SP3 USA User Manual_SP 2 User Manual.qxd
Contents
1. 3 Close the adjustable pressure limiting APL valve 5 and occlude the patient connection port on the patient circuit Press the oxygen flush valve button on the front of the machine briefly Check that the reservoir bag inflates and the manometer 6 indicates approximately 40 cmH20O 21 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 If this test fails check the low pressure system on the machine section 5 6 If the low pressure test on the machine is successful check the ventilator and absorber referring to the relevant user instruction manual PRE USE CHECKS 5 6 Machine Low Pressure Leak Test NOTE This test is necessary if the system fails the low pressure test 5 5 6 1 Attach a side branch connector to the CGO outlet Connect the side branch tube to a sphygmomanometer 2 Turnona flow of 150 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 sohygmomanometer 3 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 a With all vaporizers off and isolated2. A Off B Bright light C Dim light 11 DESCRIPTION 3 9 4 Ventilator 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 AV S with interface link to Prima SP3 a Turn the machine Gas Delivery Switch 1 ON The ventilator will power up b While the Prima SP3 power is ON the Ventilator can be turned OFF and ON using the ventilator On Off switch c Turn the Gas Delivery Switch to OFF The ventilator will power down For further information refer to section 3 6 in the AV S user manual AV S Ventilator Back up Battery If the power supply to the ventilator fails the ventilator back up battery will power the ventilator for 30 minutes if the battery has been maintained in a fully charged condition Refer also to the user instruction manual supplied with the ventilator Battery charging 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 If the battery has been allowed to discharge below the LOW BATTERY condition the ventilator will not function correctly until the voltage raises above the LOW BATTERY level A fourteen hours recharge will be
3. Oxygen and Nitrous Oxide 152 241 kPa 22 35 psi Air 207 283 kPa 30 41 psi 4 5 Auxiliary Gas Outlets Pipeline supply Gas is supplied at pipeline supply pressure see above Cylinder supply Gas is supplied at reduced pressure from cylinder regulator see above Oxygen Two self sealing connections on rear of machine Total flow rate not less than 100 L min to free air 80 L min against 243 kPa 36 psig resistance 70 L min against 270 kPa 40 psig resistance 50 L min against 297 kPa 44 psig resistance Air on machines with Air supply option One self sealing connection on rear of machine 4 6 Oxygen Failure Warning Devices Gas system whistle 2 Visual indicator direct pressure operated 4 7 Oxygen Flush Button on front edge of worksurface The system supplies 35 75 L min when the button is fully depressed 16 SPECIFICATION 4 8 Mechanical AHD System Minimum oxygen concentration 30 3 of total O2 N20 flow Basal Flow Cascade flow tubes Oxygen basal flow 50 75 ml min Single Flow tubes Oxygen basal flow 100 200 ml min Reduced pressure from secondary regulators See section 4 4 4 9 Environmental Operating Conditions Temperature 10 to 38 C 50 to 1000F Atmospheric Pressure range 70 kPa to 106 kPa Altitude 2438 m 8000 ft maximum Humidity 10 95 R H non condensing Transport and storage temperature Basic machine 5 to 40 C 23 to 1120F Oxygen monitor option 5 to 50 C 23
4. ey Penlon aeaieie Prima SP3 Anaesthetic Machine Range User Manual Prima SP3 Ki f g SP 5 S et BE eg 8 e g e Sg LE T z E e CH ee BE a E G et F i gt i rere e gt ower we seve ee et ee eee e i Say CID er at AP T 1 E 2 IW P Leb he eh eld ETS e ae 4 r GM W 2 i peremees N t A E 8 t A i sc SSC ie EI D A SS His a X L o G 2 as ae Wl Partnership for Life IMPORTANT Servicing and Repairs In order to ensure the full operational life of this anaesthetic machine servicing by an engineer trained by the manufacturer should be undertaken periodically The machine must be serviced to the schedule detailed in section 6 4 Details of these service operations are given in the Prima SP3 Service Manual available only for engineers trained by the manufacturer For any enquiry regarding the servicing or repair of this machine contact Penlon Inc Penlon Inc 11515 K Tel Drive Minnetonka MN 55434 Always give as much of the following information as possible Type of equipment Product name Serial number Approximate date of purchase Apparent fault os 2 o FOREWORD This manual has been produced to provide The Importance of authorised personnel with information on the Patient Monitoring function routine performance and maintenance
5. 6 3 5 A200 Absorber 6 months Inspection and Function Check 12 months Component replacement 6 3 6 Anaesthetic Gas Scavenging System Follow the service recommendations detailed in the AGSS user instruction manual 33 APPENDIX APPENDIX 1 Disposal at end of useful life risk assessment There are no risks associated with disposal of this product Do not dispose of in landfill refer to an approved recycling facility Follow your hospital local state and federal regulations 34 APPENDIX APPENDIX 2 Approved Accessories WARNING Only use accessories approved by the manufacturer Contact Penlon Inc 11515 K Tel Drive Minnetonka MN 55434 35 36 Penlon Inc 11515 K Tel Drive Minnetonka MN 55434 Cat No 53012 Doc No PRSP3 0110 PI January 2010 Manufactured by Penlon Limited Abingdon UK
6. Type B Applied Part Degree of protection against electric shock This symbol denotes Type B equipment Class 1 Classification Type of protection against electric shock Class 1 IPX0 Ingress Protection Classification according to the degree of protection against ingress of water IPXO not protected Labelling This symbol denotes Refer to the User Manual bg 18 5 PRE USE CHECKS 5 1 Pre use Checklist A pre use checklist for the Prima SP3 machine 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 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 engineer trained by the manufacturer to the Service Schedule given in the Prima SP2 3 Service Manual Note that 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 19 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 Check for visible damage machine stability and
7. requirements for the ancillary equipment used with the anaesthetic machine Vaporizers Ventilator Absorber AGSS Monitoring 6 1 Cleaning and Sterilisation CAUTION a Check that the unit is disconnected from the electrical supply before cleaning b Care must be taken not to allow liquids to run into enclosed areas serious damage may result c Do not use harsh abrasive cleaning agents To clean outside surfaces use a damp cloth that has been immersed in a cleaning solution and thoroughly wrung out Use cleaning agents as recommended by your hospital infection control department Use a warm mild detergent solution to remove resistant grime To remove blood etc clean as above then use an antiseptic solution or anti microbial wipes Make sure that all cleaning agent residues are fully removed after cleaning Always allow the machine to dry off thoroughly before clinical use Breathing system hoses and other components must be sterilised to the manufacturer s recommended methods 31 USER MAINTENANCE 6 2 A200SP Absorber 6 2 1 Removing the Absorber Assembly CAUTION The canister 1 may contain condensate Before removing the absorber from the pole mount assembly refer to the A200SP user manual for instructions on draining the canister and disposing of absorbent 1 Set the brakes on the anaesthetic machine front castors 2 Refer to the A200SP user manual and disconnect all cable conn
8. valves on the manifold and are correctly engaged before tightening the locking lever 23 5 3 4 Selectatec Compatible Vaporizers with Interlock WARNING Only vaporizers with the Selectatec compatible interlock function will interlock if installed on a two station or three station manifold The installation of non interlock vaporizers allows the possible operation of more than one vaporizer at the same time If two vaporizers only are mounted on a three station manifold they must be installed on adjacent stations i e the middle station must be occupied Check that the interlock mechanisms of all the vaporizers on the manifold are working correctly i e check that only one vaporizer at a time can be turned on 5 3 5 Cagemount Vaporizer 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 Cat No 52275 to retain the cagemount taper cones in posi tion on the vaporizer PRE USE CHECKS 5 4 Electrical Supply Connect the machine power lead to a suitable mains supply socket Check that the mains indicator light 1 is on Set the auxiliary power supply switch 2 to ON Check for correct function of each auxiliary power outlet Check all electrical equipment including devices powered by the auxiliary power outlets on the rear of the machine Machines with optional flowmeter lighting 3 Check fo
9. Medical air Yellow or Black White Carbon dioxide Grey Helium Brown Xenon Green bright To comply with relevant national standards Internal pipework is diameter indexed for each gas Oxygen 8mm Carbon Dioxide 4mm Nitrous oxide 6mm Helium 4mm Air 5 mm Xenon 4 mm Mixed gas 10 mm 4 3 Flowmeters Flow ranges Single flow tubes Oxygen 0 10 L min Nitrous Oxide 0 10 L min Air 0 10 L min Helium 0 10 L min Cascade flow tubes Oxygen Air Nitrous Oxide 1 O 1000 ml min 2 0 10 L min graduated 1 10 L min 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 260 mm 10 24 inch Nitrous oxide 250 mm 9 84 inch Other gases 240 mm 9 45 inch see 3 12 Scale length 152 mm 6 inch minimum all tubes except carbon dioxide 15 SPECIFICATION 4 4 Gas Pressures USA Canada Japan Pipeline supplies 340 kPa 50 psig Cylinder supplies Reduced pressure from regulator 310 kPa 15 kPa 35 kPa at 5 L min flow 45 psig 2 psig 5 psig Regulator diaphragm bursting pressure 2800 kPa 406 psig Reduced pressure system safety valve 600 kPa 87 psig Safety valve protects flowmeter vaporizer etc 41 kPa 10 6 psi 10 Reduced pressure from secondary regulators at 5 L min flow
10. Supply Device Classification and Labelling PRE USE CHECKS Pre use Check List Pre use Checks Gas Supply Gas Pipeline Supplies Gas Cylinder Supplies Flowmeters Vaporizers Electrical Supply iii Page No 19 19 21 21 21 22 23 24 CONTENTS 5 5 Patient Breathing System 5 6 Leak Rate Check Low pressure gas System 5 7 Oxygen Flush 5 8 Anaesthetic Gas Scavenge System AGSS 5 9 Ventilator 5 10 Alarm System Testing 6 USER MAINTENANCE 6 1 Cleaning and Sterilisation 6 2 A200SP Absorber 6 3 Service Schedule APPENDIX Disposal at end of useful life risk assessment Accessories iv 25 28 28 28 29 30 31 32 33 34 35 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 non compliance 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 non compliance with
11. check that it conforms to the relevant standard as listed in the table below Parameter Device Relevant Standard Pressure Measuring ISO 8835 2 Pressure Limitation Device EN 60601 2 13 2006 51 101 1 Exhaled Volume Monitor EN 60601 2 13 2006 51 101 4 Breathing System Integrity Alarm System EN 60601 2 13 2006 51 101 5 Continuing Pressure Alarm EN 60601 2 13 2006 51 101 6 Oxygen Monitor ISO 7767 Carbon Dioxide Monitor ISO 9918 Breathing Circuit ISO 8835 2 Gas Scavenging ISO 8835 3 Vaporizers ISO 8835 4 Ventilators ISO 8835 5 Agent Monitor ISO 11196 For information on installing and connection of any of these systems or devices please refer to the relevant manufacturer s instructions ii CONTENTS 3 1 K 3 3 3 4 3 5 3 6 3 7 3 8 3 9 3 10 3 11 3 12 4 1 4 2 4 3 4 4 4 5 4 6 4 1 4 8 4 9 4 10 4 11 5 1 9 2 Ste Se 5 2 3 5 3 5 4 USER RESPONSIBILITY WARNINGS AND CAUTIONS PURPOSE DESCRIPTION Framework and General Construction Gas Circuit Gas Circuit Schematic Gas Supply Safety Devices Mechanical Anti Hypoxic Device AHD Pressure Gauges Flowmeters and Controls Vaporizers Common Gas Outlet CGO Electrical Power Supply Auxiliary Gas Outlets A200SP Absorber AV S Ventilator SPECIFICATION Physical Dimensions Gas Supplies Flowmeters Gas Pressures Auxiliary Gas Outlets Oxygen Failure Warning Devices Oxygen Flush Mechanical AHD System Environmental Electrical
12. checks applicable to the Prima WARNING SP3 anaesthetic machine range Anaesthetic systems have the capability to deliver mixtures of gases and vapours to the Information contained in this manual is patient which could cause injury or death correct at the date of publication unless controlled by a qualified anaesthetist The policy of the manufacturer is one of continued improvement to its products There can be considerable variation in the Because of this policy the manufacturer 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 reserves the right to make any changes which may affect instructions in this manual without giving prior notice Personnel must make themselves familiar also dependent on his respiration and the with the contents of this manual and the functioning of his cardio vascular system machine s function before using the apparatus IT IS ESSENTIAL THAT THESE ELEMENTS ARE MONITORED FREQUENTLY AND REGULARLY AND THAT ANY OBSERVATIONS ARE GIVEN PRECEDENCE OVER MACHINE CONTROL PARAMETERS IN JUDGING THE STATE OF A CLINICAL PROCEDURE Before using any monitoring system or device with the anaesthetic machine the user must
13. down the whistle starts to sound and continues for at least 7 seconds b that the flow of nitrous oxide is cut off completely before the oxygen flowmeter shows zero flow c that the visual indicator 1 turns red before the oxygen flow is entirely stopped d air continues to flow NOTE All gases must be included in the pre use check 5 Reinstate the oxygen supply Check that the flow of nitrous oxide is reinstated and that the visual indicator turns green again 30 6 USER MAINTENANCE IMPORTANT User Maintenance is restricted to cleaning the external surfaces of the machine see section 6 1 All other maintenance and servicing must be carried out only by an engineer trained by the manufacturer The Prima SP3 must be only be serviced according to the schedule and procedures given in the Service Manual WARNING 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 unauthorised personnel must not attempt to access fuses or other electrical components There is a possible electric shock hazard Ensure that all panels are secure after any work by authorised personnel Fuseholders must be carefully tightened using an appropriate tool e g flat blade screwdriver Ancillary Equipment Follow the instructions given in the relevant user manual for detailed information on maintenance and service
14. necessary to bring the battery to full charge 3 9 5 Monitor and other Accessories 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 12 DESCRIPTION 3 10 Auxiliary Gas Outlets CAUTION When the auxiliary gas outlets are in use on a machine with cylinder supply only or if the pipeline supply is not in use check flow rate requirements and ensure that adequate back up cylinders are available Oxygen and Air Auxiliary outlets 1 are mounted on the rear of the machine Supply pressure See section 4 5 3 11 A200SP Absorber The A200SP Absorber and ventilator bellows assembly is mounted on a polemount bracket attached to the machine frame upright Refer to the user instruction manual for A200SP for detailed information on installation and operation 3 12 AV S Ventilator Interface to Prima SP3 An interface cable links the gas delivery 1 switch on the anaesthetic machine via a socket 1 on the rear panel of the machine to the socket 2 marked Prima Master on the rear of the ventilator control unit Ventilator ON OFF function a Turn the machine Gas Delivery Switch see 3 4 2 ON The ventilator will power up b While the Prima SP3 power is ON the Ventilator can be turned OFF and ON using 2 oE the ventilator On Off switch
15. Delivery Switch 1 operates on the oxygen supply and must be in the On position for normal operation of the anaesthetic machine Switch labelling 1 Indicates On 0 Indicates Off 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 3 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 continuously if the oxygen supply fails see section 3 3 2 NOTE The switch also controls the electrical supply to the optional flowmeter lighting unit 3 4 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 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 wi
16. ION 3 3 Gas Supply Safety Devices 3 3 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 or other fourth gas if fitted The cut off operates when the oxygen pressure falls to 200 14 kPa 29 2 psig Gas supplies are reinstated only when the oxygen supply pressure rises above 227 kPa 33 psig 3 3 2 Oxygen Supply Failure Warning Whistle WARNING Refer to WARNING 11 section 1 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 200 21 kPa 29 3 psig and will continue to sound until the pressure falls to approximately 70 kPa 10 psig Oxygen consumption of the whistle is approximately 2 L min when sounding and nil at other times 3 3 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 It is designed to prevent fresh gas being delivered to the breathing system at pressures exceeding 41 kPa 6 psi This valve also protects machine components against excessive pressure in the event of
17. N 3 9 Electrical Power Supply 3 9 1 Mains Power Supply Power is fed to the machine via the mains lead to power an optional auxiliary output panel and or lighting system Mains Power Indicator The warning lamp 1 is illuminated when mains power is connected Current Leakage 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 see also below b Each socket is protected with a 5 A fuse in both the live and neutral wire 3 9 2 Auxiliary Power Supply Sockets CAUTION The requirements of IEC 60601 1 1 apply to any device connected to the auxiliary sockets Users must be aware of the risks of increased leakage currents when equipment is connected to the aux iliary power sockets The optional mains electricity outlet panel is fitted to the rear of the machine The supply is controlled by an ON OFF switch 2 which also incorporates a circuit breaker Switch labelling indicates On 0 indicates Off CAUTION In the event of malfunction of any device powered by the auxiliary sockets check if the circuit break er has tripped 3 9 3 Flowmeter Bank Lighting The lighting system is controlled by a three way switch 3 The three positions denote
18. P Absorber assembly Work surfaces The work surface has raised edges to retain instruments vials etc A pull out writing tablet is mounted under the work surface 3 2 Gas Circuit Gas Circuit Schematic A gas circuit schematic is shown on the following page Gas Supplies 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 two extra gas cylinders choose from one additional oxygen one additional nitrous oxide one air and one extra pipeline supply Air Cylinder Yokes The 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 1 Up to three rear mounted pipeline gas inlets can be fitted Pipeline supply hoses are connected by non interchangeable screw threaded unions CAUTION A malfunction of the central gas supply within your facility may cause immediate cessation of gas delivery and total anaesthesia system failure Filters To prevent dirt entering the gas system cylinder yokes and pipeline inlets are fitted with filters Gas Inlet Block Each individual cylinder or pipeline supply is routed through a separate gas block Each gas block
19. a total blockage of the CGO 3 3 4 Oxygen Supply Visual Indicator WARNING Refer to WARNING 11 section 1 The indicator 1 is mounted on the front of the machine and is operated from the oxygen supply and shows GREEN when the supply is at working pressure and RED if the pressure falls 3 3 9 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 30 3 oxygen 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 4 for a full description 3 3 6 Low Pressure Gas Tubing Diameter indexed tubing is used for the low pressure gas system see section 4 DESCRIPTION 3 4 Mechanical AHD Anti Hypoxic Device 3 4 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 controls 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 prevent delivery of a hypoxic mixture a i D a a A f LS 3 4 2 Gas Delivery Switch 1 The Gas
20. b With each vaporizer in turn set to 1 NOTE This test is equivalent to and in some cases exceeds the requirements for system leakage rates quoted in national Standards worldwide 5 7 Oxygen Flush Check for a high flow of oxygen through the CGO outlet when the flush valve button is pressed and that the flow ceases when the button is released This test 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 28 PRE USE CHECKS 5 9 Ventilator Always follow the pre use check procedures given in the ventilator instruction manual Check all hose and tubing connections for gas tightness Check all wiring connections for correct fitment and security AV S Ventilator Interface Check the Interface Cable Check for correct fitment of the interface cable at the socket 1 on the rear panel of the Prima SP3 and the connection on the AV S control unit marked Pri
21. condition of gas supply hoses 2 Check for labelling which may indicate status of machine including faults or recent servicing 3 Check correct connection of electrical supply 4 Check correct connections of gas supplies ay Check adequate pipeline supply and back up cylinder supply 6 Switch on gas delivery switch and note special operating system Check functioning of flowmeters Check function of Mechanical AHD T Check correct connection and functioning of the vaporizers 8 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 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 20 PRE USE CHECKS 5 2 Pre use Checks Gas Supply 5 2 1 Gas Pipeline Supplies Oxygen supply 1 Connect the oxygen pipeline hose only Check that the correct pressure gauge reading is obtained 2 Turn on the Gas Delivery switch 1 Check that the warning whistle sounds briefly and that the correct basal flow of oxygen is delivered see section 3 8 3 Open both oxygen and nitrous oxide flowmeter valves Check that flow is only shown in the oxygen flowmete
22. e of antistatic or electrically conductive breathing hoses is not recommended when using high frequency electrical surgery equipment e g Diathermy Burns may De caused 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 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 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 17 Prima SP2 3 series anaesthetic machines are not MRI compatible CAUTIONS 1 10 Flowmeter needle valves are designed to seal with light torque and may be damaged if tightened excessively 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 s
23. 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 10 3 7 3 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 Cagemount Vaporizer It is recommended that detachable cagemount connectors are retained with a safety clip catalogue number 52275 to prevent inadvertent disconnection 3 8 Common Gas Outlet CGO The outlet 1 can be located at the front or rear of the machine and has a 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 Oxygen Flush An emergency oxygen flush valve button 2 is mounted at the font of the machine and is marked O2 FLUSH Depressing the button provides a delivery of between 35 75 litres min of oxygen through the common gas outlet 1 Releasing the button allows the spring loaded valve to return to its normal position DESCRIPTIO
24. ectors and hoses including the mains lead from the heater unit 2 if fitted 3 Slacken the knob 3 and lift the absorber assembly from the pole mount 32 USER MAINTENANCE 6 3 Service Schedules 6 3 1 Prima SP3 The anaesthetic machine must be serviced to the following service schedule 6 months Inspection and Function Check 12 months Annual service which includes routine replacement of seals etc as preventive maintenance 2 and 4 years Additional tests and component replacement Details of these service operations are given in the Service Manual available only to engineers trained by the manufacturer 6 3 2 Delta Vaporizer Follow the instructions given in section 8 of the vaporizer user instruction manual Servicing includes a periodic leak test and calibration test and a major overhaul at 10 years 5 years for Halothane models On vaporizers with interlock the system must be tested during the vaporizer calibration test 6 3 3 Monitoring Systems Follow the service recommendations detailed in the monitor user instruction manual 6 3 4 AV S Ventilator If the anaesthetic machine was supplied with an AV series ventilator refer to section 7 of the ventilator user instruction manual for servicing requirements These include 6 months Inspection and Function Check 12 months Replace bellows Replace O seals and drive gas inlet filter etc 24 and 48 months Additional component replacement
25. has an integral high pressure gauge tapping for direct mounting of a pressure gauge and a non return valve to prevent back flow of gas In addition cylinder gas blocks have a diaphragm pressure regulator to reduce the pressure of the compressed gas supply and a pressure relief valve factory set to 517 kPa 75 psi This prevents pressure build up under the diaphragm should any leakage develop across the reducing valve seat Secondary Pressure Regulator A second stage regulator reduces the pressure supplied to each flowmeter control see section 4 The fitment of a secondary regulator for oxygen and nitrous oxide enhances the performance of the mechanical AHD system Secondary regulation of the air supply aids the stabilisation of the output at the flowmeter USA specification three gas machine with dual cascade oxygen and nitrous oxide flowmeters l I L Flowmeter Assembly 8 Seel Ed L L Gas T Uu as Iray W o KE Wo FI rl E V q R i iz ie E Es E E Ce E E lt gt d 3 d Q 2 O2 2 N20 Air Pneumatic pressure Gas cut off valve Flowmeter source normally open Pressure gauge Vaporizer Reservoir Pressure regulator Oxygen flush valve Power take off point Flow control valve or test point variable Audible alarm Visual indicator Restrictor Filter Pneumatic on off Pressure relief valve switch Non return valve DESCRIPT
26. heck vaporizer agent level 3 Check for correct agent delivery concentrations use an agent analyser Always follow the procedures and checklist given in the instruction manual supplied with the vaporizer particularly when filling the vaporizer with anaesthetic agent 5 3 2 General Information 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 Do not install or connect any vaporizer of any description between the CGO and the breathing system unless it is specifically designed for such use This allows the oxygen flush flow to pass through the vaporizer and severe overdosage may result 5 3 3 Selectatec Mounting System Up to two Selectatec compatible vaporizers may be fitted up to three on SP3 models To install the vaporizer a Carefully offer the vaporizer up to the manifold b Check that the gas connection ports on the vaporizer are aligned with the valves on the manifold c Carefully lower the vaporizer onto the manifold and lock the vaporizer into position by clockwise rotation of the locking lever through 90 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
27. hould 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 When the auxiliary gas outlets are in use on a machine with cylinder supply only or if the pipeline supply is not in use check flow rate requirements and ensure that adequate back up cylinders are available The requirements of IEC 60601 1 1 apply to any device connected to the auxillary sockets Users must be aware of the risks of increased leakage currents when equipment is connected to the auxillary power sockets In the event of malfunction of any device powered by the auxiliary sockets check if the circuit breaker has tripped On machines with pipeline connections note that a malfunction of the central gas supply within your facility may cause immediate cessation of gas delivery and total anaesthesia system failure 2 PURPOSE The Prima SP3 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 patien
28. ll 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 4 4 Oxygen Basal Flow To allow the system to function correctly an oxygen basal flow is continuously supplied Single Flow Tubes 100 200 ml min Dual Cascade System Flow Tubes 50 75 ml min This basal flow can only be turned on and off by using the Gas Delivery Switch 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 3 5 Pressure Gauges Pressure gauges 50 mm diameter are located on the front panel below the flowmeter bank The gauge for Air is 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 gauges are marked CYLINDER Pipeline gauges are marked PIPELINE The gauges are calibrated in kPa x 100 DESCRIPTION 3 6 Flowmeters and Controls 3 6 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 Each flow control valve is p
29. lve Outlet from APL Valve to AGSS Oxygen sensor AV S remote screen Cable AV S control unit to remote screen PRE USE CHECKS 5 5 5 Breathing Circuit Schematic NOTE 1 To protect the expiratory limb of the breathing circuit and the spirometer use a breathing circuit bacterial filter 4 and a heat and moisture exchanger 6 at the patient Y piece CAUTION Replacement Disposal always follow the instructions supplied with the filter or heat and moisture exchanger Always renew components at the recommended interval 2 Follow the instructions in the relevant user manual for connection to analysers and monitors J Ventilator connections shown are for AV S with spirometry and oxygen monitor 4 For A200SP refer also to the user documentation supplied with the absorber 5 5 6 System Low Pressure Leak Test Connect the CGO outlet on the machine to the fresh gas inlet of the A2Z00SP absorber 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 Fit a patient circuit to the inspiratory connector 1 and expiratory connector 2 on the absorber and a breathing bag to the bag arm connector 3 2 Set the bag ventilator switch 4 on the absorber to Bag
30. ma master Check the interface system function a Turn the Gas Delivery Switch ON The ventilator will power up b While the Prima SP3 power is ON the ventilator can be turned off and on using the ventilator On Off switch c Turn the Gas Delivery Switch to OFF The ventilator will power down 29 PRE USE CHECKS 5 10 Alarm System Test 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 1 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 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 cut off device is performed as follows 1 Connect oxygen nitrous oxide and air supplies 2 Set the Gas Delivery switch 2 to ON and check that the warning whistle sounds briefly 3 Seta flow of 2 L min on both flowmeters 4 Disconnect the oxygen supply at the wall socket or close the oxygen cylinder valve and check a that as the oxygen flow slows
31. meter An oxygen flowmeter 1 with outlet is mounted to the left of the machine flowmeter bank Read flow at this level 78 BOOOL K __ oe aes DESCRIPTION 3 Vaporizers CAUTION Read the instruction manual supplied with the vaporizer before clinical use 3 7 1 Vaporizer Mounting Systems Vaporizers for the administration of volatile anaesthetic agents can be fitted as follows Penlon Delta Selectatec compatible vaporizers mounted on a Selectatec compatible universal backbar Penlon 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 a b 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 7 2 Selectatec Compatible Vaporizer Selectatec compatible vaporizers e g the Delta with the Selectatec connector block may be mounted on a universal back bar manifold Two and three station manifolds are available with
32. nly with non flammable anaesthetic agents lt 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 unauthorised personnel must not attempt to access fuses or other electrical components 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 during test procedures as well as during use with a patient Prima SP series machines must only be used with Delta vaporizers or other vaporizers approved by the manufac
33. onitors before clinical use Follow the pre use checklist see section 5 as a minimum requirement Many clinical incidents occur because of a failure to check for correct function The machine must not be used if any of the alarm monitoring or protection system devices are not functioning correctly The gas supply failure systems within the anaesthetic machine will not necessarily operate as indicated in the user manual during any procedures that are outside the scope of the indications for use of the machine WARNINGS AND CAUTIONS 12 13 14 15 16 A Machine set to deliver Air only When the machine is operated with an Air flow only note that there may still be retained oxygen in the system and that the visual O2 alarm will continue to indicate green even though oxygen is not being delivered B Machine set to deliver Oxygen only through Auxiliary Outlets The oxygen failure alarm is designed to operate during normal use of the machine i e when providing controlled concentrations and flows of gases to a patient breathing system as described in Section 2 Purpose Do not use the machine solely to provide large flows of oxygen via the anaesthetic machine auxiliary outlets to external devices which may not be equipped with a supply failure alarm The machine must not be fitted with more than four operator accessible mains socket outlets There is a risk of an excessive leakage current The us
34. ositioned 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 The gas delivery switch see 3 4 2 positioned on the front panel controls the 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 6 2 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 should 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 6 3 Auxiliary Oxygen Flow
35. 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 Penlon Inc This device and any of its constituent parts must be repaired only in accordance with written instructions issued by the manufacturer and must not be altered or modified in any way without the written approval of the manufacturer 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 the manufacturer or Penlon Inc 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 means there is a possibility of injury to yourself or others CAUTION means there is a possibility of damage to the apparatus or other property NOTE 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 The CAUTIONS must be WARNINGS AND CAUTIONS WARNINGS read and and following understood before using this anaesthetic apparatus WARNINGS 1 This apparatus is designed for use o
36. r 4 Close both valves Turn off the Gas Delivery switch Check that the warning whistle sounds briefly and that the oxygen basal flow is stopped Nitrous Oxide supply 5 Connect the Nitrous Oxide pipeline hose Check the gauge reading Turn on the Gas Delivery switch 1 Check for a flow of nitrous oxide when the flowmeter needle valve is operated NOTE cylinder supply can be used if necessary for this test Air supply 6 Connect the Air pipeline hose Check the gauge reading Check for a flow of air when the flowmeter needle valve is operated 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 ata time and check the pressure on each 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 c N20 cylinder pressure does not indicate cylinder content 2 Ensure that all flowmeters are kept closed until gas supplies are required 21 CAUTION The mechanical AHD system requires that the oxygen flowmeter control is restricted to prevent the needle valve from fully closing This ensures a minimum oxygen basal flow DO NOT attemp
37. r correct operation section 3 9 3 24 PRE USE CHECKS All models 5 5 Patient Breathing System 5 5 1 Hose Connections Check that all hoses are secure 5 0 2 Breathing System Hose Reservoir Bag Ventilator Connectors for the Inspiratory hose and Expiratory hose and the reservoir bag connector are 22 mm male All connectors comply with ISO 5356 1 The ventilator connection point is also 22 mm male Hose and bag connections are fitted with Penlon Safelock high security fittings Check all connections for gas tightness 5 5 3 Fresh Gas Supply The fresh gas hose assembly 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 of the anaesthetic machine Check all connections for gas tightness 5 5 4 A200SP 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 A200SP Connections Inspiratory connector Expiratory connector Bag connector Inlet from DRIVE GAS outlet on ventilator control unit NS Inlet fresh gas hose from Common Gas Outlet 6 Exhaust outlet from APL Valve connect to Anaesthetic Gas Scavenge System Oxygen monitor sensor Outlet
38. refer to 28388800 ventilator user manual EA c Turn the Gas Delivery Switch to OFF O oS E The ventilator will power down Refer to the user instruction manual for AV S Q ZC om for detailed information on installation and operation 13 4 SPECIFICATION 4 1 Physical Dimensions Overall frame size Work surface Height Size Loading Writing tablet Top shelf Loading Drawers Loading Castors Ventilator bellows post Loading Gas scavenging fixing Loading Common gas outlet Weight Height x Width x Depth cm 139 x 71 x70 86 cm 58cm x 25cm 30 kg 66 Ib evenly distributed 30 x 22 cm 71 cm x 35 cm 30 kg 66 Ib evenly distributed 12 x 54 5 x 35 cm 10 kg 22 Ib evenly distributed Diameter 127 mm 5 inches Front pair braked Bushed to accept 25 4 mm 1 inch or 22 mm 7 8 inch poles 30 kg 66 Ib Bracket on frame upright 30 kg 66 Ib 22 mm male taper with coaxial 15 mm female taper connections Safelock fitting 75 kg 165 Ib approximate depending on specification 14 SPECIFICATION 4 2 Gas Supplies Cylinders A maximum of four cylinder fittings can be specified All cylinder yokes are pin indexed Fourth Gas Options Carbon dioxide Helium Xenon Pipeline Maximum of three oxygen nitrous oxide air All specifications to relevant national standards Medical gas colour codes Oxygen Green or White Nitrous oxide Blue
39. sample line to Pressure Monitor Port on ventilator 9 Interface cable Bag Vent switch and spirometer connects internally to Prima SP On Off Switch interface then to connector on ventilator control unit rear panel 25 af Ae ae ES e e 12 13 14 15 16 17 PRE USE CHECKS Bellows Ventilator Control Unit Outlets to Anaesthetic Gas Scavenging System AGSS Bacterial Filter Absorber valve block Heat and moisture exchanger Patient CGO Block on anaesthetic machine Fresh Gas Supply Auxiliary Outlet on anaesthetic machine Drive Gas Supply Flow sensor expiratory Flow sensor inspiratory Connectors sensor pressure monitor Expiratory Valve Absorber Inspiratory Valve Absorber Inlet from Ventilator Bellows Connector Reservoir Bag Inlet Absorber Fresh Gas Supply 26 18 19 20 2l 22 23 24 25 26 2T 28 29 30 al Note 1 AV S has spirometry and oxygen monitor 2 Interface cabling is shown for Prima SP3 On Off switch and A200SP Bag Vent switch Drive Gas Inlet Ventilator Drive gas Outlet ventilator control unit to bellows Outlet Exhaust Valve Inlet Bellows Drive Gas Outlet to breathing system Input socket Oxygen monitor sensor Input socket Prima SP3 interface SP on off switch Input socket i A200SP Absorber Bag Vent control position ii Spirometer sensor signal Interface connections on Prima SP3 and A200SP APL Va
40. t Use the Prima SP3 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 semi open semi closed or closed circuit configurations The range has been designed to give a wide choice of configurations and accessories including Gas supplies Up to four gases oxygen nitrous oxide and air with optional fourth gas see section 4 Pin index cylinder yokes and provision for up to three pipeline supply inlets Vaporizer mounting systems Backbar manifold for Selectatec Compatible or Cagemount type vaporizers Anti hypoxic Device AHD The mechanical AHD system is designed to minimise the risk of a hypoxic mixture reaching the patient See section 3 3 DESCRIPTION 3 1 General Construction Frame The machine has a cast aluminium base extruded aluminium uprights with aluminium and plastic panels Mobility Four castors are fitted with a brake on each of the front castors The castors are five inches diameter A footrest is built into the front of the machine and to aid manoeuvrability two handles are provided Mounting posts and brackets A 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 can be used to mount an A200S
41. t to close the flow to zero Do not overtighten the knob PRE USE CHECKS 5 2 3 Flowmeters 1 Turn on the Gas Delivery switch 1 and check that the warning whistle sounds briefly briefly and that the correct basal flow of oxygen is delivered see section 4 2 Open the nitrous oxide flowmeter needle valve and check that there is no nitrous oxide flow 3 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 4 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 continues to flow 5 Operate the other flowmeter 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 6 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 7 Auxiliary flowmeter 2 Rotate the flowmeter control and check that a gas flow can be obtained 22 PRE USE CHECKS 5 3 Vaporizers 5 3 1 Pre use Checks On ALL vaporizers before use 1 Check all joints for gas tightness 2 C
42. to 1220F Cleaning Wipe external surfaces with dry or damp cloth Use mild soap or disinfectant solution if necessary Please refer to section 6 1 4 10 Electrical Supply Power Input NOTE The internal power circuit feeds the machine lighting systems only Option 1 Internal power auxiliary power sockets US CSA specification machines 110 120 VAC 60 Hz 1350 VA maximum Non US CSA specification machines 100 240 VAC 50 60 Hz 1100 2500 VA maximum Option 2 Auxiliary power outlets No internal power US CSA specification machines 110 120 VAC 60 Hz 1200 VA maximum Non US CSA specification machines 100 240 VAC 50 60 Hz 1000 2400 VA maximum Option 3 Internal power No power outlets Non US CSA specification machines only 100 240 VAC 50 60 Hz 100 VA maximum Fuses internal power T2AH ceramic x 1 inch high breaking capacity fuses Power cable Permanently attached lead 3 m with stowage hooks on rear 17 SPECIFICATION Power Outlets Auxiliary power outlets Four outlets 5A per outlet 10 A maximum total Fuses TSAH ceramic 1 4 x 1 inch high breaking capacity fuse on Live and Neutral on each outlet Overload Protection 10 A thermal circuit breaker incorporated within the power outlet On Off switch Electromagnetic Compatibility The Prima SP3 meets the requirements of EN 60601 1 2 electromagnetic compatibility requirements and tests 4 11 Device Classification and Labelling
43. turer installed by means of the Cagemount or Selectatec system 9 10 11 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 Always perform a pre use check of the machine including vaporizers ventilator circle absorber and m
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