts off of the manifold, install it again and repeat
this “Vaporizer installation” procedure. If the vaporizer lifts off a
second time, do not use the system.
6. For a Tec 6 Plus vaporizer:
• Connect the vaporizer to an electrical outlet.
• Hold the Alarm Silence button (minimum of 4 seconds).
• Make sure all indicators turn on and that the alarm tone
occurs.
• Release the Alarm Silence button.
7. Try to turn on more than one vaporizer at the same time.
• Test each possible vaporizer combination.
• If more than one vaporizer turns on at the same time, remove
the vaporizers, install them again, and repeat the “Vaporizer
installation” procedure.

5-8 M1116146
 5 Preoperative Tests

Vaporizer back pressure test

WARNING Anesthetic agent comes out of the common gas outlet

during this test. Use a safe, approved procedure to
remove and collect the agent.

CAUTION To prevent damage to the vaporizer, turn the flow controls

fully clockwise (minimum flow or off) before turning on the
system.
1. Set the System switch to On. Alarms may occur.
2. Set the O2 flow to 6 l/min.
3. Make sure that the O2 flow stays constant and the float moves
freely.
4. Adjust the vaporizer concentration one click at a time from 0 to
1%. The O2 flow must not decrease more than 1 l/min through the
full range.
• If the O2 flow decreases more than 1 l/min, install a different
vaporizer and repeat the “Vaporizer back pressure test.”
• If the O2 flow decreases less than 1 l/min when testing a
different vaporizer, the malfunction is in vaporizer that failed
the test.
• If the O2 flow decreases more than 1 l/min with the different
vaporizer, the malfunction is in the system. Do not use the
system.
5. Repeat the “Vaporizer back pressure test” for each vaporizer.

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Low-pressure leak test

WARNING Do not use a system that has a low-pressure leak.

Anesthetic agent will go into the atmosphere instead of
into the breathing circuit.
Perform either the “Negative low-pressure leak test” or the “Positive
low-pressure leak test” depending on local requirements. It is not
necessary to perform both tests.

Negative low- 1. Make sure the System switch is set to Standby.

pressure leak test 2. Turn off all vaporizers.
3. Turn the ACGO switch to the ACGO position.
4. Remove all of the air from the negative low-pressure leak test
device.
• Occlude the inlet of the test device. Make sure it is a tight
seal.
• If the bulb of the test device inflates in less than 60 seconds,
use a different test device.
5. Test the system for low-pressure leaks:
• Turn the flow controls one and a half turns counterclockwise.
• Connect the test device to the auxiliary gas outlet.
• Compress and release the bulb until all air is removed from
the bulb.
• The floats will move. If the bulb inflates in 30 seconds or less,
there is a leak in the low-pressure circuit. See “Pneumatic
problems” in the “Alarms and Troubleshooting” section.
• Disconnect the test device.
6. Test each vaporizer for low-pressure leaks:
• Turn on one vaporizer.
• Set the vaporizer to 1%.
• Perform Step 5.
• Repeat this test with each vaporizer.
• If a low-pressure leak occurs while testing any of the
vaporizes, see “Pneumatic problems” in the “Alarms and
Troubleshooting” section.
• Turn off all vaporizers.
7. Turn all flow controls fully clockwise for minimum flow. Do not
overtighten.

5-10 M1116146
 5 Preoperative Tests

WARNING Agent mixtures from the low-pressure leak test stay in the
system. Clear the system by flowing O2 at 1 l/min for one
minute.
8. Clear the system of agent.
• Set the O2 flow to 1 l/min.
• Flow O2 for one minute.
• Turn the O2 flow control fully clockwise for minimum flow.

Positive low- 1. Connect the test device to the ACGO port with the positive-
pressure leak test pressure leak test adapter. Push the adapter into the ACGO port
throughout the test for a tight seal.

CAUTION Do a positive low-pressure leak test at the ACGO port

only.
2. Turn the ACGO switch to the ACGO position.
3. Turn all flow controls fully clockwise for minimum flow.
4. Turn all vaporizers off.
5. Fully open the needle valve on the test device. Keep the test
device flow tube vertical for accurate results.

CAUTION If the needle valve is not fully open, this test can damage
the pressure gauge on the test device.
6. Open the O2 flow control and set for a total flow on the test device
of 0.4 l/min.
7. Make sure that the pressure gauge on the test device is at zero,
and make sure that all other flow controls are fully closed.
8. Close the needle valve on the test device until the gauge reads
20 kPa for BSI or 3 kPa for ISO.
9. If the flow through the test device is less than 0.35 l/min ISO or
0.3 l/min BSI, there is a low pressure leak in the system. See
“Pneumatic problems” in the “Alarms and Troubleshooting”
section.
10. Test each vaporizer. Turn on the vaporizer being tested, and set
it to 1%. Perform steps 5 through 9 of this test for each vaporizer.
11. Make sure all vaporizers are turned off.

WARNING Agent mixtures from the low-pressure leak test stay in the
system. Clear the system by flowing O2 at 1 l/min for one
minute.

M1116146 5-11
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12. Clear the system of agent.

• Set the O2 flow to 1 l/min.
• Flow O2 for one minute.
• Turn the O2 flow control fully clockwise for minimum flow.

Alarm tests
1. Connect a test lung to the patient connection.
2. Set the Bag/Vent switch to Vent.
3. Set the System switch to On.
4. Push the Menu key.
5. Select Ventilation Mode - Volume Control.
6. Set the ventilator parameters:
• VT 400 ml
• Rate 12
• I:E 1:2
• Plimit 40 cmH2O
• PEEP Off
7. Set the O2 flow to the minimum flow.
8. Turn off all other gases.
9. Push the O2 flush button to fill the bellows.
10. Set the Bag/Vent switch to Bag and then to Vent. Make sure that:
• Mechanical ventilation starts.
• A subatmospheric pressure alarm does not occur.
• The ventilator shows the correct data.
• The bellows inflate and deflate during mechanical ventilation.
11. Set the O2 flow control to 5 l/min. Make sure that:
• The end expiratory pressure is approximately 0 cmH2O.
• The ventilator shows the correct data.
• The bellows inflate and deflate during mechanical ventilation.
12. Test the O2 monitor and alarms:
• Remove the O2 cell, and make sure that the cell measures
approximately 21% O2 in room air.
• Set the Low O2 alarm to 50%, and make sure that a Low O2
alarm occurs.
• Set the Low O2 alarm to 21%, and make sure that the Low O2
alarm stops.
• Put the O2 cell back into the circuit.
• Set the High O2 alarm to 50%.
• Push the O2 flush button to fill the breathing system, and
make sure that the High O2 alarm occurs.
• Set the high O2 alarm to 100%, and make sure that the alarm
stops.

5-12 M1116146
 5 Preoperative Tests

• Flow 100% O2 for 2 minutes, and make sure that the O2 cell
measures 100% O2.
• Other alarms may occur.
13. Test the low minute volume alarm:
• Push the menu key.
• Select Alarm Settings.
• Set the alarm limit for low minute volume to 6 l/min.
• Make sure that the low minute volume alarm occurs.
• Set the low minute volume alarm to Off.
14. Test the apnea and low airway pressure alarms:
• Remove the test lung from the patient connection.
• Make sure that the low airway pressure and apnea alarms
occur (other alarms may occur).
15. Test the sustained airway pressure alarm:
• Set the APL valve to 70.
• Set the Bag/Vent switch to Bag.
• Occlude the patient connection and push the O2 flush button.
• Make sure that the sustained airway pressure alarm occurs
after approximately 15 seconds at the sustained pressure
limit.

Breathing system tests

• Make sure that the auxiliary equipment is functioning correctly.
• Verify that AGSS is functioning correctly.
— Some breathing systems with active AGSS have a flow
indicator on the side. Make sure that the flow indicator
shows a flow in the green range.
• Make sure that the check valves on the breathing circuit module
work correctly.
— The expiratory check valve rises during expiration and
falls at the start of inspiration.
— The inspiratory check valve rises during inspiration and
falls at the start of expiration.

WARNING Objects in the breathing system can stop gas flow to the
patient, causing injury or death. Use a test plug that is the
appropriate size so that it will not fall into the breathing
system.

After performing the breathing system tests, make sure

that there are no test plugs or other objects caught in the
breathing system.

M1116146 5-13
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Bellows test 1. Set the Bag/Vent switch to Vent.

2. Set all flow controls to minimum flow.
3. Occlude the patient connection.
4. Push the O2 flush button to fill the bellows. Release the O2 flush
button.
5. Make sure that the pressure does not increase to more than 15
cmH2O on the pressure gauge.
6. If the bellows falls lower than the top of the indicator, there is a
leak. See “Breathing system problems” in the “Alarms and
Troubleshooting” section.

Breathing circuit test 1. Set the Bag/Vent switch to Bag.

2. Occlude the bag port.
3. Set the APL valve to 70.
4. Set the O2 flow to 250 ml/min.
5. Occlude the patient connection.
6. Push the O2 flush button and pressurize the bag to approximately
30 cmH2O.
7. Release the O2 flush button. The pressure must not decrease.
Any pressure decrease shown on the pressure gauge indicates a
leak. Repair any leaks in the breathing circuit.

APL valve test 1. Occlude the patient connection.

2. Set the APL valve to 70 cmH2O.
3. Set the fresh gas flow to approximately 3 l/min. Make sure that
the value on the inspiratory pressure gauge does not exceed 85
cmH2O. Some pressure fluctuation is normal.
4. Set the APL valve to MIN.
5. Set the O2 flow to 3 l/min.
6. Turn off all other gases.
7. Make sure that the value on the inspiratory pressure gauge is
less than approximately 5 cmH2O.
8. Push the O2 flush button. Make sure that the value on the
inspiratory pressure gauge stays near zero.
9. Set the O2 flow to minimum and make sure that the value on the
inspiratory pressure gauge does not decrease below 0 cmH2O.

5-14 M1116146
 5 Preoperative Tests

Monitor and ventilator tests

1. Connect a test lung to the patient connection.
2. Set the Bag/Vent switch to Bag.
3. Set the System switch to On.
4. Push the Menu key.
5. Select Ventilation Mode - Volume Control.
6. Set the ventilator parameters:
• VT 400 ml
• Rate 12
• I:E 1:2
• Plimit 40 cmH2O
• PEEP Off
7. Set the Bag/Vent switch to Vent.
8. Push the O2 flush button to fill the bellows.
9. Make sure that:
• Mechanical ventilation starts.
• A subatmospheric pressure alarm does not occur.
• The ventilator shows the correct data.
• The bellows inflate and deflate during mechanical ventilation.
10. Set the O2 flow control to 5 l/min.
11. Make sure that:
• The end expiratory pressure is approximately 0 cmH2O.
Positive end expiratory pressure that occurs when PEEP is
Off may indicate that the scavenging system is not removing
enough gas.
• The ventilator shows the correct data.
• The bellows inflate and deflate during mechanical ventilation.
12. Set the ventilator controls and alarm limits to clinically appropriate
levels.
13. Prepare the system:
• Turn all vaporizers off.
• Open the APL valve.
• Set the Bag/Vent switch to Bag.
• Set all flow controls to minimum.
• Set sufficient patient suction.
• Make sure that the breathing system is correctly connected
and not damaged.

WARNING Flush the system with 5 l/min of O2 for at least one minute
to remove any gas mixtures or by-products from the
system.

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5-16 M1116146
 6 Alarms and Troubleshooting

CAUTION No repair should ever be attempted by anyone not having

experience in the repair of devices of this nature. See the
“Repair policy” in the “User Maintenance” section.

WARNING If an alarm occurs, safeguard the patient first before

performing troubleshooting or doing repair procedures.

In this section Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

List of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Breathing system problems . . . . . . . . . . . . . . . . . . . . . . . . 6-11
Electrical problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13

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Alarms
When an alarm occurs during a case, an alarm tone sounds and the
alarm message is displayed in the alarm message field. If more
alarms occur than able to show in the available alarm message area,
the alarms cycle every two seconds.
Alarms have three general causes:
• Malfunctions - Result in reduced system function or prevent
mechanical ventilation
• Patient monitoring - Are caused by high and low limit settings that
are adjusted by the user.
• Informational - Are caused by control settings or system
conditions that may change system operation.
Alarm priority is dependent on the level of risk to the patient.
A high-priority alarm tone sounds in two burst of five tones, a pause,
and then repeats. Some high-priority alarms can be silenced for 120
seconds.
Medium-priority alarm tones sound in 3 tones with a 25-second
pause, then repeat. Medium priority alarms can be silenced for 120
seconds.
Informational alarms have a single alarm tone, and the tone does not
repeat.
Silencing an alarm stops the audible tone for 120 seconds. Pushing
the Silence Alarms key when no medium or high-priority alarms
are active suspends audible alarm tones for 90 seconds.

Monochrome display Messages for high-priority alarms show in reverse font. Messages for
medium-priority alarms and informational messages show in normal
video.

Color display Messages for high-priority alarms show in white text on a red
background. Messages for medium priority alarms show in yellow text
on a gray background. Informational messages show in white text on
a gray background.

Latching alarms with Certain alarms cause a flashing box around the alarming parameter
software version 1.X area during the alarm condition.

Alarm Parameter with flashing box

Low O2 O2
High Paw Pmax
Sustained Paw Pmax
Paw < -10 cm H2O Pmax
Volume Apnea Vte
Vol Apnea > 2 min Vte
Low Paw Pmax
Inspiration Stopped Pmax

6-2 M1116146
 6 Alarms and Troubleshooting

Some patient parameter alarms latch when the alarm condition is

corrected. When an alarm is latched, the parameter box stops
flashing and turns solid. The parameter box remains solid until the
latching is acknowledged by pushing the ComWheel or until the alarm
re-occurs. When the alarm is acknowledged, the solid box around the
parameter is removed. If an alarm parameter has latched and the
alarm re-occurs before it is acknowledged, the alarm reverts to an
active state.

Latching alarms with Certain alarms cause a flashing box around the alarming parameter
software version 2.X area during the alarm condition.
Some patient parameter alarms latch when the alarm condition is
corrected. When an alarm is latched on a color display, the alarm
messages shows in white text on a black background. The parameter
box stops flashing and the box is removed from the screen.
The alarm remains in this condition until it is acknowledged by
pushing the Silence Alarms key or until the alarm re-occurs. When
the alarm is acknowledged, it is removed from the screen. If an alarm
has latched and the alarm re-occurs before it is acknowledged, the
alarm will revert to an active state.
Latching alarms include: High Paw, Sustained Paw, Paw < -10 cm
H2O, Low O2, No O2 Pressure.

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List of alarms
If corrective action does not resolve the alarm, contact a
manufacturer-trained service representative.

Message Priority Cause Action

+12V Analog Out- Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
of-Range shutdown (High) Contact a qualified service representative.
12 Hour Test Informational System is in use for more than 12 hours At end of case, move the System switch from
without a power-up self test. On to Standby to On.
12V_10VA_TEST Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
Out-of-Range Shutdown (High) Contact a qualified service representative.
A/D Converter Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
Failure shutdown (High) Contact a qualified service representative.
Absorber panel Medium The breathing system is not fully Fully latch the breathing system.
open (Informational latched.
after
acknowledge)
Apnea Alarm Off Informational The cardiac bypass option is selected Apnea alarms are turned off when this option is
(Alarm Settings menu). selected.
Apnea Alarm Informational Normal condition after End Case, Monitoring resumes after first breath
Standby power-up, or ACGO change from On to (mechanical) or 2 breaths within 30 second
Off. (non-mechanical).
Aux Gas Outlet On Medium The outlet selection switch is set to the Connect the patient circuit to the auxiliary outlet.
(Informational auxiliary common gas outlet. For mechanical ventilation or ventilation with
after monitoring, select the circle system setting.
acknowledge)
Battery Charger Informational The current in the battery charging System is operational, but may fail on battery if
Fail circuit is too high. mains power is lost. Contact a qualified service
representative.
Battery Charging Informational Battery is not fully charged. If power Leave the system plugged in to charge the
fails, the total backup time will be less battery.
than 30 minutes.
Battery Current Informational Battery current greater than 6 amps for System is operational, but may fail on battery if
High 10 seconds. mains power is lost. Contact a qualified service
representative.
Battery Failure High Informational Battery voltage greater than 8 V for 10 System is operational, but may fail on battery if
seconds. mains power is lost. Contact a qualified service
representative.
Battery Failure Low Informational The battery voltage is too low (less than System is operational, but will fail on battery if
2 V) to supply the system if power fails. mains power is lost. Leave the system plugged
in to charge the battery. If the battery does not
charge in 24 hours, contact a qualified service
representative.
Cal Flow Sensors Informational The last flow sensor calibration failed. Calibrate the flow sensors. Look for water in the
flow sensor tubes and dry if necessary. Replace
sensor if necessary. Contact a qualified service
representative if calibrating or replacing the
sensor does not correct problem.
Calibrate O2 Informational Calibration failure or O2% > 110% Does the sensor measure 21% O2 in room air?
Sensor Replace sensor if necessary. Calibrate the O2
sensor. Contact a qualified service
representative if calibrating or replacing the
sensor does not correct problem.
Canister open Medium Ventilator malfunction. Continue to use the system normally. Contact a
(Informational qualified service representative.
after
acknowledge)

6-4 M1116146
 6 Alarms and Troubleshooting

Message Priority Cause Action

Cardiac Bypass Informational The alarm limit settings are set for a Use the alarm limits menu to change this
patient on cardiac bypass. Apnea setting.
alarms are off.
Check Flw Sensors Medium System has detected an improper flow Are the flow sensors correctly installed? Water
(Informational pattern in the breathing circuit. build up in the flow sensor tubes? Is a flow
after sensor tube cracked or broken? Improper check
acknowledge) valve operation? Inspect one way valves
(breathing circuit module.) Check the condition
of the flow sensor and its tubing.
Circuit Leak Audio Informational This is a setting on the Alarm Settings This message indicates that the audio alarm for
Off menu. circuit leaks was turned off.
Connect O2 Sensor Informational The O2 sensor is not connected to the Connect the sensor. Contact a qualified service
cable. representative to replace the cable.
CPU Failure Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
shutdown (High) Contact a qualified service representative.
Exp Flow Sensor Informational System cannot read the calibration data Operation continues with reduced accuracy.
Fail stored in the sensor. Replace the flow sensor.
Exp Reverse Flow Medium Flow through the expiratory sensor Look at the check valves. Water build up in the
(Informational during inspiration (for six breaths in a flow sensor tubes? Is a flow sensor tube
after row). cracked or broken? Replace the expiratory
acknowledge) check valve. Check the flow sensor condition.
Heliox Mode is On Informational Control setting on ventilation setup Heliox is not available on this system.
menu is incorrect.
High O2 Medium O2% greater than the alarm high limit Is the limit set correctly? What is the O2 flow?
setting. Did you just push Flush? Does the sensor see
21% O2 in room air? Calibrate O2 sensor.
Replace O2 sensor.
High Paw High Paw is greater than Plimit. The ventilator Are Plimit and other controls set correctly? Look
cycles to expiration. for blockages. Check patient connection.
High Ve Medium The minute volume is greater than the Check patient for spontaneous breathing. Adjust
set high limit. This alarm is suspended control settings.
for nine breaths after you change the
ventilator settings.
High Vte Medium VTE is greater than high alarm limit. Check patient for spontaneous breathing.
This alarm is suspended for nine Check ventilator and alarm settings.
breaths after you change the ventilator
settings.
Insp Flow Sensor Informational The system cannot read the calibration Operation continues with reduced accuracy.
Fail data stored in the sensor. Replace the flow sensor.
Insp Reverse Flow Medium Flow through the inspiratory sensor Look at the check valves. Water build up in the
(Informational during expiration (for 6 breaths in a row). flow sensor tubes? Is a flow sensor tube
after cracked or broken? Replace the inspiratory
acknowledge) check valve. Check the flow sensor condition.
Inspiration Stopped High Drive gas safety switch activated (high Adjust controls. Check systems for blockages.
pressure). Contact a qualified service representative if
problem continues.
Internal Ventilator Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
Clock Too Fast shutdown (High) Contact a qualified service representative.
Internal Ventilator Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
Clock Too Slow shutdown (High) Contact a qualified service representative.
Invalid Circuit Informational Ventilator malfunction. Make sure the breathing system is correctly
Module installed. Continue to use normally. Contact a
qualified service representative.
Low Battery Medium Voltage is less than 5.65V while using Manually ventilate the patient to save power. Is
Voltage battery power. the mains indicator light on? Make sure power is
connected and circuit breakers are closed.
Low Drive Gas Medium The ventilator does not detect supply Manually ventilate the patient. Make sure that
Press pressure. the appropriate gas supplies (O2 or air) are
connected and pressurized.

M1116146 6-5
Aespire

Message Priority Cause Action

Low O2 High O2% < alarm low limit setting. Is the limit set correctly? Is the O2 flow
sufficient? Does the cell measure 21% O2 in
room air? Calibrate O2 cell. Replace O2 cell. As
the cell wears out, the measured % O2
decreases.
Low Paw High Paw does not rise at least 4 cm above Are circuit connections Ok? Look at the Paw
Pmin during the last 20 sec. gauge on the absorber. Look for circuit
disconnection.
Low Ve Medium Exhaled minute volume less than low Check patient condition. Check tubing
limit alarm setting. This alarm is connections. Check alarm settings.
suspended for 9 breaths after the
ventilator settings are changed.
Low Vte Medium Exhaled tidal volume less than low limit Check patient condition. Check tubing
alarm setting. This alarm suspended for connections. Check alarm settings.
nine breaths after you change the
ventilator settings.
Memory (Flash) Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
Failure shutdown (High) Contact a qualified service representative.
Memory (RAM) Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
Failure shutdown (High) Contact a qualified service representative.
Memory Minimum Ventilator malfunction. Ventilate manually. Monitoring is still available.
(Redundant shutdown (High) Contact a qualified service representative.
Storage) Failure
Memory (Video) Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
Failure shutdown (High) Contact a qualified service representative.
Memory(EEPROM) Informational The system cannot access some stored Default settings are used. Ventilation is still
Fail values. possible but service is necessary. Contact a
qualified service representative.
Monitoring Only Medium A severe malfunction prevents Ventilate manually. Cycle system power (On-
mechanical ventilation. Other alarms Standby-On). If the alarm clears, restart
may also occur. mechanical ventilation. Contact a qualified
service representative.
No Circuit Module Informational Ventilator malfunction. Continue to use the system normally. Contact a
qualified service representative.
No CO2 Absorption Medium Ventilator malfunction. Continue to use the system normally. Contact a
(Informational qualified service representative.
after
acknowledged)
No Exp Flow Medium Electrical signals show the flow sensor Connect the flow sensors. Make sure the flow
Sensor (Informational is not connected. sensor module is on all the way.
after
acknowledge)
No Insp Flow Medium Electrical signals show the flow sensor Connect the flow sensors. Make sure the flow
Sensor (Informational is not connected. sensor module is on all the way.
after
acknowledge)
No O2 Pressure High (cannot be The O2 supply has failed. Air flow will continue. Ventilate manually if
silenced) necessary. Connect a pipeline supply or install
an O2 cylinder.
O2 Flush Failure Informational The pressure switch that detects flush This alarm occurs if you hold down the O2 flush
flow has seen a very long flush (greater button for more than 30 seconds. If the alarm
than or equal to 30 second). occurs when flush is not in use, contact a
qualified service representative.
O2 Mon Disabled Medium An oxygen cell has been connected to a The oxygen monitoring feature is not active on
non-active ventilator monitoring feature. this system. Contact a qualified service
representative for activation of this feature if
provided or contact a manufacturer sales
representative for purchase of this feature.

6-6 M1116146
 6 Alarms and Troubleshooting

Message Priority Cause Action

O2 Sensor out of Informational O2 cell is not installed in the breathing Install an O2 cell.
circ system. The O2 cell is not measuring
gas in breathing circuit.
On Battery-Power Medium The mains supply is not connected or Ventilate manually to save power. At full charge,
Ok? (Informational has failed and the system is using the battery permits approximately 30 minutes of
after battery power. mechanical ventilation. Make sure power is
acknowledge) connected and circuit breakers are closed.
Patient Circuit Medium Exhaled volume less than 50% of Check breathing circuit and flow sensor
Leak? inspired volume for at least 30 seconds connections. Patient circuit leak audio can be
(mechanical ventilation). turned off in the alarm settings menu.
Paw < -10 cm H2O High Subatmospheric pressure (less than -10 Check patient condition, spontaneous activity?
cmH2O). Increase fresh gas flow. Look for high flow
through gas scavenging. Calibrate the flow
sensors. With active scavenging, check the
negative relief valve on the receiver.
Pinsp not achieved Informational Indicates a problem with breathing Check breathing circuit connections. Check
circuit connections or that the ventilator settings.
is unable to deliver requested pressure
to the patient.
Pres/Vol Mon Medium Outlet selection switch is set to auxiliary Connect the patient circuit to the auxiliary gas
Inactive (Informational gas outlet. outlet or set the switch to the circle position.
after
acknowledge)
Replace O2 Sensor Informational O2% is less than 5% Make sure patient receives O2. Does the sensor
read 21% O2 in room air? Use different monitor.
Calibrate the O2 cell. Replace the O2 cell.
Select Gas Outlet Medium Fresh gas may not flow to the patient. Turn ACGO off or connect the patient circuit to
ACGO is On, but flow sensors have the ACGO. Note: the bag arm will not ventilate a
seen 3 breaths in patient circuit during patient at the aux. outlet.
the last 30 seconds.
Service Calibration Informational Internal calibrations are necessary for The system is operational. Contact a qualified
maximum accuracy. service representative.
Software Error Minimum Indicates that a software error has Ventilate manually. Monitoring is not reliable.
Shutdown (High) occurred. Contact a qualified service representative.
Software Watchdog Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
Failure shutdown (High) Contact a qualified service representative.
Sustained Airway Minimum Paw greater than 100 cmH2O for 10 sec. Check tubing for kinks, blockages, disconnects.
Pressure shutdown (High) Calibrate the flow sensors.
Sustained Paw High Paw greater than sustained pressure Check tubing for kinks, blockages, disconnects.
limit for 15 seconds.1 Calibrate the flow sensors.
System Leak? Informational Leak detected between ventilator and Look for leaks in the absorber system. Problem
patient circuit. with flow sensors? Calibrate the flow sensors.
Inspect for leaks (repair). Inspect or replace flow
sensors.
V_BUS_FAIL Out- Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
of-Range Shutdown (High) Contact a qualified service representative.
Ventilate Manually: Minimum Indicates a problem with patient airway Ventilate manually. Contact a qualified service
Pressure Monitoring overpressure monitor. representative.
Monitoring Channel (Medium)
Failure
Ventilate Manually: Minimum Ventilator malfunction. Ventilate manually. Monitoring is still available.
Flow Valve (DAC) monitoring Contact a qualified service representative.
Failure (Medium)
Ventilate Manually: Minimum Ventilator malfunction. Ventilate manually. Monitoring is still available.
Flow Valve monitoring Contact a qualified service representative.
(Voltage) Failure (Medium)
Ventilate Manually: Minimum Indicates a higher than allowed current Ventilate manually. Contact a qualified service
PEEP Safety Valve Monitoring draw on the PEEP Safety Valve. representative.
(Drive) Failure (Medium)

M1116146 6-7
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Message Priority Cause Action

Ventilate Manually: Minimum Indicates that the power up test of the Ventilate manually. Contact a qualified service
PEEP Safety Valve Monitoring PEEP Safety Valve Failed. representative.
Failure (Medium)
Ventilate Manually: Minimum Indicates a failure of the control circuit Ventilate manually. Contact a qualified service
PEEP Valve (DAC) Monitoring for the PEEP Valve. representative.
Failure (Medium)
Ventilate Manually: Minimum Indicates a problem with the PEEP Ventilate manually. Contact a qualified service
PEEP Valve Monitoring Valve or the connections to the PEEP representative.
(Voltage) Failure (Medium) Valve.
Verify Low Ve Limit Informational The circuit leak audio alarm is off Set the low VE alarm.
(Alarm Settings menu), but the low
VE alarm is not consistent with the
ventilator settings.
Vext_ref Out-of- Minimum Ventilator malfunction. Ventilate manually. Monitoring is not reliable.
Range shutdown (High) Contact a qualified service representative.
Vol Apnea > 2 min High No mechanical breaths or spontaneous Check patient. Bag as needed. Check for
breaths greater than 5 mL in last 120 disconnects. If the patient is on a heart lung
seconds. machine, select Cardiac Bypass on the Alarm
Settings menu.
Volume Apnea Medium No mechanical breaths or spontaneous Check patient. Bag as needed. Check for
breaths greater than 5 mL in last 30 disconnects. If the patient is on a heart lung
seconds. machine, select Cardiac Bypass on the alarm
menu.
Volume Mon Medium A flow sensor has been connected to a The Volume Monitoring feature is not active on
Disabled non-active ventilator monitoring feature. this system. Contact a qualified service
representative for activation of this feature if
provided or contact a manufacturer sales
representative for purchase of this feature.
Vt Comp Avail Informational A condition which prevented VT None. Indicates a return to normal operation.
Compensation ventilation mode has Select Volume Mode or Pressure Mode (if
cleared. available).
Vt Comp Disabled Medium A flow sensor has been connected to a The Volume Compensated Delivery feature is
(Informational non-active ventilator monitoring feature. not active on this system. Contact a qualified
after service representative for activation of this
acknowledge) feature if provided or contact a manufacturer
sales representative for purchase of this
feature.
Vt Comp Off Medium The system supplies the set breath but Adjust VT manually and continue without
(Informational cannot adjust ventilation for compliance compensation, or change to the pressure mode.
after and resistance losses, etc. In pressure mode set Pinspired. Inspect the two
acknowledge) flow sensors.
Vt Delivery Too Informational VT greater than 20% of set value for six Reduce fresh gas flow.
High consecutive breaths.
Vt Not Achieved Informational Tidal volume measured by inspiratory Adjust controls to supply adequate tidal
flow sensor less than set value 6 volumes. Check I:E; Plimit; and volume settings.
breaths in a row after the first minute of Possible leak. Modify settings or check for
mechanical ventilation. system leaks.
Vte > Insp Vt Informational Expired volume greater than inspired Check patient condition. Are the flow sensors
volume for 6 breaths with a circle correctly installed? Water build-up in the flow
module. sensor tubes? Is a flow sensor tube cracked or
broken? Improper check valve operation?
Inspect one way valves (breathing circuit
module.) Replace flow sensors.

6-8 M1116146
 6 Alarms and Troubleshooting

1The sustained pressure threshold is calculated from the pressure limit setting. The sustained limit is calculated as

follows:
Volume mode - PEEP Off For Plimit less than or equal to 30 cmH2O, the sustained pressure limit is 6 cmH2O.
For Plimit between 30 and 60 cmH2O, the sustained pressure limit is 20% of Plimit.
For Plimit greater than or equal to 60 cmH2O, the sustained pressure limit is 12 cmH2O.
Volume mode - PEEP On For Plimit less than or equal to 60 cmH2O, the sustained pressure limit is 50% of Plimit
plus set PEEP.
For Plimit greater than 60 cmH2O, the sustained pressure limit is 30 cmH2O plus set
PEEP.
Pressure mode - PEEP Off For Pinsp less than or equal to 30 cmH2O, the sustained pressure limit is 6 cmH2O.
For Pinsp greater than 30 cmH2O, the sustained pressure limit is 20% of Pinsp.
Pressure mode - PEEP On For Plimit less than or equal to 60 cmH2O, the sustained pressure limit is 50% of Plimit
plus set PEEP.
For Plimit greater than 60 cmH2O, the sustained pressure limit is 30 cmH2O plus set
PEEP.
Mechanical Ventilation Off: For Plimit less than or equal to 60 cmH2O, the sustained pressure limit is 50% of Plimit.
For Plimit greater than 60 cmH2O, the sustained pressure limit is 30 cmH2O.

M1116146 6-9
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Ventilate manually There are two special alarm types:

alarms • Minimum monitoring alarms stop mechanical ventilation.
• Minimum shutdown alarms stop mechanical ventilation and
monitoring.
The software goes to minimum monitoring when a non-recoverable
error occurs during bootup or normal operation. The ventilator shows
data, and mechanical ventilation stops. The ‘Monitoring Only’ and
other specific failure messages may show.
Ventilate Manually alarms are followed by another alarm message.
See the “List of alarms” for the specific alarm cause and action of the
alarms that follow the Ventilate Manually message. The Ventilate
Manually alarms include:
Ventilate Manually: Flow Valve (DAC) Failure
Ventilate Manually: Flow Valve (Voltage) Failure
Ventilate Manually: Pressure Monitoring Channel Failure
Ventilate Manually: PEEP Valve (DAC) Failure
Ventilate Manually: PEEP Safety Valve Failure
Ventilate Manually: PEEP Safety Valve (Drive) Failure
Ventilate Manually: PEEP Valve (Voltage) Failure

Ventilate Manually A severe malfunction prevents Ventilate manually. Use a stand-alone

mechanical ventilation and monitor. Cycle system power (On- Standby-
monitoring. Other alarms may also On). If the alarm clears, restart mechanical
occur. ventilation. Contact a qualified service
representative.

6-10 M1116146
 6 Alarms and Troubleshooting

Breathing system problems

System Problem Solution

Gas scavenging flow is Scavenging extract flow Use a different scavenging
too low or too high. problem. extraction system. Verify flow is
within specification.
Filter blockage. Active systems Replace the filter. See
have a flow indicator. “Remove the AGSS receiver
filter” in the “Cleaning and
Sterilization” section.
The bellows fills when the Leak through the Bag/Vent Contact a trained service
Bag/Vent switch is set to switch. representative to repair the
Bag or the bag fills when system.
the switch is set to Vent.
The ventilator does not Ventilator or absorber Ventilate manually. Contact a
read the position of the malfunction. trained service representative
Bag/Vent switch. to repair the system.
APL valve does not APL valve problem. Replace APL Valve seal and
operate correctly. diaphragm.
Large breathing system Bag hose not connected Ensure that the bag hose is
leak not quickly located properly. connected to the bag port
(below the APL valve).
Absorber canister not installed Reinstall the absorber canister,
correctly. ensure both pins are engaged.
Bellows falls below top of Leak in the breathing system. Check, clean or reposition the
indicator during “Bellows pressure relief valve. If the
test.” problem persists, replace the
pressure relief valve, bellows
base, or bellows assembly.

M1116146 6-11
Aespire

Electrical problems

WARNING If a circuit breaker opens frequently, do not use the

system. Have a trained service representative repair the
system.

System Problem Solution

Mains indicator is not on. The electrical power cable is not Connect the power cable.
connected.
The inlet circuit breaker (switch) Turn the circuit breaker on.
is off.
The power cable is damaged. Replace the power cable.
The electrical socket the power Use a different electrical
cable connects to had no power. socket.
An internal fuse is open. Have a trained service
representative repair the
system.
One electrical outlet does The outlet circuit breaker is off. Turn the circuit breaker on.
not have power.
A circuit breaker opens Equipment connected to the Use a different power supply
frequently. outlet uses more current than for some of the equipment.
the circuit breaker rating.
The equipment connected to the Have a trained service
outlet has a short. representative repair the
system.
Tec 6 Plus vaporizer has Not plugged into outlet. Connect power cable.
no power. The outlet circuit breaker is off Turn the circuit breaker on.

6-12 M1116146
 6 Alarms and Troubleshooting

Pneumatic problems

System Problem Solution

High-pressure leak test Controls are not set correctly. Make sure that no gas is
fails. flowing, turn off the auxiliary
flowmeter, and repeat the test.
Incorrect cylinder connection. Make sure that there is only
one cylinder gasket, the gasket
is in good condition, and the
connection is tight.
Low-pressure leak test The vaporizer is not correctly Correctly install the vaporizer.
fails with a vaporizer on. installed.
The vaporizer filler is loose (fill Tighten the filler.
port type vaporizer).
Vaporizer port o-rings (external) Install new o-rings.
are damaged or not installed.
A vaporizer malfunction (the leak Send the vaporizer to an
stops if a different vaporizer is approved service center for
used in the same manifold repair.
position).
A port valve malfunction (the Contact a trained service
leak continues if a different representative to repair the
vaporizer in the same manifold vaporizer manifold.
position).
Low-pressure leak with a Anesthesia machine problem. Contact a trained service
vaporizer off. representative.

M1116146 6-13
Aespire

6-14 M1116146
 7 User Maintenance

WARNING To help prevent fires:

• Only use lubricants approved for anesthesia or O2
equipment, such as Krytox.
• Do not use lubricants that contain oil or grease. They
may burn or explode in high O2 concentrations.
• All covers used on the system must be made from
antistatic (conductive) materials. Static electricity can
cause fires.
• Desiccated (dehydrated) absorbent material may
produce dangerous chemical reactions when exposed
to inhalation anesthetics. Adequate precautions
should be taken to ensure that absorbent does not dry
out. Turn off all gases when finished using the system.

w Obey infection control and safety procedures. Used

equipment may contain blood and body fluids.

w Moveable parts and removable components may present

a pinch or a crush hazard. Use care when moving or
replacing system parts and components.

In this section Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Maintenance summary and schedule . . . . . . . . . . . . . . . . . . 7-2
Breathing system maintenance. . . . . . . . . . . . . . . . . . . . . . . 7-3
O2 cell replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
O2 cell calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Zeroing flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Prevent water buildup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

M1116146 7-1
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Repair policy
Do not use malfunctioning equipment. Make all necessary repairs or
have the equipment serviced by a manufacturer-trained service
representative. After repair, test the equipment to ensure that it is
functioning properly, in accordance with the manufacturer’s published
specifications.
To ensure full reliability, have all repairs and service done by a
manufacturer-trained service representative. If this cannot be done,
replacement and maintenance of those parts listed in this manual
may be undertaken by a competent, trained individual having
experience in the repair of devices of this nature.

CAUTION No repair should ever be attempted by anyone not having

training and experience in the repair of devices of this
nature.
Replace damaged parts with components manufactured or sold by
the manufacturer. Then test the unit to ascertain that it complies with
the manufacturer’s published specifications.
Contact a Manufacturer Field-Service Representative for service
assistance.

Maintenance summary and schedule

These schedules indicate the minimum frequency of maintenance
based on typical usage of 2000 hours per year. Equipment should be
serviced more frequently if it is used more than the typical yearly
usage.
Note Local policies or regulations may require that maintenance be
performed more frequently than stated here.

User maintenance
Minimum Frequency Maintenance
Daily Clean the external surfaces.
Perform 21% O2 calibration.
Check the condenser reservoir. Drain if needed.
Weekly Zero the flow sensors.
Two weeks Drain the vaporizers and discard the agent. This is not
necessary for the Tec 6 series vaporizers.
Monthly Perform 100% O2 calibration.
Lubricate all tee handle threads with Krytox or a lubricant
approved for use with 100% O2.
During cleaning and Inspect the parts for damage. Replace or repair as
setup necessary.
Annually Replace the external o-rings on the vaporizer ports.

7-2 M1116146
 7 User Maintenance

Minimum Frequency Maintenance

As necessary Install new cylinder gaskets on cylinder yokes.
Empty the water reservoir and replace the absorbent in the
canister.
Empty the overflow trap on the optional suction regulator.
Replace the circuit O2 cell. (Under typical use the cell meets
specifications for 1 year.)
Replace the disposable flow sensors (plastic). (Under typical
use the sensors meet specifications for a minimum of 3
months.)
Replace the autoclavable flow sensors (metal). (Under
typical use the sensors meet specifications fro a minimum of
1 year.)
Replace the receiver filter (active gas scavenging only).

Trained service This is the minimum level of maintenance recommended by the

person manufacturer. Local regulations may contain additional maintenance
requirements. The manufacturer advocates compliance with local
regulations which meet or exceed this minimum level of maintenance.

Minimum Frequency Maintenance

12 months Have an approved trained service representation complete
the scheduled service maintenance checks, tests,
calibrations, and parts replacement as defined in the
Technical Reference manual.

Breathing system maintenance

Replace any parts that are visibly cracked, chipped, distorted, or worn
when cleaning the breathing system.

M1116146 7-3
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O2 cell replacement

WARNING Handle and dispose of O2 cells according to site

biohazard policies. Do not incinerate.
Note It may take a new O2 cell 90 minutes to stabilize. If the O2 cell
calibration fails after a new O2 cell has been installed, wait 90 minutes
and repeat the calibration.
1. Pull the latch to unlock the flow sensor module.

AB.74p.052
2. Pull the flow sensor module out of the breathing system.
3. Remove the cable connector from the O2 cell, and unscrew the
cell counterclockwise.

AB.74p.065

4. Make sure that the o-ring is on the cell. Install the replacement O2
cell. Reconnect the O2 cell cable.
AB.74p.083

5. Put the flow sensor module back into the system. Push the latch
closed to secure the flow sensor module.

7-4 M1116146
 7 User Maintenance

O2 cell calibration

WARNING Do not perform O2 cell calibration while the system is

connected to a patient.

w The O2 cell must be calibrated at the same environment

pressure at which it will be used to monitor oxygen
delivery in the patient circuit.

w Operation at pressures other than the pressures present

during calibration may result in readings outside of the
stated monitoring accuracy.

21% O2 cell Perform 21% O2 calibration before performing the 100% O2 cell
calibration calibration. During the calibration, the O2 data is replaced with “--” on
the screen.
1. Remove the O2 cell from the circuit:
• Pull the latch to unlock the flow sensor module.
• Pull the flow sensor module out of the breathing system.
• Remove the O2 cell by unscrewing the cell counterclockwise.
2. Push the Menu key.
3. Select Calibration.
4. Select O2 Sensor Cal - 21%.
5. Expose the cell to room air.
6. Select Start Cal to start the calibration.
7. ‘Complete’ shows on the screen upon successful calibration.
‘Reinstall Sensor’ flashes on the screen.
• Reinstall the O2 cell.
• Select Go to O2 Cal Menu.
8. If the screen shows ‘Failure,’ repeat the 21% O2 cell calibration.
9. If the calibration fails after another attempt, perform a 100% O2
cell calibration. Then try the 21% O2 cell calibration again.
10. Replace the O2 cell if repeated failures occur.

M1116146 7-5
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100% O2 cell Complete a 21% O2 cell calibration before performing a 100% O2

calibration calibration.
1. Make sure that the O2 cell is in the circuit.
2. After performing a 21% calibration, select Go to O2 Cal Menu.
3. Select 100%.
4. Push the O2 flush button, and then set the O2 flow to 5 l/min.
5. Select Start Cal.
6. ‘Complete’ shows on the screen upon successful calibration.
7. If ‘Failure’ shows on the screen, repeat the 100% O2 cell
calibration.
• If the calibration fails after another attempt, decrease the
airway pressure and try the 100% O2 cell calibration again.
• If calibration fails after repeated attempts, perform a 21% O2
cell calibration. Then try a 100% O2 cell calibration again.
8. Perform the “Breathing system tests” in the “Preoperative Tests”
section before using the system.

7-6 M1116146
 7 User Maintenance

Zeroing flow sensor

WARNING Do not perform calibration while system is connected to a

patient.
The system automatically corrects for zero offset when the flow
sensor connectors are unplugged if the system power is on.
1. Set the Bag/Vent switch to Bag.
2. Pull the latch to unlock the flow sensor module from the breathing
system.
3. Pull the flow sensor module out of the breathing system.
4. ‘No Insp Flow Sensor’ and ‘No Exp Flow Sensor’ show on the
display when the zeroing is complete.
5. Reinstall the flow sensor module.
6. Perform the “Breathing system tests” in the “Preoperative Tests”
section before using the system.”

M1116146 7-7
Aespire

Prevent water buildup

Water is created from exhaled gas and a chemical reaction between
CO2 and the absorbent. Water buildup increases when the system is
used at low fresh gas flows. At low flows, more CO2 stays in the
absorber producing water and more moist exhaled gas remains in the
absorber.
Pooled water in the flow sensor or water in the sensing lines can
cause inaccurate alarms. Small beads of water or a foggy
appearance in the flow sensors is okay.
To manage excess water:
• Empty the water reservoir in the absorbent canister when
changing the absorbent.
• Make sure that any water condensing in the breathing circuit
tubes is not allowed to drain into the flow sensors.
• Water condensation in the breathing circuit tubing might be
lessened by using a Heat and Moisture Exchange (HME) filter at
the airway connection.

7-8 M1116146
 8 Setup and Connections

In this section Canister setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

Electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Pneumatic connections. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
How to install gas cylinders. . . . . . . . . . . . . . . . . . . . . . . . . 8-15
How to attach equipment to the top of the machine . . . . . . 8-16
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16

M1116146 8-1
Aespire

WARNING The manufacturer strongly recommends the use of O2

monitoring with this equipment. Refer to local standards
for mandatory monitoring.

European Standard EN 740 and International Standard

IEC 60601-2-13/ISO 8835-1 require exhaled volume
monitoring, O2 monitoring (in accordance with EN 12598,
or ISO 7767) and CO2 monitoring (in accordance with EN
864 or ISO 9918) be used with this equipment.

European Standard EN 740 and International Standard

IEC 60601-2-13/ISO 8835-1 also require anesthetic agent
monitoring (in accordance with ISO 11196) be used when
anesthetic vaporizers are in use.

w Always make sure that the pipeline supply hoses and the
breathing circuit components are not toxic and will not:
• Cause an allergic reaction in the patient.
• React with the anesthetic gases or agent to produce
dangerous by-products.

w To prevent incorrect values or equipment malfunction,

use only cables, hoses and tubing from the system
manufacturer.

w This system operates correctly at the electrical

interference levels of IEC 60601-1-2. Higher levels can
cause nuisance alarms that may stop mechanical
ventilation.

w To help prevent false alarms from devices with high-

intensity electrical fields:
• Keep the electrosurgical leads away from the
breathing system, the flow sensors and the oxygen
cell.
• Do not allow the electrosurgical leads to contact any
part of the anesthesia system.
• Do not use cell phones near the anesthesia system.

8-2 M1116146
 8 Setup and Connections

w To protect the patient when electrosurgical equipment is

used:
• Monitor the correct operation of all life support and
monitoring equipment.
• Keep backup manual ventilation available in case the
electrosurgical equipment prevents safe use of the
ventilator.

w Do not use antistatic or electrically-conductive breathing

tubes or masks. They can cause burns if used near high
frequency surgical equipment.

w Use only reservoir bags that comply with EN1820 on this

system.

M1116146 8-3
Aespire

Canister setup

6
1

AB.74p042
AB.74p043
1. Canister support pin
2. Canister handle
3. Disposable Multi Absorber canister
4. Absorbent
5. Expiratory water reservoir
6. Canister release latch
7. Reusable Multi Absorber canister
Figure 8-1 • Canister

8-4 M1116146
 8 Setup and Connections

WARNING Obey applicable safety precautions:

• Do not use the absorber with chloroform or
trichloroethylene.
• The Disposable Multi Absorber is a sealed unit which
should not be opened or refilled.
• The Disposable Multi Absorber cannot be disinfected
and is not autoclavable. Be aware that cross-
contamination is possible.
• Avoid skin or eye contact with the contents of the
absorber. In the event of skin or eye contact,
immediately rinse the affected area with water and
seek medical assistance.
• Do not change the absorber during ventilation unless
the EZchange Canister system is installed.
• Change absorbent often to prevent the buildup of
non-metabolic gases when the system is not in use.
• Inspect absorbent color at the end of a case. During
non-use, absorbent can go back to the original color.
Refer to the absorbent labeling for more information
about color changes.
• If the absorbent completely dries out, it may give off
carbon monoxide (CO) when exposed to anesthetic
agents. For safety, replace the absorbent.
• Desiccated (dehydrated) absorbent material may
produce dangerous chemical reactions when exposed
to inhalation anesthetics. Adequate precautions
should be taken to ensure that absorbent does not dry
out. Turn off all gases when finished using the system.
The absorber canister is available in two versions: Disposable Multi
Absorber and Reusable Multi Absorber. Both are removed and
installed on the breathing system in the same way.
Each canister holds 800 grams of loose absorbent. The manufacturer
recommends MedisorbTM absorbent.
Both absorber versions should only be used with mixtures of air,
oxygen, nitrous oxide, halothane, enflurane, isoflurane, desflurane
and sevoflurane.

M1116146 8-5
Aespire

When to change the A gradual color change of the absorbent in the canister indicates
absorbent absorption of carbon dioxide. The color change of the absorbent is
only a rough indicator. Use carbon dioxide monitoring to determine
when to change the canister.
Discard the absorbent when it has changed color. If left standing for
several hours, absorbent may regain its original color giving a
misleading indication of activity.
Read the canister instructions completely before using the product.

Removing a canister 1. Hold the canister by the handle and push on the release latch to
unlock the canister.

AB.74p058
2. Remove the canister by tilting it downward and off the two
support pins.

8-6 M1116146
 8 Setup and Connections

Removing an 1. Hold the canister by the handle and push the canister cradle
EZchange Canister release latch to unlock the canister cradle.

AB.75p088
2. Slide the canister up and out of the cradle.

AB.75p089

M1116146 8-7
Aespire

Reusable Multi 1. Turn the canister upside down and, using your thumbs, turn the
Absorber canister cover locking ring counterclockwise to unlock it.
filling

AB.74p044
2. Push up to release the seal.
3. Lift off the cover to remove it.

AB.74p046

4. Remove and properly discard the foam filters, the absorbent, and
any water in the reservoir.

WARNING Be careful when draining condensate from the absorber.

The liquid is caustic and may burn skin.
AB.74p047

5. To clean and disinfect the canister, see “Absorber canister” in the

“Cleaning and Sterilization” section.

8-8 M1116146
 8 Setup and Connections

6. Place a new filter in the bottom of the canister, pour absorbent

into the canister and place a new filter over the absorbent before
closing and locking the cover. Wipe off any absorbent dust.
7. Align the cover slots with the canister locking tabs and press the
cover down into place. Turn the cover locking ring clockwise to
lock the cover in place. Ensure cover is properly sealed to
prevent leaks and spillage. Alignment of the arrows helps to
indicate correct assembly.

AB.82p001

WARNING The filters must be in place to help prevent dust and

particles from entering the breathing circuit.
8. When replacing the canister, make sure that it is seated properly
on the support pins or in the EZchange canister module before
latching it into place.

M1116146 8-9
Aespire

Electrical connections

Outlets Labels show outlet voltage ratings and circuit breaker amp ratings.

WARNING Equipment connected to electrical outlets that are not

isolated outlets can increase the leakage current.
Regularly test the leakage current.

AB.74p049
Mains inlet Arrow shows the mains power inlet and cord.
AB.74p048

8-10 M1116146
 8 Setup and Connections

Serial port The system has an RS-232C electrical interface. The RS-232C
connector allows serial input/output of commands and data.
The 15-pin female D connector - Data Communications Equipment
configuration (DCE):
• Pin 1 - Monitor On/Standby
• Pin 5 - Signal ground
• Pin 6 - Receive data
• Pin 9 - Monitor On/Standby Return
• Pin 13 - Transmit data

AB.74p051

M1116146 8-11
Aespire

Pneumatic connections

CAUTION Use only medical grade gas supplies. Other types of gas
supplies may contain water, oil, or other contaminants
which could affect the operation of the pneumatic system.
The gas supplies provide gas to these optional devices through
internal connections:
• venturi suction regulator (optional).
• auxiliary O2 flowmeter (optional).

Pipeline Inlets

AB.91p040

Scavenging The scavenging assembly is located below the bellows on the

breathing system. Adapters may be necessary to interface to the
scavenging connector.
See the “Operation” section for more scavenging information.
AB.91p045

8-12 M1116146
 8 Setup and Connections

Sample gas return Connect the sample gas exhaust tube from the airway module to the
port gas return port. Exhaust gas will be directed to the scavenging
system.

AB.74p051
Suction regulator Venturi regulators use the system air or O2 supply. Vacuum
(optional) regulators must be connected to an external vacuum supply.

2
1

3
4
5

AB.74p189
AB.74p032

1. External vacuum (non-venturi) connection

2. Venturi muffler
3. Collection bottle connection
4. Splash guard
5. Overflow safety trap

M1116146 8-13
Aespire

Auxiliary O2
flowmeter (optional)

AB.91p039
1. Auxiliary O2 outlet
2. Auxiliary O2 flow control

8-14 M1116146
 8 Setup and Connections

How to install gas cylinders

CAUTION Do not leave gas cylinder valves open if the pipeline

supply is in use. Cylinder supplies could be depleted,
leaving an insufficient reserve supply in case of pipeline
failure.

Pin indexed cylinder 1. Locate the cylinder wrench.

yokes 2. Close the cylinder valve on the cylinder to be replaced.
3. Loosen the tee handle.
4. Open the cylinder yoke.
5. Remove the used cylinder and the used gasket.
6. Remove the cap (if equipped) from the cylinder valve on the new
cylinder.

WARNING Make sure there is only one gasket on the cylinder

connection. No gasket or more than one gasket can
cause a leak.
7. Install a new gasket.
8. Align the cylinder post with the index pins.
9. Close the yoke gate and tighten the tee handle.
10. Make sure there is a cylinder plug and gasket in any empty
cylinder yokes.
11. Perform a “High-pressure leak test.”

DIN cylinder 1. Close the cylinder valve on the cylinder to be replaced.

connections 2. Loosen the adapter and remove the cylinder.
3. Remove the cap from the cylinder valve on the new cylinder.
4. Install the cylinder.
5. Perform a “High-pressure leak test.”

M1116146 8-15
Aespire

High-pressure leak 1. Turn on the system.

test 2. Disconnect pipeline supplies.
3. Turn off the auxiliary O2 flowmeter and the venturi suction.
4. Open the cylinder.
5. Record the cylinder pressure.
6. Close the cylinder.
• If the cylinder pressure decreases more than 690 kPa
(100 psi) in one minute there is a significant leak.
7. To repair a leak, install a new cylinder gasket and tighten the
adapter.
8. Repeat the leak test. If the leak continues, do not use the system.

How to attach equipment to the top of the machine

WARNING The top of the machine has a weight limit of 34 kg (75 lb).

Check the stability of the system in its final configuration.

Make sure that weight is evenly distributed throughout the
system.
1. Locate the clips or slots.
2. Install the straps.
3. Fully tighten the straps.
4. Make sure the straps hold the equipment in position.

WARNING Fully tighten the straps. If straps are not fully tightened,
equipment can fall off the top of the machine.

Installation notes
When the system is installed, the manufacturer representative will
check the following items and change them if necessary.

WARNING These items can only be changed by qualified personnel.

Ensure configurations conform to local requirements.
• Automatic calculation of VE alarm limits during
mechanical ventilation.
• Altitude.
• Ventilator drive gas.
• Upgrade, activation and deactivation of monitoring and
ventilation features.

8-16 M1116146
 9 Cleaning and Sterilization

In this section Breathing system autoclavable parts . . . . . . . . . . . . . . . . . . 9-3

How to clean and disinfect the flow sensors . . . . . . . . . . . . . 9-5
Remove the breathing system bag hose . . . . . . . . . . . . . . . 9-8
Remove the breathing system . . . . . . . . . . . . . . . . . . . . . . . 9-8
Disassemble the breathing system . . . . . . . . . . . . . . . . . . . 9-10
Disassemble the bellows assembly . . . . . . . . . . . . . . . . . . 9-15
Assemble the bellows assembly . . . . . . . . . . . . . . . . . . . . . 9-17
Bellows assembly test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-19
Assemble the breathing system . . . . . . . . . . . . . . . . . . . . . 9-21
Install the breathing system . . . . . . . . . . . . . . . . . . . . . . . . 9-26
Remove the AGSS receiver . . . . . . . . . . . . . . . . . . . . . . . . 9-27
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . 9-29
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-30
EZchange Canister and condenser . . . . . . . . . . . . . . . . . . 9-31

M1116146 9-1
Aespire

WARNING Obey applicable safety precautions:

• Read the material safety data sheet for each cleaning
agent.
• Read the manual for all sterilization equipment to be
used.
• Wear gloves and safety glasses. A damaged O2 cell
can leak and cause burns. Do not breathe the fumes.

CAUTION To help prevent damage:

• Refer to the manufacturer’s data if you have questions
about a cleaning agent.
• Follow hospital procedures for cleaning areas of the
machine not specified in this section.
• Do not use organic, halogenated, or petroleum-based
solvents, anesthetic agents, glass cleaners, acetone,
or other harsh cleaning agents.
• Do not use abrasive cleaning agents (such as steel
wool, silver polish or cleaner).
• Keep all liquids away from electronic parts.
• Do not permit liquid to go into the equipment housings.
• Do not soak synthetic rubber parts for more than 15
minutes. Swelling or faster aging can occur.
• Only autoclave parts marked 134°C.
• Cleaning solutions must have a pH of 7.0 to 10.5.

9-2 M1116146
 9 Cleaning and Sterilization

Breathing system autoclavable parts

2
9

10

4
8

11

AB.82.008
AB.82.045
AB.82.048
6 5

1. Bellows assembly
2. APL valve ramp
3. APL valve diaphragm
4. Breathing circuit module (O2 cell not autoclavable)
5. Absorber canister (reusable only)
6. Flow sensor cover*
7. Flow sensor module (plastic flow sensors not autoclavable)
8. Exhalation valve assembly
9. Condenser module
10. Condenser
11. EZchange Canister module
Figure 9-1 • Autoclavable assemblies

*This part is not compatible between other anesthesia systems.

M1116146 9-3
Aespire

Special requirements • To clean the circuit O2 cell, wipe it with a damp cloth.
• If the flow sensors are plastic, see the “How to clean and disinfect
the flow sensors” procedure. Do not get the electrical connectors
wet.
• Autoclave metal flow sensors at 134°C.
• Disassemble the bellows assembly before washing. If not, it will
take a very long time to dry. Hang the bellows upside down
(extended) to dry. If not, the convolutions can stick together.
• Parts marked 134°C are autoclavable or washable by hand or
machine (mild detergent pH 7 - 10.5). Rinse and dry completely.
All parts except the O2 cell and disposable flow sensors can be
washed.

WARNING Do not use talc, zinc stearate, calcium carbonate, corn

starch or equivalent materials to prevent tackiness. These
materials can go into the patient’s lungs and airways and
cause irritation or injury.

CAUTION Do not put the circuit O2 cell or flow sensor connector in

liquid.

w Do not autoclave the circuit O2 cell or the plastic flow

sensors.

w Do not insert any objects into the flow sensor to clean the
interior surfaces. Damage to the flow sensor can occur.
Use a damp cloth to clean external surfaces if needed.

WARNING The O2 cell cannot be disinfected and is not autoclavable.

Be aware that cross-contamination is possible.

9-4 M1116146
 9 Cleaning and Sterilization

How to clean and disinfect the flow sensors

CAUTION Do not autoclave plastic flow sensors.

w Do not use high pressure gas or brushes to clean the flow

sensors.

w Only use cleaning solvents that are approved for use with
polycarbonates (for example, do not use CIDEX Plus).
Note Autoclavable metal flow sensors are available and can be sterilized at
134°C.

WARNING The pressure transducers internal to the anesthesia

machine are not included as part of the flow sensor
sterilization or disinfection procedures. Therefore, the
entire flow sensing circuit cannot be sterilized or
disinfected.

CIDEX disinfection Both the system manufacturer and the manufacturer of CIDEX
(Johnson & Johnson) have tested this procedure.
• CIDEX must be 14 day mixture, with activator vial.
• One liter of this solution cleans four flow sensors.
1. Pull the latch to unlock the flow sensor module from the breathing
system.

AB.74p052

2. Pull the flow sensor module from the breathing system.

M1116146 9-5
Aespire

3. Remove the flow sensors from the module.

• Completely loosen the thumbscrew (1).
• Pull off the flow sensor cover (2) from the flow sensor holder.
• Remove the flow sensor connectors (3) from the flow sensor
holder.
• Pull the flow sensors (4) from the flow sensor holder.

1 3 2

AB.74p053
4

4. Submerge the flow sensor and tubes in activated CIDEX solution.

Keep the connector dry.

5. Keep the flow sensors and tubes in the solution for the required
period.
6. Submerge the flow sensor and tubes in distilled water. Again, do
not get the connector wet.

7. Rinse as indicated in CIDEX instructions.

8. Repeat steps 6 and 7 to remove the CIDEX.

9-6 M1116146
 9 Cleaning and Sterilization

9. COMPLETELY dry the flow sensor and the tubes before using
the sensor. Use a dry syringe or connect vacuum or pressure to
remove all liquid from the sensor (sensor, tubes, and connector).

CAUTION Dry for more than one minute with these precautions:
• Maximum flow 10 l/min.
• Maximum pressure ±100 cmH2O.
10. Reverse steps 2 and 3 to reassemble the flow sensor module. Be
sure to align the flow sensor tubes with the grooves in the flow
sensor holder.
11. Complete the tests in the “Preoperative Tests” section.

M1116146 9-7
Aespire

Remove the breathing system bag hose

1. Disconnect the bag hose (1) from the bag hose connector (2).
Also remove the hose from the clip (3).

AB.74p057
2. If bag arm option is present, remove the bag port elbow from the
bag arm support. Push down on the release latch and slide the
bag port elbow out of the holder.

Remove the breathing system

1. Hold the canister by the handle and push on the release latch to
unlock the canister. AB.74p058

2. Remove the canister by tilting it downward and off the two

support pins.

9-8 M1116146
 9 Cleaning and Sterilization

3. Push the release button (1) and gently pull the latch handle (2) to
release the breathing system.

AB.74p059
2

4. Grasp the rear handle to support the breathing system. Slide the
breathing system away from the workstation pulling only with the
latch handle.

AB.74p060

M1116146 9-9
Aespire

Disassemble the breathing system

The breathing system assembly can be disassembled for cleaning,
sterilization, and part replacement.
1. Remove the breathing system and place it upright on a flat
surface.

AB.74p063
2. Pull the latch to unlock the flow sensor module from the breathing
system.

AB.74p052
3. Pull the flow sensor module from the breathing system.

AB.74p064

4. Remove the O2 cell cable from the cell. Unscrew the O2 cell
counterclockwise and remove it. Remove the O2 cell cable from
the breathing system by pressing on the connector button while
pulling the connector out.

9-10 M1116146
 9 Cleaning and Sterilization

AB.74p065
5. Remove the flow sensors from the module.
• Completely loosen the thumbscrew (1).
• Pull off the flow sensor cover (2) from the flow sensor holder.
• Remove the flow sensor connectors (3) from the flow sensor
holder.
• Pull the flow sensors (4) from the flow sensor holder.

1 3 2

AB.74p053

4
6. Rotate the breathing circuit module counterclockwise at the point
shown by the dotted line.
AB.74p066

M1116146 9-11
Aespire

7. After rotating, separate the two sections by pulling them apart.

AB.74p067
8. On the breathing circuit module, remove the check valve circuit
lens (1) by squeezing the latches (2) together and pulling up on
the lens. Lift out the check valve assemblies (3).

AB.74p068
2

9-12 M1116146
 9 Cleaning and Sterilization

9. Press the latch (1) to unlock the ramp (2). Rotate the ramp and
remove the tabs from the slots (3) to remove the ramp.

AB.74p071
AB.74p070
10. Lift the APL valve diaphragm to remove it.

AB.74p072

M1116146 9-13
Aespire

11. Turn over the bellows base assembly, grasp the bellows manifold
with three fingers in the openings at the points shown and pull
straight away to remove it.

AB.74p073
12. With the breathing system removed, the exhalation valve
assembly can be removed for cleaning if desired. Loosen the two
thumbscrews indicated and lift the assembly off.

AB.74p075

WARNING Make sure relief valve on the exhalation valve assembly is

free of cleaning solution residue prior to reassembling the
breathing system. Residual cleaning solution may impede
valve performance.

9-14 M1116146
 9 Cleaning and Sterilization

Disassemble the bellows assembly

The bellows assembly can be disassembled for cleaning, sterilization,
and part replacement.
1. Turn the housing counterclockwise and lift.

AA.96p051
2. Remove the bottom edge of the bellows from the rim.

AA.96p052

3. Push the latch toward the center and remove the rim.
AA.96p033

M1116146 9-15
Aespire

4. Remove the pressure-relief valve.

AA.96p034
WARNING Do not disassemble the pressure-relief valve. This can
damage the seat or diaphragm and cause injury to the
patient.
5. Push the latch toward the center and remove the locking tabs.

AA.96p035

6. Remove the seal.

AA.96p036

9-16 M1116146
 9 Cleaning and Sterilization

Assemble the bellows assembly

1. Install the seal. Verify the arrow and the groove on the seal point
up.

AA.96p036
2. Push the latch toward the center and attach the locking tabs.

AA.96p035
3. Install the pressure-relief valve.
AA.96p034

4. Push the latch toward the center and install the rim. A double-
click should be heard when the rim is installed.
AA.96p033

M1116146 9-17
Aespire

5. Attach the bottom edge of the bellows to the rim. Verify only the
bottom ring of the bellows is fitted over the rim.

AA.96p052
6. Lower the housing and turn it clockwise to lock. Verify the
housing is secure and the guidelines are facing forward.

AA.96p051
7. Perform the “Bellows assembly test” before completing the
assembly of the breathing system.

9-18 M1116146
 9 Cleaning and Sterilization

Bellows assembly test

WARNING Objects in the breathing system can stop gas flow to the
patient. This can cause injury or death:
• Do not use a test plug that is small enough to fall into
the breathing system.
• Make sure that there are no test plugs or other objects
caught in the breathing system.

w The bellows assembly tests do not replace the

preoperative tests. Always complete the tests in the
section “Preoperative Tests” before using the system on a
patient.
These tests make sure that all components are correctly assembled.
These are not an alternative to a complete system checkout. If the
bellows assembly operates correctly, complete the assembly of the
breathing system. If there is a problem, disassemble the bellows
assembly. Verify proper assembly and look for and replace damaged
parts.
1. Hold the bellows assembly vertical and use the appropriate test
plugs to seal the ports shown.

AB.74p077

2. Invert the bellows assembly. The bellows must not fall within one
minute. If it does:
• The ports are not tightly sealed.
• The bellows is incorrectly installed.
• The seal inside the bellows is not correctly installed (with its
groove pointed up).
• Parts are damaged.

M1116146 9-19
Aespire

3. Remove the plugs from the ports. Permit the bellows to fully
extend.
4. Use the appropriate test plug to seal the port shown.

AB.74p078
5. Hold the bellows assembly upright. The bellows must not fall past
the guide line within one minute. If it does:
• The port is not tightly sealed.
• The bellows or the pressure-relief valve is not correctly
installed.
• Parts are damaged.
6. If all tests pass, complete the assembly of the breathing system.

9-20 M1116146
 9 Cleaning and Sterilization

Assemble the breathing system

1. Replace the exhalation valve assembly. Tighten the two
thumbscrews.

AB.74p075
2. Turn over the bellows base assembly. Replace the manifold. Be
sure to insert it correctly into the ports as shown. Then, press on
the center of the manifold to snap it into place on the bellows
base assembly.
AB.74p073

M1116146 9-21
Aespire

3. Replace the APL valve diaphragm.

AB.74p072
4. Insert the ramp tabs (1) into the slots (2). Rotate the ramp until it
locks at (3).

1
2

3
AB.74p071
AB.74p070

9-22 M1116146
 9 Cleaning and Sterilization

5. On the breathing circuit module, insert the check valve

assemblies (1). Push the check valve circuit lens (2) down onto
the latches (3) to lock the lens.

AB.74p068
3

6. Insert the breathing circuit module into the bellows assembly

aligned as shown.

AB.74p067

7. Rotate the breathing circuit module clockwise at the point shown

by the dotted line to attach it to the bellows assembly.
AB.74p066

M1116146 9-23
Aespire

8. Make sure the o-ring (1) is on the O2 cell. Replace the cell by
screwing it in clockwise. Connect both ends the O2 cell cable (2).

AB.74p083
AB.74p065
9. Attach the flow sensors to the module:
• Insert the flow sensors (1) into the flow sensor holder. Note
the groove locations.
• Attach the flow sensor connectors (2) to the flow sensor
holder. Make sure that the arrows point up.
• Attach the cover (3) to the flow sensor holder.
• Tighten the thumbscrew (4) to fasten the cover.

4 2 3

AB.74p053

9-24 M1116146
 9 Cleaning and Sterilization

10. Attach the flow sensor module to the breathing system.

AB.74p064
11. Push the latch closed to lock the flow sensor module onto the
breathing system.

AB.74p052
12. This is the assembled breathing system.

AB.74p063

M1116146 9-25
Aespire

Install the breathing system

1. Locate the guide pin openings.

AB.74p084
2. Align the openings with the guide pins as shown.

AB.74p081
AB.74p084

9-26 M1116146
 9 Cleaning and Sterilization

3. Holding the rear handle and the latch handle as shown, slide the
breathing system onto the guide pins.

AB.74p060
4. Use the grip under the latch handle to push the breathing system
in fully until it latches firmly.
5. Install the absorber canister and bag hose.
6. Complete the tests in the “Preoperative Tests” section.

Remove the AGSS receiver

The AGSS receiver may be removed for cleaning and sterilization.
1. On the side of the system, loosen the two thumbscrews to
release the system side panel.
AB.74p085

M1116146 9-27
Aespire

2. Slide the side panel out by removing its tabs from their slots.

AB.74p086
3. Loosen the thumbscrew and remove the reservoir.

AB.74p087

CAUTION Do not autoclave the reservoir. Damage to the reservoir

will occur.
4. Loosen the thumbscrew and lower the receiver to remove it.
5. Replace the filter as necessary. (See “Remove the AGSS
receiver filter.”)
6. Do these steps in the opposite order to replace the receiver,
reservoir, and the side panel.
7. Complete the tests in the “Preoperative Tests” section.

9-28 M1116146
 9 Cleaning and Sterilization

Remove the AGSS receiver filter

The AGSS receiver and gasket may be autoclaved. To autoclave
AGSS receivers which have a filter, the filter must be removed
because it is not autoclavable.

CAUTION The AGSS filter is not autoclavable. Damage to the filter

will occur. If the AGSS receiver has a filter, remove the
filter before autoclaving the AGSS receiver.
1. Pull the flexible gasket from the receiver.

2. Pull the filter out of its holder. AB.74p088

AB.74p089

3. Do these steps in the opposite order to replace the filter and

gasket after autoclaving the receiver and gasket. Be sure the
gasket is firmly pressed into place at all points.
4. Complete the tests in the “Preoperative Tests” section.

M1116146 9-29
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Absorber canister
The absorber canister is available in two versions: Disposable Multi
Absorber and Reusable Multi Absorber. Only the Reusable Multi
Absorber canister may be cleaned. See “Removing a canister” in the
“Setup and Connections” section.

Mechanical cleaning 1. Place the reusable canister (without filters) and the lid in the
in washer or washer- washer or washer-disinfector and clean them using the
appropriate procedures.
disinfector
2. If the washer or washer-disinfector is not used for disinfection of
equipment, the manufacturer recommends that a further high
level disinfection is conducted.
3. Ensure the canister is dry before replacing the filters and refilling
with absorbent. See “Removing a canister” in the “Setup and
Connections” section.

Manual cleaning The manufacturer recommends that manual cleaning is always

followed by a high level disinfection.
1. Flush the reusable canister and the lid with fresh running water.
2. Clean the canister and lid under total immersion in a sink with
water and cleaning agent for at least 3 minutes. The water
temperature should be approximately 40°C (104°F).
3. Flush the canister and lid with fresh running water.
4. Ensure the canister is dry before replacing the filters and refilling
with absorbent. See “Removing a canister” in the “Setup and
Connections” section.

High level 1. Always clean the canister before high level disinfection.
disinfection 2. The canister can be steam autoclaved. Maximum recommended
temperature is 134°C (273°F).
3. Ensure the canister is dry before replacing the filters and refilling
with absorbent. See “Removing a canister” in the “Setup and
Connections” section.

9-30 M1116146
 9 Cleaning and Sterilization

EZchange Canister and condenser

The EZchange Canister and the condenser can be removed for
cleaning, sterilization, and part replacement. They can be removed as
part of the breathing system or on their own.
To remove the EZchange Canister and the condenser as part of the
breathing system, see “Remove the breathing system” in this section.
Then place the breathing system on its side on a flat surface.

4
1

AB.75p080
2

1. EZchange Canister module

2. Condenser reservoir
3. Condenser
4. Release latch
Figure 9-2 • EZchange Canister and condenser

To remove the EZchange Canister system and the condenser without

removing the breathing system:
1. Remove the canister.

M1116146 9-31
Aespire

2. Push the release latch and pull down on the unit to remove it from
the breathing system.

AB.75p081
3. For systems with the EZchange Canister only, pull the release
latches out to remove the cap.

AB.75p078

4. For systems with a condenser or a combination EZchange

Canister system with a condenser, pull the release latches out to
remove the condenser from the module.
AB.75p079

9-32 M1116146
 9 Cleaning and Sterilization

5. Remove the condenser reservoir by pulling the lip of the gasket

away from the reservoir around the edges.

AB.75p085
6. When reinstalling the reservoir, ensure the curved end of the
reservoir lines up with the curved end of the seal. Push the
reservoir into the gasket.

AB.75p084
7. Ensure the lip of the gasket fully covers all edges of the reservoir
for a leak-tight fit.
AB.75p083

8. Reinstall the remaining parts in the opposite order of removal.

M1116146 9-33
Aespire

9. When inserting the unit back onto the breathing system, set the
unit on the two support pins and push it up until it snaps into
position.

AB.75p082

9-34 M1116146
 10 Parts

This section lists user-replaceable parts only. For other components,

refer to the Technical Reference manual.

In this section Flow sensor module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Breathing circuit module . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
EZchange Canister system. . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . 10-10

M1116146 10-1
Aespire

Flow sensor module

AB.82.019
2

Item Description Stock number

Flow sensor module (does not include flow sensors) 1407-7001-000
1 Flow sensor cover 1407-3000-000
2 Flow sensor cuff 1407-3004-000
3 Flow sensor, disposable (plastic) 1503-3858-000
Flow sensor, autoclavable (metal) 1503-3244-000
Flow port adapter 1503-3849-000

10-2 M1116146
 10 Parts

Breathing circuit module

AB.82.021
5

Item Description Stock number

Breathing circuit module (does not include O2 cell, 1407-7002-000
o-ring, or cable)
1 Check valves circuit lens 1407-3101-000
2 Check valve assembly 1406-8219-000
3 O-ring for O2 cell or plug 1406-3466-000
4 O2 cell (includes o-ring) 6050-0004-110
5 Cable, O2 cell 1009-5570-000
- Plug includes o-ring; for systems without O2 sensing) 1503-3857-000

M1116146 10-3
Aespire

Bellows

3
7
4
5

AB.82.018

Item Description Stock number

1 Bellows housing 1500-3117-000
2 Bellows 1500-3378-000
3 Rim 1500-3351-000
4 Pressure relief valve assembly 1500-3377-000
5 Latch, rim 1500-3352-000
6 Manifold, bellows base 1407-3702-000
7 Bellows base with latch 1407-7006-000
8 Seal, base 1500-3359-000
- Diaphragm, APL 1406-3331-000
- Poppet, APL valve 1406-3332-000
- Cage, APL 1406-3333-000

10-4 M1116146
 10 Parts

Absorber canister

3
1

AB.82.017
Item Description Stock number
1 Multi absorber, reusable (includes 40 pack of foam) 1407-7004-000
(does not include absorbent)
2 Cover assembly, CO2 canister 1009-8240-000
3 Foam, CO2 canister (pack of 40) 1407-3201-000
4 O-ring 1407-3204-000
5 Canister, CO2 with handle 1407-3200-000
- Multi absorber, disposable, white to violet, (pack of 6) 8003138
- Multi absorber, disposable, pink to white (pack of 6) 8003963

M1116146 10-5
Aespire

Exhalation valve assembly

Description Stock number

Exhalation valve assembly 1407-7005-000

10-6 M1116146
 10 Parts

AGSS

Description Stock number

Common
Cap 3.18 barb silicone 1406-3524-000
Connector, inlet 30 mm male to 9 mm male M1003134
Connector, inlet 30 mm male to 30 mm male M1003947
O-ring for connector, 21.95 ID 1406-3558-000
O-ring for receiver, 22 ID 1407-3104-000
O-ring for thumbscrews, 4.47 ID 1407-3923-000
Reservoir scavenger 1407-3903-000
Seal, down tube scavenger 1407-3904-000
Seal, receiver scavenger 1407-3901-000
Thumbscrew M6 X 28.5 1406-3305-000
Thumbscrew, M6 X 43 1406-3304-000
Valve, unidirectional (complete assembly) 1406-8219-000
Passive AGSS
Adapter, outlet 30 mm female to 19 mm male (pack of 5) 1500-3376-000
Exhaust hose 8004461
Plug assembly 30 mm ISO 1407-3909-000
Screw, shoulder 4 diameter X 4 L M3 X 0.5 sst 1407-3915-000
Active AGSS, adjustable flow
Bag with 30 mm male connector 8004460
Plug assembly 30 mm ISO 1407-3909-000
Active AGSS, high flow
Filter, 225 micrometer nylon screen AGSS 1406-3521-000
Seal, filter scavenger 1407-3902-000
Active AGSS, low flow
Filter, 225 micrometer nylon screen AGSS 1406-3521-000
Seal, filter scavenger 1407-3902-000

M1116146 10-7
Aespire

EZchange Canister system

1
3

2 4

AB.82.044
AB.82.057
Item Description Stock number
1 EZchange Canister module, includes valve and cap 1407-7021-000
2 Valve 1407-3126-000
3 Cap 1407-3130-000
4 Condenser 1407-7024-000
- EZchange Canister module with condenser 1407-7027-000

10-8 M1116146
 10 Parts

Condenser

AB.82.045
Item Description Stock number
Condenser assembly (includes module and condenser) 1407-7026-000
1 Condenser module 1407-7025-000
2 Condenser 1407-7024-000

M1116146 10-9
Aespire

Test tools and system parts

Description Stock number

Airway module calibration gas 755583
Airway module calibration gas (U.S. variant only) 755571
Airway module exhaust line 8004463
Calibration gas regulator 755534
Calibration gas regulator (U.S. variant only) M1006864
Cylinder gasket (pin indexed cylinders only) 0210-5022-300
Cylinder wrench (DIN 477 and high-pressure hose) 1202-3651-000
Cylinder wrench for pin-indexed cylinder 0219-3415-800
DIN O2 plug (cylinder connection) 1202-7146-000
Handle for yoke tee 0219-3372-600
Negative low pressure leak test device 0309-1319-800
Positive low pressure leak test device (BSI) 1001-8975-000
Positive low pressure leak test device (ISO) 1001-8976-000
Positive pressure leak test adapter 1009-3119-000
Ring, sealing gasket (for DIN 477 and O2 high-pressure hose) 1009-3356-000
Ring, sealing gasket (for N2O high-pressure hose) 1202-3641-000
Test lung 0219-7210-300
Test plug 2900-0001-000
Touch-up paint, Neutral Gray N7 (Medium Dark), 18 ml 1006-4198-000
Touch-up paint, Neutral Gray N8 (Medium), 18 ml 1006-4199-000
Touch-up paint, Neutral Gray N9 (Light), 18 ml 1006-4200-000
Vaporizer port o-rings, external (6 pack) 1102-3016-000
Yoke plug 0206-3040-542

10-10 M1116146
 11 Specifications and Theory of
Operation

Note All specifications are nominal and subject to change without notice.
Note All displayed values are shown at ambient temperature and pressure
dry.

In this section System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . 11-2

Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Flow specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Breathing system specifications . . . . . . . . . . . . . . . . . . . . 11-12
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . 11-14
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . . . 11-15
Auxiliary O2 flowmeter (optional). . . . . . . . . . . . . . . . . . . . 11-15
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-16
Ventilator operating specifications . . . . . . . . . . . . . . . . . . 11-19
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . . 11-20
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . 11-22
Electrical safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
IEC-60601-1 Classification . . . . . . . . . . . . . . . . . . . . . . . . 11-25

M1116146 11-1
Aespire

System pneumatic circuits

AB.74.123

Figure 11-1 • Pneumatic circuit diagram

11-2 M1116146
 11 Specifications and Theory of Operation

1. Auxiliary O2, 0-10 l/min (optional) 36. Scavenging pressure relief valve, 1.0 kPa (10
2. O2 flush cmH2O)
3. 241 kPa (35 psi) second O2 regulator 37. 0-10 l/min drive gas, 0-10 l/min patient
4. Gauge and fresh gas, 0-20 l/min total typical flow
5. O2 P-Line 38. 200 mL reservoir
6. O2 cylinder (optional) 39. Control bleed approximately
7. Air P-Line (optional) 1.0 l/min at 0.29 kPa (3.0 cmH2O) if
8. Maximum 3 cylinders continuous (rate dependent)
9. Air cylinder (optional) 40. Pressure switch
10. N2O P-Line (optional, standard U.S. variant) 41. ACGO selector valve
11. 758 kPa (110 psi) relief 42. 22 mm port (ACGO)
12. N2O cylinder (optional) 43. O2 sensor
13. Cylinder supply 44. Inspiratory flow sensor
Pipeline supply 45. Absorber
14. Ventilator drive gas select 46. Drain
15. Venturi 47. Negative pressure relief valve (-14 cmH2O)
16. System switch 48. Optional connection
17. O2 secondary regulator 207 kPa (30 psi) 49. Bag/Vent switch
18. Link 25 50. Bag
19. Flowmeter module (single flow tubes 51. APL valve
optional) 52. Gas monitor
20. 0 - 120 l/min flow 53. Expiratory flow sensor
21. Air (optional) 54. Inspiratory flow transducer
22. Selectatec manifold 55. Expiratory flow transducer
23. 37.9 kPa (5.5 psi) pressure relief valve 56. Ventilator monitoring board
24. Vaporizer 57. Pneumatic engine board
25. N2O slave regulator (optional) 58. Patient
26. Regulator 172 kPa (25 psi) at 15 l/min 59. 30 mm male - to disposal system
27. Inspiratory flow control valve 60. 0.05 kPa (0.5 cmH2O) entrainment
28. PEEP safety valve 61. Passive gas scavenging interface
29. Supply pressure switch 62. Injector based scavenge
30. Proportional PEEP valve 63. Filter
31. Mechanical overpressure valve, 10.8 kPa 64. High or low flow restrictor
(110 cmH2O) 65. Flow indicator
32. Free breathing check valve 66. To disposal system
33. Room Air 67. Active gas scavenging interface
34. Popoff valve (4 cmH2O) 68. EZchange Canister
35. Exhalation valve 0.20 kPa (2.0 cmH2O bias) 69. Condenser

M1116146 11-3
Aespire

AB.74.122

Figure 11-2 • Pneumatic circuit diagram variant

11-4 M1116146
 11 Specifications and Theory of Operation

1. Auxiliary O2, 0-10 l/min (optional) 36. Scavenging pressure relief valve, 1.0 kPa (10
2. O2 flush cmH2O)
3. 241 kPa (35 psi) second O2 regulator 37. 0-10 l/min drive gas, 0-10 l/min patient
4. Gauge and fresh gas, 0-20 l/min total typical flow
5. O2 P-Line 38. 200 mL reservoir
6. O2 cylinder (optional) 39. Control bleed approximately
7. Air P-Line (optional) 1.0 l/min at 0.29 kPa (3.0 cmH2O) if
8. Maximum 3 cylinders continuous (rate dependent)
9. Air cylinder (optional) 40. Pressure switch
10. N2O P-Line (optional, standard U.S. variant) 41. ACGO selector valve
11. 758 kPa (110 psi) relief 42. 22 mm port (ACGO)
12. N2O cylinder (optional) 43. O2 sensor
13. Cylinder supply 44. Flow port adapter
Pipeline supply 45. Absorber
14. Ventilator drive gas select 46. Drain
15. Venturi 47. Negative pressure relief valve (-14 cmH2O)
16. System switch 48. Optional connection
17. O2 secondary regulator 207 kPa (30 psi) 49. Bag/Vent switch
18. Link 25 50. Bag
19. Flowmeter module (single flow tubes 51. APL valve
optional) 52. Gas monitor
20. 0 - 120 l/min flow 53. Flow port adapter
21. Air (optional) 54. Pneumatic engine board
22. Selectatec manifold 55. Patient
23. 37.9 kPa (5.5 psi) pressure relief valve 56. 30 mm male - to disposal system
24. Vaporizer 57. 0.05 kPa (0.5 cmH2O) entrainment
25. N2O slave regulator (optional) 58. Passive gas scavenging interface
26. Regulator 172 kPa (25 psi) at 15 l/min 59. Injector based scavenge
27. Inspiratory flow control valve 60. Filter
28. PEEP safety valve 61. High or low flow restrictor
29. Supply pressure switch 62. Flow indicator
30. Proportional PEEP valve 63. To disposal system
31. Mechanical overpressure valve, 10.8 kPa 64. Active gas scavenging interface
(110 cmH2O) 65. EZchange Canister
32. Free breathing check valve 66. Condenser
33. Room Air
34. Popoff valve (4 cmH2O)
35. Exhalation valve 0.20 kPa (2.0 cmH2O bias)

M1116146 11-5
Aespire

Gas supplies Pressurized gas supplies enter the system through a pipeline or
cylinder connection. All connections have indexed fittings, filters, and
check valves. Gauges show the cylinder and pipeline pressures.
A regulator decreases the cylinder pressures to the appropriate
system pressure. A pressure relief valve helps protect the system
from high pressures.
To help prevent problems with the gas supplies:
• Install yoke plugs on all empty cylinder connections.
• When a pipeline supply is connected, keep the cylinder valve
closed.
• Disconnect the pipeline supplies when the system is not in use.

WARNING Do not leave gas cylinder valves open if the pipeline

supply is in use. Cylinder supplies could be depleted,
leaving an insufficient reserve supply in case of pipeline
failure.

O2 flow Pipeline or regulated cylinder pressure supplies O2 directly to the

ventilator (O2 Ventilator). A secondary regulator decreases the
pressure for the flush valve and the auxiliary flowmeter.
The flush valve supplies high flows of O2 to the fresh gas outlet when
you push the flush button. The flush switch uses pressure changes to
monitor the position of the flush valve. A message on the ventilator
tells you when Flush is ON.
When the system switch is ON, O2 flows to the rest of the system and
there is a minimum flow through the O2 flowmeter.
A secondary regulator supplies a constant O2 pressure to the flow
control valve.
An electrical switch monitors the O2 supply pressure. If the pressure
is too low, an alarm appears on the ventilator.

Air and N2O A balance regulator controls the flow of N2O to the flow control valve.
Oxygen pressure at a control port adjusts the output of the regulator.
This stops flow during an O2 supply failure and ensures that the
hypoxic gas pressures decrease with the O2 supply pressure.
Changes in O2 pressure do not affect Air.
A chain linkage on the N2O and O2 flow controls helps keep the O2
concentration higher than approximately 21% at the fresh gas outlet.
Pipeline or regulated cylinder pressure directly supply Air to the
ventilator (Air Ventilators). When the system switch is ON, air flows to
the rest of the system. A secondary regulator supplies the air flow
control valve. Because there is no balance regulator, air flow
continues at the set rate during an O2 supply failure.

11-6 M1116146
 11 Specifications and Theory of Operation

Mixed gas The mixed gas goes from the flowmeter outlet through the vaporizer
that is ON, to the fresh gas outlet, and into the breathing system. A
pressure relief valve sets the maximum outlet pressure.

EZchange Canister When activated, this mode permits continued ventilation and
rebreathing of exhaled gases without any gas passing through the
absorbent.

Condenser The condenser removes water in the system that is produced from
the reaction of CO2 gas with the absorbent during low flow anesthesia
(fresh gas flows less than 1.5 l/min). The condenser is connected
between the outlet of the absorber canister and the inlet of the circuit
module. Moisture in the gas is condensed into water droplets, which
run into the condenser’s reservoir.

Pneumatic specifications

CAUTION All gases supplied to the system must be medical grade.

Gas supplies
Pipeline gases O2, Air, N2O
Cylinder gases O2, Air, N2O (maximum: 2 cylinders of each
gas); 3 cylinders total; 1 cylinder maximum on
pendant model
Cylinder connections Pin indexed (all gases); nut and gland DIN-477
(O2, N2O, Air); large cylinder kit available for
O2 and N2O
Primary regulator output Pin indexed: The primary regulator is set to
pressure pressure less than 345 kPa (50 psi).
DIN-477: The primary regulator is set to
pressure less than 414kPa (60 psi).
Pressure-relief valve Approximately 758 (110 psi)
Pipeline connections DISS - Male; DISS-Female; AS 4059
(filtered) (Australian); S90-116 (French Air Liquide);
BSPP 3/8 (Scandinavian) or NIST (ISO 5359).
All fittings available for O2, Air, and N2O.
Pressure displays Color coded gauges
Pipeline inlet pressure 280-600 kPa (41-87 psi)

ACGO Port relief Valve limits fresh gas pressure to 138 kPa (20 psi) at the flush flow.

M1116146 11-7
Aespire

Electrical block diagram

AB.43.163

11-8 M1116146
 11 Specifications and Theory of Operation

1. Anesthesia system 18. ACGO switch

2. Power cord 19. Breathing system
3. AC inlet with breaker and line filter 20. Flow sensors
4. Surge/inrush board 21. Bag/Vent switch; ABS On switch
5. Four possible versions depending on line 22. O2 sensor
voltage and installation of optional isolation 23. Ventilator engine board
transformer. 24. Flow valve
6. Fuses 25. PEEP valve
7. Line filter 26. PEEP safety valve
8. Isolation transformer 27. Supply pressure switch
9. Outlet box 28. Ventilator Control Module
10. RS232 29. AC inlet with fuses
11. Serial isolation connector board 30. Universal power supply
12. On/Standby switch 31. 6V battery
13. O2 Pressure switch 32. Speaker
14. O2 Flush switch 33. Fan
15. Ventilator monitoring board with inspiratory 34. Ventilator Control Board
and expiratory flow transducers or breathing 35. LCD backlight
system task light interface board 36. LCD Display
16. Task light 37. Keyboard membrane switch
17. Switch 38. Rotary encoder

M1116146 11-9
Aespire

Electrical power

Supply voltage 100-120 or 220-240 Vac +/-10% at 50 or 60 Hz

Inlet circuit 100-120 Vac 220-240 Vac
breakers 15 A 8A
Outlet circuit 110-120 Vac 220-240 Vac Japan
breakers (3) 2 A (3) 1 A (2) 2 A
(1) 3 A (1) 2 A (1) 4 A
System leakage UL and CSA rated systems (U.S.A. and Canada): less than
current limit - do 300 μamps for the system and all systems connected to
not exceed: electrical outlets.
IEC rated systems (Not U.S.A. and Canada): less than 500
μamps for the system and all systems connected to
electrical outlets.
Note: Products connected to electrical outlets may increase
the leakage current above these limits.
Resistance to less than 0.2 Ω
ground

WARNING The connection of equipment to the auxiliary mains

electrical outlets may increase the patient leakage
currents to values exceeding the allowable limits in the
event of a defective earth conductor.

Power cord
Length 5 meters
Voltage rating 90 to 264 Vac
Current capacity 10 A for 220-240 Vac
15 A for 100-120 Vac
Type Three conductor power supply cord (medical grade where
required).

WARNING Unplug the system power cord to run the system on the
battery power if the integrity of the protective earth
conductor is in doubt.

11-10 M1116146
 11 Specifications and Theory of Operation

Battery information The system is not a portable unit; a sealed lead acid battery supplies
backup power in the event of a power failure.
• Capacity to operate for 90 minutes under typical operating
conditions; 30 minutes under extreme conditions.
• The system functions to specifications through the translation to
battery power.
• Long float charge life.
• Battery pack has an auto-resetable thermal fuse.
• Battery terminals and connecting wires are protected against
short circuits.
Only trained service representatives are to replace the battery.
Batteries must be disposed of in accordance with applicable
regulatory requirements in effect at the time and place of disposal.
Contact a trained service representative to disconnect the battery if
the equipment is not likely to be used for an extended time.

Flow specifications

One flow tube Two flow tubes

Flush flow 35 to 50 l/min
Flow range Minimum O2 flow 25 to 75 ml/min Minimum O2 flow 200 ml/min
O2 0.20 to 12 l/min 0.05 to 0.95 l/min
1 to 15 l/min
N2O 0.20 to 10 l/min 0.05 to 0.95 l/min
1 to 10 l/min
Note: The link system sets the nominal O2 flow to 25% of the total of
O2 and N2O flow.
Air 1 to 15 l/min 0.05 to 0.95 l/min
1 to 15 l/min
Accuracy At 20°C with gas supply pressures at 345 kPa (50 psi) and an outlet
pressure of 101.3 kPa (absolute) (14.7 psi) flowmeter accuracy
agrees with VDE 3513 Part 3, Accuracy Class 2.5 or better.
Different breathing circuit pressures, barometric pressures or
temperatures change the accuracy. With some conditions, these
changes can be larger than the tolerances.

O2 pressure
O2 supply failure alarm 193 to 221 kPa (28 to 32 psi)
N2O shutoff 3.5 kPa (0.5 psi)

M1116146 11-11
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Breathing system specifications

Volume Ventilator side 2730 ml; bag side 1215 ml

With EZchange Canister system and condenser:
ventilator side 3445 ml; bag side 1930 ml
Absorbent 950 ml canister
Connections Auxiliary Common Gas Outlet: ISO 5356 type connector
on the front of the system (standard 22 mm OD or 15
mm ID conical friction fit connectors).
System leakage These values are for continuous pressure and are higher
than those expected during mechanical ventilation.
Less than or equal to 300 ml/min total at 3 kPa (0.4 psi);
less than or equal to 75 ml/min for all connectors and two
part tubes; and less than or equal to 225 ml/min for all
other breathing system assemblies.
System compliance Volume of gas lost due to internal compliance (bag mode
only)
1.82 ml/0.098 kPa (1 cmH2O)
55 ml/3 kPa (30 cmH2O)

With EZchange Canister system and condenser:

2.67 ml/0.98 kPa (1 cmH2O)
80 ml/3 kPa (30 cmH2O)
Pressure required to Dry:0.49 cmH2O; Wet: 0.91 cmH2O
open Inspiratory or
expiratory valves
Pressure generated by a 0.81 cmH2O
wet unidirectional valve
APL valve Approximately 0 to 70 cmH2O

Breathing system resistance in bag mode*

l/min kPa cmH2O
5 0.06 0.6
30 0.22 2.2
60 0.52 5.3
Ezchange Canister system and condenser, absorber mode
5 0.06 0.6
30 0.24 2.4
60 0.57 5.8
EZchange Canister system and condenser, canister removed
5 0.06 0.6
30 0.24 2.4
60 0.49 5.0
*Values include patient circuit tubing and Y-piece 0.15 kPa (0.20 psi) expiratory
resistance at 1 l/s. Patient circuit tubing and breathing system configurations
may affect resistance.

11-12 M1116146
 11 Specifications and Theory of Operation

Pressure flow data (APL valve completely open)

Flow (l/min) Flow (l/s) APL pressure cmH2O
3 0.05 0.78
10 0.17 1.14
30 0.51 1.43
60 1.0 2.61
70 1.17 3.21

Gas scavenging
All scavenging
Positive pressure relief 10 cmH2O

Passive scavenging
Negative pressure relief 0.3 cmH2O
Outlet connector 30 mm male taper ISO

Active scavenging
Outlet
Disposal system type Flow range Pressure
connector*
Adjustable DISS EVAC Up to 30 l/min not applicable
High flow, low vacuum BS6834 50 to 80 l/min 1.6 kPa
(12 inHg)
Low flow, high vacuum DISS EVAC 36 +/- 4 l/min 305 mmHg
(12 inHg)
minimum vacuum
*Other market-specific connectors may be available.
Particle filter at the outlet has a pore size of 225 microns. All flow data uses a new
filter.

M1116146 11-13
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Physical specifications
All specifications are approximate values and can change without
notice.

CAUTION Do not subject the system to excessive shock and

vibration.

w Do not place excessive weight on flat surfaces or

drawers.

System Height 136 cm

Width 72.5 cm
Depth 73.5 cm
Weight 136 kg
Top of machine 34 kg
weight limit
Casters 13 cm with brakes on the front casters
10 cm with brakes on the front casters
Drawers 23 cm x 33 cm x 27 cm
Ventilator display 120 x 90 mm 1/4 VGA

Environmental requirements

Operation Storage Compensation range

Temperature 10 to 40 C -15 to 50 Not applicable
Oxygen cell operates to Oxygen cell storage is -15 to 50C,
specifications at 10 to 40 C 10 to 95% RH, 500 to 800 mmHg
Humidity 15 to 95% RH, non-condensing 10 to 95%, non-condensing Not applicable
Altitude 500 to 800 mmHg 375 to 800 mmHg 525 to 795 mmHg
(3565 to -440 meters) (5860 to -440 meters) (3000 to -100 meters)

11-14 M1116146
 11 Specifications and Theory of Operation

Suction regulators (optional)

Venturi Suction Regulator

Performance Category Pharyngeal Suction
Supply Air or O2 from system gas supply
Drive Gas Consumption* 28 l/min with pipeline drive gas at 280 kPa
52 l/min with pipeline drive gas at 600 kPa
Maximum Vacuum* 600 mmHg with pipeline drive gas at 280 kPa
550 mmHg with pipeline drive gas at 600 kPa
Maximum Flow* 29 l/min with pipeline drive gas at 280 kPa
32 l/min with pipeline drive gas at 600 kPa
Vacuum Gauge Accuracy +/- 5% of full scale
*Values are approximate.

Continuous Suction Regulator

Performance Category Pharyngeal Suction
Supply External vacuum
Maximum Vacuum* 540 mmHg with external vacuum applied of 540
mmHg and 40 l/min free flow
Maximum Flow* 39 l/min with external vacuum applied of 540 mmHg
and 40 l/min free flow
Vacuum Gauge Accuracy +/- 5% of full scale
*Values are approximate.

Auxiliary O2 flowmeter (optional)

Supply O2 from system gas supply

Flow rate 0 to 10 l/min
Accuracy ±5% of full scale; not pressure
compensated

M1116146 11-15
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Ventilator theory
The ventilator pneumatics are located in the rear of the breathing
system. A precision flow valve controls the amount of flow provided to
the patient, while a second, smaller flow valve is used to control the
exhalation valve sealing pressure.
Breaths are provided to the patient by sealing the exhalation valve
and providing flow to the breathing circuit. During exhalation, the
sealing pressure on the exhalation valve is released and flow
exhausts from the breathing circuit. Electronic control of PEEP is
achieved by maintaining a small amount of sealing pressure on the
exhalation valve.
Volume measurements come from two flow sensors in the flow
sensor module. Two tubes from each sensor connect to a transducer.
The transducer measures the pressure change across each sensor,
which changes with the flow. A third pressure transducer measures
the airway pressure at the outlet of the breathing circuit. Safety
redundant valves are used to limit the airway pressure, based on the
user’s Plimit setting.
With circle circuit modules, volume monitoring uses the rear
(expiratory) flow sensor. The ventilator uses the other flow sensor to
adjust the tidal volumes being delivered into the patient circuit tubing
for changes in fresh gas flow, small leaks and gas compression within
the breathing circuit.
There is no adjustment for compression in the patient circuit. If
necessary, add the compression loss to the tidal volume setting
(Volume Control mode). The average volume changes due to
compression in the breathing circuit is small (0.5 to 1.25 ml/cmH2O).
Note that the 7100 Ventilator provides a small amount of bleed flow
through a pneumatic resistor to control the exhalation valve. At high
airway pressures this can cause a slight hiss during inspiration.

WARNING Do not try to silence the pneumatic resistor. If it is

blocked, the ventilator can malfunction and cause patient
injury.

11-16 M1116146
 11 Specifications and Theory of Operation

O2 monitor theory of The O2 monitor measures and displays O2 concentration in the

operation patient circuit.
The O2 sensor assembly contains an oxygen sensor that produces a
voltage proportional to the oxygen partial pressure (concentration) at
its detecting surface.
The O2 sensor is an electrochemical device (galvanic cell). Oxygen
diffuses through a membrane into the device and oxidizes a base
metal electrode. This oxidation produces an electrical current
proportional to the partial pressure of the oxygen at the electrode’s
sensing surface. The base metal electrode gradually wears out from
the oxidation process.
The voltage from the sensor cartridge is affected by the temperature
of the monitored gas mixture. A thermistor in the sensor’s housing
automatically compensates for temperature changes in the sensor.
The O2 monitor uses signal processing and analyzing circuitry to
convert the sensor signal into a corresponding % oxygen value. The
system displays this value and compares it to saved alarm limits. If
the value falls outside the limits, the monitor produces the appropriate
alarms.

Modes The system has two modes of mechanical ventilation:

• Volume control.
• Pressure mode.

Volume control
1
2

AB.91.038

4
1. Paw
2. Plimit
3. PEEP
4. Time
Figure 11-3 • Volume control diagram

Volume control supplies a set tidal volume. The ventilator calculates a

flow based on the set tidal volume and the length of the inspiratory
time from the I:E and frequency settings. An optional inspiratory
pause can be set to improve gas distribution in the lungs.
A typical volume-controlled pressure waveform increases throughout
the entire inspiratory period and rapidly decreases at the start of
expiration. An optional inspiratory pause is available to improve gas
distribution.

M1116146 11-17
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The ventilator adjusts gas flow to the bellows based on measured

inspiratory volumes. This is called tidal volume compensation.
If tidal volume compensation is not enabled, the ventilator functions
the same as VT Comp Off and Volume Control is replaced by
Volume Mode in the main menu.
During some malfunctions in volume control mode, the ventilator
automatically turns volume compensation off. VT Comp Off continues
to supply the set tidal volume but cannot compensate for the effects
of fresh gas flow and breathing circuit compliance losses.
Volume control settings:
• VT (tidal volume)
• Rate
• I:E
• Plimit
• PEEP

Pressure mode
1
2

AB.91.039
4

5
1. Paw
2. Plimit
3. Pinsp
4. PEEP
5. Time
Pressure mode generates a pressure plateau linked to the Pinspired
setting. While observing the monitored Pmax failure, the user adjusts
Pinspired until Pmax is reached. The ventilator delivers a constant 30
l/min (inspiration) during this mode. Pinspired, Rate, and I:E settings
are used to create the breathing profile. PEEP is available and is
additive.
Pressure mode settings:
• Pinsp (control pressure)
• Rate
• I:E
• Plimit (pressure limit)
• PEEP

11-18 M1116146
 11 Specifications and Theory of Operation

Ventilator operating specifications

Pneumatics
Gas source Anesthesia system
Gas composition Medical air or O2
Nominal supply pressure 350 kPa (50 psi)
Pressure range at inlet 240 to 700 kPa (35 to 102 psi)
Flow valve range 2 to 70 l/min at 240 kPa (35 psi)

Fresh gas
compensation
Flow compensation range 150 ml/min to 15 l/min
Gas composition O2, N2O, Air, anesthetic agents

Pressure
Patient airway pressure range -20 to +120 cmH2O
Patient airway display range -9 to 99 cmH2O
High pressure alarm set range 12 to 99 cmH2O, 1 cm increment
Sustained pressure alarm range 6 to 30 cmH2O, 1 cm increment

Volume
Tidal volume display range 5 to 9999 ml, 1 ml resolution
Setting range 45 to 1500 ml
Minute volume 0.0 to 99.9 liters
Breath rate 4 to 65 bpm, 1 bpm resolution
Volume sensor type Variable flow orifice

Oxygen
Display range 5 to 110% O2
Display resolution 1% increments
Sensor type: Galvanic fuel cell
Measurement range 0 to 100% O2
Measurement accuracy ± 3% of full scale
Cell response time 35 seconds, 10 to 90%
Response time of cell and adapters is
measured using the test method
described in ISO 7767 (1997)
Low O2 alarm range 18% to 100%
High O2 alarm setting 21% to 100%
Low O2 limit may not be set above
High O2 limit. High O2 limit may not be
set below the Low O2 limit.
Expected cell life Four months of shelf life (23°C room
air) and one year of normal operation.

M1116146 11-19
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Ventilator accuracy data

The following accuracy data are based on patient conditions and
settings described in ASTM F1101. The ventilator is assumed to be
operating in volume mode. For the following to be true, the ventilator
is operating with 100 percent oxygen in the breathing system. Errors
may occur as described in the gas composition chart.
The minimum detectable breath size is 5.0 ml.

Delivery accuracy
Volume control mode Less than 200 ml tidal volume -
accuracy better than ±10% of set VT.
75 to 200 ml tidal volume - accuracy
better than ±20 ml
Less than 75 ml tidal volume -
accuracy better than ±15 ml
VT comp off Accuracy better than ±15% of set VT
Pressure mode Inspiratory pressure - accuracy ±2.0
cmH2O (repeatability only)
PEEP - accuracy ±2.0 cmH2O
(repeatability only)
Monitoring accuracy
Volume control Greater than 200 ml tidal volume -
accuracy better than ±10% of VT
75 to 200 ml tidal volume - accuracy
better than ±20 ml
Less than 75 ml tidal volume -
accuracy better than ±15 ml
Pressure mode Accuracy better than ±2.0 cmH2O or
±5% of reading whichever is greater.
Note: Gas composition errors may be in addition to the above normalized
accuracy. When adding errors, positive errors can have the effect of nulling out
negative errors.
Note: Use of anesthetic agent could affect the errors by approximately -0.95%/%
volume agent.
Oxygen monitor accuracy
When subjected to gas mixtures containing the following concentrations of
gases, the oxygen monitor has been tested to be within ±5% of the actual gas
concentration. Gas mixtures other than the ones listed below may result in an
accuracy of the oxygen monitor outside of the ±5% V/V.
Gas At concentration:
Helium 50%
Carbon dioxide 5%
Nitrous oxide 80%
Halothane 4%
Enflurane 5%
Isoflurane 5%
Sevoflurane 5%
Desflurane 15%

11-20 M1116146
 11 Specifications and Theory of Operation

AB.74.027
Figure 11-4 • Gas composition related errors

M1116146 11-21
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Electromagnetic compatibility (EMC)

WARNING Changes or modifications to this equipment not expressly

approved by the manufacturer could cause EMC issues
with this or other equipment. Contact the manufacturer for
assistance. This device is designed and tested to comply
with applicable regulations regarding EMC as follows.

w Use of portable phones or other radio frequency (RF)

emitting equipment (that exceed electromagnetic
interference levels specified in IEC 60601-1-2) near the
system may cause unexpected or adverse operation.
Monitor operation when RF emitters are in the vicinity.

w Use of other electrical equipment on or near this system

may cause interference. Verify normal operation of
equipment in the system before use on patients.

Guidance and The system is suitable for use in the specified electromagnetic
manufacturer’s environment. The customer and/or the user of the system should
assure that is used in an electromagnetic environment as described
declaration - below.
electromagnetic
emissions
Emissions test Compliance Electromagnetic environment guidance
RF emissions Group 1 The system uses RF energy only for its internal function. Therefore, its RF emissions are
CISPR 11 very low and are not likely to cause any interference in nearby electronic equipment.
RF emissions Class B The system is suitable for use in all establishments, including domestic establishments
CISPR 11 and those directly connected to the public low-voltage power supply network that supplies
buildings used for domestic purposes.
Harmonic Class A
emissions
IEC 61000-3-2
Voltage Complies
fluctuations/flicker
emissions
IEC 61000-3-3

11-22 M1116146
 11 Specifications and Theory of Operation

Guidance and The system is suitable for use in the specified electromagnetic
manufacturer’s environment. The customer and/or the user of the system should
assure that it is used in an electromagnetic environment as described
declaration - below.
electromagnetic
immunity

Radiated immunity
Electromagnetic
environment guidance
Immunity test IEC 60601-1-2 test Level Compliance level
Recommended separation
distance
Portable and mobile RF
communications equipment
should be used no closer to
any part of the system,
including cables, than the
recommended separation
distance calculated from the
equation appropriate for the
frequency of the transmitter.
Conducted RF 3 Vrms 3 Vrms (V1) D=3.5√P
IEC 61000-4-6 150 kHz to 80 MHz outside
ISM bands
10 Vrms 10 Vrms (V2) D=12√P
150 kHz to 80 MHz in ISM
bands
Radiated RF 10 V/m 10 V/m (E1) D=1.2√P 80 mHz to 800 mHz
IEC 61000-4-6
80 MHz to 2.5 GHz D=3.5√P 800 mHz to 2.5 GHz
Where P is the maximum
output power rating of the
transmitter in watts (W)
according to the transmitter
manufacturer and D is the
recommended separation
distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by
an electromagnetic site survey,
should be less than the
compliance level in each
frequency range.
The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHz to
13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2.5 GHz
are intended to decrease the likelihood that a portable communications device could cause interference if it is inadvertently
brought into patient areas. For this reason, an additional factor of 10/3 is used in calculating the recommended separation
distance for transmitters in these frequency ranges.
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured
field strength in the location in which the system is used exceeds the applicable RF compliance level above, the system should be
observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-
orienting or relocating the system.
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 1 V/m.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.

M1116146 11-23
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Recommended The system is intended for use in the electromagnetic environment in

separation distances which radiated RF disturbances are controlled. The customer or the
user of the system can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the system as
recommended below, according tho the maximum power of the
communications equipment.

Separation distance in meters (m) according to frequency of the transmitter

Rated maximum 150 kHz to 80 MHz 150 kHz to 80 MHz In 80 MHz to 800 MHz 800 MHz to 2.5 GHz
output power of Outside ISM bands ISM bands
transmitter watts (W)

0.01 0.35 1.2 0.12 0.23

0.1 1.1 3.8 0.38 0.73
1 3.5 12 1.2 2.3
10 11 38 3.8 7.3
100 35 120 12 23
For transmitters rated at a maximum output power not listed above, the recommended separation distance D in meters (m) can be
determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz to 800 MHz the separation distance for the higher frequency range applies.
Note 2: The ISM (Industrial, Scientific and Medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHz
to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
Note 3: An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in the ISM
frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2.5 GHz to decrease the likelihood that
mobile/portable communications equipment could cause interference if it is inadvertently brought into patient areas.
Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.

11-24 M1116146
 11 Specifications and Theory of Operation

Electrical safety

WARNING The system provides connections for items such as

printers, visual displays and hospital information networks
(only connect items that are intended to be part of the
system). When these items (non-medical equipment) are
combined with the system, these precautions must be
followed:
• Do not place items not approved to IEC 60601-1
closer than 1.5 m to the patient.
• All items (medical electrical equipment or non-medical
electrical equipment) connected to the system by a
signal input/signal output cable must be supplied from
an AC power source which uses a separating
transformer (in accordance with IEC 60989) or be
provided with an additional protective earth conductor.
• If a portable multiple socket outlet assembly is used as
an AC power source, it must comply with IEC 60601-1.
The assembly must not be placed on the floor. Using
more than one portable multiple socket outlet
assembly is not recommended. Using an extension
cord is not recommended.
Do not connect non-medical electrical equipment directly to the AC
outlet at the wall instead of an AC power source which uses a
separating transformer. Doing so may increase enclosure leakage
current above levels allowed by IEC 60601-1 in normal conditions
and under single-fault conditions. This may cause an unsafe electrical
shock to the patient or operator.
After connecting anything to these outlets, conduct a complete
system leakage current test (according to IEC 60601-1).

WARNING An operator of the medical electrical system must not

touch non-medical electrical equipment and the patient
simultaneously. This may cause an unsafe electrical
shock to the patient.

IEC-60601-1 Classification
This system is classified as follows.
• Class I Equipment.
• Type B Equipment.
• Ordinary Equipment.
• Not for use with flammable anesthetics.
• Continuous operation.

M1116146 11-25
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11-26 M1116146
 Index

A remove bag hose 9-8

troubleshooting 6-11
Absorber canister 2-6
cleaning 9-30
C
disinfection 9-30
filling 8-8 Calibration
parts 10-5 flow sensor 7-7
removing 8-6 Checkout 4-1
setup 8-4 Cleaning
ACGO 2-6, 2-9 cautions 9-2
positive low-pressure leak test 5-11 Condenser
scavenging the ACGO sample flow 2-9 cleaning 9-31
Advanced breathing system 2-6 drain button 2-8
AGSS operation 3-10
active 3-12 Connections
connecting active with a flow indicator 3-13 electrical 8-10
connecting active without a flow indicator 3- pneumatic 8-12
13 Controls
passive 3-11 anesthesia system 2-2
remove receiver 9-27 vaporizer 2-5
remove receiver filter 9-29 ventilator 2-11
Alarms 6-2 Cylinder
color display 6-2 installation 8-15
latching with software 2.X 6-3
latching with software version 1.X 6-2 E
list of 6-4
monochrome display 6-2 Electrical safety 11-25
tests 5-12 Electromagnetic compatibility 11-22
EZchange Canister 2-8
removal 8-7
B
Bag/Vent switch 2-6 F
Battery information 11-11
Bellows assembly 9-3 Flow port adapters 2-7
assemble 9-17 Flow sensors 9-3
disassemble 9-15 cleaning and disinfection 9-5
parts 10-4
test 9-19 G
Breathing system 2-2 Gas scavenging 11-13
assembly 9-21
cleanable parts 9-3 L
disassembly 9-10
installing 9-26 Low-pressure leak test 5-10
maintenance 7-3
removal 9-8

M1116146 I-1
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M Suction regulator 8-13

System
Mains inlet 8-10 turn on 3-2
Maintenance schedule 7-2
Menus
T
using 2-13
Troubleshooting
N breathing system 6-11
electrical 6-12
Negative low-pressure leak test 5-10 pneumatic 6-13
Turning on the system 3-2
O
O2 cell U
calibration 7-5 Using menus 2-13
replacement 7-4
V
P
Vaporizer
Pneumatic back pressure test 5-9
connections 8-12 controls 2-5
specifications 11-7 installation 5-8
system pneumatic circuits 11-2 Vaporizer back pressure test 5-9
Positive low-pressure leak test 5-11 Ventilate manually alarms 6-10
Preoperative Checkout 4-1 Ventilation modes
Preoperative Tests 5-1 pressure mode 11-18
Problems Volume control 11-17
breathing system 6-11 Ventilator
electrical 6-12 accuracy data 11-20
pneumatic 6-13 modes 11-17
operating specifications 11-19
R setup 3-3
Repair policy 7-2 theory 11-16
Ventilator screen 2-12
S
W
Scavenging 8-12
a gas monitor sample flow 2-10 Water buildup
ACGO sample flow 2-9 prevent 7-8
from an auxiliary manual breathing circuit
2-10 Z
specifications 11-13 Zeroing flow sensor 7-7
Serial port 8-11
Specifications
breathing system 11-12
flow 11-11
gas scavenging 11-13
physical 11-14
pneumatic 11-7
ventilator operating 11-19
Suction 2-2

I-2 M1116146
Warranty
This Product is sold by the manufacturer under the warranties set
forth in the following paragraphs. Such warranties are extended only
with respect to the purchase of this Product directly from the
manufacturer or the manufacturer’s Authorized Dealers as new
merchandise and are extended to the Buyer thereof, other than for
the purpose of resale.
For a period of twelve (12) months from the date of original delivery to
Buyer or to Buyer’s order, but in no event for a period of more than
two years from the date of original delivery by the manufacturer to a
manufacturer Authorized Dealer, this Product, other than its
expendable parts, is warranted against functional defects in materials
and workmanship and to conform to the description of the Product
contained in this User’s Reference manual and accompanying labels
and/or inserts, provided that the same is properly operated under the
conditions of normal use, that regular periodic maintenance and
service is performed and that replacements and repairs are made in
accordance with the instructions provided. This same warranty is
made for a period of thirty (30) days with respect to expendable parts.
The foregoing warranties shall not apply if the Product has been
repaired other than by the manufacturer or in accordance with written
instructions provided by the manufacturer, or altered by anyone other
than the manufacturer, or if the Product has been subject to abuse,
misuse, negligence, or accident.
The manufacturer’s sole and exclusive obligation and Buyer’s sole
and exclusive remedy under the above warranties is limited to
repairing or replacing, free of charge, at the manufacturer’s option, a
Product, which is telephonically reported to the nearest manufacturer
Customer Service Center and which, if so advised by the
manufacturer, is thereafter returned with a statement of the observed
deficiency, not later than seven (7) days after the expiration date of
the applicable warranty, to the manufacturer Customer Service and
Distribution Center during normal business hours, transportation
charges prepaid, and which, upon the manufacturer’s examination, is
found not to conform with above warranties. The manufacturer shall
not be otherwise liable for any damages including but not limited to
incidental damages, consequential damages, or special damages.
There are no express or implied warranties which extend beyond the
warranties hereinabove set forth. The manufacturer makes no
warranty of merchantability or fitness for a particular purpose with
respect to the product or parts thereof.
Corporate Office Asia/Pacific Indonesia Taiwan
Europe Spain
PT GE Technology GE Healthcare Taiwan GE Healthcare
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Fax +6221 574 7117 GE Medical Systems Greece
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Tel 86-21-38777888 (Thailand) Ltd. Tel +30 10 9625136-7
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Helsinki, Finland GE Medical Systems (China) Medical Systems 1550 New Petchburi Road France 161 11 Bromma
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Tel 358 10 394 11 GE Healthcare
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Fax 358 9 146 3310 Wuxi Tokyo 191-8503 Thailand Fax +46 8-293530
& Perinatal Care
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Development Zone, Tel 81 42 585 5111 Fax +662 624 8431 United Kingdom
Saulnier
North America Jiangsu, PR China 214028 Fax 81 42 585 5360 78457 Velizy Cedex Datex-Ohmeda Ltd.
Tel 0510-85225888 Vietnam Ohmeda House
France
Fax 0510-85226688 Korea GE Viet Nam Limited 71 Great North Road
Tel +33 1 34 49 53 00
United States GE Medical Systems Korea Metropole Centre Fax +33 1 34 49 53 01 Hatfield Hertfordshire
Customer Service, GE Healthcare Clinical Seowoo B/D 837-12 Suite 606-2 AL9 5EN
Technical Support and Systems (Wuxi) Co. Ltd Yeoksamdong 56 Ly Thai To Street GE Healthcare England
Distribution Center Block B-15 Kangnamgu Hanoi Zac de Sans-Souci Tel 44 1707 263570
Datex-Ohmeda, Inc. Wangzhuang Industrial Seoul, OS 135-080 Vietnam 1211 Chemin de la Bruyère Fax 44 1707 260191
3030 Ohmeda Drive Zone Phase II Korea Tel +844 934 4254 69578 Limonest Cedex
Madison, WI 53718-6794 Wuxi Tel +82 2301 66001 Fax +844 825 0551 France
USA Jiangsu, PR China 214028 Fax +82 2567 7357 Tel +33 (0)4 78 66 62 10 Latin America,
Tel 1 800 345 2700 Tel 0510-85360178 GE Viet Nam Limited Fax +33 (0)4 78 43 26 58
Fax 1 608 221 4384 Fax 0510-85360119 Malaysia Sun Wah Tower Caribbean
Suite 1202 Germany
Hong Kong General Electric
Equipment Service Center 115 Nguyen Hue Street GE Medical Systems GE Healthcare
International Inc.
GE Healthcare GE Healthcare Ho Chi Minh City Information Technologies 3350 SW 148th Avenue
Suite 3B-8-3, Block 3B
1701 Military Trail, Hong Kong Ltd. Vietnam GmbH Suite 301
Level 8, Plaza Sentral
Suite 150 11/F, The Lee Gardens, Tel +848 812 9399 Munzinger Strasse 3 Miramar FL 33027-3259
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Tel 1 561 575 5000 Hong Kong Malaysia Tel +49 761 4543 0 Fax 954 744 5613
Fax 1 561 575 5070 Tel +852 2100 6300 Tel +603 2273 9788
Australia/ Fax +49 761 4543 233
Fax +852 2100 6292 GE Healthcare
Canada Fax +603 2273 3486 New Zealand GE Service Center Rua Tomas Carvalhal
GE Healthcare India Philippines T: 0800 434325842273 711 - Bairro Paraiso
2300 Meadowvale Blvd GE Healthcare San Paulo, SP 04006-002
WIPRO GE Medical GE Philippines, Inc.
Mississauga, Ontario Australia Pty. Ltd. Brazil
Systems Pvt. Ltd. 2291 Don Chino Roces Italy
L5N 5P9 Parklands Estate, Tel 55 11 3053 2500/2537
4 Kadugodi Industial Area Avenue Ext.
Canada Building 4B GE Healthcare
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Tel 1 800 668 0732 21 South Street Clinical Systems srl
Bangalore Philippines
Fax 1 905 858 5292 Karnataka 560067 Tel +632 815 8761
Rydalmere NSW 2116 Via Galeno 36 Middle East/
Australia 20126 Milan
India Fax +632 816 4997 Tel +61 2 9846 4000 Italy
Africa
Tel +914 1801 0000
Fax +61 2 9846 4001 Tel +39 02 26001111
Fax +91 28 452 926 Singapore
Fax +39 02 26001599 Datex-Ohmeda
GE Pacific Pte. Ltd. Regional Head Office
298 Tiong Bahru Road Netherlands PO Box 70071
#15-01/06 Central Plaza GR-16610 Glyfada -
GE Healthcare
Singapore 168730 Athens
De Wel 18
Tel +65 291 8528 Greece
Postbus 22
Fax +65 277 7688 Tel +30 10 9625136-7
3870 CA Hoevelaken
Netherlands Fax +30 10 9623687
Tel 31 33 2541 222
Fax 31 33 2541 223

Datex-Ohmeda, Inc. GE Medical Systems (China) Co., Ltd. © Datex-Ohmeda, Inc. – All rights reserved.

P.O. Box 7550 No. 19 Changjiang Road, Wuxi National GE and GE Monogram are trademarks of
Hi-Tech Development Zone, Jiangsu, PR General Electric Company.
Madison, WI 53707-7550 China 214028 Datex-Ohmeda, Inc., a General Electric Company,
USA Tel. +86-510-85225888 doing business as GE Healthcare.

Fax +86-510-85226688 GE Medical Systems (China) Co., Ltd., a General Electric

Company, doing business as GE Healthcare.
www.gehealthcare.com GE Healthcare Clinical Systems (Wuxi) The addresses listed on this cover are current as of 11/08.
Co., Ltd
Block B-15
Wangzhuang Industrial Zone Phase II
Wuxi, Jiangsu, PR China 214028
Aespire
Tel +86-510-85360178 User’s Reference Manual
Fax +86-510-85360119 English
M1116146
11 08 004 18 05 02
Printed in USA/China