AX-900

Anaesthesia Machine
Service manual
 目录
Preface............................................................................................................................................ 1-I
Manual Purpose ............................................................................................................................. 1-I
Intended Audience ......................................................................................................................... 1-I
Password ........................................................................................................................................ 1-I
Chapter 1 Safety .............................................................................................................................1-1
1.1 Safety Information ...........................................................................................................1-1
1.1.1 Danger ...................................................................................................................1-1
1.1.2 Warning ................................................................................................................. 1-2
1.1.3 Caution .................................................................................................................. 1-2
1.1.4 Note .......................................................................................................................1-2
1.2 Symbols used in the Manual or on the Equipment...........................................................1-3
Chapter 2 Theory of Operation ......................................................................................................2-1
2.1 Gas Flow ..........................................................................................................................2-1
2.1.1 Pneumatic Circuit Diagram ................................................................................... 2-1
2.1.2 Description ............................................................................................................2-4
2.2 Electrical Connections ................................................................................................... 2-13
2.2.1 Electrical Circuit Diagram .................................................................................. 2-13
2.2.2 Circuit board view ............................................................................................... 2-15
Chapter 3 Tests Before Use ............................................................................................................3-1
3.1 Test Procedures ................................................................................................................3-1
3.1.1 Test Interval ........................................................................................................... 3-1
3.1.2 Before the Anesthesia Machine Used on the First Patient Every Day ..................3-2
3.1.3 Before Anesthesia Machine Used on Each Patient................................................3-3
3.2 Check the System .............................................................................................................3-3
3.2.1 Gas Supply Pipeline Test.......................................................................................3-4
3.2.2 Backup Gas Cylinder Test ..................................................................................... 3-6
3.2.3 Electronic Flow Control System Testing............................................................... 3-7
3.2.4 Backup Flow Control System Testing ...................................................................3-8
3.2.5 O2 and N2O linkage Test without O2 Sensor ......................................................... 3-9
3.2.6 O2 and N2O linkage test with O2 Sensor ............................................................. 3-11
3.3 Anesthesia Vaporizer Back Pressure Test ....................................................................... 3-12
3.4 Alarm Tests..................................................................................................................... 3-12
3.4.1 Monitoring the O2 Concentration and Alarms ..................................................... 3-13
3.4.2 Test the Minute Volume (MV) Alarm.................................................................. 3-14
3.4.3 Test the Apnea Alarm .......................................................................................... 3-14
3.4.4 Test the Sustained Airway Pressure Alarm.......................................................... 3-14
3.4.5 Test the High Paw Alarm .................................................................................... 3-15
3.4.6 Test the Low Paw Alarm ..................................................................................... 3-15
3.4.7 Test the CO2 Monitor Alarm ............................................................................... 3-15
3.5 Breathing System Testing............................................................................................... 3-16
3.5.1 Bellows Tightness Test ........................................................................................ 3-17
3.5.2 Breathing System Leak Test in Mechanical Ventilation Mode ........................... 3-17
3.5.3 Breathing System Leak Test in Manual Ventilation Mode .................................. 3-18
 3.5.4 APL Valve Accuracy Test .................................................................................... 3-19
3.5.5 Check Valve Inspection and Test......................................................................... 3-20
3.6 Ventilator Test ................................................................................................................ 3-20
3.7 AGSS Transfer and Receiving System Test ................................................................... 3-20
3.7.1 Connection Leakage Test for AGSS and the Exhaust Gas Outlet of Anesthesia
Machine........................................................................................................................ 3-21
3.8 Vacuum Suction System Test ......................................................................................... 3-21
3.8.1 Internal vacuum suction testing........................................................................... 3-22
3.8.2 External vacuum suction testing ......................................................................... 3-23
Chapter 4 Maintenance and Calibration .........................................................................................4-1
4.1 Equipment Maintenance...................................................................................................4-1
4.1.1 One-year Replaceable Parts ..................................................................................4-1
4.1.2 Three-year Replaceable Parts ................................................................................4-9
4.2 System Test .................................................................................................................... 4-10
4.2.1 Check the Mechanical Ventilation Mode ............................................................ 4-11
4.2.2 Breathing System Leak Test in Mechanical Ventilation Mode ........................... 4-14
4.2.3 Breathing System Leak Test in Manual Ventilation Mode .................................. 4-14
4.2.4 Check the Sensor Zero Point ............................................................................... 4-14
4.2.5 Check the Flow Sensor Accuracy ....................................................................... 4-15
4.2.6 Check the Pressure Sensor Accuracy .................................................................. 4-16
4.3 System Calibration ......................................................................................................... 4-16
4.3.1 Flow Calibration (user) ....................................................................................... 4-19
4.3.2 Flow Calibration (factory)................................................................................... 4-20
4.3.3 Pressure Calibration (factory) ............................................................................. 4-22
4.3.4 Pressure and Flow Zeroing (factory) ................................................................... 4-23
4.3.5 Electronic Flowmeter Zeroing (factory).............................................................. 4-24
4.3.6 CO2 Calibration (factory) ................................................................................... 4-26
4.3.7 AG Calibration (factory) ..................................................................................... 4-27
4.4 Software Upgrade and Software Configuration ............................................................. 4-28
4.4.1 System Software Upgrade ................................................................................... 4-29
4.4.2 Upgrade or Reset the HYP Software................................................................... 4-32
4.4.3 Upgrade of O2 Sensor Monitoring Function....................................................... 4-33
4.5 Zero the Airway Pressure Gauge ................................................................................... 4-33
4.6 Adjust the APL Valve Accuracy .................................................................................... 4-35
Chapter 5 Troubleshooting.............................................................................................................5-1
5.1 Introduction ......................................................................................................................5-1
5.2 Physiologic Alarms ..........................................................................................................5-1
5.3 Technical Alarm Check....................................................................................................5-4
5.3.1 Monitor wafer Alarms ...........................................................................................5-4
5.3.2 Full electronic flowmeter Alarms ..........................................................................5-6
5.3.3 Battery Alarms ......................................................................................................5-7
5.3.4 AG Module Alarms ...............................................................................................5-8
5.3.5 CO2 Module Alarms ............................................................................................ 5-10
5.3.6 BIS Module Alarms............................................................................................. 5-11
 5.4 Prompt Information ........................................................................................................ 5-12
5.4.1 The prompt message displayed in the alarm bar ................................................. 5-12
5.4.2 The prompt message displayed in the information bar ....................................... 5-13
5.5 Pneumatic Circuit System Problems .............................................................................. 5-14
5.5.1 Tools for on-site Maintenance ............................................................................. 5-14
5.5.2 Gas Supplies and Drive Gas ................................................................................ 5-16
5.5.3 Anesthetic Gas Delivery System ......................................................................... 5-24
5.6 Troubleshoot Sensor and Valve Related Failures by Using the Valve test Tool ............. 5-36
5.6.1 Preparations before Using the Valve test Tool..................................................... 5-36
5.6.2 One-to-one Correspondence between the Sensors &Valves on the Valve test Tool
Screen and the Components ......................................................................................... 5-37
5.6.3 Description .......................................................................................................... 5-38
5.7 Hardware and Electrical Problems ................................................................................. 5-43
Chapter 6 Repair and Disassembly ................................................................................................6-1
6.1 Prepare for Disassembly ..................................................................................................6-1
6.1.1 Tools......................................................................................................................6-1
6.1.2 Preparations ...........................................................................................................6-2
6.2 Disassemble the Assemblies ............................................................................................6-2
6.2.1 Remove the Top Panel...........................................................................................6-2
6.2.2 Remove Rear Panel ...............................................................................................6-3
6.2.3 Dismantle the main machine rear panel Assembly ...............................................6-4
6.2.4 Dismantle the trolley rear panel assembly ............................................................6-4
6.2.5 Remove workbench cover ..................................................................................... 6-5
6.2.6 Remove Gas path part ...........................................................................................6-5
6.2.7 Remove the rapid Oxygen flush part.....................................................................6-7
6.2.8 Remove ACGO parts.............................................................................................6-7
6.2.9 Remove Gas circle transfer part ............................................................................6-8
6.2.10 Remove silicencing air-capacitor ........................................................................6-9
6.2.11 Remove N2O Cut-Off Valve Assembly ............................................................. 6-10
6.2.12 Remove the pressure relief valve ...................................................................... 6-11
6.2.13 Remove back-up cylinder bracket ..................................................................... 6-11
6.2.14 Remove gas inlet part ........................................................................................ 6-12
6.2.15 Remove Gas inlet base part ............................................................................... 6-13
6.2.16 Remove digital flow meter sensor parts ............................................................ 6-14
6.2.17 Double-vaporizer Manifold Assembly .............................................................. 6-14
6.2.18 Remve Air Quality gas flow sensor part ........................................................... 6-15
6.2.19 Remove pressure regulating part ....................................................................... 6-16
6.2.20 Remove the parts under workbench .................................................................. 6-17
6.2.21 Remove Gas capacitor back cover: ................................................................... 6-19
6.2.22 Remove gas capacitor part: ............................................................................... 6-20
6.2.23 Remove the AGSS parts .................................................................................... 6-21
6.2.24 Remove the Isolation Transformer Back Cover ................................................ 6-23
6.2.25 Remove the lithium battery ............................................................................... 6-23
6.2.26 Remove Isolation Transfomer part .................................................................... 6-24
 6.2.27 Replace the Caster ............................................................................................. 6-26
6.3 Disassemble the Breathing System ................................................................................ 6-26
6.3.1 Disassemble the Absorber ................................................................................... 6-26
6.3.2 Disassemble the Oxygen Sensors........................................................................ 6-27
6.3.3 Disassemble the respiration hose and Y-piece..................................................... 6-28
6.3.4 Disassemble the Manual Respiration Leather Bag.............................................. 6-28
6.3.5 Disassemble the Gas Channel Manometer .......................................................... 6-29
6.3.6 Disassemble the Manual Support Column .......................................................... 6-29
6.3.7 Disassemble the Bellows Assembly .................................................................... 6-30
7 Remove the folded sack from the folded sack holder. .............................................................. 6-30
6.3.8 Disassemble the Flow Sensor.............................................................................. 6-31
6.3.9 Disassemble Expiratory check valve (unidirectional valve) Assembly............... 6-32
6.3.10 Disassemble Inspiratory check valve (unidirectional valve) Assembly ............ 6-33
6.3.11 Disassemble the Breathing System ................................................................... 6-33
6.3.12 Disassemble the Bag/mechanical Ventilation Switch Assembly ....................... 6-33
6.3.13 Remove the APL Valve Assembly..................................................................... 6-35
6.3.14 Remove the Upper Cover of base of bellows .................................................... 6-35
6.3.15 Remove the Upper Cover Assembly ................................................................. 6-37
6.3.16 Remove the Median Plate Assembly ................................................................. 6-37
6.3.17 Remove Lower Cover of Bellow Assembly ...................................................... 6-38
Preface
Manual Purpose
This manual provides detailed information about the assembling, dissembling, testing and
troubleshooting of the equipment to support effective troubleshooting and repair. It is not intended
to be a comprehensive, in-depth explanation of the product architecture or technical
implementation. Observance of the manual is a prerequisite for proper equipment maintenance
and prevents equipment damage and personal injury.
This manual is based on the maximum configuration. Therefore, some contents may not apply to
your monitor. If you have any question, please contact our Customer Service Department.

Intended Audience
This manual is geared for biomedical engineers, authorized technicians or service representatives
responsible for troubleshooting, repairing and maintaining the anesthesia machines.

Password
A password is required to access different modes within the anesthesia machine.
 Factory maintenance password: 5188

1-I
 Chapter 1 Safety
1.1 Safety Information

Danger

 Indicates an imminent hazard that, if not avoided, will result in death or serious injury.

Warning

 Indicates a potential hazard or unsafe practice that, if not avoided, could result in death
or serious injury.

Caution

 Indicates a potential hazard or unsafe practice that, if not avoided, could result in
minor personal injury or product/property damage.

Attention

 To emphasize the critical announcements and provide explanations .

Note

 Provides application tips or other useful information to ensure that you get
themostfrom your product.

1.1.1 Danger

There are no dangers that refer to the product in general. Specific “Danger” statements may

1-1
be given in the respective sections of this manual.

1.1.2 Warning

Warning

 This equipment must be installed by factory authorized engineers and adequate

training of its use should be delivered to its user before it is put into use.
 There is high voltage inside the equipment. Never disassemble the equipment before it
is disconnected from the AC power source.
 This equipment can be disassembled by Comen trained and authorized personnel only.
 Be sure of static discharge before disassembling the equipment. Wear antistatic wrist
straps or gloves when disassembling the parts labelled with static-sensitive symbols to
avoid damage to the parts.
 The equipment must be connected to a properly installed power outlet withprotective
earth contacts only. If the installation does not provide for a protective earth conductor,
disconnect it from the power line.
 Dispose of the packaging materials, observing the applicable waste control regulations
and keeping it out of children’s reach.

1.1.3 Caution

Caution

 Make sure that no electromagnetic radiation interferes with the performance of the
equipment when preparing to carry out performance tests. Mobile phone, X-ray
equipment or MRI devices are a possible source of interference as they may emit higher
levels of electromagnetic radiation.
 Before connecting the equipment to the power source, check that the power source
conforms to the requirements specified in the Operator’s Manual.

1.1.4 Note

Note

 Refer to Operator’s Manual for detailed operation and other information.

1-2
1.2 Symbols used in the Manual or on the Equipment

Notes Symbol

Adjustable top light

The maximum bearing weight of the entire machine is 210kg.

The maximum bearing weight of the top plate is 20kg

The maximum bearing weight of the workbench is 20kg

The maximum bearing weight of the top drawer is 1kg.

The maximum bearing weight of the bottom drawer is 3kg.

The maximum bearing weight of the circuit hook is 1kg.

General warning,caution,risk of danger

High voltage warning

Flowmeter back lighting

Flow regulation

Alternating current

Battery indicator lamp

Operating indicator lamp

Battery

AUDIO PAUSED

1-3
 Notes Symbol

Alarm

Network port

Standby

Cylinder O2-inlet

Cylinder N2O-inlet

Cylinder AIR-inlet

An anesthesia-vaporizer mounting labeling

Oxygen flow meter flag

N2O flowmeter flag

Air-flow meter flag

Oxygen flush flag

CO2 module relevant flag CO2

AG module relevant flag AG

BIS module relevant flag BIS

O2、N2O、AIR

Gas supply inlet

280~600kPa

Equipotentiality

1-4
 Notes Symbol

Protective grounding flag

System turn-on flag

System turnoff flag

Backup gas cylinder

Circuit removal flag

Manual drain valve flag

CO2 absorbent canister installation and lockup flag

AGSS gas vent

PEEP gas vent

Isolation transformer

Pipeline Pipeline

Insp
Inspiratory/expiratory flag
Exp

Inspiratory/expiratory valve removal/assembling flag

Autoclavable

Not Autoclavable

Oxygen cell flag

1-5
 Notes Symbol

BY-Pass flag

APL valve

Bag position/Manual ventilation

Mechanical ventilation

Material explanation

Maximum volume of Canister (carbon dioxide absorbent)

Canister (carbon dioxide absorbent) components

Bellows cover’s sealing ring on-the-top flag

USB port

Video output

Hot Caution!

Oxygen pressure gauge flag and backup gas-cylinder oxygen

pressure gauge flag

Nitrous oxide pressure gauge flag and backup gas-cylinder

nitrous oxide gauge flag

Air pressure gauge flag and backup gas-cylinder Air gauge

flag

Power-supply general input (220 to 240V)

Power-supply general input (100 to 127V)

1-6
 Notes Symbol

Auxiliary output socket flag(220 to 240V)

Total Max Output power(Total Max.2.2A)

Auxiliary output socket flag(100 to 127V)

Total Max Output power(Total Max.4.5A)

Serial port flag

High pressure oxygen supply outlet flag

Auxiliary air / oxygen supply outlet flag

Auxiliary oxygen-supply flow meter flag

Type of negative pressure equipment

Negative pressure maximum pressure and flow flag

Non-protected against water IPX0

Date of manufacture

Defibrillation-proof type BF applied part

Serial Number

Complies with medical device directive 93/42/EEC

1-7
 Notes Symbol

Authorised representative in the European Community

Address of manufacture

The device contains batteries and electrical

components. Consequently it cannot be
disposed of in domestic waste but must be
collected separately in accordance with local
laws and regulations.

MR Unsafe

This way up

Fragile

Do not stack

Keep away from rain

Do not roll

center of gravity

1-8
 Notes Symbol

recyclable

Environmental protection

Temperature limitation

Humidity limitation

Atmospheric pressure limitation

Refer to instruction manual/ booklet

1-9
 Chapter 2 Theory of Operation
2.1 Gas Flow

2.1.1 Pneumatic Circuit Diagram

AGSS

Serial No. Description Serial No. Description

Two-way two-port
1 Pipeline oxygen inlet 51 electromagnetic valve
(always on)
2 Pipeline oxygen inlet 52 Check valve
Hand control valve
3 Oxygen cylinder inlet 53
(mechanical)
Two-way three-port
4 Pipeline air inlet 54
electromagnetic valve
5 Pipeline nitrous oxide inlet 55 Cylinder

6 Nitrous oxide cylinder inlet 56 Check valve

7 Filter 57 ACGO

8 Filter 58 ACGO outlet

2-1
9 Pipeline gas pressure sensor 59 Absorption tank

10 Gas cylinder pressure sensor 60 by-PASS

11 Check valve 61 Suction check valve

12 Check valve 62 Oxygen sensor

13 Safety valve (0.7MPA) 63 Airway pressure gauge

Pressure regulating valve
14 64 Suction flow sensor
(0.4MPA)
Pressure regulating valve
15 65 Patient
(0.2MPA)
Self-closing check valve
16 66 Exhalation check valve
connector
Tubular flow meter
17 67 Drain valve
(0-15L/min)
Tubular flow meter
18 68 Expiratory flow sensor
(0-15L/min)
Module exhaust
19 Gas nozzle 69
channel
Tree-way two-port
Pressure regulating valve
20 70 electromagnetic valve
(0.2MPA)
(always on)
Pressure regulating valve
21 71 /
(0.2MPA)
Pressure regulating valve
22 72 Filter
(0.2MPA)
Pressure regulating valve Electromagnetic
23 73
(0.2MPA) proportional valve
Pressure regulating valve Safety valve (100cmH2
24 74
(0.2MPA) O)
Negative pressure valve
25 Filter 75
(-6cmH2O)
Two-way two-port
26 electromagnetic valve 76 Bellows
(always off)
27 Check valve 77 pop-off valve

28 Filter 78 Manual machine control

Electromagnetic proportional
29 79 Manual bag
valve
30 Filter 80 APL valve
Two-way two-port
31 Flow sensor 81
electromagnetic valve

2-2
 (always off)

Electromagnetic
32 Filter 82
proportional valve
Two-way two-port
33 electromagnetic valve 83 Peep valve
(always off)
34 Check valve 84 Safety valve (10cmH2O)

35 Filter 85 Gas capacity

Two-way two-port
36 electromagnetic valve 86 Gas resistance
(always off )
37 Check valve 87 Gas capacity base

38 Filter 88 Negative pressure valve

Electromagnetic proportional 30 external cone
39 89
valve connectors
40 Filter 90 Silencing gas capacity

41 Flow sensor 91 AGSS

42 Filter 92 Atmosphere
Pressure switch
43 Check valve 93
(0.2MPA)
Two-way five-port
Tubular flow meter
44 94 bistable mechanical
(0-15L/min)
valve
45 Evaporator seat 95 Throttle valve

46 Evaporator 96 /

47 Evaporator 97 Check valve

48 Manual machine control 98 Check valve

Oxygen and nitrous oxide
49 99 Flow sensor
cut-off valve
Needle valve for oxygen,
50 100
nitrous oxide and air

 Key to Symbols
Filter Gassupply
connector
Regulator Pressure switch

2-3
 Flowmeter Check valve

Flow control valve Two three-way

solenoid valve

2.1.2 Description

2.1.2.1Gas Supplies

The above picture shows the O2 pipeline supply inlet assembly. The anesthesia machine’s
pneumatic circuit starts from the gas supplies, which functions to introduce the external pipeline
or cylinder gases into the machine. Since the pressure of external gas is very high and the external
gas contains foreign substance, pressure reducing valves, filters and pressure relief valves are
available in the supply gas circuit. Also, check valves are equipped in the supply gas circuit to
prevent gas from flowing back into the pipeline or cylinder.
The anesthesia machine has pipeline and cylinder gas supplies available. Pipeline gas supplies,
which are O2, N2O and Air, go into the pipeline gas supply inlet assemblies through pipeline
connectors respectively. The pipeline pressure ranges between 280 and600 kPa. Cylinder gas
supplies, which are O2 and N2O, go into the system through cylinder connectors respectively. The
O2 and N2O cylinder pressures are 6.9–15 MPa and4.2–6 MPa respectively, which are decreased
to approximately 400 kPa through regulator. Each connector is clearly marked and designed to
prevent misconnection. All connectors have filters and check valves. Color coded gauges show the
pipeline and cylinder pressures. Pressure relief valve 7 functions to prevent the supply gas
pressure from being too high. It releases excess gas when gas pressure exceeds 750 kPa. Each
supply gas is outputted after gas pressure is decreased below 200 kPa through regulator. Pressure
switch monitors the O2 supply pressure. When O2 supply pressure is less than approximately 200
kPa, the ventilator gives the alarm of O2 supply failure.

2-4
The following picture shows the output connectors of O2 pipeline supply inlet assembly.

2.1.2.2Anesthetic Gas Delivery System

The anesthetic gas delivery system is connected to the gas supplies, anesthetic gas delivery device
(vaporizer) and breathing system. N2O, O2 and Air supplies enter the anesthetic gas delivery
system and the mixed gas (namely fresh gas) containing these three gases andanesthetic agent and
pure O2 (for auxiliary O2 supply and flushing O2) are outputted.
The following picture takes O2+N2O+Air configuration as an example to illustrate how pipeline
gas supplies are outputted. O2 is divided into two pathways (into three pathways if auxiliary O2
supply is configured: system switch, O2 flush valve and auxiliary O2supply 46respectively). One
pathway of O2 flows into system switch and the other intoO2 flush valve. N2O flows into
O2-N2O cut-off valve and Air into system switch.

2-5
When system switch is turned on, Air enters flow regulator. O2 is divided into two pathways. One
pathway of O2 flows into flow regulator and the other into O2-N2Ocut-off valve. If the pressure
of O2 vented into O2-N2O cut-off valve is greater than0.1 MPa, N2O can enter flow regulator, as
shown below.

2-6
Flow regulator controls gas flows. The gases passing through flow regulator enter electronic
flowmeter &throttling device and are then converged to enter float flowmeter, as shown below.

The converged gas goes from float flowmeter to the anesthetic gas delivery device (vaporizer),
forming fresh gas after mixed with anesthetic agent. The fresh gas then goes from check valve
through the ACGO assembly to the breathing system. The flushing O2also enters the breathing
system through the ACGO assembly.
When ACGO is turned on, the anesthesia machine stops mechanical ventilation. The fresh gas is
directly outputted through the inspiration connector on the breathing circuit. Mechanical pressure
relief valve on the ACGO prevents gas pressure at the ACGO port from exceeding 12.5 kPa when
ACGO is turned on.
System Switch Assembly
The picture below shows the System Switch Assembly. Supply gases of air and O2 go into system
switch; and Air & O2 flowing into the flow meter assembly and O2 into the control end of the
O2-N2O cut-off valve are outputted. System switch has an electrical outlet which controls the
power-on status of the system. When the system switch is turned on, O2 and Air enter the
anesthetic gas delivery system and the system is powered on simultaneously. The anesthetic
ventilator starts to monitor the status of the system. When the system switch is turned off, O2 and
Air cannot enter the anesthetic gas delivery system and the system is powered off.
2-7
O2-N2O Cut-off Valve Assembly
The above picture shows the O2-N2O cut-off valve assembly. O2-N2O cut-off valve is
apneumatically controlled three-way valve. O2 is uploaded to the control end of the
O2-N2Ocut-off valve to conduct on-off control of N2O. When the O2 supply pressure is less than
0.1MPa (approximate value), N2O supply is cut off. When the O2 supply pressure is greater than
0.1 MPa (approximate value), N2O supply is switched on. O2-N2O cut-off valve does not affect
Air supply.

Flow Display Assembly

Electronic flowmeter&throttling device and float flowmeter constitute the flow display assembly.
Gases from the flow regulators enter into the flow display assembly and mixed gas going through
the anesthetic gas delivery device (vaporizer) is outputted. Electronic flowmeter&throttling device
measures and displays the flow of each gas. Float flowmeter28 displays the total gas flow. The
flow range displayed is from 0.05 to 10 L/min at there solution of 0.5 L/min. The measurement
accuracy is required to be ±10% of the reading. The scale starts from 0.5 L/min and increases by
0.5 L/min when flow is within 0.5 to 2L/min and by 1 L/min when flow is within 2 to 10 L/min.
2-8
O2 Flush Button Assembly
The above picture shows the O2 flush button assembly. When O2 flush valve is depressed,O2
rushes into the pneumatic circuit which is cut off when this valve is released. The O2supply gas at
0.2 MPa after regulated goes through the O2 flush valve, the ACGO assembly, and into the
breathing system. The O2 flush button assemby is not affected by the system switch. Flushing O2
can be performed as long as O2 supply is normal. The O2 flush valvehas a slide valve structure
inside which ensures automatic reset each time the valve is depressed and released via the spring.

Vaporizer Manifold
The above picture shows the single-vaporizer manifold assembly. The anesthetic gas delivery
device (vaporizer) is connected to the anesthetic gas delivery system. The mixed gas of N2O, O2
and Air go into the device and the fresh gas containing these three gases and anesthetic agent is
finally outputted to the ACGO assembly. The following figure shows the pneumatic ccircuit of
anesthetic gas delivery device (vaporizer).

ACGO Assembly
The above picture shows the ACGO assembly. The ACGO assembly includes five parts: pressure

2-9
switch, flow restrictor, pressure relief valve, ACGO selector switch (three-way valve) and contact
switch. Flushing O2 and fresh gas are mixed through the three-way valve and enter the ACGO.
The outputs include fresh gas provided for the breathing system (when ACGO is turned off) and
that provided for the patient (when ACGO is turned on). Pressure relief valve at the front restricts
the pressure of flushing O2 and also that of the fresh gas not to exceed 38 kPa (approximate value).
Pressure relief valve at the back ensures that the pressure of the gas outputted to the ACGO does
not exceed 12.5kPa.

Auxiliary O2 Supply Assembly

Auxiliary O2 supply assembly has two optional input ports (as shown below). O2 goes from O2
supply inlet assembly, with flow controlled by a flow regulator and displayed by aglass tube
flowmeter, into the patient. The flow range adjusted is from 0 to 15 L/min and that displayed is
from 0 to 10 L/min at the resolution of 1 L/min. Turning the flow control counter clockwise
increases the flow and clockwise decreases the flow.

2.1.2.3 Breathing System

The breathing system provides a closed loop for the anesthetic gas. The CO2 in the patient’s
expired gas can be inspired in the inspiration phase to maintain the temperature and humidity
conditions of the patient’s expired gas. During inspiration, the drive gas depresses the bagin side
the bellows to force the inside gas to enter the patient’s lung. During expiration, the patient’s
expired gas goes into the bag inside the bellows. Sodalime canister absorbs CO2the patient
expires.
Manual and mechanical ventilation modes are selected through the bag/mechanical ventilation
switch. When manual ventilation is selected, the doctor presses manual bag to supply gas for the
breathing system. APL valveis used to adjust the pressure inside the pneumatic circuit in case of
manual ventilation. When mechanical ventilation is selected, the ventilator starts to work. It
controls the drive gas to depress the folding bag inside bellows and supply gas for the breathing
system as per the selected ventilation mode.
Connected to the anesthesia machine main unit through the circuit adapter, the breathing system is
highly integrated. Its tubes are all built in except the tube connected to the patient and the O2 cell
2-10
 cable, as shown below.

Circuit adapter
Bag/mechanical
ventilation switch

Bellows assembly
Patient end
Inspiratoryvalve (built-ininspiratory
andexpiratory

APL valve

Expiratoryvalve

Bag arm

Airwaypressure
gauge

Lifting device (built-in

BYPASS valve)

Manual Drain Valve

Sodalime canister

In case of mechanical ventilation, during inspiration, gas flows through bag/mechanical

ventilation switch, BYPASS valve or sodalime canister, inspiratory valve, O2sensor, airway
pressure gauge, and inspiratory flow sensor to the patient. During expiration, gas flows through
expiratory flow sensor, expiratory valve and bag/mechanical ventilation switch to the folding bag.

2-11
Airway pressure is monitored by pressure sensor.
The breathing system is easily disassembled and is autoclavable at 134℃.

2.1.2.4Anesthetic Gas Scavenging System

The anesthetic gas scavenging system (AGSS) is composed of AGSS transfer system, AGSS
receiving system and AGSS disposal system. Waste gas goes from the exhaust port of the
anesthesia machine through the AGSS transfer system and the AGSS receiving system and to the
hospital’s waste gas disposal system (AGSS disposal system).
The following figure shows the operational theory of the AGSS. The throttling holes reduce the
effect of negative pressure at the AGSS outlet onto the flow at the entrance. The float helps the
user to learn if the disposal system meets the requirement for minimum pump rate. The filter
filters foreign substance to prevent the disposal system from being occluded. The gas reservoir is
connected to the air through pressure compensation openings. When positive or negative pressure
occurs inside the gas reservoir, gas is inputted or outputted to ensure pressure balance inside the
system.
The AGSS transfer system is a blue tube with 30 mm conical connectors at both ends. The inlet of
the transfer system is a female 30 mm conical connector and the outlet a male 30 mm conical
connector. The transfer system is connected to the receiving system through the male30 mm
conical connector. The receiving system is connected to the receiving hose through the proprietary
connector. The receiving hose is connected to the hospital’s disposal system through BS 6834
connector. The following picture shows the structures of and the connections between the AGSS
transfer system, receiving system and disposal system.

2-12
2.2 Electrical Connections

2.2.1 Electrical Circuit Diagram

No. Component No. Component

1 AC input filter socket 27 SD card
2 Fuse 28 USB1
3 Isolation transformer board 29 Network connector
4 Isolation transformer 30 VGA
5 Breaker 31 Infrared relay board
CO2/AG/BIS
6 AC auxiliary output socket 32
Plug-in module
7 AC/DC power switch 33 Monitoring board
8 Lithium battery 34 Calibration serial port

2-13
No. Component No. Component
9 System switch 35 Switch signal 1
10 Power fan 36 O2 sensor adaption board
11 Isolation transformer fan 37 O2 sensor
Zero valve, proportional valve, safety
12 Flowmeter backlight switch 38
valve
Single tube flowmeter backlight AIR、O2 source driven selector valve
13 39
board
14 Workbench lighting switch 40 Sensor board
15 Workbench lighting board 41 Switch signal 2
16 Circuit Heater 42 Pipeline pressure sensor
17 DC/DC power board 43 Cylinder pressure sensor
18 Keyboard 44 Sensor signal adaption board
19 Shuttle 45 Flow sensor
Mechanical/Electronic flowmeter
20 Indicator light 46
selector valve
21 Alarm light 47 O2、N2O、AIR gate valve
22 Buzzer 48 Proportional valve
23 Main control board 1 49 Main control board 2
24 LCD screen 1 50 LCD screen 2
25 Touch screen 1 51 Touch screen 2
26 Alarm speaker 52 USB2

2-14
2.2.2 Circuit board view

2.2.2.1 Main control board

Connect LCD screen Connect touch screen

3.3V power indicator VGA

Connect network port

Connect alarm
Software working indicator
speaker

Connect USB
adapter board
Connect keyboard
Connect power supply

DEBUG Connect monitor

board main CPU

5V power indicator Connect infrared Connect monitor board back up

transponder CPU

2-15
 2.2.2.2 Monitor board

J11 connect sensor board

J5 connect three-way valve

J13 connect 8 inch
main control board

J15 connect switch and

oxygen battery

J2 calibration serial port

J20 connect 15 inch
main control board

J4 connect to exhalation
valve, inhalation valve,
safety valve

J16 connect high-power J6 connect the power

air source to drive the gate adapter board
valve

2-16
 2.2.2.3 Sensor board

Connect Connect
O2,N2O mechanical/el mechanical/electr
O2,back up O2 cylinder ectronic onic gate valve
pipeline pressure pressure condition and drive valve

Air,N2O pipeline
pressure

Connect
O2,N2O,air
gate valve

Connect Connect air Connect O2 Reserved, not

O2 and air flow sensor flow sensor connected
proportion
al valve

2-17
 2.2.2.3 Power adapter board

J16Heater
J17 heater temperature J4 system
J7 Switch power socket collection switch J13 connect keyboard

J14 flowmeter
backlight

J13 flowmeter
J1 Fan backlight

J18 flowmeter
backlight switch

J15 Ceiling lighting

J10 Isolated transformer fan

J12 monitor J15 8-inch main J19 Infrared

board power control board transponder board
detection signal power supply power supply
J11 15 inch main
control power
supply

2-18
 Chapter 3 Tests Before Use

Warning
Prior to using the equipment, make sure to read the User’s Manual and understand the operation
and maintenance of all components.

If the equipment fails to pass the pre-use tests, do not use it,and contact the Company.

As to anesthesia gas delivery system, monitoring devices, alarm system and protective devices
intended to serve an anesthesia systems, they are no matter singly used or assembled for an
anesthesia machine, a checklist of the anesthesia system shall be submitted.

Attention
This guideline can be changed according to different situations of local clinical practice. Such
changes shall be subject to appropriate peer review.

It is recommended that you check whether the N2O blocking function and the O2-N2O ratio are
normal before using the device. Use an O2 concentration tester to monitor the concentration
of O2 in the output gas.

3.1 Test Procedures

3.1.1 Test Interval

Pre-use tests shall be conducted in the following cases:

Before the anesthesia machine is used on the first patient every day

Before the anesthesia machine is used on each patient.

After anesthesia machine is repaired or maintained.

The recommended testing time and test items is given as follows:

After anesthesia
Before the anesthesia machine Before anesthesia
machine is repaired
Test items is used on the first patient every machine is used on
or maintained
day each patient

3-1
Systematic inspection √ √
Alarm test √ √ √
Gas supply pipeline and
√ √
gas cylinder test
Flow control system test √ √
Anesthesia vaporizer
√ √
installation test
Anesthesia vaporizer
√ √
back pressure test
Breathing system leak
√ √ √
test
Oxygen flush test √ √ √
AGSS transfer and
√ √
receiving system test
Vacuum suction device √ √
test

3.1.2 Before the Anesthesia Machine Used on the First Patient

Every Day

1. Verify that the required emergency equipment is kept ready and in good
condition.
2. Conduct test and verify that the equipment is kept in good order and condition,
and the components are connected correctly.
3. Verify the connection of gas supply system, and verify that the gas cylinders are
already assembled, and the displayed pressure values are correct.
4. Verify the liquid anesthetic level inside the anesthesia vaporizer is appropriate,
and check that the anesthesia vaporizer fits its mounting perfectly.
5. Verify that the respiration circuit is connected correctly and intact.
6. Verify that there is enough renewed CO2 absorbent inside the CO2 canister.
7. Connect the scavenging system, and verify that the system works well.
8. Turn the system switch to “ON”, the system automatically performs a series of
self-tests. Verify that the system passes all the self-tests.
9. If the system passes the self-tests, perform “Automatic circuit leak testing” and
“Manual circuit leak testing”.
10. Make sure that the oxygen supply is adequate.
11. Select correct patient types like [adult] or [Child].
12. Start ventilation.
13. Set proper controlling values and alarm limits for the patient.

3-2
3.1.3 Before Anesthesia Machine Used on Each Patient

If you have finished tests as described in section 3.1.2 Before the Anesthesia machine is Used
on the First Patient Every Day, it is unnecessary to conduct this test, that is the test before the
machine is used on each patient, for the first patient..
1. Verify that the required emergency equipment is kept ready and in good condition.
2. Verify that the level of liquid anesthetic inside the anesthesia vaporizer is appropriate.
3. Verify that the respiration circuit is connected correctly and intact.
4. Verify that the breathing system is filled with enough absorbent.
5. Connect the vacuum suction device and verify that the system is working properly.
6. Conduct gas leak testing of the breathing system.
7. Turn off the APL valve (set it to 30cmH2O).
8. Start ventilation.
9. Set proper controlling values and alarm limits for the patient.

3.2 Check the System

Warning

Make sure that the breathing system is connected properly and intact.

When installing the absorption canister, check whether the seal ring is installed correctly. If the
seal ring is not properly installed, leakage of the breathing system may occur.

The maximum bearing weight of the top support is 20kg.

The maximum bearing weight of the workbench is 20kg.

Check the system and make sure that the following requirements are satisfied:

1. Equipment is kept in good condition

2. All components are connected correctly.
3. Check the flowmeter, anesthetic vaporizer, barometer, and gas supply pipes for
damage.

4. Breathing system is connected properly, and the respiratory pipelines are intact,
equip with sufficient CO2 Pre-Pak absorbent or CO2 bulk absorbent. Manual
ventilation device is available and functional.

5. Anesthesia vaporizer is locked up correctly and is filled with adequate

anesthetics.
3-3
 6. Gas supply system is connected correctly, and its pressure is kept normal.
7. If equipped with a spare cylinder, make sure that it is installed correctly, and
close the connected cylinder valve.
8. Check whether auxiliary oxygen supply is available and functioning properly.
9. Required emergency equipment is kept ready and in good condition.
10. All equipment for airway maintenance and tracheal intubation are kept ready and
in good condition.
11. Applicable anesthetic agents and emergency drugs are kept ready.
12. Check the color of soda lime in the absorber. If the color changes significantly,
replace soda lime immediately.
13. Make sure that the castor brake or central brake is locked up without damage or
looseness, to prevent the anesthesia machine from moving.
14. Make sure that the breathing system of anesthesia machine is fixed onto the
adapter, and verify that the breathing system is already locked up.
15. Connect the power cord to the AC power supply. When AC power supply is
connected, the AC power indicator and battery indicator are on. If the indicators
are off, the system is not powered.
16. Make sure the anesthesia machine can be turned on and turned off.

3.2.1 Gas Supply Pipeline Test

3.2.1.1 Gas Supply Pipeline

Caution

During the pipeline ventilation, do not set the backup cylinder valve to “ON”. Otherwise, the gas
cylinder may be exhausted and result in short supply in case the pipeline ventilation gets
faulty.

3.2.1.2 O2 Pipeline Test

1.If anesthesia machine is equipped with a backup cylinder, turn off the backup cylinder
valve.
2.Connect the pipeline of O2 supply.
3.Set the system switch to the position “ON” ( ).
4.Rotate the electronic flow control panel to the medium level of measuring range.
5.Make sure that the pressure value indicated by O2 pipeline pressure gauges is in the
range of 280 to 600kPa.
6.Cut off O2 pipeline supply.
3-4
 7.As O2 pressure drops, alarms” No O2 Pressure”.
8.Make sure that O2 pressure gauge returns to its zero position.

3.2.1.3 N2O Pipeline Test

To conduct N2O pipeline test, turn on O2 first.

Caution

To conduct N2O gas supply pipeline test, turn on O2 first, and make sure that the O2 gas supply
pressure ranges from 280 to 600kPa; Otherwise, N2O flow cannot be regulated.

When N2O pipeline supply is cut off, the system will not given alarms related to the N2O pressure
as N2O pressure drops.

1. If the anesthesia machine is equipped with a spare cylinder, close all spare cylinder
valves. Access to O2 pipe source and N2O pipe source.
2. Set the system switch to the ON “ ” position.
3. In the user interface, select the [Config] menu → Enter the [Flowmeter Config] tab. Set
the flow control to [Single Bar].
4. Set “balance gas” to “N2O” in the electronic flow control system.
5. Adjust the electronic flow control screen to adjust the flow control to the medium level
of the measurement range.
6. Check whether the pressure indication on the N2O pipe pressure gauge is within the
range of 280-600kPa.
7. Make sure that the N2O pressure gauge returns to zero.
8. Disconnect the N2O pipe source.

3.2.1.4 Air Pipeline Test

1. If the anesthesia machine is equipped with a spare cylinder, close all spare cylinder
valves. Access to AIR pipe source.
2. Set the system switch to the ON “ ” position.
3. In the user interface, select the [Config] menu → Enter the [Flowmeter Config] tab. Set
the flow control to [Single Bar].
4. Set “balance gas” to “AIR” in the electronic flow control system.
5. Adjust the electronic flow control screen to adjust the flow control to the medium level
of the measurement range.
6. Check whether the pressure indication on the AIR pipe pressure gauge is within the
range of 280-600kPa.
7. Make sure that the AIR pressure gauge returns to zero.
8. Disconnect the AIR pipe source.

3-5
 Caution

When air pipeline supply is cut off, the system will not given alarms related to the air pressure as
air pressure drops.

3.2.2 Backup Gas Cylinder Test

If anesthesia machine is not equipped with a backup cylinder, it is unnecessary to

conduct the test.

3.2.2.1 Check the Fullness of the Cylinder

1. Set the system switch to the position “OFF” ( ), and connect the gas cylinder
to be checked.
2. Turn on the valves of all backup cylinders.
3. Make sure that the pressure inside all gas cylinders is adequately high. If not,
turn off corresponding gas cylinder valve, and replace the cylinder with a
fully-filled one.
4. Turn off the valves of all backup cylinders.

3.2.2.2 High-pressure Gas Leak Test of O2 Cylinder

1. Turn on the valves of all backup cylinders.

2. Set the system switch to the position “OFF” ( ) and stop O2 pipeline gas
supply.
3. Rotate O2 flow control knob, and turn off the O2 flowmeter.
4. Turn on the valve of O2 gas cylinder.
5. Read and record the values displayed in backup cylinder pressure gauge.
6. Turn off the valves of O2 cylinders.
7. In a minute, read and record the values indicated in the backup cylinder pressure
gauges.
If the values indicated by the backup cylinder pressure gauges decrease greater than
5000kPa (725psi), it means that gas leak exists.

3.2.2.3 High-pressure Gas Leak Test of N2O Cylinders

Please conduct high-pressure gas leak test of N2O cylinders as per the steps described

3-6
 in3.2.2.2 high-pressure gas leak test of O2 gas cylinders. If the value indicated in the

N2O high-pressure pressure gauge decreases greater than 700kPa (100psi) in 1 minute,

it indicates that gas leak exists.

3.2.2.4 High-pressure Gas Leak Test of Air Cylinders

Please conduct high-pressure gas leak test of air gas cylinders as per the steps

described in3.2.2.2 high-pressure gas leak test of O2 gas cylinders. If the value

indicated in the air high-pressure pressure gauge decreases greater than 700kPa

(100psi) in 1 minute, it indicates that gas leak exists.

3.2.3 Electronic Flow Control System Testing

Warning
If nitrous oxide exists and flows through the system during the test, it shall be collected and
removed using a safe and acceptable method.

Improper gas mixture can cause injury to the patient. Do not use this system if oxygen-nitrous
oxide proportioning system is unable to provide appropriate proportion of oxygen and
nitrous oxide.

Caution
When the electronic flow control system fails, the backup flow control system will be enabled. The
basic oxygen flow of the backup flow control system is 0 L/min. The backup flow control
system displays only one total flow meter. The total flow meter can display the maximum
flow of 15 L/min.

Slowly rotate the flow control knob of the backup flow control system. In order to avoid
damaging the control valve, do not rotate the flow control knob again when the reading on
the flow meter is out of range. When rotating the flow control knob clockwise to lower the
flow, the reading on the flow meter shall be up to 0 L/min before the knob reaches the
clockwise mechanical off position. Do not rotate again when the knob has reached the off
position. Rotate the flow control knob counterclockwise to increase the flow.

Slowly turn on the gas cylinder valve to prevent damage. Do not force to regulate the flow control
knob. After the spare gas cylinder testing, if spare gas cylinder does not used for gas supply,
3-7
 turn off each gas cylinder valve.

1. Connect the pipe for gas supply or connect the gas cylinder. Turn on the gas cylinder
valve to ensure normal gas supply.
2. Set the system switch to on “ ” position, and the machine enters the standby host
interface.
3. Select the [Config] menu → Enter the [Flowmeter config] label to set [Flow Control]
to [Single tube].
4. Set “balance gas” to “AIR” on the display of the full electronic flow meter.
5. Regulate the air flow. Ensure that the reading on the electronic flow meter is consistent
with the set value.
6. Set “balance gas” to “N2O”.
7. Gradually regulate the nitrous oxide flow, so as to ensure that the oxygen flow increases with
the nitrous oxide flow, and that the flows of oxygen and nitrous oxide meet the ratio of 1: 3.
8. Set the oxygen flow and nitrous oxide flow to 5 L/min.
9. Turn off the gas supply of oxygen pipeline and gas cylinder.
10. Press the rapid oxygenation button to release the internal pressure of the machine.
11. Confirm that the technical alarm of “insufficient oxygen supply pressure” shows up, and
that the display value of nitrous oxide flow and oxygen flow turns to zero.
12. Maintain the oxygen flow at 5 L/min. After confirming that the gas supply of the oxygen
pipeline or gas cylinder is turned on, the nitrous oxide flow appears and stabilizes at 5
L/min.

Note
After the use of backup flow control system, turn off all needle valves, then shut down the backup
flow control system.

When viewing the readings on a total flow meter, the line of sight shall be at the same level as the
float. In case of different perspectives, the same scale readings may be different.

3.2.4 Backup Flow Control System Testing

1. Connect the pipe for gas supply or connect the gas cylinder. Turn on the gas cylinder valve
to ensure normal gas supply.
2. Set the system switch to on “ ” position.
3. Press the backup flow system’s control button to ensure that the backup flow system can
pop up normally. Ensure that the backup flow system pops up in place, and that there is a
prompt of “backup flow meter is on” during the display interface switch of the full
electronic flow meter.
4. After confirming that the backup flow control system pops up, visually check whether the
3-8
 flow display of the total flow meter is 0 L/min.
5. Regulate the nitrous oxide needle valve. Gradually increase the nitrous oxide flow to
confirm the increase in total flow. Turn off the nitrous oxide needle valve to confirm that
the total flow recovers to 0 L/min.
6. Regulate the air needle valve. Gradually increase the air flow to confirm that total flow
can rise up to greater than 10 L/min. Turn off the air needle valve.
7. Regulate the oxygen needle valve so that total flow is 2 L/min.
8. Regulate the nitrous oxide needle valve so that total flow is 8 L/min.
9. Disconnect the gas supply of oxygen pipeline and gas cylinder.
10. Press the rapid oxygenation button to release the internal pressure of the machine.
11. Confirm that the technical alarm of “insufficient oxygen supply pressure” shows up after
the reading on the total flow meter is gradually reduced to zero.
12. Confirm that the reading on the total flow meter restores to 8 L/min and the technical
alarm of “insufficient oxygen supply pressure” disappears after turning on the gas supply
of oxygen pipeline or gas cylinder.
13. Turn off the oxygen and nitrous oxide needle valves.
14. After confirming that all needle valves are turned off, select the backup flow meter
shutdown button on the display of the full electronic flow meter to confirm the normal
retraction of the backup flow meter.

3.2.5 O2 and N2O linkage Test without O2 Sensor

Warning

Even if fresh gas contains enough oxygen, it may mix the low oxygen gas in breathing system.

If N2O exists and flows through the system during the testing, the N2O gas shall be collected and
eliminated as per safe and acceptable methods.

Improper mixed gas may injure the patients. If the oxygen-N2O linked system cannot provide
well-proportioned O2 and N2O, the system shall not be used.

Caution

To avoid damage, turn on the gas cylinder valve slowly.

When backup gas cylinder testing is over, turn off all the gas cylinder valves if the backup
cylinders are not intended for gas supply.

Turn the gas flow switches slowly, and do not turn them forcibly when the maximum or minimum
flow range is exceeded to protect, the control valve from damage and to avoid control
3-9
 failure. When flowmeter is adjusted to the minimum value, the reading shall be zero.

Conduct the flow control system testing as per the following steps when O2 sensor is
not equiped with:

1. Connect pipeline or turn on gas cylinder valve slowly.

2. Rotate clockwise all flow control knobs of flowmeter to the end (minimum
flow).
3. Set the system switch to the position “ON” ( ).
4. If battery charge is low or other ventilator malfunction alarms are given, do not
use the system.
5. Adjust all gas flows to the minimum positions.
6. Test the flow increasing of O2-N2O linked system;
Rotate clockwise O2 and N2O flow control knobs respectively to adjust the flow of O2
and N2O to the minimum. Then rotate counterclockwise N2O flow control knob,
adjust N2O flow and to the values given the table below successively. Observe the
values of oxygen flow at each step, and make sure that they meet the requirements
listed in the table.

Step N2O flow (L/min) Oxygen flow (L/min)

1 0.6 ≥0.2
2 1.5 ≥0.5
3 3.0 ≥1.0
4 7.5 ≥2.5
7. Test the flow decrease of O2-N2O linked system;
Rotate clockwise O2 and N2O flow control knobs to adjust the flow of O2 and N2O to
over 9.0L/min and 3L/min respectively. Then rotate counterclockwise N2O flow
control knob, and adjust N2O flows to the values given the table below successively.
Observe the values of oxygen flow at each step, and make sure that they meet the
requirements listed in the table.

Step N2O gas flow (L/min) Oxygen flow (L/min)

1 7.5 ≥2.5
2 3.0 ≥1.0
3 1.5 ≥0.5
4 0.6 ≥0.2
8. Cut off oxygen pipeline supply or turn off oxygen gas cylinder.

Caution

When O2 supply is cut off, alarms “No O2 Pressure” is given as O2 pressure drops.

9. Set the system switch to the position “OFF” ( ).

3-10
3.2.6 O2 and N2O linkage test with O2 Sensor

Before start this section test, test the oxygen monitoring device as described in
“Alarm Testing”. Then conduct the flow control system testing as per the following
steps when O2 sensor is equipped with:

1. Connect pipeline supply or turn on gas cylinder valve slowly.

2. Rotate clockwise all flow control knobs of flowmeter to the end (minimum
flow).
3. Set the system switch to the position “ON” ( ).
4. If battery charge is low or other ventilator malfunction alarms are given,do not
use the system.
5. Adjust all gas flows to the minimum positions.
The following steps 6 and 7 are only applicable to N2O system testing.

Warning
During steps 6 and 7, the utilized oxygen sensor must be calibrated correctly, and the linked
system must be kept in its functional mode.

Adjust the testing control only (N2O described in step 6 and O2 described in step 7).

Adjust N2O before O2, and regulate the flows according to priority.

6. Test the flow increase of O2-N2O linked system;

Rotate clockwise O2 and N2O flow control knobs respectively to the end (minimum
flow).

Rotate counterclockwise the N2O flow control knob slowly.

Make sure that the O2 flow is increasing, and the measured O2 concentration must be
equal to or greater than 25% in the whole process.

7. Test the flow reduction of O2-N2O gas linked system:

Rotate N2O flow control knob to 9.0L/min.

Rotate O2 flow control knob to 3L/min or higher.

Rotate counterclockwise the O2 flow control knob slowly.

Make sure that the N2O flow is increasing, and the measured O2 concentration must be
equal to or greater than 25% in the whole process.

8. Cut off the O2 pipeline supply or turn off the O2 cylinder valve.
9. Make sure:
Stop N2O flow, and O2 flow is cut off finally.
3-11
 If an air supply is connected, air flow shall be maintained.

Ventilator may give alarm related to inadequate gas supply.

10. Rotate clockwise all flow control knobs to the end (minimum flow).
11. Connect the O2 pipeline supply or turn on the O2 gas cylinder valve again.
12. Set the system to standby mode.

3.3 Anesthesia Vaporizer Back Pressure Test

Warning
During testing, the anesthetic shall come from the fresh gas outlet. These agents shall be discharged
and collected as per safe and acceptable methods.

To avoid any damage, rotate clockwise the flow control knob to the end (minimum flow or turn it
off) prior to use.

1 Set the system switch to the position “ON”. An alarm might be given.
2 Set the O2 flow to 6L/min.
3 Make sure that the O2 flow is constant, and that the float of oxygen flow meter
(for AX-600) or main flowmeter (for AX-700/AX-700A/AX-800) can move
freely..
4 Adjust the concentration of anesthesia vaporizer between 0 ~ 1%. The O2 flow
must not decrease greater than 1L/min in the whole process. If O2 flow decreases
greater than 1L/min:
1. Replace the anesthesia vaporizer with a new one;

2. If O2 flow decreases less than 1L/min after the replacement, the old
anesthesia vaporizer is faulty.

3. If O2 flow decreases still greater than 1 L/min after the replacement, the
anesthesia machine system is faulty.

5 For each anesthesia, vaporizer steps 2 and 3 shall be conducted.

3.4 Alarm Tests

Anesthesia machine automatically performs self-test once it is turned on. The alarm
lamp flashes once as per red- orange sequence, and a beep is given. Then startup
screen is displayed. When “Check before use”,“Leak in vent mode” and “Leak in
bag mode” are finished, the equipment accesses its standby screen directly. This
indicates that the audible and visual alarm indicator works normally.

3-12
 Caution
During alarm testing, stay in a place where you can observe the alarm lamps and alarm prompts
and hear the alarm sound.

3.4.1 Monitoring the O2 Concentration and Alarms

Warning
In accordance with international laws and regulations, oxygen concentration shall be monitored
during the equipment is applied on a patient. If your equipment is not provided with the
said function, please use a monitoring instrument conforming to corresponding
international standards to monitor the oxygen concentration.

Caution
It is unnecessary to conduct the testing if O2 sensor is not equipped with.

1. Set the Manual/mechanical ventilation switch to the position “Manual” ( ).

2. Take the O2 sensor out of breathing system and wait for 2~3 minutes; measure
the indoor air, and verify that the measured O2 concentration [FiO2] is
approximately at 21%
3. Set the [Low Limit] of [FiO2] : On the screen, select [Alarm] menu → Access
[ventilator] → Select [FiO2] [Low Limit] menu, and set the low alarm limit of
the parameter to 50%.
4. Observe the alarm message area on the screen, make sure that [Low FiO2] is
displayed.
5. Set the [Low Limit] of [FiO2] to a value lower than the current monitored value
of [FiO2] , and make that the alarm of [Low FiO2] is cleared.
6. Re-install the O2 sensor into the breathing system.
7. Set the [High Limit] of O2 alarm: Select [Alarm] menu → Access [ventilator]
→ Select [FiO2] [High Limit] menu, and set the high alarm limit of the
parameter to 50%.
8. Connect the manual respiration manual bag to corresponding connector of
breathing system. Push the oxygen flush button to fill the manual/spontane
ous manual bag, and make sure that the O2 concentration [FiO2] measured
by sensor is of approximately 100%.
9. Observe the physiological alarm message on the screen, and make sure that
[High FiO2] is displayed.

3-13
 10. Set the [High Limit] of [FiO2] alarm to 100%, and make sure that [High FiO2]
is cleared.

3.4.2 Test the Minute Volume (MV) Alarm

1. Make sure [Per-minute ventilation Amount] alarm is set to “ ON ”.

2. Set the [Low Limit] alarm of [MV] : On the screen, Select [Alarm] menu → access
[Ventilator] → Select [MV] [Low Limit] menu, and set the low alarm limit of the
parameter to 6.0L/min.

3. When the MV is lower than the low alarm limit, observe the alarm message area
on the screen, and make sure that [Low MV] is displayed.

4. Set the [High Limit] alarm of [MV] : On the screen, select [Alarm] menu →
Access [ventilator] → Select [MV] [High Limit] menu, and set the high alarm
limit of the parameter to 9.0L/min.

5. When the MV is higher than the high alarm limit, observe the alarm message area
on the screen, and make sure that [High MV] is displayed.

3.4.3 Test the Apnea Alarm

1. Connect the manual respiration manual bag to the corresponding connector of

the breathing system.

2. Set the Manual/Mechanical Control switch to “Manual” ( ).

3. Rotate the APL valve control knob to the position with the minimum opening
pressure.
4. Pinch the manual respiratory manual bag, and make sure that one complete
respiratory cycle takes place.
5. Stop pinching the manual respiratory manual bag,and wait for at least 20±3
seconds. Make sure that [Apnea] alarm is displayed on the screen.
6. Pinch the manual respiratory manual bag for several times, and make sure that
the [Apnea] alarm displayed on the screen disappears.

3.4.4 Test the Sustained Airway Pressure Alarm

 Connect the manual respiratory manual bag to the corresponding connector of

the breathing system.
 Rotate the O2 flow control knob to the low limit.
 Rotate the APL valve control knob to the position of 30cmH2O.
 Set the Manual / Mechanical Control switch to its position “Manual” ( )
 Push and hold the oxygen flush button for approximately 15 seconds, and make
3-14
 sure that [Continuous Pressure] alarm is displayed on the screen.
 Turn on the patient-end outlet, and make sure that [Continuous Pressure] alarm
displayed on the screen disappears.

3.4.5 Test the High Paw Alarm

1. Set the Manual/mechanical ventilation switch to its position “ mechanical” ( ).

2. On the screen, Select [Alarm] menu → Access [ventilator] → Select [Ppeak]
[High Limit] menu, and set the alarm limits of the parameter to 0cmH2O ( [Low
Limit] ) and 5cmH2O ( [High Limit] ).
3. Make sure that [High Paw] is displayed on the screen.
4. Set the [High Limit] of airway peak pressure to 40cmH2O.
5. Make sure that [High Paw] displayed on the screen disappears.

3.4.6 Test the Low Paw Alarm

1. Set the Manual / Mechanical Control switch to its position “Mechanical Control
“( )”.
2. On the screen, select [Alarm] menu → access [Ventilator] →Select [Ppeak]
[High limit] menu, and set the [Low Limit] alarm limit of the parameter to
2cmH2O.
3. Remove the manual respiratory leather-bag from the Y-shaped patient-end port.
4. Wait for 20 seconds, observe the alarm message area on the screen, and make
sure that [Low Paw] alarm is displayedon the screen.
5. Connect the manual respiration manual bag to manual respiration leather-bag
port on the breathing system.
6. Make sure that [Low Paw] displayed on the screen disappears.

3.4.7 Test the CO2 Monitor Alarm

1、 Refer to “User Manual Chapter 7 Physiological Alarms and Technical Alarms”.

2、 Connect a carbon dioxide gas sampler to a CO2 analyzer.

3、 Select [Alarm] menu → access [CO2] → Select the [High Limit] alarm menu of
[FiCO2] and [EtCO2] , and set the alarm [High Limit] to 20 mmHg.

4、 Make sure that the alarm [High FiCO2] / [High EtCO2] are displayed on the
screen when the concentration of inspired CO2 / expiratory-end CO2 are higher
than the alarm limit respectively.
3-15
 5、 Set the [Low Limit] menu of [FiCO2] [ETCO2] alarms of [CO2] to 10 mmHg.

6、 Set the [Low Limit] of CO2 to a value higher than the standard gas
concentration.

7、 Make sure that the alarms [Low FiCO2] / [Low EtCO2] are displayed on the
screen when the concentration of FiCO2/EtCO2 are lower than the alarm limit
respectively.

3.5 Breathing System Testing

Warning
Foreign objects inside the breathing system may block up the gas flow to the patient, and may
result in a casualty accident. Make sure that no testing plugs or other foreign objects exist
inside the breathing system.

The resistance at 2,5, 15 and 30 l/min, and compliance of those breathing accessories,please refer
to the attached specification for details.

The range of internal volume of any Anesthetic breathing system less than 3.5L.

Breathing system shall be equipped with a ventilator conforming to ISO 80601-2-13 and YY
0635.4.

 Make sure that the breathing system is connected properly and is kept in good
condition.
Once the breathing system is disconnected, the anesthesia machine can give an
alarm “No Breathing System”.
 Make sure that the check valves in the breathing system work fine.
If the inspiratory check valve turns on during inspiration, and immediately turns off
when expiration begins, it indicates that the inspiratory check valve
(unidirectional valve) works fine.

If the expiratory check valve turns on during expiration, and immediately turns off
when inspiration begins, it indicates that the expiratory check valve
(unidirectional valve) works fine.

3-16
3.5.1 Bellows Tightness Test

1. Set the system to standby mode.

2. Set the Manual/mechanical ventilation switch to the position “Mechanical” ( ).
3. Rotate all flow control knobs to the minimum gas flow.
4. Block up the patient-end outlet, and close the breathing system.
5. Push the oxygen flush button to have the folded sack of bellows risen to its top
end.
6. Make sure that the pressure indicated in the airway pressure gauge must not
exceed 15cmH2O.
7. The folded sack of bellows shall not fall down. If it falls down,it indicates that
gas leak exists in the bellows. Re-install the bellows.

3.5.2 Breathing System Leak Test in Mechanical Ventilation

Mode

Caution
System leak test includes the leak test of anesthesia breathing system and anesthesia ventilator.

System gas leak test must be conducted in its standby mode.

To conduct system gas leak test, make sure that the breathing system is connected correctly, and
the respiratory pipelines are kept in good condition.

Conduct gas leak test as per the following procedures:

1. Make sure that the system is already set to its standby mode; Otherwise, push the
standby soft key to access [Standby] screen.
2. Make sure that the gas supply pressure is adequate.
3. Set the Bag/vent Control switch to its position “Mechanical Control” ( ).
4. Insert the Y-piece of corrugated pipe to the leak testing plug of breathing system
to block up the gas outlet of Y-piece.
5. Rotate the flow control knob to turn off the O2, N2O and air flow completely.
6. Push the oxygen flush button to have the folded sack of bellows risen to the top
end.
7. Select [Leak Test] menu → [Leak in vent mode].

3-17
 8. Push the [Start] button. The system begins respiratory-system gas leak test and
displays simultaneously the prompting message: [Testing is Performing].
9. If the system passes the test, it displays a prompting message:[Leak Test PASS].
Otherwise, it displays a prompting message: [Leak Test FAIL ]. In such a case,
check the breathing system connection, and pipelines tightness. Conduct leak test
again when problems are solved.

Caution
The progressive gas leak testing can be terminated if you push [Stop] button. That does not mean
the system gas leak testing fails, only means that the testing gets invalid.
If gas leak testing fails, check all possible causes of gas leak, such as leakage from bellows,
breathing system pipeline, CO2 canister and other connecting devices. During the check of
CO2 canister, pay attention to the seal components of canister to find if any CO2 absorbent
particles are attached on the canister, and remove them if any.
If leaks exist in the breathing system, do not use the equipment. Contact in time the equipment
service personnel or after-service department of the Company.
Loose connection between the bellows and the intubation tube will result in leakage of the
breathing circuit, and will affect the TV supply anomaly of the anesthesia machine.

3.5.3 Breathing System Leak Test in Manual Ventilation Mode

1. Make sure that the system is already set to the standby mode; Otherwise, push
the standby key to access [Standby] screen.

2. Set the Manual/mechanical ventilation switch to the position “Manual” ( ).

3. Connect the manual respiration manual bag to corresponding connector on the

breathing system.

4. Rotate the APL valve control knob to the position of its maximum value
(75cmH2O).

5. Rotate the flow control knob to turn off the O2, N2O and air flow completely.

6. Insert the Y-piece of corrugated pipe into the leak testing plug of
Manual/spontaneous leather-bag port to block up the gas outlet of Y-piece.

7. Push the oxygen flush button to allow the value indicated by the airway gauge
rise to approximately 30cmH2O.

8. Release the oxygen flush button, and select [Leak Test] menu → [Leak in bag
mode] .

9. Push the [Start] button. The system begins manual circuit leak test and displays
simultaneously the prompting message: [Testing is Performing] .
3-18
 10. If the equipment passes the test, the system displays a prompting message [Leak
Test PASS] .Otherwise, it displays a prompting message: [Leak Test FAIL ] . In
such a case, check the connection of breathing system and condition of pipelines.
Conduct leak test again when problems are solved. If gas leak still exists, contact
the equipment maintenance personnel of After-service Department of the
Company.

11. Leaks may also be verified by observing the readings indicated by the airway
pressure gauge during testing. If the readings drop,it indicates that gas leak
exists.

3.5.4 APL Valve Accuracy Test

 Make sure that the system is already set to its standby mode; Otherwise, push the
standby key to access [Standby] screen.

 Set the Bag/vent Control switch to the position “Manual” ( ).

 Connect the manual respiration manual bag to the corresponding connector on

the respiratory circuit.

 Insert the Y-piece of corrugated pipe into the leak testing plug of
Manual/spontaneous leather-bag port to block up the gas outlet of Y-piece.

 Rotate the APL valve control knob to 30cmH2O.

 Push the oxygen flush button to fully fill the manual/spontaneous manual bag.

 Make sure that the readings indicated by airway gauge are in the range from 20
to 40cmH2O.

 Rotate the APL valve control knob to the position of the minimum value for the
opening pressure of APL valve (position MIN).

 Set the O2 flow to 3L/min, and turn off other gases.

 Make sure that the reading indicated by the airway pressure gauge is less than
5cmH2O.

 Push the oxygen flush button, and make sure that the reading indicated by airway
pressure gauge does not exceed 10cmH2O.

 Rotate the O2 flow control knob to the minimum value, and verify that the
reading indicated by theairway pressure gauge does not drop to below 0cmH2O.

3-19
3.5.5 Check Valve Inspection and Test

 Check whether or not valves evenly stay inside the base when the system is
turned off.

 Turn on the system.

 Make sure that the gas supply pressure is adequate.

 Make sure that ACGO is already set to its non-ACGO mode

 Set the Manual/mechanical ventilation switch to the position “Mechanical” ( ).

 Start ventilation.

 Check whether or not the respiration check valve moves in the open-close cycle.
If not, the check valve is faulty.

3.6 Ventilator Test

Caution
Ventilator shall be equipped with an anesthesia system conforming to IEC 80601-2-13 and IEC
60601-2-13(GB 9706.29).

1. Make sure that the gas supply pressure is adequate.

2. Make sure that the relevant parameters and alarm limits of ventilator are properly
set. For specific settings, refer to “User manual 15.11 Principle and Parameter
Specifications of the Ventilator”.

3. Set the Bag/vent Control switch to the position “Mechanical”.

4. Connect the manual manual bag to the patient-end port;

5. Set the parameters like different tidal volumes, respiratory rates and
inspiratory/expiratory ratios of anesthesia machine. Observe the monitored value
and set values of the anesthesia machine, and check whether or not the actual
tidal volumes of bellows hood of the breathing system can meet the clinical
requirements.

3.7 AGSS Transfer and Receiving System Test

Assemble the AGSS properly,and start AGSS. Check whether or not the floater rises up

3-20
 and exceeds the scale mark MIN. If the floater sticks during movement or the floater is
damaged, contact the manufacturer for maintenance.

Caution
Do not block up the pressure compensation port of AGSS during the test.

If the floater cannot rises up, possible causes include the following:

 Floater adhesion. Turn the AGSS upside down, and check whether or not the
floater may move up and down freely.

 Floater rises slowly. Filtering net is possibly blocked Contact the manufacturer for
checks and maintenance.

 The high-flow AGSS transfer and receiving system is not working or the pumping
flow rate is less than 50L / min (normal working rate). Contact the manufacturer
for inspection and repair.

 The low-flow AGSS transfer and receiving system is not working or the pumping
flow rate is less than 25L / min (normal working rate) . Contact the manufacturer
for inspection and repair.

3.7.1 Connection Leakage Test for AGSS and the Exhaust Gas

Outlet of Anesthesia Machine

1. Remove the rear cover of the host,and remove internal corrugated tube that is connectod
to the air-capacitor.
2. Connect the tubing sets to be tested onto the inlet of air-capacitor. Connect the pressure
gauge.
3. Remove the corrugated tube connected on the AGSS, and then block this port so that the
corrugated tube can be connected onto the exhaust gas outlet.
4. Ventilate 10 ± 0.5ml of air per minute into the tubing sets to be tested. The leakage
amount shall be no more than 100 ml/min in the transfer and receiving system.
5. If the leakage amount exceeds the above value, re-connect the tubing sets of the exhaust
gas outlet, and then retest according to the above steps.

3.8 Vacuum Suction System Test

3-21
 Caution

Before use must check ensure that the vacuum suction system is qualified.

For the safety and health of patients and others,the negative pressure generator switch should be
at the OFF position before opening the power gas source(or inserting into the socket hole of
the terminal),the negative pressure regulator mode selection switch should be set to the
middle position(OFF position) and the adjustment knob should turn counterclockwise to
the zero position.

3.8.1 Internal vacuum suction testing

1. Assemble the external pipe collection system with internal negative pressure to the
anesthesia machine according to the installation instructions;
2. Turn the negative-pressure gear switch to the OFF position;
3. Rotate the negative-pressure adjustment knob counterclockwise until it can no longer be
rotated;
4. Open the O2 source, and confirm whether the gas source pressure is within the
applicable range of the anesthesia machine (280-600kPa);
5. Block the patient end of the suction tube, and turn the negative-pressure gear switch to
the FULL position; observe whether the reading on the negative pressure gauge can
reach 60kPa or above;
6. If there is no reading on the negative pressure gauge, check whether the collecting
liquidbottle, suction tube, overflow bottle, and filter are not installed well, or check for
damage and gas leakage;
7. After confirming that the gas circuit connection is intact, turn the negative-pressure gear
switch to the OFF position, and observe whether the pressure on the negative pressure
gauge has returned to zero;
8. Turn the negative-pressure gear switch to the REG position; slowly rotate the
negative-pressure knob clockwise; observe the pressure gauge; confirm whether the
pressure can be continuously adjusted and stabilized at a certain pressure;
9. After completing the inspection, turn the negative-pressure adjustment knob
counterclockwise to adjust the negative pressure to the minimum;
10. Turn the negative-pressure gear switch to the OFF position to avoid gas waste.

3-22
3.8.2 External vacuum suction testing

1. Assemble external negative pressure to the anesthesia machine according to the

installation instructions;
2. Press the driving gas switch to the OFF position; turn the negative-pressure gear switch
to the OFF position as well;
3. Rotate the negative-pressure adjustment knob counterclockwise until it can no longer be
rotated;
4. Open the O2 source, and confirm whether the gas source pressure is within the
applicable range of the external negative-pressure system (280-550kPa);
5. Pull the driving gas switch to the ON position;
6. Block the patient end of the suction tube, and turn the negative-pressure gear switch to
the FULL position; observe whether the reading on the negative pressure gauge can
reach 60kPa or above;
7. If there is no reading on the negative pressure gauge, check whether the collecting liquid
bottle, suction tube, overflow bottle, and filter are not installed well, or check for
damage and gas leakage;
8. After confirming that the gas circuit connection is intact, turn the negative-pressure gear
switch to the OFF position, and observe whether the pressure on the negative pressure
gauge has returned to zero;
9. Turn the negative-pressure gear switch to the REG position; slowly rotate the
negative-pressure knob clockwise; observe the pressure gauge; confirm whether the
pressure can be continuously adjusted and stabilized at a certain pressure;
10. After completing the inspection, turn the negative-pressure adjustment knob
counterclockwise to adjust the negative pressure to the minimum;
11. Turn the negative-pressure gear switch to the OFF position, and press the
negative-pressure driving gas switch to the OFF position, so as to avoid gas waste.

Note

3-23
 Refer to the user manual supplied with the external negative suction system for testing
information.

 The vacuum suction system must be inspected before use, accordint to the requirement
specified in the user manual supplied with the vacuum suction system.

Caution
 During the test, observe the drive gas discharge vent behind the anesthesia machine, so as to
ensure that the discharge vent is unobstructed.

3-24
 Chapter 4 Maintenance and Calibration
Warning

 When it comes to test and maintain the equipment, make sure that the patient is
disconnected from the equipment.

 The equipment may have been used on patients carrying infectious diseases. Before
testing or maintaining the equipment, wear sterile rubber gloves to reduce the risk of
being infected.

 When the equipment to be maintained contains blood or other secretion, clean, disinfect
and sterilize the equipment by strictly following the control and safety handling
procedures for infectious diseases.

4.1 Equipment Maintenance

To ensure the long-term reliability and stability of the anesthesia machine, periodical
maintenance of the equipment and replacement of its parts must be performed by
authorized service personnel. For details about parts replacement, refer to6Repair and
Disassembly Periodical parts replacement can be carried out every year or every three
years. Make records of the parts that have been replaced before the periodical replacement.

Attention

 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.

 To avoid equipment damage or personal injury, replace the parts which need to be
replaced periodically even if they are not worn or damaged when the due date arrives.

4.1.1 One-year Replaceable Parts

List of one-year service package：

No. Description

4-1
 1 Gas supply inlet filter

2 Seal for gas supply inlet assembly

3 Seal for vaporizer manifold

4 Seal for valve cover

5 Valve seal

6 Seal for bag arm

7 Seal for water collection cup

8 Sealing cushion for sodalime canister outlet

9 Sealing component for sodalime canister

10 Seal for sodalime canister support

11 Seal for pressure sampling connector

12 Seal for fresh gas and ACGO

13 Seal for drive gas and APL discharge

14 Seal for bellows housing

15 Folding bag

16 Seal for axis of bag/mechanical ventilation switch

17 BYPASS large sealing cushion

4.1.1.1 Parts Replacement

1. As required, replace the gas supply inlet filterand seal for gas supplyinlet
assemblyevery 12 months. Unscrew the gas supply inletcounterclockwise using a
wrench to disassemble the gas supply inlet assembly as shownbelow (take O2
supply inlet as an example).

4-2
 Seal

2. As required, replace the seals where vaporizer manifold connectors meet the
vaporizers every 12 months.

4-3
 Seals to be replaced

3. As required, replace the seal for valve cover and valve seal every 12 months.

Seal

4-4
4. As required, replace the seal for manual drain valve every 12months.

Seal

5. As required, replace the sealing component for sodalime canister outlet and sealing
component for sodalime canister every 12 months.

Sealing component for

sodalime canister outlet

Sealing component for

sodalime canister

6. As required, replace the seal for sodalime canister support every 12months.

4-5
 Seal

7. As required, replace the seal for pressure sampling connector, seal for fresh gas and
ACGO, seal for drive gas and APL discharge every 12 months.
8. As required, replace seal component and folded sack every 12 months.

4-6
 Folded sack

Seal component

9. As required, replace the seal for axis of bag/mechanical ventilation switch every 12
months.

Seal

4-7

Pull out the pin axis after

removing the seal herein
 Seal
Pin axis pulled out

10. As required, replace the BYPASS large sealing cushion every 12months.

BYPASS large sealing

cushion

4-8
4.1.1.2 Checkout and Test of the Anesthesia Machine

Perform the following maintenance procedures every 12 months:

1. System inspection.
2. Pipeline test.
3. Cylinder test.
4. Flow control system test.
5. Vaporizer back pressure test.
6. O2 flush test.
7. Breathing circuit test.
8. Pressure relief valve test.
9. Alarm test.
10. AGSS inspection.
11. Power failure test.
12. Electrical safety test.
13. Flow sensor calibration.
14. O2 sensor calibration.
15. Airway pressure gauge zeroing.
16. APL valve accuracy adjustment.
17. Low pressure leak test.

4.1.2 Three-year Replaceable Parts

List of three-year service package:

4-9
 No. Description Qty

1 Lithium battery Li-ion 11.1V4400mAh LI23S001A 1

2 Cell battery Lithium 3V35mAh D12.5*2.0 1

4.2 System Test

Before the anesthesia machine at the client end is maintained, some routine tests are
required to check if the current status of the anesthesia machine is normal.
1. Check the mechanical ventilation mode
After each service or at the time of return visit:
 Check if mechanical ventilation is provided normally and if an alarm occurs.
 Check if the preset values of pressure and TV are same to the measured values.
 Check if the pressure measured by the pressure sensor is same to that indicated
by the airway pressure gauge and if the TV measured by the flow sensor is
same to that indicated by the graduation on the bellows housing.
 Roughly judge if the breathing system has a significant leak by observing how
much fresh gas is compensated and observing if the folding bag collapses.
2. Breathing system leak test in mechanical Ventilation mode
After each service or at the time of return visit:
 Check the pneumatic circuit in mechanical ventilation mode for leaks,
including bellows, drive gas circuit, sodalime canister, patient tubes, flow
sensors and the ir connectors.
 Check the control effectiveness of main control board and auxiliary control
board over PEEP safety valve.
 Check the monitoring effectiveness of auxiliary control module over airway
pressure and PEEP path pressure.
3. Breathing system leak test in manual ventilation mode
After each service or at the time of return visit, please check the pneumatic circuit in
manual ventilation mode for leaks, including APL valve, check valve, sodalime
canister, patient tubes, flow sensors and their connectors.
4. Check the sensors’ zero points
After each service or at the time of return visit, please check if the zero points of all
the flow sensors and pressure sensors inside the machine are within the normal

4-10
 range so as to determine when to replace the monitor board.
5. Check the flow sensor accuracy
After each service or at the time of return visit:
 Check if the measurements made by the flow sensor sinside the machine are
the same.
 Check if the measurement made by any flow sensor inside the machine is
accurate.
 Check the effectiveness of flow calibration (factory)result.
6. Check the pressure sensor accuracy
After each service or at the time of return visit:
 Check if the measurements made by the pressure sensors inside the machine
are the same.
 Check if the measurement made by any pressure sensor inside the machine is
accurate.
 Check the effectiveness of pressure calibration (factory)result.
7. Check the electronic flowmeter accuracy
After each service or at the time of return visit:
 Check if the measurement made by the electronic flowmeter is normal.
 Check the effectiveness of electronic flowmeter calibration result.

4.2.1 Check the Mechanical Ventilation Mode

Note

 The main function of the anesthesia machine is to provide breathing

support—mechanical ventilation which complies with the doctor’s settings to the
patient. The tests in this section are performed aiming to ensure that the machine is able
to provide normal mechanical ventilation.

 The tests can help to judge if the machine operates normally.

4.2.1.1 Check Volume Control Ventilation (VCV)

Note

4-11
 VCV is the standard ventilation mode of the anesthesia machine and also the mostbasic
mechanical ventilation mode.

To check VCV:
1. Make sure that the supply pressure is normal and that the tubes in the breathing
circuit are correctly connected as required for mechanical ventilation. Connect a 2 L
bag, which is used as the test lung, to the Y piece in the patient circuit.
2. Set the bag/mechanical ventilation switch to the mechanical ventilation position.
3. Select VCV as the ventilation mode.
4. Adjust total amount of fresh gas to 0.5 L/min.
5. Set the following combinations of TV and Rate respectively: 300 ml and 15 BPM,
600ml and 15 BPM, 900 ml and 15 BPM, 1200 ml and 15 BPM. Set others to the
defaults. Record the displayed TVexp and Ppeak values, and the peak pressure
reading on the airway pressure gauge in each setting stabilized status.
6. Judge if the above measured data meet the following conditions:
 TV control and measurement are normal: the displayed TVexp value should be
within the range of TV setting X (1±10%) ml.
 Circuit leak is within the acceptable range: the folding bag can reach the top of
the bellows housing each time and the lowest graduation on the bellows
housing whichthe bag falls to each time corresponds to approximately TV
setting.
 Pressure measurement is normal: the Ppeak measured value is close to the peak
pressure reading on the airway pressure gauge. The error should not exceed
2cmH2O.
 No other ventilation failure occurs: the Paw and flow waveforms are displayed
normally and no technical alarms occur.
If the above test requirements are not met, perform subsequent checks and do the test
again

Note

 If any errors are detected during VCV test, perform troubleshooting as per5
Troubleshooting and do the test again until the system is normal.

4-12
4.2.1.2 Check Pressure Control Ventilation (PCV)

Note

 PCV is one of the basic mechanical ventilation modes of the anesthesia machine. PCV is
configured depending on the user’s selection and machine type. If the anesthesia
machine under test is not configured with this mode, this test is not required.

To check PCV:
1. Make sure that the supply pressure is normal and that the tubes in the breathing
circuit are correctly connected as required for mechanical ventilation. Connect a 2 L
bag, which is used as the test lung, to the Y piece in the patient circuit.
2. Set the bag/mechanical ventilation switch to the mechanical ventilation position.
3. Select PCV as the ventilation mode.
4. Adjust total amount of fresh gas to 0.5 L/min.
5. Set the following combinations of Pinsp, Rate and PEEP respectively: (10 cmH2O,
15BPM, OFF), (15 cmH2O, 12 BPM, 5 cmH2O), (20 cmH2O, 10 BPM, 8 cmH2O).
Set others to the defaults. Record the displayed Ppeak and PEEP values, and
maximum and minimum readings on the airway pressure gauge in each setting
stabilized status
6. Judge if the above measured data meet the following conditions:
 Pressure control and measurement are normal: the displayed Ppeak value
should be within the range of Pinsp setting ±2 cmH2O.
 Circuit leak is within the acceptable range: the folding bag can reach the top of
the bellows housing each time.
 Pressure measurement is normal: in one breathing cycle, the Ppeak measured
value should be close to the maximum reading on the airway pressure gauge
(with error not exceeding 2 cmH2O) and the displayed PEEP value close to the
minimum reading on the airway pressure gauge (with error not exceeding 1
cmH2O).
 No other ventilation failure occurs: the Paw and flow waveforms are displayed
normally and no technical alarms occur.
If the above test requirements are not met, perform subsequent checks and do the test
again.

4-13
Note

 If any errors are detected during PCV test, perform subsequent checks and do the test
again until the errors are corrected.

4.2.2 Breathing System Leak Test in Mechanical Ventilation

Mode

Please refer to section 3.7.2.

4.2.3 Breathing System Leak Test in Manual Ventilation Mode

Please refer to section 3.7.2.

4.2.4 Check the Sensor Zero Point

Attention

 The zero point A/D value of the airway pressure sensor and PEEP pressure sensor
should fall within the normal range of 300 to 800.

 The zero point A/D value of the inspiratory flow sensor, expiratory flow sensor and
built-in ventilator flow sensor should fall within the normal range of 200 to 1000.

 If the zero point of the pressure sensor has an error, in ventilation status, the baseline of
the Paw waveform is not at the zero point and a great deviation occurs between
pressure control and measurement.

 If the zero point of the inspiratory/expiratory flow sensor has an error, in ventilation
status, the baseline of the flow waveform is not at the zero point and are at deviation
occurs between TV control and measurement.

 If the zero point A/D value of any sensor is outside of the normal range, it can note
corrected. The monitor board must be replaced.

To check the sensor zero point:

4-14
 1. Turn off all fresh gases and position the Y piece connector in the patient circuit to
the air.
2. Make sure that the system is Standby. Select the [Maintain]→ Input Password →
[Diagnosis] → [Display AD Channel].
3. Make sure that the actual measured value of each sensor is “0” (zero). Record the
zero point A/D value of each sensor and judge if the zero point falls with the normal
range. If not, replace the monitor board.

4.2.5 Check the Flow Sensor Accuracy

Attention

 If a great deviation of TV measured value occurs, test the measurement accuracyof flow
sensors so as to determine whether to perform flow calibration again.

To check the measurement accuracy of flow sensors:

1. Make sure that the circuit, calibration device (or other flow measurement device)
and breathing tubes are connected in serial, similar to tubes connection in flow
calibration. For details, refer to4.3.2Flow Calibration (factory).
2. When the system is Standby, select the [Maintain] → [Diagnosis] → [Valve Test
Tool] to access the [Valve Test Tool] menu.
3. Set safety valve to [ON].
4. Set the D/A value of the PEEP valve to above 1500 and ensure that the pressure at
which the expiratory valve closes is above 30 cmH2O.
5. Increase the D/A value of the inspiratory valve, causing the measured flow value of
theanesthesia machine calibration device to fall with the following ranges
respectively:(3±0.5) L/min, (10±1) L/min, (20±1) L/min, (30±2) L/min, (60±3)
L/min. Record the measured flow values of the inspiratory flow sensor, expiratory
flow sensor and ventilator flow sensor to which each setting corresponds
respectively.
6. Make sure that the deviation between the measured data of the inspiratory flow
sensor, expiratory flow sensor and ventilator flow sensor and that of the anesthesia
machine calibration device must not exceed 1 L/min or 5% of the measured value of
the calibration device, whichever is greater. Otherwise, refer to 4.3.2Flow
Calibration(factory) to perform flow calibration again.
7. If anesthesia machine calibration device is unavailable, you can execute steps 1

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 through5 to test the accuracy of flow sensors. The deviation between the measured
data of the inspiratory flow sensor and expiratory flow sensor and that of the
ventilator flow sensor must not exceed 1 L/min or 5% of the measured value of the
ventilator flow sensor, whichever is greater. Otherwise, refer to 4.3.2Flow
Calibration (factory) to perform flow calibration again.

4.2.6 Check the Pressure Sensor Accuracy

Attention

 Generally, measurement deviations do not easily occur to pressure sensors. However, in

case of maintaining or replacing the monitor board, three-way valve assembly, or
expiratory valve assembly, you need to perform pressure calibration and check the flow
sensors accuracy so as to confirm the effectiveness of calibration.

To check the measurement accuracy of pressure sensors:

1. Make sure that the pressure sampling line and calibration device (or other pressure
measurement device) are connected in parallel, similar to tubes connection in
pressure calibration. For details, refer to 4.3.3Pressure Calibration (factory).
2. When the system is Standby, select the [Maintain] → Input Password →
[Diagnosis] → [Valve Test Tool] to access the [Valve Test Tool] menu.
3. Set safety valve to [ON].
4. Increase the D/A value of the PEEP valve, causing the measured pressure value of
the anesthesia machine calibration device to fall with the following ranges
respectively:(5±1) cmH2O, (20±1) cmH2O, (50±1) cmH2O, (70±2) cmH2O, (90±2)
cmH2O. Record the measured pressure values of the airway pressure sensor and
PEEP pressure sensor to which each setting corresponds respectively.
5. Make sure that the deviation between the measured data of the airway pressure
sensor, PEEP pressure sensor and that of the anesthesia machine calibration device
must not exceed 1 cmH2O or 2% of the measured value of the calibration device,
whichever is greater. Otherwise, refer to 4.3.3Pressure Calibration (factory) to
perform pressure calibration again.

4.3 System Calibration

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 Attention

 Perform the corresponding calibration if any test item of the system test about
measurement accuracy is failed.

The anesthesia machine provides the function of monitoring volume, pressure, FiO2,
CO2concentration, AG concentration etc. When these measured values have great
deviations, it is very likely that measurement offset occurs to the relevant measurement
parts. In this case, you need to perform calibration again. After equipment service, such
as replacing the monitor board, expiratory valve assembly or three-way valve assembly,
you need to calibrate the flow sensors or pressure sensors.
The following table lists the possible calibration items and calibration time.
SN Calibration item Functional description Calibration time

1 Flow calibration(user) Calibrate the flow 1. The TV measurement deviation is

sensors of the breathing great(more than 10% compared
system. with the setting value) after the
flow sensors in the patient circuit
have been used for a longtime.
2. The flow sensor in the patient
circuit is replaced.
2 Flow Calibrate the flow 1. The expiratory valve assembly is
calibration(factory) sensors and inspiratory replaced.
valve of the anesthesia 2. The monitor board is replaced.
machine. 3. The deviation between the
measured value of the ventilator
flow sensor and that of the flow
measurement device exceeds
more than 5% of the reading or
1L/min, whichever is greater.
3 Pressure Calibrate the pressure 1. The monitor board is replaced.
calibration(factory) sensors and PEEP valve 2. The expiratory valve assembly is
of the anesthesia replaced.
machine. 3. The deviation between the
measured value of the machine’s
pressure sensor and that of the
standard pressure gauge exceeds
more than 2% of the reading or
1cmH2O, whichever is greater.

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4 Electronic flowmeter Calibrate the electronic 1. The electronic flowmeter board is
calibration(factory) flowmeter board. replaced.
2. The throttling device of the
electronic flowmeter is replaced.
3. The deviation between the
measured value of the electronic
flowmeter and that of the
standard flow measurement
device exceeds more than 10% of
the reading or0.5 L/min,
whichever is greater.
5 Pressure and flow Calibrate the deviation Flow or Paw waveforms deviates
zeroing (factory) from zero point of the from the baseline.
monitor board and
auxiliary monitor board.
6 Electronic flowmeter Calibrate the deviation The electronic flowmeter has a zero
zeroing(factory) from zero point of the point error. The electronic flowmeter
electronic flowmeter still displays flow when fresh gases
board. are all turned off.
7 O2 sensor calibration Calibrate the accuracy 1. The measured value of the O2
(user) ofO2 sensor at 21% sensor has a great deviation. The
and100% O2. deviation exceeds 3% both in Air
and pure O2.
2. The O2 sensor is replaced.
3. The monitor board is replaced.
8 CO2 Calibrate to cause the The measurement deviation of the
calibration(factory) module to work more module exceeds the specified
accurately. accuracy range.

9 AG calibration(factory) Calibrate to cause the The measurement deviation of the

module to work more module exceeds the specified
accurately. accuracy range.

10 O2 modul Calibrate to cause the 11. The measurement deviation of the

ecalibration(factory) module to work more module exceeds the specified
accurately. accuracy range.
12. The O2 module is replaced.

Select the [Maintenance]. Enter the required password to access the Maintenance menu,
where you can perform the following calibrations and settings.

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4.3.1 Flow Calibration (user)

Attention

 The measurements performed by the flow sensors may be affected by the environment
where the sensors are used. After the sensors have been used for along time, great
deviations may occur to the measurement results and tidal volume control as well. This
problem can be fixed through flow sensor calibration.

 When replacing sensors or after re-calibrating sensors, you need to calibrate flow
sensors again.

 Before calibration, perform leak test of the breathing system in mechanical ventilation
mode first and make sure that the test is passed.

 During calibration, make sure that the drive gas pressure is kept above 0.3 MPa.
Failure to do so may lead to calibration failure.

This calibration is only intended for the flow sensors in the breathing circuit. The
inspiratory flow sensor and expiratory flow sensor in the breathing system are calibrated
through the built-in flow measurement reference.
After the inspiratory flow sensor and expiratory flow sensor have been used for several
months, for example, three months after calibration, great deviations (more than
10%compared with the setting value) may occur to tidal volume measurement due to
sensor ageing or environmental factors. Or, the user replaces flow sensors. In this case,
you need tore-calibrate flow sensors. For details about user flow calibration, refer to the
corresponding section in the Operator’s Manual.

Attention

 If measurement deviations are not corrected after multiple flow sensor calibrations, the
user is recommended to replace the flow sensor and then perform calibration. If the
problem persists, factory maintenance is necessary. After the problem is fixed, perform
calibration and system test.

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4.3.2 Flow Calibration (factory)

Attention

 Factory flow calibration is necessary in case of replacing the monitor board, expiratory
valve assembly or three-way valve assembly.

 When a great deviation is detected between the measured value of the built-inflow
sensor and that of the standard flow measurement device, you need to perform factory
flow calibration.

This calibration is intended for the flows sensors in the breathing circuit, ventilator flow
sensor, and also inspiratory valve. The standard flow measurement device is used to
calibrate the flow sensors and inspiratory valve.

4.3.2.1 Calibration Procedures

Attention

 Make sure that the tubes are not leaky when connected.

 Do not move or press the tubes during calibration.

 When connecting calibration tubes, make sure that gas flows in the correct direction,
which is from the inspiration connector of the breathing system, through high flow inlet
of the anesthesia machine calibration device, anesthesia machine calibration device,
high flow outlet of the anesthesia machine calibration device, and to the expiration
connector of the breathing system.

 Before calibration, make sure that no sensor or valve related technical alarms occurred.

 During calibration, make sure that the drive gas pressure is kept above 0.3 MPa.
Failure to do so may lead to calibration failure.

1. Before calibration, perform leak test of the breathing system in mechanical

ventilation mode. Perform calibration after the leak test is passed. For procedures
about leak test, refer to 3.7.2Breathing System Leak Test in Mechanical
Ventilation Mode.
2. Remove the folding bag from the bellows and reinstall the bellows housing.
3. Remove the manual drain valve beside the sodalime canister assembly in the
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 breathing system.
4. Connect the anesthesia machine calibration device to the power source.
5. Start the calibration device to enter the startup screen followed by sensor heating
screen(waiting for approximately 5 minutes as required by the prompt message) and
then zeroing screen. Press the “ZERO” key on the panel. After the new screen pops
up, press the “OK” key on the panel to complete zeroing.

Attention

 When zeroing the anesthesia machine calibration device, make sure that no gasflows
through the device, or unplug the tube connected to the gas inlet of thedevice.

6. Connect the calibration communication connector of the calibration device to that of

the anesthesia machine by using the special communication cable. The calibration
device can communicate with the anesthesia machine through two types of
connection:
7. Connect the inspiration connector of the anesthesia machine to the high flow (0 to
120L/min) inlet of the calibration device and the expiration connector to the high
flow (0 to120 L/min) outlet of the device by using breathing tubes.
8. Press the “MODE” key on the panel of the calibration device. Select “Calibration
Mode” from the pop-up menu and then press the “OK” key on the panel to enter
calibration screen, as shown below.

9. Before calibration, make sure that the supply gas pressure is sufficient. If cylinder
supply is used, turn up the cylinder yoke (not cylinder regulator) enough before
calibration so as to ensure that the pressure reading on the O2 pressure gauge is kept
above 0.3 MPa. If pressure falls, turn up the cylinder yoke further.
10. Make sure that the anesthesia machine is in standby mode.
11. Turn off all fresh gases.

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 12. Select the [Factory Maintenance] → enter the required password → [Factory Cal.]
→ [Flow Cal] → [Start].
13. After flow calibration success is prompted, refer to 4.2.5Check the Flow Sensor
Accuracy to test the effectiveness of flow calibration. In case of calibration failure,
first fix the problem and then perform flow calibration again.

Attention

 In case of calibration failure, first fix the problem and then perform flowcalibration
again.

4.3.3 Pressure Calibration (factory)

Attention

 Factory pressure calibration is necessary in case of replacing the monitor board,

expiratory valve assembly or three-way valve assembly.

 When a great deviation is detected between the measured value of the built-inpressure
sensor and that of the standard pressure measurement device, you need toper form
factory pressure calibration.

This calibration is intended for the airway pressure sensor in the breathing circuit, PEEP
pressure sensor and PEEP proportional valve of the expiratory valve assembly. The
standard pressure measurement device is used to calibrate the pressure sensors and PEEP
proportional valve.

Attention

 Before pressure calibration, make sure that the tubes are not leaky whenconnected.

 Do not move or press the tubes during calibration

1. Let the anesthesia machine calibration device be powered. Refer to the method
described in 4.3.2Flow Calibration (factory) to manually zero the calibration device
first. Use the special communication cable to connect the calibration device to the
anesthesia machine.
2. A four-way device is required to connect the sampling lines for pressure calibration.
The following pictures show the four-way device, connectors on the calibration
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 device and monitor board involved for pressure calibration.
3. Unplug the PEEP pressure sampling line from the PEEP pressure sampling
connector on the monitor board. Then connect it to one connector of the four-way
device.
4. Connect the second connector of the four-way device to the PEEP pressure
sampling connector (high pressure) on the monitor board.
5. Unplug the airway pressure sampling line from the airway pressure sampling
connector(high pressure) on the monitor board.
6. Connect the third connector of the four-way device to the airway pressure sampling
connector (high pressure).
7. Connect the fourth connector of the four-way device to pressure sampling connector
(high pressure) of the calibration device.

Attention

 The sampling lines going through the four-way device must be connected to the high
pressure ends of the pressure sampling connectors of the pressure sensors.

 It is recommended to connect the sampling lines for pressure calibration to the

four-way device following the procedurs to avoid errors.

8. Make sure that the anesthesia machine is in standby mode.

9. Select the [Factory Maintenance]→ enter the required password →[Factory Cal.]
→[Pressure Cal.]→[Start].
10. After pressure calibration success is prompted, refer to 4.2.6Check the Pressure
Sensor Accuracy to test the effectiveness of pressure calibration. In case of
calibration failure, first fix the problem and then perform pressure calibration again.

Attention

 In case of calibration failure, first fix the problem and then perform pressurecalibration
again.

4.3.4 Pressure and Flow Zeroing (factory)

During the operation of the anesthesia machine, pressure and flow are zeroed
automatically at a specific interval. You can also zero pressure and flow manually in the
factory maintenance menu. Manual zeroing can eliminate the measurement deviations
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 caused by zero off set immediately. This system provides the function of pressure and
flow automatic zeroing at a specific interval.

4.3.4.1 Zeroing Procedures

1. Select the [Factory Maintenance] → enter the required password →[Factory

Cal.]→ [Paw and Flow Zero Cal.]. The message [Zeroing] is prompted.
2. If pressure and flow zeroing is passed, the message [Zeroing Completed!] is
displayed. If pressure and flow zeroing is failed, the message [Zeroing Failure!]
[Please try again.]is displayed.

Attention

 In case of zeroing failure, other faults may exist. You must isolate and eliminate the
problem.

4.3.4.2 Troubleshoot Pressure and Flow Zeroing Failure

In case of zeroing failure, troubleshoot as follows:

1. Set the anesthesia machine to manual ventilation or standby mode. Turn off fresh
gas. Unplug the breathing tubes in the breathing system, causing the inspiration and
expiration connectors to open to the air. Bleed the residual gas inside the bellows.
Make sure that there is no flow or pressure entering the flow or pressure sensors
inside the machine.
2. Check if the zero points of the sensors are normal by referring to 4.2.4Check the
Sensor Zero Point.
3. If a zero point error is detected, unplug the sensor sampling line to eliminate the
effects caused by sampling line occlusion or three-way valve. If zero point is still
out of the range, the monitor board is faulty. Replace the monitor board.
4. If zero points of the sensors are correct but zeroing is still failed, the three-way
valve assembly is faulty. Replace the three-way valve assembly.

4.3.5 Electronic Flowmeter Zeroing (factory)

After the gas supply is disconnected, if the pointer of the pressure gauge returns to
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 zero but the electronic flowmeter still displays flow, it is possible that zero offset
occurs to the electronic flowmeter’s sensor. Generally, you can zero the flowmeter
manually to eliminate the measurement deviation caused by zero offset
immediately.

4.3.5.1 Zeroing Procedures

1. Select the [Factory Maintenance]→ enter the required password →[Factory Cal.]
→[Flowmeter Zero Cal.]. The message[Zeroing] is prompted.
2. If flowmeter zeroing is passed, the message [Zeroing Completed!] is displayed. If
flowmeter zeroing is failed, the message [Zeroing Failure! Please try again.] is
displayed.

Attention

 In case of zeroing failure, other faults may exist. You must isolate and eliminate the
problem.

4.3.5.2 Troubleshoot Electronic Flowmeter Zeroing Failure

In case of zeroing failure, troubleshoot as follows:

1. Disconnect the gas supplies. After bleeding the residual gas inside the machine (or
after adjusting the flowmeter to cause the pointer of the pressure gauge to go to
zero),perform zeroing again.
2. If zeroing is completed, we can conclude that zeroing failure is caused by the
three-way valve mechanical fault. Replace the three-way valve assembly.
3. If zeroing is still failed, we can conclude that zeroing is caused by the three-way
valvehardware circuit fault or electronic flowmeter board fault. Replace the
three-way valve assembly or electronic flowmeter board.

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4.3.6 CO2 Calibration (factory)

4.3.6.1 Preparations

Prepare the following before doing the calibration:

 Gas cylinder: one or more cylinders filled with 3% , 4%, 5%, 6% , or 7% CO2
 T-shape connector
 Samping line

4.3.6.2 Calibration Procedures

Attention

 During the calibration, selecting [Calibrate] again does not take effect or exit the
calibration menu. Other operations than menu options are disabled until the end of
calibration.

Calibrate as follows:
1. Select the [Maintain] → enter the required password → [FlowMeter Zero] . The
message [Zeroing] is prompted.
2. If flowmeter zeroing is passed, the message [Pass] is displayed. If flowmeter
zeroing is failed, the message [Fail] is displayed.
3. Check the airway and make sure that there are no occlusions or leaks.
 Vent the sampling line to the air and check that the current rate is
approximately150 mL/min. If the deviation is great, it means that the airway is
occluded. Check the airway for occlusions.
 Block the gas inlet of the sampling line. The current rate should drop rapidly
and the message of airway occlusion should be prompted. Otherwise, it means
that the airway leaks. Check the airway for leakage.
4. Wait for the sensor temperature to reach and stay at 35ºC.
5. Select [Zero Sensor] to start zeroing.
6. Connect the gas cylinder to the sampling line using a T-shape connector.
7. Vent the sampling line to CO2 opening the cylinder pressure relief valve.
8. In the [CO2 Module Cal.] menu, enter the vented CO2 concentration in the [CO2]
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 field.
9. In the [CO2 Module Cal.] menu, the measured CO2 concentration, barometric
pressure, sensor temperature and current pump rate are displayed. After the
measured CO2concentration becomes stable, select [CO2 % Cal.] to calibrate the
CO2 module.
10. After a successful calibration, the screen shows [Calibration Completed!].
Otherwise, the message [Calibration Failure! Please try again.] is displayed. In
this case, you need to do the calibration again.

4.3.7 AG Calibration (factory)

4.3.7.1 Preparations

Prepare the following before doing the calibration:

 Gas cylinder: filled with a certain standard gas or mixed gas. Gas concentration
should meet the following requirements: AA>1.5%, CO2>1.5%, N2O>40%,
O2>40%, of which AA represents an anesthetic agent.
 T-shape connector
 Sampling line
 Gas bag

4.3.7.2 Calibration Procedures

Calibrate as follows:
1. Make sure that the CO2 module is already warmed up.
2. Select the [Maintain] → enter the required password → [Calibrate] → [Gas
Module Maintain].
3. Check the airway and make sure that there are no occlusions or leaks. Vent the
sampling line to the air and check that the current rate is approximately 50 mL/min.
If the deviation is great, it means that the airway is occluded. Check the airway for
occlusions. Block the gas inlet of the sampling line. The current rate should drop
rapidly and the message of airway occlusion should be prompted. Otherwise, it
means that the air wrate should drop rapidly and the message of airway occlusion is
prompted. Otherwise, it means that the airway leaks. Check the airway for leakage.

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 4. Check the airway and make sure that there are no occlusions or leaks. Vent the
sampling line to the air and check whether the current rate and set rate are
approximately the same. If the deviation is great, it means that the airway is
occluded. Check the airway for occlusions.
Block the gas inlet of the sampling line. The current rate should drop rapidly and the
message of airway occlusion is prompted. Otherwise, it means that the airway leaks.
Check the airway for leakage.
5. Connect the gas cylinder, gas bag and sampling line using a T-shape connector.
6. Vent the sampling line to a certain standard gas opening the cylinder pressure relief
valve.
7. In the [Gas Module Maintain] menu, the measured gas concentration and flow are
displayed. If the difference between the measured gas concentration and the actual
one is very small, a calibration is not needed. If the difference is great, you should
perform a calibration.
8. Enter the vented gas concentrations.
9. Select [AA CAL] to start a calibration.
10. After a successful calibration, the screen shows [Calibration Completed!].
Otherwise, the message [Calibration Failure! Please try again.] is displayed. In
this case, you need to do the calibration again.

Attention

 If the calibration fails, you can select [Defaults] to restore the factory defaultcalibration
values. If the deviation is great, select [Calibrate] again to do acalibration.

 If the calibration still fails, replace the AG module.

4.4 Software Upgrade and Software Configuration

You can upgrade the following programs on the anesthesia machine with the software
we provide:
 System software
 HYP software
 Electronic flowmeter software

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4.4.1 System Software Upgrade

Before Upgrading, please confirm your requirement(ventilation mode and loops) so

that we can provide the right upgrade package.
The following is the procedure for system software upgrade using USD disk:
1. First ensure that the file format of the USB disk is in FAT16;
2. The capacity of the USB disk should be less than 8 G byte;
3. Create a file folder called “COMENSOFT”;
4. Copy the program file “ucos.bin” into the above file folder;
5. Insert the USB disk into the USB port behind the anesthesia machines and switch
on the machine;
6. During the upgrading process, the screen will display the message “SYSTEM
UPDATING”. After the upgrading is completed, the screen will display a message
“UPDATE SUCESSFUL”. Remove the USB disk and restart the anesthesia
machines;
7. Please note that during the upgrading process, USB disk should not be removed.
However, USB disk has to be removed after the upgrading, otherwise, the machine
will re-start the upgrading process during power up when USB disk is being
detected.

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 Attention

 After completing system software upgrade, turn on the anesthesia machine to confirm
the correctness of upgrade software version information.

4.4.1.1 Upgrade the Software Configuration of Electronic Flowmeter

The software configuration of electronic flowmeters needs to be reset by the service

engineer when:
 The user wants to change the existing electronic flowmeters.
 The user wants to change the existing software configuration of electronic
flowmeters.
 The existing software configuration of electronic flowmeters does not meet the
user’s need.

Attention

 Before changing the software configuration of electronic flowmeters, check the number
of tubes the user requires and the flowmeter standard complied (tube order).

4.4.1.2 Check the Software Configuration of Electronic Flowmeters

Before resetting the software configuration of electronic flowmeters, check the

configuration information of the electronic flowmeters to be changed. The following
table lists the configuration information of electronic flowmeters including tube order
and color which a specific standard matches with.

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Gas American（RGB） Europe（RGB） China（RGB）
N2O Blue（0,0,255） Blue（0,0,255） Silver gray（192,192,192）
Air Yellow（255,255,0） White and black Black
O2 Green（0,255,0） White（255,255,255） Blue（173,216,230）

4.4.1.3 How to Change the Software Configuration of Electronic

Flowmeter

To change the software configuration of electronic flowmeters:

1. Select 【Maintain】 -> Enter the password ->【Config】->【System Config】,

【Configuration】to the number of tubes the user requires ; or【Standard】to

select the specific standard of the flowmeter.

2. Check and confirm that the configuration of electronic flowmeter is changed.
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4.4.1.4 Upgrade or Reset the Software of Electronic Flowmeter

1. First ensure the USB disk file format is FAT16；

2. USB disk capacity should be less than 8G-Byte；

3. Create a file folder called “BILANX” in the USB disk;

4. Copy the application software “BILANX.bin” into the above folder;

5. Switch on the power switch of anesthesia machine, Select the 【Maintain】 ->

Enter the password ->【USB Option】->【Flowmeter Update】, insert the USB

disk and then select 【Start】；

6. During the updating, the screen will display“SYSTEM UPDATING”. When the
updating is completed successfully, the screen will display “UPDATE
SUCCESSFUL”. Remove the USB disk after that and restart the anesthesia

machine；

7. Check and confirm that the software version of electronic flowmeter is correct.

4.4.2 Upgrade or Reset the HYP Software

1. First ensure the USB disk file format is FAT16；

2. USB disk capacity should be less than 8G-Byte；

3. Create a file folder called “BILANX” in the USB disk;

1. Put the pc application“ucos.bin” in the above file.

2. Turn on the power, Select the 【Maintain】 -> Enter the password ->【USB

Option】->【HYP Update】, insert USB，click【Start】 ；

3. The display will show “SYSTEM UPDATING”, once finish, it will show
“UPDATE SUCCESSFUL”, then take out USB and restart anesthesia machine.
4. Check and confirm that the version of HYP software is right.

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4.4.3 Upgrade of O2 Sensor Monitoring Function

The anesthesia machine provides online upgrade of O2 sensor monitoring function.

When the user wants to upgrade the O2 sensor monitoring function, the service
engineer provides theO2 sensor for the user as per the corporate procedures for
adding parts configuration after sales. The service engineer can go to the site or guide
the user on the phone to load the monitoring function of O2 sensor.
1. (Guide the user to) mount the O2 sensor onto the circuit and connect the O2 sensor
cable.

2. Select【Maintain】 -> Enter the password ->【Config】->【System Config】,

【O2 Cell Switch】,select【on】 for 【O2 Cell Switch】.

3. Select 【Config】 ->【Setting】->【O2 Sensor Monitor】, select【on】 for 【O2

Sensor Monitor】.

4. The FiO2 valur is displayed on the normal screen.

5. You need calibrate a new sensor to make sure its correct measurement.

4.5 Zero the Airway Pressure Gauge

Stop manual or mechanical ventilation. Allow the breathing tube patient connection
to open to the air. The airway pressure nears zero. If the pointer of airway pressure
gauge fails to go to zero, the airway pressure gauge will indicate incorrect pressure.

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 In this case, you need to zero the airway pressure gauge as follows
1. Stop manual or mechanical ventilation. Connect a breathing tube to the breathing
circuit and let the breathing tube patient connection open to the air. Make sure that
the folding bag fully collapses.
2. Remove the lens by digging out the lens buckle using a flathead screwdriver.
3. Adjust the zeroing screw using a small cross screwdriver to let the pressure gauge
pointer go to zero.
4. Set the bag/mechanical ventilation switch to the mechanical ventilation position.
5. Plug the Y piece into the test plug to close the breathing circuit.
6. Push the O2 flush button repeatedly to sweep the pointer across the pressure gauge.
7. Remove the Y piece from the test plug and release the O2 flush button. Check if the
pointer goes to zero.
8. Repeat the steps above if the pointer fails to go to zero. If the pointer still fails to go
to zero, replace the airway pressure gauge.
9. If the pointer goes to zero, re-install the lens onto the gauge. If the pointer still fails
to go to zero, replace the airway pressure gauge.

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4.6 Adjust the APL Valve Accuracy

To calibrate the APL valve:

1. Connect the inspiration connector and bag arm port using a breathing tube, as shown
below.
2. Set the bag/mechanical ventilation switch to the bag position.
3. Set the APL valve reading to Min.
4. Push the O2 flush button.
5. The reading on the airway pressure gauge should fall with the range of 0 to 10
cmH2O.
6. Set the APL valve reading to 30 cmH2O.
7. Push the O2 flush button.
8. The reading on the airway pressure gauge should fall with the range of 25 to 35
cmH2O.
9. Set the APL valve reading to 50 cmH2O.
10. Push the O2 flush button.
11. The reading on the airway pressure gauge should fall with the range of 45 to 55
cmH2O.
12. If the reading on the airway pressure gauge fails to fall within the required range
during steps 3 through 11, adjust the APL valve until the measurement requirements
are met.

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 Chapter 5 Troubleshooting
5.1 Introduction

In this chapter, anesthesia machine problems are listed along with possible causes and
recommended actions. Refer to the tables below to check the anesthesia machine, isolate and
eliminate the problems.

5.2 Physiologic Alarms

Alarm
Alarm messages Causes and Measures
level
Airway peak pressure (Ppeak) is higher than the set value of high alarm
High Paw H limit. Reduce the set value of tidal volume, or increase the set value of
upper Paw alarm limit.
Airway peak pressure Ppeak is lower than the set value of low Paw
Low Paw H alarm limit (lasting for 20 seconds). Increase the set value of tidal
volume, or reduce the set value of high Paw alarm limit.
MV value is higher than the high alarm limit. Reduce the tidal volume,
High MV M
slow the respiratory frequency, or increase the high alarm limit.
MV is lower than the low alarm limit. Increase the tidal volume,
Low MV M
increase respiratory frequency, or reduce the low alarm limit.
High TVexp H Expiratory Tidal Volume value is higher than high alarm limit. Reduce
the preset tidal volume or increase the high alarm limit.
Low TVexp H Expiratory Tidal Volume value is lower than low alarm limit. Increase
the preset tidal volume or reduce the low alarm limit.
FiO2 value is higher than high alarm limit. Reduce fresh-gas oxygen
High FiO2 M
flow or increase the high alarm limit.
FiO2 value is lower than the low alarm limit. Increase fresh-gas oxygen
Low FiO2 H
flow or reduce the low alarm limit.
Two (2) triggering conditions are satisfied simultaneously:
1. Airway pressure is continuously lower than (PEEP +3) cmH2O for
more than 30 seconds.
Apnea M 2. Expiratory tidal volume is continuously lower than 10ml for more
than 30 seconds.
Increase the set values of tidal volume and respiratory frequency, or set
it to Manual/spontaneous mode.
No respiration takes place within the latest 120 seconds. Check status of
Apnea>2min H
the patient. Use Manual/spontaneous mode to aid the patient to breathe.
5-1
 Alarm
Alarm messages Causes and Measures
level
Check whether or not any pipeline drops out.
Paw value is higher than Plimit. Increase the Plimit or reduce the tidal
Pressure Limiting L
volume or the respiratory rate.
Continuous Pressure H In the respiratory circuit, Paw value is higher than the continuous
airway pressure. If the continuous airway pressure is too high, the
equipment reports an alarm lasting for 15 seconds.
Pressure is 10cmH2O lower than the atmosphere. Check whether or not
the patient is conducting autonomous respiration. Increase the fresh gas
Negative Pressure H flow. Check whether or not there is high air flow through the
scavenging system. If yes, check the negative pressure relief valve on
the receiver.
Apnea Ventilation M Can not detect patient’s respiration over the set Apnea time, and the
ventilation for Apnea is undergoing. Check patient’s respiration or
increase the setting of Apnea time.
High EtCO2 M EtCO2 concentration is higher than the alarm high limit. Increase the
high limit of the alarm setting.
Low EtCO2 M EtCO2 concentration is lower than the alarm low limit. Reduce the low
limit of the alarm setting.
High FiCO2 M FiCO2 concentration is higher than the alarm high limit. Increase the
high limit of the alarm setting.
Low FiCO2 M FiCO2 concentration is lower than the alarm low limit. Reduce the low
limit of the alarm setting.
High FiO2 M (When using the module with paramagnetic oxygen sensor) FiO2 value
is higher than the alarm high limit. Decrease the O2 flow in the fresh air
or increase the high limit of the alarm setting.
Low FiO2 M (When using the module with paramagnetic oxygen sensor) FiO2 value
is lower than the alarm low limit. Increase the O2 flow in the fresh air or
reduce the low limit of the alarm setting.
High EtN2O M EtN2O concentration is higher than the alarm high limit. Decrease N2O
flow or increase the high limit of the alarm setting.
Low EtN2O M EtN2O concentration is lower than the alarm low limit. Increase N2O
flow or reduce the low limit of the alarm setting.
High FiN2O M FiN2O concentration is higher than the alarm high limit. Decrease N2O
flow or increase the high limit of the alarm setting.
Low FiN2O M FiN2O concentration is lower than the alarm low limit. Increase N2O
flow or reduce the low limit of the alarm setting.
High EtHAL M EtHAL concentration is higher than the alarm high limit. Decrease HAL
flow or increase the high limit of the alarm setting.
Low EtHAL M EtHAL concentration is lower than the alarm low limit. Increase HAL
flow or reduce the low limit of the alarm setting.
High FiHAL M FiHAL concentration is higher than the alarm high limit. Decrease HAL
flow or increase the high limit of the alarm setting.

5-2
 Alarm
Alarm messages Causes and Measures
level
Low FiHAL M FiHAL concentration is lower than the alarm low limit. Increase HAL
flow or reduce the low limit of the alarm setting.
High EtENF M EtENF concentration is higher than the alarm high limit. Decrease ENF
flow or increase the high limit of the alarm setting.
Low EtENF M EtENF concentration is lower than the alarm low limit. Increase ENF
flow or reduce the low limit of the alarm setting.
High FiENF M FiENF concentration is higher than the alarm high limit. Decrease ENF
flow or increase the high limit of the alarm setting.
Low FiENF M FiENF concentration is lower than the alarm low limit. Increase ENF
flow or reduce the low limit of the alarm setting.
High EtISO M EtISO concentration is higher than the alarm high limit. Decrease ISO
flow or increase the high limit of the alarm setting.
Low EtISO M EtISO concentration is lower than the alarm low limit. Increase ISO
flow or reduce the low limit of the alarm setting.
High FiISO M FiISO concentration is higher than the alarm high limit. Decrease ISO
flow or increase the high limit of the alarm setting.
Low FiISO M FiISO concentration is lower than the alarm low limit. Increase ISO
flow or reduce the low limit of the alarm setting.
High EtSEV M EtSEV concentration is higher than the alarm high limit. Decrease SEV
flow or increase the high limit of the alarm setting.
Low EtSEV M EtSEV concentration is lower than the alarm low limit. Increase SEV
flow or reduce the low limit of the alarm setting.
High FiSEV M FiSEV concentration is higher than the alarm high limit. Decrease SEV
flow or increase the high limit of the alarm setting.
Low FiSEV M FiSEV concentration is lower than the alarm low limit. Increase SEV
flow or reduce the low limit of the alarm setting.
High EtDES M EtDES concentration is higher than the alarm high limit. Decrease DES
flow or increase the high limit of the alarm setting.
Low EtDES M EtDES concentration is lower than the alarm low limit. Increase DES
flow or reduce the low limit of the alarm setting.
High FiDES M FiDES concentration is higher than the alarm high limit. Decrease DES
flow or increase the high limit of the alarm setting.
Low FiDES M FiDES concentration is lower than the alarm low limit. Increase DES
flow or reduce the low limit of the alarm setting.
H BIS value is higher than the alarm high limit. Check the anesthetics
High BIS
supply. Increase the anesthetics flow rate or alarm high limit.
H BIS value is lower than the alarm low limit. Check the anesthetics
Low BIS
supply. Reduce the anesthetics flow rate or alarm low limit.

5-3
5.3 Technical Alarm Check

Before troubleshooting the anesthesia machine, check for technical alarm message. If an alarm
message is presented, eliminate the technical alarm first.
The following sections detail how to troubleshoot technical alarms related to the ventilator and
electronic flowmeter. For detailed information on possible causes and actions for technical alarm
messages of other modules, refer to the Operator’s Manual.

5.3.1 Monitor wafer Alarms

Alarm
Alarm messages Causes and Measures
level
No calibration data was found in memory or the calibration data did not
Calibrate Flow
L match. Use Manual/spontaneous mode to assist patient to breathe.
Sensor
Calibrate the flow sensor.
No calibration data was found in memory or the calibration data did not
Calibrate Pressure
L match. Use Manual/spontaneous mode to assist patient to breathe.
Sensor
Calibrate the pressure sensor.
No calibration data was found in memory or the calibration data did not
Calibrate O2 Sensor L
match. Calibrate or replace oxygen sensors.
Three way valve 12V,safety valve 5V or 12V,proportional valve
7.5V,internal AD reference voltage 3.3V and external AD reference
Power Failure H voltage 2.5V,at least one way power supply failure. Use
Manual/spontaneous mode to assist patient to breathe. Contact the
manufacturer for service.
Self Check Error L MCU hardware error. Contact the manufacturer for service.
Watchdog Failure The external watchdog is burnt out and out of order. Please contact the
H
manufacturer for service.
Internal A/D The internal ADC is out of order. Please contact the manufacturer for
H
Converter Failure service.
External A/D The external ADC is out of order. Please contact the manufacturer for
H
Converter Failure service.
Connection or control of zero valve gets faulty. The device can still
Zero Valve Failure L work, but the monitoring is unreliable. Use manual/spontaneous mode
to aid the patient to breathe if necessary.
Connection or control of expiratory valve is faulty. Use
Expiration Valve
M Manual/spontaneous mode to assist patient to breathe. Please contact
Failure
the manufacturer for service.
Flow Valve Failure M There exists connection or control failure in the flow valve. Use
Manual/spontaneous mode to assist patient to breathe. Please contact
the manufacturer for service.
5-4
 Alarm
Alarm messages Causes and Measures
level
M Connection of safe valve is faulty. Use Manual/spontaneous mode to
Safe Valve Failure
assist patient to breathe. Please contact the manufacturer for service.
Safe Valve Control Connection or control of safe valve is faulty. Use Manual/spontaneous
H
Failure mode to assist patient to breathe.
Pressure of oxygen supply is inadequate. Make sure O2 supply of
No O2 Pressure H adequate pressure is connected;If an air supply is connected, you may
use Manual/spontaneous to aid the patient to breathe.
Breathing system is not assembled, or the connecting wires of breathing
No Breathing
H system mounting are connected incorrectly. Contact the manufacturer
System
for service.
O2 Flush Failure The button of “O2 Flush”cannot be pressed down. Or the oxygen flush
M cannot be started after the button is pressed down. Contact the
manufacturer for service.
ACGO in Use L The ACGO is being used. Check the cover condition of ACGO.

Oxygen sensor is not or poorly connected to the cable. Ensure that

Connect O2 Sensor L
oxygen sensor and cables are connected.
Replace Oxygen M Oxygen sensor exhaustion or gets faulty. Replace the oxygen sensor.
Sensor
Flow sensor breathe in or breathe out beyond the range. The device can
Flow Sensor Failure L
still work, but its accuracy is low. Calibrate or replace the flow sensor.
The inhalation or exhalation sensor has reverse flow, check the flow
Check Flow Sensor H
sensor.
Pressure Sensor Failure of pressure sensor or abnormal at zero. Use
M
Failure Manual/spontaneous mode to assist patient to breathe.
M Leakage is detected in the breathing system. Check the connection of
Patient Circuit Leak
breathing system and flow sensors.
Pinsp Not Achieved L The inspiratory pressure does not reach the set value. Check whether
there is gas leakage, whether the gas supply pressure is normal, and
whether the expiratory valve and proportional valve work properly.
L The expiratory tidal volume does not reach the set tidal volume. Check
VT Not Achieved
patient’s condition, and inspect airway connection and flow sensor.
Breathing System The circuits of the heating module is faulty. Contact the manufacturer
L
Heater Failure for service.
Power Supply Fan M Power fan is disconnected, or the fan is faulty. Check the fan connection
Stat and condition. Contact the manufacturer for service.
CPU Failure Abnormal software reset or power failure. Please contact the
H
manufacturer for service.
CPU Temperature The CPU temperature is too high. Please contact the manufacturer for
M
Abnormal service.
Abnormal VPM-CPU internal temperature anomaly. Please contact the
H
VPM-CPU manufacturer for service.

5-5
 Alarm
Alarm messages Causes and Measures
level
Temperature
UCOS Error The software is out of order. Please contact the manufacturer for
L
service.
Monitor
Communication failure between monitor board and backup CPU.The
Communication Fail H
serial line is not connected or the chip of the serial port is broken.
With Bk CPU
Bk CPU
Communication failure between backup CPU and host.
Communication H
The serial line is not connected or the chip of the serial port is broken.
Failure With Host
Host
Communication failure between backup CPU and host.
Communication Fail H
The serial line is not connected or the chip of the serial port is broken.
With Bk CPU
Host H Communication failure between monitor board and host.
Communication The serial line is not connected or the chip of the serial port is broken.
Failure With
Monitor
VPM
Abnormal communication between VPM and EFM main control board.
Communication H
Please contact the manufacturer for service.
Failure With EFM
FS Communication Abnormal communication between FS and VPM.
H
Failure With VPM Please contact the manufacturer for service.
Key Board Failure Communication failure between key board and host.
H
The serial line is not connected or the chip of the serial port is broken.

5.3.2 Full electronic flowmeter Alarms

Alarm
Alarm messages Causes and measures
level
No calibration data was found in memory or the calibration data did not
Calibrate the Gas
L match.
Pressure
Please contact the manufacturer for service.
No calibration data was found in memory or the calibration data did not
Calibrate EFM O2
L match.
Flow valve
Please contact the manufacturer for service.
Drive Gas selector Drive gas select valve connection line fault or select valve fault.
H
valve Failure Please contact the manufacturer for service.

5-6
EFM O2 select Oxygen select valve connection line fault or select valve fault.
M
valve err Please contact the manufacturer for service.
EFM N2O select Nitrous Oxide select valve connection line fault or select valve fault.
M
valve err Please contact the manufacturer for service.
EFM air gas select Air select valve connection line fault or select valve fault.
M
valve err Please contact the manufacturer for service.
EFM O2 Flow valve Oxygen flow valve connection line fault or select valve fault.
M
err Please contact the manufacturer for service.
EFM balance gas Balance gas flow valve connection line fault or select valve fault.
M
flow valve err Please contact the manufacturer for service.
EFM O2 Flow Oxygen flow sensor connection line fault or select valve fault.
H
Sensor Failure Please contact the manufacturer for service.
EFM balance gas fl Balance gas flow sensor connection line fault or select valve fault.
H
ow sensor err Please contact the manufacturer for service.
Backup flowmeter Backup flowmeter gata valve connection line fault or select valve fault.
H
select valve err Please contact the manufacturer for service.
Backup flowmeter Backup flowmeter drive valve connection line fault or select valve fault.
M
drive valve err Please contact the manufacturer for service.
Microswitch of the back up flowmeter connection line fault or
Back-up Flowmeter microswitch fault,or the back up flowmeter did not jam and did not pop
M
Abnormal Status up completely.
Please contact the manufacturer for service.
O2 and N2O ratio a The oxygen flow valve or balance gas valve flow valve is abnormal.
H
bnormal Please contact the manufacturer for service.
Fresh gas is less than 100mL/min.Please check if the air pressure is
No Fresh Gas L sufficient.If the air pressure is sufficient,the flow valve may fault,please
contact the manufacturer for maintenance.

5.3.3 Battery Alarms

Alarm
Alarm messages Causes and measures
level
The battery voltage is below 9.5V. Please connect alternating
current immediately. In case of power cut-off, use
Low Battery
H Manual/spontaneous to aid the patient to breathe. If the battery
Voltage
cannot be fully charged within 24 hours, contact the manufacturer
for service.

5-7
 The battery voltage is below 9.1V. Please connect AC supply
System Down For immediately. In case of power cut-off, use Manual/spontaneous to
H
Battery Depletion aid the patient to breathe. If the battery cannot be fully charged
within 24 hours, contact the manufacturer for service.
Battery is not assembled, or the battery cable is disconnected
No Battery M
with power module. Please contact the manufacturer for service.
On Battery Power L Battery is in use. Please check the AC power connection status.

5.3.4 AG Module Alarms

Alarm
Alarm messages Causes and measures
level
External AG AG module is warming up. Wait till AG module warm-up
L
Warming Up finishes.
AG module under L AG module is zeroing, do not remove or power off the module.
zeroing
No Sampling M Sampling tube not installed or not installed properly.
line Verify that the sampling line is connected.
The module has not installed watertrap, or the watertrap is not
No Watertrap M properly installed. Check the condition of the watertrap and install
the watertrap again.
Sampling line M The sampling tube is blocked.
clogged Replace the sampling line of the Sidestream module.
Replace Watertrap M Watertrap is faulty. Replace the watertrap.
Replace the M The oxygen sensor is faulty.
oxygen sensor Replace the paramagnetic oxygen sensor in the module.
Zeroing required M Module requires manual zeroing.
Need To Indoor M The O2 sensor requires calibration in indoor air. Place the O2 sensor
Air Calibration in the 21% air and calibrate it.
Need O2 Range The O2 sensor inside module requires calibration;Or the module does not
M
Calibration have an oxygen sensor but turns on the oxygen option switch.
Calibrating... M CO2/N2O/O2 range calibration is in progress.
AG Comm H AG module can not communicate with the host. Contact the
Stop manufacturer for service.
AG Module H AG module calibration fails. Calibrate the module again. If the
Cal Failed fault remains, contact the manufacturer for service.
AG Zero Failed H AG module zeroing fails, contact the manufacturer for service.
Range Calibration M CO2/N2O/O2 range calibration fails. Contact manufacturer for
Fails service.
5-8
 AG Accuracy H AG module measurement accuracy is low. Calibrate or zero the
Error module. If the alarm remains, contact the manufacturer for service.
CO2 Out of Range The CO2 value is out of range. Replace the sensor. If the error
M
remains, contact the manufacturer for service.
CO2 outside M CO2 out of the measurable span of the module. If the alarm remains
specified accuracy after regulating the CO2 to within the measurable span, please contact
range the manufacturer for service.
O2 outside M O2 concentration is out of the range of the module. If the alarm
specified accuracy remains after adjusting the O2 to in the range of the module, please
range contact the manufacturer for service.
N2O outside M N2O concentration is out of the range of the module. If the alarm
specified accuracy remains after adjusting the N2O in the range of the module, please
range contact the manufacturer for service.
At least one agent M At least one anesthetic gas concentration out of the range of the
out of specified module. If the alarm remains after adjusting the concentration in the
accuracy range range, please contact the manufacturer for service.
Agent M There is some other gas that the AG analyzer can not identify. Check
Concentration the unknown gas.
Recognition
Unsure
Detected 2 kind of Detect 2 kinds of anesthesia gases inside the patient’s respiratory
anesthetic gases L circuit and current value of MAC is below 3. Please contact the
(MAC <3 ) manufacturer for service.
Detected 2 There are 2 kinds of anesthesia gas detected inside the
kind of anesthetic M patient-respiration gas circuit and current value of MAC is greater
gases (MAC >3 ) than 3.
The CO2 alarm limit is abnormal. Check the module, or remove and
CO2 Alarm Limit
H then install the module again. If the error remains, contact the
Error
manufacturer for service.
EtCO2 Alarm H The alarm limit of EtCO2 is abnormal. Check or remove the module
Limit Error again. If the fault remains, contact the manufacturer for service.
FiCO2 Alarm H The alarm limit of FiCO2 is abnormal. Check or remove the module
Limit Error again. If the fault remains, contact the manufacturer for service.
EtO2 Alarm Limit H The alarm limit of EtO2 is abnormal. Check or remove the module
Error again. If the fault remains, contact the manufacturer for service.
FiO2 Alarm Limit H The alarm limit of FiO2 is abnormal. Check or remove the module
Error again. If the fault remains, contact the manufacturer for service.
EtN2O Alarm H The alarm limit of EtN2O is abnormal. Check or remove the module
Limit Error again. If the fault remains, contact the manufacturer for service.
FiN2O Alarm H The alarm limit of FiN2O is abnormal. Check or remove the module
Limit Error again. If the fault remains, contact the manufacturer for service.
M The module is faulty. Remove and install the module again, or restart
O2 Sensor Error the anesthetic machine. If the fault remains, contact the manufacturer
for service.

5-9
 Sensor Error The monitoring data of the sensor are abnormal. Please contact the
M
manufacturer for service.
M Module Software is faulty. Restart the anesthetic machine. If the
Software Error
alarm remains, contact manufacturer for service.
Hardware error M Module hardware error. If the alarm remains after resetting the
module, please contact the manufacturer for service.
Motor Speed out M Module in-built motor overspeed. If the alarm remains after resetting
of Range the module, please contact the manufacturer for service.
M The module is faulty. Remove and install the module again, or restart
O2 Port Fault the anesthetic machine. If the fault remains, contact the manufacturer
for service.
Atmospheric M Atmospheric pressure is out of range .Please contact the
pressure beyond manufacturer for service.
Internal H Internal temperature of the module is out of range. Suspend the
temperature module for a period of time and then restart it.If the alarm remains,
beyond contact the manufacturer for service.
Factory calibration M Module factory settings are lost. Please contact the manufacturer for
lost service.

5.3.5 CO2 Module Alarms

Alarm messages Alarm Causes and Measures

Level
CO2 Zeroing L CO2 module is zeroing. Wait till the zeroing finishes.
No Sampling line M The sampling line is not installed or is not installed properly.
Verify that the sampling line is connected.
M The adapter is not installed or is not installed properly.Verify that
Without Adapter
the adapter is installed.
Sampling line M The sampling line is clogged .Replace the sampling line of the
clogged Sidestream module.
Replace Adapter M The adapter is faulty.Replace the mainstream adapter.
Zeroing required M Module requires manual zeroing.
Calibrating... M CO2 range calibration is in progress.
Range M CO2 range calibration fails. Contact manufacturer for service.
Calibration Fails
Can not obtain the information of CO2 module initialization.
CO2 Module Init
H Remove and install the module again. If the module still fails to work,
Error
contact the manufacturer for service.
The CO2 module is faulty, or there is communication error.
CO2 Module
H Remove and install the module again. If the module still fails to
Comm Stop
work, contact the manufacturer for service.
5-10
Alarm messages Alarm Causes and Measures
Level
CO2 Out of The CO2 value is out of range. Replace the sensor. If the error
M
Range remains, contact the manufacturer for service.
CO2 outside M CO2 out of the measurable span of the module. If the alarm remains
specified after regulating the CO2 to within the measurable span, please contact
accuracy range the manufacturer for service.
The CO2 alarm limit is abnormal. Check the module, or remove and
CO2 Alarm Limit
H then install the module again. If the error remains, contact the
Error
manufacturer for service.
EtCO2 Alarm H The alarm limit of EtCO2 is abnormal. Check or remove the module
Limit Error again. If the fault remains, contact the manufacturer for service.
FiCO2 Alarm H The alarm limit of FiCO2 is abnormal. Check or remove the module
Limit Error again. If the fault remains, contact the manufacturer for service.
Sensor Error The monitoring data of the sensor are abnormal. Please contact the
M
manufacturer for service.
M Module Software is faulty. Restart the anesthetic machine. If the
Software Error
alarm remains, contact manufacturer for service.
Hardware M Module hardware error. If the alarm remains after resetting the
error module, please contact the manufacturer for service.
Motor Speed out M Module in-built motor overspeed. If the alarm remains after resetting
of Range the module, please contact the manufacturer for service.
Atmospheric M Please contact the manufacturer for service.
pressure beyond
Internal H Iinternal temperature of the module is out of range. Suspend the
temperature module for a period of time and then restart it.If the alarm remains,
beyond contact the manufacturer for service.
Factory M Module factory settings are lost. Please contact the manufacturer for
calibration lost service.

5.3.6 BIS Module Alarms

Alarm Messages Alarm Causes and Measures

Level
BIS Sensor M BIS sensor is disconnected. Check the BIS sensor. If the fault remains,
Disconnected contact the manufacturer for service.
Invalid BIS M BIS sensor is invalid. Replace BIS sensor. If the fault remains, contact the
Sensor manufacturer for service.
BIS Sensor M BIS sensor is expired. Replace BIS sensor. If the fault remains, contact the
Expired manufacturer for service.
Senor Use Time M BIS senor is continuously used for 24 hours. Replace BIS sensor.

5-11
Alarm Messages Alarm Causes and Measures
Level
out
Replace Sensor M Replace BIS sensor.
Lead Connection M The lead connection is under testing. Wait till the testing finishes.
Testing
M BIS lead is disconnected or off. Check the BIS sensor. If the fault remains,
BIS Lead Off
contact the manufacturer for service.
Resistance M The resistance check is in progress. No action is required.
Check in
Progress
Electrode M The electrode resistance is too high. Check the connection among
Resistance Too patient cable, electrode and patient skin. If necessary, clean and dry the
High skin.
M The SQI signal is greater than 15 but less than 50. Check the
Poor SQI Signal
connection among patient cable, electrode and patient skin.
M The SQI signal is less than 15. Check the connection among patient
Weak SQI Signal
cable, electrode and patient skin.
BIS Module M BIS module communication is faulty. Remove and then plug in BIS
Communication module, or restart the anesthetic machine. If the fault remains, contact the
Stops manufacturer for service.
Reset Module M BIS module requires to be removed and plugged in again.

5.4 Prompt Information

5.4.1 The prompt message displayed in the alarm bar

Alarm messages Causes and countermeasures

BIS module alarm closed This information will appear when BIS module alarm is switched off.
AG Module Alarm closed This information will appear when AG module alarm is switched off.
CO2 Module Alarm closed This information will appear when CO2 module alarm is switched off.
This alarm will appear when the AG module is used and the CO2 module is
CO2 Alarm closed
closed.
Anesthesia module This information will appear when anesthesia module is in standby
standby status,
CO2 Module Standby This information will appear when CO2 module is in standby status,
TVexp Alarm, MV Alarm This information will appear when the manual/spontaneous switch is
5-12
Alarm messages Causes and countermeasures
and Apnea Alarm closed!! pressed to the manual.

5.4.2 The prompt message displayed in the information bar

Alarm messages Causes and countermeasures

“...”changed, press the
This prompt message will appear when you change the breathing parameter
"Confirm" button to
setting without clicking OK.
confirm!!
Set the Bag /Vent switch This prompt message will appear when you switch to manual/spontaneous
to the "..." position. mode without clicking OK.

5-13
5.5 Pneumatic Circuit System Problems

The pneumatic circuit system is mainly composed of gas supplies, anesthetic gas delivery system,
anesthetic gas delivery device (vaporizer), anesthetic ventilator, breathing system and anesthetic
gas scavenging system. This chapter details possible failures regarding the pneumatic circuit
system and how to troubleshoot them.

5.5.1 Tools for on-site Maintenance

The tools required for troubleshooting are listed below.

Negative 1 MPa(10bar) Test Anesthesia machine

Injector（100ml）
Name Pressure ball Pressure gauge calibration device

Quant 1 1 1 1
ity

Name T-shaped Allen wrench

Quantity 1

PU PU PU PU PU Breathi Φ6 Y Breathin
tube tube tube tube tube ng silicone piece g tube
Name (4X20 (6X1 (6X2 (6X30 (8X20 tube Y
0) 00) 00) 0) 0) piece

Quan 1 1 1 1 1 1 1
tity

5-14
Anesthesia machine calibration device:

5-15
 1 MPa (10bar) test pressure gauge:

5.5.1.1 Precautions for Use of Negative Pressure Ball

The negative pressure ball has a sealing cover and a built-in one-way valve at its front endand a
gas outlet switch at its back end, as shown below. If the front sealing cover isremoved or loosened,
the sealing performance of the negative pressure ball willcompromise. In this case, you need to
tighten the sealing cover.
Remove the gas outlet switch to flatten the negative pressure ball. Re-install the gas outlet switch
properly when performing the test, as shown below.
Before using the negative pressure ball, make sure that it is not leaky. Check if the front sealing
cover is tightened. Then flatten the negative pressure ball to remove the gas inside. Install the gas
outlet switch properly. Block the front gas inlet with your hand to release the negative pressure
ball main unit. Visiblel expansion of the ball cannot be seen within 30seconds. Otherwise, replace
the ball.

5.5.2 Gas Supplies and Drive Gas

Failure Possible cause Recommended action

description
Leak The gas supply tube is Replace the gas supply tube or the
damaged or the seal at seal at the connection.
the connection is
damaged.

5-16
 The quick plug-in Replace the quick plug-in connector
connector leaks. or PU tube (when the PU tube is not
damaged, if the tube is long enough,
cut off a small segment of the tube
where the quick plug-in connector is
met, and then insert the tube into
position).
The pipeline gas supply Check if the one-way valve of the
inlet assembly leaks. quick plug-in connector of the
pipeline gas supplies inlet assembly
leaks in the reverse direction. Replace
it if necessary. Check and replace the
damaged seal of the pipeline gas
supplies inlet assembly. If the problem
persists, replace the pipeline gas
supplies inlet assembly.
The drive gas pipeline Check and repair the expiratory valve
leaks. assembly

Pipeline The pipeline pressure Replace the pipeline pressure gauge.

ressuregauge gauge is damaged.
show
sinaccurate
eadings
or no readings.
The readings on The filter of pipeline gas 1. After confirming that the
the pipeline supply inlet assembly or pipeline gas pressure is stable,
pressure gauge the PU tube of the check the PU tube of the pipeline
fluctuate pipeline pressure gauge is pressure gauge and filter of the
greatly. occluded or the pressure pipeline gas supply inlet
. gauge isdamaged assembly. If the tube or the filer
is occluded, replace it (replaced
at least once per year).
2. If the problem persists, replace
the pipeline pressure gauge.
No “O2 Supply The gas pressure switch Adjust the pressure switch of the O2
Failure” alarm of the O2 supply inlet supply inlet assembly to cause O2
occurs when the assembly is ineffective. supply pressure to approach 0.2 MPa
O2pressure is as much as possible within the range
low or this of 0.15 to 0.25 MPa when this alarm
alarm occurs occurs. If the adjustment fails, replace
when the O2 the pressure switch.
supply pressure
is normal.

5-17
 No “Drive Gas The pressure switch on Adjust the pressure switch on the
Pressure Low” the integrated pneumatic integrated pneumatic circuit of the
alarm occurs circuit of the expiratory expiratory valve assembly to cause
when the drive valve assembly or the drive gas pressure to approach 0.14
gas pressure is PEEP safety valve is MPa as much as possible within the
low or this ineffective. Or, the filter range of 0.05 to 0.2 MPa when this
alarm occurs on the integrated alarm occurs. If the adjustment fails,
when the drive pneumatic circuit of the replace the pressure switch. If the
gas pressure is expiratory valve problem persists after the pressure
normal. assembly is occluded. switch is replaced, replace the
integrated pneumatic circuit of the
expiratory valve assembly.

5.5.2.1 Test the Pipeline Pressure Gauge and Correct the Regulator

Use the following tools to test the pipeline pressure gauge and regulator of the pipeline gas supply

inlet assembly:

 1 MPa (10bar) test pressure gauge (before the test, make sure that the 1 MPa (10bar)test

pressure gauge is in good condition) (quantity: 1)

 adapter connector (quantity: 1)

 PU tube (4X200) (quantity: 1)

Test procedures:

 O2 supply inlet assembly:

8. Turn off the pipeline gas supply and bleed the residual pressure through O2 flushing.

9. Pull out No.42 PU tube which connects the O2 supply inlet assembly to otherassembly (Note

1). The end of the tube which connects the O2 supply inlet assembly isnot pulled out but the

other end is.

10. Connect the pulled-out tube end to the 1 MPa (10bar) test pressure gauge through adapter

connector, as shown below.

5-18
11. Turn on O2 pipeline supply and record the reading on the O2 pipeline pressure gauge.

Observe the test pressure gauge. If the reading on the test pressure gauge is not within the

range of 0.15 to 0.25 MPa (namely 1.5 to 2.5bar), adjust the regulator of the O2supply inlet

assembly to cause the reading on the test pressure gauge to reach 0.2 MPa(namely, 2bar). For

operations of the regulator, refer to section 5.3.2.4Adjust the Regulator of the Pipeline Gas

Supply Inlet Assembly.

12. Turn off the pipeline gas supply and bleed the residual pressure through O2 flushing.

13. Insert the pulled-out tube properly.

14. Pull out No.39 PU tube which connects the O2 supply inlet assembly to the O2pipeline

pressure gauge. The end of the tube which connects the O2 supply inletassembly is not pulled

out but the other end is.

15. Connect the pulled-out tube end to the test pressure gauge, as shown below.

5-19
16. Turn on the pipeline gas supply and record the reading on the test pressure gauge. Ifthe

difference between this reading and the reading on the O2 pipeline pressure gaugeis more

than 0.1 MPa (1bar), it indicates that the O2 pipeline pressure gauge isdamaged. Handle this

problem as described in the troubleshooting table.

17. Insert the pulled-out tube properly.

 N2O supply inlet assembly and AIR supply inlet assembly，please refer to O2 supply inlet

assembly.

5.5.2.2 Test the Pressure Switch

Use the following tools to test if the pressure switch of the O2 supply inlet assembly and that on

the integrated pneumatic circuit of the expiratory valve assembly are normal:

 1 MPa (1bar) test pressure gauge (before the test, make sure that the 1 MPa (1bar) test

pressure gauge is in good condition) (quantity:1)

 adapter connector (quantity:1)

 Y piece (quantity:1)

 PU tube (8X200) (quantity:2)

 PU tube (6X200) (quantity:1)

5-20
 PU tube (4X200) (quantity:1)

Test procedures:

1. Turn off the pipeline gas supply and bleed the residual pressure through O2 flushing.

2. Pull out No.54 PU tube which connects the O2 supply inlet assembly to the expiratoryvalve

assembly. The end of the tube which connects the O2 supply inlet assembly isnot pulled out

but the other end is.

3. Connect one PU tube (8X200) to the pulled-out tube end of the expiratory valveassembly.

Then connect this PU tube and the pulled-out end of PU tube to thetwo connectors of Y piece

respectively.

4. Connect the test pressure gauge to another connector ofY piece through two adapter

connectors, as shown below.

5. Turn on the O2 pipeline supply.

6. Turn on the machine to enter Standby.

7. Turn off all flow regulators.

8. Turn off the pipeline gas supply (if the reading on the test pressure gauge begins to fall

dramatically and continuously after the gas supply is turned off, it indicates that one or

several leaks occur to the O2 supply inlet assembly, expiratory valve assembly, O2flush

button assembly, system switch assembly, and O2 flow regulator. Perform the subsequent

operations after the leaks are serviced. Failures can be located by using the methods

described in section 5.3.3Anesthetic Gas Delivery System and 5.3.4PatientCircuit except O2

5-21
 supply inlet assembly related failures).

9. Manually adjust the O2 flow regulator until O2 flow is approximately 1 L/min,causing the

reading on the test pressure gauge to fall gradually to 0.25 MPa (2.5bar).

10. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “O2Supply

Failure” alarm occurs 10 s later, it indicates that the pressure switch of the O2supply inlet

assembly is faulty. Troubleshoot this problem as described in the relevant failure table.

11. Adjust the O2 flow regulator until O2 flow is approximately 0.5 L/min, causing the reading

on the test pressure gauge to fall gradually to 0.2 MPa (2bar).

12. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “Drive Gas

Pressure Low” alarm occurs 10 s later, it indicates that the pressure switch on the integrated

pneumatic circuit of the expiratory valve assembly is faulty. Troubleshoot this problem as

described in the relevant failure table.

13. Adjust the O2 flow regulator until O2 flow is approximately 0.3 L/min, causing the reading

on the test pressure gauge to fall gradually to 0.15 MPa (1.5bar).

14. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “O2Supply

Failure” alarm does not occur 10 s later, it indicates that the pressure switch of the O2 supply

inlet assembly is faulty. Troubleshoot this problem as described in the relevant failure table.

15. Adjust the O2 flow regulator until O2 flow is approximately 0.3 L/min, causing the reading

on the test pressure gauge to fall gradually to 0.05 MPa (0.5bar).

16. Turn off O2 flow to cause the reading on the test pressure gauge not to fall. If the “Drive Gas

Pressure Low” alarm does not occur 10 s later, it indicates that the pressure switch on the

integrated pneumatic circuit of the expiratory valve assembly is faulty. Troubleshoot this

problem as described in the relevant failure table.

5.5.2.3 Adjust the Pressure Switch

Adjust the O2 supply pressure switch and drive gas pressure switch as described below. For

the convenience of operations, disassemble the corresponding assembly. Take the O2supply

pressure switch as an example. Use a flathead screwdriver to adjust the O2 supply pressure

switch as shown below. Turn for small degrees each time such as 30 degrees. Note that
5-22
 turning the pressure switch clockwise will decrease its alarm limits and counterclockwise

increase its alarm limits. Assemble the assembly after each pressure adjustment is made and

perform a test. Repeat the operations until the pressure at the time moment when the alarm

occurs meets the requirement.

5.5.2.4 Adjust the Regulator of the Pipeline Gas Supply Inlet

Assembly

Pull up the knob cover of the regulator. Turn the cover clockwise to increase pressure or

counterclockwise to decrease pressure, as shown below. Bleed the inside pressure of the pipeline

gas supply inlet assembly after each pressure adjustment is made. Then, turn on the pipeline gas

supply again. Observe the adjusted pressure through the test pressure gauge.

5-23
5.5.3 Anesthetic Gas Delivery System

The following table lists anesthetic gas delivery system related failures.
Failure description Possible cause Recommended action

The O2 flush button assembly Replace the seal on the O2 flush

leaks. button assembly or replace the
O2flush button assembly.

The system switch assembly Replace the seal on the system switch
leaks. assembly or replace the systems
switch assembly.

The vaporizer is installed Re-install the vaporizer.

improperly, which results in
leak.

5-24
 The seal between the Clean or replace the seal. The seal
vaporizer manifold assembly should be replaced at least once
and the vaporizer is damaged. per year as required.

The seal between the Clean the sealing part or replace the
vaporizer manifold inside and faulty seal and rubber plain washer
the connection or the rubber
plain washer between the
vaporizer manifold inside and
the spring is damaged or
dirty.
The vaporizer manifold Replace the vaporizer manifold
assembly is damaged. assembly.

The float flowmeter leaks. Replace the float flowmeter.

The O2-N2O cut-off valve Replace the O2-N2O cut-off valve.

assembly leaks.
The throttling device leaks. Re-calibrate after the throttling device
is replaced.

The type II pressure relief Check and replace the faulty pressure
valve of the ACGO assembly relief valve after locating the
or the pressure relief valve at problem.
the breathing connection
leaks.
The ACGO assembly leaks. Replace the ACGO assembly after
locating the problem.

The two fresh gas Check the seals and tubes at the two
connections(one is connected fresh gas connections after locating
to fresh gas and the other to the problem. Replace the faulty part
ACGO) of the circuit adapter sand re-install the parts.
assembly leak.

The gas supplies The seal inside the system Replace the system switch.
cannot be turned off switch assembly is damaged.
after the machine is
turned off.
The machine cannot The contact switch is Replace the contact switch of the
be powered on after ineffective. system switch assembly.
turned on.

5-25
 The O2 flushing The pressure switch on the Replace the pressure switch on the
status ACGO assembly which ACGO assembly which detects
cannot be detected detects the O2 flushing status the O2 flushing status
correctly. is ineffective.
O2-N2O cut-off is The O2-N2O cut-off valve Replace the O2-N2O cut-off valve
ineffective. assembly is damaged. assembly.
The flowmeter float The float flowmeter is Replace the float flowmeter.
indicates inaccurate damaged.
value or remains
unmoved.
The knob of the flow The flow regulator is Replace the flow regulator
Regulator gets loose. damaged.
The O2-NO link The O2-N2O chain linkage of Replace the flow regulator.
system is ineffective. the flow regulator is
damaged.

N2O supply cannot The O2-N2O cut-off valve is Replace the O2-N2O cut-off valve
be cutoff in case of damaged. assembly.
O2 supply failure.

5.5.3.1 Leak Test of the O2 Flush Button Assembly

Perform a leak test of the O2 flush button assembly by using the following tools:

 Negative pressure ball (quantity:1)

 adapter connector (quantity:1)

 PU tube (6X100) (quantity:1)

Test procedures:

1. Turn off the pipeline gas supplies and bleed the residual pressure through O2 flushing.

2. Pull out PU tube which connects the O2 flush button assembly to the ACGO assembly. The

end of the tube which connects the O2 flush button assembly is not pulled out but the other

end is.

3. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas outlet

switch of the negative pressure ball properly. Connect the other end of the negative pressure

ball to the pulled-out tube through adapter connector.

4. Release the negative pressure ball as shown below. If the negative pressure ball is full

5-26
 yexpanded within 30 s, it indicates that the O2 flush button assembly is damaged. Handle this

problem as described in the troubleshooting table.

5.5.3.2 Leak Test of the Flowmeter Related Assembly

Perform a leak test of the flowmeter related assembly (from flow regulator to float flowmeter) by

using the following tools:

 Negative pressure ball

 adapter connector

 tube plug

 PU tube (6X100)

 Cross screwdriver
Test procedures:
1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residualpressure

by turning on the flow regulators.

2. Turn off the system switch. Turn on the flow regulators and turn themcounterclockwise for

more than half a circle.

3. Pull out No.25 PU tube which connects the float flowmeter to the vaporizer

manifoldassembly. The end of the tube which connects the float flowmeter is not pulled out

5-27
 butthe other end is.

4. Pull out No.46, 49 and 51 PU tubes (No.46 and 49 tubes in case of O2+N2Oconfiguration,

No.45 and 51 tubes in case of O2+AIR configuration, and No.45 tube incase of single O2

configuration) which connect the system switch assembly andO2-N2O cut-off valve

assembly to the flow regulator. The ends of the tubes whichconnect the flow regulator are

pulled out but the other ends are not.

5. Occlude the pulled-out tube end on the flow regulator by using tube plug.

6. Flatten the negative pressure ball to remove the gas inside. Then re-install the gasoutlet

switch of the negative pressure ball properly. Connect the other end of thenegative pressure

ball to the pulled-out end of No.25 PU tube through adapter connector, as shown below.

7. Release the negative pressure ball. If the negative pressure ball is fully expanded within 30s,

it indicates that the float flowmeter related assembly is damaged. In this case, perform the

following operations.

8. Remove the left front panel.

9. Pull out No.26 PU tube which connects the throttling device to the float flowmeter.The end

5-28
 of the tube which connects the float flowmeter is pulled out but the other end is not.

10. Occlude the pulled-out tube end on the float flowmeter by using tube plug.

11. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas outlet

switch of the negative pressure ball properly. Connect the other end of the negative pressure

ball to the pulled-out end of No.25 PU tube through adapter connector, as shown below.

12. 12. Release the negative pressure ball. If the negative pressure ball is fully expanded within

30s, it indicates that the float flowmeter leaks. Handle this problem as described in the

troubleshooting table.

13. Pull out No.27, 28 and 29 PU tubes (No.27 and 28 tubes in case of O2+N2Oconfiguration,

No.27 and 29 tubes in case of O2+AIR configuration, and No.27 tube incase of single O2

configuration) which connect the flow regulator to the throttling device. The ends of the

tubes which connect the throttling device are pulled out but the other ends are not.

14. Occlude the pulled-out tube end on the throttling device by using tube plug.

15. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas outlet
5-29
 switch of the negative pressure ball properly. Connect the other end of the negative pressure

ball to the pulled-out end of No.26 PU tube through adapter connector, as shown below.

16. Release the negative pressure ball. If the negative pressure ball is fully expanded within 30s,

it indicates that the throttling device leaks. Handle this problem as described in the

troubleshooting table.

17. Pull out No.46, 49 and 51 PU tube (No.46 and 49 tubes in case of O2+N2Oconfiguration,

No.45 and 51 tubes in case of O2+AIR configuration, and No.45 tube incase of single O2

configuration) which enter the flow regulator. The ends of the tube swhich connect the flow

regulator are pulled out but the other ends are not.

18. Occlude the pulled-out tube end on the flow regulator by using tube plug.

19. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas outlet

switch of the negative pressure ball properly. Connect the other end of the negative pressure

ball to the pulled-out end of No.27,28 or 29 PU tube in turn (No.27and 28 tubes in case of

O2+N2O configuration, No.27 and 29 tubes in case ofO2+AIR configuration, and No.27 tube

in case of single O2 configuration) through adapter connector, as shown below.

5-30
20. Release the negative pressure ball. If the negative pressure ball is fully expanded within 30s,

it indicates that the flow regulator leaks. Handle this problem as described in the

troubleshooting table.

5.5.3.3 Leak Test of the System Switch Assembly

Perform a leak test of the system switch assembly by using the following tools:

 Negative pressure ball

 adapter connector

 tube plug

 PU tube (6X100)

Test procedures:

1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residualpressure

by turning on the flow regulators.

5-31
2. Turn off the system switch.

3. Pull out No.45 or 51 PU tube (No.45 tube in case of O2+N2O configuration, No.45and 51

tubes in case of O2+AIR configuration, and No.45 tube in case of single O2configuration)

which connects the system switch assembly to the flow regulator. The end of the tube which

connects the system switch assembly is not pulled out but the other end is.

4. Pull out No.43 or 50 PU tube (No.43 tube in case of O2+N2O configuration, No.43and 50

tubes in case of O2+AIR configuration, and No.43 tube in case of single O2configuration)

which connects the pipeline gas supply inlet assembly to the system switch assembly. The

end of the tube which connects the system switch assembly is pulled out but the other end is

not.

5. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas outlet

switch of the negative pressure ball properly. Connect the other end of the negative pressure

ball to the pulled-out end of No.45 or 51 PU tube in turn through adapter connector, as shown

below.

5-32
6. Release the negative pressure ball. If the negative pressure ball is fully expanded within 30s

during one of the two tests, it indicates that the system switch assembly is damaged. Handle

this problem as described in the troubleshooting table.

7. Turn on the system switch.

8. Occlude the pulled-out tube end on the system switch assembly by using tube plug.

9. Flatten the negative pressure ball to remove the gas inside. Then re-install the gas outlet

switch of the negative pressure ball properly. Connect the other end of the negative pressure

ball to the pulled-out end of No.45 or 51 PU tube in turn through adapter connector, as shown

below.

5-33
10. Release the negative pressure ball. If the negative pressure ball is fully expanded within 30 s

during one of the two tests, it indicates that the system switch assembly is damaged. Handle

this problem as described in the troubleshooting table.

5.5.3.4 Leak Test of the O2-N2O Cut-off Valve Assembly

Perform a leak test of the O-N2O cut-off valve assembly by using the following tools:

 Negative pressure ball

 adapter connector

 PU tube (6X100)
Test procedures:
1. Turn off the pipeline gas supplies and turn on the system switch. Bleed the residual pressure

by turning on the flow regulators. Then turn off the system switch.

2. Pull out No.49 PU tube which connects the O2-N2O cut-off valve assembly to theN2O flow

regulator (this test is not required in case of O2+AIR configuration or singleO2

configuration). The end of the tube which connects the O2-N2O cut-off valve assembly is not

pulled out but the other end is.

3. Pull out No.47 PU tube which connects the system switch assembly to the O2-N2Ocut-off

valve assembly. The end of the tube which connects the O2-N2O cut-off valve assembly is

5-34
 not pulled out but the other end is.

4. Pull out No.48 PU tube which connects the N2O supply inlet assembly to the O2-N2Ocut-off

valve assembly. The end of the tube which connects the O2-N2O cut-off valve assembly is

not pulled out but the other end is. Flatten the negative pressure ball to remove the gas inside.

Then re-install the gas outlet switch of the negative pressure ball properly. Connect the other

end of the negative pressure ball to the pulled-out tube through adapter connector in turn, as

shown below.

5-35
5. Release the negative pressure ball. If the negative pressure ball is fully expanded within 30s

during one of the three tests, it indicates that the O2-N2O cut-off valve assembly is damaged.

Handle this problem as described in the troubleshooting table.

5.6 Troubleshoot Sensor and Valve Related Failures by Using

the Valve test Tool

5.6.1 Preparations before Using the Valve test Tool

Make the following preparations before using the valves-test tool to locate the valves orsensors

related failures:

1. Connect the pneumatic circuit according to the type of sensor or valve to be checked.

 Constant-flow connection method: Connect the tubes of the anesthesia machine following the

constant-flow connection method to check the flow sensors and inspiratory

valve.Constant-pressure connection method: Connect the tubes of the anesthesia machine

following the constant-pressure connection method to check the pressure sensors and PEEP

proportional valve.
5-36
2. Make sure that the supply gas pressure is normal.

3. When the system is Standby, select the [Maintain] →Input Password→

[Diagnosis]→[Valve Test Tool] to access the[Valve Test Tool] menu.

5.6.2 One-to-one Correspondence between the Sensors &Valves

on the Valve test Tool Screen and the Components

To use the valves-test tool to troubleshoot the sensors or valves related failures, you must

befamiliar with the one-to-one correspondence between the menu options on the valves-testtool

screen and the actual pneumatic circuit and hardware components.

5.6.2.1 Correspondence with Pneumatic Circuit Components

The following figure shows the one-to-one correspondence between the sensors & valves on the

valves-test tool screen and the actual components in the pneumatic circuit diagram.

5-37
5.6.2.2 Correspondence with Hardware Components

The following figure shows how the sampling lines of the sensors are actually connected on the

monitor board.

5.6.3 Description

By using the valve test tool, you can troubleshoot the problems related to:

 Zero points of the sensors

 Sampling line connection of the sensors

 Calibration data of the sensors

 Opening state of the inspiratory valve

 Opening states of the safety valve and PEEP proportional valve

5.6.3.1 Problems Related to Zero Points of the Sensors

By using the valves-test tool, you can easily detect if the zero points of all the pressure and flow

5-38
sensors are normal.

To diagnose the zero points of the sensors:

1. Disconnect all gas supplies and make sure that the actual values of the sensors are “0”.

2. Check the A/D counts of the sensors in the valve test tool menu, which are the zero points of

the sensors.

3. If the zero point of one sensor is outside of the normal range, it indicates that the monitor

board is faulty.

You need to replace the board.

5.6.3.2 Problems Related to Sampling Line Connections of the

Sensors

The flow sensor has two sampling lines. Connection errors include:

 The two sampling lines are connected reversely.

 One sampling line is not connected.

 Two sampling lines are not connected.

 The pressure sensor has one sampling line. Connection errors include:

 The sampling line is not connected.

 The sampling line is connected incorrectly. By using the valves-test tool, you can detect if the

sampling lines are connected normally.

 To diagnose the sampling line connection of the flow sensor:

1. Connect the tubes of the anesthesia machine following the constant-flow connection method.

2. Make sure that gas supplies are normal. In the [Valve Test Tool] menu, set the safety valve

to ON and the D/A value of the PEEP valve to more than “1500”, making sure that the PEEP

valve closes at 30 cmH2O above.

3. Increase the D/A value of the inspiratory valve gradually and the A/D value of theflow sensor

should also increase. With the gradual increase of gas supplied,

 If the A/D value of one sensor decreases gradually, it is possible that the two sampling lines

of the sensor are connected reversely.

5-39
 If the A/D value of one sensor keeps unchanged, it is possible that the two sampling lines of

the sensor are broken or not connected.

 If the A/D value of one sensor nears saturation (above “4000”) quickly, it is possible that the

sampling line at the low pressure end (gas outlet end) of the sensor is not connected.

4. If sampling line connection errors are detected, re-connect the sampling lines and check their

connection correctness.

 To diagnose the sampling line connection of the pressure sensor:

During normal ventilation, if a sampling line connection error occurs, it is easily detected

through the Paw waveform and technical alarms.

 If with the increase of actual pressure, pressure waveform data decreases and the alarm

of “Paw Too Low” or “Patient Circuit Leak” occurs simultaneously, it is possible that

the sampling line of the airway pressure sensor is connected incorrectly.

 If from system standy to mechanical ventilation, continuous clicks are heard and the

alarm of “Pressure Monitoring Channel Failure” occurs, it is possible that the sampling

line of the PEEP pressure sensor is connected incorrectly. You can enter the [Valve Test

Tool] menu to set the safety valve to ON. Gradullay increase the D/A value of the PEEP

valve and observe if the A/D value of the PEEP pressure sensor also increases gradually.

If not, it further indicates that the PEEP pressure sensor may be connected incorrectly.

To diagnose the sampling line connection of the pressure sensor in case of pressure

calibration failure:

1. Connect the tubes of the anesthesia machine following the constant-pressure connection

method.

2. 2. Make sure that gas supplies are normal. In the [Valve Test Tool] menu, set the safety

valve to ON.

3. 3. Increase the D/A value of the PEEP valve gradually and the A/D value of the pressure

sensor should also increase. With the gradual increase of actual pressure,

 If the A/D value of one sensor decreases gradually, it is possible that the sampling line of the

sensor is connected incorrectly.

 If the A/D value of one sensor keeps unchanged, it is possible that the sampling line of the

sensor is not connected.

5-40
4. If sampling line connection errors are detected, re-connect the sampling lines and check their

connection correctness.

5.6.3.3 Problems Related to Calibration Data of the Sensors

After confirming that both the zero points of the sensors and the sampling line

connections of the sensors are normal, you can detect if the calibration data of the

sensors are accurate by using the valve test tool.

 To diagnose the calibration data of the flow sensors:

 With the gradual increase of actual flow, the measured value of the flow sensor

should also increase. Otherwise, the calibration data have errors. You need to

calibrate the flow sensor again.

 Compared with the measured value of the standard flow measurement

device(anesthesia machine calibration device), the measured value of the flow

sensor should be accurate. Otherwise, the calibration data have great deviations.

You need to calibrate the flow sensor again.

 To diagnose the calibration data of the pressure sensors:

 With the gradual increase of actual pressure, the measured value of the pressure

sensor should also increase. Otherwise, the calibration data have errors. You need

to calibrate the pressure sensor again.

 Compared with the measured value of the standard pressure measurement

device(anesthesia machine calibration device), the measured value of the pressure

sensor should be accurate. Otherwise, the calibration data have great deviations.

You need to calibrate the pressure sensor again.

5.6.3.4 Problems Related to Opening State of the Inspiratory Valve

By using the valve test tool, you can detect if the opening state of the inspiratory valve is

normal.

2. The methods for tube connections and settings of the anesthesia machine are same to those of

5-41
 sampling line connections of the flow sensors.

3. In the [Valve Test Tool] menu, gradually increase the D/A value of the inspiratory valve. If

the measured values of the ventilator flow sensor, inspiratory flow sensor, and expiratory

flow sensor change very little and low gas flow is felt at the connector of water collection cup,

it indicates that the inspiratory valve or the D/A on the monitor board is faulty.

4. Normally, when the D/A value of the inspiratory valve is set to “2500”, the flow measured by

the standard flow measurement device can reach 90 L/min.

5. If when the D/A value of the inspiratory valve is set to more than “4000”, the flow measured

by the standard flow measurement device fails to reach 90 L/min, flow calibration will be

failed. In this case, you need to replace the expiratory valve assembly or the monitor board.

6. To locate if the DA on the monitor board is faulty, you can use a multimeter to measure the

output of DA on the monitor board corresponding to the inspiratory valve. If voltage also

increases with the increase of D/A value, and voltage nears 6V when D/A value is set to more

than “4000”, it indicates that the DA on the monitor board corresponding to the inspiratory

valve may be normal.

7. After the expiratory valve assembly or monitor board is replaced, you can use the similar

method to check if the problem is fixed.

5.6.3.5 Problems Related to Opening States of the Safety Valve and

PEEP Valve

When the safety valve is permanently OFF and the gas supplies are normal, the [No O2

Pressure] is alarmed. When the PEEP valve is faulty, pressure related alarms occur in

mechanical ventilation state.

By using the valve test tool, you can detect if the opening states of the safety valve and PEEP

valve are normal.

 To diagnose the opening state of the safety valve:

1. Make sure that gas supplies are normal.

2. In the [Valve Test Tool] menu, when the safety valve is switched on, a subtle click is heard.

5-42
3. Adjust the D/A value of the PEEP valve to cause the pressure measured by the PEEP

pressure sensor to exceed 0 cmH2O.

4. Switch off the safety valve. The pressure measured by the PEEP pressure sensor should drop

to 0 cmH2O immediately. Switch on the safety valve again. The measured value of the PEEP

pressure sensor rapidly restores almost the same value to that before safety valve is switched

off. During this period, gas flow and also change of gas flow when the safety valve is

switched on or off can be felt at the PEEP outlet, which helps to judge if the safety valve can

be switched on or off normally.

5. If an error is detected, it is possible that the safety valve or the safety valve drive voltage on

the monitor board is faulty. You can use a multi meter to measure the drive signals on the

monitor board corresponding to the safety valve (measurement can be performed at the

corresponding socket). When the safety valve is turned on, the drive voltage should near 6V.

When the safety valve is turned off, the drive voltage should near 0V. If these two conditions

are met simultaneously, the monitor board is normal.

6. If the safety valve is faulty, replace the expiratory valve assembly. After replacement, you

can use the similar method to check if the problem is fixed.

 To diagnose the opening state of the PEEP valve:

1. Make sure that gas supplies are normal. In the [Valve Test Tool] menu, set the safety valve

to ON.

2. With the increase of D/A value of the PEEP valve, the measured value of the PEEP pressure

sensor (or the anesthesia machine calibration device) should also rise. Note that there is a

non-response area for the PEEP valve when the D/A value is relatively small. When the D/A

value is less than this area, the PEEP valve cannot be opened and the output is “0”

continuously. When the D/A value is greater than this area, the pressure output will increase

with the increase of D/A value. This phenomenon also exists for the inspiratory valve.

5.7 Hardware and Electrical Problems

Failure description Possible cause Recommended action

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During the operation of The AC power supply is not Check and make sure that the
the connected properly and the AC power supply is
anesthesia machine, the capacity of the built-in battery is connected properly. During
display and AC indicator insufficient. the operation of the
lamp are extinguished all . anesthesia machine, the
of a sudden and the . display and AC indicator
ventilator cannot be lamp are extinguished all of a
started. sudden and the ventilator
cannot be started
The fuse of the mains inlet is Replace the fuse. If the fuse
damaged. is
burned repeatedly, it
indicates that the machine
internal power is
short-circuited
The auxiliary electrical
outlet has no output
trip (open) the circuit press the breaker for
voltage.
breaker resetting

The isolation transformer Replace the isolation

is damaged. transformer

During the operation of The connection line of the Properly insert the connection
the internal inverter gets line of
anesthesia machine, the loose. the inverter
display is extinguished all .
of
a sudden and ventilation
remains normal.

During the operation of The monitor board or Enter [Maintain] →

the valve is damaged. Enter the
anesthesia machine, required password to access
ventilation stops all of a the
sudden but the display and [Diagnosis Test >>] →
buttons work normally. [ValveTest Tool>>] Test the
status
of each valve and reference
power
supply in the valves-test tool

5-44
 window. If valve malfunction
or
reference power supply error
is
detected, return the valve or
monitor
board to factory for repair.
The heater malfunctions. The failure of safty valve and Replace the safty valve and
heating drive board heating drive board

The heater is burned. Replace the heater.

The thermistor inside the Replace the heater
heater is damaged.
The cable gets loose. Properly insert the
heater-related
cable.
The anesthesia machine The system switch cable Properly insert the system
cannot be started up. falls off or other cable switch
gets loose. cable or the loose cable.

The fuse of the mains Replace the fuse.

inlet is damaged.

The Keyboard board software Change the keyboard.

is damaged.

The power board Return the power board to

hardware is faulty. factory
for repair.

The system switch is Repair the system switch or

ineffective or the screws tighten the screws on the
on the system switch get system switch.
loose.

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The buttons malfunction The buttons are Replace the keyboard.
ineffective.

The button board is Return the button board to

damaged. factory
for repair.
Alarm messages are The Main Control board is Replace the Main Control
displayed on the screen damaged. board.
but
without alarm sound.

Operating the control knob The control knob is Replace the control knob.
is not responded. ineffective.

The button board is Return the button board to

damaged. factory
for repair.
No gas is outputted The bag/mechanical Check the screen to see if the
through ventilation switch is anesthesia machine is in
the valve in mechanical faulty or the ACGO mechanical
ventilation mode. switch is turned on. ventilation mode and if there
is an
alarm triggered.
The valve cannot be 1. Set tidal volume to
opened. maximum.
2. Switch between standby
and mechanical statuses or
between manual and
mechanical statuses
repeatedly.
3. Replace the pneumatic
circuit block.

5-46
 Chapter 6 Repair and Disassembly
Warning

 To help prevent fires, only use lubricants approved for anesthesia or O2equipment.

 Do not use lubricants that contain oil or grease. They burn or explode in high O2

concentrations.

 Obey infection control and safety procedures. Used equipment may contain blood and

body fluids.

 Movable part and removable components may present a pinch or a crush hazard. Use

care when moving or replacing system parts and components.

 Use care when disassembling the parts with sharp edges to avoid cuts.

 Pay attention to the screws during the disassembly to prevent screws from falling into

the inside of the equipment. Failure to do so may cause short circuit.

 Make sure to bleed gas pressure before disassembling pneumatic fittings to avoid

personal injury caused by high pressure gas.

Note

 When re-assembling, inspect all parts for deterioration. Replace them if necessary. Use

appropriate screws and parts.

 After repairs are completed or parts replaced, perform the checkout procedure. Refer

to3Checkout and Test.

6.1 Prepare for Disassembly

6.1.1 Tools

During parts disassembling and replacing, the following tools may be required:
6-1
  Metric Allen wrench (2.5#, 3#, 4#, 5#, 8#)

 Phillips screwdriver

 Diagonal pliers

 Flathead screwdriver

 Metric M3 and M4 socket screwdriver

 Flowmeter calibration fixture

 Adjustable wrench

 Tweezers

 M16 nut mounting fixture

6.1.2 Preparations

Before disassembly:

 Make sure that the anesthesia machine is turned off and disconnected from the AC power source.

 Bleed the gas pressure inside the anesthesia machine as described below.

 Disconnect all pipeline and cylinder gas supplies.

 Prepare the tools required for disassembly.

 Maneuver the anesthesia machine to an appropriate location and then step down the four caster

brakes to fix the machine.

Note

 The internal parts may be contaminated during long-term use of the equipment.Wear

special gloves during disassembling and inspecting.

6.2 Disassemble the Assemblies

6.2.1 Remove the Top Panel

1. Unscrew the four screws as shown below to remove the top pane;

6-2
 2. Open the buckle which connect the two line in the following picture, then take off the top panel.

6.2.2 Remove Rear Panel

Unscrew the four screws as shown below to remove the rear panel.

6-3
6.2.3 Dismantle the main machine rear panel Assembly

6.2.4 Dismantle the trolley rear panel assembly

Unscrew the six screws on back side cover,as below picture:

6-4
6.2.5 Remove workbench cover

1. Unscrw the screw on the right side of Workbench, as picture:

2. Remove the Blue workbench cover, as picture:

6.2.6 Remove Gas path part

5. Unplug the pipe in Gas path part, as below picture:

6-5
6. Disconnect the cable,,unscrew the for screw in the four corner of Gas path part,as picture：

6-6
7. Remove the gas path part.

6.2.7 Remove the rapid Oxygen flush part

1. Unplug the transparent pipes from the parts first, disconnect the cable from the buckle, unscrew the 8
screws in the par, as picture:

6.2.8 Remove ACGO parts

1. Remove ACGO cover, as picture:

6-7
2. Remove the transpare pipe in the parts, unplug the cable from the buckle, as picture:

3. Use screwdriver to undrew the four screws in ACGO parts, as picture:

6.2.9 Remove Gas circle transfer part

1. Remove the Y type cable and transparent pipes on the parts,unplug the cables,as picture:

6-8
2. Unscrew four fixed screw, remove the transfer part, as picture:

6.2.10 Remove silicencing air-capacitor

1. Remove two screws, unplug the Back PEEP air outlet parts, as picture:

6-9
2. Unscrew the two screw in the air capacitor, then remove the capacitor part, as picture:

6.2.11 Remove N2O Cut-Off Valve Assembly

Disconnect the pipe connection, unscrew 2 screws of assembly as shown below：

6-10
6.2.12 Remove the pressure relief valve

Unplug all the connected pipes and cables, unscrew the two fixed screw, as picture:

6.2.13 Remove back-up cylinder bracket

Unplug the transparent pipes in the cylinder bracket, unscrew the four screw, as picture:

6-11
6.2.14 Remove gas inlet part

1. Remove the four screw in fix Gas out let, remove the Gas inlet part, as picture:

2. Unscrew the screw in O2,N2O and Air inlet parts separated, remove the 3 parts, as picture:：

6-12
3. Parts as below picture:

6.2.15 Remove Gas inlet base part

Remove all the pipes and cables of the digital flow meter sensor, unsrew the four screws, as
picture:

6-13
6.2.16 Remove digital flow meter sensor parts

1. Unplug all the pipes in digital flow meters sensor parts,as picture:

2. Unscrew the 7 fixed screws,as picture:

6.2.17 Double-vaporizer Manifold Assembly

1. Disconnect the gas tubes from the vaporizer manifold and then unscrew the four screws as shown
below.

6-14
2. The following picture shows the appearance of double-vaporizer manifold assembly.

6.2.18 Remve Air Quality gas flow sensor part

1. Unplug the pipes and cables in Air quality Gas flow sensor part,as picture：

6-15
2. Unscrew the four screw and remove the parts,as picture:

6.2.19 Remove pressure regulating part

Unplug the pipes in the pressure regulating parts, unscrew the two fixed screws, as picture

6-16
6.2.20 Remove the parts under workbench

6.2.20.1 Replace the System Switch

1. Disconnect all the connected cables, as picture:

2. Unscrew the two fixed screw, as picture:：

6-17
6.2.20.2 Disassemble the Pipeline Pressure Gauges

Each pipeline pressure gauge can be disassembled separately in the same way. The following takes AIR
pipeline pressure gauge for an example.
14. Find the AIR pipeline pressure gauge by referring to the gauge label on the left front panel of the
anesthesia machine.

15. Pry up and remove the gauge overlay by using the tweezers.
16. Disconnect the gas tubes and unscrew the two screws as shown below to take out the pressure gauge.

6-18
6.2.20.3 Remove auxiliary flow meter part:

12. Unplug all the connected pipes and cables, as picture(1):

13. Unscrew two fixed screws, as picture(2):

图1

6.2.21 Remove Gas capacitor back cover:

Unscrew the four fixed screws, then remove gas capacitor back cover, as picture:

6-19
6.2.22 Remove gas capacitor part:

1. Turn the waste gas outlet to right side, remove it, as picture:

2. Unscrew the four screw as below picture:

3. Take out the Gas capacitor, as picture:

6-20
6.2.23 Remove the AGSS parts

1. Remove the transfer tubes assembly.

6-21
2. Remove 30mm Inner cone Joint, as picture:

3. Lift up the AGSS system from AGSS bracket and take it out.

6-22
6.2.24 Remove the Isolation Transformer Back Cover

Unscrew the five screw in the Isolation Transformer back cover, then remove the cover, as picture：

6.2.25 Remove the lithium battery

Unplig the cable, unscrew the two fixed screw, remove the lithium battery, as picture:

6-23
6.2.26 Remove Isolation Transfomer part

1. Unscrew the two fixed screw, as picture：

6-24
2. Unplug the cables, as picture:

6-25
6.2.27 Replace the Caster

Remove the caster and replace with a new one with one person tipping the anesthesia machine and another
person unscrewing the four screws, as shown below.

Warning

 Replacing a caster requires at least two people. Personal injury and/or machine damage
is possible if one person attempts this procedure alone.

6.3 Disassemble the Breathing System

6.3.1 Disassemble the Absorber

1 Hold the absorber by your right hand, push anticlockwise to release the pin by your left
hand so as to release the lock catch of the absorber.
6-26
 2 Take out the absorber by your right hand.

Warning
 CO2 absorbent is a type of high-causticity substance, and is strongly harmful to eyes,
skin and respiratory system of human beings. In case any organs are stained with
CO2 absorbent by accident, wash the organs with water. If irritation is not
eliminated after washing, see a doctor for help immediately.

6.3.2 Disassemble the Oxygen Sensors

1 Remove the plug fitted at one end of the oxygen sensor cable from corresponding oxygen
sensor oxygen sensor port “ ” of the principal machine, and remove the other end of
the oxygen sensor cable from the oxygen sensor port “ ”.

2 Move outward the oxygen sensor along the channel, and take it out.

1
6-27
6.3.3 Disassemble the respiration hose and Y-piece

Caution

 To disassemble the respiration hose, hold the connectors at both ends of the
respiration hose so as not to damage the respiration hose.

 Filters must not be reused. Discarded filters shall be disposed as per local correlative
laws and Regulations, or waste disposal system established by the hospital, and they
must not be threw away anywhere.

1 Remove the filter from Y-piece, and remove the Y-piece.

2 Remove the expiratory hose and inspiratory hose from the expiratory port and inspirarory
port of the breathing system.

2
6.3.4 Disassemble the Manual Respiration Leather Bag

Just remove the manual respiration leather bag from the port of the breathing system, as
shown in the figure below:

The anaesthesia machine is provided with manual support column.

6-28
6.3.5 Disassemble the Gas Channel Manometer

1. Push away the buckle of CPC connector inward by your left hand forcibly, and lift up the
gas channel manometer by your right hand:

2. When the buckle of CPC connector is released, pull out the gas channel manometer
upwards.

6.3.6 Disassemble the Manual Support Column

1 Loosen the screwing-down nut counterclockwise.

2 Hold the manual support column by your right hand, and remove the manual support
column from breathing system by your left hand.

6-29
6.3.7 Disassemble the Bellows Assembly

6 Hold the bellows cover by both hands, and turn anticlockwise the bellows cover. Lift up
the bellows cover when the bellows cover is separated from the buckle.

7 Remove the folded sack from the folded sack holder.

8 Press the collar clamp inward, and remove the folded sack holder.

6-30
 9 Remove the collar clamp.

10 Remove the POP-OFF valve.

Warning
 Never disassembly the pressure relief valve. Otherwise, the pedestal, diaphragm or patient
may be damaged.

11 Remove the packing washer.

6.3.8 Disassemble the Flow Sensor

1 Turn the respiration port nut anticlockwise, and remove the nut and respiration sleeve.

1
6-31
 2 Pull the flow sensor out of the respiration port horizontally.

6.3.9 Disassemble Expiratory check valve (unidirectional valve)

Assembly

1 Hold the nut of check valve cap by hand, unscrew it counterclockwise, and take it out.

2 Take out the check valve cap.

3 Take out the seal ring.

3
4 Take out the flappers.
4
5 Take out the flapper seat.
5

6-32
6.3.10 Disassemble Inspiratory check valve (unidirectional valve)

Assembly

For disassembling procedure of Inspiratory check valve (unidirectional valve) assembly,

refer to 6.3.8 Disassemble Expiratory check valve (unidirectional valve) Assembly.

6.3.11 Disassemble the Breathing System

11 When the assemblies described are

disassembled, hold up the breathing system by
one hand, and push and open the fixation lock
catch of the circuit switchover piece by the
other hand.

22 Remove the breathing system by both hands

from the circuit switchover piece.

1 Note: Procedures for (1) and 1 shown in the right figure are identical.
1
2 Note: Procedures for (2) and 2 shown in the right figure are identical.

Caution
 If it is very hard to push in or take out the breathing system, it is advisable to apply
lubricating oil onto seal ring of gas circuit port of circuit switchover piece so as to reduce the
frictional force.

6.3.12 Disassemble the Bag/mechanical Ventilation Switch Assembly

1. Remove the upper cover assembly as per 6.3.16Remove the Upper Cover Assembly.
6-33
2. Turn over the upper cover assembly and unscrew the three screws as shown in the picture.

3. The following picture shows the appearance of bag/mechanical ventilation switch assembly.

4. Unscrew the three screws as show in the picture.

5. Take out the seal and pull out the axis pin to remove the axis.

6-34
6.3.13 Remove the APL Valve Assembly

1. Remove the lower cover assembly as per 6.3.18Remove the Lower Cover Assembly.
2. Unscrew the two screws as shown in the picture to pull out the APL valve assembly.

3. The following picture shows the appearance of APL valve assembly.

6.3.14 Remove the Upper Cover of base of bellows

1. Unscrew the 8 screws on the Upper Cover as shown below：

6-35
2. Unscrew 8 screws from bottom cover as shown below：

3. Lift off to remove the upper cover as shown below：

6-36
6.3.15 Remove the Upper Cover Assembly

1. Remove the upper cover assembly of Chassis of bellow refer to 6.3.14

2. Hand up to remove upper cover as shown below

6.3.16 Remove the Median Plate Assembly

4. Remove the upper cover assembly of Chassis of bellow refer to 6.3.14

5. Remove the upper cover assembly refer to 6.3.15
6. Hands hold up the median plate and remove it, as shown below

6-37
6.3.17 Remove Lower Cover of Bellow Assembly

1. Remove the upper cover assembly of Chassis of bellow refer to 6.3.14

2. Remove the upper cover assembly 6.3.15
3. Remove the Median Plate Assembly refer to 6.3.16
4. unplug the lower cover of bellow to the right, as shown below

6-38
6-39