IntelliSave AX700

Ins tr uc ti o ns f o r U s e

IntelliSave AX700
Anesthesia Machine
Anesthesia Care

Part Number 10620GB-90 50 10.2012

 INSTRUCTIONS FOR USE

Table of Contents
1. INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.1 Indications for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.2 Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
1.3 Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.4 Operator setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.5 Manufacturer's L­ iability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.6 Built-in safety features in the IntelliSave AX700 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

2. SAFETY PRECAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.1 Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.1.1 Explosion hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.1.2 Patient safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.1.3 Machine malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.1.4 Occupational hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.2 Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
2.3 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

3. FUNCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
3.1 Anesthesia Gas Scavenging System (AGSS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3.1.1 External breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

4. OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
4.1 Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
4.1.1 Integrated breathing ­system (IBS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
4.1.2 Replacing the CO2 absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
4.1.3 External breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
4.1.4 Multigas module water trap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
4.1.5 Patient flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
4.1.6 O2 fuel-cell sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
4.1.7 Suction canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
4.2 Function test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
4.2.1 FULL self-test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
4.2.2 LC self-test, leakage and compliance test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
4.2.3 O2 monitor test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
4.2.4 Expired minute volume low/high alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
4.2.5 Airway pressure high alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
4.2.6 Mains power failure alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
4.2.7 O2 flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
4.2.8 O2 alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
4.2.9 Test of reserve gas cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
4.2.10 Patient suction test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
4.2.11 Vaporizer test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
4.2.12 Auxiliary O2 test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
4.2.13 Test of internal switches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
4.2.14 Daily test completed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

IntelliSave AX700 1
INSTRUCTIONS FOR USE

Table of Contents
4.3 Operation of the electronic gas mixer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
4.3.1 Setting the fresh gas flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
4.3.2 Changing the carrier gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
4.3.3 Electronic gas mixer d ­ efault settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
4.4 Operation of the stop watch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
4.5 Operation of the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
4.5.1 S tart automatic ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
4.5.2 S top automatic ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
4.5.3 Set machine to standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
4.5.4 D efault ventilator s­ ettings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

5. MEASUREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
5.1 Respiration measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
5.1.1 Volume measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
5.1.2 Respiration rate measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
5.1.3 Respiration curve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
5.1.4 Pressure measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
5.1.5 Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
5.2 Gas measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
5.2.1 MAC value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
5.2.2 Anesthetic agent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
5.2.3 CO2 curve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

6. USER MENUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
6.1 Setup Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
6.1.1 Patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
6.1.2 Self-test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6.1.3 Carrier gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
6.1.4 Spirometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
6.1.5 Graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
6.1.6 Vent. Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
6.1.7 O2% calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
6.1.8 Gas meas. setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
6.1.9 Clock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
6.1.10 Reset settings & data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
6.1.11 Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
6.2 Trend Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
6.2.1 Self-test data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
6.2.2 Gas usage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

2 IntelliSave AX700
 INSTRUCTIONS FOR USE

Table of Contents
6.3 Alarm Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
6.3.1 CO2 alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
6.3.2 Gas meas. alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
6.3.3 A
 larm limits for expired minute volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
6.3.4 Set to default . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
6.3.5 Alarm log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
6.3.6 HLM mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
6.4 Menu structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
6.4.1 Setup Menu structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
6.4.2 Trend Menu structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
6.4.3 Alarm Menu structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

7. ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
7.1 Integrated breathing system (IBS) alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
7.1.1 Breathing system ­disconnected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
7.1.2 Absorber disconnected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
7.2.4 O 2/Air fresh gas flow out of control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
7.2 E GM electronic gas mixer alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
7.2.1 O2 flow is critically low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
7.2.2 O 2/Air/N2O pressure is low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
7.2.3 E GM fan stopped . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
7.2.5 EGM battery low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
7.2.6 Auxiliary fresh gas outlet activated (only if equipped with an auxiliary fresh gas outlet) . . . . . 81
7.2.7 Emergency O2 flow ­activated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
7.3 Ventilator alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
7.3.1 Airway pressure high . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
7.3.2 V entilator system pressure high . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
7.3.3 D isconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
7.3.4 PEEP high . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
7.3.5 Ventilator drive gas low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
7.3.6 Ventilator fan stopped . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
7.3.7 Ventilator battery low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
7.3.8 System pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
7.3.9Insp. pressure not obtained . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
7.3.10 Fresh gas flow high . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
7.3.11 Insp. O2% high/low (only if an external O2 fuel-cell sensor is ­installed) . . . . . . . . . . . . . . . . . . 84
7.3.12 Expired minute volume high/low (only if a volume monitor is ­installed) . . . . . . . . . . . . . . . . . 84
7.3.13 Ventilator mains power failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
7.3.14 Measured TV too high . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
7.3.15 PSV backup mode ­activated, switching to PCV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
7.3.16 Required Insp. pressure is too low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

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INSTRUCTIONS FOR USE

Table of Contents
7.3.17 R  equired Insp. pressure is too high . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
7.3.18 R  equired Insp. pressure is too close to high-­press.  alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
7.3.19 V  SV backup mode ­activated, switching to VCV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
7.3.20 R  equired support pressure is too low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
7.3.21 R  equired support pressure is too high . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
7.3.22 R  equired support pressure is too close to high press. alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
7.3.23 C  hange flow sensor to Ped. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
7.3.24 Machine is in STBY mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
7.4 Multigas module alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
7.4.1 Insp./Exp. O2% high/low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
7.4.2 Insp. N2O% high . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
7.4.3 Insp./Exp. CO2 high/low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
7.4.4 Insp./Exp. AA% high/low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
7.4.5 High/low Resp. Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
7.4.6 Apnea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
7.4.7 Apnea more than 60 sec. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
7.4.8 S econdary agent at Insp./Exp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
7.4.9 G as module is in standby mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
7.4.10 O  cclussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
7.4.11 S ample flow rate error on gas module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
7.4.12 Invalid O2 ­sensor offset on gas module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
7.4.13 A  mbient CO2 too high for gas module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
7.4.14 S ample cell pressure in gas module out of range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
7.4.15 N  o water trap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
7.5 System alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
7.5.1 Mains power failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
7.5.2 Ventilator errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
7.5.3 Gas module errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
7.5.4 Machine closing down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
7.5.5 Touch screen out of order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
7.6 Overview of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
7.6.1 Patient-related alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
7.6.2 System-related alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

8. MAINTENANCE AND CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

8.1 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
8.2 Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
8.2.1 Washing machine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
8.2.2 Chemical disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
8.3 Cleaning the ­IntelliSave AX700 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

4 IntelliSave AX700
 INSTRUCTIONS FOR USE

Table of Contents
8.4 C leaning the integrated breathing ­system (IBS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
8.4.1 Routine cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
8.4.2 D isassembling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
8.4.3 After cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
8.4.4 F lushing through the breathing system body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
8.4.5 A ssembling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
8.5 Integrated breathing system (IBS) parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
8.6 H oses, Y-piece, and respiration bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
8.7 C leaning the i-SORB reusable absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
8.7.1 After cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
8.7.2 R efilling the absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
8.8 i-SORB reusable absorber components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
8.9 Safety control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
8.10 Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

9. TECHNICAL DATA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

9.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
9.2 Gases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
9.3 Electronic gas mixer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
9.4 Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
9.5 Integrated breathing system (IBS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
9.6 M
 ultigas module (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
9.7 Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
9.8 Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

APPENDIX A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Alarms & Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

APPENDIX B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Self-test messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

10. ALPHABETICAL INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

IntelliSave AX700 5
INSTRUCTIONS FOR USE

Blank page

6 IntelliSave AX700
 INTRODUCTION

1. Introduction
This manual refers to EGM software version 7.1, • Optional multigas module that measures respira-
ventilator software version 3.0, and optional multi- tion rate, inspired and expired concentrations of
gas module software version 1.6.1.0 or higher. O2, N2O, CO2 and AA (anesthetic agent). The mul-
tigas module has automatic AA identification as
The anesthesia machine, model IntelliSave AX700, is well as identification of any secondary AA.
suitable for most types of inhalation anesthesia. O2
and N2O or O2 and Air can be administered, and The electronic gas mixer, ventilator, and optional
anesthesia vaporizer(s) can be connected to a back multigas module are all microprocessor controlled,
bar. Gases can be supplied from a centralized supply with software installed.
or cylinders. There is no difference in machine per-
formance when gases are supplied from cylinders.
1.1 Indications for use
STANDARD AND OPTIONAL EQUIPMENT
• Electronic gas mixer (EGM) that allows the oper- The IntelliSave AX700 Anesthesia Machine is inten-
ator to choose a fresh gas flow between – O2/ ded to provide general inhalational anesthesia and
N2O or O2/Air in the range 0-20 L/min. If N2O is ventilation support to neonatal, pediatric and adult
selected as a carrier gas, the N2O percentage is patients. The device is intended to provide volume
limited to 75% (minimum 25% O2). Both a real- or pressure controlled ventilation.
time clock and stop watch are integrated into the
electronic gas mixer. The IntelliSave AX700 anesthesia machine must only
be used by qualified anesthetists familiar with the
• Anesthesia ventilator with the following ventila- operation of the device.
tion modes:
VCV Volume Controlled Ventilation Prior to use, the machine must be connected to a
PCV Pressure Controlled Ventilation power supply and gas supply.
SIMV Synchronized Intermittent
Mandatory Ventilation
PSV Pressure Supported Ventilation Caution
PRVT Pressure Regulated Volume  Target
US federal law restricts this device to sale by or
VSV Volume Supported Ventilation
on the order of a physician.
• Breathing system (IBS) that integrates a bag-in-
bottle and patient rebreathing circuit (incl. ab- The machine is not MRI compatible.
sorber) into the same block. Thus, there are only
two hoses (inspiratory and expiratory) from the
breathing system to the Y-piece.

• APL (Adjustable pressure limiting) valve inte-

grated into the breathing system allowing the
operator to choose between manual ventilation
and spontaneous respiration.

IntelliSave AX700 7
INTRODUCTION

1.2 Description apparent by the bellows failing to reach the top of

the chamber.
THE ELECTRONIC GAS MIXER (EGM)
The electronic gas mixer (EGM) in the IntelliSave The breathing system has an integrated APL valve
AX700 controls the fresh gas flow into the breathing that is used solely for manual ventilation or sponta-
system. The EGM monitors this flow continuously to neous breathing.
ensure that it complies with the operator's selected
setting. THE i-SORB CO2 ABSORBER.
The breathing system uses the i-SORB CO2 absorber,
In addition, the EGM monitors and displays data which contains 880 g of soda lime. The absorber is
from the electronic gas mixer, ventilator, and op- available in either a reusable or disposable version.
tional multigas module on a 15" touch screen.
The absorber can be replaced during use.Two valves
THE VENTILATOR automatically close to prevent gas loss from the
The IntelliSave AX700 ventilator uses compressed breathing system.
Air or O2 as drive gas to ventilate the patient
through the bag-in-bottle system located in the THE OPTIONAL MULTIGAS MODULE
breathing system. The optional multigas module in the IntelliSave
AX700 analyses a sample flow from the Y-piece to
The ventilator measures airway pressure as well as measure inspired and expired concentrations of O2,
the inspired/expired volume (optional). N2O, CO2 and AA (anesthetic agent).

If a multigas module is not installed, the ventilator The sample flow is directed through a water trap
can measure inspired O2 using an optional fuel-cell and into the measurement chamber of the multigas
sensor placed onto the inspiratory port in the module, where the absorption of up to 8 different
breathing system. wavelengths of infrared light is measured. Oxygen is
measured by a paramagnetic sensor.
THE INTEGRATED BREATHING SYSTEM (IBS)
The breathing system in IntelliSave AX700 is a semi- The multigas module has automatic AA identification.
closed rebreathing circuit with one-way valves in The multigas module identifies any secondary AA in
both the inspiratory and expiratory limb, as well as use and measures the actual concentration.
an absorber for eliminating CO2. The system is suita-
ble for high fresh gas flow (approximately the pa- Once the multigas module analyzes the sample
tient's minute volume), medium fresh gas flow (ap- flow, it is directed back into the breathing system's
proximately 1–1.5 L/min) as well as low fresh gas expiratory limb.
flow (approximately 0.5–1.0 L/min).
THE INTEGRATED ELECTRICAL OUTLETS
The breathing system is a combination of a bag-in- There is one integrated electrical outlet above the
bottle unit and a patient rebreathing circuit. backbar for the vaporizers, which is intended to be
The breathing system has a standing bellows that used for a Desflurane (DES). There are three optio-
permits the operator to see the patient's automatic nal integrated electrical outlets in the back of the
ventilation based on the bellows motion. machine. All outlets are designed separately from
In addition, any leakage will not result in ambient air the mains power supply by a dedicated transformer.
entering the breathing system; and any leakage ex- The transformer provides power to these four electri-
ceeding the set fresh gas flow becomes immediately cal outlets. See section 9 concerning the power rat-
ing for the additional electrical outlets.

8 IntelliSave AX700
 INTRODUCTION

The IntelliSave AX700 ventilator is designed to pro-

Note vide an inspiratory flow in the range:
IntelliSave AX700 components do not contain
• Continuous flow: 2–80 L/min
latex.
• Max Peak flow: 120 L/min

No matter which mode is used, the set tidal volume,

respiratory rate, I:E ratio and inspiratory pause are
Note controlled to ensure that the inspiratory flow re-
mains in the range 2–80 L/min. However, the range
The IntelliSave AX700 contains batteries that
becomes 1–80 L/min when the machine is set up
must be replaced by technicians at fixed inter-
with neonatal specifications (optional).
vals, as described in the service manual.
Inspiratory flow = Tidal volume x Resp. Rate x
((I+E)/I) x (100/(100-Insp. pause))
1.3 Performance
The breathing system has an expiratory and inspira-
The electronic gas mixer in the IntelliSave AX700 is tory resistance of:
designed to allow the operator to set fresh gas flow
in the range:
Resistance 60 L/min 30 L/min 5 L/min

• 0–20  L/min O2/N2O Expiratory 6.0 2.5 0.4

(O2 0–10 L/min, N2O 0–10 L/min) (x100 Pa) (x100 Pa) (x100 Pa)
or
Inspiratory 2.5 1.0 0.2
• 0–20 L/min O2/Air
(x100 Pa) (x100 Pa) (x100 Pa)
(O2 0–10 L/min, Air 0–10 L/min)
Compliance = 4 mL/hPa with adult hoses (22 mm
This fresh gas flow goes through the vaporizer back diam.), (this equals 120 mL at 30 hPa
bar, where an anesthetic agent can be added using (cmH2O).
an anesthesia vaporizer.
The i-SORB CO2 absorber in the breathing system is
By activating an O2 flush valve, a flow of approxi- optimized with respect to the flow pattern inside
mately 45 L/min O2 will be added to the fresh gas the absorber to ensure use of all the soda lime.
flow downstream of the vaporizer back bar.

The IntelliSave AX700 has an integrated gas scaveng-

ing system that removes excess gases from an open
reservoir.

This system must be connected to an external AGSS

with a flow of 30–40 L/min.

If no external AGSS is available, the IntelliSave

AX700 can be equipped with an integrated AGSS
(optional).

IntelliSave AX700 9
INTRODUCTION

1.4 Operator setup If volume monitoring is activated, the measure-

ment can be configured in one of two ways:
The IntelliSave AX700 can be setup as the operator
wishes. Expired volume only
If the volume monitoring is configured to "Only Exp.
The following features can be installed when the Volume," the flow sensor must be placed at the
anesthesia machine is manufactured: breathing system's expiratory port.

• Integrated patient suction The volume measurement will then include only the
• Auxiliary outlet for fresh gas flow expired tidal and minute volumes.
• Integrated auxiliary O2 flow meter
• Multigas module Full spirometry
• 3 integrated electrical outlets If the volume monitoring is configured to "FULL
• Auxiliary gas outlets for O2, Air or VAC Spirometry," the flow sensor should be placed at the
• 1, 2 or 3 pin-index yokes for 4 L gas cylinders, or breathing system's Y-piece.
stand for two 10 L cylinders
• Active AGSS suction The volume monitoring will then include the expired
• PSV available or not tidal volume, expired minute volume, and the in-
• PRVT available or not spired tidal volume; the operator can select a pres-
• VSV available or not sure-volume curve (spirometry loop).
• HLM mode available or not
• Neonatal spec. available or not All these settings can be changed in the Service
• Minimum fresh gas flow activated or deactivated Menu by a service technician or superuser.

The following parameters can be changed after the

anesthesia machine has been manufactured: 1.5 Manufacturer's
• N2O fresh gas flow available or not ­Liability
• SIMV available or not
• Fresh gas flow safety activated or deactivated Philips is only liable for equipment safety, reliability,
(see sections 7.3.1 and 7.3.2) and performance, provided that:
• Start fresh gas flow (see sections 4.5.1 and 4.5.2)
• Mean or Plateau pressure displayed on screen • Assembly, operation, add-ons, adjustments, modi-
• Measured TV Insp. displayed on screen or not fications, repairs, and periodic maintenance are
during VCV and SIMV ventilation performed by persons authorized by Philips
• If the multigas module is not installed, oxygen • The medical gas supply in the relevant rooms
monitoring based on an external fuel-cell sensor comply with medical gas requirements
can be activated or deactivated. • The machine is used in compliance with this in-
• The volume monitoring can be activated or deac- structions for use.
tivated.

10 IntelliSave AX700
 INTRODUCTION

1.6 Built-in safety fea-

tures in the Intelli-
Save AX700
GAS SUPPLY
O2, Air and N2O alarms for low inlet pressure. Built-
in check valves to prevent reverse gas flow (out of
the machine).

Ventilator, optional patient suction, and optional ac-

tive AGSS suction are powered by the primary drive
gas (Air or O2, normally Air).

The optional patient suction can also be powered by

VAC.

If the primary drive gas fails, a drive gas valve will

automatically switch to the secondary drive gas (Air
or O2, normally O2).

ELECTRONIC GAS MIXER

The N2O flow cuts off if the O2 supply fails.

Electronically controlled O2/N2O mixture that en-

sures a minimum of 25% O2 in the fresh gas flow.

An MPL (maximum pressure limiting) valve opens if

the auxiliary gas outlet exceeds 90 hPa (cmH2O).

VAPORIZER RAIL
Back bar for two vaporizers. The back bar has an in-
terlock system to ensure that only one vaporizer can
be opened at a time.

VENTILATOR
In the event of an "Airway pressure high" alarm, the
ventilator automatically switches to expiration
phase to prevent exposing the patient to excessive
airway pressure.

In addition, the ventilator has a built-in pressure re-

lief valve that opens at 90 hPa (cmH2O).

IntelliSave AX700 11
12
INTRODUCTION

Pat. suction Active AGSS AGSS

(option) (option)
Flow diagram

Flow marker

AUX O2
flowmeter Drive gas Ventilator
(option) selector
O2 pipeline Ambient AUX
Reservoir
air AGSS
O2 cylinder O2 yoke

O2 flush

Emergency O2 flow

Air pipeline
Integrated
Air yoke
Air cylinder Fresh gas breathing
(option) Electronic
switch system Patient
gas mixer
(option)
N2O pipeline
Vaporizer
N2O yoke
N2O cylinder
(option) AUX
fresh gas
Gas module
(option)

IntelliSave AX700
 SAFETY PRECAUTIONS

2. Safety precautions
Read this manual carefully and familiarize yourself • External breathing systems used with this ma-
with the machine before using it. chine must comply with EN ISO8835-2 or a simi-
lar standard.
Always ensure that the machine is working properly
before use.
• Bacteria filters used with this machine must
comply with EN ISO13328-1 and EN ISO 13328-2
 A WARNING in this manual indicates a potential
or a similar standard.
risk for the patient or operator that they may be
in danger of injury.
• Anesthesia vaporizers connected to this machine
must comply with ISO8835-4, IEC 60601-2-13 or
 A CAUTION indicates a risk of damage to either
a similar standard.
the machine or other equipment.
• Heat and moisture exchangers used with this
 A NOTE indicates circumstances to be considered
machine must comply with EN ISO9360-1 and
while using the machine.
EN ISO9360-2 or a similar standard.

• Humidifiers used with this machine must con-

2.1 Warnings form to EN ISO8185 or a similar standard.

• Do not remove service hatches or covers. There • External suction or vacuum controls used with
are no parts or components inside the machine this machine must comply with EN ISO10079-1,
that can be repaired by the operator. Always EN ISO10079-2 and EN ISO10079-3 or similar
have a qualified technician to perform mainte- standards.
nance and repairs.
• Medical gases or anesthesia agents used with
• The machine must only be connected to properly this machine must comply with the US Pharma-
grounded hospital grade electrical outlets. The copoeia, European Pharmacopoeia or local rec-
machine must not be connected to an extension ognised requirements for medical gases.
cord that is shared with other equipment.
• The machine is compatible with medical gases of
• Prior to servicing, cleaning, or disinfection, unplug O2, Air and N2O and anesthesia agents of Halo-
the power cord from the electrical outlet. Allow thane, Enflurane, Isoflurane, Sevoflurane and
the machine to dry completely before reconnect- Desflurane.
ing the power cord to the electrical outlet.
• The central gas supply used with this machine
• Spilled fluids can cause electrical shock. must comply with EN ISO9170-2 and ISO7396-2
or a similar standard.
• Make sure that all cables and hoses are intact
and in good condition before connecting the ma-
chine to a patient. Note
If all gas supply fails, delivery of fresh gas flow
• This machine must not be used in an environ-
to the patient and automatic ventilation of the
ment that exceeds the EMC levels stated in the
patient will also fail. Besides, the optional auxil-
IEC 60601-1-2 standard.
iary gas outlet on this machine will also fail.

IntelliSave AX700 13
SAFETY PRECAUTIONS

• The machine should only be used with the power 2.1.2 Patient safety
cord supplied by Philips. See section 8.10 Acces-
• Do not use the machine for clinical procedures
sories
until ensuring the entire system is operating cor-
rectly.
Note • If the integrated multigas module is not installed,
If the power supply inlet switch on back of the the machine should always be used with a sepa-
machine is turned off, all power from the 3 pcs. rate monitor for O2, anesthetic agent, and CO2
integrated electrical outlets and the electrical concentrations. This monitor must comply with
outlet for a vaporizer will also be turned off. ISO21647 or a similar standard. A separate moni-
tor must be connected to the patient breathing
circuit per the instructions for use for the moni-
• A patient monitor connected to the breathing
tor.
system could cause leakage, even if the monitor
is in standby mode.
• If volume monitoring is not installed, the ma-
chine should always be used with a separate
• The AGSS must always be activated when the
monitor for expired volume. This monitor must
machine is in use.
comply with the requirements in ISO21647 or a
similar standard.
• No add-ons, removals, or changes should be
made to this machine unless authorized by
• Before use, check all hose connections and en-
Philips.
sure that the machine is working correctly. Pay
special attention to the breathing system and
2.1.1 Explosion hazard ­O-rings to ensure that there are no loose connec-
tions or leaks in the breathing system.
• Do not use oil or grease lubricant with this ma-
chine. This also applies to silicon-based lubricant
• Antistatic or electrically conducting breathing
and noncombustible oils and grease. Only PTFE-
hoses and masks can cause burns if used with
based, oxygen-compatible lubricants can be used
high-frequency diathermy equipment and are
(e.g., Philips special lubricant, product
therefore not recommended for use with this
no. 36825).
machine.
• Do not use flammable anesthetic gases, such as
• Once the patient is under anesthesia or con-
ether or cyclopropane, with this machine. Use
nected to the ventilator, the patient should be
only anesthetic agents that comply the recom-
monitored by qualified personnel. Some ma-
mendations from the manufacturer of the anes-
chine malfunctions require immediate action.
thesia vaporizer.
• When using the ventilator, alternative patient
ventilation equipment must always be available.

• When operating the machine, an alternative O2

gas supply must always be available.

• Use only the anesthetic agent for which the va-

porizer is calibrated. Use of the wrong anesthetic
agent in the vaporizer may be fatal to the patient.

14 IntelliSave AX700
 SAFETY PRECAUTIONS

• If using a reusable CO2 absorber, note the follow-

ing concerning replacement of the soda lime ab-
sorber: Absorber soda lime is caustic and can
Warning
produce burns in the respiratory tract if inhaled. The use of 100% O2 can cause retinal fibroplasia
Use breathing protection equipment to prevent in neonatal patients.
inhalation of soda lime dust.

• After use, set the emergency gas to a minimum

before leaving the machine, as emergency gas is Warning
a manual setting and does not default back to
When 100% O2 from the auxiliary O2 flow meter
5 L/min.
gets in contact with some types of facial creams
it can ignite.
• Do not begin any test procedure with a patient
connected to the machine. Test procedures are
designed to ensure safe and correct machine
performance. Test procedures should not be by-
passed unless the patient's condition requires
Note
immediate use of the machine. The auxiliary O2 flow meter (optional) bypasses
the MPL valve. Thus, pressure from the flow
• The O2 concentration in the breathing system meter may exceed the pressure from the fresh
can differ significantly from the O2 concentration gas outlet.
in the fresh gas.

• When using soda lime in absorbers, always fol-

low the manufacturer's instructions.
2.1.3 Machine malfunction
• If the machine does not perform as described, it
• Use of different anesthetic agents in the machine should not be used until the malfunction has
may result in the presence of residual agents been corrected by a qualified technician.
(ppm) within the machine (vaporizer back bar,
etc.). These residuals can be minimized by set-
ting a high fresh gas flow for an extended period
2.1.4 Occupational hazard
of time. • Do not use the machine in insufficiently venti-
lated areas. Use the AGSS to prevent elevated
• Precautions should be taken to prevent cross in- levels of anesthetic gases in the operation
fections between patients. See section 8 regard- rooms. Make sure that the ball in the flow
ing maintenance and cleaning. marker is visible.

• If more than one external device is connected to

the auxiliary electrical outlets (optional), a high
leakage current from one device (e.g., a defec-
tive ground conductor) will affect the leakage
current from the other equipment.

IntelliSave AX700 15
SAFETY PRECAUTIONS

2.2 Cautions • Use only original Philips O-rings; other O-rings

may cause problems if they do not have the
• Before connecting the machine to the power sup- same dimensions or materials.
ply, verify that the voltage and frequency comply
with the TYPE plate in the rear of the machine. • The reserve cylinder valves must be closed when
the machine is using the central gas supply.
• Do not attempt to connect any power cords to The pressure in the reserve cylinders may be
the auxiliary outlets than those designed for that higher than the central gas supply pressure; thus,
socket. the cylinders could be depleted.

• The maximum load on the table's side rails is • When the machine is not in use, disconnect it
20 kg. Heavy equipment attached to one of the from the power supply and central gas supply to
sides could cause the machine to overturn. prevent pollution.

• The maximum torque on the table side rails is • The user must not access the batteries as they
20 Nm. are placed inside the machine and require tools
to open.
• The maximum load on the table top (including
side rails) is 20 kg. • The brake on the arm of the left side of the ma-
chine must be activated when a patient monitor
• The maximum load on the top shelf is 30 kg. is mounted.

• Observe when closing the drawers that nothing • The arm on the left side of the machine is sup-
gets caught or damaged, including the operator's plied with the machine only in case a patient
fingers. monitor is used with the machine. As the arm is
balanced with a 10-15 kg monitor the user must
• Vaporizers used for anesthetic agents containing firmly hold the handle of the accessory arm
Tymol or other stabilizers must be emptied every when releasing the brake.
second week, and the drained agent must be de-
stroyed. • The auxiliary electrical outlets have thermal
fuses which may cause the power to be switched
• Vaporizer calibration should be regularly checked off without warning if excessive current is drawn
with a suitable gas indicator (refractometer or by external devices.
similar).
• The internal batteries only power internal sys-
• This machine should be serviced at least once a tems, not the auxiliary electrical outlets.
year by a qualified technician.
• External equipment intended for connection to
• Vaporizers should be serviced at an authorized signal input, signal output or other connectors
service center in accordance with the shall comply with the relevant product standard
manufacturer's directions. e.g. IEC 60950-1 for IT equipment and the IEC
60601-series for medical electrical equipment. In
• Use only original Philips hoses and accessories; addition, all such combinations – systems – shall
other hoses and accessories may cause malfunc- comply with the safety requirements stated in
tion if they do not have the same dimensions or the collateral standard IEC 60601-1-1 or the gen-
materials. eral standard IEC 60601-1, edition 3, clause 16.
Any equipment not complying with the leakage

16 IntelliSave AX700
 SAFETY PRECAUTIONS

current requirements in IEC 60601-1 shall be Protective ground

kept outside the patient environment i.e. at least
1.5 m from the patient support.
Equipotentiality
• Any person who connects external equipment to
signal input, signal output or other connectors
has formed a system and is therefore responsible ON/OFF
for the system to comply with the requirements.
If in doubt, contact qualified medical technician
or your local representative.” Patient flow pictogram

• The machine can be disconnected from the

mains supply by disconnecting the power plug Neonatal
from the wall socket or by turning the power
switch on the back of the machine to the OFF po-
sition. Manufacturer

• No additional power socket or extension cord

should be connected to the system. Suction

Note WEEE symbol indicating that elec-

tronics must not be discarded as
Patient hoses used with this machine must
normal waste.
comply with the EN 12342 standard, and the
respiration bags must comply with the EN 1820
Attention. Consult accompanying
standard.
documents

2.3 Symbols Batteries

Type B (EN 60601-1) protection

Connection for manual respiration
against electrical shock
bag
All dimensions without tolerance
: DS/ISO 2768-1, medium
0.5-6.0 : 0.1 120.0-400.0 : 0.5
6.0-30.0 : 0.2 400.0-1000.0 : 0.8
30.0-120.0 : 0.3 etc.
Not indicated edges: 0.2 x 45
Not indicated surfaces: 1,6

See documentation
Prod. of Surface treatment Sheet1 of 1
Dimension
Scale
Date Issued
Date Version
Drawn
XXX
Designed
5:1

DD-MM-YYYY
Approved
KM
Material
Description

►
ISLEVDALVEJ 211 DK-2610 RØDOVRE TLF. +4544509990
No.

Manual ventilation
Version 1.0
A4

Inspiratory (Insp.)

Adjustment of auxiliary O2 flow me-

ter and patient suction: ► Expiratory (Exp.)
Turn counterclockwise to increase
flow. Turn clockwise to decrease
Class
flow

ON/OFF switch for lamp

CE mark
0459

IntelliSave AX700 17
SAFETY PRECAUTIONS

Blank page

18 IntelliSave AX700
 FUNCTION

3. Function
14
15
3
12 16
21 17
13 24
4 25
18
26
10
20
Integrated 9
19
breathing
8
system 7 22
6 23
11
27
5
2

1 1

Fig. 3-1 Anesthesia machine model IntelliSave AX700 front view

1. Castors with brake 15. ON/OFF switch

2. Drawers 16. 15" TFT color touch screen
3. AGSS ON/OFF* and flow marker 17. Control dial (rotary knob)
4. Auxiliary O2 flow meter outlet* 18. ON/OFF switch for lamp
5. Auxiliary fresh gas outlet and switch* 19. Emergency O2 flow switch and adjustment
6. CO2 absorber 20. Back bar for two interlock vaporizers
7. Absorber lock 21. Integrated auxiliary O2 flow meter*
8. BAG connection 22. Tabletop with integrated side rails and writing
9. APL valve (for manual ventilation only) plate
10. Bellows 23. Integrated patient suction ON/OFF*
11. O2 flush 24. Electrical outlet for desflurane vaporizer
12. Water trap for optional multigas module 25. Gauges for wall outlet pressures
13. Airway pressure gauge 26. Gauges for gas cylinder pressures
14. Top shelf 27. Support arm for ventilation bag

* optional

IntelliSave AX700 19
FUNCTION

12

18

11 7
13
10 19

9
8
14
6
5 15
4 17
3 20
2
16
21

1 1

Fig. 3-2 Anesthesia machine model IntelliSave AX700 rear view

1. Castors without brake 12. Upper fan

2. Lower fan 13. Gas inlets
3. Yokes for reserve gas cylinders* 14. Insp./Exp. cones for breathing system
4. Grounding point 15. Lock for breathing system
5. Power supply inlet switch (rear panel) 16. Patient suction connection
6. Power cord connection 17. Auxiliary gas outlets*
7. Connection for patient flow sensor* 18. Handle for transportation of the machine
8. Connection for optional O2 fuel-cell sensor 19. AGSS outlet
9. Auxiliary AGSS connection 20. Patient suction ejector outlet
10. RS 232 port & Smartlog ports* 21. Cylinder support bar
11. Auxiliary electrical outlets*

* optional

20 IntelliSave AX700
 FUNCTION

5 6 7 8 9

Fresh gas flow EGM 5.0 Thursday 6. December 11:13 Stop watch
4 (L/min)
00:00:00
Main
3.00 Touch screen controlled Selftest bypassed
10
Screen
O2 set % Gas meas. (%)
3
33 Exp Insp

Rotameter
32 33 Setup
%
(L/min) 4 Exp CO2 O2
11
Menu
1.8 N 2O 64 63
2 Insp CO2

2 0.1 SEV 0.4 0.6 Trend

12
Menu
0 MAC 0.4
(age: 40)

Resp. meas.
hPa Adult sensor At Y-piece Peak Alarm
17 30
13
40 MVexp(l) 5.8 8.0
4.0 Menu
Plateau

20
17 Exp

Flow (L/min) PEEP TV(mL) 480 Cancel

O2 N2O 3 14
1 0 Alarms
12
OFF
1.00 2.00 Compl. 34 mL/hPa RR(1/min) 4
15
TV set RR set I:E PEEP P Insp Vent.
(mL) (1/min) Ratio (hPa) (hPa) mode
PSV/VSV settings STBY MAN VENT
500 12 1:2 OFF 17 VCV
(xx)

26 25 24 23 22 21 20 19 18 17 16

Fig. 3-3 Main screen if multigas module is installed

1. Set fresh gas flow 14. Activate Cancel Alarms

2. Measured fresh gas flow 15. Measured respiration data*
3. Set O2 percentage in fresh gas flow 16. Machine status VENT
4. Set total fresh gas flow 17. Machine status MAN
5. Alarms and information 18. Machine status STBY
6. Date and time 19. Ventilation mode
7. Measured CO2 concentrations 20. PSV/VSV settings*
8. Measured gas concentrations 21. Set inspiratory pressure
9. Stop watch 22. Set PEEP
10. Activate Main Screen 23. Set I:E ratio
11. Activate Setup Menu 24. Set respiration rate
12. Activate Trend Menu 25. Set tidal volume (calculated MV shown beneath)
13. Activate Alarm Menu 26. Respiratory curve, pressure measurement, and
high alarm setting
* optional

IntelliSave AX700 21
FUNCTION

5 6 7 8 9

Fresh gas flow EGM 5.0 Thursday 6. December 11:13 Stop watch
(L/min) Main
4 3.00 00:00:00
Touch screen controlled Selftest bypassed 10
Screen
O2 set % O2 meas. %
3
33 32
Rotameter Adult sensor At Y-piece Setup
(L/min) hPa

Peak Menu
11
40

17 30

Trend
2 12
Plateau Menu
17
20 Resp. meas.
Alarm
13
PEEP
MVexp(l) 5.8 8.0
4.0 Menu

3 Exp

Flow (L/min) TV(mL) 480 Cancel

O2 N2O 14
1 0
Compl. 34 mL/hPa
Alarms
1.00 2.00 15
TV set RR set I:E PEEP P Insp Vent.
(mL) (1/min) Ratio (hPa) (hPa) mode
PSV/VSV settings STBY MAN VENT
500 12 1:2 OFF 12 VCV
(xx)

25 24 23 22 21 20 19 18 17 16

Fig. 3-4 Main screen if multigas module is not installed

1. Set fresh gas flow 13. Activate Alarm Menu

2. Measured fresh gas flow 14. Activate Cancel Alarms
3. Set O2 percentage in fresh gas flow 15. Measured respiration data*
4. Set total fresh gas flow 16. Machine status VENT
5. Alarms and information 17. Machine status MAN
6. Date and time 18. Machine status STBY
7. Respiratory curve, pressure measurement, and 19. Ventilation mode
high-alarm setting 20. PSV/VSV settings*
8. Measured inspired O2* 21. Set inspiratory pressure
9. Stop watch 22. Set PEEP
10. Activate Main Screen 23. Set I:E ratio
11. Activate Setup Menu 24. Set respiration rate
12. Activate Trend Menu 25. Set tidal volume
(calculated MV shown beneath)
* optional

22 IntelliSave AX700
 FUNCTION

3.1 Anesthesia Gas A built-in reservoir in the scavenging system is open

to the ambient air and serves as a relief of the ejec-
Scavenging System tor vacuum.

(AGSS) The AGSS outlet on the rear of the machine should

be connected by a hose to the central gas scaveng-
The IntelliSave AX700 anesthesia machine has a ing system.
built-in gas scavenging system. This system requires
an evacuation flow of 30-40 L/min to remove excess
gases from the breathing system to the AGSS outlet Warning
on the rear of the machine.
Do not use the machine in insufficiently venti-
lated areas. Use the AGSS to prevent elevated
The evacuation flow can be generated from either
levels of anesthetic gases in the operation
the permanent installation in the operating room or
rooms. Make sure that the ball in the flow mar-
from a pneumatic ejector within the IntelliSave
ker is visible.
AX700, which is activated with a switch (ON/OFF) on
the left side of the machine next to the AGSS flow
marker. The pneumatic ejector is optional. 3.1.1 External breathing system
If using an external breathing system with the
The AGSS flow marker
IntelliSave AX700 (see section 4.1.3), the excess an-
on the left side of the
esthetic gases from that system can be evacuated by
machine contains a yel-
connecting it to the auxiliary AGSS connector on the
low ball that is visible
rear of the machine (9 in fig. 3-2).
when the flow is 25 L/
min or more.
Remove the plug from the auxiliary AGSS connector
(30 mm female connector), then connect the exter-
nal breathing system.

Fig. 3-5 Flow marker Warning

If an external breathing system is used, it must
have its own open reservoir integrated into the
Note AGSS system. Otherwise, the auxiliary AGSS
connection creates subatmospheric pressure in
The AGSS flow marker only works with the
the breathing system, which can be dangerous
breathing system. If an external breathing sys-
to the patient.
tem is used instead, it must be equipped with
its own indicator of correct AGSS flow.
When the external breathing system is no longer
needed with the machine, the plug must be placed
into the auxiliary AGSS connector (30 mm female
connector).

IntelliSave AX700 23
FUNCTION

Blank page

24 IntelliSave AX700
 OPERATION

4. Operation
Note Caution
Before using the machine for the first time, If the AGSS flow is generated by the installation
electrical safety must be tested in accordance in the hospital, the flow must be in the range of
with EN 60601-1, and all patient-related parts 30 to 40 L/min.)
must be cleaned.

4.1.1 Integrated breathing
Note ­system (IBS)
Before connecting the machine to a patient, per-
form the function test described in section 4.2.

Note
Before connecting the machine to the power
supply, check that the voltage rating on the ma- 3
chine's TYPE panel (on the rear of the machine)
is the same as the voltage of the power supply.
2
1
4.1 Setup 5
6
• Connect the machine to the power supply. The
machine must only be connected to a properly 4
grounded hospital grade electrical outlet and
must not be connected to an extension cord that
is shared with other equipment.

• Connect the machine to the gas supply

(400– 600 kPa, 58-87 psi), vacuum (optional), 1. Assemble the breathing system (see section 8),
and AGSS. Check the probe for each gas supply connect it to the base (1) and lock it in place with
cannot be disconnected from the outlet, by pull- the handle (2). 
ing the probes gently.
2. Connect the i-SORB CO2 absorber (5) to the
• Activate the AGSS flow and check that the yellow breathing system by placing it into the bracket
ball in the flow marker (3 in fig. 3-1) is visible. underneath the base and lifting it upward by the
The AGSS flow can be generated by either the handle until the lock clicks.
machine (optional) or one of the hospital's AGSS
units. If the AGSS flow is generated by the ma-
chine, activate it by pressing the red/green pin
above the flow marker (3 in fig. 3-1).

IntelliSave AX700 25
OPERATION

Warning Note
If using i-SORB disposable absorbers with the If the i-SORB CO2 absorber has been removed
machine, first remove the seal from the for more than 30 sec., the following message is
­absorber before placing it into the breathing displayed on the screen:
system.
"Absorber disconnected."
3. Connect inspiratory and expiratory patient hoses
If the ventilator is being used when this hap-
(3) to the connectors marked with arrows on the
pens, the message is followed by an alarm.
breathing system, including the Y-piece (4) and
bacteria filter.
See section 7.1.2 Absorber disconnected
The bacteria filter can be placed in either the
­Y-piece or at the breathing systems expiratory
port. Remember a filter should ALWAYS be
placed in front of the flow sensor, to ensure cor-
rect measurements. Also in case of placing a fil-
Note
ter on the expiratory port. Do not change the breathing system during use.

4. Connect the manual respiration bag (6) to the If the breathing system is disconnected, the fol-
connector marked BAG on the breathing system. lowing message is displayed on the screen:
A hose may be added between the BAG connec-
tor and the respiration bag to give the operator "Breathing system disconnected."
greater flexibility.
If the ventilator is being used when this hap-
pens, the message is followed by an alarm.
Note
See section 7.1.1 Breathing system
The respiration bag must be 1–3 L, otherwise
­disconnected
the leakage test of the BAG system included in
the Self-test may not work correctly.

• Turn the fresh gas switch (5 in fig. 3-1) to OFF.

26 IntelliSave AX700
 OPERATION

4.1.2 Replacing the CO2 absorber

PRESS Remove seal

on new absorber CLICK
(disposable ver-
sion)

1. Hold the absorber by the handle.

2. Press the button above the handle to release the

Note
absorber. The two absorber valves close to pre- When used up, the disposable CO2 absorber
vent loss of gas while replacing the absorber. can be discarded as other hospital waste.

3. Remove the used absorber from the bracket.

4. Place the new absorber into the bracket.

4.1.3 External breathing system
Other breathing systems can be used with the
5. Lift the absorber handle until the lock clicks. ­IntelliSave AX700 anesthesia ­machine.

6. The new absorber is now connected to the 1. Assemble the breathing system and connect it to
breathing system. the auxiliary fresh gas outlet (optional) located
on the left side of the table top (5 in fig. 3-1).

Caution 2. To remove excess anesthetic gases from the

breathing system, connect it to the 30 mm fe-
Always use a bacteria filter with the breathing
male connector marked AUX AGSS on the rear of
system. See section for accessories.
the machine (9 in fig. 3-2). See section 3.1.1

3. Set the fresh gas switch (5 in fig. 3-1) to ON.

Caution
Remove the red protection lid from the new ab-
sorber and place it on the old absorber before
discarding.

IntelliSave AX700 27
OPERATION

Multigas module water trap

Note Water trap product no. Adult:
41200-10 (10 pcs.)
Setting the fresh gas switch to "ON" causes the ­Neonatal:
following message to be displayed on the 41200-1 (10 pcs.)
screen: "Auxiliary fresh gas outlet activated." In Sample flow Adult: 200 mL/min
this situation, the patient can only be ventilated ­Neonatal: 70 mL/min
manually, through the external ventilation sys- Capacity Adult: 10 mL
tem. If the operator tries to start the ventilator, ­Neonatal: 6 mL
the following message appears on the screen: Max lifetime Adult: 1 month
"Ventilator stopped due to auxiliary fresh gas ­Neonatal: 1 month
outlet activated."

Multigas module water trap

Caution
If the ventilator is in automatic ventilation
mode when the fresh gas switch is set to "ON"
the ventilator stops and the following alarm ap-
pears on the screen: "Ventilator stopped due to
auxiliary fresh gas outlet activated."

4.1.4 Multigas module water

trap
If the machine is equipped with a multigas module,
the water trap (12 in fig. 3-1) must be mounted before Attach a sample tube between the water trap and
use. Make sure that the water trap is not filled with the Y-piece, for example, using a bacteria filter.
water, then attach it to the left side of the machine.
The sample tube hose should be 2–3 m long and
If the water trap is full of water, it must be emptied. have an interior diameter of at least 1.5 mm for
adult patients or 0.9 mm for neonatal patients.

Caution See section for accessories.

To ensure correct gas measurement, the water
trap should be changed in accordance with its
stated lifetime.

28 IntelliSave AX700
 Fresh gas flow EGM 5.0 Thursday 6. December 11:13 Stop watch
(L/min)
3.00 Touch screen controlled Selftest bypassed 00:00:0
O2 set % OPERATIONGas meas. (%

33 Exp In

Rotameter
32 3
%
(L/min) 4 Exp CO2 O2

1.8 N 2O 64 6
4.1.5 Patient flow sensor If the flow sensor is placed at the Y-piece, the sen-
2 Insp CO2

sor must be mounted with the PATIENT port0.1 ­facing SEV 0.4 0
The machine can be equipped with a volume moni-
the patient.
tor (15 in fig. 3-3 and 15 in fig. 3-4), which uses an 0 MAC 0.4
(age: 40)
external flow sensor.
Resp. meas.
hPa Adult sensor At Y-piece Peak

Two different types of flow sensors are used: 17 30

40 MVexp(l) 5.8
Plateau
A pediatric flow sensor is used for patients with a 20
17 Exp
tidal volume between 1 and 300 mL (Insp./Exp. flow
Flow (L/min) PEEP TV(mL) 480

2–35 L/min). O 2 NO 2
0
3
1.00 2.00 Compl. 34 mL/hPa RR(1/min) 12
An adult flow sensor is used for patients with a tidalRR set
TV set I:E PEEP P Insp Vent.
volume between 200 and 1500 mL (Insp./Exp. flow
(mL) (1/min) Ratio (hPa) (hPa) mode
PSV/VSV settings STBY MA
10–120 L/min). 500 12 1:2 OFF 17
(xx) VCV
The expired tidal volume and minute volume can be The actual flow sensor settings (type and place-
measured by placing the flow sensor onto the expir- ment) are shown in the respiratory curve window.
atory side in the breathing system.

If the flow sensor is placed at the Y-piece in the Note

breathing system, it is also possible to measure the
A bacteria filter must always be placed between
inspired tidal volume, and a spirometry curve (pres-
the patient and the flow sensor to ensure cor-
sure volume) can be shown on the display.
rect measurements.
Superusers or technicians can use the Service menu
to define the default value for the placement of the If a flow sensor is used, tubing must be connected
flow sensor. between the flow sensor and the machine (7 in
fig. 3-2).
Operators can use the Spirometry menu to change
the placement of the flow sensor. However, the ma-
chine always reverts to the default setting when the Note
self-test is run or when the machine is turned off.
If the flow sensor is placed on the expiratory
side in the breathing system, the following func-
tions are lost.
· The pressure-volume curve (spirometry loop)
· Time-flow curve
· PSV ventilation mode
· VSV ventilation mode

IntelliSave AX700 29
 OPERATION

1. Place the O2 fuel-cell sensor into the T-piece. The

  T-piece is placed at the breathing system on the
 inspiratory side. The O2 fuel-cell sensor must
 ­always face upward.

2. Connect the cable between the O2 fuel-cell

­sensor and the connector on the rear of the
Patient port ­machine (8 in fig. 3-2).

Cable for O2
EXTERNAL PATIENT FLOW SENSOR KIT, SEE SEC- 
fuel-cell
TION FOR ACCESSORIES sensor
1. Spirometry tube 2 m
2. Adult flow sensor resuable
3. Pediatric flow sensor reusable
4. Single-use bacterial filter

Caution
After performing a self-test, the type of flow O2 fuel-cell
sensor (adult or pediatric) must be defined us- sensor


ing the Setup Menu. ­(facing

­upwards)


4.1.6 O2 fuel-cell sensor

T-piece
If an integrated multigas module is not installed, the
machine can be set up with an O2 monitor (8 in fig. 
3-4) that uses an external fuel-cell sensor.
O2 FUEL-CELL SENSOR KIT, SEE SECTION FOR
The display then appears as follows: ACCESSORIES
1. T-piece
2. O2 fuel-cell sensor
r 11:13 Stop watch
Main 3. Cable for O2 fuel-cell sensor
Selftest bypassed 00:00:00
Screen
O2 meas. % 4.1.7 Suction canister
32 If the integrated patient suction is installed, place a
suction canister on the left side of the machine, in
Setup the area below the CO2 absorber.
Peak Menu
Connect the canister to the patient suction connec-
17 30
tion (16 in Fig. 3-2) using a plastic connector (P/N
13642).
Trend
The canister should include an overflow protection.
Plateau Menu
17
30 Resp. meas. IntelliSave AX700
Alarm
8.0
 OPERATION

4.2 Function test
1. Turn on the power switch (rear panel) at the
Note
back of the machine (5 in fig. 3-2). The breathing system must be assembled and
connected, including hoses, Y-piece, and i-SORB
CO2 absorber, before a function test can be per-
Note formed.
The internal batteries charge as long as the
power switch (rear panel) is ON, regardless of
whether the machine is in use. Therefore, this
switch should always be in the ON position.
Warning
The patient must not be connected to the ma-
chine when powering up or during the function
2. Press the ON/OFF switch on the front of the ma-
test.
chine (15 in fig. 3-1) to the ON position to power
up the machine.
The machine powers up, carries out an initial self-
test of internal functions, and performs test se-
Note quence 1. This takes approximately one minute.
If the "Mains power failure" alarm displays, the
most likely cause is the power switch (rear
panel) on the back of the machine being in the
Note
OFF position. If an integrated multigas module is installed, the
module will not work for the first two min after
powering up. If an O2 monitor equipped with an
When the front panel ON/OFF switch is later turned
external fuel-cell sensor is installed, the monitor
off, the following message appears on the screen:
will not work for the first one minute after pow-
"Machine closing down. Press mains switch to
ering up.
­cancel."
There is a 20 sec.  delay during which the machine
continues to operate normally before it shuts down. Once the initial tests are completed, the machine
enters test sequence 2, and a FULL self-test can now
If the ON/OFF switch on the front panel is pressed be performed, or the machine can be used for
again within these 20 sec., the message disappears emergency service.
and the machine will continue to operate.

If the front-panel ON/OFF switch is not activated

within these 20 sec., the machine shuts down after
the 20 sec.

IntelliSave AX700 31
OPERATION

4.2.1 FULL self-test Startup

During a FULL self-test, machine function, compli-
Display: "Do you want to perform the FULL TEST ? 
ance, and leakage are tested.Compliance and leak-
Yes/No" 
age measurements include the breathing system, in-
"Patient must NOT be connected during
cluding the hoses and Y-piece.
test".
Select Yes or No and press to continue.
When the ON/OFF switch on the front panel is
pressed to the ON position, the machine automati-
• Change between Yes and No by turning the con-
cally performs test sequence 1 to verify the correct
trol dial, then press to select.
operation of necessary components. Next, test
• Selecting Yes launches the FULL self-test.
­sequence 2 is performed.
• Selecting No bypasses the FULL self-test. This
should only be used in an emergency.
Note Even after the FULL self-test has been launched, the
If the machine detects a system-related alarm operator can cancel it by pressing the "Main Screen"
(see section 7) while powering up, the self-test field (10 in fig. 3-3). The following text is then dis-
is not executed. Instead, the alarm is displayed played.
on the screen. When the alarm is no longer ac-
tive, press "Cancel Alarms" to launch the self- Display: "Do you want to bypass self-test ? 
test. Yes/No" 
"Only bypass in case of an emergency".
Select Yes or No and press to continue.
The operator can also select FULL TEST in the Self-
test submenu of the Setup Menu. • Change between Yes and No by turning the con-
trol dial, then press to select.
• Selecting Yes bypasses the FULL self-test. This
Note should only be used in an emergency.
• Selecting No causes the FULL self-test to resume.
During the FULL self-test, all alarms are disabled.

Warning
Warning If the FULL self-test is bypassed, some of the
machine functions are not checked. In this case,
During the FULL self-test the operator must turn
the operator must closely observe the patient
the knob to adjust the Emergency fresh gas flow
during anesthesia to maintain safe perfor-
to minimum setting, 5L/min.
mance.

Test sequences
Warning
If the FULL self-test is bypassed, compliance and
Warning breathing system leakage are not measured.
The patient must not be connected to the ma- The ventilator then uses data from the last self-
chine when powering up or during the FULL test; thus the tidal volume to the patient in VCV
­self-test. or SIMV mode may be inaccurate.

32 IntelliSave AX700
 OPERATION

Display: "Electronic gas mixer test is running"

Note The functionality of the electronic gas mixer is now
If the FULL self-test is bypassed, the message checked.
"self-test bypassed" remains displayed.

Note
If the machine is equipped with a separate gas
Warning monitor and no sample from this monitor is re-
The FULL self-test must be run at least once a turned to the breathing system, the tube for
day when the machine is in use. sample flow must not be connected to the
breathing system during the test. Otherwise,
the leakage will be too high.
TEST SEQUENCE 1 – SYSTEM AND VALVES

Display: "Electronic gas mixer test is running" TEST SEQUENCE 3 – BAG FILLING

The machine checks the internal safety system Display: "Leakage test of system is running"
(watchdog), the electronic gas mixer valves, and the
ventilator valves. The electronic gas mixer initiates a flow rate of
10  L/min O2 and 9.75 L/min Air for 10 sec. to fill the
TEST SEQUENCE 2 – GAS MIXER TEST respiration bag.
Next, the pressure in the breathing system is
Display: "Occlude Y-piece (use test adapter)" checked (should be 25–45 hPa (cmH2O)).
"Check gas evacuation (flow marker)"
"Set APL valve at (pat. circuit) to 35. Open TEST SEQUENCE 4 – C OMPLIANCE AND
vaporizer". "Press to start. If you want to ­L EAKAGE, VENT
leave this test, press Main Screen"
Display: "Leakage test of system is running"
1. Place the Y-piece on the test
adapter at the respiration bag The electronic gas mixer initiates a flow rate of
­connector of the breathing system. 10 L/min O2 and 9.75 L/min Air for 10 sec. to fill the
bellows in the bag-in-bottle system.

2. Check that the yellow ball in the This flow is reduced to 5 L/min O2 and the pressure
flow marker (3 in fig. 3-1) is visible. in the breathing system is checked (should be
1.5‑4.­5 hPa (cmH2O), due to the bag-in-bottle).

3. Set the APL valve on the breathing Next, compliance in the VENT system is checked
­system (9 in fig. 3-1) to 35 and based on the ventilator volume needed to reach a
open the vaporizer. breathing system pressure of 30 hPa (cmH2O).

30 hPa (cmH2O) must be reached within 10 sec. at

4. Press the control dial to confirm. an inspiratory flow of 5 L/min. Otherwise, an error
message is displayed on the screen.

IntelliSave AX700 33
OPERATION

System compliance must be between 2.0 and TEST SEQUENCE 5 – LEAKAGE, BAG
10.0 mL/hPa. Otherwise, an error message is dis-
played on the screen. The BAG/VENT valve in the breathing system is set to
BAG, and the breathing system pressure is checked to
Once a pressure of 30 hPa (cmH2O) is achieved, a find any leakage from either the APL valve or respira-
check of leakage in the VENT system is performed tion bag.
based on the pressure drop over time with respect
to the measured breathing system compliance. If the pressure has fallen to below 10 hPa (cmH2O), an
error message is displayed on the screen:
If the pressure falls too rapidly for the leakage to be
measured, an error message is displayed on the Display: "Leakage in BAG system too high –
screen: ­(pressure below 10 hPa (cmH2O))"
"Check APL valve, and resp. bag (empty ?)"
Display: "Leakage too high"­ "Press to repeat test"
"Check bag-in-bottle, connectors, and
hoses" "Press to repeat test" Pressing the control dial restarts the compliance and
leakage test.
Pressing the control dial restarts the compliance and
leakage test. TEST SEQUENCE 6 – L EAKAGE BAG/VENT VALVE,
EXP. VALVE AND PEEP VALVE
If the leakage exceeds 100 mL/min, but is less than
1000 mL/min, an error message is displayed on the Display: "Set APL valve to SP. Close vaporizer" ­
screen: "Press to continue"

Display: "Leakage in VENT system XXX mL/min. • S et the APL valve at the pat. 
Accept: Yes/No"  circuit to SP and close vaporizer
"Check bag-in-bottle, connectors, and
hoses" • Press the control dial to confirm.

• Select No to repeat test. Select Yes to continue. Display: "Valve check running"

• Change between Yes and No by turning the con-
trol dial, then press to select. When a 30 hPa (cmH2O) pressure is reached on the
• Selecting Yes accepts the measured leakage, and outside of the bellows of the bag-in-bottle, with the
the next test sequence is performed. BAG/VENT valve in BAG position, the leakage from the
• Selecting No rejects the leakage, and the compli- BAG/VENT valve and the expiration and PEEP valves
ance and leakage tests are performed again. inside the ventilator is checked based on the pressure
drop ­during time.
If the leakage exceeds 1000 mL/min, an error mes-
sage is displayed on the screen: If the leakage is too high, the following error message
is displayed on the screen:
Display: "Leakage in VENT system XX mL/min"
"Check bag-in-bottle, connectors, and Display: "Leakage in bag-in-bottle system too high"
hoses" "Press to repeat test" "Check bag-in-bottle and change-over valve"
"Press to repeat test"
Pressing the control dial restarts the compliance and
leakage test. Pressing the control dial restarts the leakage test for
the BAG/VENT valve, the expiration valve, the PEEP
valve inside the ventilator, and the APL valve.

34 IntelliSave AX700
 OPERATION

TEST SEQUENCE 7 – TEST COMPLETED 1. The APL valve should be adjusted as desired by
the operator.
Display: "Leakage in VENT system: XX mL/min"
"Compliance in VENT system: XX mL/hPa" 2. The Y-piece should be removed from the test
"Press to continue" adapter.

Pressing the control dial shows the next message on 3. If the machine is set up with a volume monitor,
the screen. the operator must use the Setup Menu to define
the type of sensor (adult or pediatric) to use.
Display: "Refreshing gases in breathing system"
4. Pressing the control dial puts the machine in
The electronic gas mixer initiates a flow rate of 10 L/ STBY mode, and all user settings are reset to de-
min O2 and 9.75 L/min Air for 10 sec. to flush anes- fault values.
thetic gases from the breathing system.
5. Next, the MAN part of the self-test should be
The following message then appears on the performed as described in sections 4.2.3 to 4.2.14.
screen.

Display: "Check alarm sound present"

4.2.2 LC self-test, leakage and
"Press Cancel Alarms to confirm." compliance test
Verify that the alarm sound is active and confirm The leakage and compliance (LC) test can be used to
with Cancel Alarms. measure leakage and compliance when parts of the
breathing system are changed between two patients
The following message then appears on the (e.g., hoses and respiration bags).
screen.
During the LC self-test, system compliance is meas-
Display: "Turn Emergency fresh gas flow regulator ured, and leakage is checked.
clockwise, to minimum setting"
"Check Insp and Exp valves (yellow flaps) The compliance and leakage test includes the
are present on the IBS" breathing system, including hoses and the Y-piece.

Press the control dial to confirm. When the operator selects the LC self-test (by se-
lecting LC self-test in the Self-test menu, a submenu
The following message then appears on the screen. of the Setup Menu), the following test sequences
are performed.
Display: "Test completed. Check pat. suction, va-
porizer etc. Adjust APL valve"
"Remove Y-piece from test adapter. If Note
vol. monitor is installed, sensor must be
During the LC self-test, all alarms are disabled.
connected and defined. Read user man-
ual. Press to finalize"

IntelliSave AX700 35
OPERATION

Test sequences
Note
Warning If the LC self-test is bypassed, the message
"Self-test bypassed" remains displayed.
The patient must not be connected to the ma-
chine during the LC self-test.
Test sequence 2 to 7 from the FULL self-test are
­performed.
Startup

Display: "Do you want to perform the leakage and 4.2.3 O2 monitor test
compliance test ? Yes/No"
"Patient must NOT be connected during 4.2.3.1 O2 FUEL-CELL SENSOR
test". Select Yes or No and press to con- If the machine is set up with an O2 monitor using an
tinue. external fuel-cell sensor (see section 4.1.6), the fol-
lowing test must be performed:
• Change between Yes and No by turning the con-
trol dial, then press to select. 1. Set status to MAN. The Y-piece must be open to
• Selecting Yes launches the LC self-test. ambient air.
• Selecting No bypasses the LC self-test.
2. Set the fresh gas flow to 10 L/min Air and wait
Even after the LC self-test has been launched, the until the displayed O2% reading stabilizes. Check
operator can cancel it by pressing the "Main Screen" that the reading shows 20–22% O2. If not, recali-
field (10 in fig. 3-3). The following text is then dis- brate the O2 fuel-cell sensor as described in sec-
played. tion 6.1.7.

Display: "Do you want to bypass self-test ?  3. Set the fresh gas flow to 10 L/min O2 and wait
Yes/No" until the displayed O2% reading stabilizes. Check
"Only bypass in case of an emergency" that the reading shows 98–102% O2. If not, recal-
Select Yes or No and press to continue. ibrate the O2 fuel-cell sensor as described in sec-
tion 6.1.7.
• Change between Yes and No by turning the con-
trol dial, then press to select. 4.2.3.2 MULTIGAS MODULE
• Selecting Yes bypasses the LC self-test. If the machine is equipped with a multigas module,
This should only be used in an emergency. the following test must be performed:
• Selecting No restarts the LC self-test.
1. Set status to MAN. The Y-piece must be open to
ambient air.
Warning
2. Set the fresh gas flow to 10 L/min Air and wait
If parts of the breathing system have been
until the displayed O2% reading stabilizes. Check
changed and the LC self-test is bypassed, com-
that the reading shows 19–23% O2.
pliance and breathing system leakage are not
measured. The ventilator then uses data from
3. Set the fresh gas flow to 10 L/min O2 and wait
the last self-test; thus the tidal volume to the
until the displayed O2% reading stabilizes. Check
patient in VCV or SIMV mode may be inaccu-
that the reading shows 97–103% O2.
rate.

36 IntelliSave AX700
 OPERATION

4.2.4 Expired minute volume 4.2.7 O2 flush

low/high alarm 1. Set status to MAN.
If the machine is set up with a volume monitor using
2. Occlude the Y-piece.
a flow sensor (see section 4.1.5), the following test
must be performed:
3. Press the O2 flush and check that the respiration
bag fills quickly.
1. Attach a test lung to the Y-piece and start the
ventilator in VCV mode.
4.2.8 O2 alarm
2. Wait about 1 minute and read the expired minute
1. Set the fresh gas flow to 1 L/min O2 and 1 L/
volume on the display.
min N2O.
3. Check that this corresponds with the set minute
2. Disconnect the O2 gas supply from the machine
volume (Tidal volume x Respiration rate).
and wait until the O2 flow bar graph on the
screen drops to zero.
4. Check that the Insp. and Exp.
valves in the breathing system
3. Check that the "O2 pressure is low" alarm trig-
move during inspiration/expiration.
gers and that the N2O flow bar graph on the
screen drops to zero.
4.2.5 Airway pressure high alarm
4. Reconnect the O2 supply to the machine.
1. Attach a test lung to the Y-piece and start the
ventilator.
4.2.9 Test of reserve gas cylin-
2. Read the displayed Peak pressure and set the
high-pressure alarm 5 hPa (cmH2O) lower than
ders
the Peak pressure. If the machine is set up with reserve O2, Air or N2O
cylinders, the following test must be performed:
3. Check that the "airway pressure high" alarm trig-
gers and that the Peak pressure is limited by the 1. Disconnect the O2, Air or N20 supply to the ma-
new alarm setting. chine and open the reserve gas cylinders.

4. Set the "airway pressure high" alarm to the same 2. Set the fresh gas flow to 0.0 L/min.
value as before (above Peak pressure) and check
that the alarm stops. 3. Read the pressure in the reserve cylinders on the
gauges on the front of the machine (the pressure
in the cylinders must never go below 10 bar).
4.2.6 Mains power failure alarm
1. Attach a test lung to the Y-piece and start the 4. Close the reserve cylinders and check that the
ventilator. pressure on these gauges does not fall over the
next 1 minute.
2. Disconnect the 230 V power supply to the ma-
chine, and check that the "mains power failure" 5. Reconnect the central gas supply to the machine.
alarm triggers and that machine continues to
­operate.

3. Reconnect the 230 V power supply to the machine.

IntelliSave AX700 37
OPERATION

4.2.10 Patient suction test 4.2.12 Auxiliary O2 test

If the machine is equipped with patient suction, the If the machine is equipped with an auxiliary O2 flow
following test must be performed: meter, the following test must be performed:

1. Check that the suction components are correctly 1. Open the flow meter regulator (counterclock-
assembled and connected to the suction inlet on wise).
the left side of the anesthesia machine.
2. Check that the flow rate can reach 14 L/min.
2. Block the suction line. Turn the suction switch to
the left. "Adjust" position and check the suction 3. Close the flow meter regulator (clockwise) and
strength over the range from weak to strong suc- check that the flow meter reduces to zero.
tion.

3. Then turn the suction to "Max" and check that

the suction strength is approximately -0.75 bar.

4.2.11 Vaporizer test
If the machine is equipped with a vaporizer, the fol-
lowing test must be performed:

1. Check that the vaporizer(s) is(are) correctly at-

tached to the machine.

2. For each vaporizer, check that the vaporizer

knob(s) can freely turn throughout the full regu-
lation range and can be locked in the "0" posi-
tion.

3. Check that the vaporizer(s) is (are) adequately

filled.

Note
Consult the vaporizer user manual.

38 IntelliSave AX700
 OPERATION

4.2.13 Test of internal switches 4.2.14 Daily test completed

1. Remove the CO2 absorber, and check whether 1. Set status to STBY.
the following message appears after about 30
sec.: 2. Go to the "Setup Menu" and select "Reset set-
tings & data" to clear old alarms.
Display: "Absorber disconnected"
3. Press "Cancel Alarms" to clear old alarm mes-
Remount the CO2 absorber, and check that the mes- sages from the display.
sage disappears.

2. Remove the breathing system (unlock handle), Caution

and check that the following message appears:
After the function test is completed, check that
all alarm settings are suitable for the patient be-
Display: "Breathing system disconnected"
fore connecting the machine to the patient.
Remount the breathing system (lock the handle),
and check that the message disappears.

3. Activate the"Emergency fresh gas" switch, and

check that the following message appears:

Display: "Emergency O2 flow activated"

Set the switch to OFF and check that the alarm mes-
sage disappears.

4. Switch the auxiliary fresh gas outlet to "ON" and

check that the following message appears:

Display: "Auxiliary fresh gas outlet activated"

Block the outlet with a finger and push the O2 flush

for two seconds to test the Maximum Pressure Limi-
ting (MPL) valve's pop-of function.

Set the switch to "OFF" and check that the message

disappears.

IntelliSave AX700 39
OPERATION

4.3 Operation of the 2. Set the O2% (3) or the total fresh gas flow (4) by
pressing the appropriate field on the touch
electronic gas mixer screen. This highlights the value (in blue); the gas
flow can be changed by turning the control dial.
Once the function test is complete, the electronic Turning the control dial counterclockwise lowers
gas mixer (EGM) is ready for use. the value. Turning the control dial clockwise
raises the value. The flow changes immediately
when turning the control dial.
Fresh gas flow EGM 5.0 Thursday 6. December 11:13 Stop watch
(L/min) The fresh gas flow values on the display (1), (3) and Main
4
3.00 Touch screen controlled
(4) are set values. Selftest bypassed 00:00:00
Scree
O2 set % O2 meas. %
3 The fresh gas flow columns (2) on the screen are all
33 measured values. 32
Rotameter Adult sensor At Y-piece Setup
(L/min) hPa
If the set values and measured values do not match
40 Peak Menu
over a given period of time, the machines generate
an alarm. "O2, Air or N2O fresh gas17
30
flow out of con-
trol".
Trend

2 If an O2 flow of less than 300 mL/min

Plateauis set, the Menu
message "O2 flow is critically low"17 appears on the
screen in the alarm field (5 in fig. 3-3).
20 Resp. meas.
Alarm
If the total fresh gas flow or O2% is set so that the
MVexp(l) 5.8
8.0
Menu
O2, Air or N2O flow becomes less PEEP
than 100 mL/min, 4.0

the flow automatically sets to 0 L/min

3 and O2% Exp
changes accordingly.
Flow (L/min) TV(mL) 480 Canc
The set fresh gas flow remains unchanged.
O2 N2O
1 0 Alarm
1.00 2.00 If the total fresh gas flow orCompl.
O2% is34 mL/hPa
set so that the
O2, Air or N2O flow becomes higher than 10 L/min,
TV set RR set I:E PEEP P Insp Vent.
(mL) (1/min) Ratio (hPa)the flow automatically sets to 10 L/min
(hPa) mode
and O2%
and total freshPSV/VSV changes accordingly.STBY
gas flowsettings MAN VEN
500 12 1:2 OFF 12 VCV
(xx)
4.3.1 Setting the fresh gas flow
THE FRESH GAS FLOW CAN BE SET IN TWO WAYS:
Note
The fresh gas flow cannot be activated when
1. Set the flow for each gas by pressing set flow the machine is in STBY. Change the status to
value (1) on the display. This highlights the value MAN or VENT to activate the fresh gas flow.
(in blue); the specific gas flow can be changed by
turning the control dial.
Turning the control dial counterclockwise re-
duces the flow. Turning the control dial clockwise
increases the flow. The flow changes immedi-
ately when turning the control dial.

40 IntelliSave AX700
 OPERATION

4.3.2 Changing the carrier gas

Note If the machine is set up with both Air and N2O as
carrier gases for O2, the desired carrier gas can be
If the "Min. fresh gas flow" is activated, the to-
selected in the Setup Menu.
tal fresh gas flow cannot be set lower than
0.2 L/min in MAN or VENT. This feature is op-
1. Press the "Setup Menu" (11 in fig. 3-3); select
tional, but standard on machines to the US.
Carrier gas. 

As an alternative, press "Air" or "N2O" beneath the

flow column, which opens the menu for changing
Note the carrier gas.
O2% is a calculated value based on measured
gas flow data and is not measured by an oxygen 2. Press the control dial to activate the Carrier gas
sensor. In the event of a central gas supply cross setting.
connection, the O2% in the fresh gas flow will
be incorrect. 3. Turn the control dial to change the desired gas
type, then press to confirm the new setting.

The gas flow displayed beside the O2 flow now

Note changes to the selected carrier gas. Moreover, the
flow for that carrier gas automatically changes to
The O2% in the breathing system may differ
the last known flow setting for that specific carrier
from the O2% in the fresh gas.
gas.

4. Exit the menu by pressing "Main Screen".

Note The N2O flow is cut off if the O2 supply fails. Reduc-
An alarm triggers if the O2 or Air drive gas pres- ing the O2 flow reduces the N2O flow proportionally
sure is lower than 2.5 bar. to ensure a safe minimum of 25% O2 in the fresh gas
flow.
The N2O flow is cut off at an O2 flow less than
100 mL/min.
Note
The displayed flow values are based on STPD
conditions (standard temperature and pressure,
dry).

IntelliSave AX700 41
 OPERATION

4.3.3 Electronic gas mixer 4.4 Operation of the

­default settings stop watch
When the machine has been turned off or if either
the FULL self-test or LC self-test is performed, the
flow settings
EGM 5.0for the electronic gas mixer
Thursday changes to the
6. December 11:13 Stop watch
) default settings: Main
0 Touch screen controlled Selftest bypassed 00:00:00
Parameter Factory Limits Screen
% Gas meas. (%)
value
Fresh gas flow 0.3 L/min 0.0, 0.2–20.0 L/min Exp Insp
O2 set % 100% Carrier gas Air:
ter
32 33 Setup
%
21‑100%
n) 4 Exp CO2 O2
Carrier gas N2O:
• Start the stop watch by pressing the "Stop
Menu
25–100% 1.8watch" field.
N O 64 63
O2 flow 0.0 L/min 0.0, 0.1–10.0 L/min 2

2Air Insp CO2

flow 0.0 L/min 0.0, 0.1–10.0 L/min
• The color of the HH:MM:SS changes from gray to
N2O flow 0.0 L/min 0.0, 0.1–10.0 L/min 0.1green toSEV 0.4that0the
indicate .6 stopTrend
watch has started
Carrier gas Air Air, N2O counting. Menu
0 MAC 0.4
• When the stop(age:
watch
40)is turned off again by
pressing the "Stop
Resp. watch" field, the HH:MM:SS
meas.
hPa Adult sensor At Y-piece Peak
changes from green to gray to Alarm
indicate that the
17 30
stop watch has stopped counting.
40 MVexp(l) 5.8
8.0
4.0 Menu
Plateau
• Reset the stop watch by pressing the "Stop
20
17watch" field twice.
ExpThe stop watch cannot be re-

min)
set until TV(mL)
PEEP it has been
480 stopped. Cancel
N2O
0
3 Alarms
12
OFF
2.00 Compl. 34 mL/hPa RR(1/min) 4

RR set I:E PEEP P Insp Vent.

(1/min) Ratio (hPa) (hPa) mode
PSV/VSV settings STBY MAN VENT
12 1:2 OFF 17 VCV

42 IntelliSave AX700
 Fresh gas flow EGM 5.0 Thursday 6. December 11:13 Stop watch
(L/min) Main
3.00 Touch screen controlled Selftest bypassed 00:00:00
Screen
O2 set % O2 meas. % OPERATION

33 32
Rotameter Adult sensor At Y-piece Setup
(L/min) hPa

40 Peak Menu
17
4.5 Operation of the ventilator
30

Trend

Plateau Menu
17
20 Resp. meas.
Alarm

PEEP
MVexp(l) 5.8 8.0
4.0 Menu

3 Exp

Flow (L/min) TV(mL) 480 Cancel

O2 N2O
0 Alarms
Compl. 34 mL/hPa
1.00 2.00
TV set RR set I:E PEEP P Insp Vent.
(mL) (1/min) Ratio (hPa) (hPa) mode
PSV/VSV settings STBY MAN VENT
500 12 1:2 OFF 12 VCV
(xx)

When the self-test is completed, the machine is in

STBY mode ready for automatic ventilation of the
VCV mode
patient, following adjustment of the ventilation pa- In VCV mode, the ventilator gives the set tidal vol-
rameters. ume pressure to the patient using a constant inspir-
atory flow.
The following parameters can be set while the ma-
chine status is in STBY, MAN, or VENT. The ventilator constantly adjusts the inspiratory
flow to deliver the set tidal volume to the patient in-
dependently of the patient circuit’s compliance and
A. Ventilation modes the actual fresh gas flow.
During automatic ventilation, the following ventila-
tion modes are available:
SIMV mode
VCV Volume Controlled Ventilation In SIMV mode, the patient can trigger a VCV inspira-
SIMV Synchronized Intermittent tion during the expiration phase by causing the
Mandatory Ventilation breathing system pressure to decrease. In the "Vent.
PCV Pressure Controlled Ventilation settings" menu (in the "Setup Menu"), the operator
PSV Pressure Supported Ventilation can define the size of pressure drop needed to trig-
PRVT Pressure Regulated Volume  Target ger a VCV inspiration. The decrease in pressure is in
VSV Volume Supported Ventilation relation to set PEEP.

If the patient has not triggered an inspiration during

the expiration phase, the machine automatically de-
livers a VCV inspiration.

IntelliSave AX700 43
OPERATION

 The time interval in which the patient can trigger When the operator reduces the respiration rate in
an inspiration is called the "trigger window." The SIMV mode to force the patient’s spontaneous
ventilator calculates this trigger window when it breathing during wake-up, the trigger window is
shifts to SIMV mode to equal one cycle (inspira- maintained at the end of the expiration phase.
tion + expiration).

Time, pressure graph in previous mode

Time, pressure graph in SIMV mode

Trigger-window: VCV Insp. can be triggered

F or patient safety, the patient cannot trigger a Therefore, the trigger window is prohibited from
new inspiration while the ventilator is delivering entering the inspiratory phase plus a following
an inspiration or just after completion of the period of 200 msec. The patient can only trigger
­inspiration. one inspiration per trigger window.

Time, pressure graph in SIMV mode

Tggeriäg is
Triggering is never
never possible
possible during
during
insp.time + 200msec.
Insp. time + 200 msec.

EXAMPLE
SETTING THE TIDAL VOLUME AND INSPIRATION
All settings on initial values, except for respiration
TIME IN SIMV MODE
rate, which is set to 20. This gives an inspiratory
In SIMV mode, the tidal volume and inspiration
time of 1 second.
time should be the same as in VCV mode, even if
If SIMV mode is selected and the respiration rate is
the operator increases the expiration time to force
changed to 10 (to increase the expiratory time), the
the patient’s spontaneous breathing during wake-up.
I:E ratio automatically changes from 1:2 to 1:5 to
maintain the inspiration time at 1 second.
Therefore, setting inspiratory time and tidal volume
is different than in all other modes.
In SIMV mode, the I:E ratio can be set from 1:1 to
1:9.9, because I:E ratios with longer inspiration than
INSPIRATORY TIME
expiration are not permitted in SIMV mode. Thus,
The inspiratory time in SIMV mode is displayed
no respiration rate or inspiratory pause can be set
while setting the I:E ratio.
that results in an I:E ratio outside the range 1:1 to
Changing the respiration rate or Insp. pause causes
1:9.9.
the ventilator to automatically calculate a new I:E
ratio to prevent the inspiratory time from changing.

44 IntelliSave AX700
 OPERATION

EXAMPLE
PCV mode
All settings on initial values, except for respiration In PCV mode, the ventilator gives the set inspiratory
rate, which is set to 20. This gives an inspiratory pressure above PEEP to the patient using a decele-
time of 1 second. rating inspiratory flow.
The ventilator constantly adjusts the inspiratory
If SIMV mode is selected, the respiration rate can be flow in order to reach the set inspiratory pressure
changed from 6 resp/min (resulting in an I:E ratio of and maintain it throughout the full inspiratory
1:9.0) to 30 resp/min (causing an I:E ratio of 1:1). phase independently of the patient circuit’s compli-
ance and the actual fresh gas flow.
To change the inspiratory time while in SIMV mode, If the set inspiratory pressure cannot be obtained
the operator should select "I:E ratio" and turn the during inspiration, the "Insp. pressure not obtained"
control dial. Once the I:E ratio is changed, the alarm is triggered (see section 7.3.9).
screen displays the new inspiratory time. The new
setting does not take effect until the control dial is
pressed.
PSV mode
While in PSV mode, the patient has exclusive control
SET VOLUME of the ventilator, and the ventilator does not pro-
If the ventilator setup is defined using minute vide mandatory inspirations to the patient.
volume as the set volume, the tidal volume in SIMV Thus, this ventilation mode is suitable for patients
mode displays "MV set." Changing the respiration with a certain degree of spontaneous breathing, the
rate causes the ventilator to automatically calculate ventilator assisting the patient’s breathing.
a new minute volume in order to leave the tidal
volume unchanged. INSPIRATION
When the patient begins an inspiration and the in-
EXAMPLE spiratory flow at the Y-piece (measured by the flow
All settings on initial values, except for respiration sensor) is higher than the set "Insp. trig." the venti-
rate, which is set to 20. This gives a tidal volume of lator initiates an inspiration in order to reach the set
300 mL. "Support pressure". Once this "Support pressure" is
reached, the ventilator maintains the pressure
If SIMV mode is selected and the respiration rate is throughout the remainder of the inspiratory phase.
changed to 10 (to increase the expiratory time), the "Support pressure" is set using the touch screen,
set minute volume setting automatically changes while "Insp. trig." is set using the menu that opens
from 6.0 L to 3.0 L to maintain a tidal volume of 300 by pressing the "Vent. settings" field.
mL. To change the tidal volume while in SIMV mode,
the operator should select "MV set" and turn the EXPIRATION
control dial. Once the minute volume is changed, The inspiration stops and expiration begins when
the screen displays the new tidal volume. The new the following conditions prevail:
setting does not take effect until the control dial is
pressed to confirm the setting. 1. The measured pressure in the breathing system
is higher than the high-pressure alarm limit (the
same function as in the other ventilation modes).
Note
The service menu can be edited to define 2. The duration of the inspiration exceeds 2.5 sec. 
whether SIMV mode should be available. This (if the flow sensor is set to "Adult") or 1.5 sec. (if
setting can only be changed by a superuser or the flow sensor is set to "Ped.").
service technician.

IntelliSave AX700 45
OPERATION

3. The inspiratory flow at the Y-piece (measured by When PRVT mode is selected, the inspiratory flow
the flow sensor) is lower than the set "Exp. trig." for the first three inspirations is the same as in VCV
"Exp. trig." is set as a percentage of the maxi- mode, with an inspiratory pause of 20% in order to
mum flow measured during inspiration; it is set measure patient compliance. This compliance value
using the menu that opens by pressing the "Vent. is used to calculate the inspiratory pressure needed
settings" field. to deliver the set tidal volume to the patient.

VENTILATION BACKUP For the fourth inspiration, the inspiratory flow is as

If the patient does not trigger an inspiration before in PCV mode, and the inspiratory pressure is based
the "PSV/VSV backup" period has ended, a "PSV on both the set tidal volume and the measured pa-
backup mode activated, switching to PCV mode" tient compliance.
alarm triggers (see section 7.3.15), and the ventila-
tor automatically switches to PCV mode. From the 5th inspiration onward, the ventilator au-
tomatically adjusts the inspiratory flow by compar-
The alarm disappears by pressing "Cancel Alarms." ing the set tidal volume with the measured expired
"PSV/VSV backup" is set in the menu that opens by tidal volume.
pressing the "Vent. settings" field.
If the ventilator detects that an inspiratory pressure
of less than 4 hPa (cmH2O) is needed to reach the
Note set tidal volume, the inspiratory pressure sets to
4 hPa (cmH2O) and triggers an alarm:
PSV mode is an option that can be installed by
"Required Insp. pressure is too low" (see section
either Philips or an authorized technician.
7.3.16).

If the ventilator detects that an inspiratory pressure

of more than 67 hPa (cmH2O) is needed to reach
Note the set tidal volume, the inspiratory pressure sets to
PSV mode is only available if the flow sensor is 67 hPa (cmH2O) and triggers an alarm:
placed at the Y-piece. "Required Insp. pressure is too high" (see section
7.3.17).

If the ventilator detects that the required inspiratory

PRVT mode pressure to reach the set tidal volume is within
In PRVT mode, the ventilator gives a precise inspira- 5 hPa (cmH2O) of the set high-pressure alarm limit,
tory pressure to the patient using a decelerating in- the inspiratory pressure resets to the high-pressure
spiratory flow. The ventilator continuously adjusts alarm limit minus 5 hPa (cmH2O) and triggers an
this flow in the same manner as in PCV mode. The alarm: "Required Insp. pressure is too close to high
difference between PCV and PRVT mode is that, in press. alarm" (see section 7.3.18).
PRVT mode, the ventilator automatically adjusts the
inspiratory pressure in order to deliver the set tidal If the set inspiratory pressure cannot be obtained
volume to the patient. during inspiration, a "Insp. pressure not obtained"
alarm is triggered (see section 7.3.9).
The ventilator automatically adjusts the inspiratory
flow to maintain a difference of less than 10% be-
tween the set tidal volume and the expired tidal vol-
ume (measured by the flow sensor in the breathing
system).

46 IntelliSave AX700
 OPERATION

lator initiates an inspiration in order to reach the

"Support pressure" that the ventilator has automati-
Caution cally set.
If the expired tidal volume measured during
PRVT ventilation is low compared with the set Once this "Support pressure" is reached, the ventila-
tidal volume, the ventilator automatically in- tor maintains the pressure throughout the remain-
creases the inspiratory pressure to within 5 hPa der of the inspiratory phase.
(cmH2O) of the airway pressure high alarm limit.
Thus, while in PRVT mode, it is particularly im- EXPIRATION
portant to set an airway-pressure-high alarm The inspiration stops and expiration begins when
limit to a value suitable for the patient. the following conditions prevail:

1. The measured pressure in the breathing system

is higher than the high-pressure alarm limit (the
Note same function as in the other ventilation modes).
PRVT mode is an option that can be installed by
2. The duration of the inspiration exceeds 2.5 sec. 
either Philips or an authorized technician.
(if the flow sensor is set to "Adult") or 1.5 sec.  (if
the flow sensor is set to "Ped.")

3. The inspiratory flow at the Y-piece (measured by

Note the flow sensor) is lower than the set "Exp. trig.".
PRVT mode is only available if the flow sensor is "Exp. trig." is set as a percentage of the maxi-
placed at the Y-piece or at the EXP cone on the mum flow measured during inspiration.
breathing system.
VENTILATION BACKUP
If the patient does not trigger an inspiration before
VSV mode the "PSV/VSV backup" period has ended, a "VSV
backup mode activated, switching to VCV mode"
While in VSV mode the patient has exclusive control
alarm triggers (see section 7.3.19) and the ventilator
of the ventilator, and the ventilator does not pro-
automatically switches to VCV mode.
vide mandatory inspirations to the patient.
The alarm disappears by pressing "Cancel Alarms."
Thus, this ventilation mode is suitable for patients
with a certain degree of spontaneous breathing, the
ventilator assisting the patient’s breathing.

The difference between VSV and PSV ventilation is

Note
that, in VSV mode, the ventilator automatically ad- VSV mode is an option that can be installed by
justs the pressure in order to deliver the desired either Philips or an authorized technician.
tidal volume to the patient.

INSPIRATION
When the patient begins an inspiration and the in- Note
spiratory flow at the Y-piece (measured by the flow
VSV mode is only available if the flow sensor is
sensor) is higher than the set "Insp. trig." the venti-
placed at the Y-piece.

IntelliSave AX700 47
 OPERATION

Press on the "Vent. mode" field to select the desired C. Respiration rate

ventilation mode using the control dial.
(active in VCV, SIMV, PCV, and PRVT
Press the control dial to confirm the selected mode. modes only)
The ventilation mode does not switch until the con-
Definition: The number of controlled respirations
trol dial is pressed.
per minute.
Once a ventilation mode has been selected, the ac-
Press on the "RR set" field and set the desired respi-
tive settings for the selected mode are displayed in
ration rate using the control dial.
green text, and the inactive settings in gray.
Press the control dial to confirm the set respiration
B. Tidal volume rate. The respiration rate does not change until the
control dial is pressed.
(active in VCV, SIMV, PRVT, and VSV
modes only) D. I:E ratio
Definition: The tidal volume the ventilator delivers
(active in VCV, SIMV, PCV, and PRVT
to the patient in VCV, SIMV, PRVT, or VSV mode.
modes active only)
In VCV or SIMV mode, the ventilator automatically
Definition: The ratio between the inspiration time
calculates the correct inspiratory flow to deliver the
and expiration time.
set tidal volume independently of compliance and
7 fresh gas flow. 8 9 Press on the "I:E Ratio" field and set desired I:E ratio
using the control dial.
cember
TV,patient = TV,ventilator
11:13
+ TV,fresh gas -
Stop watch
TV,compliance Main
Selftest bypassed 00:00:00 10
Press the control dial to confirm the set I:E ratio.
Screen The I:E ratio does not change until the control dial is
Press on the "TVGas
set" field(%)
meas. to select the desired tidal
pressed.
volume with the control
Exp dial.
Insp

PressExp
theCO
control
2 32
O dial
2 33 the set tidal vol-
to confirm
Setup
11 Note
ume. The tidal volume does not change
Menu until the
1.8 N O 64 63
control dial is pressed.
2 Some combinations of tidal volume, respiration
Insp CO2
rate, I:E ratio, and inspiratory pause cannot be
0.1 theSEV
Underneath set0 .4 volume,
tidal 0.6 Trend
the calculated set on the ventilator because the continuous in-
minute volume is shown. 12 spiratory flow from the ventilator must be be-
Menu
MAC 0.4 tween 2 and 80 L/min. If the 2 L/min or 80 L/
(age: 40)
(Minute volume = Tidal volume x Resp. rate) min limit is reached, a message is displayed on
Resp. meas.
iece Peak Alarm the screen.
17 30
13
MVexp(l) 5.8 8.0
4.0 Menu
Plateau
17 Exp Inspiratory flow = Tidal volume x Resp. Rate
TV(mL) 480 Cancel
x ((I+E)/I) x (100/(100-Insp. pause ))
PEEP
3 14
Alarms
12
OFF
Compl. 34 mL/hPa RR(1/min) 4
15
Vent.
mode
V/VSV settings STBY MAN VENT
VCV
48 IntelliSave AX700

20 19 18 17 16
 OPERATION

F. Inspiratory pressure (active in

Note PCV mode only)
If the neonatal option is installed and the 2 L/ Definition: The inspiratory pressure above PEEP de-
min limit is reached, the machine automatically livered to the patient in PCV mode.
increases the inspiratory pause so that the user
can further decrease the setting for tidal The ventilator continuously adjusts the inspiratory
volume or respiration rate. flow to reach this pressure during start of inspira-
tion.

EXAMPLE OF MINIMUM INSPIRATORY FLOW Once the set inspiratory pressure above PEEP is
Set: Tidal volume = 20 mL, I:E = 1:2, Insp. pause = 70. reached, the ventilator maintains a pressure plateau
throughout the remainder of the inspiratory phase.
These settings give a minimum respiratory rate of 10.
Press the "P Insp" field and set the desired inspiratory
EXAMPLE OF MAX INSPIRATORY FLOW pressure using the control dial.
Set: Resp. rate = 20, I:E = 1:2, Insp. pause = 0.
Press the control dial to confirm the inspiratory
These settings give a max tidal volume on 1330 mL. pressure set.

The inspiratory pressure does not change until the

E. PEEP (active in all modes) control dial is pressed.
The ventilator can generate positive end expiratory
pressure (PEEP).
Note
If PEEP is set to "OFF," the PEEP in the breathing
PEEP + inspiratory pressure cannot exceed
system will be approximately 3 hPa (cmH2O) (de-
70 hPa (cmH2O).
pending on the fresh gas flow), because of the bag-
in-bottle.

Press on the "PEEP" field and set the PEEP using the G. Support pressure (active in PSV
control dial.
mode only)
Press the control dial to confirm the PEEP set. Definition: The inspiratory pressure above PEEP
­delivered to the patient in PSV mode.
PEEP does not change until the control dial is
pressed. Press the "P Support" field and set the desired sup-
port pressure using the control dial.

Note Press the control dial to confirm the support pres-

sure set.
PEEP cannot be set higher than the setting for
the high-pressure alarm.
The support pressure field does not change until the
­control dial is pressed.

IntelliSave AX700 49
 Exp Insp

Exp CO2
OPERATION
O2 32 33 Setup

Menu
1.8 N 2O 64 63
Insp CO2

0.1
H. high-pressure 0.4 0.6
alarm
SEV Trend

Press the number shown on the right of the meas- Menu Note
ured Peak pressure value.MAC 0.4 The high-pressure alarm is active during auto-
(age: 40)
matic ventilation only.
Resp. meas.
ce Peak Alarm
17 30

MVexp(l) 5.8 8.0

4.0 Menu Note
Plateau
The high-pressure alarm cannot be set below
17 Exp the PEEP setting.

PEEP TV(mL) 480 Cancel

3 AlarmsI. Additional ventilator settings
12
OFF
Compl.
Set 34 mL/hPaalarm
the high-pressure RR(1/min) 4
using the control dial, The other ventilator settings are placed in a menu.
then press the dial to confirm the new setting. The
new alarm limitVent.
does not take e­ ffect until the con- The menu can be opened in one of two ways.
mode
trol dial is pressed.
VSV settings STBY MAN VENT1. Press the "PSV/VSV settings" until the "Vent. set-
VCV
In PCV mode, the alarm limit is automatically set
10 hPa (cmH2O) higher than the set inspiratory pres-
tings" field can be seen. Activating the field
opens the "Vent. settings" menu.
sure + PEEP.
2. Press the "Setup Menu" (11 in fig. 3-3), then, in
In PSV mode, the alarm limit is automatically set the Setup menu, press "Vent. settings" and the
10 hPa (cmH2O) higher than the set support pres- Vent. settings menu opens.
sure + PEEP.

If the measured airway pressure during automatic Note

ventilation is higher than the high-pressure alarm
Method 1 is only available if the machine is in-
limit value, the ventilator switches immediately to
stalled with PSV and VSV ventilation modes.
expiration and triggers an alarm.

The menu has the following settings:

Note
If "Fresh gas safety" is activated the fresh gas Insp. pause (active in VCV and SIMV modes only)
flow will automatically be set to 0.3 L/min O2, The percentage of the inspiration time during which
during an "airway pressure high" alarm, to the inspiratory flow is stopped while in VCV or SIMV
prevent the airway pressure from steadily rising mode.
when there is a high fresh gas flow. When the
alarm is no longer active, the fresh gas flow will Turn the control dial until "Insp. pause" is high-
automatically returns to the original setting. lighted, then press the control dial to activate the
PS: This feature can be disabled in the Service inspiratory pause setting.
menu by a superuser or service technician.

50 IntelliSave AX700
 OPERATION

Set the value by turning the control dial, then press

the control dial to confirm the setting.
The inspiratory pause does not change until the
Note
control dial is pressed. PSV and VSV modes are options that can be
­installed by either Philips or an authorized
SIMV trigger point ­technician.
If the ventilation mode is set to SIMV, the patient
can trigger a VCV inspiration during the expiration
phase by causing the breathing system pressure to PSV/VSV Exp. trigger point
decrease. If the ventilator has started an inspiration while in
PSV or VSV ventilation mode, that inspiration con-
This decrease in pressure is with respect to the set tinues until one of the following three conditions is
PEEP. met:

Turn the control dial until "SIMV trigger point" is 1. The measured pressure in the breathing system
highlighted, then press the control dial to activate is higher than the high-pressure alarm limit (the
the SIMV trigger point setting. same function as in the other ventilation modes).

Set the value by turning the control dial, then press 2. The duration of the inspiration exceeds 2.5 sec. 
the dial to confirm the setting. (if the flow sensor is set to "Adult") or 1.5 sec. (if
the flow sensor is set to Ped.")
The SIMV trigger point does not change until the
control dial is pressed. 3. The inspiratory flow at the Y-piece (measured by
the flow sensor) is lower than the set "Exp. trig."
Note This "Exp. trig." flow is set as a percentage of the
In the Service menu, set whether SIMV mode maximum flow measured during inspiration.
should be available.
This setting can only be changed by a superuser Turn the control dial until "PSV/VSV Exp. trig" is
or service technician. highlighted, then press the dial to activate the PSV/
VSV expiratory trigger flow setting.

PSV/VSV Insp. trigger point Set the value by turning the control dial, then press
If the ventilation mode is set to PSV or VSV, the pa- the dial to confirm the setting.
tient must generate an inspiratory flow (spontaneous
respiration) before the ventilator starts an inspiration. The PSV/VSV expiratory trigger flow does not
change until the control dial is pressed.
Turn the control dial until "PSV/VSV Insp. trig" is
highlighted, then press the control dial to activate
the PSV/VSV inspiratory trigger flow setting.
Note
Set the value by turning the control dial, then press
PSV and VSV modes are options that can be
the dial to confirm the setting.
­installed by either Philips or an authorized
­technician.
The PSV/VSV inspiratory trigger flow does not
change until the control dial is pressed.

IntelliSave AX700 51
OPERATION

PSV/VSV backup period 4.5.2 Stop automatic ventilation

If the ventilation mode is set to PSV or VSV, and the
Press the "MAN" field, then press the control dial to
patient has not triggered an inspiration before the
stop automatic ventilation of the patient.
end of the PSV/VSV backup period, the ventilation
mode automatically switches from PSV to PCV or
When the status is set to MAN, the patient can be
from VSV to VCV.
ventilated manually with the respiration bag.
Turn the control dial until "PSV/VSV backup" is high-
Adjust the APL valve (9 in fig. 3-1) to restrict the air-
lighted, then press the control dial to activate the
way pressure during manual ventilation.
PSV/VSV backup period setting.
All parameters can be changed in MAN mode.
Set the value by turning the dial, then press the
­control dial to confirm the setting.

The PSV/VSV backup period does not change until

Note
the control dial is pressed. APL valve is for use with manual ventilation only.

Note
PSV and VSV modes are options that can be
Caution
­installed by either Philips or an authorized If the APL valve is set above 35 hPa (cmH2O)
­technician. special attention must be paid in order to pre-
vent high airway pressure.
Save mode as default
Selecting "Save mode as default" saves the current
ventilation mode as the new default mode for the 4.5.3 Set machine to standby
IntelliSave AX700.
If the patient is not connected to the anesthesia ma-
chine, it can be set to standby in order to stop the
ventilator and the fresh gas flow, as well as to disa-
Note ble all patient-related alarms.
"Save mode as default" can be activated only if
the superuser password has been entered in Press the "STBY" field, then press the control dial to
the Service menu. put the machine into standby.

All parameters, except for the fresh gas flow set-

tings, can be changed in STBY mode.
4.5.1 Start automatic
ventilation
Press the "VENT" field, then press the control dial to
Note
start automatic ventilation of the patient with the When the machine has been in STBY for more
current settings. than 30 sec a message is shown on the display
"Machine is in STBY mode. Patient must NOT be
All parameters can be changed in VENT mode. connected".

52 IntelliSave AX700
 OPERATION

4.5.4 Default ventilator

­settings
When the machine has been turned off or if FULL
self-test or LC self-test has been performed, the ven-
tilator settings switch to the default settings:

Parameter Factory value Limits

Ventilation VCV VCV, SIMV, PCV,
mode PSV, PRVT, VSV
Tidal volume/ 500 mL/6.0 L 20–1500 mL/
Minute volume 0.2–60.0 L
Respiration 12 resp./min 4–80 resp./min
rate
I:E ratio 1:2 3:1 – 1:9.9
PEEP OFF OFF, 4–20 hPa
(cmH2O)
Inspiratory 12 hPa 4–67 hPa
pressure (cmH2O) (cmH2O)
PSV support 7 hPa (cmH2O) 4–50 hPa
pressure (cmH2O)
High-pressure 30 hPa 10–80 hPa
alarm (cmH2O) (cmH2O)
(25 hPa
(cmH2O)). If
PCV  is chosen
as the default
ventilation
mode)
Inspiratory 0% 0–70%
pause
SIMV trigger -3.0 hPa -0.5 to -10.0
point (cmH2O) hPa (cmH2O)
PSV/VSV Insp. 3 L/min 1–10 L/min
trig
PSV/VSV Exp. 40% 10–80%
trig
PSV/VSV 30 sec. 10–40 sec.
backup

IntelliSave AX700 53
OPERATION

Blank page

54 IntelliSave AX700
 MEASUREMENTS

5. Measurements
day 6. December
The IntelliSave AX700 performs
11:13
a number of meas-
Stop watch
Operators can use the Spirometry menu to change
urements depending on the configuration of the Main the placement of the flow sensor. However, the ma-
­machine.
Selftest bypassed 00:00:00 chine always reverts to the default setting when the
Screen self-test is run or when the machine is turned off.
Gas meas. (%)
5.1 Respiration Exp Insp The measured expired minute volume is displayed
as "MV exp." in liters, based on the measured ex-
measurements
Exp CO O 32 33 2 2
Setup pired tidal volumes over the preceding 60 sec.

Menu
1.8 measurements
5.1.1 Volume N O 64 63
The high and low alarm limits for the expired min-
2 ute volume are shown on the screen to the right of
MeasurementInsp COexpired
of the 2 minute volume as well the actual expired minute volume values.
0.1
as the inspired/expired tidal 04 06
SEV . can be
volume . dis- Trend
played on the screen if the machine is equipped The measured inspired and expired tidal volumes
with a flow sensor (see section 4.1.5). Menu for each respiration are shown as "TV Insp./Exp." in
MAC 0.4 mL. When the ventilator is set to automatic ventila-
(age: 40)
tion and the ventilation mode is VCV or SIMV, the
Resp. meas. inspired tidal volume is not displayed, as the in-
At Y-piece Peak Alarm
spired tidal volume is controlled by the ventilator
17 30

MVexp(l) 5.8 8.0

4.0 Menu based on the ventilator settings.
Plateau
17 Exp
Note
PEEP TV(mL) 480 Cancel
In the Service menu, it can be defined whether
3 Alarms TV Insp. should be shown during VCV and SIMV
12
OFF
Compl. 34 mL/hPa RR(1/min) 4 ventilation. This setup can only be changed by a
superuser or service technician.
sp Vent.
a) mode
PSV/VSV settings STBY MAN VENT ACCURACY OF VOLUME MEASUREMENTS
7 VCV
If the flow sensor is placed on the expiratory side in The flow sensor used for measuring expired minute
the breathing system, the expired tidal volume and volume and inspired/expired tidal volume measures
expired minute volume are measured. the actual inspiration/expiration flow in real time.

If the flow sensor is placed at the Y-piece, the in- The machine integrates this flow measurement over
spired tidal volume is also measured, and a spiro- time and uses it to calculate the actual tidal volume,
metry curve (pressure, volume) or time-flow curve which is then displayed.
can be shown on the display.
The flow sensor's measurement of the inspiratory/
expiratory flow depends on the actual gas concen-
Note tration of the flow being measured, due to the dif-
ferent densities of the gases.
A superuser or technician can use the Service
menu to define the default setting for the place-
ment of the flow sensor.

IntelliSave AX700 55
MEASUREMENTS

If the IntelliSave AX700 is equipped with an inte- 5.1.4 Pressure measurements

grated multigas module, the minute volume and
tidal volume measurements are based on the actual A number of pressure measurements are displayed
gas concentration at the patient flow sensor. next to the curve.

If an integrated multigas module is not installed, the The maximum airway pressure detected during the
minute volume and tidal volume measurements are last inspiration is shown as "Peak" pressure.
based on the actual gas concentration of the fresh
gas flow. If the gas concentration in the fresh gas The airway pressure detected at the completion of
flow differs from the concentration at the patient the last inspiration is shown as "Plateau" pressure.
flow sensor, such as during a significant change in
the fresh gas setting, the accuracy of the volume Alternatively, the mean airway pressure detected
measurement is affected. for the last respiration (Insp. + Exp.) is shown as
"MEAN" pressure.
5.1.2 Respiration rate The airway pressure detected at the completion of
measurement the last expiration is shown as "PEEP" pressure.
The measured respiration rate for the patient is
­displayed in breaths per minute as "RR 1/min"
Note
The high and low alarm limits for the respiration In the Service menu, it can be defined whether
rate are shown on the screen to the right of the Plateau or Mean pressure is displayed. This
respiration rate. setup can only be changed by a superuser or
service technician.

Note
The measurement of the respiration rate uses
5.1.5 Compliance
the measured CO2 concentration from the pa- The calculated compliance is displayed next to the
tient. Therefore, this measurement can only be curve in mL/hPa.
made if an integrated multigas module is in-
stalled. Compliance = Expired tidal volume/(measured
Plateau – measured PEEP).

5.1.3 Respiration curve Compliance is a measure of the inspiratory pressure

needed to deliver a specific tidal volume to the pa-
The screen displays a time-pressure curve based on
tient.
the user settings in the Setup Menu (see section
6.1).

56 IntelliSave AX700
 MEASUREMENTS

5.2 Gas measurements
If an integrated multigas module (optional) is in-
stalled, the measured expired and inspired gas con-
centrations in the breathing system are displayed.

Fresh gas flow EGM 5.0 Thursday 6. December 11:13 Stop watch
(L/min) Main
3.00 Touch screen controlled Selftest bypassed 00:00:00
Screen
O2 set % Gas meas. (%)

33 Exp Insp

Rotameter
32 33 Setup
%
(L/min) 4 Exp CO2 O2
Menu
1.8 N 2O 64 63
2 Insp CO2

0.1 SEV 0.4 0.6 Trend

Menu
0 MAC 0.4
(age: 40)

Resp. meas.
hPa Adult sensor At Y-piece Peak Alarm
17 30

40 MVexp(l) 5.8 8.0

4.0 Menu
Plateau
The multigas module measures the gas concentra-
20
17
Parameter Data rangeExp Resolution
tions based on a sample flow taken from the TV(mL) 480
Flow (L/min) Insp. O2% PEEP 0–100% 1% Cancel
O2­Y-piece.
N2O 3
0 Exp. O2% 0–100% 1%OFF Alarms
1.00
Once2.00
the multigas module has analyzed the sample, Compl. 34 mL/hPa
Insp. N2O%
RR(1/min)
0–100%
121% 4

it is reintroduced into the breathing system's expira-

TV set RR set
tory limb. I:E
This prevents lossPEEP P to
of gas due Insp
the inte- Exp. N2O% Vent. 0–100% 1%
(mL) (1/min) Ratio (hPa) (hPa) mode
grated multigas module. STBY MAN
PSV/VSV settings
Insp. CO 0–10% 0.1% VENT
500 12 1:2 OFF 17
2
VCV0–10%
(xx) Exp. CO2 0.1%
Insp. AA% HAL, ENF, 0.1%
ISO: 0–7.5%
SEV: 0–9%
DES: 0–20%
Exp. AA% HAL, ENF, 0.1%
ISO: 0–7.5%
SEV: 0–9%
DES: 0–20%

IntelliSave AX700 57
MEASUREMENTS

5.2.2 Anesthetic agent
Note The multigas module automatically identifies the
anesthetic agent and displays it on the screen.
While in use, the multigas module periodically
resets to zero automatically. During this zero
The primary anesthetic agent is shown in the "Gas
calibration, the message "Gas module zero cali-
meas." field.
bration" is displayed on the screen, and gas
measurement is temporarily unavailable.
If a secondary anesthetic agent is present (such as
when switching from one agent to another), a mes-
sage in the CO2 field is displayed along with the ex-
5.2.1 MAC value pired/inspired concentration of the secondary anes-
The MAC (Minimum Alveolar Concentration) value thetic agent. For example:
is displayed as a calculated value based on the fol- "Secondary agent XXX at Insp./Exp."
lowing formula:

MAC = (Exp. AA%/X) + (Exp. N2O%/100)

5.2.3 CO2 curve
The screen displays a CO2 curve; the inspired and
Where X depends on the actual anesthetic agent:
expired CO2 concentrations are presented to its
X(HAL) = 0.75%
right.
X(ENF) = 1.7%
X(ISO) = 1.15%
The measurement unit for CO2 measurement can be
X(SEV) = 2.05%
changed using the Setup Menu (see section 6.1.8).
X(DES) = 6.0%

EXAMPLE
Exp. AA = 2% SEV and Exp. N2O = 30%. This gives a
Note
MAC of: When there is no fresh gas flow (0.0 L/min.),
the machine status is in MAN or STBY, and no
MAC = (2/2.05) + (30/100) = 1.28 respiration rate has been detected for more
than 10 min, the multigas module switches to
If the patient's age has been entered using the standby mode and the following message is
Setup Menu (see section 6.1.1), the MAC value is ­displayed:
corrected accordingly:
"Gas module is in standby mode. Open fresh
MAC corrected = MAC x 10 (-0.00269 x (40-age)) gas flow or start ventilator to activate".

according to W. W. Mapleson, British Journal of An- Once the fresh gas flow or ventilator is started,
esthesia 1996; 76: 179-185. the multigas module restarts and measurement
of gas concentrations resumes after approxi-
mately 20 sec.
Note
If the patient's age has not been entered into
the Patient Data menu (see section 6.1.1), the
MAC value is based on a patient age of 40.

58 IntelliSave AX700
 USER MENUS

6. User menus
The IntelliSave AX700 has a number of menus for The Setup menu accesses the following settings:
the operator to use.
• Patient data (submenu)
• Setup Menu • Self-test (submenu)
• Trend Menu • Carrier gas (only if both Air and N2O are
• Alarm Menu activated in the Service menu)
• Spirometry (submenu, only if the flow sensor is
activated)
11:13 Stop watch • Graphs (submenu)
Main • Vent. Settings (submenu)
bypassed 00:00:00 • O2% calibration (only if the machine is equipped
Screen with an external O2 fuel-cell sensor)
Gas meas. (%)
• Gas meas. setup (submenu, only if the integrated
Exp Insp multigas module is installed)
• Clock (submenu)

Exp CO2 O2 32 33 Setup • Reset settings & data

• Service (submenu)
Menu
1.8 N 2O 64 63 The active menu is highlighted in blue. Activate the
Insp CO2 setting by pressing the control dial.

0.1 SEV 0.4 0.6 Trend

6.1.1 Patient data
Menu
MAC 0.4 Pressing "Patient data" opens a submenu on the
(age: 40)
­display with the following settings:
Resp. meas.
Peak Alarm • Age
17 30
• Ideal weight
MVexp(l) 5.8 8.0
4.0 Menu
Plateau
Use this menu to enter the patient's age and ideal
17 Exp weight.
PEEP TV(mL) 480 Cancel
The active menu item is highlighted in blue. Activate
3 Alarms the setting by pressing the control dial.
. 34 mL/hPa 6.1 Setup
RR(1/min) 12 Menu
OFF
4
Set the value by turning the control dial, then press
Vent. Pressing the "Setup Menu" field opens the Setup the control dial to confirm the setting.
mode menu on the right side of the display.
STBY MAN VENT The new setting does not take effect until the con-
VCV Select a setting by turning then pressing the control trol dial is pressed.
dial.

IntelliSave AX700 59
USER MENUS

Parameter Factory Limits

Note value
Patient age 40 years 2–150 years
The patient's age and ideal weight cannot be
Patient ideal weight 70 kg 5–100 kg
changed when the ventilator is in automatic
mode.
6.1.2 Self-test
Once the patient's age is entered, the displayed
Pressing "Self-test" opens a submenu on the display
MAC value (only if the multigas module is installed)
with the following settings:
is age-adjusted according to the following formula:
• LC test
MAC corrected = MAC x 10 (-0.00269 x (40-age))
• FULL test
and according to W. W. Mapleson, British Journal of
Use this menu to activate the FULL self-test or the
­Anesthesia 1996; 76: 179-185.
LC self-test.

The active menu item is highlighted in blue. Activate

Note the chosen self-test by pressing the control dial. See
If the patient's age has not been entered into section 4.2.1 regarding self-tests.
the Patient data menu, the MAC value is based
on a patient age of 40.
Note
Once the patient's age and ideal weight are entered, The machine must be in STBY mode to active
the ventilator's tidal/minute volume and respiration the FULL or LC self-test.
rate settings are adjusted using the patient data.

These automatic settings are based on "Radford

nomogram".
6.1.3 Carrier gas
"Carrier gas" settings are selected by turning the
control dial. Press the dial to confirm the new set-
Note ting.
If the patient's age and ideal weight have not
The new setting does not take effect until the con-
been entered by the operator, the ventilator
trol dial is pressed.
setting uses a patient age of 40 and an ideal
weight of 70 kg. This results in a set tidal vol-
ume of 500 mL and a set respiration rate of
12 bpm.
Note
A password is required to access the Service
menu.

60 IntelliSave AX700
 USER MENUS

6.1.4 Spirometry The operator can remove this reference loop or

save a new one, which will overwrite the old refer-
Pressing "Spirometry" opens a submenu on the ence loop.
­display with the following settings:

• Sensor Note
• Placing
"Save loop" can only be selected if the operator
• Save loop (only if the pressure-volume curve is
has selected to display the pressure-volume
displayed on the screen)
curve on the screen (see section 6.1.3).
• Remove loop (only if a spirometry loop has previ-
ously been saved by the operator).

Use this menu to define volume monitor settings. Parameter Factory Limits
value
The active menu item is highlighted in blue. Activate Patient flow sensor Adult Adult
the setting by pressing the control dial. ­Pediatric
Placing At the Y-piece At the Y-piece
Set the value by turning the control dial, then press At the Exp. port
the control dial to confirm the setting. No sensor

The new setting does not take effect until the con-
trol dial is pressed.
6.1.5 Graphs
Pressing "Graphs" opens a submenu on the display
with the following settings:
Note
• Type (only if the machine is equipped with a flow
The Spirometry menu is only available if the
sensor at the Y-piece)
­machine is equipped with a flow sensor.
• Save loop (only if the pressure-volume graph is
displayed on the screen)
The operator must enter whether an Adult or Pedi- • Remove loop (only if a spirometry loop has previ-
atric flow sensor is used in the breathing system to ously been saved by the operator)
measure volumes. • Time axis

Adult sensor: Tidal volume 200 to 1500 mL Use this menu to define respiratory graphs.
(Insp./Exp. flow 10–120 L/min)
The active menu item is highlighted in blue. Activate
Ped. sensor: Tidal volume 1 to 300 mL the setting by pressing the control dial.
(Insp./Exp. flow 2–35 L/min)
Set the value by turning the control dial, then press
The display indicates which sensor was selected. the control dial to confirm the setting.

If a pressure-volume curve is displayed, the opera- The new setting does not take effect until the con-
tor can save a reference spirometry loop. trol dial is pressed.

This pressure-volume loop can be saved and shown

on the display as a yellow line.

IntelliSave AX700 61
USER MENUS

Use this menu to define secondary ventilator set-

tings.
Note
"Type" can only be selected if the machine is The active menu item setting is highlighted in blue.
equipped with a flow sensor at the Y-piece.
Activate the pending setting by pressing the control
dial.
Selecting "Type" allows the operator to define which
respiration graph the screen should display. Set the value by turning the dial, then press the con-
trol dial to confirm the setting.
The operator can choose from the following graphs:
The new setting does not take effect until the con-
• Time-Press. trol dial is pressed.
• Press.-Vol.
• Time-Flow INSP. PAUSE
Selecting "Insp. pause" lets the operator set a pre-
Selecting "Time axis" allows the operator to define determined percentage of the inspiratory time dur-
the resolution of the time scale on the time-pres- ing which the ventilator stops the inspiratory flow
sure graph. before switching to expiration.

Parameter Factory value Limits This adds a pressure plateau at the end of the in-
Graph type Time-Press. Time-Press.  spiratory time.
Press.-Vol.
Time-Flow
Time axis 20 sec. 10 20 30 60 sec. Note
Setting an Insp. pause affects the inspiratory
flow only in VCV and SIMV modes.
6.1.6 Vent. Settings
Pressing "Vent. Settings" opens a submenu on the SIMV TRIG POINT
display with the following settings: If the ventilator is in SIMV mode, the patient can
trigger a VCV inspiration during the expiration phase
• Insp pause by causing the breathing system pressure to de-
• SIMV trig point crease.
(only if SIMV is installed)
• PSV/VSV Insp. trig. Selecting "SIMV trig point" lets the operator set the
(only if PSV and VSV are installed) size of the pressure decrease needed to trigger a
• PSV/VSV Exp. trig. VCV inspiration.
(only if PSV and VSV are installed)
• PSV/VSV backup The decrease in pressure is in relation to set PEEP.
(only if PSV and VSV are installed)
• Hide PSV/VSV settings PSV/VSV INSP. TRIG
(only if PSV and VSV are installed) If the ventilation is in PSV or VSV mode, the patient
• Save mode as default must generate an inspiratory flow before the venti-
lator starts an inspiration.

62 IntelliSave AX700
 USER MENUS

Selecting "PSV/VSV Insp. trig" lets the operator set

the size of the Insp. flow.
Caution
PSV/VSV EXP. TRIG The machine enters STBY mode when O2% cali-
If the ventilator starts an inspiration while in PSV or bration is activated.
VSV mode, the inspiration can be terminated and
the expiration phase begins when the inspiratory
flow falls to a predetermined percent of the maxi-
mum flow measured during inspiration.
Note
O2% calibration is only available if an external
Selecting "PSV/VSV Exp. trig" lets the operator set O2 fuel-cell sensor is installed instead of an inte-
this percentage. grated multigas module.

PSV/VSV BACKUP
If the ventilation is in PSV or VSV mode and the pa-
tient has not triggered an inspiration before the end Note
of the PSV/VSV backup period, the ventilator auto-
This O2 fuel-cell sensor must be placed on the
matically switches from PSV to PCV or from VSV to
breathing system's INSP port. Use the Y-piece
VCV, and triggers an alarm.
(see section for accessories) and place the O2
fuel-cell sensor facing upward.
Selecting "PSV/VSV backup" lets the operator set
the length of the backup time.
When O2% calibration is selected, the sensor is cali-
HIDE PSV/VSV SETTINGS brated in the following sequence.
If the PSV parameters are displayed while the se-
lected ventilator mode is not PSV or VSV, the opera- A. Place the O2 fuel-cell sensor on the breathing
tor can select "Hide PSV/VSV settings" to clear the system's INSP port, including patient hoses.
two fields from the screen. The Y-piece must open to ambient air. Press the
control dial to confirm.
SAVE MODE AS DEFAULT
Selecting "Save mode as default" saves the current B. The electronic gas mixer automatically sets the
ventilation mode as the new default mode for the fresh gas flow to 10 L/min Air.
IntelliSave AX700. The machine waits until the measured O2% has
stabilized, and then proceeds to the next step in
the calibration.
Note
C. The electronic gas mixer automatically shuts off
"Save mode as default" can be activated only if
the Air flow and then sets the fresh gas flow to
the superuser password has been entered in
10 L/min O2. 
the service menu.
The machine waits until the measured O2% has
stabilized and then proceeds to the next step in
the calibration.
6.1.7 O2% calibration
D. Press the control dial to save the calibration.
Selecting "O2% calibration" allows the user to cali-
Press "Main Screen" if the calibration should
brate the external O2 fuel-cell sensor.
NOT be saved.

IntelliSave AX700 63
USER MENUS

O2% calibration should be done if the tests de-

scribed in section 4.2.3.1 cannot be successfully
completed.
Note
For safety reasons, not all gas measurements
Failed calibration may indicate a defective O2 fuel- can be removed from the display.
cell sensor.

A new O2 fuel-cell sensor has part no. 42035-46 Parameter Factory value Limits
Exp. O2% ON ON/OFF

6.1.8 Gas meas. setup Insp. N2O% ON ON/OFF

Exp. N2O% ON ON/OFF
Pressing "Gas meas. setup" opens a submenu on
Resp. Rate ON ON/OFF
the display with the following settings:
MAC ON ON/OFF
• Gas module restart CO2 unit % %, kPa, mmHg
• Exp. O2%
• Insp. N2O%
• Exp. N2O%
6.1.9 Clock
• Resp. Rate Pressing "Clock" opens a submenu on the display
• MAC with the following settings:
• CO2 unit
• Day
This menu is used to define which of the performed • Month
measurements the multigas module displays on the • Year
screen. • Hour
• Minute
The unit for CO2 measurement can be changed, and • Second
the gas module can be restarted.
Use this menu to define clock settings.
The active menu item is highlighted in blue. Activate
the item by pressing the control dial. The active menu item is highlighted in blue. Activate
the item by pressing the control dial.
Set the value by turning the control dial, then press
the control dial to confirm the setting. Set the value by turning the control dial, then press
the control dial to confirm the setting.
The new setting does not take effect until the con-
trol dial is pressed. The new setting does not take effect until the con-
trol dial is pressed.

Note
The gas measurement setup menu is only avail-
able if the machine is equipped with an inte-
Note
grated multigas module. Clock settings can only be changed when the
machine is in STBY mode.
The operator can select which parameters should be
displayed on the screen.

64 IntelliSave AX700
 USER MENUS

6.1.10 Reset settings & data Versions

Selecting "Versions" activates a submenu with infor-
Pressing "Reset settings & data" will reset the Alarm
mation about the software versions for the ma-
log and all trend data, and all the settings made by
chine's various components.
the operator will reset to their default values.
Calibration, Installation, and Miscellaneous
"Reset settings & data" can be used when setting up
The submenus are only accessible if a correct ser-
the machine for a new patient.
vice technician password is entered.

The superuser password is needed to access the

Note ­Installation submenu.
Running a FULL self-test, a LC self-test, or pow-
ering OFF the machine automatically causes all
settings and data to be reset. Caution
If the superuser password has been entered
into the Service menu, all subsequent changes
in the "Setup Menu", "Trend Menu", and "Alarm
Note Menu" (except changes to the expired minute
volume limits) are saved as the new default
Once "Reset settings & data" has been acti-
­settings for the IntelliSave AX700.
vated, the deleted trend data and Alarm log
cannot be restored.
However, the factory default settings can be
­restored in the Service menu by a service
­technician.
6.1.11 Service
Pressing "Service" opens a submenu on the display
with the following settings:
Note
• 1. Password
The Service menu can only be accessed in STBY
• 2. Password
mode.
• 3. Password
• Versions
• Calibration
• Installation
• Miscellaneous

IntelliSave AX700 65
USER MENUS

6.2 Trend Menu PAGE

Selecting "Page" lets the operator see past trend
Pressing the "Trend Menu" field opens the Trend data.
menu on the right side of the display. The actual
trend data is displayed as a table in the center of the Each page contains 17 sets of parameters. Once a
screen. page fills with data, a new page is automatically cre-
ated to record subsequent trend data. The machine
The active menu is highlighted in blue. Activate the can hold 999 pages of trend data.
setting by pressing the control dial.
TABLE
The Trend menu allows access to the following By selecting "Table" the operator can choose to dis-
settings: play tables A., B, C, D or E. Each table contains
five columns of either set or measured parameters.
• Table
• Page The operator can design the content of the tables by
• 1. Column selecting "1. Column" to "5. Column".
• 2. Column
• 3. Column However, these settings cannot be revised until a
• 4. Column superuser password has been entered into the Ser-
• 5. Column vice menu (see section 6.1.11).
• Interval
• Reset
• Self-test data
• Gas usage

When the Trend menu is activated, the latest trend

data is displayed.

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Factory trend-table settings

Table A
Time Vent. mode Set TV Set Resp. Set Insp
hh:mm:ss Rate Press.

Table B
Time Meas. Peak Meas. MV Meas. Resp. Exp CO2
hh:mm:ss Press. Exp Rate

Table C
Time Set O2 Set Air Set N2O Exp O2
hh:mm:ss Flow Flow Flow

Table D
Time Exp Prim. Insp Prim. Exp N2O MAC
hh:mm:ss Agent Agent

Table E
Time Exp O2 Insp O2 Exp CO2 Insp CO2
hh:mm:ss

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INTERVAL 6.2.1 Self-test data

Selecting "Interval" lets the operator change the
time interval for logging trend data. Selecting "Self-test data" activates a submenu with
information about the latest self-test results.
The interval can vary between 1 second and 10 min.
• Test type
The default value is 5 min. • Year
• Month
RESET • Day
Pressing "Reset" deletes all stored trend tables. • Time
• Leakage
• Compliance
Note
Once Reset has been used, the old trend data 6.2.2 Gas usage
cannot be restored.
Selecting "Gas usage" activates a submenu.

This submenu shows the accumulated usage of an-

Note esthetic agents (HAL, ENF, ISO, SEV, DES) and the
gases used in the fresh gas flow (O2, Air, N2O).
Trend data should be reset after each patient
before a new patient is connected to the ma-
As the intention is to show the patient's gas
chine.
consumption, the accumulated gas consumption
memory resets when the operator performs one of
the following:
Note • FULL self-test or LC self-test
Running a FULL self-test, a LC self-test, or pow- • Selects "Reset settings & data" in the Setup
ering OFF the machine automatically resets the Menu
trend data. • Selects "Reset" in the Trend Menu
• Powers OFF the machine

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6.3 Alarm Menu The active menu is highlighted in blue. Activate the
setting by pressing the control dial.
Pressing the "Alarm Menu" field opens the Alarm
menu on the right side of the display. A number of alarm limits can be changed at this
time by turning the dial to select a new value, then
The Alarm menu allows access to the following pressing the dial to confirm the setting.
settings:
The new setting does not take effect until the con-
• CO2 alarms (only if the multigas module is trol dial is pressed.
­installed)
• High-pressure
• Gas meas. alarms (submenu; only if the multigas Warning
module is installed)
The alarms should be set according to the
• Insp. O2% high (only if an external O2 fuel-cell
patient's needs and not to extreme values.
sensor is installed)
• Insp. O2% low (only if an external O2 fuel-cell
sensor is installed)
• High MV Exp. (only if the volume monitor is
­active)
• Low MV Exp. (only if the volume monitor is
­active)
• High Resp. Rate (only if the multigas module is
­installed)
• Low Resp. Rate (only if the multigas module is
­installed)
• Set to default
• Alarm log
• HLM mode (only if HLM mode is installed)

Alarm limit Factory value Resolution Limits

High-pressure 30 hPa (cmH2O) 1 hPa (cmH2O) 10–80 hPa (cmH2O)
Insp. O2% high OFF 1% 19–100% and OFF
Insp. O2% low 18% 1% 18–100%
High MV Exp. 133% of set MV * 0.1 L 0.1–80.0 L and OFF
Low MV Exp. 66% of set MV * 0.1 L 0.0–79.9 L and OFF
High Resp. Rate OFF 1 per min 4–80 per min and OFF
Low Resp. Rate 4 1 per min 4–80 per min and OFF

* "OFF" when the machine is in "STBY" or "MAN"

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6.3.1 CO2 alarms 6.3.2 Gas meas. alarms

When the machine status is MAN, it is possible to Pressing "Gas meas. alarms" opens a submenu on
deactivate the Exp./Insp. CO2, Resp. Rate, and Ap- the display with the following settings:
nea alarms by setting the CO2 alarms to "OFF" in the
Alarm menu. • Insp. O2% high
• Insp. O2% low
The display indicates whether the CO2 alarms are • Exp. O2% high
set to ON or OFF. • Exp. O2% low
• Insp. N2O% high
Putting the machine into STBY or VENT status auto- • Insp. CO2 high
matically turns ON the CO2 alarms and resets the • Insp. CO2 low
Exp./Insp. CO2 and Resp. Rate alarm limits to their • Exp. CO2 high
default settings. • Exp. CO2 low
• Insp. AA% high
Furthermore, the "CO2 alarms ON/OFF" is no longer • Insp. AA% low
displayed and can no longer be selected in the • Exp. AA% high
Alarm menu. • Exp. AA% low

Use this menu to set the alarm limits for the gas
Warning concentrations measured by the multigas module.
If the alarms for Exp./Insp. CO2 and Resp. Rate
The active alarm limit is highlighted in blue. Activate
are disabled, special attention must be paid to
the alarm limit by pressing the control dial.
the patient, since no alarm is triggered in the
case of apnea.
Set the value by turning the control dial, then press
the control dial to confirm the setting.

The new setting does not take effect until the con-
trol dial is pressed.

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GAS MEASUREMENT ALARMS

Alarm Factory value Resolution Limits

Insp. O2% high OFF 1% 18–100% and OFF
Insp. O2% low 18% 1% 18–100%
Exp. O2% high OFF 1% 10–100% and OFF
Exp. O2% low 10% 1% 0–100%
Insp. N2O% high Fixed at 82%
Insp. CO2 high* 3% 0.1% 0.1–3% and OFF
Insp. CO2 low* OFF 0.1% 0.1–3% and OFF
Exp. CO2 high* 8% 0.1% 0–15% and OFF
Exp. CO2 low* OFF 0.1% 0–15% and OFF
Insp. AA% high HAL: 2.2% 0.1% HAL, ENF, ISO, SEV:
ENF: 5.1% 0–15%
ISO: 3.4%
SEV: 5.1%
DES: 18% DES: 0–30%
Insp. AA% low OFF 0.1% 0–15% and OFF
DES: 0–30%
Exp. AA% high HAL: 1.5% 0.1% HAL, ENF, ISO, SEV:
ENF: 3.4% 0–15%
ISO: 2.3%
SEV: 3.4%
DES: 12% DES: 0–30%
Exp. AA% low OFF 0.1% 0–15% and OFF
DES: 0–30 %

* The alarm limits for Insp. CO2 high/low and for Exp. CO2 high/low depend on the selected CO2
measurement unit (%, kPa or mmHg), as defined by the operator in the Setup Menu.

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6.3.3 Alarm limits for expired The Alarm log menu allows access to the following
settings:
minute volume
While in VENT status, the machine automatically • Page
sets the alarm limits for high MV Exp. and low MV • Alarm
Reset
Menu Gas meas. alarms
Exp. ± 33% around to the ventilator's set minute CO2 alarms: ON/OFF Insp O2 High: XX
volume. The active menu
(if gasmodule item is highlighted in
is installed) blue.
Insp Activate
O2 Low: XX
High pressure: XX (hPa) Exp O2 High: XX
the
Gasitem
meas.by pressing the control dial.Exp O2 Low: XX
alarms
(if gasmodule is installed) Insp N2O High: 82
For example, if TV is set to 500 and RR is set to 12, High O2 %: XX Insp CO2 High: XX
the set minute volume becomes 6.0 L and the alarm When the
(if O2 fuel cellAlarm
sensor isMenu is activated, the
installed) Insp most recent
CO2 Low: XX
Low O2 %: XX Exp CO2 High: XX
limits become: information is displayed
(if O2 fuel cell sensor is installed)on page 1. Selecting "Page"
Exp CO2 Low: XX
High MV exp: XX Insp AA High: XX
lets the operator
(if vol.sensor is installed)
see old alarm data. Insp AA Low: XX
• High MV Exp. 8.0 L Low MV exp: XX Exp AA High: XX
(if vol.sensor is installed) Exp AA Low: XX
• Low MV Exp. 4.0 L Each pagerate:
High Resp. contains
XX 17 sets of parameters. Once
Resp rate High: aXX
(if gasmodule is installed) Resp rate Low: XX
page fills with
Low Resp. rate: XX data, a new page is automatically
Once the operator manually sets the alarm limit for ­created to record
(if gasmodule subsequent alarm data.
is installed) Previous Menu
Set to default (Y/N) Main Screen
high MV Exp. and low MV Exp., the automatic ± 33% Alarm log
adjustment to the ventilator's set minute volume is 100
Mainalarms
Screen can be stored in the log. If thelog
Alarm Alarm log
bypassed and the operator's selected values remain is full, the message "Alarm log full" appears
Page: XX at the
"fixed." end of the log. Print
(if print option is installed)
However, performing a FULL self-test or LC self-test Reset (Y/N)

reactivates the automatic alarm limits adjustment. The Alarm log layout: Previous Menu
Main Screen

Table A
Note
Time Alarm
The alarm limits for both high MV Exp. and low
MV Exp. are automatically set to "OFF" when
the machine status is STBY or MAN. However,
Pressing "Reset" deletes the full Alarm log.
the operator can still change these alarm limits.

6.3.4 Set to default Note

Once Reset has been used, the old Alarm log
Selecting "Set to default" prompts the operator to
cannot be restored.
choose Yes or No. 
"Yes" resets the alarm limits to default settings. 1/5

6.3.5 Alarm log Note

Selecting "Alarm log" opens a menu on the right Running a FULL self-test, a LC self-test, or pow-
side of the display. ering OFF the machine automatically resets the
Alarm log.
The actual Alarm log data is displayed as a table in
the center of the screen.

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6.3.6 HLM mode

If HLM mode is installed, it can be activated in the
Alarm Menu when the machine status is MAN or
VENT.

HLM mode is activated by highlighting HLM mode in

the Alarm menu, pressing the control dial, then se-
lecting "ON."

When HLM mode is activated, the following alarms

are disabled:

• Insp./Exp. CO2 high/low

• High/Low Resp. Rate
• Expired minute volume high/low
• Apnea
• Insp./Exp. O2% low
• Disconnection
• Change flow sensor to Ped
• O2 flow is critically low

The message "CO2 alarms OFF" is displayed along

with the message "HLM mode active."

The operator can disable HLM mode by highlighting

HLM mode in the "Alarm Menu", pressing the con-
trol dial, then selecting "OFF."

The IntelliSave AX700 automatically cancels HLM

mode when the status is VENT (automatic ventila-
tion in progress) and the measured expired minute
volume is increased by more than 70% over a 2 min-
ute period.

When HLM mode is deactivated, the CO2 alarms,

Resp. Rate alarms, Expired minute volume alarms,
and Apnea alarms are reactivated with their alarm
limits returning to their default settings.

Warning
Take special care to observe the patient when
the HLM mode is active because no alarm is
sounded in the case of apnea.

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6.4 Menu structure

The menu structure is organized to make the
settings as user-friendly as possible.

6.4.1 Setup Menu structure

Setup Menu Patient data

Patient data Age: 2-150 years

Self-test Ideal weight: 5-100 kg
Carrier gas: Air/N2O
(if Air and N2O are installed) Previous menu
Spirometry Main Screen
(if flow sensor is installed)
Graphs
Vent. Settings Self-test
O2 % Calibration
(if O2 fuel cell sensor is installed) LC test
Gas meas. setup FULL test
(if gas module is installed)
Clock Previous menu
Main Screen
Reset settings & data
Service
Spirometry

Sensor: Adult/Ped
Main Screen
Placing: At Y-piece/At EXP
cone/No sensor
Save loop
(if “Full spirometry” is installed)
Remove loop
(if ”Full spirometry” is installed)

Previous menu
Main Screen

Continues …

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6.4.1 Setup Menu structure (...continued)

Setup Menu Graphs

Patient data Type: Time-Press/Press-Vol./

Self-test Time-Flow
Carrier gas: Air/N2O (if “Full spirometry” is installed)
(if Air and N2O are installed) Save loop
Spirometry (if “Full spirometry” is installed)
(if flow sensor is installed) Remove loop
Graphs (if “Full spirometry” is installed)
Vent. Settings Time axis: 10/20/30/60
O2 % Calibration
Previous menu
(if O2 fuel cell sensor is installed) Main Screen
Gas meas. setup
(if gas module is installed)
Clock Vent. settings
Reset settings & data
Service Insp. pause: 0-70 %
SIMV trig point: -0.5 to -10.0 (hPa)
(If SIMV is installed)
PSV/VSV Insp. trig: 1-10 L/min
Main Screen (If PSV and VSV are installed)
PSV/VSV Exp. trig: 10-80 %
(If PSV and VSV are installed)
PSV/VSV backup: 10-40 sec.
(If PSV and VSV are installed)
Hide PSV/VSV settings
(If PSV and VSV are installed)

Previous menu
Main Screen

Gas meas. setup

Gas module restart

Exp. O2 %: ON/OFF
Insp. N2O %: ON/OFF
Exp. N2O %: ON/OFF
Resp. Rate: ON/OFF
MAC: ON/OFF
CO2 unit: %/kPa/mm Hg

Previous menu
Main Screen

Continues …

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6.4.1 Setup Menu structure (...continued)

Setup Menu Clock

Patient data Day: XX

Self-test Month: XX
Carrier gas: Air/N2O Year: XX
(if Air and N2O are installed) Hour: XX
Spirometry Minute: XX
(if flow sensor is installed) Second: XX
Graphs
Vent. Settings
O2 % Calibration Previous menu
(if O2 fuel cell sensor is installed) Main Screen
Gas meas. setup
(if gas module is installed)
Clock
Reset settings & data
Service Service

1. Password: XX
2. Password: XX
Main Screen 3. Password: XX
Versions
Calibration
(requires password)
Installation
(requires password)
Miscellaneous
(requires password)

Previous menu
Main Screen

When the third password is entered,

the following message appears on
the Alarm display “Super user mode.
Changes will be stored as new default
values”

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6.4.2 Trend Menu structure

Trend Menu Self-test data

Table: XX Test type: FULL test /LC test

Page: XX Year: YYYY
1. Column Month: MM
2. Column Day: DD
3. Column Time: HH:MM
4. Column Leakage: XX mL/min
5. Column Compliance: XX mL/hPa
(1. to 5. Column can only be
activated when correct password Previous menu
is given, in the Service menu) Main Screen
Interval: XX
Gas usage (fresh gas)
Reset (Y/N)
HAL X ml
Self-test data
ENF X ml
Gas usage
ISO X ml
SEV X ml
Main Screen DES X ml
O2 XL
Air XL
N 2O XL

Previous menu
Main Screen

Table A
Time Vent. mode Set TV Set Resp. Set Insp.
hh:mm:ss Rate Press.

Table B
Time Meas. Peak Meas. MV Meas. Resp. Exp CO2
hh:mm:ss Press. Exp Rate

Table C
Time Set O2 Set Air Set N2O Exp O2
hh:mm:ss flow flow flow

Table D
Time Exp Prim. Insp Prim. Exp N2O MAC
hh:mm:ss Agent Agent

Table E
Time Exp O2 Insp O2 Exp CO2 Insp CO2
hh:mm:ss

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6.4.3 Alarm Menu structure

Alarm Menu Gas meas. alarms

CO2 alarms: ON/OFF Insp O2 % High: XX

(if gas module is installed) Insp O2 % Low: XX
High pressure: XX (hPa) Exp O2 % High: XX
Gas meas. alarms Exp O2 % Low: XX
(if gas module is installed) Insp N2O % High: 82
Insp O2 % High: XX Insp CO2 High: XX
(if O2 fuel-cell sensor is installed) Insp CO2 Low: XX
Insp O2 % Low: XX Exp CO2 High: XX
(if O2 fuel-cell sensor is installed) Exp CO2 Low: XX
High MV Exp: XX Insp AA % High: XX
(if flow sensor is installed) Insp AA % Low: XX
Low MV Exp: XX Exp AA % High: XX
(if flow sensor is installed) Exp AA% Low: XX
High Resp. Rate: XX
(if gas module is installed) Previous menu
Low Resp. Rate: XX Main Screen
(if gas module is installed)
HLM mode: ON/OFF
(if HLM mode is installed)
Set to default (Y/N)
Alarm log Alarm log

Main Screen Page: XX

Reset (Y/N)

Previous menu
Main Screen

Time Alarm

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 ALARMS

7. Alarms
The IntelliSave AX700 anesthesia machine has a 7.1 Integrated breathing
built-in alarm system for all measured parameters,
as well as for monitoring machine performance. system (IBS) alarms
All alarms are both audible and displayed. For most The breathing system alarms are:
alarms, the alarm sound can be disabled for
120 sec. by pressing the "Cancel Alarms" field • Breathing system disconnected
(14 in fig. 3-3). • Absorber disconnected

Disabling the alarm sound causes its text to display

in yellow in the screen's alarm field (5 in fig. 3-3),
7.1.1 Breathing system
and a timer appears, which counts down from ­disconnected
2 min.
The "Breathing system disconnected" alarm triggers
if the breathing system is disconnected from the
Simultaneously, the message "AUDIO PAUSED" ap-
breathing system base on the side of the machine.
pears from the display above the alarm field. The
audible alarm is silent for the next 2 min. This is also
CORRECTIVE ACTION
the case for other alarms, except high-priority
Connect the breathing system to the breathing sys-
alarms critical to patient safety.
tem base and lock the system using the handle on
the back of the breathing system base.
The AUDIO PAUSED function may also be activated
when there are no active alarms.
The ventilator cannot be started during the alarm.
The AUDIO PAUSED function can be deactivated by
pressing the "Cancel Alarms" field.
Note
Whenever an alarm is started, the "Cancel Alarms" If automatic ventilation is in progress when the
field flashes on the display. alarm is started, the alarm message "Ventilator
stopped due to breathing system disconnected"
When an alarm ends, the field stops flashing. The is displayed. The ventilator stops and the status
alarm message remains displayed in the alarm field automatically switches to MAN.
(5 in fig. 3-3) until the operator confirms the alarm
by pressing "Cancel Alarm."
7.1.2 Absorber disconnected
The "Absorber disconnected" alarm triggers if the
Note CO2 absorber has not been attached to the
If the IntelliSave AX700 is in STBY, all patient- breathing system for more than 30 sec.
related alarms are disabled. System alarms
(such as "ventilator mains power failure") CORRECTIVE ACTION
remain enabled. Connect the CO2 absorber to the breathing system
and lift the handle until the lock clicks.
See section 7.6 for an overview of all alarms.

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ALARMS

7.2 EGM electronic gas CORRECTIVE ACTION

Verify that the stated gas supply is connected to the
mixer alarms machine (13 in fig. 3-2). If this is OK, verify the inlet
pressure for that gas.
The electronic gas mixer (EGM) alarms are:
• O2 flow is critically low If the machine is equipped with connectors for gas
• O2/Air/N2O pressure is low cylinders, consider opening them.
• EGM fan stopped
• O2/Air fresh gas flow out of control
• EGM battery low Note
• Auxiliary fresh gas outlet activated
If the inlet pressure for the primary drive gas
• Emergency O2 flow activated
(normally air) is less than 2.5 hPa (cmH2O), the
machine automatically switches to the
7.2.1 O2 flow is critically low secondary drive gas (normally O2) for use in the
ventilator and suction units.
The "O2 flow is critically low" message appears if
the O2 fresh gas flow is set to less than 300 mL/min.
This is to prevent the operator from unintentionally
selecting an inadequate O2 fresh gas flow. 7.2.3 EGM fan stopped
The "EGM fan stopped" alarm triggers if the upper
CORRECTIVE ACTION
fan on the rear of the machine stops (12 in fig. 3-2).
The message disappears if the O2 fresh gas flow is
increased to 300 mL/min or higher.
CORRECTIVE ACTION
Remove the filter from the front of the fan and
check whether the fan is working.
Note
Whenever the O2 fresh gas flow is set to less
than 300 mL/min, the message is displayed, al- Note
though the audible alarm will not reappear.
The filter on the front of the fan should be
cleaned regularly. A new filter has product
no. 36715-01.
7.2.2 O2/Air/N2O pressure is low
The "O2 pressure is low" alarm triggers if the O2 in-
let pressure to the machine is less than 2.5 hPa 7.2.4 O2/Air fresh gas flow out
(cmH2O).
of control
The "Air pressure is low" alarm triggers if the Air in- The "O2 fresh gas flow out of control" alarm triggers
let pressure to the machine is less than 2.5 hPa if the measured O2 fresh gas flow (displayed as a bar
(cmH2O). graph) does not match the set flow (displayed nu-
merically).
The "N2O pressure is low" alarm triggers if the N2O
inlet pressure to the machine is less than 2.5 hPa
(cmH2O).

The alarm sound can be disabled for 120 sec.

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 ALARMS

The "Air fresh gas flow out of control" alarm triggers While this message is being displayed, the ventilator
if the measured Air fresh gas flow (displayed as a cannot begin automatic ventilation.
bar graph) does not match the set flow (displayed
numerically). If the ventilator is in use when the auxiliary fresh
gas outlet activated alarm is activated, the "Ventila-
The "N2O fresh gas flow out of control" alarm trig- tor stopped due to auxiliary fresh gas outlet acti-
gers if the measured N2O fresh gas flow (displayed vated" alarm is activated. The ventilator stops and
as a bar graph) does not match the set flow (dis- its status automatically switches to MAN.
played numerically).
CORRECTIVE ACTION
CORRECTIVE ACTION If the auxiliary fresh gas outlet is not to be used,
If the alarm has not disappeared after about 10 sec. turn the fresh gas switch (5 in fig. 3-1) to "OFF".
and the alarm "O2/Air/N2O pressure is low" is not ac-
tive, call for technical assistance. 
7.2.7 Emergency O2 flow
7.2.5 EGM battery low ­activated
The "Emergency O2 flow activated" alarm triggers if
The "EGM battery low" alarm triggers if the capacity
the machine's emergency O2 flow is activated.
of the built-in battery for the electronic gas mixer
and the multigas module is too low to ensure
This should only be activated if the electronic gas
proper performance in the case of power failure.
mixer is not functioning.
If the battery capacity is too low to power the elec-
CORRECTIVE ACTION
tronic gas mixer and multigas module, the message
If the electronic gas mixer is functioning, the alarm
"EGM battery shutdown" is displayed.
can be disabled by closing the emergency O2 flow
switch (19 in fig. 3-1).
The machine shuts down within approximately 20 sec.
to avoid discharging the battery completely.

CORRECTIVE ACTION
7.3 Ventilator alarms
Connect the machine to the power supply to re-
The ventilator alarms are:
charge the electronic gas mixer battery.
• Airway pressure high
• Ventilator system pressure high
• Disconnection
Note • PEEP high
The machine cannot be used until the battery is • Ventilator drive gas low
charged to a safe level. • Ventilator fan stopped
• Ventilator battery low
• System pressure
7.2.6 Auxiliary fresh gas outlet • Insp. pressure not obtained
• Fresh gas flow high
activated (only if equipped with an • Insp. O2% high/low (only if an external O2 fuel
auxiliary fresh gas outlet) sensor is installed)
• Expired minute volume high/low (only if a
The "Auxiliary fresh gas outlet activated" message ­volume monitor is installed)
displays only if the auxiliary fresh gas outlet is in • Ventilator mains power failure
use.

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ALARMS

• Measured TV too high 7.3.2 Ventilator system pres-

•
•
PSV backup mode activated, switching to PCV
Required Insp. pressure is too low
sure high
• Required Insp. pressure is too high The "Ventilator system pressure high" alarm triggers
• Required Insp. pressure is too close to high-­ when the ventilator pressure to the bag-in-bottle sy-
press. alarm stem is more than 10 hPa (cmH2O) higher than the
• VSV backup mode activated, switching to VCV high-pressure alarm limit. This could be caused by
• Required support pressure is too low an empty bellows in the bag-in-bottle.
• Required support pressure is too high
• Required support pressure is too close to high- When the ventilator's pressure to the bag-in-bottle
press. alarm exceeds the high-pressure alarm limit by 10 hPa
• Change flow sensor to Ped. (cmH2O), the ventilator automatically switches to
• Machine is in STBY mode expiration in consideration of patient safety.

CORRECTIVE ACTION
7.3.1 Airway pressure high The "Ventilator system pressure high" alarm termi-
The "Airway pressure high" alarm triggers when the nates when there is automatic respiration without
measured pressure in the breathing system exceeds the ventilator pressure to the bag-in-bottle system
the high-pressure alarm limit. reaching the alarm limit plus 10 hPa (cmH2O).
When the airway pressure reaches the high-pres-
sure alarm limit, the ventilator automatically switches
to ­expiration in consideration of patient safety. Note
If "Fresh gas safety" is activated, the fresh gas
CORRECTIVE ACTION
flow is automatically set to 0.3 L/min O2 during
The "Airway pressure high" alarm terminates when
a "Ventilator system pressure high" alarm, to
there is an automatic respiration without the airway
prevent the airway pressure from steadily rising
pressure reaching the high-pressure alarm limit.
when there is a high fresh gas flow.
When the alarm is no longer active, the fresh
gas flow automatically returns to the original
Note setting.
The "Airway pressure high" alarm is active Note: This feature can be disabled from the Ser-
­during automatic ventilation only. vice menu by a superuser or service technician.

Note Note
If "Fresh gas safety" is activated, the fresh gas The "Ventilator system pressure high" alarm is
flow is automatically set to 0.3 L/min O2 during active during automatic ventilation only.
an "Airway pressure high" alarm, to prevent the
airway pressure from steadily rising when there
is a high fresh gas flow. When the alarm is no
longer active, the fresh gas flow automatically
returns to the original setting.
PS: This feature can be disabled in the Service
menu by a superuser or service technician.

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 ALARMS

7.3.3 D
 isconnection 7.3.5 Ventilator drive gas low
The "Disconnection" alarm triggers if the pressure in The "Ventilator drive gas low" alarm triggers if the
the breathing system has not exceeded PEEP +2 hPa dynamic pressure to the ventilator is less than
(cmH2O) within 15 sec. 2.5 bar.

CORRECTIVE ACTION CORRECTIVE ACTION

Check that the breathing system, hoses, tubing, and Check that the Air and the O2 supplies are
so on are properly connected. connected to the machine.
If the machine is equipped with a connector for an
O2 cylinder, consider opening the cylinder.
Note
The "Disconnection" alarm is active during 7.3.6 Ventilator fan stopped
automatic ventilation only.
The "Ventilator fan stopped" alarm triggers if the
lower fan on the rear of the machine stops (2 in
fig. 3-2).
Note CORRECTIVE ACTION
If PEEP is set to "OFF," the limit is 5 hPa (cmH2O) Remove the filter from the front of the fan and
because PEEP is 3 hPa (cmH2O) due to the bag- check whether the fan is working.
in-bottle s­ ystem.

Note
7.3.4 PEEP high The filter on the front of the fan should be
cleaned regularly. A new filter has product
The "PEEP" high alarm starts if the pressure in the
no. 36715-01.
breathing system has been constantly higher than
PEEP +5 hPa (cmH2O), during a period of 15 sec.
7.3.7 Ventilator battery low
Note The "Ventilator battery low" alarm triggers if the ca-
pacity of the built-in ventilator battery is too low to
The "PEEP high" alarm is active during automa-
ensure proper performance in the case of power
tic ventilation only.
failure.

If the battery capacity is too low to power the venti-

lator, a "Ventilator closing down" message is dis-
Note played, and the machine automatically enters into
If PEEP is set to "OFF", the limit is 8 hPa MAN status.
(cmH2O) because PEEP is 3 hPa (cmH2O) due to
the bag-in-bottle system. The ventilator will also shut down within approxi-
mately 20 sec. to avoid discharging the battery com-
pletely.

CORRECTIVE ACTION
Connect the machine to the electrical outlet and turn
on the machine to recharge the ventilator battery.

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ALARMS

The machine cannot be used until the battery is The alarm triggers to ensure that the tidal volume
charged to a safe level. given to the patient does not exceed the set tidal
volume.
7.3.8 System pressure CORRECTIVE ACTION
The "System pressure" alarm triggers if the differ- Increase the set tidal volume or lower the fresh gas
ence between the ventilator pressure to the bag-in- flow to turn off the alarm.
bottle system and airway pressure in the breathing
system exceeds 15 hPa (cmH2O).
7.3.11 Insp. O2% high/low (only if
This could be caused by an empty bellows in the an external O2 fuel-cell sensor is
bag-in-bottle.
­installed)
The message "Check bag-in-bottle and breathing The "Insp. O2% high" alarm triggers if the O2%
system" is displayed for additional information. measured by the external O2 fuel-cell sensor
­exceeds the upper alarm limit.
CORRECTIVE ACTION
If the bellows is full and the alarm does not stop The "Insp. O2% low" alarm triggers if the O2% meas-
­after about 10 sec., check the breathing system, ured by the external O2 fuel-cell sensor is ­below the
­especially the open/close functioning of the yellow lower alarm limit.
valve flaps in the one-way valves.
CORRECTIVE ACTION
Adjust the O2 percentage in the fresh gas flow or
7.3.9Insp. pressure not ob- the alarm limits.
tained
The "Insp. pressure not obtained" alarm triggers if 7.3.12 Expired minute volume
the measured airway pressure during PCV or PRVT
ventilation is lower than the target inspiratory pres-
high/low (only if a volume moni-
sure. tor is i­nstalled)

CORRECTIVE ACTION The "Expired minute volume high" alarm triggers if

This could be caused by a full bellows in the bag-in- the expired minute volume measured by the exter-
bottle. Check that the breathing system, hoses, tub- nal flow sensor exceeds the upper alarm limit.
ing, and so on are properly connected.
The "Expired minute volume low" alarm triggers if
the expired minute volume measured by the exter-
7.3.10 Fresh gas flow high nal flow sensor is below the lower alarm limit.
The "Fresh gas flow high" alarm triggers if the set
fresh gas flow is too high for the ventilator settings CORRECTIVE ACTION
in VCV or SIMV mode, according to the following Check the machine's flow sensor settings and that
formula: the sensor is correctly placed.
Check that the minute volume alarm limits are cor-
Ventilator inspiratory flow – Fresh gas flow ­ rect with respect to the desired minute volume.
<2 L/min.

84 IntelliSave AX700
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7.3.13 V
 entilator mains power CORRECTIVE ACTION
Consider whether the patient has sufficient sponta-
failure neous respiration to be using PSV mode and
The "Ventilator mains power failure" alarm triggers whether the backup time is correctly set. Possibly
if the power supply fails during use. switch back to PSV mode

CORRECTIVE ACTION
Check that the machine is connected to the power
7.3.16 R
 equired Insp. pressure is
supply. too low
The "Required Insp. pressure is too low" alarm trig-
gers if the inspiratory pressure required to reach the
Note set tidal volume in PRVT mode is less than 4 hPa
The internal batteries are primarily intended as (cmH2O).
backup for the alarms.
The machine operates normally during a power CORRECTIVE ACTION
failure. A "Ventilator closing down" alarm ap- Consider increasing the tidal volume or respiration
pears before the machine closes down to avoid rate, or choose another ventilation mode.
discharging the batteries completely.
7.3.17 R
 equired Insp. pressure is
7.3.14 Measured TV too high too high
The "Measured TV too high" alarm appears if the The "Required Insp. pressure is too high" alarm trig-
tidal volume measured by the external flow sensor gers if the inspiratory pressure required to reach the
exceeds 2000 mL (Adult sensor) or 500 mL set tidal volume in PRVT mode is higher than 67 hPa
(Ped. sensor). (cmH2O).

CORRECTIVE ACTION CORRECTIVE ACTION

Check the machine's flow sensor settings and that Check for occlusion in patient hoses, tubing, and so
the sensor is correctly placed. on.

7.3.15 P
 SV backup mode 7.3.18 R
 equired Insp. pressure is
­activated, switching to too close to high-­press. 
PCV alarm
The "PSV backup mode activated, switching to PCV" The "Required Insp. pressure is too close to high-
alarm appears if the ventilator is in PSV mode and press. alarm" alarm triggers if the inspiratory pres-
the patient has not made a supported breath before sure required to reach the set tidal volume in PRVT
the PSV backup time has ended. mode is less than 5 hPa (cmH2O) from the high air-
way pressure alarm limit.
Actuation of this alarm automatically switches the
ventilator to PCV mode. CORRECTIVE ACTION
The message disappears when "Cancel Alarms" is Check for occlusion in patient hoses, tubing, and so
pressed. on. Consider increasing the high airway pressure
alarm limit, or choose another ventilation mode.

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ALARMS

7.3.19 VSV backup mode 7.3.22 Required support pres-

­activated, switching to sure is too close to high
VCV press. alarm
The "VSV backup mode activated, switching to VCV" The "Required support pressure is too close to high-
alarm appears if the ventilator is in VSV mode and pressure alarm" alarm triggers if the support pres-
the patient has not made a volume-supported sure required to reach the set tidal volume in VSV
breath before the VSV backup time has ended. mode is less than 5 hPa (cmH2O) from the high air-
way pressure alarm limit.
Actuation of this alarm automatically switches the
ventilator to VCV mode. CORRECTIVE ACTION
Check for occlusion in patient hoses, tubing, and so
The message disappears when "Cancel Alarms" is on. Consider increasing the high airway pressure
pressed. alarm limit, or choose another ventilation mode.

CORRECTIVE ACTION
Consider whether the patient has sufficient sponta-
7.3.23 Change flow sensor to
neous respiration to be using VSV mode and Ped.
whether the backup time is correctly set. Possibly
The "Change flow sensor to Ped." alarm triggers
switch back to VSV mode
during automatic ventilation (status = VENT) if the
flow sensor is set to Adult and the measured ex-
7.3.20 Required support pres- pired tidal volume has been less than 100 mL for the
last 60 sec or the tidal volume is set lower than
sure is too low 100 mL.
The "Required support pressure is too low" alarm
triggers if the support pressure required to reach CORRECTIVE ACTION
the set tidal volume in VSV mode is less than 4 hPa Change the flow sensor to Pediatric, and set this in
(cmH2O). the Spirometry menu (submenu of Setup Menu).

CORRECTIVE ACTION
Consider increasing the tidal volume or choose an-
7.3.24 Machine is in STBY mode
other ventilation mode. "Machine is in STBY mode", the patient must NOT
be connected, alarm starts approximately 30 sec af-
ter changing to STBY.
7.3.21 Required support pres-
sure is too high The audible alarm will not reappear.
The "Required support pressure is too high" alarm
triggers if the support pressure required to reach the
set tidal volume in VSV mode is higher than 50 hPa
(cmH2O).

CORRECTIVE ACTION
Check for occlusion in patient hoses, tubing, and so
on.

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7.4 Multigas module 7.4.1 Insp./Exp. O2% high/low

alarms The "Insp. O2% high" alarm triggers if the Insp. O2
measured by the multigas module exceeds the
"Insp. O2% high" alarm limit.
The multigas module alarms are:
• Insp./Exp. O2% high/low
The "Insp. O2% low" alarm triggers if the Insp. O2
• Insp. N2O% high
measured by the multigas module is less than the
• Insp./Exp. CO2 high/low
"Insp. O2% low" alarm limit.
• Insp./Exp. AA% high/low
• High/low Resp. Rate
The "Exp. O2% high" alarm triggers if the Exp. O2%
• Apnea
measured by the multigas module exceeds the
• Apnea more than 60 sec.
"Exp. O2% high" alarm limit.
• Secondary agent at Insp./Exp.
• Gas module is in standby mode
The "Exp. O2% low" alarm triggers if the Exp. O2
• Occlusion
measured by the multigas module is less than
• Sample flow rate error on gas module
"Exp. O2% low" alarm limit.
• Invalid O2 sensor offset on gas module
• Ambient CO2 too high for gas module
CORRECTIVE ACTION
• Sample cell pressure in gas module out of range
Check the fresh gas flow settings.
• No water trap
Check the sample hose and water trap, and replace,
if necessary. Consider changing the alarm limits.
Note
The measured gas-concentration alarms remain Note
disabled until the multigas module detects a
If the measured Insp. O2% is less than 18, the
respiration rate based on measured CO2 con-
audible alarm cannot be disabled.
centrations.
Thus, the alarms for measured gas concentra-
tions remain disabled until a patient is con-
nected to the anesthesia machine and is breath- 7.4.2 Insp. N2O% high
ing through the breathing system.
The "Insp. N2O% high" alarm triggers if the N2O%
measured by the multigas module exceeds 82.

CORRECTIVE ACTION
Note Check the sample hose and water trap, and replace,
Once anesthesia is completed and the patient is if necessary.
disconnected from the machine, the measured
gas concentration alarms can be disabled by
pressing "Reset" in the Trend Menu (thereby Note
­resetting all trend data). 
The audible alarm cannot be disabled.
The trend data can also be reset by running a
FULL or LC self-test or selecting "Reset settings
& data."

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7.4.3 Insp./Exp. CO2 high/low CORRECTIVE ACTION

Check the fresh gas flow settings and vaporizer set-
The "Insp. CO2 high" alarm triggers if the Insp. CO2 tings. Check the sample hose and water trap, and
measured by the multigas module exceeds the replace, if necessary. Consider changing the vapor-
"Insp. CO2 high" alarm limit. izer alarm or limits.

The "Insp. CO2 low" alarm triggers if the Insp. CO2

measured by the multigas module is lower than the
7.4.5 High/low Resp. Rate
"Insp. CO2 low" alarm limit. The"Resp. Rate high" alarm triggers if the Resp. Rate
measured by the multigas module exceeds the
The "Exp. CO2 high" alarm triggers if the Exp. CO2 "Resp. Rate high" alarm limit.
measured by the multigas module exceeds the
"Exp. CO2 high" alarm limit. The"Resp. Rate low" alarm triggers if the Resp. Rate
measured by the multigas module is lower than the
The "Exp. CO2 low" alarm triggers if the Exp. CO2 "Resp. Rate low" alarm limit.
measured by the multigas module is lower than the
"Exp. CO2 low" alarm limit. CORRECTIVE ACTION
Check patient status and ventilator settings. If use of
CORRECTIVE ACTION mask ventilation during MAN status is causing the
Check the fresh gas flow settings and ventilator set- CO2 curve to be unstable, consider using the "CO2
tings. If use of mask ventilation during MAN status is alarms OFF" function.
causing the CO2 curve to be unstable, consider using Check the sample hose and water trap, and replace,
the "CO2 alarms OFF" function. Check the absorber if necessary. Consider changing the alarm limits.
and the yellow valve flaps in the breathing system.
Check the sample hose and water trap, and replace,
if necessary. Consider changing the alarm limits.
7.4.6 Apnea
The "Apnea" alarm triggers during VENT status if the
multigas module has not registered any respiration
7.4.4 Insp./Exp. AA% high/low during the preceding 20 sec.
The "Insp. AA% high" alarm triggers if the Insp. AA%
measured by the multigas module exceeds the CORRECTIVE ACTION
"Insp. AA% high" alarm limit. Check patient status and CO2 curve. Check that the
tube is properly situated. Check the sample tube
The "Insp. AA% low" alarm triggers if the Insp. AA% and water trap, and replace, if necessary.
measured by the multigas module is lower than the
"Insp. AA% low" alarm limit.
7.4.7 Apnea more than 60 sec.
The "Exp. AA% high" alarm triggers if the Exp. AA% The "Apnea more than 60 sec." alarm triggers dur-
measured by the multigas module exceeds the ing VENT or MAN status if the multigas module has
"Exp. AA% high" alarm limit. not registered any respiration during the preceding
60 sec.
The "Exp. AA% low" alarm triggers if the Exp. AA%
measured by the multigas module is lower than CORRECTIVE ACTION
"Exp. AA% low" alarm limit. Check patient status and CO2 curve. Check that the
tube is properly situated. Check the sample tube
and water trap, and replace, if necessary.

88 IntelliSave AX700
 ALARMS

7.4.8 S econdary agent at Insp./

Exp. Note
The "Secondary agent at Insp./Exp." message dis- The audible alarm is only active once, when the
plays if the multigas module detects a secondary an- alarm triggers.
esthetic agent in the sample gas.

The type of agent (HAL, ENF, ISO, SEV, or DES) and

the actual inspired/expired concentration are dis-
7.4.10 O
 cclussion
played adjacent to the CO2 curve. The "Occlusion" alarm triggers if the multigas mo-
dule cannot maintain a sample flow.
The message automatically disappears when a As additional information, the messages "Change
­secondary agent is no longer identified. water trap/sample tube and press Exp. CO2" is dis-
played.
CORRECTIVE ACTION
Detection of HAL as a secondary agent might be due CORRECTIVE ACTION
to expiration of methane by the patient. Check that the sample tube between the Y-piece
and the water trap is not blocked. Replace, if neces-
sary. Check whether the water trap is full of water.
Note Replace the water trap if necessary.
The audible alarm is only active once, when the
message displays.
Note
If the "Occlusion" alarm has been active for
more than 1 minute, the sample flow stops to
7.4.9 G
 as module is in standby protect the sample pump. Once the sample
mode hose and/or water trap have been replaced,
press "Exp. CO2" to restart the sample pump.
The "Gas module is in standby mode" message dis-
plays when the multigas module goes into standby
mode, thereby stopping the sample flow pump.
Standby mode is activated when - over the last 10
min - the machine status is STBY or MAN, fresh gas
Note
flow is 0.0 L/min, and no Resp. Rate is detectable. The water trap should be replaced at least once
The purpose is to increase the lifetime of the multi- a month. See section 4.1.4
gas module's sample flow pump.
As additional information, the message "Open fresh
gas flow or start ventilator to activate" is displayed.

CORRECTIVE ACTION
Once the fresh gas flow or ventilation is started, the
multigas module restarts, and measurement of gas
concentration resumes after approximately 20 sec.

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7.4.11 Sample flow rate error 7.4.13 Ambient CO2 too high for
on gas module gas module
The "Sample flow rate error on gas module" alarm The multigas module draws room air into the meas-
triggers if the sample flow rate (measured by the urement chamber at fixed intervals to calibrate the
multigas module) is too high or too low. A low sam- module. The "Ambient CO2 too high for gas module"
ple flow rate could be due to obstruction in the alarm triggers if the measured CO2 concentration in
sample flow tube or water trap. the ambient (room) air is too high for the multigas
As additional information, the messages "Change module to calibrate.
water trap/sample tube" is displayed
CORRECTIVE ACTION
CORRECTIVE ACTION Improve the room ventilation where the machine is
Check that the sample tube between the Y-piece located.
and the water trap is not blocked. Replace, if neces-
sary. Check whether the water trap is full of water. Next, go to the Setup Menu, select "Gas module
Replace, if necessary. ­restart" to restart the gas module and to recalibrate
the module.

Note
The water trap should be replaced at least once
Note
a month. See section 4.1.4 While this alarm is on, the accuracy of the CO2
measurements may not be according to specifi-
cations.
7.4.12 Invalid O2 ­sensor offset
on gas module
The "Invalid O2 sensor offset on gas module" alarm
triggers if the multigas module cannot calibrate the
sensor used to measure O2.
As additional information, the messages "O2 meas-
urement is not reliable" is displayed

CORRECTIVE ACTION
Go to the Setup Menu, select the "Gas meas. setup"
menu, then select "Gas module restart" to restart
the multigas module and perform a new calibration
of the O2 fuel-cell sensor.

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 ALARMS

7.4.14 S ample cell pressure in 7.5.1 Mains power failure

gas module out of range The "Mains power failure" alarm triggers if the
power supply to the machine fails during use.
The "Sample cell pressure in gas module out of
range" alarm triggers if the measured pressure in CORRECTIVE ACTION
the gas module's measurement chamber is too high Check that the machine is connected to the power
or too low. supply.

A low-pressure in the measurement chamber could

be due to obstruction in the sample flow tube or Note
water trap.
The internal batteries are primarily intended as
backup for the alarms.
CORRECTIVE ACTION
The machine operates normally during a power
Check that the sample tube between the Y-piece
outage.
and the water trap is not blocked. Replace, if neces-
A "Machine closing down" alarm appears be-
sary.
fore the machine closes down to avoid discharg-
ing the batteries completely.
Check whether the water trap is full of water.
­Replace, if necessary.

Note Note
With fully charged batteries, the battery
The water trap should be replaced at least once
backup time is typically 90 min. With new Bat-
a month. See section 4.1.4
teries the battery backup time will be longer
(Up to 120 min.) and with old batteries it will be
shorter (down to 60 min.). Batteries are repla-
7.4.15 N
 o water trap ced every 4 years as part of the service kit for
preventive maintenance.
The "No water trap" alarm triggers if the multigas
­module detects that the water trap is not correctly
mounted.
7.5.2 Ventilator errors
CORRECTIVE ACTION
Detection of an error in the ventilator electronics
Check whether the water trap is correctly mounted.
triggers an alarm.
Replace water trap, if necessary.
There are two types of error alarms:
7.5 System alarms 1. "VENTILATOR OUT OF ORDER"
This alarm means that the ventilator is not respond-
The system alarms are:
ing.
• Mains power failure
• Ventilator out of order
2. "VENTILATOR SYSTEM FAILURE"
• Ventilator system failure
This alarm means that the ventilator has detected a
• Gas module red correctable
malfunction.
• Gas module out of order
• Machine closing down
• Touch screen out of order

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ALARMS

During these alarms, the ventilator changes to man- 7.5.4 Machine closing down
ual ventilation mode, and the patient must be venti-
The "Machine closing down" alarm triggers if the
lated manually.
front panel ON/OFF switch is pushed to the OFF
position.
CORRECTIVE ACTION
Turn the machine off and on.
The message "Press mains switch to cancel" ­appears
Call technical assistance.
as additional information.

CORRECTIVE ACTION
Note If the ON/OFF switch is not pressed again, the ma-
The audible alarm cannot be disabled. chine shuts down in approximately 20 sec.
If the ON/OFF switch is pressed again within these
20 sec., the machine does not shut down and con-
tinues to operate as before.
7.5.3 Gas module errors
Detection of a system malfunction in the multigas
module triggers the alarms discussed in section 7.4.
7.5.5 Touch screen out of order
The "Touch screen out of order" alarm triggers if the
In addition to these alarms, there are five different communication between the touch screen and the
types of multigas module error alarms: electronics fails.

"GAS MODULE RED CORRECTABLE" The message "Use control dial to select mode"
If a "Gas module Red correctable" alarm triggers, ­appears as additional information.
the measured gas concentrations cannot be used.
The type of error leading to the alarm can possibly CORRECTIVE ACTION
be corrected by the user or the gas module. Turn the machine OFF and On.
Call technical assistance.
CORRECTIVE ACTION
Replace the sample hose and water trap. Go to the
Setup Menu, select the "Gas meas. setup" menu,
then select "Gas module restart" to restart the
multigas module.
If this does not resolve the problem, call for
technical assistance.

"GAS MODULE OUT OF ORDER"

If a "Gas module out of order" alarm triggers, the
multigas module is not responding and there are no
gas concentration measurements taking place.

CORRECTIVE ACTION
Turn the machine off and on.
Call for technical assistance.

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 ALARMS

7.6 Overview of alarms

7.6.1 Patient-related alarms
Alarm Factory value Resolution Limits Priority Audible
disable
Airway pressure high 30 (x100Pa), (25 1 (x100Pa) 10–80 (x100Pa) High Yes
(x100Pa) if PCV is cho-
sen as the default ven-
tilation mode)
MV Exp. high STBY/MAN: OFF VENT: 0.1 L 0.1–80.0 L Medium Yes
133% of set MV and OFF
MV Exp. low STBY/MAN: OFF VENT: 0.1 L 0.1–79.9 L Medium Yes
66% of set MV and OFF
PSV backup mode 30 sec. 5 sec. 10–40 sec. Low -
activated, switching
to PCV mode
VSV backup mode 30 sec. 5 sec. 10–40 sec. Low -
activated, switching
to VCV mode
Insp. O2% high OFF 1% 19–100% and OFF Medium Yes
18% 1% 18–100% High Yes
Insp. O2% low
Insp. O2
<18%: No
Exp. O2% high OFF 1% 10–100% and OFF Medium Yes
Exp. O2% low 10% 1% 10–100% High Yes
Insp. N2O% high Fixed at 82% High No
Insp. CO2 high 3% 0.1% 0.1–3% and OFF Medium Yes
Insp. CO2 low OFF 0.1% 0.1–3% and OFF Medium Yes
Exp. CO2 high 8% 0.1% 0–15% and OFF Medium Yes
Exp. CO2 low OFF 0.1% 0–15% and OFF Medium Yes
Insp. AA% high * 0.1% 0–30% Medium Yes
Insp. AA% low OFF 0.1% 0–30% and OFF Low -
Exp. AA% high * 0.1% 0–30% Medium Yes
Exp. AA% low OFF 0.1% 0–30% and OFF Low -
Resp. Rate high OFF 1 per min 4–80% and OFF Medium Yes
Resp. Rate low 4 1 per min 4–80% and OFF Medium Yes
Apnea VENT: 20 sec. - - Medium Yes
Apnea more than MAN/VENT: 60 sec. - - High Yes
60 sec.
Secondary agent at - - - Low -
Insp./Exp.

* Default values for "Insp. AA% high" and "Exp. AA% high" depends on the actual anesthetic agent identified
by the multigas module:
HAL ENF ISO SEV DES
Insp. AA% high 2.2% 5.1% 3.4% 5.1% 18%
Exp. AA% high 1.5% 3.4% 2.3% 3.4% 12%

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7.6.2 System-related alarms

Alarm Priority Audible disable
Breathing system disconnected Low -
Ventilator stopped due to breathing system disconnected Medium Yes
Absorber disconnected (during MAN or STBY) Low -
Absorber disconnected (during VENT) High Yes
O2 flow is critically low Low -
O2 pressure is low High Yes
Air pressure is low High Yes
N2O pressure is low High Yes
EGM fan stopped High Yes
O2 fresh gas flow out of control High Yes
Air fresh gas flow out of control High Yes
N2O fresh gas flow out of control High Yes
EGM battery low High Yes
Auxiliary fresh gas outlet activated Low -
(during MAN or STBY)
Ventilator stopped due to auxiliary fresh gas outlet High Yes
activated (during VENT status)
Emergency O2 flow activated (during VENT) High Yes
Emergency O2 flow activated (during STBY or MAN) Low -
Ventilator system pressure high High Yes
Disconnection Medium Yes
PEEP high High Yes
Ventilator drive gas low High Yes
Ventilator fan stopped High Yes
Ventilator battery low High Yes
System pressure High Yes
Insp. pressure not obtained High Yes
Fresh gas flow high High Yes

Continues …

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7.6.2 System-related alarms (...continued)

Alarm Priority Audible disable
Ventilator mains power failure High Yes
Measured TV too high Low -
Required Insp. pressure is too low Medium Yes
Required Insp. pressure is too high Medium Yes
Required Insp. pressure is too close to high-press. alarm Medium Yes
Required support pressure is too low Medium Yes
Required support pressure is too high Medium Yes
Required support pressure is too close to high-press. alarm Medium Yes
Change flow sensor to Ped. Low Yes
Machine is in STBY mode, patient must NOT be connected Low -
Occlusion High Yes
Sample flow rate error on gas module High Yes
Invalid O2 sensor offset on gas module High Yes
Sample cell pressure in gas module out of range High Yes
Gas module is in standby mode Low -
No water trap High Yes
Mains power failure High Yes
Ventilator out of order High No
Ventilator system failure High No
Gas module Red correctable High Yes
Gas module out of order High Yes
Machine closing down (during STBY) Low -
Machine closing down (during MAN or VENT) High Yes
Minimum inspiratory flow reached Low -

Max. inspiratory flow is 80 L/min Low -

Superuser mode. Subsequent changes will be stored as Low -
new default values
Touch screen out of order High No

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ALARMS

Blank page

96 IntelliSave AX700
 MAINTENANCE AND CLEANING

8. Maintenance and cleaning

Before use, the machine must be cleaned and was-
hed according to the instructions in this section.
Note
The detergent should have a pH final dissolution
8.1 Maintenance of 7 to 10.

Preventive maintenance must be performed on this

machine at least once yearly by an authorized tech-
nician.
8.2.2 Chemical disinfection
Follow the manufacturer's instructions carefully. The
Daily maintenance carried out by the user is limited to: disinfectant should be suitable for the component
• Function control being disinfected. Immerse the component in a
• Integrity control 3.4% gluteraldehyde solution for 20 minutes.
• Cleaning
Following disinfection, all components must be
thoroughly rinsed in sterile water and dried.
8.2 Cleaning
This process was validated for 25 cycles.
8.2.1 Washing machine
Only use a washing machine constructed to clean Note
instruments and anesthesia equipment. The wash-
Inspect the bellows, spill valves and check val-
ing cycle and detergent must be appropriate for
ves after every cleaning and/or disinfection cy-
cleaning plastic and rubber goods. The cleaning pro-
cle and replace as required.
cedure must conclude with a clean water rinse, heat
disinfection, and drying. The bellows must be hung
or otherwise kept open.
Note
Note Alcohol must never be used as a disinfectant.
This process was validated using an auto washer
as follows: pre-wash: cold tap water at 2 mi-
nutes; Enzyme wash: hot tap water @ 1 minute;
wash 1: heated tap water at 66°C for 2 minutes;
Note
wash 2: hot tap water @ 15 seconds; Thermal Some disinfectants that contain Phenol and
rinse: hot tap water 82°C for 1 minute; Pure wa- ­Aldehyde components can be absorbed and ac-
ter rinse: heated at 66°C for 10 seconds; Drying; cumulate in plastic and rubber goods following
heated air 115.5°C for 7 minutes. The detergent repeated disinfection.
used was Sodium Bicarbonate 33 - 43%; Sodium
Alkylbenzene Sulfonate 10 - 20%; Sodium Tripo-
lyphosphate 5 - 15%; Tetrasodium Pyrophos-
phate 5 - 15%; Sodium Carbonate 1 - 10%;
­Sodium Alcohol Sulfate 1 - 5%.

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8.4.2 Disassembling
Note
The lifetime of the rubber components is signi-
ficantly increased by avoiding high temperature 3

decontamination and drying. Item Explode for use

1 1
2 1
3 1
4 1
2 5 1

8.3 Cleaning the

6 1
7 1
8 2
9 1
6 10 2

­IntelliSave AX700
11 1

9
1

Wipe the machine's outer surfaces with a cloth 7

moistened with a mild detergent or Isopropyl alco-
hol. Afterward, dry the machine with a clean, dry
cloth. 12

8 10

Caution 5 11 4
Avoid abrasive or caustic cleaners, as they can
damage the machine. Avoid organic liquids, Fig. 8-1 Breathing system (IBS) overview
such as Acetone, Turpentine, and Thinners.
1. Remove the chamber (3) and bellows (2).
2. Remove the cover (6) and membrane weight (9).
8.4 Cleaning the inte- 3. Remove the APL valve (7) by pressing the release
button on the side of the base while simultane-
grated breathing ously pulling the valve outward.
4. Remove the valve dome (10) and then Insp./
­system (IBS) Exp. yellow valves (8) by their bracket.
5. Remove the absorber valves: the inspiratory
Prior to cleaning, the breathing system should be valve (4) is labeled C and the expiratory valve
disassembled as described in section 8.4.2. (11) is labeled B.
6. Remove the changeover valve (5) marked A, by
using the special tool (12).
8.4.1 Routine cleaning
All components in the breathing system can be The breathing system can now be cleaned and disin-
washed in a washing machine and tolerate chemical fected (see section 8.2).
disinfectants.

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8.4.3 After cleaning 8.4.4 Flushing through the

Check that all components are thoroughly dry, un- breathing system body
damaged, and correctly connected.
The following instructions show how to conduct a
thorough flushing of the channels in the breathing
Apply a thin film of special lubricant (P/N 36825) to
system body.
the O-rings.

A
Note
Some disinfectants that contain Phenol and
­Aldehyde components can be absorbed and ac-
cumulate in plastic and rubber goods following
repeated disinfection.

B
Warning
Be careful when rinsing; the components' re-
cesses may hold hot water when taken from the
washing machine.

1. Put the cover and valve dome onto the breathing

system body. See figure A.
2. Place the breathing system body upside down
and put all the components to be washed into
the washing machine.
3. Attach washing hoses to the "EXP" cones and
"BAG" cones. See figure B.
4. Remove the cover and valve dome before drying.

DRYING
After washing, all the components can be dried in a
hot-air cabinet or at room temperature for approxi-
mately 12 hours.

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8.4.5 Assembling
1. Mount the Insp. and Exp. valves (8) with the
groove in the valve body fitting over the pin in 3

the breathing system body. Ensure that the Item Explode for use

valves are fully inserted by pushing on the valve

1 1
2 1
3 1

bracket. Inspect the valve flaps for visible dam- 2

4
5
1
1

age. If a valve flap is damaged, the whole valve

6 1
7 1
8 2

must be replaced, see section for accessories. Do 6

9
10
1
2
11 1

not touch the valve flaps with your fingers. 9

2. Mount the valve dome (10). 1
3. Mount the changeover valve (5) marked A, by
7
using the special tool (12).
4. Mount the absorber valves (4) and (11) (marked
B and C).
12
5. Mount the APL valve (7). Push the valve in until
the lock clicks. 8 10
6. Fit the membrane (9) into the housing (with the
metal disc upward) and replace the cover (6). 5 11 4
7. Mount the bellows (2). Mount the bottle (3).
8. If using a reusable CO2 i-SORB-absorber with the Fig. 8-2 Breathing system (IBS) overview
breathing system, change the two filters (5 in
Fig. 8-3) see section for accessories. Place a filter
into the bottom of the absorber bottle (5 in Fig.
8.5 Integrated breathing
8-3) and fill with absorbent.
system (IBS) parts
Item Description Part no.
2 Bellows 11960-05
3 Chamber 11960-09
4 Inspiratory valve for 11975-230
the absorber
5 Changeover valve 11975-550
6 Cap for IBS spill valve 51525-10
7 APL valve 11960-330
8 Yellow valve flap 11890-31
9 Membrane 51025-08
10 Valve dome with 11890-42
­O-ring
11 Expiratory valve for 11975-440
the absorber

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8.6 Hoses, Y-piece, and 8.7.1 After cleaning

respiration bag Check that all components are undamaged, and
­correctly connected.
Clean, disinfect, and dry hoses, Y-piece, and manual
Apply a thin film of special lubricant (P/N 36825) to
respiration bag in accordance with normal hospital
the O-rings.
procedures.

8.7 Cleaning the i-SORB Note

Some disinfectants that contain Phenol and
reusable absorber ­Aldehyde components can be absorbed and ac-
cumulate in plastic and rubber goods following
repeated disinfection.

8.7.2 Refilling the absorber

THE FOLLOWING TYPES OF ABSORBENTS CAN
BE USED:

 Sofnolime, Medisorb, Prosorb, Soda lime, LimePak,

Agasorb, Sefasorb, CarboLime, Chemosorb, Vital-

 ime, and VentiSorb.
  Before refilling the absorber please consult the ab-
sorbent instruction for use provided by the Soda
Lime Carbon Dioxide Absorbent manufactor.

1. Place one filter (5) in the bottom of the absorber

Fig. 8-3 i-SORB absorber chamber.

2. Fill with sodalime, so there is room for another

The following parts must be cleaned when using an
filter (5).
i-SORB reusable CO2 absorber with the breathing
system.
3. Place the O-ring (4) at the edge of the absorber
lid (2). Tighten the lid with the mounting ring.
1. Unscrew the locking ring (3) and separate the ab-
sorber components as shown in the drawing.
O-ring
2. Discard the two filters (5) and used absorbent.

3. Clean and disinfect the absorber as described for

the breathing system.

Fig. 8-4 i-SORB absorber

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8.8 i-SORB reusable ab-

Note sorber components
Make sure that the locking ring is correct positi-
oned before use. Item Qty Description Part no.
1 1 Absorber chamber 11048-02
2 1 Absorber lid 11048-01
4. To achieve optimum performance of the
­absorber, knock it gently against a firm surface 3 1 Locking ring 11048-03
(see drawing below).
4 1 O-ring 36333-10430
5 2 Filter (40 pcs.) 11040-40
6 1 Absorber plug 11048-05

8.9 Safety control

After cleaning and sterilization, reassemble the
­system and check that it is working correctly.

Do not add components to the system without first

checking that they are clean and in good condition.

Always run a self-test before using the breathing

system.
Fig. 8-5 i-SORB absorber

5. The i-SORB reusable absorber is now ready to be

mounted onto the breathing system. Remember
to remove the absorber plug before mounting.

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8.10 Accessories
Description Part No.
i-SORB disposable absorber (box of 8 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11044-08
i-SORB disposable absorber (box of 1 pc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11044
i-SORB reuseable absorber (box of 1 pc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11048
Filter for reusable absorber (box of 40 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11040-40

Bellows for IBS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11960-05

Nylon connector, male taper 8 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13642

Disposable patient hoses for IBS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11650-970

Bacteria filter, disposable (box of 50 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38477-50

EXTERNAL PATIENT FLOW SENSOR (OPTIONAL)

Spirometry tube, 2 m (5 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42632-09
Spirometry tube, 3 m (5 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42632-08
Spirometry tube, 6 m (5 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42632-10
D-LITE Adult flow sensor, disposable (1 pc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42632-06
PEDI-LITE flow sensor, disposable (1 pc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42632-07

EXTERNAL O2 FUEL-CELL SENSOR (OPTIONAL)

O2 fuel-cell sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42035-46
Cable for O2 fuel-cell sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10967-86
T-piece for O2 fuel-cell sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42012-07

MULTIGAS MODULE (OPTIONAL)

Gas sample tube, 2 m (10 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42630-01
Gas sample tube, 2 m (100 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42630-100
Gas sample tube, 3 m (10 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42630-02
Gas sample tube, 3 m (100 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42630-200
Gas sample tube, Neonatal, 2.5 mm (25 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41200-13

Water trap, Adult (10 pcs.) for gas module (lifetime: 1 month) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41200-10

Water trap, Neonatal (10 pcs.) for gas module (lifetime: 1 month) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41200-11

Note
Cleaning and disposal of accessories should be done as prescribed in the instruction for use ac-
compayning the individual accessory.

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Description Part No.

POWER CORDS
European power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40045-19
North American power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40045-48
Danish power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40045-22
Swiss power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40045-28
UK power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40045-33
Indian power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40045-34
Italian power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40045-36
Australia and New Zealand power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40045-29

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9. Technical data
All flow and volume measurements are based on STPD conditions (Standard Temperature and Pressure, Dry).
(STPD means atmospheric pressure of 1013 hPa (cmH2O) and temperature of 21OC)

9.1 General
Dimensions
Height 1550 mm
Width 810 mm / 920 mm incl. IBS
Depth 790 mm
Weight Approx. 150 kg (depending on configuration)
Electrical
Class I
Type B
Power supply voltage 100/115/230 volt, 50/60 Hz
Power consumption *) 130 VA + 20 VA (Multigas Module) + DES vaporizer + Smartlog
Battery capacity 1.5 Ah (ventilator), 7.2 Ah (EGM and Multigas Module)
Battery backup time Approx. 90 min
Battery type B1 = 20-Cell NiMH, 24V, 1.5 Ah, Rechargeable
B2 = 12V Lead-Acid, 7.2 Ah, Rechargeable
B3 = 12V Lead-Acid, 7.2 Ah, Rechargeable
Batteries B2 and B3 are connected in series to provide 24V
Battery charge time Approx. 12 hours
Note There is no difference in performance when the machine is battery powered; however the Smart
Log (if installed) will not work during a mains power failure situation.
Auxiliary electrical outlets and vaporizer outlets (optional)
Max current from each individual outlet 1.25A (230V) / 2.5A (100V-115V)
Max total current from 3 outlets on the 2.0A (230V) / 4.0A (100V-115V)
rear of the machine
Fuse for each outlet T1.6AH250V (230V) / T3.15AH (115V)
Common Fuse for all 4 outlets T4AH250V (230V) / T8AH250V (100V-115V)
Voltage from each outlet - Approximately equal to supply voltage. There may be a small increase in the out-
let voltage compared to the supply voltage, when the outlets are lightly loaded. Max voltage increase = 11V.

*) Desflurane vaporizer power consumption depends on manuafacturer and is not included in the power consumption specification.

Continues …
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9.1 General (...continued)

Service life
10 years
Communication ports
Frequency from each outlet Equal to supply frequency
RS232 Data output according to protocol, for data collection
SmartLog (optional) USB: For storing data on USB stick
9-Pin: For connection to Philips Vuelink

9.2 Gases
Note  All gases and anesthetic agents must comply with the US Pharmacopoeia, European ­Pharmacopoeia
or local recognised requirements for medical gases.
Central gas supply
Inlet pressure 400-600 kPa, 58-87 psi for O2, Air and N2O 
Reserve gas supply (optional)
Pin-index yokes for 4-L cylinders (Air and
N2O)
Gauges
Central gas supply 0-1000 kPa, 0-145 psi for O2, Air and N2O
Gas cylinder 0-31500 kPa,0-4570 psi for O2
0-10000 kPa, 0-1450 psi for N2O
Auxiliary gas outlet (optional)
Flow for O2 or Air (meas. at inlet press.) 15 L/min at 400 kPa, 58 psi (60 L/min at 1013 hPa)
14 L/min at 600 kPa, 87 psi (85 L/min at 1013 hPa)
13 L/min at 1200 kPa, 174 psi (155 L/min at 1013 hPa)
Gas alarm
Alarm start pressure 250 kPa, 363 psi for O2, Air and N2O
Auxiliary fresh gas outlet (optional)
Max pressure (MPL valve) 90 hPa (cmH2O)
Integrated auxiliary O2 ball flow meter (optional)
Flow range 0–14 L/min
Accuracy 7.5% actual flow + 2.5% full scale
Integrated patient suction (optional)
Max vacuum -75 kPa, -11 psi
Max suction flow 25 L/min
Gas consumption (gas driven suction) -25 kPa, -3.7 psi: Max 15 L/min
-50 kPa, -7.3 psi: Max 22 L/min
-75 kPa, -11 psi: Max 27 L/min

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AGSS
Scavenging flow 30–40 L/min

9.3 Electronic gas mixer

Set parameters
Fresh gas flow 0.0, 0.2 to 20.0 L/min
Flow resolution 0.0 to 1.0 L/min: 0.05 L/min
1.0 to 20.0 L/min: 0.1 L/min
O2 set % 21 to 100% (O2/Air mix)
25 to 100% (O2/N2O mix)
O2 set % resolution 1% (v/v)
Accuracy ± 5% (v/v)
O2 flow range 0.0, 0.1 to 10.0 L/min
Air flow range 0.0, 0.1 to 10.0 L/min
N2O flow range 0.0, 0.1 to 10.0 L/min
Accuracy (all gases) 0.1 to 0.5 L/min: ± 50 mL/min
0.5 to 10.0 L/min: ± 10% of reading
O2 emergency flow
Flow range 5.0-15.0 L/min ± 20%
O2 flush valve
Adjustable flow Approx. 45 L/min

9.4 Ventilator
Drive gas (Air or O2)
Pressure Min. 300 kPa, 43.5 psi at 80 L/min
Max consumption (Peak flow) 120 L/min
Mean consumption Max 80 L/min at 280 kPa, 40.6 psi
Pressure range
Pressure limitation (P. lim max) 90 hPa (cmH2O) (mechanical, pressure limitation value)
Max adjustable working pressure 80 hPa (cmH2O)
High-pressure alarm 10 to 80 hPa (cmH2O)
Min. expiration pressure (P. lim min) 1 hPa (cmH2O)
Cycling pressure 1-80 hPa (cmH2O)
Note Negative pressure is only possible if the patient is exclusively breathing spontaneously.
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9.4 Ventilator (...continued)

Set parameters
Tidal volume 20 to 1500 mL
With neonatal specs. (optional): 10 to 1500 mL in PRVT mode
Accuracy (VCV and SIMV mode) 20 to 250 mL: ± 10%, min 10 mL
250 to 1500 mL: ± 5%, min 25 mL
Minute volume 0.2 to 60.0 L/min
Resp. Rate 4 to 80 resp./min
I:E ratio 3:1 to 1:9.9
PEEP OFF, 4 to 20 hPa (cmH2O)
Inspiratory pressure 4 to 67 hPa (cmH2O)
Inspiratory pause 0 to 70%
Ventilation mode (controlled) VCV, SIMV, PCV, PSV, PRVT (optional), VSV
SIMV settings
SIMV trigger point -0.5 to -10.0 hPa (cmH2O)
PSV/VSV settings
Support pressure (PSV only) 4 to 50 hPa (cmH2O)
Inspiratory trigger 1 to 10 L/min
Expiratory trigger 10 to 80%
PSV/VSV backup 10 to 40 sec.
Airway pressure monitor
Measured parameters Peak, Plateau, Mean, PEEP, Compliance
­(if vol. monitor is installed)
Pressure range -10 to 99 hPa (cmH2O)
Accuracy ± 2 hPa (cmH2O)

Continues …
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9.4 Ventilator (...continued)

O2% fuel-cell sensor (optional)

Measurement range 0 to 100% O2 (v/v)

Accuracy ± 2% (v/v) at constant temperature, and pressure
High O2% alarm 19 to 100% and OFF
Low O2% alarm 18 to 100%
Expected O2 sensor lifetime More than 500,000 O2% hours under normal conditions
(equivalent to 33 months when placed in 25°C air)
Cross-gas interference Less than 1.25% O2 response to anesthetic agents
Drift Less than 1% O2 over 24 hours
Rise time Less than 6 sec. for 90% of final value
Volume monitor (optional)
Measurement range, Ped. sensor 0 to 500 mL
Measurement range, Adult sensor 0 to 2000 mL
Accuracy, Ped. sensor <100 mL: ± 10 mL
100 to 300 mL: ± 10% of reading
Accuracy, Adult sensor 200 to 500 mL: ± 50 mL
500 to 2000 mL: ± 10% of reading
High expired minute volume alarm 0.1 to 80.0 L and OFF
Low expired minute volume alarm 0.1 to 79.9 L and OFF

9.5 Integrated breathing system (IBS)

Dimensions
Size (H x W x D) 335 x 200 x 275 mm (incl. APL and bellows chamber)
Weight 4 kg (complete system excl. i-SORB CO2 absorber)
APL valve
Setting SP, 5 to 75 hPa (cmH2O)
Accuracy ± 7 hPa (cmH2O) at 4 L/min
i-SORB CO2 absorber
Capacity Approx. 880 g soda lime
Volume (empty) 1420 mL

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9.6 Multigas module (optional)

Correction
Barometric pressure, samplegas pressure, temperature and full spectral interference correction
Warm-up time
Time needed to reach ISO accuracy 45 sec. after powering up
­specifications
Time needed to reach "full accuracy" 2 min after powering up
specifications
ISO specifications As "full accuracy" specs, but derated as follows:
CO2 Add ± 0.3% CO2
AA: Add ± 8% of reading
N2O: Add ± (2% N2O + 8% of actual reading)
Water trap
Capacity 10 mL (Adult) / 6 mL (Neonatal)
Emptying interval (Half full, worst case) Adult: 17 h @ 200 mL/min, 37OC, 100% RH
Neonatal: 20 h @ 120 mL/min, 37OC, 100% RH
Measured parameters
Insp. O2% 0 to 100% Resolution: 1%
Exp. O2% 0 to 100% Resolution: 1%
Insp. N2O% 0 to 100% Resolution: 1%
Exp. N2O% 0 to 100% Resolution: 1%
Insp. CO2 0 to 10% Resolution: 0.1%
Exp. CO2 0 to 10% Resolution: 0.1%
Insp. AA% HAL, ENF, ISO: 0 to 7.5%
SEV: 0 to 9%
DES: 0 to 20%
Resolution: 0.1%
Exp. AA% HAL, ENF, ISO: 0 to 7.5%
SEV: 0 to 9%
DES: 0 to 20%
Resolution: 0.1%
Resp. Rate 0 to 100 resp./min
Calculated parameters
MAC 0 to 10. Resolution: 0.1

Continues …
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9.6 Multigas module (optional) (...continued)

Gas measurement accuracy ("full accuracy" specifications)
RESP. RATE 1 TO 60 RESP./MIN

Gas Concentration 1) [%REL] Tolerance 2), 3) [%ABS] Interference 4), 5) [%ABS]

CO2 0–1 ± 0.1 N2O 0.1
1–5 ± 0.2 O2 0.1
5–7 ± 0.3 All agents 0.3
7–10 ± 0.5
>10 Not specified
N2O  0–20 ± 2 CO2 0
20–100 ± 3 O2 0
All agents 0
O2 0–25 ± 1 CO2 0.1
25–80 ± 2 N2O 0.2
80–100 ± 3 All agents 1.0
HAL, ENF, ISO 0–1 0.15 CO2 0
1–5 0.2 N2O 0.1
>5 Not specified O2 0.1
2nd agent 0.2 (typical)
SEV 0–1 ± 0.15 CO2 0
1–5 ± 0.2 N2O 0.1
5–8 ± 0.4 O2 0.1
> 8 Not specified 2nd agent 0.2 (typical)
DES 0–1 ± 0.15 CO2 0
1–5 ± 0.2 N2O 0.1
5–10 ± 0.4 O2 0.1
10–15 ± 0.6 2nd agent 0.2 (typical)
15–18 ± 1
>18 Not specified
Note: Measurement drift is included in these specifications

Regarding cross-gas interference

Interference [% ABS]
Contaminant
CO2 N2O  O2 Agents

<1% Acetone 0.1 0.1 0 0

<1% Methane 0.1 0.1 0 0
<0.1% Methane 0 0.1 0 0
<80% He Not specified Not specified 2.0 Not specified
<50 ppm NO Not specified Not specified 2.0 Not specified
<80% N2 0 0 0 0

Continues …
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9.6 Multigas module (optional) (...continued)

Resp. rate measurement accuracy
Resp. Rate 0 to 60 resp./min ± 1 resp./min
Resp. Rate >60 resp./min Not specified
Resp. Rate detection CO2 variation in measured CO2
Gas measurement, typical response time 10–90% (Adult water trap)
O2 max 500 msec.
N2O  max 250 msec.
CO2 max 250 msec.
AA max 300 msec. (once the agent has been identified)
System response time
Adult water trap and gas sample tube max 3 m with inner diam. 1.5 mm: Max 6 sec.
Neonate water trap and gas sample tube max 3 m with inner diam. 0.9 mm: Max 6 sec.
Primary anesthetic agent identification
A primary anesthetic agent is identified by the multigas module if the concentrations are higher than:
Halothane 0.25% HAL (0.50% at ISO spec.)
Enflurane 0.15% ENF (0.40% at ISO spec.)
Isoflurane 0.15% ISO (0.40% at ISO spec.)
Sevoflurane 0.15% SEV (0.40% at ISO spec.)
Desflurane 0.15% DES (0.40% at ISO spec.)
Secondary anesthetic agent identification
A secondary anesthetic agent is identified by the multigas module if the concentrations are higher than:
Halothane 0.30% HAL (0.50% at ISO spec.)
Enflurane 0.30% ENF (0.50% at ISO spec.)
Isoflurane 0.30% ISO (0.50% at ISO spec.)
Sevoflurane 0.30% SEV (0.50% at ISO spec.)
Desflurane 0.30% DES (0.50% at ISO spec.)

Continues …
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9.6 Multigas module (optional) (...continued)

Alarms
Insp. O2% high 18 to 100% and OFF resolution: 1%
Insp. O2% low 18 to 100% resolution: 1%
Exp. O2% high 10 to 100% and OFF resolution: 1%
Exp. O2% low 10 to 100% resolution: 1%
Insp. N2O% high Fixed at 82%
Insp. CO2 high 0.1 to 3.0% and OFF resolution: 0.1%
Insp. CO2 low 0.1 to 3.0% and OFF resolution: 0.1%
Exp. CO2 high 0.0 to 15.0% and OFF resolution: 0.1%
Exp. CO2 low 0.0 to 15.0% and OFF resolution: 0.1%
Insp. AA% high 0.0 to 30.0% resolution: 0.1%
Insp. AA% low 0.0 to 30.0% and OFF resolution: 0.1%
Exp. AA% high 0.0 to 30.0% resolution: 0.1%
Exp. AA% low 0.0 to 30.0% and OFF resolution: 0.1%
Resp. Rate high 4 to 80 resp./min and OFF resolution: 1 resp.
Resp. Rate low 4 to 80 resp./min and OFF resolution: 1 resp.

Note
The humidity content in the sampled gas is adapted to ambient humidity level in the Nafion section of
the tubing that connects AIONTM Multigas Analyzer with the DRYLINETM Receptacle. The multigas analyzer
then uses a fixed correction of 11 hPa (cmH2O) to compensate for the influence of water vapor in the gas
sample, when converting the gas readings to ATPD. Any other ambient H2O partial pressure will dilute the
gas sample to a different extent, causing a certain measurement error. Under typical operating conditions
however, this effect is not noticeable. An increase in the ambient H2O partial pressure to 30 hPa (cmH2O)
(i.e. 28OC, 80% RH or 33OC, and 60% RH) will cause a general error for all gases of only -2% REL.

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TECHNICAL DATA

9.7 Environment
Storage and transportation temperature -20°C to +50°C (optional O2 fuel-cell sensor: 0°C to +50°C) 
Working temperature 10°C to 40°C
Relative humidity 10 to 90% RH (noncondensing)
Storage and transportation pressure 630 to 1060 mbar
Working pressure 700 to 1060 mbar, equal to 3000 m to -100 m

9.8 Standards
The IntelliSave AX700 complies with the following standards
IEC 60601-1
IEC 60601-1-1
IEC 60601-1-2
IEC 60601-1-4
IEC 60601-1-6
IEC 60601-1-8
IEC 60601-2-13
ISO 7396-2
ISO 8835-2
ISO 8835-3
ISO 8835-5
IEC 68-2-27
IEC 68-2-64
ASTM D 4169-01
ISO 10993-1
ISO 21647
ISO 5356-1
ISO 5359
EN 980
EN 1041
EN ISO 10079-3
CGA C-9
CGA V-5

Continues …
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9.8 Standards (...continued)

Classification according to EN 60601-1
Class I equipment Type of protection against electrical shock
Type B equipment Degree of protection against electrical shock
Continuous operation Mode of operation
Classification according to Directive 93/42EEC concerning medical equipment
The anesthesia machine, Model IntelliSave AX700, is classified as Class IIb.

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TECHNICAL DATA

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 APPENDIX A

Appendix A
Alarms & Messages
A
Absorber disconnected Opens in STBY, MAN, or VENT status.
Actuates if the absorber has not been attached to the breathing
system for more than 30 seconds.
Accompanied by a single "beep" in STBY and MAN status. In VENT
status, the alarm sound can be disabled for 120 seconds by pres-
sing the "Cancel Alarms" field.
Check whether the absorber is fastened to the base as required.
Try removing and clicking back into place.
If the message persists, contact your service department.
Air fresh gas flow out of Actuates if the measured Air fresh gas flow (displayed as a bar
control graph) does not match the set flow.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
* option
Check the pressure on the gauges* on the front of the machine.
Consider contacting your service department.
Air pressure is high Opens in VENT status.
Actuates when the measured pressure exceeds the high-pressure
alarm threshold.
NOTE! When the airway pressure reaches the high-pressure
alarm threshold, the ventilator automatically switches to expira-
tion in consideration of patient safety.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Consider changing the high-pressure threshold settings.
Try to find the cause, such as
• Occluded tube, hoses, etc.
• Patient status
• Surgical pressure
Consider changing the tidal volume and respiratory rate.
Consider changing the ventilation mode.

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Air pressure low Actuates when the Air inlet pressure to the machine is lower than
2.5 hPa (cmH2O).
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the gas supply is connected to the machine.
Check the pressure on the (optional) gauges* on the front of the
machine.
Connect the reserve O₂ cylinder*.
* option
Contact your service department.
Apnea Opens in VENT status.
Actuates if the multigas module has not registered a respiration
within the last 20 seconds.
NOTE! The multigas module must have first registered a CO₂
curve for the patient.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Look for "valid CO₂ curve"
Look for "mask secure."
Look for "valid tube placement"
Check whether hoses, sample tube (clear), and patient hoses are
occluded.
Check the water trap. (Remove the water trap and reconnect, or
replace.)
Apnea more than 60 sec. Opens in MAN and VENT status.
Actuates if the multigas module has not registered a respiration
within the last 60 seconds.
NOTE! The multigas module must have first registered a CO₂
curve for the patient.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Look for "valid CO₂ curve"
Look for "mask secure"
Look for "valid tube placement."
Check whether hoses, sample tube (clear), water trap, and pa-
tient hoses are occluded. Check the water trap. (Remove the wa-
ter trap and reconnect, or replace.)

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Auxiliary fresh gas outlet Opens in STBY or MAN status.

activated Actuates when the auxiliary fresh gas outlet is activated.
The switch is set to "ON".
Appears as a text message until switched off—i.e. until the switch
is set to "OFF".
The fresh gas possibly going through a vaporizer.
Accompanied by a single "beep."

Try to change to internal fresh gas flow by turning off the

auxiliary fresh gas outlet — turn the switch to "OFF".
If returning to "Circle system" is not possible, contact your service
department.
B
Breathing system Opens in STBY or MAN status.
disconnected Actuates if the integrated breathing system is not attached to the
breathing system base or when the handle is loosened.
NOTE! The ventilator cannot be started during the alarm.
Accompanied by a single "beep."

Check whether the integrated breathing system is fastened to the

base as required.
Check whether the handle is locked into the base.
If the message persists, contact your service department.
C
Change flow sensor to Ped. Opens in VENT status.
Actuates during automatic ventilation when the flow sensor is set
to Adult and the measured expired tidal volume has been less
than 100 mL for the last 60 seconds.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Switch the flow sensor to Pediatric and define this in the Spirome-
try menu:
Setup Menu > Spirometry > Sensor > Ped.
D
Disconnection Opens in VENT status.
Actuates if the machine has not registered a pressure variation in
the breathing system within the last 15 seconds.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the breathing system, hoses, tubing, and so on are
properly connected.

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APPENDIX A

E
EGM battery low Actuates when the charge in the built-in battery is too low to en-
sure proper performance of the electronic gas mixer and multigas
module.
Subsequently, the message "EGM battery shutdown" can appear
on the display; after about 20 seconds, the machine automatically
shuts down.
The alarm sound CANNOT be cancelled.

Check whether the machine is correctly plugged into the power

supply.
Check the power supply inlet switch on the rear of the machine.
Consider contacting your service department.
NOTE! The machine cannot be used until the battery is recharged
to a safe level.
Exp. AA% Low Actuates when the measured expired AA% is lower than the
alarm threshold.
Normally not selected.
Accompanied by a single "beep."

Check the vaporizer settings.

Check the sample hose and water trap (and replace, if needed).
Consider changing the fresh gas flow settings.
Consider changing the alarm threshold settings.
Consider changing the alarm threshold to "OFF."
Exp. CO2 High Opens in MAN and VENT status.
Actuates when the multigas module has registered respiration
and the measured concentration exceeds the set alarm thres-
hold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the fresh gas flow settings.
Check the ventilation settings.
Check the absorber.
Check the yellow valve flaps in the breathing system.
Check the patient status.
If use of mask ventilation during MAN status is causing the CO2
curve to be unstable, consider using the "CO2 alarms OFF" function.
Consider changing the alarm threshold settings.

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 APPENDIX A

Exp. CO2 Low Opens in MAN and VENT status.

Normally not selected.
Actuates when the multigas module has registered respiration
and the measured concentration is lower than the set alarm
threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the fresh gas flow settings.
Check the ventilation settings.
Check the patient status.
If use of mask ventilation during MAN status is causing the CO2
curve to be unstable, consider using the "CO2 alarms OFF" function.
Consider changing the alarm threshold settings.
Exp. O2% High Opens in MAN and VENT status.
Normally set to off.
Actuates when the multigas module has registered respiration
and the measured concentration exceeds the set alarm threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the fresh gas flow settings.
Check the sample hose and water trap (and replace, if needed).
Check the patient status.
Consider changing the alarm threshold settings.
Exp. O2% Low Opens in MAN and VENT status.
Actuates when the multigas module has registered respiration
and the measured concentration is lower than the set alarm
threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the fresh gas flow settings.
Check the sample hose and water trap (and replace, if needed).
Check the patient status.
Consider changing the alarm threshold settings.

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APPENDIX A

Expired minute volume Only opens if a volume monitor is installed.

High Actuates when the measured expired minute volume exceeds the
high alarm threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the machine's flow sensor settings and whether the
correct sensor is being used and is properly positioned.
Check whether the minute volume alarm thresholds are correct
with respect to the desired minute volume.
Expired minute volume Only opens if a volume monitor is installed.
Low Actuates when the measured expired minute volume is lower
than the low alarm threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the machine's flow sensor settings and whether the correct
sensor is being used and is properly positioned.
Check whether the minute volume alarm thresholds are correct
with respect to the desired minute volume.
F
Fresh gas flow high Opens in VCV or SIMV status.
Actuates when the set fresh gas flow is too high with respect to
the set tidal volume. (Most often actuates with young children.)
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Consider changing (reducing) the set fresh gas flow.
Consider changing (increasing) the set tidal volume.

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 APPENDIX A

G
Gas module is in standby Opens in STBY or MAN status.
mode Actuates when the multigas module has not registered a fresh gas
flow and respiration rate for 10 minutes.
Accompanied by a single "beep."

Displayed in the airway-pressure curve field as a text message.

Open the fresh gas flow or start the ventilator to reactivate the
multigas module.
Gas module out of order Actuates if the multigas module is not responding and there are
no gas concentration measurements taking place.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the water trap. (Remove the water trap and reconnect, or
replace.)
Check whether the sample tube is occluded. (If needed, replace
sample tube.)

To restart the multigas module:

Press the Setup Menu field, then select Gas meas. setup and Gas
module restart.
If the message persists, contact your service department.
Gas module Red, Actuates if the multigas module has detected a system error.
­correctable The measured gas concentrations cannot be used.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the water trap. (Replace)
Check whether the sample tube is occluded. (Change tube.)
To restart the multigas module:
Press the Setup Menu field, then select Gas meas. setup and se-
lect Gas module restart.
If the message persists, contact your service department.
I
Insp. AA% High Opens in MAN or VENT status.
Actuates when the Insp. AA% measured by the multigas module
exceeds the "Insp. AA% High" alarm threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the fresh gas flow settings and vaporizer settings. Check
the sample hose and water trap (and replace, if needed).
Consider changing the alarm threshold settings.

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APPENDIX A

Insp. AA% Low Actuates when the Insp. AA% measured by the multigas module
is lower than the "Insp. AA% Low" alarm threshold.
Normally not selected.
Accompanied by a single "beep."

Check the fresh gas flow settings and vaporizer settings. Check
the sample hose and water trap, and replace, if necessary. Consi-
der changing the vaporizer settings or alarm thresholds.
Consider changing the alarm threshold to "OFF."
Insp. CO2 High Opens in MAN and VENT status.
Actuates when the multigas module has registered respiration
and the measured concentration exceeds the set alarm threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the set fresh gas flow.
Check the absorber.
Check the patient status.
Consider changing the alarm threshold settings.
Insp. CO2 Low Opens in MAN or VENT status.
Normally not selected.
Actuates when the multigas module has registered respiration
and the measured concentration is lower than the set alarm
threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the set fresh gas flow.
Check the patient status.
Check the water trap.
Consider changing the alarm threshold settings.
Consider changing the alarm threshold to "OFF."
Insp. N2O% High Opens in MAN or VENT status.
Actuates when the multigas module has registered respiration
and the measured concentration exceeds the upper alarm thres-
hold.
NOTE! The alarm sound CANNOT be cancelled.

Check the set fresh gas flow.

Check the sample hose and water trap, and replace, if necessary.
If the message persists, contact your service department.

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Insp. O2% High Opens in MAN or VENT status.

Normally not selected.
Actuates when the multigas module has registered respiration
and the measured concentration exceeds the set alarm threshold
or if O2% measured by the external O2 sensor exceeds the upper
alarm threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the set fresh gas flow.
Check the water trap.
Consider changing the alarm threshold settings.
Insp. O2% Low Opens in MAN or VENT status.
Actuates when the multigas module has registered respiration
and the measured concentration is lower than the set alarm
threshold or if O2% measured by the external O2 sensor is lower
than the lower alarm threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the set fresh gas flow.
Check the water trap.
Consider changing the alarm threshold settings.
Insp. pressure not obtained Opens in PRVT and PCV mode.
Actuates when the measured maximum airway pressure is lower
than the desired inspiratory pressure.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
This could be caused by a full bellows in the bag-in-bottle system.
Check whether the breathing system, hoses, tubing, and so on are
properly connected.
Consider changing the tidal volume, Insp. pressure, and respira-
tory rate.
Consider changing the ventilation mode (particularly VCV).
Invalid O2 sensor offset on Actuates when the multigas module cannot calibrate the sensor
gas module used to measure O2.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
To recalibrate the O2 fuel-cell sensor:
Press the Setup Menu field, then select Gas meas. set-up and Gas
module restart.
If the message persists, contact your service department.

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APPENDIX A

M
Machine closing down Opens in STBY or MAN status.
Actuates when the front-panel ON/OFF switch is pressed.
The machine shuts down after 20 seconds.
All settings, Trend data, and Alarms are reset (deleted).
Accompanied by a single "beep."

To cancel - shutdown, press the ON/OFF switch again within this

20-second interval.
Mains power failure Actuates when the mains power supply to the machine is inter-
rupted during use.
NOTE! The battery supplies power for approximately 90 minutes.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the machine is correctly plugged into the power
supply.
Check the mains power supply inlet switch on the rear of the ma-
chine.
If the message persists, contact your service department.
Measured TV too high Only opens when a volume monitor was selected via the flow
­sensor.
Actuates when the measured tidal volume exceeds 2000 mL
(adult sensor) and 500 mL (pediatric sensor).
Accompanied by a single "beep."

Check whether the correct flow sensor is being used.

Check whether the spirometry hose (yellow) is constricted or oc-
cluded (consider moisture). Replace if necessary.
N
N2O fresh gas flow out of Actuates if the measured N₂O fresh flow (displayed as a bar
control graph) does not match the set flow.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the pressure on the gauges* on the front of the machine.
* option Consider contacting your service department.
N2O pressure is low Actuates when the N₂O inlet pressure to the machine is lower
than 2.5 hPa (cmH2O).
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the gas supply is connected to the machine.
Check the pressure on the gauges* on the front of the machine.
Connect the reserve O₂ cylinder*.
Consider contacting your service department
* option

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 APPENDIX A

O
Occlusion Actuates when the multigas module cannot create a sample flow.

The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the sample tube is occluded. (Change tube, if
necessary.)
Check the water trap. (Empty the water trap, if possible, or
replace.)
Press Exp. CO₂ to restart the sample pump (if the alarm has been
active for more than one minute).
If the message persists, contact your service department.

NOTE! Replace water trap:

Multigas module type A: at least every third month
Multigas module type B: at least once monthly
(can be emptied).
O2 flow is critically low Actuates when the O₂ fresh gas flow set to less than 0.30 L/min.
The message remains displayed until the O₂ fresh gas flow is
changed to at least 0.30 L/min.
Accompanied by a single "beep."

Consider changing the O2 fresh gas flow to at least 0.30 L/min.

O2 pressure is low Actuates when the O₂ inlet pressure to the machine is lower than
2.5 hPa (cmH2O).
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the gas supply is connected to the machine.
Check the pressure on the gauges* on the front of the
machine.
Connect the reserve O₂ cylinder*.
* option Contact your service department
P
PSV backup mode activated Opens in PSV mode.
Actuates if the patient has not activated an inspiratory trigger be-
fore the "PSV backup" period expires.

NOTE! The ventilator automatically switches to PCV mode.

Accompanied by a single "beep."

Consider returning to PSV mode if the patient is breathing inde-

pendently.
Consider changing the settings within PSV mode.
Consider changing the ventilation mode.

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APPENDIX A

R
Resp. rate High Opens in MAN or VENT status.
Actuates when the multigas module has registered respiration
and the measured respiration rate exceeds the set alarm thres-
hold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the patient status.
Check the ventilator settings.
If use of mask ventilation during MAN status is causing the CO2
curve to be unstable, consider using the "CO2 alarms OFF"
function.
Check the sample tube and water trap and replace, if necessary.
Consider changing the alarm threshold settings.
Required Insp. pressure is Opens in PRVT mode.
too high Actuates when the ventilator registers that an inspiratory pres-
sure greater than 67 hPa (cmH2O) is required to reach the set ti-
dal volume.

NOTE! This requires the "high-pressure alarm" threshold to be set

above 72 hPa (cmH2O).
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Try to find the cause, such as:
• Occluded tube, hoses, etc.
• Patient status
• Surgical pressure
Required Insp. pressure is Opens in PRVT mode.
too low Actuates when the ventilator registers that an inspiratory pres-
sure less than 4 hPa (cmH2O) is required to reach the set tidal
volume.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Consider changing the tidal volume and respiratory rate.
Consider changing the ventilation mode. Possibly PCV or VCV.

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Required Insp. pressure is Opens in PRVT mode.

too close to high-press Actuates if the inspiratory pressure required to reach the set tidal
alarm volume is less than 5 hPa (cmH2O) from the high airway-pressure
alarm threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Consider changing the high-pressure threshold settings or look for
the cause, such as:
• Occluded tube, hoses, etc.
• Patient status
• Surgical pressure
Consider changing the ventilation mode. Possibly PCV or VCV.
Required support pressure Opens in VSV mode.
is too high Actuates if the support pressure required to reach the set tidal
volume in VSV mode is higher than 50 hPa (cmH2O).
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Consider changing the alarm threshold settings or look for the
cause, such as:
• Occluded tube, hoses, etc.
• Patient status
• Surgical pressure
Consider changing the ventilation mode.
Required support pressure Opens in VSV mode.
is too low Actuates if the support pressure required to reach the set tidal
volume is less than 4 hPa (cmH2O).
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Consider increasing the tidal volume.
Consider changing the ventilation mode.
Resp. rate Low Opens in MAN or VENT status.
Actuates when the multigas module has registered respiration
and the measured respiration rate is lower than the set alarm
threshold.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check the patient status.
Check the ventilator settings.
If use of mask ventilation during MAN status is causing the CO2
curve to be unstable, consider using the "CO2 alarms OFF"
function.
Check the sample tube and water trap and replace, if necessary.
Consider changing the alarm threshold settings.

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APPENDIX A

S
Sample cell pressure Actuates when the multigas module measures a pressure that is
too high or too low.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the sample tube is occluded. (Replace, if
necessary.)
Check the water trap. (Empty the water trap, if possible, or
replace.)
Press EXP. CO₂ to restart the sample pump (if the alarm has been
active for more than one minute).
If the message persists, contact your service department.

NOTE! Replace water trap:

Multigas module type A: at least every third month
Multigas module type B: at least once monthly (can be emptied).
Sample flow rate error on Actuates when the multigas module measures a sample flow that
gas module is too high or too low.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the sample tube is occluded.
(Replace, if necessary.)
Check the water trap. (Empty the water trap, if possible, or
replace.)
Press EXP. CO₂ to restart the sample pump (if the alarm has been
active for more than one minute).
If the message persists, contact your service department.

NOTE! Replace water trap:

Multigas module type A: at least every third month
Multigas module type B: at least once monthly (can be emptied).

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 APPENDIX A

Secondary agent at Insp./ Actuates automatically when the use of two agents is selected.
Exp. The agent with the lower concentration is designated the "se-
condary agent. "Displayed in the CO₂ curve field as a text mes-
sage.
For example, Sevoflurane initially and Isoflurane for maintenance.

Detection of HAL as a secondary agent might be due to expiration

of methane by the patient.
Accompanied by a single "beep".

Consider increasing the fresh gas flow settings

System pressure Opens in VENT status.

Actuates when the difference between the ventilator pressure to
the bag-in-bottle system and airway pressure in the breathing sy-
stem exceeds 15 hPa (cmH2O).
The ventilator directly enters into expiration phase.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Try to find the cause, such as:
• Occluded hose
• Whether the inspiratory valve is opening correctly (visually in-
spect the valve).
Check whether the bellows is full.
Consider contacting your service department.
V
Ventilator system pressure Opens in VENT status.
high Actuates when the ventilator pressure to the bag-in-bottle system
is more than 10 hPa (cmH2O) higher than the high-pressure alarm
threshold. This could be caused by an empty bellows in the bag-
in-bottle system.
NOTE! The ventilator automatically switches to expiration in con-
sideration of patient safety
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Consider changing the high-pressure threshold settings.
Try to find the cause, such as
• Occluded tube, hoses, etc.
• Patient status
• Surgical pressure
Consider changing the tidal volume and respiratory rate.
Consider changing the ventilation mode.

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APPENDIX A

Ventilator battery low Opens in VENT status.

Actuates if the charge in the built-in ventilator battery is too low
to ensure proper performance.
In addition, a "Ventilator closing down" message is displayed, and
the ventilator automatically goes into MAN status.

NOTE! The ventilator cannot be used until the battery is

recharged to a safe level.
The alarm sound CANNOT be cancelled.

Check whether the machine is correctly plugged into the power

supply.
Check the mains power supply inlet switch on the rear of the
machine.
Consider contacting your service department.
Ventilator drive gas low Opens in VENT status.
Actuates when the inlet pressure to the ventilator is less than
2.5 hPa (cmH2O).
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the gas supply is connected to the machine.
Check the pressure on the gauges* on the front of the
machine.
Connect the reserve O₂ cylinder*.
* option Contact your service department.
Ventilator fan stopped Opens in VENT status.
Actuates if the lower fan on the rear of the machine stops.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the filter is compacted with dust.
Remove the filter from the front of the fan and check whether the
fan is working.
If the message persists, contact your service department.
Ventilator out of order This alarm means that the ventilator is not responding.

When the alarm is active, the ventilator exits automatic ventila-

tion and puts the machine in MAN status.
The patient then requires manual ventilation. Fresh gas flow can
be dosed and all gas measurements continue.
The alarm sound CANNOT be cancelled.

Turn the machine off and on.

Contact your service department.

132 IntelliSave AX700
 APPENDIX A

Ventilator mains power Opens in VENT status.

failure Actuates if the mains power supply to the ventilator is interrupted
during use.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the machine is correctly plugged into the power
supply.
Check the mains power supply inlet switch on the rear of the
machine.
Consider contacting your service department.
Ventilator stopped due to Opens in VENT status.
auxiliary fresh gas outlet Actuates when the auxiliary fresh gas outlet activates to position:
activation "ON".
Automatic ventilation is not available. The ventilator stops and
enters MAN status.
The fresh gas is flowing through a possibly vaporizer.
The text remains displayed until switched off again.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Try to change back to the internal fresh gas flow by turning off the
auxiliary fresh gas outlet to position: "OFF".
If you cannot return to the Circle system, contact your service
department.
Ventilator stopped due Opens during automatic ventilation.
to breathing system Actuates when the integrated breathing system (IBS) is discon-
disconnected nected following a self-test.
Status changes to MAN.
The alarm sound can be disabled for 120 seconds by pressing the
"Cancel Alarms" field.
Check whether the integrated breathing system (IBS) is fastened
to the base as required.
Check whether the handle is locked into the base.
Try restarting the ventilator in the desired mode.
If the message persists, contact your service department.
Ventilator system failure Opens in VENT status.
Actuates when the ventilator registers an internal error.
The ventilator automatically switches to MAN status.
Note! The alarm sound CANNOT be cancelled.

Turn the machine off and on.

Consider contacting your service department.

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APPENDIX A

VSV backup mode Actuates when the ventilation is in VSV mode and the patient has
activated, switching not made a volume-supported breath before the VSV backup
to VCV time has ended.
Actuation of this alarm automatically switches the machine to
VCV mode.
The alarm disappears when "Cancel Alarms" is pressed.

Consider whether the patient has sufficient spontaneous respira-

tion to use VSV mode and whether the backup time is correctly
set.
Consider switching back to VSV mode.

134 IntelliSave AX700
 APPENDIX B

Appendix B
Self-test messages
Text messages Trouble shooting
5 L/min Air fresh gas flow not achieved οο Check the Air supply or gas mixer.
οο Check whether the gas supply is connected to the
machine.
οο Check the pressure on the gauges* on the front of the
* option machine.
οο Contact your service department.
5 L/min N₂O fresh gas flow not achieved οο Check the N₂O gas supply or gas mixer.
οο Check whether the gas supply is connected to the ma-
chine.
οο Check the pressure on the gauges* on the front of the
machine.
* option οο Connect the reserve N₂O cylinder*.
οο Contact your service department.
5 L/min O2 fresh gas flow not achieved οο Check the O2 gas supply or gas mixer.
οο Check whether the gas supply is connected to the ma-
chine.
οο Check the pressure on the gauges* on the front of the
machine.
* option οο Connect the reserve O₂ cylinder*.
οο Contact your service department.
APL valve at pat. circuit above 45 hPa οο Check the APL valve.
(cmH2O) οο The breathing system pressure is higher than expected.
οο The machine will not continue testing until the situation
is remedied.
οο Further test steps require accurate measurement.
οο Check the APL valve settings and performance.
οο If the message persists, contact your service depart-
ment.

IntelliSave AX700 135
APPENDIX B

Text messages Trouble shooting

APL valve at pat. circuit below 25 hPa οο Check APL valve and resp. bag.
(cmH2O) οο Unable to build up the necessary pressure in the
breathing system to complete the test program.
οο The machine will not continue testing until the situation
is remedied.
οο The test routine indicates leakage in the APL valve or ven-
tilation bag; or possibly the hose to the ventilation bag.
οο If the message persists, contact your service depart-
ment.
EGM battery low οο Contact your service department.
Insp. valve does not close or out of οο Press to repeat the test or call a technician.
calibration οο Can occur during startup when the system is testing valve
performance.
οο The machine will not proceed to the FULL self-test. If the
message persists, contact your service department.
Leakage in BAG system too high (pressure οο Check the ventilator bag and inlet hose.
below 10 hPa (cmH2O)) οο Check the APL valve.
οο If the message persists, contact your service depart-
ment.
Leakage in bag-in-bottle system too high οο Check the absorber. Try removing and reattaching the ab-
sorber until it clicks (consider replacing the absorber).
οο Check the breathing system (particularly the changeover
valve (valve A)).
Leakage in VENT system XXXX mL/min. οο Check the connections, hoses, and filters.
(over 1000 mL/min) οο Check the absorber.
οο Try removing and reattaching the absorber until it clicks
(consider changing absorber).
οο Check the breathing system (particularly the bellows,
membrane, APL, and other valves).
οο If the message persists, contact your service depart-
ment.
Leakage in VENT system XXX mL/min. οο It is possible to accept the leakage and proceed with the
­Accept: Yes/No (leakage between test.
100 and 1000 mL/min) οο Check the connections, hoses, and filters.
οο Check the absorber. Try removing and reattaching the
absorber until it clicks. (Consider changing absorber).
οο Check the breathing system (particularly the bellows,
membrane, APL, and other valves).
οο If the message persists, contact your service depart-
ment.

136 IntelliSave AX700
 APPENDIX B

Text messages Trouble shooting

Leakage too high οο Check the connections, hoses, and filters.
οο Check the absorber. Try removing and reattaching the ab-
sorber until it clicks. (Consider changing absorber).
οο Check the breathing system (particularly the mem-
brane).
οο If the message persists, contact your service depart-
ment.
Pressure reading faulty οο Check spill-valve membrane in the bag-in-bottle.
­(higher than 4.5 hPa (cmH2O)) οο Unable to build up the necessary pressure in the
breathing system to complete the test program.
οο The machine will not continue testing until the situation
is remedied.
οο The test routine indicates the spill-valve membrane.
οο The spill-valve membrane cover could be incorrectly
closed or misaligned, or the O-ring could be damaged.
οο If the message persists, contact your service depart-
ment.
Pressure reading faulty, 30 hPa (cmH2O) not οο Check whether the breathing system is correctly
obtained mounted.
οο Unable to build the pressure in the breathing system up
to 30 hPa (cmH2O) for testing compliance.
οο The machine will not continue testing until the situation
is remedied.
οο The test routine indicates the breathing system connec-
tion.
οο Check that the test adaptor is fitted with a Y-piece with
filter.
οο Check that the breathing system lock handle is correctly
secured in place.
Pressure reading faulty (higher than 5 hPa οο Check the spill-valve membrane in the bag-in-bottle or
(cmH2O)) during Exp.) the PEEP valve.
οο Occurs during warm-up when the system is testing valve
performance.
οο The machine will not proceed to the FULL self-test.
οο Check the spill-valve membrane in the breathing system.
οο If the message persists, contact your service depart-
ment.

IntelliSave AX700 137
APPENDIX B

Text messages Trouble shooting

Pressure reading faulty (less than 1.5 hPa οο Check whether the bellows is full and that the spill-valve
(cmH2O)) membrane is correctly installed.
οο Unable to build up the necessary pressure in the
breathing system to complete the test program.
οο The machine will not continue testing until the situation
is remedied.
οο The test routine indicates the spill-valve membrane. The
spill-valve membrane can be inverted, i.e. with the metal
component face down.
Pressure reading faulty (20 hPa (cmH2O)) not οο Same message for both Exp. valve and PEEP valve.
obtained during Insp.) οο Check bag-in-bottle and breathing system
Self-test bypassed οο Appears if the operator has bypassed the self-test by
pressing "Main Screen."
οο This should only be used in an emergency.
οο To start a new test: Press Setup Menu > Self-test > FULL
test.
System compliance too high (>10.0 mL/hPa) οο Check the bellows and hoses in the breathing system.
οο Unable to build the pressure in the breathing system up
to 30 hPa (cmH2O) for testing compliance.
οο The machine will not continue testing until the situation
is remedied.
οο The test routine indicates the breathing system assem-
bly.
οο There may be too much elasticity in the breathing system
hoses; compliance cannot be compensated.
System compliance too low (<2.0 mL/hPa) οο Check whether the breathing system is correctly
mounted.
οο Unable to build the pressure in the breathing system up
to 30 hPa (cmH2O) for testing compliance.
οο The machine will not continue testing until the situation
is remedied.
οο The test routine indicates the breathing system connec-
tion.

138 IntelliSave AX700
 APPENDIX B

Text messages Trouble shooting

System pressure fault οο Check bag-in-bottle and breathing system.
οο Actuates when the difference between the ventilator
pressure to the bag-in-bottle system and airway pressure
in the breathing system exceeds 15 hPa (cmH2O).
οο The machine will not continue testing until the situation
is remedied.
οο Try to find the cause, such as:
a) Occluded hose
b) Inspiratory valve is opening incorrectly – visually in-
spect the valve
οο Consider contacting your service department.
Ventilator battery low οο Contact your service department.

IntelliSave AX700 139
APPENDIX B

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140 IntelliSave AX700
 ALPHABETICAL INDEX

10. Alphabetical index
A D
Absorber 7, 8, 26 Daily test completed 39
Absorber chamber 102 Description 8
Absorber lid 102 Desflurane 112
Accessories 103 Detection 56
Additional ventilator settings 50
E
Adult flow sensor 29
EGM 80
AGSS 107
EGM battery low 81
Airway pressure high alarm 37
EGM electronic gas mixer alarms 80
Alarm limits for expired minute volume 72
EGM fan stopped 80
Alarm menu 69
Electronic electronic gas mixer alarms 80
Alarm menu structure 78
Electronic gas mixer 33, 107
Alarms 79
Electronic gas mixer battery 81
Alarms & Messages 117
Electronic gas mixer battery low 81
Alarms, overview 93
Electronic gas mixer default settings 42
Alarms, system-related 94
Electronic gas mixer, operation of 40
Anesthesia Gas Scavenging System (AGSS) 23
Emergency fresh gas 39
Anesthesia machine IntelliSave AX700 front view 19
Enflurane 112
Anesthesia machine IntelliSave AX700 rear view 20
Expired minute volume low/high alarm 37
Anesthetic agent 58, 106
Explosion hazard 14
APL valve 19, 33, 109
External breathing system 23, 27
Apnea 87, 88
External O2 fuel-cell sensor (optional) 103
Appendix B 135
External patient flow sensor (optional) 103
Assembling the integrated breathing system 100
Auxiliary O2 test 38 F
Factory trend-table settings 67
B
Flow columns 40
Bag-in-bottle 7
Flow diagram 12
Batteries 31, 81, 105
Flow marker 23
Bellows 19
Flow values 40
C Flushing through the breathing system body 99
Carrier gas 60 Fresh gas flow 107
Cautions 16 Fuel-cell sensor 109
Changing the carrier gas 41 FULL self-test 32, 42
Chemical disinfection 97 Function 19
Cleaning, anesthesia machine 98 Function test 31
Cleaning the patient breathing system (IBS) 98
Clock 64
CO2 absorbent, replacement of 27
CO2 alarms 70
CO2 curve 58
Compliance 9, 56
Consumables 103
Cross-interference 109

IntelliSave AX700 141
ALPHABETICAL INDEX

G O
Gas measurement alarms 70, 71 O2/Air/N2O fresh gas flow is out of control 80
Gas measurements 57 O2 alarm 37
Gas measurement setup 64 O2 % calibration 63
Gas module error 92 O2 flush 37
Gasses 106 O2 fuel-cell sensor 30, 36
Gas supply 7 O2 fuel-cell sensor kit; part no. 10967-85 30
Gas usage 68 O2 monitor test 36
O2 sensor lifetime 109
H
ON/OFF switch 19
High expired minute volume alarm 109
Operation 25
High-pressure alarm 50
Operation of the electronic gas mixer 40
HLM mode 73
Operation of the stopwatch 42
I Operation of the ventilator 43
IBS patient system 25 Operator setup 10
IBS patient system, components of 100 Overview of alarms 93
I:E ratio 48
P
Inspiratory flow 9, 48
Patient data 59
Inspiratory pressure 49
Patient flow sensor 29
Integrated breathing system (IBS) parts 100
Patient-related alarms 93
i-SORB reusable absorber components 102
Patient safety 14
L Patient suction test 38
LC self-test 35, 53 PCV mode 45
Low expired minute volume alarm 109 Pediatric flow sensor 29
PEEP 49
M
Performance 9
Machine closing down 92
Power failure alarm 37
MAC values 58
Pressure measurements 56
Main screen if multigas module is installed 21
PRVT mode 46
Maintenance 97
PSV mode 45
Maintenance and cleaning 97
PSV/SIMV trigger point 51
Manufacturer's liability 10
PSV/VSV backup periods 52
Measured parameters 108
PSV/VSV settings 108
Measurements 55
PSV/VSV trigger point 51
Menu structure 74
Minute volume 84 R
Multigas module 36 Refilling the absorber 101
Multigas module alarms 87 Replacing the CO2 absorber 27
Multigas module (optional) 103 Reset settings & data 65
Multigas module water trap 28 Respiration rate 48, 108
Respiration rate measurement 56

142 IntelliSave AX700
 ALPHABETICAL INDEX

S U
Safety precautions 13 User menus 59
Self-test 60 User setup 10
Self-test data 68
V
Self-test messages 135
Vaporizer 19, 38
Service 65
Vaporizer test 38
Set machine to standby 52
VCV mode 43
Set parameters 108
Ventilation, automatic, starting 52
Setting the fresh gas flow 40
Ventilation mode (controlled) 108
Setup menu 59
Ventilation modes 43
Setup menu structure 74
Ventilator 107
SIMV mode 43
Ventilator alarms 81
SIMV settings 108
Ventilator battery low 83
Spirometry 61
Ventilator, default setting 53
Standby, entering into 52
Ventilator, operation of 43
Start automatic ventilation 52
Vent. Settings 62
Stop automatic ventilation 52
Volume measurements 55
Support pressure 49
Volume monitor (optional) 109
Symbols 17
VSV mode 47
System alarms 91
System-related alarms 94, 95 W
Warnings 13
T
Technical data 105
Test of internal switches 39
Test of reserve gas cylinders 37
Test sequence 1 – System and valves 33
Test sequence 2 – Gas-mixer test 33
Test sequence 3 – BAG filling 33
Test sequence 4 – Compliance and leakage, VENT
33
Test sequence 5 – Leakage, BAG 34
Test sequence 6 – Leakage BAG/VENT valve, Exp.
valve and PEEP valve 34
Test sequence 7 – Test completed 35
Test sequences 32
Tidal volume 48
Tidal volume/Minute volume 48
Touch screen 19, 21, 22
Touch screen out of order 92
Trend menu 66
Trend menu structure 77
Two types of multigas modules can be installed into
the machine 57

IntelliSave AX700 143
ALPHABETICAL INDEX

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144 IntelliSave AX700
 Conformity according to the
Council Directive 93/42EEC
0459 concerning Medical Devices.
10620GB-90 50 10.2012

Philips Healthcare, Anesthesia Care

Dameca a·s, Islevdalvej 211, DK-2610 Roedovre, Denmark
Phone: +45 4450 9990, Fax: +45 4450 9999
info.ac@philips.com
© 2012 Philips Philips reserves the right to modify technical specification and design without prior notice