Aespire 7900

User’s Reference Manual—Part 1

System Controls, Operation, Checkout
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, Datex-Ohmeda recommends that a
telephonic or written request for service advice be made to the nearest
Datex-Ohmeda Customer Service Center. This Product or any of its parts
should not be repaired other than in accordance with written instructions
provided by Datex-Ohmeda and by Datex-Ohmeda trained personnel.
The Product must not be altered without the prior written approval of
Datex-Ohmeda. 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 Datex-Ohmeda.

w 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.

AAA F 12345

This alpha character indicates the year of product

manufacture and when the serial number was
assigned; “D” = 2000, “E” = 2001, “F” = 2002, etc.
“I” and “O” are not used.

S/5 Aespire, Link-25, Disposable Multi Absorber, Reusable Multi

Absorber, SmartVent, Tec 6 Plus, and Tec 7are 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 7900? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . 1-3
2 System Controls and Menus

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

Breathing system components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
ACGO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Scavenging the ACGO sample flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Scavenging from the external manual breathing circuit . . . . . . . . . . .2-10
Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Optional Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Control panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
How to set controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14
How to use the menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15
Menu map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16
More about menu functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-17
How to change menu settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18
Optional auxiliary O2 flowmeter and suction regulators . . . . . . . . . . . . . . .2-19
3 Operation and Tutorial

Pre-use check list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Turn On the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Set the alarm loudness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Show or hide alarm limits and units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Turn the volume alarms on or off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Set alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Set an audible alarm for circuit leaks . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10
Set Cardiac Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11

1009-0632-000 i
S/5 Aespire

Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13

Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
Alarm Tones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
Alarm Silence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
Alarm Suspend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
Set the ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16
Set ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18
Optional features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18
Volume Control mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-19
Pressure Control mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
SIMV mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
PSVPro mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
Set inspiratory pause (volume modes) . . . . . . . . . . . . . . . . . . . . . . . .3-22
Set SIMV and PSVPro controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24
Silence alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-26
Reading the pressure waveform (Paw) . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27
Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27
Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30
Show the service settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-31
Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-33
4 Preoperative Tests

Aespire 7900 Preoperative tests schedules . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Test Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Test devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Inspect the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Power failure alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Minimize alarms (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Flow control tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10
Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11
Negative low-pressure
leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11

ii 1009-0632-000
 ISO 5358 or BSI standard positive low-pressure
leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-14
Breathing system tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16
Monitor and ventilator tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18
Index

Warranty

1009-0632-000 iii
S/5 Aespire

iv 1009-0632-000
 1 Introduction

In this section What is an Aespire 7900? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . 1-3

1009-0632-000 1-1
Aespire 7900

What is an Aespire 7900?

The Aespire 7900 is a compact, integrated and intuitive anesthesia delivery
system. The ventilator portion provides mechanical ventilation for patients
during surgery as well as monitoring and displaying various patient
parameters.
The system 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.
Illustrations in this manual may not cover all types of options available. Other
equipment may be attached to the system on the top shelf or on the side
dovetail rails. Consult with your Datex-Ohmeda representative for details
about systems available in your location.
The Aespire 7900 is not suitable for use in an MRI environment.

Figure 1-1 • Aespire 7900 example

1-2 1009-0632-000
 1 Introduction

Symbols used in the manual or on the equipment

w WARNINGS and w CAUTIONS tell you about dangerous conditions that
can occur if you do not follow all instructions in this manual. Read and follow
all warnings and cautions.
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.
A Note provides additional information to clarify a statement in text.
An Important statement is similar to a Note, but provides a comment of
greater emphasis.
Other symbols replace words on the equipment or in Datex-Ohmeda manuals.
No one device or manual uses all of the symbols. These symbols include:

ø On (power) Í Not autoclavable

O Off (power) m Type B equipment
o Standby µ Type BF equipment
q Standby or preparatory state for part of the H Type CF equipment
equipment
p “ON” only for part of the equipment w Caution, ISO 7000-0434
œ “OFF” only for part of the equipment wW Attention, refer to product
instructions, IEC 601-1.
† Direct current This way is up.
N
N

∏ Alternating current π Dangerous Voltage

x Protective earth ground ≈ Input

y Earth ground Output

r Frame or chassis ground REF Stock Number

å Alarm silence button SN Serial Number

Y Equipotential
R Bag position/ manual ventilation

t Variability Read top of float

T Variability in steps Vacuum inlet

1009-0632-000 1-3
Aespire 7900

+ Plus, positive polarity Suction bottle outlet

- Minus, negative polarity O+2

O2 Flush button

P Lamp, lighting, illumination Cylinder

N Movement in one direction Isolation transformer

ˆ Movement in two directions Low pressure leak test

z Lock
r Mechanical ventilation
Z Unlock
U Close drain
134°C
Q
C Autoclavable Expiratory flow

u Open drain (remove liquid) Alarm silence touch key

q
Inspiratory flow Menu touch key

t O2 sensor connection Alarm silence touch key

(Tec 6)

Volume alarms On/Off touch key End case touch key

Systems with this mark agree with the European Union Representative
European Council Directive (93/42/EEC) for
XXXX
Medical Devices when they are used as
specified in their Operation and Maintenance
Manuals. The xxxx is the certification number
of the Notified Body used by Datex-Ohmeda’s
Quality Systems.

1-4 1009-0632-000
 2 System Controls and Menus

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

Breathing system components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Optional auxiliary O2 flowmeter and suction regulators . . . . . . . . . . . . . . .2-19

1009-0632-000 2-1
Aespire 7900

Anesthesia system controls

wWARNING Explosion Hazard. Do not use S/5 Aespire systems with

flammable anesthetic agents.

wWARNING Do not use antistatic breathing tubes or masks. They can cause
burns if you use them near high frequency surgical equipment.

2 4
5

1 6

10

9 7, 8

1. Breathing system
2. Flow controls
3. Ventilator / monitoring display
4. Dovetail rails
5. Vaporizer
6. System switch
7. Pipeline pressure gauge(s) (upper row)
8. Cylinder pressure gauge(s) (lower row)
9. Brake
10. O2 flush button
Figure 2-1 • Aespire (front view)

2-2 1009-0632-000
 2 System Controls and Menus

Figure 2-1 shows these controls on the front of the S/5 Aespire.

Item Description

2 Flow controls Turn the control counterclockwise to increase the flow

and clockwise to decrease. The system switch must
be On for gas to flow.

7 System switch Set the switch to the on (|) position to permit gas flow
and to turn on the system.

9 Brake Push down to lock. Lift to release.

10 O2 flush button Push the O2 flush button to supply high flows of O2 to

the breathing system.

1009-0632-000 2-3
Aespire 7900

1
2

1. Circuit Breaker for Electrical Outlet

2. Electrical Outlet (optional)
3. Equipotential Stud
4. Mains Inlet
5. System Circuit Breaker
6. Cylinder(s) (optional)
7. Pipeline Connection(s)
Figure 2-2 • Aespire rear view

2-4 1009-0632-000
 2 System Controls and Menus

Breathing system components

19

17

16
15
1
14
13 2
12
11
10

18
8 7 6 5 4 3
1. Auxiliary common gas outlet (ACGO) switch
2. ACGO
3. Inspiratory check valve (unidirectional valve)
4. Inspiratory flow sensor / patient connection (circuit connections)
5. Canister (carbon dioxide absorbent)
6. Canister release
7. Expiratory flow sensor / patient connection (circuit connections)
8. Leak test plug
9. Expiratory check valve (unidirectional valve)
10. Breathing system release
11. Manual bag port
12. APL (adjustable pressure-limiting) valve
13. Bag/mechanical ventilation switch
14. Bellows assembly (mechanical ventilation)
15. Pressure gauge (airway)
16. Sample gas return port
17. Serial port
18. Manual Bag (optional; no bag arm)
19. Bag arm (optional)
Figure 2-3 • Breathing system parts

1009-0632-000 2-5
Aespire 7900

Figure 2-3 shows these controls on the front of the S/5 Aespire.

Item Description

1 Auxiliary Common Sends fresh gas to the ACGO when the switch is
Gas Outlet switch activated. The ACGO may be used to provide fresh
(ACGO) gas to an external manual breathing circuit.
Mechanical ventilation is not available when the
auxiliary outlet is selected and a medium priority
alarm will sound and a message “Aux Gas Outlet On”
is displayed. Pressure and volume monitoring are
not available when the ACGO is selected. Fresh gas
oxygen monitoring is available when the ACGO is
selected.
The ACGO should not be used to drive external
ventilators or for jet ventilation.
Breathing system selected:

Auxiliary outlet selected:

4&7 Flow sensor Flow sensors provide volume measurements for

some monitoring functions. All systems have flow
sensors in both positions of the flow sensor module.

2-6 1009-0632-000
 2 System Controls and Menus

Item Description

6 Canister release Push to remove the canister. This allows the

breathing system to vent to the room. Be sure to hold
the canister by the handle before releasing the
canister.
Note: Always do a leak test after operating the
canister release.

12 APL valve Adjusts breathing system pressure limit during

manual ventilation. The scale shows approximate
pressures. Above 30 cm H2O, you will feel clicks as
the knob turns. Turn clockwise to increase. The
following example setting is at about 20 cm H2O:

70
MI
N
30

20

1009-0632-000 2-7
Aespire 7900

Item Description

13 Bag / Mechanical Selects between manual ventilation (bag) or

Ventilation switch mechanical ventilation (ventilator).
Mechanical ventilation Off (gas to bag):

Mechanical ventilation On (gas to bellows):

17 Bag arm (optional) Squeeze at (1) to raise or lower the arm. The Bag arm
rotates at (2).

ACGO When you operate a breathing apparatus with fresh gas from the ACGO:
• Mechanical ventilation is not available.
• The pressure gauge, 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 monitoring option.

2-8 1009-0632-000
 2 System Controls and Menus

• Fresh gas oxygen concentration is displayed on the ventilation screen.

Set alarm limits appropriately. Note that fresh gas oxygen concentration
may not reflect FiO2 in rebreathing circuits such as the Mapleson series.
Use an external O2 monitor if using a rebreathing circuit on ACGO.
• A sample of the fresh gas is diverted to the O2 cell in the breathing
system.
• The sample flow to the O2 sensor is dependent on the pressure in the
external circuit. The sample flow reduces the fresh gas flowrate to the
external breathing circuit as shown in the graph.
• Do not use an external ventilator on the ACGO.
• Do not use the ACGO to drive external ventilators or for jet ventilation.
Estimate the mean pressure required for ventilation and determine a mean
sample flow rate from the graph:

L/min

10 20 30 40 50 60 70 80

cm H2 0

Figure 2-4 • Back pressure (cm H20) vs. flow to O2 sensor (L/min)

Scavenging the ACGO If the external manual breathing circuit is to be used with N 2O or volatile
sample flow anesthetics, the sample flow should be scavenged.
1. Occlude the patient circuit of the breathing system by using the leak test
plug located to the rear of the expiratory port.
2. Check for clinically correct settings. Set the Bag to Vent switch to the
ventilator mode. Alternatively set the Bag to Vent switch to the bag mode
and set the APL to MIN and attach a bag.
3. The bellows, or bag, will fill slowly with the fresh gas sample flow and then
spill to the AGSS.

1009-0632-000 2-9
Aespire 7900

Scavenging from the If the external manual breathing circuit is to be used with N 2O or volatile
external manual anesthetics, the exhaust should be scavenged.

breathing circuit An auxiliary inlet is available for active AGSS units. It provides a 30 mm male
connection into the auxiliary port under the breathing system.
• 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.
For all AGSS, a separate exhaust hose is necessary from the external manual
circuit to the disposal point.

Vaporizer controls
Refer to the description in this section and the vaporizer operation and
maintenance manual for more detailed information on the vaporizer.
Figure 2-5 shows the vaporizer controls.

1
2
3
4

1. Lock Lever
2. Concentration Control and Release
3. Tec 6 Plus
4. Tec 7
Figure 2-5 • Vaporizer controls

Item Description

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

2-10 1009-0632-000
 2 System Controls and Menus

Item Description

2 Concentration Push the release and turn the concentration control

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

Åben

1009-0632-000 2-11
Aespire 7900

Ventilator controls

Optional Features The Aespire 7900 can be equipped with several optional ventilation functions.
References made in this manual to SIMV and PSVPro modes, are only applica-
ble to systems equipped with these functions.

Control panel Ventilator controls include:

• Touch keys
• Menu screens
• A control knob

1 2 3

AB.90.025
13 4

12 11 10 9 8 7
1.Alarm silence (key)
2.Alarm message (display)
3.Volume alarms On/Off (key)
4.Menu key
5.Breathing circuit module (display)
6.Control knob
7.Control setting
8.Selection key
9.Ventilation mode (display)
10.Ventilator status (On or Off)
11.Mains indicator
12.End Case (key)
13.Measured values
Figure 2-6 • SmartVent controls and monitored data

All but two of the controls for the ventilator are located on the Ventilation/
Monitoring display. The two controls are:

2-12 1009-0632-000
 2 System Controls and Menus

• The system switch, which powers the ventilator.

• The Bag/Vent switch, which starts and stops mechanical ventilation.

Item Description

Menu key Shows the main menu.

AB.90.036
Alarm silence key Silences most alarms for 120 seconds.
and indicator
Pushing the key when no alarm is active pre-silences low
and medium priority alarms, except Minimum Monitoring,
for 90 seconds.

The "No O2 Pressure" alarm cannot be silenced.

AB.29.004
Remaining
silence time

Volume alarm key Turns volume alarms on and off.

and status
Vol Alarms Off

End Case key End Case helps to prevent false alarms when no patient is
connected. It:
• Puts the apnea and volume alarms into Standby.
• Returns user selections to the most common
settings: Cardiac bypass off; Alarm limits shown.
• Sets the PEEP to 0 cmH2O (default value).
• Sets Plimit to one of two values: facility default or
40 cmH2O.
• Forces the circuit Leak Audio to On.
Mechanical ventilation must be off (set the Bag/Vent switch
to Bag or select the auxiliary common gas outlet).
AB.29.006

1009-0632-000 2-13
Aespire 7900

How to set controls The bottom of the screen shows control settings.
Notes:
• The ventilator will not allow the setting of values it cannot supply. A reject
tone will sound or a message will appear on the screen.
• If the incorrect key is pushed, wait ten seconds or push the correct key.
• If the new setting is not saved, the ventilator continues to use the old
setting.

Step 1

AB.29.010
Push the selection key below
the setting.

Step 2
Turn the knob to change the

AB.29.002
setting.

Step 3
Push the knob or the key to

AB.29.011
save the change.

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 2 System Controls and Menus

How to use the menu Screens go back to the normal display 25 seconds after the last action.
During a calibration or other procedure, the screen shows the instructions.

Step 1
Push the Menu key to see

AB29.013
the main menu.

Step 2
Turn the knob to select an
AB.90.036

option (highlight).
AB90.037

Step 3
Push the knob to show the
next screen.
AB.90.045

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Aespire 7900

Menu map Figure 2-6 shows the menu map. The table tells you about some of the
options.

AB.90.041
AB.90.036

SE
AB.90.054
AB.90.045
AB.90.063

Note: If the Alarm Settings page shows VE Auto Limits On during mechanical
ventilation, the system automatically calculates alarm limits.
Figure 2-7 • Menu map

2-16 1009-0632-000
 2 System Controls and Menus

More about menu

functions
Menu Option Function

Main Cardiac Bypass Turns off volume and apnea alarms when these are not appropriate (e.g., during
(In Progress/No) heart lung bypass).
Alarm Settings Circuit Leak Turns off the alarm tone for circuit leaks. You must set the low ◊E alarm first.
(Audio On/Off) Select ‘Audio off’ if the circuit has a known leak (e.g., an uncuffed endotracheal
tube).
Setup/ SIMV/PSVPro Setup Shows additional ventilation settings for SIMV and PSVPro modes.
Calibration
O2 Sensor Cal Shows menu for O2 sensor calibration.
Inspiratory Pause Adds an inspiratory pause time to volume control breaths.
Heliox mode Tells the ventilator if heliox is in use.
(On/Off)
About Ventilator... Shows service level settings: software version; if facility defaults or the control
settings from the previous case are used when the system is first turned on;
altitude; and drive gas (O2 or Air).
Screen and Alarm Limits ’Show’ displays alarm limits next to the data on the screen.
Audio (Show/Hide)

Show Limits Hide Limits

Units of Measure ’Show’ displays units under the data on the screen.
(Show/Hide)

Show Units Hide Units

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How to change menu This example changes alarm limits.

settings The screen goes back to the normal display 25 seconds after the last action.

Step 1
Select the desired menu.

AB.90.038
AB.90.054

Step 2
Turn, then push the knob to
select an option.
AB.90.055

Step 3
Turn the knob to change the
setting. 75 82

Step 4
Push the knob to save the
change. 82 82

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 2 System Controls and Menus

Optional auxiliary O2 flowmeter and suction regulators

These options are available:
• Auxiliary O2 flowmeter
• A continuous suction regulator or a venturi suction regulator

1
2

1. Auxiliary O2 Flowmeter outlet

2. Auxiliary O2 Flowmeter
3. Auxiliary O2 flow control
Figure 2-8 • Optional Auxiliary O2 Flowmeter and control

2
3
4

1. External vacuum (non-venturi)

2. Collection bottle connection
3. Filter
4. Overflow safety trap
Figure 2-9 • Optional Suction Regulator

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Suction regulator
controls

Mode switch:
MAX: for maximum suction, set the switch to MAX.
On (|): for adjustable suction, set the switch to on (|) or
|.
Off (O): to turn off suction, set the switch to O.
With the mode switch set to “|”, turn the control
clockwise to increase suction and counterclockwise to
decrease it.

Auxiliary flowmeter The auxiliary flowmeter is not pressure compensated.

control

Turn the control counterclockwise to increase the O2 flow

and clockwise to decrease.

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wWARNING In addition to volume apnea and low airway pressure alarms,

other ventilator alarms are included to indicate potential hazard
conditions. All alarms that occur should be investigated to help
ensure adequate patient safety.

w Desiccated (dehydrated) absorbent material may produce

dangerous reactions when exposed to inhalation anesthetics.

w For systems with dual absorbent canisters, the carbon dioxide

absorbent material in both canisters shall be changed at least
weekly, preferably every Monday morning. For single canister
systems the absorbent material shall be changed every day,
preferably at the start of the day.

w Carbon dioxide absorbent material shall be changed whenever

users cannot assure the degree of hydration of the absorbent.
Such conditions may include finding a machine with fresh gas
that has been flowing for an unknown period of time, or using a
machine that is used infrequently.

w All fresh gas flows shall be terminated when the machine is NOT in
use. (User manuals describe how to achieve null flows).

w Users are advised to consider the use of low-flow techniques

when the machine is in use and whenever clinically appropriate to
maintain hydration of the absorbent material.

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In this section This section describes specific tasks. Use it as a step-by-step guide or a
training tool.
Turn on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Set the alarm loudness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Show or hide alarm limits and units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Turn the Volume Alarms on or off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Set alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Set an audible alarm for circuit leaks . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10
Set Cardiac Bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11
Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13
Stop mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
Set the ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-16
Set ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-18
Set SIMV and PSVPro controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24
Silence alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-26
Reading the pressure waveform (Paw) . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-27
Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30
Show the service settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-31
Measure circuit compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-33

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 3 Operation and Tutorial

Pre-use check list Connect the power cord to a wall outlet.

Prior to each case check all the ventilator settings to ensure they are
appropriate for the patient.
1. Check that the mains electrical indicator is lighted.
2. Turn on the anesthesia system power switch. (If system power is already
ON, cycle the power switch OFF, then back ON to allow the system power-
up self test to run.)
3. Unplug the system power cord from mains power.
4. Ensure the ventilator functions and indicates the use of battery backup
power.
5. Reconnect the system power cord to the system mains power.
6. Select the desired mode of ventilation.
7. Select the desired breathing circuit and ensure it is displayed to the right
of the selected ventilation mode above the pressure wave form.
8. Set the fresh gas flow.
9. Set VT, to the appropriate tidal volume value or Pinspired to the
appropriate level.
10. Set the breathing Rate.
11. Set I:E Ratio.
12. Set Plimit (Airway pressure limit).
13. Set PEEP.
14. Check and adjust alarm settings to ensure they are appropriate for the
ventilator settings and the case at hand.
15. Run the 21% Oxygen Sensor Calibration Check.

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Turn On the system

Step 1
Connect the power cord to a wall outlet. The

AB.29.007
mains indicator comes on when AC Power is
connected.

On
Step 2

AA.96.104
Set the system switch to On (|).

Step 3
The display shows the power-up screen,
and the system does a series of self tests.

Step 4 AB.90.021
When the self tests pass, the display shows
the normal screen.
If a test fails, the screen shows an alarm.
Refer to the troubleshooting section.

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 3 Operation and Tutorial

Set the alarm loudness

AB.29.013
Step 1

AB.90.036
Select the Screen and Audio Setup menu.
• Push the menu key.
• Turn, then push the knob to select
Screen and Audio.
AB.90.039
AB.90.063

Step 2
Turn, then push the knob to select alarm
loudness.
AB.90.043

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Step 3
Turn, then push the knob to adjust the
volume.
• The volume range is 1 to 5 2 Then
(loudest).
• As the volume is changed, the
system sounds test tones.
• Push the knob to save the change.

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Show or hide alarm limits and units

To simplify the displays, hide alarm limits and units of measurement. If the
alarm limits are hidden, the screen automatically shows the limits when:
• An alarm occurs.
• Volume alarms are off or the auxiliary common gas outlet is selected
(monitoring off).
• An individual alarm limit is set to Off.
When the system is set to Standby, alarm limits go back to Show.

Show All Hide Units Hide Alarm Limits

AB.90.033
Step 1
Select the Screen and Audio Setup menu.
• Push the menu key.
AB90.036

• Turn, then push the knob to select

Screen and Audio Setup.
AB90.039

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Step 2

AB90.063
Turn, then push the knob to select Alarm
Limits or Units of
Measure.

AB90.044

Step 3
Turn, then push the knob to select Show or Show
Hide. Push the knob to save the change.
Hide Then

Turn the volume alarms on or off

w WARNING Do not turn volume alarms off with a spontaneously breathing
patient, the system will not alarm for low volume.

The volume alarm key (◊E/VTE) turns volume alarms on and off. When the
alarms are off, a large X covers the limits.
Use this control to prevent false alarms if you switch to manual ventilation at
lower tidal volumes.
AB.29.014

Use the End Case key (on control panel) to prevent apnea alarms between
patients.

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 3 Operation and Tutorial

Set alarm limits

Note: If the Alarm Settings page shows ◊E Auto Limits during mechanical
ventilation, the system is set to automatically calculate ◊E limits.

AB.29.013
Step 1
Select the Alarm Settings menu.
AB.90.036
• Push the menu key.
• Turn, then push the knob to select
Alarm Settings.
AB.90.038
AB.90.054

Step 2
Turn, then push the knob to select a limit.
AB.90.055

Step 3
Turn, then push the knob to change the limit.
• Push the knob to save the change.
75 Then
• The screen returns to the normal
display 25 seconds after the last
change.

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Set an audible alarm for circuit leaks

The patient circuit leak alarm is activated if less than half of the inspired
volume returns through the expiratory flow sensor during mechanical
ventilation. To prevent nuisance alarms from a known leak (e.g., an un-cuffed
endotracheal tube), set the audio to Off. Normal volume and apnea
monitoring does not change.
Note: This alarm is the first stage in detecting a circuit disconnect. The audible
leak alarm cannot be turned off unless volume alarms are on, and the low ◊E
limit is set to a value other than off.

AB.29.013

Step 1
AB.90.036

Select the Alarm Settings menu.

• Push the menu key.
• Turn, then push the knob to select
Alarm Settings.
AB.90.038

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 3 Operation and Tutorial

AB.90.054
Step 2
Turn, then push the knob to select circuit
leak audio.

AB.90.056

Step 3
Turn, then push the knob to change the
setting. You must push the knob to save the Audio On
Audio Off Then
change.

Set Cardiac Bypass

Set Cardiac Bypass to In Progress to prevent volume and apnea alarms when
the patient is on cardio-pulmonary bypass.
When Cardiac Bypass In Progress is selected, the display shows:
• Cardiac Bypass
• Apnea Alarm Off
• Vol Alarms Off
Note: The mechanical ventilation must be off. When the mechanical
ventilation is turned back on, Cardiac Bypass returns to the No Bypass setting
and alarms become active.

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AB.29.013
AB.90.036
Step 1
Select the Cardiac Bypass menu item:
• Push the menu key.
• Turn, then push the knob to select
Cardiac Bypass In Progress.
AB.90.040
AB.90.068

Step 2
Push the knob again to return to No.
AB.90.040

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 3 Operation and Tutorial

Start mechanical ventilation

wWARNING Make sure the patient circuit is correctly assembled and the
control settings are correct before you start ventilation.

This example assumes the system is on and in manual ventilation (bag) mode.

Step 1
Make sure the control settings are clinically appropriate.

Step 2
Set the ACGO switch to the circle system
position.

Step 3
Set the Bag/Vent switch to the Vent
position.
• This selects mechanical ventilation
(Vent).
• If mechanical ventilation is not
available, a message tells you
what to do. For example:
“To start mech vent set the Bag/
Vent switch to Bag and back to
Vent.”

Step 4
If necessary, inflate the bellows using the
O2 flush button.

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Stop mechanical ventilation

Step 1
Make sure a manual circuit is set up and
the APL valve setting is OK before stopping MI
70
mechanical ventilation. N

This valve adjusts the breathing system

30
pressure limit during manual ventilation.
The scale shows approximate pressures. 20
Above 30 cm H2O, you will feel clicks as the
knob turns.
(Setting is at about 20 cm H2O)

Step 2
Set the Bag/Vent switch to Bag position.
• This selects manual ventilation
(bag) and stops the mechanical
ventilation (ventilator).

Or:

Select the ACGO and mechanical

ventilation will stop.

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 3 Operation and Tutorial

Alarms
Alarms appear at the top of the screen. The highest priority alarm is shown in
Area 1, the next highest priority alarm in area 2. If all areas are used, the
lowest priority alarms cycle in area 4.

Alarm Tones Alarm tones tell you about the alarm priority:
• High Priority: 2 bursts of 5 tones, every 10 seconds, (repeat)...
• Medium Priority: 3 tones every 25 seconds, (repeat)....
• Informational: single tone.

Alarm Silence • The screen shows the time remaining in the silence period.
• If you push the alarm silence key while an alarm is silenced, countdown
time resets to 120 seconds:

120

• High priority alarms always cause an audible tone and must be silenced
individually.

Alarm Suspend Pressing and holding the alarm silence key for one second, when no alarms
are active, suspends audio tones for medium and low priority alarms for 90
seconds.

Refer to Part 2 of this manual for more information about alarms and
messages.

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Set the ventilation mode

Text below the waveform shows the ventilation mode:
• Pressure controlled modes supply a set pressure during inspiration.
• Volume controlled modes supply a set tidal volume.

AB.90.092
AB.29.013

Step 1
Select the Ventilation Mode.
• Push the menu key.
• Push the knob to select Ventilation
Mode.
AB.90.036

Volume Control
Pressure Cntrl
Step 2
Turn, then push the knob to change the SIMV Mode Then
mode. Push the knob to save the change. PSVPro Mode

Note PSVPro is pressure supported ventilation with apnea backup.

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 3 Operation and Tutorial

Step 3
Set the highlighted control parameter. Each

AB.90.074
mode has one parameter that must be set
(VT for Volume and SIMV, Pinspired for Then
Pressure, and Psupport for PSVPro).
• Turn, then push the knob to set the
value.
• Until a value is set, the ventilator

AB.90.075
shows “---”. If any other key is
pressed at this time, a tone will
sound.

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Set ventilator controls

Optional features The Aestiva 7900 can be equipped with several optional ventilation functions.
References made in this manual to SIMV and PSVPro modes, are only
applicable to systems equipped with these functions.
The ventilator controls present are based on the ventilation mode.
Messages appear on the screen if:
• You try to set a value the system cannot supply.
• You change a setting but do not save it: "Push knob to confirm change
Turn knob to change setting".

Step 1
Push the selection key.

AB.90.076
Step 2
A tone sounds and a box flashes around

AB.90.077
the setting.

Step 3
Turn the knob to set the value. AB.90.078

Step 4
Push the knob to save the setting.
• A tone sounds.
AB.90.079

• The flashing stops.

Ventilator controls

Flow Trigger Level This parameter sets the minimum flow detected by the ventilator which
triggers the ventilator to deliver a mechanical breath to a spontaneously
breathing patient. Only active in SIMV and PSVPro modes.

3-18 1009-0632-000
 3 Operation and Tutorial

I:E This control sets the inspiratory to expiratory ratio of mechanical breaths
supplied to the patient.

Insp. Termination Level This parameter sets the percentage of the peak inspiratory flow where the
ventilator stops a pressure supported breath. Only active in SIMV and PSVPro
modes.

PEEP This control sets the positive end expiratory pressure. This is only available
during mechanical ventilation, but the control can be set at any time.

w WARNING Do not use a separate mechanical PEEP valve; incorrect operation

and patient injury can result.

Pinspired This control sets the amount of pressure delivered to the patient in each
pressure controlled breath.

Plimit This control sets the maximum (and sustained) airway pressures tolerated in
the patient’s breathing system.
• If the high airway pressure limit is reached, inspiration stops and
exhalation starts.
• The limit is an absolute value. There is no offset for PEEP pressure.
Note: Pmax is the peak sensed airway pressure; Plimit is the airway pressure
limit set with front panel controls.

Psupport This control sets the delivered pressure during pressure support ventilation.
Only active in SIMV and PSVPro modes.

Rate This control permits you to set the frequency of mechanical breaths delivered
to the patient. It also establishes the apnea delay time in the PSVPro mode.

Tinspired This control sets the time in seconds for each timed inspiration. Only active in
SIMV and PSVPro modes.

Trigger Window This control sets the range as a percent of the exhalation phase within which
the patient may trigger the next mechanical breath. Only active in SIMV and
PSVPro modes.

VT This control sets the tidal volume delivered to the patient in the Volume
Control and SIMV modes.

Volume Control mode The figure and table below show Volume Control settings.

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Settings VT Rate I:E Plimit PEEP

Range 20 - 1500 4 - 100 2:1 - 1:8 12 - 100 Off, 4 - 30
Increments varies* 1 bpm 0.5 1 cmH2O 1 cmH2O
*Increments of 1mL from 20 to 50, 5 mL from 50 to 100, 10 mL from 100 to 300,
25 mL from 300 to 1000, 50 mL from 1000 to 1500

Pressure Control mode The figure and table below show Pressure Control settings.

Settings Pinspired Rate I:E Plimit PEEP

Range 5 - 60 4 -1 00 2:1 - 1:8 12 - 100 Off, 4 - 30
Increments 1 cmH2O 1 bpm 0.5 1 cmH2O 1 cmH2O

SIMV mode The figure and table below show SIMV settings.

Settings VT Rate Tinspired Psupport PEEP

Range 20 -1500 2 - 60 0.2 - 5.0 Off, 2-40 Off, 4 - 30
Increments varies* 1 bpm 0.1 s 1 cmH2O 1 cmH2O
*Increments of 1mL from 20 to 50, 5 mL from 50 to 100, 10 mL from 100 to 300, 25
mL from 300 to 1000, 50 mL from 1000 to 1500

PSVPro mode PSVPro is pressure supported ventilation with apnea backup.

The figure below shows PSVPro settings. In this mode the Pinspired, Rate, and
Tinspired parameters are not active, but they may be changed.

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 3 Operation and Tutorial

During backup ventilation, the ventilator will ventilate the patient using the
SIMV-PC + PSV mode. All parameters shown are active in this mode.

Settings Pinspired Rate Tinspired Psupport PEEP

Range 5 - 60 2 - 60 0.2 - 5.0 Off, 2-40 Off, 4 - 30
Increments 1 cmH2O 1 bpm 0.1 s 1 cmH2O 1 cmH2O

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Set inspiratory pause You can only use inspiratory pause in Volume Control or SIMV modes. In
(volume modes) pressure modes, Inspiratory Pause displays a message “No Pause w”.
When Pause is on, the inspiratory volume stays in the patient’s lungs for the
set pause time at the end of inspiration.
Pause can be set from Off to 60 percent of inspiratory time in increments of
five percent. Minimum pause time is 400 ms.

Pause

AB.90.092
Insp. Exp.
AB.29.013

Step 1
Select the Setup/Calibration menu.
AB.90.036

• Push the menu key.

• Turn, then push the knob to select
the Setup/Calibration menu.
AB.90.037

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 3 Operation and Tutorial

Step 2
Turn, then push the knob to select

AB.90.083
Inspiratory Pause.

Step 3
Turn, then push the knob to change the
setting. You must push the knob to save the 20% of TI
change.
Then

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Set SIMV and PSVPro controls

The SIMV and PSVPro modes allow the user to set additional ventilator
controls. The Pinspired, Rate, Tinspired, Psupport and PEEP controls can be
set using the selection keys. The Plimit, Trigger Window, Flow Trigger Level,
and Inspiratory Termination Level may be set through the Setup/Calibration
menu.

AB.29.013

Step 1
Select the SIMV/PSVPro Setup menu.
AB.90.036

• Push the menu key.

• Turn, then push the knob to select
Setup/Calibration.
AB.90.037

Step 2
Push the knob to select SIMV/PSVPro
Setup.
AB.90.045

wWARNING Most anesthetic agents will cause patients to have reduced ventilatory
responses to carbon dioxide and to hypoxemia. Therefore, triggered modes of
ventilation may not produce adequate ventilation.
wWARNING The use of neuromuscular blocking agents will reduce the patient’s breathing
response, which will interfere with triggering.

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 3 Operation and Tutorial

Step 3

AB.90.073
Turn, then push the knob to select a setting.

Step 4
Turn, then push the knob to change the
setting. You must push the knob to save the 40
change.
Then

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Silence alarms
The alarm silence key silences current alarms for 120 seconds. When no
alarm is active, holding down the alarm silence key for one second pre-
silences low or medium priority alarms for 90 seconds. Minimum monitoring
cannot be pre-silenced.
• The screen shows the time remaining in the silence period.
• Pushing the alarm silence key while an alarm is silenced will reset the
countdown time to 120 seconds.
• High priority alarms always cause an audible tone and must be silenced
individually.

AB.29.004
Alarm tones identify the alarm priority:
• High Priority: 10 tones, 10 seconds pause, (repeat)....
• Medium Priority: 3 tones, 25 seconds pause, (repeat)....
• Low Priority: single tone.
Alarms appear at the top of the screen. The highest priority alarm will be
shown in Area 1, the next highest priority alarm in area 2. If all areas are used,
the lowest priority alarms cycle in area 4.

AB.90.072
Note: Error mode messages may appear. Refer to ’Alarms and
Troubleshooting’ in Part 2 of the Operation Manual for more information.
• Minimum Monitoring: Monitoring data is available but a failure prevents
mechanical ventilation.
• Minimum System Shutdown: Monitoring and ventilation are not possible.

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Reading the pressure waveform (Paw)

Different points on the waveform are instantaneous values for measured
pressures. The horizontal axis indicates the time scale for the rate, I:E ratio,
and inspiratory pause (volume control setting). The vertical axis indicates the
pressure.

Volume Control Mode

Pmean
AB.90.060
Pmax
PEEP

Pressure Control Mode

Pinsp
AB.90.057

Pmax
PEEP

Scales The display automatically adjusts time and pressure scales to fit the control
settings.
The time scale changes with the set Rate:
• 25 or less breaths per minute - time scale is 0 to 16 seconds
• 26 to 75 breaths per minutes - time scale is 0 to 8 seconds
• 76 or more breaths per minutes - time scale is 0 to 4 seconds
• On a change, existing pressure data is erased and new waveform data
starts at time = 0.
The pressure scale changes with the Plimit setting:
• 12 to 40 Plimit, y-axis range is -5 to 40
• 41 to 60 Plimit, y-axis range is -5 to 60
• 61 to 100 Plimit, y-axis range is -5 to 100
• When the pressure scale changes, existing pressure data is erased and
new waveform data starts at time = 0.

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Example Volume Control • PEEP: Off

• Maximum sensed inspiratory pressure (Pmax): 25
• Mean positive airway pressure (Pmean): 11

AB.90.004
Figure 3-1 • Paw waveform in Volume Control mode

Example Pressure Control • Pmax: 34

• Upper pressure limit (Plimit): 40
• PEEP: 10

AB.90.002

Figure 3-2 • Paw waveform in Pressure Control mode

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Example SIMV • Plateau pressure (Ppl): 15

• Inspiratory time (Tinspired): 1.5
• Inspiratory Pause: 60

AB.90.028
Figure 3-3 • Paw waveform in SIMV mode.

Example PSVPro • PEEP: 5

• Pressure support: 10
• Mean positive airway pressure (Pmean): 7

Figure 3-4 • Paw waveform in PSVPro mode. AB.90.087

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Measure circuit compliance

To measure compressible volume in patient tubes:
1. Set the ventilator to volume control mode.
2. Set a tidal volume (VT) of 500 mL
3. Set a rate of 10 breaths/min.
4. Set an I:E ratio of 1: 1
5. Set the Plimit control to 30 cmH2O.
6. Occlude the patient connection of the Y piece. Do not contaminate a
clean patient connection.
7. Turn on mechanical ventilation.
8. Monitor the exhaled tidal volume VTE and Pmax (measured peak airway
pressure).
The VTE measures the gas needed to fill the patient circuit at the measured
pressure.
The example shows how tubing compliance factor can be calculated.
VTE/(Pmax –2.51 cmH2O) = Compliance factor in mL per cmH2O
Example:
Pmax = 21 cmH2O
VTE = 24 mL
24/(21–2.5) = 1.3 mL/cmH2O
This factor can be used to calculate the approximate gas compression in
patient tubes.
For example, if the patient is requiring 30 cmH2O to ventilate,
30 X 1.3 = 39 mL of gas is compressed in the tubes each breath. This gas
(39 mL) is part of the set tidal volume but it does not reach the patient.

1
Force of the Bellows.

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Show the service settings

The About Ventilator screen shows ventilator settings that can only be
changed by an approved service representative.

Item Use

Software Version If you call for service, a representative may ask for this.
Facility defaults or last Tells you if the system saves the current settings when
settings you turn it off or goes back to facility defaults.
Altitude Used for gas calculations. If the altitude is not correct,
O2 calibration can fail.
Drive gas (O2 or Air) Tells you which gas the ventilator uses to drive the
bellows. This gas comes from the same supply (pipeline
or cylinder) that the anesthesia machine uses. If this gas
comes from a cylinder, the cylinder empties faster than
you would expect from the flowmeter settings.
AB.29.013

Step 1
Select the Setup/Calibration menu.
AB.90.036

• Push the menu key.

• Turn, then push the knob to
select Setup/Calibration.
AB.90.037

1009-0632-000 3-31
Aespire 7900

AB.90.045
Step 2
Turn, then push the knob to select
About Ventilator.
AB.90.047
AB.90.051

3-32 1009-0632-000
 3 Operation and Tutorial

Measure circuit compliance

To measure compressible volume in patient tubes:

1. Set the ventilator in volume control mode.

2. Set a tidal volume (VT) of approximately 500 mL

3. Set a rate of 10 breaths/min.

4. Set an I:E ratio of 1:1.

5. Set the Plimit control to 20 cm H2O.

6. Occlude the patient connection of the wye piece. Do not contaminate a

clean patient connection.

7. Turn on mechanical ventilation.

8. Monitor the exhaled tidal volume VTE and Pmax (measured peak airway
pressure).

The VTE measures the gas needed to fill the patient circuit at the measured
pressure.

The example shows how tubing compliance factor can be calculated.

VTE/(Pmax –2.51 cm H2O) = Compliance factor in mL per cm H2O
Example:
Pmax = 20 cm H2O
VTE = 24 mL
24/(20–2.5) = 1.4 mL/cm H2O
This factor can be used to calculate the approximate gas compression in
patient tubes. For example, if the patient is requiring 30 cm H 2O to ventilate,
30 X 1.4 = 42 mL of gas is compressed in the tubes each breath. This gas (42
mL) is part of the displayed tidal volume but it does not reach the patient.
1
Force of the bellows.

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Aespire 7900

3-34 1009-0632-000
 4 Preoperative Tests

In this section Aespire 7900 Preoperative tests schedules . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Inspect the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Power failure alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Minimize alarms (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Flow control tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10
Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-14
Breathing system tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16
Monitor and ventilator tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18

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Aespire 7900

Aespire 7900 Preoperative tests schedules

Test Intervals Do the Preoperative tests listed below at these events:

1. Every day before the first patient.
2. Before each patient.
3. When required after a maintenance or service procedure.
The following table indicates when a test must be done and gives a page
number location where the test can be found.

Every day Before

before the every
Test intervals first patient patient

Inspect the system: 4-4

Test the system:
Power failure alarm test: 4-5
Minimize alarms (optional): 4-5
Pipeline and cylinder tests: 4-6
Flow control tests: 4-7
Vaporizer installation: 4-11
Vaporizer back pressure test: 4-12
Low-pressure leak test:
Negative low-pressure leak test: 4-13 4-13
ISO 5358 or BSI standard positive low-pressure leak test: 4-15 4-15
Alarm tests: 4-16
Breathing system tests: 4-18 4-18
Monitor and ventilator tests: 4-20 4-20

4-2 1009-0632-000
 4 Preoperative Tests

wWARNING Do not use this system unless you have read each component’s
operation and maintenance manual and understand:

• All system connections

• All of the warnings and cautions

• How to use each system component

• How to test each system component

Before you use this system:

• Complete all of the tests in this section

• Test all other system components

If a test failure occurs, do not use the equipment. Have an

approved service representative repair the equipment.

Test devices The following test tools are needed for some of the tests.

Datex-Ohmeda
Item Ref.

Positive pressure leak test device (BSI, 25 kPa) 1001-8975-000

Positive pressure leak test device (ISO 5358, 4 kPa) 1001-8976-000
Positive pressure leak test adapter 1009-3119-000
Negative pressure leak test device 0309-1319-800
Test lung 0219-7210-300
Stopper, test plug, red silicone, nominal 17 mm and 22 mm 2900-0001-000

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Aespire 7900

Inspect the System

wWARNING Make sure that the breathing circuit is correctly connected and not
damaged.

wWARNING The upper shelf weight limit is 34 kg (75 lb).

Make sure that: 1. The equipment is not damaged.

2. All components are correctly attached.
3. The breathing circuit is correctly connected, not damaged, and the
breathing system contains sufficient absorbent.
4. The vaporizers are locked in position and contain sufficient agent.
5. Pipeline gas supplies are connected and the pressures are correct.
6. Cylinder valves are closed on models with cylinder supplies.

wWARNING 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.

7. Models with cylinder supplies have a cylinder wrench attached to the

system.
8. The necessary emergency equipment is available and in good condition.
9. Equipment for airway maintenance, tracheal intubation, and IV
administration is available and in good condition.
10. Applicable anesthetic and emergency drugs are available.
11. If the optional O2 flowmeter and suction regulator are
present, the system O2 and vacuum source must be
connected and the system switch in the standby position:
• The O2 flowmeter provides adequate flow.
• The suction regulator provides adequate suction.
12. Make sure the casters are not loose and the brake(s) is set and prevents
movement.

4-4 1009-0632-000
 4 Preoperative Tests

13. Connect the power cord 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. Refer to Figure 2-2.

Power failure alarm test

1. Set the system switch to On.

2. Unplug the power cord with the system turned on.

3. Make sure that the power failure alarm (audio tone and “On Battery -
Power OK?” message on the display) comes on.
4. Connect the power cord again.
5. Make sure the alarm cancels.
6. Set the system switch to Standby.

Minimize alarms (optional)

Set the ventilator controls to decrease the number of alarms:
1. Set the system switch to On.

2. Control Keys:
• Volume alarms: Off.
3. Alarm menu:
• Low O2: 21%
• High O2: Off.
4. Bag/Vent switch:
• Bag

1009-0632-000 4-5
Aespire 7900

5. Set the system switch to Standby.

Pipeline and cylinder tests

wCAUTION To prevent damage:

• Open the cylinder valves slowly.

• Do not force the flow controls.

If your system does not use cylinder supplies, do not do steps 2 through 12.
1. Disconnect the pipeline supplies and close all cylinder valves.
If the pipeline and the cylinder pressure gauges are not at zero:
• Connect an O2 supply.
• Set the system switch to On, if it is not already
set.
• Set the flow controls to mid range.
• Make sure that all gauges but O2 go to zero.
• Disconnect the O2 supply.
• Make sure that the O2 gauge goes to zero. As pressure decreases,
alarms for low O2 supply pressure should occur.
2. Make sure that the cylinders are full:
• Open each cylinder valve.
• Make sure that each cylinder has sufficient pressure. If not, close the
applicable cylinder valve and install a full cylinder.

3. Test one cylinder at a time for high pressure leaks.

4. Set the system switch to Standby, which stops the O2 flow.
5. Turn OFF the auxiliary O2 flowmeter.
6. Turn off the suction.
7. Open the cylinder.
8. Record the cylinder pressure.
9. Close the cylinder valve.
10. Record the cylinder pressure after one minute. If the pressure decreases
more than 690 kPa (100 psig) there is a leak.

4-6 1009-0632-000
 4 Preoperative Tests

• If there is a leak, install a new cylinder gasket and tighten the tee
handle as shown in “How to install gas cylinders (high pressure leak
test)” of the section ‘1 Setup and Connections’ in Part 2 of this
manual.
• Do this step again. If the leak continues, do not use the system.
11. Repeat steps 7 through 10 for all cylinders.
12. Close cylinder valves.

wCAUTION 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.

13. Connect the pipeline supplies.

14. Set the system switch to On.

15. Use this chart to check pipeline pressure:

ANSI (USA and Intl.), Australian, Canadian, French, Japanese 345 kPa (50 psig)
ISO, Italian, South African, Spanish, Swiss 414 kPa (60 psig)
Austrian, German 500 kPa (75 psig)

16. Set the system switch to Standby.

Flow control tests

wWARNING The Link system cannot replace an O2 monitor. Sufficient O2 in the

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

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

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

• 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.

1009-0632-000 4-7
Aespire 7900

Important Test the O2 monitor as described in Alarm tests, step 8, before continuing.
To do the flow control tests:
1. Connect the pipeline supplies or slowly open the cylinder valves.
2. Turn all flow controls fully clockwise (minimum flow).
3. Set the system switch to On.
4. Do not use the system if low battery or other
ventilator failure alarms occur.
5. Make sure the O2 flowtube shows approximately
.025 to .075 L/min. (0.200 L/min. for single-tube variants). The other
flowtubes must show no gas flow.
• Steps 6 and 7 are only for systems with N2O.

wWARNING Keep the Link system engaged during steps 6 and 7:

• Adjust only the test control (N2O in step 6 and O2 in

step 7).

• Test the flows in sequence (N2O then O2).

• The O2 sensor used in steps 6 and 7 must be correctly

calibrated.
6. Test the Link 25 system with flow increasing:
• Turn the N2O and O2 flow controls fully clockwise (minimum flow).
• Slowly turn the N2O flow control counterclockwise.
• Make sure that the O2 flow increases. The measured O2
concentration must be ≥21% through the full range.
7. Test the Link 25 system with flow decreasing:
• Set the N2O flow to 9.0 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 ≥21% through the full range.
8. Adjust the flow of all gases through their full range and make sure that the
flowtube 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.
• N2O, and O2 flows stop. The O2 flow stops last.
• Air flow continues.

4-8 1009-0632-000
 4 Preoperative Tests

• Gas supply alarms occur on the ventilator if the ventilator uses O 2 as

the drive gas.
11. Turn all the flow controls fully clockwise (minimum flow).
12. Reconnect the O2 pipeline supplies or open the O2 cylinder valve.
13. Set the system switch to Standby.

Vaporizer installation

wWARNING Use only the Selectatec series vaporizers Tec 4 or greater.

Do not use a vaporizer that lifts off the manifold when the lock
lever is in the locked position.

Do not use this anesthesia system if you can turn ON more than
one vaporizer at the same time.

Tec 6 Plus Vaporizers will not align correctly unless the power
cable goes through the channel on the bottom of the vaporizer. Do
not put the power cable on top of the manifold or between
vaporizers.

1. If the top of a vaporizer is not horizontal, remove the vaporizer and

reinstall it.
2. Set each vaporizer lock lever to the locked position.
3. Try to lift each vaporizer straight up off the manifold rather than pulling
forward. Do not rotate the vaporizer on the manifold.
4. If a vaporizer lifts off the manifold, install it again and complete steps 1,
2, and 3. If the vaporizer lifts off a second time, do not use the system.
5. With a Tec 6 Plus Vaporizer:
• Make sure that the vaporizer is connected to an electrical outlet.
• Hold down the alarm silence switch for a minimum of four seconds.
• Make sure all indicators turn on and the alarm speaker starts.
• Release the alarm silence switch.
• Do not continue until the operational indicator turns on. The
concentration control will not turn if the operational indicator is OFF.
6. Try to turn on more than one vaporizer at the same time:

1009-0632-000 4-9
Aespire 7900

• Test each possible combination.

• If more than one vaporizer turns on at the same time, remove the
vaporizers, install them again, and complete steps 1 through 6.

Vaporizer back pressure test

wWARNING Anesthetic agent comes out of the common gas outlet during this
test. Use a safe, approved procedure to remove and collect the
agent.

wCAUTION To prevent damage, turn the flow controls fully clockwise

(minimum flow or OFF) before you turn On the system.

1. Set the system switch to on. Alarms can 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 from 0 to 1% one click at a time. 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:
• If O2 flow decreases more than 1 L/min, then install a different
vaporizer and try this step again.
• If the O2 flow decreases less than 1 L/min with a different vaporizer,
the malfunction is in the first vaporizer.
• If the O2 flow also decreases more than 1 L/min with a different
vaporizer, the malfunction is in the anesthesia system. Do not use
the system until it is serviced.
5. Complete steps 3 and 4 for each vaporizer.
6. Set the system switch to Standby.

4-10 1009-0632-000
 4 Preoperative Tests

Low-pressure leak test

wWARNING Do not use a system with a low-pressure leak. Anesthetic gas will
go into the atmosphere, not into the breathing circuit.

Perform either the Negative low-pressure leak test or the ISO 5358 or BSI
standard positive low-pressure leak test. It is not necessary to perform both
types of tests.

Negative low-pressure 1. Set the System switch to Standby.

leak test
2. Turn on the auxiliary common gas
outlet (switch in the ACGO
position).

3. Test the negative pressure leak test device. (Ref.

0309-1319-800):

• Remove all air from the bulb.

• Put your hand on the inlet of the leak test device. Push hard for a
good seal.
• If the bulb inflates in less than 60 seconds,
replace the leak test device.

4. Turn off all vaporizers.

5. Test the anesthesia machine 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 it is empty.
• The vacuum causes the floats to move. This is usual. If the bulb
inflates in 30 seconds or less, there is a leak in the low-pressure

1009-0632-000 4-11
Aespire 7900

circuit. Refer to the “Pneumatic problems” table in “Alarms and

Troubleshooting” of Part 2 of this manual).
• Disconnect the test device.
6. Test each vaporizer for low-pressure leaks:
• Set the vaporizer to 1%.
• Repeat step 5. If there is a low pressure leak, refer to Part 2 of this
manual.
7. Keep the test device with the system.
8. Turn all flow controls fully clockwise (minimum flow). Do not over tighten.

wWARNING Agent mixtures from the low-pressure leak test stay in the system.
Always flush the system with O2 after the low-pressure leak test (1
L/min for one minute).

wWARNING Turn off all vaporizers at the end of the low-pressure leak test.

9. Flush the system with O2:

• Set the system switch to on.
• Set the O2 flow to 1 L/min.
• Continue the O2 flow for one
minute.
• Turn the O2 flow control fully clockwise (minimum flow).
• Set the system switch to Standby.

4-12 1009-0632-000
 4 Preoperative Tests

ISO 5358 or BSI

standard positive
low-pressure
leak test

wCAUTION Do a positive pressure leak test at the ACGO port only.

1. Connect the leak test device to the

ACGO port with the positive pressure
leak test adapter.Push the adapter into
the ACGO port throughout the test to get
a good seal.
• Test device ref:
1001-8976-000 (4 kPa);
1001-8975-000 (25 kPa);
1009-3119-000 (Adapter).
2. Turn on the auxiliary common gas outlet (switch in the ACGO position).

3. Turn all controls fully clockwise (minimum flow).

4. Fully open the needle valve on the test device.
• Keep the test device flow tube vertical for accurate results.

wCAUTION If the needle valve is not fully open, this test can damage the
pressure gauge on the test device.

5. Open the O2 flow control and set a total flow of 0.4 L/min through the
flowmeter on the test device.
6. Make sure that the pressure gauge on the test device reads zero and that
all other flow controls are fully closed.
7. Close the needle valve on the test device until the test gauge reads:
• BSI: 20 kPa (2.9 psi)
• ISO 5358: 3 kPa (0.4 psi)
8. 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 anesthesia machine. Refer to
Part 2 of this manual.

1009-0632-000 4-13
Aespire 7900

9. Repeat this low-pressure leak test for each vaporizer:

• Set the applicable vaporizer to 1% and do steps 2 through 8.
• Fully open the needle valve on the test device to decrease the back
pressure.
• Turn the vaporizer off.

wWARNING Agent mixtures from the low-pressure leak test stay in the system.
Always flush the system with O2 after the low-pressure leak test (1
L/min for one minute).

Turn all vaporizers off at the end of the low-pressure leak test.

10. Remove the adapter and leak test device.

11. Flush the system with O2:
• Set the O2 flow to 1 L/min and continue flow for one minute.
• Turn the O2 flow control fully clockwise (minimum flow).
• Set the system switch to Standby.

Alarm tests
1. Connect a test lung to the patient connection.
Test device ref. 0219-7210-300.
2. Set the Bag/Vent switch to Vent.
3. Set the system to On.

4. Set the controls:

Ventilation Mode: Volume control (Select from main menu)
Ventilator: Tidal Vol: 400 ml
Rate: 12
I:E Ratio: 1:2
Plimit: 40 cm H2O
PEEP: Off
Anesthesia Machine: O2 flow: minimum flow (25-75 mL/min) (about 200 mL
for single-tube variant)
All other gases: OFF
Push flush to fill the bellows.

4-14 1009-0632-000
 4 Preoperative Tests

5. Turn the Bag/Vent switch to Bag and back. Make sure that:
• Mechanical ventilation starts.
• A subatmospheric pressure alarm does not occur.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
6. Set the O2 flow control to 5 L/min.
7. Make sure that:
• The end expiratory pressure is approximately 0 cm H2O.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
8. Test the O2 monitor and alarms:
• Remove the O2 sensor and make sure the sensor measures
approximately 21% O2 in room air.
• Set the low O2 alarm to 50% and make sure a low O2 alarm occurs.
• Set the low O2 alarm back to 21% and make sure that alarm cancels.
• Put the O2 sensor back in the circuit.
• Set the High O2 alarm to 50%.
• Push the flush button to fill the breathing system.
• Make sure the high O2 alarm comes on.
• Set the high O2 alarm back to 100% and make sure that alarm
cancels.
• After 2 minutes in pure O2, make sure that the sensor measures
approximately 100% O2.
9. Test the low minute volume alarm:
• Go to the alarms menu.
• Set the alarm limit for low minute volume to 6.0 L/min.
• Make sure that a low minute volume alarm occurs.
• Go to the alarms menu.
• Set the low minute volume alarm to Off.
10. Test the high airway pressure alarm:
• Set Plimit to less than the peak airway pressure.
• Make sure that the high airway pressure alarm occurs.
• Set Plimit back to 40.
11. Test the apnea and low airway pressure alarms:
• Remove the test lung from the patient connection.
• Other alarms such as low minute volume can occur.
• Make sure that the low airway pressure and apnea alarms occur. The
apnea alarm occurs after 30 seconds.
12. Test the sustained airway pressure alarm:

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Aespire 7900

• Set the controls:

APL Valve: 70
Bag/Vent switch: Bag

• Mechanical ventilation stops when the Bag/Vent switch is set to

Bag.
• Close the patient connection and push the O2 Flush button.
• Make sure that the sustained pressure alarm occurs after
approximately 15 seconds at the sustained pressure limit (6-30 cm
H2O varies with pressure limit).
13. Set the system to Standby.

Breathing system tests

Refer to the applicable operation manuals. At a minimum:
1. Make sure that the auxiliary equipment (humidifier, etc.) operates
correctly.
2. Make sure that the check valves on the breathing circuit module work
correctly:
• The Expiratory check valve (1) rises during expiration and falls at the
start of inspiration.
• The Inspiratory check valve (2) rises during inspiration and falls at the
start of expiration.

4-16 1009-0632-000
 4 Preoperative Tests

wWARNING 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.

3. Ventilator bellows test:

• Set the system switch to Standby.
• Set the Bag/Vent switch to Ventilator.
• Set all flow controls to minimum.
• Close the breathing circuit at the patient connection. Use your hand
or the test plug.
• Push the O2 flush button to fill the bellows.
• The pressure must not increase to more than 15 cm H2O on the
pressure gauge.
• If the bellows falls lower than the
top of the indicator, it has a leak. On
a single-tube variant, the bellows
should not fall at all. Refer to the
troubleshooting procedure in the
Part 2 of this manual.
4. Test the Bag circuit for leaks:
• Set the system switch to On.
• Set the Bag/Ventilator switch to
Bag.
• Plug the Bag port; use your hand or the approved test plug.
• Close the APL valve (70 cm H2O).
• Set the O2 flow to 250 mL/min.
• Close the patient connection using a hand or test plug on the
breathing system and pressurize the bag with the O2 flush button to
approximately 30 cm H2O.
• Release the flush button. The pressure must not decrease. A
pressure decrease large enough to see on the gauge indicates a
leak. Look for and repair the breathing circuit leak.
5. Test the APL valve:
• Fully close the APL valve (70 cm H2O).
• Set the total fresh gas flow to approximately 3 L/min and make sure
that the value on the inspiratory pressure gauge does not exceed 85
cm H2O. Some pressure fluctuation is normal.
• Fully open the APL valve (to the MIN position).
• Set O2 flow to 3 L/min. Turn any other gases off.

1009-0632-000 4-17
Aespire 7900

• Make sure that the value on the inspiratory pressure gauge is less
than approximately 5 cm H2O.
• Push the O2 flush button. Make sure that the value on the inspiratory
pressure gauge stays near zero.
• Set the O2 flow to minimum and make sure that the value on the
inspiratory pressure gauge does not decrease below 0 cm H 2O.
6. Remove your hand or the test plug from the patient connection.
7. Set the System switch to Standby.

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

Monitor and ventilator tests

1. Connect a test lung to the patient connection.
2. Set the Bag/Ventilator switch to Bag.
3. Set the System switch to On.
4. Set the controls:
Ventilation Mode: Volume control (Select from main menu)
Ventilator: Tidal Vol: 400 ml
Rate: 12
I:E Ratio: 1:2
Plimit: 40 cm H2O
PEEP: Off
Anesthesia Machine: O2 flow: minimum flow)
All other gases: OFF

5. Set the Bag/Vent switch to Ventilator.

6. Push the O2 flush button to fill the bellows.
7. Make sure that:
• Mechanical ventilation starts.
• A subatmospheric pressure alarm does not occur.
Note: With active gas scavenging, too much scavenging flow can
cause subatmospheric alarms.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
8. Set the O2 flow control to 5 L/min.
9. Make sure that:
• The end expiratory pressure is approximately 0 cm H2O.
Note: Positive end expiratory pressure when PEEP is off may indicate
that the scavenging system is not removing enough gas.

4-18 1009-0632-000
 4 Preoperative Tests

• The ventilator displays the correct data.

• The bellows inflate and deflate during mechanical ventilation.
10. Set the ventilator controls and alarm limits to clinically appropriate levels.
11. If the system will not be used immediately, set the System switch to
Standby and close all cylinder valves.
12. Make sure that you have:
Equipment for: Airway maintenance
Manual ventilation
Tracheal intubation
IV administration
Applicable anesthetic and emergency drugs

13. Prepare the system:

• Turn all vaporizers off.
• Open the APL valve.
• Set the Bag/Ventilator 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.

wWARNING Make sure that the breathing circuit is correctly connected and not
damaged.

wWARNING Before you connect a patient, flush the anesthesia machine with 5
L/min of O2 for at least one minute. This removes unwanted
mixtures and by-products from the system.

- End of Part 1 of the User’s Reference Manual. -

1009-0632-000 4-19
Aespire 7900

4-20 1009-0632-000
 Index

A O
ACGO 2-8 optional ventilation functions 2-12, 3-19
AGSS 2-10
antistatic breathing tubes or masks 2-2 P
APL valve 2-7
Auxiliary Common Gas Outlet switch 2-6 pipeline pressure 4-7
adequate ventilation 3-25 Pressure Control mode 3-21
alarm priority 3-16 Pressure controlled modes 3-17
PSVPro mode 3-21
B
S
backup ventilation 3-22
Bag / Mechanical Ventilation switch 2-8 SIMV mode 3-21

C T
compressible volume 3-31, 3-34 tubing compliance factor 3-31

E V
Expiratory check valve 4-16 Volume controlled modes 3-17

G
gas compression in patient tubes 3-34

I
Inspiratory check valve 4-16

L
leak test device 4-11
Link system 4-7

M
Mapleson series 2-9
menu functions 2-17
menu map 2-16
MRI environment 1-2

N
neuromuscular blocking agents 3-25
nuisance alarms 3-11

1009-0632-000 I-1
Aespire 7900

I-2 1009-0632-000
Warranty
This Product is sold by Datex-Ohmeda under the warranties set forth in the
following paragraphs. Such warranties are extended only with respect to the
purchase of this Product directly from Datex-Ohmeda or Datex-Ohmeda’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 Datex-Ohmeda to a Datex-Ohmeda 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 Datex-Ohmeda or in accordance with written instructions provided by
Datex-Ohmeda, or altered by anyone other than Datex-Ohmeda, or if the
Product has been subject to abuse, misuse, negligence, or accident.
Datex-Ohmeda’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 Datex-Ohmeda’s option, a Product, which is telephonically
reported to the nearest Datex-Ohmeda Customer Service Center and which, if
so advised by Datex-Ohmeda, 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 Datex-Ohmeda Customer Service and
Distribution Center during normal business hours, transportation charges
prepaid, and which, upon Datex-Ohmeda’s examination, is found not to
conform with above warranties. Datex-Ohmeda 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. Datex-Ohmeda makes no warranty of
merchantability or fitness for a particular purpose with respect to the product
or parts thereof.

CONFIDENTIAL - NOT FOR RELEASE

Aespire 7900
User’s Reference Manual, English Part 1
1009 0632 000
10 04 A 01 21 03
Printed in USA
©Datex-Ohmeda, Inc. All rights reserved
 Aespire 7900

User’s Reference Manual—Part 2

Setup, Cleaning and Sterilization, Maintenance and Troubleshooting
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, Datex-Ohmeda recommends that a
telephonic or written request for service advice be made to the nearest
Datex-Ohmeda Customer Service Center. This Product or any of its parts
should not be repaired other than in accordance with written instructions
provided by Datex-Ohmeda and by Datex-Ohmeda trained personnel.
The Product must not be altered without the prior written approval of
Datex-Ohmeda. 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 Datex-Ohmeda.

w 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.

AAA F 12345

This alpha character indicates the year of product

manufacture and when the serial number was
assigned; “D” = 2000, “E” = 2001, “F” = 2002, etc.
“I” and “O” are not used.

S/5 Aespire, Link-25, Disposable Multi Absorber, Reusable Multi

Absorber, SmartVent, Tec 6 Plus, and Tec 7are 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

Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . . . v

1 Setup and Connections

Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

When to change the absorbent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Removing a canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Reusable Multi Absorber canister filling . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Pneumatic and electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
How to install gas cylinders (high pressure leak test) . . . . . . . . . . . . . . . . . . 1-8
Pin indexed cylinder yokes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
DIN cylinder connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
How to attach equipment to the top shelf . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
2 Cleaning and Sterilization

Breathing system cleanable parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
How to clean and disinfect the flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
CIDEX sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Remove the breathing system bag hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Remove the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Disassemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Disassemble the Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Assemble the Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14
Bellows assembly tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15
Assemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18
Install the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22
Remove the AGSS receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-23
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-24
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-25

1009-0633-000 i
S/5 Aespire

Mechanical cleaning in washer or washer-disinfector . . . . . . . . . . . .2-26

Manual cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26
High level disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26
3 User Maintenance

Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Maintenance summary and schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
User maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Datex-Ohmeda approved
service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Breathing system maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
O2 sensor replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
O2 sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
21% O2 sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
100% O2 sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Flow sensor zeroing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11
How to prevent water build-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12
4 Alarms and Troubleshooting

About alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Alphabetical list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Breathing system problems (no alarm) . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-15
Electrical problems (power failure, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18
Alarm settings range and default values . . . . . . . . . . . . . . . . . . . . . . . . . . .4-19
5 Parts

Flow sensor module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

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

System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

ii 1009-0633-000
 O2 flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Air and N2O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Mixed gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
System specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Pneumatic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Electromagnetic compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Guidance and manufacturer's declaration
- electromagnetic emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Recommended separation distances . . . . . . . . . . . . . . . . . . . . . . . . .6-12
Figure 6-2 legend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-14
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Casters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Drawers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Ventilator display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Humidity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Altitude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Breathing system specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16
Gas scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-17
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-18
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-18
Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-19
Minimum monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-22
Ventilation operating specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-23
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-26
Delivery accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-26
Monitoring accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-26
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28
Venturi suction regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28

1009-0633-000 iii
S/5 Aespire

Continuous suction regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28

Auxiliary O2 flowmeter (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28
Warranty

iv 1009-0633-000
Symbols used in the manual or on the equipment
w WARNINGS and w CAUTIONS tell you about dangerous conditions that
can occur if you do not follow all instructions in this manual. Read and follow
all warnings and cautions.
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.
A Note provides additional information to clarify a statement in text.
An Important statement is similar to a Note, but provides a comment of
greater emphasis.
Other symbols replace words on the equipment or in Datex-Ohmeda manuals.
No one device or manual uses all of the symbols. These symbols include:

ø On (power) Í Not autoclavable

O Off (power) m Type B equipment
o Standby µ Type BF equipment
q Standby or preparatory state for part of the H Type CF equipment
equipment
p “ON” only for part of the equipment w Caution, ISO 7000-0434
œ “OFF” only for part of the equipment wW Attention, refer to product
instructions, IEC 601-1.
† Direct current This way is up.
N
N

∏ Alternating current π Dangerous Voltage

x Protective earth ground ≈ Input

y Earth ground Output

r Frame or chassis ground REF Stock Number

å Alarm silence button SN Serial Number

Y Equipotential
R Bag position/ manual ventilation

t Variability Read top of float

1009-0633-000 v
Aespire 7900

T Variability in steps Vacuum inlet

+ Plus, positive polarity Suction bottle outlet

- Minus, negative polarity O+2

O2 Flush button

P Lamp, lighting, illumination Cylinder

N Movement in one direction Isolation transformer

ˆ Movement in two directions Low pressure leak test

z Lock
r Mechanical ventilation
Z Unlock
U Close drain
134°C
Q
C Autoclavable Expiratory flow

u Open drain (remove liquid) Alarm silence touch key

q
Inspiratory flow Menu touch key

t O2 sensor connection Alarm silence touch key

(Tec 6)

Volume alarms On/Off touch key End case touch key

vi 1009-0633-000
 Table of Contents

Systems with this mark agree with the European Union Representative
European Council Directive (93/42/EEC) for
XXXX
Medical Devices when they are used as
specified in their Operation and Maintenance
Manuals. The xxxx is the certification number
of the Notified Body used by Datex-Ohmeda’s
Quality Systems.

1009-0633-000 vii
Aespire 7900

viii 1009-0633-000
 1 Setup and Connections

In this section Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Pneumatic and electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
How to install gas cylinders (high pressure leak test) . . . . . . . . . . . . . . . . . . 1-8
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
How to attach equipment to the top shelf . . . . . . . . . . . . . . . . . . . . . . . . . .1-12

1009-0633-000 1-1
Aespire 7900

Important Datex-Ohmeda strongly recommends that you use O2 monitoring with this
equipment. Refer to local standards for mandatory monitoring.
Important European Standard EN 740 and International Standard IEC 60601-2-13/ISO
8835-1 require exhaled volume monitoring, O2 monitoring (in accordance
with EN 12342, or ISO 7767) and CO2 monitoring (in accordance with EN 864
or ISO 9918) be used with this equipment.
Important 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.

wWARNING 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

Datex-Ohmeda cables, hoses and tubing.

w Desiccated absorbers can be hazardous in the presence of

anesthetic agents. Adequate precautions should be taken to
ensure that soda lime in absorbers does not become desiccated.
Turn off all gases when finished using the system.

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 and the flow and oxygen sensors.

• Do not put the electrosurgical leads on any part of the

anesthesia system.

w To protect the patient when electrosurgical equipment is used:

1-2 1009-0633-000
 1 Setup and Connections

• Monitor the correct operation of all life support and monitoring

equipment.

• Keep backup manual ventilation available in case the

electrosurgical equipment prevents safe use of the ventilator.

• Do not use conductive masks or hoses.

Canister setup

wWARNING Obey applicable safety precautions:

w Do not use the absorber with chloroform or trichloroethylene.

w The Disposable Multi Absorber is a sealed unit which should not

be opened or refilled.

w 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.

w Do not change the absorber during ventilation.

w 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.

w Desiccated (dehydrated) absorbent material may produce

dangerous reactions when exposed to inhalation anesthetics.

w For systems with dual absorbent canisters, the carbon dioxide

absorbent material in both canisters shall be changed at least
weekly, preferably every Monday morning. For single canister
systems the absorbent material shall be changed every day,
preferably at the start of the day.

1009-0633-000 1-3
Aespire 7900

w Carbon dioxide absorbent material shall be changed whenever

users cannot assure the degree of hydration of the absorbent.
Such conditions may include finding a machine with fresh gas
that has been flowing for an unknown period of time, or using a
machine that is used infrequently.

w All fresh gas flows shall be terminated when the machine is NOT in
use. (User manuals describe how to achieve null flows).

w Users are advised to consider the use of low-flow techniques

when the machine is in use and whenever clinically appropriate to
maintain hydration of the absorbent material.

w Always perform a breathing system leak test in the Bag Mode after
opening the absorber.

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 g of loose absorbent. Datex-Ohmeda recommends
Medisorb absorbent.
Both absorber versions should only be used with air, oxygen, nitrous oxide,
halothane, enflurane, isoflurane, desflurane and sevoflurane.

When to change the A gradual color change of the soda lime in the canister indicates absorption of
absorbent carbon dioxide. The color change of the soda lime 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, soda lime may regain its original color giving a misleading indication of
activity.
Read the canister instructions completely before using the product.

1-4 1009-0633-000
 1 Setup and Connections

Removing a canister The absorber canister is available in two versions: Reusable Multi Absorber
and Disposable Multi Absorber. Both are removed and installed on the
breathing system in the same way.

3
2
4

6
7

1. Disposable Multi Absorber canister

2. System canister release latch
3. System canister support pin
4. Canister handle
5. Absorbent
6. Reusable Multi Absorber canister
7. Water reservoir
Figure 1-1 • Canister

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1. Hold the canister by the

handle and push on the
release latch (1) to unlock
the canister.
2. Remove the canister by
tilting it downward and off
the two support pins.
1

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

filling

2. Push up with your thumbs to release the seal.

3. Lift off the cover to remove it.

4. Remove and discard the foam filters

(1), the absorbent and any water in the
reservoir.

1
5. To clean and disinfect the canister, see “Absorber canister” in section 2
Cleaning and Sterilization.”

1-6 1009-0633-000
 1 Setup and Connections

wWARNING The filters must be in place to prevent dust and particles from
entering the breathing circuit.

6. When dry, place a new filter in the bottom of the canister, pour soda lime
into the canister and place a new filter over the soda lime before closing
and locking the cover. Wipe off any soda lime dust. 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.
7. When replacing the canister, make sure it is resting on both support pins
before latching it into place.

Pneumatic and electrical connections

wWARNING Equipment connected to the electrical outlets can increase the

leakage current. Regularly test the leakage current.

An optional isolation transformer kit is available to reduce total leakage

current.

wCAUTION Use only medical grade gas supplies. Other types of gas supplies
may contain water, oil, or other contaminants.

Mains inlet Arrow shows the mains power inlet and cord.

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

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The gas supplies also supply these devices through internal connections:
• The venturi suction regulator (optional)
• The auxiliary O2 flowmeter (optional)
• Ventilator drive gas

Pipeline Inlets

Serial port The ventilator has an RS-232C electrical interface. The RS-232C connector
allows serial input/output of commands and data.

RS-232C signal standards 15-pin Female D connector - Data

Communications Equipment
configuration (DCE):
• Pin 1 - Monitor On/Stby
• Pin 5 - Signal ground
• Pin 6 - Receive data
• Pin 9 - Monitor On/Stby Rtn
• Pin 13 - Transmit data

How to install gas cylinders (high pressure leak test)

Pin indexed cylinder 1. Find the cylinder wrench.

yokes

1-8 1009-0633-000
 1 Setup and Connections

2. Close the cylinder valve on the cylinder to be replaced.

3. Fully loosen the tee handle.

4. Open the cylinder yoke.

5. Remove the used cylinder and the used gasket.

6. Remove the cap from the cylinder valve on the new cylinder.
7. Point the cylinder outlet away from all items that can be damaged by a
release of high pressure gas.
8. Quickly open and close the cylinder valve. This removes dirt from the
cylinder outlet.

wWARNING No gasket or more than one gasket can cause a leak.

9. Install a new gasket.

10. Align the cylinder post with the index pins.
11. Close the yoke gate and tighten the tee handle.
12. Install a cylinder plug and gasket in all empty cylinder yokes.
13. Do a high pressure leak test:
• Disconnect pipeline supplies.

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• Turn off the auxiliary O2 flowmeter and venturi suction.

• Set the system switch to Standby.
• Open the cylinder.
• Record the cylinder pressure.
• Close the cylinder.
• If the air or oxygen cylinder pressure decreases more than 5000 kPa
(100 psi) in one minute, there is a significant leak.
• For N2O cylinders, a pressure decrease of 690 kPa (100 psi) in one
minute represents a significant leak.
To repair a leak:
• Install a new cylinder gasket and tighten the tee handle.
• Do this step again. If the leak continues, do not use the system.

wCAUTION 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.

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. Point the cylinder outlet away from all items that can be damaged by a
release of high pressure gas.
5. Quickly open and close the cylinder valve. This removes dirt from the
cylinder outlet.
6. Install the cylinder.
7. Do a high pressure leak test:
• Disconnect pipeline supplies.
• Turn OFF the auxiliary flowmeter and the venturi suction.
• Set the system switch to Standby.
• Open the cylinder.
• Record the cylinder pressure.
• Close the cylinder.

1-10 1009-0633-000
 1 Setup and Connections

• If the cylinder pressure decreases more than 5000 kPa (725 psi) for
O2 and air in one minute, there is a significant leak.
• For N2O cylinders, a pressure decrease of 690 kPa (100 psi) in one
minute represents a significant leak.
To repair a leak:
• Install a new cylinder gasket and tighten the adapter.
• Do this step again. If the leak continues, do not use the system.

wWARNING 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.

Installation notes
When the system is installed, the Datex-Ohmeda representative will check the
following settings and change them if necessary.

wWARNING These settings can only be changed by qualified personnel.

• Language.
• Automatic calculation of VE alarm limits during mechanical ventilation.
• Altitude.
• Ventilator drive gas.
• User Select Defaults.

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How to attach equipment to the top shelf

wWARNING The top shelf has a weight limit of 34 kg (75 lb).

Place the equipment between the straps. Fold the straps over each other and
fully tighten and fasten them with the hook and loop surfaces.

wWARNING If you do not fully tighten the strap, equipment can fall off the
shelf.

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 2 Cleaning and Sterilization

In this section Breathing system cleanable parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
How to clean and disinfect the flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Remove the breathing system bag hose . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Remove the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Disassemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Disassemble the Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Assemble the Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14
Bellows assembly tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15
Assemble the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18
Install the breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22
Remove the AGSS receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-23
Remove the AGSS receiver filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-24
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-25

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wWARNING Obey applicable safety precautions:

• Read the material safety data sheet for each cleaning agent.

• Read the operation and maintenance manual for all

sterilization equipment.

• Wear gloves and safety glasses. A damaged O2 sensor can

leak and cause burns (contains potassium hydroxide).

• Do not breathe the fumes.

wCAUTION To help prevent damage:

• Refer to the manufacturer’s data if you have questions about a

cleaning agent.

• 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.

2-2 1009-0633-000
 2 Cleaning and Sterilization

Breathing system cleanable parts

8 4

7
5

6
1. Bellows assembly
2. APL Valve Ramp
3. APL Diaphragm
4. Breathing circuit module (O2 sensor not autoclavable)
5. Absorber canister (reusable only)
6. Flow sensor cover
7. Flow Sensor Module (plastic flow sensors not autoclavable)
8. Exhalation Valve assembly
Figure 2-1 • Autoclavable assemblies

Parts marked 134°C are autoclavable or washable by hand or machine (mild

detergent pH <10.5). Rinse and dry completely. All parts except the O 2 sensor
and disposable flow sensors can be washed.
If the flow sensors are plastic, refer to the “How to clean and disinfect the flow
sensors” procedure. If metal, they can be autoclaved at 134°C.

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Special requirements
• To clean the circuit O2 sensor, wipe it with a damp cloth. Do not put the
sensor in liquid.
• To clean/disinfect metal or plastic flow sensors, use the flow sensor
cleaning procedures. Do not get the connectors wet.
• Disassemble the bellows assembly before you wash it. 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.
• Assemble the bellows assembly before you autoclave. Autoclave the
bellows assembly upside down.

wWARNING 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.

wCAUTION Do not put the circuit O2 sensor or flow sensor connector in liquid.

w Do not autoclave the circuit O2 sensor or the plastic flow sensors.

w Do not clean the interior surfaces of the flow sensors. Use a damp cloth
on external surfaces only.

Inspect all parts for deterioration. Replace them if necessary.

The “Preoperative Tests” section in Part 1 of the User Reference Manual tells
you how to test the system for correct operation.

How to clean and disinfect the flow sensors

wCAUTION Do not autoclave plastic flow sensors.

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

w Do not use cleaning solvents that are not approved for use with
polycarbonates (e.g. CIDEX Plus).

CIDEX sterilization Both Datex-Ohmeda and the manufacturer of CIDEX (Johnson & Johnson)
have tested this procedure.
• CIDEX must be 14 day mixture, with activator vial (REF reorder #2245).

2-4 1009-0633-000
 2 Cleaning and Sterilization

• One liter of this solution cleans four (4) flow sensors.

Procedure 1. Pull the latch to unlock the flow sensor module from the breathing
system.

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

3. Remove the flow sensors from the module.

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

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4. Submerge the flow sensor and

tubes in activated CIDEX
solution. Keep the connector dry.
5. Keep the solution in the tubes for
the sterilization 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. Do steps 6 and 7 again to remove
all CIDEX.

9. COMPLETELY dry the flow

sensor and the tubes before
you use the sensor. Use a
dry syringe or connect
vacuum or pressure to
remove all liquid from the
sensor (sensor, tubes, and
connector):

wCAUTION Dry for > 1 min 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. Before you use the system, complete the “Preoperative Tests” in section
4 of the User Reference Manual, Part 1.

Remove the breathing system bag hose

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

2-6 1009-0633-000
 2 Cleaning and Sterilization

Remove the breathing system

1. Hold the canister (2) by the handle
and push on the release latch (1)
to unlock the canister.
2. Remove the canister by tilting it 1
downward and off the two support
pins.

3. Push the release

button (3) and 3
gently pull the
latch handle (4)
to release the
breathing 4
system.

4. Lightly grasp the rear handle (5) to support the breathing system. Slide
the breathing system away from the workstation pulling with the latch
handle.

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Disassemble the breathing system

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

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

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

4. Unscrew the sensor counterclockwise and remove it. To remove the

sensor cable from the breathing system, press on the connector button
(1) while pulling the connector out.

2-8 1009-0633-000
 2 Cleaning and Sterilization

5. Remove the flow sensors from the module:

• Completely loosen the thumbscrew (1).
• Pull off the cover (2) from the Flow Sensor Holder (3).
• Remove the flow sensor connectors (4) from the Flow Sensor Holder.
• Pull the flow sensors (5) from the Flow Sensor Holder.
1 2 3

5
6. Rotate the breathing circuit module at the point shown by the dotted line.

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

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8. On the manifold assembly, remove the check valves circuit lens (1) by
squeezing the latches (2) together and pulling up on the lens.
1

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

10. Lift the diaphragm to remove it.

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 2 Cleaning and Sterilization

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

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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.

Disassemble the Bellows assembly

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

2. Remove the bottom edge of the bellows from the rim.

2-12 1009-0633-000
 2 Cleaning and Sterilization

3. Push the latch toward the center and remove the rim.

4. Remove the pressure-relief valve.

wWARNING 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.

6. Remove the seal.

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Assemble the Bellows assembly

1. Install the seal. Verify the arrow on the seal points up.

2. Push the latch toward the center and attach the locking tabs.

3. Install the pressure-relief valve.

4. Push the latch toward the center and install the rim. Verify you hear a
double-click when you install the rim.

2-14 1009-0633-000
 2 Cleaning and Sterilization

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

6. Lower the housing and turn it clockwise to lock. Verify you cannot lift off of
the housing.

7. In the above steps, if you see a dust-like powder on the bellows housing
or on the bellows, apply a thin layer of KRYTOX lubricant to the ribs of the
bellows housing. Make sure the lubricant is applied smoothly and there
are no lumps.
8. Perform the Bellows assembly tests before completing the assembly of
the breathing system.

Bellows assembly tests

wWARNING 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 test does not replace the preoperative

tests. Always complete the tests in the section Preoperative tests
before you use the system with a patient.

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This test makes sure that all components are correctly assembled. It is 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. Look for and replace
damaged parts.
1. Hold the bellows assembly vertical and close the ports (1 and 2).

1 2
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.
2 1

2-16 1009-0633-000
 2 Cleaning and Sterilization

3. Remove the plugs from the ports. Permit the bellows to fully extend.

4. Close port 3.
3

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.

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6. If the result for all the bellows assembly tests was “passed,” complete the
assembly of the breathing system.

Assemble the breathing system

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

2. Turn over the bellows base assembly. Replace the boot. Be sure to insert
it correctly into the ports as shown by the arrows. Then, press on the
center of the boot (arrow) to snap it into place on the bellows base
assembly.

2-18 1009-0633-000
 2 Cleaning and Sterilization

3. Replace the diaphragm.

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

5. On the manifold assembly, press the check valves circuit lens (1) down
onto the latches (2) to lock the lens.
1

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6. Insert the breathing circuit module into the bellows assembly aligned as
shown.

7. Rotate the breathing circuit module at the point shown by the dotted line
to attach it to the bellows assembly.

8. Make sure the o-ring (3) is on the O2 sensor. Replace the sensor (1) by
screwing it in clockwise. Replace the O2 sensor cable connector (2).

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.
• Attach the cover (4) to the flow sensor holder (3).
• Tighten the thumbscrew (5) to fasten the cover.

2-20 1009-0633-000
 2 Cleaning and Sterilization

3 4 5

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

11. Push the latch (1) to lock the flow sensor module onto the breathing
system.
1

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12. This is assembled breathing system.

Install the breathing system

1. Locate guide pin openings 1 and 2.
1 2

2. Align opening 1 onto the guide pin 1, then align opening 2 onto guide pin
2.

1 2

2-22 1009-0633-000
 2 Cleaning and Sterilization

3. Holding the rear handle (1) and the latch handle (2) as shown, slide the
breathing system onto the guide pins.

2
1

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. Before you use the system, complete the “Preoperative Tests” in section
4 of the User Reference Manual, Part 1.

Remove the AGSS receiver

The AGSS receiver may be removed for cleaning and sterilization.
1. On the back of the system, loosen the two thumbscrews (1) to release the
system side panel (2).

2
1

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2. Slide the side panel out by removing its tabs from their slots (1).

3. Loosen the thumbscrew and remove the reservoir (2). It is not

autoclavable.

4. Loosen the thumbscrew (1) and lower the receiver to remove it.

5. Replace the filter as necessary. (See following steps.)

6. Do these steps in the opposite order to replace the receiver and the side
panel.
7. Before you use the system, complete the “Preoperative Tests” in section
4 of the User Reference Manual, Part 1.

Remove the AGSS receiver filter

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

2-24 1009-0633-000
 2 Cleaning and Sterilization

1. Pull the flexible gasket (1) from the receiver.

2. Pull the filter (1) out of its holder (2).

2
1

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. Before you use the system, complete the “Preoperative Tests” in section
4 of the User Reference Manual, Part 1.

Absorber canister
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.
Refer to “Removing a canister” in section 1 “Setup and Connections”.
Only the Reusable Multi Absorber canister may be cleaned.

wCAUTION The filters must be in place to prevent dust and particles from
entering the breathing circuit.

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Mechanical cleaning in 1. Place the canister without filters and the lid in the washer or washer-
washer or washer- disinfector and clean them with a decontaminating program.

disinfector 2. Dry the canister and the lid in a warming closet, maximum 80°C (176°F)
or at room temperature.
3. If the washer or washer-disinfector is not used for disinfection of
equipment, Datex-Ohmeda recommends that a further high level
disinfection is conducted.
4. When dry, place a new filter in the bottom of the canister, pour soda lime
into the canister and place a new filter over the soda lime before closing
and locking the cover. Wipe off any soda lime dust.
5. 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 arrows helps to indicate correct assembly.

Manual cleaning 1. Flush the 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. When dry, place a new filter in the bottom of the canister, pour soda lime
into the canister and place a new filter over the soda lime before closing
and locking the cover. Wipe off any soda lime dust.
5. 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 arrows helps to indicate correct assembly.
6. Datex-Ohmeda recommends that manual cleaning is always followed by
a high level disinfection.

High level disinfection 1. Always clean the canister before high level disinfection.
2. The canister can be steam autoclaved. Maximum recommended
temperature is 134°C (273°F).
3. When dry, place a new filter in the bottom of the canister, pour soda lime
into the canister and place a new filter over the soda lime before closing
and locking the cover. Wipe off any soda lime dust.
4. 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 arrows helps to indicate correct assembly.

2-26 1009-0633-000
 3 User Maintenance

wWARNING 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 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.

wWARNING Obey infection control and safety procedures. Used equipment

may contain blood and body fluids.

wWARNING Movable part 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Maintenance summary and schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Breathing system maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
O2 sensor replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
O2 sensor calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Flow sensor zeroing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11
How to prevent water build-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-12

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Repair policy
Do not use malfunctioning equipment. Make all necessary repairs or have the
equipment serviced by an authorized Datex-Ohmeda 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 an authorized
Datex-Ohmeda 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.

wCAUTION No repair should ever be attempted by anyone not having

experience in the repair of devices of this nature.

Replace damaged parts with components manufactured or sold by Datex-

Ohmeda. Then test the unit to ascertain that it complies with the
manufacturer’s published specifications.
Contact your local Datex-Ohmeda Field Service Representative for service
assistance. In all cases, other than where Datex-Ohmeda’s warranty is
applicable, repairs will be made at Datex-Ohmeda’s current list price for the
replacement part(s) plus a reasonable labor charge.

Maintenance summary and schedule

These schedules are the minimum frequency based on typical usage of 2000
hours per year. You should service the equipment more frequently if you use it
more than the typical yearly usage.

User maintenance

Minimum
Frequency Maintenance

Daily • Clean the external surfaces.

• 21% O2 calibration (circuit O2 sensor).

Weekly • Flow sensor zeroing.

Two weeks • Drain the vaporizers and discard the agent.

This is not necessary for Tec 6 vaporizers.

3-2 1009-0633-000
 3 User Maintenance

Minimum
Frequency Maintenance

Monthly • 100% O2 calibration (circuit O2 sensor).

• Put Krytox (or a lubricant approved for use with 100%
O2) on all tee handle threads.

During cleaning • Inspect the parts for damage. Replace or repair as

and setup necessary.

Annually • Replace the external o-rings on the vaporizer ports.

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 sensor.
(Under typical use the sensor meets specifications for
1 year.)
• Replace the disposable flow sensors (plastic).
(Under typical use the sensor meets specifications for
a miminum of 3 months.)
• Replace the autoclavable flow sensors (metal).
(Under typical use the sensor meets specifications for
a minimum of 1 year.)
• Replace the receiver filter (active gas scavenging
only).

Datex-Ohmeda
approved
service

Minimum
Frequency Planned Maintenance

12 months Have a qualified service person complete the scheduled

service maintenance checks, tests, calibrations and parts
replacement as defined in the service manual.

Note: This is the minimum level of maintenance recommended by

Datex-Ohmeda. Local regulations may contain additional
maintenance requirements. Datex-Ohmeda advocates
compliance with local regulations which meet or exceed this
minimum level of maintenance.

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Breathing system maintenance

When cleaning the breathing system, replace any parts that are visibly
cracked, chipped, distorted or worn.
Refer to the appropriate section for reassembly and tests.

O2 sensor replacement

wWARNING Handle and dispose of sensors according to your biohazard

policies. Do not incinerate.

1. Pull the latch (1) to unlock the flow sensor module from the breathing
system.
1

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

3. Remove the O2 sensor cable connector (2) from the O2 sensor (1) and
unscrew the sensor counterclockwise. Don’t lose the sensor o-ring.

3-4 1009-0633-000
 3 User Maintenance

4. Make sure the o-ring (1) is on the sensor. Install the replacement O 2
sensor. Reconnect the O2 sensor cable.
1

5. Replace the flow sensor module on the system and press the latch (1) in
to secure the module.

O2 sensor calibration

wWARNING Do not perform calibration while unit is connected to a patient.

w The O2 sensor 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 sensor This procedure takes three minutes or less.

calibration You must do the 21% O2 calibration before the 100% O2 calibration. During O2
calibration the screen replaces O2 data with - -.

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Step 1
Push the Menu key to see
the main menu.

Step 2
Turn the knob to select the
Calibration screen.

Step 3
Push the knob to show the
next screen.

Step 4
Turn and push the knob to
select O2 Sensor Cal.

Step 5
Select 21% then push the
knob.

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 3 User Maintenance

Step 6
Complete the steps shown
on the screen.
To remove the O2 sensor
from the circuit:

1
• Pull the latch (1) to
unlock the flow
sensor module from
the breathing
system.

• Pull the flow sensor

module (2) from the
breathing system.
2

• Remove the O2
sensor (3) and leave
it exposed to room
air.

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Step 7
Select Start Cal and push
the knob to start calibration.
• The screen shows
“Calibrating” during
the procedure.

After a successful calibration, the screen shows “Complete” and a flashing “Reinstall Sensor”.

After installing the sensor, you can continue to 100% calibration (step 11) or exit to the normal screen (step 7).
An unsuccessful calibration shows “Failure”. If the calibration fails:

• Do the calibration again.

• If it still fails, do a 100% O2 sensor calibration (step 11). If 100% O2 sensor calibration passes, calibrate
at 21% again.
• After repeated failures, replace the O2 sensor and re-calibrate at 21%.

Step 8
To exit, select “Go to Cal
Menu” and push the knob.
You can also press
the menu key to exit to
the normal screen.
Select “Go to Main Menu”
and push the knob. Go to Main Menu

Step 9
Select “Exit to Normal
Screen” and push the knob.
Exit to Normal Screen

Step 10
If you are not doing the 100% calibration which follows, do a breathing circuit leak test before using the system.

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 3 User Maintenance

100% O2 sensor This procedure takes three minutes or less.

calibration You must complete the 21% calibration before you can select the 100%
calibration.

wWARNING Do not perform calibration while unit is connected to a patient.

Step 11
Turn then push the knob to
select O2 Sensor Cal.

Step 12
Select 100% then push the
knob.

Step 13
With the O2 sensor in the
circuit, fill the circuit with
100% O2:
• Push the flush
button.
• Then flow 100% O2 at
5 L/min. (Circuit should
be open.)

Step 14
Select Start Cal. Then push
the knob to start calibration.

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The screen shows ‘Calibrating ... ‘, followed by the result: ‘Complete’ or ‘Failure’.
If the calibration fails,
• do it again or
• decrease the airway pressure. Then try again.
After repeated failures replace the O2 sensor and re-calibrate at 21%.
Continue with steps 14 through 16 to exit to a normal screen.

Step 15
To exit, select “Go to Cal
Menu” and push the knob.
You can also press Go to Cal Menu
the menu key to exit to
the normal screen

Step 16
Select “Go to Main Menu”
and push the knob.
Go to Main Menu

Step 17
Select “Exit to Normal
Screen” and push the knob.
Exit to Normal Screen

Step 18
Do a breathing circuit leak test before using the system.

3-10 1009-0633-000
 3 User Maintenance

Flow sensor zeroing

wWARNING Do not perform calibration while unit is connected to a patient.

The system automatically corrects for zero offset when you unplug the flow
sensor connectors with power on. You must stop mechanical ventilation
before you calibrate the flow sensors.
Note: Properly performing the O2 cell zeroing will also zero the flow sensor.

Step 1 1
Pull the latch (1) to unlock the
flow sensor module from the
breathing system.

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

Step 3
When zeroing is complete, the No Insp Flow Sensor
screen shows, “No Insp flow
sensor” and “No Exp flow No Exp Flow Sensor
sensor.”

Step 4
Install the flow sensor module.

Step 5
Do a breathing circuit leak test before using the system. Refer to “Breathing system tests” in section 4 Preoperative Tests of the
User Reference Manual, Part 1.

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How to prevent water build-up

Why is water buildup a Pooled water in the flow sensor or water in the sensing lines causes false
problem? alarms.

How much water is Small beads of water or a foggy appearance in the flow sensors is OK.
acceptable?

Where does the water Water comes from exhaled gas and a chemical reaction between CO 2 and the
come from? absorbent in the absorber.

At lower fresh gas flows more water builds up because less gas is scavenged
and:
• More CO2 stays in the absorber to react and produce water,
• More moist, exhaled gas stays in the absorber.

Solutions: • Empty the water reservoir in the canister when changing the soda lime.

• Ensure that water condensing in the breathing circuit tubes is kept lower
than the flow sensors and is not allowed to drain into the flow sensors.

• Water condensation in the breathing circuit tubing can be eased using a

Heat & Moisture Exchange (HME) filter at the airway connection.

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 4 Alarms and Troubleshooting

wCAUTION No repair should ever be attempted by anyone not having

experience in the repair of devices of this nature.

In this section About alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Alphabetical list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Breathing system problems (no alarm) . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13
Electrical problems (power failure, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . .4-14
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-16
Alarm settings range and default values . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

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About alarms
wWARNING If an alarm occurs, safeguard the patient first, before
troubleshooting or repair procedures.

Two areas on the screen show alarms. The area at the top of the display shows
most alarms. If there are more than 4 alarms at the same time, the lower
priority alarms cycle every two seconds.
During severe malfunctions that prevent mechanical ventilation and/or
monitoring, the area under the waveform shows minimum system messages.
During normal operation, this area shows instructions (push the knob, etc.).

Alarms

AB.90.025
Alarm priority depends on the level of danger to the patient. High priority
alarms require immediate attention.

Priority Alarm tone Alarm silence Note

High 10 tones, 120 seconds or cannot Reverse video
10 second pause, be silenced
repeat
Medium 3 tones, 120 seconds ---
25 second pause,
repeat
Low Single tone Tone does not repeat ---

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 4 Alarms and Troubleshooting

Alarm messages have three general causes.

• Malfunctions: Some malfunctions cause reduced function (for example,
no PEEP). Others prevent mechanical ventilation (Minimum shutdown).
• Patient monitoring: These are high and low limit settings that you adjust.
• Informational: Control settings or system conditions can change
operation. For example, if the audible circuit leak alarm is Off, the screen
shows “Circuit Leak Audio Off” as a low priority alarm.

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Alphabetical list
The instructions in this section tell you what you can do:
• During a case to protect the patient
• After the case to repair a problem
This table does not include operator instructions.
There are two special types of alarms:
• Minimum monitoring alarms stop mechanical ventilation.
• Minimum shutdown alarms stop mechanical ventilation and monitoring.

Message Priority Cause Action/Concerns Repair

+15V Analog Out-of- Min. shutdown Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Range (High) not reliable. service representative.

-15V Analog Out-of- Min. shutdown Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Range (High) not reliable. service representative.

12 Hour Test Low System in use for more than To do the test, move the system Not necessary,
12 hours without a power-up switch from Standby to On. informational.
self test.

A/D Converter Min. shutdown Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Failure (High) not reliable. service representative.

Absorber panel open Medium The top panel is not Push the breathing system into ---
completely closed. the frame and ensure it latches.

Adjust Low Ve Limit Medium The audible circuit leak Increase the low VE alarm limit. ---
alarm is Off (Alarm menu)
but the low VE alarm is not
set.

VE alarm is Off in SIMV or

PSVPro modes.

Apnea Alarm Low Normal condition after End Monitoring resumes after first ---
Standby Case, power-up, or ACGO breath (mechanical) or 2 breaths
change from On to Off within 30 seconds (non-
mechanical).

Apnea Alarm Off Low The cardiac bypass option is Apnea alarms are normally ---
selected (alarm limit menu). turned off when this option is
selected.

4-4
 4 Alarms and Troubleshooting

Message Priority Cause Action/Concerns Repair

Aux Gas Outlet On Medium The outlet selection switch is Connect the patient circuit to the - - -
(low after set to the auxiliary common auxiliary outlet. For mechanical
acknowledged) gas outlet. ventilation or manual ventilation
with monitoring, select the
breathing system.

Backup Mode Active Low SIMV-PC + PSV mode Spontaneous breath rate fell ---
entered. below the set breath rate

Battery Charger Fail Low The current in the battery The system is operational, but Contact a qualified
charging circuit is too high. may fail later depending on what service representative.
caused this alarm.

Battery Charging Low The battery is not fully Leave the system plugged in to ---
charged. If power fails, the charge the battery.
total backup time will be less
than 30 minutes.

Battery Current High Low Battery current > 6 amps for The system continues to operate, Contact a qualified
10 seconds. but may fail. service representative.

Battery Failure High Low Battery voltage > 16 V for 10 The system continues to operate, Contact a qualified
seconds. but may fail. service representative.

Battery Failure Low Low The battery voltage is too low The battery does not have If the battery does not
(<7 V) to supply the system if enough charge to power the charge in 24 hours,
power fails. equipment if power fails. contact a service
Leave the system plugged in to representative.
charge the battery.

Cal Flow Sensors Low The last flow sensor Calibrate the flow sensors. Look Contact a qualified
calibration failed. for water in the flow sensor service representative.
tubes. Dry if necessary.

Calibrate O2 Sensor Low O2%>110% Does the sensor measure 21% Calibrate O2 sensor.
O2 in room air?

Cannot Drive Bellows Low The internal manifold Fill the bellows if empty. ---
pressure is higher than Paw
+ tolerance.

Cardiac Bypass Low The alarm limit settings are Use the alarm limits menu to ---
set for a patient on cardiac change this setting.
bypass. Apnea alarms are
off.

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Message Priority Cause Action/Concerns Repair

Check Flow Sensors Medium No flow or negative flow on Are the flow sensors correctly Inspect one way valves
(low after inspiratory sensor during installed? (breathing circuit
acknowledged) inspiration in a circle system module).
or negative flow on Water build-up in the flow sensor
expiratory sensor in tubes? Replace flow sensor
expiration (for 6 breaths in a module. Check the
row). Is a flow sensor tube cracked or condition of the flow
broken? sensor and its tubing.

Circuit Leak Audio Low Control setting on the Alarm This message tells you that the - - -
Off limit menu. audio alarm for circuit leaks was
turned off.

Connect O2 Sensor Low The O2 sensor is not Connect the sensor. Contact a qualified
connected to the cable. service representative
to replace the cable.

CPU Failure Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
shutdown (High) not reliable. service representative.

CPU Internal Error Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
shutdown (High) not reliable. service representative.

Display Voltage Out- Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Of-Range shutdown (High) not reliable. service representative.

Exp Flow Sensor Fail Low The system cannot read the Operation continues with default - - -
calibration data stored in the values.
sensor. Replace the flow sensor.

Exp Reverse Flow Medium Flow through the expiratory Look at the check valves. Replace the expiratory
(low after sensor during inspiration (for check valve.
acknowledged) 6 breaths in a row). Water build-up in the flow sensor
tubes? Check the condition of
the flow sensor.
Is a flow sensor tube cracked or
broken?

Flow Valve (DAC) Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Failure monitoring still available. service representative.
Flow Valve (current) (Medium)
Failure

Gas Inlet Valve Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Failure shutdown (High)a still available. service representative.

Hardware Watchdog Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Failure shutdown (High) not reliable. service representative.

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 4 Alarms and Troubleshooting

Message Priority Cause Action/Concerns Repair

High O2 Medium O2% > alarm high limit Is the limit set correctly? What is Calibrate O2 sensor.
setting. the O2 flow? Replace O2 sensor.
Did you just push Flush? Does
the sensor see 21% O2in room
air?

High Paw High Paw is greater than Plimit. Are Plimit and other controls set Calibrate the flow
The ventilator cycles to correctly? Look for blockages. sensors.
expiration. Check the patient connection. Replace the receiver
filter.

High Ve Medium The minute volume is greater Check patient for spontaneous ---
than the set high limit. This breathing. Adjust control
alarm is suspended for 9 settings.
breaths or one minute after
you change the ventilator
settings.

High Vte Medium VTE is greater than high Check patient for spontaneous ---
alarm limit. This alarm is breathing. Check ventilator and
suspended for 9 breaths alarm settings.
after you change the
ventilator settings.

Insp Flow Sensor Fail Low The system cannot read the Operation continues with default - - -
calibration data stored in the values.
sensor. Replace the flow sensor.

Inspiration Stopped High Drive gas safety switch Adjust controls. Check systems ---
activated (high internal for blockages.
pressure)

Insp Reverse Flow Medium Flow through the inspiratory Look at the check valves. Replace the inspiratory
(low after sensor during expiration (for check valve.
acknowledged) 6 breaths in a row). Water build-up in the flow sensor
tubes? Check the condition of
the flow sensor.
Is a flow sensor tube cracked or
broken?

Internal Ventilator Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Clock Too Fast shutdown (High) not reliable. service representative.

Internal Ventilator Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Clock Too Slow shutdown (High) not reliable. service representative.

Invalid Circuit Low Ventilator malfunction. Ventilate manually; monitoring is Contact a qualified
Module not reliable. service representative

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Message Priority Cause Action/Concerns Repair

Limit Task Light Use Low The system is running on Turn off the light to extend ---
battery power. Turn off the battery backup.
light to save power.

Loss of Backup Medium The audio alarm will not Monitor system operation. Contact a qualified
Audio (low after sound for a CPU failure. service representative.
acknowledged)

Low Battery Voltage Medium Voltage is <11.65V while Manually ventilate the patient to Make sure power is
using battery power. save power. connected and circuit
breakers are closed.
Contact a qualified
service representative.

Low Drive Gas Pres Medium The ventilator did not detect Manually ventilate the patient. Make sure that the
a rise in internal pressure appropriate gas
when the flow valve opened. supplies (O2 or Air) are
connected and
pressurized.

Low O2 High O2% < alarm low limit setting Is the limit set correctly? Is the Calibrate O2 sensor.
O2 flow sufficient? Does the Replace O2 sensor. As
sensor see 21% O2 in room air? sensors wear out, the
measured % O2
decreases.

Low Paw Medium Paw does not rise at least 4 Are circuit connections OK? Look Look for circuit
cm from the lowest pressure at the Paw gauge on the disconnection.
measured during the last 20 absorber.
seconds.

Low Ve Medium Exhaled minute volume <low Check patient condition. Check ---
limit alarm setting. This tubing connections.
alarm is suspended for 9 Check alarm settings.
breaths or one minute after
you change the ventilator
settings.

Low Vte Medium Exhaled tidal volume <low Check patient condition. Check - - -
limit alarm setting. This tubing connections. Check alarm
alarm is suspended for 9 settings.
breaths after you change the
ventilator settings.

Manifold Pressure Minimum Ventilator malfunction. Ventilate manually. Contact a qualified

Sensor Failure monitoring service representative.
(Medium)

4-8
 4 Alarms and Troubleshooting

Message Priority Cause Action/Concerns Repair

Memory (EEPROM) The system cannot access Default settings are used. Contact a qualified
Fail some stored values. Ventilation is still possible but service representative.
service is necessary.

Memory (flash) Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Failure shutdown (High) not reliable. service representative.

Memory (RAM) Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Failure shutdown (High) not reliable. service representative.

Memory (Redundant Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Storage) Fail monitoring still available. service representative.
(Medium)

Memory (video) Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Failure shutdown (High) not reliable. service representative.

Monitoring Only Medium A severe malfunction Ventilate manually. Cycle system Contact a qualified
prevents mechanical power (On- Standby-On). If the service representative.
ventilation. Other alarms alarm clears, restart mechanical
may also occur. ventilation.

No Circuit Module Low Ventilator malfunction. Ventilate manually. Optical sensors look for
tabs on the back of the
module. Is the module
assembled? are the
sensors dirty?

No CO2 Absorption Medium The absorber canister is User setting. Reinstall the ---
(low after open (out of the circuit) but absorber canister to remove CO2
acknowledged) the bypass mechanism from exhaled gas
prevents a leak (optional
feature).

No Exp Flow Sensor Medium Electrical signals show the Connect the flow sensors. Make ---
(low after flow sensor is not sure the flow sensor module is
No Insp Flow Sensor acknowledged) connected. on all the way.

No message, only High A severe malfunction Ventilate manually. Use a stand- Contact a qualified
specific shutdown prevents mechanical alone monitor. Cycle system service representative
message ventilation and monitoring. power (On- Standby-On). If the
Other alarms may also alarm clears, restart mechanical
occur. ventilation.

No O2 Pressure High The O2 supply has failed. Air flow will continue. Ventilate ---
(cannot be manually if necessary. Connect a
silenced) pipeline supply or install an O2
cylinder.

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Message Priority Cause Action/Concerns Repair

O2 Flush Failure Low The pressure switch that This alarm occurs if you hold If the alarm occurs
detects flush flow has seen a down the Flush button for more when flush is not in
very long flush (≥30 than 30 seconds. use, contact a qualified
seconds). service representative.

O2 Sensor out of Low Ventilator malfunction. Ventilate manually. Contact a qualified

circuit service representative.

On Battery - Power Medium The mains supply is not Ventilate manually to save Make sure power is
OK? (low after connected or has failed and power. At full charge, the battery connected and circuit
acknowledged) the system is using battery permits approx. 30 minutes of breakers are closed.
power. mechanical ventilation.

Patient Circuit Leak? Medium Exhaled volume <50% of Check breathing circuit and flow - - -
inspired volume for at least sensor connections.
30 seconds (mechanical
ventilation).

Paw < -10 cmH2O High Subatmospheric pressure Check patient condition, Calibrate the flow
(<-10 cmH2O). spontaneous activity? Increase sensors.b With active
fresh gas flow. Look for high flow scavenging, check the
through gas scavenging. negative relief valve on
the receiver.

PEEP Not Achieved Low Pmin does not reach within Check tubing connections. Rate ---
±2 cmH2O of PEEP by the and/or I:E ratio may prevent
end of mechanical ventilator from reaching desired
expiration for 6 consecutive PEEP level.
breaths.

Positive SIB Vref Out- Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
of- Range shutdown (High) not reliable. service representative.

Pres Mode Not Avail Medium Manifold pressure not Pressure control mode and PEEP Contact a qualified
(Pressure, tracking airway pressure, or are not available. Switch to service representative.
PSVPro and SIMV manifold pressure Volume mode or ventilate
modes) ≤ -15 cmH2O. manually.

Low (Volume Check patient for spontaneous

mode) breathing.
Check ventilator settings.

Pres/Vol Mon Medium Outlet selection switch is set Connect the patient circuit to the - - -
Inactive to auxiliary gas outlet. auxiliary gas outlet or set the
switch to the circle breathing
system.

4-10
 4 Alarms and Troubleshooting

Message Priority Cause Action/Concerns Repair

Pressure Limit Switch Minimum A pressure safety switch Ventilate manually. Monitoring is Contact a qualified
Failure monitoring activated at a Paw <90 still available. Extreme control service representative.
(Medium) cmH2O and Pmanifold <80 combinations may cause this
cm H2O. alarm.
Check control settings.

Replace O2 Sensor Low O2% < 5% Makes sure patient receives O2. Calibrate O2 sensor.
Does the sensor see 21% O2 in Replace O2 sensor.
room air? Use different monitor.

Select Gas Outlet Medium Fresh gas may not flow to the Select the circle breathing Note: the bag arm will
patient. Auxiliary gas outlet system or connect the patient not ventilate a patient
is On, but flow sensors have circuit to the auxiliary outlet. at the auxiliary outlet.
seen 3 breaths in patient
circuit during the last 30
seconds.

Service Calibration Low Internal calibrations are The system is operational. Contact a qualified
necessary for maximum Operation continues with default service representative.
accuracy. values.

Software Error Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
shutdown (High) not reliable. service representative.

Software Watchdog Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Failure shutdown (High) not reliable. service representative.

Sustained Airway Minimum Paw > 100 cmH2O for 10 Check tubing for kinks, Calibrate the flow
Pressure shutdown (High) seconds. blockages, disconnects. sensors.

Sustained Paw High Paw > sustained pressure Check tubing for kinks, Calibrate the flow
limit for 15 secondsc. blockages, disconnects. sensors.

System Leak? Medium Delivered volumes do not Look for leaks in the breathing Calibrate the flow
match set volumes. system. Compare set to sensors.
delivered volumes. Drain water buildup
from the breathing
system.

Vaux_ref Out-of- Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Range shutdown (High) not reliable. service representative.

Vext_ref Out-of- Minimum Ventilator malfunction. Ventilate manually. Monitoring is Contact a qualified
Range shutdown (High) not reliable. service representative.

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Message Priority Cause Action/Concerns Repair

Volume Apnea Medium No mechanical breaths or Check patient. Bag as needed. - - -

spontaneous breaths >20 Check for disconnects. If the
mL in last 30 seconds. patient is on a heart lung
machine, select Cardiac Bypass
on the main menu.

Vol Apnea > 2 min High No mechanical breaths or See above. ---
spontaneous breaths >20
mL in last 120 seconds.

Vt Not Achieved Low Tidal volume measured by Adjust controls to supply Possible leak.
inspiratory flow sensor adequate tidal volumes. Check
< set value 6 breaths in a I:E; Plimit; and volume settings.
row after the first minute of
mechanical ventilation.

Vte > Insp Vt Medium Expired volume > inspired Check patient condition. ---
volume for 6 breaths with a
circle breathing system.

a. When power is first turned on.

b. Flow sensors are also used to measure pressures.
c. The sustained pressure threshold is calculated from the pressure limit setting. When mechanical ventilation is
on, the sustained limit is calculated as follows: for pressure limits < 30 cmH 2O, the sustained pressure limit is 6
cmH2O; for Plimit between 30 and 60 cmH2O, the sustained limit is 20% of the pressure limit (Plimit); for
pressure limits > 60 cmH2O, the sustained pressure limit is 12 cmH2O. If both PEEP and mechanical ventilation
are on, the sustained pressure limit increases by PEEP - 2 cmH 2O (the compensated weight of the bellows).
When mechanical ventilation is off, the sustained pressure limit is calculated as follows: for pressure limits ≤ 60
cmH2O, the sustained pressure limit is 50% of the pressure limit (Plimit); for pressure limits > 60 cmH 2O, the
sustained pressure limit is 30 cmH2O.

4-12
 4 Alarms and Troubleshooting

Breathing system problems (no alarm)

Symptom Problem Solution(s)
Gas scavenging flow is too low. Suction supply problem. Use a different suction supply.
Filter blockage. Active systems Replace the filter. Refer to
have a flow indicator to show “Remove the AGSS receiver
this. filter” in section 2, “Cleaning and
Strerilization”.
The bellows fills when the Bag/Vent Leak through Bag/Vent switch. Ask a qualified service
switch is set to Bag or the bag fills representative to repair the
when the switch is set to Vent. system.
The ventilator does not read the Ventilator or absorber Ventilate manually. Ask a
position of the Bag/Vent switch. Use malfunction. qualified service representative
manual ventilation, if necessary. to repair the system.
APL valve does not operate correctly. APL valve problem Replace APL Valve seal and
diaphragm - Refer to User
Maintenance

1009-0633-000 4-13
Aespire 7900

Electrical problems (power failure, etc.)

wWARNING If a circuit breaker opens frequently, do not use the system. Have a
qualified service representative repair the system.

Symptom Problem Solution

Mains indicator is not ON. The electrical power cable Connect the power cable.
is not connected.

The inlet circuit breaker Close the circuit breaker

(toggle switch) is open. (Figure 4-1).

The power cable is Replace the power cable.

damaged.

The electrical socket the Use a different electrical

power cable connects to socket.
has no power.

An internal fuse is open. Have a qualified service

representative repair the
system.

One electrical outlet does not The outlet circuit breaker is Close the circuit breaker.
have power. open.

A circuit breaker opens Equipment connected to Use a different power supply

frequently. the outlet(s) (figure 4-1) for some of the equipment.
uses more current than the
circuit breaker rating.

The equipment connected Do not use the equipment

to the outlet has a short. until it is repaired.

Tec 6 Plus vaporizer has no Not plugged into outlet. Connect power cable.
power.

The ventilator does not correctly Ventilator malfunction. Ask a qualified service
identify the breathing circuit representative to repair the
module. system.

4-14
 4 Alarms and Troubleshooting

1
4 5

2 3

1. Inlet Circuit Breaker*

2. Mains Indicator
3. Outlet CIrcuit Breakers*
4. Open (No power)
5. Closed (OK)
* Labels show ratings.
Figure 4-1 • Circuit breakers and the mains indicator

1009-0633-000 4-15
Aespire 7900

Pneumatic problems
Symptom Problem Solution

High-pressure leak test Controls are not set correctly. Set the system switch to
fails. Standby and the auxiliary
flowmeter to OFF.

Incorrect cylinder connection (cylinder Make sure that there is only

yokes). one cylinder gasket, the
gasket is in good condition,
and the T- handle is tight.

Incorrect cylinder connection (DIN Make sure the nut is tight.

connection.)

Low-pressure leak test The vaporizer is not correctly installed. Correctly install the
fails with a vaporizer on. vaporizer.

The vaporizer filler is loose (fill port type Tighten the filler.
vaporizer).

Vaporizer port o-rings (external) are damaged Install new o-rings.

or not installed.

A vaporizer malfunction (the leak stops if you Send the vaporizer to a

use a different vaporizer in the same Datex-Ohmeda Service
position). Center for repair.

A port valve malfunction (the leak continues Have an qualified service

if you use a different vaporizer in the same person repair the vaporizer
manifold position). manifold.

Low-pressure leak with a Anesthesia machine problem. Contact a qualified service

vaporizer OFF. representative.

wCAUTION No repair should ever be attempted by anyone not having

experience in the repair of devices of this nature.

4-16
 4 Alarms and Troubleshooting

Alarm settings range and default values

Setting Range Increment Default

Low O2 18-99% 1% 21%

High O2 ) 21-99%, Off 1% Off

Low VE Off, 0.1-10 L/min 0.1 L/min 2.0 L

High VE 0.5-30, off L/min 0.5 L/min 10.0 L

Low VTE Off, 5-1500 mL 5 mL if <20 mL, Off

20 otherwise

High VTE 20 - 1600 mL, off 20 mL 1000 mL

Circuit leak Audio on or Audio off n/a Audio on

Cardiac bypass No or In Progress n/a No

1009-0633-000 4-17
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4-18
 5 Parts

In this section This section lists user-replaceable parts only. For other components, refer to
the Technical Reference manual.

Flow sensor module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5- 2

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

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Aespire 7900

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) 1503-3856-000
Flow sensor, autoclavable (metal) 1503-3244-000

5-2 1009-0633-000
 5 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 1406-3466-000
4 O2 cell 6050-0004-110
5 Cable, O2 cell 1009-5570-000
– Plug (without O2 sensing) 1407-3111-000
– O-ring for plug 1407-3112-000

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Aespire 7900

Bellows

8 3

4
7 5

6
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

5-4 1009-0633-000
 5 Parts

Absorber canister

1 3

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, 8003138
(pack of 6)
– Multi absorber, disposable, pink to white, (pack of 6) 8003963

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Aespire 7900

Exhalation valve assembly

AB.82.035
Description Stock number
Exhalation valve assembly 1407-7005-000

5-6 1009-0633-000
 5 Parts

AGSS
Description Stock number
Common
Cap 3.18 barb silicone 1406-3524-000
Connector, inlet 30 mm male to 19 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 dia 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

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Aespire 7900

Test tools and system parts

Description Stock number

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
Krytox 1001-3854-000
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) 1001-3812-000
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

5-8 1009-0633-000
 6 Specifications and
Theory of Operation

Note: All specifications are nominal and subject to change without notice.

In this section System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

System specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Electromagnetic compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-15
Breathing system specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-16
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-18
Ventilation operating specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-23
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-26
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28
Auxiliary O2 flowmeter (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-28

1009-0633-000 6-1
6-2
Aespire 7900

27 28
57
29

42
30 58
43
31
44

32 45
2 61
60
1
System pneumatic circuits

15 34 46 47 59 62
3 P
33
4 16 48 65
P 3 5 35 49
14 17
18 50 63
P 3 6
14 6 7 19 36 38 51
3P 52 54 64
8 20 25 37
P 3 9
53
10

Figure 6-1 • Pneumatic circuit diagram

3 P
55 P DPL P P P
11 66 S 68 69 70
P 3 12 26 39 56 P
67
41
13
71

40 40

1009-0633-000
 6 Specifications and Theory of Operation

Figure 6-1 legend 1. Auxiliary O2, 0-10 LPM (optional) 41. 5.5 psi pressure relief valve
2. O2 flush 42. Popoff valve
3. Gauge 43. Exhalation valve (2.0 cm H2O bias)
4. O2 P-Line 44. 10 cm H2O
5. 110 psi relief 45. 0-10 LPM drive gas, 0-10 LPM patient
6. Venturi and fresh gas, 0-20 LPM total typical
flow
7. Vent drive
46. 200 mL reservoir
8. Air P-line (optional)
47. Negative pressure relief valve
9. 110 psi relief
48. Control bleed to ambient
10. Air cylinder (optional) approximately 1.0 L/min at 0.29 kPa
11. N2O pipeline (optional) (3.0 cm H2O) if continuous (rate
dependent
12. 110 psi relief
49. Absorber
13. N2O cylinder (optional)
50. 5.4 psi O2 flush switch
14. O2 cylinder (optional)
51. NO
15. 0 - 120 L/min flow
52. NC
16. System switch
53. ACGO selector valve
17. NC
54. O2 sensor
18. NO
55. ACGO
19. 30 psi
56. Airway pressure gauge
20. O2 supply switch
57. APL valve 0-70 cm H2O
21. -
58. Bag
22. -
59. Expiratory flow sensor
23. -
60. (Optional)
24. -
61. To scavenging
25. Link 25
62. Gas monitor
26. Flowmeter module (dual tubes
optional) 63. Patient
27. Atmosphere 64. Inspiratory flow sensor
28. Free breathing check valve 65. -
29. Vaporizer 66. Manifold pressure transducer
30. Mechanical overpressure valve (110 67. Drive pressure limit switch
cm H2O) 68. Expiratory flow transducer
31. Drive gas check valve 69. Inspiratory flow transducer
32. Inspiratory flow control valve 70. Paw transducer
33. Gas inlet valve 71. Enhanced sensor interface board
34. 25 psi @15 LPM
35. Vent to ambient
36. Balance regulator
37. Link 25
38. Air (optional)
39. Selectatec manifold
40. Vaporizer

1009-0633-000 6-3
Aespire 7900

Gas supplies Gas goes into the system through a pipeline or cylinder connection. All
connections have indexed fittings, filters, and check (one-way) 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.

wWARNING 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).
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.
Because there is no balance regulator, air flow continues at the set rate during
an O2 supply failure.

6-4 1009-0633-000
 6 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.

System specifications

Pneumatic

Gas supplies
Pipeline gases O2, Air, N2O
Cylinder gases O2, N2O, Air (maximum: 2 cylinders of each gas); 1
cylinder max. on pendant model; 3rd cylinder is N2O
only
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 414 kPa (60 psi)
Pressure relief valve Approximately 758 kPa (110 psi)
Pipeline connections DISS-Male; DISS-Female; AS 4059 (Australian); S90-
(filtered) 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 35 kPa (5.5 psi) at the flush flow.

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

Flow Flow rates: Minimum O2 flow: 25 to 75 mL/min.

Scale
Gas
(two flow tubes)

O2 0.05 -0.95 L/min

1-15 L/min
N2O 0.05 -0.95 L/min Note: The link system
1-10 L/min sets the nominal O2 flow
25% of the total O2 and
N2O flow.

1009-0633-000 6-5
Aespire 7900

Scale
Gas
(two flow tubes)

Air 0.05 -0.95 L/min

1-15 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.
Flush flow: 25-75 L/min.
O2 supply failure alarm and shutoff:
O2 Pressure:
O2 supply failure alarm: 193 to 221 kPa (28 to 32 psi)
N2O shutoff: 3.5 kPa (0.5 psi)

IEC-60601-1 Clasification The S/5 Aespire is classified as follows.

• Class I Equipment
• Type B Equipment
• Ordinary Equipment
• Not for use with flammable anesthetics
• Continuous operation
• Steam autoclavable or disinfectable per recommendations (see section
2 “Cleaning and Sterilization”.

Electrical power
Supply voltage: 100-120 or 220-240 Vac ± 10% at 50 or 60 Hz.
Inlet Circuit Breakers:
100-120 Vac 220-240 Vac
15A 8A

Outlet Circuit Breakers:

100-120 Vac 220-240 Vac Japan
(3) 2A (3) 1A (2) 2A
(1) 3A (1) 2A (1) 4A

System leakage current limit - do not exceed:

• UL and CSA rated systems (USA and Canada): <300 µamps for the
system and all systems connected to electrical outlets.
• IEC rated systems (Not USA and Canada): <500 µamps for the system
and all systems connected to electrical outlets.

6-6 1009-0633-000
 6 Specifications and Theory of Operation

Note Products connected to the electrical outlets may increase the leakage current
above these limits.

wWARNING The connection of equipment to the auxiliary mains electrical

outlet(s) may increase the patient leakage currents to values
exceeding the allowable limits in the event of a defective earth
conductor.

Resistance to ground: <0.2 Ω

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).

wWARNING Use the battery if the integrity of the protective earth conductor is
in doubt.

Battery information The system is not a portable unit; a sealed lead acid battery supplies battery
backup. Batteries are used as backup power in case of a power failure. Thus,
the battery is in a float charge state most of the time. Batteries meet the
following:
1. Capacity to operate for 90 minutes under typical operating conditions;
30 minutes under extreme conditions.
2. Unit functions to specifications through the transition to battery power.
3. Long float charge life.
4. Battery pack has an auto-resettable thermal fuse.
5. Battery terminals and connecting wires are protected against short
circuits.
Only Datex-Ohmeda service representatives are to replace the battery.
Contact a Datex-Ohmeda service representative to disconnect the battery if
the equipment is not likely to be used for some time. Batteries must be
disposed of in accordance with applicable regulatory requirements in effect at
the time and place of disposal.

1009-0633-000 6-7
Aespire 7900

Electromagnetic compatibility
Changes or modifications to this equipment not expressly approved by Datex-
Ohmeda could cause EMC issues with this or other equipment. Contact Datex-
Ohmeda for assistance. This device is designed and tested to comply with
applicable regulations regarding EMC as follows.

wWARNING Use of portable phones or other radio frequency (RF) emitting

equipment near the system may cause unexpected or adverse
operation. Monitor operation when RF emitters are in the vicinity.

• Use of other electrical equipment on or near this system may

cause interference. Verify normal operation of equipment in
your configuration before use on patients.
The system provides connections for items such as printers, visual displays
and hospital information networks. When these items (non-medical
equipment) are combined with the S/5 Aespire, these precautions must be
followed:
• Don’t 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 S/5 Aespire 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 60601-1-1. The assembly must not be
placed on the floor. Using more than one portable multiple socket outlet
assembly 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.
The S/5 Aespire provides multiple AC outlet sockets for connecting only other
medical electrical equipment. Do not connect non-medical electrical
equipment to these sockets. 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).

6-8 1009-0633-000
 6 Specifications and Theory of Operation

wWARNING 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.

Guidance and The system is suitable for use in the specified electromagnetic environment.
manufacturer's The customer and/or the user of the system should assure that it is used in an
electromagnetic environment as described below.
declaration -
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
CISPR 11 establishments and those directly connected to the public low-voltage power supply
network that supplies buildings used for domestic purposes.
Harmonic emissions Class A
IEC 61000-3-2 Class A
Voltage fluctuations/ Complies
flicker emissions
IEC 61000-3-3

Immunity test IEC 60601-1-2 test level Compliance level Electromagnetic environment guidance

Electrostatic ± 6 kV contact ± 6 kV contact Floors should be wood, concrete, or ceramic tile. If

discharge (ESD) ± 8 kV air ± 8 kV air floors are covered with synthetic material, the
IEC 61000-4-2 relative humidity should be at least 30 %.
Electrical fast ± 2 kV for power supply ± 2 kV for power supply Mains power quality should be that of a typical
transient/burst IEC lines lines commercial and/or hospital environment.
61000-4-4 ±1 kV for input/output ±1 kV for input/output
lines lines
Surge IEC 61000- ± 1 kV differential mode ± 1 kV differential Mains power quality should be that of a typical
4-5 ±2 kV common mode mode commercial and/or hospital environment.
±2 kV common mode
Voltage dips, short < 5 % UT (> 95% dip in UT) < 5 % UT (> 95% dip in Mains power quality should be that of a typical
interruptions and for 0,5 cycle UT) for 0,5 cycle commercial and/or hospital environment. If the
voltage variations 40 % UT (60% dip in UT) 40 % UT (60% dip in user of the system requires continued operation
on power supply for 5 cycles UT) for 5 cycles during power mains interruptions, it is
input lines 70 % UT (30% dip in UT) 70 % UT (30% dip in recommended that the system be powered from an
IEC 61000-4-11 for 25 cycles UT) for 25 cycles uninterruptible power supply or a battery.
< 5% UT (> 95 % dip in UT) < 5 % UT (> 95% dip in
for 5 sec UT) for 5 sec

1009-0633-000 6-9
Aespire 7900

Immunity test IEC 60601-1-2 test level Compliance level Electromagnetic environment guidance

Power frequency 3 A/m 3 A/m If display distortion or other abnormalities occur, it

(50/60 Hz) may be necessary to position the S/5 Aespire
magnetic field Anaesthetic System further from sources of power
IEC 61000-4-8 3 frequency magnetic fields or to install magnetic
A/m shielding. The power frequency magnetic field
should be measured in the intended installation
location to assure that it is sufficiently low.
Note: UT is the AC mains voltage before application of the test level.

6-10 1009-0633-000
 6 Specifications and Theory of Operation

IEC 60601-1-2 Compliance Electromagnetic environment

Immunity test
Test Level level guidance

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.

Recommended separation distance

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.

1009-0633-000 6-11
Aespire 7900

Recommended
separation distances

Between portable and mobile The system is intended for use in the electromagnetic environment in which
RF communications radiated RF disturbances are controlled. The customer or the user of the
equipment and the system 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
to the maximum power of the communications equipment.

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

Rated maximum 150 kHz to 150 kHz to 80 MHz to 800 MHz to

output power of 80 MHz 80 MHz 800 MHz 2,5 GHz
transmitter Outside ISM bands In ISM bands
W

D = 3, 5 P 12 D = 12-
------ P D = 23- P
--------- D = ------- P ------
V1 V2 E1 E1

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.

6-12 1009-0633-000
 6 Specifications and Theory of Operation

1
10
11

4
14

12

2
7
6

3
34
13

36
35
15

29
28
16

30
26
27
18-21
17

22

24

31
32
33
23

25

Figure 6-2 • Electrical block diagram

1009-0633-000 6-13
Aespire 7900

Figure 6-2 legend

1. Inside Anesthesia System
2. Power cord
3. AC inlet with breaker and line filter
4. Isolation transformer
5. Inrush board
6. Fuses
7. Line filter
8. Outlet box
9. Universal power supply
10. Battery, 12 V
11. Integrated CPU board
12. On/Standby switch
13. O2 supply switch
14. Task light switch
15. Task light
16. RS232 port
17. Ventilator display module
18. Display connector board
19. EL display
20. Keyboard membrane switch
21. ComWheel
22. Ventilator engine board
23. Gas inlet valve
24. Flow control valve
25. Breathing system
26. Bag/Ventilator switch
27. ABS on switch
28. Canister switch (optional)
29. CO2 bypass switch (optional)
30. Bulkhead connector
31. Expiratory flow sensor
32. Inspiratory flow sensor
33. O2 sensor
34. Enhanced sensor interface board
35. ACGO select
36. O2 flush switch

6-14 1009-0633-000
 6 Specifications and Theory of Operation

Physical specifications
All specifications are approximate values and can change without notice.

wCAUTION Do not subject the S/5 Aespire to excessive shock and vibration.

wCAUTION Do not place excessive weight on flat surfaces or drawers.

System
Height 136 cm (53.5 in)
Width 72.5 cm (28.5 in)
Depth 73.5 cm (28.9 in)
Weight 136 kg (300 lb)
Top shelf weight limit 35 kg (75 lb)

Casters 13 cm (5 in) with brakes on the front casters

Drawers 23 cm H x 33 cm W x 27 cm D (9 in H x 13 in W x 10.6 in D)

Ventilator display 146 x 73 mm EL display (480 x 240 pixel)

Environmental requirements
Temperature

Operation: 10 to 40 °C
Oxygen cell operates to specifications at 10 to 40 °C

Storage: -25 to 65 °C
Oxygen cell storage is -5 to 50 °C, 10 to 95% Rh, 500 to 800 mm Hg

Humidity

Operation: 15 to 95% Rh, non-condensing

Storage: 10 to 95% Rh, non-condensing

Altitude

Operation: 500 to 800 mm Hg (3565 to -440 meters)

Storage: 375 to 800 mm Hg (5860 to -440 meters)

1009-0633-000 6-15
Aespire 7900

Breathing system specifications

General
Volume 4600 mL including bellows
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.
≤ 300 mL/min total at 3 kPa (0.4 psi); ≤75 ml/min
for all connectors and two part tubes and ≤ 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/cm H2O
Breathing system Y piece or T piece adds ≤0.15 kPa (.02 psi) expiratory
resistance (in bag mode) resistance at 1 L/sec.
To maintain compliance with standards, choose a
patient circuit with low resistance to flow.

5
4.5
4
3.5
3
1 2.5
2
1.5
1
0.5
0
0 20 40 60 80

2
Inspiratory
Expiratory
Figure 6-3 • Breathing System Resistance: 1 = Pressure drop (cm H 2O) vs. 2
= Flowrate (L/min)

Pressure required to open inspiratory or expiratory valves: Dry: 0.49 cm H 2O;

Moist: 0.91 cm H2O

6-16 1009-0633-000
 6 Specifications and Theory of Operation

Pressure generated by a wet unidirectional valve: 0.81 cm H 2O

Breathing system leakage (average during use):

Pressure Bag Mode (mL/min) Vent Mode (mL/min)

30 cm H2O 50 50
60 cm H2O N/A 106
90 cm H2O N/A 163
APL Valve: Approximately 0 to 70 cm H2O
Pressure Flow Data (APL Valve Completely Open):

Flow (L/min) Flow (L/sec) APL Pressure cm H2O

3 0.05 .78
10 0.17 1.14
20 0.34 -
30 0.51 1.43
40 0.68 -
50 0.83 -
60 1.0 2.61
70 - 3.21
System volume: Vent. side: 2730 mL ; bag side: 1215 mL

Gas scavenging

Passive scavenging: • Positive pressure relief: 10 cm H2O

• Negative pressure relief: 0.3 cm H2O
• Outlet connector: 30 mm male taper ISO

Active scavenging: Particle filter at the outlet has a pore size of 225 microns. All flow data uses a
new filter.
Disposal System Type Outlet Connector * Flow Range Pressure
Low flow, high vacuum DISS EVAC 36 ±4 SLPM @ 300 300 mmHg
mmHg (12 inHg) Minimum vacuum
High flow BS6834 50 - 80 SLPM 1.6 kPa at 75 SLPM
Venturi/Ejector ain. hose barb 30 - 100 SLPM n/a
Adjustable flow Needle valve connector Up to 30 SLPM n/a
* Other market-specific connectors may be available.

1009-0633-000 6-17
Aespire 7900

Ventilator theory
General The ventilator pneumatics are at the rear of the breathing system.
A precision valve controls gas flow to the patient.
During inspiration, this gas flow closes the exhalation valve and pushes the
bellows down.
During expiration, a small flow pressurizes the exhalation diaphragm to supply
PEEP pressure.
Volume and pressure measurements come from flow sensors in the flow
sensor module. Two tubes from each sensor connect to a transducer that
measures the pressure change across the sensor, which changes with the
flow. A third transducer measures airway pressures at the inspiratory flow
sensor.
Volume monitoring uses the expiratory flow sensor. The ventilator uses the
other sensor to adjust its output for changes in fresh gas flow, small leaks, and
gas compression upstream of 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
from compression in the breathing circuit is small (0.5 to 1.25 mL/cmH 2O).
For better precision:
• When the fresh gas mixture includes Heliox, use the Heliox mode
(Ventilation setup menu). Heliox, used on some ANSI Models of the
Aestiva, changes the data collected by the flow sensors. When Heliox
mode is selected, the ventilator adjusts the flow sensor data to correct for
these changes.
• A small quantity of gas bleeds through a resistor to help keep the
pressure on the exhalation valve constant. At high airway pressures, this
can cause a slight hiss during inspiration.

wWARNING Do not try to silence the pneumatic resistor. If it is blocked, the

ventilator can malfunction and cause patient injury.

w Always connect the expiratory flow sensor. If it is not connected,

the patient disconnect alarm cannot operate correctly.

6-18 1009-0633-000
 6 Specifications and Theory of Operation

Modes The system has four modes of mechanical ventilation:

• Volume control mode
• Pressure control mode
• Synchronized intermittent volume (SIMV) mode (optional)
• Pressure support ventilation (PSVPro) mode (optional)
Use the main menu to set the mode.

AB.90.041

Figure 6-4 • Ventilation Setup Menu

Volume control mode

AB.29.068
Figure 6-5 • 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 (T I) to
deliver that tidal volume. It then adjusts that output by measuring delivered
volumes at the inspiratory flow sensor. Since the ventilator adjusts output, it
can compensate for breathing system compliance, fresh gas flow, and
moderate breathing system leaks.
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.

Volume control • VT (tidal volume)

mode settings • Rate
• I:E
• Plimit
• PEEP

1009-0633-000 6-19
Aespire 7900

Pressure control mode

AB.29.069
Figure 6-6 • Pressure control diagram

Pressure control supplies a constant set pressure during inspiration. The

ventilator calculates the inspiratory time from the frequency and I:E ratio
settings. A high initial flow pressurizes the circuit to the set inspiratory
pressure. The flow then decreases to maintain the set pressure (Pinspired).
Pressure sensors in the ventilator measure patient airway pressure. The
ventilator automatically adjusts the flow to maintain the set inspiratory
pressure.

Pressure control • Pinspired (control pressure)

mode settings • Rate
• I:E
• Plimit (pressure limit)
• PEEP

SIMV mode

Paw

1
P support
PEEP 2
TI
Time
1. 1. Mandatory SIMV breath
2. 2. Spontaneous pressure supported breath
Figure 6-7 • SIMV diagram

Synchronized Intermittent Mandatory Ventilation (SIMV) is a mode in which

periodic volume breaths are delivered to the patient at preset intervals (time-
triggered). Between the machine delivered breaths, the patient can breathe
spontaneously at the rate, tidal volume and timing that the patient desires.

6-20 1009-0633-000
 6 Specifications and Theory of Operation

At the specified time interval, the ventilator will wait for the next inspiratory
effort from the patient. The sensitivity of this effort is adjusted using the flow
trigger level. When the ventilator senses the beginning of inspiration it
synchronously delivers a volume breath using the set tidal volume, and
inspiratory time that is set on the ventilator. If the patient fails to make an
inspiratory effort during the trigger window time interval, the ventilator will
deliver a machine breath to the patient. The ventilator will always deliver the
specific number of breaths per minute that the clinician has set.
In SIMV, the spontaneous breaths can be pressure supported to assist the
patient in overcoming the resistance of the patient circuit and the artificial
airway. When the Psupport level is set, the ventilator will deliver the pressure
support level to the patient during inspiration. PEEP can also be used in
combination with this mode.

SIMV mode settings

• VT • Rate • Tinspired • Psupport • PEEP

PSVPro mode

Paw

PEEP
TI
Time

Figure 6-8 • PSVPro diagram

PSVPro is pressure supported ventilation with apnea backup.

PSVPro is a spontaneous mode of ventilation that provides a constant
pressure once the ventilator senses that the patient has made an inspiratory
effort. The ventilator identifies an inspiratory effort using a flow trigger that is
user adjustable. In this mode, the user sets the Pressure Support (Psupport)
and PEEP levels. The patient establishes the frequency, inspiratory flow and
inspiratory time. The tidal volume is determined by the pressure, lung
characteristics and patient effort.
PSVPro uses an inspiration termination level that establishes when the
ventilator will stop the pressure supported breath and cycle to the expiratory
phase. The inspiration termination level is user adjustable from 5% - 50%.
This parameter sets the percent of the peak inspiratory flow that the ventilator
uses to end the inspiratory phase of the breath and to cycle into the expiratory
phase. If the inspiration termination is set to 30% then the ventilator will stop
inspiration when the flow decelerates to a level equal to 30% of the measured
peak inspiratory flow. The lower the setting the longer the inspiratory time and
conversely, the higher the setting the shorter the inspiratory phase.

1009-0633-000 6-21
Aespire 7900

An apnea backup mode is provided in the event the patient stops breathing.
When setting the backup mode the user adjusts the inspiratory pressure
(Pinsp), respiratory rate and the inspiratory time (Tinsp). As long as the patient
triggers the ventilator within the set apnea delay time, the patient will get
pressure-supported breaths and the ventilator will not deliver machine
breaths. The apnea delay time can be set from 10 to 30 seconds with the
default set at 30 seconds.
If the patient stops triggering the ventilator for the set apnea delay period, an
audible alarm activates and the ventilator automatically switches to the
backup mode. The backup mode is an SIMV (Pressure Control) + PSV mode.
Once in this mode the ventilator will begin delivering machine Pressure
Control breaths at the inspiratory pressure level, inspiratory time and rate that
the user has set. If, during this mode, the patient takes spontaneous breaths
in between the machine breaths, the patient will receive pressure supported
breaths.
Paw

1
Psupport
PEEP 2
TI
Time
1. Mandatory pressure control breath
2. Spontaneous pressure supported breath
Figure 6-9 • SIMV-PC + PSV backup mode

When the ventilator switches to the backup mode the alarm text "Backup
Mode Active" will be displayed and will remain in the low priority message site
until PSVPro is re-instated or until another mode is selected. To re-activate the
PSVPro mode the user must go into the Ventilation Mode menu and re-select
PSVPro. Upon selecting PSVPro the ventilator will immediately begin providing
pressure supported breaths to the patient using the established settings.

PSVPro mode settings • Pinspired

• Rate
• Tinspired
• Psupport
• PEEP

Minimum monitoring • Shows data

• No mechanical ventilation
• “Monitoring Only” alarm message
• “Minimum System Failure” and specific failure message
• The software goes to minimum monitoring when a non-recoverable error
occurs in boot-up or normal operations.

6-22 1009-0633-000
 6 Specifications and Theory of Operation

Volume control settings • VT (tidal volume)

• Rate
• I:E
• Plimit
• PEEP

Limited inspired pressure • Selecting Pressure mode generates a pressure plateau linked to the
mode Pinspired setting.
• While observing the monitored Pmax value, the user adjusts Pinspired until
Pmax is reached. The ventilator delivers a constant 30 L/m (inspiration)
during this mode.
• Pinsp, Rate and I:E settings are used to create the breathing profile.
• PEEP is available and is additive.

Pressure • Pinsp (control pressure)

mode settings • Rate
• I:E
• Plimit (pressure limit)
• PEEP

Minimum Monitoring • Shows data.

• No mechanical ventilation.
• “Monitoring Only” alarm message.
• “Ventilate Manually” and specific failure message.
• The software goes to minimum monitoring when a non-recoverable error
occurs in boot-up or normal operations.

Ventilation operating specifications

Pneumatics

Gas source: Anesthesia system

Gas composition: Medical Air or O2

Nominal supply pressure: 350 kPa (51 psi)

Pressure range at inlet: 240 to 700 kPa (35 to 102 psi)

Flow valve range: 1 to 120 L/min at 240 kPa (35 psi)

1009-0633-000 6-23
Aespire 7900

Fresh gas
compensation

Flow compensation range: 200 mL/min to 15 L/min

Gas composition: O2, N2O, Air, Anesthetic Agents

Pressure

Patient airway pressure range: -20 to +120 cm H2O

Patient airway display range: -20 to +120 cm H2O

High pressure alarm set range: 12 to 100cm H2O, 1 cm increment

Sustained pressure alarm range: 6 to 30 cm H2O, 1 cm increment

Volume

Tidal volume display range: 5 to 9999 mL, 1 mL resolution

Setting range: 20 to 1500 mL

Minute volume: 0.0 to 99.9 liters

Breath rate: 4 to 100 bpm (breaths per minute), 1 bpm resolution

Volume sensor type: Variable flow orifice

6-24 1009-0633-000
 6 Specifications and Theory of Operation

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 - 90%

Response time of cell and adapter as measured using the
test method described in ISO 7767 (1988-12-15), clause
50.9

Low O2 alarm range: 18% to 100%

High O2 alarm setting: 21% to 100%

Note: Low O2 limit may not be set above the high O2 limit,
nor may the high O2 limit 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

O2 monitor theory of The O2 monitor measures and displays O2 concentration in the patient circuit.
operation 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.

1009-0633-000 6-25
Aespire 7900

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, with 100 percent oxygen in the breathing system; or, it is
connected to an anesthesia gas analyzer. If the ventilator is operating without
being connected to an anesthesia gas analyzer, additional errors may occur
which are described in the “Gas composition related errors (both modes)”
chart which is provided on the next page.
The minimum detectable breath size is 5.0 mL.

Delivery accuracy
Volume control >210 mL tidal volume: Better than ±7% of set V T
(100% O2) 60 to 210 mL tidal volume: Better than ±15 mL
<60 mL tidal volume: Better than ±10 mL
Pressure mode Inspiratory pressure: ±2.0 cm H20 (repeatability only)
(100% O2) PEEP: ±1.5 cm H2O: greater of ±10% or ±3 cm H2O, whichever is
greater

Monitoring accuracy
Volume control >210 mL tidal volume: Better than ±9% of V T
(100% O2) 60 to 210 mL tidal volume: Better than ±18 mL
<60 mL tidal volume: Better than ±10 mL
Pressure mode Better than: ±2.0 cm H20 or ±5% of reading whichever is greater

Measured values are taken at ambient temperature and pressure, and are not
corrected when displayed.

6-26 1009-0633-000
 6 Specifications and Theory of Operation

Gas composition related

errors
% O2
20 30 40 50 60 70 80 90 100
0

10 > +10%

20

30
> ± 5%

% N2O
40

50

60
> -10%
70

80

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.
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:

Carbon dioxide 5%
Nitrous oxide 80%
Halothane 4%
Enflurane 5%
Isoflurane 5%
Sevoflurane 5%
Desflurane 15%

1009-0633-000 6-27
Aespire 7900

Suction regulators (optional)

Venturi suction Supply: Air or O2 from system gas supply

regulator Drive gas consumption: 75 L/min
Maximum Vacuum: 57 mm Hg with pipeline drive gas at 345 kPa (50 psi)
Minimum flow: 20 L/min
Accuracy: ±5% of full scale

Continuous suction Supply: External vacuum

regulator Vacuum levels: 0-200 mm Hg and full line vacuum
Maximum flow: >20 L/min
Accuracy: ±5% of full scale

Auxiliary O2 flowmeter (optional)

Supply: O2 from system gas supply
Flow rates: 0-10 L/min
Accuracy: ±5% of full scale; not pressure compensated

6-28 1009-0633-000
 Index

A K
Alarm priority 4-2 Krytox 3-3, 2-15
apnea backup mode 6-22
assembled breathing system 2-22 L
autoclavable 2-3
leakage current 1-7
B
M
backup power 6-7
bag hose 2-6 Malfunctions 4-3
bag port 2-6 mechanical ventilation 6-19
medical grade gas supplies 1-7
Medisorb 1-4
C
modifications to this equipment 6-8
Calibration screen 3-6
chain linkage 6-4 O
CIDEX sterilization 2-4
cleaning the breathing system 3-4 O2 sensor 6-25
color change of the soda lime 1-4 O2 sensor cable connector 3-4
cylinder valve 1-9, 1-10
P
D patient leakage currents 6-7
Data Communications Equipment 1-8 Patient monitoring 4-3
display distortion 6-10 pressure measurements 6-18
Disposable Multi Absorber 2-25 protect the patient 4-4

E R
electrical equipment 6-8 repair a leak 1-11
Electrical outlets 1-7 repair a problem 4-4
electromagnetic environment 6-9 Reusable Multi Absorber 2-25
electromagnetic interference 6-12 RS-232C signal standards 1-8

F T
filters 1-6 test plug 2-15
flow sensor module 3-4 transformer kit 1-7
flush valve 6-4 types of alarms 4-4

H V
high level disinfection 2-26 Volume monitoring 6-18
high pressure gas 1-9
W
washable by hand or machine 2-3
water in the sensing lines 3-12

1009-0633-000 I-1
Aespire 7900

I-2 1009-0633-000
Warranty
This Product is sold by Datex-Ohmeda under the warranties set forth in the
following paragraphs. Such warranties are extended only with respect to the
purchase of this Product directly from Datex-Ohmeda or Datex-Ohmeda’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 Datex-Ohmeda to a Datex-Ohmeda 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 Datex-Ohmeda or in accordance with written instructions provided
by Datex-Ohmeda, or altered by anyone other than Datex-Ohmeda, or if the
Product has been subject to abuse, misuse, negligence, or accident.
Datex-Ohmeda’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 Datex-Ohmeda’s option, a Product, which is telephonically
reported to the nearest Datex-Ohmeda Customer Service Center and which,
if so advised by Datex-Ohmeda, 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 Datex-Ohmeda Customer Service and
Distribution Center during normal business hours, transportation charges
prepaid, and which, upon Datex-Ohmeda’s examination, is found not to
conform with above warranties. Datex-Ohmeda 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. Datex-Ohmeda makes no warranty of
merchantability or fitness for a particular purpose with respect to the product
or parts thereof.

CONFIDENTIAL - NOT FOR RELEASE

Aespire 7900
User’s Reference Manual, English Part 2
1009 0633 000
10 04 A 01 21 03
Printed in USA
©Datex-Ohmeda, Inc. All rights reserved