Aespire 7900

3.1 Ventilator post-service checkout

After servicing the Aestiva 7900 Ventilator, run the service menu tests that
are pertinent to the components replaced. Perform calibration on flow
sensors, pressure sensitivity, flow valve and bleed resistor.
Then, complete the checkout procedure for the entire machine in the following
sections.

3.2 Inspect the system

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

w WARNING Do not leave gas cylinder valves open if the pipeline supply is in use.
Cylinder supplies could be depleted, leaving an insufficient reserve
supply in case of pipeline failure.
Before testing the system, ensure that:
• The equipment is not damaged.
• Components are correctly attached.
• The breathing circuit is correctly connected, not damaged.
• Pipeline gas supplies are connected.
• Cylinder valves are closed.
• Models with cylinder supplies have a cylinder wrench attached to the
system.
• Models with cylinder supplies have a reserve supply of O 2 connected to
the machine during system checkout.
• The casters are not loose and the brakes are set and prevent movement.
• The power cord is connected to a wall outlet. The mains indicator comes
on when AC Power is connected.

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3.3 Pipeline and cylinder tests

w CAUTION To prevent damage:
• Open the cylinder valves slowly.
• Do not force the flow controls.
If your system does not use cylinder supplies, do not do steps 2 and 3.
1. Disconnect the pipeline supplies and close all cylinder valves (if
equipped). If the pipeline and the cylinder pressure gauges are not at zero,
bleed all gasses from the system.
a. Connect an O2 supply.
b. Set the system switch to On.
c. Set the flow controls to mid range.
d. Make sure that all gauges but O2 are at zero.
e. Disconnect the O2 supply.
f. Make sure that the O2 gauge goes to zero. As pressure decreases,
alarms for low O2 supply pressure should occur.
2. Make sure that the cylinders are full:
a. Open each cylinder valve.
b. Make sure that each cylinder has sufficient pressure. If not, close the
applicable cylinder valve and install a full cylinder.
3. Test one cylinder at a time for high pressure leaks:
a. Set the system switch to Standby, which stops the O2 flow.
b. If equipped, turn the auxiliary O2 flow control fully clockwise (no flow).
c. If equipped, turn off venturi derived suction.
d. Open the cylinder.
e. Record the cylinder pressure.
f. Close the cylinder valve.
g. Record the cylinder pressure after one minute. If the pressure
decreases more than 690 kPa (100 psig), there is a leak.
Install a new cylinder gasket and do this step again.
h. Repeat step 3 for all cylinders.

w WARNING Do not leave gas cylinder valves open if the pipeline supply is in use.
Cylinder supplies could be depleted, leaving an insufficient reserve
supply in case of pipeline failure.
4. Connect the pipeline supplies one at a time and ensure that the
corresponding gauge indicates pipeline pressure.

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3.4 Flow control tests

w WARNING Nitrous oxide (N2O) flows through the system during this test. Use a safe
and approved procedure to collect and remove it.
1. Set up the gas scavenging system.
a. Connect the AGSS to a gas scavenging system.
b. Attach a patient circuit to the breathing system; do not plug the patient
port.
w WARNING: Nitrous oxide (N2O) flows through the system during
this test. Use a safe and approved procedure to collect and remove it.
c. Attach a bag to the bag port (or plug the bag port).
d. Set the Bag/Vent switch to Bag.
e. Adjust the APL valve to minimum.
2. Connect the pipeline supplies or slowly open the cylinder valves.
3. Turn all flow controls fully clockwise (minimum flow).
4. Set the ACGO selector switch to ABS.
5. Turn on the system.
6. Confirm that the O2 sensor measures 21% in room air and 100% in pure
O2. If not, calibrate the O2 sensor.
7. Make sure that:
• For a dual-tube O2 flowmeter,
the O2 flowtube shows 0.025 to 0.075 L/min.
• For a single-tube O2 flowmeter,
the O2 flowtube shows 0.175 to 0.225 L/min.
• The other flowtubes show no gas flow.
8. Set the flow controls to mid range of each flowtube and make sure that the
flowtube floats rotate and move smoothly.
Note If the system does not include N2O, skip steps 9 and 10.
9. Check the Link proportioning system concentration (increasing N 2O flow).
Observe the following precautions:
a. Start with all valves at the minimum setting.
b. Adjust only the N2O flow control.
c. Increase the N2O flow as specified in the following table and make sure
the O2 concentration is in range.

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 3 Checkout Procedure

Note: Allow the O2 monitor to stabilize. At the lower flows, the O2

monitor may take up to 90 seconds to stabilize.
d. If you overshoot a setting, turn the O2 flow control clockwise until the
N2O flow decreases to the previous setting before continuing the test.

Set the N2O flow (L/min) Measured O2

0.15 (dual flowtubes only) 21% minimum
0.5 (dual flowtubes only) 21% minimum
0.8 21% to 30%
1.0 21% to 30%
2.0 21% to 30%
6.0 21% to 30%
9.0 21% to 30%

10.Check the proportioning system concentration (decreasing O 2 flow).

Observe the following precautions:
a. Start with N2O valve at the maximum setting.
b. Adjust only the O2 flow control.
c. Decrease the O2 flow as specified in the table and make sure the O2
concentration is in the allowed range.
Note: Allow the O2 monitor to stabilize. At the lower flows, the O2
monitor may take up to 90 seconds to stabilize.
d. If you overshoot a setting, turn the N2O flow control counterclockwise
until the O2 flow increases to the previous setting before continuing the
test.

Set the O2 flow (L/min) Measured O2

3.0 21% to 30%
2.0 21% to 30%
1.0 21% to 30%
0.3 21% to 30%

e. Turn the N2O flow control fully clockwise to minimum stop.

11. Check the linearity of the Air flow control.

Set the O2 flow Set the Air flow (L/min) O2 monitor range
(L/min)
4.0 3.0 61% to 71%
3.5 6.0 45% to 55%
1.5 8.0 28% to 38%

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3.5 Pressure relief test

To check the pressure relief valve (vaporizer manifold outlet).
1. Turn all flow controls fully clockwise (minimum flow).
2. Set the ACGO selector switch to ACGO.
3. Connect a gauge or a digital manometer to the
ACGO outlet using the positive pressure leak
test adapter.
4. Adjust the O2 flow to 0.5 L/min. Test
Adapter
5. Verify that the test device reading stabilizes
within the following range:
31–60 kPa, 230–450 mm Hg, 4.5–8.5 psi.
6. Remove the test device and the adapter.

3.6 O2 supply alarm test

1. Set all flow controls to 3 L/min.
2. Stop the O2 supply. (Disconnect the pipeline supply or close the cylinder
valve.)
3. Make sure that:
a. The low O2 supply alarm occurs.
b. The N2O (if equipped) and O2 flows stop. The O2 flow stops last.
c. Air (if equipped) flow continues.
d. Gas supply alarms occur on the ventilator if the ventilator uses O 2 as
the drive gas.
4. Turn all of the flow controls fully clockwise (minimum flow).
5. Reconnect the pipeline supplies.

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 3 Checkout Procedure

3.7 Flush flow test

1. Set the Bag/Vent switch to Vent.
2. Set the system switch to Standby.
3. Attach a patient circuit and plug the patient port.
4. Set the ACGO selector switch to ABS (Circle).
5. Ensure that the bellows is completely collapsed.
6. Measure the amount of time it takes to fill the bellows when the O 2 Flush
button is fully and continuously depressed.
7. Repeat the above measurement two more times (deflate bellows by
removing the plug from the patient port).
• The bellows should fill in 1.8 to 2.3 seconds.

Possible Causes of Failure • Large leak in breathing system (if long filling time).
• Flush regulator setting (Section 5.5).
• Flush regulator cross-connection (if long filling time).
• ACGO selector valve inlet cross-connection (if short filling time).

From To
O2 Supply O2 Flush Valve
(and optional Auxiliary O2 Flowmeter

O2 Flush Output

ACGO
Selector
Switch

From
Vaporizer Manifold

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Aespire 7900

3.8 Vaporizer back pressure test

w WARNING Anesthetic agent vapor comes out of the common gas outlet during this
test. Use a safe, approved procedure to remove and collect the agent.
1. Set up the gas scavenging system.
a. Connect the AGSS to a gas scavenging system.
b. Attach a patient circuit and plug the patient port.
c. Attach a bag to the bag port (or plug the bag port).
d. Set the Bag/Vent switch to Bag.
e. Adjust the APL valve to minimum.
2. Set the ACGO selector switch to ABS.
3. Set the system switch to On.
4. Set the O2 flow to 6 L/min.
5. Make sure that the O2 flow stays constant and the float moves freely.
6. Adjust the vaporizer concentration from 0 to 1% one click at a time. The O 2
flow must not decrease more than 1 L/min through the full range. If the O 2
flow decreases more than 1 L/min:
a. Install a different vaporizer and try this step again.
b. If the O2 flow decreases less than 1 L/min with a different vaporizer, the
malfunction is in the first vaporizer.
c. If the O2 flow also decreases more than 1 L/min with a different
vaporizer, the malfunction is in the Aespire system. Do not use the
system until it is serviced (repair vaporizer manifold port valve).
7. Complete steps 3 through 5 for each vaporizer and vaporizer position.
8. Set the system switch to Standby.

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3.9 Low-pressure leak test

Note Perform either the “Negative low-pressure leak test” or the “ISO or BSI
standard low-pressure leak test.” It is not necessary to perform both tests.

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

3.9.1 Negative low- 1. Test the leak test device:

pressure leak test a. Put your hand on the inlet of the leak test device. Push hard for a good
seal.
b. Squeeze the bulb to remove all air from the bulb.
c. If the bulb completely inflates in less than 60 seconds, replace the leak
max 280 cmH2O
test device.
2. Set the system switch to Standby.
3. Set the ACGO selector switch to ACGO.

ACGO Outlet
4. Turn off all vaporizers.
5. Test the anesthesia machine for low-pressure leaks:
a. Open the flow controls one and a half turns counterclockwise.
b. Connect the test device to the ACGO outlet.
c. Compress and release the bulb until it is empty.
d. The vacuum causes the floats to move. This is usual. If the bulb
completely inflates in 30 seconds or less, there is a leak in the low-
pressure circuit.
6. Test each vaporizer for low-pressure leaks:
a. Set the vaporizer to 1%.
b. Repeat step 5.
c. Set the vaporizer to OFF.
d. Test the remaining vaporizers.
7. Disconnect the test device.
8. Turn all flow controls fully clockwise (minimum flow). Do not over tighten.

w WARNING Agent mixtures from the low-pressure leak test stay in the system.
Always flush the system with O2 after the low-pressure leak test (1 L/min
for one minute).
Turn off all vaporizers at the end of the low-pressure leak test.
9. Flush the system with O2:
a. Set the system switch to On.
b. Set the O2 flow to 1 L/min.
c. Continue the O2 flow for one minute.
d. Turn the O2 flow control fully clockwise (minimum flow).
e. Set the system switch to Standby.

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3.9.2 ISO or BSI standard

low-pressure leak test

w CAUTION Do the positive pressure leak test at the ACGO outlet only.
1. Set the ACGO selector switch to ACGO.
2. Turn all flow controls fully clockwise (minimum flow).
3. Using the positive pressure leak test adapter, connect the ISO or BSI
specific leak test device to the ACGO outlet. Push the adapter into the
ACGO outlet throughout the test to get a good seal.

max 280 cmH2O

Leak Test Adapter

.5
1.5
1

.4
.5

.3

Test Device Test Device

L/min O2

2.5

.2
0

.1
kP

(Top View) (Front View)

a

3.5

4. Keep flowmeter of the test device vertical for accurate results.

5. Fully open the needle valve on the test device (counterclockwise).

w CAUTION If the needle valve is not fully open, this test can damage the pressure
gauge on the test device.
6. Set the system switch to On.

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 3 Checkout Procedure

7. Open the O2 flow control and set a total flow of 0.4 L/min through the
flowmeter on the test device.
8. Make sure that the pressure gauge on the test device reads zero and that
all other flow controls are fully closed.
9. Close the needle valve on the test device until the test gauge reads:
ISO 5358 3 kPa
BSI 4272.3 20 kPa

10.If the flow through the test device is less than

0.35 L/min (ISO) or
0.3 L/min (BSI),
there is a low pressure leak in the anesthesia machine.
11. Fully open the needle valve on the test device to decrease the back
pressure.
12.Test each vaporizer for low-pressure leaks:
a. Set the vaporizer to 1%.
b. Repeat steps 7 through 10.
c. Turn the vaporizer OFF.
d. Test the remaining vaporizers.
13. Remove test tool and adapter.

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

Turn all vaporizers OFF at the end of the low-pressure leak test.
14. Flush the system with O2:
a. Set the system switch to On.
b. Set the O2 flow to 1 L/min.
c. Continue the O2 flow for one minute.
d. Turn the O2 flow control fully clockwise (minimum flow).
e. Set the system switch to Standby.

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3.10 Alarm tests

1. Connect a test lung to the patient connection.
2. Set the Bag/Vent switch to Vent.
3. Set the system switch to On.
4. Set the controls:
• Ventilation Mode: Volume control (select from main menu)
• Ventilator:
- Tidal Vol: 400 ml
- Rate: 12
- I:E Ratio:1:2
- Plimit:40 cm H2O
- PEEP: OFF
• Anesthesia Machine:
- O2 flow: minimum flow
- All other gases: OFF
- ACGO selector switch to ABS
5. Push O2 Flush to fill the bellows.
6. Set the Bag/Vent switch to Bag and back to Vent.
7. Make sure that:
a. Mechanical ventilation starts.
b. A subatmospheric pressure alarm does not occur.
Note: With active gas scavenging, too much scavenging flow can cause
subatmospheric alarm.
c. The ventilator displays the correct data.
d. The bellows inflate and deflate during mechanical ventilation.
8. Set the O2 flow control to 5 L/min.
9. Make sure that:
a. The end expiratory pressure is approximately 0 cm H2O.
Note: Positive end expiratory pressure when PEEP is off may indicate
that the scavenging system is not removing enough gas.
b. The ventilator displays the correct data.
c. The bellows inflate and deflate during mechanical ventilation.
10. Test the low minute volume alarm:
a. Go to the alarms menu.
b. Set the alarm limit for low minute volume to 6.0 L/min.
c. Make sure that a low minute volume alarm occurs.
d. Go to the alarms menu.
e. Set the low minute volume alarm to OFF.

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 3 Checkout Procedure

11. Test the high airway pressure alarm:

a. Set Plimit to less than the peak airway pressure.
b. Make sure that the high airway pressure alarm occurs.
c. Set Plimit to correct level.
12. Test the low airway pressure alarm:
a. Turn all flow controls fully clockwise.
b. Remove the test lung from the patient connection.
c. Other alarms such as low minute volume can occur.
d. Make sure that the low airway pressure occurs.
13. Test the sustained airway pressure alarm:
a. Set the controls:
• APL valve — Closed (70)
• Bag/Vent switch — Bag
b. Mechanical ventilation stops when the Bag/Vent switch is set to Bag.
c. Occlude the bag port connector with a test plug.
d. Close the patient connection using the test plug located on the side of
the ABS and push the O2 Flush button.
e. Make sure that the sustained pressure alarm occurs after
approximately 15 seconds at the sustained pressure limit (6-30 cm
H2O varies with pressure limit).
14.Test the O2 monitor and alarms:
a. Remove the O2 sensor from the circuit module.
b. Make sure the sensor measures approximately 21% O2 in room air.
c. Set the low O2 alarm to 50%. Make sure a low O2 alarm occurs.
d. Set the low O2 alarm back to 21% and make sure that alarm cancels.
e. Put the O2 sensor back in the circuit.
f. Remove the test lung from the patient connection.
g. Set the High O2 alarm to 50%.
h. Push the flush button to fill the breathing system.
i. Set the O2 flow control to 2 L/min.
j. Make sure the high O2 alarm comes On.
k. Set the high O2 alarm back to 100% and make sure that alarm cancels.
l. After 2 minutes in pure O2, the O2 display reads approximately 100%.
m. Turn the O2 flow control fully clockwise (minimum flow).
15. Set the system switch to Standby.

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3.11 Breathing system tests

w WARNING Objects in the breathing system can stop gas flow to the patient. This can
cause injury or death:
• Do not use a test plug that is small enough to fall into the breathing
system.
1. Verify that AGSS is operating. For systems that have a flow indicator on the
side, make sure that the flow indicator shows a flow in the green (normal)
region.
2. Zero the pressure gauge (Section 5.6.1).

Check Valves 3. Make sure that the check valves on the breathing circuit module work
correctly:
a. The Inspiratory check valve rises during inspiration and falls at the start
of expiration.
b. The Expiratory check valve rises during expiration and falls at the start
of inspiration.

Ventilator Bellows 4. Ventilator bellows test:

a. Set the system switch to Standby.
b. Set the Bag/Vent switch to Ventilator.
c. Set all flow controls to minimum.
d. Close the breathing circuit at the patient connection. Use the test plug
located on the side of the ABS.
e. Push the O2 flush button to fill the bellows.
f. The pressure must not increase to more than 15 cm H2O on the
pressure gauge.
g. If the bellows falls more than 100 mL/min (top of indicator), it has a
leak.

Service Mode Tests 5. Enter the Service Mode: Push and hold the adjustment knob on the
ventilator’s display and set the system switch to On.
a. Select and confirm “Service Mode”.
b. Select and confirm “Breathing System Leak Test” (Section 4.3.12).
c. Follow the instructions on the screen.
d. The leak rate should be less than 200 mL/min.
For machines with a single-tube O2 flowmeter, the pressure reading
should reach 30 cm H2O at minimum flows greater than 200 mL/min.
Note: If test fails, see Section 7.2, “Breathing System Leak Test Guide”.

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Bag Circuit 6. Test the Bag circuit for leaks:

a. Set the system switch to On.
b. Set the Bag/Ventilator switch to Bag.
c. Plug the Bag port (use your hand or the approved test plug).
d. Close the APL valve (70 cm H2O).
e. Set the O2 flow to 0.25 L/min.
f. Close the patient connection (using a hand or test plug on the side of
the breathing system) and pressurize the bag circuit with the O 2 flush
button to approximately 30 cm H2O.
g. Release the flush button. The pressure must not decrease. A pressure
decrease large enough to see on the gauge indicates an unacceptable
leak.
Note: If test fails, see Section 7.2, “Breathing System Leak Test Guide”.

APL Valve 7. Test the APL valve:

a. Fully close the APL valve (70 cm H2O).
b. Set the total fresh gas flow to approximately 3 L/min and make sure
that the value on the inspiratory pressure gauge does not exceed 85 cm
H2O. Some pressure fluctuation is normal.
c. Fully open the APL valve (to the MIN position).
d. Set O2 flow to 3 L/min. Turn any other gases off.
e. Make sure that the value on the inspiratory pressure gauge is less than
approximately 5 cm H2O.
f. Push the O2 flush button. Make sure that the value on the inspiratory
pressure gauge stays less than 10 cm H2O.
g. Set the O2 flow to minimum and make sure that the value on the
inspiratory pressure gauge does not decrease below 0 cm H 2O.
8. Remove your hand or the test plug from the patient connection.
9. Set the System switch to Standby.

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

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3.12 Auxiliary O2 flowmeter tests

1. Open the O2 cylinder valve or connect an O2 pipeline.
2. Rotate the flow control clockwise (decrease) to shut off the flow. The ball
should rest at the bottom of the flow tube and not move.
3. Rotate the flow control counterclockwise (increase). The ball should rise
immediately after rotation is begun. It should rise smoothly and steadily
with continued counterclockwise rotation. When a desired flow is set, the
ball should maintain in a steady position.
4. Occlude the auxiliary O2 outlet. The ball should rest at the bottom of the
flow tube and not move. A ball that does not rest at the bottom of the flow
tube indicates a leak and requires service.
5. Rotate the flow control clockwise to shut off the flow.

3.13 Integrated Suction Regulator tests

The gauge needle should come to rest within the zero range bracket when no
suction is being supplied. Gauges which do not comply may be out of
calibration.
1. Adjust the regulator setting to minimum.
2. Turn the mode selector to I (On).
3. Ensure the gauge remains less than 200 mmHg (26 kPa, 0.26 Bar).
4. Occlude the inlet.
5. Ensure the gauge remains less than 200 mmHg (26 kPa, 0.26 Bar).
6. Adjust the regulator in an increasing vacuum level.
7. The gauge should rise after rotation has begun. The gauge should rise with
continued rotation of the regulator adjustment.
8. Adjust the regulator setting to minimum.
9. Turn the Mode selector to O (Off).

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3.14 Power failure test

1. Connect the power cord to a mains outlet. The mains indicator on the
display comes on when AC Power is connected.

If the indicator is not on, the display assembly is not receiving AC power.
• Verify AC power to the machine (reset circuit breaker).
• Check fuses in machine’s isolated secondary (toroid output).
2. Set the system switch to On.
3. Unplug the power cord with the system turned on.
4. Make sure that the power failure alarm comes on.
5. Make sure the following message is on the ventilator display:
• “On Battery - Power OK?”
6. Connect the power cable again.
7. Make sure the alarm cancels.

3.15 Electrical safety tests

Make sure the system is completely assembled and all accessory devices are
connected to electrical outlets.
1. Connect an approved test device (e.g. UL, CSA, or AAMI) and verify that the
leakage current is less than:

Voltage Max. Leakage Current

120/100 Vac 300 µAmps
220/240 Vac 500 µAmps

2. Make sure that the resistance to ground is less than 0.2Ω between an
exposed metal surface and the ground pin on the power cord.

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