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Mindray A9 Operating Instructions
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Pre-operation P
reparations
Preop
erat
ive Tests
5 - 18
Operator’
s Manual of Anesthesia
System
9.
Ensure that the br
eath
ing system is correctly connected and not damaged.
W
ARNING:
Before connecting the equipment
to the patient, flu
sh the device w
ith
O
2
at a flow
of 8 L/m
in for
at least t
wo minute
s. This removes unwanted
mixtures and by-pr
o
ducts from the system.
121
123
Table of Contents
Table of Contents
5
Safety
17
Safety Information
18
Warnings
18
Cautions
23
Notes
26
Symbols
27
Product Description
33
Introduction
34
Indications for Use
34
Structure and Composition
34
Functions and Features
34
Equipment Views
36
Main Unit (Front View)
36
Main Unit (Rear View)
39
Main Unit (Left View)
41
Main Unit (Right View)
43
Main Unit (Top View)
44
Breathing System
45
Negative Pressure Suction Device
46
Installation and Disassembly
47
Breathing System
49
Initial Setup
49
Unpacking
49
Vaporizer
50
Filling and Draining the Vaporizer
51
Negative Pressure Suction Device
51
Turn off Negative Pressure Suction Device
52
Turn on Negative Pressure Suction Device
52
High-Flow Nasal Cannula Oxygen (HFNC) Tube
53
Active AGSS
54
Anesthetic Gas Scavenging System (AGSS)
54
Passive AGSS
55
Connect Anesthesia System with Information System
57
Connect Anesthesia System with Information System through Ethernet
57
Connect Anesthesia System with Information System through Serial Interface
57
Connect Anesthesia System to Patient Monitor
58
Connect Anesthesia System to Patient Monitor through Serial Interface
58
Connect Anesthesia System with Egateway
58
System Interface
59
Main Screen
60
System Interface
60
Patient Information
61
System Information Title
61
Retrieve Patient Information from ADT Server
63
Set Patient Information in Anesthesia System
63
Synchronize Patient Information
63
Timer (Elapsed Timer/Countdown Timer)
64
Alarm and Prompt Message
65
Audio Pause/Alarm Reset Icon
65
Date and Time
66
Screen Brightness
66
Volume
66
Battery Status
67
Electronic Flow Control System
68
Fresh Gas Flow Display
68
Total Flow Control Mode
69
Direct Flow Control Mode
70
Optimizer
71
Backup Flow Control System
73
Waveform/Parameter/Spirometry/Trend Display Zone
73
Spirometry Screen
75
Waveform/Parameter Screen
75
Loop Type
76
Show Reference
76
Review Loops
77
Save Loop
77
Mini Trends Screen
78
Compl/Peep Trend Screen
79
System Soft Key
80
Ventilation Mode Tabs
80
History
81
List Trends
81
Graphic Trends
82
Event Log
83
Screen
83
Export
84
Flow Pause
84
Lung Recruitment (Optional)
84
Alarm Reset
85
Alarms
85
Audio Pause
85
Cardiac Bypass Mode
85
Screens
85
Setup Menu
85
Ventilation
86
AG Settings (AG Module Configured)
88
Information
88
Oxygen (O2)
88
Screen
90
Export System Data
91
Calibrate
92
System
92
Setup
94
Profiles
97
Network
99
Information
102
Service Tab
102
Automatic Ventilation, Flow Pause or Bypass
103
Gas Supply Pressure Monitoring
103
Manual Ventilation
103
Status Screen
103
Volume Exchanger
103
Agss
104
Preoperative Tests
105
Requirements of Preoperative Tests
106
Introduction
107
Preoperative Checklist
107
Suggested Preoperative Checklist
107
Inspect the System
109
Auto System Check
110
System Check
110
Leak & Compliance Test
111
N 2 O Pipeline Test
111
O 2 Pipeline Test
111
Pipeline Test
111
Power Failure Alarm Test
111
Air Pipeline Test
112
Basic Ventilation Test
112
Backup Gas Cylinder Test
113
Check Cylinder Pressure
113
High Pressure Leak Test of N O Cylinders
113
High Pressure Leak Test of O Cylinders
113
Flow Control System Test
114
High Pressure Leak Test of Air Cylinders
114
Vaporizer Back Pressure Test
116
Vaporizer Leak Test
116
Vaporizer Test
116
APL Valve Test
117
Breathing System Test
117
Inspiratory and Expiratory Check Valve Tests
117
Alarm Test
118
O 2 Concentration Monitoring and Alarm Test
118
Prepare for Alarm Tests
118
Apnea Alarm Test
119
Minute Volume (MV) too Low Alarm Test
119
AG Module Alarm Test
120
Airway Pressure (Paw) too High Alarm Test
120
Airway Pressure (Paw) too Low Alarm Test
120
Continuous Airway Pressure too High Alarm Test
120
Check Passive AGSS
121
Inspect the AGSS
121
Inspect the Negative Pressure Suction Device
121
Pre-Operation Preparations
121
Operations
123
Powering off the Anesthesia System
124
Powering on the Anesthesia System
124
Enter Standby Mode
125
Patient Setup
125
Standby Mode
125
Exit Standby Mode
126
O 2 Sensor Calibration
126
Set Fresh Gas
126
Set O O and Air Inputs
126
Set Patient Information
126
Set Ventilation
127
Other Features
139
Start Automatic Ventilation
142
Relationships of Ventilation Parameters
143
Stop Automatic Ventilation
143
Anesthetic Gases and O Concentration Monitoring
145
Introduction
146
MAC Values
147
Agent Consumption Speed
148
Agent Usage Calculation
148
Identify External AG Module
149
AG Measurement Preparation
150
AG Module Settings
151
Measurement Limits
153
Sample Gas Recirculation
154
Troubleshooting
154
Calibrate the AG Module
155
Alarms and Messages
157
Introduction
158
Alarm Display
160
Setting Alarm Volume
162
Pause Alarm Audio
163
Setting Alarm Limits
164
View Active Alarms
167
Alarms and Prompt Messages
168
Maintenance
187
Breathing System Service
189
Maintenance Schedule
189
Flow Sensor Calibration
190
O 2 Sensor Calibration
190
Electrical Safety Inspection
193
Handling of Gathered Water
193
Cleaning and Disinfection
194
Periodic Maintenance
215
Product Specifications
217
Physical Specifications
220
Safety Designations
220
Electrical Specifications
222
Environmental Specifications
222
Pneumatic Specifications
224
Breathing System Specifications
226
Anesthetic Gas Scavenging System (AGSS)
230
Negative Pressure Suction Device
230
Monitor Module
231
Ventilator Specifications
237
Displays and Controls Specifications
240
Alarms
241
Response Time of the Anesthesia System to an Increase in O2 Concentration (from 21% to 90%/100%)
242
Parameters and Factory Defaults
247
Limits
248
Spirometry Screen
248
Main Menu
249
Fresh Gas Control
252
History
252
Lung Recruitment
252
Screen Brightness
252
Volume
252
Patient Information
253
Ventilation Mode
253
Ventilation Linkage Parameters
256
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Mindray A9 Specifications
General
Brand
Mindray
Model
A9
Category
Medical Equipment
Language
English
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