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Blease-Rev-D-Technical-Manual-INSPECCION VISUAL

The document outlines a series of system checks for a medical gas machine, including visual inspections of components, pipeline leak tests, cylinder leak tests, and regulator output tests. Each section provides detailed steps to ensure the functionality and safety of the machine, including verifying connections, checking for leaks, and testing flow rates. The document serves as a comprehensive guide for maintaining and ensuring the operational integrity of the gas delivery system.
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© © All Rights Reserved
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0% found this document useful (0 votes)
10 views28 pages

Blease-Rev-D-Technical-Manual-INSPECCION VISUAL

The document outlines a series of system checks for a medical gas machine, including visual inspections of components, pipeline leak tests, cylinder leak tests, and regulator output tests. Each section provides detailed steps to ensure the functionality and safety of the machine, including verifying connections, checking for leaks, and testing flow rates. The document serves as a comprehensive guide for maintaining and ensuring the operational integrity of the gas delivery system.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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System Checks

4.3 Visual Inspection

Check that the following components are free of damage and are securely
mounted to the machine and/or fittings.

1. Cylinder Yokes
Verify the yoke block, index pins and bridges are free of damage and that the
tee screw freely threads into the yoke bridge.

2. Pipeline Inlets
Verify that the pipeline inlets are free of damage and inspect the threads for
damage as well. Connect pipeline hoses to each inlet and ensure that the hoses
connect freely.

3. Pipeline Hoses
Verify that pipeline hoses are free of deterioration and damage. Connect both
ends of the hoses and pull them to check for a secure connection.

4. Absorber Rods
Verify that the rods are free of damage, secure and not bent.

5. High Pressure Outlet (if fitted)


Verify that the High pressure outlets are free of damage. Connect the proper
hose and check for a secure connection.

6. Backbar
Verify the backbar and backbar valves are free of damage. Check that the
o-rings on the valves are free of damage.

7. Oxygen Flush Assembly


Verify that the assembly is free of damage. Push the flush button and ensure it
goes in and comes out smoothly.

8. Common Gas Outlet


Verify that the common gas outlet is free of damage. Pull on the outlet and
ensure it is secured to the frame.

65
System Checks

9. Flowmeter Assembly & Control Knobs


Verify that the flowmeter assembly and knobs are free of damage. Turn the
knobs on and off to check for a smooth operation.

10. Drawers
Verify that the drawer(s) are free of damage. Open and close the drawers to
check for a smooth operation.

11. Castors
Verify that the castors are free of damage. Check that when the castors brakes
are not engaged, the machine can move freely in any direction. Listen for noise.
When the brake is engaged, ensure that the machine cannot be moved.

4.4 Pipeline Leak Test


1. Ensure that the On/Off switch is in the “OFF” position.
2. Ensure that all flow control valves are closed.
3. Ensure that no cylinders are fitted to the machine.
4. If fitted, disconnect all pipeline hoses connected to the pipeline inlets
coming from the hospital supply. Disconnect the hospital supply before
you perform this step.
5. Connect the pipeline test shut-off valve to the appropriate pipeline inlet for
the gas being tested (O2 / N2O / AIR) and ensure the valve is in the “OFF”
position.

Figure 16 - Connect the Pipeline Test Shut-off Valve

66
System Checks

6. Connect the appropriate pipeline hose to the pipeline test shut-off valve
assembly, and then connect it to the hospital supply.
7. Turn the pipeline test shut-off valve “ON” to allow flow.
8. Verify that the appropriate gauge registers.
9. Wait 15 seconds for the system to pressurize and shut the pipeline test
shut-off valve off.
10. Disconnect the pipeline hose from the hospital supply and verify that the
appropriate digital gauge is still registering.
11. Verify that the pipeline gauge does not fall 50 kPa, half of a division in
three minutes.

Figure 17 - N2O Pipeline Gauge

12. If the leak test is passed, disconnect the pipeline test shut-off valve from
the machine and verify that the pipeline gauges value drops to zero.
13. Repeat steps 5-12 for all additional pipelines fitted.

67
System Checks

4.5 Cylinder Leak Test


1. Ensure that all flow control valves are turned off.
2. Ensure that the power switch is in the “OFF” position.
3. Ensure that no pipeline supply is connected to the pipeline inlets.
4. Fit a full O2 cylinder (at least 1000 psi) to the O2 yoke.
5. Turn on the cylinder and ensure that the appropriate gauge registers
correct.
6. Close the cylinder and verify that the gauge does not drop more than
150 psi (345 kPa) over two minutes.
7. Remove the cylinder and verify the gauge reads zero.
8. Repeat steps 1-7, if two O2 yokes are fitted.
9. Repeat steps 1-7, if an air yoke is fitted. Use a full air cylinder (at least
1000 psi).
10. Fit a full N2O cylinder (at least 700 psi) to the N2O yoke.
11. Turn on the cylinder and ensure the appropriate gauge registers correct.
12. Close the cylinder and verify that the gauge does not drop more than 150
psi (345kPa) over two minutes.
13. Remove the N2O cylinder and verify the gauge reads zero.
14. Repeat steps 10-13, if two N2O yokes are fitted.

4.6 Regulator Output Test


1. Remove the lower inspection cover.
2. Ensure that the power switch is in the “OFF” position.
3. Fit a full cylinder to the yoke of the appropriate regulator being tested.
(O2 / Air: at least 1000 psi and N2O: at least 700 psi).

68
System Checks

4. Disconnect the 6 mm plug from the regulator test point, then connect a
pressure measuring device to the test point.

Figure 18 - Connect Pressure


Measuring Device

5. Turn the cylinder on.


6. Turn the switch to the “ON” position and set a flow of 1 L/min on the flow
control valve for the appropriate gas being tested.
7. Verify that the pressure measuring device reads between 45 ± 2 psi.
8. If the reading is out of spec, loosen the nut on the regulator being tested
using a 13 mm wrench. Adjust the set screw using a 1/8 inch Allen key to
set the regulator to 45 ± 0.5 psi. Once achieved, secure the nut.

Figure 19 - Regulator Nut and Set Crew Locations

9. Repeat steps 3-8 for all regulators. (Note: When testing outputs or making
adjustments on N2O regulators, ensure that an O2 supply is connected to
the O2 pipeline inlet.)

69
System Checks

4.7 On/Off Switch Gas Cut Off Test


1. Ensure that the power switch is in the “OFF” position.
2. Ensure that a supply is connected to all pipeline inlets.
3. While the switch is in the “OFF” position, check that no flow is
available to the flowmeter. Turn the O2, N2O, and Air flow control valves
counterclockwise to open the valves. You should see no flow.
4. Set the power switch to the “ON” position and ensure flow is available to
the flowmeter by setting a flow of 1 L/min on O2, N2O, and Air.
5. Set the power switch to the “OFF” position and ensure O2, N2O, and Air
flow drops to zero. If the system has EFM, ensure that the display powers
off.
6. Set the power switch in the “ON” position and ensure that flow is restored.

4.8 Oxygen Supply Failure Test


1. Set the power switch to the “OFF” position.
2. Ensure that the O2, N2O, and Air flow control valves are turned off by
turning them clockwise.
3. Ensure that a pipeline supply is connected to all pipeline inlets.
4. Set the power switch to the “ON” position.
5. Set a flow of 4 L/min for O2 and N2O.
6. Force a failure to the O2 supply by disconnecting the oxygen supply.
7. Verify that the O2 failure alarm whistle sounds for a minimum of 8 seconds
and that the N2O flow drops to zero.
8. If fitted with an Air flow control valve, ensure flow is available by turning it
counterclockwise.
9. Reconnect the oxygen supply and ensure that the O2 and N2O flows are
restored.

70
System Checks

4.9 High Pressure Outlet Test

4.9.1 Parts required

Only order parts that are required for testing, depending on which high pressure
outlet is fitted to the machine.

O2 Schraeder (White) Air Schraeder (Black) O2 DISS (Green)


10700007, Quantity: 1 10700008, Quantity: 1 10700009, Quantity: 1
376-0559-00, Quantity: 1 376-0559-00, Quantity: 1 376-0559-00, Quantity: 1
ST2161, Quantity: 1 ST2161, Quantity: 1 ST2161, Quantity: 1
ST4710, Quantity: 1 ST4710, Quantity: 1 ST4710, Quantity: 1

4.9.2 Test Hose Assembly


1. For O2 and Air Shraeder, cut the NIST fitting end of the hose. For O2
DISS, cut either end of the hose.
2. Fit the cut end of the hose through the O-clip.
3. Fit the 22 mm female connector through the hose and secure the
assembly with the O-clip.

Figure 20 - Test Hose Assembly

71
System Checks

4.9.3 Test the High Pressure Outlet(s)


1. Ensure that the power switch is in the “OFF” position.
2. Connect a supply to the pipeline inlet for the appropriate gas type of the
high pressure outlet being tested (O2 or Air).
3. Connect the 22 mm male adapter
to the test hose and flow measuring
device.
4. Turn the flow control valve for the
appropriate gas being tested (O2 or
Air) to maximum flow.
5. Connect the other end of the test
hose assembly to the high pressure
outlet.
6. Turn the power switch to the “ON”
position.
7. Ensure that the reading on the flow
measuring device is greater then Figure 21 - Test Hose Connections
80 L/min.
8. Turn the power switch to the “OFF” position.
9. Close the flow control valve.

4.10 Hypoxic Guard and Flow Control Accuracy Tests


1. Ensure that the power switch is in the “OFF” position.
2. Ensure that a supply is connected to the pipeline inlets.
3. Ensure all flow control valves are closed.
4. Connect an O2 analyzer to the CGO taper.

72
System Checks

5. Connect a 22 mm reusable tube to the tee piece routed to the AGSS


auxiliary port. (Note: If the machine is fitted with an ACGO, ensure that
the switch is set to ACGO.)

Figure 22 - Connect O2 Analyzer (L) and Tubing to AGSS (R)

6. Turn the power switch to the “ON” position.


7. Ensure that the flowmeter backlight is on. (for non-EFM machines only)
8. Ensure minimum O2 flow is between 130 – 170 ml.
9. Set a flow of 1 L/min on the N2O flow control valve. Verify the O2 analyzer
reads between 21-30%. (Note: The O2 flow will increase as the N2O flow
is increased)
10. Set a flow of 6 L/min on the N2O flow control valve. Verify the O2 analyzer
reads between 21-30%.
11. Set a flow of 12 L/min on the N2O flow control valve. Verify the O2
analyzer reads between 21-35%.
12. Set the flow on the O2 flow control valve down to 3 L/min. Verify that
the O2 analyzer reads between 21-30%. (Note: when the O2 flow is
decreased, the N2O flow will also decrease.)
13. Decrease the O2 flow to 1.5 L/min. Verify that the O2 analyzer reads
between 21-30%.
14. Decrease the O2 flow to 0.4L/min. Verify that the O2 analyzer reads
between 21-30%.

73
System Checks

15. Close all flow control valves.


16. Set a flow of 3 L/min on the O2 and N2O flow control valves. Verify that the
O2 analyzer reads between 47-53%.
17. Set a flow of 6 L/min on the O2 and N2O flow control valves . Verify that
the O2 analyzer reads between 47-53%.
18. Close the O2 and N2O flow control valves.
19. Set a flow of 3 L/min on the O2 and Air flow control valves. Verify that the
O2 analyzer reads between 57-63%.
20. Set a flow of 6 L/min on the O2 and Air flow control valves. Verify that the
O2 analyzer reads between 57-63%.

4.11 Backbar Tests

4.11.1 Pressure Build-up Test


1. Ensure that an O2 supply is connected to the machine.
2. Ensure that the power switch is in the “OFF” position.
3. Ensure that all flow control valves are closed.
4. Connect a bulb and pressure gauge to the CGO taper.
If the machine is fitted with an ACGO, ensure that the switch is set to
ACGO.

5. Turn the power switch to the “ON” position. Set of flow of 0.3 L/min on the
O2 flow control valve.
6. Ensure that a pressure of 150 mmHg is reached within 7 seconds, then
turn the power switch to the “OFF” position.

Figure 23 - Pressure Build-up Test

74
System Checks

4.11.2 T1 Backbar Test


1. Remove the front cover.
2. Ensure that all flow control valves are closed.
3. Ensure that no pipelines or cylinders are connected to the machine.
4. Remove the 6 mm tubing from the 6 mm
push-fit fitting and plug it with
a 6 mm plug (Figure 24).

5. Fit TJ43T1 (part of PN 930210) on the left


position of the backbar and connect a bulb
and pressure gauge to it (Figure 25).
6. Apply a pressure of 200 mmHG and verify
that the pressure does not rise or fall 10
mmHg in 30 seconds. Figure 24 - Fit 6 mm Plug
7. If the test is failed, replace the backbar valve
being tested.
8. If the test is passed, fit
TJ43T1 on the right position
and repeat steps 2 through 7.
9. Remove the 6 mm plug and
reconnect the 6 mm tube from
step 4.

Figure 25 - Steps 5 and 8

75
System Checks

4.11.3 T2 Backbar test


1. Ensure that the powert switch is in the “OFF” position.
2. Ensure that all flow control valves are closed.
3. Ensure that no pipelines or cylinders are connected to the machines.
4. Plug the CGO taper. If the machine is fitted with an ACGO, ensure that
the switch is set to ACGO.

Figure 26 - Step 4: Plug the CGO Taper

5. Fit TJ43T2 (included in PN 930210) on the left position of the backbar


and connect a bulb and
pressure gauge to it.
6. Apply a pressure of 150
mmHG and verify that
the pressure does not
rise or fall 35 mmHg in 30
seconds.
7. If the test is failed, replace
the backbar valve being
tested.
8. If the test is passed,
fit TJ43T2 on the right
position and repeat steps
1-7.
Figure 27 - Steps 6 and 8

76
System Checks

4.12 Common Gas Outlet (CGO) Test

4.12.1 Oxygen Flush Test


1. Ensure that the power switch is in the “OFF” position.
2. Ensure that all flow control valves are closed.
3. Connect an O2 supply to the O2 pipeline inlet.
4. Connect a flow measuring device
to the CGO taper. If the machine is
fitted with an ACGO, ensure that the
switch is set to ACGO.
5. Push the flush button and verify
the flow measuring device reads
between 35-55 L/min.

Figure 28 - O2 Flush Test

4.12.2 Pressure Relief Valve Test


1. Ensure that the power switch is in the “OFF” position.
2. Ensure all flow control valves are closed.
3. Connect an O2 supply to the O2 pipeline
inlet.
4. Connect a pressure measuring device to
the CGO taper. If the machine is fitted with
an ACGO, ensure that the switch is set to
ACGO.
5. Turn the switch to the “ON” position.
6. Set a flow of 1 L/min on the O2 flow
control valve and verify that the pressure
measuring device reads between 3.25-
3.95 psi.
Figure 29 - Connect Pressure
Measuring Device

77
System Checks

4.13 Suction System Test


1. Ensure that the suction controller is in the “OFF” position.
2. Connect a vacuum hose to the vacuum pipeline inlet.
3. Ensure the vacuum system is on.
4. Ensure the suction gauge registers about 0 mmHg and that no suction is
available on the suction bowl.

Figure 30 - Suction Gauge and Bowl

5. Switch the suction controller to the full position.


6. Ensure that the gauge registers around -100 to -200 mmHg.
7. Occlude the suction bowl and ensure the gauge registers about
-500 mmHg.
8. Switch the suction controller to the REG position.
9. Occlude the suction bowl and ensure the vacuum can be regulated
between 0 – 500 mmHg by adjusting the suction controller.

78
System Checks

4.14 Absorber Tests


If the machine is fitted with an ACGO, ensure that the switch is set to
Absorber.

4.14.1 Expiratory Valve Leak Test


1. Remove all patient circuits from the Absorber.
2. Close the APL valve fully clockwise.
3. Set the Absorber bag/vent switch to bag.
4. Occlude the inspiratory outlet using the O2 sensor plug.
5. Occlude the O2 sensor port using the O2 sensor.
6. Attach a breathing bag to the bag port or bag arm.
7. Attach a flow measuring device on the expiratory port.

Figure 31 - Expiratory Valve Test Setup

79
System Checks

8. Pressurize the bag to 30 cmH2O (using absorber gauge) by turning up the


O2 flow. Once 30 cmH2O is reached, reduce the O2 back to its minimum
position.
9. Check the flow measuring device for any flow. Less than 60 ml/min is
acceptable.
10. If you find a leak, replace the valve seat or valve disc. See Chapter 5 in
this service manual for replacement procedures.

4.14.2 Inspiratory Valve Leak Test


1. Remove the O2 sensor plug and attach an additional breathing bag to the
inspiratory port (Figure 32).

Figure 32 - Setup for Inspiratory Valve Test

2. Pressurize the bag to 30 cmH2O (using the absorber gauge) by turning up


the O2 flow.
3. Remove the bag on the bag port and attach a flow measuring device as
indicated in Figure 33.

80
System Checks

Figure 33 - Steps 3 & 4 of the Inspiratory Valve Test

4. Turn the power switch to the “OFF” position.


5. Gently squeeze the bag on the inspiratory port.
6. Check the flow measuring device for any flow. Less than 60 ml/min is
acceptable.
7. If you find a leak, replace the valve seat or valve disc. See Chapter 5 in
this service manual for replacement procedures.

4.14.3 APL Valve Check


1. Ensure that an O2 supply is
connected to the machine.
2. Ensure that all flow control valves
are closed.
3. Connect a pressure measuring
device to a pressure sampling tee.

Figure 34 - Connect a Pressure


Measuring Device

81
System Checks

4. Connect the pressure sampling tee to the inspiratory port and a 22 mm


reusable tube to the expiratory port and pressure sampling tee.

Figure 35 - Connect the Pressure Sampling Tee

5. Occlude the bag port.


6. Set the APL valve to “65”.
7. Turn the switch to the “ON” position and set a flow
of 6 L/min on the O2 flow control valve.
8. Verify that the pressure measuring device reads
between 59-71 cmH20
9. Set the APL valve to “30”.
10. Verify that the pressure measuring device reads
between 24-36 cmH2O
11. Set the APL valve to “Min”. Figure 36 - Step 5:
12. Verify the pressure measuring device reads less Occlude the Bag Port
than 5 cmH2O.

82
System Checks

4.15 Ventilator Test


If the machine is fitted with an ACGO, ensure that the switch is set to
Absorber.
1. Ensure that the power switch is in the “OFF” position.
2. Ensure that all flow control valves are closed.
3. Ensure that a gas supply is connected to the pipeline inlets.
4. Turn the power switch to the “ON” position.
5. Perform the compliance test and systems check. Continue using
the same circuit used on the compliance and systems check for the
remainder of this check-out procedure.
6. Set the ventilator to “Stand by.”
7. Perform a CALBK calibration by pressing Setup > Configuration > Service
Mode. Enter the password, CALBK. (Note: Do not perform “Front Panel
Zero”, as this will reset the VTI and VTE gain values back to defaults.)
8. Perform the “Flow Valve Calibration” by selecting this option on the
touchscreen.
9. Remove the drive gas hose from the rear of the machine and plug the
ventilator drive port.

!IMPORTANT! DO NOT PLUG THE EXHAUST PORT!

Figure 37 - Exhaust
Port Location

83
System Checks

10. Perform the “Inspiratory Valve Cal” by selecting this option on the
touchscreen. Once complete, reconnect the drive gas hose onto the drive
gas fitting.

11. Disconnect the patient hose from the


auxiliary plate.

12. Perform the “Block and Pressure Zeros”


calibration by selecting this option on the
touchscreen. Once complete, reconnect
the patient hose. Press “Home” on the
ventilator display.
13. Press Setup > Configuration > Service
Figure 38 - Step 11: Disconnect
Mode. Enter the password, TECHY.
Patient Hose
14. Select “Touch Calibration”
and perform a touchscreen
calibration.
15. Select “Fresh Gas” to perform a
fresh gas calibration. Use the O2
flow control valve to set 1-10 L/
min. If N2O is available, set O2
and N2O to 10 L/min in order
to set 20 L/min. If N2O is not
available, use O2 and Air. (Note:
To set 0 L/min, disconnect the
O2 supply from the machine and
press the O2 flush to release the
remaining O2. Once 0 L/min is
set, reconnect the O2 supply to
continue the calibration.
16. Connect a flow measuring device
to the inspiratory limb of the
breathing circuit as close to the
“Y” as possible. Connect a test
lung with a filter to the patient
flow sensor.
Figure 39 - Connect a Flow Measuring
Device

84
System Checks

17. Set the bag/vent switch on the absorber to Vent.


18. Run the ventilator in volume control mode with the following settings:
• Volume = 250 ml
• BPM = 8
• I:E = 1:2
• PEEP = OFF
19. Wait for the ventilator to stabilize.

For ventilators with front panel software 10.XX installed, use a


pediatric flow sensor when performing this step. Place the ventila-
tor in Standby. On the ventilator display, change the sensor set-
ting from adult sensor to pediatric sensor (Figure 40A) and the
sensor placement setting to Pedi Sensor at Patient (Figure 40B).

Figure 40A - Change the Flow Sensor Settings

Figure 40B - Pedi Sensor Placement setting

20. Check that the inspired volume (VTI) on the flow measuring device is
250 ± 25 ml. Once complete, switch the ventilator back to adult mode and
use the adult flow sensor for the remaining checks.
21. Increase the tidal volume to 500 ml. Wait for the ventilator to stabilize.

85
System Checks

22. Check that the inspired volume (VTI) on the flow measuring device is
500 ±50 ml.
23. Increase the tidal volume to 750 ml. Wait for the ventilator to stabilize.
24. Check that the inspired volume (VTI) on the flow measuring device is
750 ±75 ml.

If steps 20, 22 or 24 should fail, perform a PRAAA calibration ac-


cording to the instructions given in PSN: 076-9027-00.

25. Place the ventilator in Standby. Connect a pressure measuring device to


the inspiratory port of the absorber (Figure 41).

Figure 41 - Connect a Pressure Measuring Device

26. Set the bag/vent switch to Vent.


27. Ensure that the bellows is full.
28. Set the PEEP on the ventilator to 10 cmH2O.
29. Verify that the pressure measuring device reads 10 ±1.5 cmH2O.
• Change the ventilator from volume control to pressure control mode at
the following settings: Pressure = 10 cmH2O
• BPM = 8
• I:E = 1:2
• PEEP = OFF
30. After 12 breaths, verify that the pressure measuring device reads
10 ± 2 cmH2O.

86
System Checks

31. Increase the pressure to 30 cmH2O.


32. After 12 breaths, verify that the pressure measuring device reads 30 ±3
cmH2O.
33. Continuously squeeze test lung at the expiratory phase to simulate a high
pressure alarm. Ensure that the high pressure alarm is displayed on the
ventilator.
34. Remove all test equipment from the breathing circuit. Run the ventilator in
volume control mode with the following settings:
• Volume = 500 ml
• BPM = 8
• I:E = 1:2
• PEEP = OFF
35. Disconnect the O2 supply and air supply (if fitted). Verify that the following
alarms are displayed on the ventilator.
• Apnea
• Sustained Pressure
• Low Gas Pressure
• Pressure Low
• O2 Supply Fail
36. Reconnect the O2 and Air (if fitted) supplies and let the ventilator stabilize.
37. Lower the pressure limit to 20 cmH2O. Secure the test lung so that it
cannot inflate until the pressure limit alarm is displayed on the ventialtor
screen. After it is displayed, increase the pressure limit to 50 cmH2O.
38. Verify that the minute volume (MV) is displayed on the ventilator. Increase
the minute volume (MV) lower limit to 8, then verify that the Minute
Volume Low alarm is displayed on the ventilator.
39. Decrease the minute volume (MV) lower limit to 2 and the higher limit to
3. Verify that the Minute Volume High alarm is displayed.
40. Disconnect the O2 sensor from the absorber and expose it to room
temperature. Wait for the O2 to read 21%. Increase the oxygen lower
alarm limit to 25, then ensure that the Oxygen Low alarm is displayed on
the ventilator.
Ensure that the O2 sensor used is calibrated.

87
System Checks

41. Decrease the oxygen lower limit to 18% and the higher limit to 19%. Verify
that the Oxygen High alarm is displayed on the ventilator.
42. Disconnect the O2 sensor, then verify that the O2 Sensor Error alarm is
displayed on the ventilator.
43. Disconnect the 700/900 ventilator AC power cord. Verify that the Mains
Fail alarm is displayed on the ventilator and that the green LED light turns
red.
44. Disconnect the AC power cord. Verify that the mains fail alarm is
displayed, the battery icon is displayed on the ventilator and that the
green LED light turns red.
45. Press Setup > Configuration > System Information. Display the second
System Information screen and verify that the second battery voltage
(Switched) is greater than 11V. If not greater than 11V, ensure the unit
has had the battery continually charging for a minimum of 8hrs before
verifying. If the voltage is still low after 8 hours of continuous charge,
replace the battery.

System Information Screen #2, Battery (Unswitched/Switched)


Reading is greater Than 11 V

46. Slightly dismount the absorber. Verify that the Absorber Not Fitted alarm is
displayed on the ventilator.
47. Remount the absorber.

88
System Checks

4.16 Vaporizer Output Concentration Check


1. Verify that the vaporizer being tested is filled to at least half its capacity.
2. Set the vaporizer dial to “0”.
3. Calibrate a gas analyzer (i.e. Riken) according to the manufacturer’s
instructions.
4. Ensure a waste gas scavenging systems is on, operational and is
connected to the absorber.
5. Connect a 22 mm reusable tube to the inspiratory and expiratory ports on
the absorber. Connect a breathing bag to the bag port.

Figure 42 - Step 5: Connect


a Reusable Tube

89
System Checks

6. Connect a pressure sample tee to the CGO taper and the CGO boot to
the other end of the pressure sample tee. (Note: For ACGO units, connect
a 22 mm reusable hose from the other end of the pressure sampling tee
to the AGSS auxiliary port and set the switch to ACGO.)

Figure 43 - Connect a Pressure Sample Tee

7. Ensure that the pressure sampling tee is connected to a gas analyzer and
ensure that the gas analyzer is also connected to an active scavenger.

Figure 44 - Gas Analyzer Connection

8. Ensure that the bag-to-vent switch on the absorber is set to Bag. Open
the APL valve by turning it fully counter-clockwise.
9. Turn the power switch to the “ON” position.
10. Set a flow of 10 L/min on the O2 flow control valve to flush the system of
any residual gas. Reduce the flow to 4 L/min after one minute.
11. Set the vaporizer dial to 1.0% and wait a few minutes for the vaporizer
concentration to stabilize.

90
System Checks

12. Verify that the reading on the gas analyzer is between 0.8 – 1.2%.
13. Set the vaporizer dial to 2.5% and wait a few minutes for the vaporizer
concentration to stabilize.
14. Verify that the reading on the gas analyzer is between 2.0 – 3.0%.
15. Set the vaporizer dial to 5.0% and wait a few minutes for the vaporizer
concentration to stabilize.
16. Verify that the reading on the gas analyzer is between 4.0 – 6.0%.
17. If a Sevoflourane vaporizer is being tested, set the vaporizer dial to 8.0%
and wait a few minutes for the vaporizer concentration to stabilize.
18. Verify that the reading on the gas analyzer is between 6.4 – 9.6%.
19. If a Desflurane vaporizer is being tested, set the vaporizer dial to 10.0%
and wait a few minutes for the vaporizer concentration to stabilize.
20. Verify that the reading on the gas analyzer is between 8.0 – 12.0%.
21. Set the vaporizer dial to 18.0% and wait a few minutes for the vaporizer
concentration to stabilize.
22. Verify that the reading on the gas analyzer is between 14.4 – 21.6%.
23. Set the vaporizer dial to “0”.
24. Set the O2 flow control valve to minimum flow and turn the switch to the
“OFF” position.

4.17 Electrical Safety Test


1. Connect the BleaseSirius anesthesia machine to an approved safety
analyzer. Verify that the leakage current is less than 300 µΑmps for
120/100 Vac and less than 500 µΑmps for 220/240 Vac
2. Connect the ground pin of the safety analyzer to an external grounding
plug. Verify that the resistence to ground is less than 0.2 Ω.

91
System Checks

4.18 Complete the BleaseSirius Checkout Sheet


1. Complete the BleaseSirius Checkout Sheet.
2. Sign and date the form and ask the customer representative to also sign
and date the form.
3. Make 2 copies of the completed form. Leave one copy with the customer,
keep one copy for your records and submit the original form with your
service report.

92

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