3 Checkout Procedure

In this section 3.1 Ventilator post-service checkout . . . . . . . . . . . . . . . . . . 3-3

3.2 Inspect the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.3 Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . 3-5
3.4 Flow control tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.4.1 With O2 monitoring . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.4.2 Without O2 monitoring . . . . . . . . . . . . . . . . . . . . . 3-7
3.5 O2 supply alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
3.6 Flush flow test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
3.7 Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . 3-11
3.8 Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
3.8.1 Low-pressure leak test (with ACGO) . . . . . . . . . 3-12
3.8.2 Low-pressure leak test (without ACGO) . . . . . . . 3-13
3.9 Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
3.10 Breathing system tests . . . . . . . . . . . . . . . . . . . . . . . 3-17
3.11 Power failure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
3.12 Checkout and calibration . . . . . . . . . . . . . . . . . . . . . . 3-19
3.12.1 Full test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19
3.12.2 Pressure and flow sensor calibration . . . . . . . . 3-20

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3.12.3 Monthly O2 cell calibration . . . . . . . . . . . . . . . . 3-20

3.12.4 Monitor and ventilator test . . . . . . . . . . . . . . . . . 3-20
3.13 Electrical safety tests . . . . . . . . . . . . . . . . . . . . . . . . . 3-22

WARNING After any repair or service of the 9100c NXT system,

complete all tests in this section.

Before you do the tests in this section:

• Complete all necessary calibrations and subassembly
tests. Refer to the individual procedures for a list of
necessary calibrations.
• Completely reassemble the system.

If a test failure occurs, make appropriate repairs and test

for correct operation.

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3.1 Ventilator post-service checkout

After servicing the 9100c NXT ventilator, perform the following
service mode Calibrations:
• Paw Gain
• Paw Zero
• PEEP Valve
• O2 Cell
• Flow Zero Inspiratory
• Flow Zero Expiratory
• Inspiratory Flow Valve
Then, complete the checkout procedure for the entire machine.

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3.2 Inspect the system

CAUTION The upper shelf weight limit is 25 kg (55 lb).

WARNING Do not leave gas cylinder valves open if the pipeline

supply is in use. Cylinder supplies could be depleted,
leaving an insufficient reserve supply in case of pipeline
failure.
Before testing the system, ensure that:
• The equipment is not damaged.
• Components are correctly attached.
• The breathing circuit is correctly connected, not damaged.
• Pipeline gas supplies are connected.
• Cylinder valves are closed.
• Models with cylinder supplies have a cylinder wrench attached to
the system.
• Models with cylinder supplies have a reserve supply of O2
connected to the machine during system checkout.
• The casters are not loose and the brakes are set and prevent
movement.
• The power cord is connected to a wall outlet. The mains indicator
on the display unit comes on when AC Power is connected.
• Check the date and time of machine, ensure it is set with the right
time zone.

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3.3 Pipeline and cylinder tests

CAUTION To prevent damage:

• Open the cylinder valve slowly.
• Do not force the flow controls.
If your system does not use cylinder supplies, do not do steps 3 and
5.
1. Set the system standby/On switch to On.
2. Disconnect the pipeline supplies and close all cylinder valves (if
equipped). If the pipeline and the cylinder pressure gauges are
not at zero, bleed all gases from the system.
• Connect an O2 supply.
• Set the flow controls to mid range.
• Make sure that all gauges but O2 are at zero.
• Disconnect the O2 supply.
• Make sure that the O2 gauge goes to zero. As pressure
decreases, alarms for low O2 supply pressure should occur.
3. Make sure that the cylinder are full:
• Open each cylinder valve.
• Make sure that each cylinder has sufficient pressure. If not,
close the applicable cylinder valve and install a full cylinder.
4. Set the system standby/On switch to Standby.
5. Test one cylinder at a time for high pressure leaks:
• Turn the flow control knobs fully clockwise to stop gas flow.
• Open the cylinder.
• Record the cylinder pressure.
• Close the cylinder valve.
• Record the cylinder pressure after one minute. If the pressure
decreases more than indicated below, there is a leak.
— 5000 kPa (725 psi) for ventilator drive gas.
— 690 kPa (100 psi) for non ventilator drive gas.
Install a new cylinder gasket and do this step again.
• Repeat step 5 for all cylinders.

WARNING Do not leave gas cylinder valves open if the pipeline

supply is in use. Cylinder supplies could be depleted,
leaving an insufficient reserve supply in case of pipeline
failure.
6. Connect the pipeline supplies one at a time and ensure that the
corresponding gauge indicates pipeline pressure.

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3.4 Flow control tests

If the system includes O2 monitoring, complete the flow control
tests in Section 3.4.1 “With O2 monitoring ”.
If the system does not include O2 monitoring, complete the flow
control tests in Section 3.4.2, “Without O2 monitoring ”.

3.4.1 With O2
monitoring

WARNING Nitrous oxide (N2O) flows through the system during this
test. Use a safe and approved procedure to collect and
remove it.
1. Set up the gas scavenging system.
• Attach a patient circuit and plug the patient port.
• Attach a bag to the bag port (or plug the bag port).
• Adjust the APL valve to minimum.
2. Connect the pipeline supplies or slowly open the cylinder valves.
3. Turn all flow controls fully clockwise (zero flow).
4. If equipped, set the ACGO selector switch to Breathing System.
5. Set the system Standby/On switch to On and set the Bag/Vent
switch to Bag.
6. Adjust O2 flow to 0.5 L/min.
7. Set the Bag/Vent switch to Vent, read O2 flow value.
8. Confirm that the O2 sensor measures 21% in room air and 100%
in pure O2. If not, calibrate the O2 sensor.
9. Set the flow controls to mid range of each flowtube.
Note If the system does not include N2O, skip steps 9 and 10.
10. Check the proportioning system concentration (increasing N2O
flow). Observe the following precautions:
• Start with all valves at the minimum setting.
• Adjust only the N2O flow control.
• Increase the N2O flow as specified in the following table and
make sure the O2 concentration is in range.
Note: Allow the O2 monitor to stabilize. At the lower flows,
the O2 monitor may take up to 90 seconds to stabilize.
• If you overshoot a setting, turn the O2 flow control clockwise
until the N2O flow decreases to the previous setting before
continuing the test.

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Set the N2O flow (L/min) Measured O2

0.2 22% minimum
1.0 22% to 33%
3.0 22% to 33%
5.0 22% to 33%
9.0 22% to 33%

11. Check the proportioning system concentration (decreasing O2

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

Set the O2 flow (L/min) Measured O2

5.0 22% to 33%
3.0 22% to 33%
1.0 22% to 33%
0.2 22% minimum

3.4.2 Without O2
monitoring

WARNING The following procedure will test for any significant

malfunction of the Link system but it will not confirm
proper calibration.

Nitrous oxide (N2O) flows through the system during this

test. Use a safe and approved procedure to collect and
remove it.
1. Set up the gas scavenging system.
• Attach a patient circuit and plug the patient port.
• Attach a bag to the bag port (or plug the bag port).
• Adjust the APL valve to minimum.
2. Connect the pipeline supplies or slowly open the cylinder valves.
3. Turn all flow controls full clockwise (zero flow).
4. If equipped, set the ACGO selector switch to Breathing System.

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5. Turn on the system.

6. Set the system Standby/On switch to On and set the Bag/Vent
switch to Bag.
7. Set the flow controls to mid range of each flowtube.
Note If the system does not include N2O, skip steps 8 and 9.
8. Check the proportioning system concentration (increasing N2O
flow). Observe the following precautions:
• Start with all valves at the zero setting.
• Adjust only the N2O flow control.
• Increase the N2O flow as specified in the following table and
make sure the O2 flow is as specified.
• If you overshoot a setting, turn the O2 flow control clockwise
until the N2O flow decreases to the previous setting before
continuing the test.

The O2 flow must be greater

Set the N2O flow (L/min)
than (L/min)
0.8 0.2
2 0.5
4 1.0
10 2.5

9. Check the proportioning system concentration (decreasing O2

flow). Observe the following precautions:
• Set the N2O flow to 9.0 L/min.
• Set the O2 flow to 3.0 L/min or higher.
• While reducing the O2 flow, set the N2O flow to the rates
shown in the table. The O2 flow must be greater than the
minimum limits.
• If you overshoot a setting, turn the N2O flow control
counterclockwise until the O2 flow increases to the previous
setting before continuing the test.

Set the N2O flow (using the The O2 flow must be greater
O2 flow control) to (L/min) than (L/min)
8.0 2.0
4.0 1.0
0.8 0.2

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3.5 O2 supply alarm test

1. Set the system to On.
2. Set all flow controls to 3 L/min.
3. Disconnect the O2 pipeline supply or close the cylinder valve.
4. Make sure that:
• The ‘No O2 Pressure’ alarm occurs.
• The N2O (if equipped) and O2 flows stop. The O2 flow stops
last.
• Air (if equipped) flow continues.
• The ‘No drive gas’ alarm occurs as well on the ventilator if the
ventilator uses O2 as the drive gas.
5. Turn all of the flow controls fully clockwise (zero flow).
6. Reconnect the O2 pipeline supply.

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3.6 Flush flow test

1. Set the Bag/Vent switch to Vent.
2. Attach a patient circuit and plug the patient port.
3. If equipped, set the ACGO selector switch to Breathing System.
4. Ensure that the bellows is completely collapsed.
5. Measure the amount of time it takes to fill the bellows when the
O2 flush button is fully and continuously depressed.
6. Repeat the above measurement two more times (deflate bellows
by removing the plug from the patient port).
7. The bellows should fill in approximately 3.0 seconds.

Possible Cause of • Large leak (if long filling time).

Failure • The output of the O2 pressure regulator is incorrect.
• The O2 pressure regulator is incorrectly connected.

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3.7 Vaporizer back pressure test

WARNING Anesthetic agent vapor comes out of the common gas

outlet during this test. Use a safe, approved procedure to
remove and collect the agent.
1. Set up the gas scavenging system.
• Attach a patient circuit and plug the patient port.
• Attach a bag to the bag port (or plug the bag port).
• Adjust the APL valve to minimum.
2. If equipped, set the ACGO selector switch to Breathing System.
3. Set the Bag/Vent switch to Bag.
4. Set the system Standby/On switch to On.
5. Set the O2 flow to 6 L/min.
6. Make sure that the O2 float moves freely.
7. Make sure that the O2 float stays constant.
8. Adjust the vaporizer concentration for each step from 0 to 1%.
The O2 flow must not decrease more than 1 L/min through the full
range. If the O2 flow decreases more than 1 L/min:
• Install a different vaporizer (but same agent) and try this step
again.
• If the O2 flow decreases less than 1 L/min with a different
vaporizer, the malfunction is in the first vaporizer.
• If the O2 flow also decreases more than 1 L/min with a
different vaporizer, the malfunction is probably in the 9100c
NXT system. Do not use the system until it is serviced (repair
vaporizer manifold port valve).
9. Complete steps 5 through 7 for each vaporizer and vaporizer
position.
10. Make sure you can not turn on more than one vaporizer at the
same time.
11. Set the standby/On switch to Standby.
12. Turn all of the flow controls fully clockwise (closed).

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3.8 Low-pressure leak test

WARNING Do not use a system with a low-pressure leak. Anesthetic

gas will go into the atmosphere, before reaching the
breathing circuit.

3.8.1 Low-pressure 1. Test the leak test device:

leak test (with ACGO) • Put your hand on the inlet of the leak test device. Push hard
for a good seal.
• Squeeze the bulb to remove all air from the bulb.
• If the bulb completely inflates in less than 60 seconds,
replace the leak test device.
2. Turn off all vaporizers.
3. Test the anesthesia system for low-pressure leaks:
• Set the ACGO selector switch to ACGO.
• Turn all flow controls fully clockwise (zero flow). Do not over
tighten.
• Connect the leak test device to the ACGO outlet.
• Compress and release the bulb until it is empty.
• The vacuum causes the floats to move. This is usual. If the
bulb completely inflates in 30 seconds or less, there is a leak
in the low pressure circuit.
4. Test each vaporizer for low-pressure leaks:
• Set the vaporizer to 1%.
Note: For Tec 7 vaporizer, it is highly recommended to test
the vaporizer at 1%, 3%, 5%, and 8%.
• Repeat step 3.
• Set the vaporizer to OFF.
• Test the remaining vaporizers.
5. Disconnect the test device.

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

Turn off all vaporizers at the end of the low-pressure leak

test.
6. Flush the system with O2:
• Set the O2 flow to 1 L/min.
• Continue the O2 flow for one minute.
• Turn the O2 flow control fully clockwise (closed).

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3.8.2 Low-pressure 1. Test the leak test device:

leak test (without • Put your hand on the inlet of the leak test device. Push hard
ACGO) for a good seal.
• Squeeze the bulb to remove all air from the bulb.
• If the bulb completely inflates in less than 60 seconds,
replace the leak test device.
2. Turn off all vaporizers.
3. Test the anesthesia system for low-pressure leaks:
• Remove the breathing system.
• Turn all flow controls fully clockwise (zero flow). Do not over
tighten.
• Connect the test adapter port 1 to the common gas outlet (3).
• Connect the leak test device (4) to the test adapter port 2

1 4

• Compress and release the bulb until it is empty.

• The vacuum causes the floats to move. This is usual. If the
bulb completely inflates in 30 seconds or less, there is a leak
in the low pressure circuit.
4. Test each vaporizer for low-pressure leaks:
• Set the vaporizer to 1%.
Note: For Tec 7 vaporizer, it is highly recommended to test
the vaporizer at 1%, 3%, 5%, and 8%.
• Repeat step 3.
• Set the vaporizer to Off.
• Test the remaining vaporizers.
5. Disconnect the test device.
6. Replace the breathing system.

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

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9100c NXT

Turn off all vaporizers at the end of the low-pressure leak

test.
7. Flush the system with O2:
• Set the O2 flow to 1 L/min.
• Continue the O2 flow for one minute.
• Turn the O2 flow control fully clockwise (closed).

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3.9 Alarm tests

1. Connect a test lung to the patient connection.
2. Set the Standby/On switch to On.
3. Set the controls:
• Ventilation Mode: Volume control (select from main menu)
• Ventilator:
– Tidal Vol: 400 mL
– Rate: 12
– I:E Ratio: 1:2
– Pmax: 40 cm H2O
– PEEP: OFF (if equipped)
• Anesthesia System:
– O2 flow: zero flow
– All other gases: OFF
– If equipped, ACGO selector switch to the breathing system.
4. Push O2 flush button to fill the bellows.
5. Set the Bag/Vent switch to Bag and back to Vent.
6. Make sure that:
• Mechanical ventilation starts.
• The subatmospheric pressure alarm does not occur.
Note: With active gas scavenging, too much scavenging flow
can cause subatmospheric alarm.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
7. Set the O2 flow control to 5 L/min.
8. Make sure that:
• The end expiratory pressure is approximately 2 cm H2O.
Note: Positive end expiratory pressure when PEEP is off
may indicate that the scavenging system is not removing
enough gas, if the PEEP option is enabled.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
9. Test the low minute volume alarm:
• Go to alarm setup menu.
• Set the alarm limit for low minute volume to 6.0 L/min.
• Make sure that a low minute volume alarm occurs.
• Go to the alarm setup menu.
• Set the low minute volume alarm to 0.1 L/min.
10. Test the high airway pressure alarm:
• Set Pmax to less than the Ppeak pressure.
• Make sure that the high Ppeak alarm occurs.
• Set Pmax to 40 cm H2O.
11. Test the apnea and low airway pressure alarms:
• Go to the alarm setup menu.
• Set Delay Setting value to 15 seconds.

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9100c NXT

• Turn all flow controls fully clockwise.

• Set the Bag/Vent switch to Bag.
• Remove the test lung from the patient connection.
• Other alarms such low minute volume can occur.
• Make sure that the low airway pressure and apnea alarms
occur. The apnea alarm occurs after 15 seconds.
12. Test the Sustained Ppeak pressure alarm:
• Set the controls:
– APL valve: Closed (70 cmH2O)
• Mechanical ventilation stops when the Bag/Vent switch is set
to Bag.
• Occlude the bag port connector with a test plug.
• Close the patient connection using the test plug located on
the side of patient Y-piece connector and push the O2 flush
button.
• Make sure that the Sustained Ppeak alarm occurs after
approximately 15 seconds at the Sustained Ppeak limit (10
cmH2O).
Note If the system does not include O2 monitor, skip step 13 and 14.
13. Test the O2 monitor and alarms
• Remove the O2 sensor from the breathing system.
• Make sure the sensor measures approximately 21% O2 in
room air.
• Set the low O2 alarm to 50%. Make sure a low O2 alarm
occurs.
• Set the low O2 alarm back to 21% and make sure that alarm
cancels.
• Put the O2 sensor back in circuit.
• Remove the test lung from the patient connection.
• Set the High O2 alarm to 50%.
• Push the O2 flush button to fill the breathing system.
• Set the O2 flow control to 5 L/min.
• Make sure the high O2 alarm comes On.
• Set the high O2 alarm back to 100% and make sure that
alarm cancels.
• After 2 minutes in pure O2, the O2 display reads
approximately 100%.
• Turn the O2 flow control fully clockwise (zero flow).
14. Set the Standby/On switch to Standby.

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3.10 Breathing system tests

WARNING Objects in the breathing system can stop gas flow to the
patient. This can cause injury or death. Do not use a test
plug that is small enough to fall into the breathing system.
1. Verify that AGSS is operating if equipped. For systems that have
a flow indicator on the side, make sure that the flow indicator
shows a flow in the green (normal) region.
2. Zero the pressure gauge (Section 5.4.1).

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

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

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3.11 Power failure test

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

If the indicator is not on, the display assembly is not receiving AC

power.
• Verify AC power to the machine (reset circuit breaker).
• Check the AC inlet assembly.
2. Set the Standby/On switch to On.
3. Unplug the power cord with the system turned on.
4. Make sure that the power failure alarm comes on.
5. Make sure any one of the following messages is on the ventilator
display:
• “On Battery - Power OK?”
• "System shutdown in < 30 min"
• "System shutdown in < 1 min"
6. Connect the power cord again.
7. Make sure the alarm cancels.

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3.12 Checkout and calibration

Enter Bench Mode 1. Restart the system.
2. Enter Service Mode.
3. Select Bench Mode "On".
4. Restart the system to enter into Bench Mode.

3.12.1 Full test 1. Perform the Standby mode procedure if appropriate.

2. Press the menu key.
3. Rotate the control knob to select Checkout and Calibration.
4. Rotate the control knob to select Full test and follow the
instructions.
5. If a test outcome is conditional pass, follow the instructions to
recheck or accept the results.
6. If a test fails, follow the instructions to recheck or select cancel
to exit.
7. Before the test results are shown, the following checklist is shown
for confirmation:
• ‘Check the pressure of the backup O2 supply.’
• ‘Check that the backup ventilation is operational.’
• ‘Check that patient suction is setup correctly.’
• ‘Check external monitoring equipment.’
8. When the Full Test is completed, press control knob to select
Confirm.
9. The results of Full Test will be shown on the screen.
Rotate control knob to select Back to show Checkout and
Calibration menu. Or select Close to start the case.

Ventilator leak The Ventilator Leak Test checks the ventilator, bellows, gas
supplies, breathing circuit for gas leaks, and the patient circuit
compliance in the mechanical ventilation mode.
The leak rate should be less than 200 mL/min.
To run this test, follow the on-screen instructions. When the test
passes, the next test starts.

Vaporizer leak The Vaporizer Leak Test checks for leaks in the vaporizers.
To run this test, follow the on-screen instructions. When the test
passes, the next test starts.

Gas controls The Gas Controls Test checks the flow control valves and gas flows.
To run this test, follow the on-screen instructions. When the test
passes, the next test starts.

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Circuit leak The Circuit Leak Test checks Bag/Vent switch, proper gas supply
pressures, airway pressure measurement transducer, APL valve and
manual circuit leak.
To run this test, follow the on-screen instructions.

3.12.2 Pressure and Calibrate the flow sensors by removing the flow sensor module from the
flow sensor system. On-screen instructions are available through Main menu-
calibration Checkout and Calibration menu- Flow and pressure.
1. Set the Bag/Vent switch to Bag.
2. Remove the flow sensor module.
3. Wait for ‘No insp flow sensor’ and ‘No exp flow sensor’ alarms to
occur.
4. Reinsert the flow sensor module. Make sure the flow sensors are
securely latched when they are reinserted. Wait for alarms to clear.
5. Start mechanical ventilation when ready.

3.12.3 Monthly O2 ( For O2 Monitoring enabled system) Monthly O2 cell calibration will
cell calibration calibrate the O2 cell to 100% O2, through exposure to 100% O2 supply.
1. Make sure the patient connection is not plugged or there is no patient
tubbing connected to the system.
2. (ACGO option only.) Set the ACGO switch to Circle.
3. Set Bag/Vent switch to Vent.
4. Push the Menu key.
5. Select Checkout and Calibration.
6. Select Monthly O2 Cell Calibration.
7. Follow the instructions on the screen.
8. If ‘Failure’ shows on the screen, repeat the 100% O2 cell calibration.
• If the calibration fails after another attempt, decrease the airway
pressure and perform the 100% O2 cell calibration again.
• If the calibration fails after repeated attempts, perform a 21% O2
cell calibration. Then perform the 100% O22cell calibration again.
• If the 100% O2 cell calibration does not pass, replace the O2 cell.

3.12.4 Monitor and 1. Connect a test lung to the patient connection.

ventilator test 2. Set the Standby/On switch to On.
3. Set the BTV switch to Bag mode position to enter manual ventilation
mode.
4. Set the controls:

Ventilator: Tidal Volume: 400 ml

RR: 12
I:E: 1:2

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 3 Checkout Procedure

Pmax: 40 cmH2O
O2 flow: fully clockwise (Minimum flow)
Anesthesia System:
All other gases: OFF

5. Set the system to mechanical ventilation mode.

6. Push the O2 flush button to fill the bellows.
7. Make sure that:
• Mechanical ventilation starts.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
8. Set the O2 flow control to 5 L/min.
9. Make sure that:
• The end expiratory pressure is approximately 0 cmH2O.
• The ventilator displays the correct data.
• The bellows inflate and deflate during mechanical ventilation.
10. Set the ventilator controls and alarm limits to clinically appropriate
levels.
11. If the system will not be used immediately, set the Standby/On
switch to Standby and close all cylinder valves.
12. Make sure that there are applicable anesthetic and emergency
drugs, and equipment for:
• Airway maintenance
• Manual ventilation
• Trachael intubation
• IV administration
13. Reboot the machine to exit bench mode.
14. Prepare the system:
• Turn all vaporizers off.
• Open the APL valve.
• Set the BTV switch to Bag position.
• Set all flow controls to OFF.
• Set sufficient patient suction.
• Make sure that the breathing circuit is correctly connected
and not damaged.

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3.13 Electrical safety tests

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

Voltage Max. Earth Leakage Current

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

2. Make sure that the resistance to ground is less than 0.2Ω

between an exposed metal surface and the ground pin on the
power cord.

3.14 ACGO pressure relief valve tests

For machines with ACGO, follow below procedures to check the
MOPV valve in ACGO module:
1. Set the ACGO selector switch to ACGO.
2. Plug the ACGO port
3. Connect the O2 pipeline gas.
4. Adjust the O2 flow control knob to create a 10 l/min O2 flow.
5. Carefully listen for the pressure relief weight to be relieving, verify
that the pressure relief weight "pops off" from its seat or a purring
sound can be heard. This indicates the valve is functioning correctly.
6. Remove the plug from the ACGO port.

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