Service Manual

bellavista 1000/1000e
V17.02
2
Service Manual
bellavista 1000/1000e

3
Table of contents
Procedure ..................................................... 66
1. Introduction ................................................... 6
Format Key ..................................................... 6 9. Verification .................................................. 70
Important Remarks ......................................... 6 Overview ....................................................... 70
Factory Repair ................................................ 7 Required Material ......................................... 70
Contact ........................................................... 7 Procedure ..................................................... 71
Conditioning, Cleaning and Disinfection ......... 7
10. Diagnosing and Repair ............................... 80
Generation Overview ...................................... 7
Trouble Shooting Checklist ........................... 80
2. Description of the Ventilator ........................ 8 User Level Passwords .................................. 81
bellavista outside (pictures G3/G4) ................. 8 LOG Files Download ..................................... 81
Working Principle Pneumatics ...................... 10 Trending Data Download .............................. 82
Working Principle Electronics ....................... 14 O2 Sensor Replacement ............................... 83
O2 Sensor Calibration ................................... 83
3. Maintenance Schedule ............................... 16
O2 Inlet Filter Replacement ........................... 84
4. Software Upgrade ....................................... 18 O2 Trouble Shooting ..................................... 85
Overview ....................................................... 18 Filter Mats Replacement ............................... 87
Install iVista ................................................... 18 Sinter bronze filter(s) Replacement .............. 87
Upgrade Procedure ...................................... 19 Touch Screen Calibration ............................. 88
Background on Upgrades ............................. 22 Battery Check ............................................... 88
Upgrade Trouble Shooting ............................ 23 Battery Replacement – Plastics housing ...... 89
5. Service Menu Overview .............................. 24 Battery Replacement – Metal housing .......... 90

6. Shipment Test ............................................. 30 11. Technical Alarms List ................................. 92

Overview ....................................................... 30 12. FAQ ............................................................ 122
Required Material ......................................... 30
13. FlowAnalyser and CITREX ....................... 124
Spare Parts ................................................... 30
O2 two-point Calibration using bellavista .... 124
Procedure ..................................................... 31
Zero! Calibration ......................................... 126
7. Annual Maintenance ................................... 38 General Operation ...................................... 126
Overview ....................................................... 38
14. Spare Parts ................................................ 127
Required Material ......................................... 39
Spare Parts ................................................... 39 15. Index .......................................................... 129
Preparation, Software Upgrade and
Replacements ............................................... 40
Calibration ..................................................... 43
Tests ............................................................. 56
Final Checks and Verification ....................... 62
Documentation .............................................. 63

8. Electrical Safety Test .................................. 64

Overview ....................................................... 64
Required Material ......................................... 64
Protective Conductor Resistance Test ......... 65

4
5
1. Introduction
Welcome to bellavista. This manual instructs you how to Important Remarks
service your bellavista ventilator. Some parts serve as
Danger Only manufacturer-authorized trained
checklist for maintenance tasks.
professionals may perform maintenance
According to the EU Directive, bellavista is classified as a
and repair.
Class IIb medical device.
Appropriate measuring equipment, test-
Preventive maintenance and calibration has to be per-
ing devices and tools must be available.
formed according to the corresponding schedule (p. 16)
Danger Before and after each service task, bel-
lavista must be cleaned and disinfected.
Format Key
Danger Do not open bellavista and do not per-
This format emphasizes additional information of particu- form any repair task unless ordered so
lar importance. by imtmedical staff.
Danger Do not perform any repair task without
the corresponding step-by-step instruc-
This format emphasizes important information and warn-
tion provided by imtmedical staff.
ings.
Danger Before each repair task, bellavista must
be turned off and unplugged from mains
This format marks text exactly as shown on the bel-
supply.
lavista screen, the biomedical testing device or com-
Danger Repair must be performed in a clean en-
puter software (e. g. information text, button text,
vironment and with protection against
screen name).
electrostatic discharge ESD.
Danger In the event an error message is ob-
Bold and underlined text is used to emphasize single
tained during self-test or during the ven-
words or sentences of a text passage with special atten-
tilator check, do not use bellavista on a
tion.
patient!
Danger bellavista must not be used on a patient
in service mode. After service level login
restart bellavista before connecting it to
a patient.
Caution Do not sterilise in liquids or in the auto-
clave.

6
 Introduction

Factory Repair Generation Overview

Repair shipment service EasySend: This manual is valid for
https://easysend.imtmedical.com
 2nd generation (G2) bellavista 1000 and 1000e
If possible, use original packaging SN: MB100100 … 100999
with low and high pressure oxygen connection and
Warning Never return bellavista uncleaned.
oxygen blender
 3rd generation (G3) bellavista 1000 and 1000e

Contact SN: MB103000 … 104999 / MB135000 … 149999

with new blower for pressure up to 80 mbar
Should you, against expectations, encounter problems
 4th generation (G4) bellavista 1000 and 1000e
with bellavista, please contact your local distributor or
SN: MB105000 … 134999
imtmedical:
with optional pneumatic nebulizer and optional PAux
 Hotline +41 81 750 65 95 (09:00 – 16:00 CET)
connection
 www.imtmedical.com
 5th generation (G5) bellavista 1000
 contact@imtmedical.com
SN: MB150000 … 155999
 technicalsupport@imtmedical.com (for technical sup-
with new metal housing
port)
 5th generation (G5) bellavista 1000 NEO
 https://easysend.imtmedical.com (for repair)
SN: MB156000 … 169999
Please use the trouble shooting checklist (see p. 80) to
with lilac metal housing
try to solve the problem by your own before you contact
 6th generation (G6) bellavista 1000e 17.3”
imtmedicals technical support.
SN: MB170000 and above
with lilac metal housing

Conditioning, Cleaning and Disinfection

Wherever necessary this manual discriminates between
See bellavista Instruction Manual for details.
the six generations.

For information about 1st generation (G1) bellavista 1000

and 1000e, please contact imtmedicals technical sup-
port.

7
2. Description of the Ventilator

bellavista outside (pictures G3/G4)

No Description

1 Alarm lights
 Red: Alarm e. g. high pressure
 Yellow: Danger e. g. apnea backup acti-
vated
 Blue: Info, e. g. battery operation

2 Touch screen display

3 bellavista USB stick for data storage (until G4)

4 Push button Connection Assist

5 Connector for SpO2 sensor (optional), Philips

bellavista front view Monitoring System or HL7 PDMS System (with

software option 302.124.000 Data Communica-
tion)

6 Connector for CO2 sensor (optional)

7 Connector for expiration valve

8 Connector for proximal flow sensor (optional)

9 Connector for proximal pressure measurement

10 Patient connector inspiration

11 Cover O2 sensor

12 Speaker right
bellavista side view right (G2, G3)

13 4x status LED (not in use)

14 Push button Connection Assist

15 100 Mbit Ethernet network connector (not in use)

16 2x USB 2.0 connector

17 Connector for nurse call (for pinning information

see bellavista user manual chapter Technical
Data)

18 Connector bellavista bus (not in use)

19 Push button power on/off

bellavista side view right (G4)

8
 Description of the Ventilator

No Description

20 Connector oxygen supply (for detail information

see bellavista user manual chapter Technical
Data)

21 Connector external DC supply 24 VDC (for pin-

ning information see bellavista user manual
chapter Technical Data)

22 Power plug for AC supply (for detail information

bellavista side view left
see bellavista user manual chapter Technical
Data)

23 Fuse holder (2x T6.3AH, 250V)

24 Power indicator LED (green)

25 Cover for inlet filter blower

26 Speaker left

27 Handle

28 Cover for inlet filter cooling fan

29 Warranty seal to cover screw (CAUTION: War-

ranty void when seal is broken!) bellavista back view

30 Cover for battery compartment

31 Cover for dual limb adapter connection (until G4)

32 Sinter bronze filter

33 Type label

34 Connector for auxiliary pressure measurement

(optional for G4, fix since G5)

35 Nebulizer pressure outlet (optional for G4, fix

since G5)

bellavista bottom view

9
Working Principle Pneumatics

Block schematics pneumatics

Actual Design (G5/G6)

bellavista is a turbine driven ventilator. This leads to sev- possible. This leads to a significantly higher life span of
eral advantages, highlighted in our Technology Notes. the blower and a higher ventilation performance.
Unlike other ventilators, the flow and pressure to the pa- The turbine (16) is cooled with patient air. There is a by-
tient is delivered by the inspiration proportional valve (25) pass cooling air flow exiting bellavista through a sinter
and not by ramping up and down the level of the internal bronze filter (19) on the bottom of the device at any time.
turbine (16). The turbine (16) is running at a constant This bypass air flow sufficiently cools the blower as long
level and only adjusted if necessary to achieve a higher as it is not blocked.
pressure level or to reduce the noise of the ventilator if

10
 Description of the Ventilator

concentration within 1 minute based on the internal

Important It is absolutely necessary to replace the
flow measurement ratio.
sinter bronze filter (19) annually (part of
the annual maintenance procedure). In some cases a high peak flow of the patient cannot be
Otherwise the bypass for the cooling air supplied with 100% O2 due to limitations of the O2 sup-
flow may be blocked by dust or mildew ply. Instead of limiting the inspiratory flow (compromising
which may form on the sinter bronze fil- the ventilation performance), bellavista will add some tur-
ter (19) after some time bine air. This results in a slight reduction of FiO2.

The temperature inside the blower unit (1) is measured The O2 concentration in the gas mix is measured with the
by the blower temperature sensor (18). replaceable oxygen concentration sensor (24).
The internal oxygen blender (14) of bellavista is mixing The high pressure oxygen supply (0...7 bar, max. 10 bar)
oxygen (with a wide pressure range 0…7 bar / 100 psi) connector (4) is available as DIST or NIST version. A re-
and air from the internal high performance turbine (16). placeable 100 µm stainless steel filter to protect the O2
Unlike other ventilators, bellavista does not let oxygen inlet from bigger particles is located behind the oxygen
flow into the turbine (16) thanks to the one-way check supply connector. However, this is just a safety filter. For
valve (17) located between turbine (16) and blender routine filtering of unknown O2 quality, please use the op-
chamber (14). This protects it from the corrosive effects tional available external O2 Filter and water trap.
of oxygen and extends its lifetime. The turbine (16) sucks The input pressure of the O2 supply is measured by the
ambient air through the inlet filter blower (15) and deliv- O2 supply pressure sensor (6). For the internal use, the
ers the demanded air flow to the blender chamber (14). pressure of the supplied oxygen is limited to approxi-
The demanded oxygen flow to the blender chamber (14) mately 2.7 bar with the O2 pressure regulator (7). For
is controlled by the O2 proportional valve (10). As men- safety reason, the O2 supply can be cut off with the O2
tioned above, the flow and pressure of the mixed gas de- safety valve (8). In order to check the functionality of the
livered to the patient is controlled by the high perfor- O2 pressure regulator (7) and the O2 safety valve (8),
mance inspiration proportional valve (25). The inspiration there is an additional O2 regulated pressure sensor (9)
flow measurement system – consisting of the inspiration located just after these two components.
LFE (20), the inspiration flow differential pressure sensor For safety reasons, the pressure at the patient output is
(21) and the inspiration temperature sensor (22) – serves measured by the patient inspiration pressure sensor (26)
as feedback for the controlling algorithm. The oxygen located just before the inspiration connector (27).
flow is measured with a separate O2 flow measurement The patient circuit system connectors (30), (33) and (36)
system consisting of the O2 LFE (12), the O2 flow differ- on the right hand side of the device are located on the
ential pressure sensor (13) and the O2 temperature sen- life block (3).
sor (11). LFE is an abbreviation for Laminar Flow Ele- The red connector (36) is used to control the external ex-
ment. If FiO2 is set to 21%, the flow comes from the tur- piration valve. To do so, the pressure on the port is con-
bine (16) only. If FiO2 is set to 100%, the flow comes trolled by the internal, so called mushroom valve (34).
from the O2 valve (10) only. In between it is a mix. The pressure at the port is measured with the mushroom
There are two regulation approaches to ensure a precise pressure sensor (35) for feedback purpose. During the
and fast O2 / air mix: inspiration phase, the device adds pressure on the red
 Fast regulation: achieves up to 90% of the O2 set- port by opening the internal mushroom valve (34). This
ting very quickly (within 2...3 breaths, depending on closes the membrane of the external expiration valve. In
the patient’s minute volume). the expiratory phase the device closes the internal mush-
 Slow adaptation: within the last 10% of the O2 setting room valve (34). The pressure on the port can release
an auto-adaptive O2 regulation achieves precise O2 thanks to the small (factory adjusted) bypass (37)

11
through a diffusor (38). Therefore the membrane of the All the other pneumatic connections are designed inside
external expiration valve can move to open position. the two pneumatic blocks and the blower unit (1).
The blue connector (30) is for the connection of a proxi-
mal pressure measurement line (used with patient circuit G4 (differences versus G5)

system C). The proximal pressure at the patient is meas- There is no difference between G5 and G4 from the
ured with the proximal pressure sensor (29). pneumatics point of view.
If an optional proximal flow sensor is used (with patient
circuit system D and E), the two pressure lines have to G3 (differences versus G4)

be connected to the blue (30) and the white (33) patient The hardware options “Integrated Pneumatic Nebulizer”
circuit system connectors. The differential pressure be- and “Auxiliary Pressure” are not available for G3 devices.
tween the two lines is then measured by the proximal Hence, there is no additional high pressure O2 supply
flow differential pressure sensor (32). With this differen- connection for the nebulizer valve (43) between the inspi-
tial pressure the software is able to calculate the proxi- ration block (2) and the life block (3). Further, the life
mal flow at the patient side. The software frequently com- block (3) of G3 devices is not equipped with the corre-
pares the measured proximal flow with the measured in- sponding needed auxiliary pressure sensor (45), nebu-
ternal inspiration flow. If the difference between the two lizer valve (43) and connectors ((44) and (46)) used for
measured flows is too high, there is either a serious these two features.
problem with the patient circuit system or the pressure
measurement lines of the proximal flow sensor are G2 (differences versus G3)

blocked (e. g. by water drops as a result of condensa- G2 devices are equipped with a different blower unit (1)
tion). If the software detects a high difference between type for pressure up to 60 mbar. This blower unit (1) has
the two measured flow rates, it tries to rinse the tubes of two sinter bronze filters (19) for the bypass cooling air.
the proximal flow sensor by applying a small (compen-
sated) flow for a short time to them using the two rinse
valves (28 and 31). If the difference between the two
measured flow rates is still too high after a few rinse cy-
cles, the device alarms accordingly. The green connector
(46) can be used for the connection of an auxiliary pres-
sure measurement line. The auxiliary pressure is meas-
ured by the auxiliary pressure sensor (45). The yellow
connector (44) is the nebulizer pressure outlet. The flow
(8 L/min) for the pneumatic nebulizer is controlled by the
nebulizer valve (43). The nebulizer valve (43) is supplied
by high pressure oxygen.
A relevant advantage of bellavistas pneumatic design is
the low amount of necessary internal connection tubes.
There is one fixed plug connection with an adapter be-
tween the blower unit (1) and the inspiration block (2)
and as less as three connection tubes. One from the O2
supply connector (4) to the inspiration block (2) and two
from the inspiration block (2) to the life block (3).

12
Description of the Ventilator

13
Working Principle Electronics

Block schematics electronics

Actual Design (G5/G6)

The mainboard (50) is located across the whole device (51) and the CFB board (53). EPC stands for Embedded
just under the back cover and has several user interfaces Power PC and the EPC board (51) hosts the visualisa-
directly connected to it. Located at the right hand side of tion controller (52) which is responsible for the user inter-
the device, there are the status LEDs (55), the connec- face. CFB is an abbreviation for Cold Fire Board and the
tion assist push button (56), the Ethernet interface (57), CFB board hosts the ventilation controller (54) which is
the two USB interfaces (58 and 59), the nurse call con- responsible for the ventilation control. These two tasks –
nector (60) and the bellavista bus connector (61). Lo- user interface control and ventilation control – are com-
cated at the left hand side of the device, there is the sec- pletely separated on the two processors. This is im-
ond connection assist push button (63), the connector for portant because of safety reasons. The two controllers
the CO2 sensor (64) as well as the connector for the communicate with each other over an internal USB inter-
SPO2 sensor or an external monitoring system (65). face. There is a communication surveillance between the
There are two controller boards mounted on the bel- two controllers which is active at any time. If one of them
lavista main electronics (50): the so called EPC board
14
 Description of the Ventilator

stops communicating, the other one will alarm. The visu- Further, the AC power supply unit (83) with the AC power
alisation controller (52) can alarm by showing messages supply interface connector (84) are connected to the
on the display (69) and playing alarm sounds through the powerboard (77) as well. The powerboard (77) is con-
loudspeakers (72) and (73). The ventilation controller nected to the main electronics (50) by a flat ribbon cable.
(54) can alarm by playing a hardware generated buzzer
sound (“beep”) through the loudspeakers (72) and (73) G4 (differences versus G5)

as well as flashing the alarm LEDs on the LED boards The USB interface for the bellavista USB stick (62) was
(67) and (68). The two LED boards (67) and (68) are di- in use until G4. There is no other difference between G5
rectly mounted on the main electronics (50). The micro- and G4 from the electronics point of view.
phone (66) on the main electronics (50) is to check the
acoustic alarming system of bellavista. The cooling fan G3 (differences versus G4)

(71) for the EPC board (51) is directly connected to the The lifeboard (75) of G3 devices is not equipped with the
main electronics (50). Further, the inspiration propor- auxiliary pressure sensor (45) and the connector for the
tional valve (25), the O2 proportional valve (10), the O2 nebulizer valve (43).
safety valve (8) and the blower unit (1) – containing the
turbine (16) and the blower temperature sensor (18) – G2 (differences versus G4)

are directly electrically connected to the main electronics G2 devices are equipped with a different mainboard (50).
(50). In G2, there are three more separate electronics that
The sensorboard (74) is mounted on the inspiration block have been implemented on the mainboard (50) in G3:
(2) and hosts all pressure and temperature sensors lo- The backlight inverter board (located between mainboard
cated on the inspiration block (2), including the belonging (50) and display (69)), and two interface boards directly
measurement electronics. It is connected to the main connected to the mainboard (50) for the user interfaces
electronics (50) by a flat ribbon cable. on both sides of the device ((55) to (61) and (62) to (65)).
The lifeboard (75) is mounted on the life block (3) and Further, there is a buzzer hardware built on the G2 main-
hosts all pressure and temperature sensors located on board (50) as alarming system for the ventilation control-
the life block (3), including the belonging measurement ler (54). Since G3, the ventilation controller (54) can play
electronics. Further, the four actors of the life block (3) a hardware generated buzzer sound through the loud-
are connected to it: the mushroom valve (34), the two speakers (72) and (73).
rinse valves (28) and (31) as well as the nebulizer valve The display (69) unit in G2 devices is slightly different to
(43). The lifeboard (75) is connected to the main elec- G3 because of different connectors (separate backlight
tronics (50) by a flat ribbon cable. inverter board).
The powerboard (77) with the on board power manage-
ment controller (78) is responsible for the whole power
management and distribution, including the battery han-
dling. The two smart batteries (79 and 80), the device
cooling fan (81) and the user interfaces on the left hand
side of the device – containing the On/Off button (82),
the DC power supply connector (85) and the power indi-
cator LED (86) – are directly connected to the power-
board (77).

15
3. Maintenance Schedule
Time interval Activity, Material

Quick Check (see bellavista User Manual)

Requirement: Mandatory
Weekly or before Performed by: User
every new patient Material:
 New breathing circuit
 New bacteria filter
 New airway adapter for CO2 capnography (if used)

Inlet Filter Blower and Inlet Filter Cooling Fan Replacement (p. 87)
Monthly Requirement: Mandatory
Performed by: User or hospital technician
Material: Inlet filter blower and inlet filter cooling fan

Annual Maintenance (p. 38)

Maintenance and safety check in accordance with EN 60601-1.
Every 12 months
Requirement: Mandatory
Performed by: Factory trained technician (basic)
Material: See p. 39

Software Upgrade (p. 18)

When new bellavista After a software upgrade the users have to be trained regarding the new functions and/or
software becomes changes.
available Requirement: Depends on separate communication
Performed by: Product- or application specialist
Material: Internet connection, USB stick

Before sending a Shipment test (p. 30)

previously used bel- Requirement: Recommended
lavista to a customer Performed by: Factory trained technician (basic)
Material: see p. 30

16
Maintenance Schedule

17
4. Software Upgrade

Overview Install iVista

bellavista can be upgraded to new software versions Download iVista from https://www.ivista.ch and install it
and/or options via the internet. A USB memory stick with on any Windows computer.
a minimum capacity of 2 GB and a computer with inter-
net connection are required. The software iVista is used
to manage the upgrades. iVista can be downloaded from
the internet and also serves as viewer for exported trend-
ing data. Upgrades are individual for each bellavista and
cannot be installed on another unit. The software up-
grade procedure consists of five main steps:

iVista home page to download the software

 You require administration rights on your computer

to install the iVista software
 iVista automatically checks for new versions every
time it is started
Software upgrade procedure

Important The ports 80 and 443 must be config-

a) Make a USB stick “bellavista ready” (p. 19) ured as open in your PC and router net-
b) Get bellavista device information (serial number and work settings to use iVista
configuration) (p. 19)
c) Download the upgrade onto the USB stick (p. 20)
d) Install the upgrade on bellavista (p. 21)
e) Give feedback to the iVista database (traceability
data base) (p. 22)

The following chapters describe the above steps in de-

tail.

Important Please note that Trending Data and

saved Profiles may be lost during the
software upgrade. It is highly recom-
mended to export all saved Profiles
(see bellavista User Manual) and even-
tually relevant the Trending Data (see p.
82) prior to the software upgrade.

18
 Software Upgrade

Upgrade Procedure

a) Make USB Stick “bellavista-ready” b) Get bellavista Device Information

If a USB stick is used for software upgrading for the first Switch on the bellavista and wait until the start-up is
time, it has to be made “bellavista-ready”: completed
Start iVista (internet connection required) Connect the “bellavista-ready” USB stick with the
Select Update bellavista bellavista
Connect the USB stick with your computer
bellavista automatically stores LOG files and device ID
Select the USB stick (if more than one is connected)
on the USB stick. A small grey bar pops up in the upper
Click Prepare USB Stick
left corner of the screen showing the download progress.
Wait, until the message USB stick prepared ap-
pears, then click OK
Wait until the grey bar disappears, then disconnect
Disconnect the USB stick from your computer
the USB stick from the bellavista

Screenshot bellavista device ID and LOG file download

Screenshot iVista

Existing Data on your USB stick will not be affected. This file contains the device ID of the bellavista with se-
rial number MB100123. It is required for iVista to down-
load the right upgrade. This file can be e-mailed or cop-
ied to other USB sticks.
This directory and its content makes the USB stick “bel-
lavista-ready”. It can be e-mailed or copied to other USB
This is a bellavista LOG file of the bellavista with the se-
sticks.
rial number MB100123, downloaded on May 27th 2014 at
08:06:43 PM. Please e-mail for trouble shooting.

19
c) Download Upgrade onto USB Stick

Reconnect the USB stick with your computer running

iVista (iVista automatically changes to the screen
showed in the screenshot below) This is an update description file for the bellavista with

Select the bellavista serial number you want to up- the serial number MB100123.

grade in the Devices panel

Check if an update for the selected bellavista serial
This is the actual update data.
number is available (if no update is available, there
will be the message Device is up to date in he On
server panel)
Select the (latest) update by checking the corre-
sponding checkbox in the On server panel

You can repeat the steps 2 to 4 for further bellavista se-

rial numbers. The serial numbers of all the devices of
those a device ID file is stored on the USB stick will be
displayed in the Devices panel.

Click Download selection to download all selected

updates and store them on the USB stick
Wait, until the Message Update copied success-
fully appears
Click OK
Safely disconnect the USB stick from your computer
using Windows functionality

Screenshot iVista

20
 Software Upgrade

d) Install Upgrade on bellavista

Reconnect the prepared USB stick with the bel- Wait until the software upgrade is completed and the
lavista bootloader software asks you to restart the device
(see screenshot below)
bellavista again automatically stores the actual LOG files
and device ID on the USB stick. A small grey bar pops
up in the upper left corner of the screen showing the
download process. After the download is completed, a
message that indicates that a software upgrade has
been detected appears in the grey bar in the upper left
corner of the screen.

Save the current settings as a profile named “Last-

Settings”, then export all profiles to the USB stick
(see bellavista User Manual for details)
Export relevant Trending Data which may be used Screenshot bootloader software

for post-analysis to the USB stick (see p. 82)

As soon as the grey bar indicates that a upgrade has Shut down bellavista by pressing and holding the
been detected, go to page two of the bellavista Main power button for about ten seconds
Menu (see screenshot below) Switch on bellavista

A new button Software Update appears in the section During the prolonged start-up period the new version is
User (see screenshot below) initialized and then ready for use. If the update includes
the operating system, the device will ask for system time
and touch screen calibration.

Go to page three of the bellavista Main Menu

Select About bellavista
Check if the correct software version is installed on
bellavista
Import the profiles saved on the USB stick (see bel-
lavista User Manual for details)
Load the profile named “LastSettings”
Check if the trending data has been lost during the
Screenshot page two bellavista Main Menu
software update and hand over the corresponding
exported files to the end user, if necessary (see p.
Select Software Update
82 for file details)
Read the note on the appeared message box care-
fully, then select Start Update Danger After a software upgrade always per-
Wait until the progress bar reached the end and bel- form a quick check (see bellavista
lavista shuts down automatically user manual) to ensure full function-
Switch on bellavista ality.

The bootloader software starts and performs the upgrade

21
e) Feedback to iVista Background on Upgrades

We sincerely ask you to perform this last step as it allows

Content
us to give you much better support when we can be sure
Updates consist of one or multiple of the following ele-
the upgrade has been performed successfully and our
ments. It is not always required to update all of them.
database is up-to-date.
Major updates contain all of them.
 Windows XP embedded for EPC running the user in-
Disconnect and reconnect the USB stick on the bel-
terface. Touch screen may require re-calibration af-
lavista you just upgraded
ter Windows update.
bellavista again automatically stores the actual LOG files  UI software (DeviceSoftware.Application.exe and re-
and device ID on the USB stick. A small grey bar pops lated resources) and core software. These two are
up in the upper left corner of the screen showing the always bundled to ensure compatibility.
download process.  Manuals, videos, images (usually bundled).

Wait until the grey bar disappears, then disconnect Process

the USB stick from the bellavista Upgrading is a 3-stage process:

Reconnect the USB stick with your computer running a) While the normal bellavista infrastructure is running,
iVista (iVista automatically changes to the screen the application software copies the update data from
showed in the screenshot below) the USB stick to a specific part of the EPC memory
(progress bar visible). If done, the device shuts down
iVista will automatically update the bellavista data base
automatically.
with the up-to-date device information
b) After the first restart, the bootloader software starts
and upgrades the CFB firmware as well as the appli-
Check if the iVista database indicates that the bel-
cation software, then it cleans up the storage. If
lavista is up to date (message Device is up to date
done, the software asks the user to restart the de-
in the On server panel, see picture below)
vice.
c) After the second restart, the new software is initial-
ised and device starts up with the new application
software.

Screenshot iVista

22
 Software Upgrade

Upgrade Trouble Shooting

If there is a software upgrade on the USB stick, but no
Software Update icon is displayed on page two of the
bellavista Main Menu or the bellavista application soft-
ware is not running:
 When you plug in the USB key, a small grey bar
pops up in the upper left corner of the screen show-
ing the download process.
 As soon as it says Update Detected… press and
hold on the gray bar until a popup window lets you
install the update
 If the small windows says something like waiting
for… then again press and hold on the grey bar to
force progression.

If this doesn’t help or if the upgrade procedure doesn’t

starts after the first restart of the device in the upgrade
procedure, try the following:
 Force the core process to install the update by keep-
ing pressed both Connection Assist buttons until
you hear a “beep” sound while switching on bel-
lavista.

23
5. Service Menu Overview
Picture Description

Login into Service Level

Password “service!”

Danger Bellavista must not be used on a

patient in service mode. After
service level login restart bel-
lavista before connecting it to a
patient.

Service Screen “1 Versions”

Provides detailed information on software and
printed circuit board versions.

Service Screen “2 ADCs”

Provides current values of all ADCs (Analog to Digi-
tal Converters). This screen can be used for diag-
nosing.

24
 Service Menu Overview

Picture Description

Service Screen “3 Sensors”

Provides current values of all sensors (pressure,
temperature, voltage, flow). This screen can be
used for diagnosing.

Service Screen “4 Calibrations”

Steps of manual calibration each consisting of:
 Prepare enables the measurement, puts all
valves in the correct position.
 Calibrate performs the actual measurement
and calibration process (averaging, filtering, cal-
culation)
 Reset sets back all valves and settings

Some calibrations are grouped: executing the first

means, you have to do them all, otherwise the cali-
bration data is marked as invalid and bellavista
stops being operational.

Service Screen “5 Output CFB Pneu-

matics”
Allows the controlling of all valves for diagnosing
purpose.

Caution Do not damage bellavista with un-

intended operation.

25
Picture Description

Service Screen “6 Output CFB Misc”

Allows the controlling of additional outputs for diag-
nosing purpose.

Caution Do not damage bellavista with un-

intended operation.

Service Screen “7 Display/User Input”

Allows display and button diagnosing as well as
touch screen calibration.
Always perform touch screen test before calibration
and calibrate only if necessary. Please see p. 88 for
touch screen calibration.

Service Screen “8 Audio / Alarming”

Allows the control and testing of the audio and vis-
ual alarming system.

26
 Service Menu Overview

Picture Description

Service Screen “9 Batteries”

Provides detailed information on the smart batteries.

Service Screen “10 Interfaces”

This screen is used to diagnose the communication
interfaces.

Service Screen “11 External Sensors”

Allows to test the functionality of the external sen-
sors and to calibrate the CO2 Sensor.

27
Picture Description

Service Screen “12 Memory”

This screen is used to diagnose the built in memory.

Service Screen “13 Tests”

 Selftest (screen 1)

During the Selftest, alarm 300 will show up

and disappear three times to allow the de-
vice checking the alarming system as well
as the safety procedure. This is part of the
test and therefore normal behavior.

 Circuit test with detailed test results

(screen 2)
 Inspiration valve test (screen 3)
 O2 valve test (screen 4)
 Flow sensor test (screen 5)
 Differential pressure sensor test (screen 6)

Caution Do not perform any test unless or-

dered so by imtmedical staff.

Button “14 Unforce All”

Resets all settings set by the service-user.

System audio volume has to be reset manually!

28
 Service Menu Overview

Picture Description

Service Screen “16 Function Blocks”

Allows the controlling the device for diagnosing pur-
pose.
 Function blocks (screen 1)
 Service controllers (screen 2)

Caution Do not damage bellavista with un-

intended operation.

This will do the following:

History delete Button “17 Factory Defaults”
LOG files keep Resets all previous user data
Trending data delete
Settings set to factory defaults
After performing: Restart bellavista and go through
Profiles delete
First Use Assist
Operating hours keep

Service Screen “18 Alarms”

Provides a detailed view of all bellavista alarms and
allows to disable them. Use the button Go to active
alarm to find active alarms in the list.
Disabled alarms will automatically be enabled after
restarting bellavista.

Configuration Screen “Device Setup”

Allows to enable and disable ventilation modes and
breathing circuits (visibility in the other user levels).

bellavista has to be restarted to apply changes

29
6. Shipment Test
Scope: This checklist guides through tests which should be performed prior to shipping an already used bel-
lavista to a customer (e.g. demo unit, rental). Some of the tests are optional and serve as a recommen-
dation. The checklist serves as a protocol at the same time.
Validity: For all bellavista 1000/1000e G2, G3, G4 and G5

Overview
The Shipment Test contains the following checks and calibrations:
 Reset all previous user data
 Visual check and filter replacement (if required)
 O2 cell calibration
 Verification
 Check of:
 Alarming
 External sensors SpO2 and CO2
 Battery
 Touch screen
 Completeness of delivery

Required Material
 300.116.000 FlowAnalyser PF-300 or 301.858.000 CITREX H4, with the following accessories:
 302.531.000 Protection filter
 300.548.000 Adapter set
 301.167.000 Breathing circuit C (single limb with pressure measurement line, with exp. valve)
 300.756.000 EasyLung (or SmartLung) test lung
 Oxygen supply 4…7 bar

Spare Parts
 Inlet filter blower and inlet filter cooling fan (which may or may not be needed)
 304.413.000 O2 Cell (which may or may not be needed)
 030.811.020 Battery (which may or may not be needed)

30
 Shipment Test

Procedure

Picture What to do / Protocol OK

Clean bellavista (see p. 7) 

Reset all previous User Data 

Optional step

If required, delete trending and settings data of

previous user:
Change to user level Service (password:
“service!”)
Select 17 Factory Default

This will do the following:

History delete
LOG files keep
Trending data delete
Settings set to factory defaults
Profiles delete
Operating hours keep

Restart bellavista and go through the First

Use Assist.
bellavista starts up without error messages
or alarms......................................................  OK

31
Picture What to do / Protocol OK

Visual Inspection 
Warranty seals and type plate undamaged  OK
Power supply cable undamaged ................  OK

Next annual maintenance due: ............................

Damage protocol: ................................................

.............................................................................

.............................................................................

.............................................................................

.............................................................................

.............................................................................

.............................................................................

Check Filters 
Inlet filter blower (p. 87):
Replace monthly ................ replaced  Yes  No
Dense layer inside ......................................  OK

Inlet filter cooling fan (p. 87):

Replace monthly ............... replaced  Yes  No

32
 Shipment Test

Picture What to do / Protocol OK

Software Configuration 
Slide to page three of the bellavista Main
Menu and select About bellavista
Serial number: .....................................................
Software version: .................................................
Slide to page two of the About bellavista
menu
Installed options (highlighted):
 Expert Monitoring  DP Lung Mechanics
 InteliBridge/VueLink  Expert Ventilation
 Advanced Oxy. Therapy  Neonatal Advanced
 Extended Press. Range  Nebulizer
 Day/Night  Dual Vent
 Mask Fit  Target Vent
 AVM  Real Time Trending
 Artefact Finder  DP Pulse Oximetry
 DP Capnography  Chameleon Classic
 Chameleon Green

USB Check 
bellavista USB stick present (for G2, G3 and G4
only)

Connect Oxygen Supply 

Connect oxygen supply 4…7 bar to your bel-
lavista

Oxygen Supply Check 

O2 symbol on dropdown menu not crossed out
(should look like shown in the picture at the left)

33
Picture What to do / Protocol OK

Calibrate FiO2 Oxygen Sensor 

Perform the calibration (see p. 83)
Actual date and time is displayed after Last suc-
cessful calibration ....................................  OK
A two-point-calibration has been performed
(message 2P, see picture at the left) ..........  OK

Verification 
Perform a verification (see p. 70).

External Sensors Test (if present) 

Change to user level service (password:
“service!”)
Go to service screen 11 External Sensors
CO2 sensor
Insert fresh airway adapter into CO2 sensor
Plug in CO2 sensor
Allow >10 s to warm up
Place CO2 sensor on horizontal surface
Press Prepare, then press OK
Press Calibrate
Wait until the Reset button becomes active,
then press it
Breathe into the sensor
Measured CO2 values > 2% during breathing
through the sensor ......................................  OK
SpO2 sensor
Plug in SpO2 sensor and put it on your finger

If available you can use a SpO2 reference device.

Heart Rate (shows your heart rate): ..........  OK

SpO2 (90…100%): ....................................  OK
Cardio Pleth (fast moving figures): ...........  OK

34
 Shipment Test

Picture What to do / Protocol OK

Touch Screen Check 

Back and Forward button on upper left corner
can be pressed ...........................................  OK
Little dots in the upper right corner can be
pressed .......................................................  OK

For touch screen calibration see p. 88

Check Completeness 
General:
 Power cable
 Breathing Circuit(s):
A C D E
 Bacteria filter
 Spare filter set
 EasyLung
 User manual
 Quick start guide
Optional:
 Pulse oximetry sensor
 Capnography sensor
 Capnography airway adapter
 Trolley
 Trolley supply arm
 Carrying bag
 Dual limb adapter
 Other .............................................................
 Other .............................................................
 Other .............................................................

35
Picture What to do / Protocol OK

Summary
All steps performed successfully:  Yes  No

If no, please contact imtmedicals technical sup-

port

Serial number: MB ................................................

Technician: ............................................................

Date / Place: ........................................................

Signature: ..............................................................

36
Shipment Test

37
7. Annual Maintenance
Scope: This checklist guides through the annual maintenance procedure and serves as a protocol at the same
time.
Validity: For all bellavista 1000/1000e G2, G3, G4 and G5

Contact imtmedicals technical support immediately if:

 a test fails
 you see something unusual or suspicious on the bellavista device
 you have any questions

Overview
The Annual Maintenance contains the following actions:
 Software upgrade
 Filter replacement
 Calibration of
 Pressure zero and gain
 O2 cell
 Inspiration flow
 O2 blender flow
 Blower
 Offset of inspiration, O2 and Mushroom valve
 Nebulizer valve
 Touch screen test and calibration if required
 Audio and alarming test
 Battery test and replacement if required
 External sensors and interfaces test
 Electrical safety test
 Verification

38
 Annual Maintenance

Required Material
 300.116.000 FlowAnalyser PF-300 or 301.858.000 CITREX H4, with the following accessories:
 302.531.000 Protection filter
 300.548.000 Adapter set
 Plug (yellow protection cap) to block the flow channel output
 Two short 22 mm tubes
 301.167.000 Breathing circuit C (single limb with pressure measurement line, with exp. valve)
 300.756.000 EasyLung (or SmartLung) test lung
 Oxygen supply 4…7 bar, up to 90 L/min
 Optional: Pressurized air 4…7 bar, up to 90 L/min (pressurised air can be used instead of oxygen for the most cali-
bration steps)
 Connection hose from pressurized air or oxygen to DISS or NIST (matching the bellavista configuration)
 Flat blade screwdriver size 5 or 6
 USB 2.0 memory stick with a minimum capacity of 2 GB
 Computer with Internet connection
 Electrical safety test instrument
 Clean and relatively noise-free room (some tests involve the audible clicking of valves)
 For G4 and above bellavistas with the option 301.180.015 Integrated Pneumatic Nebulizer:
Pneumatic nebulizer kit (e. g. 302.321.000 Pneumatic Nebulizer Kit 22mm)

Spare Parts
 301.972.000 (plastics housing type) or 301.972.001 (metal housing type) Annual Maintenance Kit
 030.811.020 Battery (which may or may not be needed)

39
Preparation, Software Upgrade and Replacements

Picture What to do / Protocol OK

Document Preparation 
Please print out this checklist (available as PDF
document from imtmedicals technical support)

Clean bellavista (see p. 7) 

Check Completeness 
General:
 Power cable
 Breathing Circuit(s):
A C D E
 Bacteria filter
 Spare filter set
 EasyLung
 User manual
 Quick start guide
Optional:
 Pulse oximetry sensor
 Capnography sensor
 Capnography airway adapter
 Trolley
 Trolley supply arm
 Carrying bag
 Dual limb adapter
 Other .............................................................
 Other .............................................................
 Other .............................................................

40
 Annual Maintenance

Picture What to do / Protocol OK

Visual Inspection 
Warranty seals and type plate undamaged .  OK
Power supply cable undamaged ................  OK
Next annual maintenance due: ............................

Damage protocol: ...............................................

.............................................................................

.............................................................................

.............................................................................

.............................................................................

.............................................................................

.............................................................................

Software Upgrade 
See p. 18 for details

Replacements 
Replace inlet filter blower (see p. 87) .........  OK
Dense layer inside .......................................  OK

Replace inlet filter cooling fan (see p. 87) ..  OK

Replace sinter bronze filter(s) (see p. 87) ..  OK

41
Picture What to do / Protocol OK

Prepare bellavista 
Change to user level Service
(Password: “service!”)

Versions 
Go to service screen 1 Versions

UI-Software: ..........................................................

XP-Embedded: ......................................................

42
 Annual Maintenance

Calibration

Picture What to do / Protocol OK

Prepare FlowAnalyser / CITREX 

IMPORTANT:
 Make sure that the FlowAnalyser PF-300 /
CITREX and the bellavista are warmed up
(30 min)
 Check the last calibration date of your
FlowAnalyser / CITREX (annual calibration
necessary!)
 Set FlowAnalyser PF-300 / CITREX to:
Gas type: Air / O2 Auto
Gas standard: AP21
 Perform “Zero!” Calibration on Flow Analyser
PF-300 / CITREX (see p. 126)
 Calibrate O2 sensor of the FlowAnalyser PF-
300 / CITREX (two-point-calibration, see
p. 124)
 ALWAYS use a bacteria filter between bel-
lavista and the FlowAnalyser PF-300 / CIT-
REX to prevent contamination of the flow
measurement channel

43
Picture What to do / Protocol OK

Calibrations
Go to service screen 4 Calibrations

Each calibration step consists of three steps with

according buttons:
 Prepare: enables the measurement, puts all
valves in the correct position and waits for
steady conditions
 Calibrate: Performs the actual measurement
and calibration process (averaging, filtering,
calculation)
 Reset: Sets back all valves and special set-
tings

Some calibrations are grouped (identified with a

frame around several calibration steps): execut-
ing the first means, you have to do them all, oth-
erwise the calibration data is marked as invalid
and bellavista stops being functional.

Zero pressure calibration 

This is a zero calibration of all pressure sensors

1. Disconnect all external tubing

2. Press Prepare
3. Wait until the Calibrate button becomes ac-
tive, then press it
4. Wait until the Reset button becomes active,
then press it
5. Check the calibration date and time (should
change to the actual date and time in a few
seconds after the calibration step finished)

44
 Annual Maintenance

Picture What to do / Protocol OK

Screenshot bellavista calibration menu:

Pressure gain calibration 

Calibrates the most important pressure sensors

at 30 mbar in one calibration step

1. Connections according to picture

2. Press Prepare
3. Wait until the Calibrate button becomes ac-
tive, but don’t press it yet
4. Press button Blower … % (see bellavista
screenshot on the left)
5. Adjust the blower % until you read a pres-
Setup with FlowAnalyser PF-300: sure of  30 mbar on your FlowAnalyser PF-
300 (measurement reading: P (HF)) / CIT-
REX (measurement reading: P Channel) us-
ing the appeared slider (go as close as pos-
sible)
6. Press Close
7. Press button PInsp … mbar (see bellavista
screenshot on the left)
8. Type in the exact value you read on your
FlowAnalyser PF-300 / CITREX using the
appeared numeric keypad (e. g. 30.08)
9. Press Apply
10. Press Calibrate
11. Wait until the Reset button becomes active,
then press it
12. Check the calibration date and time

Setup with CITREX:

45
Picture What to do / Protocol OK

Inspiration flow calibration

This calibration consists of a number of sub-cali-

brations. If you perform the first one, you have to
perform all the other calibrations as well, other-
wise the entire calibration data will become inva-
lid and the device stops being functional.

a) Inspiration flow zero calibration 

This is a zero calibration of the differential pres-

sure sensor of the inspiration flow measuring ele-
ment.

1. Disconnect all external tubing

2. Press Prepare
3. Wait until the Calibrate button becomes ac-
tive, then press it
4. Wait until the Reset button becomes active,
then press it
5. Check the calibration date and time

After this calibration the “Invalid Calibration Data”

Alarm will be active until the successful termina-
tion of the last flow scale point. You can silence
the alarm by pressing on the message.

46
 Annual Maintenance

Picture What to do / Protocol OK

Low flow setup with FlowAnalyser PF-300:

b) Insp. flow scale point calibration setup

Calibrates the built-in inspiration flow sensor at

the different flows. The flows are blower gener-
ated. There is one calibration step for every flow
scale point (1, 2, 3, 4, 10, 50, 100 and 160
L/min). The procedure for the calibration of each
scale point is described on the next page.

If you are using a FlowAnalyser PF-300

Use the following setup and settings for the cali-
bration of the relating flow scale point:

Flow Scale Setup Measure-

High flow setup with FlowAnalyser PF-300:
Point [L/min] (see pictures ment reading
on the left) (PF-300)

1, 2, 3, 4 Low flow Flow L

and 10

50, 100 High flow Flow H

and 160

This means that you have to change the setup

after performing the calibration of the 10 L/min
flow scale point.

If you are using a CITREX

Do the setup as shown in the picture below. With
CITREX there is no need to change the setup.

Setup with CITREX:

47
Picture What to do / Protocol OK

Screenshot bellavista calibration menu for inspiration flow

scale points 1, 2, 3, and 4 L/min: c) Inspiration flow scale point calibration 
Perform the following steps for each inspiration
flow scale point:
1. If you use a FlowAnalyser PF-300: Check
your setup (see table on the previous page)
2. Press Prepare
3. Wait until the Calibrate button becomes ac-
tive, but don’t press it yet
4. For the flow scale points 1, 2, 3, and 4 L/min:
Press button InspValve … Step (see up-
per bellavista screenshot on the left)
For the flow scale points 10, 50, 100 and
160 L/min:
Screenshot bellavista calibration menu for inspiration flow
Press button Blower … % (see lower bel-
scale points 10, 50, 100 and 160 L/min:
lavista screenshot on the left)
5. For the flow scale points 1, 2, 3, and 4 L/min:
Adjust the inspiration valve steps until you
read a flow of  … L/min (value of actual
flow scale point) on your FlowAnalyser PF-
300 / CITREX using the appeared slider
(go as close as possible)
For the flow scale points 10, 50, 100 and
160 L/min:
Adjust the blower % until you read a flow
of  … L/min (value of actual flow scale
point) on your FlowAnalyser PF-300 / CIT-
REX using the appeared slider (go as
close as possible)
6. Press Close
7. Press button Flow … L/min (see bellavista
screenshots on the left)
8. Type in the exact value you read on your
FlowAnalyser PF-300 / CITREX using the
appeared numeric keypad (e. g. 10.05)
9. Press Apply
10. Press Calibrate
11. Wait until the Reset button becomes active,
then press it
12. Check the calibration date and time

48
 Annual Maintenance

Picture What to do / Protocol OK

O2 flow calibration

This calibration consists of a number of sub-cali-

brations. If you perform the first one, you have to
perform all the other calibrations as well, other-
wise the entire calibration data will become inva-
lid and the device stops being functional.

This calibration can be done with O2 or com-

pressed air.

a) O2 flow zero calibration 

This is a zero calibration of the differential pres-

sure sensor of the O2 flow measuring element.

1. Disconnect all external tubing

2. Press Prepare
3. Wait until the Calibrate button becomes ac-
tive, then press it
4. Wait until the Reset button becomes active,
then press it
5. Check the calibration date and time

After this calibration the “Invalid Calibration Data”

Alarm will be active until the successful termina-
tion of the last flow scale point. You can silence
the alarm by pressing on the message.

49
Picture What to do / Protocol OK

Low flow setup with FlowAnalyser PF-300:

b) O2 flow scale point calibration setup

Calibrates the built-in O2 flow sensor at the differ-

ent flows. There is one calibration step for every
flow scale point (0.5, 1, 1.5, 2, 3, 4, 7, 25, 60 and
90 L/min). The procedure for the calibration of
each scale point is described on the next page.

If you are using a FlowAnalyser PF-300

Use the following setup and settings for the cali-
bration of the relating flow scale point:

Flow Scale Setup Measure-

High flow setup with FlowAnalyser PF-300: Point [L/min] (see pictures ment reading
on the left) (PF-300)

0.5, 1, 1.5, 2, Low flow Flow L

3, 4 and 7

25, 60 and 90 High flow Flow H

This means that you have to change the setup

after performing the calibration of the 7 L/min
flow scale point.

If you are using a CITREX

Do the setup as shown in the picture below. With
CITREX there is no need to change the setup.

Setup with CITREX:

50
 Annual Maintenance

Picture What to do / Protocol OK

Screenshot bellavista calibration menu for O2 flow scale

points: c) O2 flow scale point calibration 
Perform the following steps for each O2 flow
scale point:
1. If you use a FlowAnalyser PF-300: Check
your setup (see table on the previous page)
2. Press Prepare
3. Wait until the Calibrate button becomes ac-
tive, but don’t press it yet (depending on the
scale point, this can take up to two minutes)
4. Press button Flow … L/min (see bellavista
screenshot on the left)
5. Type in the exact value you read on your
FlowAnalyser PF-300 / CITREX using the
appeared numeric keypad (e. g. 0.65)
6. Press Apply
7. Press Calibrate
8. Wait until the Reset button becomes active,
then press it
9. Check the calibration date and time

PWM blower calibration 

Automatically calibrates the PWM (Pulse Width

Modulation) signal of the blower.

Disconnect all external tubing

Press Prepare
Wait until the Calibrate button becomes ac-
tive, then press it
Wait until the Reset button becomes active,
then press it
Check the calibration date and time

51
Picture What to do / Protocol OK

Blower reference calibration 

Calibrates the ratio blower input voltage to output

pressure.

Disconnect all external tubing

Press Prepare
Wait until the Calibrate button becomes ac-
tive, then press it
Wait until the Reset button becomes active,
then press it
Check the calibration date and time
Check the FactorBlowerRef value:
FactorBlowerRef between 0.9 and 1.2 .....  OK

Insp valve offset calibration 

Determines the opening threshold of the inspira-

tion valve at 5 L/min.

Disconnect all external tubing

Press Prepare
Wait until the Calibrate button becomes ac-
tive, then press it
Wait until the Reset button becomes active,
then press it
Check the calibration date and time

52
 Annual Maintenance

Picture What to do / Protocol OK

O2 valve offset calibration 

Determines the opening threshold of the O2

valve at 6 L/min.

The calibration can be done with O2 or com-

pressed air.

Connect air or oxygen 4…7 bar

Press Prepare
Wait until the Calibrate button becomes ac-
tive, then press it
Wait until the Reset button becomes active,
then press it
Check the calibration date and time
Check the OffsetO2ValvePoint2 value:
OffsetO2ValvePoint2 btw. 30 and 50% ....  OK

Mushroom valve offset calibration 

Determines the opening threshold of the control

valve (mushroom valve) which regulates the ex-
piration valve control pressure.

Disconnect all external tubing

Block the red expiration valve port (finger or
sealing plug)
Press Prepare
Wait until the Calibrate button becomes ac-
tive, then press it
Wait until the Reset button becomes active,
then press it
Unblock the red expiration valve port
Check the calibration date and time
Check the OffsetMushroomValve value:
OffsetMushroomValve btw. 100 and 500 .  OK

53
Picture What to do / Protocol OK

Flow sensor delay calibration 

This calibration step is only visible on machines

with a sensor board electronics rev. 7 and higher.

1. Connect oxygen 4…7 bar

2. Press Prepare
3. Wait until the Calibrate button becomes ac-
tive, then press it
4. Wait until the Reset button becomes active,
then press it
5. Check the calibration date and time

O2 concentration calibration 

Calibrates the oxygen cell.

Important:
 Ensure bellavista has been warmed up by
running for 30 min prior to this calibration.
 Ensure your environment is well vented, as
even slightly increased O2 levels >21% of the
room air will lead to significant errors and
problems with this calibration.

1. Connect oxygen 4…7 bar

2. Press Prepare
3. Wait until the Calibrate button becomes ac-
tive, then press it
4. Wait until the Reset button becomes active,
then press it
5. Check the calibration date and time
6. Check the Calibration Type:
Calibration type is “Two point calibration”  OK

If no two point calibration has been performed,

please warm up bellavista further and ensure ap-
propriate O2 supply. Further, please ensure that
the O2 supply concentration in the section O2
Functions of the Configuration Assist is set to
100% oxygen. Then try it again.

54
 Annual Maintenance

Picture What to do / Protocol OK

Screenshot bellavista calibration menu:

Nebulizer calibration (G4 and above) 

Calibrates the output flow for the pneumatic neb-

ulizer.

Setup with FlowAnalyser PF-300: Connections according to picture

Press Prepare
Wait until the flow reading on the FlowAna-
lyser PF-300 / CITREX is stable (this may
take several minutes)
Press the button Flow … L/min (see bel-
lavista screenshots on the left)
Type in the exact flow value you read on
your FlowAnalyser PF-300 / CITREX using
the appeared numeric keypad (e. g. 7.56)
Press Apply
Press Calibrate
Wait until the Reset button becomes active,
then press it
Check the calibration date and time

Setup with CITREX:

55
Tests

Picture What to do / Protocol OK

Valves Test 

Ensures that all valves that have not been tested

during the calibration are working.

Caution Do not damage bellavista with

unintended operation.

Disconnect all external tubing

Go to service screen 8 Audio / Alarming
Press button Sys vol … %
Set system volume to 0% using the ap-
peared slider
Press Close
Go to service screen 16 Function blocks
Set Purge val. to “on”
A “click” sound is hearable ..........................  OK
Set Purge val. to “off”
A “click” sound is hearable ..........................  OK
Set Nebu. val. (G4 and above with Neb.
only) to “on”
A “click” sound is hearable ..........................  OK
Set Nebu. val. (G4 and above with Neb.
only) to “off”
A “click” sound is hearable ..........................  OK
Set O2 Saf. Val. to “on”
A “click” sound is hearable ..........................  OK
Set O2 Saf. Val. to “off”
A “click” sound is hearable ..........................  OK

56
 Annual Maintenance

Picture What to do / Protocol OK

Alarming System Test 

Ensures that the alarming system is working

Caution Do not damage bellavista with

unintended operation.

Go to service screen 6 Output cfb Misc

Set NurseCall to “on”
A “click” sound is hearable ..........................  OK
Set NurseCall to “off”
A “click” sound is hearable ..........................  OK
Go to service screen 8 Audio / Alarming
Press button Sys vol … %
Set system volume to 100% using the ap-
peared slider
Press Close
Press the button High priority alarm
Test alarm (high priority) appears ................  OK
Visual feedback (red LEDs on both sides) ..  OK
Check the Alarm Amplitude
Alarm Amplitude =  .................................  OK
Press the button High priority alarm
Test alarm (high priority) disappears ...........  OK
Test the functionality of the alarm LEDs (vis-
ual check) by switching all three colors on
both sides of the device “on” and “off” one af-
ter another

Left Right

Red  OK  OK

Yellow  OK  OK

Blue  OK  OK

Press the bellavista button

Press the button 14 Unforce All

57
Picture What to do / Protocol OK

User Input Test 

Ensures that the user inputs are working

Go to service screen 7 Display / User Input

Select Test touchscreen
Check if the cursor cross-lines are following
your finger well
Touch the screen twice within a very short
time at any position to leave the test screen
If necessary, perform a touch screen calibra-
tion (see p. 88)
Press and release the Connection Assist
button on the left hand side of the device
State connection assist left follows your action
changing between “pushed” / “released” ....  OK
Press and release the Connection Assist
button on the right hand side of the device
State connection assist right follows your action
changing between “pushed” / “released” ....  OK
Press and release the power button on the
left hand side of the device
State power button follows your action changing
between “pushed” / “released” ....................  OK

Ambient Pressure Sensor Check 

Go to service screen 3 Sensors
Compare the measured value Press ambi-
ent with the correspondent measured value
on your FlowAnalyser PF-300 / CITREX
Press ambient ±10 mbar equal to measured am-
bient pressure on your FlowAnalyser PF-300 /
CITREX .......................................................  OK

58
 Annual Maintenance

Picture What to do / Protocol OK

Batteries Check 

Bellavista is equipped with 2 batteries with a

nominal capacity of 6450 mAh each (totally
12900 mAh) which lasts  4 hours. It is recom-
mended to change a battery when it has reached
≤1/3 of its original capacity.

Go to service screen 9 Batteries

Check the Full charge capacity of both bat-
teries:
 Replace corresponding battery if Full
charge capacity is ≤ 2150 mAh
 Replace both batteries if the sum of Full
charge capacity of the two batteries is
< 4300 mAh

Note: Battery lifetime highly depends on the ap-

plication. For certain customers/applications it
may be advisable to change the battery earlier. In
remote areas it is recommended to replace both
batteries if the sum of Full charge capacity of
the two batteries is < 8600 mAh.

If a battery replacement is necessary, please

see p. 89 for details and document the fol-
lowing (recommended):

Battery A Battery B

Full charge capac-

ity before replace- ................. .................
ment (≤ 2150 mAh)

Cycle count before

replacement ................. .................

Cycle count after

replacement: ................. .................

Safety alert and

Safety status  OK  OK
(0x0000)

59
Picture What to do / Protocol OK

USB Test 
Use a USB stick to check the functionality of all
three USB ports:
Change to user level Advanced
Go to page two of the bellavista Main Menu
menu and select Data Assist
Go to page two Data Assist – Trend Export
Plug in the USB stick to all USB ports and
ensure that the USB stick is recognized by
the software (symbol with the name of the
USB stick appears in the section on the top
of the screen)
Left side upper USB port .............................  OK
Left side lower USB port .............................  OK
Right side USB port (G2/G3 and G4 only) ..  OK
Change to user level Service

Selftest 
Go to service screen 13 Tests
Select Start selftest
Wait, until all Sub tasks are done
Check if all Sub tasks have been done suc-
cessfully
All sub tasks =  ........................................  OK

During the selftest, alarm 300 will show up and

disappear three times to allow the device check-
ing the alarming system. This is part of the test
and therefore normal behavior.

60
 Annual Maintenance

Picture What to do / Protocol OK

External Sensors Test 

If available

Go to service screen 11 External Sensors

CO2 sensor
If necessary: Insert fresh airway adapter into
CO2 sensor
Plug in CO2 sensor
Acoustic feedback .......................................  OK
Allow >10 s to warm up
Place CO2 sensor on horizontal surface
Press Prepare, then press OK
Press Calibrate
Wait until the Reset button becomes active,
then press it
Breathe into the sensor
Measured CO2 values > 2% during breathing
through the sensor .......................................  OK
Plug out CO2 sensor
Acoustic feedback .......................................  OK
SpO2 sensor
Plug in SpO2 sensor and put it on your finger
Acoustic feedback .......................................  OK

If available you can use a SpO2 reference device.

Heart Rate (shows your heart rate): ...........  OK

SpO2 (90…100%): .....................................  OK
Cardio Pleth (fast moving figures): ............  OK
Plug out SpO2 sensor
Acoustic feedback .......................................  OK

61
Final Checks and Verification

Picture What to do / Protocol OK

Restart bellavista 
Shut down bellavista
Restart bellavista
bellavista starts up without error messages
or alarms. ....................................................  OK

Electrical Safety (recommended) 

Check electrical safety according to local regula-
tions.
Details see p. 64

Caution Do not test Protective Conduc-

tor Resistance on G2, G3 and
G4 devices (plastics housing) as
bellavista can be severely dam-
aged.

Verification 
Perform a verification (see p. 70).

62
 Annual Maintenance

Documentation

Picture What to do / Protocol OK

Summary 
All steps performed successfully:  Yes  No

If no, please contact imtmedicals technical sup-

port

Serial number: MB ................................................

Serial Number FlowAnalyser PF-300 / CITREX

used for tests and calibrations: .............................

Last calibration date of FlowAnalyser PF-300 /

CITREX used for tests and calibrations: ...............

Technician: ...........................................................

Company stamp: ..................................................

Date / Place: ........................................................

Signature: .............................................................

Feedback to imtmedical 
Download the actual LOG files (see p. 81)
Send the LOG files and a copy of this Docu-
ment to:
technicalsupport@imtmedical.com

63
8. Electrical Safety Test
Scope: The electrical test ensures the electrical safety of bellavista with all accessories.
Validity: For all bellavista 1000/1000e G2, G3, G4 and G5 including accessories

Electrical safety can alternatively be tested according to DIN EN 62353.

Warning Perform this test only if you are familiar with electrical testing.

Caution Do not test Protective Conductor Resistance on G2, G3 and G4 bellavistas (plastics housing)! It is un-
necessary (see p. 65).

Overview
This test ensures electrical safety. It consists of
 Protective Conductor Resistance Test
 Insulation Measurement
 High Voltage Measurement
 Leakage Current Measurement
 Patient currents

Required Material
 Use your electrical testing equipment

64
 Electrical Safety Test

Protective Conductor Resistance Test

bellavista is isolated and protected against electric shock Medical electrical equipment: Safety class I comparison
and fulfills protective class I. Accessories (applied
Criteria G5 bellavista (metal G2, G3 and G4
parts) are type BF. housing) and bellavista 1000/1000e
comparable (plastics housing)
The ground concept of G2, G3 and G4 bellavista (plas-
equipment
tics housing) is according to the norm but slightly special
as the Protective Conductor Resistance must not be Grounding Regular grounding con- Grounding concept im-
concept cept implemented plemented mainly in or-
measured.
der to comply with
EMC requirements, i.e.
Explanation functional purposes.

 In a class I device, all touchable metal parts have to Test re- Measurement of protective conductor resistance?
be connected to ground if they can come in con- quirement:
Yes No
tact with dangerous voltage in a first fault condi-
tion.
 Inside bellavista, power lines are double-isolated
and internally fixed so that they cannot contact metal Single fault Test performed with bellavista G2, G3 and
parts in case of first fault conditions. condition Safety Tester between G4 (plastics housing)

 The touchable metal parts of bellavista are con- protective earth contact accessible conduc-
of mains plug and ac- tive parts cannot be-
nected to earth for potential equalization only. This
cessible conductive come live in Single
connections are not designed to withstand a 25A
parts which become Fault condition and
current which is applied by a Protective Conductor live in Single fault con- are not connected to
Resistance Test. bellavista could be damaged by dition. protective earth!
such a test.
Test current Test currents available CAUTION: Do not ap-
 Nevertheless bellavista is not a class II device. (Varying by Safety ply test current gen-
Tester): erated by Safety
 200 mA Tester between Pro-
 10 A tective earth contact
 25 A of mains plug and ac-
cessible conductive
parts!

Tolerance Max. 200 mΩ limit Do not measure pro-

when measured with tective earth re-
Safety Tester sistance!

65
Procedure

Picture What to do / Protocol OK

Visual Inspection 
Power cable insulation and connectors
undamaged .................................................. OK
Sensor cable insulation and connectors
undamaged .................................................. OK
All connectors visibly undamaged ............... OK

Protective Conductor Resistance

Measurement

Caution Do not test Protective Conduc-

tor Resistance on G2, G3 and
G4 devices (plastics housing) as
bellavista can be damaged (see
above)

Insulation Measurement 
Measures the insolation resistance of the short-
circuited mains terminals (L and N) against Pro-
tective Ground using 500 VDC
Insulation Resistance RINS > 2.00 MOhm..... OK

Leakage Current Measurement 

Earth Leakage Current
Normal Condition:
IPE-NC < 0.50 mA ........................................... OK
Single Fault Condition:
IPE-SFC < 1.00 mA........................................... OK

66
 Electrical Safety Test

Picture What to do / Protocol OK

Housing Leakage Current

Normal Condition: 
IHL-NC < 0.10 mA ...........................................  OK
Single Fault Condition:
IHL-SFC < 0.50 mA ..........................................  OK

G2, G3 and G4 (plastics housing): Push probe into the gap between
housing and USB connector housing to ensure good contacting.

Patient Currents 
Patient Leakage Current AC
Normal Condition:
IPLAC-NC < 0.10 mA ........................................  OK

Wrap sensors with 20 x 10 cm aluminum foil and connect to bellavista. Single Fault Condition:
The wrapping simulates holding the sensor in a hand. IPLAC-SFC < 0.50 mA .......................................  OK
Patient Leakage Current DC
Normal Condition:
IPLDC-NC < 0.01 mA ........................................  OK
Single Fault Condition:
IPLDC-SFC < 0.05 mA .......................................  OK
Contact with probe for current measurements.
Patient Auxiliary Current AC
Normal Condition:
Connect sensors:
IPAAC-NC < 0.10 mA ........................................  OK
301.113.000 Diagnostic Package “Pulse Oximetry”
Single Fault Condition:
301.114.000 Diagnostic Package “Capnography”
IPAAC-SFC < 0.50 mA .......................................  OK
Patient Auxiliary Current DC
Normal Condition:
IPADC-NC < 0.01 mA ........................................  OK
Single Fault Condition:
IPADC-SFC < 0.05 mA .......................................  OK
Residual Current
IRC < 3.5 mA .................................................  OK

67
Picture What to do / Protocol OK

Summary
All steps performed successfully:  Yes  No

If no, please contact imtmedicals technical sup-

port

Serial number: MB ................................................

Brand and type of the used electrical safety test-

ing device: ............................................................

Serial number of the used electrical safety testing

device: ..................................................................

Technician: ............................................................

Company stamp: ...................................................

Date / Place: ........................................................

Signature: ..............................................................

68
Electrical Safety Test

69
9. Verification
Scope: This checklist guides through tests which should be performed to verify bellavistas calibration and gen-
eral functionality. Some of the tests are optional and serve as a recommendation. The checklist serves
as a protocol at the same time.
Validity: For all bellavista 1000/1000e G2, G3, G4 and G5

Contact imtmedicals technical support immediately if:

 a test fails
 you see something unusual or suspicious on the bellavista device
 you have any questions

Overview
The Verification contains the following checks:
 Oxygen supply check
 Ventilation test
 Alarming system test
 Battery check
 Pressure sensors verification
 O2 flow verification
 Inspiration flow verification

Required Material
 300.116.000 FlowAnalyser PF-300 or 301.858.000 CITREX H4, with the following accessories:
 302.531.000 Protection filter
 300.548.000 Adapter set
 Two short 22 mm tubes
 301.167.000 Breathing circuit C (single limb with pressure measurement line, with exp. valve)
 300.756.000 EasyLung (or SmartLung) test lung
 Oxygen supply 4…7 bar

70
 Verification

Procedure

Picture What to do / Protocol OK

Prepare FlowAnalyser / CITREX

IMPORTANT:
 Make sure that the FlowAnalyser PF-300 /
CITREX and the bellavista are warmed up
(30 min)
 Check the last calibration date of your
FlowAnalyser PF-300 / CITREX (annual cali-
bration necessary!)
 Set FlowAnalyser PF-300 / CITREX to:
Gas type: Air / O2 Auto
Gas standard: AP21
Trigger: Adult
 Perform “Zero!” Calibration on Flow Analyser
PF-300 / CITREX (see p. 126)
 Calibrate O2 sensor of the FlowAnalyser PF-
300 / CITREX (two-point-calibration, see
p. 124)
 ALWAYS use a bacteria filter between bel-
lavista and the FlowAnalyser PF-300 / CIT-
REX to prevent contamination of the flow
measurement channel

Connect Oxygen Supply 

Connect oxygen supply 4…7 bar to your bel-
lavista

Oxygen Supply Check 

O2 symbol on dropdown menu not crossed out
(should look like shown in the picture at the left)

71
Picture What to do / Protocol OK

Screenshot bellavista settings screen:

Ventilation Test 
Connect a circuit system C to bellavista
Go to bellavista Start Screen and select
breathing circuit C, invasive
Perform a Circuit Test
Circuit test successful .................................  OK
Connections according to picture
Set ventilation settings: Mode P-A/C,
PInsp 20 mbar, PEEP 5 mbar, Rate 15 bpm,
TInsp 1.7 s, Flow Trig 4.0 L/min, Rise 400 ms,
Oxygen 21% / 70% / 100%
Setup with FlowAlalyser PF-300: Start ventilation and wait 3 minutes
Check the reading of the following monitoring
parameters on your bellavista and FlowAna-
lyser PF-300 / CITREX:

Parameter Expected OK

PPeak 23…28 mbar 

PEEP 4…6 mbar 

Rate 14…16 bpm 

FiO2 21% 19…23 % 

FiO2 70% 66…74 % 
FiO2 100% 95…100 % 

Setup with CITREX:

72
 Verification

Picture What to do / Protocol OK

Setup with FlowAnalyser PF-300:

Advanced Ventilation Test 

Optional step

Stop ventilation
Connect a circuit system D to bellavista
Go to bellavista Start Screen and select
breathing circuit D, invasive
Perform a Circuit Test
Circuit test successful ..................................  OK
Connections according to picture
Set ventilation settings: Mode V-A/C,
VtInsp 500 mL, PEEP 5 mbar, Rate 15 bpm,
TInsp 1.7 s, Plateau 0%, Flow Trig 4.0 L/min,
Pattern Dec50
Set the upper alarming limit for PPeak to
30 mbar (to avoid pressure limitation)
Start ventilation and wait 3 minutes
Check the reading of the following monitoring
parameters on your bellavista and FlowAna-
lyser PF-300 / CITREX:

Parameter Expected OK

TInsp 1.4…2.0 s 

VTInsp 425…575 mL 

VTExp 425…575 mL 

Setup with CITREX:

73
Picture What to do / Protocol OK

Alarming System Test 

Disconnect breathing circuit during
ventilation
Disconnect alarm appears ..........................  OK
Visual feedback (red LEDs on both sides) ..  OK
Acoustic feedback .......................................  OK
Reconnect breathing circuit
Alarm disappears ........................................  OK
Stop ventilation

Battery Check 
Ensure that the battery is charged > 90%
Remove power supply cable
Mains supply failed message appears ........  OK
Visual feedback (LEDs) ..............................  OK
Acoustic feedback .......................................  OK
Wait about one minute
Battery remaining time shows >4 h .............  OK
Re-insert power supply cable
Message disappears ...................................  OK
Acoustic feedback .......................................  OK
Battery status shows it is charging ..............  OK

For an extended battery check see p. 88

74
 Verification

Picture What to do / Protocol OK

Screenshot bellavista service controller screen:

Pressure Sensors Verification 
Connections according to picture
Change to user level Service (password:
“service!”)
Go to service screen 16 Function blocks
and slide to page two called Service con-
troller
Set Pressure to 60 mbar
Set Mushroom Valve to 1000
Select Pressure Controller
Wait 60 seconds
Check the reading of the following monitoring
Setup with FlowAlalyser PF-300:
parameters on bellavista:
Press pat insp between 58…62 mbar ........  OK
Press pat prox between 58…62 mbar .......  OK
Press blower between 58…62 mbar ..........  OK
Check the reading of the pressure on your
FlowAnalyser PF-300 / CITREX:
Pressure between 58…62 mbar ..................  OK
Switch off the controller by pressing Off

Setup with CITREX:

75
Picture What to do / Protocol OK

Screenshot bellavista service controller screen:

O2 Flow Verification 
Connections according to picture
Set Pressure to 10 mbar
Set Flow to 2 L/min
Set Mushroom Valve to 0
Select Flow Controller O2
Wait 60 seconds
Check the reading of the flow on your
FlowAnalyser PF-300 / CITREX:
Flow between 1.7…2.3 L/min .....................  OK
Set Flow to 10 L/min
Setup with FlowAlalyser PF-300: Wait 60 seconds
Check the reading of the flow on your
FlowAnalyser PF-300 / CITREX:
Flow between 9.5…10.5 L/min ...................  OK
Set Flow to 50 L/min
Wait 60 seconds
Check the reading of the flow on your
FlowAnalyser PF-300 / CITREX:
Flow between 47.5…52.5 L/min .................  OK
Switch off the controller by pressing Off

Setup with CITREX:

76
 Verification

Picture What to do / Protocol OK

Screenshot bellavista service controller screen:

Inspiration Flow Verification 
Set Pressure to 0 mbar
Set Flow to 2 L/min
Select Flow Controller
Wait 60 seconds
Check the reading of the flow on your
FlowAnalyser PF-300 / CITREX:
Flow between 1.7…2.3 L/min ......................  OK
Set Flow to 10 L/min
Wait 60 seconds
Check the reading of the flow on your
FlowAnalyser PF-300 / CITREX:
Flow between 9.5…10.5 L/min ....................  OK
Set Flow to 50 L/min
Wait 60 seconds
Check the reading of the flow on your
FlowAnalyser PF-300 / CITREX:
Flow between 47.5…52.5 L/min ..................  OK
Switch off the controller by pressing Off

Restart bellavista 
Shut down bellavista
Restart bellavista
bellavista starts up without error messages
or alarms......................................................  OK

77
Picture What to do / Protocol OK

Summary
All steps performed successfully:  Yes  No

If no, please contact imtmedicals technical sup-

port

Serial number: MB ................................................

Serial Number FlowAnalyser PF-300 / CITREX

used for tests and verification: ..............................

Last calibration date of FlowAnalyser PF-300 /

CITREX used for tests and verification: ................

Technician: ............................................................

Date / Place: ........................................................

Signature: ..............................................................

78
Verification

79
10. Diagnosing and Repair

Trouble Shooting Checklist

Whenever you have a problem with a bellavista device, please use below checklist before you contact imtmedicals tech-
nical support. Check after each step if the problem has been solved. If the problem is still pending, go on with the next
step.

Step Action

1 Check the external periphery (e. g. patient circuit system, tubes, proximal flow sensor, exhalation valve, …)

2 Check, if the latest software is installed:

Download the LOG files of the device (see p. 81)
Start the iVista software on your computer and connect the USB with the LOG files with it
Select Update bellavista
Check if the iVista database indicates that the bellavista is up to date (message Device is up to date in
the On server panel, see picture below)

Screenshot iVista
If there is an update available, perform a software upgrade by following the sections c), d) and e) of the
software upgrade procedure (starting at p. 20)

3 If the device is showing one or more alarm/warning messages (check alarm history as well):
 Check the alarm list in the bellavista User Manual for reasons and remedies
 Check the technical alarm list (see p. 92) for reasons and remedies
If the device is not showing an alarm/warning message:
 Check the Diagnosing and Repair section (see p. 80) for reasons and remedies
 Check the FAQ section (see p. 122) for reasons and remedies

4 If the problem is still pending:

If the issue has to do something with ventilation monitoring values: Download the Trending Data of the de-
vice (see p. 82)
Take screenshots, pictures and/or videos to report the problem as detailed as possible
Send all the available files (LOG files, Trending Data, Pictures, …) with a detailed description of the prob-
lem to imtmedicals technical support (see p. 7)
80
 Diagnosing and Repair

User Level Passwords LOG Files Download

Bellavista creates LOG files which protocol all user ac-
Warning During ventilation, do not log in as
tions and program status.
Service!
If you don’t have the iVista software installed on your
computer: Download and install it (see p. 18)
Description Password Follow the instructions in the sections a) and b) on
p. 19 to make a USB stick “bellavista-ready” and to
Master Password to enter bellavista2009
download the LOG files
user levels in case the
user has forgotten his
password
This is a bellavista LOG file of the bellavista with the se-
Default passwords (may rial number MB100123, downloaded on May 27th 2014 at
be changed): 08:06:43 PM.
Software version ≤ V3.2: The file name is built up as follows:
Patient pat iVista.DeviceLogs[Serial Number][Date and Time of Download].zip
Nurse nur
Doctor doc Send the LOG file zip-folder to imtmedicals technical
Software version ≥ V3.9: support for analyzing.
Patient pat
Clinical clin
Advanced adv

Service password service!

81
Trending Data Download
Bellavista creates trending data and real time trending
data (if software option Real Time Trending is installed)
which protocol the ventilation monitoring.
If you don’t have the iVista software installed on your
computer: Download and install it (see p. 18)
Follow the instructions in the sections a) and b) on
p. 19 to make a USB stick “bellavista-ready” and to
download the LOG files
Go to page two of the bellavista Main Menu and se-
lect Data Assist
bellavista screenshot
Wait until the message “The export has completed
successfully” appears, then press OK
Remove your USB stick from bellavista

bellavista screenshot
Go to page two Data Assist – Trend Export and se-
lect your connected USB stick (check the name)
Adjust the start and end date (maybe given by the
imtmedicals technical support team) for the trending
data to be exported by pressing, holding and sliding
the arrows above and below the timeline
Select all available Monitoring parameters (please
scroll to see the hided buttons) as well as the
Realtime parameters Pressure, Flow and Volume
by pressing the according buttons
Press Export to start the export of the trending data
to the USB stick

82
 Diagnosing and Repair

O2 Sensor Replacement O2 Sensor Calibration

Warm-up bellavista at least 30min before performing
Open packaging of the new O2 cell 1 hour before insert-
the calibration
ing it into bellavista as the chemical O2 measurement
process requires initiation.

Open cover
Disconnect cable
from O2 sensor (use
a small flat blade
screwdriver size 0 or
1 to release the
snap)
bellavista screenshot
Unscrew O2 sensor
Go to page three of the bellavista Main Menu and
with O2 Sensor Tool
select Calibration Assist
301.909.000
Select O2 Sensor Calibration
Screw in new O2
Select Calibrate
sensor
Wait until the calibration is done
Connect cable
Check the calibration date and time
Close cover
O2 Sensor Tool 301.909.000 Check the calibration type
Calibrate O2 sensor
(see p. 83) If oxygen supply (4…7 bar, up to 90 L/min) is connected
to the device, bellavista will automatically perform a two-
point calibration at 21% and 100% FiO2 (2P indicates that
During the sensor change the two alarms “Oxygen sen-
a two-point calibration has been performed). If no oxygen
sor failed” and “Oxygen sensor requires calibration” will
supply is connected to the device, bellavista will perform
occur until you finished the whole procedure. You can si-
a one-point calibration at 21% (ambient air) only (1P indi-
lence the alarms by pressing on the message.
cates, that a one-point calibration has been performed).
If you connected oxygen supply but bellavista only per-
Dispose depleted O2 sensors in accordance with local formed a one-point calibration:
waste disposal regulations.
 Check the oxygen supply (4…7 bar, up to 90 L/min)
Danger Explosion hazard, corrosion hazard:  Check if the O2 supply concentration in the section
Do not dispose of O2 sensors in fire. O2 Functions of the Configuration Assist is set to
Do not disassemble O2 sensors 100% oxygen
forcefully.  Allow bellavista to warm-up another 15min
 Try it again

Danger Calibrate FiO2 sensor regularly.

An uncalibrated O2 sensor can lead to
oxygen under- or oversupply of the pa-
tient.

83
O2 Inlet Filter Replacement

A replaceable metal
mesh filter is situated
behind the DISS or
NIST adapter to pro-
tect the O2 Inlet from
dust. However this is
just a safety filter

For routine filtering of

unknown O2 quality
please use the exter-
nal O2 Filter and wa-
ter trap

301.560.000
O2 Filter and Water Trap (DISS)

301.561.000
O2 Filter and Water Trap (NIST)

Use an Allen key screw driver size 6 to replace the O2 in-

let filter:

84
 Diagnosing and Repair

O2 Trouble Shooting
Follow the instruction below and go on step-by-step, if
This section describes how to do trouble shooting in case
the problem is still pending after performing the previous
of O2 dosing issues. Use the below checklist if you en-
point.
counter alarms regarding the O2 dosing or supply (e. g.
1. Follow the steps 1, 2 and 3 of the general trouble
Alarm 151 – “O2 concentration low” or Alarm 224 – “Mis-
shooting checklist on p. 80.
match between delivered and measured FiO2”) or if you
2. Check, if an original imtmedical O2 sensor is applied
observe too low O2 dosing (mismatch between setting
and make sure that its housing is not damaged (e. g.
and measurement).
cracked).
General information about O2 dosing:
If not: use a new, original imtmedical O2 sensor.
 The last 10% of O2 take 1…2 minutes for fine tuning.
See p. 83 for replacement details.
Did you wait long enough?
3. Calibrate the O2 sensor with oxygen supply con-
 In some cases a high peak flow of the patient cannot
nected and the ventilation stopped (see p. 83).
be supplied with 100% O2 due to the limitations of
4. Connect bellavista to a different O2 supply source (if
the O2 supply. Instead of limiting the inspiratory flow
possible an oxygen cylinder) to eliminate the oxygen
(compromising the ventilation performance), bel-
supply as root cause. Alternatively, connect a differ-
lavista instead adds some turbine air. This results in
ent bellavista to the used oxygen supply and check,
a slight, mostly temporarily reduction of FiO2. This ef-
if you can observe the same problem.
fect can also be caused by a settings change (e. g.
5. If not already done in step b): use a new, original
of PInsp).
imtmedical O2 sensor.
 Too low O2 dosing can have four different main root
See p. 83 for replacement details.
causes:
6. Collect information for imtmedicals technical support,
a) O2 supply (e. g. supply concentration significantly
if the problem is still pending:
lower than 100%, not enough flow to cover the peak
1. Take a picture of the O2 sensor
flow demand, pressure too low, …)
2. Disconnect all external tubing
b) Technical problem of the bellavista (e. g. internal
3. Restart bellavista
flow sensors defective, internal flow sensors not well
4. Connect a USB stick to bellavista
calibrated, defective valve, …)
5. Connect oxygen supply (4...7 bar)
c) O2 cell (e. g. depleted or nearly depleted sensor, not
6. Change to user level Service
well calibrated sensor, defective sensor)
7. Go to service screen 4 Calibrations
d) Patient demand (peak flow, peak pressure)
8. Perform a screenshot (press and hold the bel-
lavista button for three seconds, then select
Screenshot)
9. Scroll down until you see the last calibration step
named O2 concentration calibration
10. Perform the calibration (see p. 54)
11. Perform a screenshot
Continuation see next page…

85
 12. Go to service screen 16 Function blocks and
slide to page two called Service controller
13. Select Flow Controller O2
14. Set Pressure to 10 mbar
15. Set Flow to 20 L/min

bellavista screenshot
16. Perform a screenshot
17. Slide to page 1 called Function blocks
18. Perform a screenshot
19. Slide to page 2 called Service controller
20. Switch off the controller by pressing Off
21. Go to service screen 13 Tests
22. Slide to page three called Insp Valve Test
23. Select Start Insp Valve Test
24. Wait until the test has finished
Remarks:
 Test duration is approximately 15 minutes
 Alarm 300 may be activated during the test
25. Perform a screenshot
26. Restart bellavista
27. Download the LOG files of the device (see p. 81)
28. Send the photo and all screenshots (on the USB
stick), as well as the downloaded LOG files to
imtmedicals technical support with the remark
“O2 trouble shooting results” for analysing

86
 Diagnosing and Repair

Filter Mats Replacement Sinter bronze filter(s) Replacement

Remove the inlet filter cooling fan incl. cover at the
Inlet filter cooling fan
back side of the device (for protection)
Use only original filters. Lay the device on the back side to access the bot-
Open cover at the back tom of it as shown in the picture below
side of the ventilator
Place filter mat firmly

Use the correct filter type

(different filter types for
plastic housing and metal
housing bellavista ventila-
tors)!
Close cover

Inlet filter blower

Use only original filters

Open cover at the left Replace the sinter bronze filter(s) using a flat blade
hand side of the venti- screw driver size 5 or 6
lator.

Place filter mat firmly.

Dense layer to the inside!
Close cover

Pictures are showing plastics housing type filter covers.

The metal housing filter covers are slightly different.

Danger A dirty or wrong inlet filter blower

can lead to undersupply of the pa-
tient.
In G2 bellavistas there are two sinter bronze filters
Danger Only use original bellavista air filters.
Caution Missing, wrong or dirty air filter can lead
If you are not doing the annual maintenance: Per-
to contamination or overheating of bel-
form a Blower Reference Calibration (see p. 52)
lavista
Reassemble the inlet filter cooling fan incl. cover at
Caution There are different inlet filter cooling fan
the back side of the device
types for the plastics housing and metal
housing bellavista ventilators. Please The sinter bronze filters are responsible for turbine cool-
make sure to use the correct filter type. ing and have to be replaced annually as sometimes dust
is accumulated.

87
Touch Screen Calibration Battery Check
Bellavista is equipped with 2 batteries with a nominal ca-
If the touch screen is severely decalibrated:
pacity of 6450 mAh each (totally 12900 mAh) which lasts
 Connect a USB mouse to bellavista (a mouse
 4 hours. For security it is recommended to change a
pointer should appear on the screen and be control-
battery when it has reached ≤1/3 of its original capacity.
lable by the USB mouse. If this is not the case, re-
Change to user level Service (password: “service!”)
start bellavista and try it again)
Go to service screen 9 Batteries
 Use the USB mouse pointer to perform steps 1, 2
and 3 of the instruction below

Change to user level Service (password: “service!”)

Go to service screen 7 Display / User Input

Always perform touch screen test before calibration and

calibrate only if necessary (select Test touchscreen and
check if the cursor cross is following your finger)

Select Calibrate touchscreen

bellavista screenshot
Calibrate from a normal user position (bellavista on Check the Full charge capacity of both batteries:
trolley height, person standing in front). If you calibrate  Replace related battery if Full charge capacity
looking straight at the screen it may be inconvenient for is ≤ 2150 mAh
the user.  Replace both batteries if the sum of Full charge
capacity of the two batteries is < 4300 mAh
Touch the displayed target points located all across If a battery replacement is necessary, please see p.
the screen one after another (see picture below) 89 for details.
Touch the displayed corner target points one after
another (small ones, see picture below)

bellavista screenshot
Check if the pointer is following your finger and se-
lect  if okay and  if not okay (if you select ,
please repeat steps 3 and 4)
Click the four square fields on the corners to verify
the calibration

88
 Diagnosing and Repair

Battery Replacement – Plastics housing

Danger Never attempt to disconnect or con-

nect the battery during operation.

To reduce the risk of fire, explosion, leakage, or other

hazard, take these precautions with respect to the bat-
tery:
 Do not attempt to disassemble, open, drop, crush,
bend or deform, insert foreign objects into, puncture,
or shred the battery pack; modify or remanufacture
it; immerse or expose it to water or other liquids; ex-
pose it to fire, excessive heat (including soldering
irons); or put it in a microwave oven.
 Replace the battery only with another battery speci-
fied by the manufacturer.
Remove and replace the battery
 Follow all instructions for proper use of the battery.
Pay special attention to the mounting direction of the
 Do not short-circuit the battery or allow metallic or
battery and guide the cables as shown in the pic-
conductive objects to contact the battery connector
tures below
housing.

Remove the inlet filter cooling fan incl. cover at the

back side of the device (for protection)
Lay the device on the back side to access the bot-
tom of it as shown in the picture below

Reassemble the battery cover housing (be careful to

not pinch the cables)
Reassemble the inlet filter cooling fan incl. cover at

Remove the three screws of the battery cover using the back side of the device

an Allen key screw driver size 2.5 If you have to replace only one battery, please make
sure that you choose the right one. The battery connect-
ors are marked with the corresponding label (A and B).

89
Battery Replacement – Metal housing
Remove the three screws of the battery cover using
Danger Never attempt to disconnect or con-
an Allen key screw driver size 2.5
nect the battery during operation.

To reduce the risk of fire, explosion, leakage, or other

hazard, take these precautions with respect to the bat-
tery:
 Do not attempt to disassemble, open, drop, crush,
bend or deform, insert foreign objects into, puncture,
or shred the battery pack; modify or remanufacture
it; immerse or expose it to water or other liquids; ex-
pose it to fire, excessive heat (including soldering
irons); or put it in a microwave oven.
 Replace the battery only with another battery speci-
fied by the manufacturer.
 Follow all instructions for proper use of the battery.
 Do not short-circuit the battery or allow metallic or
Unplug the batteries
conductive objects to contact the battery connector
Loosen the two screws of the battery holder, then
housing.
push up the holder part and pull it towards you to re-
move it
Remove the inlet filter cooling fan incl. cover at the
back side of the device (for protection)
Lay the device on the back side to access the bot-
tom of it as shown in the picture below

90
 Diagnosing and Repair

Slide out the batteries to the middle to remove them Apply the battery holder part, then tighten the two fix-
ing screws

Exchange the battery Connect the two batteries and guide the cables as
Slide in the batteries from the middle to position shown in the pictures below
them

Reassemble the battery cover housing (be careful to

not pinch the cables)
Reassemble the inlet filter cooling fan incl. cover at
the back side of the device

If you have to replace only one battery, please make

sure that you choose the right one. The battery connect-
ors are marked with the corresponding label (A and B).

91
11. Technical Alarms List
No Message Reason, Remedy

151 O2 concentration low The O2 concentration measured is too low.

Possible reasons:
 O2 sensor calibration required
 O2 sensor nearly depleted
 O2 sensor defective
 Internal flow measurement calibration required
 O2 supply concentration is lower than 100% and
wrong O2 supply concentration configured (particu-
larly if this alarm occurred in combination with
alarm 224)
 O2 supply insufficient (particularly if this alarm oc-
curred in combination with alarm No 272 and/or No
273)
 Inspiration block defective (particularly if this alarm
occurred in combination with alarm No 272 and/or
No 273)
Remedies:
 Calibrate O2 sensor (see p. 83)
 Check the alarm history and watch out for alarm
No 224. If this alarm occurred as well, please see
No 224 for details too.
 Check the alarm history and watch out for alarms
No 272 and 273. If one of these alarms occurred
as well, please see No 272/273 for details too.
 See section O2 Trouble Shooting (see p. 85) for
further details

200 Invalid calibration data - do not use device bellavista requires calibration. Please perform a com-
plete annual maintenance on the device (see p. 38).

92
 Technical Alarms List

No Message Reason, Remedy

224 Mismatch between delivered and measured FiO2 The O2 concentration delivered by the oxygen blender
is not the same measured by the O2 cell. This alarm
mostly occurs in combination with alarm No 151
(please check alarm history and see No 151 for details
too).
Possible reasons:
 O2 sensor calibration required
 O2 supply concentration is lower than 100% and
wrong O2 supply concentration configured
 O2 sensor nearly depleted
 O2 sensor defective
 Internal flow measurement calibration required
 Inspiration block defective
Remedies:
 Calibrate O2 sensor (see p. 83)
 In some hospitals, the concentration of the O2 sup-
ply is a little bit lower than 100%.
If this is the case, set the O2 supply concentra-
tion to Below 100% oxygen in order to widen the
alarm limits:
1. Go to page two of the bellavista Main Menu
and select Configuration Assist
2. Select O2 Functions
3. Set the O2 supply concentration to Below
100% oxygen

Important: If the problem is still pending with the

setting Below 100%, set O2 supply concentra-
tion back to 100% oxygen.
 See section O2 Trouble Shooting (see p. 85) for
further details

225 Oxygen sensor soon depleted Exchange (see p. 83) and calibrate O2 sensor (see
p. 83)
93
No Message Reason, Remedy

236 Inspiratory air temperature too high

bellavista automatically reduces FiO2 to prevent further
increase of temperature.

Possible reasons:
 Inlet filter blower blocked
 Inlet filter cooling fan blocked
 Ambient temperature too high
 Extreme ventilation settings (high pressure, low
flow)
 Sinter bronze filter blocked
Remedies:
 Replace inlet filter blower (see p. 87)
 Replace inlet filter cooling fan (see p. 87)
 Move to cooler environment
 Reduce O2 concentration
 Reduce inspiratory pressure
 Increase inspiratory time
 Replace sinter bronze filter (see p. 87)
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

237 Temperature of device CPU high Possible reasons:

 Inlet filter cooling fan blocked
 Ambient temperature very high
Remedies:
 Replace inlet filter cooling fan (see p. 87)
 Move to cooler environment
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

94
 Technical Alarms List

No Message Reason, Remedy

238 Temperature of device too high Possible reasons:

 Inlet filter cooling fan blocked
 Inlet filter blower blocked
 Ambient temperature very high
 Sinter bronze filter blocked
Remedies:
 Replace inlet filter cooling fan (see p. 87)
 Replace inlet filter blower (see p. 87)
 Move to cooler environment
 Replace sinter bronze filter (see p. 87)
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

239 Temperature of device high Possible reasons:

 Inlet filter cooling fan blocked
 Inlet filter blower blocked
 Ambient temperature very high
 Sinter bronze filter blocked
Remedies:
 Replace inlet filter cooling fan (see p. 87)
 Replace inlet filter blower (see p. 87)
 Move to cooler environment
 Replace sinter bronze filter (see p. 87)
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

95
No Message Reason, Remedy

240 Temperature of blower too high

Warning If the temperature increases fur-
ther, the ventilator could be dam-
aged or destroyed

Background information:
Since the blower is cooled with patient air, the following
reasons lead to warming up:
 high inspiratory pressure (blower needs to runs
high)
 small minute volume
 high FiO2 (thus most of the minute volume is O2
and not air through the blower)
There is a bypass cooling-flow exiting bellavista through
a sinter bronze filter at the bottom of the device. This
bypass flow sufficiently cools the blower in any of the
above circumstances. Two reasons however may lead
to over temperature:
 the airflow through the bottom of bellavista is
somehow blocked (unit is placed on some soft sur-
face)
 the sinter bronze filter at the bottom is blocked by
dust or mildew (mostly a consequential effect of a
blocked inlet filter blower)

Important It is absolutely necessary to replace

the inlet filter blower monthly (see p.
87) and the sinter bronze filter annu-
ally (part of the Annual Maintenance
procedure, see p. 87)

bellavista automatically protects itself against too high

blower temperature
Alarm limits for alarm 240:
 G2: > 75°
 G3 and above: > 85°
Above this temperature FiO2 is gradually reduced to al-
low more air flowing through the turbine. FiO2 is re-
duced to a minimum of 60%.
Continuation see next page…

96
 Technical Alarms List

No Message Reason, Remedy

240 Temperature of blower too high Continued from last page

Blower temperature can be observed in the service

screen 16 Function Blocks.

Possible reasons:
 Sinter bronze filter blocked
 Inlet filter blower blocked
 Ambient temperature too high
 Extreme ventilation settings
 Inlet filter cooling fan blocked
Remedies:
 Replace sinter bronze filter (see p. 87)
 Replace inlet filter blower (see p. 87)
 Move to cooler environment
 Reduce O2 concentration manually
 Reduce inspiratory pressure
 Increase inspiratory time
 Replace inlet filter cooling fan (see p. 87)
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

97
No Message Reason, Remedy

241 Temperature of blower high See No 240 for background information

bellavista automatically protects itself against too high

blower temperature
Alarm limits for alarm 241:
 G2: > 70°
 G3/G4: > 80°
Above this temperature the blower voltage is gradually
reduced, at first without compromising the ventilation

Blower temperature can be observed in the service

screen 16 Function Blocks.

Possible reasons:
 Sinter bronze filter blocked
 Inlet filter blower blocked
 Ambient temperature too high
 Extreme ventilation settings
 Inlet filter cooling fan blocked
Remedies:
 Replace sinter bronze filter (see p. 87)
 Replace inlet filter blower (see p. 87)
 Move to cooler environment
 Reduce O2 concentration manually
 Reduce inspiratory pressure
 Increase inspiratory time
 Replace inlet filter cooling fan (see p. 87)
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

98
 Technical Alarms List

No Message Reason, Remedy

270 O2 input pressure too high - No O2 dosing possible The O2 safety valve has switched off the O2 supply be-
cause the input pressure was measured too high.
Possible reasons:
 Wrong O2 supply pressure range configured
 O2 pressure > 7bar
 Defective O2 supply pressure sensor
Remedies:
 Check O2 supply pressure range configuration:
1. Go to page two of the bellavista Main Menu
and select Configuration Assist
2. Select O2 Functions
3. Check the setting O2 supply pressure

You can choose between two O2 supply pressure

ranges:
- High pressure 1.5…7 bar
- Low pressure 0 … 1.5 bar

 If the correct O2 supply pressure range is config-

ured: Reduce O2 pressure
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

99
No Message Reason, Remedy

271 O2 supply failed - No O2 dosing possible Possible reasons:

 No O2 supply connected
 Defective O2 input pressure sensor on the inspira-
tion block
Remedies:
 Check O2 supply
 Check the reading of the O2 input pressure sensor
Press O2 supply using the service screen
16 Function Blocks
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

100
 Technical Alarms List

No Message Reason, Remedy

272 O2 supply insufficient Possible reasons:

 O2 supply is insufficient for the current settings
(needed O2 flow not reachable)
 Blocked O2 inlet filter
 Inspiration block defective
Remedies:
 Ensure good and steady O2 supply
 Check O2 supply hose for restrictions
 Use shorter O2 supply hose
 Reduce FiO2 setting
 Reduce peak flow
 Clean or replace O2 inlet filter (p. 84)
If it is a recurring error, please do the following:
1. Disconnect all external tubing
2. Restart bellavista
3. Change to user level Service
4. Go to service screen 13 Tests
5. Slide to page three called Insp Valve Test
6. Select Start Insp Valve Test
7. Wait until the test has finished
Remarks:
 Test duration is approximately 15 minutes
 Alarm 300 may be activated during the
test
8. Connect oxygen supply (4...7 bar)
9. Slide to page four called O2 Valve Test
10. Select Start O2 Valve Test
11. Wait until the test has finished
12. Slide to page four called Flow Sensor Test
13. Select Start Flow Sensor Test
14. Wait until the test has finished
15. Restart bellavista
16. Download the LOG files of the device (see p. 81)
17. Send the LOG files to imtmedicals technical sup-
port with the remark “Alarm 272 trouble shooting”
for analysing

273 O2 supply insufficient - O2 Flush concentration not Possible reasons:

reached  Same as No 272 but detected during an O2 suction
Remedies:
 See No 272
101
No Message Reason, Remedy

300 Technical failure 300 - Device in failsafe A serious technical error has occurred. This technical
failure stops ventilation and puts all valves in a safe
status.

During the selftest (can be started in the in the service

screen 13 Tests), alarm 300 will show up and disap-
pear three times to allow the device checking the
alarming system. This is part of the test and therefore
normal behavior.

Besides the occurrence during the selftest, this alarm

is always a consequential effect of another technical
failure. Please check the alarm history and watch out
for other technical failures (e. g. No 316).

301 Technical failure 301 - Watchdog failure, firmware run- Restart bellavista.
ning If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support immediately.

303 Technical failure 303 - EPC broken Restart bellavista.

If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support immediately.

304 Technical failure 304 - Selftest timeout - Restart the Restart bellavista.
ventilator
This alarm may occur during the first start-up after a
software upgrade (due to the prolonged start-up proce-
dure caused by the necessity of a touch screen calibra-
tion).

If it is a recurring error, please download the LOG files

of the bellavista (see p. 81) and contact imtmedicals
technical support.

305 Technical failure 305 - Communication to CFB discon- Communication between embedded PC and CFB (pro-
nected cessor which controls the ventilation) is temporarily in-
terrupted.
Usually communication will be resumed after a short
period of time are no negative effects on ventilation.
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

102
 Technical Alarms List

No Message Reason, Remedy

306 Technical failure 306 - Sound system broken The microphone has not detected the alarm sound.
Possible reasons:
 Both loudspeakers are defective
 Defective microphone on the main electronics
 Very rarely this can be due to noisy environment
(exhibition)
 System volume has been set to 0% in the service
screen 8 Audio / Alarming and an alarm is pend-
ing
Remedies:
 Restart bellavista
 Check the loudspeakers using the service scree
8 Audio / Alarming
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

307 Technical failure 307 - Writing to EEPROM failed Restart bellavista.

If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support immediately.

308 Technical failure 308 - EEPROM checksum failure Restart bellavista.

If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support immediately.

309 Technical failure 309 - Nurse call failed The software reads back the status of the nurse-call re-
lais. If this status is not correct, this alarm comes up.
This alarm has nothing to do with the alarming system
which may or may not be connected.
Check the nurse call relais using the service screen
6 Output cfb Misc.
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

103
No Message Reason, Remedy

310 Technical failure 310 - Invalid hardware revision Possible reasons:

 Hardware and software may not be compatible.
This may come up after exchanging hardware
(PCBs) incorrectly or without upgrading the soft-
ware afterwards.
Remedies:
 Install latest software
 Restart bellavista
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

311 Technical failure 311 - Invalid software revision Possible reasons:

 Hardware and software may not be compatible.
This may come up after exchanging hardware
(PCBs) incorrectly or without upgrading the soft-
ware afterwards.
Remedies:
 Install latest software
 Restart bellavista
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

313 Technical failure 313 - Buzzer test failed During the selftest at the start-up the microphone has
not detected the buzzer sound.
Possible reasons:
 An old software is installed (buzzer sound analys-
ing software algorithm has been improved)
 Buzzer electronics defective
 Defective microphone on the main electronics
 Very rarely this can be due to noisy environment
(exhibition)
Remedies:
 Update the software
 Check the loudspeakers using the service scree
8 Audio / Alarming
 Restart bellavista
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

104
 Technical Alarms List

No Message Reason, Remedy

314 Technical failure 314 - Loudspeaker test failed During the selftest at the start-up the microphone has
not detected the buzzer sound.
Possible reasons:
 Defective loudspeaker
 Defective microphone on the main electronics
 Very rarely this can be due to noisy environment
(exhibition)
Remedies:
 Check the loudspeakers using the service scree
8 Audio / Alarming
 Restart bellavista
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

315 Technical failure 315 - Inspiration valve or device leaky Possible reasons:
 No O2 sensor is applied
 O2 sensor not properly inserted or leaking
 An old software is installed (inspiration valve con-
trolling algorithm has been improved)
 Defective inspiration valve or block
Remedies:
 Check, if the O2 sensor is screwed in well and not
damaged (see p. 83)
 Update the software
If it is a recurring error, please do the following:
1. Disconnect all external tubing
2. Restart bellavista
3. Change to user level Service
4. Go to service screen 13 Tests
5. Slide to page three called Insp Valve Test
6. Select Start Insp Valve Test
7. Wait until the test has finished
Remarks:
 Test duration is approximately 15 minutes
 Alarm 300 may be activated during the
test
8. Restart bellavista
9. Download the LOG files of the device (see p. 81)
10. Send the LOG files to imtmedicals technical sup-
port with the remark “Alarm 315 trouble shooting”
for analysing
105
No Message Reason, Remedy

316 Technical failure 316 - Blower failure Possible reasons:

 No sinter bronze filter is applied
 Sinter bronze filter not properly inserted or leaking
 Defective blower
 Defective power board electronics
 Defective blower controlling electronics on the
main electronics
Remedies:
 Check, if the sinter bronze filter is inserted (see
p. 83)
 Check, if the sinter bronze filter is screwed in well
and not damaged (see p. 83)
If it is a recurring error, please do the following:
1. Disconnect all external tubing
2. Restart bellavista
3. Change to user level Service
4. Go to service screen 13 Tests
5. Select Start selftest
6. Wait until the test has finished
Remarks:
 Test duration is approximately 10 seconds
 Alarm 300 will be activated three times
during the test (this is part of the test and
therefore normal)
7. Go to service screen 16 Function blocks
8. Set the Blower Voltage to 30%
9. Perform a screenshot (press and hold the bel-
lavista button for three seconds, then select
Screenshot)
10. Switch on the Blower
11. Perform a screenshot (press and hold the bel-
lavista button for three seconds, then select
Screenshot)
12. Restart bellavista
13. Download the LOG files of the device (see p. 81)
14. Send the two screenshots and the LOG files to
imtmedicals technical support with the remark
“Alarm 316 trouble shooting” for analysing

106
 Technical Alarms List

No Message Reason, Remedy

317 Technical failure 317 - Hardware failsafe failed Restart bellavista.

If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support immediately.

318 Technical failure 318 - Inspiration valve failsafe failed Restart bellavista.
or occlusion in inspiration tube
This alarm may occur after an inspiration block or
blower unit exchange. If this is the case, please pro-
ceed as follows:
1. Change to user level Service
2. Go to service screen #4 Calibrations
3. Perform the Zero pressure calibration (see p. 44)
4. Restart the device

If it is a recurring error, please download the LOG files

of the bellavista (see p. 81) and contact imtmedicals
technical support immediately.

320 Technical failure 320 - Battery faulty - no battery opera- The battery is possibly defective and needs replace-
tion possible - do not disconnect mains supply! ment (see p. 89).
Make a screenshot of the service screen 9 Batteries,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

321 Technical failure 321 - Battery disconnected - no bat- Possible reasons:

tery operation possible - do not disconnect mains sup-  The battery is not plugged in correctly
ply!  Defective battery
Remedies:
 Check the battery connector (see p. 89)
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.
Note: when connected to mains power supply at all
times, bellavista may be used with only one battery.

107
No Message Reason, Remedy

322 Technical failure 322 - Battery failure - immediately Possible reasons:

connect to mains supply!  The battery has been used until it was completely
flat (empty)
 The battery is defective and needs replacement
(see p. 89)
Remedies:
 Connect bellavista to mains power supply and let
the batteries charge for about 30 min. The alarm
should disappear as soon as the battery is
charged until a certain level.
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

323 Technical failure 323 - Battery failure - no battery oper- Possible reasons:
ation possible - do not disconnect mains supply!  The battery has been used until it was completely
flat (empty)
 The battery is defective and needs replacement
(see p. 89)
Remedies:
 Connect bellavista to mains power supply and let
the batteries charge for about 30 min. The alarm
should disappear as soon as the battery is
charged until a certain level.
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

324 Technical failure 324 - Battery faulty The battery is defective and needs replacement (see p.
89). Make a screenshot of the service screen 9 Batter-
ies, download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.
Note: when connected to mains power supply at all
times, bellavista may be used with only one battery.

325 Technical failure 325 - ePC fan does not rotate cor- Restart bellavista.
rectly If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

108
 Technical Alarms List

No Message Reason, Remedy

327 Technical failure 327 - Fan failure Possible reasons:

 The cooling air fan at the back side of the device
does not rotate.
Remedies:
 Check if it is blocked or disconnected
 Restart bellavista
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

328 Technical failure 328 - Fan failure Possible reasons:

 The cooling air fan at the back side of the device
does not rotate.
Remedies:
 Check if it is blocked or disconnected
 Restart bellavista
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

329 Technical failure 329 - SM Bus not initialized Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

330 Technical Failure 330 - KEApi driver not initialized Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

332 Technical failure 332 - 3.3V voltage low Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

334 Technical failure 334 - 3.3V voltage high Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

335 Technical failure 335 - 5V voltage low Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

109
No Message Reason, Remedy

336 Technical failure 336 - 5V voltage high Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

337 Technical failure 337 - 9V voltage too low Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

338 Technical failure 338 - 9V voltage too high Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

339 Technical failure 339 - 12V voltage low Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

340 Technical failure 340 - 12V voltage too low Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

341 Technical failure 341 - 12V voltage high Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

344 Technical failure 344 - 24V step motor voltage low Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

345 Technical failure 345 - 24V O2 voltage low Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

346 Technical failure 346 - 24V O2 voltage high Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

110
 Technical Alarms List

No Message Reason, Remedy

347 Technical failure 347 - 24V step motor voltage too low Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

349 Technical failure 349 - 24V step motor voltage high Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

350 Technical failure 350 - Remaining CF card capacity to Restart bellavista.

low Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

352 Technical failure 352 - Persistent data corrupted Restart bellavista.

This alarm may occur during the first two start-ups after
a software upgrade due to reorganization tasks of the
internal memory.

Please download the LOG files of the bellavista (see p.

81) and contact imtmedicals technical support immedi-
ately.

355 Technical failure 355 - USB communication failure Restart bellavista.

If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

363 Technical failure 363 - 9V voltage low Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

365 Technical failure 365 - 9V voltage high Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

111
No Message Reason, Remedy

379 Technical failure 379 - No O2 dosing possible Possible reasons:

 The O2 proportional valve may be leaking. To pro-
tect against overpressure, the O2 safety valve is
now blocking the O2 supply.
Remedies:
 Connect O2 after starting up bellavista sometimes
can help
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

386 Technical failure 386 - Unknown alarm from CFB Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

387 Technical failure 387 - No O2 dosing possible An internal high pressure has been detected. Since
this can only come from the O2 supply both, O2 propor-
tional valve and O2 safety valve are now blocking the
O2 supply.
Remedies:
 Connect O2 after starting up bellavista sometimes
can help
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

388 Technical failure 388 - No O2 dosing possible An internal O2 overpressure has been detected:
PO2Regulated (which should be ≤2.5 bar) is higher
than 3.5bar.
Possible reasons:
 Leaking of O2 pressure regulator
Remedies:
 Use Technical Information How to check the O2
gas path for trouble shooting (available from
imtmedicals technical support)

112
 Technical Alarms List

No Message Reason, Remedy

389 Technical failure 389 - No O2 dosing possible Possible reasons:

 The O2 safety valve may be leaking. To protect
against overpressure the O2 proportional valve is
now blocking the O2 supply.
Remedies:
 Use Technical Information How to check the O2
gas path for trouble shooting (available from
imtmedicals technical support)

390 Technical failure 390 - Malfunction of pulse oximeter Restart bellavista.

If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

391 Technical failure 391 - Malfunction of CO2 / gas sensor Restart bellavista.
If it is a recurring error, please download the LOG files
of the bellavista (see p. 81) and contact imtmedicals
technical support.

392 Technical failure 392 - AlarmSupply voltage low Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

393 Technical failure 393 - AlarmSupply voltage high Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

394 Technical failure 394 - 24VOn voltage low Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

395 Technical failure 395 - 24VOn voltage high Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

396 Technical failure 396 - 11V Standby voltage low Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

113
No Message Reason, Remedy

397 Technical failure 397 - 11V Standby voltage high Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

401 Technical failure 401 - Inspiration valve or device leaky Possible reasons:
 No O2 sensor is applied
 O2 sensor not properly inserted or leaking
 An old software is installed (inspiration valve con-
trolling algorithm has been improved)
 Defective inspiration valve or block
Remedies:
 Check, if the O2 sensor is screwed in well and not
damaged (see p. 83)
 Update the software
If it is a recurring error, please do the following:
11. Disconnect all external tubing
12. Restart bellavista
13. Change to user level Service
14. Go to service screen 13 Tests
15. Slide to page three called Insp Valve Test
16. Select Start Insp Valve Test
17. Wait until the test has finished
Remarks:
 Test duration is approximately 15 minutes
 Alarm 300 may be activated during the
test
18. Restart bellavista
19. Download the LOG files of the device (see p. 81)
Send the LOG files to imtmedicals technical support
with the remark “Alarm 401 trouble shooting” for ana-
lysing

504 Technical failure 504 - Assertion id machine states Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

505 Technical failure 505 - Assertion id monitors Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

114
 Technical Alarms List

No Message Reason, Remedy

506 Technical failure 506 - Assertion id curves Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

507 Technical failure 507 - Assertion id breath monitors Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

508 Technical failure 508 - Assertion id actuators Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

514 Technical failure 514 - Scaled periphery sensor value Restart bellavista.
out of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

515 Technical failure 515 - Scaled ventilation sensor value Restart bellavista.
out of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

517 Technical failure 517 - PWM module A out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

518 Technical failure 518 - MAX665 value out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

519 Technical failure 519 - LTC1760 value out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

520 Technical failure 520 - MCP230 value out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

115
No Message Reason, Remedy

521 Technical failure 521 - PCA9532 value out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

522 Technical failure 522 - Calibration data out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

523 Technical failure 523 - TMC428 address problem Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

533 Technical failure 533 - Runtime exception in tasking Restart bellavista.

catched Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

534 Technical failure 534 - Vd interrupt runtime exception Restart bellavista.

catched Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

535 Technical failure 535 - Unknown exception in tasking Restart bellavista.

catched Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

536 Technical failure 536 - Unknown exception in vd inter- Restart bellavista.

rupt catched Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

540 Technical failure 540 - Scaled periphery sensor value Restart bellavista.
out of range - failsafe Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

542 Technical failure 542 - Scaled ventilation sensor value Restart bellavista.
out of range - failsafe Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

116
 Technical Alarms List

No Message Reason, Remedy

544 Technical failure 544 - ADC 2 value out of range - fail- Restart bellavista.
safe Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

545 Technical failure 545 - aStepInspValve value out range Restart bellavista.
- failsafe Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

546 Technical failure 546 - ADC 1, rPressO2SupplyScaled Restart bellavista.

value out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

548 Technical failure 548 - ADC 2, rPressPatProxScaled Restart bellavista.

value out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

549 Technical failure 549 - ADC 2, rConcO2Scaled value Restart bellavista.

out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

550 Technical failure 550 - ADC 2, rTempDeviceScaled Restart bellavista.

value out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

553 Technical failure 553 - ADC 2, rTempBlowerScaled Restart bellavista.

value out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

554 Technical failure 554 - ADC 3, rTempMainBoardScaled Restart bellavista.

value out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

557 Technical failure 557 - ADC 4, rTempLifeboardScaled Restart bellavista.

value out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

117
No Message Reason, Remedy

558 Technical failure 558 - ADC 4, rPressFlowProxScaled Restart bellavista.

value out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

559 Technical failure 559 - ADC 4, rPressMushroomCon- Restart bellavista.

trolScaled value out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

560 Technical failure 560 - ADC 4, rFlowProxScaled value Restart bellavista.

out of range Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

566 Technical failure 566 - PWM, aPwmVoltageBlower Restart bellavista.

value out of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

567 Technical failure 567 - PWM, aPwmSpeedBlower Restart bellavista.

value out of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

568 Technical failure 568 - PWM, aPwmMushroomValve Restart bellavista.

value out of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

569 Technical failure 569 - PWM, aPwmO2Valve value out Restart bellavista.
of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

570 Technical failure 570 - Scaled ventilation sensor value Restart bellavista.
out of range - failsafe Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

571 Technical failure 571 - Scaled periphery sensor value Restart bellavista.
out of range Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

118
 Technical Alarms List

No Message Reason, Remedy

572 Technical failure 572 - PWM module B out of range Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

573 Technical failure 573 - value out of range Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

574 Technical failure 574 - value out of range Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

575 Technical failure 575 - value out of range Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

577 Technical failure 577 - value out of range Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

578 Technical failure 578 - value out of range Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

580 Technical failure 580 - Qspi interrupt catched runtime Restart bellavista.
exception Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

581 Technical failure 581 - Qspi interrupt caught unknown Restart bellavista.
exception Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

582 Technical failure 582 - I2C interrupt catched runtime Restart bellavista.
exception Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

119
No Message Reason, Remedy

583 Technical failure 583 - I2C interrupt catched unknown Restart bellavista.
exception Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

584 Technical failure 584 - Firmware heap out of memory Restart bellavista.
Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

586 Technical failure 586 - value out of range Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

587 Technical failure 587 - value out of range Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

589 Technical failure 589 - Reference voltage ADC1 invalid Restart bellavista.
Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

590 Technical failure 590 - Reference voltage ADC2 invalid Restart bellavista.
Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

591 Technical failure 591 - Reference voltage ADC3 invalid Restart bellavista.
Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

592 Technical failure 592 - Reference voltage ADC4 invalid Restart bellavista.
Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

593 Technical failure 593 - Reference voltage QADC inva- Restart bellavista.
lid Make a screenshot of the service screen 2 ADCs,
download the LOG files of the bellavista (see p. 81)
and contact imtmedicals technical support immediately.

120
 Technical Alarms List

No Message Reason, Remedy

600 Technical failure 600 - Check warning log Restart bellavista.

Please download the LOG files of the bellavista (see p.
81) and contact imtmedicals technical support immedi-
ately.

997 Test alarm (high priority) Test alarm which can be activated in service screen
8 Audio / Alarming

998 Test alarm (medium priority) Test alarm which can be activated in service screen
8 Audio / Alarming

999 Test alarm (info priority) Test alarm which can be activated in service screen
8 Audio / Alarming

121
12. FAQ

Can I use external air supply (wall supply) with bellavista?

Yes. An external O2 blender 302.428.000 is available (please contact imtmedicals technical support for data sheet).

Why can there be a big difference between VtInsp and VtExp measurement?

If you have a big difference between VtInsp and VtExp measurement, please first check the accuracy specifications in the
bellavista user manual:

Monitoring Description Range Resolution Accuracy Accuracy

Parameter Adult/Pediatric Neonatal

VtExp a) Expiratory tidal volume 0…2500 mL 1 ±10 mL ; ±15% b) c) ±1 mL ; ±10% b)

VtInsp Inspiratory tidal volume 0…2500 mL 1 ±10 mL ; ±15% b) c) ±1 mL ; ±10% b)

a)
only available with proximal flow measurement
b)
larger value
c)
with calibrated flow sensor: ±10%

Example: Let’s assume that the real tidal volume (not the measured one) is 500 mL. With adult settings this can lead to
the following valuable ranges of the measured values of bellavista:
VtExp: 500 mL ±15% = 425…575 mL
VtInsp: 500 mL ±15% = 425…575 mL
The worst case valuable difference between the measurement of VtInsp and VtExp in this example can be 150 mL
(575 mL – 425 mL).

Of course it is very unlikely that one measured value is at the very upper tolerance edge while the other one is at the very
lower tolerance edge at the same time.
Anyway, a big difference between the measured values of VtInsp and VtExp can have the following reasons:
 The proximal flow sensor has not been calibrated during the last circuit system test.
General remedy: Perform a circuit system test.
Remedy for neonatal applications: If the installed software version is V4.2.200.0 or lower, please update to
V4.2.300.0 as the neonatal proximal flow sensor calibration in negative (backwards) direction has been introduced
with this software version in order to improve the VtExp measurement. For the neonatal proximal flow sensor calibra-
tion in negative direction, a corresponding neonatal proximal flow sensor calibration adapter is required. This adapter
comes with every new neonatal proximal flow sensor. However, some older or early shipped neonatal proximal flow
sensors may not include this calibration adapter. Therefore, we offer 10 packs of them (see bellavista Product Cata-
logue for details or contact imtmedical customer supprt).
Remedy for G2 bellavistas: Perform a circuit system test after the device has been warmed up for at least 20 min. If
you perform the circuit test within the first 15 min after the start up, the proximal flow sensor will not be calibrated dur-
ing the circuit test because the temperature drifting effects of the sensors are too big at this moment.
 The proximal flow measurement is affected by gas turbulences.

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 FAQ

Remedy: If you are using a test lung, don’t connect the test lung directly to the proximal flow sensor because the gas
flow out of the test lung can cause turbulences in the proximal flow sensor which can affect the measurement of
VtExp. Use a tube between the proximal flow sensor and the test lung:

 Defective proximal flow sensor.

Remedy: Exchange the proximal flow sensor.

What can I do if my touch screen isn’t working anymore?

1. Connect a USB mouse to bellavista (a mouse pointer should appear on the screen and be controllable by the USB
mouse. If this is not the case, restart bellavista and try it again)
2. Use your USB mouse to control bellavista
3. Change to user level Service (password: “service!”)
4. Go to service screen 7 Display / User Input
5. Select Test native colours (a red screen will be displayed)
6. Touch the screen with your finger. If the colour of the screen isn’t changing to green, the touch screen is defective
and needs to be replaced (please contact imtmedicals technical support). If the colour of the screen is changing to
green, the touch screen is generally working but maybe severely decalibrated. If this is the case, please go on with
the next steps.
7. Touch the screen with your finger repeatedly until you see the service screen Display / User Input again
8. Use your USB mouse again to start the touch screen calibration (see p. 88)

What can I do in case of too low O2 dosing / measurement?

See section O2 Trouble Shooting (p. 85).

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13. FlowAnalyser and CITREX

O2 two-point Calibration using bellavista

CITREX H4

This is an instruction how to perform a two-point calibra- On your CITREX device: press the  button to con-
tion of the CITREX H4 flow measurement device using tinue
bellavista. Wait for two minutes (remaining time counts down)
On your bellavista device: set Pressure to 0 mbar
This procedure is valid for CITREX H4 firmware version
Select Flow Controller
3.8.001. CITREX H4 firmware updates are available from
On your CITREX device: press the  button to con-
imtmedicals technical support.
tinue
Wait for two minutes (remaining time counts down)
Connect the two devices as shown in the picture be-
On your bellavista device: switch off the controller by
low
pressing Off
The oxygen sensor of your CITREX is now calibrated.

Press the X button of your CITREX repeatedly until

you see the settings screen O2 Calibration
Use the O button to choose the mode O2 and Air
Press the  button to start
On your bellavista device: go to service screen
16 Function blocks and slide to page two called
Service controller
Set Pressure to 10 mbar
Set Flow to 30 L/min
Select Flow Controller O2

Adjust Flow until you read 30 L/min on your CITREX

(value in brackets)

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 FlowAnalyser and CITREX

FlowAnalyser PF-300

This is an instruction how to perform a two-point calibra- On your FlowAnalyser device: select Continue
tion of the FlowAnalyser PF-300 flow measurement de- Wait for three minutes (remaining time counts down)
vice using bellavista. On your bellavista device: switch off the controller by
Ensure that the FlowAnalyser has been switched on pressing Off
at least 30 min ago, otherwise allow the device to The oxygen sensor of your FlowAnalyser is now cali-
warm up for 30 min brated.
Connect the two devices as shown in the picture be-
low

On your FlowAnalyser device: Select Menu

Select Calibrations
Select Oxygen Sensor Calibration
On your bellavista device: go to service screen
16 Function blocks and slide to page two called
Service controller
Set Pressure to 10 mbar
Set Flow to 25 L/min
Select Flow Controller O2

Adjust Flow until you read 25 L/min Current Flow

on your FlowAnalyser
On your FlowAnalyser device: select Continue
Wait for three minutes (remaining time counts down)
On your bellavista device: set Pressure to 0 mbar
Select Flow Controller
125
Zero! Calibration General Operation
Please refer to the User Manual for general operation in-
CITREX H4 formation.
Disconnect all external tubing, filter and protection
caps
Press and hold the X button until you see the mes-
sage Zero-Calibration Running
Wait until the message on the screen disappears
The Zero! calibration of your CITREX has been done.

FlowAnalyser PF-300

Disconnect all external tubing, filter and protection

caps
Select Menu
Select Zero!
Wait until the message Calibrating, please wait…
on the screen disappears
The Zero! calibration of your FlowAnalyser has been
done.

126
 Spare Parts

14. Spare Parts

Please contact imtmedicals technical support for a com-
plete spare parts list.

127
128
 Index

15. Index

AC supply 9 Device setup 29 HL7 8 Setup 29

Accessories type 65 EasySend 7 Hotline 7 Shipment test 30
Alarm lights 8 Electrical test 64 Inlet filter blower 9 Sinter bronze filter 9, 10, 12
Alarms list 92 Electronics Inlet filter cooling fan 9 Replacement 87
Annual maintenance 38 Backlight inverter 14, 15 Inspiration block 10, 12 Software upgrade 18
Auxiliary pressure 9, 12 CFB board 14 Inspiration proportional Spare parts 127
Backlight inverter board 14, EPC board 14 valve 10, 11 SpO2 sensor 8
15 Lifeboard 14, 15 Internal turbine 10, 11 Sterilising 7
Battery 9 Mainboard 14 iVista 18 Test
Check 88 Powerboard 14, 15 Life block 10, 12 Battery 88
Replacement 89, 90 Sensorboard 14, 15 Lifeboard 14, 15 External sensors 27
bellavista-ready 19 EPC board 14 LOG file download 81 Touch screen 88
Block Schematics Factory defaults 29 Mainboard 14 Touch screen 8
Electronics 14 Factory repair 7 Maintenance schedule 16 Calibration 88
Pneumatics 10 FAQ 122 Nebulizer port 9, 12 Cleaning 7
Blower 10, 12 Filter Nurse call 8 Not working 123
Buttons 8 Inlet filter blower 9 O2 blender 10, 11 Test 88
Calibration 43 Inlet filter cooling fan 9 O2 concentration too low123 Trending data download 82
O2 sensor 83 O2 inlet filter 10, 11 O2 inlet filter 10, 11, 84 Trouble shooting
Touch screen 88 Sinter bronze filter 9, 10, O2 sensor 8, 10, 11 Checklist 80
CFB board 14 12 Calibration 83 O2 85
CITREX 124 Sinter bronze filter Replacement 83 Upgrade
O2 calibration 124 replacement 87 O2 supply 9, 10, 11 Background information
Zero! calibration 126 Filter mats replacement 87 O2 trouble shooting 85 22
Cleaning 7 FlowAnalyser 124 Passwords 81 Download 20
CO2 sensor 8 O2 calibration 125 Philips monitoring system 8 Feedback 22
Conditioning 7 Zero! calibration 126 Powerboard 14, 15 Install 21
Configuration 29 Fuses 9 Replacement Trouble shooting 23
Connection assist 8 G1, G2, G3, G4, G5 7 Battery 89, 90 USB 8
Connectors 8 Generation Filter mats 87 USB stick
Contact 7 1st Generation (G1) 7 O2 inlet filter 84 bellavista ready 19
Covers 8 2nd Generation (G2) 7 O2 sensor 83 Device information 19
DC supply 9 3rd Generation (G3) 7 Sinter bronze filters 87 Update data 20
Device class 6, 65 4th Generation (G4) 7 Selftest 28 Update detection 19
Device configuration 29 5th Generation (G5) 7 Sensorboard 14, 15 Verification 70
Device information file 19 Generation overview 7 Service menu overview 24 Version information 24

129
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