1505-1018-000 ZAB Engstrom TRM
1505-1018-000 ZAB Engstrom TRM
Datex-Ohmeda products have unit serial numbers with coded logic which indicates a
product group code, the year of manufacture, and a sequential unit number for
identification. The serial number can be in one of two formats.
A A A X 11111 A A A X X111111A A
The X represents an alpha The X X represents a number
character indicating the year the indicating the year the product
product was manufactured; H = was manufactured; 04 = 2004, 05
2004, J = 2005, etc. = 2005, etc.
I and O are not used.
Engström Carestation
This document is not to be reproduced in any manner, nor are the contents to be
disclosed to anyone, without the express authorization of the product service
department, Datex-Ohmeda, Ohmeda Drive, PO Box 7550, Madison, Wisconsin,
53707.
©
2016 Datex-Ohmeda Inc.
Important Notice
The information contained in this Technical Reference manual pertains only to those
models of products which are marketed by Datex-Ohmeda as of the effective date of
this manual or the latest revision thereof. This Technical Reference manual was
prepared for exclusive use by Datex-Ohmeda service personnel in light of their
training and experience as well as the availability to them of parts, proper tools and
test equipment. Consequently, Datex-Ohmeda provides this Technical Reference
manual to its customers purely as a business convenience and for the customer's
general information only without warranty of the results with respect to any application
of such information. Furthermore, because of the wide variety of circumstances under
which maintenance and repair activities may be performed and the unique nature of
each individual's own experience, capacity, and qualifications, the fact that customer
has received such information from Datex-Ohmeda does not imply in anyway that
Datex-Ohmeda deems said individual to be qualified to perform any such
maintenance or repair service. Moreover, it should not be assumed that every
acceptable test and safety procedure or method, precaution, tool, equipment or
device is referred to within, or that abnormal or unusual circumstances, may not
warrant or suggest different or additional procedures or requirements.
This manual is subject to periodic review, update and revision. Customers are
cautioned to obtain and consult the latest revision before undertaking any service of
the equipment. Comments and suggestions on this manual are invited from our
customers. Send your comments and suggestions to the Manager of Technical
Communications, Datex-Ohmeda, Ohmeda Drive, PO Box 7550, Madison, Wisconsin
53707.
Technical Competence
The procedures described in this Technical Reference manual should be performed
by trained and authorized personnel only. Maintenance should only be undertaken by
competent individuals who have a general knowledge of and experience with devices
of this nature. No repairs should ever be undertaken or attempted by anyone not
having such qualifications.
Datex-Ohmeda strongly recommends using only genuine replacement parts,
manufactured or sold by Datex-Ohmeda for all repair parts replacements.
Read completely through each step in every procedure before starting the procedure;
any exceptions may result in a failure to properly and safely complete the attempted
procedure.
Table of Contents
Introduction 1
Theory of Operation 2
Checkout Procedure 3
Troubleshooting 7
Repair Procedures 9
Illustrated Parts 10
1 Introduction
In this section
This section provides a general overview of the Engström ventilator.
1.1 What this manual includes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
1.2 User’s Reference Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
1.3 Conventions used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
1.4 What is an Engström Carestation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
1.5 Ventilator overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5
1.6 Display controls and indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-7
1.7 Ventilator display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8
1.7.1 Using menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
1.8 Symbols used in the manual or on the equipment . . . . . . . . . . . . . . . . . . . . . .1-11
Other equipment
Other equipment may be attached to the system. Refer to separate documentation
relative to these items for details.
Menu selections
Menu selections are written in bold italic typeface; for example, Patient Setup.
Messages
Messages that are displayed on the screen are enclosed in single quotes; for
example, ‘Check sample gas out.’
AB.98.366
The system is designed for facility use, including within-facility transport, and should
only be used under the orders of a clinician. It is designed to be operated on medical-
grade gases only and should never be connected to gasses that do not meet the
medical-grade requirements listed in “Medical-Grade Gases” on page A-2.
The Engström Carestation consists of three main components: a display, a ventilator
unit, and an optional module bay. The display allows the user to interface with the
system and control settings. The ventilator unit controls electrical power, nebulization,
and pneumatic gas flow to and from the patient. The module bay allows the integration
of various patient monitoring modules with the ventilator.
Optional accessories include an air compressor, support arm, airway modules,
module bay, auxiliary electrical outlets, a neonatal flow sensor, humidifier and water
trap mounting brackets.
8 9 10 11 12
1
INSP EXP
AB.98.277
2
17 16 15 14 13
6 4
AB.98.336
AB.98.330
21 20 19 19
AB.98.309
25
23 22 20 19
AB.98.308
24
2
18
17 3
16
4
15
5
14 6
13
12 7
11 8
10 9
3 2
7
4
6
AB.98.326
3 5
1 Alarm LEDs The red and yellow LEDs indicate the priority of active alarms.
2 Silence Alarm key Push to silence any active, silenceable high and medium priority alarms or to suspend
any non-active high or medium priority alarms. Alarm audio is silenced or suspended for
120 seconds for Adult and Pediatric patient types, and for 30 seconds for Neonatal
patient types. Push to clear resolved alarms.
3 Menu keys Push to show corresponding menu.
4 ComWheel Push to select a menu item or confirm a setting. Turn clockwise or counterclockwise to
scroll menu items or change settings.
5 Normal Screen key Push to remove all menus from the screen.
6 AC mains indicator The green LED lights continuously when the ventilator is connected to an AC mains
source. The internal batteries are charging when the LED is lit.
7 Quick keys Push to change corresponding ventilator setting. Turn the ComWheel to make a
change. Push the Quick key or ComWheel to activate the change.
8 ↑ O2 key Push to deliver increased FiO2 for 2 minutes.
9 Lock/Unlock key Push to lock or unlock the touchscreen. When the touchscreen is locked touch points
are inactive. (Software 7.X or greater)
1 2 3 4 5 6
AB.98.222
10 9
1 Alarm silence symbol and Displays the time remaining during an alarm silence or alarm suspend period.
countdown
2 Alarm message fields Alarms will appear in order of priority. See “Alarms and Troubleshooting” in the
User’s Reference Manual for more information on alarm behavior.
3 Waveform fields The top two waveforms are permanently set to Paw and Flow. The third waveform
may be selected as CO2, O2, Vol, Paux, or Off.
4 General message field Displays informational messages.
5 Lock icon Indicates the touchscreen is locked. Press the Lock/Unlock key to unlock the
touchscreen.
6 Patient type icon Displays Neonatal, Pediatric, or Adult patient type mode.
7 Clock The time may be set in 12 or 24 hour format in the Time and Date menu.
8 Measured value fields Displays current measured values corresponding to the waveforms.
9 Digit field Displays information related to Volume, CO2, O2, Compliance, Metabolics,
Spirometry, or Volume per weight.
10 Ventilator settings Displays several of the settings for the current mode of ventilation.
When a menu key is selected the waveform fields start at the right edge of the menu.
The entire waveform is always displayed.
AB.98.223
Figure 1-6: Menu view
1 Menu
2 Waveform fields
Xxxxxx Xxxxxx
AB.91.007
5
1 Menu title
2 Present selection
3 Adjustment window
4 Indicates submenu
5 Short instructions
6 Menu selections
l On (power)
O Off (power)
o Standby
m Type B protection against
electrical shock
† Direct current
? Alternating current
y Earth ground
x Protective earth ground
z Lock
To identify on a control that a function Z Unlock
To identify on a control that a
is locked or to show the locked status. function is not locked or to show
the unlocked status.
t Variability
T Variability in steps
Air Pump
2 Theory of Operation
In this section
2.1 Pneumatic operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
2.1.1 Primary gas inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3
2.1.2 Expiratory circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7
2.1.3 Associated circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9
2.1.4 Electronic micropump nebulizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9
2.2 Electrical operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
2.2.1 Display Unit overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
2.2.2 Software requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
2.2.3 Display Unit system connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
2.3 System connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
2.3.1 Standard DU connector assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
2.3.2 HPDU connector assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
2.3.3 HPDU enhanced connector assembly . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
2.3.4 Communication channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14
2.3.5 Ventilator Control Board – VCB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16
2.3.6 Ventilator Monitoring Board – VMB. . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-18
2.3.7 Power Management Board – PMB . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-21
2.3.8 Other electronic items . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-21
2.3.9 Motherboard (backplane) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22
2.3.10 Monitoring Interface Board – Monitoring Module Bays . . . . . . . . . . . . .2-23
AB.98.055
Air O2
Air
O2
AB.98.022
P
(3)
(2) Inlet (3a) Check
Primary Filter Standard Valve
Inlet
Air
(4)
High Pressure
Transducer
P
(3)
(2) Inlet
(3a) Check
AB.98.344
Filter Optional Valve
Primary
Inlet
O2
Next in the downstream path of flow is a check valve (5). The check valve prevents
backflow from the ventilator that would possibly contaminate the supply pressure
lines. For example, if the O2 supply were to be lost, the check valve in the O2 channel
will prevent Air from moving back into the O2 supply lines.
High Pressure
Transducer
P
(5)
Inlet Check
Primary Filter Standard Valve
Inlet
Air
High Pressure
Transducer
P
(5)
Inlet Check
AB.98.344
O2
Downstream from the check valve is a 172 kPa (25 psi) pressure regulator (6). (The
regulator is a non-relieving type that does not bleed gas into the ventilator’s
enclosure.) The regulator ensures a constant pressure supply to the flow valve (8).
The regulated supply is flow rate dependent, which is compensated for in the flow
valve’s on-site calibration.
(8)
(7)
Flow
High Pressure
Transducer
(6) Flow
Valve
Regulator Sensor
P 25 psi Test
172 kPa Port T H
Inlet Check
Primary Filter Standard Valve
Inlet
Air
(7) (8)
High Pressure (6) Flow
Flow
Valve
Transducer Regulator Sensor
25 psi Test
P 172 kPa Port T H
Inlet Check
Filter Optional Valve
Primary
Inlet
O2
AB.98.345
Between the regulator and the flow valves is the inspiratory flow sensor (7). The
sensor is a thermal mass-flow type that injects heat into the flow stream and monitors
the associated temperature rise at a downstream location. The temperature change is
dependent on the mass flow of the flow stream and the specific heat of the gas
moving through the sensor. Because the composition of gas in the sensor is known, a
conversion of mass-flow rate to volumetric flow at ambient conditions can be made
using the ambient density of the gas. The sensor uses a laminar (two channel) flow
element to split a portion of the flow through the sensor past the heat injection and
temperature sensing elements. The sensor is pre-calibrated and includes an
electronic PCB that produces direct digital output of mass flow through an RS-232
interface.
Individual flow sensors measure the volume of gas dispensed from the O2 and Air
channels during inspiration and expiration. The relative proportion of gas dispensed
from each channel is continuously adjusted to precisely control the percentage of O2
delivered to the patient.
Downstream of the flow sensor is a flow valve (8) that meters flows from
approximately 0.05 l/min (leakage level) to a full flow value of 160 l/min. The valve is a
normally- closed proportional solenoid that is powered by a current feedback loop.
When calibrated on-site, the flow valve uses both sensors during calibration. Data
comes from the Total Flow Sensor and is verified again by the Air or O2 Flow Sensors.
Using data from the inspiratory flow sensor, a precise volumetric flow versus input
current profile is developed that includes both the valve and regulator characteristics.
A Bleed Resistor (9) is located in parallel with the O2 Flow Control Valve to prevent
pressure build-up between the O2 regulator and the Flow Control Valve. This Bleed
Resistor has a 35 ml/min nominal flow.
(8)
Flow
High Pressure Valve
Transducer Flow
Regulator Sensor
P 25 psi Test
172 kPa Port T H
Inlet Check
Primary Filter Standard Valve
Inlet
Air
(8)
Flow
High Pressure Flow Valve
Transducer Regulator Sensor
25 psi Test
P 172 kPa Port T H
Inlet Check
Filter Optional Valve
Primary
Inlet
O2
AB.98.345
(9)
Following the two individual flow valves is the Total Flow Sensor (10). This sensor is
the same type as the individual flow sensors and is used to measure the combined
inspiratory flow being dispensed from the system. Using the known mixture
composition along with atmospheric pressure and gas temperature information, mass-
flow data from the sensor is converted to delivered volumetric flow towards the
patient. During calibration, the sensor is checked against the output of the O2 and Air
flow sensors to ensure proper operation.
Flow
Sensor
T H
Air (10)
Total Flow
T H
Flow
Flow Valve
Sensor
T H
O2
AB.98.346
Following the Total Flow Sensor are the free-breathing check valve (11) and the
inspiratory effort valve (12).
During normal operation, the inspiratory effort valve is open, allowing the free-
breathing check valve to admit flow if the patient draws a significant amount of
inspiratory pressure, causing the airway pressure to become more negative than -0.5
cm H2O. The free-breathing check valve allows the patient to spontaneously breathe
in case of a ventilation delivery failure.
On occasion, to assess the patient’s tolerance to be weaned from the ventilator,
clinicians can determine the amplitude of inspiratory effort that the patient can create.
During this “procedure”, the inspiratory effort valve is closed, effectively locking out the
free breathing valve from the patient circuit.
Flow
Valve
Flow
Sensor
T H
Flow
Flow Valve
Sensor
Inspiratory
Effort
T H Valve
(12)
Free Breathing
O2 Check Valve
(11)
AB.98.347
Next in the flow path is the O2 sensor (13). The sensor is used to monitor the O2
concentration produced by the combined O2 and Air flows.
The O2 sensor uses the paramagnetic principle (oxygen molecules are attracted in
magnetic fields) to measure the oxygen concentration. The sensor includes two
nitrogen-filled glass spheres mounted on a suspension containing a conductive coil
that is located in a non-uniform magnetic field. When the system is disturbed by an
impulse of current, the suspension begins to oscillate, inducing an EMF into the coil.
The oscillation period of the induced EMF is dependent on the partial pressure of
oxygen surrounding the suspension.
As sample gas fills the sensor, oxygen that is present in the sample is attracted into
the strongest part of the magnetic field. This congregation of O2 molecules alters the
natural oscillation frequency of the suspension. Calculations based on the difference
between the oscillation period for an oxygen sample and that for nitrogen, and
readings from the absolute pressure transducer, determine the measured O2
percentage.
As a safety measure, a relief valve (14), located downstream from the O2 sensor, can
be energized to vent the full flow rate of the inspiratory delivery side of the system. If
an overpressure condition is detected, the valve can be opened by either of the
ventilator’s two control processors. To provide redundant safety, independent of the
electronic circuits, the valve begins to mechanically relieve pressure at a nominal 115
cm H2O.
Flow
Sensor
T H
(15)
Inspiratory Pressure
Air
P
Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
Flow
Flow Valve
Sensor
Inspiratory
Effort
T H Valve
Safety
Relief Valve
(14)
Free Breathing
Check Valve
O2
AB.98.348
The inspiratory airway pressure transducer (15), along with its associated zeroing
valve, is located just prior to the inspiratory outlet port. This transducer has a range of
–20 to 120 cm H2O and serves as one of three airway pressure measuring devices in
the ventilator.
(17)
H
Patient
To
AB.98.349
INSP
22 / 15 mm Micropump
Nebulizer
Male / Female
Immediately upstream of the exhalation valve is a tap for the expiratory pressure
transducer (17) and its associated zeroing valve. The expiratory pressure tap is
continuously purged with 35 ml/min of air to ensure that exhaled condensate does not
occlude the tap. The air flow is established from the regulated Air supply using a fixed
orifice (pneumatic resistor) (18).
Downstream of the exhalation valve is the expiratory flow transducer (19). In principle,
the transducer is similar to a hot-wire anemometer. A wire having a large “temperature
to electrical resistance” relationship is placed in the flowstream. The wire is kept at a
constant temperature using a Wheatstone bridge circuit. The current necessary to
maintain the resistance of the sensor portion of the bridge is a function of the flow
through the sensor.
At the output of the flow sensor is a flapper type check valve (20) that prevents gas
from being drawn in through the expiratory valve and minimizes patient rebreathing in
the event of a ventilator failure.
Located downstream on the patient wye is an optional Neonatal Flow Sensor (28).
The sensing elements for the Neonatal Flow Sensor Subsystem consist of two hot
wires each with its own drive circuitry and Wheatstone bridge. The hot wires reside
off-board in a flow tube situated at the patient wye and electrically act as variable
resistors in each of the bridges. The sensors hold a constant temperature at all times
as they contain a linear resistance change with temperature. The Neonatal Flow
sensor is connected to the Ventilator Monitoring Board (VMB) through the
Motherboard via Port 1 and a 2+ meter long shielded cable, detachable at both ends.
The other Wheatstone bridge resistors and all associated drive circuitry reside on the
VMB. As gas (Air and Oxygen) flows, current through the hot wire elements increases.
These currents are converted to a voltage, amplified, offset with a voltage reference
and converted to a digital value by the 12-bit ADC. Because of the bidirectional nature
of gas flow at the patient wye, a post that is situated between the elements serves to
shadow the downstream element and reduce the downstream signal. By comparison
of the individual signal levels of the two hot wire elements, flow direction can be
ascertained.
Pneumatic
(22) Exhalation
H
Resistor Flow Sensor
Expiratory Zero
(25)
Flow Valve
Valve
Flow
Sensor Pneumatic EXP
Exhalation
Resistor P Valve 22 / 15 mm
T H Expiratory Pressure Male / Female Neonatal Flow Sensor - Optional
(21)
Inspiratory Pressure
Air P
H
Total Flow Inspiratory Zero Patient
O2 Sensor Valve
T H
O2
INSP
Flow 22 / 15 mm Micropump
Flow Nebulizer
Valve Male / Female
Sensor
(27)
Inspiratory
Effort
T H Valve
Safety
O2 Free Breathing
Relief Valve
Check Valve
(23) (26)
Auxiliary Pressure
(24)
Transducer Relief
Valve
Auxiliary Pressure P
AB.98.351
Purge Valve
Paux
A third (auxiliary) pressure channel (23) is used to measure additional patient “airway”
pressures at the discretion of the clinician. This port could be used to measure circuit
pressure directly at the airway, laryngeal cuff pressures or pressures lower in the
airway tract. The transducer circuit includes a valve (24) to provide a 35 ml/min purge
flow as required by the particular clinical application. For example, in measuring
airway pressure at the endotracheal tube the purge would most likely be turned on,
but for measuring laryngeal cuff pressures (closed system) the purge would be turned
off. The purge flow is established from the regulated Air supply using a fixed orifice
(pneumatic resistor) (25). The relief valve (26) limits pressure in the auxiliary channel
to less than 230 cm H2O.
B
A
AB.98P127
2.2.2 Software requirements
The HPDU uses a Compact Flash interface to manage software upgrades and to run
the Engström Service Application diagnostics. The HPDU requires system software
version 4.X or greater.
For standard DU information see “External components (original) - front” on page C-3.
2 3 4 5
DIS
AB.98.182
1
1 Display connection.
2 Dis connector - supports D-O Device Interface Solution (DIS).
3 Network connection - Standard Ethernet port for network connectivity.
4 Network ID - accepts D-O proprietary network identification plug.
5 USB port - standard USB interface for external communication.
2 3 4 5
AB.98.181
1 Display connection.
2 RS232 Serial communication (port 2)
3 Future expansion.
4 Future expansion.
5 Future expansion.
2 3 4 5
AB.98.258
1
1 Display connection.
2 RS232 Serial communication (port 5).
3 RS232 Serial communication (port 6).
4 Future expansion.
5 Future expansion.
1 2
7
3
AB.98.337
5 9
2
3
AB.98.338
(1)
(2)
(3)
(4)
(5)
AB.98.198
For additional details, see Figure 12.13, "VCB block diagram" on page 12-14.
VCB
Vent Control Board
1 MB V Checks
SRAM
Coldfire Piezo-Electric
Nebulizer
V4 CPU Neb Board
8 MB
Watchdog
Flash
Air
Circuit Power
Exhal Valve Flow Valve
Power Drive w/ V & I
VMB Sensor Regs Sense O2
Data I/O Flow Valve
Expansion Port I/O #1 Air Valve Drive
Expansion Port I/O #2 w/ I Sense
12 Bit
Exhal Valve
Insp Effort Valve ADC O2 Valve Drive
Exh Valve Closed w/ I Sense
16 CH
Safety Valve On/Off MUX
Exh Valve On/Off RS-232 Air Flow/
Temp
RS-422 VCB - DU Data I/O
38.4Kb RS-232 O2 Flow/
Temp
Power for Buzzer
8 UARTS
RS-232 Total Flow/
Buzzer Control Temp
Serial
Buzzer Sense XCVRs
Expansion Signals
Insp P Zero
Valve
Aux P
AB.98.076
Aux P Purge
Valve
1 2
AB.98p186
AB.98p187
Figure 2-3. VMB types
The VMB is based on an Atmel Atmega 128 CPU. The VMB performs as an
independent monitoring system that provides computational and oversight
redundancy to the display unit and VCB (see Figure 2-4).
The VMB independently acquires sensor data relating to the ventilator’s three safety
parameters:
• Airway pressure (expiratory),
• Delivered O2 percentage, and
• Exhaled minute/tidal volume.
In addition, the VMB monitors the air and oxygen supply pressures:
• Air High Pressure Supply via analog cable –10 bits @ 11 Hz,
• O2 High Pressure Supply via analog cable – 10 bits @ 11 Hz,
• Expiratory flow sensor data via an I2C cable interface @ 200 Hz,
• O2 Concentration via a serial cable @ 5 Hz,
• Expiratory Airway Pressure via analog signal – 12 bits @ 1000 Hz,
• Barometric Pressure onboard VMB – 10 bits @ 11 Hz.
VMB
Vent Monitor Board
Insp Effort
Circuit Power Atmel Insp Maneuver Valve
Valve Drive
ATmega128 Safety
Insp Effort Valve Control CPU Relief Valve
Exh Valve Closed
Safety Valve
Drive Air Pipeline P
UARTS
Safety Valve On/Off
O2 Pipeline P
Exh Valve On/Off
RS-422 VMB - DU Data I/O I2C Exp Flow Exp Flow Exp Flow
38.4 Kb Sensor Bd Infc Bd Sensor
Watchdog
RS-422 VMB Sensor Data I/O
921.6 Kb V Checks Baro P RS-232 O2 Sensor
Buzzer Control
ADC /
Buzzer Sense
MUX
Exp P
Circuit Power
Exp P Zero
Valve
AB.98.077
Expansion Signals
The VMB controls a safety valve actuator that enables it to unilaterally relieve
pressure in the breathing circuit. This allows the barotrauma hazard with its 50 ms
reaction time to be independently controlled by either action of the VCB or VMB. The
hazards associated with O2 concentration (improper mixture) and low exhaled minute
volume (hypoventilation) have much slower reaction times (on the order of minutes)
and are controlled under fault conditions by the VMB’s ability to unilaterally activate
the backup buzzer.
The VMB receives 12.5 Vdc from the PMB, which it regulates down to various
voltages for use by the board’s digital circuits and analog drivers. These voltage levels
are self-tested on the VMB.
The VMB communicates directly to the display unit via the bi-directional 38.4 Kbaud
RS-422 channel (VMB - display unit Data I/O). A separate 921.6 Kb RS-422 link (VMB
Sensor Data I/O) is used to transmit the VMB’s sensor data to the VCB.
Neonatal Option
For Neonatal patients, the VMB provides circuitry designed to interface with the VCB
and VMB and a remote bidirectional gas flow sensor. The analog sensor signals are
routed from outside of the Engström housing to the VMB via an electrical harness to
the back of the machine and are filtered on the Motherboard before entering the VMB
through the Motherboard internal connector. This circuitry is provided 12.5V power via
the Motherboard and regulates this down to 5V and 3.3V, independent of other VMB
circuitry.
Nurse Call
Nurse Call functionality is supported on units with Serial Numbers greater than
CBK00356 and units updated with Motherboard M1053184 and VMB M1052980.
Note Motherboard M1053184 and VMB M1052980 are included in the following kit:
Port 4 (15-pin female D connector) may be used to output alarm signals to a nurse call
system. The ventilator will signal an alarm with a normally open or normally closed
signal. The nurse call will be triggered by all medium and high priority alarms. When
alarms are suspended, the nurse call will not be signalled. If an alarm is silenced, the
nurse call signal will turn off.
10
3
11
AB.98.180
Pin 3 Relay common
Pin 10 Normally open
Pin 11 Normally closed
Load current:
• Minimum: 100 uA at 100 mVdc
• Maximum: 1 A at 30 Vdc
• Relay isolated
Chassis Gnd
On/Standby
and Power Entry Mains/Bat
PMB
Safety Switch Module Fan Select Bat Charge
Cntlr
Battery I & 2 - 12 V
AB.98.197
AB.98p188
15-Pin Original Motherboard AB.98p189
15-Pin Current Motherboard
3 Checkout Procedure
In this section
3.1 Inspect the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
3.2 Electrical safety tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
3.3 Automated Checkout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
3.4 Backlight test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3
3.5 Power failure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4
WARNING After any repair or service of the Engström ventilator, complete all tests
in this section.
w If a test failure occurs, make appropriate repairs and test for correct
operation.
Menu structure
The Service menu structure has the following two levels that are password protected:
• Install/Service (super-user)
• Service
The Install/Service level (with super-user password) supports standard hospital
preferences such as colors, units, ventilator settings and alarm defaults, and access
to the Calibration and Service menus.
The Service level (with service password) supports system configuration and
provides access to the Service Log menu.
Follow the menu structure to access the service screens:
1. On the front panel of the display unit, press the System Setup key to access the
System Setup menu.
2. On the System Setup menu, select Install/Service to access the Install/Service
menu. The super-user password is required to access this menu. Do one of the
following:
• Select Calibration to access the Calibration menu.
• Select Service to access the Service menus. The service password is
required to access the Service menu.
Display Settings Set colors, units, and time and date show See Section 4.2.2
alarm limits, and access touchscreen on page 4-5.
configuration.
Parameter Settings Set volume conditions and CO2 humidity See Section 4.2.4
compensation. on page 4-7.
Data Transfer Settings Configure Data Transfer settings. See Section 4.2.7
on page 4-12.
Calibration Calibrate airway gas, calibrate gas valves, See Section 4.3 on
and test backlights. page 4-15.
Service Set and copy configuration and show See Section 4.4 on
technical data. The system will have to be page 4-16.
turned off to exit this menu.
Graphical Trends
Page Menus
Use the Pull Aside list to select options for each menu item and page. Options are
shown below:
Show Alarm Limits Select Yes to show alarm limits in digit Yes/No
fields.
Layout Selection Select to display the Basic or Full layout Full or Basic
on power up.
Colors Menu
Units Menu
Gas Supply Pressure Change gas supply pressure unit: kPa, psi, or bar
BiLevel Timing Select to use I:E and Rate, Tinsp and I:E, Tinsp, Thigh
Rate, or Thigh and Tlow settings for
BiLevel mode.
BiLevel High Pressure Select to use Phigh or Pinsp for Phigh, Pinsp
BiLevel High Pressure
Modes with Backup Select Modes that will allow backup SIMV-VC (Yes, No)
ventilation. SIMV-PC (Yes, No)
Bi-Level (Yes, No)
CPAP/PSV (Yes, No)
VG-PS (Yes, No)
SIMV/PCVG (Yes, No)
BiLevel VG (Yes, No)
Mode Availability Select to use all vent modes or the All, Selected
customized list of vent modes at power
up.
Neonatal Increase O2 Add the selected value to the current 100; 5 to 75 increment 5.
O2 setting for Oxygenation and Default:25
Suction procedures for neonatal
patients.
4.2.5 Defaults
Low MVexp 2 l/min (0.03 l/s) 1 l/min (0.02 l/s) 0.2 l/min (0.003 l/s)
High MVexp 10 l/min (0.16 l/s) 5 l/min (0.08 l/s) 0.4 l/min (0.007 l/s)
Low TVexp Off Off Off
High TVexp Off Off Off
Low RR Off Off Off
High RR Off Off Off
Low EtO2 Off Off Off
High EtO2 Off Off Off
Low EtCO2 3% (3 kPa, 23 mmHg) 3% (3 kPa, 23 mmHg) Off
High EtCO2 8% (8 kPa, 60 mmHg) 8% (8 kPa, 60 mmHg) Off
Low PEEPe Off Off Off
High PEEPe Off Off Off
High PEEPi Off Off Off
High Paux 30 cmH2O 30 cmH2O 30 cmH2O
(30 mbar, 3 kPa) (30 mbar, 3 kPa) (30 mbar, 3 kPa)
Apnea Time 30 s 30 s 15 s
High Alert Audio 30 sec 30 sec 30 sec
NIV PEEP 3 cmH2O 3 cmH2O 5 cmH2O
(3 mbar, 0.3 kPa) (3 mbar, 0.3 kPa) (5 mbar, 0.5 kPa)
NIV Psupp 5 cmH2O 3 cmH2O NA
(5 mbar, 0.5 kPa) (3 mbar, 0.3 kPa)
NIV Trigger 5 l/min (0.08 l/s) 3 l/min (0.05 l/s) 1.5 l/min (0.03 l/s)
NIV Tsupp 4s 3s NA
NIV End Flow 25% 25% NA
NIV Rise Time 200 ms 200 ms NA
NIV Bias Flow 8 l/min (0.13 l/s) 8 l/min (0.13 l/s) 6 l/min (0.1 l/s)
NIV Minimum Rate 10 /min 15 /min NA
NIV Backup Pinsp 5 cmH2O 5 cmH2O NA
(5 mbar, 0.5 kPa) (5 mbar, 0.5 kPa)
NIV Backup Tinsp 1.0 s 1.0 s NA
NIV Apnea Time 60 s 60 s 20 s
NIV Leak Limit 50% 50% 50%
NIV Low MVexp 2 l/min (0.03 l/s) 1 l/min (0.02 l/s) 0.2 l/min (0.003 l/s)
NIV High MVexp 10 l/min (0.16 l/s) 5 l/min (0.08 l/s) 0.4 l/min (0.007 l/s)
NIV Low PEEPe NA NA 3 cmH2O
(3 mbar, 0.3 kPa)
NIV Leak Comp On On On
NIV Trig Comp On On On
NIV Pmax 30 cmH2O 30 cmH2O 12 cmH2O
(30 mbar, 3.0 kPa) (30 mbar, 3.0 kPa) (12 mbar, 1.2 kPa)
Transfer Media Select which storage device to enable for USB, SD, Both
data transfer.
Note To change or view the Favorites defaults the system must be in Standby.
1. Push the System Setup key.
2. Select Install/Service and enter the password.
3. Select Display Settings -Favorites.
The Favorites Factory Settings menu displays with the highlight on the Scroll
Settings menu item.
• Select Scroll Settings to view either the factory default settings, or the facility
default and current settings.
• Select Bar Default On or Off to display the Favorites Bar.
• Select Facility to view the facility default and current settings.
• Select Factory to view the factory default settings.
• Select Save Current to save the current settings.
• Select Factory Reset Yes or No to return the Favorites Bar to factory set
defaults.
4. Select Previous Menu.
5. Turn the ventilator off.
New settings are displayed after the power up.
Air FCV Start Air Flow Control Valve calibration 1. Select Start Calibration.
and leak test. 2. Open inspiratory port to atmosphere.
3. Start Air Flow Control Valve.
Exhalation Valve Patient must not be connected to circuit 1. Connect to the patient circuit.
during calibration. Start Exhalation Valve 2. Occlude the patient wye.
calibration. 3. Start Exhalation Valve calibration.
Backlight Test Start display backlight test. This test turns off one backlight to test the
other light. Screen brightness may change
during the test.
Gas Calibration Start gas calibration. Calibrate CO2 and Gas Calibration is enabled whenever an
O2 measurements. MGAS module is installed. Gas Calibration
is disabled if the MGAS module is warming
up.
Cal. Flag Turn the Calibration required message When Cal. Flag is set to On, the
On/Off. “Calibration required” message is
displayed in the general message area.
Note The Cal. Flag menu item is used by the factory to activate the “Calibration required”
alarm. It is set as a reminder that calibrations must be performed when the machine is
set up for operation at its permanent location.
After completing the O2 FCV, Air FCV, and the Exhalation Valve calibrations, set the
Cal. Flag to Off.
If the PC Service Application is connected, ensure DAC (Digital to Analog Conversion)
- for example, Air DAC, O2 DAC, Exh DAC Dither DAC is set to 0 and the checkbox is
marked. See Section 5.1.1 on page 5-2 for additional information about performing the
calibration.
Copy Config Save or install configuration and default settings using memory
card.
Service Log Show error, event, and alarm histories and system information.
4.4.1 Configuration
Paw Change Paw unit: kPa, cmH2O, kPa, cmH2O, or mbar Default: cmH2O
mbar.
Flow Change flow unit: l/min or l/s. l/min or l/s Default: l/min
Energy Expenditure Change energy expenditure unit: kcal/d or kJ/d Default: kcal/d
kcal/d or kJ/d.
Gas Supply Pressure Change gas supply pressure unit: psi, kPa, or bar Default: kPa
kPa, psi, or bar.
Blood Gases Change blood gas unit: kPa or kPa or mmHg Default: mmHg
mmHg.
Hb Change hemogloblin unit: g/l, g/dl, g/l, g/dl, or mmol/l Default: g/l
or mmol/l.
Altitude Change altitude used for gas -400 to 3000 m Default: 300 m
calculations. in 100-m increments
Save to Card Save Configuration and <blank>, Fail, or OK. Saves all settings that are
defaults to card. not hardware dependent,
The field is blank until the including facility defaults,
data has either been screen configuration, trend
written to the card (OK) or settings, colors, units,
the system determines it decimal marker, altitude,
cannot write to the card patient type, backup
(Fail). settings, and the Show
Alarm Limits selection.
Copy Logs Save HW/SW info, all logs and trend information to
memory card.
Each history log shows at the top of the screen total Running Hours, the date when
the logs were last reset, and the Ventilator Serial Number.
Whenever logs are reset, “Reset Logs dd-MMM-yyy hh:mm:ss” is recorded in the
Event log.
If the logs are saved to a memory card, the ventilator’s serial number, date, and time
are saved along with the current contents of the logs.
Error Log
The Error Log lists the last 200 errors logged since the last log reset, starting with the
most recent. The system stores the last 1,000 errors logged since the last log reset.
Event Log
The Event Log records the service history of the device. This includes: service
calibrations, super-user calibrations, checkout results, entry into the service mode,
options enabled, and software installation. In the event of a board replacement, it is
understood that this log like all others could be lost. See Section 7.1, “Troubleshooting
Checkout Failures,”on page 7-2 for Checkout Failure messages.
The Event History menu lists the last 200 events logged starting with the most recent.
The Event History log stores the last 1000 events. The Event History log cannot be
reset.
Alarm Log
The Alarm Log lists the last 200 alarms since the last log reset starting with the most
recent. The Alarm History log stores the last 1000 entries.
Copy Logs
The Copy Logs function copies Error, Event, and Alarm logs along with the software/
hardware configuration to a text file on a PCMCIA or Compact Flash card.
Figure 4-1: Gas Module Menu showing “Gas Module warming up” message
Noise Meas Select to turn Noise On, Off When On is selected the MGAS Noise
Measurement On or Off. Measurement will turn On (Noise %).
Sample Gain Adj Select gain adjustment 0.200 to 2.000 Enabled whenever the Gas Module
value Increments: 0.001 menu is displayed, an MGAS module
is installed, and the 2 min ute warm-up
period has completed.
Fall Time Meas Select to start the Fall NA Enabled whenever the Gas Module
Time Measurement menu is displayed, an MGAS module
(except MiniC) is installed, and the 2
minute warm-up period has
completed. (Disabled whenever a
MiniC module is installed.)
Pump Control Select to turn Pump On, Off Enabled whenever the Gas Module
Control On or Off. menu is displayed, an MGAS module
If the MGAS is installed, is installed, and the 2 minute warm-up
the default is read from period has completed.
the MGAS, otherwise it
is On. When On is selected, the MGAS is
commanded to turn the Pump On.
Zero Valve Ctrl Select to control the Zero, Meas Enabled whenever an MGAS module
zero valve. is installed.
If the MGAS module is
installed, the default is When Zero is confirmed, the Zero
read from the MGAS, Valve is commanded to the Zero state.
otherwise it is Meas.
When Meas is confirmed, the Zero
Valve is commanded to the Measuring
state.
Occl Valve Ctl Select to control the Occl, Meas Enabled whenever an MGAS module
occlusion valve (except MiniC) is installed.
If MGAS module is
installed, the default is
read from the MGAS,
otherwise it is Meas.
O2 %, Noise %, mV, Gain Enabled whenever an MGAS module (except for MiniC) is
installed. Values are marked invalid during the 2 minute warm-
up period or if the module does not support O2.
CO2 %, Noise %, mV, Gain Values are marked invalid during the 2 minute warm-up period.
N2O %, Noise %, mV, Gain Values are marked invalid during the 2 minute warm-up period
or if a MiniC module is installed.
Sample Gain Values are marked invalid during the 2 minute warm-up period.
Zero ml/min Values are marked invalid during the 2 minute warm-up period.
Ambient mmHg Values are marked invalid during the 2 minute warm-up period.
Amb-Work mmHg Values are marked invalid during the 2 minute warm-up period.
N2O Yes, No MIniC MGAS modules will display No, all other MGAS modules
(Nitrogen Oxide) will display Yes.
AA Yes, No Yes, if the MGAS module supports agent data, otherwise No.
(Anesthesia Agent)
id Yes, No Yes, if the MGAS module supports agent data, otherwise No.
(identification)
Spiro Yes, No Yes,if the MGAS module supports Spirometry data, otherwise
(Spirodynamics) No.
GasExch Yes, No Yes, if the MGAS module supports Metabolics data, otherwise
(Gas Exchange) No.
TPX NA °C NA
CPU NA °C NA
Mixer NA °C NA
Fall time status NA Off, Feed, Ready Values are marked invalid during the 2
minute warm-up period.
MVinsp l/min Values are marked invalid during the 2 minute warm-up
period or if the module installed does not support
Spirometry.
MVexp l/min Values are marked invalid during the 2 minute warm-up
period or if the module installed does not support
Spirometry.
Paw cmH2O Values are marked invalid during the 2 minute warm-up
period or if the module installed does not support
Spirometry.
4.4.8 Touchscreen
Use the Touchscreen menu to calibrate the touchscreen. The touchscreen calibration
page shows the date and time of the last touchscreen calibration. See Section 5.4 on
page 5-33 for the Touchscreen Calibration procedure.
SW HW version
System Information:
Running Hours: XXXXX
Software Release: XX.XX
Model Code: XXX
Serial Number: ABCDXXXXX
Backlight Test
6. On the Calibration menu, select Backlight Test.
7. Select Start Test.
The display will show the test running on light 1, and then on light 2. If the display
goes completely blank or flickers during the test, one of the lights has failed.
Note The screen brightness may change during the test.
8. Turn power off to exit the Install/Service menu.
AB.98p176
Clean-out procedure
1. Open both shut-off valves.
2. Verify that the inspiratory outlet is open to atmosphere (not plugged).
3. On the VCB screen:
• Verify that the Air and O2 Flow Valves are energized ().
• Set the Air DAC counts to 60,000 (fully open).
• Set the O2 DAC counts to 60,000 (fully open).
4. After 20 seconds:
• Close both shut-off valves. Pulse the Air and O2 flow valves 5 times for 5
seconds.
• Set the Air DAC counts to zero (closed).
• Set the O2 DAC counts to zero (closed).
Note Closing the shut-off valves before setting the flow DAC counts to zero, bleeds
pressure from the system.
Air regulator
1. Remove the plug from the Air regulator outlet test port.
2. Connect a test pressure gauge to the Air regulator outlet test port.
3. Open the manual Air shut-off valve.
4. On the VCB screen:
• Verify that the Air Flow Valve is energized ().
• Adjust the Air DAC reading (start at approximately 9,500) until the Air flow
reading is 15 ±0.5 l/min.
5. Verify that the test gauge indicates 172.4 ±3.4 kPa (25 ±0.50 psi).
6. If required, adjust the regulator. Set to 172.4 ±0.7 kPa (25 ±0.10 psi). Make sure
to tighten the locking nut after adjustment.
7. Close the manual Air shut-off valve.
8. Remove the test gauge and plug the test port.
O2 regulator
1. Remove the plug from the O2 regulator outlet test port.
2. Connect a test pressure gauge to the O2 regulator outlet test port.
3. Open the manual O2 shut-off valve.
4. On the VCB screen:
• Verify that the O2 Flow Valve is energized ().
• Adjust the O2 DAC reading (start at approximately 9,500) until the O2 flow
reading is 15 ±0.5 l/min.
5. Verify that the test gauge indicates 172.4 ±3.4 kPa (25 ±0.50 psi).
6. If required, adjust the regulator. Set the regulator to 172.4 ±0.7 kPa (25 ±0.10 psi).
Make sure to tighten the locking nut after adjustment.
7. Close the manual O2 shut-off valve.
8. Remove the test gauge and plug the test port.
AB.98p173
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Flow Valve
High Pressure Valve
Transducer Flow
Regulator Sensor Pneumatic EXP
Exhalation
P 25 psi Test Resistor P Valve
172 kPa Port T H Expiratory Pressure
Inlet Check
Primary Filter Standard Valv
Inlet Inspiratory Pressure
e
P
Air Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
Flow
High Pressure Flow Valve
Transducer Regulator Sensor
25 psi Test Inspiratory
P 172 kPa Port T H Effort
Valve
Inlet Check
Filter Optional Valv
Primary Safety
Inlet e Relief Valve
Free Breathing
O2 Check Valve
Auxiliary Pressure
Transducer Relief
Valve
Auxiliary Pressure P
Purge Valve
Paux
AB.98.196
Inlet Manifold Vent Engine Manifold Outlet Manifold
Inlet Inlet
Filter P P Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.119
INSP Paux
EXP
Low P1 Test
1. Verify that both shut-off valves are closed.
2. On the VCB screen:
• Energize () the Auxiliary Pressure Purge valve.
• Verify that the Air Flow Valve, O2 Flow Valve and the Exhalation Flow
Valve are energized ().
• Set the Air DAC, O2 DAC, and the Exhalation DAC counts to 60,000, which
will release all pressurized gas from the system.
3. Attach the “low-pressure test tool” to the INSPiratory outlet.
4. Plug the following ports:
• Expiratory inlet (EXP).
• Auxiliary pressure port (Paux).
5. Using the low pressure test tool, increase the pressure in the low pressure side of
the system until the measured Inspiratory Pressure (VCB) indicates 70 cmH2O.
6. Verify Expiratory Pressure (VMB) readings also stabilize at 70 cmH2O, within 5
cmH2O. If not, continue with the low pressure leak test.
Note Failure to build pressure during this step is not an indication of an excessive
expiratory circuit leak or purge flow issue. See Section 7.2.2 on page 7-15 for
details about the Expiratory Pressure discrepancy.
7. When 70 cmH2O is reached, clamp the tube on the low pressure test tool to
prevent gas flow from the INSPiratory outlet.
8. On the VCB screen, select the Low P Leak Test tab, and then select the Low P
Leak button to start the low pressure leak test.
9. After the test is complete (15 seconds):
• If the leak result does not exceed 10 ml/min, go to step 10.
The Low P2 test is not required, if Leak result ≤ 10 ml/min.
• If Leak result is >10 ml/min and ≤ 35 ml/min, perform the Low P2 test.
• If the Leak rate exceeds 35 ml/min, see Section 7.2 on page 7-12 to help
identify the cause of the leak.
10. Remove the plugs from the EXPiratory inlet and the Paux port.
11. De-energize () the Auxiliary Pressure Purge valve.
AB.98.088
Low P2 Test
1. Verify that both shut-off valves are closed.
2. On the VCB screen:
• Energize () the Effort Valve Energized valve.
• Energize () the Auxiliary Pressure Purge valve.
• Verify that the Air Flow Valve, O2 Flow Valve and the Exhalation Flow
Valve are energized ().
• Set the Air DAC, O2 DAC, and the Exhalation DAC counts to 60,000 (this will
release all pressurized gas from the system).
3. Attach the “low-pressure test tool” to the INSPiratory outlet.
4. Plug the following ports:
• Expiratory inlet (EXP).
• Auxiliary pressure port (Paux).
5. Using the low pressure test tool, increase the pressure in the low pressure side of
the system until the measured Inspiratory Pressure (VCB) reading indicates 70
cmH2O.
6. Once 70 cmH2O is reached, clamp the tube on the low pressure test tool to
prevent gas flow from the INSPiratory outlet.
7. On the VCB screen, select Low P Leak 2 to start the low pressure P2 leak test.
8. After the test is complete (15 seconds):
• Verify that the displayed Leak result does not exceed 10 ml/min.
• If the Leak rate exceeds 10 ml/min, see Section 7.2 on page 7-12 to help
identify the cause of the leak.
9. Remove the plugs from the EXPiratory inlet and the Paux port.
10. De-energize () the Auxiliary Pressure Purge valve. AB.98.088
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Valve
High Pressure
Transducer Flow
Regulator Sensor Pneumatic EXP
Exhalation
P 25 psi Test Flow Resistor P Valve
172 kPa Port T H Valve Expiratory Pressure
Inlet Check
Primary Filter Standard Valve
Inlet Inspiratory Pressure
Air P
Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
Auxiliary Pressure
Transducer Relief
Valve
Auxiliary Pressure
Purge Valve Paux
AB.98.209
Inlet Manifold Vent Engine Manifold Outlet Manifold
Inlet Inlet
P P
Filter Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
H
INSP
Paux
AB.98.210
EXP
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Valve
High Pressure
Transducer Flow
Regulator Sensor Pneumatic EXP
Exhalation
P 25 psi Test Flow Resistor P Valve
172 kPa Port T H Valve Expiratory Pressure
Inlet Check
Primary Filter Standard Valve
Inlet Inspiratory Pressure
Air P
Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
Flow
High Pressure Flow Valve Inspiratory
Transducer Regulator Sensor Effort
25 psi Test Valve
P 172 kPa Port T H
Inlet Check Safety
AB.98.189
Filter Optional Valve Relief Valve
Primary Free Breathing
Inlet Check Valve
O2
Auxiliary Pressure
Transducer Relief
Valve
Auxiliary Pressure
Purge Valve Paux
Inlet Inlet
P P
Filter Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.112
INSP Paux
EXP
AB.98.093
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Flow Valve
High Pressure Valve
Transducer Flow
Regulator Sensor Pneumatic EXP
Exhalation
P 25 psi Test Resistor P Valve
172 kPa Port T H Expiratory Pressure
Inlet Check
Primary Filter Standard Valv
Inlet Inspiratory Pressure
e
P
Air Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
AB.98.190
Inlet e Relief Valve
Free Breathing
O2 Check Valve
Auxiliary Pressure
Transducer Relief
Valve
Auxiliary Pressure
Purge Valve Paux
Inlet Inlet
Filter P P Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.113
INSP Paux
EXP
To Manometer
6. If using PC service Application version 10.2, select Message Log and verify that
“Insp Span Passed”, “Aux Span Passed”, and “Exp Span Passed”
displays.The results are not an indication of an accurate calibaration, but indicate
functional transducers.
Important If using an earlier version of the PC application (10.1 or earlier), select Message Log
and verify that “Insp Span Passed” and “Aux Span Passed”. Manuallly check the
functionality of the Expiratory pressure transducer.
• If the result is “Failed”, troubleshoot the failed transducer or check the test
manometer and re-calibrate.
Status screen for PC Service Application Status screen for PC Service Application 10.2
2.02 and 10.1
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Valve
High Pressure
Transducer Flow EXP
Regulator Sensor Pneumatic
Exhalation
P 25 psi Test Flow Resistor P Valve
172 kPa Port T H Valve Expiratory Pressure
Inlet Check
Primary Filter Standard Valv
Inlet Inspiratory Pressure
e
P
Air Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
Flow
High Pressure Flow
Valve
Transducer Regulator Sensor
25 psi Test Inspiratory
P 172 kPa Port T H Effort
Valve
Inlet Check
Filter Optional Valv
Primary Safety
AB.98.192
Inlet e Relief Valve
Free Breathing
O2 Check Valve
To Manometer
Auxiliary Pressure
Transducer Relief
Valve
Inlet Inlet
Filter P P Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.115
H
INSP Paux
EXP
To Manometer
AB.98.091
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Flow Valve
High Pressure Valve
Transducer Flow EXP
Regulator Sensor Pneumatic
Exhalation
P 25 psi Test Resistor P Valve
172 kPa Port T H Expiratory Pressure
Inlet Check
Primary Filter Standard Valv
Inlet Inspiratory Pressure
e
P
Air Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
Flow
High Pressure Flow
Valve
Transducer Regulator Sensor
25 psi Test Inspiratory
P 172 kPa Port T H Effort
Valve
Inlet Check
Filter Optional Valv
Primary
AB.98.193
Safety
Inlet e Relief Valve
Free Breathing
O2 Check Valve
Auxiliary Pressure
Transducer Relief
Valve
Inlet Inlet
Filter P P Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.116
INSP Paux
EXP
AB.98.087
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Valve
High Pressure
Transducer Flow EXP
Regulator Sensor Pneumatic
Exhalation
P 25 psi Test Flow Resistor P Valve
172 kPa Port T H Valve Expiratory Pressure
Inlet Check
Primary Filter Standard Valv
Inlet Inspiratory Pressure
e
P
Air Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
AB.98.194
Safety
Inlet e Relief Valve
Free Breathing
O2 Check Valve
Auxiliary Pressure
Transducer Relief
Valve
Inlet Inlet
Filter P P Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.117
INSP Paux
EXP
AB.98.092
To Manometer
AB.98.195
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Flow Valve
High Pressure Valve
Transducer Flow EXP
Regulator Sensor Pneumatic
Exhalation
P 25 psi Test Resistor P Valve
172 kPa Port T H Expiratory Pressure
Inlet Check
Primary Filter Standard Valv
Inlet Inspiratory Pressure
e
P
Air Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
Flow
High Pressure Flow
Valve
Transducer Regulator Sensor
25 psi Test Inspiratory
P 172 kPa Port T H Effort
Valve
Inlet Check
Filter Optional Valv
Primary Safety
Inlet e Relief Valve
Free Breathing
O2 Check Valve
To Manometer
Auxiliary Pressure
Transducer Relief
Valve
Inlet Inlet
Filter P P Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.118
INSP
H
Paux
To Manometer
Umbrella Relief Valve
EXP
AB.98.090
To Manometer
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Flow Valve
High Pressure Valve
Transducer Flow
Regulator Sensor Pneumatic EXP
Exhalation
P 25 psi Test Resistor P Valve
172 kPa Port T H Expiratory Pressure
Inlet Check
Primary Filter Standard Valv
Inlet Inspiratory Pressure
e
P
Air Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
Flow
High Pressure Flow
Valve
Transducer Regulator Sensor
25 psi Test Inspiratory
P 172 kPa Port T H Effort
Valve
Inlet Check
Filter Optional Valv
Primary Safety
To Manometer
Inlet e Relief Valve
Free Breathing
O2 Check Valve
Auxiliary Pressure
Transducer Relief
Valve
Auxiliary Pressure
Purge Valve Paux
AB.98.191
Inlet Manifold Vent Engine Manifold Outlet Manifold
Inlet Inlet
P P
Filter Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.114
INSP
Paux
EXP
To Manometer
3
Test
4 Device
Test 2
Device
4
5.3.3 Fan
1. Insert the compact airway module into the module bay.
2. Make sure the gas module fan is running.
5. Touch and hold the second calibration target and repeat until all four touch
calibrations are complete.
6. Check to ensure the arrow tracks with a finger touch.
• If miscalibration occurs wait 90 seconds or press Cancel for the calibration to
end and repeat the calibration procedure.
• View cancellation countdown seconds from the Cancel button.
7. Press Cancel to cancel the calibration or press Accept to accept the calibration.
1. Unpack and assemble the Engström ventilator. Refer to Section 3 of the User’s
Reference Manual (URM).
4. Depending upon system configuration, verify the AC power cord is fully seated in
the power inlet connectors on the back of the ventilator, outlet panel, compressor,
and the AC power cord clamp is tightened.
Tighten the power clamp screws to 1.0 Nm. Tighten the inlet power cord retainer
(1505-3033-000) screw to 0.45 Nm and the outlet power cord retainer (1505-3041-
000) screw to 0.45 Nm. See Note in Section 10.14 on page 10-30 for details.
5. Power system On and access the Install/Service menu. For details, see “Install/
Service Menu (Super User)” on page 4-3.
a. Verify the backup audio alarm buzzer sounds for two seconds as soon as the
system switch is turned on, and that it can be heard from a distance of 70 feet.
Initiate system power using the PC Service Application or request a second
party to turn system on while standing 70 feet away from the unit.
b. Verify the main audio alarm sounds briefly just before the system startup screen
shows. If the self tests fail, the display shows an alarm. For details, see
“Troubleshooting the Display - HPDU” on page 7-21.
7. Access the Service Menu (see Section 4.4 on page 4-16) and change the
following as required:
b. Options List (see Section 4.4.3 on page 4-18). Verify that the factory installed
ventilation options match the configuration purchased with the machine.
c. Copy Configuration menu (see Section 4.4.5 on page 4-19). Can be used to
copy a configuration to a Compact Flash card, and then copy the configuration
to additional machines.
d. From the Service menu, select the Service Log menu (see Section 4.4.6 on page
4-19). Review and reset the error and alarm log entries.
e. If the system is software 7.X or greater, from the Service menu select the
Touchscreen menu and perform the Touchscreen calibration (see Section 5.4
on page 5-33).
CAUTION Changes made in the installation mode will affect the system
configuration. All changes made are permanent and preserved until
changed again.
8. Access the Install/Service menus and perform the following as required, see
“Calibration procedure” on page 5-2 for details:
c. Turn Touchscreen On or Off (software version 7.X or greater). For details, see
Section 4.2.9 on page 4-14.
d. Set Favorites Bar (software version 7.X or greater). For details, see Section
4.2.8 on page 4-13.
Do the following steps if the compressor is not going to be used as the primary air
source (backup source only) or to make setting changes.
a. Access Service mode and navigate to Change Settings. Refer to Section 5 in the
“EVair Service Manual” (2066031-001) for Service mode instructions.
b. Verify the pressure threshold settings for backup mode is appropriate for the
hospital. Enter Service mode to adjust settings.
c. Connect the Medical Air pipeline hose to the compressor Air IN (bottom
connector). Use a 25 mm wrench to tighten the connector.
3. Open compressor panel (unlock four captive screws 1/4 turn), and then remove
the transport protective foam insert.
Note A Warning Notice and instruction for removal of transport protective foam insert is
attached to EVair03compressor panel.
d. Verify the compressor pump begins to run and the compressor pressure gauge
stabilizes at 550 ±50 kPa (80 ±7.3 psi) within 30 seconds.
a. Connect Medical Air Pipeline to the inlet. The pipeline gauge should indicate 280
to 650 kPa (41 to 94 psi). The pump should be in standby while the power switch
light remains lit.
b. Cut-In Pressure. Decrease pipeline pressure and verify the compressor starts
(turns on) at 225-265 kPa (32.6-38.4 psi).
c. Cut-out Pressure. Increase Pipeline pressure and verify that the Pump ceases
(turns off) at 280 ±10 lPa (39 to 42.1 psi).
6. Verify drain bottle is attached to side of compressor and drain tube is attached to
drain port on compressor panel.
1. If required, adjust the display unit arm joints (Section 9.5 on page 9-24).
2. Check movement of patient monitoring module rack arm. If necessary, use hex
wrench to adjust tension (Section 10.17 on page 10-36
3. Check that casters are not loose and the brakes are set and prevent movement.
Torque casters and mark if necessary, see “Replacing the cart casters” on
page 9-42
4. Depending upon system configuration, verify the AC power cord is fully seated in
the power inlet connector(s) on the back of the ventilator, outlet panel,
compressor, and the AC power cord clamp(s) is secure.
a. Tighten the power clamp screws to 1.0 Nm. Tighten the inlet power cord retainer
(1505-3033-000) screw to 0.45 Nm and the outlet power cord retainer (1505-
3041-000) screw to 0.45 Nm. See Note in Section 10.14 on page 10-30 for
details.
8. Visually inspect gas inlet filters (O2 and Air). Replace as needed.
CAUTION Any visual signs of moisture or particulate matter indicates that the
facility may have a problem with their Medical gas delivery system.
Return the replaced filter to the appropriate authority in the facility so
that they are aware of the problem and can correct as needed. If there
is any indication of moisture in the filter, the main manifold must be
inspected to ensure there are no visual signs of moisture entering into
the ventilator engine.
a. Power system On. Verify the backup audio alarm buzzer sounds for two seconds
as soon as the system switch is turned On.
b. Verify the main audio alarm sounds briefly just before the system startup screen
shows. If the self tests fail, the display shows an alarm. See “Troubleshooting
the Display - HPDU” on page 7-21.
10. Complete the battery performance test (Section 6.9 on page 6-17).
12. Complete all Service level tests and calibrations (Section 5.2 on page 5-4).
Note If Software 7.X or greater is installed, perform the Touchscreen calibration (Section
5.4 on page 5-33).
2. Inspect for visual accumulation of dust on boards located behind display unit fan.
Use a soft brush and general-purpose aerosol duster designed for PC boards. The
aerosol canister must be a moisture free formulation which leaves no residue.
Note The Service menu for the Gas Module is only available on units with system software
version 6.X or greater. To perform these tests and calibrations on units with system
software below 6.X, the use of a Datex-Ohmeda S/5TM Anesthesia Monitor, S/5TM
Critical Care Monitor, S/5TM Compact Anesthesia Monitor, or S/5TM Compact Critical
Care Monitor is required.
Replace the specified planned maintenance parts. Refer to the Compact Airway
Module Technical Reference Manual, M1153491, Chapter 3 “Maintenance and
Checkout”, Chapter 6 “Disassembly and reassembly” and Chapter 7, “Service Parts”
for additional information.
6.3.1 Cleaning
The cleaning precautions, cleaning requirements, cleaning procedures, and
recommended cleaning solution for the system are described in the Engström
Carestation User’s Reference Manual. For detailed information describing cleaning,
disinfecting and sterilizing the accessories, see the instruction for use in the accessory
package.
5. Metal D-fend connectors and the D-fend o-rings are clean and intact.
3. Remove the front cover from compressor (four screws on front panel).
4. Open the drain valve on the receiver, if water is present in the receiver. Refer to
“Fault finding and repair” section of the Evair03 TRM, Step 7, Figure 3.
5. Check the o-rings (6243000 and 6242500) in the non-return valve and replace, if
necessary. Refer to EVair03 TRM, Figures 4 and 7.
6. Install filter kit (5471001). Filter kit includes the following components:
• Intake filters: 2 each (5412400). Refer to EVair03 TRM, Figure 5.
• F/5 um filter: 2 each (4071230). Refer to EVair03 TRM, Figures 6b and 6c.
Note: Use only the Filter and Filter Bowl O-ring from kit, discard other parts.
• F/0.01 um Filter: 1 each (4071240). Refer to EVair03 TRM, Figure 6d.
• F/air intake: 1 each (6985795). Refer to EVair03 TRM, page 14.
8. Use a soft, damp cloth to carefully clean all dust and debris from the compressor
exterior and interior, especially the cooler fins and fans.
11. Verify drain bottle is attached to side of compressor and drain tube is attached to
drain port on compressor panel.
12. Verify the auto drain activates at approximately two minute intervals.
Install 10,000 Hour Kit after 10,000 hours of operation (check hour meter).
• 10,000 Hour Kit -230V/50 Hz (5471002)
• 10,000 Hour Kit - 120 V/60 Hz (5471003)
10,000 Hour Kit includes:
• Motor OF302. Refer to Evair03 TRM, page 14.
• Non-return valve: 2 each (5414500). Refer to the EVair03 TRM, Figures 4
and 7.
• Solenoid valve. Refer to EVair03 TRM, Figures 8 and 9.
• Auto drain. Refer to Evair03 TRM, Figures 6b, 6c, or 6d.
6.5.1 Before and after every use (or every 48 hours of operation)
Check and clean the outer surface.
System data
Use the service-level password (34-22-14) to access the Service menu.
See “Service and Installation menu structure” on page 4-2 for detailed information on
accessing service and system data.
Interval Maintenance
During cleaning and setup • Inspect parts for damage and replace or repair, as
necessary.
As necessary • Empty the water trap on the exhalation valve
housing.
• Empty the water trap on the air pipeline inlet fitting
and replace the filter.
• Clean and replace the expiratory flow sensor.
• Clean or replace the neonatal flow sensor.
Monthly • Remove and clean fan filters for the display unit,
vent housing, airway module, and compressor.
Every two months • Calibrate the airway module, if one is installed.
Every six months Calibrate:
• O2 Flow Control Valve*
• AIr Flow Control Valve
• Exhalation Valve
• Check the performance of the internal battery
Annually • Check the performance on the internal battery.
See “Manufacturing date codes” on page 6-16.
• Perform annual service and maintenance
check for the ventilator, airway module, and
compressor.
Reprocessing
Component Minimum Frequency
Cycles
Note: The date code wheel shown on the parts below refers to the month and year the
part was manufactured. Example: 03/2010.
Flow Sensors
6.11 Disposal
Dispose of the ventilator, accessories, and packaging according to local, state, or
country disposal recycling laws at the end of their expected service life.
7 Troubleshooting
In this section
7.1 Troubleshooting Checkout Failures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
7.1.1 Paw transducer check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
7.1.2 Barometric pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
7.1.3 Low pressure leak and compliance check . . . . . . . . . . . . . . . . . . . . . . . .7-4
7.1.4 Safety valve relief and back pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5
7.1.5 Exhalation valve calibration check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-6
7.1.6 Exhalation flow sensor calibration test . . . . . . . . . . . . . . . . . . . . . . . . . . .7-7
7.1.7 Measure breathing circuit resistance . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-7
7.1.8 Air inspiratory flow sensor calibration check . . . . . . . . . . . . . . . . . . . . . . .7-8
7.1.9 O2 inspiratory flow sensor calibration check . . . . . . . . . . . . . . . . . . . . . . .7-8
7.1.10 O2 sensor test and calibration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9
7.1.11 Neonatal flow sensor calibration check. . . . . . . . . . . . . . . . . . . . . . . . .7-10
7.1.12 Inspiratory Limb Resistance check . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-11
7.2 Troubleshooting Vent Engine Leaks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12
7.2.1 Vent engine leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12
7.2.2 Expiratory pressure circuit test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-15
7.2.3 Auxiliary pressure circuit test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-16
7.3 Troubleshooting Vent Engine Components . . . . . . . . . . . . . . . . . . . . . . . . . . .7-17
7.3.1 Regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-17
7.3.2 Flow Valves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-18
7.4 Troubleshooting Startup Screen (POST) messages . . . . . . . . . . . . . . . . . . . . .7-19
7.5 Troubleshooting Startup Screen (POST) messages - HPDU . . . . . . . . . . . . . .7-20
7.6 Troubleshooting the Display - HPDU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-21
7.7 Alarm message troubleshooting chart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-23
7.8 Troubleshooting Service Application messages . . . . . . . . . . . . . . . . . . . . . . . .7-44
7.9 Troubleshooting Failed State . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-61
Important Volume control and monitoring will be more accurate if the neonatal flow sensor is
calibrated in the following situations:
• Before use, during the Checkout procedure.
• After replacing the flow sensor.
• After a power cycle.
Total flow too low The system cannot establish the • Use the PC Service Application to simulate
Pressure too low flow required for measuring the test and isolate the problem.
Total flow too low(1) resistance. • Use the PC Service Application to determine
the accuracy of the Total Flow Sensor
Total flow too low(2) If there are error s in the
• Check respective Regulator and Flow Control
Pressure too low (1) calculation (negative values,
Valve for proper operation (Section 7.3.1 on
divide by zero) the results will be
page 7-17 and Section 7.3.2 on page 7-18).
dashed.
AB.98.088
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Flow Valve
High Pressure Valve
Transducer Flow
Regulator Sensor Pneumatic EXP
Exhalation
P 25 psi Test Resistor P Valve
172 kPa Port T H Expiratory Pressure
Inlet Check
Primary Filter Standard Valve
Inlet Inspiratory Pressure
Air P
Total Flow Inspiratory Zero
O2 Sensor Valve
T H
O2
INSP
Flow
High Pressure Flow Valve
Transducer Regulator Sensor
25 psi Test Inspiratory
P 172 kPa Port T H Effort
Valve
Inlet Check
Filter Optional Valve
AB.98.100
Primary Safety
AB.98.186
Inlet Relief Valve
Free Breathing
O2 Check Valve
Auxiliary Pressure
Transducer Relief
Valve
Auxiliary Pressure
Purge Valve Paux
Inlet Inlet
P
Filter P Filter
O2 Air
Optional Standard
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.101
H
INSP
AB.98.120
Paux
EXP
5. Open only the O2 flow valve by selecting the O2 Flow Valve checkbox. Verify that
60,000 DAC counts are set.
6. Repeat the Vent Engine Leak Test.
• If the test fails, check the individual components in the O2 Flow path.
• If the test passes, check the individual components in the Air Flow path.
AB.98.100
AB.98.111
P P
O2 Air
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
H
INSP
Paux
AB.98.121
EXP
WARNING Before removing restrictors, shut off the supply valves and open the
flow valves to bleed system pressure build-up.
5. Remove the restrictor access cover next to the Air Flow Valve.
6. Remove the restrictor and reinstall the restrictor access cover. Repeat steps 1
through 3.
• If pressure rises to 70 cmH2O within 7 seconds, install a new restrictor and
repeat the test.
• If not, or if the test fails with the new restrictor, continue.
7. Check the following seals on the individual components in the order listed, replace
components as needed, and repeat the test.
a. Restrictor cover gasket
b. Expiratory pressure zero valve gasket
c. Expiratory pressure sensor o-ring
d. Outlet manifold o-ring
8. If the test fails, replace the following components in the order listed.
a. Expiratory pressure sensor assembly
b. Outlet panel assembly
c. Main manifold assembly
WARNING Before removing restrictors, shut off the supply valves and open the
flow valves to bleed system pressure build-up.
2. Remove the restrictor access cover next to the Air Flow Valve.
3. Remove the restrictor and re-install the restrictor access cover. Repeat the P1
Low Pressure leak test in Section 5.2.11 on page 5-22.
• If pressure > 90 cmH2O, install a new restrictor and repeat the test.
• If not, or if failure occurs with new restrictor, continue.
4. Check seals on the individual components in the order listed below. Replace
components as needed, and repeat the test.
a. Restrictor cover gasket
b. Auxiliary pressure relief valve
c. Auxiliary pressure zero valve gasket
d. Auxiliary pressure sensor o-ring
e. Outlet manifold o-ring
5. If failure occurs, replace the following components in the order listed:
a. Auxiliary pressure sensor assembly
b. Auxiliary zero valve
c. Outlet panel assembly
d. Main manifold assembly
7.3.1 Regulator
1. Set up the PC Service application per Section 5.2.1 (page 5-4).
2. Attach a manual shut off valve to the gas supply for the Regulator Under Test
(RUT).
3. Enter the Super User mode.
4. Calibrate the RUT per Section 5.2.4 (page 5-5).
5. Verify the pressure is stable and does not increase above 179 kPa (26 psi) when
the Flow Valve is off.
6. Turn off the shut off valve.
7. Set the Flow Valve DAC to 60,000 for the gas being tested to bleed the trapped
pressure.
8. Re-set the Flow Valve DAC to 0.
9. Slowly open the shut off valve until pressure begins to rise.
If pressure continues to rise above 179 kPa (26 psi), the regulator should be
replaced.
7. Paste the DAC count into the DAC value for the VUT and energize the valve.
8. Press and hold the arrow to increase counts while watching the Flow for the VUT.
9. When flow exceeds 200 ml, release the up arrow.
a. If flow is greater than 500 ml, perform the Vent Engine Clean-out per Section
5.2.3 on page 5-5, and then repeat test.
b. If opening flow is still greater than 500 ml, replace the VUT.
10. Adjust the counts for the VUT to achieve approximately 2000 ml flow.
11. Press and hold the down arrow to decrease counts until the flow is less than 200
ml.
a. If flow will not decrease below 200 ml, perform Vent Engine Clean out and repeat
the test.
b. If flow does not decrease below 200 ml but is less than 500 ml, it can be used
but should be re-tested periodically to ensure it is stable.
c. If flow does not decrease below 500 ml, replace the VUT.
Symptom Resolution
System will not boot from external Compact 1. Verify that the Compact Flash card is properly inserted.
Flash card during software installation 2. Insert a backup Compact Flash card.
process
3. Open the HPDU and verify that the external Compact Flash card
carrier socket is properly seated.
4. Replace external Compact Flash card carrier socket. (p/n 1009-
5961-000)
5. Replace HPDU main PCB.
Display appears mostly white and the green 1. Verify that the cable connecting the HPDU to the system’s rear
LED is on panel is properly seated.
2. Open the HPDU and verify that the cable connecting the main
PCB to the display at J28 is properly seated within the mating
housing and check for damage and/or wear.
3. Replace the HPDU.
Rotary encoder fails to work 1. Open the HPDU and verify that the cable connecting the main
PCB to the rotary encoder at J38 is properly seated within the
mating connector.
2. Disconnect one keypad flex cable at a time (eg. at J23), if the
rotary encoder begins working replace that keypad and label.
3. Replace the rotary encoder.
4. Replace the HPDU main PCB.
Unit fails to boot and the green LED is on 1. Open the HPDU and ensure that the lithium coin cell at J17 on
the main PCB is properly installed.
2. Replace the lithium coin cell at J17 on the main PCB.
3. Verify that the internal Flash card at J10 on the main PCB is
properly seated.
4. Attempt to boot the system using a spare compact flash card and
replace the card, if necessary.
5. Attempt to boot the system from the external Compact Flash
card.
6. Replace the HPDU main PCB.
Excessive fan noise 1. Clean the HPDU fan inlet filter.
2. Check for obstructions within the external fan and verify source of
fan noise.
3. Open the HPDU and verify internal CPU fan noise.
4. Replace internal or external fan assembly if causing excessive
noise.
Excessive fan dust 1. Clean the HPDU fan inlet filter.
2. Check for obstructions within the external fan.
Touchscreen is not working Check system software version, 7.X software or greater is required
for touchscreen capability.
1. Verify if the touchscreen lock icon is displayed in the upper right
corner of the display screen.
2. Press the Lock/Unlock key on the left side of the display to enable
touchscreen.
Symptom Resolution
Touchscreen is locked 1. Press the Lock/Unlock key on the left side of the display.
2. Clean any dust, dirt, drops of liquid, or other contaminates from
the display.
3. Allow the display to update for 2 minutes or reboot the
system.
Touchscreen is not turned On 1. Push the System Setup key.
2. Select Install/Service and enter the password.
3. Select Display Settings - Touchscreen.
4. Select On and confirm the selection.
Touchscreen tracking incorrect Perform the “Touchscreen Calibration” on page 5-33.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
-none- Touchscreen not Touchscreen is not responding Service only message
detected Unable to successfully load
the Touchscreen driver.
-none- Touchscreen Touchscreen calibration data does Service only message
calibration missing not exist. Calibration files cannot be
detected and touchscreen
has reverted to the default
calibration.
• Perform touchscreen calibration (see Section 5.4 on page 5-33)
-none- DU RAM Error Failed Self test failure or multi bit error Run Backup Ventilation if in
detected. Therapy.
• Cycle power.
• Replace display unit CPU board.
-none- VCB: PSM Power Normal If short to ground in either Port 2 or
Fail Port 3.
• Turn ventilator off and remove any device or accessory plugged into either port.
• Turn ventilator on and view service logs to verify that the error is no longer posted.
-none- Therapy Power Off High Power switch is set to Off. Non-silenceable.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Air supply Air Supply Pres Low Medium Air supply pressure < 24.3 psig for Unit shuts down Air supply
pressure low more than 0.5 seconds and delivers 100% Oxygen
Flow Wave:
O2 only
• Check air supply.
• Disconnect sensor and verify output is zero gauge pressure.
• Interchange harness connections on both supply pressure sensors.
• If alarm follows the sensor, check sensor connector terminals. Replace supply pressure sensor if
necessary.
• If not, check/replace harness.
• If not harness, check/replace VMB.
Temp High High Total Flow Sensor temperature > Switch to 100% O2.
48°C Air is turned off regardless
of other alarm conditions
Air temp high
(for example, O2 Supply
Flow Wave: Low).
O2 only When the condition clears,
the vent changes back to
previous known good set
O2 mixture.
• Check inlet air temperature.
• Use PC Service Application to check temperatures of Air and Total Flow sensors.
• If inlet air temp is NOT high, and if temperature from Total Flow Sensor reports more than 9°C
higher than the air sensor, replace Total Flow Sensor.
• With a air flow of approximately 10 l/min, verify air and total flows are within 10% of each other.
Air Temperature Low Out of range air temperature Use total flow temperature
Sensor Failure sensor data (range is 0-60 degrees for all air flow sensor
C). calculations, including
Air temp sensor
alarms.
error
If Total Flow Sensor
temperature is not
available, use 50°C.
• Check inlet air temperature.
• If Communication Failure alarm is also active, check harness connections.
• With gas supplies disconnected and system temperature stabilized, use PC Service Application
to check temperatures of Air and Total Flow sensors. Air Flow Sensor and Total Flow Sensor
shall not differ by more than 9°C.
• Replace sensors.
Backup Buzzer Medium Current to buzzer indicates audio is This alarm is logged at
POST not sounding. start-up and can be de-
escalated but cannot be
Backup audio cleared from the screen.
failure The primary and backup
alarm audio sounds upon
every power-up of the
system.
• Check harness connection between PMB/On-Standby switch.
• Verify buzzer current with voltage measurement at TP15 on VCB. If voltage IS NOT present,
replace PMB. If voltage IS present, replace VCB.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Backup Mode Active Medium Spontaneous breathing is Uses preset settings
Backup mode insufficient or display unit failure. (customer configurable).
active System goes into Backup
Ventilation mode.
• Ensure the patient’s spontaneous breathing and ventilatory support is adequate. This alarm
could be triggered by user errors regarding patient ventilation requirements. See URM for
details.
• Check error log for communication errors or DU errors.
FRC invalid Low An FRC measurement was started
Cannot for FRC or PEEP Inview, but
calculate FRC unable to be completed within the
last 5 seconds.
• Check end tidal CO2 reading.
• Ensure airway module is available and active.
• Stop any active procedures.
• Start a new FRC measurement.
• Ventilation changes will stop an FRC measurement.
• With gas module plugged in, check power supply status LEDs on MIB from bottom of sheetmetal
enclosure. If any LEDs are lit, then unplug module. If LEDs remain lit, replace MIB.
• Replace gas module.
Check D-fend MGAS D-fend Not Low MGAS communicates that the D- The pump turns Off.
Connected > 40 Sec fend module is not installed. If Normal Screen is
CO2, or O2 selected the DU commands
waveform MGAS D-fend Not Medium the MGAS to start sampling
instruction: Connected > 60 Sec again.
Check D-fend.
Wait 30 sec and
press Normal
Screen to
continue.
• Check that the sample tube is connected.
• Check that the water trap is connected.
• Check that the gas outlet is not blocked.
• Replace Module.
Check sample MGAS Check Low MGAS communicates continuous The pump turns Off.
gas out Sample Gas Out > 40 occlusion for 40 seconds. If Normal Screen is
Sec selected, the DU
CO2 or O2 Medium MGAS communicates continuous commands the MGAS to
waveform MGAS Check occlusion for 60 seconds. start sampling again.
instruction: Sample Gas Out > 60
Check sample Sec
gas out. Wait 30
sec and press
Normal Screen
to continue.
• Check the gas outlet.
• Replace module.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Neo Flow Sensor Medium Neo flow sensor reporting flow > 32
Clean neo flow
Contaminated l/min for 4 continuous seconds as
sensor
measured by the VCB or VMB.
• Calibrate neo flow sensor.
• Clean neonatal flow sensor
• Replace neo flow sensor.
• Replace neo flow sensor cable.
• Replace VMB.
• Replace motherboard.
• Replace VCB.
Connect Nebulizer not Low Nebulizer disconnected while
nebulizer Connected nebulization procedure is running.
• Re-connect Nebulizer.
• Replace Nebulizer cable.
• Replace Nebulizer head.
• Replace Nebulizer board.
Front Panel Com Fail High Display CPU board fails to send life DU to allow power off
Controls
tick for greater than 10 seconds confirmation, even in
frozen. Need
Therapy. (The Power lock
service
popup will not appear.)
• Look for physical damage to the keypad. If damaged, disconnect the internal keypad cable.
• If the unit powers up with no failures indicated, replace the membrane switch assembly.
• If failure still exists, disconnect each of the remaining keypad connections (one-by-one) until the
failed component is located. Replace the failed component.
• If failure still exists with all keypads disconnected, replace the CPU board.
CPU Fan Speed Fail Medium CPU fan speed less than 2500
RPM (50% of nominal speed).
Display fans
failed
CPU Overheat Medium Temperature reading of either DU
thermistor > 60°C.
• Verify fan connection.
• Verify fan is not spinning while powered. If not, then replace fan.
• Replace DU CPU board.
Exhalation Flow High Failed communications with Use open loop pressure
Exp flow Sensor exhalation flow sensor. control.
sensor failure Communications
Failure
• Check harness connection between VMB and exhalation flow sensor PCB.
• Replace exhalation flow sensor PCB.
• Replace VMB.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Exp Flow Exhalation Flow Medium Adult /Ped: Freeze vent engine volume
sensor error Sensor Comparison (TVexp – TVinsp) > (0.3* TVinsp) compensation on first
or 100 ml whichever is greater for 6 breath detected.
consecutive breaths.
Neonatal:
(TVexp – TVinsp) > (0.3* TVinsp)
or
18 ml whichever is greater for 6
consecutive breaths.
• Using PC Service Application, verify Inspiratory flows match Expiratory flow within tolerance
stated above.
• Replace expiratory sensor as necessary.
• Replace exhalation flow sensor board (EFSB).
Fan Fail Medium Fan Power Status Bits for main fan
Fans require or vicor fan is low.
service Main fan or DC to DC converter fan
is low.
• Check connections to fans.
• Replace broken fan(s).
FiO2 control Air Flow Sensor Medium Loss of communication with Air Use Open Loop valve
error Communications Flow Sensor. mixture control.
Failure Return to closed loop
volume delivery control
when cleared.
• Check Error Log for Air/O2 Insp Flow Sensor Supply Voltage.
• If yes:
— Disconnect vent engine harness at air flow sensor. If voltage error stops, replace air flow
sensor.
— Disconnect vent engine harness at O2 flow sensor. If voltage error stops, replace O2 flow
sensor.
— Disconnect vent engine harness at VCB. If voltage error stops, replace harness.
• If no:
— Check connection to Air Flow Sensor.
— Interchange harness connection between air and Total Flow Sensor.
— If problem stays with sensor, replace sensor. If alarm follows harness, check/replace
harness. If harness is okay, replace VCB.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
FiO2 control O2 Flow Sensor Medium Loss of communication with O2 Use Open Loop valve
error Communications Flow Sensor. mixture control.
Failure Return to closed loop
volume delivery control
when cleared.
• Check Error Log for Air/O2 Insp Flow Sensor Supply Voltage.
• If yes:
— Disconnect vent engine harness at air flow sensor. If voltage error stops, replace air flow
sensor.
— Disconnect vent engine harness at O2 flow sensor. If voltage error stops, replace O2 flow
sensor.
— Disconnect vent engine harness at VCB. If voltage error stops, replace harness.
• If no:
— Check connection to O2 Flow Sensor.
— Interchange harness connection between O2 and Total Flow Sensor.
— If problem stays with sensor, replace sensor. If alarm follows harness, check/replace
harness. If harness is okay, replace VCB.
FRC series FRC series Low Set O2 is > set FRC O2 and user Alarm is removed upon
stopped terminated decreases the set O2 during a state change or when new
series interval with the last 5 series is initiated.
seconds.
-or-
Set O2 is < set FRC and user
increases the set O2 so that FRC
O2 would be > 100% within the last
5 seconds.
• Verify correct settings.
• Restart series.
Mixed gas temp Total Flow Low Out of range total temperature Use air flow temperature
sensor error Temperature Sensor sensor data or loss of for Total Flow Sensor
Failure communication. calculations, including
alarms.
If air flow sensor
temperature not available
use 50°C.
• Check inlet air temperature.
• If Communication Failure alarm is also active, check harness connections.
• With gas supplies disconnected and system temperature stabilized, use PC Service Application
to check temperatures of Air and Total Flow sensors. If either reports temperature out of range (0
to 60°C), replace that sensor.
Missed FRC missed Low Another procedure or condition Series continues (only one
scheduled FRC prevented the FRC series measurement was missed).
measurement from starting within
the last 5 seconds.
• Ensure airway module is available and active.
• Stop any active procedures.
• Start a new FRC measurement.
• Ventilation setting changes will stop an FRC measurement.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Module fail. No MGAS Sensor Inop > Medium MGAS communicates hardware
CO2, O2 data XX failure (RAM failure, ROM
checksum error, Error in CPU
EEPROM, Error O2 preamp
EEPROM, Error in SSSboard
EEPROM, Voltage error, or Lamp
control failure.)
• Replace Module
Module not Module Not Low The monitoring module detected is
compatible Compatible not compatible with system
software. Refer to Airway Modules
in the User’s Reference Manual.
• Remove and reseat Module.
• Check software revision in the Service Log.
• Replace Module.
Negative airway Negative Pressure High Paw insp < -10 cmH20 for greater Latched alarm.
pressure than 50 continuous ms. PEEP numeric changes to
flashing red background.
• Compare Insp and Exp sensor values using the PC Service Application at zero and 100 cmH2O.
The Insp and Exp pressure sensors should match within ±5 cmH20 (while at 0 cmH2O true
pressure) and ±10 cmH2O (while at 100 cmH20 true pressure).
• Calibrate pressure sensors.
• See Section 5.2.5 (page 5-8) for testing zeroing valve.
• Check harness connection on VCB and VMB.
• Replace sensor as needed.
Neo flow Neo Flow High (Neo TVexp - Neo TVinsp) > (0.3* Freeze vent engine volume
sensor error Comparison Neo TVinsp) or 5 ml whichever is compensation on first
greater for 6 consecutive breaths. breath detection.
• Calibrate neo flow sensor.
• Check neo flow sensor and cable connections.
• Replace neo flow sensor.
• Replace neo flow sensor cable.
• Replace VMB.
• Replace motherboard.
• Replace VCB
Neo Total Flow High (Neo TVexp - Neo TVinsp) > (0.3* Freeze vent engine volume
Neo flow
Sensor Comparison Neo TVinsp) or 30 ml whichever is compensation on first
sensor error
greater for 6 consecutive breaths. breath detection.
• Calibrate neo flow sensor.
• Check neo flow sensor and cable connections.
• Calibrate expiratory flow sensor.
• Replace neo flow sensor.
• Replace neo flow sensor cable.
• Replace expiratory flow sensor.
• Replace Total Flow Sensor.
• Replace VMB.
• Replace motherboard.
• Replace VCB.
Neo Exh Flow High (Exh TVexp - Neo TVexp) > (0.3*
Neo flow
Sensor Comparison Neo TVexp) or 30 ml whichever is
sensor error
greater for 6 consecutive breaths.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
• Calibrate neo flow sensor.
• Check neo flow sensor and cable connections.
• Calibrate expiratory flow sensor.
• Replace neo flow sensor.
• Replace neo flow sensor cable.
• Replace expiratory flow sensor.
• Replace VMB.
• Replace motherboard.
• Replace VCB.
Neo flow Neonatal Flow High Neo flow sensor comparison alarm
sensor error Comparison - System active or neo-total flow sensor
comparison alarm active or neo-
exh flow sensor comparison alarm
active.
• See Neo flow sensor comparison alarm, neo-flow sensor comparison alarm, or neo-exh flow
sensor comparison alarm troubleshooting
Neo flow Neo Flow Sensor Off Medium Neo flow sensor turned off in neo
sensor off flow sensor setup menu.
• Turn on neo flow sensor.
No neo flow No Neonatal Flow Low Both neonatal flow sensor hot
sensor Sensor - Standby wires reporting less than 20 ADC
as measured by the VCB or VMB.
• Calibrate neo flow sensor.
• Check neo flow sensor and cable connections.
• Replace neo flow sensor.
• Replace neo flow sensor cable.
• Replace VMB.
• Replace motherboard.
• Replace VCB.
Neo flow Neo Flow Sensor High Neo TVinsp more negative than -3 • Verify FMI 34014 has
sensor Reversed ml for 6 consecutive mechanical been completed on unit.
reversed breaths.
• Calibrate neo flow sensor.
• Check neo flow sensor and cable connections.
• Replace neo flow sensor.
• Replace neo flow sensor cable.
• Replace VMB.
• Replace motherboard.
• Replace VCB.
No neo flow No Neonatal Flow High Both neonatal flow sensor hot
sensor Sensor - Therapy wires reporting less than 20 ADC
as measured by the VCB or VMB.
• Calibrate neo flow sensor.
• Check neo flow sensor and cable connections.
• Replace neo flow sensor. Neonatal flow sensor is warranteed for 90 days.
• Replace neo flow sensor cable.
• Replace VMB.
• Replace motherboard.
• Replace VCB.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
• Shut down and unplug ventilator. Plug in and restart the ventilator.
• Replace PMB.
No battery Battery Charge Fail Medium The system is powered on with a See Section 8.3.1 on page
backup -or- battery current > 1.3A. 8-5 for more information.
Standby Current High -or-
System is in Standby and the
charge current is > 1.7A.
• Shut down and unplug ventilator. Plug in and restart the ventilator.
• Check/replace harness.
• Replace Power Supply.
• Replace PMB.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
No battery Battery Fail Medium While bulk, over, or float charging Battery status indicator
backup any battery is < 10.5VDC (short). appears under clock.
-or-
Battery has been charging for See Section 8.3.1 on page
> 24h while powered on (sulfated). 8-5 for more information.
-or-
Voltage > 16.5V during bulk or over
charging and normal current >
0.25A (sulfated).
• Shut down and unplug ventilator. Plug in and restart the ventilator.
• Check/replace harness.
• Replace batteries.
No battery Battery Missing Medium Any battery voltage is between -1.0 Battery status indicator
backup and +1.0VDC. appears under clock.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
No exp flow No Exhal Flow High No Exhalation Flow Sensor Use Open Loop pressure
sensor Sensor connected. control.
This alarm can be
suspended.
• Check Exhalation flow sensor connection.
• Replace Exhalation Flow Sensor. Warranteed for 90 days.
• Verify low pressure leak test passes.
• Check/replace interface PCB and flex circuit.
• Check/replace exhalation flow sensor PCB.
No gas supply No Supply Pressure High O2 supply pressure and air supply Continue 100% gas flow of
pressure pressure < 24.3 psi for more than whichever gas has the
0.5 seconds. higher pressure value at
the onset of the alarm; if
both are equal, use 100%
O2.
• Check O2 and Air supply pressures.
• Check/replace harness between sensor and VMB.
• Check error log for reference voltage errors.
• Check/replace VMB.
O2 sensor O2 Sensor Fail Medium Out of range O2 sensor (Paracube)
failure data greater than 103% or
communication error.
• Calibrate O2 sensor with Checkout (ensure both Air and O2 gas supply are connected).
• Calibrate O2 sensor with PC Service Application (ensure both Air and O2 gas supply are
connected).
• Verify O2 Concentration sensor voltage error is not present in error log.
• Check/replace harness.
• Check/replace O2 sensor.
• Check/replace VMB.
O2 supply O2 Supply Pres High Low O2 supply pressure > 95 psi for
pressure high more than 0.5 seconds.
• Check O2 supply.
• Disconnect sensor and verify output is zero gage pressure.
• Interchange harness connections on both supply pressure sensors.
• If alarm follows the sensor, replace supply pressure sensor.
• If not, check/replace harness.
• If not harness, check/replace VMB.
O2 supply O2 Supply Pres Low Medium O2 supply pressure < 24.3 psi for Latched
pressure low more than 0.5 seconds. De-escalatable
Go to 100% Air.
Flow Wave:
Air only
• Check O2 supply.
• Disconnect sensor and verify output is zero gauge pressure.
• Interchange harness connections on both supply pressure sensors.
• If alarm follows the sensor, check sensor connector terminals. Replace supply pressure sensor,
if necessary.
• If not, check/replace harness.
• If not harness, replace VMB.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Patient Standby Patient High Paw insp or Paw exp > 3 cmH2O Non-silencable
connected? Detection Audible in Standby and
when bias flow set to 3 l/min air or
O2 (if Air not available) and Monitoring states.
When placed in Standby
exhalation valve set to 6 cmH2O for
state either by the user or
3 seconds.
after power up, the
Suction patient ventilator will maintain a
detection bias flow so as to detect if a
Paw exp > 3 cmH2O for approx.
patient has been attached
1 second to the circuit. This
-or- functionality alerts for an
Paw exp < -0.5 cmH2O for approx. inadvertent attachment of
1 second the patient without the user
-or- actuating ventilation. The
Exp Flow < -1 l/min for 1 second Standby menu shall be
Circ Unparked displayed with the highlight
Patient Detect on Start Ventilation when
alarm is initially activated.
• Was patient connected during standby state? If yes, this is a user error. If no:
• Remove all tube connections from vent. If alarm persists, check exhalation pressure port and
exhalation valve housing.
• Calibrate Flow control valves.
• Calibrate airway pressure transducers.
• Using the PC Service Application and occluded circuit, set 3 l/min flow, and set 6 cmH20 on exh.
Valve. Ensure both Insp and Exp pressure sensors read 6 ±3 cmH2O. Open circuit and verify
pressure is < 2 cmH20.
• Check/replace zero valves.
• Replace appropriate pressure sensor board.
• Replace appropriate flow control valve.
Paux high Paux High Medium Paux > 100 cmH2O De-energize Paux purge
valve (if purge valve is
energized) until alarm
condition clears.
• Verify Paux port (and any tubing that is connected to Paux port) is not occluded when purge
valve is energized (purge is turned ON).
• Zero Paux pressure sensor.
• Use the PC Service Application to calibrate the Paux pressure sensor (Section 5.2.8 on page 5-
15).
• Interchange Paux and Pexp connections. If Paux high alarm stops, replace Paux sensor.
• If Paux High alarm continues, replace VCB.
Paux sensor Paux Sensor out of Low Paux sensor data out of range.
out of range range Range is 10-4095 mV.
• Check/replace harness.
• Interchange Paux and Pexp connections. If Paux alarm stops, replace Paux sensor.
• If Paux alarm continues, replace VCB.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Paux sensor Paux Zeroing Error Low Range for zero pressure: 631-968 If failed, use previous
out of range mV (counts). known good offset value for
Paux.
• Verify Paux port (and any tubing that is connected to Paux port) is not occluded when purge
valve is energized (Purge is turned On).
• Zero Paux pressure sensor.
• Check/replace harness.
• Interchange Paux and Pexp connections. If Paux alarm stops, replace Paux sensor.
• If Paux alarm continues, replace VCB.
Pbaro sensor Barometric Pressure Low Out of range barometric pressure The ventilator will use the
out of range Sensor Out of Range data. entered altitude setting to
Range: 2163-4340 mV or 732-1196 determine the calculated
cmH2O. barometric pressure value.
• Calibrate the barometric sensor (see Section 8.5.18 on page 8-28).
• Replace VMB (recalibrate barometric sensor).
Pexp sensor Paw exp Sensor Out High Out of range Paw exp sensor data.
out of range of Range Range is 10-4095 mV.
• Check/replace harness.
• Interchange Paux and Pexp connections. If Pexp alarm stops, replace Pexp sensor.
• If Pexp alarm continues, replace VMB.
Pexp sensor Paw exp Zeroing Low Range for zero pressure is 631- If failed, vent uses previous
out of range Error 968 mV (counts). known good offset value for
Paw exp.
• Verify Pexp port is not occluded.
• Zero Pexp pressure sensor.
• Check/replace zeroing valve.
• Check/replace harness.
• Interchange Paux and Pexp connections. If Pexp alarm stops, replace Pexp sensor.
• If Pexp alarm continues, replace VMB.
Pinsp sensor Paw insp Sensor Out High Out of range Paw insp sensor
out of range of Range data ≥ 50 ms or Inspiratory
Pressure Zero Valve energized for
≥ 1 second.
Range is 10-4095 mV
• Check/replace harness.
• Interchange Paux and Pinsp connections. If Pinsp alarm stops, replace Pinsp sensor.
• If Pinsp alarm continues, replace VCB
Pinsp sensor Paw insp Zeroing Low Range for zero pressure is 631- If failed, vent uses previous
out of range Error 968 mV (counts) known good offset value for
Paw insp.
• Zero Pinsp pressure sensor.
• Check/replace zeroing valve.
• Check/replace harness.
• Interchange Paux and Pinsp connections. If Pinsp alarm stops, replace Pinsp sensor.
• If Pinsp alarm continues, replace VCB.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
PO2 sensor out O2 Supply Pressure Low Out of range O2 supply pressure
of range Sensor Out of Range sensor data.
Range is 195 to 4760 mV
• Check O2 supply.
• Disconnect sensor and verify output is zero gage pressure.
• Interchange harness connections on both supply pressure sensors.
• If alarm follows the sensor, check sensor connector terminals. Replace supply pressure sensor if
necessary.
• If not, then check/replace harness.
• If not harness, then replace VMB.
Pressure Paw Cross- Check High Paw exp – Paw insp > 10 cmH2O
sensor failure for more than 100 ms.
Alarm condition must be present
for > 350 ms.
• Verify Pexp port is not occluded.
• Check airway pressure transducer calibration(s) at 0, 50, and 100 cmH2O. Calibrate if
necessary.
• Check/replace zeroing valve(s).
• Check/replace harness.
• Check/replace pressure transducer(s).
• Check/replace VCB or VMB.
Primary audio Alarm Confirm Error High If the DU detects a speaker current Audible in Standby and
failure sense bit false when attempting to Monitoring.
sound the speaker. De-escalates to Low
priority.
VCB/VMB will receive data
from DU indicating:
1. High priority alarm
successfully sounded.
2. High priority alarm not
successfully sounded.
3. No High priority alarm
currently active.
The VMB or VCB will
activate the backup buzzer
when condition 2 in the
special behavior column is
active or if condition 1 in
the special behavior
column is not detected
within 15 seconds of the
VCB or VMB issuing A high
priority alarm. All high
priority alarms that have
the VCB or VMB as the
source will activate this
alarm.
• Adjust speaker volume to its highest volume. If alarm stops, replace DU speaker.
• Check DU speaker connection.
• Replace speaker.
• Replace DU CPU board.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Relief valve Safety Valve High Failed Safety Relief Valve User cannot enter Therapy
failure Checkout Failure Checkout. Paw reaches 30 cmH2O state after a powerup until
within 4 seconds of the start of the removal criteria is met.
Paw and Flow check.
Wave:
Ventilation not
available
• Check for pneumatic leaks.
• Verify seat/seal interface is clean.
• Verify safety valve relief port (bottom of ventilator) is not blocked.
• Perform the Mechanical over-pressure valve test (Section 5.2.13 on page 5-24). Removal
requires successful checkout.
Remove airway Neo module not Low Any MGAS module is installed in
module compatible the module bay during neo patient
type.
• Remove module or change patient type to adult or pediatric.
Replace D-fend MGAS Inlet Filter Low MGAS communicates: Residue
Residue > 40 Sec buildup on the water trap
CO2 or O2 wave: membrane. This decreases airflow.
Replace D-fend
• Replace D-fend.
Replace neo Neo Flow Sensor High Neo flow sensor with 1 hot wire
flow sensor Failure reporting less than 20 ADC and
other hot wire reporting normal as
measured by VCB or VMB.
• Calibrate neo flow sensor.
• Check neo flow sensor and cable connections.
• Replace neo flow sensor.
• Replace neo flow sensor cable.
• Replace VMB.
• Replace motherboard.
• Replace VCB.
Sample line MGAS Line Blocked Low MGAS communicates: The sample De-escalatable.
blocked > 40 Sec tubing inside or outside the monitor
blocked, or the water trap is
CO2, O2, or Flow MGAS Line Blocked Medium occluded.
waveform > 60 Sec
instruction:
Continuous
blockage. Check
sample line and
D-fend.
• Replace the sample line.
• Replace D-fend.
SBT ends < 2 SBT < 2 minutes Low SBT countdown time reaches 2
minutes minutes
• No action required.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Failed State DU to VCB Com Failed Proper communications from the Run Backup Ventilation if in
message: Error DU to the VCB is not successfully Therapy.
System failure. completed within 90 seconds after
Service startup or within a 10 second
required. window after communications have
been established with the DU.
• Cycle power.
• Check error log for underlying causes such as voltage range errors.
• Using service card, check DU communication to VMB.
• If multiple subsystem communication failures:
— Check/replace DU cable.
— Verify DU system interface PCB is fully inserted into DU CPU PCB.
— Check/replace DU system interface PCB (connector panel assembly).
— Check/replace DU CPU board.
• If not multiple subsystem communication failures:
— Check/replace DU cable
— Verify VCB is fully inserted into mother board.
— Verify yellow VCB communications activity indicator CR16 (RX DU) is lit and blinking. If not
blinking:
— Replace VCB.
— Check/replace motherboard.
— Check/replace DU system interface PCB (connector panel assembly).
— Check/replace DU CPU board.
Failed State DU to VMB Com Failed Proper communications from the Run Backup Ventilation if in
message: Error DU to the VMB is not successfully Therapy.
System failure. completed within 90 seconds after
Service startup or within a 10 second
required. window after communications have
been established with the DU.
• Cycle power.
• Check error log for underlying causes such as voltage range errors.
• Using service card, check DU communication to VCB.
• If multiple subsystem communication failures:
— Check/replace DU cable.
— Verify DU system interface PCB is fully inserted into DU CPU PCB.
— Check/replace DU system interface PCB (connector panel assembly).
— Check/replace DU CPU board.
• If not multiple subsystem communication failures:
— Check/replace DU cable
— Verify VMB is fully inserted into motherboard.
— Replace VMB.
— Check/replace motherboard.
— Check/replace DU system interface PCB (connector panel assembly).
— Check/replace DU CPU board.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Failed State Processor Reset Failed Sequential watchdogs cause a Vent Safe Operation.
message: processor reset on either VCB or This requirement is
System failure. VMB. intended to ensure that a
Service SW or watchdog reset
required. (indicating loss of
processor control) of either
the VCB or VMB will
activate the backup audio
alarm.
• Cycle power.
• Using service card, check error log for underlying causes such as voltage range errors.
• Using service card, check DU communication to VCB and VMB.
• If no VCB comm., check VCB CR10 red reset indicators. If lit, replace VCB.
• If no VMB comm., check VMB CR10 red reset indicators. If lit, replace VMB.
Failed State VCB to DU Com Failed Proper communications from the Run Backup Ventilation if in
message: Error VCB to the DU is not successfully Therapy.
System failure. completed within a 10 second
Service window.
required. Note: Timing does not start for 90
seconds after power up.
• Cycle power.
• Check error log for underlying causes such as voltage range errors.
• Using service card, check DU communication to VMB.
• If multiple subsystem communication failures:
— Check/replace DU cable.
— Verify DU system interface PCB is fully inserted into DU CPU PCB.
— Check/replace DU system interface PCB (connector panel assembly).
— Check/replace DU CPU board.
• If not multiple subsystem communication failures:
— Check/replace DU cable
— Verify VCB is fully inserted into mother board.
— Verify yellow VCB communications activity indicator CR15 (TX DU) is lit and blinking. If not
blinking:
— Replace VCB.
— Check/replace motherboard.
— Check/replace DU CPU board.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Failed State VMB to DU Com Failed Proper communications from the Run Backup Ventilation if in
message: Error VMB to the DU is not successfully Therapy.
System failure. completed within a 10 second
Service window. Note: Timing does not
required. start for 90 seconds after power up.
• Cycle power.
• Check error log for underlying causes such as voltage range errors.
• Using service card, check DU communication to VCB.
• If multiple subsystem communication failures:
— Check/replace DU cable.
— Verify DU system interface PCB is fully inserted into DU CPU PCB.
— Check/replace DU system interface PCB (connector panel assembly).
— Check/replace DU CPU board.
• If not multiple subsystem communication failures:
— Check/replace DU cable
— Verify VMB is fully inserted into mother board.
— Replace VMB.
— Check/replace motherboard.
— Check/replace DU system interface PCB (connector panel assembly).
— Check/replace DU CPU board.
Failed State VMB to VCB Com Failed Proper communication of the high
message: Error speed sensor data from the VMB to
System failure. the VCB is not successfully
Service completed within a 50 ms window.
required.
• Cycle power.
• Check error log for underlying causes such as voltage range errors.
• Check DU/VMB and DU/VCB communication using Service Card.
• Verify VMB and VCB are fully inserted into motherboard.
• Check/replace VMB.
• Check/replace VCB.
• Check/replace motherboard.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
System Low Internal Battery High Mains power not available. Internal
shutdown in – 20 Min battery supply < 20 minutes
<20 min. calculated via battery discharge
algorithm.
System Low Internal Battery High Mains power not available.
shutdown in – 10 Min Internal battery supply < 10
<10 min. minutes calculated via battery
discharge algorithm.
System Low Internal Battery High Mains power not available Internal
shutdown in <5 – 5 Min battery supply < 5 minutes
min. calculated via battery discharge
algorithm.
System Low Internal Battery High Mains power not available.
shutdown in <1 – 1 Min Internal battery supply < 1 minute
min. calculated via battery discharge
algorithm.
• Normal alarm if system is operating on battery.
• Check connection to AC supply (verify green LED on DU is lit).
• If LED is not lit, check AC mains source, check rear power cord clamp, check fuses.
• If LED is lit, check output of DC power supply at screw terminals. Range is 20-32 V. If out of
range, disconnect DC power supply input harness and verify output is still out of range. Check/
replace DC power supply input harness. If out of range and harness is OK, replace DC power
supply.
• Measure voltage at F1 (both sides) on PMB. Range is 20-32V.
• Check fuse F1 on PMB, if open replace PMB.
• Replace PMB.
• Use Engström Service Application to verify charge/discharge rate.
Temp high. Power Supply Temp High Vicor power supply temperature
Shutdown High exceeds 75°C.
possible
Paw Wave
Instruction:
Check fan filter.
• Check main fan filter.
• Check/replace fans.
• Check error log/power diagnostics for underlying causes such as fan failure indicators or voltage
range errors.
• Verify ambient is < 40 degrees C.
• Replace PMB.
TV not Medium TVinsp< 80% of the set TV, or set
achieved TV - 5ml, whichever is greater, for
(Adult and six consecutive breaths.
Pediatric)
• Ensure the Plimit, Pmax, and TV settings are appropriate for the patient’s condition.
• Ensure the pneumatic nebulizer flow setting is correct.
TV not Medium TVinsp < 80% of the set TV, or set
achieved TV - 1ml, whichever is greater, for
(Neonatal) six consecutive breaths.
• Ensure the Plimit, Pmax, and TV settings are appropriate for the patient’s condition.
• Ensure the pneumatic nebulizer flow setting is correct.
Special Behavior/
Alarm message Alarm ID Priority Alarm Condition
Comments
Action/Troubleshooting
Message in
“Calibration Reason Troubleshooting
running” field
120 Lpm flow test Prior to calibration flow valve, make sure None
system can flow 120 Lpm for at least 1
second.
125 Cal Point Too High: Exhalation valve calibration point at 1.25 Verify exhalation housing and assembly
Value cmH2O was above 1.30 cmH2O. are seated properly.
Value = pressure (cmH2O x 100) recorded
at the 1.25 cmH2O cal point.
300 point too high Flow valve calibration point targeting 300 1. Verify breathing circuit is connected and
ml/min was measured above 290 ml/min not leaking.
and could not be extrapolated down. 2. Verify low pressure vent engine system
is not leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Air Flow Sensor Chk Air Flow Sensor Check is in progress. None
Air Flow Sensor Chk Air Flow Sensor Check passed. None
Complete
Air Flow Sensor Chk Fail Air Flow Sensor Check failed. See previous message in status log for
cause of failure.
Air Flow Sensor Fail: No Air Flow Sensor step of Checkout has Verify proper supply pressure.
Air failed because no low/no air supply
pressure was detected.
Air Flush Time: Value Value = time (sec) needed to flush system None
sec with Air until stability of 0.1% O2 is reached.
Air Valve Cal Fail Air Valve Cal failed. See previous message in status log for
cause of failure.
Message in
“Calibration Reason Troubleshooting
running” field
Aux Span Counts: Value Auxiliary pressure sensor DAC counts that None
correspond to 100 cmH2O. (range: 3026 to
3589)
Aux Zero Fail: Value Auxiliary pressure sensor zero DAC is out 1. Verify Paux port is open to atmosphere
of range. Value = measured zero DAC (either directly or via open tube).
(normal range = 631 to 968) 2. Replace zero valve.
3. Replace pressure transducer.
Bad Air Flow Not able to achieve proper flow during Verify FCV is opening to give flow. Should
exhalation valve calibration. be at least 2 l/min. If no flow, replace FCV.
Set at 4 l/min.
Bad Low Pressure: Lowest pressure achieved during 1. Verify exhalation valve assembly is
Value exhalation valve cal > 2.5 cmH2O. Value = properly assembled and latched to outlet
lowest pressure achieved in cmH2Ox100 manifold.
2. Verify tube connecting Insp port to Exp
port is not occluded/kinked.
Bad O2 Flow Not able to achieve proper flow during Verify FCV is opening to give flow. Should
exhalation valve calibration. be at least 2 l/min. If no flow, replace FCV.
Set at 4 l/min.
Barometric Chk Fail During Barometric pressure check, See Section 7.1.2 on page 7-3.
barometric pressure sensor and calculated
baro pressure from set altitude differ by
more than 20% of calculated baro
pressure.
Message in
“Calibration Reason Troubleshooting
running” field
Can’t Achieve 80 cmH2O Exhalation valve calibration can not 1. Verify flow > 1 l/min from FCV.
generate 80 cmH2O pressure in the Recalibrate if necessary.
breathing circuit. 2. Verify breathing circuit is connected and
not leaking.
3. Verify low pressure vent engine system
is not leaking.
4. Verify clean exhalation housing seat/
seal. Replace parts as necessary.
5. Verify power to exhalation valve
actuator.
6. Check/replace harness.
7. Replace VCB.
Can’t Establish During Checkout step, unable to achieve 8 1. Verify breathing circuit is connected and
Pressure: Flow Lpm with which to attempt to reach 34 not leaking.
cmH2O. 2. Verify low pressure vent engine system
is not leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Can’t Extrapolate Table During flow valve calibration, if a weak or Check for a weak or restricted gas supply
restricted gas supply pressure requires the pressure.
140 or 160 l/min points to be extrapolated
and the calculated value is > 65,000 DAC
counts, this message comes up. This
results in maximum flow limited to whatever
is the highest flow point in the calibration
table.
Can’t Pressurize: Value During Paw transducer check, the 1. Verify breathing circuit is connected and
breathing circuit could not reach 33 not leaking.
cmH2O. 2. Verify low pressure vent engine system
is not leaking.
During Relief Valve check, the breathing
3. Verify exhalation valve is properly
circuit could not reach 30 cmH2O.
connected and all seals are in place.
During Exh Valve Cal Check, the exp 4. Verify gas flow from flow control valves.
pressure does not stabilize within 0.1 Recalibrate if necessary.
cmH2O within 12 seconds.
Message in
“Calibration Reason Troubleshooting
running” field
Can’t Pressurize1: Value During 1st half of Low Pressure leak check, 1. Verify breathing circuit is connected and
the breathing circuit could not reach 34 not leaking.
cmH2O. 2. Verify low pressure vent engine system
is not leaking.
Value = max exp pressure achieved.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Can’t Pressurize2: Value During 2nd half of Low Pressure leak 1. Verify breathing circuit is connected and
check, the breathing circuit could not reach not leaking.
25 cmH2O. 2. Verify low pressure vent engine system
is not leaking.
Value = max exp pressure achieved.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Checking Supply Press1 During FCV calibration, the source and None; normal operation.
integrity of the gas supply (compressor or
wall supply) is being tested.
Checking Supply Press2 During FCV calibration, the source and None; normal operation.
integrity of the gas supply (compressor or
wall supply) is being tested.
Checking Supply Press3: During FCV calibration, the source and None; normal operation.
Value integrity of the gas supply (compressor or
wall supply) is being tested.
Value = measured supply pressure (psi)
Ci=Value Intermediate value in low pressure leak None; for information only.
check compliance calculation.
Disabling normalization - Leak value measured by checkout is 1. Verify breathing circuit is connected and
invalid leak greater than 0.5 Lpm; expiratory flow not leaking.
sensor normalization is being disabled. 2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Disagree Temp: Value During Air (or O2) flow sensor check, air 1. If only one flow check fails, replace that
flow sensor temperature is more than 9°C flow sensor.
different than Total Flow Sensor 2. If both Air and O2 flow check fails,
temperature. Value = temperature replace Total Flow Sensor.
difference (°C)
Message in
“Calibration Reason Troubleshooting
running” field
Disagree Tot: Value1 During air flow sensor check, air flow Check regulator for oscillation. Replace if
Air: Value2 sensor is more than 15% different than total necessary.
flow sensor at a nominal flow of 30 l/min.
Value1 = measured total flow.
Value2 = measured air flow.
Downstream Flow Diff: Difference between flow measured by total None; for information only.
Value flow sensor and expiratory wire of neonatal
flow sensor during Checkout (ml/min).
End Pressure: Value Exhalation valve check: See Section 7.1.5 on page 7-6.
Value = time required to relieve pressure in
system from 34 cmH2O to less than 2
cmH2O. Must be less than 250 msec to
pass.
Exh Flow Sensor Chk Exhalation flow sensor check in progress. None
Exh Flow Sensor Chk Exhalation flow sensor check passed. None
Complete
Exh Flow Sensor Chk Exhalation flow sensor check failed. See previous message in status log for
Fail cause of failure.
Exh Valve Cal Chk Fail Exhalation valve cal check failed. See previous message in status log for
cause of failure.
Exh Valve Cal Complete Exhalation valve cal check passed. None
Exh Valve Cal Fail Exhalation valve calibration failed. See previous message in status log for
cause of failure.
FAIL No 120 Min: Value Flow valve cal timeout: never made it to Check for weak or restricted gas pressure
120 l/min of flow during flow valve cal. supply.
If the PC Service Application is connected,
insure flow valves and exhalation valve
DAC counts are set to “0” and checked
“on”.
Message in
“Calibration Reason Troubleshooting
running” field
Failed 120l/min flow: During FCV calibration - could not hold 120 Check for weak or restricted gas pressure
Value l/min flow for 1 second before supply supply.
pressure drops below 30 psi.
Failed Supply Press: During FCV calibration - inadequate supply Check gas supply source to see if it is too
Value pressure. weak or restricted.
Failed Supply Press2: During FCV calibration - inadequate supply Check gas supply source to see if it is too
Value pressure. weak or restricted.
Failed Supply Press3: During FCV calibration - inadequate supply Check gas supply source to see if it is too
Value pressure. weak or restricted.
Failed Supply Press4: During FCV calibration - inadequate supply Check gas supply source to see if it is too
Value pressure. weak or restricted.
Failed Supply Press5: During FCV calibration - inadequate supply Check gas supply source to see if it is too
Value pressure. weak or restricted.
Failed Supply Press6: During FCV calibration - inadequate supply Check gas supply source to see if it is too
Value pressure. weak or restricted.
Failed Supply Press7: During FCV calibration - inadequate supply Check gas supply source to see if it is too
Value pressure. weak or restricted.
Failed Supply Press8: During FCV calibration - inadequate supply Check gas supply source to see if it is too
Value pressure. weak or restricted.
Failed Supply Press9: During FCV calibration - inadequate supply Check gas supply source to see if it is too
Value pressure. weak or restricted.
fCompliance = Value Intermediate value in low pressure leak None; for information only.
check compliance calculation.
fCorrectedLeak = Value Intermediate value in low pressure leak None; for information only.
check compliance calculation.
Final Flow Achieved: Flow value (ml/min) achieved during None; for information only.
Value current Checkout step.
Final Rising Flow Flow value (ml/min) achieved during None; for information only.
Achieved: Value current Checkout step.
fLeak = Value Intermediate value in low pressure leak None; for information only.
check compliance calculation.
Flow Cal - Waiting for Total Flow Sensor is being set up to read None
Sensiron the proper gas for the current valve
calibration.
Flow Diff: Value Exhalation flow sensor check: See Section 7.1.6 on page 7-7.
Value = flow difference between insp (total)
flow sensor and exh flow sensor (ml/min).
Must be less than 20% difference.
|Exp flow - tot flow| < 0.20 * tot flow.
Message in
“Calibration Reason Troubleshooting
running” field
Flow Too High: Value During FCV calibration, the FCV is leaking 1. Run approximately 160 l/min flow
more than 1150 ml/min. through the FCV to dislodge any debris
Value = leak in sml/min. that might be present on the valve seat/
seal.
2. Recalibrate/Replace FCV.
Flow Valve Cal Fail Flow valve cal failed. See previous message in status log for
cause of failure.
Flow Valve DAC Too Low FCV- DAC counts went too low without a 1. Check flow sensor.
corresponding decrease in flow. 2. Check for sticking valve.
Flow/O2 Disagree: During checkout, the O2 sensor check 1. Using the PC Service Application, create
Value1/Value2 failed. O2 and Air flow set to 15 l/min. The a flow of approximately 15 l/min on the
O2% is calculated from the O2 and Air flow air channel.
sensors and compared to the measured 2. Verify (Tot Flow - Air Flow) < (0.15 * Air
O2% from the Paracube O2 sensor. If the Flow).
absolute difference between the O2 sensor 3. If not, replace air pressure regulator.
and the calculated O2% from flow 4. Using the PC Service Application, create
measurement is > 5% O2, then the check a flow of approximately 15 l/min on the
fails. O2 channel.
Value1 = %O2 measured from flow sensors 5. Verify (Tot Flow - O2 Flow) < (0.15 * O2
Value2 = %O2 measured from Paracube Flow).
6. If not, replace O2 pressure regulator.
7. Recalibrate O2 sensor.
8. Repeat tests 2 and 5. If only one fails,
replace that channel's flow sensor. If
both fail, replace Total Flow Sensor.
9. Replace O2 sensor.
fPressureDifference1 = Intermediate value in low pressure leak None; for information only.
Value check compliance calculation.
fPressureDifference2 = Intermediate value in low pressure leak None; for information only.
Value check compliance calculation.
Guaranteed Flow Not Could not bring the flow down to the target 1. Verify breathing circuit is connected and
Achieved: Value flow with the minimum flow command. not leaking.
Value = minimum flow that was achieved 2. Verify low pressure vent engine is not
(ml/min). leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Message in
“Calibration Reason Troubleshooting
running” field
High Pres Air Leak Test Vent engine high air pressure leak test 1. Verify correct altitude setting.
Fail (Baro) failed because of invalid (low) barometric 2. If the seating is correct, calibrate the
pressure reading. barometric sensor.
3. Replace Vent Monitor Board (VMB)
High Pres O2 Leak Test Vent engine high O2 pressure leak test 1. Verify correct altitude setting.
Fail (Baro) failed because of invalid (low) barometric 2. If the setting is correct, calibrate the
pressure reading. barometric sensor.
3. Replace Vent Monitor Board (VMB).
High Pressure Air Leak Vent engine high air pressure leak test in None
Test progress.
High Pressure Air Leak Vent engine high air pressure leak test None
Test Complete passed.
High Pressure Air Leak Vent engine high air pressure leak test See Section 5.2.7 on page 5-13
Test Fail failed because measured leak was too
high.
High Pressure O2 Leak Vent engine high O2 pressure leak test in None
Test progress.
High Pressure O2 Leak Vent engine high O2 pressure leak test None
Test Complete passed.
High Pressure O2 Leak Vent engine high O2 pressure leak test See Section 5.2.6 on page 5-11
Test Fail failed because measured leak was too
high.
High Pressure: Aborted The Checkout step in progress was 1. Verify breathing circuit is properly
aborted due to high pressure. connected for checkout.
2. Verify proper flow and exhalation valve
calibration. Recalibrate if necessary.
Insp flow below target: Flow cannot be controlled down to the 1. Check for disconnected breathing circuit
>Target = Value1 target flow because the measured flow is during Checkout.
>Insp = Value2 already lower than the target flow. 2. Verify proper flow valve calibration.
Recalibrate if necessary.
Insp Span Counts: Value Inspiratory pressure sensor DAC counts None
that correspond to 100 cmH2O. (range:
3026 to 3589)
InspFlowAccumulator= Intermediate values in low pressure leak None; for information only.
Value1, _jj=Value2 check compliance calculation.
Low Air Pressure: value Air supply pressure < 30 psig Verify proper gas supply.
Message in
“Calibration Reason Troubleshooting
running” field
Low Exp Pressure: During exh valve cal, the pressure dropped Check for disconnected breathing circuit
Value1, Value2 more than 1.25 cmH2O in 4 msec. during calibration.
Value1 = Current measured pressure
(cmH2O x 100).
Value2 = Current calibration point
Low Max Flow: Value FCV - Indicator that system will use the Check gas supply source to see if it is too
degraded wall supply routine for FCV weak or restricted if this causes problems.
calibration.
Low O2 Pressure: Value O2 supply pressure < 30 psig Verify proper gas supply.
Low Pres Leak Test Fail Vent engine low pressure leak test failed 1. Verify correct altitude setting.
(Baro) because of invalid (low) barometric 2. If the setting is correct, calibrate the
pressure reading. barometric sensor.
3. Replace Vent Monitor Board (VMB)
Low Pressure Leak Chk Breathing circuit leak check in progress. None
Low Pressure Leak Chk Breathing circuit leak check passed. None
Complete
Low Pressure Leak Chk Breathing circuit leak check failed. See previous message in status log cause
Fail of failure.
Low Pressure Leak Test Vent engine low pressure leak test in None
progress.
Low Pressure Leak Test Vent engine low pressure leak test in None
Complete progress.
Low Pressure Leak Test Vent engine low pressure leak test failed See Section 5.2.5 on page 5-8
Fail because leak was too high.
Measure Insp Inspiratory resistance check failed. See previous message in status log for
Resistance Check Fail cause of failure.
Measure Insp Measured Insp Resistance value None; for information only.
Resistance Check Value
Measure Resis Chk Fail Breathing circuit resistance measurement See previous message in status log for
failed. cause of failure.
Message in
“Calibration Reason Troubleshooting
running” field
Measured Resistance: Resistance measured during Checkout. None; for information only.
Value
Minimum Flow not Could not achieve minimum flow required 1. Verify breathing circuit is connected and
achieved: Value for step in Checkout. not leaking.
Value = maximum flow that was achieved 2. Verify low pressure vent engine is not
(ml/min) leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Neo Flow Sensor Cal Neonatal flow sensor calibration failed. 1. Verify neonatal flow sensor is properly
Fail connected and properly occluded.
Recalibrate the sensor.
2. Clean or replace neonatal flow sensor.
Neo Flow Sensor Cal Neonatal flow sensor calibration passed. None
Pass
Neonatal Check Failed System was unable to achieve 20 Lpm of 1. Verify breathing circuit is connected and
(20 Lpm) flow during the Neonatal checkout. not leaking.
2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from control valves.
Recalibrate if necessary.
Neonatal Check Failed The expiratory flow measured by the See Section 7.1.11 on page 7-10
(Downstream) neonatal flow sensor is more than 25%
different from the flow measured by the
Total Flow Sensor.
Neonatal Check Failed System was unable to achieve 30 Lpm of 1. Verify breathing circuit is connected and
(Reaching 30) flow during the Neonatal Checkout. not leaking.
2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Neonatal Check Failed The neonatal flow sensor indicated Clean or replace neonatal flow sensor.
(Reversed @20) reversed flow during the 20 Lpm check
during Checkout.
Message in
“Calibration Reason Troubleshooting
running” field
Neonatal Check Failed The neonatal flow sensor indicated Clean or replace the neonatal flow sensor.
(Reversed @ 30) reversed flow during the 30 Lpm check
during Checkout.
Neonatal Failed Neonatal flow sensor check failed because Verify proper gas supply.
no gas supply was detected.
Neonatal Zero Failed Neonatal flow sensor zero check failed Verify proper gas supply.
because no gas supply was detected.
Neonatal Zero Failed Neonatal flow sensor zero check failed 1. Verify breathing circuit is connected and
(4 Lpm) because the system was unable to achieve not leaking.
4 Lpm. 2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Neonatal Zero Failed Neonatal flow sensor zero check failed 1. Recalibrate neonatal flow sensor and
(Expected 0 Flow) because the neonatal flow sensor rerun the Checkout.
measured non-zero flow while occluded. 2. Clean or replace the flow sensor.
NFS Check (10 Lpm) Neonatal flow sensor zero check failed 1. Verify breathing circuit is connected and
because system was unable to reach 10 not leaking.
Lpm prior to the zero. 2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
NFS Check (30 Lpm) Neonatal flow sensor zero check failed 1. Verify breathing circuit is connected and
because system was unable to reach 30 not leaking.
Lpm prior to the zero. 2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
No Air Supply pressure for Air is below 30 psi. Verify proper gas supply.
Message in
“Calibration Reason Troubleshooting
running” field
No Exp Flow Sensor Expiratory flow sensor is not detected by Verify proper installation of expiratory flow
system. sensor and exhalation housing. Replace
expiratory flow sensor if necessary.
No Gas Supply Supply pressure for both Air and O2 is Verify proper gas supply.
below 30 psi.
No Oxygen Supply pressure for O2 is below 30 psi. Verify proper gas supply.
No Supply Pressure Supply pressure for both Air and O2 is Verify proper gas supply.
below
30 psi.
Normalized Flow Normalized expiratory flow and total flow 1. Verify breathing circuit is connected and
Comparison Failed: are more than 10% (or 200 ml, whichever is not leaking.
>Target = Value1 greater) apart. 2. Verify low pressure vent engine is not
>I = Value2 Value1 = Normalization Table flow point leaking.
>E = Value3 being tested (ml/min)
Value2 = Inspiratory Flow measured by 3. Verify exhalation valve is properly
Total Flow Sensor (ml/min) connected and all seals are in place.
Value3 = Expiratory flow measured by 4. Verify gas flow from flow control valves.
expiratory flow sensor (ml/min) Recalibrate if necessary.
O2 Flush Time: Value Value = time (sec) needed to flush system None
sec with O2 until stability of 0.1% O2 is reached.
O2 Sensor: Failed 100% Paracube Cal never competed, timed out Check Paracube sensor.
Cal during 100% O2 cal
O2 Sensor: Failed 21% Paracube Cal never competed, timed out Check Paracube sensor.
Cal during 21% O2 cal
O2 Too Low for 100% Measured O2% < 41% during the 100% 1. Verify proper connection of gases to
Cal span calibration of the O2 sensor. ventilator.
2. Use the PC Service Application O2
Sensor cal to override limits on O2
sensor calibration.
3. Replace Paracube.
O2 Too Low for 21% Cal Measured O2% < 8% during 21% 1. Verify proper connection of gases to
calibration of O2 sensor. ventilator.
2. Use the PC Service Application O2
Sensor cal to override limits on O2
sensor calibration.
3. Replace Paracube.
Message in
“Calibration Reason Troubleshooting
running” field
O2 Valve Cal Fail O2 Valve Cal failed. See previous message in status log for
cause of failure.
Oxygen Flow Sensor Oxygen Flow Sensor Check failed. See previous message in status log for
Chk Fail cause of failure.
Oxygen Flow Sensor Oxygen Flow Sensor Check failed because Verify proper gas supply.
Chk Fail: No O2 oxygen supply not detected.
Oxygen Flow Sensor Fail Oxygen Flow Sensor Check failed because 1. Verify breathing circuit is connected and
system was unable to achieve 30 Lpm not leaking.
during check. 2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Paracube Cal Fail O2 sensor check failed. See previous message in status log for
cause of failure.
Paracube Chk Fail Paracube (O2 sensor) check failed. See previous message in status log for
cause of failure.
Paracube Chk Fail (50/ Paracube (O2 sensor) check failed to reach 1. Verify breathing circuit is connected and
50 Air) 15 Lpm air flow for 50/50 cal. not leaking.
2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Paracube Chk Fail (Air) Paracube (O2 sensor) check failed 21% Paracube never completed 21%
cal. calibration. Check Paracube.
Message in
“Calibration Reason Troubleshooting
running” field
Paracube Chk Fail (O2) Paracube (O2 sensor) check failed to reach 1. Verify breathing circuit is connected and
30 Lpm O2 flow for O2 cal. not leaking.
2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Paracube Fail Paracube (O2 sensor) check failed to reach 1. Verify breathing circuit is connected and
30 Lpm air flow. not leaking.
2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Paracube Sensor Fail Paracube (O2 sensor) check failed to reach 1. Verify breathing circuit is connected and
(50/50 O2) 15 Lpm O2 flow for 50/50 cal. not leaking.
2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Paw Xducer Check Fail Airway pressure sensor check failed. See previous message in status log for
cause of failure.
Paw Xducer Check Fail Pressure sensors were not successfully See Section 7.1.1 on page 7-2 and Section
(PressureZeroCal) zeroed. 5.2.8 on page 5-15.
Pressure not maintained: System was unable to maintain at least 25 1. Verify breathing circuit is connected and
value cmH2O of pressure during relief valve not leaking.
check. 2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Message in
“Calibration Reason Troubleshooting
running” field
Q1 = Value Intermediate value in low pressure leak None, for information only.
check compliance calculation.
Relief Pressure: Value Safety Valve check: = back pressure See Section 7.1.4 on page 7-5.
generated from 75 l/min flow thru open
relief valve. Must be less than 10 cmH2O to
pass.
Relief Time: Value Safety Valve check: Value = time required See Section 7.1.4 on page 7-5.
to relieve pressure in system from 34 to
less than 2 cmH2O. Must be less than 250
msec to pass.
Relief Valve Chk Fail Relief valve check failed. See previous message in status log for
cause of failure.
Rising Flow Not Could not achieve minimum flow required 1. Verify breathing circuit is connected and
Achieved: Value fro step in Checkout. not leaking.
Value = maximum flow that was achieved 2. Verify low pressure vent engine is not
(ml/min) leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Sensor Disagree: Value During FCV calibration, if the Air (or O2) 1. Check regulator for oscillation.
flow sensor disagree by more than: 20% of 2. If only one FCV cal fails, replace that
total flow or 1500 ml/min, whichever is flow sensor.
greater, the calibration will fail. Value = flow
3. If both FCV cal fail, replace Total Flow
difference between Air (or O2) flow sensor
Sensor.
and Total Flow Sensor.
Sensor Removed Exhalation flow sensor removed prior or Install exh flow sensor and rerun checkout.
during checkout.
Skipping CHECKOUT - A Checkout command was received by the Restart Checkout and allow it to allow it to
not in checkout state Vent Control Board (VCB) while it was not complete.
in the Checkout sate. This is most often
caused by a series of rapidly requested
Checkout starts and aborts without allowing
Checkout to run in between.
Message in
“Calibration Reason Troubleshooting
running” field
Target flow not reached Flow remains greater than the target flow 1. Verify breathing circuit is connected and
@ 300 with the minimum flow command during not leaking.
Checkout. 2. Verify low pressure vent engine is not
leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Total: Value1 O2: Value2 During O2 flow sensor check, O2 flow 1. Check regulator for oscillation. Replace
sensor is more than 15% different than total if necessary.
flow sensor at a nominal flow of 30 l/min. 2. If only O2 flow sensor check fails,
Value1 = measured total flow. replace O2 flow sensor. If both Air and
Value2 = measured O2 flow. O2 flow sensor checks fail, replace Total
Flow Sensor.
Unable to pressurize The circuit could not be pressurized to 10 1. Verify breathing circuit is connected and
cmH2O. not leaking.
2. Verify low pressure vent engine system
is not leaking.
3. Verify exhalation valve is properly
connected and all seals are in place.
4. Verify gas flow from flow control valves.
Recalibrate if necessary.
Unbounded Qin = Value Intermediate value in low pressure leak None; for information only.
check compliance calculation.
Upstream Flow Diff: Difference between flow measured by Total None; for information only.
Value Flow Sensor and inspiratory wire of
neonatal flow sensor during Checkout (ml/
min).
Upstream Flow Failed The inspiratory flow measured by the See Section 7.1.11 on page 7-10
(Upstream) neonatal flow sensor is more than 15%
different from the flow measured by the
Total Flow Sensor.
Valve Step Sweep Valve step sweep aborted because None; normal operation.
Aborted maximum flow was reached.
Message in
“Calibration Reason Troubleshooting
running” field
VMB Exp Flow Sensor Expiratory flow sensor calibration has Verify expiratory flow sensor and
Cal Fail failed. exhalation housing are properly installed.
VMB Exp Flow Sensor Expiratory flow sensor calibration has None
Cal Pass passed.
Waiting for supply FCV calibration - if a weak supply pressure None; normal operation.
pressure is used, system will occasionally pause and
wait for supply pressure to come back up
before resuming FCV calibration.
Weak Supply Detected1: FCV calibration - Indicator that system will None; normal operation. A weak supply
Value use the degraded wall supply routine for pressure was detected when trying to ramp
FCV calibration. the flow up to 165 l/min.
Weak Supply Detected2: FCV calibration - Indicator that system will None; normal operation. A weak supply
Value use the degraded wall supply routine for pressure was detected during the 120 l/min
FCV calibration. flow test.
Weak Supply Detected3: FCV calibration - Indicator that system will None; normal operation. A weak supply
Value use the degraded wall supply routine for was detected during final flow ramp-up
FCV calibration. before first cal points are taken.
Weak Supply Detected4: FCV calibration - Indicator that system will None; normal operation. A weak supply
Value use the degraded wall supply routine for was detected during final flow ramp-up
FCV calibration. before first cal points are taken if DAC
output reached 65,000 counts before flow
reached 170 l/min.
Xducer Error: Value During Paw Xducer check, the insp and See Section 5.2.8 on page 5-15.
exp pressure difference > 4 cmH2O.
Value = pressure difference.
Zero flow samp Error in FCV calibration cal point projection. Check for weak or restricted gas pressure
supply
Zero for flow sampl2 Error in FCV calibration cal point projection. Check for weak or restricted gas pressure
supply
Zero out of range ADC counts are out of the acceptable zero See Section 5.2.8 on page 5-15
pressure range for the inspiratory and/or
expiratory pressure sensor. The acceptable
range for each sensor is 631 to 968 ADC
counts.
Main Menu
Software Download
Special Functions
Main Menu
Software Download
Special Functions
• Select Download New to download only new software versions not found on the
system and that is compatible with installed subsystem hardware.
• Select Download All to download all software subsystems.
Choose “Download New” to install only the updated subsystem software or software
required for newly installed subsystems. If “Download All” is selected, all subsystem
software loads which can take up to 30 minutes.
The software loaded on the machine matches exactly what is on the card. Be sure to
have the latest/correct version of software before attempting a download to avoid
inadvertent overwrites of newer software with an older version.
If during the “Download New” process the compatibility checker detects a newer
version of software component on the system, a “Notice” message is shown on the
screen to confirm the downgrade.
Important “Download All” downloads all compatible software from the card to the system without
issuing a notice that a newer version of software component may be on the system.
Note After replacing any of the following boards; select Download New to download the
current software for the newly installed subsystem.
• Display Unit CPU board, replacement HPDU, or replacement HPDU
Touchscreen.
Note: The BID number will change when replacing the entire display or the display
CPU. You may need a replacement key code for installed options. See Section
4.4.10 on page 4-27 for obtaining replacement key codes.
• Power Monitor board
• Vent Monitor board
• Vent Control board
If the Front Panel Control software is not installed in the system (as would be the case
when the display units control board is replaced), the Engström Service Application
automatically downloads the Front Panel Controls software at startup. During the
download the two display unit LEDs flash and the display speaker sounds an alarm
tone to indicate that Software Download is proceeding.
Note You can not return to the Special Functions menu of the Engström Service Application
after entering the Software Download menu. You must reboot the system to exit
Software Download.
DOWNLOAD IS COMPLETE.
Remove AC mains power. Turn On/Standby switch
to Standby. Then remove external CF card. Wait 20
seconds before restoring power to the system.
Figure 8-3: Download is Complete status message
Special Functions
Power Diagnostics
Display Diagnostics
Compatibility Table
->Main Menu
Power Diagnostics
->Main Menu
Note Fan 1 is located on the rear cage, Fan 2 is located on the PMB.
Battery Status
The battery status is listed on the first page of the Power Control Readings. Use the
following table for Battery Status descriptions.
Display Diagnostics
Test LCD Pixels Press the ComWheel to begin test, a blank screen
appears. Continue to press ComWheel to
sequence through color screens.
CAUTION Changes made in the installation mode will affect the system
configuration. All changes made are permanent and preserved until
changed again. There are several settings that may be changed in the
installation mode. These changes should only be made by the facility
person (Super User) responsible for the configuration of the ventilator.
5. Perform the touchscreen calibration as defined in Section 5.4 on page 5-33, if
installing 7.X software or greater.
6. Verify active feature(s) /option(s) match the feature(s)/option(s) recorded prior to
upgrade.
7. Perform the checkout procedure as defined in Section 3 on page 3-1.
8. Provide the customer with the new User’s Reference Manual.
3. Select the VCB window to display the VCB Diagnostics and Calibrations page or
VMB window to display the VMB Diagnostics page.
• Both VCB and VMB Diagnostics pages can be displayed at the same time.
• When the VCB Diagnostics page is selected, the PC displays the window
used to select the logging file. It is recommended to start logging calibration
and test results immediately, see Section 8.5.3 on page 8-14.
Note Selecting File Name starts the logging function, but does not display the log. To
display the log select Message Log from the VCB page.
4. Select the desired folder on the local PC hard drive to store Log Files.
• Rename the file, and then select OPEN.
The suggested file naming convention is Serial Number+date+”ck.log”
• If a Log File does not exist a message window displays. Select Yes to create
a Log File.
5. Verify the file address location displayed in the Log Calibration results to file area
and select Start Logging.
The Status Log window displays and indicates that the log has been initialized.
6. From the ventilator, access the Patient Setup menu and select Checkout.
7. Follow the screen instructions and select Start Checkout.
Information from the ventilator will begin loading into the log after a few seconds.
8. From the PC, select Stop Logging from the Status Log window after checks are
complete.
As each system checkout occurs the Status Log will display either Pass or Fail. If a
checkout fails, the log will record and display information about the exact parameter
that failed. This information is essential in determining the cause for checkout
failure(s).
Note Always include the Log file when customer quality reports are submitted.
5. Select the desired folder from the PC hard drive to store Log Files.
• Rename the file and select OPEN.
The suggested file naming convention is Serial Number+date+”cal.log”
• If a Log File does not exist a message window displays. Select Yes to create
a Log File.
6. Verify the file address location displayed in the Log Calibration results to file area
and select Start Logging.
The Status Log window displays and indicates that the log has been initialized.
7. From the Engström ventilator, access the Calibrations menu from the Install/
Service menu.
8. Select each calibration and follow the screen instructions to complete the
calibrations.
9. From the PC, select Stop Logging from the Status Log window after calibrations
are complete.
As each system calibration occurs the Status Log will display Pass or Fail. If a
calibration fails, the log will record and display information about the exact parameter
that failed. This information is essential in determining the cause of a calibration
failure.
Important Always include the Log file when customer quality reports are submitted.
Item Description
Calibrations
Calibrations may be accessed through buttons that are shown in the Calibrations and
Tests group. The O2 Flow Valve DAC, Air Flow Valve DAC, and the Exhal Flow Valve
DAC return to their default values when a calibration is completed.
1. Select the desired calibration button.
2. Verify that the Calibration Running shows the calibration status and the
completion percent.
Item Function
O2 Flow Valve Runs the O2 Flow Valve test. See Section 5.1.1 on page 5-2.
O2 Sensor Runs the Paracube O2 sensor test. See Section 7.1.10 on page 7-9.
Exh Flow Zero Exhalation flow sensor zero. See Section 5.1.1 on page 5-2.
Zero Pressures Zeros the Inspiratory and Expiratory pressure sensors.
Air Flow Valve Runs Air Flow Valve test. See Section 5.1.1 on page 5-2.
Valve Sweep Factory only, requires additional tools.
Exhal Valve Runs the Exhalation Flow Valve test. See Section 5.1.1 on page 5-2.
Calibration Running Shows the current calibration that is running.
% Done The percentage of the calibration that is completed.
Item Description
Item Description
Span Cal
1. Select the Span Cal tab.
2. Complete setup instructions. See “Vent engine leak test (high Air pressure)” on
page 5-13 for complete setup instructions.
3. Enter desired Span DAC value. Select the Reset button to reset the Span DAC
value to 0.
4. Select the Start Paw Span to begin test and Paw Span to end the test.
Note There is no indication of a successfully completed calibration other than a change
in pressure readings. When Span Cal is complete, all three sensors should be
within +/- 4 cmH2O of each other.
Item Description
Start Paw Span Starts airway pressure transducer zero and span for all three pressure
transducers (Insp, Exp, and Aux).
End Paw Span Ends airway pressure transducer zero and span for all three pressure
transducers (Insp, Exp, and Aux).
Span DAC Value Exhalation valve DAC counts for the Paw Span Test. Default = 0
Reset DAC Sets DAC value to zero.
VCB flows
Insp Flow Displays the Inspiratory Flow counts reported by the Counts
Neonatal Flow Sensor.
Exp Flow Displays the Expiratory Flow counts reported by the Counts
Neonatal Flow Sensor.
Net Flow Net Flow is calculated from the counts reported by the ml/min
Neonatal Flow Sensor and the current zero point.
Inspiratory flow is displayed as positive net flow and
expiratory flow is displayed as negative net flow.
VMB flows
Insp Flow Displays the Inspiratory Flow counts reported by the Counts
Neonatal Flow Sensor.
Exp Flow Displays the Expiratory Flow counts reported by the Counts
Neonatal Flow Sensor.
Net Flow Net Flow is calculated from the counts reported by the ml/min
Neonatal Flow Sensor and the current zero point.
Inspiratory flow is displayed as positive net flow and
expiratory flow is displayed as negative net flow.
Static zeroing
Insp Offset The inspiratory point of the DAC, recorded from the last Counts
static zero.
Exp Offset The expiratory point of the DAC, recorded from the last Counts
static zero.
Zero NFS When selected, the system performs a static zero of the
Neonatal Flow Sensor.
Offsets
Insp Offset (DAC Displays the inspiratory DAC zero offset movement from Counts
Counts) the last recorded static zero. Updated by the dynamic
zeroing.
Exp Offset (DAC Displays the expiratory DAC zero offset movement from Counts
Counts) the last recorded static zero. Updated by the dynamic
zeroing.
Insp Offset (ADC Displays the calculated inspiratory zero offset since the Counts
Counts) last DAC zero movement. Updated by the dynamic
zeroing.
Exp Offset (ADC Displays the calculated expiratory zero offset since the Counts
Counts) last DAC zero movement. Updated by the dynamic
zeroing.
This file may be requested to assist in product investigations. If the error log is
requested, do the following.
1. Select the NVM Error Log button to open the window.
2. Select GetError Log to show the VCB error log.
3. Select all of the content in the window.
4. Copy and paste the content into an e-mail or separate document and forward to
requesting engineer.
Item Description
Enter Pressure Enter the local barometric pressure in mmHg. The Baro P Calibration will
use this value to calibrate the barometric pressure transducer.
Baro P Cal Starts the barometric pressure transducer calibration. The calibration will
Fail if nothing is entered in the Enter Pressure box.
Status Displays the results of the barometric calibration (Passed or Failed).
8.5.19 Acutronic
The Acutronic Flow Sensor is used in the Engström ventilator. Use this window to
view the Acutronic software version, and the Expiratory Zero ADC and DAC values.
Item Description
9 Repair Procedures
In this section
9.1 Circuit board replacement precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4
9.1.1 Software download . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4
9.1.2 Required calibrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4
9.2 Bleed the system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5
9.3 Access to chassis components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5
9.3.1 Removing the chassis from the housing . . . . . . . . . . . . . . . . . . . . . . . . . .9-6
9.3.2 Removing the Vent Engine from the chassis . . . . . . . . . . . . . . . . . . . . . .9-6
9.3.3 Replacing chassis mounted components . . . . . . . . . . . . . . . . . . . . . . . . .9-7
9.3.4 Replacing vent engine components . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-7
9.3.5 Replacing the vent engine harness. . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-10
9.3.6 Replacing the Inspiratory Valve Assembly . . . . . . . . . . . . . . . . . . . . . . .9-10
9.3.7 Replacing the free breathing valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-12
9.3.8 Replacing the Vent Engine assembly, complete. . . . . . . . . . . . . . . . . . .9-12
9.3.9 Replacing the Vent Engine sub-assembly . . . . . . . . . . . . . . . . . . . . . . .9-13
9.4 Service the High Performance Display Unit (HPDU) . . . . . . . . . . . . . . . . . . . .9-14
9.4.1 Removing the HPDU. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-14
9.4.2 Disassembling the HPDU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-15
9.4.3 Replacing the CPU Fan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-16
9.4.4 Replacing the CPU board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-16
9.4.5 Replacing the battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-17
9.4.6 Replacing the LCD display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-18
9.4.7 Replacing the backlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-19
9.4.8 Replacing the inverters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-20
9.4.9 Replacing the front enclosure or components . . . . . . . . . . . . . . . . . . . .9-21
9.5 Service the High Performance Display Unit (HPDU)/Touchscreen. . . . . . . . . .9-24
9.5.1 Removing the display unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-24
9.5.2 Disassembling the display unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-25
9.5.3 Replacing the CPU Fan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-26
9.5.4 Replacing the TSB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-26
9.5.5 Replacing the Connector Panel assembly . . . . . . . . . . . . . . . . . . . . . . .9-26
9.5.6 Replacing the CPU board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-27
9.5.7 Replacing the battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-28
9.5.8 Replacing the LCD display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-28
9.5.9 Foam to LCD Display Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-30
9.5.10 Replacing the backlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-31
9.5.11 Replacing the inverters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-32
9.5.12 Replacing the front enclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-33
9.5.13 Replacing a membrane switch and keypad . . . . . . . . . . . . . . . . . . . . .9-33
w Some internal parts have sharp edges and can cause cuts or
abrasions. Use care when servicing internal components.
CAUTION Do not replace more than one of these boards at a time without first
powering up the unit. Wait until the initial checkout menu appears to
insure that the machine specific information has been replicated.
B C
B B
Note See Section 9.1 on page 9-4 for precautions regarding board replacement. After
replacing a circuit board, download current software (see “Software download” on
page 9-4), and then calibrate the system (see “Required calibrations” on page 9-4).
CAUTION The vent engine manifold bottom plate is not designed to be removed in
the field.
CAUTION When servicing the ventilator, extreme care must be taken to avoid
introducing foreign debris into the pneumatic flow passages of the
ventilator. This includes dust and contaminants on the vent engine and
particularly metal chips generated by screw threads. Before removing
components on the vent engine, secure a clean work area and
thoroughly clean the vent engine to remove any contaminants. Failure
to do so may result in damage to the internal components.
If the vent engine manifold requires replacement, use one of the following options:
• Manifold, Main Assembly (1505-8504-000), this does not include mounted
components.
• Vent Engine Assembly Complete (M1081816-S)
• Vent Engine Sub-assembly (M1115997-S)
Important Order the sub-assembly part only if vent engine water contamination/entry or
hydrocarbon contamination occurs.
All mounting hardware for Vent Engine components can be accessed from the top.
When replacing a component, ensure that the o-ring or gasket under the component
is properly seated in the manifold.
To remove the harness connector from the O2 Sensor, release the retaining tab with a
small, thin-blade screwdriver. Twist the screwdriver slightly to release the tab.
Always perform Vent Engine Debris Cleanout after replacing components, see
Section 5.2.3 on page 5-5.
Lubricate o-rings using a small amount, only enough to wet the surface of the o-ring,
of Krytox prior to installation.
Important If you encounter multiple failures during the Super User Calibrations, System
Checkout, or during the Service Checkout Procedures, especially test associated with
air supply, it could be an indication of water or hydrocarbon contamination. If you
suspect contamination of this type, inspect the pipe inlet filters for signs of
contamination. Contamination of this type would require the replacement of all
contaminated components or the Vent Engine Sub-assembly, based on the extent of
the contamination.
6. Using an alcohol prep pad, damp wipe clean the manifold surface by starting at
the opening and wiping away from it. This will reduce the risk of loose material
dropping into the manifold.
7. Carefully inspect the opening in the manifold. If there is any visual sign of
contamination or discoloration, the manifold and any upstream components must
be replaced.
8. If the component removed is to be reinstalled, clean it in a similar manner by
wiping from any gas stream access points toward the outside edge.
9. Carefully inspect the component and seal. If there is any sign of contamination,
knicks, small tears, or discoloration, the component and or seal must be replaced.
10. Carefully set the component back on the manifold directly over and aligned with
the attachments. Avoid sliding the component after it is in contact with the
manifold.
11. Reinstall the fasteners and torque them to the required specification as listed.
Note Perform Vent Engine Debris Cleanout (page 5-5) after replacement of vent engine
components.
Note When replacing components, do not over tighten the mounting hardware. Use the
following torque spec table to properly mount the component.
26 3
25
To service other components of the display unit, you must first remove the display unit
from the machine.
B
C
A
A
AB.98p171
AB.98p172
28 29 24
L L
20
L 12
27 5 21 2 1
27
I I
I
5 I
A
H
B
G
21
D E F I
3. Remove the remaining four screws (I) that hold the CPU board to the mounting
plate.
4. Remove the CPU board from the mounting plate.
5. Transfer the internal Compact Flash Card (27) to the new CPU board.
6. Transfer the battery (5) to the new CPU board, see Section 9.4.5 for detailed
instructions.
7. Reassemble in the reverse order.
CAUTION Align the LCD cable connector parallel with the PCB connector prior to
pressing into place.
Note Make sure the cable is plugged in securely. If it is not, the screen may display
incorrectly (white) or multi-colored striped screen.
8. Download the software, see Section 8.2 on page 8-3.
CAUTION When replacing the battery, only touch the sides of the battery and not
the top or bottom as corrosion may occur.
Note System re-boot may be required up to three times to properly load BIOS and display
the Normal Screen.
Note After the system is restarted, check that the Time/Date settings are correct. Reset, if
necessary.
F
A
B C D
H
G
7. Lift the left side of the LCD display slightly away from the mounting plate to pull
some of the display ribbon cable (I) to the top side of the plate. Flip the LCD over
to the left of the assembly.
8. Disconnect the display ribbon cable (J).
LCD Display
I J
K
H
Slit
Front inverter B
Rear inverter B
10
11
16
19
14
17
12 Nub
15
18
5. Insert the flex cable and ground strap through the slot in the enclosure. Make sure
that all of the ground strap passes through the slot and does not remain folded
over under the membrane.
6. Carefully lower the membrane straight down to the enclosure. Seat the membrane
in place.
7. Remove the backing from the keypad and install it over the membrane switches.
8. Attach the ground strap to the enclosure.
1206 mm
286 mm (four sides)
222 mm 222 mm
286 mm
10
2. Sparingly apply “Super Glue Gel” to the channels in the outside grove of the
enclosure near the corners, and then insert the continuous length of gasket.
3. Sparingly apply “Super Glue Gel” to the channels in the inside grove around the
window near the corners, and then insert the individual lengths of gasket.
26
3
25
B
C
A
A
AB.98p171
AB.98p170
28 29 30 31 24
L
L
AB.98p190
27 5 21 2 1
27
J
J
J
5
B I
C
H
E F G J
3. Remove the remaining four screws (J) that hold the CPU board to the mounting
plate.
4. Remove the CPU board from the mounting plate.
5. Transfer the internal Compact Flash card (27) to the new CPU board.
6. Transfer the battery (5) to the new CPU board, see Section 9.5.7 on page 9-28 for
detailed instructions.
7. Reassemble in reverse order.
CAUTION Align the LCD cable connector parallel with the PCB connector prior to
pressing into place.
Note Make sure cable is plugged in securely. If not screen may display incorrectly (white) or
multi-colored striped screen.
8. Download software, see Section 8.2 on page 8-3.
CAUTION When replacing the battery be careful to only touch the sides of the
battery, not the top or bottom as corrosion may occur.
Note System re-boot may be required up to three times to properly load BIOS and display
the Normal Screen.
Note After the system is restarted, check that the Time/Date settings are correct. Reset, if
necessary.
A G
B
F
C D E
I
H
7. Lift the left side of the LCD display slightly away from the mounting plate to pull
some of the display ribbon cable (J) to the top side of the plate. Flip the LCD over
to the left of the assembly.
8. Disconnect the display ribbon cable (K).
LCD Display
K J
3. Peel the backing strip from one piece of foam (2 long and 2 short per assembly) .
4. Affix the 2 long strips of foam to the top and bottom and the short foam strips to
the sides of the metal bezel. Use the inside edge of the bezel as a reference
location.
Bottom
5. Re-assemble LCD and CPU in reverse order using the supplied touch panel front
enclosure (refer to Section 9 of the appropriate TRM).
Note Ensure touch panel front enclosure touch screen cables and membrane switch
cables are not pinched.
L
I
Slit
Front inverter B
Rear inverter B
10
11
16
19
14
17
12 Nub
15
18
• New membrane switches — right-side (14), lower (15), left-side spacer (16)
• New keypads - right-side (17), lower (18), left-side blank (19)
• New EMC gasket (10)
If you are replacing a keypad or a membrane switch, you must replace both items.
1. Remove the screw that attaches the grounding strap to the enclosure.
2. Pry the membrane switch and keypad from the enclosure.
3. Remove any remaining residue from the mounting area; clean with isopropyl
alcohol.
4. Remove the backing from the membrane. Be sure to remove the small backing
below the flex cable. Be careful not to allow the ribbon cable to adhere to the
backing.
5. Insert the flex cable and ground strap through the slot in the enclosure. Ensure
that all of the ground strap passes through the slot an does not remain folded over
under the membrane.
6. Carefully lower the membrane straight down to the enclosure. Seat the membrane
in place.
7. Remove the backing from the keypad and install it over the membrane switches.
8. Attach the ground strap to the enclosure.
1206 mm
286 mm (four sides)
222 mm 222 mm
286 mm
10
2. Sparingly apply “Super Glue Gel” to the channels in the outside grove of the
enclosure near the corners, and then insert the continuous length of gasket.
3. Sparingly apply “Super Glue Gel” to the channels in the inside grove around the
window near the corners, and then insert the individual lengths of gasket.
C
A
C
AB.98p178
B
AB.98p177
4. Remove the display and arm assembly from the top of the ventilator chassis and
carefully place the Display Unit face down on an anti-static pad.
9.6.2 Removing the non-remote display arm from the display unit
The display unit attaches to the non-remote display arm pivot with screws that are
accessible under the upper display arm yoke covers.
1. Remove the yoke covers on each side of the upper display arm pivot. (A)
Slide a thin blade into the slot at the top of the yoke cover arc and rotate the cover
to remove.
2. Disconnect the display cable (B), and then remove the strain relief (C).
3. Remove the four screws (D), two on each side, from the upper display arm pivot
and remove the display arm.
B
A
C D
AB.98p171
AB.98p179
CAUTION To prevent moisture from entering the system and damaging the ventilator, ensure
appropriate white plugs have been inserted into the ventilator chassis. l
1. Insert the large white plug (A) into the center M6 threaded hole of the ventilator
chassis.
If you are permanently remote mounting the display unit and the receiver is not
used, insert the three small white plugs into the three M4 threaded holes of the
ventilator chassis, as shown below.
B B
2. Secure the remote mount receiver to the ventilator chassis using three flat-head
screws (B) and tighten to 2 Nm torque.
3. To prepare the arm for cable installation, open the primary latch (C). Seat the arm
on the receiver or rail for leverage, close the primary latch, and then turn the arm
45° to the left. Open the primary latch and pull the secondary latch (D) to
disengage the arm from the receiver or rail.
D
45°
C
G H
7. Secure the cable onto the display unit with the edge of the part number label
aligned underneath the strain relief, as shown below. Insert the M4x12 socket
head cap screw and tighten using a #3 Ball Allen wrench to 2 Nm torque.
AB.98.296
AB.98.297
4. Carefully lift and remove the display unit from the ventilator.
Important The display unit is top heavy when removed from the ventilator.
AB.98.298
3. With a person on each side of the cart, lift the ventilator housing off of the cart.
WARNING To avoid personal injury, two people are required to remove and install
the compressor.
1. Remove the trim pieces from the side extrusions.
2. Remove the compressor mounting hardware from each side of the cart.
3. Screw in a lifting handle (service tool p/n 5370055) into each side of the
compressor.
Service tool
4. With a person on each side of the cart, lift the compressor slightly and slide it
forward out of the cart.
CAUTION To avoid tipping, use care when moving the ventilator with the
compressor removed from the cart.
Back panel
B
Bottom cover plate
6. If the cart has outlets, unplug the cable harness (D) from the inrush board to the
toroid and the harness (C) from the AC outlets to the toroid.
Note Carts without the AC outlets have a weight at the bottom of the cart.
7. Access the toroid or weight and remove the screw (E) that secures the toroid/
weight to the bottom plate. Carefully lift the toroid/weight out of the internal
compartment of the cart. For the toroid, remove the first nut on the cover plate (not
shown) and remove the ground wire (F) to the toroid.
Weight
E
Toroid
8. Carefully position the cover plate back inside the bottom of the cart and lay the
cart on the front side. Turn the cart top-down being careful not to damage the
cover plate (wires or inrush board).
9. Unscrew the bottom plate retaining screws and remove the bottom plate.
10. Remove the screws (F) from the cart base and carefully lift the base from the
alignment pins (circled).
• If necessary, use a flat blade screwdriver to carefully pry the base from the
uprights.
WARNING To avoid personal injury, two people are required to remove and install
the ventilator and/or compressor.
1. Lock all casters on the ventilator cart. Remove all system accessories if
applicable.
2. Lay the cart down on the opposite side of the caster that will be replaced.
3. Remove the defective caster using the adapter included in the kit.
4. Before replacing the caster, ensure
the following:
• No oil or other contaminants are A
present on the replacement
caster or in the base of the
threaded hole (A), if oil or
contaminants are present clean
and remove loose debris.
• No thread damage to the base
threaded hole.
•
5. Apply a line of Loctite 242 inside the
cart base threaded hole (A) and on
the threads of the replacement caster B
B
(B) prior to threading the caster into
the base.
WARNING Failure to apply Loctite and to properly torque the caster may allow
potential loosening of the caster, resulting in caster stem failure.
6. Attach the adapter included in the kit to the torque wrench at 90 degrees
(perpendicular) to the torque wrench as shown.
7. Torque the caster to 25Nm +/- 1 Nm (A). Do not make contact with raised edge on
cart base (B).
CAUTION Use care when applying torque to the front casters. Avoid contact with
the adapter and cart base while tightening.There is a raised edge (B) on
the cart base and a false torque could occur if contact is made.
Important If you are unable to use the method shown (adapter at 90 degrees) in step 6, it is
possible to torque the caster with the wrench adapter in line with the torque wrench as
shown below. If using this method, it is necessary to re-calculate the torque that will be
set on the wrench to accommodate the additional length added by the adapter. Use
the equation and image shown to determine the torque value that you should set the
wrench.
A L
Ta
Tw
Ta A L Tw
WARNING Do not place the airway module in the lower slot when the airway
module is on the right side of the system. Exhaust from the gas exhaust
port will adversely affect the accuracy of the airway module CO2 and
O2 measurements.
• Install only one airway module into the airway module bay. The
system does not support the use of multiple airway modules.
• Only install singe width airway modules (E-miniC and CARESCAPE
respiratory modules) in the upper right slot of the airway module
bay. The upper left slot of the module bay does not support
communication between the module and the system.
CAUTION The airway module bay port must only be used for connecting the
module bay to the ventilator.
1. Lock the ventilator cart wheels.
2. Connect one end of the cable to the airway module bay connection on the back of
the ventilator (A) and tighten the screws.
3. Attach the module bay (B) to the desired side of the ventilator.
• Loosen the thumbscrews.
• Slide the airway module bay behind the thumbscrew and tighten.
4. Connect the end of the cable to the airway module bay connection (C) and tighten
the screws.
5. Slide the airway module into the upper slot of the airway module bay.
6. Attach the tubing to the airway module.
Note Follow instructions in reverse order to disassemble.
9.13 Labels
AB.98p192
9.13.2 Attaching Feature labels
Housing (current)
1. Attach the feature specific label into the recess in the label holder, which is
molded into the front of the housing.
2. Discard the Feature Label holder.
AB.98p167
Housing (original)
The original housing requires a separate label holder to attach the Feature Options
labels (see page 10-43).
Use the feature label holder to attach FRC, SpiroDynamics, Neonatal or NIV labels.
1. Attach the Feature Label holder to the front of the housing as follows:
• Align the right edge of the label approximately 6 mm from the right edge of the
outlet manifold.
• Align the bottom edge of the label approximately 15 mm from the top edge of
the outlet manifold.
2. Affix the feature specific label to the square recess in the label holder. Install
labels starting with the right-most available recess, as shown below.
AB.98p110
10 Illustrated Parts
In this section
10.1 Service tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2
10.1.1 Software tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2
10.1.2 Manual shut-off valves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
10.1.3 Special tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
10.1.4 Leak test devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-4
10.1.5 Lubricants and adhesives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-5
10.1.6 Touch-up paint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-5
10.2 Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-6
10.3 Neonatal Flow Sensor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-7
10.4 Exhalation valve heater. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-8
10.5 External components (current) - front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-9
10.6 External components (current) - rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-10
10.7 Display arm mounting hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-11
10.7.1 Non-remote mount display arm assembly. . . . . . . . . . . . . . . . . . . . . .10-11
10.7.2 Remote mount display arm assembly . . . . . . . . . . . . . . . . . . . . . . . . .10-12
10.8 Display Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-13
10.8.1 High Performance Display Unit (HPDU)/Touchscreen . . . . . . . . . . . .10-13
10.8.2 High Performance Display Unit (HPDU) . . . . . . . . . . . . . . . . . . . . . . .10-16
10.9 Main enclosure (external) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-19
10.10 Main enclosure (internal). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-21
10.11 Vent Engine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-23
10.12 Outlet manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-26
10.13 Inlet Manifold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-28
10.14 AC power cords. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-30
10.15 AC Inlet/Outlet Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-31
10.16 Cart (current). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-34
10.17 Module rack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-36
10.18 Compact Airway Modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-37
10.18.1 Airway Module Planned Maintenance Kits . . . . . . . . . . . . . . . . . . . .10-38
10.19 Compressor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-39
10.19.1 EVair03 Compressor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-39
10.19.2 EVair Compressor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-41
10.20 Feature option labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-43
10.20.1 Vent Housing (current) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-43
10.20.2 Vent Housing (original) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-43
10.21 Key/BID label . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-44
1 2 3 4 7 6
AB.98.099
8
AB.98p168
AB.98.098 AB.98.097
9
1a 1b 1c 1d 1e
1 2 3
5
4
10
10 2
10
1
4
8 6
9
10
2 3
6
1
10
AB.98.030
11
MD.24.099
2
MD.24.100
AB.98.319
AB.98.323
1
7
4 5
6 6
2
AB.98.127
Note For information about the original main vent housing, see “External components
(original) - front” on page C-3.
2 3
7 6
1
5
AB.98.358
3 4
2
7 5
6
AB.98p180
1
5 6
10 9
2 11 8
AB.98p185
33 Spacer 1505-3434-000
4 6 7
10
9 34
8
2 14
3
26 11
17
25
12
24 21
13
20
23
AB.98p127
15 18
22 16 19
30
38
31
AB.98p183
39
32
33
37 35
28
5
29
21 36
33 Spacer 1505-3434-000
CPU board.
4 6 7
9 10 34
8
3 14
2
11
26
17
25
12
24 21
13
20
23
AB.98p127
15 18
22 16 19
27
28
4
5
29
21
AB.98p129
30
31
32 33
19 20 12
18 21 10 11
5 6 14
15 13
4 3
17
7 22
1 2 16
23
9
24
26 25
AB.98p176
19 15
8 18 14
4 5 6 7 9 10 17 16 13 12 20 21
3 11
31 30 29 28 26 25 24 23
22
27
J1
Battery 2 Battery 1
Wire Color
Black
Red
33
32
3 4 5 1
2 AB.98p173
1 9 10
A
6
6
7
39 AB.98p174
7 8 8
11
36
12
28
C
12
27 31
34 35 26 B 21 33 32
22 16
36 16 14 19 B
13
38 18
17
37
15
AB.98p182 AB.98p089
35
28 22
23
29 25
AB.98p175
24
34
30
10
2 1
8 9
AB.98p194
3 4 5 6
24 25 27 26
16
15
11 9 12 13 14
17
10
18
19
22 11 20 11
23
Note: When installing the voice coil, be
sure to route the wires around the coil
as shown. Ensure the wires are below
AB.98p184
21
Part Number
AB.98p088
3 4 5
AB.98p103
1 2
6
13
12
AIR O2
11
7 9
14
2 1
10
8 9
AB.98p102
AB.98p104
10
15 16
2 1
1 3
AB.98.008
AB.98.049
AB.98.052
1 1
4 1 2
18 19
3 3
6 5 3
Note: Tighten screw on outlet retainer (4) to 0.45 Nm. Tighten screw on
inlet retainer (5) to 0.45 Nm. Tighten screws (6) on both sides to 1.0 Nm.
7 11
12
10 9 8 13
14
BS 546 NBR14136
India and South Africa Brazil
CAUTION Carts that do not include AC outlets have a weight installed in the base
in place of the toroid. To reduce the risk of tipping the cart, do not
remove the weight.
Back Front
6 7 1
5 3
AB.98.353
AB.98.354
4
AB.98p195
AB.98p196
A B
10
2 3
6
5
4
AB.98p193
This system is compatible with the E series modules E-miniC, ECOV, ECOVX, E-
CAiO, E-CAiOV, and E-CAiOVX and the M series modules M-miniC, M-COV, M-
COVX, M-CAiO, MCAiOV, and M-CAiOVX. (Modules must be software version 3.2 or
greater. E-MiniC and M-MiniC modules must be software version 1.0 or greater.)
Letters in the compact airway modules stand for:
• E - plug-in gas module
• M - plug-in gas module
• C - CO2 (and N2O in compact gas modules)
• O - patient O2
• V - patient spirometry
• X - gas exchange
• A - anesthetic agents
• i - agent identification
Important The Engström ventilator is not intended for use with anesthetic agents. It does not
measure or display anesthetic agents.
Replacement
Item Description
interval
8001760-HEL Planned Maintenance (PM) Kit for Compact Airway modules Once a year
The PM kit includes the required Nafion tubes, the occlusion filter for the
pneumatic unit, the reference gas filter assembly with an o-ring and a
new sticker, the D-fend o-rings and the fan filter.
Note: The PM kit does not include the CO2 zero absorber.
895933 CO2 zero absorber Once every 4 years
Note It is recommended to replace the D-fend water trap, the gas sampling line and the
spirometry tube as part of the planned maintenance procedure. See Engström User
Reference Manual for compatible accessories.
WARNING Only use Datex Ohmeda calibration gas. Do not use any other
calibration gases or the calibration will not succeed.
10.19 Compressor
6
7 8
2
5 4
7 8
5 3
3
5 6
1 2 3 4
AB.98p167
10.20.2 Vent Housing (original)
2 3 4 5
AB.98p110
AB.98p192
WARNING User must rely on the Engström primary displays and controls for
ventilation therapy decisions.
Note The HPDU Enhanced Serial Port and Engström system software (5.X or greater) are
required to operate EView. To upgrade an HPDU from the Standard Serial port to the
Enhanced Serial Port, order Enhanced Serial Port (p/n M1057953-S).
3
4
AB.98.233
AB.98.232
6
7
1 Communication LED The green LED lights continuously when the EView is properly connected and
communicating with the serial port located on the back of the Engström.
2 SD card slot Slot for Secure Digital card.
3 Media LED The blue LED lights when data is being written from EView to a storage device (SD
card or a USB flash drive).
4 USB Port Slot for USB flash drive.
5 Ethernet port Not currently supported
6 Serial port connection EView communicates to and is powered by the ventilator through this connection.
7 Reset button Push to reset EView in the event of an error. Intended for factory use only.
CAUTION Pushing the reset button during Data Logging operations could
potentially corrupt the Compact Flash card resulting in a loss of all
transferred data.
AB.98.227
B C
3. Apply a light coating of Loctite 277 (just enough to wet the surface) to Standoff
screw (D) and insert into the upper left of the display guard and tighten.
4. Check the serial port to ensure there is a Standoff screw (D) inserted into the back
plate. If not, apply a light coating of Loctite 277 (just enough to wet the surface)
and insert the second Standoff screw (D) into the back plate of the enhanced
serial port and tighten.
E
D
5. Align the EView serial port to the display unit serial port (E) and connect the
EView to the display. Firmly press the EView against the display unit to ensure the
EView is securely seated onto the connector.
6. Insert a Thumbscrew (F) through the left support tab onto the Standoff that
secures the display guard and tighten.
7. Use the second Thumbscrew (F) and insert it through the lower support tab onto
the Standoff and tighten.
Important Do not move standoffs between Engström systems. All standoffs have Loctite applied
to the threads to hold them in place. Removal of the standoffs will decrease the
function of the Loctite and the standoffs may loosen when trying to remove the EView
thumbscrew.
CAUTION Do not remove EView from a powered Engström ventilator before the
EView internal backup power source has fully charged. This requires
the Engström ventilator to be powered on for a minimum of 2 minutes.
1. Push System Setup.
2. Select Install/Service and enter the password. “Install/Service Menu (Super
User)” on page 4-3 for password information.
3. Select Data Transfer Settings - Transfer Media.
4. Select USB, SD, or Both.
Note Use of USB flash drive or SD card is dependent upon hospital settings.
• If USB is selected, SD will be disabled.
• If SD is selected, USB will be disabled.
• If Both is selected, USB and SD will be enabled.
*Time Period increments may be set to: 15 min, 30 min, 1 hr, 2 hr, 4 hr, 8 hr, 12 hr, 1
day, 2 days, 3 days, 4 days, 5 days, 6 days, 7 days.
CAUTION Do not remove media or shutdown the Engström ventilator before blue
LED has illuminated or during download as this could corrupt SD card
or USB flash drive.
3. Ensure the text files for Settings, Measured, Waveforms, Procedures, and Alarms
data exist.
Data text file naming structure:
• A - Alarms
• C - Checkout Information
• D - Dynostatic Curves or Spirometry Data (Zip file)
• L - SpiroDynamics data from Paux (Zip file)
• N - Measured Data (Numeric)
• P - Procedure Data
• S - Setting
• Z - Waveform (The Zip file contains the W-Waveform files and the L-
Spirodynamics data files only if that option is enabled.)
File Number
Time (HHMM)
Date (YYMMDD)
Patient ID or Machine Serial Number
File Identifier
4. Right-click on the Settings text file and select “Open With”, then select a
spreadsheet application to view the file.
When the file opens, look under the Settings heading to verify the following:
• Set Rate = 20
• Set TV = 300
5. Close the Settings text file and remove the media from the PC.
11.7 Troubleshooting
Note Ensure that the Engström ventilator is properly configured to support the EView Data
Logger. See Section 11.1 on page 11-2 for requirements.
Green LED flashing Internal compact flash memory has Wait 5 minutes for system to repair
been corrupted. memory.
Green LED Off when properly Communications not established. Wait 2 minutes for communications to
connected to Engström establish.
ventilator Unit is not properly configured with Verify that Engström system has
enhanced serial ports. Enhanced Serial port option and 5.X or
greater software.
Blue LED does not illuminate The selected port/slot connection may Review Data Transfer Settings menu
not have been enabled. procedure.
Data transfer may have successfully
occurred. Check media device.
EView media connectors are damaged. Replace the interface board.
Blue LED flashing Transfer Media Error Reformat transfer media.
Replace Transfer media.
Empty Transfer media.
Transfer media is incompatible. Attempt transfer with different brand/
size of media.
Removed media during transfer. Wait for blue LED to stop flashing
before re-inserting media to attempt
another data transfer.
Blue LED does not turn off Large amount of data transferring 1Wait for data to finish transferring.
Note: The time of transfer is dependent
upon the speed and size of the transfer Replace internal flash card or
media used. software.
Not all data requested is on Transfer media is full. Attempt transfer using media with
transfer media sufficient free memory.
1
For example, if Breath is selected for the sample interval and Waveforms is turned On in the Data Transfer settings, data transfer
could possibly take up to one hour per day of data transferred.
11.8.2 Accessories
1 2 3
11.8.3 Label ID
5 5
3
1 2
5
3
1 2
4
Front
w Some internal parts have sharp edges and can cause cuts or
abrasions. Use care when servicing internal components.
2. Remove the four screws (B) that hold the housing to the back plate and the two
screws (C) located on the left-hand side of the device that hold the PCA board to
the housing.
B B
C C
3. Gently remove the ribbon cable (C) from the PCA board.
4. Remove the two screws/nuts (D) that hold the Turbo XB board to the PCA board.
Be careful not to lose the spacer and washers.
5. Pry the Turbo XB board from the PCA board by placing each thumb on the corner
of the Turbo XB board; gently lift and remove the board from the pins.
6. Replace the Turbo XB (E) by slanting the board at a 30 degree angle and sliding
the board in so it is seated firmly into the pins.
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Flow Valve
High Pressur
e Valve
Transducer Flow
Regulator Sensor Pneumatic EXP
Exhalation
P 25 psi Test Resistor P Valve 22 / 15 mm
172 kPa Port T H Expiratory Pressur
e Male / Female
Inlet Check
Primary Filter Valve
Inlet Inspiratory Pressur
e
Air P
Total Flow Inspiratory Zero Patie
O2 Sensor Valve
T H
O2
INSP
Flow 22 / 15 mm Micropump
High Pressur
e Flow Nebulizer
Valve Male / Female
Transducer Regulator Sensor
25 psi Test Inspiratory
P 172 kPa Port T H Effort
Valve
Inlet Check
Filter Valve
Primary Safety
Inlet Relief V
alve
Free Breathing
O2
AB.98.065
CheckValve
Auxiliary Pressur
e
Transducer Relief
Valve
Auxiliary Pressur
e P
PurgeValve
Paux
30 mm Male Cone
Pneumatic Exhalation
H
Resistor Flow Sensor
Expiratory Zero
Flow Valve
High Pressure Valve
Transducer Flow
Regulator Sensor Pneumatic EXP
Exhalation
P 25 psi Test Resistor P Valve 22 / 15 mm
172 kPa Port T H Expiratory Pressure Male / Female Neonatal Flow Sensor - Option
Inlet Check
Primary Filter Standard Valve
Inlet Inspiratory Pressure
H
Air P
Total Flow Inspiratory Zero Patient
O2 Sensor Valve
T H
O2
INSP
Flow 22 / 15 mm Micropump
High Pressure Flow Nebulizer
Valve Male / Female
Transducer Regulator Sensor
25 psi Test Inspiratory
P 172 kPa Port T H Effort
Valve
Inlet Check
Filter Optional Valve
Primary Safety
Inlet Relief Valve
Free Breathing
O2 Check Valve
Auxiliary Pressure
Transducer Relief
Valve
Auxiliary Pressure P
Purge Valve
AB.98.072
Paux
O2 Air
Regulator Regulator
Air
Test Port
O2
Test
Port
O2 O2 Total Air Air
Flow Flow Flow Flow Flow
Valve Sensor Sensor Sensor Valve
Atmosphere
Paux
Pexp
Pinsp Paux
O2 Sensor
Relief
AB.98.072
H
INSP Paux
EXP
Insp Effort
Valve
Safety
Relief V
alve
Air PipelineP
O2 PipelineP
H
I2C Exp Flow Exp Flow Exp Flow
Sensor Bd Infc Bd Sensor
Motherboard
(backplane) RS-232 O2 Sensor
RS 485
NEO Sensor VMB ExpP
PMB J8 4AHr
Serial Batteries
Power
E
RS-232 Air Flow/
A
Management Temp
Serial
Board 150W Mains
F
Power Supply
G RS-232 O2 Flow/
Temp
AB.98.060
Connector
Fan
H: Flex cable Aux P Purge
Valve
I: Nebulizer cable
AB.98.056
12-6 ZAB 01 2016 1505-1018-000
Schematics and Diagrams
12.6 Power distribution
Display Unit CPU Board
Charger
15W
F
Monitoring Module Power Supply Board MGAS
+ 1 2 . 5 V (s w i t c h e d b u s v o l t a g e )
7.8W
PSM
16W
I-LMT
16W
VCB
Ventilator Control Board
4W +3.3V
+1.8V
+9V
+9VA
+5.5VA
2W
+5VA
+6VA
-6V
1W Neb 12V
VMB
Vent Monitor Board
+5V Vdd
4W
+5VA
+6V
-6V
8W Exp Flw Snsr
AB.98.059
Valves (12V)
+12.5V (10V
A Internal Expansion) up to 20W
20W
+12.5V (10V
A Ext Expansion Port 1) up to 20W
I-LMT
+12.5V (10V
A Ext Expansion Port 2) up to 20W
EXP
ANSION PO
RT#2 (RS-485) EXP
ANSION POR
T #1 (RS-422)
DISPLA
Y INTERF
ACE CONNECT
OR MONITOR SERIA
L CONNECT
OR MOD BUS I/O CONNECT
OR PSM I/O (RS-485) CONNECT
OR
CONNECT OR CONNECT OR
MOD _B US _16 V
P SM/R S48 5_ 16 V
P SM/R S48 5_ 16 V
R S42 2_ 12 V
12.5VBUS EMI Filters EMI Filters EMI Filters EMI Filters EMI Filters
EMI Filters
ESD Protection ESD Protection ESD Protectio
n ESD Protectio
n ESD Protectio
n
MONITOR ON/ST
ANDBY
16V Current Limiter MOD_PWR_
FAIL
16V EMI Filter ILIM_MOD_EN
12.5VBUS
16V 16V Current Limiter PSM_PWR_
FAIL
PMB (PO WE R M AN AG EMEN T B OARD CO NNEC TO R)
ILIM_EN(3)
AUX_AUDIO_PW
R AUX_AUDIO_PWR
EXP_MBUS_COMM
VM_BUZZER_ON
(VE NT ILAT OR CO NT RO L B OA RD C O NN EC TO R)
BUZZER_SNS
E
VM_EXHAL_OPE
N
SAFE_CLSE
OK_TO_ZERO
RESE
T
CF_TXD/RXD
I2C BUS
VCB
SPI BUS
EXPD[7:0]
BA[2:0]
IRQ6 CNTL
EXPBUS CONTROL
AB.98.068
12.5VBUS TEST HEADE
R
MONITOR SERIAL / NURSE CALL NEON Flow Sensor EXPANSION (RS-422) EXPANSION (RS-422)
DISPLAY INTERFACE CONNECTOR MODULE BUS CONNECTOR
CONNECTOR PORT #1 J4 PORT #2 J5 PORT #3 J6
PSM/RS485_16V
RS422_12.5V
MOD_BUS_16V
RS422_12.5V
CO M
NO
NC
EMI Filters EMI Filters EMI Filters EMI Filters EMI Filters EMI Filters
ESD Protection ESD Protection ESD Protection ESD Protection ESD Protection
12.5VBUS
DU/MN COMM RS232
DU/PMB
COMM DU/MOD BUS & PSM COMM RS485
RS232 DU/MOD BUS & PSM RESET
Service RS422
VMB 3rd RS422 Application /
MAINS LED
Therapy Device
MONITOR ON/STANDBY 16V Current Limiter MOD_& PSM PWR_FAIL Communication
EMI Filter ILIM_MOD_EN
16V
12.5VBUS THERAPY 12.5VBUS
12.5V Current Limiter MODULE_PWR_FAIL 1
EMI Filter ILIM_TMP_EN_1
PO WER MANAGEMENT BO ARD CONNECTO R
THERAPY
12.5VBUS MODULE_PWR_FAIL 2
12.5V Current Limiter PWR_FAIL(3)
EMI Filter
ILIM_TMP_EN_1
ILIM_EN(3)
AUX_AUDIO_PWR AUX_AUDIO_PWR
VM_EXHAL_OPEN
MNVR_OPEN
SAFE_CLSE
OK_TO_ZERO
RESET
SPI BUS
Craig Tolmie
February24, 2006 EXPD[7:0]
Version 2
BA[2:0]
IRQ6 CNTL
AB.98.057
1505-1018-000 ZAB 01 2016 12-9
Engström Carestation
12.9 PMB block diagram
VBUS
VBAT
PS_V_ADJ
Fuse
Isolated
P o w e r S u pp ly
MAINS_PWR +3.3V
ENABLE +16V
C o n n ec t or
Diode DC_DC (VDD) +12V
M B C o n ne c to r
Convert
Int Battery
Voltage BATT1_V
MODE BATT_STROBE Connector
Sense
AC_GOOD FAN_HIGH
ISO
AC_GOOD SET_SYS_ON
Isolated
+12.5V CLR_SYS_ON
DC_DC
ENABLE SYS_ON EXT_BA T_SEL
Convert
FAN_ON Int Battery Voltage BATT2_V
FAN_GOOD Connector Sense
LOW_CHG_RA TE
EXT_VBA
T BATT_STAT_1 BATT_STROBE
Switch
EXT_BAT_ON_FULL
BATT_STAT_2 EXT_BAT_I_LMT +3.3V +3.3V
INT_BAT_DISABLE (VDD) (VDD)
EXT_BA
T_SEL ON/STBY_UP EXT_BATT_CLK
Voltage/
+12.5V Current BATT_I CURRENT_SENSE
Current
12V Sense
Converter
LDO
A_GND
C o n ne c t or
TX Discharge
OPTO Detector
MB
RS-232
BATT_CONNECT BATT1_V RX ISO
VSTBY BATT2_V
BATT_I BATT_I
BATT_STROBE TEMP TEMP
SENSOR
MUX
VDD WATCHD0G
Battery Connect WDOG
OR VFAN
Timer
EXT_BA
T_V
On/Standby
EXT_BA
T_I
Switch
RESET
Connector
ON/STBY_UP Debug/Programming
Connector
VSTBY
VREF
ISP Connector
SET_SYS_ON
FF
CLR_SYS_ON SYS_ON
Q
VFAN1
Fan1 SAFETY_SW AUX_AUDIO_PWR
Connector
MAINS_PWR
MAINS_PWR Internal
C o n ne c t or
VBUS Battery VBAT
VBAT ISOLA
TED
MB
VBUS Speed FAN1_GOOD OR TRKLE_CHRG_CTRL Trickle
Fuse Linear Reg PS
Detect Charger
EXT_VBA
T
FAN1_ON
Step-Down
+12V VFAN2
SMPS FAN1_HIGH Fan2 +12V
Connector
VBAT
Speed FAN2_GOOD BATT_DISCHARGE
Linear Reg BATT_STAT_1
Detect
C on n ec t or
Step-Down +3.3V MAINS_LED_C VBAT_SENSE OVER_CHARGE
Isolated Logic BATT_STAT_2
SMPS (VDD) FAN2_ON AC_GOOD
MB
Drive /FLOAT_CHARGE
MAINS_LED_A
FAN2_HIGH Circuit
Battery
FAN_FAIL_DET_EN
Charge
+12.5V CURRENT_SENSE
Controller
VBUS DRIVER PS_V_ADJ
C o nn e c to r
Level Shifter
VSTBY AC_GOOD
LDO SYS_ON OPTO PM_P
MB
VBAT CHARGER_ON
AB.98.057
ISO BATT_CONNECT AND
O 2RX
I2 C _ S D A
O 2T X
4096VADC Voltage 4096VBARO Voltage
O2 Sensor
Ref Ref
NRZ_O2RX
Drvr
VDD VDD
VC BR X
V C B TX
D UR X
DU TX
Paracube SPI 4096VINSP Voltage Filter
uC _A CT
NRZ_O2TX UART #O2_RDY Ref
Drvr
O2_5V SPI/EXCOM_CS SPI/ADC_CS
Exhal Flow Sensor
1.8432MHz
EX_5V
SPI/O2_CS AVCC VCC
Driver
VMTX_DURX
D iff.
Acutronics EX_SDA DURX DIFF ATA
D
Barometric Pressure
EX_SCL
U AR T1
Transducer
1 0 - B it A D C
10-BITADC INPUTS
S K Filte r
R ec eive r
B a ro
O2 Supply Pressur
e ESD/EMI 4096VBARO BARO_P
IA
SDX15A4 EMI Filter VMRX_DUTX
D iff .
Transducer Suppression uC JT
AG DUTX DIFF ATA
D
O2_P
5X 2
O2HP_5V
T O V EN T E NG IN E ( 1 1 x2 )
EX_SDA
S K F ilte r
BEI Edclif
f AIR_P
EX_SCL
D riv e r
VMTX_VCRX
Dif f.
VCRX DIFFATA
D
MUX_OUT
U AR T0
JTAG_5V
Air Supply Pressur
e
T O M O T HE RB OA R D (4 0x 2 )
#ZERO_INSP
Transducer ATmega128
R eceive r
EXHAL_OPEN
Microcontroller VMRX_VCTX
D if f.
AIRHP_5V SAFE_OPEN VCTX DIFFATA
D
S K F ilter
BEI Edclif
f
14.7456MHz
Buffer/Drvr #OK_TO_ZERO
#BUZZER_ON
Safety Relie
f #OVER_PRES
S
#BUZZER_SNS
E
Valve 8:1
12.5VBUS MUX[2:0]
Fuse Analog
Mux #UC_RESET WD_RESET
Bicron #O2_RDY
Div id er
Amp
NC 12.5VBUS 12P5_TEST #SAFE_CLSE
#ZERO_INSP
#EXCOM_RDY
Insp Effort Watchdog # STROBE
RESET
Div id e r
AREF
Amp
Valve EX_5V EX5V_TEST
12.5VBUS
Fuse
C OM P
HV_RESET VDD
VDD
VDD
Bicron
Div ide r
Amp
O2_5V O25V_TEST
NO
VCB_MNVR_OPEN
Div id er
N-CH
Amp
Div id e r
R S2 3 2
1.8432MHz
Amp
AIRHP_5V AIRP5V_TEST
D rv r
N-CH N-CH #SAFE_CLSE SPI Buffer/Drvr
5X2
FET FET
RS 2 32
UART
Rcv r
SPI/EXCOM_CS
Div id er
Amp
+5.5VA 5P5_TEST
#VC_SAFE_CLSE
EXHAL_OPEN
+5.5VA #EXHAL_OPEN
Div id er
Co m p
Amp
MPX2010 ADC
In s p
IA
EMI Filter
AB.98.061
N-CH Logic #ZERO_INSP
FET FET SPI/ADC_CS
AB.98.061
12-12 ZAB 01 2016 1505-1018-000
Schematics and Diagrams
12.12 VMB block diagram – current (sheet 2 of 2)
AB.98.061
1505-1018-000 ZAB 01 2016 12-13
Engström Carestation
12.13 VCB block diagram
NEB_PWR_ON MUX[0:2]
S PI BU S
CF_T/RXD
0
B DM C O NN EC TO R
6 Channels
P owe r-up
IA
R ES ET W D _S T RB
Watchdog
J TA GC ONN E CT OR
& Reset
MOT HE R B OA R D C ONN E CT OR
UART SPI BUS
SPI
INTERF
ACE
RESET
INP_PRESS
IA
BUZZER_SNSE
Voltage
Monitors CURRENT
LMT PWRFAIL SIGNAL
S
BUZZER_SNSE
AB.98.067
OVER_PRESS
C omp
+1.8V Power PURGEAUXP_ON CF_T/RXD
0 EXP _MBUS COMM
OVER_PRESS
Supply RS485
Input Latch ZEROINSP_O
N VREF
EXP_MBUS_RESET Tranceiver EXPMBUS RESET
16-bits SPARE1
(LVC/LCX) VM_BUZZER_O
N NEB_12
V
+3.3V Power VM_EXHAL_OPE
N
NEB_TICK_LS
Supply
NEB_TICK_LS NEBULIZING_L
S
NEBULIZING_LS VM_BUZZER_O
N NEB_ST
OP
MBUS_P_RESET
E SD Prote ction
Monitoring Module
MOD BUS I/O
MBUS_M_RESET
R ece pticle # 1
E MI Filters
MBUS_P_D
ATA_485
MBUS_M_D
ATA_485
16V_PWR_10V
A_LIMIT
LDO
max +15VD
Vdropout
0.5V
Monitoring Module
R ecepticle #2
+15V
LDO
E SD Protection
MONITOR IN G MODULE P OW ER
Fly-Back
SMPS
-15V
LDO
Monitoring Module
R ecepticle # 3
Buck +5V
LPF
SMPS
Voltage Monitors
AB.98.066
RED RED RED RED
Monitoring Module
FAIL FAIL FAIL FAIL
R ecepticle #4
1505-1018-000 ZAB 01 2016 12-15
Engström Carestation
12.15 AC outlet module; 100-120 V (with isolated outlets)
OUTLET ANE
P L
AC INLET/OUTLET MODUL
E
IEC 320
TO
VENTILATOR
AC INLET
EQUIPOTENTIAL STU
D
COUNTRY SPECIFI
C
OUTLET
S
CHASSIS
GROUND
INRUSH PCA00-120V
1 R2
1.8 ISOLATION TRANSFORMER
VIO
FUSIBLE
10% K1
BLK
(BRN) LINE IN 5W
4 1 LINE OUT
THERMAL FUS
E
RV2 CR1
1.5KE250C 6 5 1 130C RED
150V 250V
D6521ZOV151RA20 IN 3 CONNECTOR
1500W SOLID BRN
10% JH1A-W-A
C120V-Q STATE RED
DELAY BRN
Differential G1 R1 TIMER OUT 4
Mode 1 THERMAL FUSE
U-5B 10
250V 20% 2 130C
T1
15% 2W KH111 LOAD CONNECTOR
2 120V ORN BLU
F1
RV1 1A
D6521ZOV141RA20 250VAC BLK
FUSE2AG NC
(BLU) NEUTRAL IN 140V NEUTRAL OUT
RV3
D6521ZOV141RA20 WHITE
140V NC
Common
Mode 1
AB.98.062
G2
U-5B
250V
2 15%
GND (GRN/YEL) CHASSIS GROUND
OUTLET ANEL
P
AC INLET/OUTLET MODUL
E
IEC 320
TO
VENTILATO
R
AC INLET
EQUIPOTENTIAL STU
D
COUNTRY SPECIFIC
OUTLET
S
CHASSIS
GROUND
10% K1
7W
(BRN) LINE IN FUSIBLE 4 1 LINE OUT
CR1 ISOLATION TRANSFORME
R
RV2 1.5KE440C
A 6 5 T1
D65ZOV271RA140 440V KH115 VIO
275V 5% 1 240V
Differential 1500W JH1A-W-A
C240V-Q 3 BLK
SOLID
Mode 1 G1 R1 STATE
10 THERMAL FUSE
U-9B DELAY 130C RED
470V 2W TIMER 4
15% 20%
2 CERAMIC 2 BRN
RED BRN
F1
RV1 1A THERMAL FUSE
D65ZOV271RA140 CONNECTOR
250VAC 130C
(BLU) NEUTRAL IN 275V FUSE2AG NEUTRAL OUT
CONNECTOR
ORN BLU
RV3
D65ZOV271RA140
Common 275V BLK
Mode NC
AB.98.063
1 G2
U-9B
470V
2 15% WHITE
NC
GND (GRN/Y) CHASSIS GROUND
Particulate 3 2 micron
1
Note The term “atm” (atmospheric) denotes the oxygen content normally present in
atmospheric air; the numerical values denote the oxygen limits for synthesized air.
2
Note From NFPA 99 Health Care Facilities 2002 Edition.
3
Note From GE recommendation on filtering pipeline Air.
Listed below is the filter combination that provides the best results when used under
ventilation conditions. None of the filters tested, including the filters listed were 100%
effective. GE Healthcare does not warranty these filters nor make any specific claims
of their efficacy or reliability. Use of these filters does not change the ventilator product
warranty. GE Healthcare is not responsible for the maintenance or support of these
filters.
• Wilkerson Particulate filter F28 Type A with automatic drain
• Wilkerson Coalescing filter M18 Type B with automatic drain
The coalescing filter can capture particles down to 0.01 micron, so the particulate filter
must be installed up stream of the coalescing filter, otherwise premature failure can
occur. The filters must be properly maintained as recommended by the filter
manufacturer. Only genuine replacement parts from the filter manufacturer must be
used. GE Healthcare will not supply these filters or mounting hardware. All
components must be sourced and assembled locally. The filters must be mounted to
the cart or wall and a hose connection between these filters and the ventilator inlet is
required to minimize stress on the inlet manifold. Adding filters to the pipeline source
can cause a pressure drop to the ventilator. This pressure drop will increase as the
filters degrade, replace filters frequently.
Other manufacturers filters may be substituted if they meet or exceed all of the
performance specifications of these filters.
To locate a local distributor or get performance specifications, go to:
http://www.wilkersoncorp.com.
N/A* - Keypad set is not available for this language, order appropriate English keypad
set.
2086401-S Service Application/System Software v7.X (HPDU/ HPDU with touchscreen hardware
Touchscreen) (to enable the touchscreen option)
M1179456-S Service Application/System Software v6.X (HPDU) HPDU
M1148265-S Service Application/System Software v5.X (HPDU) HPDU
M1079267 Service Application/System Software v4.25 (HPDU) HPDU
1505-8000-000 Service Application/System Software v2.23 (DU) Original DU
Important • Engström software v4.25 and greater supports the High Performance Display Unit
(HPDU).
• Engström software v2.23 supports the original Display Unit (DU).
• Upgrading to a newer version of System Software requires a new language
specific User's Reference Manual (URM), which is provided to the customer. In
addition, some upgrades may require a new language specific keypad set. The
URM and keypad set must be ordered separately, see Section B.2.
• When upgrading software on an existing HPDU, new display membrane switches
are required. See Section 10.8.2 on page 10-16 for part numbers.
Important When replacing either the original VMB (1501-5501-000-S) or original Motherboard
(1505-5504-000), it requires that both the original VMB and original Motherboard be
replaced with the current VMB (M1052980-S) and current Motherboard (M1053184).
The original VMB and original Motherboard are obsolete.
Use the Service Log (Section 4.4.6 on page 4-19) to see the hardware and software
versions on the ventilator. The hardware revision is also shown on the board label.
CAUTION Carts, which do not include AC outlets, have a weight installed in the
base (in place of the toroid). To reduce the risk of tipping the cart, do not
remove the weight.
6
1
2
7
3
5
B
AB.98.017
11 12
13 14 13 14
10 5
2
9
6
7
8
AB.98.127
Torque = 2 Nm
1 7 6
5
8 8 8
AB.98.009
26
27
27
B
A
C
AB.98p171
5 26
A
A
20
12
A
A
21 28 1
You can now access the items listed below. The item numbers correlate to the parts
list on page 10-19:
• Fan (26)
• Connector panel assembly (21)
• Encoder assembly (12)
• Battery (5)
• Speaker (20) — To access the mounting screws for the speaker, you must first
remove the ten screws that hold the mounting plate to the front enclosure so that
you can raise the bottom edge of the assembly slightly. For detailed instructions,
see Section C.4.5 on page C-9.
• Rear enclosure (1) — You can transfer the captive screws to the new enclosure.
However, the gasket (28) is held in place with adhesive. When replacing the rear
enclosure, also include a new gasket.
Replacing additional items in the display unit requires further disassembly.
H
H
A H
5
21
Verify J17 Jumpers
open
C 3-4
5-6
H 7-8
9-10
D E F
3. Remove the remaining four screws (H) that hold the CPU board to the mounting
plate.
4. Remove the CPU board from the mounting plate.
5. If you are replacing the PCMCIA frame (3)
on an existing CPU board, remove four
3
screws on back of CPU board. You must
also apply new gaskets (4) to the frame.
Align the ends of the gaskets with the top 4
edge of the frame, as shown.
6. Transfer the battery (5) to the new CPU
board. See Section C.4.4 on page C-9 for
detailed instructions.
7. Reassemble in reverse order.
CAUTION Align the LCD cable connector parallel with the PCB connector prior to
pressing into place.
8. Download latest software (Section 8.2 on page 8-3).
CAUTION When replacing the battery be careful to only touch the sides of the
battery, not the top or bottom as corrosion may occur.
Note System re-boot may be required up to three times to properly load BIOS and display
the Normal Screen.
Note After the system is restarted, check that the Time/Date settings are correct. Reset, if
necessary.
B C D
6. Remove the four screws (circled) that hold the LCD to the mounting plate.
G
F
7. Lift the left side of the LCD display slightly away from the mounting plate to pull
some of the display ribbon cable (H) to the top side of the plate. Flip the LCD over
to the left of the assembly.
8. Disconnect the display ribbon cable (I).
LCD Display
I H
2. Slide the backlight assembly to the left to free it from the retaining tabs and then
lift it out of the holder.
J
G
Slit
Front inverter B
Rear inverter B
10
11
16
19
14
17
12 Nub
15
18
5. Insert the flex cable and ground strap through the slot in the enclosure. Ensure
that all of the ground strap passes through the slot and does not remain folded
over under the membrane.
6. Carefully lower the membrane straight down to the enclosure. Seat the membrane
in place.
7. Remove the backing from the keypad and install it over the membrane switches.
8. Attach the ground strap to the enclosure.
1206 mm
286 mm (four sides)
222 mm 222 mm
286 mm
10
2. Sparingly apply “Super Glue Gel” to the channels in the outside grove of the
enclosure near the corners, and then insert the continuous length of gasket.
3. Sparingly apply “Super Glue Gel” to the channels in the inside grove around the
window near the corners, and then insert the individual lengths of gasket.
Note HPDU upgrade kits are available. See Appendix B for upgrade kit part numbers.
2 6 7
9 10
3 8
27 14
28 4
11
26 5
17
25
12
24 21
13
20
23
AB.98p127
15 18
22 16 19
AB.98p171
upper and lower hardware, remove the pivot
arm covers on each side of the pivot.
• The pivot covers are held in place by
three tabs in the locations shown by the
arrows.
• Slide a thin blade between the cover and
the pivot housing to release each tab.
Cover
To access the adjustment screw for the arm
mount bearing, remove the display arm cover.
AB.98p171
3. Slide a thin blade between the cover and
the housing to release each tab.
4. Raise the display unit so that it faces
backwards. C B
AB.98p191
C.6.5 Removing Standard display arm from the ventilator chassis
1. The Standard display arm attaches to the ventilator chassis with screws that are
accessible under the lower display arm covers.
Remove the display arm covers on each side of the lower display arm. The display
arm covers are held in place by three tabs.
2. Slide a thin blade between the cover and the display arm housing to release each
tab.
3. Disconnect the display connection
cable located on the back of the vent
chassis as shown (A).
1 2 5
9
10
9
6
8
Display
11
3
4
1
5
2 3
6
8
7
5
9
10
8 11
12
Every 12 months
Refer to the Technical Reference Manual for detailed test and
maintenance instructions.
1
Power cords
.
Verify annunciators
.
2 1505-1018-000-PMC B 10 2015
Vent engine debris clean out
.
1505-1018-000-PMC B 10 2015 3
Calibrate airway pressure transducer Zero and Span
.
Free-breathing valve
.
4 1505-1018-000-PMC B 10 2015
Inspiratory effort valve test
.
Touchscreen calibration
.
1505-1018-000-PMC B 10 2015 5
Super User/Administrator tests
.
Checkout procedure
.
6 1505-1018-000-PMC B 10 2015
Procedure Expected results Actual results Outcome Comments
Measure the leakage The measured Pass / Fail
current. leakage current is
less than 300
μAmps @ 120 / 100
Vac and is less than
500 μAmps @ 220 /
240 Vac.
Parts replacement
.
Part Number Part Description 12-Month 24-Month 48-Month Replaced Yes/No Comments
1009-5800-000 Lithium battery X
1009-5682-000 System batteries X
1505-1018-000-PMC B 10 2015 7
8 1505-1018-000-PMC B 10 2015
Engström Carestation TRM 1505-1018-000
EVair03 compressor (if installed)
Refer to the EVair03 Technical Reference Manual CI-3090 for
detailed instructions.
Part Number Description 12-months or 5000 10, 000 hours (check Comments
hrs hour meter)
5471001 Annual Filter kit X
5471002 10,000 hour kit - X
230V/50 Hz
5471003 10,000 hour kit - X
120V/60 Hz
Every 12 months
Refer to the Jun-Air EVair03 Compressor (Model OF302-1.5SDA)
Technical Reference Manual (CI-3090) for additional information.
Note Compressors that are used as backup only require the 5 µm pipeline
filter replacement (4071210) annually. The filter kit replacement is
still recommended at 5000 hours.
9
Inspect the system
.
10 1505-1018-000-PMC A 10 2015
Pump-up test
.
Pass / Fail
• Check the cut-in • Compressor
pressure switch powers on at
settings and 225-265 kPa
verify the (32.6-38.4 psi).
compressor
starts (powers
on) at 225-265
kPa (32.6-38.4
psi).
1505-1018-000-PMC A 10 2015 11
Procedure Expected results Actual results Outcome Comments
Pass / Fail
• Check the cut- • Compressor
out pressure turns off at 280
switch settings +/-10 kPa (39 -
and verify the 42.1 psi).
pump turns off at
280 +/-10 kPa
(39 - 42.1 psi).
Auto drain
.
12 1505-1018-000-PMC A 10 2015
Note If the annual maintenance also occurs at this time, order and install
filter kit (5471001).
.
1505-1018-000-PMC A 10 2015 13
14 1505-1018-000-PMC A 10 2015
Engström Carestation TRM 1505-1018-000
EVair compressor (if installed)
Refer to the EVair Technical Reference Manual 2066031-001 for
detailed instructions.
Every 12 months
The internal filter replacement is recommended to be replaced every
5,000 hours or annually, whichever comes first on compressors that
are used as the primary source of air.
Compressors that are used as backup only require filter inspection
and functional checks annually. The internal filter replacement is still
recommended at 5,000 hours.
The information alert appears after 5,000 hours of operation.
Refer to the EVair Compressor Technical Reference Manual
2066031-001 for detailed test and maintenance instructions.
15
Pressure 01 functional test
.
16 1505-1018-000-PMC A 10 2015
Procedure Expected results Actual results Outcome Comments
Follow steps in section 10.5. The flow value Pass / Fail
measured is >35 L/
min.
1505-1018-000-PMC A 10 2015 17
18 1505-1018-000-PMC A 10 2015
Engström Carestation TRM 1505-1018-000
Airway module (if installed)
Refer to the appropriate Airway Module Manual for detailed
instructions.
Every 12 months
.
19
Install planned maintenance kit
.
20 1505-1018-000-PMC A 10 2015
Fan check
.
1505-1018-000-PMC A 10 2015 21
Ambient pressure
.
Occlusion detection
.
22 1505-1018-000-PMC A 10 2015
Spirometry check
.
1505-1018-000-PMC A 10 2015 23
24 1505-1018-000-PMC A 10 2015
Engström Carestation TRM 1505-1018-000
Installation Checklist
.
1
Power cords
.
Verify annunciators
.
2 1505-1018-000-INC A 10 2015
Configuration/System tests
.
1505-1018-000-INC A 10 2015 3
Electrical safety test
.
4 1505-1018-000-INC A 10 2015
Engström Carestation TRM 1505-1018-000
EVair03 compressor (if installed)
Refer to the EVair03 Technical Reference Manual CI-3090 for
detailed instructions.
Installation Checklist
.
Unpacking
.
Verify annunciators
.
5
Pump-up test
.
6 1505-1018-000-INC A 10 2015
Procedure Expected results Actual results Outcome Comments
Measure the leakage The measured Pass / Fail
current. leakage current is
less than 300
μAmps @ 120 / 100
Vac and is less than
500 μAmps @ 220 /
240 Vac.
Final checks
.
Pass / Fail
• Verify the auto drain • Auto drain
activates at activates
approximately two approximately
minute intervals. every 2
minutes.
1505-1018-000-INC A 10 2015 7
8 1505-1018-000-INC A 10 2015
Engström Carestation TRM 1505-1018-000
EVair compressor (if installed)
Refer to the EVair Technical Reference Manual 2066031-001 for
detailed instructions.
Installation Checklist
.
Verify annunciator
.
9
Pressure 01 functional test
.
10 1505-1018-000-INC A 10 2015
Electrical safety test
.
1505-1018-000-INC A 10 2015 11
Engström Carestation
Technical Reference Manual, English
1505-1018-000
01 2016 ZAB
Printed in USA