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Frontline Sirius - Frank`s Hospital Workshop

1. 98 Figure 12 Bellows Assembly anie ehis t ra nep on ist ch bos SE He INI BEP Fe eb nF E Po CERUE Sa eR REL HERE OR 99 Figure 13 Pneumatic Module ocn roit hice qon ca ase iD HD PNE URL NER REIE TU 101 Figure 14 Primary Regulator Reiten Dinos en ihlne soe ra Sos bPLLo Dre DH Is su oe Tes Presel lacob aec da 105 6 First Line and Planned Maintenance Manual Frontline Sirius Product Improvement Blease Medical Equipment Limited has a policy of continued product improvement and therefore reserves the right to make changes which may affect the information contained in the manual without giving prior notice Responsibilities of the Manufacturer The manufacturer accepts responsibility for the effects on safety reliability and performance of the equipment only if assembly operations extensions adjustments modifications and repairs are carried out by persons with written authorisation from the manufacturer the equipment is used in accordance with the instructions for use the electrical installation of the relevant room complies with the Regulations for the Electrical Equipment of Buildings NB If during the warranty period the equipment is serviced by an unauthorised party the warranty will be void Disclaimer Opening of the control unit by unauthorised personnel automatically voids all warranties and specifications The prevention of tampering is solely the user s responsibility the manufacturer assumes no
2. Colour UK Colour USA 1 5 5 Gases Max No of Gases Max No of Cylinders Max No of Gauges Max Cylinder Size 1 5 4 Common Gas Outlet The common gas outlet is fitted onto the front of the machine below the work surface It will accept a 22mm female or 15mm male taper coupling 28 First Line and Planned Maintenance Manual Frontline Sirius 1 Technical Description 1 3 5 Technical Performance Specification 1 3 5 1 Controls Oxygen flow 150 ml m to 10 I m Simplex Cascade Nitrous oxide flow Air flow Flowblock assembly accuracy Oxygen flush Vaporizers Hypoxic gases 1 3 5 2 Ventilator First Line and Planned Maintenance Manual 0 ml m to 12 m Simplex Cascade 0 ml m to 15 m 5 measured value at 20 C and 101 3KPa Non locking 45 to 50 l m Accepts Selectatec Minimum 21 oxygen nitrous oxide An optional built in ventilator is available either the 6700 or 8700 Refer to the appropriate user manual for details 29 1 Technical Description 1 3 5 3 Oxygen failure 1 3 5 4 Cylinder Cylinder regulator relief valve Machine gas piping design rating Secondary hypoxic regulators Common gas outlet relief valve 1 3 5 5 Supplies O gt air N O pipeline Optional pipeline Auxiliary pneumatic Frontline Sirius Alarms Indicators Audible alarm for minimum of 8 secs when oxygen pressure falls below 2 25 bar 225 KPa Regulator Safety Valve Setti
3. 2 Switch the machine on 5 Check that No gas flows are registered on any of the flowblock except for the oxygen flowblock assembly which should register flow of 150 to 170 ml m 4 Adjust the flow of all gases through their full range and check for erratic float movement 24 Oxygen Failure Warning System Check l Shut off the oxygen cylinders and pipeline Leave other gas supplies on and the flow control set to deliver gt 1 m 2 Check that a as the remaining oxygen is depleted the oxygen failure warning whistle is activated for at least 8 seconds b the gas flows through the flowblock assemblies are all cut off with the exception of Air 32 First Line and Planned Maintenance Manual Frontline Sirius 2 User Pre Use Testing Restore the oxygen supply and check that the gas flows through the flowblock assemblies are restored Turn the nitrous oxide flow control counter clockwise until a flow of 10 l m is indicated on the nitrous oxide flowblock assembly Check that the indicated flow through the oxygen flowblock assembly is 5 to 4 m Turn the oxygen flow control clockwise until a flow of 1 5 l m is indicated Check that the nitrous oxide flowblock assembly is indicating 3 8 to 5 2 m 2 5 Leak Test Vaporizers l Check that each vaporizer for the required volatile agents is fitted correctly to the machine that any backbar locking mechanism is fully engaged and that the control knob s rotate through
4. 9 Bellows Base Cover 10 Paed Bellows 11 Bellows Base Pop off 12 Oxygen Sensor Probe 13 Absorber Upper Seal 14 Absorber O Rings for Insp Exp APL 15 Pop off Valve 16 Oxygen Probe T Piece 17 Absorber Gauge 18 Absorber Control Seal 19 Absorber Bottom Canister First Line and Planned Maintenance Manual 85 7 Fitting Planned Maintenance Kits Planned Maintenance Frontline Sirius 13600531 Figure 9 Sirius 4 Year Planned Maintenance Kit 84 First Line and Planned Maintenance Manual Frontline Sirius 7 Fitting Planned Maintenance Kits Figure 9 4 Year Planned Maintenance Part No 13600531 20 Cylinder Regulator Service Kit 21 O Ring for Filter 22 Battery 23 Filter First Line and Planned Maintenance Manual 85 7 Fitting Planned Maintenance Kits 86 Notes Frontline Sirius First Line and Planned Maintenance Manual Frontline Sirius 7 Fitting Planned Maintenance Kits 7 1 Removal Replacement Instructions When any repair or exchange is performed on internal components a complete check must be made on all functions A complete overall performance check must also be performed when any replacements or repairs have been completed Removal of Outer Cases le uu Removal of top surface Remove the 4 screws shown here red circles are to indicate where screws are located and lift the top cover off First Line and Planned Maintenance Manual 87 7 Fitting Planned Mainten
5. Oxygen Flush Common Gas Outlet Writing Table Drawer Frame Suction Receiver Jar Anaesthetic Gas Scavenging System AGSS Absorber Bellows Suction Controller Main On Off or Off N O Air Interlock Switch Flow Control Valves with Hypoxic Guard Flowblock Assembly First Line and Planned Maintenance Manual 1 Technical Description 19 1 Technical Description Frontline Sirius Fig 2 Sirius 2000 amp Sirius 1000 20 First Line and Planned Maintenance Manual Frontline Sirius Key to Figure 2 Sirius 2000 a 7 7m FBO 8 S amp S mo KR Monitor shelf Ventilator Vaporizer Cylinder Pipeline Gauges Pneumatic Unit behind gauge panel Oxygen Flush Frame Absorber Bellows Main On Off or Off N2O Air Interlock Switch Flow Control Valves with Hypoxic Guard Flowblock Assembly Sirius 1000 yYyvyvYrmnottzroze Ventilator Vaporizer Cylinder Pipeline Gauges Pneumatic Unit Oxygen Flush Main On Off or Off N2O Air Interlock Switch Flow Control Valves with Hypoxic Guard Flowblock Assembly First Line and Planned Maintenance Manual 1 Technical Description 21 1 Technical Description Frontline Sirius Technical Description 1 1 Description 1 1 1 General The Frontline Sirius amp anaesthetic machine contains all the pneumatic circuitry controls monitoring ancillaries and storage required to control distribute and mix medical gases and anaesthetic agents in ord
6. breathing system by occluding the patient end and compressing the reservoir bag Breathing systems should be protected at the patient end when not in use to prevent the intrusion of foreign bodies Bain type and circle co axial systems Perform an occlusion test on the inner tube and check that the adjustable exhaust valve where fitted can be fully opened and closed Check the correct operation of the unidirectional valves in a circle system First Line and Planned Maintenance Manual 41 2 User Pre Use Testing Frontline Sirius 4 If it is intended to use very low fresh gas flows in a circle breathing system there must be a means to analyse the oxygen and vapour concentration in the inspiratory limb Under other circumstances these may be monitored at the anaesthetic machine fresh gas outlet as A new single use bacterial viral filter and angle piece catheter mount must be used for each patient It is important that these are checked for patency and flow both visually and by ensuring gas flow through the whole assembly when connected to the breathing System F VENTILATOR 1 Check that the ventilator is configured correctly for its intended use Ensure that the ventilator tubing is securely attached Set the controls for use and ensure that adequate pressure is generated during the inspiratory phase 2 Check that disconnect alarms are present and function correctly 2 Check that the pressure relief valve functions correctly
7. tug test to ensure they remain intact e Absorber Brackets e Pneumatic power outlets Backbar Oxygen Flush Assembly Common Gas Outlet Flowmeter assembly and control knobs Drawer s e Castor buffers and fixings e Pneumatic components including the regulators reservoir etc and the associated nuts screws couplings and pipework 6 1 5 Structural Check the general condition of the structure and that welded joints are free from cracks Check that all screws are tightened and in good condition First Line and Planned Maintenance Manual 73 6 Planned Maintenance Frontline Sirius 6 1 6 Castors 1 Ensure the castors are located securely within the frame uprights 2 With the brakes released ensure that the trolley can be pushed or pulled in any direction without the castors feeling lumpy or stiff producing squeaks or grinding noises or exhibiting excessive chatter or wobble 3 Hold the sides of the work surface support machine frame and keeping the castors pointing in the same direction rotate the trolley in a counter clockwise and clockwise circle and ensure that each of the castors rotates without stiffness or jerks through 360 in both directions 4 Press the brake button on each of the front castors and check that as the trolley is pushed or pulled the front castors remain locked 5 Release the brake button and check that the wheels rotate freely as the trolley is pushed or pulled 6 L
8. upper spring rest spring and slip ring 4 Remove and discard the Diaphragm Assembly and the Actuator Assembly 5 Remove and discard Valve Cartridge by turning anti dockwise using a 17mm socket 6 Remove and discard relief valve by turning anti clockwise using a 15 16 spanner or socket ASSEMBLY l Fit new Valve Cartridge and Seal Ring Torque to 16 2 Nm 2 Using tweezers or a small pair of pliers remove Actuator Assembly from protective cap and insert it into the Valve Cartridge with the pin facing downwards 5 Place the new Diaphragm Assembly over the Actuator Assembly and body Check orientation is correct in relation to Fig 14 4 Place the slip ring spring and upper spring rest on top of the diaphragm assembly taking care to ensure that position and orientation is correct Fig 14 5 Fasten Bonnet using a tightening torque of 27 5 0 5 Nm Fit new relief valve and o ring using a tightening torque of 25 1 Nm Reset secondary pressure as required See ADJUSTMENT 102 First Line and Planned Maintenance Manual Frontline Sirius 7 Fitting Planned Maintenance Kits ADJUSTMENT Turn adjusting screw clockwise to increase and counter clockwise to decrease outlet pressure setting To reduce pressure first reduce to a pressure less than that desired then increase to the desired outlet pressure Turn adjusting screw using a 1 8 hex key Once 56 psi setting has been achieved secure the locknut using torque if 6 0
9. 5 Nm CLEANING l Cleaning of external surfaces is possible using water or isopropyl alcohol 2 Cleaning of internal surfaces and parts should not be required and is not recommended WARNING This product is intended for use in medical compressed gas systems only Do not use this product where pressures and temperatures can exceed those listed under Technical data DO NOT use any lubricants that are not compatible with oxygen or medical gases The use of lubricants not compatible with oxygen may USE NO OIL pose a risk of fire or explosion x Open the cylinder valve slowly to prevent the risk of fire or explosion due to oxygen pressure shocks The relief valve is a safety device and must only be removed for servicing Once servicing is complete a new relief valve must be fitted Do not attempt to adjust or tamper with the relief valve Figure 14 Primary Regulator Adjusting Screw Locknut TE ol Upper Spring Rest Bonnet Diaphragm Assembly Z gt Slip Ring io Actuator Assembly pe ed Seal Ring lt Valve Cartridge O Ring Body Relief Valve Mounting Spacer First Line and Planned Maintenance Manual 103 7 Fitting Planned Maintenance Kits Frontline Sirius Notes 104 First Line and Planned Maintenance Manual Frontline Sirius 8 Spare Parts 8 0 Spare Parts First Line and Planne
10. ENTRAIN AUX O2 COMMON FLOW METER FLUSH GAS OUTLET SWITCH 3 BACKBAR rre q z BI lt NRY VENT SUPPLY Figure 3 Pneumatic Circuit Manifolded First Line and Planned Maintenance Manual Frontline Sirius Key to Figure 3 Pneumatic Circuit Manifolded x lt xg lt a varO ZT AZA PDA T FA S amp S O Pipeline O Cylinder Yoke NO Pipeline N O Cylinder Yoke Air Pipeline Air Cylinder Yoke ON OFF N3 O AIR Switch Reservoir Oxygen Failure Alarm O SHUT OFF Valve N O AIR Interlock Valve Air Valve Air Take Over Valve O Secondary Regulator N20 Secondary Regulator How Meters Backbar O Flush Common Gas Outlet Blow off Valve O HP Outlet Aux Flow Meter Hypoxic Link System First Line and Planned Maintenance Manual 1 Technical Description 25 1 Technical Description 26 Notes Frontline Sirius First Line and Planned Maintenance Manual Frontline Sirius 1 2 Specification 1 2 1 Machine Dimension Height Max Depth Average Width Weight 1 2 2 Work Surface Dimensions wo Weight area Moor 1 2 5 Maximum Loading Rodel Monitor Shi work surtace ow sher All loadings to be evenly distributed 1 5 Pneumatics 1 5 1 Gas Specific Colour Specifications First Line and Planned Maintenance Manual 1 Technical Description 27 1 Technical Description Frontline Sirius 1 3 2 Electrical Cable Colour Specifications
11. Record monitored peak pressure which should be stable and 20 2 cmH O First Line and Planned Maintenance Manual 79 6 Planned Maintenance Frontline Sirius 6 11 Checklist and Calibration Record MI pe Reams re moms br pee pe ans m gw br pem br Dm a Wc peer LIN ci Ld TV 0 51 BPM 12 IE Ratio 1 2 0 Absorber OFF IF mr me Hc LC MEET pm po ooo 2H E E ae ca Fa rp onesie Yo L pemon dpm pros eres fm C pennn e im mene EN Oxygen Monitor Reference Unit Monitored ee ee LLL Pr jesse eese sasraese erae dE LL No of Test Instruments used Loops Close 50 2ml Blease Frontline Sirius Part No Serial No Date Works Order No Testers No Signed Checklist to be completed as applicable to each machine s specification 80 First Line and Planned Maintenance Manual Frontline Sirius 7 Fitting Planned Maintenance Kits 7 0 Fitting Planned Maintenance Kits First Line and Planned Maintenance Manual 81 7 Fitting Planned Maintenance Kits Planned Maintenance Frontline Sirius 13600530 Figure 8 Sirius Annual Planned Maintenance Kit 82 First Line and Planned Maintenance Manual Frontline Sirius 7 Fitting Planned Maintenance Kits Figure 8 Annual Planned Maintenance Part No 13600530 1 Bodocs Seals 2 Backbar Seals 5 Absorber Stop 4 Backbar Dzus Springs 5 AGSS Probe Seal 6 AGSS Float Seal 1 Pipeline Filter 8 Pipeline O Ring
12. Trak wheel Press the Trak wheel again to start the calibration process This takes approximately one minute and a countdown is displayed whilst it is in progress First Line and Planned Maintenance Manual Frontline Sirius 2 User Pre Use Testing Once the calibration process is complete return to the main screen stop the flow of pure oxygen and expose the probe to room air for a few minutes e he oxygen concentration should nominally read 20 9 0 5 3 Check with a tug test that each pipeline is correctly inserted into the appropriate gas supply terminal Note Carbon dioxide cylinders should not be present on the anaesthetic machine unless requested by the anaesthetist A blanking plug should be fitted to any empty cylinder yoke Check that the anaesthetic machine is connected to a supply of oxygen and that an adequate supply of oxygen is available from a reserve oxygen cylinder e Check that adequate supplies of other gases nitrous oxide air are available and connected as appropriate e Check that all pipeline pressure gauges in use on the anaesthetic machine indicate 400 500kPa 4 Check the operation of flowmeters where fitted Check that each flow valve operates smoothly and that the bobbin moves freely throughout its range Check the anti hypoxic device is working correctly Check the operation of the emergency oxygen bypass control 5 Check the vaporizer s e Check that each v
13. assemblies are opened for cleaning all visible parts should be inspected carefully and damaged components replaced The bellows material deteriorates with age and use and should be examined and replaced if necessary every six months 5 1 2 2 Other Maintenance Occasionally maintenance may be required on terms that are not covered by periodic routine maintenance tasks 5 1 2 5 Exchanging Fuses WARNING The use of incorrectly rated fuses constitutes a fire hazard Replace the two fuses only with the correct type and rating of fuse 1 At the rear of the machine behind the cylinder positions is a small hatch 2 Unscrew the three screws and lift off the hatch to reveal the fuses in the holder 5 Exchange the fuses and then replace the hatch 4 Tighten the screws 5 If the fuse fails a second time contact a Service Engineer 68 First Line and Planned Maintenance Manual Frontline Sirius 5 Routine Maintenance Figure 7 PEEP Pop Off Valve Assembly Diaphragm Cover Diaphragm Support Disc Diaphragm Assembly Pop off Valve Screw Nut and Washer l NOTE Sealing APPLY TAMPER EVIDENT SEAL Diaphragm with hole TORQUE SCREW Disc TO JOINT OF SCREW AND DISC IN POSITION TO 0 40 Nm Diaphragm Brace PEEP Valve Weight First Line and Planned Maintenance Manual 69 5 Routine Maintenance Frontline Sirius Notes 70 First Line and Planned Maintenance Manual Frontline Sirius 6 Planned Maintenance 6 0 Planne
14. below 2 8 l m 7 Turn the oxygen flow control clockwise until a flow of 1 5 l m is reached Check that the nitrous oxide flowblock assembly is reading 3 5 to 6 6 I m 8 Turn the nitrous oxide control fully clockwise 9 Ensure all the flow control valves are turned fully clockwise and then switch the machine off Oxygen Flush Tap Test With only oxygen connected to the machine verify that the oxygen flush discharges gas through the common gas outlet Auxiliary Outlet Test l To test the oxygen attach oxygen only to the machine and verify that gas flows from the oxygen auxiliary outlet when connected 2 To test the air attach oxygen only to the machine and verify that no gas flows from the Air auxiliary outlet when connected Attach air to the machine and verify that there is flow from the Air auxiliary outlet when connected Vaporizer Test See 3 1 1 Leak Test Ventilator Test Is contained in the Pre Use Testing that follows First Line and Planned Maintenance Manual Frontline Sirius 3 Full System Testing 3 2 Pre use Testing 8700 Ventilator Please read the following instructions in conjunction with the information on 1 Compliance compensation contained in the Installation section of this manual The patient airway flow sensor head must be in the patient circuit in order to carry out compliance compensation The option to run a Pre Use Test for Compliance Compensation is built into the Startup menu The
15. gauge registers about OmmHg and that no suction is available Switch the controller to the FULL position Ensure that the gauge registers around 100 to 200mmHg and that when the inlet is occluded the gauge registers about 500mmHg Switch the controller to the REG position Ensure that the gauge registers a vacuum which can be varied between 200 and 500mmHg when the inlet is occluded 6 4 Scavenging Test Connect to vacuum Ensure that the green float rises to the window Occlude port on filter assembly ensure gauge reads gt 450mm Hg 65 Cylinder Leak Tests Fit and open one cylinder of each type of gas and check that the cylinder gauges register the cylinder pressure Close each cylinder and check that the reading on the contents gauges do not fall by more than half a division in three minutes Repeat for additional cylinders Turn machine to the N20 position turn oxygen cylinder on and turn nitrous oxide cylinder on then off Check that the reading on the nitrous oxide contents gauge does not fall by more than half a division in three minutes Using the test points behind the small lower access panel each gas regulator output pressure can be measured All regulators are set to 560kPa 20 52psi 2 First Line and Planned Maintenance Manual 75 6 Planned Maintenance Frontline Sirius Note that the oxygen failure warning device may momentarily activate when 6 6 the oxygen is first turned off Allow 15
16. machine OFF Fit corrugated hose between the inspiration and expiration ports Fit a 2 litre bag to the absorber bag mount Turn the absorber ON to bag and turn the APL valve to its maximum position First Line and Planned Maintenance Manual 77 Planned Maintenance Frontline Sirius Whilst watching the pressure on the absorber manometer use the flush to fill the 2 litre bag on the bag mount gas should be relieved through the APL valve at 40 to 50 cmH O Squeeze the 2 litre bag gas should be relieved through the APL valve at 60 to 70 cmH Turn the APL valve to its minimum position pausing to check for any leak gas should be relieved steadily the valve turn smoothly and the pressure should fall to 2 cmH O Turn the APL valve to its maximum position then refill the 2 litre bag Switch the absorber to vent fill the bellows Squeeze the 2 litre bag ensuring that there is no crossover between the two Absorber Removed Alarm Check Remove the absorber and ensure that the ventilator raises the appropriate alarm 6 10 Ventilator Power up Check all LED s illuminate and are aligned Follow on screen instructions ensuring absorber is switched off Reconnect the system Set running ventilator in CMV mode to a C20 test lung at 0 50L TV 12 BPM and I E of 1 2 0 with the pressure limit set above 50cmH O Whilst allowing the system to warm up check the spirometry waveforms for regularity and ensure that the loops dose Recor
17. shelf A in Figure 1 is mounted on top of the machine Loading should not exceed 25Kg 22 First Line and Planned Maintenance Manual Frontline Sirius 1 Technical Description 1 1 5 AGSS The AGSS is integrated with the Frontline Sirius 3000 but external on the Frontline Sirius 2000 and 1000 An external flap marked AGSS is provided on the Frontline Sirius 3000 for connection of other breathing circuits 1 1 6 Suction The suction controller is integrated into the Frontline Sirius 3000 and can be fitted externally to the Frontline Sirius 2000 and 1000 On the 3000 the filter is beneath the work surface and provision for the receiver jar is below the work surface The controller has an OFF position a max position and an adjustable setting 1 1 7 Absorber The absorber is integrated on the Frontline Sirius 3000 and attached to the side of the 2000 It can be rail mounted with the 1000 1 1 8 Ventilator Either the 8700 ventilator or 6700 ventilator fitted to the 3000 these have CMV PCV and SIMV Comliance Compensation and Fresh Gas Compensation The 8700 has spirometry loops First Line and Planned Maintenance Manual 23 1 Technical Description O2 P L GAUGE 02 PIL O INLET O2 YOKE REG O2CYL GAUGE O2 CYL N GAUGE N20 P L GAUGE N20 P L INLET 20 YOKE REG N20 CYL GAUGE N20 YOKE REG N20 CYL GAUGE AIR P L INLET AR YOKE REG AIR CYL GAUGE 24 O2 HP OUTLET Frontline Sirius AIR
18. the user to replace if one is damaged or fails test during use 7 3 Bodoc Seals 1 Remove cylinders from the yokes then remove the old Bodoc Seal and replace with new ones Refit the cylinder 7 4 Backbar Seals 2 Remove vaporizers from the Selectatec back bar then remove all four seals replace with new ones 1 5 Backbar Dzus Springs 4 Remove the two Dzus Spring assemblies by undoing the two screws in the diagonal corners of the plate Lift the plate up taking care not to drop the index pin The index pin must be fitted to the new Dzus Spring assembly before fitting the new item e After fitting use the Back Bar Test Valve Test described earlier 6 2 14 e Refit the vaporizers 1 6 Absorber Stop O Ring 3 e Remove the O Ring from the Absorber blanking plug and replace with new item new cell is supplied with O Ring fitted 1 1 Pipeline Fitting 7 and O Ring 8 Disconnect pipelines from their supply Disconnect the pipeline NISS DISS connection from the Sirius Unscrew the two small grub screws until the main body of NISS DISS connection is free to rotate Unscrew the connector the filter and O Ring can now be changed e Refit the outer part of the connector and tighten the two small grub screws First Line and Planned Maintenance Manual 95 7 Fitting Planned Maintenance Kits Frontline Sirius Repeat for all three pipelines Note each gas type has a unique fitting an
19. their full range Turn off the vaporizer When charging each vaporizer ensure that the correct anaesthetic agent is used and that the filling port is tightly closed Set a suitable flow of oxygen 6 to 8 I m turn the vaporizer off and temporarily occlude the common gas outlet There should be no leak from any of the vaporizer fitments and the oxygen flowtube float will dip Repeat this test with each vaporizer turned on There should be no liquid leak from the filling port Turn off each vaporizer and the oxygen flowblock assembly control knob 2 6 Ventilator l 2 Check screen display and mains power LED are illuminated Check that the patient flow sensor and tubing are connected and in good condition First Line and Planned Maintenance Manual 2 User Pre Use Testing Frontline Sirius 2 7 34 Absorber Pre Use Check WARNING Do not use a faulty absorber injury to the patient may result Call an authorised service engineer or return the unit to the supplier Carry out a careful visual inspection of the absorber Ensure the absorbent canisters are full and installed Ensure that all canister seals are present and are correctly installed See Fig 5 Undo the two valve covers and check that both the inspiratory and expiratory valve discs are clean and free to operate Check the valve seats for chips damage etc Replace the discs and covers Ensure that the bypass control is in the ABSORBER ON position E
20. 11 Warnings C M 12 Electrostatic Sensitive Devices ESD Warnings and Cautions e 15 crinem 14 brille 15 1 Technical DescripUlOTi noii coa a Esai debel itin E bias etie Clo ei Hein La deb bxi ditus 17 22 Hels IDESCRBHOU emisonin e E Oo INIM EAD UIN cane 22 LS IBRdbeeacme ponam DRM DD ID Md ME MM M mM E 22 31 22 3P Uli TALI AS STAD EY atto Meiste agenda ibn ando ette ORDIN rq 22 T1737 TERRE GET S edt oL omit d aUis Ue ne Ri een eee RAI LA on I RU OR 22 LLA The Monitor SRE heermanni a a eet to bess 22 LERAGS Sa a a A E 25 A ETE OIE Rete tico er re ode ed ede MR Yvan Errore ERE ED ROO Sd 25 Ly 3ADSOUDOD eenud ated etis tren tent trea taney Ant Mt tere emer A E e S LM Lnd 25 18 Ventilato eee Sarat darin eec eM uM DA D dM Dd M UR 25 E2 DeGHBICa LIO eee scores te qe nt vow tala DDR on eet a 27 EZA Machine DIMENSION siene bie dd habue a M Rp 27 1 2 2 Work surface DIMENSIONS aenea dassdtaatadetatibv t mtd mtadantncnse E tias 27 E25 Makim ny LEC AHL ttn sett Rott an Rte c nU Rd 27 ERNA ESEA A A E T re eve ner eRe Oe Re 27 1 3 1 Gas Specific Colour SBecITIC dH OPI atacan Mtr aad Ap iade otn Meet 27 1 3 2 Electrical Cable Colour Specifications s s sissssisisisistssisisesistssssisesrsrstssrtrseseststssrseseststsnrersesestsns 28 EE Ss c E E a 28 aA common Cus Outlet tit tect irat
21. Frontline Sirius Advanced Anaesthesia Systems First Line and Planned Maintenance Manual Sirius 5000 Sirius 2000 Sirius 1000 Blease Frontline Sirius Anaesthetic Machines First Line and Planned Maintenance Manual MODIFICATIONS LABEL ECN 4676 C 0120 Part Number 136SM000 Issue 2 November 2005 Frontline Sirius Important Read this manual before operating or servicing the machine Read the vaporizer manual before operating the machine For all users and Service Personnel refer to the User Manual before operating the machine 2 First Line and Planned Maintenance Manual Frontline Sirius Introduction Table of Contents Product ImptrovemenL eoe tt rH He NHIEU SHE NN ontoro a pei WE us uidi iris aS cuti prie 7 Responsibilities of the Manufacturer ss sesesssesosssesosesssoseossoseossossossoseossoseossossossoseossossossess 7 DIRA RUNE EAEE cients necesasctdoa adsense 7 Note to Service Personnels dei ri hui MY are PE RW Rena aui METTE cepasusdanssahoacesasbsass 8 ur IIpil eme 8 CE IMAP Tc H M 8 Trademarks and Acknowledgemennts eerte eese eee teta tente teta tato tnnuo 9 Symbols and Abbreviations es sesesssesesssesessossossossoseossoseossossossoseossossossossossossossossossossossossosse 10 Hazard NOLUCGS i oriri hee fest ccs n ius EE a dst dps AREE A ea ea resa mu daa TON
22. Planned Maintenance Manual 57 3 Full System Testing Frontline Sirius Below are the screens that set up the conditions affecting the opening Pre use screens regarding gas analyser exhaust positioning The gas analyser exhaust gas can be dealt with in two ways a it can be simply exhausted to at mosphere scavenged or b it may be returned to the circle These choices need to made by the hospital and the selection made at the time of commissioning the system The selection can have marked effects on he leak tests carried out during the pre use testing If the sample line is disconnected but the exhaust is returned to the circle then it may mask leaks by providing an additional gas input If the reserve situation l e the sample line is con nected but the exhaust is not then it would constitute a leak 58 First Line and Planned Maintenance Manual Frontline Sirius 3 Full System Testing 3 5 Pre use Testing 6700 Ventilator The patient airway flow sensor head must be in the patient circuit in order to carry out compliance compensation The PEEP valve is tested during the Pre Use test If the valve is replaced or fitted during use the Pre Use test must be carried out to ensure continued accurate operation The option to run a pre use test is built into the start up screen It is initiated by pressing the es key or skipped by pressing the alarm reset key If the compliance compensation test is skipped the message com
23. S S cU tren 50 sse Leak TOS Eon du modu cpu sunt cp MAS pcpL T een nee 50 3 1 2 On Off Switch and warning System CHECKS 5 ottenere ttu 51 3 1 3 Mechanical Hypoxic Guard Tessa etit te i Roa rat DR te Rp aant 52 31A xv een Flush Tap ESI a sicubi vistas dances A E ta uua 52 3 1 5 Auxiliary Outlet Oise eee eb a a eR ROTOR AT aspe M Re Re 52 SAN ME pre ras Mirco G H 52 317 Ventilator fo TNR E M tt 52 3 2 Pre S oad cht Se nn per Pe CD se een ee ere eee ne 53 5 2a Presse NESE IETTOR MeSSIBOS omen naei a ce RIND MCap cd 56 SS Pre use Testine 6700 Ventilator eset bU den Rp b ton eben Monast 59 lt MallfelalliCce i eov bon vba seven rh ber ean bv FREE AER oet PvE oh Ee ERR spbucenalsoverseans 61 4 1 Cleaning and Ste IT IS IDOTY o aea edo Se tasto fud otra ROC e tu RE 62 AAP el CUBA PM 62 21225 ADSOFBOD seat etree tees oe atomes pt eee ee eo CO a A LUNA aes 62 A T3 Peep UA Gesta turtle ot peel te Dp RB i uer qn de aun 65 2 ey entlabors Ub dC Boeaoiau bd techno a neto dU aut ub baa coc 65 ATS PODSOIT Value SB Less atacdidtoot t det bateb nena pda ld Pu Ptpl Matos 65 4 1 6 patient Airway Flow Sensor eo dea atrae atte ap oto update Eo pg 65 ZI BB oc MEM M E M EN 65 2o Methods of Sterilisation a eet Re cer ne ee da Raten drei PUn eee iu A 66 Routine MaintenailCe orsi ea Po s Re RIP ER REF NN FEBR aU E XERRE REN ERE Se AER te PU ENRU EAS 67 5L Routine Maintenance Ec 68 EN BU NI ec LI UL 68 SUMI EEG on US DITE E EM 68 5 2 S
24. ance Kits Remove top left screw as shown Frontline Sirius 88 First Line and Planned Maintenance Manual Frontline Sirius 7 Fitting Planned Maintenance Kits Remove top right screw as shown First Line and Planned Maintenance Manual 89 7 Fitting Planned Maintenance Kits Frontline Sirius Ensure work surface is clear then slide front cover forwards in the direction shown Front of machine 90 First Line and Planned Maintenance Manual Frontline Sirius 7 Fitting Planned Maintenance Kits bi i j v 27 Manifold block Flowmeter Filter location First Line and Planned Maintenance Manual 91 7 Fitting Planned Maintenance Kits Frontline Sirius Not necessary for Routine Service Removal of back Remove all pipelines and cylinders before removing screws 92 First Line and Planned Maintenance Manual 7 Fitting Planned Maintenance Kits Frontline Sirius Remove small panel for partial access remove larger panel for complete access Test Points First Line and Planned Maintenance Manual 93 7 Fitting Planned Maintenance Kits Regulators 94 Frontline Sirius First Line and Planned Maintenance Manual Frontline Sirius 7 Fitting Planned Maintenance Kits 1 2 Fitting Planned Maintenance Kit 13600530 Bodoc Seals 1 Backbar Seals 2 and O2 Probe O Ring 5 are duplicated The a duplicated set is to be placed in one of the drawers for
25. aporizer is adequately but not over filled e Check that each vaporizer is correctly seated on the back bar and not tilted e Check the vaporizer for leaks with vaporizer on and off by temporarily occluding the common gas outlet e Turn the vaporizer s off when checks are completed Repeat the leak test immediately after changing any vaporizer First Line and Planned Maintenance Manual 45 2 User Pre Use Testing Frontline Sirius Check the breathing system to be employed Note A new single use bacterial viral filter and angle piece catheter mount must be used for each patient Packaging should not be removed until point of use Inspect the system for correct configuration All connections should be secured by push and twist Perform a pressure leak test on the breathing system by occluding the patient end and compressing the reservoir bag Bain type co axial systems should have the inner tube compressed for the leak test Check the correct operation of all valves including unidirectional valves within a cirde and all exhaust valves Circle Test Valves 46 Place 2 litre bag on flow sensor Turn BAG VENT switch to VENT Vent will run check that COMPLIANCE changes to ON after 2 or 5 cydes Visually inspect the 2 valve discs for movement and sticking Disconnect the expiratory limb from the absorber block and occlude the limb coming from the patient No gas should flow out of the exposed port on the absorber blo
26. at the set pressure G SCAVENGING Check that the anaesthetic gas scavenging system is switched on and functioning Ensure that the tubing is attached to the appropriate exhaust port of the breathing system ventilator or anaesthetic workstation H ANCILLARY EQUIPMENT l Check that all ancillary equipment such as laryngoscopes intubation aids eg intubation forceps bougies etc which may be needed is present and in working order Ensure that all appropriate sizes of face masks laryngeal masks airways tracheal tubes and connectors are available and checked for patency at the point of use 2 Check that the appropriate laryngoscopes function reliably 5 Check that the suction apparatus is functioning and all connections are secure test for the rapid development of an adequate negative pressure 4 Check that the patient trolley bed or operating table can be rapidly tilted head down 42 First Line and Planned Maintenance Manual Frontline Sirius 2 User Pre Use Testing SINGLE USE DEVICES Any part of the breathing system ancillary equipment or other apparatus that is designated single use must be used for one patient only and not re used Packaging should not be removed until the point of use for infection control identification and safety For details of decontamination of re usable equipment see the AAGBI Infection Control document J MACHINE FAILURE In the event of failure some modern anaesthetic workstat
27. ck Switch off vent and reconnect all vent parts ensuring O2 probe is connected Check for patency and flow of gas through the whole breathing system including the filter and angle piece catheter mount Check that the ventilator is configured appropriately for its intended use Check that the ventilator tubing is correctly configured and securely attached Set the controls for use and ensure that an adequate pressure is generated during the inspiratory phase Check the pressure relief valve functions Check that the disconnect alarms function correctly Ensure that an alternative means to ventilate the patient s lungs is available First Line and Planned Maintenance Manual Frontline Sirius 2 User Pre Use Testing Check that the anaesthetic gas scavenging system is switched on and is functioning correctly Check that the tubing is attached to the appropriate exhaust port of the breathing system ventilator or workstation Scavenging Test Connect the free end of the disposal hose to the hospital gas scavenging disposal system and check that the float is visible in the float window as illustrated Float visible Float at top stop approx 50 Ipm approx 100 Ipm Check that all ancillary equipment which may be needed is present and working This includes laryngoscopes intubation aids intubation forceps bougies etc and appropriately sized facemasks airways tracheal tubes and connectors which must be checke
28. d Maintenance First Line and Planned Maintenance Manual 71 6 Planned Maintenance Frontline Sirius 6 1 Routine Maintenance 6 1 1 Planned Preventative Maintenance 6 1 1 1 Service Schedule The recommended planned preventative maintenance should be completed in the following sequence 6 1 1 2 Every 6 months Maintenance Checks e Overall Visual Inspections Oxygen Monitor Calibration Cylinder Pressure Leaks e Pipeline Pressure leaks Full System Test 6 1 1 5 Every 12 Months e Fit Service Kit Part No 15600550 Maintenance Check as 6 months Full System Test 6 1 1 4 Every 48 Months Fit Service Kit Part No 13600531 Maintenance Check as 6 months Full System Test Test Equipment Required e Pressure Gauge 0 100cmH20O manometer Volume Measuring Device wights respirometer e Test Lung 72 First Line and Planned Maintenance Manual Frontline Sirius 6 Planned Maintenance 6 1 2 Detailed Maintenance Checks See section 7 for ordering information on service items 6 1 3 Overall Visual Inspection Should any of the checks indicate a mechanical fault damage or deterioration the item should be adjusted or replaced 6 1 4 Visual Inspection Check that the following are free from damage and are securely mounted to the machine and or their fittings Yoke Blocks their index pins and bridges Pipeline inlets Pipeline hoses for deterioration or damage e Pipeline ferrules and colour coding
29. d Maintenance Manual 105 Spare Parts 8 1 First Line Planned Maintenance Parts List Flow Sensor Flow Sensor Tubing Manometer 10cmH O to 100cmH O PEEP Valve OcmH O to 20cmH O Re usable Soda Lime Canister NRV Cover NRV Disc Outer Canister 2kg Bag Hook Sirius 5000 work surface mat Bellows Cover Bellows AGSS Filter AGSS Float Window Pipeline Protection Filter Sirius Planned Maintenance Kit Yearly Sirius Planned Maintenance Kit Every 4 Years Oxygen Probe single part 106 10110218 1011090 54500052 10500005 12200221 12200025 12200162 12200228 12200448 15600068 85055 85054 12800054 12800055 55 00004 15600550 15600551 70500001 Frontline Sirius First Line and Planned Maintenance Manual
30. d can not be incorrectly mixed 4 Note On early production Sirius the NISS DISS fitting can not be separated and the filter must be accessed from the rear which requires any monitoring to be removed then the top monitor shelf and rear cover to be removed Refit the pipeline and check for leaks The anti confusion Test should be carried out 6 2 6 96 First Line and Planned Maintenance Manual 1 8 Figure 10 AGSS Frontline Sirius 7 Fitting Planned Maintenance Kits AGSS Probe 5 and Float 6 Disconnect electrical supply to Sirius 3000 only Remove the bellows assembly by sliding the absorber forward until the bellows connections become free then remove the two thumbwheels at the front of the bellows The bellows assembly can now be lifted clear of the locating pins at the rear of the bellows assembly Working through the apparatus below the bellows assembly on 2000 amp 1000 the AGSS unit is external The AGSS probe can be pulled out of the top of the AGSS unit Remove the O Ring 5 and replace with the new part Disconnect the 50mm connector from the side of the AGSS unit located approximately 100mm down the AGSS unit The AGSS unit will now pull off its V mounting bracket and can be removed through the apparatus on 5000 Hold the lower black part of the body where the 50mm connector is and unscrew the top black part with the windows Clean the filter Remove the top O Ring 6 slide the green
31. d for patency Check that the suction apparatus is functioning and that all connectors are secure Suction Test After assembling the suction system a simple adjustment and test is required as follows Continuous Mode Turn the mode switch to REG Occlude the hose connected to the patient connection of the collection bottle Wait for the vacuum reading on the gauge to rise and stabilise then adjust the large knob to the maximum desired level Remove the occlusion Full Mode Turn the mode switch to FULL Occlude the hose connected to the output port of the regulator and verify that the gauge reads full available vacuum Remove the occlusion Verify that the high flow suction exists Check that the patient trolley bed or operating table can be rapidly tilted head down First Line and Planned Maintenance Manual 47 2 User Pre Use Testing Frontline Sirius 10 11 48 Check that an alternative means to ventilate the patient is immediately available e g self inflating bag and oxygen cylinder Check that the self inflating bag and cylinder of oxygen are functioning correctly and the cylinder contains an adequate supply of oxygen Recording Sign and date the logbook kept with the anaesthetic machine to conform the machine has been checked Record on each patient s anaesthetic chart that the anaesthetic machine breathing system and monitoring has been checked First Line and Planned Maintenance Manual Fro
32. d the bellows deflection which should be 600 80 ml and in the case of an 8700 only compliance which should be 100 20 ml Volume Measurement Measure the delivered volume this should be 50 2ml record this figure on the test sheet Observe the monitored expired and 8700 inspired volumes Ensure that these stabilise Both should be within 2ml of the actual delivered volume If it is necessary to adjust these readings then record old and new values of gain and ratio on the SR CCR6 Fresh Gas Calibration 8700 only 18 Calibrate the fresh gas measurement Set 8lpm each of both oxygen and nitrous oxide note the measured value which should be 16 0 1 6lpm Set 1lpm each of both oxygen and nitrous oxide note the measured value which should be 2 0 0 1 lpm First Line and Planned Maintenance Manual Frontline Sirius 6 Planned Maintenance Fresh Gas Compensation Set 3lpm each of both oxygen and nitrous oxide run ventilator with the parameters set above and note the bellows deviation which should be reduced to 400 80ml PEEP Test e Restore basal flow set PEEP to 10 cmH O Check that the minimum pressure and the monitored volume are stable Alarms Induce the following alarms and check that there are audible and visual indicators on the ventilator High Pressure Mains Failure Supply Gas Failure PCV Mode e Remove additional fresh gas and PEEP Set ventilator to PCV mode at 20 cmH O e
33. e Paediatric adapter Pop off valve Gas liquid autoclave Pop off diaphragm Gas liquid autoclave Control unit Do not sterilise Patient Airway Flow Gas liquid autoclave 132 C sensor max N B The white plastic blank is not Autoclavable Notes 1 Ethylene oxide 54 C max 2 Eg Cidex Sporicidin Sonacide 3 Steam autoclave 134 C max The autoclavable bellows base has a 30 mm diameter exhaust port the canister is smokey grey with ribs around it and there are four large lugs The 1 rubber bellows has a plastic coated metal top plate Older type canisters are clear with only two lugs Old style bellows have a solid plastic top plate The Paediatric canister cannot be autoclaved 66 First Line and Planned Maintenance Manual Frontline Sirius 5 Routine Maintenance 5 0 Routine Maintenance First Line and Planned Maintenance Manual 67 5 Routine Maintenance Frontline Sirius 5 1 Routine Maintenance 5 1 1 Weekly Checks 5 1 1 1 Control Unit 1 Connect the main electrical power and turn the Patient Selection Switch to Adult or Paediaitric 2 Disconnect the mains supply and check that the MAINS FAIL alarm activates 3 Reconnect the mains electrical power and check that the alarm resets 4 Turn the ventilator on 5 Disconnect the O2 and Air hose and turn off the O2 cylinder The SUPP GAS LOW alarm should activate 5 1 2 Six Monthly Checks 5 1 2 1 Bellows Fach time the bellows
34. e Manual Frontline Sirius 4 Maintenance 4 0 Maintenance First Line and Planned Maintenance Manual 61 4 Maintenance Frontline Sirius 4 1 Cleaning and Sterilisation 4 1 1 Main Unit Stainless Steel Painted and Anodised Aluminium components and surfaces should be cleaned with a damp cloth and mild soap Abrasive cleaners should NOT be used Clear plastic areas flowblock assembly and gauge faces should be cleaned with a damp soft clean cloth and dried immediately with a dry cloth to prevent spotting 4 1 2 Absorber The absorber should be cleaned as and when required Do not use caustic substances such as trichlorethylene for cleaning the 4 absorber as it may damage the surfaces Do not autoclave the manometer WARNING The condensate in the bottom of the outer canister is caustic 1 Remove the outer canister 2 Remove the inner canisters and dispose of the contents refillable only or the canisters themselves Pour out any condensate from the bottom of the outer canister Remove the manometer if fitted Remove the non return valves by turning counter clockwise to disengage the bayonet fitting and then lifting out Remove the valve discs 5 Remove the APL valve by lifting the spring loaded APL cover stop then turning the cover counter clockwise to disengage the bayonet fitting and lifting out Remove the valve disc Set the Bypass valve to Absorber On 7 Wash all components in hot water and dry us
35. e Rte o a a ceded testet duse dah ditas itd 28 1 3 5 pecninicabPerrormarice Specific all oL osea eroi rd det eben 29 I ol CONTO sce vate caret cou Duces E D MM IAM C ME ESO 29 155 52 V ntilato miserae Onn roe se eee ee Te Lu DIET 29 135 5 Alatrris Indi calOE S noob ictisutd tiun pa nA tp D UM Ut Hadr p DM Ou Fd 30 1 3 5 4 Regulator Safety Valve SWE IOS ois stacqanedqe otto une Ra ptt Ua 50 1 5 9 De SNCS ied ccasess atate ibat a ando d bd haa Meca apa rd 50 15 5 3EPIVIRODIETIBEMER E dtes RI etia to aad ubi tala te rentas ett anra fiae Ee 50 PAM IUD so ssis sr os 31 21 IDEEN GER ce c ann me Ones AM M MM A A MALE E 32 2 2 EWE and Pele SUP NCS escenas tb M tle e d uiae dro Ru REOR S 32 25 3 EIOWDIOGEASSSITIDIES s otov ie A EENE O EAO OE E ande 32 2 4 Oxygen Failure Warning System GlIBCK uote aget euer ota qd 32 First Line and Planned Maintenance Manual 3 Frontline Sirius WN ai hel iLO BR Pa B18 Vo cl Mere tre uo tet es PE oO ee eRe MA 33 PI rusa een eereenee eee eee ew Re Nene Ment UaeN Erin Tent Spare tre Cree earner ery Sree terre nares 33 2 5 Absorber Prese ICC re areata ee areca nde a Du EU D d Dt AE 34 2 8 Checking Anaesthesia EBUIBRHEDND o en idera RA ertet 57 De Me ROC OCIS oe eo a ae Rae Gata ce tuit Bai tances oe NOE o died eui abe cs alee 38 PASARE EE Sea uta omis abustendetutats een OT Ru E ROE Tow E nC co dme 44 z FUE System TOSGING e vokis 49 Sal EMI
36. elevant ancillary equipment are connected to the mains electrical supply where appropriate and switched on Switch on the gas supply master switch if one is fitted Check that the system clock if fitted is set correctly Careful note should be taken of any information or labelling on the anaesthetic machine which might refer to its current status B MONITORING EQUIPMENT Check that all monitoring devices especially those referred to in the AAGBI Monitoring Standards document are functioning and that appropriate parameters have been set before using the anaesthetic machine This includes the cycling times or frequency of recordings of automatic non invasive blood pressure monitors Check that gas sampling lines are properly attached and free from obstruction or kinks In particular check that the oxygen analyzer pulse oximeter and capnograph are functioning correctly and that appropriate alarm limits for all monitors are set First Line and Planned Maintenance Manual 39 2 User Pre Use Testing Frontline Sirius C MEDICAL GAS SUPPLIES I Identify and take note of the gases which are being supplied by pipeline confirming with a tug test that each pipeline is correctly inserted into the appropriate gas supply terminal Check that the anaesthetic apparatus is connected to a supply of oxygen and that an adequate reserve supply of oxygen is available from a spare cylinder Check that adequate supplies of any other gases inte
37. elevant or helpful Information First Line and Planned Maintenance Manual 11 12 Frontline Sirius Warnings The following statements are made to comply with the requirements of IEC 60601 1 This equipment must only be connected to gas pipeline supply lines that are fitted with pressure relief valves that limit the supply pressure to less than 7 bar The functioning of this machine may be adversely affected by the operation of equipment such as high frequency surgical diathermy equipment defibrillators or shortwave therapy equipment in the vicinity Increasing the distance from such equipment will minimise any possible interference Prior to connecting the machine to a patient carry out the pre use check to verify correct alarm operation To verify the O2 alarm set the flowmeters to give a concentration of 50 oxygen Using the controls on the oxygen monitor panel set the low oxygen level to 60 and verify the oxygen low alarm operates Set the high oxygen alarm level to 40 and verify that the oxygen high alarm operates The oxygen flow can only be reduced to zero by turning the ON OFF switch to the OFF position Excessive force on the oxygen control knob may damage the hypoxic guard To avoid explosion hazards flammable anaesthetic agents such as ether and cyclopropane must not be used in these machines Only anaesthetic agents which comply with the requirements on non flammable anaesthetic agents in IEC 60601 2 13 Specificati
38. entilator does not suffer a supply gas failure Oxygen Flush Control Tests 6 9 Ensure that the oxygen flow control is turned fully counter dockwise that the only supply on the machine is a single oxygen source and it is turned ON Turn ON the machine and check that a gas flow of 150 30ml min is indicated on the oxygen flowmeter Connect a flowmeter or peak flow gauge that will read 60 m of oxygen to an accuracy of 5 to the common gas outlet Operate the oxygen flush control by pushing it in and check that the action of the control is smooth and free from stiffness or looseness and that gas flows from the common gas outlet whilst the control is being passed Check that the flow is within the range 45 to 50 l m If a flowmeter is not available connect a 2 litre bag and ensure it fills within 5 seconds Alternatively a respirometer and stop watch may be used to check the flow Release the control and check that it returns to its original position without jerks and the gas flow ceases at the common gas outlet Remove the flowmeter or bag from the common gas outlet Turn the machine OFF Lighting When machine is turned ON ensure that backlight is illuminated Visually inspect the backlight and ensure that it does not have any marks and is evenly lit Check that DA lights illuminate when a hand simulates turning the vaporizer knob Absorber Record the serial number on the check sheet Absorber Crossover Checks Turn the
39. er to deliver them to a patient system The Frontline Sirius amp anaesthetic machine is based on the Frontline machines The Sirius has enhanced components and new features and improvements The Frontline Sirius amp Anaesthetic machine is designed to comply with ISO 5558 IEC 60601 1 IEC 60601 2 13 and BS EN 740 Referring to Figure 1 the Frontline Sirius amp machine consists of the major sections shown WARNING There may be some differences between the specifications in this manual and those for USA specification Frontline Sirius amp machines 1 4 2 Pneumatic Assembly The frame contains the pneumatic assembly The pneumatic unit contains the gas supply inputs the pneumatics that regulate the supply pressures to a usable pressure the oxygen failure alarm and its logic circuitry the common gas outlet the user controls and the pneumatic power outlets Above the work surface are the cylinder contents and pipeline pressure gauges flow control valves hypoxic guard and flowblock assemblies the vaporizer support rail and the uprights which support the monitor shelf WARNING In order to minimise the possibility of running the oxygen supply cylinders down it is recommended that the machine be switched off when it is not in use 1 1 5 The Frame The frame is made of steel supported on four castors the front two of which have brakes The steel frame is covered by mouldings with a painted finish 1 1 4 The Monitor Shelf The monitor
40. erials weighing more than 25kg on the bottom shelf or more than 25kg on the upper monitor shelf Overloading may cause damage to the shelves or cause instability Secure any equipment placed on the shelves To avoid stripping threads do not use tools on the yoke gate T screws Use only one cylinder gasket per yoke Using more than one gasket could cause cylinder gas leakage Ventilator The volume sensor must be correctly installed at either the distal location in the patient system s expiratory limb or the proximal end of the Y connector If the sensor is installed incorrectly volume data will be inaccurate and associated alarms including the low minute volume alarm will not function properly Position the volume sensor s cable with care If the cable is pinched or cut the ventilator s volume monitoring may not function correctly Do not connect the ventilator or absorber exhaust directly to a vacuum source The vacuum may remove required gases from the breathing system Only applies to Frontline Sirius 1000 and 20006 Ventilator inoperative messages indicate that a problem exists in the ventilator Do not attempt to use the ventilator while a ventilator message is displayed Do not attempt to use the ventilator if the alarm mute button will not silence alarms WARNING If an alarm condition cannot be resolved do not continue to use the system Sterilise the bellows assembly periodically to minimise the risk of cross infect
41. float off the central stem and remove the bottom O Ring 6 Replace the bottom O Ring Refit the float make sure it is the correct way up then replace the top O Ring 6 Reassemble the fitted window on top screw onto the lower sections Place the AGSS unit back onto its V bracket Refit the 50mm connector and the AGSS probe First Line and Planned Maintenance Manual 97 7 Fitting Planned Maintenance Kits Frontline Sirius 7 9 Bellows Base Cover 9 Remove the bellows cover bayonet fitting and then replace the bellows base cover O Ring 9 Remove the bellows by gently pulling the lower convolution of the retaining ring e Remove the pop off valve e Replace the white bellows base pop off 11 7 10 Pop off Valve 15 Undo the two screws that hold the pop off valve cover and support ring together e Replace the diaphragm valve 15 Figure 11 Pop off Valve Diaphragm Cover Diaphragm Support Disc Diaphragm Assembly 8e E Pop off Valve L E ip u Na Screw Nut and Washer l NOTE Sealing APPLY TAMPER EVIDENT SEAL Diaphragm with hole TORQUE SCREW ITEM 5 Disc TO JOINT OF SCREW AND DISC IN POSITION TO 0 40 Nu Diaphragm Brace PEEP Valve Weight e Replace Pop off valve in bellows base Refit bellows by gently pulling the lower convolution over the ring in the bellows base Replace the bellows outer cover 98 First Line and Planned Maintenance Manual Frontline Sirius 7 Fi
42. imate date of purchase If the equipment is being returned for repair indicate the nature of the fault or the work you require to be carried out Contact Blease Medical Equipment Limited Beech House Chiltern Court Asheridge Road Chesham Buckinghamshire HP5 2PX e England Tel 44 0 1494 784422 Fax 44 0 1494 791497 e mail enquiries sales blease com e mail technical support blease com www blease com Copyright 2005 Blease Medical Equipment Limited E amp OE All rights reserved The information contained in this publication may not be used for any other purpose than that for which it was originally supplied This publication may not be reproduced in part or in whole without the written consent of Blease Medical Equipment Limited CE Marking The product is labelled with the CE mark C 0120 8 First Line and Planned Maintenance Manual Frontline Sirius Trademarks and Acknowledgements The following symbols and acknowledgments may appear in Blease product manuals ABBOTT LABORATORIES 5 5 the trademark of Abbott Laboratories Da Lites is a trademark of Blease Medical Equipment Limited UK Datum is a registered trademark of Blease Medical Equipment Limited UK Dowty is a trademark of Dowty Seals Limited Draeger is a trademark of Draegerwerk AG Germany Dzus is a trademark of Dzus Fasteners Limited Fomblin is a registered trademark of Rocol Limited Frontline Sirius 1000 is a regi
43. ing a lint free cloth Check for and remove any small particles of soda lime which can destroy the integrity of valves and seals 8 Pack all components separately in the autoclave for sterilisation at 2 Bar for the duration of one standard cycle Autoclave the canisters and separate plastic parts in an upright position and away from other components 1 After sterilisation re assemble the components Ensure the large seal around the black interface moulding on the underside of the absorber is free from soda lime dust and lubricate with a Fomblin PTFE based grease After cleaning and lubricating check that the seal is firmly in place as the absorber cannot function correctly without it 2 Carry out the pre use checks 62 First Line and Planned Maintenance Manual Frontline Sirius 4 Maintenance 4 1 5 Peep Valve 1 Disconnect the control cable from its socket 2 Remove the actuator unit from its mounting by holding the main body and turning the grooved lock ring clockwise until the unit separates The actuator section must not be immersed or sterilized Use only a mild 4 detergent anti bacterial cleaner to wipe the surfaces and cable 5 Remove the valve cover by turning anticlockwise to disengage the bayonet fitting and lifting out remove the valve disc 4 These parts should be packed and autoclaved for sterilisation at 2 bar for the duration of one standard cycle 5 Reassembly is the reverse of this procedure War
44. ing patients Use a Sterilization schedule that complies with your institution s infection control and risk management policy Only use Blease approved sterilization methods As mentioned in section 4 If any foreign materials or liquids are trapped in the driving gas circuit or the pop off valve or the bellows base they could impair the valve s operation Do not use the bellows assembly if 14 First Line and Planned Maintenance Manual Frontline Sirius you suspect that materials are trapped Have the assembly repaired by trained service personnel Perform the Pre Use Check procedures after cleaning and sterilizing the bellows Always perform the Pre Use Check procedures for volume sensing functions after cleaning or replacing the volume sensor Vaporizer Do not use any vaporizer that is visibly misaligned on the manifold or that when it is locked can be lifted off the manifold Incorrect mounting may result in incorrect delivery of gases A vaporizer is calibrated and labelled for one agent only Do not fill with anything other than the designated agent If a vaporizer is filled with the wrong agent draining will not eliminate the agent because the wick will have absorbed some of the agent The wick must be thoroughly cleaned and dried by trained service personnel The vaporizers must be completely upright for the sight glass to properly indicate agent levels Never oil or grease any oxygen equipment unless the lubricant u
45. ions may default to little or no flow It is essential that an alternative oxygen supply and means of ventilation e g self inflating bag circuit and oxygen cylinder which must be checked as functioning correctly with an adequate supply of oxygen are always readily available Consideration should be given to alternative methods of maintaining anaesthesia in this situation K RECORDING AND AUDIT A clear note must be made in the patient s anaesthetic record that the anaesthetic machine check has been performed that appropriate monitoring is in place and functional and that the integrity patency and safety of the whole breathing system has been assured There must also be a logbook kept with each anaesthetic machine to record the daily pre session check and weekly check of the oxygen failure alarm Documentation of the routine checking and regular servicing of anaesthetic machines and patient breathing systems should be sufficient to permit audit on a regular basis The Association of Anaesthetists of Great Britain and Ireland cannot be held responsible for failure of any anaesthetic equipment as a result of a defect not revealed by these procedures First Line and Planned Maintenance Manual 45 2 User Pre Use Testing Frontline Sirius 2 9 CHECKLIST FOR ANAESTHETIC EQUIPMENT 2003 The following checks should be made prior to each operating session In addition checks 2 6 and 9 Monitoring Breathing System and Ancillary Equipment sho
46. k release lever at the base of the gauge e Replace the O ring seal 17 Refill the gauge 1 11 5 Canister Seals he outer canister seal is a bayonet fitting e urn the canister approx 30 then pull down The outer canister seal is located on the base of the absorber in the groove e Replace the outer canister seal 19 The upper canister seal is fitted to a lip inside the bottom absorber moulding Replace the upper seal 13 Make sure that the new seal is correctly positioned all the way round the lip 100 First Line and Planned Maintenance Manual Frontline Sirius 7 Fitting Planned Maintenance Kits The central seal 18 is only used on 2kg systems where there are two canisters used he central seal is simply laid on top of the lower inner canister before the upper canister is fitted e Replace the canister assembly onto the bottom of the Absorber 1 12 Fitting 4 Year Planned Maintenance Kit 13600531 Parts 1 to 19 are the same as the annual kit See the previous section on how to fit these 1 12 1 Ventilator Filter 25 and O Ring 21 e Ensure all gas supplies are disconnected See photos 1 for removal of top surface and front cover Once the front cover is removed access to the 6 screw that hold the top of the ventilator casing closed will be possible he front display panel will hinge forward a little this will allow the top cover to be hinged back The filler cover is in the i
47. liability for any malfunction or failure of the ventilator if the control unit is opened had training in the servicing and care of anaesthetic equipment and is able to use i instructions in this manual assume that the engineer is familiar with and has pressure gauges flowmeters and other laboratory equipment circumstances which may arise from unauthorised maintenance of Blease Frontline Blease accept no responsibility or liability for any patient injury or adverse ijr Machines First Line and Planned Maintenance Manual Frontline Sirius Note to Service Personnel The Frontline Sirius and integrated equipment must only be serviced by Qualified Service personnel The contents of this manual are not binding If any significant difference is found between the product and this manual please contact Blease Medical Equipment Limited for further information To ensure correct functioning the equipment must be serviced at regular intervals Blease Medical Equipment Limited recommends that the machine should be serviced at intervals not exceeding six months Qualified Service Personnel and genuine spare parts should be used for all servicing and repairs Blease Medical Equipment Limited will not otherwise assume responsibility for the materials used the work performed or any possible consequences of the same In communication with Blease Medical Equipment Limited quote the model and serial number of the equipment with the approx
48. n supply and check that The oxygen failures alarm is cancelled The gas flows through the flowblock assemblies are restored Disconnect or shut off the nitrous oxide supply cylinder and or pipeline and check that The flow indicated in the nitrous oxide flowblock assembly reduces to zero The flows indicated on the other flowblock assemblies remain unaltered 10 Reconnect or turn on the nitrous oxide supply 11 Repeat 9 and 10 for all the other gas supplies on the machine First Line and Planned Maintenance Manual 51 3 Full System Testing Frontline Sirius 5 1 5 5 1 4 5 1 5 5 1 6 5 1 7 52 Mechanical Hypoxic Guard Test The machine has a mechanical hypoxic guard fitted its function should be tested as follows 1 Turn the oxygen and nitrous oxide flow control valves fully clockwise 2 Check that the oxygen flow indicated on the oxygen flowblock assembly is 150 to 170ml m and that no flow is indicated on the nitrous oxide flowblock assembly 5 Increase the nitrous oxide flow turn the knob counter clockwise to 10 l m and check that the oxygen flowblock assembly indicates an oxygen flow of 3 15 to 4 7 l m 4 Turn the oxygen flow control counter clockwise until an oxygen flow of 6 I m is indicated 5 Check that the indicated nitrous oxide flow remains between 9 5 and 10 l m 6 Gradually reduce the oxygen flow and check that the nitrous oxide flow has begun to decrease when the oxygen flow decreases
49. nal settings of TV 500 mL 12 BPM LE 1 2 0 Set up the system as described Press the track wheel when ready and set the Bag Vent switch to Vent Ensure that the Bag and Bellows are full Observe the displayed wave form and expired volume are consistent with the expected result Other tests can be carried out at the users discretion When this test is completed satisfactorily the system is ready for use The PEEP valve is tested during the Pre Use test If the valve is replaced or fitted during use the Pre Use test must be carried out to ensure continued accurate operation In later production systems an improved compliance compensation system has been implemented This has been improved in two ways a The pressure used in compensation is now averaged instead of using the last peak b If a pressure limit is activated that peak is not fed into the average c A rolling average of airway pressure is calculated that is used to monitor each delivered breath If the pressure rise is more than 25 above this rolling average an automatic limit will be applied for that breath This prevents abnormal high pressures being generated due to patient movement or other artefacts If a limit is activated this pressure will not be included in the average First Line and Planned Maintenance Manual 55 3 Full System Testing Frontline Sirius 5 2 a Pre use Test Error Messages If errors are encountered during the pre use test then one of the following scree
50. nded for use are available and connected as appropriate All cylinders should be securely seated and turned off after checking their contents Carbon dioxide cylinders should not normally be present on the anaesthetic machine A blanking plug should be fitted to any empty cylinder yoke Check that all pressure gauges for pipelines connected to the anaesthetic machine indicate 400 500kPa Check the operation of flowmeters where these are present ensuring that each control valve operates smoothly and that the bobbin moves freely throughout its range without sticking If nitrous oxide is to be used the anti hypoxia device should be tested by first turning on the nitrous oxide flow and ensuring that at least 25 oxygen also flows Then turn the oxygen flow off and check that the nitrous oxide flow also stops Tum on the oxygen flow and check that the oxygen analyser display approaches 100 Turn off all flow control valves Machines fitted with a gas supply master switch will continue to deliver a basal flow of oxygen Operate the emergency oxygen bypass control and ensure that flow occurs without significant decrease in the pipeline supply pressure Ensure that the emergency oxygen bypass control ceases to operate when released D VAPORIZERS 18 40 Check that the vaporizer s for the required volatile agent s are fitted correctly to the anaesthetic machine that any back bar locking mechanism is fully engaged and that the control kn
51. ngs 4 6 Bar 5 Bar 7 Bar max 25 32 O2 25 55 N20 6 5 7 psi 0 5Lpm flow 4 bar 400 KPa 7 bar 700 KPa BS 5682 Medical Grade Air Air or 4 bar at zero flow 80 l m outlets max flow 1 5 5 6 Environmental Temperature Operation 5 C to 40 C 41 F to 104 F oxygen cell operates to specification 10 C 40 C 50 F 104 F Storage 20 C to 60 C 4 F to 140 F with oxygen cell removed O C to 50 C 32 F to 1229F with oxygen cell in place Humidity 15 95 Non condensing 30 First Line and Planned Maintenance Manual Frontline Sirius 2 User Pre Use Testing 2 0 User Pre Use Tests First Line and Planned Maintenance Manual 31 2 User Pre Use Testing Frontline Sirius Pre Use Check 2 1 Pre Use Check Switch the machine off 22 Cylinder and Pipeline Supplies 1 Check that all the cylinders are securely and correctly mounted in their yokes 2 Disconnect all the pipeline supplies and turn off all the gas cylinders 5 Turn on each cylinder in turn and check that its contents gauge registers an adequate supply of gas 4 Turn off each cylinder in turn and check that there is no observable movement of the pointer over one minute 5 Reconnect the pipeline supplies and check that their respective pressure gauges show the hospital pipeline pressure 2 5 Howblock Assemblies 1 Turn all the flow control knobs fully clockwise and check that no gas flows show on the flowblock assemblies
52. ning Some anaesthetic agents may adversely affect the paintwork Any spillage should be removed immediately 4 1 4 Ventilator Surface Warning Do not clean the LCD screen with liquid Use only a dry soft lint free cloth 4 1 5 Pop Off Valve Seat 1 Remove the bellows housing and bellows 2 Loosen the black thumbscrews and remove the pop off valve 3 Clean the valve seat carefully using a soft lint free cloth 4 There is an O ring located in the bellows base see opposite which provides a seal with the pop off valve After cleaning check that the O ring is in place as the ventilator cannot function correctly without it If the valve seat is damaged the pop off valve will leak and may cause serious malfunction Take care not to damage the precision moulded surface of valve seat while cleaning Never use a hard object or abrasive detergent Use only a soft lint free cloth First Line and Planned Maintenance Manual 63 4 Maintenance Frontline Sirius Figure 6 Removing the Pop off Valve A Cover E Bellows Base B Bellows F Fixing Screws C Pop off valve G O ring D Valve seat 64 First Line and Planned Maintenance Manual Frontline Sirius 4 Maintenance 4 1 6 Patient Airway Flow Sensor The flow sensor can be hand or machine washed and disinfected with a suitable disinfectant Steam autoclaving must not exceed 134 C The sensor can be sterilised with ethylene oxide To clean the flow sensor pour distilled water slowl
53. nlet manifold which can be seen from the front of the unit Remove the cover The filter is then able to be unscrewed e Replace the filter 23 and cover and make sure the new O ring 21 is fitted e Replace the screws in the top cover and front display panel e Reconnect the O2 pipe line only and turn the System on e Check that there are no leaks urn the systems OFF Figure 13 Pneumatic Module e Ht the front cover and top surface First Line and Planned Maintenance Manual 101 7 Fitting Planned Maintenance Kits Frontline Sirius 7 12 2 Cylinder Regulator Remove all cylinders e Remove the large back panel section 7 1 e Fita service kit to each of the regulators 7 13 Servicing Only authorised personnel should carry out servicing and have the appropriate training and qualifications in the use of high pressure medical devices Servicing should take place in a clean and controlled environment taking particular care to prevent contaminants entering the unit whilst disassembled The recommended service intervals are every 4 years The following procedure outlines the steps taken to replace the parts included in the service kit 13600531 DISSASEMBLY 1 Shut off inlet pressure Reduce inlet and outlet lines to zero 2 Turn adjusting screw anticlockwise using 1 8 A F hex key to remove any spring load residual 5 Remove bonnet by turning anti clockwise using a 3 32 A F spanner or socket Retain
54. ns will be displayed The screens are designed to give an indication of what may have caused the error and possible solution Initial circuit pressure too high Disconnect and re connect patient circuit Confirm to continue N Refer to user manual This screen suggests that the patient pressure is too high 24cmH20 to begin the test Not set to vent mode Confirm to continue A Refer to user manual If the absorber is not set to Vent when starting the test the system will give a reminder Fresh gas must be lt 500mL Min Confirm to continue A Refer to user manual Fresh Gas too High Reduce and Re Start 56 First Line and Planned Maintenance Manual Frontline Sirius 3 Full System Testing Pull forwards a couple of cm check no Check the gauges for correct gas foreign objects are between the supply absorber and main frame push If the system has a leak that is too large or if the circuit is not occluded correctly the test will fail at this point Failure to fill the bellows at the start NB It has been noted that this can be caused by fitting a Re Breathing bag to the Y connector instead of occluding the circuit on the plug provided on the absorber If a leak is detected the above causes are the possible places to look It should be noted that these are not the only leak possibilities small holes in the sensor tubing Cracks in Breathing circuits are sometimes possibilities too First Line and
55. nsure that the oxygen sensor port either has a sensor fitted or that the blanking plug is fitted Ensure all tubing is correctly and securely installed Figure 4 Attaching Absorber Tubing Patient Circuit F rain To ventilator lt Aad 1 e Te kt 1 j eno TL T Md N TUBING ONLY APPLIES E j Papi cR aG TO SIRIUS 1000 amp 2000 E 3 i 3 auem m nt ae E Md E X a hoe a Y go Slide onto mounting rods 1 E eU aum m 3 a prem at f 1 NET a nied To Scavenging 1 To CGO 3 i w First Line and Planned Maintenance Manual Frontline Sirius 2 User Pre Use Testing Figure 5 Exploded Diagram of Absorber All Absorbers MUST BE FITTED 2kG Absorbers only MUST BE FITTED First Line and Planned Maintenance Manual 35 2 User Pre Use Testing Frontline Sirius Notes 36 First Line and Planned Maintenance Manual Frontline Sirius 2 User Pre Use Testing 2 8 Checking Anaesthesia Equipment INTRODUCTION To check the correct functioning of anaesthetic equipment before use is a mandatory procedure In 1997 the Association of Anaesthetists of Great Britain and Ireland published the second document of its Checklist for Anaesthetic Machines which gained widespread acceptance in the profession This section recognised that changes in anaesthetic equipment and the introduction of microprocessor controlled technology would necessitate continued revi
56. nter clockwise With the oxygen connected at all times turn on the machine and check that each cylinder and pipeline in turn including oxygen registers a flow on the appropriate flowblock assembly and discharges through the fresh gas outlet Turn the machine off when complete First Line and Planned Maintenance Manual Frontline Sirius 3 Full System Testing 3 1 2 On Off Switch and Warning System Checks l 2 Switch on the machine If the oxygen supply failure alarm operates for more than a few seconds check that oxygen supply cylinders or pipeline are correctly installed and at the correct pressure The machine is fitted with a mechanical hypoxic guard check that there is a standing flow of 130 to 170 ml m through the oxygen flowblock assembly with the oxygen flow control turned fully clockwise Increase the oxygen flow to approximately 4 m Turn all the flow control valves counter clockwise so that the flow indicated by each flow tube assembly is 1 m Simulate an oxygen supply failure by shutting off or disconnecting the oxygen supply cylinder s or pipeline s Check that the oxygen failure warning device is activated after the pressure of the oxygen remaining in the machine has fallen ensuring that Its whistle sounds for at least 8 seconds All the other gases on the machine are cut off with the exception of Air if fitted l e the readings on their flowblock assemblies indicate zero Reconnect the oxyge
57. ntline Sirius 3 Full System Testing 3 0 Full System Test First Line and Planned Maintenance Manual 49 3 Full System Testing Frontline Sirius 3 1 Full System Test 3 1 1 Leak Test l 50 Ensure that only one cylinder of each gas is fitted securely and correctly to the machine no pipelines are connected to the machine the cylinder is closed turned off all the flowblock assembly controls are turned fully clockwise no equipment is plugged into the pneumatic power outlets the machine is switched off the low oxygen alarm level is set to 1896 and the high oxygen alarm level to 99 the oxygen transducer is connected and in room air Open the cylinder and check that its gauge indicates the cylinder pressure Note the correspondence between the cylinders and their gauges Close the cylinder and check that the pressure indication on its gauge does not decrease If any cylinder gauge indication decreases by more than half a division in three minutes an unacceptable leak exists If the leak persists after ensuring that the cylinder is correctly installed the machine should be referred to the Service Department Remove the cylinder and repeat the above procedure for each cylinder yoke in turn Remove the cylinder from the machine Attach each pipeline in turn and check that each pipeline supply pressure gauge is indicating the correct pressure Open all flow valves by tuming all the control knobs fully cou
58. obs rotate fully through the full range s Ensure that the vaporizer is not tilted Turn off the vaporizers First Line and Planned Maintenance Manual Frontline Sirius 2 User Pre Use Testing Check that the vaporizer s are adequately but not over filled and that the filling port is tightly closed i Set a flow of oxygen of 5 litres min and with the vaporizer turned off temporarily occlude the common gas outlet There should be no leak from any of the vaporizer fitments and the flowmeter bobbin if present should dip ii Turn each vaporizer on in turn and repeat this test There should be no leak of liquid from the filling port After this test ensure that the vaporizers and flowmeters are turned off ii Should it be necessary to change a vaporizer at any stage it is essential to repeat the leak test Failure to do so is one of the commonest causes of critical incidents ivy Removal of a vaporizer from a machine in order to refill it is not considered necessary E BREATHING SYSTEM l Check all breathing systems which are to be employed They should be visually and manually inspected for correct configuration and assembly Check that all connections within the system and to the anaesthetic machine are secured by push and twist Ensure that there are no leaks or obstructions in the reservoir bags or breathing system and that they are not obstructed by foreign material Perform a pressure leak test on the
59. of the machine Turn the oxygen flow control counter clockwise to set the oxygen flow at the major calibration points on the flowmeter as detailed in the calibration record Checklist and Calibration record Using the calibrated flowmeter check that the gas flow from the common gas outlet is within 10 of the combined flow indicated on the machine flowmeters Turn the oxygen flow control fully clockwise Repeat for all flowmeters on the machine Switch Anti confusion Oxygen Monitor Oxygen Failure Oxygen Flush Connect one source of each gas Switch the machine to the N2O position Check that there is a basal flow of 0 15 0 02lpm through the oxygen flow meter with the oxygen flow control turned fully clockwise Increase the oxygen flow to O 5lpm Connect an oxygen analyser to the CGO reading should be above 98 First Line and Planned Maintenance Manual Frontline Sirius 6 Planned Maintenance Turn N5O to O 5lpm check oxygen reading is 48 52 Switch the machine to Air Turn Air to 0 5lpm check oxygen reading is 58 62 Turn the switch OFF and check that all gases are switched OFF Turn the switch to N20 and then to Air and check that the appropriate gases are restored Turn the switch to N20 ad disconnect the oxygen supply Check that the audible alarm sounds for at least 8 seconds NO is switched OFF and Air is restored Check that Air is available from the CGO whatever the position of the switch Check the v
60. off Power on Dangerous voltage Litres per minute Millilitres Oxygen Pounds per square inch Pounds per square inch gauge Litres IEC symbol for alternating current Confers approval under theEuropean Medical Device Directive End of Case This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment First Line and Planned Maintenance Manual Frontline Sirius Hazard Notices This handbook contains important hazard information You must read this hazard information before using the Frontline Sirius C warning Notices Warning notices denote a potential hazard to the health and safety of users and or patients These notices clearly state the nature of the respective hazard and the means by which it can be avoided Warning notices appear in full in the preliminary pages and are repeated at their points of application in the manual A Caution Notices Cautionary notices denote a potential hazard to the physical integrity of equipment software but NOT a danger to personnel These notices clearly state the nature of the hazard and the means by which it can be avoided Cautionary notices appear in full in the preliminary pages and are repeated at their points of application in the manual R
61. on for Anaesthetic Machines are suitable for use in these machines As these machines are not suitable for use with flammable anaesthetic agents such as ether and cyclopropane the use of antistatic breathing tubes and face masks is not necessary The use of antistatic or electrically conductive breathing tubes when utilising high frequency surgery equipment may cause burns and is therefore not recommended in any application that involves such apparatus The equipment must be periodically checked and maintained to ensure proper operation Performance of the equipment may be affected at temperatures below 10 C 50 F and above 40 C 104 F The performance of the anaesthetic machines and vaporizers may be degraded if the two are mismatched Refer to the vaporizer manufacturer s instruction manual before use If the integrated oxygen analyser is not fitted an oxygen analyser complying with ISO 7767 shall be used when the anaesthetic machine is in use The units use semiconductor devices which are susceptible to damage by overloading reversed polarity electrostatic discharge and excessive heat or radiation Avoid hazards such as reversal of batteries prolonged soldering strong RF fields or other forms of radiation use of insulation testers or accidentally applied short circuits Even the leakage current from an unearthed soldering iron may cause trouble First Line and Planned Maintenance Manual Frontline Sirius Elec
62. onam pau educ AE a le a A E O N 75 Qon Leak HOSES of uoa eaa a a ERa 75 Boo HYPOXIC GUATA EERE A T Renae CURA een 76 6 7 Switch Anti Confusion Oxygen Monitor Oxygen Failure Oxygen Flush 76 6 3 Eia IUD eem 77 69 PADS OLD eienares 77 BO Ventilator einari ra a EE alate D A OEE O Aa 78 6 11 Checklist and Calibration eC OT Gus ai Potete tribe pus bte qud tbe s iU 80 7 Fitting Planned Maintenance Kits eerie esee eerte entente nena tassa tata an 81 FAN supo 7 irisoicies SUR idi MISI NN TO Oo 87 2 2 Fitted Planned Maintenance Nl crits cata ack Padua eat ebat Dac sida tudo De ud 95 FD SOU OG EAS e sabes Gebot ena AU uia eel eee tae ea 95 TA 3c Dat Seals weave tere anat aT OE Ee cet eee aa heen KOR Dsl undis 95 7 5 Backbar DZeSSSDOTIMOS e cistct ies csoterisaies iterator Ados Ep a bb nan btt end 95 760 ADSORDEr Stop O Probe O RING ssssdiidiesbetexe p ubt ue inest qued M OKRES 95 7 7 Pipeline Fitting and O UOS Lee as acute a TCR ts a RR ee a UEM ea nA 95 7 8 AGSS PODS aid TIOBEsxb ead cutatiaindtent duum nt Ra ai 97 FeO Be OWS Base COVEN cLocsotsttestututiied tod E a dos eS Pt EE 98 7O ROP Of rm E 98 FL ABSO DE NER ER UU caelaae ie naats 100 PAM VaVe COVE Sanaa ana a Taa aad nan ets 100 TAZ Ma NOME tE aena e Ud Ep O Quae EE EN du Cato Aan E 100 a E I SES o NIRE men area eee EN PRR CK RS OR RC ERT Ae E EAA 100 7 12 Fitting a 4 Year Planned Maintenance Kit 13600531 dendo eps e eonun 101 412 Ven
63. opening screen at switch on The warning screen if the pre use is cancelled Following YES this is the start screen for the pre use tests Follow all on screen instructions First Line and Planned Maintenance Manual 53 3 Full System Testing Frontline Sirius At this stage 1 of 2 screens may appear depending on how the gas analyser is set up The left screen is if the analyser is scavenged or the right if the analyser exhaust is returned to the circle The instructions given are the preparation for performing 5 ventilator tests 1 PEEP Valve calibration 2 Calculation of system dead space compliance 5 Leak Test Having calibrated the PEEP valve and measured the dead space the leak test starts on the left and concludes with the right hand screen after 20 seconds Having successfully passed the leak test the option is given to test the Manual or Bag system of ventilation Making a no decision at this point will enter the normal run screen Yes will follow on to the preparation for system test 54 First Line and Planned Maintenance Manual Frontline Sirius 3 Full System Testing The following 3 screens are the Gas Machine Tests NB This is just a set of instructions it is not an active test Set the controls as instructed and carry out the manual test as instructed making the necessary observations that all is working as correctly Having proved that the manual system works the ventilator can be tested at nomi
64. pe NIGPUBCE DISCS caste ctnt tud nb petetet dut atate p ua A dt cf 68 SNB CP ide 68 521 2 2 Other AUT EECI EAE Scd anestesia te du nei dl 68 58 172 5 UEXCHODIBIDBSEEISESI ade Gifts ora tute e Db hoan sapete rto ta oben afta 68 Planned Maintenance qup oss bene eb PUR oO per oix rv IE NU QUURRORE Ue Ur ue eI cessas 71 GT LROUIUPIE HT VIOIETLOE TRI FIC so tano un buio pap tuf acid neben tbt qutt eb bU Mo anh 72 S T Planned Preventative Maintenance 72 DU Sevice Schedule cu qeaenon tod toe a bM AD bti dde Ten 72 5 212 EVEN G MOR EIS 22s arcto acra cocta n E cn eia o REDE acer UM RARE 72 SUN ies EVE IZ MONS nosna o A 72 GLA Evels 49 MOMA Siesia ia ptem i tede d teer 72 6 1 2 Detailed Maintenance Deck odis Fioufatomit deca Adi eset rd adempta 73 6 1 3 Overall Visual I HSBOCIOBI ertet a pe RERO mc De ota nae St dpnba 75 GN MA MEUSE MIS PIS RE ARR RN p Np esate aac 75 6 1 5 Struct ral Nacion ton Melee pt ANN A HA Utd tu nett 73 6 16 CS NU Soi eine vc eevee a a a a 74 Onley DIG WElODERAHON cusp ace nt aati ra cdd eta m ree Satan Oe dai a Sanaa 74 First Line and Planned Maintenance Manual Frontline Sirius 6 1 8 Common Gas Outlet fixed Oxygen Flush Operation 74 51 9 Ancillary Equipment and MOULDEIDEBS caa Canon CX ade ORA M tob ba otn 74 B Pipeline Leak Das coo sudo n Ge tepido idu te onera Ro E Rao idu MGR Oo 15 0 5 SUCHO Vey SE Te T OBS on ostii m Rena a OI Seca aa 75 Oa SAV CRISIS CSE s
65. pliance cancelled no compensation is displayed Follow the instructions given on screen and the ventilator will perform a Pre use test and a leak test On satisfactory completion of the compliance compensation test compliance set ok is displayed If any part of either the leak or compliance test is failed the user will be alerted by an on screen message as to which test has been failed and instructed to press e to retry At this point the user can elect to skip the test or to retry During Pre use Test if fresh gas is set to greater then basal flow then compliance will fail and the fresh gas too high message will be displayed In later production systems an improved compliance compensation system has been implemented This has been improved in two ways a The pressure used in compensation is now averaged instead of using the last peak b If a pressure limit is activated that peak is not fed into the average c A rolling average of airway pressure is calculated that is used to monitor each delivered breath If the pressure rise is more than 25 above this rolling average an automatic limit will be applied for that breath This prevents abnormal high pressures being generated due to patient movement or other artefacts If a limit is activated this pressure will not be included in the average First Line and Planned Maintenance Manual 59 3 Full System Testing Frontline Sirius Notes 60 First Line and Planned Maintenanc
66. rical failure circuit disconnections etc In the event of any mishap it should not be presumed that the equipment is in the same state as when checked before the start of the case The checking procedure described in this publication is reproduced in an abbreviated form as a laminated sheet entitled Checklist for Anaesthetic Equipment 2003 This laminated sheet should be attached to each anaesthetic machine and used to assist in the routine checking of anaesthetic equipment 2 8 1 PROCEDURES The following checks should be carried out at the beginning of each operating theatre session In addition specific checks should be carried out for each new patient during a session on any alteration or addition to the breathing system monitoring or ancillary equipment Implementation of these checks is the responsibility of the anaesthetist who must be satisfied that they have been carried out correctly In the event of a change of anaesthetist during an operating session the checked status of the anaesthetic equipment must be agreed Before using any anaesthetic equipment ventilator breathing system or monitor it is essential to be fully familiar with it Many of the new anaesthetic workstations are complex pieces of machinery It is essential that anaesthetists have a full and formal induction on any machines they may use A short run through prior to an operating session is not appropriate 38 First Line and Planned Maintenance Manual F
67. rike the right level of checking so that it is not so superficial that its value is doubtful nor so detailed that the procedure is impracticable The checking procedure covers all aspects of the anaesthetic delivery system from the gas supply pipelines the machine and breathing systems including filters connectors and airway devices It includes an outline check for ventilators suction monitoring and ancillary equipment First Line and Planned Maintenance Manual 37 2 User Pre Use Testing Frontline Sirius There must be a system of implementing the routine checking of anaesthetic machines by trained staff according to the checklist together with the manufacturer s instructions in every environment where an anaesthetic is given A record should be kept with the anaesthetic machine that this has been done In addition Trusts Independent Hospitals Service Hospitals and other organisations must ensure that all machines are fully serviced at the regular intervals designated by the manufacturer and that a service record is maintained Since it is possible for errors to occur in the reassembly of machines it is essential to confirm that it is correctly configured for use after servicing The first user check after servicing is therefore especially important and must be recorded Faults may develop during anaesthesia which were either not present or not apparent on the preoperative equipment check This may include pipeline failure elect
68. rontline Sirius 2 User Pre Use Testing The anaesthetic machine should be connected directly to the mains electrical supply where appropriate and only correctly rated equipment connected to it s electrical outlets Multi socket extension leads must not be plugged into the anaesthetic machine outlets or used to connect the anaesthetic machine to the mains supply To check the correct function of the oxygen failure alarm involves disconnecting the oxygen pipeline on some machines whilst on machines with a gas supply master switch The alarm may be operated by turning the master switch off Because repeated disconnection of gas hoses may lead to premature failure of the Schrader socket and probe the following guidelines recommend that the regular pre session check of equipment includes a tug test to confirm correct insertion of each pipeline into the appropriate socket It is therefore recommended that in addition to these checks the oxygen failure alarm must be checked on a weekly basis and a written record kept by disconnecting the oxygen hose whilst the oxygen flowmeter is turned on In addition to sounding an alarm which must sound for at least 7 seconds oxygen failure warning devices are also linked to a gas shut off device Anaesthetists must be aware both of the tone of the alarm and also what gases will continue to flow with the make of anaesthetic machine in use A ANAESTHETIC MACHINE Check that the anaesthetic machine and r
69. seconds for the reservoir to fill N20 cylinder gauges do not have division markings Check that the gauge pointer does not fall the equivalent distance in three minutes Hypoxic Guard With oxygen and nitrous oxide connected to the machine switch to the N2O position Turn the oxygen flow rate to 10lpm return it to 4lpm to calibrate an oxygen analyser Check that the basal flow is between 0 15 0 02lpm and that the bobbins revolve Attempt to create a hypoxic mix oxygen concentration less than 21 If hypoxic mixture can be produced then this constitutes a failure Flow Control Valve Turn each flow control valve fully counter clockwise in turn checking that the torque required to turn remains constant without any sudden changes in its feel Check that the maximum flow reading on the flowmeter can be obtained Turn the flow control valve fully clockwise checking that the torque required to turn remains constant without any sudden changes in its feel Check that the flow is zero for standard flow control valves or 150ml 30ml for oxygen Set the flow to approximately 25 of the flowmeter s range Check that an axial or lateral force does not change the flow by more than 10 Release the knob and check that the flow returns to that set in 7 Flowmeter Accuracy 6 7 16 Turn all the flowmeter controls fully clockwise Turn an oxygen cylinder or pipeline on Connect a calibrated flowmeter to the common gas outlet
70. sed is made and approved for this type of service In general oils and greases oxidise readily and in the presence of oxygen will burn violently Fomblin is the recommended oxygen service lubricant stock number ST7014 After performing any maintenance or repair procedure always verify proper operation of the system before returning to use Use cleaning solution sparingly Do not saturate system components Excessive solution can damage internal devices Following ethylene oxide sterilization quarantine the equipment in a well ventilated area to allow dissipation of absorbed ethylene oxide gas In some cases aeration periods of seven days or more may be required Aeration time can be decreased when special aeration devices are used Follow the sterilizer manufacturer s recommendations for aeration periods required First Line and Planned Maintenance Manual 15 16 Notes Frontline Sirius First Line and Planned Maintenance Manual Frontline Sirius 1 Technical Description 1 0 Technical Description First Line and Planned Maintenance Manual 17 1 Technical Description Frontline Sirius Figure 1 Frontline Sirius 3000 18 First Line and Planned Maintenance Manual Frontline Sirius Key to Figure 1 rTra 7m modnns p YR OHO VOZBEFAS Monitor shelf Ventilator Independent O Flowmeter only on the 3000 model Vaporizer Cylinder Pipeline Gauges Pneumatic Unit behind gauge panel Handle
71. sion of the document in the future This new edition further updates the procedures recommended in 1997 The principles set out in previous booklets have governed amendments to this new edition It must be emphasised that a major contributory cause of anaesthetic misadventures resulting at worst in hypoxic brain damage or death has been the use of anaesthetic machines and or breathing systems which had not been adequately checked beforehand by an anaesthetist It is the responsibility of all Trusts and other Hospitals to ensure that all personnel are trained in the use and checking of relevant equipment This is usually devolved to the Department of Anaesthesia but where such a department does not exist other arrangements must be made The use of checklists and associated procedures is an integral part of training in Anaesthesia and as such is part of the Royal College of Anaesthetists Competency Based Training This checking procedure applicable to all anaesthetic machines should take only a few minutes to perform and represents an important aspect of patient safety It is not intended to replace any pre anaesthetic checking procedures issued by manufacturers and should be used in conjunction with them For example some modern anaesthetic workstations will enter an integral self testing cycle when the machine is switched on in which case those functions tested by the machine need not be re tested by the user The intention is to st
72. stered trademark of Blease Medical Equipment Limited Frontline Sirius 2000 is a registered trademark of Blease Medical Equipment Limited Frontline Sirius 3000 is a registered trademark of Blease Medical Equipment Limited Legrand is registered trademark of Legrand Electric Limited Loctite is a registered trademark of Loctite Corporation USA Megger is a trademark of AVO Megger Instruments Ltd Plug in is a registered trademark of Draegerwerk DAG Germany Quik Fil is a trademark of Abbott Laboratories Rigel is a trademark of Seaward Electronics Ltd Scotchbrite is a registered trademark of 3M SELECTATEC is a registered trademark of Ohmeda BOC UK Ltd Snoop is a registered trademark of the Nupro Company Ohio USA Trak Wheel is a registered trademark of Blease Medical Equipment Ltd First Line and Planned Maintenance Manual Frontline Sirius Symbols and Abbreviations 10 APL bpm BPM Airway Pressure Limiting Breaths per minute Gauge pressure expressed in centimetres of water Continuous positive airway pressure Positive end expiratory pressure A ratio of inspiratory to expiratory time IEC symbol to consult the instructions for use IEC symbol denoting type of equipment B WARNING There is danger of personal injury to the user or patient Further relevant or helpful information Turning the control in the direction of the thickening line an increase in that parameter is produced Power
73. tilator Filter and ORINE ensins aan AL enr Mami dd di 101 ZZ Cylinder See OTOTOE domingo tele eR deed e nupt n om R 102 FACES pe trc P 102 8 First Line Planned Maintenance Parts sesesesesesesesosesssossossossossoseossoseossoseossossossossossess 105 8 1 First Line Planned Maintenance Parts blsE usce athlete dum qo te pub Pad ton 106 First Line and Planned Maintenance Manual 5 Frontline Sirius List of Figures Figure 1 Frontline Sirius 3000 c ccc ccceccsssscccccssececssssscecssssccccessacontcosesecassecc ccnsscsacosseseccsesesesces 18 Figure 2 Frontline Sirius 2000 and 1000 eerte ente tntntn nennen tata os 20 Figure 3 Pneumatic Circuit manifolded eerte 24 Figure 4 Attaching Absorber Tubing eerte tnnt ttt nenta ntn tn tata os 34 Figure 5 Exploded Diagram of Absorber eere entente tntnntntntntnnns 35 Figure 6 Removing the Pop Off Valve csssssssssssesssssssssesssssssesessesesssssssesessssseseeseees 63 Figure 7 Peep Pop off Valve AssSembly ssssssscsssesesesesssesssesssssssssesesesesssesesesesesesens 69 Figure 8 Sirius Annual Planned Maintenance eene eene tntnnns 82 Figure 9 Sirius 4 Year Service KIEL iet eneim ti suain iste huis Denis tim Ere S DEC erac shes 84 Figure 10 AGS Sc oso ueni n reip OM ER A Dn PTd ipM Mri A E M ARIS M DM MEE ARM 97 Fig re 11 LEOTE
74. trostatic Sensitive Devices ESD Warnings and Cautions All ESD must be stored in approved conductive packaging tubes shipping bags foam or tote bins All persons handling ESD must be properly grounded via a 1MW resistive grounded wrist strap Cover all ESD bench tops with grounded conductive mats and connect all work surfaces and equipment to earth ground Transport all assemblies containing ESD in a conductive bag or container DO NOT use cellophane adhesive tape to wrap DIP dual in line package tubes together DO NOT handle ESD by their pins or mix them with other routine electronic parts Never place ESD on ungrounded surfaces or leave them unattended in an open area Avoid cellophane wrappers synthetic non conductive carpeting warm or cool air blasts Styrofoam coffee cups etc when working with ESD Use only properly designed heat lamps heat chambers and or antistatic quick chill sprays during troubleshooting or stress testing procedures NB In particular electronic assemblies in the Frontline Sirius range of machines are easily damaged by ESD and require special handling A Cautions Anaesthetic Machines Do not leave gas cylinder valves open if the pipeline supply is in use and the system master switch is turned ON Pressures from both supplies may become equal and if simultaneously used cylinder supplies could be depleted leaving an insufficient reserve supply in case of pipeline failure The hypo
75. tting Planned Maintenance Kits A Y S A Cover B Bellows DW AC N S nd C Pop off Valve KR S D Valve Seat E Bellows Base Ed lb L NS NN mi F Fixing Screws G O ring Figure 12 Bellows Assembly Check that the Pop off valve does not leak by inverting the whole assembly the block 22mm inlet and turn the assembly until it is the correct way up The bellows should not fall it may drop 1 2cm but it should hold steady at that point e Refit bellows to the locating pins on the Sirius e Refit the fixing screws First Line and Planned Maintenance Manual 99 7 Fitting Planned Maintenance Kits Frontline Sirius 7 11 Absorber The absorber must have the soda lime removed and the unit cleaned before servicing 7 11 1 Valve Covers Note When removing or refitting any of these valves it is important to ensure the metal valve disk and seat are not damaged e Remove the PEEP valve by twisting the clear plastic valve cover e Replace the O Ring seal 14 on the valve cover e Replace the PEEP valve on the absorber Check the cable from the PEEP valve to its connector under the work surface is in good condition e Remove the inspiratory valve cover e Replace the O ring seal 14 e Replace the valve cover e Remove the APL valve e Replace the O ring seal 14 e Replace the APL valve 7 11 2 Manometer Remove the manometer gauge by pressing the quic
76. ubricate the castors if necessary 6 1 7 Drawer Operation 1 Check that the drawer rotates smoothly and remains secure when it is closed 6 1 8 Common Gas Outlet fixed and Oxygen Flush Operation 1 Check that the surface of the 22mm connector is free form damage 2 Check that the oxygen flush button operates smoothly and returns fully when released 6 1 9 Ancillary Equipment and Mountings 1 Check that the operation of the brackets clamps and arms used to mount ancillary equipment is smooth and not over tight or too loose 2 Visually inspect circuits ensuring both inner and outer tubes if fitted are properly located on the hose end fittings and not twisted or kinked 5 Visually inspect all external rubber tubing reservoir bags and patient system connectors 14 First Line and Planned Maintenance Manual Frontline Sirius 6 Planned Maintenance 6 2 Pipeline Leak Test Ensure that No cylinders are attached to the machine The machine is switched off The pipeline supplies are connected to gas specific pipeline outlets Turn on each of the supplies in turn checking that the appropriate pipeline supply pressure gauge indicates the supply pressure Shut off the supply and check that the gauge indication does not decrease by more than half a division in three minutes Disconnect pipelines from the supplies 6 5 Suction System Test Ensure the controller is in the OFF position Connect to a vacuum Ensure that the
77. uld be made prior to each new patient during a session Check that the anaesthetic machine is connected to the electricity supply if appropriate and switched on Note Some anaesthetic workstations may enter an integral self test programme when switched on those functions tested by such a programme need not be retested Take note of any information or labelling on the anaesthetic machine referring to the current status of the machine Particular attention should be paid to recent servicing Servicing labels should be fixed in the service logbook Check that all monitoring devices in particular analyzer pulse oximeter and capnograph are functioning and have appropriate alarm limits Check that gas sampling lines are properly attached and free of obstructions Check that an appropriate frequency of recording non invasive blood pressure is selected Some monitors need to be in stand by mode to avoid unnecessary alarms before being connected to the patient Oxygen Monitor Test 44 The Oxygen Calibration menu allows adjustment of the displayed oxygen concentration to match the gas that the probe is exposed to this is normally 100 pure oxygen NOTE Calibration is only possible if the ventilator is in Standby and a probe is connected Press the Main menu key select Oxygen Calibration Expose the probe to 100 pure oxygen flow or 21 room air Adjust the displayed value to 100 or 21 as applicable by turning and pressing the
78. xic guard control system only ensures that oxygen nitrous mixtures will have a minimum oxygen concentration HYPOXIC MIXTURES MAY BE DELIVERED IF GASES OTHER THAN OXYGEN NITROUS OXIDE OR AIR ARE USED OR WHEN OPERATING AT LOW OXYGEN FLOW RATES When using carbon dioxide as an additional gas make sure the proportions of all gases are carefully adjusted in accordance with accepted clinical practice Gas mixtures within the breathing system must be monitored when using these gases First Line and Planned Maintenance Manual 15 Frontline Sirius Leaking gases and vapours downstream of the flow control valves and Oxygen Flush valve may deprive the patient of metabolic gases and anaesthetic agent may pollute the atmosphere Tests that detect leaks must be performed frequently If detected leakage must be reduced to an acceptable level Do not use the anaesthesia system if the hypoxic guard control system does not operate within permitted ranges Using an incorrectly operating control system may result in incorrect gas mixtures and injury to the patient When occluding the breathing system for test purposes do not use any object small enough to slip completely into the system Objects in the breathing system can interrupt or disrupt the delivery of breathing system gases possibly resulting in injury to the patient Before using the breathing system on a patient always check the breathing system components for foreign objects Do not place mat
79. y and gently into the outlet port Water must not be directed into this port under pressure and must NOT be used for cleaning or sterilising If autoclaving the sensor the Chemical decontaminants or liquid sterilisation agents will damage the sensor autoclave must only be used with distilled water 4 1 7 Blanking cap on patient flow sensor is NOT autoclavable Bellows Only the bellows base and the parts inside the bellows require sterilisation Peak sterilisation temperature must not exceed 134 C Do not sterilise the control unit Gas sterilisation should be followed by quarantine in a well ventilated area to allow dissipation of residual absorbed gas Follow the sterilisation agent manufacturer s instructions The expiratory valve must be disassembled prior to autoclaving to prevent the occurrence of clamping stresses The paediatric adapter can be sterilised but must not be autoclaved N To avoid damage to the equipment 1 Pull absorber forward to disconnect the bellows base 2 Loosen the two thumb screws retaining the bellows base and remove the bellows base and housing from the control unit 5 Remove the pop off valve and paediatric bellows adapter if fitted and clean and sterilise them separately 4 Perform sterilisation as specified in the table opposite First Line and Planned Maintenance Manual 65 4 Maintenance Frontline Sirius 4 1 8 Methods of Sterilisation Bellows housing Bellows bas

Frontline Sirius - Frank`s Hospital Workshop

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