Introducing……

WATO Anesthesia Machine

Pneumatic Circuit System
Contents

General introduction of Pneumatic Circuit

System

Gas supplies

Fresh gas

Anesthetic ventilator

AGSS

Patient Circuit
Pneumatic Circuit Diagram 55/65
Anesthetic
Video ventilator
AGSS

Fresh gas

Gas
supplie
s

Patient
Circuit

Vaporizer
Pneumatic Circuit Diagram 20/25/30/35
Introducing……

Gas supplies

Principles
Components
 Gas supplies－Principles

Component：

P-Line gas supply inlet assembly

Cylinder gas supply inlet assembly

System switch

O2 flush assembly

Function：

Filter the gas supply

Monitor the pressure of gas supply

Avoid over pressure of the gas
supply

Avoid back-flow of gas
Gas supplies－Components
P-Line gas supply inlet assembly

Filter
23 Pressure switch (0.22MPa)

Pressure gauge

Check valve Different
DISS,NIST

Pressure relief valve

Gas supply connector

24 Regulator 7 Pressure relief

(0.2MPa) valve(758KPa)
Gas supplies－Components
Cylinder gas supply inlet assembly

Pin indexed cylinder yokes

Filter

Pressure gauge

Regulator

Check valve

For O2 For N2O

Regulator
0.4MPa
Gas supplies－Components

System switch
(Electricity&gas simultaneous control)

switch knob

O2 switch

Air switch

Power switch Switch knob

Power switch

Air connector

O2 connector
Gas supplies－Components
O2 flush assembly

O2 flush button 19

O2 flush button

O2 Flush flow speed is 25-75L/min

 Troubleshooting

 “O2 Supply Failure”——0.22MPa； ——Check Gas supplies/Pressure

gauge/Regulator
Introducing……

Fresh gas
Principles
Components
Fresh gas－Principles
Components：

Flow meter inlet assembly

Flow meter

Vaporizer manifold assembly

Auxiliary common gas outlet (ACGO)
switch
37.9KPa

Function：

Mix the O2, air and agent gas, adjust
concentration of each gas

Monitor the pressure of O2 gas supply

Ensure the concentration of O2 is over
25%
Fresh gas－Components

Flow meter assembly

O2-N2O block valve 25

Flow meter 25 O2-N2O block valve 28 Fresh gas
flow meter

25

26

27

28
Fresh gas－Components

Flow meter

Flow meter

O2-N2O Ratio Controlling Device (Link-25)

LED (Semi-electrical combination)

Fresh gas－Components
Seal Vaporizer Check valve
manifold
Vaporizer manifold assembly

Vaporizer manifold

Check valve

Seal

Pressure relief valve
 Fresh gas－Components
ACGO switch assembly

ACGO switch

ACGO valve Valve 55 Axes

touch switch

pressure switch
Valve 31
O2 Flush

O2
20 Flush
55
21
NO
31 NC ACGO OFF

Flash Gas ACGO OFF

32 ACGO ON
ACGO ON
Touch switch
Fresh gas
 Troubleshooting

 “Sustained Airway Pressure” ——The fresh gas flow is too high

 Fresh gas circuit connection

Patient
Note: Don't pass the system Circuit
switch for the sake of rapid
19 O2 flush rescue using.
valve 32 ACGO
selector
switch

22 System 29 Double-vaporizer
switch manifold
26、27
Electronic
flow meter
25 O2-N2O block
valve
Introducing……

Anesthetic ventilator

Principles
Components
 Anesthetic ventilator--components

Pneumatic Circuit controlling
module

filter 8

regulator 9

pressure switch 15

Inspiratory airway

Inspiration valve 10

Inspiratory flow sensor 11

pressure relief valve(10.8K) 12

Expiratory airway

PEEP safety valve 14

Proportional PEEP valve 16

Resistance 18

Exhalation valve 17

Pressure relief valve 51
Some components 9. Regulator

16. Proportional
PEEP valve

15. Pressure switch

14. PEEP safety

valve

11. Flow sensor (Venturi) 10. Proportional Inspiration valve

Some components

Principle for Exhalation valve 17

Exhalation valve 17

Patient exhalation Patient inspiration

To AGSS

Membrane

51 Pressure relief valve

 Anesthetic ventilator--principle
Inspiration－VCV

Proportional PEEP valve

(16) open (Plimit)- >
√
Exhalation valve (17) close -
> Inspiration valve (10)
open (TV, Rate, I:E)-> √
depress the folding bag of
bellows housing -> Fresh
gas get into the lung of
patient (TV, Paw) ->
Inspiration ends (Rate, I:E) Tinsp Texp
Anesthetic ventilator--principle
Expiration－VCV

Proportional PEEP
valve (16) close ->
√
Exhalation valve (17)
open -> Inspiration
valve (10) close-> the
lung of patient exhales-
> inflate the folding bag
of bellows housing ->
Respiration ends (Rate, Tinsp Texp
I:E)
Tidal volume compensation.

To ensure the set flow is actually delivered,
the ventilator adjusts gas flow based on the
inspired tidal volume (TVI). This can avoid
the compliance losses of fresh gas flow and
breathing circuit.

The compensation is based on the flow
sensor of patient circuit.

Make sure the safety after compensation

It may cause lots of “TV Compensation
Disabled” alarm message during the
operation.

Blue part is the circuit may cause

compliance losses
Troubleshooting

 “TV Compensation Disabled” ——Check the flow sensor.

 “Pinsp Not Achieved” ——Pinsp was less than 80% of
the set value or 5cmH2O for
consecutive six times. Check
the breathing circuit connections.

 “TV Delivery Too High” ——TVi is greater than the set

value by 20% or 100ml for
consecutive six times. Check the
fresh gas flow.

 “Drive Gas Pressure Low” ——Check Gas supplies/Pressure

gauge/Regulator
 AGSS-Principle
Component:

Negative pressure valve

Gas store compartment

AGSS connector
：
Function：

The drive gas outside of the bag, fresh
gas inside the bag, monitoring gas, are all
scavenged to the AGSS during the
ventilation

AGSS outlet connects to the hospital’s
waste gas disposal system using the
AGSS active scavenging tube.
AGSS-Connection

Transfer tube
AGSS active
scavenging tube
which is connected
with the hospital’s
waste gas disposal
system
 Patient circuit

Principles

Components

Cleaning and
Disinfection
Patient circuit principles
 Components

45 Bellows
42 Manual bag
assembly

41 Bag/mechanical
ventilation switch
43 APL valve
47 Airway pressure
gauge (option)
33 Inhalation valve
36 Exhalation valve
39 O2 sensor
38 Expiratory
flow sensor

36 Inspiratory
flow sensor
49 Water
34 CO2 absorber collection cup
 Components
Lock catch

Bag/mechanical
ventilation switch
ACGO connector
Pressure sampling
connector
Fresh gas connector
APL connector
Heating module

Drive gas
connector

Circuit switch Guide pin

Gas Flow

Expiratory gas flow in 41 43
45 NO

mechanical mode 12
NC

51 42

17 13

52 AGSS
18 AGSS
40 54

Air
Drive Gas
44
Respiratory Flow
35 36 38
Note: 49 Patient
55 34

Flow sensor (37, 38) 53
P

Airway pressure gauge (53) NO
NC 35
Flow

Check valves (33, 36) 32 33 O 37

2

39 47
Gas Flow

Inspiratory gas flow in
mechanical ventilation
mode

Drive Gas
Respiratory

Note:

Soda lime canister (34)
Absorb the CO2 during every inspiratory to reuse
the fresh gas.
 Gas Flow
41 43
45 NO

Expiratory gas in bag

NC

42
mode 13

52 AGSS
AGSS
40 54

Air

44
Flow
35 36 38

Note: 49
55 34

APL valve (Airway Pressure Limit 43) 53
P
NO
Adjusts breathing system pressure limit during NC 35
Flow
manual ventilation. 33
32 O 37
2

39
 Gas Flow

Inspiratory gas flow in 45
41 NO
NC
43

bag mode 42
13

52 AGSS
AGSS
40 54

Air

44
Flow

35 36
Note: 38

49

By-Pass tech (35)—optional for 30/65/55 55 34
53
Bypass the soda lime canister when Changing the NO
P

35
soda lime during ventilation to prevent NC
Flow

breathing circuit leakage. 32 33 O 37

2

39
Clinical risk: Co2 rising unconsciously.
Cleaning and Disinfection

A*. clean with a damp cloth soaked in mild detergent and then wipe off the remaining tergent with
a dry lint free cloth.
B*. flush with water first; then soaked in water and cleaning solution (water temperature 40ºC
recommended) for approximately three minutes and wipe with 70% ethanol.
C*. team autoclave at maximum 134ºC.

Intermediate level disinfection High level

Parts disinfection
A*(cleaning) B*(Disinfection) C *(Disinfection)
Breathing tubes and Y piece ★ ★
Breathing mask ★ ★
Flow sensor ★
Folding bag assembly ★ ★
Bag/mechanical ventilation switch assembly ★ ★

APL valve assembly ★ ★

Cleaning and Disinfection
Intermediate level High level
disinfection disinfection
Parts
B*(Disinfe
A*(cleaning) C *(Disinfection)
ction)

Inspiratory and expiratory check valves assemblies ★ ★

O2 sensor ★
Canister assembly ★ ★
Canister connection block assembly ★ ★
Water collection cup ★ ★
Bag arm ★ ★
BYPASS assembly ★ ★
Manual bag ★ ★
AGSS assembly ★
Breathing Circuit: ★ ★
Troubleshooting

 Folding bag can’t rise to ——Press O2 flush to inflate it,

and then check the leakage of
the top. system.

 Flow sensor is not accurate ——Water Build-up in the Flow

Sensor.
Breathing Circuit Test
 Breathing Circuit Leakage Test in Mechanical Ventilation Mode

Setup

1. Operation mode [Standby]

2. Bag / mechanical ventilation switch Mechanical ventilation position ( ).
3. Connect the manual bag to the manual bag port.
4. Connect the Y piece on the breathing tube to the Picture
leak test plug. Occlude the outlet of the Y piece.
5. O2 flow 0.2 L/min
6. Press the O2 flush button to fill the bellows, and the
folding bag will rise to the top.

Test Procedure

1. Go to [Maintenance] -> [Breathing System Leak Test >>] -> [Start].

2. During the test, the screen will display [Performing leak test].
3. After a successful test, the screen shows [Leak Test Completed!]. If the test fails, the message
[Leak Test Failure! Please try again.] will be displayed. Then, you will need to check all
possible leak sources, including bellows, breathing tubes, and soda lime canister.
4. Select to exit the current menu.
Breathing Circuit Test
 Breathing Circuit Leakage Test in Manual Ventilation Mode

Setup

1. Operation mode [Standby]

2. Bag / mechanical ventilation switch Bag position ( )
3. Connect the manual bag to the manual bag port.
4. APL valve 75 cmH2O
5. O2 flow 0.2~0.3 L/min
6. Connect the Y piece on the breathing tube to the
leak test plug. Occlude the outlet of the Y piece. Picture

Test Procedure

1. Press the O2 flush button to make the reading of airway pressure gauge increase to
approximately 30 cmH2O.

2. Release the flush button . A pressure decrease of the airway pressure gauge indicates a
leakage. Look for and repair the breathing circuit leakage.
Thank you!
 Manual
Manual bag
bag port
port

Bag
Bag// mechanical
mechanical
ventilation
ventilationswitch
switch
APL
APL valve
valve
Airway
Airwaypressure
pressure
gauge
gauge

YY piece
piece