Penlon Prima SP Anaesthetic Machine User Manual
The Prima SP Anaesthetic Machine is a versatile and reliable device designed for use in a variety of clinical settings. It provides controlled concentrations and flows of anaesthesia gases into a patient breathing system, from which an anaesthesia ventilator and breathing circuit then deliver the fresh gas mixture to the patient. The Prima SP can be used in open, semi-open, semi-closed, or closed circuit configurations, depending on the patient circuit selected.
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Prima SP Anaesthetic
Machine Range
User Manual
Quality and Assurance in Anaesthesia
THE IMPORTANCE OF PATIENT MONITORING
WARNING
Anaesthetic systems have the capability to deliver mixtures of gases and vapours to the patient which could cause injury or death unless controlled by a qualified anaesthetist.
There can be considerable variation in the effect of anaesthetic drugs on individual patients so that the setting and observation of control levels on the anaesthesia systems does not in itself ensure total patient safety.
Anaesthesia system monitors and patient monitors are very desirable aids for the anaesthetist but are not true clinical monitors as the condition of the patient is also dependent on his respiration and the functioning of his cardio-vascular system.
IT IS ESSENTIAL THAT THESE ELEMENTS
ARE MONITORED FREQUENTLY AND
REGULARLY AND THAT ANY OBSERVA-
TIONS ARE GIVEN PRECEDENCE OVER
MACHINE CONTROL PARAMETERS IN
JUDGING THE STATE OF A CLINICAL
PROCEDURE.
IMPORTANT
Servicing and Repairs
In order to ensure the full operational life of this anaesthetic machine, servicing by a
Penlon-trained engineer should be undertaken periodically.
The machine must be serviced to the schedule detailed in section 8.
Details of these operations are given in this
Service Manual, available only for Penlon trained engineers.
For any enquiry regarding the servicing or repair of this machine, contact the nearest accredited Penlon agent: or communicate directly with:
Service Department
Penlon Limited
Radley Road
Abingdon
OX14 3PH
UK
Tel: +44 (0) 1235 547063
Fax: +44 (0) 1235 547062
E-mail: [email protected]
Always give as much of the following information as possible:
1.
2.
3.
4.
5.
Type of equipment
Product name
Serial number
Approximate date of purchase
Apparent fault
(i)
FOREWORD
This manual has been produced to provide authorised personnel with information on the function, routine performance, maintenance checks and repair procedures applicable to the Prima SP anaesthetic machine range.
Information contained in this manual is correct at the date of publication.
The policy of Penlon Limited is one of continued improvement to its products.
Because of this policy, Penlon Limited reserves the right to make any changes which may affect instructions in this manual, without giving prior notice.
Personnel must make themselves familiar with the contents of this manual and the machine’s function before using the apparatus.
Copyright © Penlon Limited, 2002.
All rights reserved.
(ii)
CONTENTS
USER RESPONSIBILITY
WARNINGS AND CAUTIONS 1.
2.
PURPOSE
3.
3.1
3.2
3.3
3.4
3.5
3.6
3.7
DESCRIPTION
Framework and General Construction
Gas Circuit NON-AHD MACHINES
Gas Circuit Schematic
Gas Supply Safety Devices
Mechanical AHD
Pressure Gauges
Flowmeters and Controls
3.8
3.9
Vaporizers
Common Gas Outlet (CGO) Block
3.10
Electrical Power Supply
3.11
Third/Fourth Gas Options
3.12
Auxiliary Gas Outlets
3.13
Oxygen Monitor
3.14
A100 Absorber
3.15 Prima SP Anaesthetic System - MRI Compatibility
4.
4.1
4.2
4.3
4.4
SPECIFICATION
Physical Dimensions
Gas Supplies
Flowmeters
Gas Pressures
4.5
4.6
4.7
4.8
Auxiliary Gas Outlets
Oxygen Failure Warning Devices
Oxygen Flush
Mechanical AHD Systems
4.9
Environmental
4.10
Third and Fourth Gas Options
4.11
Electrical Supply
4.12
Oxygen Monitor
5.
5.1
5.2
5.3
5.4
5.5
5.6
PRE-USE CHECKS
Pre-use Check List
Pre-use Checks (Non-AHD Machines)
Pre-use Checks (Machines with Mechanical AHD)
Leak Rate Check
Electrical Supply
Patient Breathing System
5.7
5.8
Oxygen Flush
Anaesthetic Gas Scavenge System (AGSS)
5.9
Alarm System Testing
5.10
Vaporizers
5.11
Ventilator
5.12
Oxygen Monitor
(iii)
Page No.
01
02
05
17
18
23
23
14
15
16
17
10
11
12
13
06
06
07
07
42
42
43
44
44
45
31
31
33
35
37
37
38
28
28
28
29
27
27
27
27
24
24
25
25
26
CONTENTS
7.
7.1
7.2
8.
8.1
8.2
8.3
8.4
8.5
6.
6.1
6.2
6.3
6.4
6.5
FUNCTION TEST
Introduction
Machine Frame
Electrical Safety Tests
Pipeline Gas Supply and Non-Return Valve
Cylinder Gas Supply and Pressure Reducing Valves
6.6
6.7
6.8
6.9
Flowmeter Unit
Gas Safety Devices
Vaporizers and Back Bar Manifold Assembly
Reduced Pressure Gas Circuit Leakage
6.10
Emergency Oxygen Flush Control Test
FAULT FINDING
Introduction
Fault Diagnosis Table
SERVICE SCHEDULE
Service Schedule
Six Month Service Checks
Twelve Month Service Checks
Twenty-four Month Service Checks
Seventy-two Month Service Checks
9.
9.1
9.2
9.3
9.4
9.5
9.7
SERVICING PROCEDURES
Servicing
Ancillary Equipment
Cleaning and Sterilisation
Gas System Components
Internal Gas Pipework
Front Cover - Remove and Refit
9.7
9.8
Flowmeter Cover
Gear Linkage - Reset
9.9
Control Valve Capsule Removal/Replacement
9.10
Oxygen Reservoir - Removal/Replacement
9.11
Secondary Regulators
9.12
Gas Block - Remove and Refit
9.13
Selectatec Compatible Manifold Block
9.14
Gas Delivery Switch
9.15
Air/N2O Interlock Switch
9.16
Oxygen Failure Visual Indicator
9.17
CGO - Clippard Valve Replacement
9.18
Flowmeter Tubes - Removal
9.19
Flowmeter Assembly - Removal
9.20
Flowmeter Lighting - Removal
9.21
Oxygen Monitor - Battery Replacement
9.22
Oxygen Monitor Sensor
9.23
A100 Circle System Absorber
10.
SPARE PARTS LIST
11.
APPENDIX
Care of Back-up Battery
Product Classification and Labelling Terminology
Wiring Diagram - Lighting
Wiring Diagram - General
(iv)
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USER RESPONSIBILITY
This anaesthetic machine has been built to conform with the specification and operating procedures stated in this manual and/or accompanying labels and notices when checked, assembled, operated, maintained and serviced in accordance with these instructions.
To ensure the safety of this device it must be checked and serviced to at least the minimum standards laid out in this manual.
A defective, or suspected defective, product must not under any circumstances be used.
The user must accept responsibility for any malfunction which results from noncompliance with the servicing requirements detailed in this manual.
Additionally, the user must accept responsibility for any malfunction which may result from misuse of any kind or noncompliance with other requirements detailed in this manual.
Worn, broken, distorted, contaminated or missing components must be replaced immediately. Should such a repair become necessary it is recommended that a request for service advice be made to the nearest
Penlon accredited agent.
This device and any of its constituent parts must be repaired only in accordance with written instructions issued by Penlon
Limited and must not be altered or modified in any way without the written approval of
Penlon Limited. The user of this equipment shall have the sole responsibility for any malfunction which results from improper use, maintenance, repair, damage or alteration by anyone other than Penlon or its appointed agents.
USA and Canadian Federal Law restricts the sale and use of this device to, or on the order of, a licensed practitioner.
Statements in this manual preceded by the following words are of special significance:
WARNING
CAUTION
NOTE
means there is a possibility of injury to yourself or others.
means there is a possibility of damage to the apparatus or other property.
indicates points of particular interest for more efficient and convenient operation.
Always take particular notice of the warnings, cautions and notes provided throughout this manual.
1
1.
WARNINGS AND CAUTIONS
The following WARNINGS and
CAUTIONS must be read and
understood before using this anaesthetic apparatus.
WARNINGS
1.
2.
3.
4.
5.
This apparatus is designed for use only with non flammable anaesthetic agents. It must not be used with or in close proximity to flammable anaesthetic agents, due to a possible fire or explosion hazard.
Exterior panels must not be removed by unauthorised personnel and the apparatus must not be operated with such panels missing.
On machines with an electrical power supply, there is a possible electric shock hazard.
No oil, grease or other flammable lubricant or sealant must be used on any part of the machine in close proximity to medical gas distribution components.
There is a risk of fire or explosion.
When attaching cylinders of medical gases ensure that the machine yoke and cylinder faces are dust free and clean and that the sealing washer provided is in position between the cylinder valve and the yoke.
Tighten the yoke securely before opening the cylinder valve. Dust and dirt presents a fire hazard in the presence of high pressure gas.
Leakage of high pressure gas can cause serious injury.
Anaesthesia apparatus must be connected to an anaesthetic gas scavenging system (AGSS) to dispose of waste gas and prevent possible health hazards to operating room staff.
This requirement must be observed
2
6.
7.
8.
during test procedures as well as during use with a patient.
Prima SP machines must only be used with Sigma Delta vaporizers
(or other vaporizers approved by
Penlon Limited) installed by means of the Cagemount or Selectatec system.
Free-standing vaporizers may be accidentally tipped, resulting in excessive and uncalibrated volumes of anaesthetic drug entering the breathing system
Do not install or connect any vaporizers of any description between the Common Gas Outlet
(CGO) and the breathing system unless they are specifically designed for such use. (If this is done, the oxygen flush flow will pass through the vaporizer and may result in gross overdosage when the flush valve is operated.)
The breathing system which conveys gases from the anaesthetic machine to the patient and disposes of expired gases is a vital part of the anaesthetic delivery system.
Because breathing systems require frequent cleaning and disinfection they are not a permanent part of the anaesthetic machine and therefore cannot be directly under the control of the anaesthetic machine manufacturer.
However, we strongly recommend that only breathing systems which have been approved and authorised by Penlon for use with the Prima SP range should be employed.
This is particularly important when mechanical ventilation is employed.
When mechanical ventilation is employed the patient breathing system must be connected directly to an over-pressure relief valve to prevent the possibility of barotrauma.
WARNINGS AND CAUTIONS
9.
Always perform a pre-use check of the machine, including vaporizers, ventilator, circle absorber and monitors before clinical use.
Follow the pre-use checklist (see section 5) as a minimum requirement.
Many clinical accidents occur because of a failure to check for correct function.
10.
The machine must not be used if any of the alarm, monitoring or protection system devices are not functioning correctly.
11.
The machine must not be fitted with more than four operator accessible mains socket outlets. There is a risk of an excessive leakage current.
12.
The use of antistatic or electrically conductive breathing hoses is not recommended when using high frequency electrical surgery equipment (e.g. : Diathermy).
Burns may be caused.
14.
Before any electrically powered machine is used clinically for the first time, check that the hospital engineering department has carried out an earth continuity test.
15.
Before using any additional electrical equipment powered by the auxiliary sockets on the machine, check that the additional equipment is correctly wired and is earthed through its plug.
A missing or defective protective earth conductor may increase earth leakage currents to the patient to values exceeding the allowable limits, resulting in ventricular fibrillation, or interference with the pumping action of the heart.
16.
Additional equipment placed on the top shelf must be securely attached.
Take care when moving a fully loaded machine, particularly when negotiating ramps.
Check that hoses or power leads are not trailing on the floor.
CAUTIONS
1.
2.
3.
4.
5.
6.
Flowmeter needle valves are designed to seal with light torque and may be damaged if tightened excessively.
Take particular care with the carbon dioxide flowmeter control (if fitted); do not force the control knob past either the fully open or fully closed positions.
Open cylinder valves slowly to avoid damage to pressure reducing valves.
Ensure that cylinder valves are at least one full turn open when in use.
Under no circumstances should anaesthetic agents be used for cleaning purposes.
After use, always disconnect the machine from the piped gas supply and/or close the gas cylinder valves.
Mechanical AHD system - The oxygen flow control is restricted to prevent the needle valve from fully closing. This ensures a minimum basal flow of oxygen.
DO NOT attempt to close the flow to zero.
Do not overtighten.
Compressed gas supplies must be
clean and dry.
3
WARNINGS AND CAUTIONS- O
2
Monitor
Oxygen Monitor
WARNINGS
1.
We recommend calibration of the oxygen monitor every time the system is turned on, as a safety precaution.
2.
3.
4.
5.
Do not attempt to open the fuel cell. The sensor contains a small quantity of electrolyte, classified as a harmful irritant which is potentially hazardous.
ALWAYS check the integrity of the sensor assembly before use. See section 3.4.
Once exhausted, the sensor must be disposed of according to hospital, local, state and federal regulations.
The sensor measures oxygen partial pressure, and its output will rise and fall due to pressure change.
An increase in pressure of 10% at he sensor inlet will produce a 10% increase in sensor output.
Using the oxygen monitor
6.
7.
When the battery voltage has fallen to the minimum safe level, the oxygen monitor will automatically shut down to avoid permanent damage to the battery.
If the internal battery is fully discharged, the oxygen monitor will not function in the event of mains power failures.
The battery must be recharged before the oxygen monitor is used clinically, otherwise back-up time can not be guaranteed.
See section 3.13.
CAUTIONS
1. Do not sterilise the oxygen sensor or control unit components.
These components are not compatible with sterilisation techniques and damage may result.
2.
3.
Do not autoclave or expose the sensor to high temperatures.
If the sensor shows signs of being affected by condensation, dry the sensor with soft tissue.
Do not use heat to dry the sensor.
NOTES
1.
The
O2 SENSOR FAULT alarm indicates that one of the following conditions has occurred.
a) Internal electrical fault b) Software/electronics fault c) Oxygen sensor fault.
2.
3.
The concentration read-out may, in certain conditions of excess pressure, show a value above 100%.
To accommodate these conditions it is possible to set the high alarm value up to 105% (see section 5).
To maintain maximum sensor life, always remove the unit from the breathing circuit after use.
4
2.
PURPOSE
The Prima anaesthesia workstation range is intended to provide controlled concentrations and flows of anaesthesia gases into a patient breathing system, from where the anaesthesia ventilator and breathing circuit will then deliver this fresh gas mixture to the patient
Use in conjunction with anaesthetic vaporizers, breathing hoses and patient connection fittings which comply with the relevant ISO standard or equivalent.
Depending upon the patient circuit selected, the machines can be used in open, semiopen, semi-closed or closed circuit configurations.
The range has been designed to give a wide choice of configurations and accessories, as follows:
Machine size
Prima SP101 Induction machine with a single vaporizer on the backbar manifold, and up to three gas cylinders.
Prima SP102 Medium width machine with capacity for two vaporizers on the backbar manifold, and up to four gas cylinders.
Gas supplies
SP101
SP102
Up to three gases
Up to four gases (oxygen, nitrous oxide, carbon dioxide, and air, with pinindex cylinder yokes (see above), and provision for up to three pipeline supply inlets.
Vaporizer mounting systems
Back bar manifold for Selectatec
Compatible, or Cagemount type vaporizers.
Anti-hypoxic Device (AHD)
Machines can be specified with a mechanical AHD system, designed to minimise the risk of a hypoxic mixture reaching the patient, see section 3.
Oxygen monitor (optional)
The Oxygen Monitor is intended to continuously measure and display the concentration of oxygen in breathing gas mixtures used in anaesthesia, and is intended for adult, paediatric and neonatal patients.
The oxygen monitor is a module within an anaesthesia machine.
The oxygen monitor is intended for use by health care providers, i.e. Physicians,
Nurses and Technicians for use with patients during general anaesthesia.
5
3.
DESCRIPTION
3.1 Framework and General
Construction
Frame
The machine has a cast base, extruded aluminium uprights, and aluminium panels.
Mobility
Trolley models have four castors, with a brake on each of the front castors. The castors are five inches diameter with antistatic rubber.
A footrest is mounted on the front of the machine.
To aid manoeuverability, two side handles are provided.
Mounting posts and brackets
A ‘T-slot’ mounting system is built into each side upright, to allow the use of pole-mount brackets, V-brackets, and ventilator mounting brackets.
The pole mount upright (see illustration) can be used to mount a complete AV-series
Ventilator, or bellows unit only.
V brackets can be used to mount a gas scavenging system, suction units, and accessories.
Draw units and work surfaces
The machine can be fitted with a base drawer unit (as illustrated) plus two additional smaller drawers.
The work surface has has raised edges to prevent instruments, vials etc. from rolling off.
The Prima SP 102 illustrated is equipped with a standard full-width top shelf unit suitable for a large monitor, and a pull-out writing tablet mounted under the work surface.
Options available include a CPU tray mounted above the drawer unit.
Prima SP 102 with standard top shelf and base drawer unit
6
Pole mount system fitted to frame upright
DESCRIPTION
3.2
Gas Circuit
Gas Supplies
For each size machine, a variety of cylinder and pipeline combinations can be added to the basic specification of oxygen and nitrous oxide cylinder and pipeline supply.
For example, the Prima SP102 can be supplied with an extra two gas cylinders (choose from one additional oxygen, one additional nitrous oxide, one carbon dioxide, one air), and one extra pipeline supply - Air.
Note a) Kits are available for fitment to existing machines - see section
9 (Ordering Information).
b) Carbon dioxide is not available on US specification machines.
Cylinder Yokes
The cylinder yokes are rear mounted and conform with ISO standards for pin-index fitting.
To ensure that only cylinders of the appropriate gas may be installed the yokes are designed so that the retaining latch cannot be closed unless the index pins are fully engaged.
Pipeline Inlets
Machines can be fitted with up to three pipeline gas inlets mounted on the rear of the machine.
Pipeline supply hoses are connected by non-interchangeable, threaded unions.
Filters
To prevent dirt entering the gas system, cylinder yokes and pipeline inlets are fitted with filters.
Gas Inlet Block
Each individual gas supply, from a cylinder or pipeline, is routed through a separate gas block.
Each gas block has an integral high
7 pressure gauge tapping for direct mounting of a pressure gauge, and a non-return valve to prevent back flow of gas.
In addition, gas blocks for cylinder supplies have a diaphragm pressure regulator to reduce the pressure of the compressed gas supply, and a pressure relief valve, factory set to prevent any pressure build up under the diaphragm should any leakage develop across the reducing valve seat.
Secondary Pressure Regulator
For oxygen, nitrous oxide, and air, a second stage regulator reduces the pressure supplied to the flowmeter controls (see section 4.4).
The fitment of a secondary regulator for oxygen and nitrous oxide enhances the performance of the mechanical AHD system fitted to some models.
Secondary regulation of the air supply is utilised to allow connection to high pressure air pipeline supplies.
Carbon Dioxide Flow Restrictor
On machines with a carbon dioxide supply, an integral, factory set, flow valve is fitted to restrict the flow of carbon dioxide to 500 ml/min.
3.3 Gas Circuit Schematics
Gas circuit schematics for: a) Non-AHD machines b) Mechanical AHD machines are shown on the following pages, and both show a four-gas machine.
All available gas supply options are shown.
Note that carbon dioxide is not available for
US specification machines.
N
2
O
CO
2
Air
Prima SP Non-AHD Machine
UK specification four-gas machine
Note: US spec. machines are not fitted with CO
2 facility
1
O
2
Pneumatic pressure source
Filter
Pressure gauge
Pressure regulator
Pressure relief valve
Pneumatic on/off switch
Gas cut-off valve
(normally open)
Gas cut-off valve
(normally closed)
Gas cut-off valve
(open/closed)
Reservoir
Audible alarm
Flow control valve
(variable, but note that valve 1 is not user-adjustable)
8
Flowmeter
Vaporizer
Oxygen flush valve
Non-return valve
Power take-off point
(or test point)
Gas reference connection
Visual indicator
N
2
O
CO
2
Air
Prima SP Mechanical AHD Machine
UK specification four-gas machine
Note: US spec. machines are not fitted with CO
2 facility
1
O
2
Pneumatic pressure source
Filter
Pressure gauge
Pressure regulator
Pressure relief valve
Pneumatic on/off switch
Gas cut-off valve
(normally open)
Gas cut-off valve
(normally closed)
Gas cut-off valve
(open/closed)
Reservoir
Audible alarm
Flow control valve
(variable, but note that valve 1 is not user-adjustable)
9
Flowmeter
Vaporizer
Oxygen flush valve
Non-return valve
Power take-off point (or test point)
Gas reference connection
Mechanical connection
Visual indicator
DESCRIPTION
3.4 Gas Supply Safety
Devices
3.4.1
Gas Supply Cut-off Device
A gas cut-off device, triggered by low oxygen supply pressure, cuts the supply of nitrous oxide, and carbon dioxide (if fitted).
The cut-off operates when the oxygen pressure falls below 172 kPa (25 psi).
Gas supplies are reinstated only when the oxygen supply pressure rises above 227 kPa (33 psi).
3.4.4 Air/N
2
O Interlock
(Machines with Air option)
The user can switch between Air and
Nitrous Oxide (A).
NOTE a) The machine will
NOT deliver a mixture of Air and nitrous oxide.
b) On machines with
Mechanical AHD, the
O
2
/N
2
O linkage continues to operate.
B
A
3.4.2
Oxygen Supply Failure
Warning Whistle
A whistle gives an audible warning when there is a reduction of oxygen supply pressure.
Operated solely by the remaining oxygen in the machine system, the warning whistle is prolonged by an oxygen reservoir built into the gas circuit, allowing a minimum warning whistle of 7 seconds duration.
The whistle will start to sound when the pressure falls to approximately 172 kPa (25 psi), and will continue to sound until the pressure falls to approximately 70 kPa (10 psi).
3.4.5
Oxygen Supply Visual
Indicator
The indicator (B) is operated from the oxygen supply and shows GREEN when the supply is at working pressure, and RED if the pressure falls.
3.4.6 CO
2
Flow Restriction
The maximum flow of carbon dioxide is restricted to 500 ml/min by a pre-set flow control valve.
This valve is not user-adjustable.
Note that carbon dioxide is not available for
US specification machines.
Oxygen consumption of the whistle is approximately 2 L/min when sounding and nil at other times.
3.4.3
Fresh Gas Pressure Relief
Valve
A pressure relief valve is mounted between the vaporizer back bar and the common gas outlet (CGO) on the inside face of the machine right hand upright.
3.4.7
Mechanical AHD
A mechanical link between the oxygen control valve and a needle valve in the nitrous oxide flow ensures that the machine delivers a fresh gas mixture with a minimum oxygen concentration of 30% ±3%, irrespective of the flow of nitrous oxide set by the anaesthetist.
With the nitrous oxide control valve fully open, the oxygen and nitrous oxide flows are then both controlled by the oxygen control valve.
See section 3.5 for a full description
It is designed to prevent fresh gas being delivered to the breathing system at pressures exceeding 39 kPa (5.4 psi).
This valve also protects machine components against excessive pressure in the event of a total blockage of the CGO.
10
3.4.8
Low Pressure Gas Tubing
Diameter-indexed tubing is used for the low pressure gas system - see section 4.
DESCRIPTION
3.5 Mechanical AHD (Anti
Hypoxic Device)
3.5.1 Introduction
The Mechanical AHD is housed within the flowmeter module and comprises a gear linkage between the oxygen control valve and a needle valve in the nitrous oxide flow.
The system is designed to control the relative flow rates of oxygen and nitrous oxide.
A predetermined minimum oxygen concentration of 30% ±3% in the oxygen / nitrous oxide mixture is maintained over the flow range to ensure that a hypoxic mixture is not supplied from the anaesthetic machine.
3.5.2
Gas Delivery Switch
The Gas Delivery Switch (A) operates on the oxygen supply and must be in the ‘On’ position for normal operation of the anaesthetic machine.
The switch consequently controls the supply of all gases provided with a gas cut-off triggered by a predetermined pressure level within the oxygen supply (see section 3.4.1).
A whistle (oxygen failure warning whistle) will sound briefly whenever the gas delivery switch is turned on or off. Note that the whistle functions normally if the oxygen supply fails (see section 3.4.2).
The switch also controls the electrical supply to the optional Flowmeter Lighting unit and
O
2
Monitor (see section 3.13.2).
3.5.3
Gear Linkage and Nitrous
Oxide Control Valves
A gear linkage connects the oxygen control knob on the flowmeter module and a needle valve in the nitrous oxide flow.
This linkage limits the flow of nitrous oxide relative to the flow of oxygen set by the user.
Note that this needle valve acts as the primary nitrous oxide valve, and is actuated only by movement of the oxygen control.
A
B
11
NOTE
Machines with an Air supply option are fitted with an Air/N
2
O Interlock switch (B).
The machine will NOT deliver a mixture of
Air and nitrous oxide - see section 3.4.4) .
This switch must be in the N
2
O position to allow a flow of Nitrous Oxide.
The nitrous oxide control knob on the flowmeter module operates a secondary needle valve in the nitrous oxide flow. It is positioned downstream of the primary valve and therefore is used only to restrict the flow already set by the primary valve, which itself has been determined by the position of the oxygen control knob.
Therefore for any oxygen flow set by the user, the mixture delivered will still contain a minimum 30% ±3% oxygen even with the nitrous oxide control knob fully open. As the nitrous oxide knob is progressively closed, the oxygen content of the mixture increases to 100%.
3.5.4
Oxygen Basal Flow
To allow the system to function correctly, an oxygen basal flow is continuously supplied
(see section 4.8). This basal flow can only be turned on and off by using the Gas
Delivery Switch (A).
CAUTION The oxygen control is restricted to prevent the needle valve from fully closing. This ensures a minimum oxygen basal flow.
DO NOT attempt to close the flow to zero.
Do not overtighten the knob.
DESCRIPTION
3.6
Pressure Gauges
Pressure gauges (50 mm diameter) are located on the front panel below the flowmeter bank.
The gauges for the third and fourth gases (if fitted) are positioned between oxygen and nitrous oxide. Unused gauge positions are blanked out.
All pressure gauges are colour coded and labelled for the gases whose pressures they are indicating.
Cylinder contents are marked CYLINDER and pipeline pressure gauges are marked
PIPELINE.
The gauges are calibrated in kPa x 100.
12
DESCRIPTION
3.7
Flowmeters and
Controls
3.7.1
All models
The flowmeters, mounted behind the perspex cover on the left hand side of the machine, are length-indexed to prevent inadvertent, incorrect installation.
All floats indicate flow rate in line with the upper surface as shown below.
Read flow at this level
Each flow control valve is positioned directly underneath the flow tube assembly to which it corresponds, and the control knob is colour-coded for the gas which it controls.
The oxygen flow control knob is made physically distinguishable from the other flow controls for identification by touch in accordance with ISO standards.
When fitted, air and carbon dioxide flowmeters are always installed in the inner positions on the flowmeter assembly. These positions are blanked out if air or carbon dioxide are not specified for the machine.
NOTE
Machines with an Air supply option are fitted with an Air/N
2
O Interlock switch (The machine will NOT deliver a mixture of Air and nitrous oxide - see section 3.4.4) .
This switch must be in the N
2
O position to allow a flow of Nitrous Oxide.
The gas delivery switch, positioned to the right of the flowmeter bank, controls the
13 supply of oxygen and must be in the ON position for normal operation of the machine.
Flow control of each gas is achieved by a needle valve comprising a polished stainless steel needle mounted concentrically in a common manifold block. To minimise wear and material pick-up the needle seat is manufactured from silver. The flow control knob is turned counter-clockwise to increase the gas flow.
CAUTION
Needle valves are designed to seal with light torque and may be damaged if tightened excessively.
DO NOT USE EXCESSIVE FORCE.
3.7.2
Optional Dual Cascade
Flow Tubes
The flow of gas through dual cascade system flow tubes always flows through the low-flow tube first. The high-flow tube will not show any flow until more than 1 L/min is set.
At flows above 1 L/min, the high-flow tube reading indicates the rate of flow for that gas.
3.7.3
Carbon Dioxide Flow
Restriction
The maximum flow of carbon dioxide (if fitted) is restricted to 500 ml/min.
DESCRIPTION
3.8
Vaporizers
CAUTION
Read the instruction manual supplied with the vaporizer before clinical use.
3.8.1
Vaporizer Mounting
Systems
Vaporizers for the administration of volatile anaesthetic agents can be fitted to customer’s requirements as follows:
(a) Up to two Penlon Sigma Delta
Selectatec compatible vaporizers
(interlock or non-interlock), mounted on a Selectatec compatible backbar.
(b) One or two Penlon Sigma Delta
Cagemount vaporizers mounted on a
Modura rail (check that relevant national standards for your country allow fitment of more than one cagemount type vaporizer).
WARNING
Vaporizers must always be securely mounted, and never used free-standing.
Unmounted vaporizers may be accidentally tipped resulting in uncalibrated and excessive volumes of liquid anaesthetic drug entering the breathing system.
Vaporizers of any description must not be installed or connected between the Common
Gas Outlet (CGO) and the Breathing
System, unless they are specifically designed for such use. (If this is done, the oxygen flush flow will pass through the vaporizer, and severe overdosage may result).
3.8.2
Selectatec Compatible
Vaporizers
Selectatec compatible vaporizers, e.g. the
Sigma Delta with the Selectatec compatibility block, may be mounted on a universal back bar manifold built onto the
Prima range as an option.
Single and two-station manifolds are available, with each station fitted with two valve capsule assemblies for vaporizer connector block attachment.
When a vaporizer is installed on a station the valves on that station open automatically to allow gas flow into and out of the vaporizer.
Removal of the vaporizer from the station closes the valves on that station.
Selectatec Compatible vaporizer interlock systems are described in the literature supplied with the vaporizer.
3.8.3
Cagemount Vaporizer
Vaporizers fitted with cagemount tapers have the male taper (inlet port) on the left, and the female taper on the right (viewing the front of the vaporizer).
It is recommended that detachable cagemount connectors are retained with a safety clip (catalogue number 52275) to prevent inadvertent disconnection.
14
DESCRIPTION
3.9
Common Gas Outlet
(CGO) Block
The CGO block is mounted on the rail on the front of the machine, and can be moved along the rail.
Slacken the securing screw under the block and carefully slide the block along the rail to the required position.
Tighten the screw to hold the block in place.
The fresh gas outlet is located on the front face of the block, with 22 mm male taper and concentric 15 mm female taper. The male taper incorporates the Penlon Safelock system designed to prevent accidental disconnection of the breathing system.
A high mounting position for the CGO is available as an option for induction machines.
Oxygen Flush
An emergency oxygen flush valve button is mounted on the top front of the CGO block and is marked ‘O
2
FLUSH’.
Depressing the button provides a delivery of between 35-75 litres/min of oxygen into the common gas outlet.
Releasing the button allows the springloaded valve to return to its normal position.
15
DESCRIPTION
3.10
Electrical Power
Supply (if specified)
3.10.1 Mains Power Supply
Power is fed to the machine via the mains lead, to power an auxiliary output panel, and optional flowmeter bank light.
NOTE
a) It is the user’s responsibility to ensure that the total sum of leakage currents from additional equipment plugged into the auxiliary sockets plus the leakage current from the machine does not exceed the values specified in any relevant national standards that may apply in the country where the machine is in use.
b) Each socket is protected with a 5 Amp fuse.
3.10.2 Auxiliary Power Supply
Sockets (if fitted)
An optional mains electricity auxiliary panel with three or four sockets can be specified, and fitted to the rear of the machine.
A
The supply to the sockets is controlled by an
ON/OFF switch (A).
3.10.3 Flowbank Lighting
(optional)
The lighting system is controlled by the main ON/OFF switch (A).
3.10.4 AV900 or AV800 Ventilator
(if fitted) Power Supply
The mains lead for an AV-series ventilator can be plugged into one of the auxiliary power sockets on the rear of the machine.
Should the electrical power supply to the ventilator fail, the ventilator has a battery back up system to power the ventilator for 60 minutes, if the battery has been maintained in a fully charged condition.
Reference must be made to the separate user instruction manual supplied with the ventilator
Charging of the back-up battery takes place automatically when the ventilator mains lead is connected to a ‘live’ mains supply.
The OFF indicator on the ventilator front control panel will show a yellow light during charging.
NOTE
The stated battery back-up period will only be available if the battery is kept fully charged. After the back-up power supply has been run down, the ventilator will not function until the battery is in a fully charged state.
A fourteen hours recharge will be necessary to bring the battery to full charge.
3.10.5 Monitor and Other
Accessories (if fitted)
The mains lead (or adaptor) for a monitor system or other accessories requiring an electrical supply can be plugged into one of the auxiliary sockets on the rear of the machine.
See 3.13.17.
16
DESCRIPTION
3.11
Third/Fourth Gas
Options
3.11.1 Air
When air is requested as the third/fourth gas, the machine specification is modified as stated in 4.10.1.
NOTE
Machines with an Air supply option are fitted with an Air/N
2
O Interlock switch (The machine will NOT deliver a mixture of Air and nitrous oxide - see section 3.4.4).
This switch must be in the N
2
O position to allow a flow of Nitrous Oxide.
3.11.2 Carbon Dioxide
When carbon dioxide is requested as the third/fourth gas, the machine specification is modified as stated in 4.10.2.
Gas supply cut-off devices operate on carbon dioxide in all machines.
An integral, factory-set flow valve is fitted to restrict the flow of carbon dioxide to 500 ml/min.
Note that carbon dioxide is not available on US specification machines.
3.12
Auxiliary Gas Outlets
Oxygen
Auxiliary oxygen outlets are mounted on the right hand side frame upright.
Air
On machines with an air cylinder/pipeline supply, an auxiliary air outlet is fitted above the oxygen outlets.
17
DESCRIPTION - O
2
Monitor
3.13 Oxygen Monitor (Optional)
The oxygen monitor continuously measures and indicates the concentration of oxygen in the breathing system, and triggers an alarm when the concentration varies from the set levels.
CAUTION
If your machine is fitted with an AV900 Ventilator with a built-in Oxygen Monitor, please refer to the AV900 user manual for instructions on setting up and operation.
3.13.1 System Description
The Oxygen Monitor uses a fast-responding, oxygenspecific, self powered sensor that achieves 90% of final value in less than 10 seconds.
Sensor life: approximately 1 500 000 O
2 percent hours at
20oC
(minimum one year in most normal applications).
An external probe is supplied with a 2 m (6 ft) extendable cable and diverter fitting for a standard 15 mm Tee adaptor. The probe has a safety lock.
The system has user-adjustable high-level and lowlevel alarms with visual and audible indication of alarm conditions.
Easy-to-read, seven segment LED display for highset, low-set, and oxygen concentration readings.
The monitor is controlled by the machine gas system master On/Off switch (A).
A back-up battery provides a minimum of 60 minutes operation in the event of mains failure.
The battery is charged when the machine is connected to the mains supply.
3.13.2 System On/Off Switch
The switch controls gas delivery from the anaesthetic machine, and electrical power to the oxygen monitor.
The switch must be in the On position to use the oxygen monitor and anaesthetic machine.
When switched to On, the monitor will always default to previous settings.
18
A
DESCRIPTION - O
2
Monitor
3
1
2
5
9
10
6
7
8
4
Oxygen monitor control panel
1.
2.
3.
4.
5.
O
2
Concentration display
Low alarm set display
High alarm set display
Alarm LEDs
Alarm mute key
6.
7.
8.
9.
10.
High set key
Low set key
Calibrate key
Low alarm set / Calibration control
High alarm set control
3.13.3
Displays
Oxygen Percentage Readout
The display provides direct readout of oxygen concentrations in the range of 0-100%.
If the oxygen concentration exceeds 100%, the display will flash.
Low Alarm Set Readout
The indicated value represents the oxygen percentage at which the low alarm will be activated.
The low alarm set value is limited within 18-99%.
To set the low oxygen concentration alarm, see section 3.3.2.
High Alarm Set Readout
The indicated value represents the oxygen percentage at which the high alarm will be activated.
The high alarm set value is limited within 19-105% (Note that in certain conditions of excess pressure, the readout may show a value above 100%.)
To set the high oxygen concentration alarm, see section 3.3.1.
19
DESCRIPTION - O
2
Monitor
3.13.4
Alarm Conditions
HIGH O
2
ALARM
The high O
2 alarm is triggered when the oxygen concentration is 1% above the setting.
In this alarm condition, a red HIGH O
2
ALARM LED will flash at a 0.5 second rate, accompanied by a high priority sound.
To cancel this alarm, the high alarm setting must be equal to, or above the oxygen concentration.
LOW O
2
ALARM
The low alarm is triggered when the oxygen concentration is 1% below the setting.
In this alarm condition, a red LOW O
2
ALARM LED will flash at a 0.5 second rate, accompanied by a high priority sound.
To cancel this alarm, the low alarm setting must be equal to, or below the oxygen concentration. will fall very quickly to zero within two to three weeks of normal usage.
See section 5 for sensor replacement.
NOTE
To maintain maximum sensor life, always remove from breathing circuit after use.
LOW BATTERY
The low battery alarm indicates that the battery is disconnected or the battery voltage has dropped below acceptable limits.
If the monitor is in use under battery power, and the battery voltage is less than 11.5
volts, a low priority alarm is triggered, to indicate that the battery has less than 20 minutes life left.
If the battery voltage falls to less than 10.8
volts a flashing medium priority alarm is triggered to indicate there is less than 5 minutes power left in the battery.
To cancel this alarm, mains power must be
On.
NOTE
If this condition persists, contact your
Penlon Service Centre, or Penlon Customer
Service Department in the UK.
At the end of the final 5 minute warning period, the oxygen monitor will shut down, to prevent damage to the battery.
O
2
MONITOR INOP (inoperative)
This alarm indicates when the oxygen monitor is in malfunction condition.
It could be triggered by electronic components failure or software malfunction.
In this alarm condition, a red O
2
MONITOR
ALARM LED will flash at a 0.5 second rate, accompanied by a high priority sound.
If this mode occurs you can reset the system by pressing the ALARM MUTE and LOW
ALARM SET buttons simultaneously for 3 seconds.
MAINS FAILURE
This alarm indicates mains power failure or cut-off. The yellow MAINS FAILURE LED will illuminate, and a low priority sound will be triggered.
O
2
SENSOR FAULT
The alarm is triggered a) when either the oxygen sensor is disconnected or approaching the end of its life.
b) if the the oxygen concentration exceeds
110%.
In the alarm condition, a red O
2
SENSOR
ALARM LED will flash at a 0.5 second rate, accompanied by a high priority sound.
To cancel this alarm, check the sensor connection or replace the sensor.
3.13.5
Alarm Mute
In an alarm condition, pressing the ALARM
MUTE button will deactivate the alarm sounder but the alarm LED will continue to flash. The yellow MUTE ALARM LED will illuminate, accompanied with a SINGLE
‘beep’ sound.
O
2
SENSOR LOW
This alarm indicates the sensor has approached the end of its life.
The yellow O
2
SENSOR LOW LED will light up, and a low priority sound will be triggered.
The sensor must be replaced as the output
20
The alarm mute can not be operated: a) until the mute time is over, or the alarm condition has been rectified. b) when the oxygen concentration drops below 18%.
In high priority and medium alarm conditions the alarm mute deactivates the sounder for
30 seconds and 120 seconds respectively.
DESCRIPTION - O
2
Monitor
3.13.6
The MOX-3 Oxygen Sensor
The MOX-3 oxygen sensor offers quick response, linear output over the entire 0-100% oxygen range, and long service life.
The MOX-3 is a self-powered galvanic cell that generates current, and the current is proportional to the rate of oxygen consumption.
The cell has a highly stable output over its operating life. Significant output loss is only shown at the very end of its life.
Typical sensor drift rates are less than 1% per month when the sensor is exposed to gas in typical applications.
Sensor lifetime is governed by the mass of lead available to react with the oxygen and its rate of consumption. High oxygen partial pressure and high temperature will increase the sensor output current, thus shortening the operation life.
Nevertheless, average sensor life will still exceed one year.
At the point where all lead has been consumed, the output will fall very quickly to zero over a period of two to three weeks.
NOTE
To maintain maximum sensor life, always remove from breathing circuit after use.
Typical Sensor Installation on
Machine CGO
The sensor assembly consists of an external probe and 2 m (6 ft) cable and diverter on a standard 15 mm Tee adaptor
.
On machines with an A100 Absorber, the probe can also be mounted on the dome of the inspiratory valve (see section 5).
21
DESCRIPTION - O
2
Monitor
3.13.7
Power Supply
Mains Power Supply
Power is fed to the machine via the mains lead to a switching mode power supply, and the oxygen monitor will be powered up by 14.2 v.
The monitor is controlled by the machine gas system master On/Off switch
(see 3.13.2).
Back-up Battery
Should the electrical power supply to the machine fail, the emergency battery supply for the unit comes into action automatically.
This is indicated by the illuminated yellow ‘MAINS FAILURE’ LED alarm, accompanied with a ‘beep’ sound.
The battery is maintained in a fully charged state during normal use (i.e. the machine connected to the mains power supply).
A fully charged battery will power the unit for a minimum of 60 minutes.
Low Priority Battery Low Alarm
When the battery is discharged, and the mains power supply is not restored, the ‘BATTERY LOW’ LED alarm will illuminate, accompanied with a low priority alarm sound.
Medium Priority Battery Low Alarm
When the battery is further discharged, and the mains power supply is not restored, the ‘BATTERY LOW’ LED will flash at a two second rate and a medium priority audible warning will be given when the minimum safe level of voltage is reached.
Low Battery Shut Down
WARNING
When the battery voltage has fallen to the minimum safe level, the oxygen monitor will automatically shut down to avoid permanent damage to the battery.
Recharging the Battery
Charging of the back-up battery takes place automatically when the mains power supply is on, irrespective of the position of the machine gas system
On/Off switch position.
NOTE
The stated battery back-up period will only be available if the battery is kept fully charged. After the back-up power supply has been run down, the oxygen monitor will not function until the battery is in a fully charged state. An eight hours recharge will be necessary to bring the battery to full charge.
22
DESCRIPTION
3.14
A100 Absorber
In-board Mounting
The canister and valve block assemblies are mounted under the work surface and can be detached separately for cleaning (see section 7).
3.15
Prima SP Anaesthetic
System - MRI Compatibility
The following Prima SP system components are
MRI compatible:
Prima SP basic* machine
*A 'basic' machine includes any variant of
Back Bar
Flowmeter Bank
Drawers
Monitor Shelves
Additional Gases
A100 Absorber (In-board and pole-mounted)
Nuffield 200 Ventilator
Delta Vaporizer
The following components are currently not
MRI compatible:
Oxygen Monitor
Flowmeter lighting
Electrical power outlets
AV-series ventilator
NOTE a) MRI Compatible Plastic Laryngoscopes b) see section 3.9 in the Price List.
The IDP Pressure Failure Alarm is MRI compatible when used with appropriate batteries - see section 1.5.3 in the Price List.
23
4.
SPECIFICATION
Work surface height:
Work surface size:
Loading:
Writing tablet:
Loading:
Top shelf:
Loading:
Mid shelf:
Loading:
Drawers:
Loading:
Castors:
Absorber posts:
Height adjustment
Loading
Ventilator bellows post
Loading
Gas scavenging fixing
Loading
Common gas outlet:
4.1 Physical Dimensions
Overall size:
SP 101
SP 102
Height x Depth x Width (mm)
1475 x 620 x 450
1475 x 620 x 570
890 mm
690/570/450 x 370 mm
30 kg (66 lb) - evenly distributed.
300 x 220 mm
10 kg (66 lb) - evenly distributed.
690/570/450 x 370 mm
30 kg (66 lb) - evenly distributed.
690/570/450 x 370 mm
25 kg (55 lb) - evenly distributed
150 x 325 x 500 mm.
10 kg (22 lb) evenly distributed
Front pair braked
Swivels on a 254 mm radius around the left hand side frame upright:
300 to 760 mm
30 kg (66 lb)
Bushed to accept 25.4 mm (1 inch) or 22 mm (7/8 inch) poles.
30 kg (66 lb)
Dovetail clip on frame upright
30 kg (66 lb)
22 mm male taper with coaxial 15 mm female taper connections Safelock fitting
Weight:
SP 101
SP 102
70 kg (154 lb)
75 kg (165 lb)
24
SPECIFICATION
4.2
Gas Supplies
Cylinders:
SP 101
SP 102
Oxygen, nitrous oxide, air, and carbon dioxide cylinder fittings can be specified to the maximum numbers given below.
All cylinder yokes are pin-indexed
Maximum of three
Maximum of four
Pipeline:
SP 101/102 Maximum of three (oxygen, nitrous oxide, air).
All to relevant national standards.
Medical gas colour codes:
Oxygen
Nitrous Oxide
Medical Air
Carbon Dioxide
White* or Green
Blue
Black/White* or Yellow
Grey
*To comply with relevant national standards.
Internal pipework is diameter indexed for each gas
Oxygen:
Nitrous Oxide
Mixed gas
8 mm
6 mm
10 mm
Carbon Dioxide:
Air
4 mm
5 mm
4.3 Flowmeters
Flow ranges:
Single flow tubes
Oxygen:
Nitrous Oxide:
Air
Carbon Dioxide
0 - 10 L/min
0 - 10 L/min
0 - 10 L/min
0 - 700 ml/min (flow limited to 500 ml/min)
Cascade flow tubes
Oxygen /Air /Nitrous Oxide (1)
(2)
0 - 1000 ml/min
0 - 10 L/min
25
SPECIFICATION
Flowmeter Accuracy
The accuracy of the flowmeter tubes is ± 2.5% of full scale reading
Flowmeter construction and dimensions
Tubes and floats are matched, and must not be interchanged.
Flowmeter tubes have antistatic coatings.
Tubes are length indexed:
Oxygen
Nitrous oxide
Other gases
260 mm (10.24 inch)
250 mm (9.84 inch)
240 mm (9.45 inch) (see 3.12)
Scale length 152 mm (6 in) minimum
(all flow tubes except carbon dioxide)
4.4
Gas Pressures
Pipeline supplies
Cylinder supplies
Supply pressure variation
Reduced pressure from regulator
(at 5 L/min flow)
Regulator diaphragm bursting pressure
USA/
Canada/
Japan
340 kPa
(50 psi)
310 kPa
(45 psi)
±10%
UK
400 kPa
(60 psi)
380 kPa
(55 psi)
± 10%
310 kPa
+15 kPa / -35 kPa
370 kPa
+15 kPa / -35 kPa
(45 psi
+2 psi / -5 psi
) (55 psi
+2 psi / -5 psi
)
2800 kPa
(410 psi)
2800 kPa
(410 psi)
Reduced pressure system safety valve
Safety valve
(to protect flowmeter, vaporizer etc.)
510 kPa
(75 psi)
39 kPa ±10%
(5.4 psi) ±10%
610 kPa
(90 psi)
39 kPa ±10%
5.4 psi ±10%
Reduced pressure from secondary regulators(at 5 L/min flow)
Machines built from March 2002 onwards
Oxygen and Nitrous Oxide
Air
152 - 241 kPa (22 - 35 psi)
241 - 276 kPa (35 - 41 psi)
Machines built before March 2002
All gases 207 - 283 kPa (30 - 41 psi)
26
SPECIFICATION
4.5 Auxiliary Gas Outlets
Oxygen
Two self sealing connections on side frame upright
Oxygen supply at pipeline pressure 340 kPa (50 psi)
Total flow rate: not less than 100 L/min to free air
80 L/min against 243 kPa (36 psi) resistance
70 L/min against 270 kPa (40 psi) resistance
50 L/min against 297 kPa (44 psi) resistance
Air
One self sealing connection on side frame upright.
4.6 Oxygen Failure Warning Devices
1.
2.
Gas system whistle
Visual indicator, direct pressure operated
4.7
Oxygen Flush
Button on CGO block
The system supplies 35 - 75 L/min when fully depressed.
4.8
Mechanical AHD System
Minimum oxygen concentration 30% ±3% of total O2 + N2O flow
Oxygen basal flow
All models - up to March 2002
Oxygen basal flow 100-200 ml/min
Cascade flowmeter models - March 2002 onwards
Oxygen basal flow 50-75 ml/min
Single flowmeter models - March 2002 onwards
Oxygen basal flow 100-200 ml/min
Reduced pressure from secondary regulators See section 4.4
27
SPECIFICATION
4.9
Environmental
Operating Conditions
Temperature
Storage and transport:
Basic machine
Oxygen monitor option
Operating ambient
-5 to 60oC (23 to 140oF)
-5 to 50oC (23 to 122oF)
+10 to 38oC (50 to 100oF)
Atmospheric pressure range
Altitude
Humidity
MRI Compatibility
Cleaning
70 kPa to 106 kPa
2438 m (8000 ft) maximum
10 - 95% R.H. non-condensing.
See section 3.15
Wipe external surfaces with dry or damp cloth.
Use mild soap, or disinfectant solution if necessary.
4.10 Third and Fourth Gas Options
4.10.1 Air
Air flowmeter range: 0 - 10 L/min.
Cascade low flow tube: 0 - 1000 ml/min
Cylinder yoke pin-indexed for medical air.
Pipeline inlet for air.
Cylinder contents gauge.
Pipeline pressure gauge.
Air pipework is colour coded at each junction.
4.10.2 Carbon Dioxide
Carbon dioxide flowmeter range: 20 - 700 ml/min (flow restricted to 500 ml/min).
Cylinder yoke pin-indexed for carbon dioxide.
Cylinder contents gauge
Carbon dioxide pipework is colour coded at each junction.
4.11 Electrical Supply (if fitted)
Standard: 5.5 amp, 220-240 v, 50 Hz
Optional: 6 amp, 110-120 v, 60 Hz
Permanently attached 3 metre lead, with stowage hooks for cable on rear of machine.
Auxiliary electrical power outlets (if fitted):
SP102
SP101
Max. total current
4 outlets
3 outlets
5 amp
Battery back-up (oxygen monitor):
12v, 1.8-1.9 AH, rechargeable sealed lead acid battery.
Provides a minimum of 20 minutes operation.
28
SPECIFICATION - O
2
Monitor
4.12 Oxygen Monitor
Measurement Range:
Resolution:
Accuracy and Linearity:
Response Time:
Operating Temperature:
Storage Temperature:
Transport Temperature:
Relative Humidity Range:
Battery Back-up:
Sensor Type:
High Priority Alarm:
Medium Priority Alarm:
Low Priority Alarm:
Alarm Mute:
Low Alarm Set Range:
High Alarm Set Range:
Cable length:
0-l00%
±1%
±2% of full scale (at constant temperature and pressure)
90% of final value in approx. 10 seconds (air to 100% O
2
)
+10 to 38oC (50 to 100oF)
-5°C to 50°C (23°F to 122°F )
-5°C to 50°C (23°F to 122°F )
5%-95% (non-condensing)
See section 4.11
MOX-3 galvanic fuel cell
Flashing, 5 audio pulses with 6 seconds repeat time.
Flashing, 3 audio pulses with 24 seconds repeat time
Static with single beep sound
30 seconds for high priority alarm
120 seconds for medium priority alarm
18%-99% (+/- 1%)
19%-105% (+/- 1%)
2 m (6 ft), fully extended
Sensor
Type:
Life:
Galvanic fuel cell sensor (0-100%)
One year minimum in typical applications
Interference Gases and Vapours (in 30% Oxygen, 70% Nitrous Oxide)
Interference Volume % Dry Interference in O
2
%
Nitrous Oxide
Carbon Dioxide
Halothane
Enflurane lsoflurane
Sevoflurane
80%
5%
5%
5%
5%
5%
<1%
<1%
<1%
<1%
<1%
<1%
Humidity Effects
Sensor output is relatively unaffected by prolonged operation in either high or very low relative humidity.
If the sensor shows signs of being affected by condensation, dry the sensor with soft tissue.
CAUTION
DO NOT use heat to dry the sensor.
29
SPECIFICATION - O
2
Monitor
Oxygen Monitor - continued
Temperature Effects
The sensor has a built-in temperature compensation circuit, and is relatively unaffected by temperature changes within the operating temperature range given above.
Pressure Effects
The sensor measures O
2 partial pressure, and its output will rise and fall due to pressure change (e.g. changes in barometric pressure, or breathing system pressure).
An increase in pressure of 10% at the sensor inlet will produce a 10% increase in sensor output.
MRI Compatibility
The oxygen monitor system is not MRI compatible (see section 3.15 for additional information).
30
5.
PRE-USE CHECKS
A pre-use checklist for the Prima SP range of machines is printed on the next page.
This checklist is also supplied with the machine.
Where necessary, subsequent sections in this manual provide an explanation and procedure for setting up the machine and ancillary equipment and the various checks that must be carried out before clinical use.
In addition, checks specific to non-AHD machines, and mechanical AHD machines are explained in separate sub-sections:
5.2 Non-AHD machines
5.3 Machines with mechanical AHD
Details of checks common to ALL types of machine (e.g. Check correct connection and functioning of vaporizers) are explained in sections 5.4 onwards.
WARNING
Pre-use checks must be performed before each period of clinical use.
These checks must be supplemented by periodic Function Testing, and full Service
Testing by a Penlon-trained engineer to the
Service Schedule given in the Prima SP
Service Manual.
These checks will not in themselves ensure the safe use of the apparatus, which remains the responsibility of the qualified practitioner in charge of it.
31
PRE-USE CHECKS
PRE-USE CHECKLIST
The machine must be carefully inspected and checked as follows.
An incorrectly functioning machine must be repaired by a suitably qualified person before use.
1.
2.
3.
4.
5.
6.
Check for visible damage, machine stability, and condition of gas supply hoses.
Check for labelling which may indicate status of machine, including faults or recent servicing.
Check correct connection of electrical supply.
Check correct connections of gas supplies.
Check adequate pipeline supply and back-up cylinder supply.
Switch on gas delivery switch, and note special operating system:
Check functioning of flowmeters.
Check function of Mechanical AHD.
Check function of Air/N
2
O interlock switch.
7.
8.
Check correct connection and functioning of the vaporizers.
Check functioning of oxygen flush.
9.
Check leak rate of low pressure gas system.
10.
Check the integrity of the patient circuit.
11.
Test the alarm system.
Refer to Section 5 in the User Manual for further information.
Ancillary equipment
12.
Check operation of the AGSS.
13.
Check functioning of ventilator, including disconnect alarm.
14.
Check that the oxygen analyser and other patient monitoring equipment functions correctly.
Refer to the relevant user manual for further information.
32
PRE-USE CHECKS -
(Non-AHD Machines)
5.2
Pre-use Checks - Gas Supply
(Non- AHD Machines)
5.2.1
Gas Pipeline Supplies
1.
2.
3.
4.
Connect the oxygen pipeline hose only.
Check that the warning whistle sounds briefly when the hose is connected.
Check that the correct pressure gauge reading is obtained.
Switch the Gas Delivery Switch (A) to ON.
On machines with Air, set the Air/N
2
O interlock switch (B) to
N
2
O.
Open the oxygen and nitrous oxide flowmeter needle valves.
Check that flow is only shown in the oxygen flowmeter.
Close the flowmeter valves.
Connect the other pipeline hoses in turn.
Check the gauge reading for each gas.
For Air, set the interlock switch (B) to Air,
5.2.2
Gas Cylinder Supplies
CAUTION
Open the cylinder valves slowly to avoid damage to the pressure reducing valve and pressure gauges. Ensure that valves are at least one full turn open when in use.
1.
Fit the gas cylinders to their respective yokes, open the cylinder valves one at a time.
Check the contents on each pressure gauge.
NOTE
A) When two cylinders are provided for a single gas, test each separately, clearing pressure after each test by opening the flowmeter valve.
B) Turn off the reserve cylinders during normal use.
2.
3.
Open the cylinder valve of the third and fourth gas cylinders (if fitted).
Check the reading on the pressure gauge for each gas.
Ensure that all flowmeters are kept closed until gas supplies are required.
5.2.3
Flowmeters
1.
2.
3.
Operate each flowmeter control knob in turn.
Check that the full scale of flow can be obtained and that the floats in all tubes move freely and rotate when at a steady flow.
On machines with Air, use the interlock switch (B) to select Air and N
2
O in turn.
Check the supply for each gas.
Check that the flow can be turned off by gentle rotation of the knob and that the floats reseat on the bottom stop.
On machines with optional dual cascade flow tubes, check that gas flow is through the low flow tube initially, then through the high flow tube.
A
B
33
PRE-USE CHECKS - All models
7
8.
5.
6.
9.
5.2.4
Air/N
2
O Interlock
(machines with Air supply option)
1.
2.
3.
4.
Switch the Gas Delivery Switch (A) to ON.
Set the Air/N
2
O Interlock switch (B) to Air.
Open the Air flowmeter control and check that
Air is delivered.
On machines with mechanical AHD, turn on the oxygen supply at the flowmeter.
Open the N
2
O flowmeter control.
Check that N
2
O is NOT delivered.
Set the Air/N
2
O Interlock switch to N
2
O.
Check that the flow of Air has stopped.
Check that N
2
O is now delivered.
A
B
For additional checks on non-AHD machines, see sections 5.4 onwards
34
PRE-USE CHECKS -
Machines with Mechanical AHD
5.3 Pre-use Checks - Gas Supply
(Machines with Mechanical AHD)
5.3.2
Gas Pipeline Supplies - Machines
1.
with Mechanical AHD
Connect the oxygen pipeline hose only.
2.
Check that the correct pressure gauge reading is obtained.
Turn on the Gas Delivery switch (A).
Check that the warning whistle sounds briefly.
Check that a basal flow of oxygen is delivered, as follows:
All models - up to March 2002
100-200 ml/min
Cascade O
2 flowmeter
- March 2002 onwards
50-75 ml/min
Single O
2 flowmeter
- March 2002 onwards
100-200 ml/min
3.
4.
5.
Open both oxygen and nitrous oxide flowmeter valves.
On machines with Air, set the Air/N
2
O interlock switch (B) to N
2
O.
Check that flow is only shown in the oxygen flowmeter.
Close both valves.
Turn off the Gas Delivery switch.
Check that the warning whistle sounds briefly, and that the oxygen basal flow is stopped.
Connect the other pipeline hoses.
Check the gauge reading for those gases.
5.3.3
Gas Cylinder Supplies
CAUTION
Open the cylinder valves slowly to avoid damage to the pressure reducing valve and pressure gauges. Ensure that valves are at least one full turn open when in use.
1.
Fit the gas cylinders to their respective yokes, open the cylinder valves one at a time and check the contents on each pressure gauge.
NOTE
A) When two cylinders are provided for a single gas, test each separately, clearing pressure after each test by opening the flowmeter valve.
B) Turn off the reserve cylinders during normal use.
2.
3.
Check the third and fourth gas cylinders (if fitted), open the cylinder valve and check the contents on the pressure gauge.
Ensure that all flowmeters are kept closed until gas supplies are required.
35
CAUTION
On machines fitted with a mechanical AHD, the oxygen flowmeter control is restricted to prevent the needle valve from fully closing.
This ensures a minimum oxygen basal flow.
DO NOT attempt to close the flow to zero.
Do not overtighten the knob.
A
B
PRE-USE CHECKS -
Machines with Mechanical AHD
5.3.4
Flowmeter - Machines with
Mechanical AHD
1.
2.
3.
4.
5.
6.
7.
8.
Turn on the Gas Delivery switch (A) .
Check that the warning whistle sounds briefly.
Check that a basal flow of oxygen is delivered, as follows:
All models - up to March 2002
100-200 ml/min
Cascade O
2 flowmeter
- March 2002 onwards
50-75 ml/min
Single O
2 flowmeter
- March 2002 onwards
100-200 ml/min
On machines with Air, set the Interlock switch
(B) to N
2
O.
Open the nitrous oxide needle valve and check that there is no nitrous oxide flow.
Operate the oxygen flowmeter needle valve.
Check that full scale of flow of oxygen and nitrous oxide can be achieved, and that the floats in both tubes move freely and rotate when at a steady flow.
Check that the nitrous oxide flow can be turned off by gentle rotation of the oxygen knob.
Check also that the nitrous oxide float reseats on the bottom stop, and that the oxygen basal flow resets to 150 ml/min.
Operate the other control knobs in turn to check: the full scale of flow can be obtained; the floats move freely and rotate at a steady flow; the flow can be turned off by gentle rotation of the knob; and that the floats reseat on the bottom stop.
On machines with Air, set the interlock switch (B) to
Air, to check the supply for this gas.
On machines with optional dual cascade flow tubes, check that gas flow is through the low flow tube initially until full flow is achieved, then through the high flow tube.
A
B
For additional checks on machines with mechanical AHD, see sections 5.4
onwards.
36
PRE-USE CHECKS - All models
5.4 Leak Rate Check - Low
Pressure Gas System
1.
2.
3.
Attach a side branch connector to the fresh gas outlet on the CGO block outlet.
Connect the side branch tube to a manometer.
Set a flow of 100 ml/min of oxygen.
Block the open port of the connector with a finger.
The pressure in the low pressure gas system will rise and be displayed on the manometer.
Check that the pressure rises to at least
100 mmHg.
Release the finger seal immediately the pressure is reached.
CAUTION
Do not maintain closure of the open port longer than necessary to perform the test.
This test should be performed with each vaporizer in turn set to 1%.
NOTE
This test is equivalent to, or more severe than the leakage rates quoted in national standards.
5.5
Electrical Supply
(if fitted)
1.
2.
3.
A
Connect the machine power lead to a suitable mains supply socket.
Set the switch (A) to On.
Check for correct function of all electrical equipment powered by the auxiliary power outlets on the rear of the machine.
O
2
Monitor
Machines with optional O
2
Monitor:
Check for correct fitment of the mains lead
(B) into the rear of the monitor unit.
Switch the Gas Delivery Switch (C) to On.
Check that the monitor control panel LEDs activate.
B
37
C
PRE-USE CHECKS - All models
5.6 Patient Breathing System
5.6.1 Hose Connections
Check that all hoses are correctly connected, as shown in the illustrations on the next page.
5.6.2 A100 Absorber
Always follow the pre-use check procedures given in the instruction manual supplied with the absorber.
The use of an oxygen monitor (and a carbon dioxide analyser) is highly recommended when using any partial rebreathing anaesthetic system.
In-board A100 Absorber
Check the level of liquid in the condensate collection system bottle (1).
WARNING
The condensate may be caustic: a) Avoid skin contact.
b) Dilute the liquid with water before disposal.
c) Wear protective gloves if the bottle is full.
Carefully unscrew the bottle and dispose of the contents.
5.6.3
Breathing System Hose, Reservoir
Bag, Ventilator
Connectors for the Inspiratory hose (A) and Expiratory hose (B), and the reservoir bag connector (C) are 22 mm male.
All connectors comply with ISO 5356/1.
The ventilator connection point (D) is also 22 mm male.
Hose and bag connections are fitted with Penlon
Safelock high security fittings.
Check all connections for gas tightness.
5.6.4
Fresh Gas Supply
The fresh gas hose assembly (E) supplied with the machine has a Penlon connector at the absorber inlet and a 22 mm Safelock taper at the other end.
This should be connected to the common gas outlet (F) of the anaesthetic machine.
Check all connections for gas tightness.
38
1
In-board A100 Absorber and AV900 Ventilator Bellows
(AV900 Control Unit mounted on side bracket or shelf)
For spirometer and pressure monitor connections, refer to
AV900 User Manual.
AV900 Control Unit
F
CGO
Block
A100
Canister
D
E
C
B
A
A100
Valve
Block
AV900 Bellows
In-board A100 Absorber
AV900 Ventilator and Bellows Unit mounted on side bracket or shelf
A100
Canister
A100
Valve
Block
AV900
For spirometer and pressure monitor connections, refer to
AV900 User Manual.
CGO
Block
F
D
E
C
A
B
39
PRE-USE CHECKS - All models
Breathing System
Connections
EXHAUST TO
SCAVENGE
SYSTEM
VENTILATOR
DRIVE GAS
AV900 VENTILATOR
(REAR VIEW)
O2 MONITOR SENSOR LINE
(AV900 with built-in monitor)
Monitor mounted on anaesthetic machine
PRESSURE MONITOR
LINE
O2 MONITOR
REAR PANEL
HEAT AND
MOISTURE
EXCHANGER
(HME)
J
B
H
G
E
CIRCLE
SYSTEM
ABSORBER
A
C
D
SPIRO
LINES
ANAESTHETIC
MACHINE
CGO
FRESH
GAS
SUPPLY
F
DRIVE
GAS
(FROM MACHINE
AUXILIARY OUT-
LET)
K
PATIENT
Breathing Circuit Connections
A
B
C
D
E
Inspiratory Hose
Expiratory Hose
Reservoir bag connector
Ventilator Connection
Fresh Gas Hose
(connection at rear of absorber)
F
G
H
J
K
CGO
APL Valve
Spirometer
Bacterial Filter
HME (heat and moisture exchanger)
Note
1.
To protect the expiratory limb of the breathing circuit, and the spirometer (H), use a breathing circuit bacterial filter (J), or a heat and moisture exchanger (K) at the patient
Y-piece.
2.
Follow the instructions in the relevant user manual for connection to analysers and monitors.
40
PRE-USE CHECKS - All models
5.6.5
Breathing System Pre-use Test
Connect the CGO block outlet on the machine to the fresh gas inlet of the breathing system.
NOTE
This machine must be fitted with a breathing system complying with approved design parameters, at the selection of the qualified practitioner.
The breathing system components do not constitute part of the machine but connections between the machine and breathing system should be verified as follows:
1.
Occlude the adjustable pressure limiting
(APL) valve (if fitted), and the patient connection port .
Press the oxygen flush valve button briefly.
Check that the reservoir bag inflates.
If the system includes a manometer, inflate the bag to approximately 40 cmH
2
O.
2.
Release the oxygen flush valve.
Check that the pressure is maintained in the system with less than 200 ml/min fresh gas delivered into the breathing system, showing that no leaks are present.
41
PRE-USE CHECKS
5.7
Oxygen Flush
Check that oxygen flows through the CGO outlet when the flush valve button is pressed and that the flow ceases when the button is released.
This is most conveniently done after the breathing system has been attached, using the reservoir bag as an indicator of gas flow.
5.8
Anaesthetic Gas
Scavenge System
(AGSS)
By inspection, check that all sources of expired anaesthetic gases, e.g. the absorber APL valve, and the ventilator bellows patient gas exhaust port, are connected to an approved collection system leading to an AGSS.
WARNING
Vacuum systems must not be connected directly to the APL valve on the absorber. A receiving system with a positive and negative pressure control function must be interposed.
Systems must comply with standard
ISO 8835 part 2.
42
PRE-USE CHECKS
5.9
Alarm System Testing
WARNING
The anaesthetic machine must not be used if any alarm is not functioning correctly.
Primary Oxygen Failure Alarm
The machine is fitted with a warning whistle and a visual indicator (A).
These components act as oxygen supply failure devices and constitute the primary alarm system, powered only by the residual oxygen supply, as described in section 3.
The system can be checked whenever the low pressure oxygen system is first pressurised by turning on a cylinder or connecting a pipeline.
a) The whistle will sound briefly as pressure increases, and b) The visual indicator (A) will turn from red to green.
Whistle, Visual Indicator, and Gas Cut-off
Device Test
A formal test (including the action of the internal gas cutoff device) is performed as follows:
1.
2.
Connect both oxygen and nitrous oxide supplies.
Set the Gas Delivery switch (B) to ON, and check
3.
4.
that the warning whistle sounds briefly.
On machines with Air, set the Interlock switch (C) to N
2
O.
Set a flow of 2 L/min on both flowmeters.
5.
(set a flow of CO
2 also, if this gas is provided).
Disconnect the oxygen supply at the wall socket or close the oxygen cylinder valve and check: a) that as the oxygen flow slows down the whistle starts to sound when the flow rate has fallen from
2 L/min to 1.2 L/min +/- 0.2 L/min.
b) that the whistle continues for at least 7 seconds.
c) that the flow of nitrous oxide (and carbon dioxide if fitted) is cut off completely before the oxygen flowmeter shows zero flow.
d) that the visual indicator (A) turns red before the oxygen flow is entirely stopped.
6.
NOTE All gases must be included in the preoperative check..
Reinstate the oxygen supply.
Check that all gas flows are reinstated, and that the visual indicator turns green again.
Oxygen Monitor (if fitted)
See section 5.12.
43
B
A
C
PRE-USE CHECKS
5.10 Vaporizers
Always follow the procedures and checklist given in the instruction manual supplied with the vaporizer, particularly when filling the vaporizer with anaesthetic agent.
WARNING
Vaporizers must always be mounted, never used free-standing.
Free standing vaporizers may be accidentally tipped resulting in excessive and uncalibrated volumes of anaesthetic drug entering the breathing system.
Vaporizers of any description must not be installed or connected between the Common
Gas Outlet and the breathing system unless they are specifically designed for such use. (If this is done, the oxygen flush flow will pass through the vaporizer, and severe overdosage may result).
5.10.1 Selectatec Type Mounting
System
Dependent on choice of backbar manifold system, up to two Selectatec compatible vaporizers may be fitted.
To install the vaporizer, carefully offer the vaporizer up to the manifold.
Check that the gas connection ports on the vaporizer are aligned with the valves on the manifold.
Carefully lower the vaporizer onto the manifold and lock the vaporizer into position by clockwise rotation of the locking lever through 90o.
NOTE
Do not use excessive force to lock the vaporizer onto the manifold. Damage to the locking fastener will result.
CAUTION
To prevent damage to the locking shaft, ensure that the gas connection ports are aligned with the valves on the manifold, and are correctly engaged, before tightening the locking lever.
5.10.2 Selectatec Compatible
Vaporizers with Interlock
WARNING
O nly vaporizers with the Selectatec compatible interlock function will interlock if installed on the manifold
The installation of non-interlock vaporizers allows the possible operation of more than one vaporizer at the same time.
Check that the interlock mechanisms of all the vaporizers on the manifold are working correctly, i.e. that only one vaporizer at a time can be turned on.
5.10.3 Cagemount Vaporizer
Note that some international standards demand that this type of vaporizer should only be used on machines with a single mounting station.
In addition, use safety clip (Catalogue No.
52275) to retain the cagemount taper cones in position on the vaporizer.
5.10.4 Pre-use Checks
(All Vaporizers)
Before use:
1.
Check all joints for gas tightness.
2.
3.
Check vaporizer agent level.
Check for correct anaesthetic agent delivery concentrations - use an agent analyser.
Always follow the pre-use check procedures given in the instruction manual supplied with the vaporizer.
5.11 Ventilator (if fitted)
Always follow the pre-use check procedures given in the instruction manual supplied with the ventilator.
Check all hose and tubing connections for gas tightness.
44
PRE-USE CHECKS - Oxygen Monitor
5.12
Oxygen Monitor
The pre-use checks for the oxygen monitor include a set-up and calibration procedure.
5.12.1 Sampling Tee
Check that the monitor system sampling tee is correctly attached at the CGO hose connector (1), a) using a 22 mm taper and Safelock nut, or b) using a 22 mm male/female tee fitting of suitable design.
The probe can also be mounted on the dome of the absorber inspiratory valve (2).
Check that the system interface lead (3) is correctly fitted at the rear of the monitor unit
5.12.2 System Set-up
Switch on the oxygen monitor using the Gas
Delivery switch (4) on the front panel.
NOTE
The Gas Delivery switch must be in the On position for gas delivery from the anaesthetic machine, and to supply electrical power to the oxygen monitor.
Check that the display LEDs (5) and the alarm indicators (6) are lit for two seconds, and that the audible alarm sounds.
5.12.3 Calibration
The new unit must be calibrated before clinical use.
Thereafter, we recommend calibration every time the system is switched on, as a safety precaution.
Calibration must also be performed:
A) when the sensor is replaced, or
B) when point-of-use elevation changes by more than 160 m (500 ft).
We recommend calibration with a 100% oxygen standard source, at a pressure and flow similar to your application.
Calibration at lower concentrations or with room air is possible, but less desirable.
5
4
45
1
2
6
3
PRE-USE CHECKS - Oxygen Monitor
5
4
8
3
1
2
7
6
5.12.4 Calibration Procedure -
Using 100% Oxygen
6.
Turn the SET/CAL knob (7) until the display shows 100%.
1. Switch on the oxygen monitor using the Gas Delivery switch on the machine front panel.
The LEDs (1, 2, 3) and alarm visual indicators (4 and 5) will illuminate, and the audible alarm will sound.
2.
3.
4.
5.
7.
When value is set, press the CAL button (6) again to accept the calibration setting.
The O
2 concentration display LED (1) will now stop flashing (and a single
‘beep’ warning will sound),
The display will return to normal operation.
Ensure the oxygen sensor is mounted correctly at the CGO hose connector see section 5.13.1.
All vaporizers must be OFF.
Flush 100% oxygen through the CGO and maintain the flow through the total breathing circuit for approximately 20 seconds.
Allow the oxygen reading to stabilise.
This will take at least 30 seconds.
Press the CAL button (6) to enable sensor calibration mode.
The O
2
Concentration LED (1) will flash, and a single ‘beep’ warning will sound.
46
Sensor Low Indication
The unit has a self detect feature to indicate when the sensor life is low.
During calibration, if the O
2
SENSOR LOW alarm LED (8) illuminates (and a single
‘beep’ warning sounds) this indicates that the sensor must be replaced.
Sensor output will fall very quickly to zero over a period of two to three weeks from the first time that the alarm is activated.
PRE-USE CHECKS - Oxygen Monitor
5
4
8
3
7
1
2
6
5.12.5 Calibration Procedure -
Using Room Air
5.
Turn the SET/CAL knob (7) until the display shows 21%.
NOTE Calibration in room air may not provide as great an accuracy as calibration carried out in 100% oxygen.
1. Switch on the oxygen monitor using the Gas Delivery switch on the machine front panel.
The LEDs (1, 2, 3) and alarm visual indicators (4 and 5) will illuminate, and the audible alarm will sound.
2.
3.
4.
Remove the sensor from the anaesthetic machine, gently move it through the air to allow room air to circulate for 20 seconds.
Allow the O
2
Concentration reading
(1) to stabilise.
This will take at least 30 seconds.
Press the CAL button (6) to enable sensor calibration mode.
The O2 CONC LED (1) will flash, and a single ‘beep’ warning will sound.
6.
When value is set, press the CAL button (6) again to accept calibration setting.
The display LED (1) will now stop flashing and a single ‘beep’ warning will sound.
The display will return to normal operation.
Sensor Low Indication
The unit has a self detect feature to indicate when the sensor life is low.
During calibration, if the O
2
SENSOR LOW alarm LED (8) illuminates (and a single
‘beep’ warning sounds) this indicates that the sensor must be replaced.
Sensor output will fall very quickly to zero over a period of two to three weeks from the first time that the alarm is activated.
5.12.6
Set Alarms
47
Set High Alarm
The high alarm value cannot be set below
19%, or above 105%.
PRE-USE CHECKS - Oxygen Monitor
5
3
2
1
4
5
6
5.12.6
Set Alarms
Set High Alarm
The high alarm value cannot be set below
19%, or above 105%.
(Note that in certain conditions of excess pressure, the readout may show a value above 100%.).
1.
2.
3.
Press the HIGH ALARM SET button
(1) to enable high alarm set mode.
The HIGH ALARM LED (2) will flash, and a single ‘beep’ warning will sound.
Turn the adjacent ‘SET’ knob (3) to the desired setting.
Press HIGH ALARM SET button (1) again.
The unit will then exit the high alarm set mode.
The LED display (2) will now stop flashing, and a single ‘beep’ warning will sound.
48
Set Low Alarm
The low alarm value cannot be set lower than 18%, or above 99%.
1.
Press the LOW ALARM SET button
(4) to enable low alarm set mode.
The LOW ALARM display (5) will flash, and a single ‘beep’ warning will sound.
2.
Turn the adjacent SET/CAL knob (6) to desired setting.
3.
Press LOW ALARM SET button (4) again.
The unit will exit low alarm set mode.
The LED display will now stop flashing, and a single ‘beep’ warning will sound.
6.
FUNCTION TEST
6.1 Introduction
Every Prima anaesthetic machine is tested thoroughly before leaving the factory, but it is essential to undertake a complete performance check as described in this section before the machine is first used clinically.
This can be done initially by a Penlon trained engineer as part of the commissioning of a new machine. Subsequently, this function testing should be repeated at regular intervals.
Full function testing should be carried out, at six month intervals, by a Penlon trained engineer or other persons certificated by
Penlon Limited.
Procedures for machine servicing are described in subsequent sections in this
Service Manual.
Read the procedure carefully before carrying out each test, noting references to machine specifications and equipment.
Perform these tests in sequence.
Mechanical AHD
Function tests specific to non-AHD, and
Mechanical AHD systems are detailed separately.
Note that these sections have special page headings
Equipment Required
No complex test equipment is required for the series of tests described below.
Leak tests
Apply a Leak Test Spray or a diluted solution of soap in water to the suspect connector, and check for a stream of bubbles at the joint.
Flow rates
Check with a respirometer.
Electrical circuits
Check with a multi-meter.
Pressure
Check with a manometer.
49
Safety Precautions
WARNING
Before commencing any test work ensure that all vaporizers are in the "Off" position.
Note that the OFF position may be indicated on the vaporizer as a 0 (zero). Refer to the vaporizer instruction manual.
WARNING
During any test procedure the release of
Nitrous Oxide or anaesthetic vapours into the working environment must be controlled.
Connect the machine to an approved anaesthetic gas scavenging system (AGSS).
WARNING
Do not contaminate pipeline connections, cylinder yokes, regulators or pressure gauges with oil or grease, or any other flammable lubricant or sealant.
FUNCTION TEST
1. Check the main structure of the machine is firmly assembled, free from obvious distortion and damage and that all attachments are secure.
2. Check that the castor wheels are securely attached to the machine frame and that the wheels run and swivel freely. Check that the wheel locking mechanism is working.
3. Check the drawer unit(s) (where fitted) open and close smoothly.
4. Check that the writing tablet opens and closes smoothly.
6.3 Electrical Safety Tests
1. Disconnect the mains lead from the electrical supply.
2. Disconnect all equipment from the auxiliary power outlet panel (A).
3. Perform Electrical Safety Tests as specified by the National Standards applicable to your country.
A
50
FUNCTION TEST
6.4 Pipeline Gas Supply and Non-Return
Valve
1.
Ensure that all reserve gas cylinders are turned off, and removed from the machine.
2. Leave the Gas Delivery ON/OFF switch in the "OFF"
Position.
3. Check ALL Pipeline Hose assemblies for correct probes, colour coding, and attachment to the machine.
4. Inspect ALL Pipeline hoses for cracks, and check that all clips and connections are secure.
5. Connect the Oxygen Supply to the anaesthetic machine using the pipeline hose.
6. Check that the oxygen pipeline pressure gauge indicates the correct pipeline pressure.
7. Check the security of the Oxygen Hose connections by tug-testing the hose (A).
Perform this test at both ends of the hose by tugging gently whilst grasping the hose between thumb and forefinger.
Firm leak free joints should be maintained, without any relative movement of the spigot, ferrule or hose.
Note: Renew all faulty hose assemblies.
8. Test for leaks from each hose by brushing leak detecting fluid generously about both end fittings.
Test the Pipeline Non-return Valve (NRV) by brushing leak detecting fluid over the hole in the centre of the
Oxygen Cylinder Yoke Bodok Seal (B).
Leaks will be indicated by bubbling of the fluid.
9. Dry with paper towel, fix any leaks (replace hose/NRV if necessary).
10. Leave the Oxygen Hose connected to prevent the cutoff unit operating.
11. Connect the Nitrous Oxide Supply to the anaesthetic machine using the pipeline hose.
Repeat tests 5, to 9 for this gas.
12.
Connect the Air Supply to the anaesthetic machine using the pipeline hose.
Repeat tests 5 to 9 for this gas.
13. Operate the Oxygen Flush and check that the delivered flow rate from the Common Gas Outlet
(CGO) is between 35-70 Litres Minute.
Fit a respirometer (or other flow rate measuring device) to the CGO and measure the delivered volume in a one minute period.
51
A
B
FUNCTION TEST
6.5 Cylinder Gas Supply And
Pressure Reducing Valves.
CAUTION
This machine is fitted with an hypoxia guard known as a Mechanical Anti Hypoxic Device
(MAHD).
This device prevents the delivery of hypoxic mixtures to the patient and must only be adjusted by a Penlon-trained Engineer or other persons certificated to do so by Penlon
Limited.
Incorrect adjustment of the MAHD could result in the failure of this device and the loss of hypoxia protection.
The oxygen control is restricted to prevent the needle valve from fully closing. This ensures a minimum flow of oxygen at all times while the machine is switched on.
This small flow of oxygen is known as the Basal Flow.
DO NOT attempt to fully close the oxygen flow to zero.
DO NOT overtighten Flow Control knobs for the other gases as this will reduce the life of the needle valves.
1.
Ensure that all flowmeter control valves are shut. Disconnect all the pipeline gas supplies.
2. Remove all gas cylinders.
3. Check each cylinder yoke for security of attachment, and free movement of the clamp bar (A) and clamp screw (B).
Check Pin Index system pins (C) are secure and undamaged.
4. Check that a Bodok seal (D) is in place and undamaged, in each cylinder yoke.
5. Attach each gas cylinder to its appropriate yoke, ensuring full engagement of the "Pin Index" system.
Note: Use full bottles only.
6. Turn on the Oxygen Cylinder.
Check that the Cylinder pressure is indicated on the Oxygen Cylinder pressure gauge in a smooth sweeping movement.
Check that all other gauges indicate zero pressure.
Check that there is no flow of gas indicated on the Oxygen flow tube.
A
B
C
D
52
FUNCTION TEST
7. Turn on the Gas Delivery Switch (E).
Check that the warning whistle sounds briefly.
Check that a basal flow of oxygen is delivered, as follows:
All models
(up to March 2002)
100-200 ml/min
Cascade O
2
flowmeter 50-75 ml/min
(March 2002 onwards0
Single O
2
flowmeter 100-200 ml/min
(March 2002 onwards)
E
F
Leak Tests
Note: When performing the following Leak
Tests, allow a minimum 2 minute period for each test.
19. Turn the Nitrous Oxide / Air Control
Switch (F) to select Air.
8. Turn OFF the Gas Delivery Switch (E).
9.
10.
11.
12.
Turn the Oxygen Cylinder OFF.
Observe the pressure gauge reading; a leak will be indicated by the needle pointer falling towards zero.
Turn the Oxygen Cylinder ON.
Turn the Gas Delivery Switch (E) ON
(warning whistle will sound briefly).
20. Turn the Air Cylinder ON.
Check that the Air pressure gauge responds in a smooth sweeping movement.
Check that the only Gauges indicating pressure are those for Oxygen,
Nitrous Oxide and Air.
Check again that the only indicated flow is the Oxygen Basal Flow.
21. Turn the Air Cylinder OFF.
13. Check that all flow control valves are in the OFF position and that the only flow indicated is the Oxygen Basal Flow.
22. Observe the pressure gauge reading; a leak will be indicated by the needle pointer falling towards zero.
14. Switch the Nitrous Oxide / Air Control
(F) to select Nitrous Oxide.
23. Turn the Air Cylinder ON.
15. Turn the Nitrous Oxide Cylinder ON.
Check that the Nitrous Oxide pressure gauge responds in a smooth sweeping movement
Check that the only Gauges indicating pressure are those for Oxygen and
Nitrous Oxide
Check again that the only indicated flow is the Oxygen Basal Flow.
24.
If Carbon Dioxide (CO
2
) Cylinder supply is fitted - turn CO
2
Cylinder
ON.
Check that the CO
2 pressure gauge responds in a smooth sweeping movement.
Check that ALL cylinder pressure gauges are indicating pressure.
Check again that the only indicated flow is the Oxygen Basal Flow.
16. Turn The Nitrous Oxide Cylinder OFF.
17. Observe the pressure gauge reading; a leak will be indicated by the needle pointer falling towards zero.
18. Turn the Nitrous Oxide Cylinder ON.
53
25. Turn the CO
2 cylinder OFF.
26. Observe the pressure gauge reading; a leak will be indicated by the needle pointer falling towards zero.
27. Turn the CO
2
Cylinder ON.
FUNCTION TEST
Nitrous Oxide / Air Selection Switch,
Oxygen Fail Cut-off and Warning
1. Visually inspect the flowmeter tubes for damage.
Check that the transparent shield is in place.
2. Turn the Gas Delivery Switch (A) to ON.
Check that a basal flow of oxygen is delivered, as follows:
All models
(up to March 2002)
100-200 ml/min
Cascade O
2
flowmeter 50-75 ml/min
(March 2002 onwards)
Single O
2
flowmeter 100-200 ml/min
(March 2002 onwards)
3. Open the Oxygen Flowmeter control slowly.
Check that a full flow can be obtained.
4. Set a flow rate of 6 L/min
Check that the float is stable in its setting and spins freely.
Repeat test at a flow rate of 500 ml/min.
5. Without rotating the control knob, check for wear by gently pulling on the knob, and check that any fluctuation in flow rate is within the range of ±100 ml/min.
6. Close the Oxygen Flowmeter control valve gently until the mechanical stop engages.
7. Check Oxygen Basal Flow (see operation 2).
8.
Nitrous Oxide / Oxygen Linkage
Switch the Nitrous Oxide / Air control (B) to select Nitrous
Oxide
9. Fully open the Nitrous Oxide Flow control and check that
no flow is indicated on the flow tube.
10. Slowly open the Oxygen Flowmeter control and check that the Nitrous Oxide flow tube float rises.
Pause briefly at an indicated Nitrous Oxide flow of 4
L/min.
Check that the Nitrous Oxide flow tube float is stable in its setting and spins freely.
Increase the Oxygen flow until maximum flow of Nitrous
Oxide has been achieved.
11. Close the Oxygen Flowmeter control valve gently.
Pause briefly when Nitrous Oxide flow indicates 500 ml/min.
Check the stability of the Nitrous Oxide float and that it spins freely.
Decrease the Oxygen flow until the mechanical stop engages.
54
A
B
FUNCTION TEST
Check that as the Oxygen flow rate is reduced, so is the flow of Nitrous
Oxide.
Check again that the only flow indicated is the Oxygen Basal Flow.
12. Close the Nitrous Oxide Flowmeter.
13.
Nitrous Oxide / Air Selection Switch
(machines with Air supply fitted).
Switch the Nitrous Oxide / Air Control
(B) to select Air.
14. Open the Air Flowmeter slowly and see that a full flow can be obtained.
15. Set an Air flow of 5 L/min and check that the Air flow tube float is rotating and stable.
16. Close the Air Flowmeter gently until no gas flows.
17.
Carbon Dioxide Supply ( if fitted)
Open the Carbon Dioxide flow and check that the maximum flow rate available is 600 ml/min.
18. Check that the float is stable and that it spins within the glass flow tube.
19. Close the Carbon Dioxide Flowmeter gently until no gas flows.
20. Set the following flow rates:
N
2
O: 5
21. Check that the only flows indicated are that of Oxygen and Air and that
Nitrous Oxide Float indicates a flow of zero.
22. Switch the Nitrous Oxide / Air Control
(B ) to select Nitrous Oxide.
23. Observe that the Air supply is cut off and that of Nitrous Oxide is reinstated.
Check that flow tubes now indicate flows of Oxygen and Nitrous Oxide while the Air float has dropped to zero.
55
A
C
B
Oxygen Fail Cut-off
24. Turn on Carbon Dioxide (if fitted) to
500 ml/min.
25. Turn Off the Oxygen Cylinder and observe that the Oxygen Cylinder pressure gauge indicates falling
Oxygen pressure.
26. Check that the warning whistle
(Oxygen Fail Alarm) sounds before the supply of oxygen is exhausted from the anaesthetic machine and that its duration is a minimum of 7 seconds.
27. Check that before the supply of
Oxygen is exhausted from the anaesthetic machine, that Nitrous
Oxide and Carbon Dioxide flows are cut off automatically by the Oxygen
Fail System.
28.
Oxygen Fail Warning
Check that before the supply of
Oxygen is fully exhausted, that the visual indicator (C) has turned fully red.
29. Turn OFF all Flowmeters and turn ON the Oxygen cylinder so that only the
Oxygen Basal Flow is indicated.
30. Check that the visual indicator (C) is showing fully green.
FUNCTION TEST
6.7 Gas Safety Devices - Mechanical AHD
1. Fully open the Nitrous Oxide Flowmeter and check that there is no flow of gas indicated on the N
2
O flow tube.
2. Fit an Oxygen Analyser to the output of the Common
Gas Outlet.
Refer to the table below, and check % Oxygen concentration at the oxygen flows specified .
Adjust the Oxygen Flowmeter control only - Do NOT adjust the N
2
O flowmeter.
Note only.
The flow rates for N
2
O are given as a guide
O
2
Flow
*
0.25 L/min
*
0.5 L/min
0.8 L/min
1.5 L/min
3.0 L/min
%O
2 (in O
2
/N
2
O mixture)
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
N
2
O Flow
0.5 - 0.67
1.0 - 1.35
1.6 - 2.1
3.0 - 4.1
6.1 - 8.1
*
Cascade flowmeter models - March 2002 onwards
3. Turn OFF the Gas Delivery Switch.
Check that both gas flows are stopped.
4. Turn ON the Gas Delivery Switch
Check that both flows are reinstated.
5. Partially close the Nitrous Oxide flowmeter to check that it limits the Nitrous Oxide flow.
Check that the reducing flow gives an increased Oxygen concentration.
Fully open the Nitrous Oxide flowmeter.
6. Close the Oxygen flowmeter control valve gently until the mechanical stop engages.
Check that the same corresponding values of Oxygen and Nitrous Oxide flows are achieved as tabled above.
7. Ensure that when the Oxygen flow is at its basal level, all
Nitrous Oxide flows have ceased.
Check that only the Oxygen Basal Flow is indicated on the flow tubes.
Close the Nitrous Oxide Flowmeter and switch the Gas
Delivery Switch to OFF.
56
FUNCTION TEST
6.8 Vaporizers and Back Bar Manifold
Assembly
6.8.1 Selectatec Compatible Vaporizer
1. Check that all the vaporizers are securely mounted on the manifold.
If a vaporizer is not secure, check the condition of the locking shaft (A).
2. On interlock vaporizers check that the interlock mechanism of all vaporizers are working correctly, i.e that only one vaporizer at a time can be turned on.
3. Check all joints for gas tightness.
6.8.2 Cagemount Vaporizer
Vaporizers fitted with the Cagemount tapers have the male taper (Inlet Port - C) on the left and the female taper on the right as viewed from the front of the vaporizer.
Two M6 studs with nuts, washers and a clamp plate (D) are provided to fix the vaporizer to the anaesthetic machine.
NOTE
Some international standards demand that this type of vaporizer should only be used on machines with a single mounting station.
In addition, use a safety clip (Catalogue No 52275) to retain the Cagemount taper cones in position on the vaporizer.
Fitting the Vaporizer
1. The taper cone joints must be engaged axially and not sideways loaded.
Use the shims provided so that the distance from the back bar to the taper joint can be adjusted by adding or removing shims from the vaporizer.
2. The cone joints should then be lightly smeared with an Oxygen compatible lubricant such as
"Fomblin".
The taper joints must be engaged by applying axial pressure, and the fixing nuts tightened.
Check all joints for gas tightness.
D
A
E
57
C
B
FUNCTION TEST
6.9 Reduced Pressure Gas
Circuit Leakage.
(Back Bar Leak Test)
1 Connect a suitable test pressure gauge (Manometer) to the Common
Gas Outlet (CGO) using suitable tubing and connector.
2 Ensure all vaporizers attached to the machine are turned OFF.
3 Using the Oxygen Flow Control Valve, raise the pressure in the circuit slowly.
Check that the Pressure Relief Valve
(PRV) mounted under the gauge cover, on the right hand side, begins to leak in the range of 35 to 43 kPa
(270-330 mmHg)
4 Do not raise the pressure above this level
5 Alter the pressure by reducing the
Oxygen Flow Rate until the displayed reading on the test gauge is 20 kPa
(150 mmHg).
6 The maximum permissible flow to maintain the above pressure is 200 ml/min.
7 If a higher flow rate is required to maintain a pressure of 20 kPa (150 mmHg) there is a leak in the system that must be fixed.
Use soap solution to detect leak, repair and repeat above tests (5, 6 &
7).
8 Repeat the above tests (5, 6 & 7) with all fitted vaporizers turned on (Test one at a time) to check gas tightness of each individual vaporizer.
A leaking vaporizer must be withdrawn from use and returned to
Penlon (UK Customers) for repair, or repaired by a Penlon Approved Dealer
(Non-UK Customers).
6.10 Emergency Oxygen Flush
Control Test
1 Ensure all flowmeter control valves are turned off.
2 Oxygen Cylinder is turned on and
Oxygen Pipeline is unconnected from the wall outlet.
3 Depress the Emergency Oxygen
Flush (O2 Flush) button on the CGO block.
4 Check that the delivered flow rate is between 35 - 75 L/min.
5 Ensure the spring action cuts off the
Oxygen flow when the button is released.
6.
Check that the whistle does not sound when the Oxygen flush is operated.
If this occurs check that the Oxygen
Cylinder Valve is fully open.
If the problem is not rectified, instruct the service engineer to check: a) filters and Non-return valves for restriction.
b) the pressure of the primary Oxygen regulator.
58
7. FAULT FINDING
7.1
Introduction
Provided the Prima SP Anaesthetic Machine is regularly serviced and correctly used, it is unlikely that serious component faults will occur.
After several years’ usage, some items may require replacement and regular performance checks - see section 8.
To trace possible faults, refer to the Fault
Diagnosis Table, which will indicate the required action.
In many cases, apparent machine faults may be attributable to causes other than machine malfunctions; these causes are also listed.
59
FAULT FINDING
7.2 Fault Diagnosis Table
Component
Cylinder pressure reducing valves, gauges and yokes.
Pressure relief valve leaks or out of adjustment.
Symptom
Leaking high pressure connection from cylinder to yoke.
Possible Fault
Bodok seal absent or worn.
Cylinder clamp screw assembly damaged.
Inadequate engagement of pin-index system.
Remedy
Fit/replace seal.
Replace as necessary.
Ensure correct gas cylinder is attached.
Check index pins not loose or damaged.
Replace as necessary.
Diaphragm or valve disc worn, damaged.
Outlet pressure too high,
- may occur with leaking pressure relief valve
(above).
Outlet pressure too low.
Adjust/replace regulator as necessary.
Faulty relief valve.
Diaphragm worn, damaged or out of adjustment.
Regulator seat damaged.
Loose connections.
Tighten leaking joints.
(DO NOT use excessive force)
Adjust/replace regulator as necessary.
Diaphragm or valve disc worn/damaged or regulator out of adjustment.
Pressure gauge reads zero when cylinder valve opened.
Cylinder empty.
Bodok seal absent or worn.
Cylinder clamp screw assembly damaged.
Pressure gauge seal damaged.
Fit new relief valve.
Adjust/replace regulator as necessary.
Replace regulator.
Test for leaks.
Replace cylinder.
Fit/replace seal.
Replace as necessary.
Replace as necessary.
60
FAULT FINDING
Component
Pipeline supply hoses and inlet blocks
Flowmeter units
Symptom Possible Fault
Inadequate engagement of pin-index system.
Pressure gauge pointer sticks at above zero reading.
Defective gauge.
Defective gauge.
Gas trapped in system.
Leaking high pressure non-return valve.
Pressure gauge reads zero when connection to supply made.
Insufficient free flow.
Float stays at bottom of tube when control valve opened.
Damaged ‘O’ seal.
Loose connections.
Tighten leaking joints.
(DO NOT use excessive force).
Defective gauge.
Faulty probe or hose.
Blocked filter.
Pipeline supply defective.
Blocked filter.
Pipeline supply defective.
No gas supply.
Pressure reduction valve defect.
Pipeline supply defective.
Control knob loose on shaft.
Remedy
Ensure correct gas cylinder is attached.
Check index pins not loose or damaged.
Replace gauge.
Replace gauge.
Open flowmeter and empty system.
Replace plunger ‘O’ seal assembly.
Test for leaks.
Replace gauge.
Replace as necessary.
Replace as necessary.
Contact hospital engineer.
Replace as necessary.
Contact hospital engineer.
Check cylinder/pipeline connections.
See instructions under component group
See instructions under component group.
Tighten.
61
FAULT FINDING
Component
Flowmeter units
(Mechanical AHD only)
Symptom
Float stays at bottom of tube when control valve opened(N
2
O flowmeter)
Possible Fault
Machines with Air supply - N
2
O/Air Interlock switch correctly set.
Gas delivery switch left in off position.
Gear linkage loose on
O
2 or N
2
O primary valve shaft.
Gear linkage loose on valve shaft.
Restricted flow through flowmeter (Control valve opening does not achieve expected flow)
Incorrect O
2 concentration.
N
N
2
2
O flow limited by
O control valve.
Secondary regulators out of alignment.
Gear linkage loose on valve shaft.
Remedy
Check position of switch.
Turn on gas delivery switch
Reset gears and tighten
Reset gears and tighten
Open N
2
O control valve
Check and reset secondary regulators.
Replace if necessary
Reset gears and tighten
62
FAULT FINDING
Component Symptom
Float sticks at above zero reading when control valve closed.
Possible Fault
Dirt in tube.
Build up of electrostatic charge.
Float level unstable after start up.
Flowmeter unit not vertical.
Upper float retaining peg not centralised or moulding flash not removed.
Worn needle valve.
Pressure reducing valve defect.
Flowmeter unit not vertical.
Remedy
Remove tube and clean.
Check earthing contacts at bottom of flowmeter tubes.
Increase flow rate sharply to break charge, then close valve.
Ensure trolley is on level surface.
Remove flow tube and retaining peg.
Clean off moulding flash and re-position retaining peg.
Replace complete valve and/or seat.assembly.
See instruction under component group.
Ensure machine is on level surface.
63
FAULT FINDING
Component Symptom
Restricted flow through flowmeter (Control valve opening does not achieve expected flow).
Float level falls after initial setting.
Possible Fault
Faulty cylinder pressure reducing valve, yoke or connections.
Faulty pipeline supply hoses or connections.
Blocked flowmeter filter.
Remedy
See instruction under component group.
See instructions under component group.
Clean or replace lower bobbin assembly.
Tighten.
Control knob loose on shaft.
Incorrect valve restriction shimming.
Damaged valve seat assembly.
Reducing valve defect.
Reset valve shims.
Pipeline supply defect.
Leak in ‘upstream’ connection.
Blockage in ‘downstream’ gas circuit.
(Not oxygen flowmeter)
Gas cut-off units in operation or defective.
Worn needle valve and/or seat.
Replace complete valve.
See instructions under relevant component group.
See instructions under component group.
Test for leaks.
Tighten leaking joints.
(DO NOT use excessive force.)
Trace site of blockage and clear.
See instructions under component group.
Replace complete valve assembly.
64
FAULT FINDING
Component
Vaporizer mounting facility.
Selectatec compatible system.
N
2
O and CO
2 gas cutoff unit.
Symptom
Leakage at back bar manifold or vaporize interlock joints.
Leakage from back bar.
Leakage from vaporizer connections. Vaporizer difficult to remove.
No nitrous oxide, third or fourth gas.
No N
2
O, third or fourth gas (or restricted flow of these gases)
Safety capsule valve fails to operate correctly.
Possible Fault
Loose manifold or vaporizer retaining screws.
Missing ‘O’ seals
Damaged or worn gas valves.
Damaged or worn ’O’ seals or seal faces.
Damaged or worn locking system.
Oxygen supply not turned on.
Mechanical AHD gas delivery switch left in
‘Off’ position.
Faulty safety capsule valve.
Valve shuttle or seals defective.
Loose valve retaining screws. Worn or damaged ‘O’ seals.
Vent port blocked.
Remedy
Tighten.
Replace ‘O’ seals.
Replace valve.
Replace as necessary.
Replace components as necessary.
Turn on supply.
Turn on gas delivery switch
Replace valve.
Fit replacement capsule valve.
Tighten.
Replace seals.
See instructions under component group.
65
FAULT FINDING
Component
Warning Whistle.
Pressure relief valve
(fresh gas circuit)
Symptom
Leaks at joint between manifold and valve seating.
Valve cuts flow of nitrous oxide as required but does not restore it.
Leakage at whistle.
Whistle continually sounds when oxygen on.
Whistle fails to sound.
Leakage through valve.
Relief pressure too high.
Relief pressure too low.
Possible Fault
Loose valve.
Worn O seals.
Valve shuttle or seals defective.
Remedy
Tighten retaining screws.
Replace seals.
Fit replacement valve.
Loose connection.
Faulty whistle.
Faulty whistle.
Low pressure in circuit.
Faulty whistle.
Low pressure in circuit.
High pressure in circuit.
Tighten. (DO NOT use excessive force).
Replace whistle.
Replace whistle.
See instructions under component group.
Replace whistle.
See instructions under component group.
Reduce pressure.
Check for blockage in
‘downstream’ circuit.
Faulty valve
Faulty valve
Replace complete valve
Replace complete valve.
66
FAULT FINDING
Component
Emergency oxygen flush
Symptom
Valve does not operate.
Low Oxygen flow (less than 35 l/min).
Possible Fault
No oxygen supply.
Defective valve.
Low oxygen supply pressure.
Worn valve seals.
Leaks around control button.
O
2 flow into breathing circuit or atmosphere
(valve does not shut off flow).
Incorrect adjustment of valve shaft.
Incorrect control jet.
Worn valve seals.
Worn valve seals.
Incorrect adjustment of valve shaft.
Defective valve.
Remedy
See instructions under component groups.
Replace valve.
See instructions under components group.
Fit new seals or replace valves as necessary.
Replace valve.
Replace control jet.
Fit new seals or replace valve as necessary.
Replace valve.
Replace valve.
Replace valve.
67
FAULT FINDING
Component
Electrical power supply
Symptom
Machine ‘dead’.
Oxygen Monitor
Possible Fault
Mains supply /socket
Faulty on/off switch
Mains supply faulty.
Remedy
Check supply (plug
ON).
Replace switch (front panel).
Reset circuit breaker
(rear panel).
Display blank when powered-up
O
2 concentration display shows ‘E--’
O
2
MONITOR INOP alarm is On
Battery Low LED and
Mains On LED illuminated.
Battery In Use LED illuminated (Mains supply connected)
Mains power off or faulty.
Battery not charged.
Faulty battery.
Battery missing.
Sensor not connected.
Faulty battery.
Faulty circuitry.
Mains supply faulty.
Check supply
(plug/socket ON)
Charge
Replace battery
Fit Battery
Check connections
Press and hold both
ALARM MUTE and
LOW ALARM SET button. All the LEDs should illuminate for 2 seconds.
The high alarm set and low alarm set will default to 100 and 18 respectively.
Replace batteries.
Replace control PCB or alarm PCB.
A) Check supply
(plug/socket, ON).
B) Reset circuit breaker (rear panel).
68
8.
SERVICE SCHEDULE
8.1 Service Schedule
Recommended Service Frequency
Six Month Service
Annual Service
Two Year Service
Six Year Service
NOTE: Preventive Maintenance Kit Part Numbers are listed in section 10.
8.2
Six Month Service Checks
(To be performed at 6, 18, 30, 42, 54, & 66 months of a 72-month cycle.)
Machine Frame:
1.
Check integrity of structure and security of all attachments.
2.
3.
4.
Check for damage.
Check wheels for freedom of movement and braking.
Check drawers, writing tablet move freely.
Electrical Safety Test:
1.
Check mains lead and plug for damage.
2.
Perform Electrical Safety Tests as relevant for country of use.
Cylinder Yoke Assemblies:
1.
Check for damage, cleanliness, all fittings are tight and clamping screws for freedom
2.
of movement.
Replace Bodok seals.
Pipeline Hose Checks:
1.
Examine pipeline connectors, probes and hoses for cleanliness and damage.
2.
3.
Perform anti-confusion checks.
Perform pressure Leak Checks of all hoses with cylinders removed and Gas Delivery
Switch in the OFF position.
Pressure Gauge Checks:
1.
2.
Examine all pressure gauges for damage and clarity.
Check movement of needles is smooth.
Gas Delivery Switch Inspection:
1.
Check switch for correct operation.
Nitrous Oxide / Air Control Switch:
1.
Check switch for correct operation.
Regulator Checks:
1.
Check operation.
2.
3.
4.
Check output pressure of Primary Regulators.
Check output pressure of Secondary Regulators.
Perform pressure Leak Test of all cylinder Gas Supplies with all Pipelines disconnected from supply.
Perform this test with Gas Delivery Switch turned ON and Oxygen Basal Flow blanked off.
69
SERVICE SCHEDULE
5.
6.
For Air / N
2
0 repeat the test with the selector switch in the required position.
On completion of tests reinstate basal flow by removing test blanking plug.
Common Gas Outlet Checks (CGO):
1.
Check security and freedom of movement of CGO.
2.
3.
Check Safelock O-ring.
Check O
2
Emergency Flush flowrate is 35 - 75 L/min
Oxygen Fail Alarms:
1.
Simulate an Oxygen fail by unplugging the Oxygen Pipeline from the outlet.
Check that before the supply of oxygen is exhausted that the Oxygen Fail Whistle sounds for a minimum of 7 seconds.
2.
3.
4.
Check that any Nitrous Oxide and Carbon Dioxide (if fitted) Gas Flows are cut off.
Check that the Oxygen Supply Visual Indicator turns from fully green to fully red.
Turn on Oxygen cylinder.
Check Oxygen Basal flow reinstated and whistle sounds briefly.
Turn off Oxygen cylinder and repeat above tests.
4.
5.
6.
7.
Flowmeter and Mechanical AHD Checks:
1.
Check Flow Control Valves for smooth operation and positive off position.
2.
3.
If CO
2 is fitted check that the maximum flow is restricted to 500-600 ml/min flow rate.
Check flow tubes.
Check Bobbin Floats move freely and rotate within the glass tube.
Check maximum flow capability of all gases.
Connect O
2
Monitor to CGO.
Turn On Gas Delivery Switch
Check Basal Flow of Oxygen is delivered with all Flow Control Valves closed down.
All models - up to March 2002
Cascade O
2 flowmeter- March 2002 onwards
Single O
2 flowmeter - March 2002 onwards
100-200 ml/min
50-75 ml/min
100-200 ml/min
8.
9.
Check no other gas flows are indicated.
Ensure N
2
O / Air Selection switch is positioned for N
2
O.
10.
Fully open N
2
O Flow Control Valve
Check that NO flow of N
2
O occurs.
11.
Slowly operate O
2 control valve throughout range:
Refer to the table below, and check % Oxygen concentration at the oxygen flows specified .
Adjust the Oxygen Flowmeter control only - Do NOT adjust the N
2
O flowmeter.
Note The flow rates for N
2
O are given as a guide only.
O
2
Flow
*
0.25 L/min
*
0.5 L/min
0.8 L/min
1.5 L/min
3.0 L/min
%O
2 (in O
2
/N
2
O mixture)
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
N
2
O Flow
0.5 - 0.67
1.0 - 1.35
1.6 - 2.1
3.0 - 4.1
6.1 - 8.1
*
Cascade flowmeter models - March 2002 onwards
12.
Repeat tests by reducing Oxygen flow back to Basal Flow conditions, referring to the values in the above table.
70
SERVICE SCHEDULE
Back Bar Assembly - Selectatec - Checks.
1.
Replace Selectatec O-rings.
2.
3.
Check all pillar valves open and seal correctly.
Check pillar valve inserts sit proud or flush with the pillar valve.
4.
A sunken pillar valve insert denotes failure of the internal spring.
Check vaporizer interlock system for correct operation.
Back Bar Assembly - Cagemount - Checks.
1.
Check flexible hoses.
2.
Check security of taper connectors
Use Fomblin or other Oxygen-safe grease to lightly lubricate the metal surface where male and female connector come into contact with each other.
Fresh Gas Pressure Relief Valve (PRV) Test.
1.
Occlude CGO.
2.
At 10 L/min Flowrate of Oxygen the PRV relieves at 39 KPa ± 10 %
Leak Test From Flowmeter to Common Gas Outlet
1.
Fit a suitable Manometer Test gauge to the CGO.
2.
Set Oxygen Flow to maintain a pressure of 20 KPa (3 psi).
Maximum permissible flow is 200 ml/min.
3.
Perform test with and without Vaporizer(s) fitted and with vaporizer(s) turned both
ON and OFF.
Auxiliary Outlets:
1.
Check outlets for security, damage and correct lock and release movement.
2.
Check dynamic flowrate and that Oxygen Fail Whistle does not operate.
Oxygen Monitor (if fitted)
Function and Calibration Tests.
1.
2.
Connect a Test O
2
Analyser into the patient circuit.
Check that the machine O
2 sensor is inserted into the absorber O
2 sampling point.
3.
4.
Test both O
2 sensors in 100% Oxygen.
Expose both sensors to air and check reading is 21% ± 2.
Adjust high and low O
2 alarms and check alarms trigger when values are lower or higher than reading on O
2 analyser respectively.
5.
Return the alarm levels to original settings.
Restore the sensor to correct location.
Remove the test O
2 analyser.
Final Gas Concentration Tests.
1.
Check concentration by Gas.
2.
3.
Check flowrate from CGO corresponds with flowmeter by concentration.
Set 3 L/min Oxygen and Nitrous Oxide Flows.
4.
5.
6.
Check, using O
2
Monitor that the concentration from the CGO is 50% ± 2%.
Set Oxygen to 0.5 L/min, set N
2
O to 0.5 L/min.
Allow O
2 monitor to stabilise then check concentration is 50% ± 2%.
If fitted repeat above test substituting Carbon Dioxide for N
2
O.
If fitted set Air to 3 L/min, set Oxygen to 3 L/min.
Check Concentration reading on O
2
Monitor is 60% ± 2%.
71
SERVICE SCHEDULE
4.
5.
6.
Test Completion / Paperwork
1.
Remove all test equipment from machine.
2.
3.
Drain all Gas from machine.
Turn OFF Gas Delivery Switch.
Turn Off all cylinders.
Turn off all Flow Control Valves.
Attach Service and Warning Labels.
Penlon recommends that after servicing the Anaesthetic Machine should be given an
"Acceptance Check" by an Anaesthetist before being returned to Operational Use.
72
SERVICE SCHEDULE
8.3 Twelve Month Service Checks
(To be performed at 12, 36, and 60 Months of a 72-month cycle.)
NOTE: AT 60 MONTHS ALL CYLINDER GAS SUPPLY PRESSURE REDUCING VALVES
SHOULD BE REPLACED. These are not included in the Preventive Maintenance Kits and must be ordered separately.
Machine Frame:
1.
Check integrity of structure and security of all attachments.
2.
3.
4.
Check for damage.
Check wheels for freedom of movement and braking.
Check drawers, writing tablet move freely.
Electrical Safety Test:
1.
Check mains lead and plug for damage.
2.
Perform Electrical Safety Tests as relevant for country of use.
Cylinder Yoke Assemblies:
1.
Check for damage, cleanliness, all fittings are tight and clamping screws for freedom of
2.
3.
movement.
Replace Bodok seals.
Replace Yoke inlet filters.
Pipeline Hose Checks:
1.
Examine pipeline connectors, probes and hoses for cleanliness and damage.
2.
3.
Perform anti-confusion checks.
Perform pressure Leak Checks of all hoses with cylinders removed and Gas Delivery
4.
Switch in the OFF position.
Replace Pipeline Filters.
Pressure Gauge Checks:
1.
Examine all pressure gauges for damage and clarity.
2.
Check movement of needles is smooth.
Gas Delivery Switch Inspection:
1.
Check switch for correct operation.
Nitrous Oxide / Air Control Switch:
1.
Check switch for correct operation.
Regulator Checks:
1.
Check operation.
2.
3.
4.
Check output pressure of Primary Regulators.
Check output pressure of Secondary Regulators.
Perform pressure Leak Test of all cylinder Gas Supplies with all Pipelines disconnected from supply. Perform this test with Gas Delivery Switch turned ON and Oxygen Basal
5.
6.
Flow blanked off.
For Air / N
2
O repeat the test with the selector switch in the required position.
On completion of tests reinstate basal flow by removing test blanking plug.
Common Gas Outlet Checks (CGO):
1.
Check security and freedom of movement of CGO.
2.
3.
Replace Safelock O-ring.
Check O
2
Emergency Flush flowrate is 35 - 75 L/min
73
SERVICE SCHEDULE
Oxygen Fail Alarms:
1.
Simulate an Oxygen fail by unplugging the Oxygen Pipeline from the outlet and check that before the supply of oxygen is exhausted that the Oxygen Fail Whistle sounds for a minimum of 7 seconds. Check that any Nitrous Oxide and Carbon
2.
3.
4.
Dioxide (if fitted) Gas Flows are cut off.
Check that the Oxygen Supply Visual Indicator turns from fully green to fully red.
Turn on Oxygen cylinder. Check Oxygen Basal flow reinstated and whistle sounds briefly.
Turn off Oxygen cylinder and repeat above tests.
4.
5.
6.
7.
Flowmeter and Mechanical AHD Checks:
1.
Check Flow Control Valves for smooth operation and positive off position.
2.
3.
If CO
2 is fitted check that the maximum flow is restricted to 500-600 ml/min flow rate.
Check flow tubes.
Check Bobbin Floats move freely and rotate within the glass tube.
Check maximum flow capability of all gases.
Connect O
2
Monitor to CGO.
Turn On Gas Delivery Switch.
Check Oxygen Basal Flow with all Flow Control Valves closed down:
All models - up to March 2002 100-200 ml/min
Cascade O
2 flowmeter- March 2002 onwards
Single O
2 flowmeter - March 2002 onwards
50-75 ml/min
100-200 ml/min
8.
9.
Check no other gas flows are indicated.
Ensure N
2
O / Air Selection switch is positioned for N
2
O.
10.
Fully open N
2
O Flow Control Valve and check that NO flow of N
2
O occurs.
11.
Slowly operate O
2 control valve throughout range.
Check % Oxygen concentration at the oxygen flows specified below.
Adjust the Oxygen Flowmeter control only - Do NOT adjust the N
2
O flowmeter.
Note The flow rates for N
2
O are given as a guide only.
O
2
Flow
*
0.25 L/min
*
0.5 L/min
0.8 L/min
1.5 L/min
3.0 L/min
%O
2 (in O
2
/N
2
O mixture)
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
N
2
O Flow
0.5 - 0.67
1.0 - 1.35
1.6 - 2.1
3.0 - 4.1
6.1 - 8.1
*
Cascade flowmeter models - March 2002 onwards
12.
Repeat tests by reducing Oxygen flow back to Basal Flow conditions, referring to the values in the above table.
Back Bar Assembly - Selectatec - Checks.
1.
Replace Selectatec O-rings.
2.
3.
Replace flexible hose - Backbar Outlet to CGO 1.35 m
Replace Tubing - Sample Block underneath back bar right side of machine.
4.
5.
6.
7.
Check all pillar valves open and seal correctly.
Check pillar valve inserts sit proud or flush with the pillar valve.
A sunken pillar valve insert denotes failure of the internal spring.
Check vaporizer interlock system for correct operation.
Replace Vaporizer locking springs (Dzus Clip)
74
SERVICE SCHEDULE
Back Bar Assembly - Cagemount - Checks.
1.
Replace flexible hoses - Cagemount.
2.
3.
Replace flexible hose - Backbar Outlet to CGO 1.35 m
Replace Tubing - Sample Block underneath back bar right side of machine.
4.
5.
Check security of taper connectors.
Use Fomblin or other Oxygen safe grease to lightly lubricate the metal surface where male and female connector come into contact with each other.
Fresh Gas Pressure Relief Valve (PRV) Test.
1.
Occlude CGO.
2.
At 10 L/min Flowrate of Oxygen, check the PRV relieves at 39 KPa ± 10 %
Leak Test From Flowmeter to Common Gas Outlet
1.
Fit a suitable Manometer Test gauge to the CGO.
2.
Set Oxygen Flow to maintain a pressure of 20 kPa (3 psi). Maximum permissible flow is 200 ml/min.
3.
Test with/without vaporizer(s) fitted and with vaporizer(s) turned both ON and OFF.
Auxiliary Outlets:
1.
Check outlets for security, damage and correct lock and release movement.
2.
Check dynamic flowrate and that Oxygen Fail Whistle does not operate.
Oxygen Monitor (if fitted)
Function and Calibration Tests.
1.
2.
Connect a Test O
2
Analyser into the patient circuit.
Check that the machine O
2 sensor is inserted into the absorber O
2 sampling point.
3.
4.
Test both O
2 sensors in 100% Oxygen.
Expose both sensors to air and check reading is 21% ± 2.
Adjust high and low O
2 alarms and check alarms trigger when values are lower or higher than reading on O
2 analyser respectively.
Return the alarm levels to original settings.
5.
Restore the sensor to correct location. Remove the test O
2 analyser.
Final Gas Concentration Tests.
1.
Check concentration by Gas.
2.
3.
Check flowrate from CGO corresponds with flowmeter by concentration.
Set 3 L/min Oxygen and Nitrous Oxide Flows and check using O
2
Monitor that the
4.
5.
6.
concentration from the CGO is 50% ± 2%.
Set Oxygen to 0.5 L/min, set N
2
O to 0.5 L/min, allow O
2 monitor to stabilise then check concentration is 50% ± 2%.
If fitted repeat above test substituting Carbon Dioxide for N
2
O.
If fitted set Air to 3 L/min, set Oxygen to 3 L/min and check Concentration on O
2
Monitor is 60% ± 2%.
4.
5.
6.
Test Completion / Paperwork
1.
Remove all test equipment from machine.
2.
3.
Drain all Gas from machine.
Turn OFF Gas Delivery Switch.
Turn Off all cylinders.
Turn off all Flow Control Valves.
Attach Service and Warning Labels.
Penlon recommends that after servicing the Anaesthetic Machine should be given an
"Acceptance Check" by an Anaesthetist before being returned to Operational Use.
75
SERVICE SCHEDULE
8.4 Twenty-Four Month Service Checks
(To be performed at 24, and 48 Months of a 72-month cycle.)
AT 48 MONTHS ALL GAS- CARRYING PIPELINE HOSES SHOULD BE REPLACED.
These are not included in the Preventive Maintenance Kits and must be ordered separately.
Machine Frame:
1.
Check integrity of structure and security of all attachments.
2.
3.
4.
Check for damage.
Check wheels for freedom of movement and braking.
Check drawers, writing tablet move freely.
Electrical Safety Test:
1.
Check mains lead and plug for damage.
2.
Perform Electrical Safety Tests as relevant for country of use.
Cylinder Yoke Assemblies:
1.
Check for damage, cleanliness, all fittings are tight and clamping screws for freedom
2.
3.
of movement.
Replace Bodok seals.
Replace Yoke inlet filters.
Pipeline Hose Checks:
1.
Examine pipeline connectors, probes and hoses for cleanliness and damage.
2.
3.
Perform anti-confusion checks.
Perform pressure Leak Checks of all hoses with cylinders removed and Gas Delivery
4.
Switch in the OFF position.
Replace Pipeline Filters.
Pressure Gauge Checks:
1.
Examine all pressure gauges for damage and clarity.
2.
Check movement of needles is smooth.
Gas Delivery Switch Inspection:
1.
Check switch for correct operation.
Nitrous Oxide / Air Control Switch:
1.
Check switch for correct operation.
Regulator Checks:
1.
Check operation.
2.
3.
4.
Check output pressure of Primary Regulators.
Check output pressure of Secondary Regulators.
Perform pressure Leak Test of all cylinder Gas Supplies with all Pipelines disconnected from supply. Perform this test with Gas Delivery Switch turned ON and
5.
6.
Oxygen Basal Flow blanked off.
For Air / N
2
0 repeat the test with the selector switch in the required position.
On completion of tests reinstate basal flow by removing test blanking plug.
Common Gas Outlet Checks (CGO):
1.
Check security and freedom of movement of CGO.
2.
3.
Replace Safelock O-ring.
Check O
2
Emergency Flush flowrate is 35 - 75 L/min
76
SERVICE SCHEDULE
2.
3.
4.
Oxygen Fail Alarms:
1.
Simulate an Oxygen fail by unplugging the Oxygen Pipeline from the outlet and check that before the supply of oxygen is exhausted that the Oxygen Fail Whistle sounds for a minimum of 7seconds. Check that any Nitrous Oxide and Carbon
Dioxide (if fitted) Gas Flows are cut off.
Check that the Oxygen Supply Visual Indicator turns from fully green to fully red.
Turn on O
2 cylinder. Check O
2
Basal flow reinstated and whistle sounds briefly.
Turn off Oxygen cylinder and repeat above tests.
4.
5.
6.
7.
Flowmeter and Mechanical AHD Checks:
1.
Turn off all cylinders and drain the gases from the machine.
2.
3.
Replace flowmeter tube seals and filters.
Check Flow Control Valves for smooth operation and positive off position.
8.
9.
If CO
2 is fitted check that the maximum flow is restricted to 500-600 ml/min flow rate.
Check flow tubes.
Check Bobbin Floats move freely and rotate within the glass tube.
Check maximum flow capability of all gases.
Connect O
2
Monitor to CGO.
Turn On Gas Delivery Switch.
Check Basal Flow of Oxygen is delivered with all Flow Control Valves closed down.
All models - up to March 2002
Cascade O
2 flowmeter- March 2002 onwards
100-200 ml/min
50-75 ml/min
Single O
2 flowmeter - March 2002 onwards 100-200 ml/min
10.
Check no other gas flows are indicated.
11.
Ensure N
2
O / Air Selection switch is positioned for N
2
O.
12.
Fully open N
2
O Flow Control Valve and check that NO flow of N
2
O occurs.
13.
Slowly operate O
2 control valve throughout range.
Check % Oxygen concentration at the oxygen flows specified below.
Adjust the Oxygen Flowmeter control only - Do NOT adjust the N
2
O flowmeter.
Note The flow rates for N
2
O are given as a guide only.
O
2
Flow
*
0.25 L/min
*
0.5 L/min
0.8 L/min
1.5 L/min
3.0 L/min
%O
2 (in O
2
/N
2
O mixture)
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
N
2
O Flow
0.5 - 0.67
1.0 - 1.35
1.6 - 2.1
3.0 - 4.1
6.1 - 8.1
*
Cascade flowmeter models - March 2002 onwards
14.
Repeat tests by reducing Oxygen flow back to Basal Flow conditions, referring to the values in the above table.
Back Bar Assembly - Selectatec - Checks.
1.
Replace Selectatec O-rings.
2.
3.
Replace flexible hose - Backbar Outlet to CGO 1.35 m
Replace Tubing - Sample Block underneath back bar right side of machine.
4.
5.
6.
7.
Check all pillar valves open and seal correctly.
Check pillar valve inserts sit proud or flush with the pillar valve.
A sunken pillar valve insert denotes failure of the internal spring.
Check vaporizer interlock system for correct operation.
Replace Vaporizer locking springs (Dzus Clip).
77
SERVICE SCHEDULE
Back Bar Assembly - Cagemount - Checks.
1.
Replace flexible hoses - Cagemount.
2.
3.
Replace flexible hose - Backbar Outlet to CGO 1.35 m
Replace Tubing - Sample Block underneath back bar right side of machine.
4.
5.
Check security of taper connectors.
Use Fomblin or other Oxygen safe grease to lightly lubricate the metal surface where male and female connector come into contact with each other.
Fresh Gas Pressure Relief Valve (PRV) Test.
1.
Occlude CGO.
2.
At 10 L/min Flowrate of Oxygen the PRV relieves at 39 KPa ± 10 %
Leak Test From Flowmeter to Common Gas Outlet
1.
Fit a suitable Manometer Test gauge to the CGO.
2.
3.
Set Oxygen Flow to maintain a pressure of 20 KPa (3 psi). Maximum permissible flow is 200 ml/min.
Test with/without Vaporizer(s) fitted and with vaporizer(s) turned both ON and OFF.
Auxiliary Outlets:
1. Check outlets for security, damage and correct lock and release movement.
2. Check dynamic flowrate and that Oxygen Fail Whistle does not operate.
Final Gas Concentration Tests.
1.
Check concentration by Gas.
2.
3.
Check flowrate from CGO corresponds with flowmeter by concentration.
Set 3 L/min Oxygen and Nitrous Oxide Flows and check using O
2
Monitor that the
4.
5.
6.
concentration from the CGO is 50% ± 2%.
Set Oxygen to 0.5 L/min, set N
2
O to 0.5 L/min, allow O
2
monitor to stabilise then check concentration is 50% ± 2%.
If fitted repeat above test substituting Carbon Dioxide for N
2
O.
If fitted set Air to 3 L/min, set Oxygen to 3 L/min and check Concentration on O
2
Monitor is 60% ± 2%.
Oxygen Monitor (if fitted)
Function and Calibration Tests.
1.
2.
Connect a Test O
2
Analyser into the patient circuit.
Check that the machine O
2 sensor is inserted into the absorber O
2 sampling point.
3.
4.
Test both O
2 sensors in 100% Oxygen.
Expose both sensors to air and check reading is 21% ± 2.
Adjust high and low O
2 alarms and check alarms trigger when values are lower or higher than reading on O
2 analyser respectively.
Return the alarm levels to original settings.
5.
Restore the sensor to correct location. Remove the test O
2 analyser.
4.
5.
6.
Test Completion / Paperwork
1.
Remove all test equipment from machine.
2.
3.
Drain all Gas from machine.
Turn OFF Gas Delivery Switch.
Turn Off all cylinders.
Turn off all Flow Control Valves.
Attach Service and Warning Labels.
Penlon recommends that after servicing the Anaesthetic Machine should be given an
"Acceptance Check" by an Anaesthetist before being returned to Operational Use.
78
SERVICE SCHEDULE
8.5
Seventy-Two Month Service Checks
(To be performed at 72 Months of a 72-month cycle.)
Machine Frame:
1.
Check integrity of structure and security of all attachments.
2.
3.
Check for damage.
Check wheels for freedom of movement and braking.
4.
5.
Check drawers, writing tablet move freely.
Replace all internal tubing.
Electrical Safety Test:
1.
Check mains lead and plug for damage.
2.
Perform Electrical Safety Tests as relevant for country of use.
Cylinder Yoke Assemblies:
1.
Check for damage, cleanliness, all fittings are tight and clamping screws for freedom
2.
3.
4.
5.
of movement.
Replace Bodok seals.
Replace Yoke inlet filters.
Replace Cylinder Non Return Valve O-rings
Replace Pipeline Non return Valve O-rings
Pipeline Hose Checks:
1.
Examine pipeline connectors, probes and hoses for cleanliness and damage.
2.
3.
Perform anti-confusion checks.
Perform pressure Leak Checks of all hoses with cylinders removed and Gas Delivery
4.
Switch in the OFF position.
Replace Pipeline Filters.
Pressure Gauge Checks:
1.
Examine all pressure gauges for damage and clarity.
2.
Check movement of needles is smooth.
Gas Delivery Switch Inspection:
1.
Check switch for correct operation.
Nitrous Oxide / Air Control Switch:
1.
Check switch for correct operation.
Regulator Checks:
1.
Check operation.
2.
3.
Check output pressure of Primary Regulators.
Replace Secondary Regulators.
4.
5.
Check output pressure of Secondary Regulators.
Perform pressure Leak Test of all cylinder Gas Supplies with all Pipelines disconnected from supply. Perform this test with Gas Delivery Switch turned ON and
6.
7.
Oxygen Basal Flow blanked off.
For Air / N
2
0 repeat the test with the selector switch in the required position.
On completion of tests reinstate basal flow by removing test blanking plug.
Common Gas Outlet Checks (CGO):
1.
Check security and freedom of movement of CGO.
2.
3.
4.
Replace Safelock O-ring.
Replace O
Check O
2
2
Emergency Flush valve.
Emergency Flush flowrate is 35 - 75 L/min
79
SERVICE SCHEDULE
Oxygen Fail Alarms:
1.
Simulate an Oxygen fail by unplugging the Oxygen Pipeline from the outlet and check that before the supply of oxygen is exhausted that the Oxygen Fail Whistle sounds for a minimum of 7 seconds. Check that any Nitrous Oxide and Carbon
2.
3.
4.
Dioxide (if fitted) Gas Flows are cut off.
Check that the Oxygen Supply Visual Indicator turns from fully green to fully red.
Turn on Oxygen cylinder. Check Oxygen Basal flow reinstated and whistle sounds briefly.
Turn off Oxygen cylinder and repeat above tests.
4.
5.
6.
7.
Flowmeter and Mechanical AHD Checks:
1.
Turn off all cylinders and drain the gases from the machine.
2.
3.
Replace flowmeter tube seals and filters.
Check Flow Control Valves for smooth operation and positive off position.
If CO
2
is fitted check that the maximum flow is restricted to 500-600 ml/min flow rate.
Check flow tubes.
Check Bobbin Floats move freely and rotate within the glass tube.
Check maximum flow capability of all gases.
8.
9.
Connect O
2
Monitor to CGO.
Turn On Gas Delivery Switch.
Check Basal Flow of Oxygen is delivered with all Flow Control Valves closed down.
All models - up to March 2002
Cascade O
2 flowmeter- March 2002 onwards
100-200 ml/min
50-75 ml/min
Single O
2 flowmeter - March 2002 onwards
10.
Check no other gas flows are indicated.
100-200 ml/min
11.
Ensure N
2
O / Air Selection switch is positioned for N
2
O.
12.
Fully open N
2
O Flow Control Valve and check that NO flow of N
2
O occurs.
13.
Slowly operate O
2
control valve throughout range.
Check % Oxygen concentration at the oxygen flows specified below.
Adjust the Oxygen Flowmeter control only - Do NOT adjust the N
2
O flowmeter.
Note The flow rates for N
2
O are given as a guide only.
O
2
Flow
*
0.25 L/min
*
0.5 L/min
0.8 L/min
1.5 L/min
3.0 L/min
%O
2 (in O
2
/N
2
O mixture)
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
27 - 33 %
N
2
O Flow
0.5 - 0.67
1.0 - 1.35
1.6 - 2.1
3.0 - 4.1
6.1 - 8.1
*
Cascade flowmeter models - March 2002 onwards
14.
Repeat tests by reducing Oxygen flow back to Basal Flow conditions referring to the values in the above table.
Back Bar Assembly - Selectatec - Checks.
1.
Replace Selectatec O-rings.
2.
3.
Replace flexible hose - Backbar Outlet to CGO (1.35 m)
Replace Tubing - Sample Block underneath back bar right side of machine.
4.
5.
6.
7.
Check all pillar valves open and seal correctly.
Check pillar valve inserts sit proud or flush with the pillar valve.
A sunken pillar valve insert denotes failure of the internal spring.
Check vaporizer interlock system for correct operation.
Replace Vaporizer locking springs (Dzus Clip).
80
SERVICE SCHEDULE
Back Bar Assembly - Cagemount - Checks.
1.
Replace flexible hoses - Cagemount.
2.
3.
Replace flexible hose - Backbar Outlet to CGO 1.35 m
Replace Tubing - Sample Block underneath back bar right side of machine.
4.
5.
Check security of taper connectors.
Use Fomblin or other Oxygen safe grease to lightly lubricate the metal surface where male and female connector come into contact with each other.
Fresh Gas Pressure Relief Valve (PRV) Test.
1.
2.
Occlude CGO.
At 10 L/min Flowrate of Oxygen the PRV relieves at 39 KPa ± 10 %
Leak Test From Flowmeter to Common Gas Outlet
1.
Fit a suitable Manometer Test gauge to the CGO.
2.
Set Oxygen Flow to maintain a pressure of 20 KPa (3 psi). Maximum permissible flow is 200 ml/min.
3.
Test with/ without Vaporizer(s) fitted and with vaporizer(s) turned both ON and OFF.
Auxiliary Outlets:
1.
2.
Check outlets for security, damage and correct lock and release movement.
Check dynamic flowrate and that Oxygen Fail Whistle does not operate.
Oxygen Monitor (if fitted)
1. Replace back up battery.
Function and Calibration Tests.
1.
Connect a Test O
2
Analyser into the patient circuit.
2.
3.
4.
Check that the machine O
Test both O
2
2 sensor is inserted into the absorber O sensors in 100% Oxygen.
Expose both sensors to air and check reading is 21% ± 2.
2 sampling point.
Adjust high and low O
2 alarms and check alarms trigger when values are lower or
5.
higher than reading on O
2 analyser respectively.
Return the alarm levels to original settings.
Restore the sensor to correct location. Remove the test O
2 analyser.
Final Gas Concentration Tests.
1.
Check concentration by Gas.
2.
3.
Check flowrate from CGO corresponds with flowmeter by concentration.
Set 3 L/min Oxygen and Nitrous Oxide Flows and check using O
2
Monitor that the
4.
5.
6 concentration from the CGO is 50% ± 2%.
Set Oxygen to 0.5 L/min, set N
2
O to 0.5 L/min, allow O
2 monitor to stabilise then check concentration is 50% ± 2%.
If fitted repeat above test substituting Carbon Dioxide for N
2
O.
If fitted set Air to 3 L/min, set Oxygen to 3 L/min and check Concentration on O
2
Monitor is 60% ± 2%.
3.
4.
5.
6.
Test Completion / Paperwork
1.
2.
Remove all test equipment from machine.
Drain all Gas from machine.
Turn OFF Gas Delivery Switch.
Turn Off all cylinders.
Turn off all Flow Control Valves.
Attach Service and Warning Labels.
Penlon recommends that after servicing the Anaesthetic Machine should be given an
"Acceptance Check" by an Anaesthetist before being returned to Operational Use.
81
9.
SERVICING PROCEDURES
9.1
Servicing
The Prima SP range of anaesthetic machines must only be serviced by a
Penlon-trained engineer to the following service schedule:
Every 6 months
Inspection and Function Check
Every 12 months
Annual service which includes routine replacement of seals, etc. as preventive maintenance
Every 2 and 6 years
Additional tests and component replacement
Details of these service operations are given in this Prima SP Service Manual, available only to Penlon trained engineers.
Mechanical AHD System
Additional servicing for the mechanical AHD system only.
Function Test
(At 6 month intervals, see section 6.8
to 6.11)
Additional Servicing
(At 12 month intervals)
Secondary Regulators - check pressure setting
Gear linkage - inspect
At 5 years interval
Primary regulators - replace
9.2
Ancillary Equipment
9.2.1 Sigma Delta Vaporizer
Follow the instructions given in section 8 of the user instruction manual. These include:
Every 6 months
Function test and calibration test
Every 10 years
Major overhaul (if unit to be used beyond
10 years).
Note: Halothane vaporizers - major overhaul required at 5 years.
On vaporizers with interlock, test the function of the interlock system during the vaporizer calibration test.
82
9.2.2 Monitor
Follow the service recommendations detailed in the monitor user instruction manual.
9.2.3 AV800 / AV900 Ventilator
If the anaesthetic machine was supplied with an AV-series ventilator, follow the instructions given in section 7 of the user instruction manual.
These include:
Every 6 months
Inspection and Function Check
Every 6 months (or 1200 hours)
Replace bellows
Every 12 months
Replace O-seals and oxygen inlet filter, etc., as preventive maintenance.
Every 5 years
Replace batteries
Fit service-exchange pneumatic assembly
9.2.4 Anaesthetic Gas
Scavenging System
Follow the service recommendations detailed in the AGSS user instruction manual.
9.2.5 Circle System Absorber
Follow the service recommendations detailed in the circle absorber user instruction manual.
SERVICING PROCEDURES
9.3
Cleaning and Sterilisation
Frequently wipe over the external surfaces of the machine, the vaporizers, with a damp cloth. Always allow the machine to dry off thoroughly before using it.
(Mild antiseptic solutions may be used but should be rinsed off with clean water.)
Breathing system hoses and other components must be sterilised to the manufacturer’s recommended methods.
Monitor
Refer to the monitor user instruction manual.
Ventilator
AV-series Ventilator Bellows Assembly
Cleaning
The user must follow the detailed instructions included in section 7.5 of the ventilator user instruction manual.
Never use any hard object or abrasive agent to clean any of the components, only a soft cloth.
If the valve seat is damaged, the diaphragm valve will leak and this may cause serious malfunction.
CAUTION
Do not use any cleaning solution containing alcohol or any harsh abrasive cleaning agent on the bellows housing.
Sterilisation
The user must follow the detailed instructions included in section 7 of the ventilator user instruction manual.
WARNING
Do not autoclave the bellows housing. The exhalation diaphragm valve assembly must be disassembled prior to sterilisation - do not sterilise the diaphragm.
83
3
17
25
22
24
23
13
13
14
15
5
10
21
4
7
10
6
21
8
21
16
10
9
20
11
12
1
19
18
2
Gas System Components
(UK Specification 3-gas machine)
5.
6.
7.
8.
1.
2.
3.
4.
9.
10.
11.
12.
13.
14.
15.
CGO block
Auxiliary outlet block
Reservoir (O
2
- for whistle)
Low pressure block (O
2
)
High pressure block (O
2
)
Low pressure block (Air)
High pressure block (CO
2
)
Low pressure block (N
2
O)
High pressure block (N
2
O)
High pressure regulator
Fresh gas pressure relief valve
Pipeline supply inlet block
Cut-off valve capsules
Secondary regulator (O
2
)
Secondary regulator (N
2
O)
84
21.
22.
23.
24.
25.
16.
Secondary regulator (Air)
Note: a) Test points are mounted beneath each secondary regulator.
b) On 2002 machines, the regulators
17.
18.
19.
20.
are mounted horizontally.
Hose from flowmeter
Fresh gas hose
O
2 flush hose
Manifold block
Test point - primary regulator
Warning whistle
Air/N
2
O interlock switch
O
2 failure visual indicator
Gas delivery switch
SERVICING PROCEDURES
9.4
Gas System Components
The illustration on the preceding page shows the components visible when the front cover is removed.
Machines with CO
2
:
An additional high pressure block and regulator, and an additional cut-off valve capsule are fitted.
9.5
Internal Gas Pipework
9.5.1 Identification
Internal pipework is colour coded and diameter indexed, as follows:
Colour codes
Oxygen
Nitrous Oxide
Medical Air
Carbon Dioxide
White (or Green, on US specification machines)
Blue
Black/white (or Yellow on US specification machines)
Grey
Tubing diameter
Oxygen
Nitrous Oxide
Medical Air
Carbon Dioxide
Mixed Gas
8 mm
6 mm
5 mm
4 mm
10 mm
85
SERVICING PROCEDURES
9.5.2 Tubing Connectors
Push-in type fittings are used throughout the low pressure circuit
To connect and disconnect the tubing from the connectors, follow the procedures detailed below.
Do not use excess force.
Disconnecting tubing from connector
Push in the tube and the connector end piece ‘A’.
Hold the end piece ‘A’ in place.
A
Pull the tube out to disconnect.
Fitting tubing to connector
Push in the tube as far as possible
Do not use excessive force.
The connector end piece ‘A’ will also move inwards.
Pull the tube carefully outwards.
The end piece ‘A’ will be pulled outwards to the ‘locked’ position.
86
A
SERVICING PROCEDURES
9.5.3
Cascade Flowmeter
Assembly Tubing
The illustration shows the rear of a three-gas flowmeter assembly, with cascade oxygen and nitrous-oxide flowmeter assemblies, as fitted to a UK specification machine with mechanical AHD.
1.
2.
3.
4.
5.
6.
7.
Oxygen supply
Oxygen - low flow tube to high flow tube
Nitrous oxide - supply to primary needle valve
Nitrous oxide - link to secondary needle valve (mechanical AHD)
Nitrous oxide - low flow tube to high flow tube
Air - supply to flowmeter needle valve
Mixed gas supply to backbar manifold.
5
4
7
2
6
3
1
87
SERVICING PROCEDURES
9.6
Front Cover -
Remove and Refit
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
Removal
1.
Remove all cylinders, and disconnect Pipeline
2.
supply hoses.
At the rear of the machine, slacken the screws
3.
4.
(1) securing the gas blocks.
Remove the two top fixing screws (2) securing the panel to the front of the machine.
Slacken each screw (3) on the side of the
5.
machine, to loosen the side clamp plates.
Carefully pull the cover (4) away from the front of the machine.
Refit
6.
7.
Line up the cover with the gauges and switches.
Check that the clamp plate on each side of the machine is positioned to allow the sides of the cover to fit between each plate and the frame.
8.
9.
Carefully push the cover into place.
Screw in the top fixings (2). Do NOT tighten.
10.
Tighten the clamp plate screws (3).
11.
Tighten the top fixings (2).
12.
At the rear of the machine, tighten the screws (1)
4
2
1
3
88
SERVICING PROCEDURES
9.7
Flowmeter Cover
Removal
1.
Slacken the screws (1) securing the
2.
filler strip (2).
Remove the screws (3) and top
3.
guard (4).
Remove the cover (5).
Refitting
4.
Reverse the removal procedure.
1
5
2
4
3
89
SERVICING PROCEDURES
9.8
Gear Linkage - Reset
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
Removal
1.
Remove all cylinders, and disconnect
2.
Pipeline supply hoses.
Remove the two screws (1) and con-
3.
4.
trol knob cover (2).
Check the condition of the gears and grubscrews, and replace if necessary.
To reset the gears, first remove the O
2
5.
gear (4) only.
Turn the Gas Delivery switch (5) to
On.
Gently close the N
2
O primary valve so that the N
2
O flowmeter bobbin reseats.
NOTE
A) This valve is closed by turning the needle anti-clockwise.
B) On machines with Air, set the
Air/N
2
O interlock switch (6) to N
2
O).
6.
7.
8.
9.
Set the oxygen control valve so that a basal flow of 150 ml/min of oxygen is supplied.
Remove the N
2
O gear (7).
Carefully replace the O
2 gear so that the gear stop (8) is positioned anticlockwise, and just touching the mechanical stop (9) in the front of the manifold block (see illustration).
Distance the inner face of the O
2 gear from the mechanical stop with a 0.1
mm feeler gauge.
Tighten the grubscrews (10) to secure the O
2 gear.
With the O
2 gear against the stop, replace the N
2
O gear and push on so that the front faces of the gears are flush, see X-X as illustrated.
Note that the rear face of the N
2
O gear is closer to the manifold block than the O
2 gear.
Tighten the grubscrews (11) to secure the N
2
O gear.
Apply a small amount of Molycote
BG87 grease, evenly distributed, to the O
2 and N
2
O gear teeth.
1
5
6
90
2
3
4
10
8
11
X
X
0.1 mm
7
9
SERVICING PROCEDURES
Gas Flow
10.
Check the gas flows. See Function Test, section 6.7.
11.
If the gas flows are inaccurate, small adjustments can be made by adjusting the oxygen basal flow within the range 150 -
200 ml, and then using the secondary regulators, as follows.
12.
Attach a pressure gauge to the test point on each regulator (12 - oxygen, 13 nitrous oxide).
At 5 L/min flow both regulators should be set at 275 kPa (40 psi), but adjustment is available from 261 to 289 kPa (35 to 41 psi).
13.
If the N
2
O flow is low the N
2
O pressure should be increased to 289 kPa (41 psi), before the O
2 pressure is reduced to 261 kPa (35 psi).
14.
Similarly, if the N
2
O flow is high, the O
2 pressure should be increased, before the
N
2
O pressure is reduced.
15.
Carry out a full function test on the machine, see section 6.
12
13
91
SERVICING PROCEDURES
Removal/Replacement
CAUTION
Needle valves are designed to seal with a light torque only and may be damaged if tightened excessively.
1
5
6
7
2
3
8
7
6
4
2.
3.
Note:
There are no user serviceable components within the flow control valve capsules (1, 2, and 3).
This procedure relates only to the exchange of the complete, factory set, valves.
1.
Remove all gas cylinders and disconnect all gas pipeline hoses.
CAUTION
Ensure that all gas supplies are exhausted before commencing these procedures. High pressure gas can ‘fire’ the valve out of the machine.
Remove the cover and flowmeter knobs, as detailed in section 9.8.
If the O
2 valve capsule (1) is to be
4.
5.
6.
7.
8.
9.
8
6 removed, take off the O
2 gear (4) by loosening the grubscrews (5).
Undo the two securing screws and washers (6) and withdraw the capsule (1).
To replace the flow control valve, lightly smear the O-seals (7) with Fomblin and insert the capsule into the manifold block.
Align the two slots (8) with the securing screw holes, and refit the screws and washers (6).
If necessary reset the gears, as detailed in section 9.8, and check the gas flows.
Replace the flowmeter knobs and cover.
Perform a function test, section 6.
92
SERVICING PROCEDURES
9.10 Oxygen Reservoir -
Removal/Replacement
1.
Remove all oxygen cylinders and disconnect the oxygen pipeline hose.
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
2.
3.
Remove the cover at the back of the machine to gain access to the rear of the flowmeter assembly.
Unscrew the nut (1) to release the oxygen reservoir (2) from the mounting bracket.
4. After refitting, perform a function test, section 6.
1
2
93
SERVICING PROCEDURES
1.
2.
3.
4.
5.
6.
7.
9.11 Secondary Regulators
Check Pressure Settings
Remove the front cover (see 9.6).
Connect the test point on the Oxygen regulator (1) to a pressure gauge.
Set the O
2 flow to 5 L/min.
Check that the O
2 secondary regulator is set at 275 kPa ± 14 kPa (38 psi ± 3 psi), adjust if necessary.
If adjusted, function check the mechanical AHD system, sections 6.
Repeat the above procedure for the
N
2
O secondary regulator (2).
Replace the front cover, see section
9.6.
1
2
94
SERVICING PROCEDURES
9.12
Gas Block
Remove and Refit
1.
2.
3.
4.
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
5.
Remove all cylinders and disconnect all pipeline supplies.
At the rear of the machine, remove the two screws (1) at the rear of the block.
Slacken the screws (2) at the rear of the adjacent gas block.
At the front of the machine, carefully pull the block (3) from the machine, moving it away from the adjacent block (4).
Detach the block from the tubing connector (5). Refer to 9.6.2 if necessary.
To refit. reverse the above procedure and then carry out a full function test
(see section 6).
1.
2.
3.
4.
5.
Yoke Filter - Remove and Refit
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
Remove all cylinders and disconnect all pipeline supplies.
remove the Bodok seal (1).
Unscrew the yoke insert (2).
Use a suitable rod to carefully remove the filter (3).
To refit. reverse the above procedure.
Fit a new Bodok seal.
Function test the machine (see section 6).
1
2
1
4
5
3
2
3
95
SERVICING PROCEDURES
9.13 Selectatec Compatible
Manifold Block
1.
The valve capsule top O seal (arrowed on the illustration) must be regularly changed to prevent the possible occurrence of leaking
Check for splitting, perishing, and expansion, and also check if the seal is sticking to the vaporizer.
To ensure satisfactory performance of the manifold block: a.
ALWAYS perform a leak test before using the manifold block or after changing the b.
vaporizer.
Replace the O-seals regularly (maximum 12 months interval).
Overhaul
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
Removal
5.
6.
7.
1.
2.
Remove all cylinders and disconnect all pipeline supplies.
Remove the front cover, (see section 9.6), to gain access to the manifold block.
3.
4.
Disconnect the inlet and outlet fresh gas hoses.
Remove the screws at the rear of the machine, to allow removal of the manifold block.
Overhaul and Refit
Dismantle the block as illustrated above.
Renew all O-seals
To refit. reverse the dismantling procedure.
Function test the machine - see section 6.
96
SERVICING PROCEDURES
9.14
Gas Delivery Switch
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
1.
Remove all cylinders and disconnect
2.
3.
all pipeline supplies.
Remove the front cover (see 9.6).
Disconnect the tubing from the rear of the switch assembly (1).
4.
5.
Remove the cover at the back of the machine
Remove the screws (2) to release the switch mounting bracket (3).
6.
7.
Slacken the screws (4).
Twist the front of the switch, as illustrated, to unlock the two halves of the switch assembly.
Refitting
8.
Reverse the removal procedure.
Fit the front cover - see section 9.6.
Carry out a Function test, section 6.
2
3
2
4
1
97
2
SERVICING PROCEDURES
9.15
Air/N
2
O Interlock Switch
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
1.
2.
3.
4.
5.
Remove all cylinders and disconnect all pipeline supplies.
Remove the front cover (see 9.6).
Disconnect the tubing from the switch assembly (1).
Remove the cover at the back of the machine
Remove the screws (2) to release the switch mounting bracket (3).
6.
7.
Turn the lever (4) clockwise to unlock the two halves of the switch assembly.
Unscrew the locking ring (5), and detach the front components
Refitting
8.
Reverse the removal procedure.
Fit the front cover - see section 9.6.
Carry out a Function test, section 6.
2
3
Turn this way to remove
5
4
1
98
SERVICING PROCEDURES
9.16
Oxygen Failure
Visual Indicator
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
Removal
1.
Remove all cylinders and disconnect all
2.
3.
pipeline supplies.
Remove the front cover (see 9.6).
Disconnect the tubing at the rear of the visual indicator (1).
4.
5.
Remove the cover at the back of the machine
Remove the screws (2) to release the switch mounting bracket (3).
6.
Unscrew the locking ring (4), and detach the visual indicator
Refitting
8.
Reverse the removal procedure.
Fit the front cover - see section 9.6.
Carry out a Function test, section 6.
2
2
1
3
4
99
SERVICING PROCEDURES
9.17
CGO Block
- Clippard Valve Replacement
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
Removal
1.
Remove all cylinders and disconnect all pipeline supplies.
2.
Depress the button (1) to allow access at (2) to the grubscrew that retains the button.
3.
4.
2
Slacken the grubscrew, using a M1.3 Allen key, and gently prise out the button.
Remove the two screws (3), and withdraw the shield (4), valve (5) and O seal (6).
Refitting
5.
Lightly coat the seal (6) with Fomblin.
6.
Reverse the removal sequence.
Carefully refit the Clippard Valve (5) to pre-
7 vent damage to the seals.
Carry out a machine function check - section
6.
6
5
4
3
1
100
SERVICING PROCEDURES
9.18 Flowmeter Tubes - Removal
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
Removal
1.
Remove all cylinders and disconnect all
2.
pipeline supplies.
Remove the flowmeter cover, (see section
3.
9.7).
Hold the tube, as illustrated, and press upwards (X) against the resistance of the spring.
4.
5.
Carefully detach the lower end of the tube from the bobbin.
Remove the tube, ensuring that the top bobbin remains in place (Y).
Overhaul - Bobbin Assemblies
6.
Remove and refit the components, as illustrated below, taking care not to damage the O-seals when refitting the bobbins.
Refitting the Flowmeter
7.
Reverse the removal procedure, noting: a) the scale must be centralised.
b) the tube is touching the contact strip (1).
8.
Carry out a machine Function Test - section 6.
X
400262
Bobbin
0293
O-seal
0691
O-seal
36075
Washer
0691
O-seal
0293
O-seal
0508 Filter
400224
Bobbin
101
1
Y
01057
Washer
36247
Bobbin
0508 Filter
36247
Bobbin
SERVICING PROCEDURES
9.19
Flowmeter Assembly -
Removal
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
Removal
1.
Remove all cylinders and disconnect
2.
all pipeline supplies.
Disconnect the machine from the
3.
4.
mains electrical supply (if necessary).
Remove the flowmeter cover, (see section 9.7).
Remove the four screws (1) securing
5.
6.
the flowmeter assembly to the machine frame.
Disconnect the wiring connector (2) machines with flowbank lighting only.
Disconnect the tubing (3) where necessary to allow the removal of the flowmeter assembly.
Refitting
7.
Reconnect the tubing at the back of the flowmeter assembly - see section
9.5.
8.
9.
Reverse the removal procedure.
Carry out a machine Function Test section 6.
1
3
2
3
102
SERVICING PROCEDURES
9.20
Flowmeter Lighting -
Removal
CAUTION
Ensure that any residual gas in the machine is exhausted before commencing the dismantling procedure.
Removal
1.
Remove all cylinders and disconnect
2.
all pipeline supplies.
Disconnect the machine from the
3.
4.
mains electrical supply.
Remove the flowmeter cover, (see section 9.7).
Remove the flowmeter assembly (see
5.
6.
7.
section 9.18).
Disconnect the tubing connector (1).
Remove the three screws (2), and detach the manifold (3).
Remove the lighting assembly (4).
Refitting
8.
Reverse the removal procedure.
Refer to section 9.5 for tubing connections.
9.
Carry out a machine Function Test, see section 6.
3
4
1
2
103
SERVICING PROCEDURES
9.21
Oxygen Monitor -
Battery Replacement
Removal
1.
Disconnect the machine from the
2.
3.
mains electrical supply.
Remove the four screws (1).
Carefully detach the front cover assembly (2), to allow access to the
4.
battery (3).
The battery is attached to the side panel with an adhesive pad.
Disconnect the battery wiring and detach the battery and pad.
Refitting
5.
Reverse the removal procedure.
Carry out a machine function test section 6.
1
2
3
1
104
9.22 Oxygen Monitor Sensor.
Sensor - Cleaning and Disinfection
CAUTION
If you use ethylene oxide for sterilisation, use only a low temperature ethylene oxide method. Do not immerse the sensor in any cleaning solution.
Do not autoclave or expose the sensor to high temperatures.
Sensor Replacement
WARNING
The sensor contains: a) A small quantity of electrolyte, classified as a harmful irritant which is potentially hazardous. b) Lead
Do not attempt to open a cell.
ALWAYS check the integrity of the sensor assembly before use.
Once exhausted, the sensor must be disposed of according to hospital, local, state and federal regulations.
Sensor Expiry Date
The approximate expiry date is marked on the sensor label, using two boxes which represent the year and month.
Thus, for a sensor marked as below, the approximate expiry date is end of December 2001.
Sensor Unit - Remove and Refit
6.
7.
8.
3.
4.
5.
1.
Pull out the cable connector (A) from the expired sensor (B).
2. Remove sensor from the Tee adaptor (C).
Note that the sensor may also be fitted to the dome of the inspiratory valve, if fitted to a circle system absorber (see section 5.12).
Discard the expired sensor and flow diverter (D).
Insert the cable connector into the new sensor (B).
Screw the new flow diverter (D) onto the new sensor, and fit new O rings.
Fit the assembly into the Tee adaptor or dome.
Calibrate the new sensor, see section 5.12.
Dispose of the used components according to hospital regulations and relevant national legislation.
105
A
B
D
C
Replacement parts
58780 Sensor (includes flow diverter and O rings)
58779 Tee adaptor
SERVICING PROCEDURES
9.23
A100 Circle System Absorber
Follow the user maintenance procedures and service recommendations detailed in the A100 circle absorber user instruction manual.
Inboard Mounting System on Prima SP
Access to the Canister and Valve Block
Absorber Canister
A
Remove
1. Slide the canister and support plate out from the machine.
2. Disconnect the hoses.
Rotate the retainer (A), and support the canister as it is removed from the machine.
Absorber Valve
Block Assembly
Removal
C
1. Lift the retaining pin (C).
Disconnect the hoses.
Support the weight of the valve block as it is removed from the machine.
B
A
Refit
1. Align the buttons (B) on the top of the canister block with the slots in the support plate.
2. Slide the canister into the support plate, and rotate the retainer (A) to lock the canister in position.
3. Reconnect the hoses (see 5.6.4),
Slide the canister and support plate under the machine work surface.
106
Refit
1. Align the buttons
(D) on the top of the canister block with the slots (E).
2. Slide the canister into the support plate.
3. Reconnect the hoses (see 5.6.4).
4. Fit the retaining pin (C).
D
10. SPARE PARTS LIST
Prima SP System Preventive Maintenance Kits
Part No.
Description
Mechanical AHD and Selectatec
57455 6 month
57476
57479
12 month
24 month
57476
57479
57476
57490
36 month
48 month
60 month
72 month
Mechanical AHD and Cagemount Backbar
57455 6 month
58614
57480
12 month
24 month
58614
57480
58614
57489
36 month
48 month
60 month
72 month
A100 Absorber
58615 12 month
AV900 Ventilator
57453 12 month
57453
57453
24 month
36 month
57453
57454
48 month
60 month
AV800 Ventilator
57633 12 month
57633
57633
24 month
36 month
57633
57635
48 month
60 month
Nuffield 200 Ventilator
57139 12 month
57139
57139
24 month
36 month
57139
57450
48 month
60 month
Circle System Module
57451 12 month
57451
57451
24 month
36 month
57451
57452
48 month
60 month
Delta Vaporizer Overhaul Kits
55146
55145
55144
55143
55142
55141
55140
55139
55147
5 year Halothane -
Pour Filler
Halothane - Agent Specific
(Key) Filler
10 year Enflurane -
Pour Filler
10 year Enflurane -
Agent Specific (Key) Filler
10 year Isoflurane -
Pour Filler
10 year Isoflurane -
Agent Specific (Key) Filler
10 year Sevoflurane -
Pour Filler
10 year Sevoflurane -
Agent Specific (Key) Filler
10 year Sevoflurane -
Quik Fil Filler
107
SPARE PARTS LIST
Preventive Maintenance Kit
6 Month Service
(use also for UK customer specified 3 month service)
Part No. 57455
Kit Contents
Part No
016
041115
Qty.
5
6
Component Description
Bodok Seal
O-ring - Selectatec
016
Bodok Seal
108
041115
O-ring
SPARE PARTS LIST
Cagemount Backbar
Preventive Maintenance Kit
12 / 36 / 60 Month Service
Part No. 58614
Kit Contents
Part No Qty.
462526 1.35 m
37946
37947
37951
37950
016
0762
043
0226
011017
5
8
1
12
1
12
12
12
4
Component Description
Hose - Backbar Outlet to CGO
(not shown)
Hose Support
Seal Support
Split O-ring
Off-line Hose
Bodok Seal
Filter - Yoke and Pipeline
O-seal - Safelock
O-seal - Hose Assembly
Tubing - Sample Block
37950
Offline
Hose
016
Bodok
Seal
0762
Filter - Yoke
0226
O-seal
Offline
Hose
043
O-seal
- Safelock
0226
O-seal
37951
Split O-ring
0762
Filter - Pipeline
37947
Seal Support
462526
Hose -
Backbar to CGO
109
37946
Hose Support
SPARE PARTS LIST
Cagemount Backbar
Preventive Maintenance Kit
24 / 48 Month Service
Part No. 57480
Kit Contents
Part No Qty.
462526
37950
016
400224
400262
0762
0508
36247
01057
36075
0691
043
0226
37946
37947
37951
011017
12
12
12
12
1
6
1
3
6
3
6
3
8
5
3
1.35 m
4
37951
Split O-ring
Component Description
Hose - Backbar Outlet to CGO
Off-line Hose
Bodok Seal
Flowmeter Bobbin - Metal with Filter
Flowmeter Bobbin - Metal with Filter
Filter - Yoke and Pipeline
Filter - Flowmeter
Flowmeter Bobbin - Tube Seals
Washer
Shock Washer
O-seal - Flowmeter
O-seal - Safelock
O-seal - Hose Assembly
Hose Support
Seal Support
Split O-ring
Tubing - Sample Block
37947
Seal Support
016
Bodok
Seal
37946
Hose Support
0762
Filter - Yoke
37950
Offline
Hose
0226
O-seal
Offline Hose
110
0762
Filter - Pipeline
SPARE PARTS LIST
0226
O-seal
043
O-seal
- Safelock
0226
O-seal
462526
Hose - Backbar
Outlet to CGO
400262
Bobbin
0293
O-seal
0691
O-seal
36075
Washer
0691
O-seal
0293
O-seal
0508 Filter
400224
Bobbin
111
01057
Washer
36247
Bobbin
0508 Filter
36247
Bobbin
SPARE PARTS LIST
Cagemount Backbar
Preventive Maintenance Kit
72 Month Service
Part No. 57489
Kit Contents
Part No
462526
Qty.
Component Description
1.35 m Hose - Backbar Outlet to CGO
0226
37946
37947
37951
37950
016
400224
400262
0762
0508
36247
01057
36075
0691
6
4
8
3
6
6
3
3
4
5
4
4
4
4
O Seal - Hose Assembly
Hose Support
Seal Support
Split O Ring
Off-Line Hose
Bodok Seal
Flowmeter Bobbin - Metal with Filter
Flowmeter Bobbin - Metal without Filter
Filter - Yoke and Pipeline
Filter - Flowmeter
Flowmeter Bobbin - Tube Seals
Washer
Shock Washer
O Seal - Flowmeter
043
011017
045438
90183
2
1
1
1
O Seal - Safelock
Tubing - Sample Block
Secondary Regulators - Mech AHD
Clippard Valve - Oxygen Flush
0314
0691
2
6
Following not shown:
462544 3 m
462543
462542
462541
01089
O Ring - Oxygen Flush Clippard Valve
O Ring - Cylinder/Pipeline NRV
2 m
2 m
8 mm Hose - Oxygen - Internal
6 mm Hose - Nitrous Oxide - Internal
5 mm Hose - Air - Internal
1 m 4 mm Hose - Switch Feeds/CO
2
- Internal
1strip Gas ID Label White - Oxygen
011026
011027
011023
1strip Gas ID Label Blue - Nitrous Oxide
1strip Gas ID Label Black - Air
1strip Gas ID Label Grey - Carbon Dioxide
37951
Split O-ring
37947
Seal Support
37946
Hose Support
016
Bodok Seal
0314
O-ring
0762
Filter - Yoke
90183
Clippard Valve
37950
Offline
Hose
0762
Filter - Pipeline
0226
O-seal
Offline Hose
112
SPARE PARTS LIST
045438
Secondary Regulators
0691
O-ring
462526 Hose
- Backbar Outlet to CGO
0226
O-seal
0691
O-ring
0691
O-seal
043
O-seal
0293
O-seal
0691
O-seal
36075
Washer
0691
O-seal
0293
O-seal
400262
Bobbin
0508 Filter
400224
Bobbin
113
01057
Washer
36247
Bobbin
0508 Filter
36247
Bobbin
SPARE PARTS LIST
Selectatec Backbar
Preventive Maintenance Kit
12 / 36 / 60 Month Service
Part No. 57476
Kit Contents
Part No
462526
37946
37947
37951
022533
041115
016
0762
043
011017
8
1
1
4
5
4
2
4
4
Qty.
1.35 m
Component Description
Hose - Backbar Outlet to CGO
Hose Support
Seal Support
Split O-ring
Dzus Clip
O-ring - Selectatec
Bodok Seal
Filter - Yoke and Pipeline
O-seal - Safelock
Tubing - Sample Block
016
Bodok Seal
0762
Filter - Yoke
043
O-seal
- Safelock
0226
O-seal
041115
O-ring
022533
Dzus Clip
0762
Filter -
Pipeline
462526
Hose - Backbar
Outlet to CGO
114
SPARE PARTS LIST
Selectatec Backbar
Preventive Maintenance Kit
24 / 48 Month Service
Part No. 57479
Kit Contents
Part No
462526
37946
37947
37951
041115
016
400224
400262
0762
0508
36247
01057
36075
0691
043
011017
022533
6
1
3
6
1
2
3
6
3
8
5
3
4
4
4
4
Qty.
1.35 m
Component Description
Hose - Backbar Outlet to CGO
Hose Support
Seal Support
Split O-ring
O-ring - Selectatec
Bodok Seal
Flowmeter Bobbin - Metal with Filter
Flowmeter Bobbin - Metal without Filter
Filter - Yoke and Pipeline
Filter - Flowmeter
Flowmeter Bobbin - Tube Seals
Washer
Shock Washer
O-seal - Flowmeter
O-seal - Safelock
Tubing - Sample Block
Dzus Clip
016
Bodok Seal
0762
Filter - Yoke
0762
Filter -
Pipeline
115
022533
Dzus Clip
041115
O-ring
SPARE PARTS LIST
37951
Split O-ring
37947
Seal Support
37946
Hose Support
0226
O-seal
043
O-seal
- Safelock
0226
O-seal
400262
Bobbin
0293
O-seal
0691
O-seal
36075
Washer
0691
O-seal
0293
O-seal
0508 Filter
400224
Bobbin
116
462526
Hose - Backbar
Outlet to CGO
01057
Washer
36247
Bobbin
0508 Filter
36247
Bobbin
SPARE PARTS LIST
Mechanical AHD
Selectatec Backbar
Preventive Maintenance Kit
72 Month Service
Part No. 57490
Kit Contents
Part No
462526
0226
Qty.
Component Description
1.35 m Hose - Backbar Outlet to CGO
4 O-seal - Fresh Gas Sampling Adapter
041115
016
400224
400262
0762
0508
36247
01057
36075
0691
043
011017
045438
6
4
8
3
3
3
4
5
1
1
6
6
2
O-ring - Selectatec
Bodok Seal
Flowmeter Bobbin - Metal with Filter
Flowmeter Bobbin - Metal without Filter
Filter - Yoke and Pipeline
Filter - Flowmeter
Flowmeter Bobbin - Tube Seals
Washer
Shock Washer
O-seal - Flowmeter
O-seal - Safelock
Tubing - Sample Block
Secondary Regulator - Mech AHD
37951
Split O-ring
37947
Seal Support
022533
90183
0314
0691
37946
37947
37951
4
4
6
4
2
1
2
Dzus Clip
Clippard Valve - Oxygen Flush
O-ring - Oxygen Flush Clippard Valve
O-ring - Cylinder/Pipeline NRV
Hose Support
Seal Support
Split O-ring
Following not shown:
462544 3 m
462543
462542
2 m
2 m
462541
01089
011026
011027
011023
1 m
8 mm Hose - Oxygen - Internal
6 mm Hose - Nitrous Oxide - Internal
5 mm Hose - Air - Internal
4 mm Hose - Switch Feeds/CO
2
- Internal
1strip Gas ID Label White - Oxygen
1strip Gas ID Label Blue - Nitrous Oxide
1strip Gas ID Label Black - Air
1strip Gas ID Label Grey - Carbon Dioxide
37946
Hose Support
0314
O-ring
016
Bodok
Seal
90183
Clippard Valve
0762
Filter - Yoke
022533
Dzus Clip
0762
Filter - Pipeline
041115
O-ring
117
SPARE PARTS LIST
045438
Secondary Regulators
0691
O-ring
462526 Hose
- Backbar Outlet to CGO
0226
O-seal
0691
O-ring
0691
O-seal
043
O-seal
0293
O-seal
0691
O-seal
36075
Washer
0691
O-seal
0293
O-seal
400262
Bobbin
0508 Filter
400224
Bobbin
118
01057
Washer
36247
Bobbin
0508 Filter
36247
Bobbin
SPARE PARTS LIST
2 Station Selectatec Backbar
10
9
1
13
18
19
20
17
5
12
13
15
Ref Part No.
13
14
15
16
9
10
11
12
7
8
5
6
3
4
1
2
17
18
19
20
041115
041214
041222
041223
Not illustrated:
054540
01253
15464
700636
700631
045051
01056
71577
700634
022533
01059
01250
700647
041202
700638
71553
019067
3
2
7
16
Description
Screw, M4 x 25 socket head
Leak check label
Left hand end block
Manifold
Valve capsule
Screw, M5 x 12 socket head
TEC3 Location button
Clip retaining plate
Dzus spring
Screw, M2.5 x 6 CH head
M2.5 Nut
Tie rod
O ring
Right hand end block
Interlock peg
Screw, M4 x 12 socket head
O Seal
O Seal
O Seal
O Seal
Coupling (inlet and outlet)
119
12
4
6
Qty.
2
4
3
1
4
2
2
8
4
4
4
4
2
2
4
2
1
2
4
2
2
8
11
14
13
SPARE PARTS LIST
Flowmeter Assembly
12
13
14
15
8
9
10
11
16
17
18
19
20
21
22
23
24
Ref Part No.
5
6
7
3
4
1
2
800270
800285
019123
800196
800225
800231
15252
25* 054519
26* 054518
27* 38315
28* 38316
29* 462543
30* 462544
31* 38317
32* 38349
33* 015043
34* 015044
35* 031048
36* 019083
37* 019025
38* 01023
39* 01067
40* 019011
41* 0360
42* 01027
43* 15023
44* 0770
45* 01056
800269
700362
700366
800222
800234
800223
800230
054515
402736
054524
019067
800226
054514
019133
462543
15277
01031
Description Qty.
Spacer plate
Top cover
Screw, M4 x 10
Flow tube cover
Flow tube O
2 low
Knob O
2
Label O
2
UK 1
1
1
2
1
1
1
Anti-tamper block
Manifold block - cascade - UK
Mixing chamber - cascade - UK
Flow tube N
2
O cascade
Flowmeter panel SS
Flow tube O
2 cascade
Knob N
2
O, Air, CO
2
Elbow - 8 mm tube
Luminescent panel
Elbow - 10 mm tube
Screw, M4 x 12 socket head cap
Flow tube N
2
O low
Elbow - 6 mm tube
Screw, M3 x 6 butt head blk
Tube Ø 6mm - white
Label N
2
O
Screw, M4 x 35 cap head ss
Coupling
Tube connector
Needle valve
Needle valve
Tube Ø 6 mm - white
Tube Ø 8 mm - white
Valve capsule
Stop pin
Spur gear 50 teeth
Spur gear 20 teeth
Spring
Screw, M4 x 4 large grub
Screw, M4 x 8 large grub
M4 nut
M3 plain washer
Screw, M3 x 6
1/4" ball
Grubscrew, M4 x 6
CE label
Seal - 2BA Selon
Screw, M5 x 12 socket head cap
1
2
2
4
2
6
6
2
2
1
2
1
1
1
1
1
2
4
2
1
1
1
1
1
2
1
1
1
1
1
1
8
1
1
1
120
Flowmeter Assembly
121
SPARE PARTS LIST
Flowmeter Assembly
(4-gas UK Specification, with Cascade and Mechanical AHD)
14
15
16
17
18
19
7
8
9
10
11
12
13
3
4
1
2
5
6
Ref Part No.
800269
01031
15252
800231
01027
24
25
26
27
20
21
22
23
800234
800223
800224
38316
800227
01067
800226
800222
28
29
30
31
01023
019083
38349
019025
32* 0360
015043
800230
015044
38315
031048
019011
15279
38317
700362
15277
38316
800225
38318
Description
Anti-tamper block
Screw, M4 x 35 cap head ss
Label O
2
UK
Knob O
2
Screw, M4 x 6 large grub screw
Spur gear 50 teeth
Knob N
2
O, Air, CO
2
Spur gear
2
0 teeth
Needle valve
Spring 1
Screw, M3 x 6 large socket head steel 4
Label CO
2
1
1
1
1
3
Valve capsule
Manifold block cascade UK
Label N
2
0
Needle valve
Flow tube O
2 low
Needle valve
1
1
1
1
1
1
Flowmeter panel
Flow tube O
2 cascade
Flow tube Air
Needle valve
Flow tube CO
2
M3 plain washer
Flow tube N
2
O low
Flow tube N
2
O cascade
M4 nut
Grubscrew, M4 x 4
Stop pin
Grubscrew, M4 x 8
Ball (1/4 inch)
1
1
1
4
1
1
1
1
1
2
2
2
2
Qty.
1
1
1
2
2
1
126
Flowmeter Assembly (4-gas UK Specification, with Cascade and Mechanical AHD)
127
SPARE PARTS LIST
Common Gas Outlet (CGO) Assembly
21
22
23
24
25
17
18
19
20
13
14
15
16
Ref Part No.
7
8
5
6
9
3
4
1
2
10
11
12
01130
700650
054519
800258
0408
800360
019073
041107
800259
800257
0360
0382
019164
011107
0251
0314
89247
90183
37595
34331
37596
37598
043
15045
0305
Description
Screw, M5 x 16 socket head cap
Outlet connector
Coupling
Bracket - rail mount
Dowty seal G1/4
Adaptor (orifice)
Screw, M3 x 10 csk skt ss
O ring
Pad
CGO block
1/4" ball
Grubscrew 6BA x 1/4
Screw, M5 X 80
M5 cap
O ring Ø19.0 x 1.75 CSØ
O ring
Outlet male connector
Clippard valve
Button shield
Safelock nut
Guide screw
Flush button
O ring BS116
O2 flush label (white)
6BA x 1/4 csk ss slot
1
1
1
1
1
1
1
1
1
1
1
1
1
Qty.
1
1
1
1
1
1
1
2
1
1
3
1
122
Common Gas Outlet Assembly
123
SPARE PARTS LIST
High Pressure Gas Block
9
10
11
12
13
14
15
16
17
18
19
20
7
8
5
6
3
4
1
2
Ref Part No.
011171
019129
700447
700446
020406
0762
32058
21 016
22* 045434
23* 045433
24* 045432
25* 045431
26* 045430
27* 045427
28* 045428
29* 045436
700440
041122
700434
045426
041121
045425
045424
90283
0691
700438
053207
049046
Description
Knob
Screw, M6 x 40 large pan head
Yoke catch plate
Yoke spacer
Circlip
Filter
Pin
Gas block
O ring
Regulator adaptor
Bonnet
O ring
Screw
Nut
Pressure relief valve
O ring 1/4" I/D x 0.70
Plunger 1
Plug 1/8" bspp 1
Gauge O2 UK (cylinder)
1
1
1
1
1
1
1
1
1
1
Bodok seal - 5/16"
Spring
Washer
Valve
Nozzle
Shaft
Pivot
Spring
Diaphragm assembly
1
1
1
1
1
1
1
1
1
Qty.
1
2
1
1
1
2
1
2
124
High Pressure Gas Block
125
SPARE PARTS LIST
Gauge Cover
1
3
2
3
Ref Part No.
1 800157
800255
019033
019123
Description
Cover - Prima SP 102
Cover - Prima SP 101
Screw, M4 x 40 Csk Cross SS
Screw, M4 x 10 Blk
Qty.
2
2
1
1
2
128
SPARE PARTS LIST
Tubing Connectors
054514
Swivel elbow
6 mm tube
054521
Straight connector
8 mm tube
054513
Equal elbow
5 mm tube
2054531
Equal tee
5 mm tube
054534
Stem adaptor
4 mm tube
054528
Swivel elbow
4 mm tube
054518
Straight adaptor
6 mm tube
054528
Stem adaptor
8 mm tube
054528
Stem adaptor
8 mm tube
054529
Stud fitting male 4 mm tube
129
11. Appendix
APPENDIX 1
Machines with Oxygen Monitor
Care of Back-up Battery
A. Batteries installed in machines
The batteries must be charged before the machine is released for use with a 24 hour charge.
Subsequently the recharge periods for batteries on machines in store are similar to those in B, below.
Batteries in machines in normal use will be kept charged by the internal power supply and will only require special charging care following the discharge test carried out during function testing.
B. Battery care/storage requirements.
During storage the batteries will require a periodic recharge, the frequency of which is determined by the storage temperature, which must not exceed 122oF (50oC).
Storage temperature
Recharge period
38 to 50oC (100 to 122oF)
21 to 38oC (70 to 100oF)
7 to 21oC (45 to 70oF)
0 to 7oC (32 to 45oF)
-5 to 0oC (23 to 32oF)
1 month
3 months
6 months
9 months
12 months
Duration - recharge until the charge current is less than 25 mA
(typically overnight).
It is recommended that at each charge an updated label is affixed to each battery to indicate date of the last charge.
C.
Disposal of used batteries
Used batteries must be disposed of according to hospital, local, state and federal regulations.
130
11. Appendix
APPENDIX 2
Product Classification and Labelling Terminology
The terms Class 1 and Type B are defined in IEC 601-1 (the standard for electrical medical equipment).
This symbol denotes: Type B equipment
Type B equipment calls for a particular degree of protection against electric shock.
Class 1 equipment has additional protection such that metal parts of the unit that are accessible to the user (e.g. the metal casing of the oxygen monitor unit) cannot become live in the event of failure of the basic insulation of the electrical components within the unit.
This symbol denotes: Refer to the User Manual
!
131
Lighting Wiring Diagram
132
Wiring Diagram
133
Cat. No. 52793
Doc. No. PR SP 0102SM
January 2002
Copyright © Penlon Ltd 2002 All rights reserved.
Penlon Limited, Radley Road, Abingdon, Oxon, OX14 3PH, UK.
Service Tel: 01235 547063 UK Sales Tel: 01235 547036
Service Fax: 01235 547062 UK Sales Fax: 01235 547023
E-mail: [email protected] [email protected]
International Sales Tel: 01235 547001
International Sales Fax: 01235 547021 [email protected]
advertisement
Key Features
- Controlled concentration and flow of anaesthesia gases
- Multiple gas supply options
- Mechanical AHD system for safety
- Optional oxygen monitor
- Adjustable alarm settings
- Easy-to-read display
- Back-up battery for power outages