GE Healthcare

Carestation 30
User’s Reference Manual
Software Revision 2.x
User Responsibility
This Product will perform in conformity with the description thereof
contained in this User’s Reference manual and accompanying labels
and/or inserts, when assembled, operated, maintained, and repaired in
accordance with the instructions provided. This Product must be checked
periodically. A defective Product should not be used. Parts that are
broken, missing, plainly worn, distorted, or contaminated should be
replaced immediately. Should repair or replacement become necessary,
GE Healthcare recommends that a telephonic or written request for
service advice be made to the nearest GE Healthcare Customer Service
Center. This Product or any of its parts should not be repaired other than
in accordance with written instructions provided by GE Healthcare and
by GE Healthcare trained personnel. The product must not be altered
without prior written approval of GE Healthcare. The user of this Product
shall have the sole responsibility for any malfunction which results from
improper use, faulty maintenance, improper repair, damage, or
alteration by anyone other than GE Healthcare.

Main Machine SN GE Healthcare products have unit serial numbers with coded logic which
Information indicates a product group code, the year of manufacture, and a
sequential unit number for identification. The serial number is in the
format below.

MFYYMMXXXX
The YY represents a number indicating the year the product was
manufactured; 11 = 2011, 12 = 2012, and so on.
The MM represents a number indicating the month the product was
manufactured; 01 = Jan, 02 = Feb, and so on.
The XXXX represents the serial number the machine was manufactured.
1 Introduction

Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Symbols used in the manual or on the equipment . . . . . . . 1-3
Typeface conventions used . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

2 System Controls and Menus

Anesthetic System Controls . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Front view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Rear view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Breathing system components . . . . . . . . . . . . . . . . . . . . . . 2-5
Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
ACGO (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Ventilator screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Using menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

3 Setup and Connections

Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Pipeline gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
How to install pin indexed cylinder yokes . . . . . . . . . . 3-5
Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
How to install vaporizer . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Vaporizer safety interlock . . . . . . . . . . . . . . . . . . . . . . . 3-9
Flow sensor connection . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Passive AGSS connection(optional) . . . . . . . . . . . . . . . . 3-12
Passive AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
How to install Passive AGSS . . . . . . . . . . . . . . . . . . . 3-12
Installing Passive AGSS . . . . . . . . . . . . . . . . . . . . . . 3-13
Connecting Passive AGSS . . . . . . . . . . . . . . . . . . . . 3-15
Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
When to change the absorbent . . . . . . . . . . . . . . . . . 3-17
Removing a canister . . . . . . . . . . . . . . . . . . . . . . . . . 3-17

M1217948 Rev P 1
Carestation 30

Filling Absorber canister . . . . . . . . . . . . . . . . . . . . . . 3-18

Installing the Absorber canister . . . . . . . . . . . . . . . . . 3-19
Electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
Mains inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
Equipotential stud . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
USB and SpO2 port . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21
How to attach equipment to the top of the machine . . . . . 3-23
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23

4 Operation

Turning on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Starting manual ventilation . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Starting mechanical ventilation . . . . . . . . . . . . . . . . . . . . . 4-3
Enter standby mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Shutting down the system . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Ventilator setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Alarm limits setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

5 Preoperative Tests

Inspecting the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Power failure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Flow control tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
O2 supply alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
O2 flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . . 5-8
Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Negative low-pressure leak test . . . . . . . . . . . . . . . . . . 5-9
Positive low-pressure leak test . . . . . . . . . . . . . . . . . 5-12
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
Breathing system tests . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Monitor and ventilator tests . . . . . . . . . . . . . . . . . . . . . . . 5-19
Circuit compliance compensation . . . . . . . . . . . . . . . . . . 5-21

2 M1217948 Rev P
6 Preoperative Checkout

Every day before the first patient . . . . . . . . . . . . . . . . . . . . . 6-2

Before every patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

7 Alarms and Troubleshooting

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Alarm priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
List of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Minimum system shutdown alarms . . . . . . . . . . . . . . . 7-5
Breathing system problems . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Electrical problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
Self Help mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

8 User Maintenance

Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Maintenance summary and schedule . . . . . . . . . . . . . . . . 8-4
User maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
GE Healthcare authorized maintenance . . . . . . . . . . . 8-5
Breathing system maintenance . . . . . . . . . . . . . . . . . . . . . 8-6
O2 cell replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
O2 cell calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8
Installing cleaned, disinfected components . . . . . . . . . 8-9
Inspiratory and expiratory check valves . . . . . . . . . . . . 8-9
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Vaporizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Prevent water buildup . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10

9 Cleaning and Disinfection

Autoclave breathing system . . . . . . . . . . . . . . . . . . . . . . . . 9-4

Removing APL valve . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Removing breathing system . . . . . . . . . . . . . . . . . . . . 9-4

M1217948 Rev P 3
Carestation 30

Autoclave breathing system . . . . . . . . . . . . . . . . . . . . . 9-4

How to disassemble the breathing system . . . . . . . . . 9-5
Installing the breathing system . . . . . . . . . . . . . . . . . . 9-7
System cleanable parts . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Surface cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Cleaning Flow sensor (optional) . . . . . . . . . . . . . . . . . 9-9
Cleaning and disinfection of inspiratory/expiratory valves .
9-10
Cleaning and disinfection of bellows parts . . . . . . . . . . . . 9-11
Disassembling the bellows assembly . . . . . . . . . . . . 9-11
Cleaning the Bellows . . . . . . . . . . . . . . . . . . . . . . . . . 9-13
Assembling the Bellows Assembly . . . . . . . . . . . . . . 9-13
Bellows assembly tests . . . . . . . . . . . . . . . . . . . . . . . 9-13
Cleaning and disinfection of AGSS . . . . . . . . . . . . . . . . . 9-17
Removing the AGSS assembly . . . . . . . . . . . . . . . . . 9-17
Disassembling the AGSS assembly . . . . . . . . . . . . . 9-17
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-19
Mechanical cleaning in washer or washer-disinfector 9-19
Manual cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-19
High level disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-19

10 Parts

Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Breathing system inspiration and expiration valve assembly 10-
3
Passive AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Breathing system protection . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
O2 Sensor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Vaporizer (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
System accessories (optional) . . . . . . . . . . . . . . . . . . . . . . 10-9
Field upgrade kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-10

4 M1217948 Rev P
 Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . 10-10

11 Specifications and Theory of Operation

System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . 11-3

Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
O2 flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
N2O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
Mixed gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
O2 controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Flow specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Breathing system specifications . . . . . . . . . . . . . . . . . . . . 11-11
Gas scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-12
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
Ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
O2 monitor theory of operation . . . . . . . . . . . . . . . . . . 11-13
Ventilator and monitoring specifications . . . . . . . . . . . . . . 11-14
Pneumatics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Alarm settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
O2% monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Ventilator and monitoring accuracy data. . . . . . . . . . . . . . 11-14
SpO2 and monitoring specifications . . . . . . . . . . . . . . . . . 11-16
Electrical functional block diagram . . . . . . . . . . . . . . . . . . 11-17
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-18
Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-18
Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-19
Electrical safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-20
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . 11-21
ESD safety precautions . . . . . . . . . . . . . . . . . . . . . . . 11-21
Guidance and manufacturer’s declaration - electromagnetic

M1217948 Rev P 5
Carestation 30

emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-22
Guidance and manufacturer’s declaration - electromagnetic
immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-23
Radiated immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-24
Recommended separation distances . . . . . . . . . . . . . 11-25
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-26
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . . 11-26
IEC 60601-1 Classification . . . . . . . . . . . . . . . . . . . . . . . . 11-27
Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-27
System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-28
Integral Components. . . . . . . . . . . . . . . . . . . . . . . . . . 11-28
Not Integral components. . . . . . . . . . . . . . . . . . . . . . . 11-28

Index

Warranty

6 M1217948 Rev P
 1 Introduction

In this section Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Product description . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Symbols used in the manual or on the equipment . . . . . . . . 1-3
Typeface conventions used . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

M1217948 Rev P 1-1

Carestation 30

Intended use
The Carestation 30 anesthesia machine is a compact, integrated, and
intuitive anesthesia delivery system. The Carestation 30 anesthesia
machine provides general inhalation anesthesia and ventilatory
support for patients during surgery as well as monitoring and
displaying various patient parameters.
In Volume Control Ventilation, a patient can be ventilated by using a
minimal tidal volume of 50 ml.

WARNING This anesthesia system is not suitable for use in an MRI

environment.
This system must only be operated by medical personnel authorized
and trained to use this product. It must be operated according to the
instructions in this User’s Reference Manual.

Product description The Carestation 30 anesthesia machine is composed of the

anesthetic breathing system, anesthetic gas transfer and receiving
systems, anesthetic vapor delivery devices, anesthetic ventilator, and
accessories.
Note Configurations available for this product depend on local market and
standards requirements. Illustrations in this manual may not
represent all configurations of the product. This manual does not
cover the operation of every accessory. Refer to the accessory
documentation for further information.

WARNING Explosion Hazard. Do not use this system with flammable

anesthetic agents.

Figure 1-1: Front view

1-2 M1217948 Rev P

 1 Introduction

Symbols used in the manual or on the equipment

Symbols replace words on the equipment, on the display, or in GE
Healthcare manuals.
Warnings and Cautions tell about dangerous conditions that can
occur if you do not follow all instructions in this manual.
Warnings tell about a condition that can cause injury to the operator
or the patient.
Cautions tell about a condition that can cause damage to the
equipment. Read and follow all warnings and cautions.

On (system on) Off (system standby)

Battery Indicator Defibrillation-proof Type CF Applied Part

O2+ O2 flush button Direct current

AC on and battery charging On battery

Pneumatic inlet Type B equipment

Caution, consult accompanying documents Frame or chassis ground

Refer to instruction manual or booklet (blue Attention, refer to product instructions, IEC
background) 60601-1

Serial number Stock number

Protective earth ground Earth ground

Variability Maximum

+ Plus, positive polarity

- Minus, negative polarity

M1217948 Rev P 1-3

Carestation 30
Bag position/manual ventilation Mechanical ventilation

Inspiratory flow Expiratory flow

Lock Unlock

ACGO switch set to BC ACGO switch set to ACGO Mode

134°C
Autoclavable Not autoclavable

Bellows volumes are approximate

O2 % O2 cell connection

APL settings are approximate Anesthetic Gas Scavenging System

Equipotential Read to top of float

End case key Audio pause/Unpause key

USB port Cylinder

OC Occlude Cone Authorized representative in the European

Community

Manufacturer name and address Date of manufacture

1-4 M1217948 Rev P

 1 Introduction

Indicates that the waste of electrical and Systems with this mark agree with the
electronic equipment must not be disposed European Council directive (93/42/EEC) for
as unsorted municipal waste and must be Medical Devices when they are used as
collected separately. Please contact an specified in their User’s Reference manuals.
authorized representative of the The xxx is the certification number of the
manufacturer for information concerning the Notified Body used by GE Healthcare’s
decommissioning of equipment. Quality Systems.
First CE marked in 2012.
GOST R Russian certification Authorized representative in the European
Community

ESD sensitive device. Connections should Interference

not be made to this device unless ESD
precautionary procedures are followed.

ACGO display Device contains phthalates XXXX indicates

phthalate Possible phthalates include:
DBP: Di-n-butyl phthalate
DNPP: 1,2-Benzenedicarboxylic acid,
dipentylester, branched and linear; Npentyl-
isopentylphthalate; Di-n-pentyl phthalate;
Diisopentylphthalate
BBP: Benzyl butyl phthalate
DEHP: Bis(2-ethylhexyl) phthalate; Di-
(2-ethylhexyl) phthalate
DMEP: Bis(2-methoxyethyl) phthalate
DIBP: Dissobutyl phthalate
No pushing Eurasian Conformity

M1217948 Rev P 1-5

Carestation 30

Typeface conventions used

Menu items are written in bold italic typeface; for example, Normal.
Messages that are displayed on the screen are enclosed in single
quotes; for example, ‘On Battery, Power OK?’
When referring to different sections and other documents, the names
are written in italic typeface and enclosed in double quotes; for
example, “System Controls and Menus.”

1-6 M1217948 Rev P

 1 Introduction

Abbreviations
The abbreviations that appear in the manual or on the screen are
listed as below:

Abbreviation Definition
A
ACGO Auxiliary Common Gas Outlet
AGSS Anesthetic Gas Scavenging System
APL Adjustable Pressure Limiting valve
A/D Analog/Digital

B
BS Breathing System
BPM Breaths per minute
BTV Bag/Vent switch
BTPS Body temperature, ambient pressure, saturated
humidity conditions

C
CPLD Complex Programmable Logic Device

F
F.G.F Fresh Gas Flow

I
I:E Inspiratory-expiratory ratio
I/O Input/Output

M
MOPV Mechanical Over Pressure relief Valve
MV Minute volume

N
N2 O Nitrous oxide

O
O2 Oxygen
OC Occluder Cone

P
Paw Airway pressure
Pleth Plethysmographic waveform
Peak Peak pressure
Pmean Mean airway pressure

R
RATE Respiration rate

M1217948 Rev P 1-7

Carestation 30

Abbreviation Definition
S
SpO2 Saturation of peripheral oxygen

T
TV Tidal volume

V
VC Volume compensation
VCV Volume controlled ventilation

1-8 M1217948 Rev P

 2 System Controls and Menus

WARNING Explosion Hazard. Do not use this system with flammable

anesthetic agents.

In this section Anesthetic System Controls . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Front view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Rear view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Breathing system components . . . . . . . . . . . . . . . . . . . . . . . 2-5
Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
ACGO (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
Ventilator controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
Ventilator screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
Using menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

M1217948 Rev P 2-1

Carestation 30

Anesthetic System Controls

Front view

1
17
2
16 3
15 4
14 5
6
7

13 8

12 10

18

19
11

Figure 2-1: Front View

Table 2-1: System controls --- Front view

Item in Figure 2-1 Description

1 Ventilator display Refer to "Ventilator controls" on page 2-8.

2 Cylinder pressure gauge(s) (upper row) For indicating the cylinder gas pressure.

3 Pipeline pressure gauge(s) (lower row) For indicating the pipeline gas pressure.

4 Task light By default, task light is turned on when the system switch is switched on.

5 Handle For moving the machine.

6 Vaporizer Manifold For vaporizer mounting. Refer to "Ventilator controls" on page 2-8 for the
vaporizer controls.

2-2 M1217948 Rev P

 2 System Controls and Menus

Table 2-1: System controls --- Front view

Item in Figure 2-1 Description

7 System switch
Set the switch to the On ( ) position to turn on the system.

Set the switch to the Off ( ) position to turn off the system.

8 O2 flush button Push the O2 flush button to supply a high flow of O2 to the breathing system.

9 ACGO switch ACGO (Auxiliary Common Gas Outlet). When set to ACGO, fresh gas flows to
the open breathing system through the ACGO, and there is no mechanical
ventilation mode.
Breathing system Mode:

ACGO Mode:

10 ACGO Refer to "ACGO (optional)" on page 2-7.

11 Caster with brake (4 brakes on all Push down to lock. Lift to release.
casters)

12 AGSS (Optional) Anesthesia Gas Scavenging System for scavenging the waste gas.

13 Breathing system Refer to "Breathing system components" on page 2-5.

14 USB port and SpO2 port (Optional) Insert the USB drive into the USB port to upgrade software or download logs;
Connect the SpO2 sensor cable to the SpO2 port to monitor the arterial oxygen
and pulse rate of the patient.

15 Paw pressure gauge Measures patient airway pressure.

16 Flow controls Turn the control counterclockwise to increase the flow and clockwise to
decrease the flow.
There is a hypoxic guard system in the flow controls. It maintains an
approximate minimum 1 to 3 ratio of flow between O2 and N2O.

17 Flow meter module Adjust and indicate the flow of O2, or N2O, or Air (optional).

18 Hook For holding the patient circuit tubings.

19 Patient circuit Connect to patient.

M1217948 Rev P 2-3

Carestation 30

Rear view

1 10

4
5 12

11
6
7
8

Figure 2-2: Rear View

Table 2-2: System Controls --- Rear view

Item in Figure 2-2

1 Auxiliary O2 pipeline inlet 7 Battery fuse

2 O2 pipeline inlet 8 Mains supply inlet (with two fuses)

3 N2O/Air pipeline inlet 9 Nameplate

4 O2 cylinder inlet 10 Hook

5 N2O/Air cylinder inlet 11 Suction device mounting bracket (Optional)

6 Equipotential stud 12 Yoke handle (T-handle or Hand-wheel)

2-4 M1217948 Rev P

 2 System Controls and Menus

Breathing system components

1
10

11

12
2
13
3
9
4 14

5
8
6

Figure 2-3: Breathing system

Table 2-3: Breathing system components

Item in Figure 2-3 Description

1 Bellows assembly Works in mechanical ventilation mode to control patient’s breathing.

2 BTV switch Selects between manual ventilation (bag) or mechanical ventilation

(ventilator).

3 Inspiratory check valve The inspiratory check valve opens during inspiration and closes at the start of
expiration.

4 Adjustable pressure-limiting (APL) valve Adjust the breathing system pressure limit during manual ventilation.
• Turn the APL valve clockwise to increase the pressure limit.
• Turn the APL valve counterclockwise to decrease the pressure limit.

5 Inspiratory port Fresh gas flows to patient through this port.

6 Bag port Connects to the bag which is used in manual ventilation mode.

7 Expiratory port Exhaled gas from patient flows through this port.

8 Flow sensor Flow sensor is used to measure expiratory volume.

9 Expiratory check valve The expiratory check valve opens during expiration and closes at the start of
inspiration.

10 Absorber canister Absorbs water vapor from the breathing system.

11 Absorber canister release latch Push the release tab down to remove the canister.

12 Breathing system release button Push the release button to remove the breathing system.

13 Occluder cone Use to plug the Y-piece of the patient circuit during leak test or calibration test.

14 O2 cell (optional) Measures oxygen concentration in the patient airway.

M1217948 Rev P 2-5

Carestation 30

Vaporizer controls
The system can use Tec 7 or Tec 820/850 vaporizers. Refer to the
vaporizer operation and maintenance manual for more detailed
information on the vaporizer.

Figure 2-4: Vaporizer controls

Table 2-4: Vaporizer controls

Item, Figure 2-4 Description

1 Lock lever Turn the lever fully clockwise to lock the vaporizer in
position.

2 Concentration control Push the release and turn the concentration control to set
and release the agent concentration.

2-6 M1217948 Rev P

 2 System Controls and Menus

ACGO (optional)

WARNING Fresh gas flow is directed through the Auxiliary Common Gas Outlet
(ACGO) on the front of the system when the ACGO switch is set to
the ACGO position. Mechanical ventilation is not available when
operating an auxiliary manual breathing system with fresh gas from
the ACGO. The BTV switch, APL valve, and bag are not part of the
external circuit. O2 concentration monitoring is not available in ACGO
Mode.
Important Use an external O2 monitor in ACGO mode.
Do not use an external ventilator on the ACGO. Do not use the ACGO
to drive external ventilators or for jet ventilation.

WARNING The maximum pressure at the ACGO can be up to 125

cmH2O. Use a breathing system with pressure relief.

M1217948 Rev P 2-7

Carestation 30

Ventilator controls
The ventilator controls include touch keys, menu screens, and a
encoder knob. The system switch provides power functions to the
ventilator display. The BTV switch starts and stops mechanical
ventilation.

5 6

1 2 3

Figure 2-5: Ventilator controls

Item in Figure 2-5 Description

1 End case key Push the End Case key and push the encoder knob to enter Standby mode.

2 Audio Pause key Push the Audio Pause key to silence the audio alarms less than 2 minutes.
Selecting and holding Audio Pause for 2 seconds and then releasing the key
will cancel the audio pause function.

3 Encoder knob Use the encoder knob for parameters setting or select system options in the
LCD screen.

4 Ventilator screen Displays key monitoring parameters and provides interfaces for controlling
and setting.

5 Battery indicator • Flashing green: the AC power is plugged in and the battery is charging.
• Steady green: the AC power is plugged in and the battery is full.
• Off: the AC power is not plugged in or no battery.

6 System power indicator • Green: system power on.

• Off: system power off.

7 System switch Switch the ventilator system to On or Off.

2-8 M1217948 Rev P

 2 System Controls and Menus

Ventilator screen
1

4
5

Figure 2-6: Normal view

Item in Figure 2-6 Description

1 Alarm message field The alarm message field can display four alarm messages at one time. If
more than four alarms occur, the alarms cycle every two seconds.

2 Power supply type • is displayed when the system is powered by AC mains supply.
• is displayed when the system is powered by battery.

3 Measured values field Shows the measured parameter values. Refer to "Abbreviations" on page 1-7
for the explanations of the abbreviations.

4 Menu Sets alarm limits and system miscellaneous settings.

5 Ventilator settings Sets ventilator TV, Rate, and I:E settings.

6 Waveform area The waveform area can be set to display:

• Only Pleth waveform
• Only Paw waveform
• Both Pleth waveform and Paw waveform

M1217948 Rev P 2-9

Carestation 30

Using menus
1. Push the encoder knob. Note the TV setting will be highlighted.
2. Turn the encoder knob to navigate through the settings of TV,
Rate, I:E, and Menu.
3. Push the encoder knob to enter the highlighted option or a sub
menu.
4. Turn the encoder knob to change the value.
5. Push the encoder knob to save the setting.
6. The screen returns to the normal view 20 seconds after the last
action.
The structure of the menu is described in the diagram below.

Figure 2-7: Carestation 30 menu structure

2-10 M1217948 Rev P

 3 Setup and Connections

In this section Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Pipeline gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
How to install pin indexed cylinder yokes . . . . . . . . . . . 3-5
Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
How to install vaporizer . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Vaporizer safety interlock . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Flow sensor connection . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Passive AGSS connection (optional) . . . . . . . . . . . . . . . . 3-12
Passive AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
How to install Passive AGSS . . . . . . . . . . . . . . . . . . . . 3-12
Installing Passive AGSS . . . . . . . . . . . . . . . . . . . . . . . 3-13
Connecting Passive AGSS . . . . . . . . . . . . . . . . . . . . . 3-15
Canister setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16
When to change the absorbent . . . . . . . . . . . . . . . . . . 3-17
Removing a canister . . . . . . . . . . . . . . . . . . . . . . . . . . 3-17
Filling Absorber canister . . . . . . . . . . . . . . . . . . . . . . . 3-18
Installing the Absorber canister . . . . . . . . . . . . . . . . . . 3-19
Electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20

M1217948 Rev P 3-1

Carestation 30

Mains inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20

Equipotential stud . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
USB and SpO2 port . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-21
How to attach equipment to the top of the machine . . . . . . 3-23
Installation notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23

3-2 M1217948 Rev P

 3 Setup and Connections

WARNING The manufacturer strongly recommends the use of O2

monitoring with this equipment. Refer to local standards
for mandatory monitoring.

WARNING International Standard ISO 80601-2-13 requires exhaled

volume monitoring (in accordance with ISO 80601-2-13),
O2 monitoring (in accordance with ISO 80601-2-55) and
CO2 monitoring (in accordance with ISO 80601-2-55) be
used with this equipment.

WARNING International Standard ISO 80601-2-13 also requires

anesthetic agent monitoring (in accordance with ISO
80601-2-55) be used when anesthetic vaporizers are in
use.

WARNING When adding devices to the anesthesia systems, follow

the installation instructions provided by the device
manufacturer. Whoever adds individual devices to the
anesthesia system shall provide instructions on how to
enable the individual devices (for example, a preoperative
checklist).

WARNING Always make sure that the pipeline supply hoses and the
breathing system components are not toxic and will not:
• Cause an allergic reaction in the patient.
• React with the anesthetic gases or agent to produce
dangerous by-products.

WARNING To prevent incorrect values or equipment malfunction,

use only cables, hoses and tubing from the system
manufacturer.

WARNING The Carestation 30 anesthesia system needs special

precautions regarding EMC and needs to be installed and
put into service according to the EMC information
provided in “ Electromagnetic compatibility (EMC)” on
page 11-22.

WARNING This system operates correctly at the electrical

interference levels of IEC 60601-1-2. Higher levels can
cause nuisance alarms that may stop mechanical
ventilation.

M1217948 Rev P 3-3

Carestation 30

WARNING To help prevent false alarms from devices with high-

intensity electrical fields:
• Keep the electrosurgical leads away from the
breathing system, the flow sensors, and the oxygen
cell.
• Do not allow the electrosurgical leads to contact any
part of the anesthesia system.
• Do not use cell phones near the anesthesia system.

WARNING A malfunction of the medical gas central supply system

may cause all connected devices to stop.

WARNING To protect the patient when electrosurgical equipment is

used:
• Monitor the correct operation of all life support and
monitoring equipment.
• Keep backup manual ventilation available in case the
electrosurgical equipment prevents safe use of the
ventilator.

WARNING Do not use antistatic or electrically-conductive breathing

tubes or masks. They can cause burns if used near high
frequency surgical equipment.

WARNING Use only reservoir bags that comply with EN1820 on this
system.

WARNING Use only breathing tubes that comply with YY0461, or

ISO5367, or EN12342 on this system.

3-4 M1217948 Rev P

 3 Setup and Connections

Gas supplies

WARNING Use only medical grade gas supplies. Other types of gas
supplies may contain water, oil, or other contaminants
which could affect the operation of the pneumatic system.

Pipeline gas supplies The gas supply pipeline inlets are located at the back panel of the
machine.

1 2 3

1. N2O/AIR pipeline inlet

2. O2 pipeline inlet
3. Backup O2 pipeline inlet (only for China)

Figure 3-1: Pipeline inlets

How to install pin 1. Locate the cylinder wrench.

indexed cylinder 2. Close the cylinder valve on the cylinder to be replaced.
yokes 3. Fully loosen the yoke handle.
4. Open the cylinder yoke.
5. Remove the used cylinder and the used gasket.
6. Remove the cap from the cylinder valve on the new cylinder.
7. Point the cylinder outlet away from all items that can be damaged
by a release of high pressure gas.
8. Quickly open and close the cylinder valve. This removes dirt from
the cylinder outlet.

WARNING Make sure there is one and only one gasket on the
cylinder connection. No gasket or more than one gasket
can cause a leak.

9. Install a new gasket.

10. Align the cylinder post with the index pins.
11. Close the yoke gate and tighten the yoke handle.
12. Do a high pressure leak test (test one cylinder at a time):
• Disconnect pipeline supplies.
• Set the system switch to Off.

M1217948 Rev P 3-5

Carestation 30

• Open the cylinder.

• Record the cylinder pressure.
• Close the cylinder.
• If the cylinder pressure decreases more than 690 kPa (100
psi) in one minute there is a significant leak.
• To repair a leak, install a new cylinder gasket and tighten the
adapter.
• Repeat the leak test. If the leak continues, do not use the
system.

CAUTION 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.

3-6 M1217948 Rev P

 3 Setup and Connections

Vaporizer installation

WARNING Do not lift the vaporizer from the manifold by holding the
concentration control knob. Be careful to install and oper-
ate the vaporizer at any time.

WARNING The vaporizer should be mounted on the manifold of the

anesthetic system. ONLY one vaporizer at a time can be
turned on when two vaporizers are mounted. Do not try to
turn on more than one vaporizer at the same time.

WARNING Before mounting a vaporizer on the manifold, ensure that

each manifold port valve’s O-ring is intact, and there is no
foreign matter around the mating surfaces. An O-ring and/
or foreign matter around the mating surfaces can cause
leaks.

1 2

1. Tec 7 vaporizer
2. Tec 820, Tec 850 vaporizer

WARNING Only use the Tec 7, Tec 820, Tec 850 series vaporizers.
Please refer to their User’s Reference Manuals for more
information.
Note The anesthetic agents that can be used in the Tec 7 series vaporizers
include Isoflurane (ISO), Enflurane (ENF), and Sevoflurane (SEV).
Note The anesthetic agents that can be used in the Tec 820, Tec 850
series vaporizers include Isoflurane (ISO), and Sevoflurane (SEV).

How to install 1. Press the release pin, and turn the control dial to Zero position.
vaporizer 2. Check the manifold.

M1217948 Rev P 3-7

Carestation 30

• Remove the plastic plugs from the vaporizer’s input and

output ports.
• Check that the manifold port valve O-ring is not damaged. If
damaged, please contact an authorized GE Healthcare
service representative or the authorized service vendor. Do
not use the vaporizer before fixing the issue, or it may cause
leakage.

Figure 3-2: Check the manifold

1. Input/output ports
2. Manifold port valve O-ring
3. Hold the vaporizer’s main body, and mount the vaporizer on the
manifold. Please make sure the input/output ports are occluded
with the port valves.

Figure 3-3: Mount the vaporizer on the manifold

4. If the top of the vaporizer is not horizontal, remove the vaporizer

and reinstall it.
5. Set each vaporizer lock lever to the locked position.

CAUTION Push down the lock lever before turning it. The
mechanism can be damaged if an attempt is made to turn
the lever before pushing it all the way.

3-8 M1217948 Rev P

 3 Setup and Connections

6. Try to lift each vaporizer straight up off the manifold rather than
pulling forward. Do not rotate the vaporizer on the manifold.
7. If the vaporizer lifts off the manifold, install it again and repeat
steps 1 through 6. If the vaporizer lifts off a second time, do not
use the system.
8. Try to turn on more than one vaporizer at the same time. If more
than one vaporizer turns on at one time, install them again, and
complete steps 1 through 7. If more than one vaporizer still can
be turned on at one time, do not use the system.

Vaporizer safety When working properly, the safety interlock keeps the two vaporizers
interlock from being turned on at the same time.

M1217948 Rev P 3-9

Carestation 30

Flow sensor connection

The Carestation 30 anesthesia machine measures patient flow
through the flow sensor.

1. Flow sensor cable

2. Flow sensor cartridge

Figure 3-4: Flow sensor

1. Connect the flow sensor cartridge to the expiratory port of the

breathing system. Make sure the arrow direction is consist with
the arrow direction on the expiratory port.

2. Connect the flow sensor cable connector to the communication

port at the back of the breathing system. Tighten the screws on
the connector clockwise to fasten it to the machine.

3. Connect the flow sensor clip to the flow sensor cartridge.

3-10 M1217948 Rev P

 3 Setup and Connections

CAUTION To ensure correct flow measurement, it is recommended

to keep the flow sensor upright.

WARNING The flow sensor must be placed at the expiratory port of

the breathing system. Improper placement of the flow
sensor in the breathing system may cause inaccurate
patient volume readings.

M1217948 Rev P 3-11

Carestation 30

Passive AGSS connection (optional)

WARNING Always verify the proper operation of any gas scavenging

system; ensure the scavenging system is not occluded.

Passive AGSS The passive AGSS (Anesthesia Gas Scavenging System) contains
both positive and negative pressure relief valves to protect the
breathing system and the patient. The outlet is a 30-mm connector on
the bottom of the receiver.
There is also a connector which is used for scavenging the sample
from a gas monitor. The male inlet connection is located near the 30-
mm connector.
Passive AGSS is primarily used in operating room environments
which have no active gas extraction system for waste gas disposal.
The disposal system generally consists of large diameter tubing
directly linking the passive AGSS with the building exterior. The
tubing should be as large in diameter and as short as possible for the
particular application.
Passive AGSS may also be used with a non-recirculating facility
ventilation system for waste gas disposal. The tubing connection from
passive AGSS to the non-recirculating facility ventilation system
should be an open connection, essentially at atmospheric pressure,
such as to an exhaust grill.

How to install The scavenging assembly is installed at the lower left side of the
Passive AGSS machine frame. Adapters may be necessary for connecting to the
scavenging connector.

1
5
2

3-12 M1217948 Rev P

 3 Setup and Connections

Figure 3-5: Passive AGSS assembly

Table 3-1: Passive AGSS assembly

Items in Figure 3-5 Description

1 Positive pressure relief To protect the receiver from high pressure.
valve
2 AGSS receiver To capture the waste gas from the breathing
system.
3 Waste gas outlet The gas outlet of the Passive AGSS assembly.
connector
4 AGSS reservoir • Captures up to approximately 2.21 Liters
of gas that is not being scavenged,
preventing spillage into the environment.
• Allows gases to be passed more evenly to
the disposal system.
• Accumulates peak flow.
5 Waste gas inlet connector To connect with the waste gas outlet of the
breathing system.
6 Negative pressure relief To protect the receiver from low pressure.
valve

Installing Passive 1. Make sure the fitting to attach the AGSS is installed on the lower
AGSS left side of the anesthetic system. Please note that the fitting is

M1217948 Rev P 3-13

Carestation 30

only available for the products using the optional AGSS unit.

2. Insert the hook of the AGSS seat into the slot of the AGSS fitting.

3. Tighten the thumb screw on the AGSS fitting to fasten the AGSS
assembly onto the machine.

3-14 M1217948 Rev P

 3 Setup and Connections

Connecting Passive Adaptors are required to connect the Passive AGSS to the anesthetic
AGSS system and the hospital’s disposal system.
1. Install a 30 mm female to 19 mm male adaptor on the breathing
system exhaust gas outlet port and the AGSS exhaust gas inlet
port.

1. The mark “AGSS” on breathing system means the connection port could
be connected to the passive AGSS
2. The exhaust gas outlet port
3. The AGSS exhaust gas inlet port
2. Connect the two adaptors with the 0.4 m long, ID 19 mm silicon
tube.

3. Connect the proper large diameter tubing to the AGSS 30 mm

exhaust gas outlet port. and the free end should be tubed to the
building exterior or outside ventilation system.

Note The passive scavenging system relies on slight positive pressure of

gases, or on slight negative pressure caused by an exhaust fan, to
move gases through the system. For this reason, all unused ports
must be capped to prevent gas from leaking into the room and to
maintain the expected pressures.
In the event that excess gas accumulates in the scavenging system
and cannot exit the machine properly, pressure could build. If this
pressure reaches 10cmH2O, the brass weight of the positive relief
valve will be lifted up allowing the gas to escape into the room. This
prevents the pressure from backing up into the patient circuit.

M1217948 Rev P 3-15

Carestation 30

Canister setup

3
4
5

Figure 3-6: Canister

Table 3-2: Canister

Item Description Item Description

1 Canister lid latch 4 Expiratory water

mechanism reservoir

2 Absorbent 5 Canister release latch

3 Foam filter

WARNING Obey applicable safety precautions:

• Do not use the absorber with chloroform or
trichloroethylene.
• Avoid skin or eye contact with the contents of the
absorber. In the event of skin or eye contact,
immediately rinse the affected area with water and
seek medical assistance.
• Do not change the absorbent during ventilation.
• Change absorbent often to prevent the buildup of
non-metabolic gases when the system is not in use.
• Inspect absorbent color at the end of a case. During
non-use, absorbent can go back to the original color.

3-16 M1217948 Rev P

 3 Setup and Connections

Refer to the absorbent labeling for more information

about color changes.
• If the absorbent completely dries out, it may give off
carbon monoxide (CO) when exposed to anesthetic
agents. For safety, replace the absorbent.
• Desiccated (dehydrated) absorbent material may
produce dangerous chemical reactions when exposed
to inhalation anesthetics. Adequate precautions
should be taken to ensure that absorbent does not dry
out. Turn off all gases when finished using the system.
The manufacturer recommends MedisorbTM absorbent.
The absorber should only be used with mixtures of air, oxygen,
nitrous oxide, Enflurane, Isoflurane, Halothane, and Sevoflurane.

When to change the A gradual color change of the absorbent in the canister indicates
absorbent absorption of carbon dioxide. The color change of the absorbent is
only a rough indicator. Use carbon dioxide monitoring to determine
when to change the canister.
Discard the absorbent when it has changed color. If left standing for
several hours, absorbent may regain its original color giving a
misleading indication of activity.
Important Read the canister instructions completely before using the product.

Removing a canister 1. Press down the absorber canister release latch, and pull the
canister horizontally backwards at the same time, until the
canister is removed from the breathing system.

Figure 3-7: Remove the canister

M1217948 Rev P 3-17

Carestation 30

Filling Absorber 1. Lift the latch handle up to open the canister cover.
canister

Figure 3-8: Unlock the cover

2. Lift off the cover to remove it.

3. Remove and properly discard the foam filters, the absorbent, and
any water in the reservoir.

1. foam filters

WARNING Be careful when draining condensate from the absorber.

The liquid is caustic and may burn skin.
4. To clean and disinfect the canister, see “ Absorber canister”.
5. Assemble the canister.
• Place a new foam filter in the bottom of the absorbent
compartment.
• Pour absorbent into the canister. Do not fill the absorbent
higher than the maximum fill level line.
• Place a new filter over the absorbent.
• Wipe off any absorbent dust on the canister opening to
prevent gas leakage, and make sure no absorbent dust is in
the absorber ports.
• Cover the canister. Align the cover to the canister body to
ensure the cover wipe seal completely seal the canister body.

• Attach both latch hooks to the canister body together.

3-18 M1217948 Rev P

 3 Setup and Connections

• Push both latch handles down together to lock the canister.

WARNING The filters must be in place to help prevent dust and

particles from entering the breathing system.

WARNING The breathing system should be regularly cleaned to

remove absorbent dust.

Installing the Push the canister forward horizontally until it is in place.

Absorber canister

M1217948 Rev P 3-19

Carestation 30

Electrical connections

WARNING To avoid the risk of electric shock, this equipment must

only be connected to a supply mains with protective earth.

WARNING Use the battery if the integrity of the protective earth

conductor or the protective grounding system in the
installation is in doubt.

Mains inlet The plug of power cord should be worked as the switch
on/off from the main power.

WARNING The battery fuse is removed before delivery, so please

install the battery fuse as part of the initial setup.

1. Battery fuse
2. Mains power inlet

Figure 3-9: Mains power inlet

Equipotential stud The equipotential stud is used to connect the anesthesia machine to
an equipotential grounding system by attaching a potential
equalization conductor. Equipotential grounding is used in some
hospitals to enhance electrical safety in critical care areas by
attempting to keep the conductive surfaces of all equipment in the
patient care area at the same ground potential, thereby minimizing
unwanted current flow.

3-20 M1217948 Rev P

 3 Setup and Connections

USB and SpO2 port

USB The system has a USB port, allowing the user to:
• Upgrade the software installed in the machine.
• Download system logs to a USB flash drive.

WARNING The USB port is only for the purposes of upgrading

software and downloading system logs by an authorized
GE Healthcare service representative. Do not use the
USB port for any other purpose. User should not touch the
USB port and patient at the same time.

4 5

1. USB Port
2. ESD sensitivity symbol
3. SpO2 port
4. SpO2 cable connector
5. SpO2 Sensor

Figure 3-10: USB and SpO2 Ports location

SpO2 The SpO2 is an optional configuration on Carestation 30 machine. It is

an applied part, and is used together with a SpO2 sensor for
monitoring patient arterial oxygen saturation and pulse rate.
After the defibrillator stimulates the patient, the SpO2 module needs 4
to 5 seconds for recovery.
Connection of SpO2 Sensor:
Connect the SpO2 cable connector to the SpO2 port, then clamp the
sensor onto the finger of patient.
Note Check the settings to make sure the SpO2 function is enabled before
starting monitoring.

ESD ESD sensitive device.

WARNING Pins of connectors labeled with the ESD warning symbol

shall not be touched and not be connected unless ESD

M1217948 Rev P 3-21

Carestation 30

precautionary procedures are used. Precautionary

procedures include methods to prevent build-up of
electrostatic charge (for example, air conditioning,
humidification, conductive floor coverings, non-synthetic
clothing). Discharge your body to ground before you touch
the pins with your hand or a tool. For example, touching
an unpainted metal part of the device. You can use a wrist
strap connected to the potential equalization terminal on
the device if that is more convenient. Users of the
equipment should receive instruction in these procedures
and the ESD warning symbol.

3-22 M1217948 Rev P

 3 Setup and Connections

How to attach equipment to the top of the machine

CAUTION The top of the machine has a weight limit of 15 kg (33 lb).

Check the stability of the system in its final configuration.

Make sure that weight is evenly distributed throughout the
system.
1. Locate the clips or slots.
2. Install the straps.
3. Fully tighten the straps.
4. Make sure the straps hold the equipment in position.

CAUTION Fully tighten the straps. If straps are not fully tightened,
equipment can fall off the top of the machine.

Installation notes
When the system is installed, the manufacturer representative will
check the following items and change them if necessary.

WARNING These items can only be changed by qualified personnel.

Ensure configurations conform to local requirements.
• Ventilator drive gas.
• Upgrade, activation and deactivation of monitoring and
ventilation features.
• Altitude.

M1217948 Rev P 3-23

Carestation 30

3-24 M1217948 Rev P

 4 Operation

WARNING Maintain sufficient fresh gas flow when using sevoflurane.

WARNING Independent means of ventilation (for example, a self-

inflating manually powered resuscitator with mask) shall
be available whenever the anesthetic system is in use.
Note The operator shall be in front of the machine, at a distance of 4
meters or less, within a visual cycle degree of 30 degree.

WARNING Follow hospital procedures for the prevention and

treatment of malignant hyperthermia for patients sensitive
to inhalation anesthetic agents.

In this section Turning on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Starting manual ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Starting mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . 4-3
Entering Standby mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Shutting down the system . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Ventilator setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Alarm limits setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

M1217948 Rev P 4-1

Carestation 30

Turning on the system

1. Plug the power cord into an electrical outlet. Make sure that:
• The mains indicator comes on when AC power is connected.
The battery will charge if not already fully charged.
2. Check that the breathing system is properly connected.
3. Turn the system switch to On.
• The display shows the power-up screen.
• The system does a series of automated self tests.
• The display shows two options:
•Leak Test
•Normal Application
The caution message 'Leak test is suggested prior to machine use.
Press the control knob to confirm you understand this risk.’ is
displayed in message field If selecting the button of Normal
Application directly without leak test.

4. Turn the encoder knob to choose between the two options and
push the knob to confirm the selection. Choose Leak Test to do
the system leak test following the instructions shown on the
screen. Choose Normal Application to launch the system
normal applications.

4-2 M1217948 Rev P

 4 Operation

Starting manual ventilation

1. Connect a bag to the bag port.
2. Connect the patient circuit.
3. Make sure that the APL valve is set to approximately 20 cmH2O.
4. Set the BTV switch to Bag mode.
5. Push the O2 flush button to inflate the bag if needed.

Starting mechanical ventilation

WARNING Make sure that the patient circuit is correctly assembled

and that the ventilator settings are clinically appropriate
before starting ventilation.
Note The ventilator settings use the values set previously in mechanical
ventilation mode.
1. Set the ACGO switch to the breathing system position.
2. Set the BTV switch. If the BTV switch is set to Bag, move the BTV
switch to Vent to start mechanical ventilation.

WARNING Ifthe BTV switch is already set to Vent, move the BTV
switch to Bag and then back to Vent to start mechanical
ventilation.
3. Push the O2 flush button to inflate the bellows if needed.

Entering Standby mode

1. Push the End Case key on the display module.
2. Push the encoder knob to confirm.

WARNING The system should be under Bag mode when entering Standby
mode.

Shutting down the system

1. Push the End case key and push the encoder knob to enter
Standby mode.
2. Turn the system switch to Off.
3. Disconnect the power cord from the mains outlet.

WARNING The system should be under Bag mode when shutting down the
system.

M1217948 Rev P 4-3

Carestation 30

Ventilator setup
The system uses Volume Control Ventilation (VCV) in mechanical
ventilation mode.
Refer to "Ventilator theory" on page 11-13 for more information on the
ventilation theory.
The three main ventilator settings TV, Rate, and I:E can be set up as
follows:
1. Push the encoder knob. Note the TV setting will be highlighted.
2. Turn the encoder knob to highlight the corresponding setting
item. The highlighted parameter is displayed in black text on a
gray background.
3. Push the encoder knob to enter the highlighted setting item. The
parameter is displayed in white text on a black background.
4. Turn the encoder knob to change the value.
NOTE: There are two conditions for TV setup value:
• For the machine equipped with F.G.F compensation, the TV
setup value is the setup value displayed on the User
Interface.
• For the standard configured machine not equipped with
F.G.F compensation, the actual TV setup value is TV setup
value displayed on the User Interface adding the flowmeter
gas flow contribution.
TVtotal = TVsetup + Flow x (1000 x I)/[Rate x (I+E)]
An example is given here for reference:
Flow: 3 L/min
Rate: 10/min
I:E = 1:2
TV F.G.F=3*(1000*1)/[10*(1+2)]=100 ml
5. Push the encoder knob to save the setting.
The table below lists the ventilator parameters setting range:

Table 4-1: Setting range

Setting Range Default

TV 50 ~ 1500 ml, 10 ml resolution 500 ml
Rate 4 ~ 100/min, 1/min resolution 10/min
I: E 1: 0.5 ~ 1: 8.0, 0.5 resolution 1: 2.0

4-4 M1217948 Rev P

 4 Operation

Alarm limits setup

WARNING Check that the current alarm preset is appropriate prior to

use on each patient.

WARNING A hazard can exist if different alarm presets are used for
the same or similar equipment in any single area.

WARNING Do not set alarm limits to extreme values. Setting limits to

extreme values can render the alarm useless.
1. Turn the encoder knob to select Menu.
2. Push the encoder knob to enter the sub menu.
3. Turn the encoder knob to highlight the corresponding setting
item. The highlighted parameter is displayed in black text on a
gray background.
4. Push the encoder knob to enter the highlighted setting item. The
parameter is displayed in white text on a black background.
5. Turn the encoder knob to change the value.
6. Push the encoder knob to confirm the setting.
7. Turn the encoder knob to navigate to OK.
8. Push the encoder knob to exit the Menu settings.
If the power is lost, the alarm settings prior to the power loss can
always be kept by the system and restored automatically the next
time the system is powered up.
The table below lists the alarm limits setting range:

Table 4-2: Setting range

Setting Range Default

low Paw 4 ~ 2 0 cmH2O 4 cmH2O
high Paw 5 ~ 100 cmH2O 40 cmH2O
low TV 0 ~ 800 ml 0 ml
high TV 100 ~ 1800 ml 1800 ml
low MV 0.1 ~ 15 L/min 0.1 L/min
high MV 3 ~ 40 L/min 40 L/min
low O2 18 ~ 99% 21%
high O2 19 ~ 100%, Off 100%
Low SpO2 50 ~ 100% 95%
High SpO2 51 ~ 100%, Off Off
Low Pulse 30 ~ 295 bpm 40 bpm
High Pulse 35 ~ 300 bpm 120 bpm

Note If the low limit of Low SpO2 is less than 85%, the SpO2 low limit shall
always be displayed.

M1217948 Rev P 4-5

Carestation 30

4-6 M1217948 Rev P

 5 Preoperative Tests

In this section Inspecting the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Power failure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Flow control tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
O2 supply alarm test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
O2 flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Low-pressure leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Negative low-pressure
leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Positive low-pressure
leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
Breathing system tests . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Monitor and ventilator tests . . . . . . . . . . . . . . . . . . . . . . . . 5-19
Circuit compliance compensation . . . . . . . . . . . . . . . . . . . 5-21

M1217948 Rev P 5-1

Carestation 30

Inspecting the system

WARNING Make sure that the breathing system is correctly

connected and not damaged. Replace the breathing
system if it is damaged.

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.

WARNING Single-use products are not designed or validated to be

reused. Reuse may cause a risk of cross-contamination,
affect the measurement accuracy, system performance,
or cause a malfunction as a result of the product being
physically damaged due to cleaning, disinfection,
resterilization, or reuse.

WARNING The max load of top shelf is 15 kg.

Before using the system make sure that:

• The equipment is not damaged.
• All components are correctly attached.
• The breathing system is correctly connected, not damaged,
and the absorber canister is correctly installed and contains
sufficient absorbent.
• The vaporizers are locked in position and contain sufficient
agent.
• Pipeline gas supplies are connected and the pressures are
correct.
• Cylinder valves are closed on models with cylinder supplies.
• Models with cylinder supplies have a cylinder wrench
attached to the system.
• The necessary emergency equipment is available and in
good condition.
• Equipment for airway maintenance, tracheal intubation, and
IV administration is available and in good condition.
• Applicable anesthetic and emergency drugs are available.
• Make sure the casters are not loose and the brakes are set
and prevent movement.
• The power cord is connected to a mains power outlet. The
mains indicator comes on when AC power is connected. If
the indicator is not on, the system does not have mains
(electrical) power. Use a different outlet, or replace or
connect the power cable.
• The O2 flush button is in working condition.
• The anesthesia system or other equipment does not block
the wall mains outlet.
5-2 M1217948 Rev P
 5 Preoperative Tests

Power failure test

1. Set the system switch to On.
2. Unplug the power cord with the system turned on. The system
will be powered by the battery.
3. Make sure that the ‘Power On Battery’ alarm comes on.
4. Reconnect the power cord to the electrical outlet.
5. Make sure the alarm cancels.
6. Set the system switch to Off.

CAUTION If the ‘Low Battery Voltage’ alarm still comes on after

charging it for 10 hours, please contact an authorized
GE Healthcare service representative to replace the
battery.

M1217948 Rev P 5-3

Carestation 30

Pipeline and cylinder tests

CAUTION To prevent damage:

• Open the cylinder valves slowly.
• Do not force the flow controls.
Note If your system does not use backup cylinder supplies, skip steps 2
and 3.

WARNING Check pipeline/reserve gas supplies every day before the

first patient.
1. Disconnect the pipeline supplies and close all cylinder valves. If
the pipeline and the cylinder pressure gauges are not at zero,
release all gasses from the system.
• Connect an O2 supply.
• Set the system switch to On.
• 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.
Note: Other ventilator alarms will be activated.
• Reconnect the O2 supply. O2 pressure should show on the
gauge and the alarm should deactivate.
• Turn the system switch to Off.
2. Make sure that the cylinders are full:
• Open each cylinder valve, one at a time.
• Make sure that each cylinder has sufficient pressure. If not,
close the cylinder valve and install a full cylinder.
3. 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
has decreased more than 5000 kPa (725 psi), there is a leak.
Install a new cylinder gasket and do this step again.
• Repeat step 3 for each cylinder. For N2O cylinder, if the
pressure has decreased more than 690 kPa (100 psi), there
is a leak.
Install a new cylinder gasket and do this step again.
4. Connect the pipeline supplies one at a time and ensure that the
corresponding gauge indicates pipeline pressure.
5. Set the system switch to Off.

5-4 M1217948 Rev P

 5 Preoperative Tests

Flow control tests

WARNING Nitrous oxide, if available, flows through the system

during this test. Use a safe and approved procedure to
collect and remove N2O.

WARNING This anesthesia system includes a protective low O2

concentration mechanism. If the system is equipped with
both O2 and N2O, the O2 concentration will be at least
21%. Note this protective system cannot replace an O2
monitor. Sufficient O2 in the fresh gas may not prevent
hypoxic mixtures in the breathing system.

WARNING Incorrect gas mixtures can cause patient injury. If the

hypoxic guard system does not supply O2 and N2O in the
correct proportions, do not use the system.
1. Set up the gas scavenging system.
2. Attach a patient circuit and plug the patient port.
3. Attach a bag to the bag port (or plug the bag port).
4. Set the BTV switch to manual position.
5. Adjust the APL valve to minimum.
6. Connect the pipeline supplies or slowly open the cylinder valves.
7. Turn all flow controls fully clockwise (zero flow).
8. Set the system switch to On.
9. Adjust O2 flow to 0.5 L/min.
10. Confirm that the O2 sensor measures 21% in room air and 100%
in pure O2. If not, calibrate the O2 sensor.
For O2 sensor calibration, refer to "O2 cell calibration" on page 8-
8.
11. Set the flow controls to mid range of each flowtube and make
sure that the flowtube floats rotate and move smoothly.

Note If the system does not include N2O, skip steps 12 and 13.

12. Check the proportioning system concentration (increasing N2O

flow). Observe the following precautions:
• Start with all flow controls 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.

M1217948 Rev P 5-5

Carestation 30

• If you overshoot a setting, turn the O2 flow control clockwise

until the N2O flow decreases to the previous setting before
continuing the test.

Set the N2O flow (L/min) Measured O2

0.2 21% minimum
1.0 21% to 35%
3.0 21% to 35%
5.0 21% to 35%
9.0 21% to 35%

13. Check the proportioning system concentration (decreasing O2

flow). Observe the following precautions:
• Start with the N2O valve at 10 L/min.
• 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 21% to 35%
3.0 21% to 35%
1.0 21% to 35%
0.2 21% minimum

• If both tests meet the criteria, calibration is correct (go to the

next step). If either test fails to meet the criteria, contact an
authorized GE Healthcare service representative.
14. Turn all of the flow controls fully clockwise (closed).
15. Set the system switch to Off.

5-6 M1217948 Rev P

 5 Preoperative Tests

O2 supply alarm test

1. Set all flow controls to 3 L/min.
2. Stop the O2 supply. (Disconnect the pipeline supply or close the
cylinder valve.)
3. Make sure that:
• The ‘No O2 pressure’ alarm occurs.
• The N2O (if equipped) and O2 flows stop. The O2 flow stops
last.
4. Turn all of the flow controls fully clockwise (closed).
5. Reconnect the pipeline supplies.

O2 flush Push the O2 flush button (the sound of gas flow at the inspiratory port
will be heard). When released, the oxygen flow stops.

M1217948 Rev P 5-7

Carestation 30

Vaporizer back pressure test

WARNING Anesthetic agent vapor comes out of the inspiratory port

during this test. Use a safe, approved procedure to
remove and collect the agent.

1. Set up the gas scavenging system.

2. Attach a patient circuit and plug the patient port.
3. Attach a bag to the bag port (or plug the bag port).
4. Set the BTV switch to manual position.
5. Adjust the APL valve to minimum.
6. Set the system switch to On.
7. Set the O2 flow to 6 L/min.
8. Make sure that the O2 flow stays constant and the float moves
freely.
9. 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 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 decreases more than 1 L/min with a different
vaporizer, the malfunction is likely in the Carestation 30
system. Do not use the system.
10. Complete steps 4 through 6 for each vaporizer and vaporizer
position.
11. Turn all of the flow controls fully clockwise (closed).
12. Set the system switch to Off.

5-8 M1217948 Rev P

 5 Preoperative Tests

Low-pressure leak test

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

WARNING Do not use a system that has a low-pressure leak.

Anesthetic gas will go into the atmosphere, instead of
into the breathing system.

Negative low-
pressure Test device Stock number
leak test Negative low pressure leak test device 0309-1319-800
Low pressure leak test adaptor M1241398-S

With ACGO 1. Test the leak test device:

• 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 machine for low-pressure leaks:
• Set the system switch to Off.
• Turn the ACGO switch to the ACGO position.
• Turn all flow controls fully clockwise (zero flow). Do not
overtighten.
• Connect the test device to the ACGO port.

M1217948 Rev P 5-9

Carestation 30

• 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%.
• Repeat step 3.
• Set the vaporizer to Off.
• Test the remaining vaporizers.
5. Disconnect the test device.

WARNING Make sure all vaporizers are turned off at the end of the
low-pressure leak test.

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).
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).

Without ACGO 1. Test the leak test device:

• 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 machine for low-pressure leaks:
• Set the system switch to Off.
• Turn all flow controls fully clockwise (zero flow). Do not
overtighten.
• Push the breathing system release button and pull it away
from the machine.
• Connect the test adapter port 2 and port 3 to the fresh gas
outlet and the airway sampling gas port.

5-10 M1217948 Rev P

 5 Preoperative Tests

• Connect the test device to the test adapter port 1.

• Squeeze the bulb repeatedly until it compresses completely.

• The vacuum causes the floats to move. This is typical. 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%.
• Repeat step 3.
• Set the vaporizer to Off.
• Test the remaining vaporizers.
5. Disconnect the test device.
6. Align the breathing system with the guide pins and push in
carefully until a click is heard.

WARNING Make sure all vaporizers are turned off at the end of the
low-pressure leak test.

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).
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).

M1217948 Rev P 5-11

Carestation 30

Positive
low-pressure Test device Stock number
leak test Positive low pressure leak test device 1001-8976-000
Low pressure leak test adaptor M1241398-S

With ACGO 1. Turn all flow controls fully clockwise (closed).

2. Turn all vaporizers off.
3. Turn the ACGO switch to ACGO position.
4. Connect the test device to the ACGO port.

5. Keep the flowmeter of the test device vertical for accurate results.
6. Fully open the needle valve on the test device
(counterclockwise).

CAUTION If the needle valve is not fully open, this test can damage
the pressure gauge on the test device.
7. Open the O2 flow control and set a total flow of 0.4 L/min through
the flowmeter on the test device.
8. Make sure that the pressure gauge on the test device reads zero
and that all other flow controls are fully closed.
9. Close the needle valve on the test device until the test gauge
reads:
ISO 5358 (1001-8976-000) 3 kPa
10. If the flow through the test device is less than 0.35 L/min, there is
a low-pressure leak in the anesthesia machine.
11. Fully open the needle valve on the test device to decrease the
back pressure.
12. Test each vaporizer for low-pressure leaks:
• Set the vaporizer to 1%.
• Repeat steps 6 through 11.
• Turn the vaporizer Off.
13. Remove the test tool.

5-12 M1217948 Rev P

 5 Preoperative Tests

WARNING Make sure all vaporizers are turned off at the end of the
low-pressure leak test.

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).
14. 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).

Without ACGO 1. Turn all flow controls fully clockwise (closed).

2. Turn all vaporizers off.
3. Push the breathing system release button and pull it away from
the machine.
4. Connect the test adapter port 2 and port 3 to the fresh gas outlet
and the airway sampling gas port (Refer to Section “Low pressure
leak test”).
5. Connect the positive leak test device to the test adapter port 1.

6. Keep the flowmeter of the test device vertical for accurate results.
7. Fully open the needle valve on the test device
(counterclockwise).

CAUTION If the needle valve is not fully open, this test can damage
the pressure gauge on the test device.
8. Open the O2 flow control and set a total flow of 0.4 L/min through
the flowmeter on the test device.
9. Make sure that the pressure gauge on the test device reads zero
and that all other flow controls are fully closed.
10. Close the needle valve on the test device until the test gauge
reads:
ISO 5358 (1001-8976-000) 3 kPa

M1217948 Rev P 5-13

Carestation 30

11. If the flow through the test device is less than 0.35 L/min, there is
a low-pressure leak in the anesthesia machine.
12. Fully open the needle valve on the test device to decrease the
back pressure.
13. Test each vaporizer for low-pressure leaks:
• Set the vaporizer to 1%.
• Repeat steps 6 through 11.
• Turn the vaporizer Off.
14. Remove test tool.
15. Align the breathing system with the guide pins and push in
carefully until a click is heard.

WARNING Make sure all vaporizers are turned off at the end of the
low-pressure leak test.

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).
16. 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).

5-14 M1217948 Rev P

 5 Preoperative Tests

Alarm tests
1. Connect a test lung to the patient connection.
2. Set the system switch to On.
3. Set the system to mechanical ventilation mode.
4. Set the controls:
Table 5-1: Controls setting
Tidal Volume: 400 mL
Ventilator Rate: 12
I:E Ratio: 1:2
O2 flow: fully clockwise (Off)
Anesthesia Machine
All other gases: Off

5. Test the Low MV alarm:

• Set the high MV to 10 L/min, low MV to 6.0 L/min.
• Make sure that the low MV alarm occurs.
• Set the low MV limit back to the required value.
6. Test the high Paw alarm:
• Set the high Paw alarm to less than the peak airway
pressure.
• Make sure that the high Paw alarm occurs.
• Set Pmax to 40 cmH2O.
7. Test the low TV and high TV alarm:
• Set the high TV to 600 mL, low TV to 500 mL.
• Make sure that the low TV alarm occurs.
• Set the low TV to 300 mL, high TV to 350 mL.
• Make sure that the high TV alarm occurs.
• Set the low TV and high TV limit back to the required value.
8. Test the Sustained Paw high alarm:
• Set the controls:
APL valve to fully closed.
Set the BTV switch to Bag position.
• Mechanical ventilation stops.
• Close the bag port connector with a test plug.
• Close the patient connection using the test plug and push the
O2 flush button.
• Make sure that the Sustained Paw alarm occurs after
approximately 15 seconds at the sustained pressure limit (10
cmH2O).
9. Test the O2 sensor and alarms:
• Set the BTV switch to Bag position.
• Remove the O2 sensor from the breathing system module.
• Make sure the sensor measures approximately 21% O2 in
room air.
• Set the low O2 alarm limit to 50%. Make sure a low O2 alarm

M1217948 Rev P 5-15

Carestation 30

occurs.
• Set the low O2 alarm limit back to 21% and make sure that
the alarm cancels.
• Put the O2 sensor back in the circuit.
• Remove the test lung from the patient connection.
• Set the high O2 alarm limit to 50%.
• Push the O2 flush button to fill the breathing system.
• Set the O2 flow control to 2 L/min.
• Make sure the high O2 alarm comes on.
• Set the high O2 alarm limit back to 100% and make sure that
the alarm cancels.
• After 2 minutes in pure O2, the display reads approximately
100%.
• Turn the O2 flow control fully clockwise (minimum flow).
10. Set the system switch to Off.

5-16 M1217948 Rev P

 5 Preoperative Tests

Breathing system tests

WARNING Objects in the breathing system can stop gas flow to the
patient. This may cause injury or death.
• Do not use a test plug that is small enough to fall into
the breathing system.
• Make sure that there are no test plugs or other objects
caught in the breathing system.

WARNING Make sure that any auxiliary equipment (such as

humidifier) operates correctly.

WARNING Make sure the check valves on the breathing system

assembly work correctly.
• The expiratory check valve opens during the
expiration and closes at the start of inspiration.
• The inspiratory check valve opens during inspiration
and closes at the start of expiration.
1. Ventilator bellows test:
• Set all flow controls to minimum (fully clockwise).
• Set the system switch to On.
• Select Leak Test and push the encoder knob to enter the
leak test screen.
• Follow the instructions on the screen:
— Plug the patient port with the occlude cone under the
breathing system.
— Turn the BTV switch to Vent.
— Press the O2 flush to inflate the bellows.
— Press the Start button to start leak test.
• The leak test process will be shown on the screen. Wait until
the test result is shown.
• If the leak test passes, the Leak test success message
together with the leakage and compliance value will be
shown on the screen.
• If the leak test fails, it has a leak. Refer to "Breathing system
problems" on page 7-8.
2. Manual circuit leak test:
• Set the system switch to On.
• Set the BTV switch to Bag.
• Occlude the bag port.
• Set the APL valve to the maximum position (closed; turn fully
clockwise).
• Set the O2 flow to 250 mL/min.

M1217948 Rev P 5-17

Carestation 30

• Plug the patient port with the occlude cone under the
breathing system.
• Pressurize the bag with the O2 flush button to approximately
30 cmH2O.
• Release the O2 flush button. The pressure seen on the
airway pressure gauge (Paw) must not visibly decrease over
a 15 second period. A pressure decrease large enough to be
seen on the gauge indicates a leak. For a large breathing
system leak, refer to "Breathing system problems" on page 7-
8. If the leak cannot be located, contact an authorized GE
Healthcare service representative to repair the breathing
system leak.
3. APL valve test:
• Fully close the APL valve (turn fully clockwise).
• Set the total common gas flow to approximately 3 L/min and
make sure the value on the airway pressure gauge does not
exceed 85 cmH2O. Some pressure fluctuation is normal.
• Set the APL valve to the minimum pressure position (fully
open; turn fully counterclockwise).
• Set O2 flow to 3 L/min. Turn any other gasses off.
• Make sure that the value on the airway pressure gauge is
less than 5 cmH2O.
• Push the O2 flush button. Make sure the value of the airway
pressure gauge stays near zero.
• Set O2 flow to minimum and make sure the value on the
airway pressure gauge does not go below 0 cmH2O.
4. Remove the cover or test plug from the patient connection.
5. Set the system switch to Off.

WARNING After performing the breathing system tests, make sure

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

5-18 M1217948 Rev P

 5 Preoperative Tests

Monitor and ventilator tests

1. Connect a test lung to the patient connection.
2. Set the system switch to On.
3. Set the BTV switch to Bag.
4. Set the controls:

Table 5-2: Controls settings

Tidal Volume: 400 ml
Ventilator RR: 12
I:E: 1:2
O2 flow: fully clockwise (OFF)
Anesthesia Machine
All other gases: OFF

5. Set the BTV switch to Vent.

6. Push the O2 flush button to fill the bellows.
7. Make sure that:
• Mechanical ventilation starts.
• The ventilator displays the correct data based on the settings.
• 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 based on the settings.
• 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 system switch
to Off 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. Prepare the system:
• Turn all vaporizers off.
• Open the APL valve.
• Set the BTV switch to Bag.
• Set all flow controls to OFF.
• Set sufficient patient suction.
• Make sure that the breathing system is correctly connected
and not damaged.

M1217948 Rev P 5-19

Carestation 30

WARNING Before connecting to a patient, flush the anesthesia

machine with 5 L/min of O2 for at least one minute. This
removes unwanted mixtures and by-products from the
system.

5-20 M1217948 Rev P

 5 Preoperative Tests

Circuit compliance compensation

The ventilator adjusts gas delivery to compensate for the compliance
of the patient circuit if:
• The leakage testing is completed after the system is turned
on
• Or execute the leakage testing on second level menu for
patient circuit changed.
The ventilator monitors the expiratory Tidal Volume separately in
system. Circuit compliance factor is measured during the
Ventilator Leak check or when the Ventilator Leak check is done as
an individual test.
Circuit Compliance factor must be default set as pediatrics’
compliance data by system if no Ventilator Leak check executed.
In volume mode, circuit compliance compensation increases the
volume delivered at the inspiratory port by taking into consideration
the circuit compliance value. Circuit compliance compensation
adjusts the volume delivery by calculate the multiply value between
Circuit Compliance factor and airway pressures to provide consistent
ventilator accuracy at the patient circuit.
Breathing circuits and breathing circuit components are available in
many different configurations from multiple suppliers. Attributes of the
breathing circuits such as materials, tube length, tube diameter, and
configuration of components within the breathing circuit, may
result in hazards to the patient from increased leakage, added
resistance, or changed circuit compliance. It is recommended that a
test be conducted prior to use with each patient.

WARNING Perform a leakage testing or Ventilator leakage testing in

individual test after changing the patient tube type.
Changing the patient breathing circuit after completing a
leakage testing or Ventilator leakage testing in individual
test affects the volume measurements in VCV mode.

M1217948 Rev P 5-21

Carestation 30

5-22 M1217948 Rev P

 6 Preoperative Checkout

Read this User’s Reference manual and understand the

following before using this system:
• All system connections.
• All warnings and cautions.
• How to use each system component.
• How to test each system component.

Before using the system:

• Complete all of the tests in this section. Refer to the
“Preoperative Tests” section for instructions.

If a test fails, do not use the equipment. Have an

authorized GE Healthcare service representative repair
the equipment.

In this section Every day before the first patient . . . . . . . . . . . . . . . . . . . . . 6-2

Before every patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

M1217948 Rev P 6-1

Carestation 30

WARNING In order to detect any technical problems before use and

enable safe operation of the device, it is important to
perform the checkout described below.

Every day before the first patient

 Check that necessary emergency equipment is available and in good
condition.

 Check that the equipment is not damaged and that components are
correctly attached.

 Check that the power failure alarm operates correctly.

See "Power failure test" on page 5-3 for the test procedure.

 Check that the pipeline gas supplies are connected and cylinders are
installed (if appropriate).

 Check the flow control operation by performing the following tests.

• Flow control test
See "Flow control tests" on page 5-5 for the test procedure.
• O2 supply failure alarm
See “O2 supply alarm test” on page 5-7 for the test procedure.
• Test the O2 flush operation
See "O2 flush" on page 5-7 for the test procedure.

 Check vaporizer installation.

• Make sure the top of each vaporizer is horizontal (not crooked).
• Make sure each vaporizer is locked and cannot be removed.
• Make sure that only one vaporizer can be turned on at the same
time.
• Make sure the vaporizers are adequately filled.
For more detailed instructions about vaporizer installation, see
"Vaporizer installation" on page 3-7.

 Check that the breathing system is correctly connected, not

damaged, and the absorber canister contains sufficient absorbent.

 Turn the system switch On. Check that the system powers up
successfully.
See "Turning on the system" on page 4-2 for more information about
system power up.

 Check that the flow sensor is properly attached at the expiratory port.
See "Flow sensor connection" on page 3-10 for instructions on
connecting the flow sensor.

6-2 M1217948 Rev P

 6 Preoperative Checkout

 Do the Pipeline test and Cylinders test.

See "Pipeline and cylinder tests" on page 5-4 for pipeline and cylinder
test procedures.

 Do the Vaporizer back pressure tests.

See "Vaporizer back pressure test" on page 5-8 for the vaporizer test
procedure.

 Do a Low-pressure leak test.

See "Low-pressure leak test" on page 5-9 for both negative and
positive low-pressure leak test procedures.

 Verify system alarm operation.

• Test the O2% low alarm.
• Test the O2% high alarm.
• Test the MVexp low alarm.
• Test the MVexp alarm.
• Test the TVexp high.
• Test the TVexp low.
• Test Paw high alarm.
• Test Sustained Paw high alarm.
• Test O2 sensor alarm.
See "Alarm tests" on page 5-15 for the alarm tests procedures.

 Check that the ventilator functions correctly:

• Connect the test lung to the patient Y-piece.
• Enter mechanical ventilation mode. Set TVexp to 400 ml, Rate to
12, I:E to 1:2.
• Fill the bellows using O2 flush.
• Move the Bag/Vent switch to the Vent position to begin
mechanical ventilation.
• Check that mechanical ventilation starts. Check that the bellows
inflate and deflate. Check that the display shows the correct
ventilator data. Check that there are no inappropriate alarms.
For more detailed instructions on checking ventilator functions, see
"Monitor and ventilator tests" on page 5-19.

 Set the appropriate control and alarm limits for the case.

M1217948 Rev P 6-3

Carestation 30

Before every patient

Note Check that necessary emergency equipment is available and in
good condition.
This check does not need to be done before the first case of the day
if the “"Every day before the first patient"” was done.

 Check vaporizer installation.

• Make sure the top of each vaporizer is horizontal (not crooked).
• Make sure each vaporizer is locked and cannot be removed.
• Make sure that more than one vaporizer cannot be turned on at
the same time.
• Make sure the vaporizers are adequately filled.
For more detailed instructions for vaporizer installation, see
"Vaporizer installation" on page 3-7.

 Do a negative low-pressure leak test or positive low-pressure leak

test.
See "Low-pressure leak test" on page 5-9 for both negative and
positive low-pressure leak test procedures.

 Perform leak test when boot up the system.

 Check that the breathing system is correctly connected, not

damaged, and the absorber canister contains sufficient absorbent.

 Do breathing system tests:

• Set the BTV switch to Bag, close the APL valve, and occlude the
patient Y-piece and bag port.
• Pressurize the breathing system to about 30 cmH2O using the O2
flush button.
• Ensure that the pressure remains fixed for at least 10 seconds.
For more detailed procedure of checking the breathing system, see
"Breathing system tests" on page 5-17.

WARNING The breathing system tests must be performed before

each case and after patient circuit replacement.

 Check that the ventilator functions correctly:

• Connect the test lung to the patient Y piece.
• Enter mechanical ventilation mode. Set TV to 400 ml, Rate to 12,
I:E to 1:2.
• Set the gas flow to minimum.
• Fill the bellows using O2 flush.
• Check that mechanical ventilation starts. Check that the bellows
inflate and deflate. Check that the display shows the correct
ventilator data. Check that there are no inappropriate alarms.

6-4 M1217948 Rev P

 6 Preoperative Checkout

For a more detailed procedure of checking ventilator functions, see

"Monitor and ventilator tests" on page 5-19.

 Set the appropriate control and alarm limits for the case.

M1217948 Rev P 6-5

Carestation 30

6-6 M1217948 Rev P

 7 Alarms and Troubleshooting

CAUTION No repair should ever be attempted by anyone not having

experience in the repair of devices of this nature. See the
“Repair policy” in the “User Maintenance” section.

WARNING Set alarm levels appropriately before starting ventilation

(manual or mechanical).

If an alarm occurs, safeguard the patient first before

performing troubleshooting or doing repair procedures.

Do not use malfunctioning equipment. Contact an

authorized GE Healthcare service representative for
service.

In this section Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Alarm priority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Informational signal . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Canceling audio pause . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
List of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Minimum system shutdown alarms . . . . . . . . . . . . . . . . 7-7
Breathing system problems . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
Electrical problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

M1217948 Rev P 7-1

Carestation 30

Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9

Self Help mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9
Enter Self Help mode . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9

7-2 M1217948 Rev P

 7 Alarms and Troubleshooting

Alarms
When an alarm occurs during a case, an alarm tone sounds, the
alarm LED flashes, and the alarm message is displayed in the alarm
message field. The alarm message area has room for four alarm
messages to be shown at one time. If more than four alarms occur,
the alarms cycle every two seconds. The delay in the determination of
an alarm condition in Carestation 30 anesthesia machine is about 1
second.
Alarms have three general causes:
• Malfunctions - Result in reduced system function or prevent
mechanical ventilation
• Patient monitoring - Are caused by high and low limit settings that
are adjusted by the user.
• Informational - Are caused by control settings or system
conditions that may change system operation.
Carestation 30 provides a log showing the most recent alarm activity.
• It provides history of the 10 most recent alarms.
• If the system is powered down, the logs will be retained by the
system.

Alarm priority Alarm priority is dependent on the level of risk to the patient.
High priority alarm:
• The alarm tone sounds in two bursts of five pulses, a pause, and
then repeats. High-priority alarms can be silenced for less than 2
minutes.
• The alarm messages are displayed in white font and red
background, and the alarm message flashes.
• The alarm LED turns red and flashes.
Medium priority alarm:
• The alarm tone sounds in three pulses with a 10 second pause,
then repeats. Medium priority alarms can be silenced for less
than 2 minutes.
• The alarm messages are displayed in yellow font and gray
background, and the alarm message flashes.
• The alarm LED turns yellow and flashes.
The audio alarm sound pressure is 45 ~ 85 db.

WARNING When a high-priority alarm condition is eliminated, the

alarm message stays on the display as white font and red
background, and the alarm LED stays red and still. You
must press the encoder knob to clear high alarm
messages after this alarm condition is inactive.

Informational signal The caution message 'Leak test is suggested prior to machine use.
Press the control knob to confirm you understand this risk.’ is
displayed in message field If selecting the button of Normal
Application directly without leak test.

M1217948 Rev P 7-3

Carestation 30

Cancelling audio Seleting and holding Audio Pause for 2 seconds and then releasing
pause the key will cancel the autio pause fucntion.

7-4 M1217948 Rev P

 7 Alarms and Troubleshooting

List of alarms
If corrective action does not resolve the alarm, contact an authorized
GE Healthcare service representative.

Table 7-1: List of alarms

Message Priority Cause Action

No O2 pressure High O2 supply pressure ≤ 0.22 Mpa • Ventilate manually if necessary.
continuously for 3 seconds • Connect a pipeline supply or install an O2
Air supply disconnected or Air supply cylinder.
pressure too low (if Air is the drive gas) • Check the Air supply (If Air is the drive gas).
Sustained Paw High Paw ≥ 10 cmH2O (± 2 cmH2O) • Check tubing for kinks, blockages, disconnects.
continuously for 10 seconds • Contact an authorized GE Healthcare service
representative to repair the system.
Apnea > 120s High No mechanical breaths in last 120 • Check the patient.
seconds. • Look for disconnects.
• Use manual ventilation as needed.
Negative Paw High Paw ≤ -10 cmH2O (± 2 cmH2O) • Check patient for spontaneous breathing.
continuously 1 seconds. • Adjust control settings.
Ppeak high Medium Paw ≥ Paw max limit • Check if Paw high and other controls are set
correctly.
• Check Paw gauge reading.
• Look for blockages.
• Check patient connection.
Ppeak low. Medium Paw ≤ Paw min limit • Check whether circuit connections are correct.
Leak? • Check the Paw gauge reading.
• Look for circuit disconnections.
TVexp high Medium TV ≥ TV max limit • Check patient for spontaneous breathing.
• Check ventilator and alarm settings.
• Check flush valve. Ensure flush valve is not
sticking.
TVexp low Medium TV ≤ TV min limit • Check patient condition.
• Check tubing connections.
• Check alarm settings
MVexp high Medium MV ≥ MV max limit • Check patient for spontaneous breathing.
• Adjust control settings.
MVexp low Medium MV ≤ MV min limit • Check patient condition.
• Check tubing connections.
• Check alarm settings.
No drive gas High The ventilator does not detect supply • Manually ventilate the patient.
pressure. • Make sure that the appropriate gas supplies
(O2 or air) are connected and pressurized.
O2% high Medium O2 ≥ O2 max limit • Check if the O2 high limit is set correctly.
• Check whether the sensor measures 21% O2 in
room air; if not, calibrate O2 sensor.
• Replace the O2 sensor.
O2% low High O2 ≤ O2 min limit • Check if the O2 low limit is set correctly.
• Check that the O2 flow is sufficient.
• Check whether the sensor measures 21% O2 in
room air. If not, calibrate O2 sensor.
• As sensors wear out, the measured percent O2
decreases. Replace the O2 sensor.
O2 sensor Medium No O2 signal (I/O) • Check O2 sensor connection.
disconnect • Replace O2 sensor if necessary.
Low battery voltage Medium Battery voltage ≤ 10.4 V (± 0.5 V) • Manually ventilate the patient to save power.
continuously for 2 seconds. • Make sure power is connected and circuit
breaker is operational.

M1217948 Rev P 7-5

Carestation 30

Table 7-1: List of alarms

Message Priority Cause Action

Power on battery High The main supply is not connected or has • Ventilate manually to save power.
failed and system is using battery power. • At full charge the battery permits approximately
30 minutes of mechanical ventilation. Make
sure power is connected and circuit breaker is
operational.
Apnea Medium In Bag Mode, Apnea time has exceeded • Check the patient.
≥ 30 seconds ± 10%, there is no value • Use manual ventilation as needed.
from flow sensor, and paw fluctuate is ≤ • Look for disconnects.
2 cmH2O.
No breathing Medium Breathing circuit switches do not detect • Check the breathing system installation.
system breathing system module. • Contact an authorized GE Healthcare service
representative.
Flow sensor Medium The flow sensor cable is disconnected. • Connect the flow sensor cable.
disconnected
Battery failure Medium The battery voltage is less than 10.5 V. • Ventilate manually to save power.
• Make sure power supply is plugged and the
circuit breaker is On.
• Contact an authorized GE Healthcare service
representative.
Pulse high Medium Pulse ≥ Pulse limit max • Check patient condition.
• Check alarm settings
Pulse low Medium Pulse ≤ Pulse limit min • Check patient condition.
• Check alarm settings.
SpO2 high Medium SpO2 ≥ SpO2 limit max • Check patient condition.
• Check alarm settings.
SpO2 low Medium SpO2 ≤ SpO2 limit min • Check patient condition.
• Check alarm settings.
SpO2 probe off Medium SpO2 is plugged into the machine, but • Connect SpO2 probe to the patient.
not connected to the patient. • Press the Audio Pause Key.
No SpO2 probe Medium SpO2 probe is not plugged into the • Plug SpO2 probe into the machine.
machine. • Press the Audio Pause Key.
SpO2 faulty probe Medium Probe is present but leads take no • Check SpO2 probe connection.
current. • Replace SpO2 probe if necessary.
• Press the Audio Pause Key.
Check SpO2 probe Medium Signal quality is too low to perform SpO2 • Check SpO2 probe connection.
measurements. • Replace SpO2 probe if necessary.
• Press the Audio Pause Key.
SpO2 board Medium The SpO2 board cannot communicate • Check SpO2 board internal connection.
removed with host. • Press the Audio Pause Key.
SpO2 no valid data Medium The board can communicate with host • Check internal cable connection of SpO2 board.
but does not provide SpO2 and Pulse • Press the Audio Pause Key.
data and waveform date to host.

CAUTION As for SpO2 probe, another 2 messages would be displayed:

“SpO2 poor signal”
The message shall occur under the condition of SpO2 signal inadequacy.
The connection between the probe and patient should be checked.
“SpO2 probe off”
The message shall occur under the condition of SpO2 enabled, probe
plugged but never connected to patient after machine powered on. It will be
ceased if the probe have good connection with patient.

7-6 M1217948 Rev P

 7 Alarms and Troubleshooting

Minimum system There is one special alarm type --- minimum system shutdown
shutdown alarms alarms.
The software generates minimum system shutdown alarms when a
non-recoverable error occurs during bootup or normal operation.
When the minimum shutdown alarm occurs, the alarm message is
displayed on the monitor, and the system stops mechanical
ventilation and monitoring.
The minimum shutdown alarms include:
• Vent engine error.
• AD reference voltage error.
• EEPROM access error.
• Flow sensor error.
• CPLD (Complex Programmable Logic Device) error.
• Paw sensor error.
If this condition occurs:
• Ventilate manually.
• Use a stand-alone monitor.
• Cycle system power (On-Standby-On).
If the alarm clears, restart mechanical ventilation. If the alarm does
not clear, contact an authorized GE Healthcare service
representative.

M1217948 Rev P 7-7

Carestation 30

Breathing system problems

Table 7-2: Breathing system troubleshooting

System Problem Solution

Gas scavenging flow is too low or Scavenging extract flow problem. Use a different scavenging extraction system.
too high. Verify flow is within specification.
The bellows fills when the BTV Leak through the BTV switch. Contact an authorized GE Healthcare service
switch is set to Bag or the bag fills representative to repair the system.
when the switch is set to Vent.
The ventilator does not read the Ventilator or absorber malfunction. Ventilate manually. Contact an authorized GE
position of the BTV switch. Healthcare service representative to repair the
system.
APL valve does not operate APL valve problem. Replace APL Valve poppet and diaphragm.
correctly.
Large breathing system leak not Bag hose not connected properly. Ensure that the bag hose is connected to the
quickly located. bag port.
Absorber canister not installed correctly. Reinstall the absorber canister, the canister is
locked in place.
Bellows falls below top of indicator Leak in the breathing system. Check, clean, or reposition the pressure relief
during the Bellows tests. valve. If the problem persists, replace the
pressure relief valve, bellows base, or bellows
assembly.

Electrical problems

Table 7-3: Electrical troubleshooting

System Problem Solution

Mains indicator is not on. The electrical power cable is not connected. Connect the power cable.
The power cable is damaged. Replace the power cable.
The electrical socket the power cable connects Use a different electrical socket.
to has no power.
An internal fuse is open. Have an authorized GE Healthcare service
representative repair the fuse.

7-8 M1217948 Rev P

 7 Alarms and Troubleshooting

Pneumatic problems
Table 7-4: Pneumatic troubleshooting

System Problem Solution

High-pressure leak test Controls are not set correctly. Make sure that no gas is flowing, turn off the
fails. flowmeter, and repeat the test.
Incorrect cylinder connection. Make sure that there is only one cylinder gasket,
the gasket is in good condition, and the
connection is tight.
Low-pressure leak test fails The vaporizer is not correctly installed. Correctly install the vaporizer.
with a vaporizer on. The vaporizer filler is loose (funnel fill type Tighten the filler.
vaporizer).
Vaporizer port O-rings (external) are damaged or Install new O-rings.
not installed.
A vaporizer malfunction (the leak stops if a Send the vaporizer to an approved service center
different vaporizer is used in the same manifold for repair.
position).
A port valve malfunction (the leak continues if a Contact an authorized GE Healthcare service
different vaporizer in the same manifold position). representative to repair the vaporizer manifold.
Low-pressure leak with a Anesthesia machine problem. Contact an authorized GE Healthcare service
vaporizer off. representative.

Self Help mode

In Self Help mode, the user can check system logs, perform some
system tests, and restore the system settings to factory default
settings or a set of settings preset by user.
To enter Self Help mode, the user needs to purchase a pass code.
Each Carestation 30 anesthetic system has a unique pass code.

Enter Self Help mode 1. Push and hold the encoder knob while turning on the system
switch. Three options will be shown on the display:
• Service mode
• Self Help mode
• Normal application
2. Turn the encoder knob to highlight the Self Help mode option,
and Push the encoder knob to enter the option.

Figure 7-1: Self Help Mode

M1217948 Rev P 7-9

Carestation 30

• Log - Displays the latest 10 items of the Alarm log or Error

log. Turn the encoder knob to select Alarm Log or Error
Log, or to Download the displayed log. Push the encoder
knob to confirm the selection.

Figure 7-2: Self Help Mode - Log

• Self Test - Choose Start Self Test, the system automatically

performs tests on following items:
— O2 supply pressure
— Flow sensor
— USB
— O2 cell
— Serial port
— SpO2
For the test items of Flow Sensor, USB, O2 Cell, Serial
Port, and SpO2, if their test results are Fail, please first
check whether their connections are OK. If the test results
are still Fail after the connections are verified, please contact
an authorized GE Healthcare service representative.

Figure 7-3: Self Help Mode - Self Test

7-10 M1217948 Rev P

 7 Alarms and Troubleshooting

• I/O Status - The system automatically checks and shows the

I/O status of the following items:
— ACGO switch
— Breathing system On switch
— Bag/Vent switch
— Flow sensor
— O2 cell

Figure 7-4: Self Help Mode - I/O status

• Factory Default - Turn the encoder knob to choose Factory

Default, or Set User Default options. Push the encoder knob
to confirm the selection.
— With Factory Default, the system settings will be
restored to factory default settings which are shown in
Table 7-5.
— Choose Set User Default to set the user default settings
for the system’s parameters.

Figure 7-5: Self Help Mode - Set Factory Default

M1217948 Rev P 7-11

Carestation 30

Table 7-5: Factory Default Settings

Item Setting Item Setting Item Setting

Alarm Limit Show TV 500 Paw Min 4
Alarm Volume 2 Rate 10 O2 Max 100
Wave Display Paw I:E 1:2.0 O2 Min 21
Screen Brightness 3 TV Max 1800 SpO2 Max 100
Screen Contrast 3 TV Min 0 SpO2 Min 95
Paw Unit cmH2O MV Max 40 Pulse Max 120
Unit Display Show MV Min 0.1 Pulse Min 40
Task Light On Paw Max 40

7-12 M1217948 Rev P

 8 User Maintenance

In this section Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Maintenance summary and schedule . . . . . . . . . . . . . . . . . 8-4
User maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
GE Healthcare authorized maintenance . . . . . . . . . . . . 8-5
Breathing system maintenance . . . . . . . . . . . . . . . . . . . . . . 8-6
O2 cell replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
O2 cell calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8
Installing cleaned, disinfected components . . . . . . . . . . 8-9
Inspiratory and expiratory check valves . . . . . . . . . . . . . 8-9
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Vaporizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Prevent water buildup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10

M1217948 Rev P 8-1

Carestation 30

WARNING To prevent fires:

• Only use lubricants approved for anesthesia or O2
equipment.
• Do not use lubricants that contain oil or grease. They
may burn or explode in high O2 concentrations.
• All materials used to cover the system must be made
from antistatic (conductive) materials. Static electricity
can cause fires.
• Desiccated (dehydrated) absorbent material may
produce dangerous chemical reactions when exposed
to inhalation anesthetics. Adequate precautions
should be taken to ensure that absorbent does not dry
out. Turn off all gases when finished using the system.

WARNING Obey infection control and safety procedures. Used

equipment may contain blood and body fluids.

WARNING The used attaching equipment which has been exposed

to the anesthetic gas and any waste of it must not be
disposed as unsorted municipal waste and must be
collected separately. Please contact an authorized GE
Healthcare service representative.

WARNING Moveable parts and removable components may present

a pinch or a crush hazard. Use care when moving or
replacing system parts and components.

WARNING Be aware of the risks and precautionary measures related

to phthalates. The following types of procedures may
increase the risk of exposure to phthalates when a device
containing phthalates is used for treatment of children or
treatment of pregnant or nursing women:
• Exchange transfusion in neonates, total parenteral
nutrition in neonates, multiple procedures in sick
neonates, haemodialysis in peripuberal males, male
fetus and male infant of pregnant women, and
lactating women; and massive blood infusion into
trauma patients. Although these procedures have the
potential for increased risk of exposure, conclusive
evidence of human health risks has not been
established. As a precautionary measure, to reduce
the potential for unnecessary exposures to phthalates,
the product must be used in accordance with the
instructions for use, and practitioners should refrain
from using this product beyond the period of time the
product is medically necessary or needed.
8-2 M1217948 Rev P
 8 User Maintenance

Repair policy
Do not use malfunctioning equipment. Make all necessary repairs or
have the equipment serviced by an authorized GE Healthcare service
representative. After repair, test the equipment to ensure that it is
functioning properly, in accordance with the manufacturer’s published
specifications.
To ensure full reliability, have all repairs and service done by an
authorized GE Healthcare service representative. If this cannot be
done, replacement and maintenance of those parts listed in this
manual may be undertaken by a competent, trained individual having
experience in the repair of devices of this nature.

CAUTION No repair should be attempted by anyone not having

experience in the repair of devices of this nature.

Replace damaged parts with components manufactured or sold by

GE Healthcare. Then test the unit to ascertain that it complies with
the manufacturer’s published specifications.
Contact your local authorized GE Healthcare service representative
for service assistance. In all cases, other than where GE Healthcare’s
warranty is applicable, repairs will be made at GE Healthcare’s
current list price for the replacement part(s) plus a reasonable labor
charge.

M1217948 Rev P 8-3

Carestation 30

Maintenance summary and schedule

These schedules are the minimum frequency based on typical usage
of 2000 hours per year. You should service the equipment more
frequently if it is used more than this.
For detailed cleaning and disinfection instructions, refer to “Cleaning
and Disinfection” section in this manual.
Note Local policies or regulations may require that maintenance be
performed more frequently than stated here.

User maintenance
Table 8-1: User Maintenance

Minimum
Maintenance
Frequency
Daily Clean external surfaces.
Weekly • 21% O2 calibration (circuit O2 sensor). For O2 cell
calibration, refer to "O2 cell calibration" on page 8-
8.
• Clean up the accumulated water from the breathing
system.
Note: Whenever there is noise caused by the
accumulated water in the breathing system, please
clean up the accumulated water from the breathing
system.
Two weeks Drain the vaporizers and discard the agent.
Monthly • 100% O2 calibration (circuit O2 sensor). For O2 cell
calibration, refer to "O2 cell calibration" on page 8-
8.
• Lubricate all cylinder supply yoke handle threads
with Krytox or a lubricant approved for use with
100% O2.
During cleaning Inspect the parts for damage. Replace or repair as
and setup necessary.
Annually Replace the external O-rings on the vaporizer ports.
As necessary • Install new cylinder gaskets on cylinder yokes.
• Empty the water reservoir and replace the
absorbent in the canister.
• Replace the circuit O2 sensor. For O2 cell
replacement, refer to "O2 cell replacement" on page
8-6. (Under typical use the sensor meets
specifications for one year.)
• Replace the flow sensor.

8-4 M1217948 Rev P

 8 User Maintenance

GE Healthcare This is the minimum level of maintenance recommended by GE

authorized Healthcare. Local regulations may contain additional maintenance
requirements. GE Healthcare advocates compliance with local
maintenance regulations which meet or exceed this minimum level of maintenance.

Minimum Frequency Planned Maintenance

Twelve Months Have an authorized GE Healthcare service
representative complete the scheduled service
maintenance checks, tests, calibrations, and
parts replacement as defined in the Technical
Reference Manual.
Note: This is the recommended minimum maintenance level for the
anesthetic system. You have to follow your local maintenance standards.
GE Healthcare recommends that if your local maintenance standard is
equal to or higher than the maintenance level specified in this manual,
please follow your local requirement.

M1217948 Rev P 8-5

Carestation 30

Breathing system maintenance

When cleaning the breathing system, replace any parts that are
visibly cracked, chipped, distorted, or worn.
Refer to the appropriate section for reassembly and tests.

O2 cell replacement

WARNING Handle and dispose of O2 cells according to site

biohazard policies. Do not incinerate.
1. Push the breathing system release button which is located
underneath the canister base. At the same time, hold the
breathing system properly and carefully pull it out until it is
completely removed from the machine.

Figure 8-1: Remove the breathing system

2. The O2 cell is located at the left side of the machine. Turn the O2
cell slightly counterclockwise, and carefully pull it out.

Figure 8-2: Pull out the O2 cell assembly

3. Disconnect the cable from the O2 cell.

8-6 M1217948 Rev P

 8 User Maintenance

Figure 8-3: Disconnect the O2 cell cable

4. Remove the O2 cell fitting by carefully pulling it off the O2 cell.

1 2
1. O2 cell fitting
2. O2 cell

Figure 8-4: O2 cell assembly

Important Make sure that the O-ring is on the replacement O2 cell before
installation.

Figure 8-5: O2 cell O-ring

5. Install the replacement O2 cell in the reverse order of the steps

above.
6. Perform O2 cell calibration after O2 cell replacement.

M1217948 Rev P 8-7

Carestation 30

O2 cell calibration

WARNING Do not perform the O2 cell calibration while the system is

connected to a patient.

WARNING The O2 cell must be calibrated at the same environment

pressure at which it will be used to monitor the oxygen
delivery in the patient circuit.

WARNING Operation at pressures other than the pressures present

during operation may result in readings outside of the
stated monitoring accuracy.
Important It may take a new O2 cell 90 seconds to stabilize. If the O2 cell
calibration fails after a new O2 cell has been installed, wait 90
seconds and repeat the calibration.

21% O2 cell calibration Complete a 21% O2 cell calibration before performing the 100% O2
calibration.
1. Push the encoder knob, turn the encoder knob to highlight Menu,
and push the encoder knob to select.
2. Turn the encoder knob to highlight 21% O2.
3. Remove the breathing system to expose the O2 cell to the room
air.
4. Push the encoder knob to start 21% O2 sensor calibration.
“Calibrating...” shows on the screen while the O2 cell is being
calibrated to the room air.
5. “Pass” shows on the screen after successful calibration.
• Reinstall the breathing system to the system.
• Turn the encoder knob to select OK to exit to the home
screen.
6. If the screen shows “Failure”, repeat the 21% O2 cell calibration.
7. If the calibration fails after another attempt, perform a 100% O2
cell calibration. Then try the 21% O2 cell calibration again.
8. Replace the O2 cell if repeated failures occur.
9. Perform the "Breathing system tests" on page 5-17 before using
the system.

100% O2 cell calibration Complete a 21% O2 cell calibration before performing the 100% O2
calibration.
1. Make sure that the breathing system is installed onto the
machine.
2. Push the O2 flush button for 5 seconds and set the O2 flow to 5 L/
Min and set other gases to minimal flow.
3. After performing a 21% O2 cell calibration, turn the encoder knob

8-8 M1217948 Rev P

 8 User Maintenance

to highlight 100% O2.

4. Push the encoder knob to start 100% O2 calibration.
5. “Pass” shows on the screen after successful calibration.
6. 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% O2 cell calibration
again.
• If the 100% O2 cell calibration does not pass, replace the O2
cell.

Installing cleaned, For all reusable parts, such as the breathing system including the
disinfected bellows and CO2 absorber canister, and so on, shall be cleaned and
disinfected before re-use.
components
The cleaned and disinfected components of the breathing system,
absorber canister, and bellows assembly, and so on, should be
installed correctly to avoid gas leakage. Perform a self-check and gas
leak test after installing these components to make sure that the
system is operating normally. Wipe off the retained soda lime from
the cover of absorber canister after filling.
See “Cleaning and Disinfection” section in this manual for detailed
cleaning and disinfection instructions.

Inspiratory and Do not twist the inspiratory and expiratory valve membranes. Take
expiratory check care when cleaning, disinfecting, or disassembling them. Replace the
worn valve membrane.
valves

Bellows Disassemble and inspect the bellows assembly monthly. Replace

damaged, worn, or discolored components.
1. Disassemble the bellows assembly.
2. Check that each component does not split, twist, expand, or have
other physical changes. Replace the components if needed.
3. Assemble the bellows assembly, and perform a gas leak test.
For bellows assembly maintenance, refer to "Cleaning and
disinfection of bellows parts" on page 9-11.

WARNING Do not repair or maintain the equipment during

operation.

M1217948 Rev P 8-9

Carestation 30

Vaporizer
Refer to the User’s Reference manual of the vaporizer used with this
system.

Battery

WARNING Replacement of the battery by inadequately trained

personnel could result in a hazard. Contact GE
Healthcare for battery repair and maintenance.
The reserve battery will auto-charge and keep the full charged status
when the system is connected to main power. There is no need to
charge or maintain it manually.

Prevent water buildup

Water is created from exhaled gas and a chemical reaction between
CO2 and the absorbent. Water buildup increases when the system is
used at low fresh gas flows. At low flows, more CO2 stays in the
absorber producing water and more moist exhaled gas remains in the
absorber.

WARNING Pooled water in the flow sensor and breathing system can cause
inaccurate alarms and affect ventilation.
Small beads of water or foggy appearance in the flow sensor is
acceptable.
To manage excess water:
• Empty the water reservoir in the canister from the top when
changing the absorbent or when the reservoir is full.
• Make sure that any water condensing in the breathing system
tubes is not allowed to drain into the flow sensor.
• Clean up the accumulated water from the breathing system
weekly or whenever there is noise caused by the accumulated
water.

8-10 M1217948 Rev P

 9 Cleaning and Disinfection

In this section Autoclave breathing system . . . . . . . . . . . . . . . . . . . . . . . . . 9-4

Removing APL valve . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Removing breathing system . . . . . . . . . . . . . . . . . . . . . 9-4
Breathing system autoclavable parts . . . . . . . . . . . . . . . 9-5
How to disassemble the breathing system . . . . . . . . . . 9-5
Installing the breathing system . . . . . . . . . . . . . . . . . . . 9-7
System cleanable parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Special requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Surface cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Cleaning Flow sensor (optional) . . . . . . . . . . . . . . . . . . 9-9
Cleaning and disinfection of inspiratory/expiratory valves 9-
10
Cleaning and disinfection of bellows parts . . . . . . . . . . . . . 9-11
Disassembling the bellows assembly . . . . . . . . . . . . . 9-11
Cleaning the Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . 9-13
Assembling the Bellows Assembly . . . . . . . . . . . . . . . 9-13
Bellows assembly tests . . . . . . . . . . . . . . . . . . . . . . . . 9-13
Cleaning and disinfection of AGSS . . . . . . . . . . . . . . . . . . 9-17

M1217948 Rev P 9-1

Carestation 30

Removing the AGSS assembly . . . . . . . . . . . . . . . . . . 9-17

Disassembling the AGSS assembly . . . . . . . . . . . . . . 9-17
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-19
Mechanical cleaning in washer or washer-disinfector . 9-19
Manual cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-19
High level disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-19

9-2 M1217948 Rev P

 9 Cleaning and Disinfection

WARNING Obey applicable safety precautions:

• Read the material safety data sheet for each cleaning
agent.
• Read the manual for all disinfection equipment to be
used.
• Wear gloves and safety glasses. A damaged O2 cell
can leak and cause burns. Do not breathe in the
fumes.

CAUTION To prevent damages:

• Refer to the manufacturer’s data if you have questions
about a cleaning agent.
• Follow hospital procedures for cleaning areas of the
machine not specified in this section.
• Do not use organic, halogenated, or petroleum-based
solvents, anesthetic agents, glass cleaners, acetone,
or other harsh cleaning agents.
• Do not use abrasive cleaning agents (such as steel
wool, silver polish, or cleaner).
• All plastic surfaces of the machine shall be cleaned
with water and gentle detergent.
• Keep all liquids away from electronic parts.
• Do not permit liquid to go into the equipment housings.
• Do not soak synthetic rubber parts for more than 15
minutes. Swelling or faster aging can occur.
• Only autoclave parts marked 134°C.
• Cleaning solutions must have a pH of 7.0 to 10.5.

CAUTION Even accessories designed to be reused (for example

after reprocessing) have a limited service life. Due to a
number of factors connected with handling and
reprocessing (for example disinfectant residues can
attack the material more intensely during autoclaving),
increased wear can occur and the service life can be
markedly shortened. These parts must be replaced if
signs of wear become visible, such as cracks,
deformation, discoloration, peeling, and so on.

M1217948 Rev P 9-3

Carestation 30

Important It is recommended to clean and disinfect the Carestation 30

anesthesia machine prior to first use.

Autoclave breathing system

The whole breathing system excluding the APL valve is autoclavable.
Remove the APL valve before autoclaving the breathing system.
Breathing system (not including disposable sensors) and AGSS are
autoclavable to 20 cycles at 134 °C for 18 minutes. All breathing
system parts are designed to withstand 20 wash cycles at 49 °C for
10 minutes with Alconox brand Alcojet detergent.

Removing APL valve 1. Loosen the thumbscrew which holds the APL valve to the
breathing system.

1
1. Thumbscrew

Figure 9-1: Remove APL valve

2. Carefully pull the APL valve out.

Note Make sure the APL valve is adjusted to the minimum position when
installing it.

Removing breathing 1. Disconnect the patient Y-piece from the inspiratory and expiratory
system port of the breathing system.
2. Remove the bag from the breathing system.
3. Remove the flow sensor.
4. Push the breathing system release button which is located
underneath the canister base. At the same time, hold the
breathing system properly and carefully draw it out until it is
completely removed from the machine.

9-4 M1217948 Rev P

 9 Cleaning and Disinfection

1. Breathing system release button.

Figure 9-2: Remove the breathing system

WARNING The breathing system may be heavy. Please hold it with

both hands.

Breathing system Parts marked 134°C are autoclavable or washable by hand or

autoclavable parts machine (mild detergent pH 7 - 10.5). Rinse and dry completely.

How to disassemble The breathing system assembly can be disassembled for cleaning,
the breathing system disinfection, and part replacement.
1. Press down the absorber canister release latch as the arrow in
the picture, and pull the canister horizontally backwards at the
same time, until the canister is removed from the breathing
system.

Figure 9-3: Remove absorber canister

2. Turn the bellows housing counterclockwise according to the

arrow and lift it to remove it from the bellows.

Figure 9-4: Remove bellows housing

3. Hold the bellows base, and carefully lift it up as the arrow to

remove the bellows assembly from the breathing system.

M1217948 Rev P 9-5

Carestation 30

1. O-rings

Figure 9-5: Remove the bellows assembly

Note Make sure the bellows O-rings are in place when installing the
bellows.
4. Remove the BTV switch by carefully lifting it up off the breathing
system.

1
2

1. The BTV switch

2. O-rings

Figure 9-6: Remove the BTV switch

Note Make sure the O-rings are in place when installing the BTV switch to
the breathing system.
5. Turn the inspiratory/expiratory check valves’ transparent cover
counterclockwise as the arrow to remove them from the breathing
system.

Figure 9-7: Remove the transparent cover

Note Make sure the transparent cover O-ring is in place when installing the
cover to the breathing system.

9-6 M1217948 Rev P

 9 Cleaning and Disinfection

1. O-ring

Figure 9-8: Transparent cover O-ring

Installing the Reassemble the breathing system in the reverse order of the steps in
breathing system “How to disassemble the breathing system”.
1. Locate the guide pins.

Figure 9-9: Locate the guide pins

2. Hold the breathing system, slide the breathing system onto the
guide pins.
3. Push the breathing system in fully. Listen for the click, which
indicates the breathing system is locked.
Note Complete the tests in the “Preoperative Tests” section after
installation of the breathing system.

M1217948 Rev P 9-7

Carestation 30

System cleanable parts

WARNING Do not use talc, zinc stearate, calcium carbonate, corn

starch, or equivalent materials to prevent tackiness.
These materials can go into the patient’s lungs and
airways and cause irritation or injury.

WARNING Do not autoclave the circuit O2 cell and the plastic flow
sensors.

WARNING Do not put the circuit O2 cell or flow sensor connector in

liquid.

WARNING The O2 cell cannot be disinfected and is not autoclavable.

Be aware that cross-contamination is possible.

WARNING Do not insert any objects into the flow sensor to clean the
interior surfaces. Damage to the flow sensor can occur.
Use a damp cloth to clean external surfaces if needed.

WARNING Do not use organic solvent to clean the external surface of

the product. Use a damp cloth to clean on external
surfaces only.

WARNING It is recommended to clean the breathing system every

week.

Special requirements • To clean the circuit O2 cell, wipe it with a damp cloth. Do not put
the sensor in liquid.
• To clean/disinfect plastic flow sensor, refer to "Cleaning Flow
sensor (optional)" on page 9-9.
• Disassemble the bellows assembly before washing. If not, it will
take a very long time to dry. Hang the bellows upside down
(extended) to dry. If not, the convolutions can stick together.
• Assemble the bellows assembly before autoclaving. Autoclave
the bellows assembly upside down.
• Assure that there is no water remained in manifold before
installing the manifold into Breathing System base.

Surface cleaning
Note All the plastic surfaces of the machine shall be cleaned with water
and gentle detergent.
Use a regular water-soluble disinfectant and a soft cloth. Use the
cloth to clean the panel and the surface of the anesthesia machine.

9-8 M1217948 Rev P

 9 Cleaning and Disinfection

The disinfectant should be applied according to the manufacturer’s

instructions. When cleaning the anesthesia machine, the liquid
disinfectant should not enter the inside of the machine. Do not use
organic solvent to clean the surface.
Ultraviolet radiation can be used to disinfect the anesthesia machine;
duration should be 60 minutes.

Cleaning Flow sensor

(optional)

CAUTION Do not put the flow sensor clip in liquid.

CAUTION Do not autoclave the plastic flow sensor.

CAUTION Do not clean the interior surfaces of the flow sensor

cartridge.

CAUTION Use a damp cloth on external surfaces only. The

“Preoperative Tests” section explains how to test the
system for correct operation.

The flow sensor is a precise and fragile device. A soft cloth and
water-soluble disinfectant can be used to wipe the outside surface of
the flow sensor cartridge. Do not try to clean the inside of the flow
sensor cartridge.

1. Flow sensor cartridge

2. Flow sensor clip

Figure 9-10: Flow sensor assembly

M1217948 Rev P 9-9

Carestation 30

Cleaning and 1. Turn the inspiratory/expiratory transparent cover

disinfection of counterclockwise to remove it from the breathing system.
inspiratory/expiratory 2. Use a water-soluble disinfectant and antiseptic gauze to wipe the
valves transparent covers and the check valve ports.
3. Autoclave the inspiratory/expiratory check valves together with
the breathing system assembly.
4. Install the transparent covers over the check valves. Turn them
clockwise to lock them in place.
5. After installation, inspect the movement of the check valves.
Make sure that:
• The expiratory check valve opens during expiration and
closes at the start of inspiration.
• The inspiratory check valve opens during inspiration and
closes at the start of expiration.

9-10 M1217948 Rev P

 9 Cleaning and Disinfection

Cleaning and disinfection of bellows parts

Disassembling the The bellows assembly can be disassembled for cleaning, disinfection,
bellows assembly and part replacement.
1. Turn the housing counterclockwise as the arrow and lift.

Figure 9-11: Remove the housing

2. Hold the bellows base, and carefully lift it up as the arrow to

remove the bellows assembly from the breathing system.

Figure 9-12: Remove bellows assembly

3. Push the latch toward the center and remove the rim together
with the bellows.

1. Latch

Figure 9-13: Remove the rim

M1217948 Rev P 9-11

Carestation 30

4. Remove the bottom edge of the bellows from the rim.

Figure 9-14: Remove the bottom edge

5. Remove the pressure-relief valve.

Figure 9-15: Remove the pressure-relief valve

WARNING Do not disassemble the pressure relief valve. This can

damage the seat or diaphragm and cause injury to the
patient.

6. Squeeze the latch toward the center and remove it.

Figure 9-16: Remove the latch

9-12 M1217948 Rev P

 9 Cleaning and Disinfection

7. Remove the seal.

Figure 9-17: Remove the seal

Cleaning the Bellows The bellows can be autoclaved, manually washed, or washed in an
automatic washer. Disassemble the bellows assembly before
washing. The bellows take a very long time to dry if washed as an
assembly. Hang the bellows upside down (extended) to dry. The
convolutions of the bellows can stick together if dried without being
extended.

WARNING Do not use talc, zinc stearate, calcium carbonate, corn

starch, or equivalent materials to prevent tackiness.
These materials can go into the patient’s lungs and air-
ways and cause irritation or injury.

Assembling the 1. Install the seal. Verify the groove on the seal faces up.
Bellows Assembly 2. Push the latch toward the center and attach the locking tabs.
3. Install the pressure-relief valve.
4. Attach the bottom edge of the bellows to the rim. Verify only the
bottom ring of the bellows is fitted over the rim.
5. Install the rim. Listen for a double-click when installing the rim.
6. Lower the housing and turn it clockwise to lock. Verify it cannot
be lifted off of the base.

Perform the bellows assembly tests before installing it to the breath-

ing system.

Bellows assembly
tests

WARNING The bellows assembly tests do not replace the

preoperative tests. Always complete the tests in the
“Preoperative Tests” section before using the system on
the patient.
These tests make sure that all components are correctly assembled.
These are not an alternative to a complete system checkout. If the

M1217948 Rev P 9-13

Carestation 30

bellows assembly operates correctly, complete the assembly of the

breathing system. If there is a problem, disassemble the bellows
assembly. Verify proper assembly and look for and replace damaged
parts.
To test the bellows assembly:
1. Remove the bellows assembly from the breathing system. Press
the bellows housing to make sure the housing covers the bellows
base tightly.

Figure 9-18: Cover bellows housing

2. Recognize the bellows inlet ports.

2
1

1. Drive gas inlet

2. Fresh gas inlet

Figure 9-19: Bellows inlet ports

3. Hold the bellows assembly vertically and use the appropriate test
plugs to seal the drive gas inlet.

9-14 M1217948 Rev P

 9 Cleaning and Disinfection

Figure 9-20: Seal the drive gas inlet

4. Invert the bellows assembly. The bag should fall less than
100 mL/min. If this limit is exceeded, it may be due to:
• The drive gas port is not tightly sealed.
• The bellows or O-ring are incorrectly installed.
• The seal inside the bellows is not correctly installed (with
groove pointed up).
• Parts are damaged.

Figure 9-21: Invert the bellows assembly

5. Remove the plug from the drive gas port. Allow the bellows to
fully extend. Then plug the fresh gas inlet port.

M1217948 Rev P 9-15

Carestation 30

Figure 9-22: Fully extend the bellows

6. Turn the bellows assembly upright. The bag should fall less than
100 mL/min. If this limit is exceeded, it may be due to:
• Incorrect installation of the bellows or pop-off valve.
• Parts are damaged.

Figure 9-23: Turn the bellows assembly upright

7. If all the tests pass, complete the assembly of the breathing

system.

9-16 M1217948 Rev P

 9 Cleaning and Disinfection

Cleaning and disinfection of AGSS

The AGSS receiver and gasket are autoclavable.

CAUTION Do not autoclave the reservoir. Damage to the reservoir

will occur.

Removing the AGSS 1. Loosen the screw which holds the AGSS assembly onto the
assembly machine.

Figure 9-24: Loosen AGSS assembly screw

2. Lift the AGSS assembly vertically upwards to remove the AGSS

assembly from the machine.

Disassembling the The AGSS receiver may be removed for cleaning and disinfection.
AGSS assembly 1. Loosen the screw as shown in the picture below and disconnect
the AGSS reservoir from the AGSS receiver.

1. AGSS receiver
2. AGSS reservoir

Figure 9-25: Loosen AGSS reservoir screw

M1217948 Rev P 9-17

Carestation 30

2. Loosen the screw as shown in the picture below to remove the

AGSS receiver from the AGSS assembly seat.

Figure 9-26: Loosen AGSS receiver screw

9-18 M1217948 Rev P

 9 Cleaning and Disinfection

Absorber canister
See "Removing a canister" on page 3-17 for instructions on how to
remove the canister.
Note The absorber canister foam filter is not reusable. Replace it with a
new one every time after changing the absorbent or after cleaning the
absorber canister.
Note The absorbent cannot be autoclaved. Fill the absorber canister with
new absorbent after cleaning the canister.

Mechanical cleaning 1. Place the canister (without filters and absorbent) and the lid in the
in washer or washer- washer or washer-disinfector and clean them using the
appropriate procedures.
disinfector
2. If the washer or washer-disinfector is not able to disinfect the
equipment, the manufacturer recommends that a further high
level disinfection is conducted.
3. Ensure the canister is dry before replacing the filters and refilling
with absorbent.

Manual cleaning The manufacturer recommends that manual cleaning is always

followed by a high level disinfection.
1. Flush the canister and the lid with fresh running water.
2. Clean the canister and lid by total immersion in a sink with water
and cleaning agent for at least 3 minutes. The water temperature
should be approximately 40°C (104°F).
3. Flush the canister and lid with fresh running water.
4. Ensure the canister is dry before replacing the filters and refilling
with absorbent.

High level 1. Always clean the canister before high level disinfection.
disinfection 2. The canister can be steam autoclaved. Maximum recommended
temperature is 134°C (273°F).
3. Ensure the canister is dry before replacing the filters and refilling
with absorbent.

M1217948 Rev P 9-19

Carestation 30

9-20 M1217948 Rev P

 10 Parts

This section lists user-replaceable parts only. For other components,

refer to the Technical Reference manual.

In this section Bellows assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Breathing system inspiration and expiration valve assembly . .
10-3
Passive AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Breathing system protection . . . . . . . . . . . . . . . . . . . . . . . 10-5
Flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
O2 Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Vaporizer (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
System accessories (optional) . . . . . . . . . . . . . . . . . . . . . . 10-9
Field upgrade kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-10
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . . 10-10

M1217948 Rev P 10-1

Carestation 30

Bellows assembly

Figure 10-1: Bellows

Item Description Stock number Qty

Bellows Assembly
1 Bellows 1500-3378-000 1
2 Pop-off valve assembly 1500-3377-000 1
3 Latch, Rim 1500-3352-000 1

10-2 M1217948 Rev P

 10 Parts

Breathing system inspiration and expiration valve assembly

Inspiration valve assembly 1

Expiration valve Assembly

Figure 10-2: Inspiration and expiration valve assembly

Item Description Stock number Qty

1 Valve membrane 8500036-S 1

M1217948 Rev P 10-3

Carestation 30

Passive AGSS

Item Description Stock number

Passive AGSS M1231313
Common
1 Cap 3.18 barb silicone 1406-3524-000
2 O-ring for connector, 21.95 ID 1406-3558-000
3 O-ring for receiver, 22 ID 1407-3104-000
4 O-ring for thumbscrews, 4.42 ID 1407-3923-000
5 Reservoir scavenger 1407-3903-000
6 Seal, receiver scavenger 1407-3901-000
7 Thumbscrew, M6 X 43 1406-3304-000
Passive AGSS
8 Adapter, outlet 30 mm female to 19 mm male 1500-3376-000
9 Plug assembly 30 mm ISO 1407-3909-000
10 Screw, shoulder 4 diameter X 4 L M3 X 0.5 sst 1407-3915-000

10-4 M1217948 Rev P

 10 Parts

Breathing system protection

Figure 10-3: Breathing system protection

Item Description Stock number Qty

1 Breathing system protection M1241186-S 1

Flow sensor

Figure 10-4: Flow sensor

Item Description Stock number Qty

1 Flow sensor (pack of 10) 0237-2228-870 1

M1217948 Rev P 10-5

Carestation 30

Absorber canister

Figure 10-5: Absorber canister

Item Description Stock number Quantity

1 Absorber Canister Assembly M1230855-S 1
2 Foam kit ( pack of 20 sets ) M1242995 1

10-6 M1217948 Rev P

 10 Parts

O2 Sensor

Figure 10-6: O2 Sensor

Item Description Stock number Quantity

1 O2 Sensor M1223210-S 1

M1217948 Rev P 10-7

Carestation 30

Vaporizer (Optional)

1 2

Figure 10-7: Vaporizers

Item Description Stock number

1 Tec 7 vaporizer Refer to the dealer for
• ENF details
• ISO
• SEV
2 Tec 820,Tec 850 vaporizer Refer to the dealer for
• ISO details
• SEV

10-8 M1217948 Rev P

 10 Parts

System accessories (optional)

Item Description Quantity Stock number

1 Start-up kit, adult, Patient tube, 1.5 m w/22F cuff, Adult, Disposable 2 M1210696
disposable (For Patient tube, 1.2 m w/22F cuff, Adult, Disposable 1
China) Gas sampling elbow w/cap, Disposable 1
Y-piece, Adult, Disposable 1
Mask, Adult #4, Disposable 1
Manual bag 3L, Latex-free, Disposable 1
Straight connector, 22M/22F, Disposable 3
Straight connector, 22M, 22M/15F, Disposable 1
2 Start-up kit, adult, Silicone tube 1.5m w/22F cuff, Reusable 2 M1209449
reusable (For China) Silicone tube 1.2m w/22F cuff, Reusable 1
Swivel Elbow w/Suction port, Reusable 1
Y-piece, Adult, Reusable 1
Manual bag, 3L w/22F cuff, Reusable 1
Manual bag, 2L w/22F cuff, Reusable 1
Straight connector, 22M/15F, 22M/15F, Reusable 1
3 Start-up kit, pediatric, Patient tube, 1.2 m, Pediatric, Disposable 2 M1213532
disposable (For Gas sampling elbow w/cap, Disposable 1
China) Parallel-Wye connector, Pediatric, Disposable 1
Latex-free Manual bag 1L, Disposable 1
Straight connector, 15M/22F, Disposable 2
Mask, Pediatric #3, Disposable 1
4 Start-up kit, adult, Patient tube, 1.5 m w22F cuff, Adult, Disposable 2 M1210695
disposable (All Patient tube, 1.2 m w22F cuff, Adult, Disposable 1
countries except Gas sampling elbow, Disposable 1
China) Y-piece, Adult, Disposable 1
Face mask, Adult #4, Disposable 1
Manual bag 3L, Latex-free, Disposable 1
Straight connector, 22M/22F, Disposable 3
Straight connector, 22M, 22/15, Disposable 1
5 Start-up kit,adult, Silicone tube, 1.5 m w22F cuff, Reusable 2 M1194681
reusable (All Silicone tube 1.2m w/22F cuff, Reusable 1
countries except Swivel Elbow w/Suction port, Reusable 1
China) Y-piece, Adult, Reusable 1
Manual bag, 3L w/22F cuff, Reusable 1
Manual bag, 2L w/22F cuff, Reusable 1
Straight connector, 22M/15F, 22M/15F, Reusable 1

M1217948 Rev P 10-9

Carestation 30

Field upgrade kit

Item Description Stock number

1 SpO2 Assembly M1230222-S
2 TruSingal Intetrated SpO2 Finger Sensor, 2 m TS-F2-GE
3 Passive AGSS M1231313
4 ACGO Assembly M1236099-S
5 Breathing Circuit Protection M1241186-S
6 Oxygen Sensor M1223210-S

Test tools and system parts

Item Description Stock number

1 Test adapter for low Pressure test M1241398-S
2 Cylinder wrench for pin-indexed cylinder 0219-3415-800
3 Negative low pressure leak test device 0309-1319-800
4 Positive low pressure leak test device (BBI) 1001-8975-000
5 Positive low pressure leak test device (ISO) 1001-8976-000
6 Test lung 0219-7210-300

10-10 M1217948 Rev P

 11 Specifications and Theory of
Operation

Note All specifications are nominal and subject to change without notice.
Note All displayed values are shown at ambient temperature and pressure
dry.

In this section System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . . 11-3

Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
O2 flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
N2O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
Mixed gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
O2 controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Flow specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-11
Breathing system specifications . . . . . . . . . . . . . . . . . . . . 11-11
Gas scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-12
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
Ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
O2 monitor theory of operation . . . . . . . . . . . . . . . . . . 11-13
Ventilator and monitoring specifications . . . . . . . . . . . . . 11-14

M1217948 Rev P 11-1

Carestation 30

Pneumatics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Alarm settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
O2% monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
Ventilator and monitoring accuracy data . . . . . . . . . . . . . 11-15
SpO2 and monitoring specifications . . . . . . . . . . . . . . . . 11-16
Electrical functional block diagram . . . . . . . . . . . . . . . . . . 11-17
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-18
Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-18
Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-19
Electrical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-20
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . 11-21
Essential performance . . . . . . . . . . . . . . . . . . . . . . . . 11-21
Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-21
Guidance and manufacturer’s declaration - electromagnetic
emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-22
Guidance and manufacturer’s declaration - electromagnetic
immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-22
Recommended separation distances . . . . . . . . . . . . . 11-23
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-24
Environmental requirements . . . . . . . . . . . . . . . . . . . . . . 11-24
IEC 60601-1 Classification . . . . . . . . . . . . . . . . . . . . . . . . 11-25
Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-25
System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-26
Integral Components . . . . . . . . . . . . . . . . . . . . . . . . . 11-26
Not Integral components . . . . . . . . . . . . . . . . . . . . . . 11-26

11-2 M1217948 Rev P

 11 Specifications and Theory of Operation

System pneumatic circuits

Figure 11-1: Pneumatic diagram O2+N2O O2 Drive

M1217948 Rev P 11-3

Carestation 30

Table 11-1: Pneumatic diagram O2+N2O O2 Drive

1 N2O cylinder inlet (Optional) 24 Fresh gas

2 Cylinder pressure gauge 25 Airway pressure monitoring
3 Inlet valve 26 Bellows
4 O2 cylinder inlet (Optional) 27 Pop-off valve
5 N2O pipeline inlet 28 APL valve
6 Pipeline pressure gauge 29 Bag/vent switch
7 Pressure relief valve, 758kPa 30 Absorber canister
8 O2 pipeline inlet 31 O2 Cell sensor (Optional)
9 N2O pressure regulator, 172kPa 32 Wheel flow sensor
10 O2 pressure regulator, 172kPa 33 Exhaust port
11 Flow meter module (Optional) 34 Bag
12 Vaporizer 35 Expiratory port
13 Check valve 36 Inspiratory port
14 O2 flush 37 Patient
15 Vent engine 38 30mm male port (to scavenging system)
16 Gas supply pressure sensor 39 0.05kPa inlet
17 Signal drive board 40 Passive AGSS interface
18 Airway pressure sensor 41 Room air
19 ACGO 22mm Port 42 Standby O2 Inlet valve
20 Respiration valve assembly 43 ACGO (Optional)
21 Pressure gauge, Airway 44 Drive Gas Exhaust Port
22 Pressure relief valve, 11kPa 45 Drive Gas Pressure Sensor
23 Drive gas

11-4 M1217948 Rev P

 11 Specifications and Theory of Operation

Figure 11-2: Pneumatic diagram O2+Air O2 Drive

M1217948 Rev P 11-5

Carestation 30

Table 11-2: Pneumatic diagram O2+Air O2 Drive

1 Air cylinder inlet (Optional) 24 Fresh gas

2 Cylinder pressure gauge 25 Airway pressure monitoring
3 Inlet valve 26 Bellows
4 O2 cylinder inlet (Optional) 27 Pop-off valve
5 Air pipeline inlet 28 APL valve
6 Pipeline pressure gauge 29 Bag/vent switch
7 Pressure relief valve, 758kPa 30 Absorber canister
8 O2 pipeline inlet 31 O2 Cell sensor (Optional)
9 Air pressure regulator, 172kPa 32 Wheel flow sensor
10 O2 pressure regulator, 172kPa 33 Exhaust port
11 Flow meter module (Optional) 34 Bag
12 Vaporizer 35 Expiratory port
13 Check valve 36 Inspiratory port
14 O2 flush 37 Patient
15 Vent engine 38 30mm male port (to scavenging system)
16 Gas supply pressure sensor 39 0.05kPa inlet
17 Signal drive board 40 Passive AGSS interface
18 Airway pressure sensor 41 Room air
19 ACGO 22mm Port 42 Standby O2 Inlet valve
20 Respiration valve assembly 43 ACGO (Optional)
21 Pressure gauge, Airway 44 Drive Gas Exhaust Port
22 Pressure relief valve, 11kPa 45 Drive Gas Pressure Sensor
23 Drive gas

11-6 M1217948 Rev P

 11 Specifications and Theory of Operation

Figure 11-3: Pneumatic diagram O2+Air Air Drive

M1217948 Rev P 11-7

Carestation 30

Table 11-3: Pneumatic diagram O2+Air Air Drive

1 Air cylinder inlet (Optional) 24 Fresh gas

2 Cylinder pressure gauge 25 Airway pressure monitoring
3 Inlet valve 26 Bellows
4 O2 cylinder inlet (Optional) 27 Pop-off valve
5 Air pipeline inlet 28 APL valve
6 Pipeline pressure gauge 29 Bag/vent switch
7 Pressure relief valve, 758kPa 30 Absorber canister
8 O2 pipeline inlet 31 O2 Cell sensor (Optional)
9 Air pressure regulator, 172kPa 32 Wheel flow sensor
10 O2 pressure regulator, 172kPa 33 Exhaust port
11 Flow meter module (Optional) 34 Bag
12 Vaporizer 35 Expiratory port
13 Check valve 36 Inspiratory port
14 O2 flush 37 Patient
15 Vent engine 38 30mm male port (to scavenging system)
16 Gas supply pressure sensor 39 0.05kPa inlet
17 Signal drive board 40 Passive AGSS interface
18 Airway pressure sensor 41 Room air
19 ACGO 22mm Port 42 Standby O2 Inlet valve
20 Respiration valve assembly 43 ACGO (Optional)
21 Pressure gauge, Airway 44 Drive Gas Exhaust Port
22 Pressure relief valve, 11kPa 45 Drive Gas Pressure Sensor
23 Drive gas

11-8 M1217948 Rev P

 11 Specifications and Theory of Operation

Gas supplies Pressurized gas supplies enter the system through a pipeline or
cylinder connection. All connections have indexed fittings, filters, and
check valves. Gauges show the cylinder and pipeline pressures.
A regulator decreases the cylinder pressures to the appropriate
system pressure. A pressure relief valve helps protect the system
from high pressures.
To help prevent problems with the gas supplies:
• Install yoke plugs on all empty cylinder connections.
• When a pipeline supply is connected, keep the cylinder valve
closed.
• Disconnect the pipeline supplies when the system is not in use.

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.
The following gas flow description is based on the gas configuration
in Figure 11-1. Gas flow theory on the other two gas configuration is
similar.

O2 flow Pipeline or regulated cylinder pressure supplies O2 directly to the

ventilator (O2 Ventilator), the flush valve, and the flowmeter.
The flush valve supplies high flows of O2 to the breathing system
when the flush button is pushed.
Pipeline or regulated cylinder O2 pressure is regulated to 172 kPa by
the drive gas regulator before feeding to the flow control valve and
the vent engine.
A pressure sensor monitors the O2 supply pressure. If the pressure is
too low, an alarm appears on the ventilator.

N2O N2O gas from the pipeline or regulated cylinder is regulated to 172
kPa, then flows to the flowmeter.
A balance regulator controls the flow of N2O to the flow control valve.
Oxygen pressure at a control port adjusts the output of the regulator.
This stops flow during an O2 supply failure and ensures that the
hypoxic gas pressures decrease with the O2 supply pressure.
A gear linkage on the N2O and O2 flow controls helps keep the O2
concentration higher than approximately 21% at the fresh gas outlet.

Mixed gas The mixed gas goes from the flowmeter outlet through the vaporizer
that is ON, to the fresh gas outlet, and into the breathing system. A
pressure relief valve sets the maximum outlet pressure.
Note The pneumatic system is compatible with O2, Air, N2O, ENF, ISO and
SEV.

M1217948 Rev P 11-9

Carestation 30

Pneumatic specifications

CAUTION All gases supplied to the system must be medical grade.

Gas supplies
Table 11-4: Gas supplies specification
Pipeline gases O2, or N2O/O2, or Air/O2
Cylinder gases O2,N2O; up to 2 cylinders total
Cylinder connections Pin indexed (all gases).
Primary regulator Pin indexed: The primary regulator is set to
output pressure pressure less than 345 kPa (50 psi).

Pressure-relief valve Approximately 758 kPa (110 psi)

Pipeline connections DISS - Male; DISS-Female; S90-116 (French
(filtered) Air Liquide); BSPP 3/8 (Scandinavian) or NIST
(ISO 5359). All fittings available for O2 and
N2O.
Pressure displays Color coded gauges
Pipeline inlet pressure 280-600 kPa (41-87 psi)

O2 controls

Table 11-5: O2 controls

O2 supply pressure
O2 supply failure alarm < 220 kPa
N2O shutoff 50 kPa

Ventilator

Table 11-6: Low pressure gas supply

O2 supply pressure
Secondary regulator output The secondary regulator is set to 172
pressure kPa.

Drive gas regulator output The drive gas regulator is set to 172 kPa.
pressure
The relief valves limit the pressure in
Relief valves bellows housing and airway under 11
kPa.

11-10 M1217948 Rev P

 11 Specifications and Theory of Operation

Flow specifications
Table 11-7: Flow specifications

Two flow tubes

Flush flow 25 to 75 L/min
Flow range Minimum O2 flow 25 to 75 mL/min
O2 0.1 to 1.0 L/min
1.0 to 10 L/min
N2O 0.1 to 1.0 L/min
1.0 to 10 L/min
Air 0.1 to 1.0 L/min
1.0 to 10 L/min
Accuracy At 20 °C with gas supply pressures at 345 kPa (50 psi) and an outlet
pressure of 101.3 kPa (absolute) (14.7 psi), flowmeter accuracy
agrees with VDE 3513 Part 3, Accuracy Class 2.5 or better.
Different breathing system pressures, barometric pressures or
temperatures change the accuracy. With some conditions, these
changes can be larger than the tolerances.

Breathing system specifications

Table 11-8: Breathing system specifications
Volume Ventilator side 2340 mL; bag side 1830 mL
Absorbent capacity 1450 mL
Connections Auxiliary Common Gas Outlet: ISO 5356 type connector
on the front of the system (standard 22 mm OD or 15
mm ID conical friction fit connectors).
System leakage These values are for continuous pressure and are higher
than those expected during mechanical ventilation:
Less than or equal to 225 mL/min total at 3 kPa (0.4 psi);
Less than or equal to 75 mL/min for all connectors and
two part tubes;
Less than or equal to 150 mL/min for all other breathing
system assemblies.
Pressure required to Dry: 0.65 cmH2O; Wet: 1.2 cmH2O
open inspiratory or
expiratory valves
Pressure generated 1.1 cmH2O
by a wet
unidirectional valve
Pressure gauge Scale range: -20 to 100 cmH2O
Pressure relief valve Not more than 60 cmH2O
APL valve Range: 0 to 70 cmH2O
Tactile knob indication at: 30 cmH2O
Adjustment range of rotation: 300 degree

Table 11-9: Breathing system resistance

Flow Resistance Resistance

(L/min) (kPa) (cmH2O)
Bag mode* 5 0.03 0.3
30 0.17 1.7
60 0.56 5.6

M1217948 Rev P 11-11

Carestation 30

Table 11-9: Breathing system resistance

*Values include patient circuit tubing and Y-piece 0.15 kPa (0.20 psi) expiratory
resistance at 1 L/s. Patient circuit tubing and breathing system configurations may
affect resistance.

Table 11-10: Pressure flow data

Pressure flow data (APL valve completely open)

APL pressure
Flow (L/min) Flow (L/s)
cmH2O
3 0.05 0.1
10 0.17 0.5
30 0.51 1.0
60 1.0 3.0
70 1.17 4.0

Table 11-11: System compliance

Bag Mode Vent Mode

Internal Internal Internal Internal
Compliance Compliance Compliance Compliance
(ml/cmH2O) (ml/30cmH2O) (ml/cmH2O) (ml/30cmH2O)
1.45 44 1.3 39

Gas scavenging

Passive scavenging
Outlet connector 30 mm male taper ISO

11-12 M1217948 Rev P

 11 Specifications and Theory of Operation
Ventilator theory
The ventilator pneumatic components are located under the tabletop.
The vent engine controls the amount of flow provided to the patient, a
respiration valve controls the inhalation and exhalation status, while a
relief valve is used to protect the BC from high pressure.
Breaths are provided to the patient by sealing the respiration valve
and providing flow to the breathing system. During exhalation, the
sealing pressure on the exhalation valve is released and flow
exhausts from the breathing system.
Volume measurements come from the flow sensor which is mounted
at the breathing expiratory port. A cable connects the sensor to the
interface board inside the machine, through a tube connected from
the breathing system to a part at the rear of the machine. A
transducer measures the airway pressure at the inlet of the breathing
system.

Ventilation mode The system operates in Volume Control Ventilation (VCV) mode.
Volume control supplies a set tidal volume. The ventilator calculates a
flow based on the set tidal volume and the length of the inspiratory
time from the I:E and frequency settings.
A typical volume-controlled pressure waveform increases throughout
the entire inspiratory period and rapidly decreases at the start of
expiration.
Volume control settings:
• TV(Tidal Volume)
• Rate
• I:E
The ventilation setting parameters (TV, Rate and I:E) are
interdependently limited by MV range from 4 to 50 l/min.

O2 monitor theory of The O2 monitor measures and displays O2 concentration in the

operation patient circuit.
The O2 sensor assembly contains an oxygen sensor that produces a
voltage proportional to the oxygen partial pressure (concentration) at
its detecting surface.
The O2 sensor is an electrochemical device (galvanic cell). Oxygen
diffuses through a membrane into the device and oxidizes a base
metal electrode. This oxidation produces an electrical current
proportional to the partial pressure of the oxygen at the electrode’s
sensing surface. The base metal electrode gradually wears out from
the oxidation process.
The voltage from the sensor cartridge is affected by the temperature
of the monitored gas mixture. A thermistor in the sensor’s housing
automatically compensates for temperature changes in the sensor.
The O2 monitor uses signal processing and analyzing circuitry to
convert the sensor signal into a corresponding % oxygen value. The
system displays this value and compares it to saved alarm limits. If
the value falls outside the limits, the monitor produces the appropriate
alarms.

M1217948 Rev P 11-13

Carestation 30

Ventilator and monitoring specifications

Pneumatics
Gas source: Anesthesia system
Gas composition: Medical O2
Nominal supply pressure: 350 kPa (51 psi)
Pressure range at inlet: 280 to 600 kPa (41 to 87 psi)
Flow valve range: 0 to 63 L/min
Peak gas flow: 63 L/min + fresh gas flow

Pressure
Patient airway pressure gauge range: -20 to +120 cmH2O, 1 cmH2O
resolution
Patient airway display range: -20 to +120 cmH2O, 1 cmH2O
resolution

Alarm settings
Tidal volume (TVexp): 60 to 1500mL
Minute volume (MVexp): 0 to 63 L/Min
Inspired oxygen (FiO2): 21% to 100%
Low airway pressure: -20 to 40 cmH2O
High pressure alarm setting range: 20 to 100 cmH2O

Volume
Tidal volume display range: 50 to 1500 mL, 1 mL resolution
Setting range: 50 to 1500 mL, 10 mL resolution
Minute volume range: 0 to 63 L/Min
Breath rate: 4 to 100 bpm, 1 bpm resolution
Volume sensor: Flow wheel sensor
with (4PIN L430MM
Flow sensor cable 4PIN, 430 mm, with communication
connector

O2% monitoring
Sensor type: O2 Cell ITG M-12
Measurement range: 15% to 100% O2,and the resolution
should be 1%
Measurement accuracy: ± 2.5% full scale plus 2.5% of reading
Cell response time: ≤ 35 seconds from 10% to 90% of step
change
Expected cell life: 15 months
Drift < 1 % Vol. O2/month at air, averaged
across 12 months
Influence of humidity - 0.03% of reading per %RH
Gas cross effect Less than 0.3% vol% anesthetic
agents and N2O
Note: The O2 Cell has proportional to change in oxygen partial pressure, O2 cell
calibration can meet automatic barometric pressure compensation.

11-14 M1217948 Rev P

 11 Specifications and Theory of Operation

Ventilator and monitoring accuracy data

The following accuracy data are based on patient conditions and
settings described in ISO 80601-2 -13. For the following to be true,
the ventilator is operating with 100 percent oxygen in the breathing
system. Errors may occur as described in the gas composition chart.
The following accuracy data are based on BTPS.

Tidal volume delivery accuracy

Tidal volume range Accuracy
50 mL ≤ tidal volume < 100 mL ± 20 mL
tidal volume ≥ 100 mL + 20%
Tidal volume monitoring accuracy
Tidal volume range Accuracy
50 mL ≤ tidal volume < 100 mL ± 30 mL
tidal volume ≥ 100 mL ± 20%
Note: Gas composition errors may be in addition to the above normalized
accuracy. When adding errors, positive errors can have the effect of nulling out
negative errors.
Note: Use of anesthetic agent could affect the errors by approximately -0.95%/%
volume agent.
Airway pressure gauge monitoring accuracy
+4% of the reading
Airway pressure display monitoring accuracy
+1 cmH2O or 5% of the reading which is greater
Breath rate delivery accuracy
+1 bpm or 5% of the reading which is greater
Breath rate monitoring accuracy
+2 bpm or 5% of the reading which is greater
I:E ratio accuracy
+0.5 or 20% of the reading which is greater

M1217948 Rev P 11-15

Carestation 30

SpO2 and monitoring specifications

General
GE TruSignal sensors TS-G3, TS-F2-GE, TS-F4-GE, TS-E2-GE, TS-E4-
GE, TS-E-D, TS-F-D, TS-W-D, TS-SE-3, TS-AF-xx,
TS-SA-D, TS-SA3-MC, TS-SA4-GE, TS-SP-D, TS-
SP3-GE, TS-SP3-MC, TS-AP-xx
Note: Resistance for each circuit in the LED wires of the sensor/sensor cable must
be less than 2.6 ohms.
Method: red and infrared light absorption.
Red LED wavelength: 660 nm
Infrared (IR) LED wavelength: 890 nm
Max. power dissipation in sensor LEDs: < 80 mW
SpO2
Declared range: 70% to 100%
Displayed range: 0 to 100%
First reading, full accuracy: ≤ 10 seconds
Accuracy, Arms: 70 to 100%: + 2 digits (without clinical motion)
70 to 100%: + 3 digits (during clinical motion)
70 to 100%: + 2 digits (during low perfusion)
Below 70%: Unspecified
Note 1: SpO2 measurement accuracy is based on deep hypoxia studies on
volunteer subjects. Arterial blood samples were analyzed simultaneously on multiple
CO-oximeters.
Note 2: Accuracy may vary for some sensors; always check the instructions for the
sensors.
Pulse Rate
Displayed range: 30 to 300 beats per minute (bpm)
First reading, full accuracy: ≤ 15 seconds
Accuracy: 30 to 250 bpm: + 2 digits or ± 2%, whichever is
greater (without clinical motion)
30 to 250 bpm: + 5 digits (during clinical motion)
30 to 250 bpm: + 3 digits (during clinical low
perfusion)
251 to 300 bpm: Unspecified
Note 3:
Applicability of without clinical motion: TruSignal Finger sensors and OxyTip +Finger
sensors.
Applicability of during clinical motion: TruSignal Adult/Pediatric sensors, TruSignal
AllFit sensors, OxyTip + Adult/Pediatric sensors and OxyTip +AllFit sensors.

WARNING Elevated levels of Caboxyhemoglobin (COHb) or

methemoglobin (MetHb) may result in intermittent,
inaccurate, or no readings in the pulse oximeter
equipment.

WARNING Use only sensors and sensor cables specified for use with
the TruSignal measurement board. Failure to do so may
cause interference with the measurement or result in
increased emissions, decreased immunity, or damage to
the equipment or system.

11-16 M1217948 Rev P

 11 Specifications and Theory of Operation

Electrical functional block diagram

1 6

2 7
5
8
3

4 10

11
18
12
13
14 17
19
15 16

21 22

20 23 25
+ -

24

Figure 11-4: Electrical functional block diagram

1. Rotary Encoder 14. BS On Switch

2. Keypress indication Board 15. System Switch
3. Task Light Board 16. System Switch Board
4. Loud Speaker 17. Signal Drive Board
5. Main Control Board 18. Vent Engine
Communication Interface for Wheel Flow Sensor or
6. LCD Display 19.
Mass Flow Meter
7. SpO2 Drive Board 20. AC Power Cord
8. USB Port 21. AC Inlet with Line Filter and Fuse Holder
9. F.G.F Flow Sensor for O2 22. Switching Power Board
10. F.G.F Flow Sensor for AIR or N2O 23. Battery Fuse
11. O2 Cell Sensor 24. 12V 7hA Sealed Lead Acid Battery
12. ACGO Switch 25. Power Manage Board
13. Bag/Vent Switch

M1217948 Rev P 11-17

Carestation 30

Electrical power

Table 11-12: Electrical power specification

Supply voltage 100-120 or 220-240 VAC +/-10%, at 50 / 60 Hz
System leakage IEC rated systems (Not U.S.A. and Canada): less than 500
current limit - do μamps for the system and all systems connected to electrical
not exceed: outlets.
Note: Products connected to electrical outlets may increase the
leakage current above these limits.
Power input ≤ 65 VA
Power inlet fuse UL/ CCC certificated fuse for both phase and neutral
Voltage: 250V; current: 2A; operating speed: T2AH;
size: 5×20 mm; breaking capacity: 2A.
Resistance to less than 0.2 Ω
ground

WARNING The connection of equipment to the auxiliary mains

electrical outlets may increase the patient leakage
currents to values exceeding the allowable limits in the
event of a defective earth conductor.

WARNING When other equipment is connected to the anesthetic

machine by the auxiliary power supply, if the mains supply
is down, the auxiliary power supply will not provide power.

Power cord
Table 11-13: Power cord specification
Length 5 meters (India:4 or 5 meters)
Voltage rating 100 to 240 Vac
Current capacity 10 A for 220 - 240 Vac
15 A for 100 - 120 Vac
10 A for 120/220 ~ 240 Vac
Type Three conductor power supply cord (medical grade where
required).

Unplug the system power cord to run the system on the

battery power if the integrity of the protective earth
conductor is in doubt.

11-18 M1217948 Rev P

 11 Specifications and Theory of Operation

Battery information The system is not a portable unit; a sealed lead -acid valve regulation
battery supplies backup power in the event of a power failure.
• Capacity to operate for 6 hours under typical operating conditions
as below:

Anesthetic agent None

TV 500 mL
Breath rate 12 bpm
I:E ratio 1:2

• The system functions to specifications through the translation to

battery power.
• The battery pack has an auto-resetable thermal fuse.
• The battery terminals and connecting wires are protected against
short circuits.
Battery recharge time from fully discharged condition to fully charged
condition is less than 15 hours.

Table 11-14: Battery specification

Capacity 12 V/7 Ah
Type Sealed Lead-Acid Valve control battery

WARNING Only authorized GE Healthcare service representatives

are to replace the battery. Batteries must be disposed of
in accordance with applicable regulatory requirements in
effect at the time and place of disposal.

WARNING Contact an authorized GE Healthcare service

representative to disconnect the battery if the equipment
is not likely to be used for an extended time.

M1217948 Rev P 11-19

Carestation 30

Electrical safety

WARNING The system provides connections for items such as

printers, visual displays, and hospital information
networks (only connect items that are intended to be part
of the system). When these items (non-medical
equipment) are combined with the system, these
precautions must be followed:
• Do not place items not approved to IEC 60601-1
closer than 1.5 m to the patient.
• All items (medical electrical equipment or non-medical
electrical equipment) connected to the system by a
signal input/signal output cable must be supplied from
an AC power source which uses a separating
transformer (in accordance with IEC 60989) or be
provided with an additional protective earth conductor.
• If a portable multiple socket outlet assembly is used as
an AC power source, it must comply with IEC 60601-1.
The assembly must not be placed on the floor. Using
more than one portable multiple socket outlet
assembly is not recommended. Using an extension
cord is not recommended.

WARNING An operator of the medical electrical system must not

touch non-medical electrical equipment and the patient
simultaneously. This may cause an unsafe electrical
shock to the patient.
Do not connect non-medical electrical equipment directly to the AC
outlet at the wall instead of an AC power source which uses a
separating transformer. Doing so may increase enclosure leakage
current above levels allowed by IEC 60601-1 in normal conditions
and under single-fault conditions. This may cause an unsafe electrical
shock to the patient or operator.
After connecting anything to these outlets, conduct a complete
system leakage current test (according to IEC 60601-1).

11-20 M1217948 Rev P

 11 Specifications and Theory of Operation

Electromagnetic compatibility (EMC)

WARNING Changes or modifications to this equipment not expressly

approved by the manufacturer could cause EMC issues
with this or other equipment. Contact the manufacturer for
assistance. This device is designed and tested to comply
with applicable regulations regarding EMC as follows.

WARNING Use of portable phones or other radio frequency (RF)

emitting equipment (that exceed electromagnetic
interference levels specified in IEC 60601-1-2) near the
system may cause unexpected or adverse operation,
such as inaccurate measure of patient parameters
including oxygen or pressure monitoring. Such items
should be used to no closer than 30 cm (12 in) to any part
of the anesthesia system. Degradation of the
performance of the system could result. Monitor operation
when RF emitters are in the vicinity.

WARNING This system is not MRI (Magnetic Resonance Imaging)

compatible.

WARNING Use of other electrical equipment adjacent to or stacked

with this system may cause interference. Verify normal
operation of equipment in the system before use on
patients.

Essential The essential performance of the system consists of:

performance • Providing oxygen flow under all conditions except failure of the
oxygen supply (pipeline or cylinder) to the system or the generation
of an alarm.
• Delivery of a non-hypoxic gas mixture to the patient or the
generation of an alarm.
• Non-delivery of excessive concentrations of anesthetic agent.
• Airway pressure monitoring and associated alarms.

Cables Cables used to obtain system electromagnetic emission and

immunity results are described below.

WARNING Use of any cables other than those specified by the

manufacturer may result in increased emissions or
decreased immunity of the anesthesia system.

Optional output ports Cables used for EMC testing

SPO2 Part number TS-F2-GE

M1217948 Rev P 11-21

Carestation 30

Guidance and The system is suitable for use in the specified electromagnetic
manufacturer’s environment. The customer and/or the user of the system should
assure that is used in an electromagnetic environment as described
declaration - below.
electromagnetic
emissions

Phenomenon Professional healthcare facility environment

Conducted and radiated RF emissions CISPR 11
Harmonic emissions IEC 61000-3-2 Not applicable
Voltage fluctuations/flicker emissions IEC 61000-3-3 Not applicable

Note The emissions characteristics of this equipment make it suitable for

use in industrial areas and hospitals (CISPR 11 class A). If it is used
in a residential environment (for which CISPR 11 class B is normally
required) this equipment might not offer adequate protection to radio-
frequency communication services. The user might need to take
mitigation measures, such as relocating or re-orienting the
equipment.

Guidance and The system is suitable for use in the specified electromagnetic
manufacturer’s environment. The customer and/or user of the system should assure
that it is used in an electromagnetic environment as described below.
declaration -
electromagnetic
immunity
Phenomenon Basic EMC standard Professional healthcare facility environment
or test method
Electrostatic discharge IEC 61000-4-2 +/- 8 kV contact
+/- 2 kV, +/- 4 kV, +/- 8 kV, +/- 15 kV air
Radiated RF EM fields IEC 61000-4-3 3 V/m
80 MHz - 2.7 GHz
80% AM at 2 Hz (test performed at 2 Hz is worst case as identified for
risk management)
(system compliant to 10 V/m immunity test level)
Proximity fields from RF IEC 61000-4-3 See the RF wireless communication equipment table in
wireless communications ‘Recommended separation distances’.
equipment
Rated power frequency IEC 61000-4-8 30 A/m
magnetic fields 50 Hz or 60 Hz
Electrostatic fast IEC 61000-4-4 +/- 2 kV contact
transients / bursts 100 kHz repetition frequency
Surges IEC 61000-4-5 +/- 0.5 kV, +/- 1 kV
Line-to-line
Surges IEC 61000-4-5 +/- 0.5 kV, +/- 1 kV, +/- 2 kV
Line-to-ground
Conducted disturbances IEC 61000-4-6 3V
induced by RF fields 0.15 MHz - 80 GHz
6 V in ISM bands between 0.15 MHz and 80 MHz
80% AM at 2 Hz (test performed at 2 Hz is worst case as identified for
risk management)
(system compliant to 10 V/m immunity test level)
Voltage dips IEC 61000-4-11 0% UT: 0.5 cycle at 0°, 45°, 90°, 135°, 180°, 225°, 270°, and 315°.
0% UT: 1 cycle and 70% Ut: 25/30 cycles
sine phase at 0°.

11-22 M1217948 Rev P

 11 Specifications and Theory of Operation

Phenomenon Basic EMC standard Professional healthcare facility environment

or test method
Voltage interruptions IEC 61000-4-11 0% UT: 250/300 cycle
Note: UT is the AC mains voltage prior to application of the test level.

Recommended The system is intended for use in the electromagnetic environment in

separation distances which radiated RF disturbances are controlled. The customer and/or
user of the system can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the system as
recommended below, according to the maximum power of the
communications equipments.

RF wireless communication equipment

Test Band (MHz) Service Modulation Maximum Distance Immunity test
frequency power (W) (m) level (V/m)
(MHz)
385 380-390 TETRA 400 Pulse modulation 1.8 0.3 27
18 Hz
450 430-470 GMRS 460, FRS FM +/- 5 kHz 2 0.3 28
460 deviation 1 kHz
sine
710 704-787 LTE Band 13, 17 Pulse modulation 0.2 0.3 9
745 217 Hz
780
810 800-960 GSM 800/900, Pulse modulation 2 0.3 28
870 TETRA 800, iDEN 18 Hz
930 820, CDMA 850,
LTE Band 5
1720 1700-1900 GSM 1800: CDMA Pulse modulation 2 0.3 28
1845 1900; 217 Hz
1970 GSM 1900: DECT;
LTE Band 1, 3, 4,
25: UMTS
2450 2400-2570 Bluetooth, WLAN, Pulse modulation 2 0.3 28
802. 11 b/g/n, 217 Hz
RFID 2450 LTE
Band 7
5240 5100-5800 WLAN 802. 11 a/n Pulse modulation 0.2 0.3 9
5500 217 Hz
5785

M1217948 Rev P 11-23

Carestation 30

Physical specifications
All specifications are approximate values and can change without
notice.

CAUTION Do not subject the system to excessive shock or vibration.

WARNING Do not place excessive weight on the flat surfaces or

drawers.

System Height ≤ 148 cm

Width ≤ 90 cm
Depth ≤ 70 cm
Weight (without vaporizer) ≤ 70 kg
Top shelf max load 15 kg
Top shelf Width ≤ 40 cm
Depth ≤ 30 cm
Weight limit 15 kg
Work surface Height 74 cm
Size 630 cm2
Weight limit 15 kg
Casters 12.5 cm with brakes on all 4 casters
Drawers Size 20 x 30 x 30 cm
Weight limit 10 kg
Maximum mass 170 kg
Nominal mass 120 kg
Ventilator display 5.7” color TFT LCD display with LED back light. Pixel resolution:
640 × 480

Note Nominal mass includes breathing system, drawers, 2 PIN index

yokes, passive AGSS and 2 vaporizers. Does not include drawer
contents or externally mounted accessories.
Note Maximum mass includes nominal configuration, external cylinders
and maximum loads on all mounting and storage locations.

Environmental requirements

Compensation
Operation Storage and transportation
range
Temperature 10 to 40 degrees C -25 to 65 degrees C Not applicable
Oxygen cell and SpO2 probe operated Oxygen cell and SpO2 probe stored under
under 10 to 40 degrees C -20 to 50 degrees C
Humidity 15% RH to 95% RH, non-condensing 15% RH to 95% RH, non-condensing Not applicable
Altitude 500 to 800 mmHg 375 to 800 mmHg 525 to 795 mmHg
(3565 to -440 meters) (5860 to -440 meters) (3000 to -100 meters)

CAUTION The device is stable when tipped up to an angle of 10

degrees from the horizontal plane. Tilting the device more
degrees may result in danger.

11-24 M1217948 Rev P

 11 Specifications and Theory of Operation

IEC 60601-1 Classification

This system is classified as follows.
• Class I Equipment.
• Type B Equipment.
• Ordinary Equipment.
• Not for use with flammable anesthetics.
• Continuous operation.

Standards
Devices used with this anesthesia system shall comply with the
following standards where applicable:

Device Standard
Breathing system and ISO 80601-2-13
breathing system components
Anesthetic vapor delivery ISO 80601-2-13
device
Anesthetic gas scavenging ISO 80601-2-13
systems
Anesthetic agent monitors ISO 80601-2-55
Oxygen monitors
Carbon dioxide monitors
Exhaled volume monitors ISO 80601-2-13
Airway pressure monitors ISO 80601-2-13
Anesthetic ventilator ISO 80601-2-13
SpO2 ISO 80601-2-61

M1217948 Rev P 11-25

Carestation 30

System Components

Integral Components This anesthetic system includes following components, monitoring

devices, alarm systems, and protection devices that comply with
international standards.
• Breathing system pressure measuring device
• Airway pressure limitation device
• Expiratory volume monitor
• Breathing system integrity alarm
• Breathing system continuing pressure alarm
• Oxygen monitor
• Anesthetic ventilator
• Breathing system
• SpO2 monitor

Not Integral These devices are not integral to this anesthetic system:
components • CO2 monitor
• Anesthetic agent monitor

WARNING International standard ISO 80601-2-13 requires the

following monitoring be used with this system:
• Exhaled volume monitoring in accordance with ISO
80601-2-13
• O2 monitoring in accordance with ISO 80601-2-55
• CO2 monitoring in accordance with ISO 80601-2-55
• Anesthetic agent monitoring in accordance with ISO
80601-2-55 be used when anesthetic vaporizers are in
use

WARNING When adding devices to the anesthesia systems, follow

the installation instructions provided by the device
manufacturer. Whoever adds individual devices to the
anesthesia system shall provide instructions on how to
enable the individual devices (for example, a preoperative
checklist).

11-26 M1217948 Rev P

 Index

A E

Absorber canister Electrical block diagram 11-12

cleaning and disinfection 9-19 Electrical power 11-13
filling 3-17 Electrical safety 11-15
install 3-17 Electromagnetic compatibility 11-16
parts 10-2
removing 3-16 G
setup 3-15
ACGO 2-7 Gas scavenging 11-7
AGSS
cleaning and disinfection 9-16 M
installation 3-11
remove receiver filter 9-17
Mains inlet 3-18
Alarms 7-2
Menus
list of 7-3
using 2-10
B P
Battery information 11-14
Pneumatic
Bellows
connections 3-4
cleaning and disinfection 9-10
specifications 11-5
parts 10-3
system pneumatic circuits 11-3
test 9-12
Problems
Breathing system
breathing system 7-6
autoclave 9-3
electrical 7-6
disassemble 9-4
pneumatic 7-7
leak test 5-17
remove 9-3
troubleshooting 7-6 S

Scavenging 3-11
C
ACGO sample flow 2-7
specifications 11-7
Cleaning
Specifications
cautions 9-2
breathing system 11-6
Connections
flow 11-6
electrical 3-18
gas scavenging 11-7
pneumatic 3-4
physical 11-20
Controls
pneumatic 11-5
system 2-2
ventilator and monitoring 11-10
vaporizer 2-6
System
ventilator 2-8
turn on 4-2
Cylinder
installation 3-4

M1217948 Rev P I-1

Carestation 30

Troubleshooting
breathing system 7-6
electrical 7-6
pneumatic 7-7
Turning on the system 4-2

Vaporizer
controls 2-6
Ventilate manually alarms 7-5
Ventilation mode
Volume control 11-8
Ventilator
accuracy data 11-10
mode 11-8
operating specifications 11-10
setup 4-4
theory 11-8
Ventilator screen 2-9

I-2 M1217948 Rev P

Warranty
This Product is sold by the manufacturer under the warranties set
forth in the following paragraphs. Such warranties are extended only
with respect to the purchase of this Product directly from the
manufacturer or the manufacturer’s Authorized Dealers as new
merchandise and are extended to the Buyer thereof, other than for
the purpose of resale.
For a period of twelve (12) months from the date of original delivery to
Buyer or to Buyer’s order, but in no event for a period of more than
two years from the date of original delivery by the manufacturer to a
manufacturer Authorized Dealer, this Product, other than its
expendable parts, is warranted against functional defects in materials
and workmanship and to conform to the description of the Product
contained in this User’s Reference manual and accompanying labels
and/or inserts, provided that the same is properly operated under the
conditions of normal use, that regular periodic maintenance and
service is performed and that replacements and repairs are made in
accordance with the instructions provided. This same warranty is
made for a period of thirty (30) days with respect to expendable parts.
The foregoing warranties shall not apply if the Product has been
repaired other than by the manufacturer or in accordance with written
instructions provided by the manufacturer, or altered by anyone other
than the manufacturer, or if the Product has been subject to abuse,
misuse, negligence, or accident.
The manufacturer’s sole and exclusive obligation and Buyer’s sole
and exclusive remedy under the above warranties is limited to
repairing or replacing, free of charge, at the manufacturer’s option, a
Product, which is telephonically reported to the nearest manufacturer
Customer Service Center and which, if so advised by the
manufacturer, is thereafter returned with a statement of the observed
deficiency, not later than seven (7) days after the expiration date of
the applicable warranty, to the manufacturer Customer Service and
Distribution Center during normal business hours, transportation
charges prepaid, and which, upon the manufacturer’s examination, is
found not to conform with above warranties. The manufacturer shall
not be otherwise liable for any damages including but not limited to
incidental damages, consequential damages, or special damages.
There are no express or implied warranties which extend beyond the
warranties hereinabove set forth. The manufacturer makes no
warranty of merchantability or fitness for a particular purpose with
respect to the product or parts thereof.
Corporate Office GE Medical Systems Trade Malaysia Australia/ Italy Latin America,
and Development
(Shanghai) Co., Ltd
General Electric New Zealand GE Healthcare Caribbean
International Inc. Clinical Systems srl
Building 1, 96 Yiwei Road, Suite 3B-8-3, Block 3B Via Galeno 36
China (Shanghai) Pilot Level 8, Plaza Sentral GE Healthcare GE Healthcare
20126 Milan
Free Trade Zone, Jalan Stesen Sentral 5 Australia Pty. Ltd. Italy
3350 SW 148th Avenue
Shanghai China, 200131 Kuala Lumpur Sentral Level 5 Suite 301
Tel +39 02 26001111
Tel: 400-812-8188 50470 Kuala Lumpur 32 Phillip Street Fax +39 02 26001599
Miramar FL 33027-3259
Malaysia Parramatta NSW 2150 USA
GE Medical Systems (China) Tel +603 2273 9788 Australia Tel 954 744 5600
Co., Ltd. Fax +603 2273 3486 Tel + 1300722229
Netherlands Fax 954 744 5613
GE Medical systems SCS GE Healthcare
No. 19 Changjiang Road, Tel +61 2 9846 4000
283 Rue de la Minière, Philippines De Wel 18
Wuxi Fax +61 2 9846 4001 GE Healthcare
78530 BUC, GE Philippines, Inc. Postbus 22
National Hi-Tech Avenida Magalhãs de
FRANCE 2291 Don Chino Roces 3870 CA Hoevelaken
Development Zone,
Avenue Ext.
Eastern Europe Netherlands
Castro
Jiangsu, PR China 214028 4.800 - Continental Tower
Makati City 1231 Greece Tel 31 33 2541 222
North America Tel 0510-85225888
Philippines GE Healthcare A.E. Fax 31 33 2541 223
- 13th floor
Fax 0510-85226688 Jardim Panorama
Tel +632 815 8761 8-10 Sorou str.,
Hong Kong Fax +632 816 4997 Russia/CIS São Paulo, SP 05676-120
United States Marousi 15125, Brazil
GE Medical Systems Singapore Athens GE Healthcare LLC
Customer Service, Hong Kong Ltd. Tel +55 0800 122 345
GE Pacific Pte. Ltd. Greece Presnenskaya Nab.10
Technical Support and L12, Office Tower,
Distribution Center Langham Place
1, Maritime Square Tel +30 210 893 0630 Moscow, 123112 Middle East/
#13-01 Harbour Front Fax +30 210 962 5931 Russia
8 Argyle Street, Mongkok Centre Africa
Physical address: Poland Tel +7 495 739 6931
Kowloon, Hong Kong Singapore 899253
Datex-Ohmeda, Inc. Fax +7 495 739 69322
Tel +852 21006373 Tel +65 6291 8528 GE Medical Systems Egypt
3030 Ohmeda Drive Fax +852 21006292 Fax +65 6291 7006 Polska Sp. z o.o. Spain General Electric Company
Madison, WI 53718-6794 ul. Wołoska 9
USA India Taiwan GE Healthcare Land No. 46, ZONE (J)
GE Medical System 02-583 Warszawa Gobelas, 35-37 1st District, Town Center
Tel 1 800 345 2700 WIPRO GE Healthcare Pvt.
Taiwan Ltd. Poland E-28023 New Cairo City
Fax 1 800 898 4184 Ltd.
11F, No 68, Sec 3, Nanjing Tel +48 22 330 85 01 Madrid Boomerang Building
4 Kadugodi Industrial Area
Equipment Service Bangalore - 560067 E. Rd., Romania Spain 7th Floor
Center Karnataka Taipei 104, Taiwan Tel +34 91 663 2500 Egypt
GE Healthcare Bucharest
GE Healthcare India Tel +886 2 25165280 Fax +34 91 663 25 01 Tel +202 25354200
Fax +886 2 25165290 Floreasca Business Park
1701 Military Trail, Tel +91 80 4180 1000 169A Calea Floreasca, Fax +202 24198648
Sweden
Suite 150 Indonesia Thailand Building A, 7th Floor Saudi Arabia
GE Healthcare Sverige AB
Jupiter FL 33458-7887 GE Medical Systems District 1, Bucharest, General Electric El Seif
PT GE Technology Box 70
USA (Thailand) Ltd. 014459
Indonesia 182 11 DANDERYD Health Care Arabia
Tel 1 561 575 5000 7th Floor Romania
BRI Building Tower II Thanapoom Tower Sweden Tatweer Tower 2, 5th Floor
Fax 1 561 575 5070 26th Floor Tel +40 37 207 45 43 Tel +46 8 559 500 10 King Fahad Road –Riyadh
1550 New Petchburi Road
Canada Jln. Jend Sudirman Kav. Makasan, Ratthewi Fax +46 8 559 500 15 P.O. Box 10 Riyadh 11391
GE Healthcare 44-46 Jakarta 10210, Bangkok 10400 Europe Saudi Arabia
GE Santé Indonesia Thailand
Turkey Tel +966 11 494 5800
2300 Meadowvale Blvd Tel +6221 573 0545 Tel +662 624 8444 France GE Healthcare Medical Fax +966 11 207 3946
Mississauga, Ontario Fax +6221 574 7117 Fax +662 624 8431 Systems Turkiye
GE Healthcare South Africa
L5N 5P9 Levent Ofis, Harman
Japan Vietnam Zac de Sans-Souci
Sk.No:8 GE Healthcare South
Canada GE Yokogawa GE Viet Nam Limited 1211 Chemin de la Bruyère
Levent, Istanbul 34394 Africa
Tel 1 800 668 0732 Medical Systems Metropole Centre 69578 Limonest Cedex
Turkey 130 Gazelle Avenue
Fax 1 905 858 5292 4-7-127 Asahigaoka, Suite 606-2 France
Tel +90 212 398 0700 Corporate Park South
Hino-shi, 56 Ly Thai To Street Tel +33 (0)4 78 66 62 10 Midrand 1685
Fax +90 212 284 6700
Asia/Pacific Tokyo 191-8503 Hanoi Fax +33 (0)4 78 43 26 58 South Africa
Vietnam
Japan
Tel +844 934 4254 Germany United Kingdom Tel +27 11 653 8800
China Tel 81 42 585 5111 GE Medical Systems Ltd
Fax 81 42 585 5360
Fax +844 825 0551 GE Medical Systems UAE
GE (China) Co. Ltd - Information Technologies Pollards Wood
GE Healthcare FZE
Healthcare Korea GE Viet Nam Limited GmbH Nightingales Lane
Dubai internet city
3F No 1 Hua Tuo Rd. Sun Wah Tower Munzinger Strasse 3 Buckinghamshire
GE Healthcare Korea GE Building 18
Zhangjiang Hi-Tech Park Suite 1202 79111 Freiburg HP8 4SP
15F, 416 Hangang-daero, P. O. Box 74594
Pudong 115 Nguyen Hue Street Germany England
Dubai
201203 Shanghai Jung-gu, Seoul, 04637, Ho Chi Minh City Tel +49 761 4543 0 Tel +44 1494 544000
UAE
China Republic of Korea Vietnam Fax +49 761 4543 233
Tel 86-21-38777888 Tel +82 6201 3114 Tel +848 812 9399
GE Service Center Tel +971 4 429 6111
Fax 86-21-38777451 Fax +82 6201 3803 Fax +848 821 9482
T: 0800 434325842273

© Datex-Ohmeda, Inc. – All rights reserved.

GE Medical Systems (China) Co., Ltd.
No.19, Changjiang Road GE and GE Monogram are trademarks of
General Electric Company.
Wuxi National Hi-Tech Development
Datex-Ohmeda, Inc., a General Electric Company,
Zone, Jiangsu, China 214028 doing business as GE Healthcare.
Tel. +86-510-85225888 GE Medical Systems (China) Co., Ltd., a General Electric
Fax +86-510-85226688 Company, doing business as GE Healthcare.
www.gehealthcare.com
The addresses listed on this cover are current as of 12/05.

Carestation 30
User’s Reference Manual
English
M1217948
Revision P
09 2018
Printed in Wuxi
All rights reserved