A5/A3™ Operating Instructions 046-003777-00 iii
Table of Contents
Flow Control System Test....................................................................................................................................................................................... 4 - 21
Vaporizer Tests ...........................................................................................................................................................................................................4 - 22
Vaporizer Back Pressure Test...................................................................................................................................................................... 4 - 22
Manual Leak Test............................................................................................................................................................................................ 4 - 22
Vaporizer Leak Test........................................................................................................................................................................................ 4 - 22
Breathing System Tests...........................................................................................................................................................................................4 - 24
Bellows Test...................................................................................................................................................................................................... 4 - 24
Breathing System Leak Test in Manual Ventilation Status .............................................................................................................. 4 - 24
APL Valve Test.................................................................................................................................................................................................. 4 - 25
Alarm Tests .................................................................................................................................................................................................................. 4 - 26
Prepare for Alarm Tests ................................................................................................................................................................................4 - 26
Test the O
2
Concentration Monitoring and Alarms........................................................................................................................... 4 - 26
Test the Low Minute Volume (MV) Alarm.............................................................................................................................................. 4 - 27
Test the Apnea Alarm....................................................................................................................................................................................4 - 27
Test the Continuous Airway Pressure Alarm ........................................................................................................................................ 4 - 27
Test the High Paw Alarm.............................................................................................................................................................................. 4 - 28
Test the Low Paw Alarm...............................................................................................................................................................................4 - 28
Preoperative Preparations ..................................................................................................................................................................................... 4 - 28
Inspect the Active/Passive Anesthetic Gas Scavenging System ..............................................................................................................4 - 29
Inspect the AGSS.............................................................................................................................................................................................4 - 29
Inspect the DGSS ............................................................................................................................................................................................ 4 - 29
Inspect the Passive AGSS............................................................................................................................................................................. 4 - 29
Operations...........................................................................................................................................................5 - 1
Powering On the A5/A3 Anesthesia System ......................................................................................................................................................5 - 2
Powering Off the A5/A3 Anesthesia System ......................................................................................................................................................5 - 2
Patient Setup..................................................................................................................................................................................................................5 - 3
End Case / Standby Mode ..............................................................................................................................................................................5 - 3
Select the Patient Size (Adult, Pediatric, Infant).....................................................................................................................................5 - 5
Oxygen Sensor Calibration .......................................................................................................................................................................................5 - 5
Input Fresh Gas .............................................................................................................................................................................................................5 - 6
Set N
2
O, Air, and O
2
Inputs ............................................................................................................................................................................5 - 6
Set Anesthetic Agent .......................................................................................................................................................................................5 - 7
Ventilation Modes........................................................................................................................................................................................................5 - 8
Monitored Parameters.....................................................................................................................................................................................5 - 8
Ventilation Modes .............................................................................................................................................................................................5 - 8
Change Ventilation Mode ..............................................................................................................................................................................5 - 8
Set Manual Ventilation Mode........................................................................................................................................................................5 - 9
Setting Monitor Mode (A5 with AG Module connected).................................................................................................................5 - 11
Make Settings before Starting Mechanical Ventilation Mode .......................................................................................................5 - 14
Volume Control Ventilation (VCV)............................................................................................................................................................ 5 - 14
Pressure Control Ventilation (PCV)........................................................................................................................................................... 5 - 15
Synchronized Intermittent Mandatory Ventilation (SIMV).............................................................................................................. 5 - 16
Pressure Support Ventilation (PS)............................................................................................................................................................. 5 - 18
Start Mechanical Ventilation ................................................................................................................................................................................. 5 - 19
Stop Mechanical Ventilation ................................................................................................................................................................................. 5 - 19
Relationships of Ventilation Parameters........................................................................................................................................................... 5 - 19
Parameter Monitoring (Numerics) ......................................................................................................................................................................5 - 20
Pressure.............................................................................................................................................................................................................. 5 - 20
Volume ............................................................................................................................................................................................................... 5 - 20
Gas (available with the AG module) ........................................................................................................................................................ 5 - 21
Inspired O
2
(available without the AG module).................................................................................................................................. 5 - 21
Parameter Monitoring (Waveforms)...................................................................................................................................................................5 - 22