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GE Datex-Ohmeda Aisys Carestation User Manual

GE Datex-Ohmeda Aisys Carestation
498 pages
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Aisys Anesthesia Machine
Technical Reference Manual

Table of Contents

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GE Datex-Ohmeda Aisys Carestation Specifications

General IconGeneral
TypeAnesthesia Machine
ManufacturerGE Healthcare
ModelAisys Carestation
Power Requirements100-240V AC, 50/60 Hz
DisplayHigh-resolution color touchscreen
Ventilator TypeElectronically controlled ventilator
Ventilation ModesVolume Control, Pressure Control, SIMV, Pressure Support, Manual
Gas DeliveryOxygen, Nitrous Oxide, Medical Air
Power SupplyAC mains, Battery backup
Integrated MonitoringYes
CommunicationEthernet
ConnectivityEthernet
AlarmsComprehensive alarm system for ventilation, gas delivery, and patient monitoring parameters

Summary

Aisys Anesthesia Machine Technical Reference Manual

Aisys Anesthesia Machine

Important Information and Cautions

Technical Competence Requirements

1 Introduction

1.1 What This Manual Includes

Details the scope of service information covered for the Aisys anesthesia machines.

1.2 User's Reference Manuals

Highlights the necessity of consulting User's Reference manuals for repairs.

1.3 Overview of the Aisys Carestation

Provides a general description of the Aisys Carestation system's capabilities.

1.4 Anesthesia System Components

Identifies the main physical components of the anesthesia system.

1.5 Breathing System Components

Details the components of the advanced breathing system.

1.5.1 Optional System Components

Lists optional components that can be attached to the breathing system.

1.6 Display Controls

Describes the function of the keys and controls on the display unit.

1.7 Anesthesia System Display

Explains the elements and layout of the normal view of the anesthesia system display.

1.7.1 Using Menus

Provides instructions on navigating and using the system menus with the ComWheel.

1.8 Symbols Used in the Manual or on the Equipment

Explains the meaning of various symbols used in the manual and on the equipment.

2 Theory of Operation

2.1 Electrical System Overview

Describes the main computing units and interaction of electrical subsystems.

2.2 Power Subsystem

Details how mains power enters and is distributed throughout the system.

2.3 Display Unit (HPDU)

Explains the functions and main components of the High Performance Display Unit.

2.4 System Communications

Describes the RS-422 serial communication between processors and subsystems.

2.5 System Connections

Details the connections for the Display Unit and the Display Connector board.

2.6 Power Controller and Anesthesia Control Board Connections

Explains the power distribution and communication connections between these boards.

2.7 Anesthesia Control Board

Details the overview and specific components of the Anesthesia Control Board.

2.8 Ventilator Interface Board

Describes the electrical and pneumatic interface provided by the Ventilator Interface board.

2.9 Electronic Gas Mixer

Explains the function, subassemblies, and components of the Electronic Gas Mixer.

2.10 Electronic Vaporizer subsystem (eVap)

Details the integrated electronic vaporization subsystem for adding agent to fresh gas.

2.11 Gas Flow Through the Anesthesia Machine

Explains the paths of gas flow through the anesthesia machine.

2.12 Flow Through the Breathing System

Covers four types of gas flow paths: ventilation, fresh gas, scavenged, and EZchange.

2.13 Ventilator Mechanical Subsystems

Lists the mechanical subsystems that comprise the ventilator.

3 Checkout Procedure

3.1 Inspect the System

Covers visual inspection of the equipment, components, and connections.

3.2 System Checkout

Details the automated machine checks for system integrity, including leak tests.

3.2.1 Leak < 250 ml Setting

Explains the circuit leak check setting for passing leaks below 250 ml.

3.2.2 Machine Check Overview

Describes the automated machine checks performed, including system, circuit, and O2 cell.

3.2.3 Machine Check - System (Ventilator Circuit Testing)

Details the two-step system check for gas supply, ventilation, leak, and vaporizer.

3.2.4 Machine Check - Circuit (Bag Circuit Testing)

Covers checks for Bag/Vent switch, gas pressures, APL valve, and manual circuit leak.

3.2.5 Machine Check - Circuit O2

Describes the procedure for measuring the O2% and calibrating the O2 cell.

3.3 Individual Checks

Allows performing any combination of single checks for specific problem diagnosis.

3.4 Bellows Drop Test

Tests for leaks in the bellows by measuring the drop rate after filling.

3.5 Backlight Test

Tests the functionality of the display backlights by turning them off sequentially.

3.6 Pipeline and Cylinder Tests

Covers connecting supplies, checking cylinder pressure, and testing for high-pressure leaks.

3.7 Flush Flow Test

Measures the time to fill the bellows with O2 flush, checking for proper timing and leaks.

3.8 Alarm Tests

Tests various alarms including FiO2, MVexp low, Ppeak high, and PEEP high.

3.9 Alternate O2 Flowmeter Tests

Checks the operation and accuracy of the alternate O2 flowmeter.

3.10 Auxiliary O2 Flowmeter Tests

Tests the operation and accuracy of the auxiliary O2 flowmeter.

3.11 Integrated Suction Regulator Tests

Verifies gauge accuracy and flow rate of the integrated suction regulator.

3.12 Power Failure Test

Tests the system's behavior when AC power is disconnected, checking for alarms.

3.13 Electrical Safety Tests

Verifies leakage current and resistance to ground to ensure electrical safety.

4 Install/Service Menus

4.1 Service and Installation Menu Structure

Outlines the three levels of the Service menu: Install/Service, Installation, and Service.

4.2 Install/Service Menu (Super User)

Supports hospital preferences like units, ventilator, and gas delivery defaults.

4.2.1 Trends Setup

Allows configuration of graphical trend pages and default trend types.

4.2.2 Colors and Units Menu

Enables changing parameter colors, weight units, CO2 units, and pressure units.

4.2.3 Cumulative Usage

Displays gas and agent cumulative usage data stored in non-volatile RAM.

4.2.4 Factory Defaults

Restores the system to default factory settings for parameters and alarm limits.

4.2.5 Parameter Settings

Allows setting volume conditions and CO2 humidity compensation.

4.2.6 Fresh Gas Controls

Allows selection of fresh gas control styles: User, Flow, or O2%.

4.2.7 VCV Cardiac Bypass

Enables or disables alveolar support in cardiac bypass mode.

4.3 Installation Menu

Requires service password; supports language, gas color codes, and hardware configuration.

4.4 Service Menu

Requires service password; supports diagnostic tools and automated component tests.

4.5 Calibration

Provides step-by-step instructions for various system calibrations.

4.5.1 Spiro Calibration

Instructions for displaying TV data and performing Spiro calibration.

4.5.2 User Calibration Menu

Allows calibration of flow and pressure sensors, Circuit O2 Cell, and Airway Gas.

4.5.3 Manifold P Span

Procedure for calibrating the manifold pressure transducer.

4.5.4 Insp Flow Zero

Procedure for zeroing the inspiratory flow valve. Not required for System Software 4.X+.

4.5.5 Inspiratory Flow Valve Calibration

Details calibration of the inspiratory flow valve at low and high flows.

4.5.6 Bleed Resistor Calibration

Calibrates the manifold pressure to bleed resistor flow.

4.5.7 Paw Span Calibration

Procedure to calibrate the airway pressure transducer.

4.5.8 Zero Gas Transducers

Calibrates gas supply transducers by zeroing them.

4.5.9 Cal Config

Sets ventilator drive gas and altitude settings for gas configuration and machine location.

4.5.10 Mixer P Zero

Instructions for setting the zero point for mixer pressure.

6 Installation and Maintenance

6.1 Aisys Installation Checklist

Provides a step-by-step checklist for installing the Aisys system.

6.2 Aisys Planned Maintenance

Details routine maintenance procedures required for the Aisys anesthesia machine.

6.2.1 Every Twelve (12) Months Maintenance

Specifies maintenance tasks and parts replacement for 12-month intervals.

6.2.2 Every Twenty-Four (24) Months Maintenance

Lists parts replacement tasks required every 24 months.

6.2.3 Every Forty-Eight (48) Months Maintenance

Details parts replacement tasks required every 48 months.

6.3 Free Breathing Valve Maintenance

Provides instructions for maintaining the free breathing valve.

6.4 MOPV Pressure Relief Valve Test

Tests the Mechanical Overpressure Valve (MOPV) for proper function.

6.5 Pressure Limit Circuit Test

Tests the pressure limit circuit's trip point at approximately 109 cmH2O.

6.6 Mixer Test

Covers mixer outlet check valve leak test and flow verification.

6.7 Alternate O2 Flowmeter Tests

Checks the accuracy and operation of the alternate O2 flowmeter.

6.8 Auxiliary O2 Flowmeter Tests

Tests the operation and accuracy of the auxiliary O2 flowmeter.

6.9 Integrated Suction Regulator Tests

Verifies gauge accuracy and flow rate of the integrated suction regulator.

6.10 Battery Capacity Test

Tests the backup batteries to ensure they are fully charged and viable.

6.11 Cable Routing, Upper Module Rack

Shows typical cable connections and routing for machines with an upper module rack.

6.12 Cable Routing, Lower Module Rack

Illustrates typical cable connections and routing for machines with a lower module rack.

7 Troubleshooting

7.1 Troubleshooting Guidelines

Provides guidance on reviewing error logs and following appropriate subsystem procedures.

7.2 Troubleshooting High Pressure and Low Pressure Leaks

Identifies problems, causes, and actions for high and low pressure leaks.

7.3 Troubleshooting Startup Screen (POST) Messages for HPDU

Lists BIOS error messages and corresponding troubleshooting actions.

7.4 Troubleshooting the HPDU Display

Addresses symptoms like no boot, white display, rotary encoder failure, and fan noise.

7.5 Troubleshooting System Malfunction (Safe-State) Screen

Diagnoses issues related to the Ventilator failing its Power-On Self Test.

7.6 Breathing System Leak Test Guide

Provides guidance on performing breathing system leak tests and troubleshooting flowcharts.

7.7 System Troubleshooting Flowcharts

Offers visual guides for diagnosing system-level issues based on symptoms and alarms.

7.8 System Malfunction and Alt O2 Flowchart Table

Correlates error log entries and display types with specific troubleshooting flowcharts.

7.9 Technical Alarms

Details technical alarms that exist independently of patient connection, like failed states.

7.10 Electronic Vaporizer (eVap) Troubleshooting

Covers fault isolation for the eVap, including test results and troubleshooting procedures.

7.11 eVap Therapy Cassette Leak Test

Procedure to test for leaks in the cassette or eVap connection valves.

7.12 eVap Backpressure Valve Test

Tests the backpressure created by the backpressure valve by monitoring flow and pressure.

7.13 eVap Inflow Check Valve Test

Tests the eVap inflow check valve for proper function by measuring pressure and flow.

7.14 eVap Scavenger Path Testing

Tests the scavenger path for restrictions by measuring pressure difference.

7.15 Steps and Messages Displayed During System Checkout

Lists the steps and messages encountered during the system checkout process.

9 Repair Procedures

9.1 Circuit Board Replacement Precautions

Provides essential precautions before replacing circuit boards in the Aisys system.

9.2 How to Bleed Gas Pressure from the Machine

Details the procedure for safely bleeding gas pressure before disconnecting fittings.

9.3 How to Remove the Rear Panels

Describes removing rear cosmetic and inner enclosure panels for access.

9.4 How to Remove the Tabletop

Provides instructions on removing the tabletop by accessing captive screws.

9.5 Servicing Pan Electrical Enclosure Components

Details the replacement of components within the pan electrical enclosure.

9.7 Replace Electronic Vaporizer and Components

Covers replacing the eVap and its components without removing it from the machine.

9.8 Servicing Aladin2 Cassettes

Details emptying and replacing parts of the Aladin2 cassettes.

9.9 Replace Alt O2 Components

Provides instructions for replacing Alt O2 flowmeter and needle valve assembly.

9.10 Replace System Switch Assembly

Details the procedure for removing and replacing the system switch.

9.11 Servicing the High Performance Display Unit

Covers removing the Display Unit and disassembling it for component replacement.

9.12 Servicing Lower Electrical Enclosure Components

Details replacing components in the lower electrical enclosure like Power Controller and PSU.

9.13 Servicing the Vent Engine

Covers removing the Vent Engine and replacing its subassemblies and components.

9.14 Servicing Pipeline Inlet Manifold Components

Details replacing the pipeline inlet filter, check valve, and manifold.

9.15 Service Cylinder Supply Modules

Covers tightening high-pressure tube fittings and replacing the primary regulator module.

9.16 Replace Gas-Supply Pressure Transducers

Details replacing transducers for pipeline or cylinder supplies.

9.17 Replace ACGO Selector Switch

Provides instructions for removing and replacing the ACGO selector switch.

9.18 Clean or Replace ACGO Port Flapper Valve

Instructions for cleaning or replacing the ACGO port flapper valve.

9.19 Replace the APL Valve

Details the procedure for replacing the Adjustable Pressure Limiting (APL) valve.

9.20 Replace the Bag Support Arm

Covers replacing the bag support arm assembly and its components.

9.22 Replace Casters

Provides instructions for replacing the machine casters, emphasizing safety.

9.23 Reconfigure Sample Gas Return Line

Details rerouting the sample gas back to the breathing system.

9.24 Change Drive Gas

Explains how to change the drive gas and select the correct drive gas on the ventilator.

9.25 Display Arm Adjustments

Covers adjusting counterbalance, wrist casting, and clutch bearings for display positioning.

8 Software Download and Special Functions

8.1 Overview of Software Download and Special Functions

Covers functions of the Compact Flash card for system software and log access.

8.2 Software Download

Details downloading new software versions or all software subsystems.

8.3 Special Functions

Provides access to Display Diagnostics, Compatibility Table, and System Download Log.

8.3.1 Display Diagnostics

Tests display components like LEDs, speaker, backlights, and soft keys.

8.3.2 Test Keys and Battery

Tests keys and performs battery status checks, including countdown and voltage.

8.3.3 System Download Log

Displays chronological entries for every Software Download completed.

12 Service Application

12.1 Aisys Service Application (PC Based)

Details the service application running on a Windows PC for diagnosing failures.

12.2 Startup Screen - System Status

Displays software/hardware revisions and subsystem status indicators.

12.3 System Schematics

Provides access to Power, Gas Delivery, Vent, and Vaporizer schematic diagrams.

12.4 Menu Items

Lists access to diagnostic screens via File, Tools, Power Diagnostics, and Subsystem menus.

12.5 File Menu

Includes Preferences for display format and an Exit option.

12.6 Tools Menu

Provides access to Communication Status, System Calibrations, and Transfer Logs.

12.7 Power Diagnostics Menu

Allows diagnostics for Power Board, Anesthesia Control Board Power, and Mixer Board Power.

12.8 Gas Delivery Subsystem Menu

Covers Gas Delivery Schematic, Gas Supply Status, Mixer Output, and Mixer Tests.

12.9 Vent Subsystem Menu

Includes Vent Schematic, Vent Status, and Vent Flow and Pressure diagnostics.

12.10 Vaporizer Subsystem Menu

Covers Vaporizer Schematic, Vaporizer Output, and Perform Vaporizer Test.

12.11 Window Menu

Provides standard window manipulation items like Cascade, Tile, Close.

12.12 Help Menu

Includes an About option for information about the Service Application.

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