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A5
Mindray A5 Operating Instructions
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A5™ and A3™ are U.S. trademar
ks of Mindray DS U
SA, Inc.
SELECT
A
TEC® is a registered trademark of D
atex-Ohmeda, Inc.
Copyright © Mindray DS US
A, Inc., 2010 to 2017. All rights reser
ved. Cont
ents of this publication may not be reproduced in
any form without permis
sion of Mindray DS USA, Inc.
2
4
Table of Contents
Default Chapter
1
Operating Instructions
1
Table of Contents
5
Foreword
13
Indications for Use
13
Responsibilities of Operators
13
Warnings, Cautions, and Notes
13
Warnings
14
Cautions
18
Notes
21
Intellectual Property Statement
23
Warranty Statements
23
Disclaimers
24
Phone Numbers and How to Get Assistance
24
Manufacturer's Responsibility
24
Manufacturer and Address
24
Symbols
25
Product Description
29
General System Overview
30
General Description
30
Key Features
31
Fresh Gas Dosing
31
Flow Control
32
Vaporizer Mounting
32
Anesthesia Ventilator
33
Breathing System
33
Active Anesthetic Gas Scavenging System
34
Passive Anesthetic Gas Scavenging System (Optional)
34
Power Management / Battery Supply
34
Workplace Ergonomics
36
Hook
36
Physical Views
37
Main Unit (Front View)
37
Main Unit (Rear View)
39
Main Unit (Left View)
41
Main Unit (Right View)
42
Main Unit (Top View)
43
Breathing System (Top View)
44
Breathing System (Left View)
45
Active Anesthetic Gas Scavenging System
47
Passive Anesthetic Gas Scavenging System (AGSS) (Right View)
50
Installation
51
Unpacking
53
Initial Setup
54
Install the Vaporizer
55
Filling and Draining the Vaporizer
57
Install the DGSS
58
System Interface
61
Main Screen Components
62
System Information Header
66
Elapsed / Countdown Timer
66
Patient Size
67
Alarm and Prompt Messages
67
Alarm Silence Icon
68
Date and Time
69
Battery Status
70
Fresh Gas Flow Display
71
Waveforms Tab
72
Waveforms Autoscaling
72
Waveforms Manual Scaling
73
Spirometry Tab (A5 Only)
74
Loop Type
76
Show Reference
77
Save Loop
77
Review Loops Button
77
Demographics Tab
80
Ventilation Mode Tabs
81
Measured Values Area
84
System Softkeys
85
Setup Softkey
85
Alarms Softkey
85
Silence Softkey
85
Capture Event (Software Bundle Version 02.02.00 and Later)
85
History (Software Bundle Version 02.02.00 and Later)
85
Setup
92
General Tab
92
Display Tab
94
System Tab
98
Network Configuration
101
Service Tab
104
Preoperative Tests
106
Preoperative Test Schedules
106
Test Intervals
106
Inspect the System
107
Pre-Operative Checkout List
108
Introduction
108
Suggested Pre-Operative Checkout List
108
System Self-Test
110
Leak and Compliance Tests
113
Automatic Circuit Leak and Compliance Test
113
Manual Circuit Leak Test
118
Preoperative Check List (Software Bundle Version 02.09.00 and Later)
121
Power Failure Alarm Test
122
Pipeline Tests
122
Pipeline Test
122
N 2 O Pipeline Test
122
Air Pipeline Test
123
Basic Ventilation Testing
123
Cylinder Tests
124
Check the Cylinder Pressure
124
O 2 Cylinder High Pressure Leak Test
124
N 2 O Cylinder High Pressure Leak Test
124
Air Cylinder High Pressure Leak Test
124
Flow Control System Test
125
Vaporizer Tests
126
Vaporizer Back Pressure Test
126
Manual Leak Test
126
Vaporizer Leak Test
126
Breathing System Tests
128
Bellows Test
128
Breathing System Leak Test in Manual Ventilation Status
128
APL Valve Test
129
Alarm Tests
130
Prepare for Alarm Tests
130
Test the O 2 Concentration Monitoring and Alarms
130
Test the Low Minute Volume (MV) Alarm
131
Test the Apnea Alarm
131
Test the Continuous Airway Pressure Alarm
131
Test the High Paw Alarm
132
Test the Low Paw Alarm
132
Preoperative Preparations
132
Inspect the Active/Passive Anesthetic Gas Scavenging System
133
Inspect the AGSS
133
Inspect the DGSS
133
Inspect the Passive AGSS
133
Operations
135
Powering on the A5/A3 Anesthesia System
136
Powering off the A5/A3 Anesthesia System
136
Patient Setup
137
End Case / Standby Mode
137
Select the Patient Size (Adult, Pediatric, Infant)
139
Oxygen Sensor Calibration
139
Input Fresh Gas
140
Set N O, Air, and O Inputs
140
Set Anesthetic Agent
141
Ventilation Modes
142
Monitored Parameters
142
Change Ventilation Mode
142
Set Manual Ventilation Mode
143
Setting Monitor Mode (A5 with AG Module Connected)
145
Make Settings before Starting Mechanical Ventilation Mode
148
Volume Control Ventilation (VCV)
148
Pressure Control Ventilation (PCV)
149
Synchronized Intermittent Mandatory Ventilation (SIMV)
150
Pressure Support Ventilation (PS)
152
Start Mechanical Ventilation
153
Stop Mechanical Ventilation
153
Relationships of Ventilation Parameters
153
Parameter Monitoring (Numerics)
154
Pressure
154
Volume
154
Gas (Available with the AG Module)
155
Inspired O 2 (Available Without the AG Module)
155
Parameter Monitoring (Waveforms)
156
Pressure Waveform
156
Flow Waveform
156
Volume Waveform
157
Gas Waveform (Available with the AG Module)
157
Waveform Autoscaling
159
Parameter Monitoring (Spirometry, A5 Only)
160
Alarms and Messages
164
Introduction
164
Alarm System Self-Test
164
Types of Alarms and Messages
165
Alarm Indicators
166
Displaying Alarms
167
Displayed Order of Alarm Messages
168
Setting Alarm Volume
169
Silencing Alarms
170
Alarm Limits
171
Setting Alarm Limits
171
Loading Alarm Defaults
174
Auto Alarm Limits
176
Alarm and Prompt Messages
177
Technical Alarm Messages
180
Prompt Messages
188
Maintenance
191
Theory of Operation
193
Block Diagram
193
Maintenance Schedule
194
Breathing System Maintenance
194
Flow Sensor Calibration
195
Sensor Calibration
196
Calibrate the O2 Sensor
197
Water Build-Up in the Flow Sensor
199
Prevent Water Build-Up
199
Clear Water Build-Up
199
Waste Gas Transfer Tube Maintenance
199
Electrical Safety Inspection
199
Auxiliary Electrical Outlet Test
199
Electrical Safety Inspection Test
200
Cleaning and Disinfection
201
General Guidelines
201
Cleaning and Disinfecting Agents / Autoclaving
201
External Surfaces
202
Bellows Assembly
202
Inspiration and Expiration Valves
205
Oxygen Sensor
208
APL Valve
209
PAW Gauge
210
Bag Arm
211
Absorber Canister
212
Breathing System Block
215
Active Anesthetic Gas Scavenging System
218
DGSS and Waste Gas Transfer Hose
219
Regular Maintenance
220
Introduction
222
AG and O2 Concentration Monitoring (Optional)
223
Understand MAC Values
223
Identify External AG Modules
224
Prepare to Measure AG
225
Make AG Settings
226
Set CO2 Unit
226
Set CO2 Placement
226
Set CO2 Scale
226
Gas Bench Flow Rate
226
Set Alarm Limits
227
Measurement Limitations
228
Troubleshooting
228
Scavenge the Sample Gas
229
Calibrate the AG Module
230
Product Specifications
232
Standards Compliance
232
Safety Designations
234
Oxygen Enriched Environments
234
Wiring and PC Board Materials
234
Physical Specifications
235
Stability Configurations and Conditions
235
Environmental Specifications
236
Electrical Specifications
237
Main Electrical Power Specifications
237
Battery Power Specifications
237
Auxiliary Electrical Outlets
237
Communication Ports
238
Pneumatic Specifications
239
Pipeline Supply (N 2 O, Air, O 2 )
239
Cylinder Supply
239
Vaporizer Connections
239
Drive Gas
239
N 2 O Automatic Cutoff
239
O 2 Controls
240
Oxygen Ratio Controller
240
Breathing System Specifications
240
Breathing System Volume
240
CO 2 Absorber Assembly
240
Water Trap
240
Breathing System Connections
240
APL Valve
240
Resistance
242
Breathing System Temperature Controller
243
Breathing Circuit Parameters
243
Materials
243
Anesthetic Gas Scavenging System (AGSS)
244
Monitor Module
244
AG Module
244
Alarms
247
Effect of Interfering Gas on AG Measured Value
248
Ventilator Specifications
249
Displays and Controls Specifications
251
Electronic Controls
251
Pneumatic Controls
252
Alarms
253
Safety Specifications
254
ASTM F 1208 - 89 (2005) Disclosures
255
Leakage of Breathing System
255
Resistance of Breathing Systems
255
CO 2 Absorber Resistance
255
CO 2 Absorber Capacity
255
Unidirectional Valve Opening Pressure
256
Data Storage (Non-Volatile) and Recording
256
Electromagnetic Compatibility
257
Accessories
264
Accessory Kits
264
AG Accessories
264
CO 2 Absorbent Canister
264
Gas Cylinder Accessories
264
Gas Supply Hoses
265
Manuals and Reference Cards
265
Mounting Accessories
265
Networking and USB Storage
266
Vaporizers
266
Scavenging Accessories
267
User Accessible Spare Parts
269
Active AGSS
270
Breathing System
270
CO 2 Absorbent Canister
270
Flow Sensor
270
Gas Cylinder Accessories
271
O 2 Sensor
271
Battery
271
Parameters and Factory Defaults
274
Waveform/Spirometry Tabs (A5 Only)
274
Waveform/Spirometry Tabs (A5 Only
274
Alarm Limits
275
Setup Menu
277
Alarm Volume and History
280
Date and Time
280
Demographics
281
Ventilation Modes
281
Linked Ventilation Parameter
285
Ventilation Parameter Relationships
287
Pneumatic Diagram
289
Pneumatic Diagram of the A5/A3 System
290
Abbreviations, Symbols, and Units of Measure
293
Abbreviations
294
Abbreviations, Symbols, and Units of Measure
294
Symbols
296
Units of Measure
296
Attention Symbols
297
Preparation for Malignant Hyperthermia Susceptible Patients
305
Malignant Hyperthermia Causes, Effects and Treatment
305
Malignant Hyperthermia Causes, Effects and Treatment
306
References
308
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Service Manual
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Mindray A5 Specifications
General
Brand
Mindray
Model
A5
Category
Medical Equipment
Language
English
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