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Technical Service Manual

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1. TOP VIEW OF POWER SUPPLY RETAINER BAR WITH COVER REMOVED SCREW CB2 RETAINER BAR M y X Z tj 8 1 NEA En En SS 3 I i Cat H J UA y LI LI HI E 8 BATTERY Se TB1 N BLACK WIRE HARNESS SV50507 2 TO Eos WM YELLOW Figure 4 16 BATTERY REPLACEMENT 4 51 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 16 12 4 16 13 4 16 14 4 16 15 Reinstall the power supply compartment cover with the four screws that were previously removed Reinstall the bottom and center cabinet drawers Ensure that the locking tabs are correctly in place Enable the circuit breakers and restore power to the machine Perform the PMS Procedure given in Section 6 4 52 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued Rev A 4 17 Power Supply The primary power supply is located in the power supply and battery compa
2. ar as 6 5 65 Service 6 6 A eg eves cee Sees 3 6 7 6 7A ScaVenger A C iu ware Voy en ap 6 8 6 7B Scavenger Open 6 9 Scavenger Interface 6 11 67D Suction Regulator 6 13 68 Breathing System 6 14 6 9 Manual Sphygmomanometer 6 22 6 10 Vapor Exclusion System cesi n 6 23 6 11 Yokes a Res 6 24 6 12 High Pressure Regulator 6 26 6 13 High PressureLedk 6 28 6 14 Oxygen Supply Failure Protection 6 30 015 shown naam sua a eee 6 34 GAG O osos de ir EEG REX PPS 6 38 6 17 Oxygen Concentrations 6 39 6 18 Auxiliary Oxygen flowmeter 6 41 6 194 Oxygen Ratio 6 42 620 Baromed v a eet 6 43 6 21 Ventilator uos ug acia d ce vosotros o RD OR ROLE BORD ooh Sess 6 45 6 22 Bellows Drive Gas Leak Adult 6 46 6 23 Spiromed or Ultrasonic Flow Sens
3. 4111527 109 A Hcr 4114419 O ring 126 neoprene 4111878 hoop RH una za 4113558 256 Gauge Assembly Breathing Pressure Ind Mtg Ring and O Ring 4105853 Later design gauge assembly with additional scalein 4115275 Replacement ic We Rene GECRCRE E aE sa ce 4113387 Replacement RING s dus RR cR wena wasa Rue RO RUE 4113388 257 O Ring 117 Silicone 2X ins duae ea es 4105766 257A Dome assembly 1101351 257B BUSHING MEER 1101023 2572 5 8 32 x 1 21 sisar UR da is HW01014 257D Lock Washer 8 Split dade ee ba ERAT ERE Fay de AE aa HW65011 Breathing press hose asm quick disc each end 4109368 Breathing press hose asm quick disc ftg one end Luer fitting other 4108528 Quick disc fitting male 4 22 ik 4108137 A ML08007 O Sensor Complete Assembly including capsule 4110374 A 6850645 Housing Assembly 4106363 Adapter Cover 2 iia ac c ge unie 4
4. 4112558 001 Flow Tube CO 0 05 1 0 I min 4 gas machines 1101081 Later style w o color band 4112557 001 Flow Tube O He 2 10 l min 4 gas Machines 4110956 Later style w o color band 4112569 001 Restrictor Housing 4103440 O Restrictor Red w ORC ORMC 4110738 003 N O Restrictor HOUSING x ea ERROR saa asas 4111716 Restrictor Black W ORC only 4110738 005 20 Restrictor Blue wORMC only 4110738 002 Restrictor Yellow CO only 4110738 006 O ring 010 Neoprene one per each restrictor housing 4101872 Gasket Large 2x per Flow Tube 4102724 Minimum flow O2 restrictors White 150 mL min ORMC amp ORC 4110738 004 Brown 175 mL min ORC w bypass 4110738 007 Parts common to all flow control valves Stop Pin NU we die koe e Bebe aed aad whats 4103382 O ring 018 Neoprene 4102336 O ring 112 Neoprene 4102141 Insert Flow Control Valve unplate
5. 4102141 352 Chaint PA A 4112495 005 353 ES EE O 4102140 354 O ring 008 neoprene 4102022 355 Label ACTIVATE HOSPITAL VACUUM 4109305 356 Retaining RING o i adora aed bee 4110997 357 Nut Valve Stem Retainer aia a 4109316 358 NUE ert TT 4112137 359 WING UE urpis oe ay Cw a Pew Ss 4105699 360 m eae awe yee 4112138 361 Label SCAVENGER HOSE 2 4104806 362 Screw 10 32 x 3 4in skt hd 4X HW01028 363 O ring 019 neoprene 4106458 364 O ring 015 neoprene 4104602 365 O ring 019 neoprene 4106458 366 O ring 013 neoprene 4102234 367 Bracket Assembly Sees 4106231 368 Screw 10 32 210 skt hd 2X HW01025 Lock Washer 10 split 2X HW65003 Flat Washer 10 2 HW66003 369 Screw 1 20 VI skt hd 2 HWO1034 Lock Washer Y4 int t 2X y adri HW67005 370 BIG suysuy ME MIELE 4111002 371 O ring 008 neoprene 410202
6. SE 4106362 239 Gasket Canister ues e000 Re bee GG ee EORR ee 4105848 240 Screen Canister 1100022 241 Canister Assembly 2X 4105851 242 Rod ERE 1101356 243 Clip ES RUNG NOK an Neu etc lacet uc tl Edd a 1100097 244 NN us ute enis Meare aote nee eret ora 4110975 010 245 Bottom Sub Assembly RR A wala 4108358 later replaced DY sus se Rok RUE ge c Pub RUE KE 4112932 Gasket absorber bottom not shown 1101001 246 Nut 36 16 SS AX iind ook Rey n RR PURUS eee a eee iS HW50010 247 Cami Bar 2X DEC 1101018 248 CamiAssembly eiii ts EA EA i dard wata us dee 1101015 249 Dowel isis dd ada Sua wah fis 1101017 250 Hose Assembly Fresh 5 4108577 251 D st Capit 4106874 252 O RING NX RU uya 4102940 253 R d RERRORXG E 1101355 254 Quick Disconnect Fitting Breathing Pressure 4108139 255 PEEP Bypass and ValveAssembly
7. 4112230 Pane eee one oy ee oe ee ee 4107460 Spring Retainer 4107546 sd as ETT 4110975 A Sas E ee 4112175 Set Screw 6 32 x 3 16 in 4444544250458 ERR oe heed ees HW07002 en ee ee 4107544 ELQUSINO aras 4112467 Set Screw 6 32 X ain oer bens xa vs Vea e ass SUE S HW04003 Screw 1 20 x 1 in Btn Hd Skt HW09057 Lock Washer Yaint t 3X HW67017 A T 4106948 O ring bellows canister 4107018 Bellows Valve Assembly Parts Breakdown listed on a subsequent page 4112272 Service Exchange 5 4112272 501 Bellows Assembly 4106935 Service Exchange SE 4106935 Deleted Urethane Non Latex Bellows Sub assembly Adult 4106930 001 O ring 217 neoprene 4101817 Relief Valve Assembly 4108050 Diaphragm Assembly 4110960 sash 4105849 Rev AA 8 7 RETURN TO CD ROM TABLE OF CONTENTS RETURN TO THIS MANUAL S TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued 40D 40C
8. O2 FLUSH VALVE SPACER ACCESS HOLES WASHER INTERNAL TOOTH LOCKWASHER PUSH BUTTON GUARD RING ed 2 NE FRONT VIEW WITH P TABLE TOP REMOVED SET SCREWS SV49099 Figure 4 11 O FLUSH VALVE Rev G 4 37 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 1114 Hold the O Flush button in and turn it until a set screw is visible through an access hole in the guard ring Tighten the set screw Rotatethe button 180 degrees until the other set screw 15 visible and tighten the set screw 4 11 15 4 11 16 4 11 17 4 11 18 4 11 19 Disconnect the absorber fresh gas hose from the fresh gas outlet Connect a test gauge and B P bulb to the fresh gas outlet and perform the following test 4 11 15 1 4 11 15 2 4 11 15 3 4 11 15 4 4 11 15 5 4 11 15 6 4 11 15 7 4 11 15 8 4 11 15 9 4 11 15 10 4 11 15 11 4 11 15 12 Open the oxygen cylinder valve Release any pressure that is indicated on the test gauge Over the next 60 seconds the test gauge should not show a pressure increase greater than 2 cm Increase the pressure to 50 cm The pressure should not drop more than 10 cm in the next 30 seconds Disconnect the test gauge from the fresh gas outlet Open the oxygen cylinder valve and allow the pressureto stabilize The cylinder pressure must beat least 1000 psi for
9. HWO9008 Lock Washer 8 int t 2x HW67000 O ring 256 Neoprene 4107018 Silencer 342424042 ba 4110999 Bellows adjustment rod 4110727 ROG ee A 4106918 8 7B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 44 52 51 45 46 47 48 49 48 54 50 548 54C SV50531 54A 53 8 8 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM 51 52 53 54 54A 54B 54C DESCRIPTION PART NUMBER Display Arm Assembly 4112524 Later Replaced by 4112591 001 Cap aussi dd 4111184 Mounting SCIEN 4111199 004 2230602525 aa HW65010 Spacer 725 A 4110792 045 4111181 Spacer PPP 4110792 044 Cable Clamp 386 in 3X 4112300 Screw Cable Clamp 6 32 3X HWO9000 Screw 20 x Btn Hd Skt 6 HW09063 If the machine is equipped with an optional manual sp
10. N REPLACE PROCESSOR ASSEMBLY PORE DOES UNIT Y UNIT IS AS OUTLINED IN ON UNIT PASS PMS FUNCTIONAL SECTION 4 N IS 02 Y MONITOR WORKING PROPERLY N REINSTALL ORIGINAL CONTACT NAD PROCESSOR ASSEMBLY SERVICE DEPT 3 4 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C TROUBLESHOOTING GUIDE continued GUIDE 2 Loss of Breathing Pressure Monitor START IS BREATHING PRESSURE MONITOR WORKING PROPERLY CHECK PILOT LINE CONNECTION AT BOTH ENDS IS PILOT LINE CONNECTED CHECK INTERNAL TUBING FROM INTERFACE PANEL TO TRANSDUCER ON PROCESSOR ASM IS BREATHING PRESSURE MONITOR WORKING PROPERLY REPLACE PROCESSOR ASM Saree a DOES UNIT UNIT IS AS OUTLINED IN ON UNIT PASS PMS FUNCTIONAL SECTION 4 N IS BREATHING PRESSURE MONITOR WORKING PROPERLY REINSTALL ORIGINAL CONTACT NAD PROCESSOR ASSEMBLY SERVICE DEPT 3 5 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS TROUBLESHOOTING GUIDE continued NM2C GUIDE 3 Loss of Respiratory Volume Monitor START IS RESPIRATORY Y VOLUME MONITOR WORKING PROPERLY CONNECT SENSOR N CORDTO INTERFACE PANEL N IS SENSOR CORD CONNECTED TO INTERFACE PANEL C
11. REINSTALL ORIGINAL VALVE AND GUIDE ASSEMBLY DOES UNIT PASS PMS UNIT 15 FUNCTIONAL IS VENTILATOR WORKING PROPERLY CONTACT NAD SERVICE DEPT 3 13 A C NTENTS TAE NT NTE TAE i RETURI C RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES 40 Rev F REPLAC EMENT PROC EDURES This section outlines removal and replacement procedures for the field replaceable assemblies of the NARKOMED 2 Anesthesia System These procedures are to be performed only by a Draeger Medical Inc qualified Technical Service Representative TSR The following are the only procedures authorized by Draeger Medical Inc to be performed in the field All other service procedures shall be referred to Draeger Medical Inc s Technical Service Department NOTE The PMS PROCEDURE given in Section 6 must be performed after any replacement removal calibration or adjustment procedure 4 1 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 1 Cylinder Yoke Assemblies Each cylinder yoke contains a replaceable filter and check valve assembly Replacement of this assembly requires that the yoke be removed from the anesthesia machine Figure 4 1 shows a typical cylinder yoke mounting arrangement Access to the yoke mou
12. 4106045 Alarm Channel Service Replacement No SE10029 Alarm Channel Service Exchange 02 320 LED SE4108529 116 Wire Harness Flowmeter Lights to Alarm Channel 2 4108594 117 Assembly Power Supply J 2 to Alarm Channel 4 4112149 001 118 Cable Assembly Alarm Channel J 1 to Ventilator 4109072 118A Clippard Value seats haqe 4103588 Rev AA 8 19 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C AA og JE W E _ c JE JE dE E 129 4f U iiaa TA Gg o MA OO N CYLINDER N20 UNDER mE Ger JPN PSL e E a _ 8 20 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM 119 120 121 122 123 124 125 126 127 128 DESCRIPTION PART NUMBER Shield Flowmeter 2 Gas N O O Domestic 4111824 001 Shield Flowmeter 2 Gas N O O Canada 4111824 002 Shield Flowmeter 2 Gas Export 4111825 Shield Flowmeter Gas Air Domestic 4111830 001 Shie
13. HWO4014 Screw Valve Switch Block Mounting Upper 8 32 x 2x HW01019 Screw Valve Switch Block Mounting Lower 8 32 x Yin 2X HWO1020 Bag uou exa A aa A atarax 4102894 Swivel Bag Mount Assembly 1101334 Screw Bag Mount 8 32 4 HWO2015 AS A A EA 4105868 Glide Ring 1101335 8 37 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 287 SV20504 292 288 296 25 297 3 295 294 298 299 ABSORBER 286 b ASSEMBLY FLANGE 200 one 291 290 289 301 305 302 304 303 307 8 38 Rev F RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ITEM DESCRIPTION PART NUMBER 286 Valve Man Auto Selector later design 4112217 001 Service Exchange 5E4112217 001 287 APEValVe ir AA A A eae 4104839 288 Fiber Washer Supplied with APL Valve 289 Screw Selector Valve Mounting 8 32 x 7 16 in Skt Hd Cap 3x HW01013 290 Lock Washer Selector Valve Mounting 8 int t HW67000 291 O Ring 117 Silicone ax dadas ad la 4105766 292 Label Scavenger Hose 4104806
14. 4 67 423 Keyboard cs Pea qa sama as s l Kas la Rl e hasa 4 70 Rev Z i RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS CONTENTS continued NM2C DESCRIPTION PAGE 424 SPIROMED Respiratory Volume Sensor 4 72 28 Oxygen SENSO E ROLE wis E ede 4 74 426 Auxiliary Oxygen Flowmeter 4 76 427 PEEP Valve Magnet Assembly Replacement 4 78 SECTION 5 Adjustment and Calibration Procedures 5 1 51 Cylinder Pressure Regulator Adjustment except 5 2 5 1A CO Cylinder Pressure Regulator Adjustment 5 4 5 2 Oxygen Supply Pressure Alarm Switch Adjustment 5 5 5 3 Oxygen Ratio Controller ORC Adjustment 5 8 5 3A Low Flow Oxygen Ratio Controller ORC Adjustment 5 10A 5 4 Display Arm Tension Adjustments 5 11 5 5 Oxygen Sensor Calibration 5 13 5 6 Breathing Pressure Monitor Calibration 5 15 5 7 Vaporizer Interlock Adjustment 5 17 SECTION 6 A a 6 1 6 1 Electrical ad ds sa Ads 6 2 62 SeIDDInstlCS x sx sss is EG 554544555 e 6 4 6 3 Battery Cirit Ss un 55525544 bia uama REX X 6 5
15. 4110951 White Brown Canada 4110952 100 DSP su yu u i ee 4110575 001 sage 7 0 bar costara dad RR EE Ed ES 4110575 003 Gage 000 psi sus deste ve esses Mera aM uus MEA ME NE 4110575 002 200 MERIT 4110575 004 Flowmeter Light Circuit Assembly 4107370 8 21 CO DETAIL OF FLOW CONTROL VALVE E 4 GAS MACHINE CENTER CHANNEL SV50521 NL d 22 82 2 V g i d 4 6 gt RETURN THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C Y Q9 lt S S SON 3 GAS MACHINE 8 22 T gt N NN N wm c 24 My N NO EAS EN GIA Rev A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM 129 130 131 132 133 134 135 136 137 138 139 140 140A 141 142 143 144 145 146 147 DESCRIPTION PART NUMBER Flow Tube O 1 10 4103418 Later style w o color band 4112560 001 Flow Tube O 0 6 10 l
16. 1100078 221C Roll pin 0 125 dia 3 81 HW75004 221D Roll pin 0 250 dia X TID HW75005 NOTE Thereis a oneinch height difference between the 4111849 4111850 caster and the 4113006 caster The 4111849 4111850 caster is one inch taller and contains a washer on the post Rev AA 8 31 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C Deleted 8 32 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM DESCRIPTION PART NUMBER 222 Deleted 223 Deleted 224 Deleted 225 Deleted 226 Deleted 227 Deleted 228 Deleted 229 Deleted 230 Deleted 231 Deleted Rev AA 8 33 234 237 238 237 257 D 239 240 241 242 243 244 245 246 247 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 234 233 A 233 A 235 236 234 EXPIRATION A NSPIRATIO 1 BEFORE USE BEFORE USE 248 249 8 34 SV50518 233 232 B 233 C 254 ES PRESS PEEP ON 256 257 257 CAD 257 3 286 OR 258 REF REF 257 255 257 253 252 251 250 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND
17. zi f ER a aE 3 02 CYLINDER AIR OR 3RD GAS N20 CYLINDER CUTOFF VALVE CYLINDER CUTOFF VALVE ASSEMBLY CUTOFF VALVE ASSEMBLY ASSEMBLY RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM DESCRIPTION PART NUMBER Items 174 Relief Valve 70 psi Canada O Cylinder Cutoff Valve Assembly Canada 175 Pilot Actuator Modified 176 Clippard Valve MJ 2 177 TeefFitting Ya Tubex Ya Tubex 178 Elbow Fitting 4 Tube x Va MPT sia x Cylinder Cutoff Valve Assembly Canada 179 Pilot Actuator Modified 180 Clippard Valve MJ 2 181 TeeFitting Va Tube x 182 Pl Y zu o ee 183 Elbow Fitting 184 Elbow Fitting Ya Tube x Ya MPT Air or 3rd Gas Cylinder Cutoff Valve Assembly Ca
18. 3 10 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C TROUBLESHOOTING GUIDE continued GUIDE 8 Display Keypanel Inoperative START DOES DISPLAY KEYPANEL OPERATE PROPERLY POWER OFF SUBSTITUTE ANOTHER DISPLAY POWER OFF RECONNECT REINSTALL ORIGINAL PROCESSOR ASSEMBLY POWER OFF REPLACE DISPLAY PERFORM A COMPLETE PMS 4 AS OUTLINED IN ON UNIT SECTION 4 CONTACT NAD 3 11 SERVICE DEPT ORIGINAL DISPLAY DOES DOES DISPLAY KEYPANEL UNIT PASS UNIT 15 REPLACE OPERATE PMS FUNCTIONAL PROCESSOR ASSEMBLY PROPERLY AS OUTLINED IN SECTION 4 POWER OFF RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS TROUBLESHOOTING GUIDE continued NM2C GUIDE 9 No Datagrip Response START IS Y DATAGRIP WORKING PROPERLY N CONNECT DATAGRIP CABLE TO PROCESSOR PORTJ3 N IS DATAGRIP CABLE CONNECTED Y CHECK POWER SUPPLY VOLTAGES REPLACE POWER SUPPLY IF OUT OF TOLERANCE IS Y DATAGRIP WORKING PROPERLY N SUBSTITUTE ANOTHER DATAGRIP ASSEMBLY UNIT IS FUNCTIONAL V REPLACE 5 Y PERFORM DATAGRIP WORKING DATAGRIP ASSEMBLY COMPLETE PMS DOES UNIT ROPERO AS OUTLINED
19. PS A 4 S SV50514 nia NS J y AY 9 e BELLOWS BOX FRONT VIEW Y 7 FRONT PANEL BELLOWS MOUNTING SCREWS 4 GUIDE FRONT PANEL AND CANISTER P e KNOB ASSEMBLY VOLUME INDICATOR i SET SCREWS 2 pp Mo U akilla VOLUME INDICATOR E BELLOWS ASSEMBLY ADJUSTMENT ROD Figure 4 14 TIDAL VOLUME ADJ amp VALVE CASE ASSEMBLY Rev G 4 45 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C E BN vam x SV50414 BELLOWS BOX FRONT VIEW WITH FRONT PANEL REMOVED 55 NY FLEX TUBING oy a FROM CONTROLLER UPPER BELLOWS SUPPORT PLATE BOTTOM VIEW ANS A OF BELLOWS BOX PRESSURE LIMIT CONTROL MOUNTING SCREWS 4X VALVE CASE ASSEMBLY MOUNTING SCREWS Figure 4 14 TIDAL VOLUME ADJ amp VALVE CASE ASSEMBLY continued 4 46 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued NOTE 41414 41415 41416 41417 4 14 18 4 14 19 4 14
20. RATIO through the following settings and verify that the ventilator cycles properly RATIO RATIO RATIO 11 1 1 44 1 2 5 77 1 4 22 1 1 5 55 1 3 88 1 45 33 1 2 66 1 3 5 99 1 4 5 6 22 BELLOWS DRIVE GAS LEAK ADULT 6 22 1 6 22 2 6 22 3 6 22 4 6 22 5 6 22 6 6 22 7 6 22 8 6 22 9 Remove the ventilator hose from the VENTILATOR HOSE terminal Attach a test terminal tothe bellows assembly ventilator hose terminal Connect a flowmeter test stand P N 5000081 to the test terminal Set the FREQUENCY to 1 BPM Set the I E RATIO to 1 1 Set the INSPIRATORY FLOW to the maximum What is the flow indicated during the inspiratory phase 50 ml Remove the test terminal and flowmeter test stand Turn the ventilator and all ventilation alarms OFF 6 46 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 23 SPIROMED or Ultrasonic How Sensor Rev AB 6 23 1 6 23 2 6 23 3 6 23 4 6 23 5 6 23 6 6 23 7 6 23 8 6 23 9 6 23 10 6 23 11 6 23 12 6 23 13 6 23 14 6 23 15 Enter the SET UP screen and select the MINUTE VOLUME LOW alarm limit Does a box appear around the Minute Volume Alarm Limit _ Y What is the low minute volume alarm default _ 1 0 Verify that the minute volume has a low alarm limit range from at least 0 5 to 10 0 by increments of 0 1 0 2 to
21. 4111771 requires press on hose clamp 4104161 instead of tie strap yea ae aria 4102165 Fitting 1 16 I D Hose x 10 32 2 4103445 Later design fitting has integral seal replaces previous two items 4112707 Tie Strap 0 131W x 8 04L 2x 1101732 8 13 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 96 97 95 86 98 85 99 100 84 91 93 87 89 88 92 94 100 221 550516 90 8 14 Rev RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM DESCRIPTION PART NUMBER 84 Vapor Indicator PCB 2454442 d 5 ote a5 59455345554 4110219 85 Wire Harness Vapor Select Switch 4110233 86 Switch Vapor Select 3x 4111718 Gas Selector Switch Assembly 87 Label O sig eek acre sh eae awa ROS aad s 4108461 88 abel ALL GASES 35 594 30459 da are A ge Sq 4108462 89 Lapel Doberan rere 4103423 90 a 4103169 Set screw locking 8 32 x pt HW 10004 Later style knobs use non locking set screw HW04025 91 Camshaft
22. M LN usu n s yma 4103122 386 Hose Daisies 4103123 387 Tube N N 4109312 388 Tube 744 did dis 4109311 389 screw btn hd 10 32 1 HW09005 390 O ring 016 neoprene 4109322 391 O ring SOLO neoprene 4101872 392 A ee ae 4109309 393 O ring 008 neoprene 4102022 394 Screw cap skt hd 6 32 1 HW01067 395 Flowmeter a ES 4109306 396 Screw cap skt hd 6 32 X 1 HW01007 397 Top Scavenger Reservoir 4109307 398 Deleted 399 Plug assembly 4102098 400 Deleted 401 Label ACTIVATE HOSPITAL VACUUM 4109305 402 O ring 008 neoprene 4102022 403 Nut valve stem retainer 4109316 404 eke 4102068 405 Lock nut A 4105990 406 ey a ee 4105699 Rev 8 45 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 412 413 411 414 410 e e 415 409 416 408 417 407 418 421 420 422 419 SV00
23. oD apr 9 4 a Er s li gt lt amp E M LEO C Hui H a 8 2 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM DESCRIPTION PART NUMBER 1 Fan Assembly Ind Wire Harness 4111732 2 A ee ee 4106335 3 Speaker Wire Harness 4112169 4 Circuit Breaker 4110537 008 5 AC RESISTE o a yes 4106086 AC Receptacle later design not interchangeable 4112574 001 6 Filter Convenience Outlets 4112450 7 Cover Power Filter usos sos xx RU rana 2554455455565 4109622 Later replaced ii sus bs 4112822 8 Processor Assembly earlier models 4112211 Service Exchange SE 4112211 Processor Assembly later models w additional memory 4112701 9 Cable Asm Ventilator Box to Processor J 16 4111997 001 10 Wire Harness Power Supply J to Processor J 15 4112007 11 Cable Asm Vapor Indicator J 1 PCB to Processor J 19 4111236 Rev AA 8 3 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C
24. 4 2 4 2 Cylinder Pressure Regulators 4 5 4 3 Cylinder Cutoff Valves Canada 4 9 4 4 Cylinder and Pipeline Pressure Gauges 4 12 45 FIOWMCLERS Rech A A waded ia 4 16 4 6 Flow Control Valves 4 20 4 7 Oxygen Supply Pressure Failure Protection 4 23 4 8 Alarm Channel and Oxygen Supply Pressure Alarm Switch 4 26 4 9 Oxygen Ratio Controller 4 30 4 10 Vaporizers cilindro ri e a 4 33 AIL O Flush Valve ta Sado Rr C e i 4 36 412 2 AV2 Ventilator Controller Assembly 4 39 413 Convenience Outlet AC Power Filter 4 42 414 Ventilator Bellows Valve and Guide Asm w Press Limit Control 4 44 4 15 C aSter PITT 4 48 426 Battery 2 445 e qa eet ee o en de eie BU dnb 4 50 417 Power 4 53 418 Processor Assembly 4 56 419 Remote Display Assembly 4 59 420 DATAGRIP 4 61 421 Display Arm Assembly 4 64 4 22 O R DATA MANAGER Sub Assembly
25. 4113136 18 Deleted 19 K Bob dx u cyan a ab a RR 4113281 Knob Cover all except ON OFF 5 4113278 002 Knob Cover ON OFF switch 4113278 001 19A 1 8 in Tygon tubing M L08003 Rev AA 8 5 30 31 33 40 38 43 37 39 35 32 36 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 34 28 29 21 22 23 624 8 6 21 27 23 24 26 25 42 41 SV50512 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM 20 22 23 24 25 40 41 42 43 43A DESCRIPTION PART NUMBER Screw 6 32 x in Btn Hd Skt Ax HWO9000 cold dT Iv 4112167 Knob PEE AG sitiada dcs ra bad ic dot dc cod sa 4112502 new part 4113279 Flat Washer aida 2a EX haku REO ES ES doy ap ee HW66003 Hex Nut MSDS o A EVE E esses 4112066 Koob A 4112245 002 new part 4113278 002 Knob Cover sb iw ex Sx 4113278 002 Uo 4112152 new part number 4113280 Front Plate Bellows BOX
26. 7 to 13 Disconnect thetest gauge and syringe reconnect the breathing pressure sensor line to the absorber Does the SUB ATM PRESSURE alarm deactivate _ Y Enter the SET UP screen select APNEA ALARM and select OFF Select PRESSURE SCALE and verify selections of 0 20 0 50 and 0 100 Verify that the APNEA ALARM cannot be selected to OFF when the ventilator switch 15 ON 6 44 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 21 VENTILATOR NOTE Set the Pressure Limit control to MAX and the PEEP valve to the minimum position if applicable Readjustment of INSPIRATORY FLOW to limit the inspiritory plateau may be required to reduce erratic tidal volumes and breath rates caused by artifact volume 6211 Set the Man Auto selector to BAG 6 21 2 Set the FREQUENCY to 10 BPM 6 21 3 Set the RATIO to 1 2 6 21 4 Set the Tidal Volume to 1000 ml 6 21 5 Attach a patient circuit to the absorber system 6 21 6 Adjust the flow to l min 6 21 7 15 the APNEA P ALARM OFF message displayed in the Advisory column Y if no press the APNEA ALARMS DISABLE key in the Pressure Alarms section of the main keypad 6 21 8 15 the VOL ALARMS OFF message displayed in the Advisory column Y if no press the VOLUME ALARMS DISABLE key in the Minute Volume Alarms section of the main keypad 6 21 9 Turn the ventilator on 6 2110 Verify the FAULT indicator turns
27. 4 27 1 4 27 2 4 27 3 4 27 4 4 27 5 4 27 6 4 277 4 27 8 4 27 9 4 27 10 4 27 11 Some older PEEP valve assemblies require the use of tamper proof 5 56 hex key P N SO10056 Loosen the two set screws on the block at each side of the PEEP knob using a 5 64 hex key Back these screws out until they are flush with the block to allow proper removal of the knob assembly Using a flat head screw driver carefully pry the knob and magnet assembly away from the block and remove the assembly Remove the four or six screws securing the retaining ring on the knob and magnet assembly and remove the retaining ring Remove the magnet assembly from the knob and discard the magnet in an appropriate manner Insert the new magnet assembly into the knob On new style knobs make sure the magnet s dowel pin engages the slots in the knob If the magnet is not oriented correctly there will be freeplay in the knob before it turns the magnet Reinstall the retaining ring and secure it with the screws that were previously removed Turn the set screws into the PEEP block until you can just see them from the inside of the block Apply athin coat of high vacuum grease to the O rings on the magnet assembly to aid in its installation Align the holes of the magnet assembly with the set screw holes and install the knob amp magnet assembly into the PEEP block Slowly tighten the set screws If the holes are lined up c
28. 40203044 40203044 40203044 40203044 42443322 42443322 42443322 42443322 FFFFFFFF FFFFFFFF FFFFFFFF SELECTS FUNCTION gt ACTIVATES FUNCTION Figure 2 9 NVRAM DUMP SCREEN 2 8 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C TROUBLESHOOTING GUIDE 3 0 TROUBLESHOOTING This section contains information to assist the Draeger Medical Inc qualified Technical Service Representative TSR in locating electrical faults affecting the NARKOMED 2 monitoring and display devices Since most troubleshooting efforts begin with verifying power supply voltages the following paragraph outlines the voltage distribution scheme within the machine along with test points for each of the voltages 3 1 Power Supply and Voltage Distribution In the NARKOMED 2C 45VDC 12VDC and 12VDC are supplied to J 15 on the processor board 8VDC is supplied to J 4 on the alarm channel and is also distributed to the ventilator controller via 3 on the alarm channel These voltages can be measured at the connectors shown in Figure 3 1 Table 3 1 lists the acceptable range for each voltage under normal load conditions Figure 3 2 shows a block diagram of the NARKOMED 2 including the primary and secondary voltage distribution scheme TABLE 3 1 TEST POINTS AND ALLOWABLE RANGES PROCESSOR VOLTAGE ACCEPTABLE RANGE J15 14 Pur 5 VDC 4 85 to 5 15 VDC J15 4 Yel 12 VDC 11 76 to 12 24 VD
29. 4103445 326 A 4109387 327 Deleted 328 Deleted 329 Deleted 330 Deleted 331 Deleted 332 Deleted 333 Deleted 334 Deleted 335 Deleted 336 Deleted 337 Deleted 338 Deleted 339 Deleted Rev AA 8 41 365 364 363 341 340 366 343 344 i 345 347 348 349 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 367 353 352 351 8 42 368 369 356 355 354 350 362 370 357 371 372 373 374 375 376 377 378 358 359 360 361 SV50546 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ITEM DESCRIPTION PART NUMBER Open Reservoir Scavenger Assembly 4107624 340 Mounting 4109314 341 Elbow 16 M x Yain hose 4106881 342 Deleted 343 Body DISS VAC x 4MPT 4103669 344 HUE DISS VAG a a nd SSS da eee 4103122 345 Hose Barb Nipple 4103123 346 Deleted 347 Screw 1 20 x 3 in skt hd 2X HWO1033 348 a a 4110982 349 CAUTION aida 4104294 350 A LESSE 4110979 351 O ring 112 neoprene
30. 4 16 10 4 16 11 opening the power supply compartment cover F ailure to observe this precaution may cause injury by electric shock Remove the four screws holding the power supply compartment cover and remove the cover Remove the screw holding the battery retainer bar and remove the retainer bar Disconnect the battery wire harness from TB1 terminals 1 amp 2 on the power supply chassis and from the center circuit breaker CB2 Note the wire color and position of the wires so that the harness can be reinstalled in the same manner Lift the battery from the compartment Transfer the wire harness to the replacement battery Ensure that the battery is connected in the same polarity as the original battery Place the battery in the protective bag in the same manner as the original Place the replacement battery in the compartment with the terminals oriented as shown in the illustration Reinstall the battery retainer bar by placing its tab through the slot in the compartment and replacing the retainer screw at the other end of the bar Connect the wiring harness to circuit breaker CB2 and to TB1 terminals 1 amp 2 on the power supply chassis Connect the yellow wire to Terminal 1 and the black wire to Terminal 2 as shown in the illustration RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued
31. 40T 40F 40E 40G 2 2 I Q m o 40A 40S 40R 40K 40P 40N 40M SV50540 40L Rev AA 8 7A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM 40 Ref 40 40B 40C 40D 40E 40F 40G 40H 40 40K 40L 40M 40N 40P 40R 405 40T 40U 40V Rev AA DESCRIPTION PART NUMBER Bellows Valve Assembly 4112272 Service Exchange SE 4112272 S01 Bellows Top Plate 4111872 Adapter Plate suelos ETT RE 4111979 Press on Hose Clamp 2 4104161 Label O Tubing 2X 4109871 Hose as nasa ad ML08003 A 4107639 uide RING sss sew eR pE ER REX RA GR C RR E ko RR RA ERROR GRAN as 1101294 O ring 019 Silicone 4107096 O ring 022 Neoprene 4104595 Lockwasher 8 Split TAX os sus shoes sess HW65011 Bellows Top Guide 4110735 Volume Indicators SWS Shee a 4108276 Set Screw 6 32 x Yain cup point 2 HW04003 Screw 8 32 x in btn hd skt 4
32. CX NS DELRIN SPACER P N 4110792 044 DATAGRIP AND REMOTE DISPLAY ASSEMBLY SV20502 Figure 4 21B CABLE ROUTING ARRANGEMENT FOR SHORT DISPLAY ARM Rev 65B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 21 9 4 21 10 4 21 11 4 21 12 4 21 13 4 21 14 PATIENT LINE BOOM ARM 1 4 20 X 1 3 4 IN SOCKET HEAD CAP SCREW 2X DISPLAY ARM Reinstall the Datagrip and remote display assembly to the display arm and tighten ts mounting screw to a torque of 4 foot pounds Replace the plastic cap covering the mounting screw recess Route the cables as shown in the applicable illustration For the adjustable arm coil the excess cable in the patient looms For the short arm coil the excess cable in the in cable damp on the underside of the ventilator box Connect the remote display and Datagrip cables to their ports on the underside of the ventilator box Verify that the arm and the Datagrip have full range of motion with no binding caused by the cables Position the cables in their camps as needed If tension adjustment is needed on the adjustable display arm hinge refer to the adjustment procedure in Section 5 of this manual Restore power to the machine and verify that the Datagrip and remote display are working properly Perform the PMS Procedure given in Section 6 V20503 3 8 24 X 2 3 4 IN FLAT HEAD SOCKET
33. 4 22 19 4 22 20 At the back of the ventilator box connect the ORDM processor board ribbon cable to J 5 on the processor board and replace the ventilator box back panel with the screws that were previously removed Insert the O R DATA MANAGER Program Disk into the disk drive Restore power to the machine and turn the System Power switch to ON Follov the ORDM boot information that appears on the Remote Display Perform the PMS Procedure given in Section 6 4 69 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 23 Keyboard The keyboard 15 mounted on pull out tray assembly located just below the table top of the anesthesia equipment cabinet The keys are covered by a polyurethane shield formed to fit over the keys This shield is held in place by a self adhesive strip around its perimeter and can be replaced without removing the keyboard from the tray Figure 4 23 shows the keyboard assembly sequence Following are the steps needed for removal and replacement of the keyboard 4 23 1 4 23 2 4 23 3 4 23 4 4 23 5 4 23 6 4 23 7 4 23 8 4 23 9 4 23 10 4 23 11 Set the System Power switch to STANDBY Pull the keyboard tray out to its fully extended position and carefully remove the polyurethane shield by separating its adhesive peri meter from the keyboard faceplate Remove the four faceplate retaining screws Remove the
34. 415 Caster Each caster 15 retained by a set screw in the side of the lower frame rail as shown in Figure 4 15 Caster replacement requires that the machine be tilted to provide enough clearance for the caster stem to be withdrawn from the bottom of the frame rail WARNING Do not tilt the machine more than 10 degrees or raise the 4 15 1 415 2 4 15 3 4 15 4 4 15 5 4 15 6 4 15 7 4 15 8 4 15 9 4 15 10 4 15 11 4 15 12 casters more than 3 inches from the floor Failure to observe this precaution may result in a tip over causing personal injury Vaporizers containing anesthetic agent may also be damaged Obtain a brace capable of supporting one side of the machine with its casters two to three inches from the floor Remove all unsecured equipment and accessories from the machine Lock the front casters Using at least two people tilt the machine until the casters on one side are raised two to three inches from the floor and position the support brace under the frame rail between the front and back casters Remove the plastic cap in the side of the frame rail to provide access to the caster stem set screw Loosen the set screw and remove the caster Insert the replacement caster into the frame and hold it in its seated position Tighten the caster stem set screw and replace the plastic cap in the frame rail Using at least two people tilt the machine remove the support brace and carefully lowe
35. FILTER O RING y 0 066 X 0 042 oS BUNA N ORC 0 ASSEMBLY gt Y MOUNTING Z SCREWS 3X DETAIL OF LOW FLOW ORC ASSEMBLY WITH 6 IN FLEXIBLE TUBING Figure 4 9 OXYGEN RATIO CONTROLLER Rev G 4 31 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 9 12 4 9 13 4 9 14 Perform the ORC adjustment procedure given in Section 5 of this manual There are two adjustment procedures one for ORC P N 411800 and one for low flow ORC P N 4113229 Be sure to follow the correct procedure Reinstall the flowmeter housing rear cover Perform the PMS Procedure given in Section 6 4 32 Rev D RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued 4 10 Vaporizers Each vaporizer is held to the machine by two metric sized hex screws These screws are accessible at the back of the vaporizer mount below the interlock mechanism as shown in Figure 4 10 Before removing a vaporizer from the machine it must be completely drained and dried in accordance with the procedure given below Besureto havea suitable packing or storage container available in which to place the vaporizer CAUTION The following steps must be performed in the sequence given 4 10 1 4 10 2 4 10 3 4 10 4 4 10 5 4 10 6 4
36. 208A Man Auto Sensor Interface Panel Asm machines w AV 2 ventilator 4113090 001 incl cable to ventilator controller 209 Filter AC Power Inlet 4109578 210 AC Power Cord Assembly 4109600 AC Power Cord Assembly Export 4110625 211 Caster W Brake 2x 4111849 lt W Brake 2X 4113006 002 212 Caster W O Brake 2x 4111850 Caster W O Brake 2x 4113006 001 213 Setscrew Caster 4 HW04017 214 HolePlug 4X 424452025 225 340550450044 6545555500 4102729 215 Primary Power Supply Complete 4111962 216 A O O eee 4111958 Service Exchange is uu ae eis Nava esas SE 4111958 217 Battery 12V Rechargeable 4111957 218 Battery Wire lt 5 4111998 219 Circuit Breaker 2 5 AMP 4110537 009 220 Circuit Breaker Battery 15 Amp 4111379 001 221 Circuit Breaker 5 AMP 4110537 002 221A Absorber POS speres rE NO S eS cx E s atu 1101724 2218 Wing Screw 3 16 Xx Lin
37. 320 322 324 321 325 5 00901 326 319 8 40 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ITEM DESCRIPTION PART NUMBER 308 Auxiliary O Flow Meter Assembly new style 4109310 309 Set Screw cup point 6 32 x HW04003 310 4111442 311 Screw 10 32 x 1 1 16 in btn hd 2x HWO9043 312 HOUSING ys yas hu kus apu as ha aus Pa ees 4111053 313 Kep nut 10 32 2X HW55002 314 Flowmeter incl tube amp valve 4111460 315 Label w dot and green amp white ringS 4109373 316 Set Screw cup point 10 32 x 2x used as mtg stud HW04011 317 Label AUXILIARY OXYGEN 4109381 318 Auxiliary O Flow Meter Assembly old 5 4109391 319 Valve flow control sub compact S0B 7121 320 Label AUXILIARY OXYGEN 4109381 321 Label w dot and green amp white ringS 4109373 322 Screw 10 32 x 5 8 in cap skt hd HW01027 323 Flat washer 10 HW66003 324 A eee ee ees 4102165 325 Hose barb 10 32 x 1 16 hose
38. 6 8 1 6 6 8 1 7 6 8 1 8 6 8 1 9 6 8 1 10 6 8 1 10 6 8 1 11 Remove the inspiratory and the expiratory valve domes 15 there a broken or bent pin on the valve assembly Inspiratory Expiratory _ N Is there a broken pin on the valve domes Inspiratory N _ N Is the valve disc in good condition Inspiratory _ Y Expiratory _ Y Are the valve dome washers in good condition _ Y Reinstall the inspiratory and expiratory valve domes Remove the ultrasonic flow sensor connector hose if applicable Is the connector hose connector and O ring in good condition __ Y if applicable Remove the ultrasonic flow sensor from the mounting bracket if applicable Remove the flow housing transducer assembly from the electronics housing if applicable Remove both transducers from the flow housing examine each O ring and condition of all components then reassemble if applicable Remove the inspiratory and expiratory valve assemblies Remove the Spiromed sensor Are all three washers in good condition _ Y Reinstall the inspiratory valve Reinstall the expiratory valve and the connector hose between the expiratory valve and the ultrasonic flow sensor if applicable Are the two 2 spring dips on the absorber rods Y 6 14 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued Rev AB 6 8
39. Remove the test equi pment Readjust the scavenger needle valve to allow typical suction through the scavenger 6 12 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 7D Rev AB SUCTION REGULATOR 6 7D 1 6 7D 2 6 7D 3 6 7D 4 6 7D 5 6 7D 6 6 7D 7 6 7D 8 6 7D 9 6 7D 10 6 7D 11 6 7D 12 Verify that the suction bottle 15 attached to the suction regulator Verify that vacuum is attached to the DISS vacuum connection Set the vacuum on off valve to the OFF vertical position Connect a digital pressure meter to the collecting inlet stem of the suction bottle Set the digital pressure meter to the mmHg scale Turn the vacuum control knob fully counter clockwise What is the vacuum indicated on the digital pressure meter 0 Turn the vacuum control knob fully clockwise and verify that the vacuum control knob stops Set the vacuum on off valve to the ON position Set the regulator to indicate 250 mmHg What is the vacuum indicated on the digital pressure meter 200 300 mmH g Return all controls to their original positions 6 13 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 8 BREATHING SYSTEM 6 8 1 Absorber System Inspection 6 8 1 1 6 8 1 2 6 8 1 3 6 8 1 4 6 8 1 5 6 8 1 6 6 8 1 6 6 8 1 68 6 8 1 6 6 8 1 60
40. __ 72 78 Close the oxygen helium cylinder valve and bleed the pressure from the circuit Close the oxygen helium flow control valve Set the gas selector switch to O 4N O Oxygen Carbon Dioxide Concentration if applicable Depress the O FLUSH button for 15 seconds Set the oxygen flow to 1000 ml Does the O MED read 97 100 within 3 min Y Set the gas selector switch to ALL GASES Set the carbon dioxide flow to 500 ml What is the O concentration after the value stabilizes _ 64 70 Close the carbon dioxide cylinder valve and bleed the pressure from the circuit Close the carbon dioxide flow control valve Set the gas selector switch to O 4N O Theseitems do not apply to machines with later design P N 4113329 001 ORC 6 40 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 18 AUXILIARY OXYGEN if applicable Rev AB 6 18 1 6 18 2 6 18 3 6 18 4 6 18 5 6 18 6 6 18 7 6 18 8 6 18 9 6 18 10 6 18 11 6 18 12 Close the auxiliary oxygen flowmeter flow control val ve Connect a cm pressure manometer to the outlet Is there an increase in pressure Apply a pressure of 50 cm to the manometer After 30 seconds what is the pressure on the manometer __ gt 40 cm H O Remove the gauge and test fixture Is it possible to adjust the flow over the full range of
41. and connection to the sensor interface panel 4 24 1 4 24 2 4 24 3 4 24 4 Set the System Power switch to STANDBY Disconnect the sensor plug from the volume sensor receptacle on the sensor interface panel Remove the expiratory valve by unscrewing the valve retaining nut Removethe vol ume sensor from the absorber assembly by unscrewing its retaining nut CAUTION Donet twist the body of the sensor when loosening the retaining 4 24 5 4 24 6 4 24 7 4 24 8 4 24 9 nut Hold the sensor while loosening the retaining nut to prevent damage to the unit Install the replacement volume sensor on the absorber assembly Ensure that the gasket is seated properly and hand tighten the retaining nut Install the expiratory valve on the sensor Ensure that the gasket is seated properly and hand tighten the valve retaining nut Connect the sensor plug to the volume sensor receptacle on the sensor interface panel Restore power to the machine and perform the respiratory flow monitor calibration procedure given in Section 5 Perform the PMS Procedure given in Section 6 4 72 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued EXPIRATORY VALVE VALVE RECEPTACLE PNE RETAINING NUT ON SENSOR INT
42. enable the mounting clamps to slide past the stop pins on the mounting rod and pull the display from the rod 4 20 8 Remove the plastic cap at the end of the display arm to expose the Datagrip assembly mounting screw 4 20 9 While holding the Datagrip assembly loosen the mounting screw until the assembly separates from the display arm 4 20 10 Mount the replacement Datagrip assembly to the display arm and tighten its mounting screw Reinstall the plastic cap to cover the mounting screw recess RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C REMOTE DATAGRIP DISPLAY PORT PORT REAR VIEW OF NARKOMED 2C CABLE CLAMPS CAP MOUNTING SCREW LOCKWASHER p s ee CABLE CLAMPS ET APPROXIMATE LOCATION DATAGRIP AND REMOTE DISPLAY ASSEMBLY SV50523 Figure 4 20 DATAGRIP ASSEMBLY 4 62 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued Rev J 4 20 11 4 20 12 4 20 13 4 20 14 4 20 15 4 20 16 4 20 17 Slide the display onto the mounting rod oriented so that the mounting clamps in the display assembly slide past the stop pins on the rod until the display is in the correct position on the rod Tighten the display mounting clamp screws accessible through clearance hol
43. install a breathing circuit with test lung to absorber and make the following settings MAN AUTO selector to AUTO Ventilator FREQUENCY 10BPM 1 E Ratio 1 2 Tidal Volume 1400 mL PLC MAX INSP FLOW HIGH Set the Fresh Gas flow to 10 L min Turn on the ventilator While the ventilator is cycling press the 02 flush button and verify that the Lo O2 Supply alarm is not activated If the alarm is activated refer to Section 5 2 for Oxygen Supply Pressure Alarm Switch Adjustment Rev X 5 2A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C 5 1 13 5 1 14 5 1 15 5 1 16 5 1 17 5 1 18 5 1 19 5 1 20 Replace the acorn nut on the bottom of the regulator Close the cylinder valve and allow pressure to drain from the system Close all of the flow control valves and set the System Power switch to STANDBY Disconnect the test gauge from the TEE fitting and replace the plug in the fitting Replace the table top and its retaining screws Replace the top drawer in the cabinet Connect the pipeline hoses Perform the PMS Procedure given in Section 6 5 2B Rev X O2 CYLINDER PRESSURE REGULATOR SET RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued TOP VIEW WITH TABLE TOP REMOVED N20 CYLINDER PRESSURE REGULATO
44. the up or down arrow key to select the desired parity and press ENTER again The cursor will start flashing 7 8 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SOFTWARE UPDATE PROCEDURE continued Move the flashing cursor to the STOP column and press ENTER Use the up or down arrow key to select the desired stop bit and press ENTER again The cursor will start flashing Move the flashing cursor to the DATA column and press ENTER Use the up or down arrow key to select the desired data bits and press ENTER again The cursor will start flashing On the ORDM keyboard press ESC to return tothe SST Main Menu Use 10 on the external PC 7 6 2 Set Time and Date The Set Time and Date screen shown in Figure 7 5 allows verification and setting of the machine s clock At the SST Main Menu move the cursor to SET TIME AND DATE and press ENTER Follow the on screen instructions for setting the month day year hour and minute MACHINE ID NM2C SOFTWARE VERSION 1 20 SERIAL NUMBER 00011066 SYSTEM FEATURES 0003 SST Date amp Time 07 MAR 1995 11 42 UUT Date amp Time 07 MAR 95 11 42 27 CHANGE UUT DATE amp TIME MONTH DAY YEAR HOUR MINUTE APR 13 1994 11 42 F10 PREVIOUS MENU SV50103 Figure 7 5 SET TIME AND DATE SCREEN Rev G 7 9 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SOFTWARE UPDATE PROCEDURE continue
45. 1 12 6 8 1 13 6 8 1 14 6 8 1 15 Inspect the following canisters and gaskets dust cup and O ring condition of soda lime the absorber canisters and dust cup in good condition _ Y Is the cm H O gauge at zero 0 _ Y Remove the O Med sensor plug from the inspiratory valve dome adapter and examine the two O rings at the bottom of the plug 6 14A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C This page left intentionally blank 6 14B Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued v Rev AB 6 8 1 16 6 8 1 17 Reinstall the O Med sensor plug into the inspiratory valve dome adapter Examine the two O rings at the bottom of the sensor 6 8 2 Repack MAN AUTO Selector Valve Does not apply to machines with later design selector valve 6 8 2 1 6 8 2 2 6 8 2 3 6 8 2 4 6 8 2 5 6 8 2 6 6 8 2 7 6 8 2 8 6 8 2 9 6 8 2 10 Remove the four screws securing the stick shift block to the selector valve body and remove the block Remove the spring and valve channel from the valve body Remove all residual lubricant from the valve channel Remove all residual lubricant from the valve body Apply a minimal amount of stop cock lubricant Dow Corning High Vacuum Grease P N 54105908 to the tapered surface of the valve channel and ensure complete c
46. 10 7 4 10 8 4 10 9 Set the System Power switch to ON Set all vaporizer handwheels to their Zero or OFF position WARNING Do not inhale anesthetic vapors as this could result in personal injury Remove the filler and drain plugs and drain the vaporizer into a suitable container Dispose of the residual agent in an approved manner Turn the vaporizer handwheel tothe maximum concentration setting Set the oxygen flow to 10 I min for at least 20 minutes WARNING This procedure must be performed in a well ventilated area and without personnel present Turn the vaporizer handwheel to O zero and replace the filler and drain plugs Turn the oxygen flow off and set the System Power switch to STANDBY While holding the vaporizer remove the mounting screws and carefully separate the vaporizer from the machine Note the arrangement of gaskets so that the replacement vaporizer can be installed in the same manner Place the vaporizer in a suitable container for transport or storage WARNING Do not tilt a vaporizer that contains anesthetic agent more than 45 degrees Failure to observe this precaution will render the handwheel calibration invalid 4 33 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C VAPORIZER MOUNT INTERLOCK L
47. 13 15 17 12 SV50511 8 4 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ITEM DESCRIPTION PART NUMBER AV 2 12 AV 2 Ventilator Controller Assembly Bezel Assembly 4112273 001 Service Exchange part number 5 SE 4112273 S01 13 Inspiratory Flow Regulator 4102045 14 Deleted 15 y 2p bleu eae ween eee E eee RE 4110906 16 c PE 4112251 001 17 On Off Switch amp Wire Harness Incl Solenoid Wire Harness 4112253 18 Deleted 19 A T 4112157 new part number 4113281 Knob Cover all except ON OFF 5 4112245 003 new part 4113278 002 Knob Cover ON OFF switch 4112245 002 new part number 4113278 001 19 1 8 in Tygon tubing yx RE M L08003 AV 2 12 AV 2 Ventilator Controller Assembly Bezel Assembly 4113132 001 Service Exchange 5E4113132 001 13 Inspiratory Flow Regulator 4114252 Regulator rebuild kit 4115151 14 Deleted 15 Soleno 5545 E ee 4110906 16 Gages IT 4112251 001 Solenoid Wire Harness 4113137 17 On off switch amp wire harness
48. 13 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C SV20316 RECEPTACLE ON INTERFACE PANEL SENSOR HOUSING zd SENSOR CAPSULE SENSOR HOUSING OQA 3 INSPIRATORY I VALVE DOME H INSPIRATORY SENSOR VALVE DOME CORD 1 PLUG CONNECTOR OXYGEN MONITOR SERVICE SCREEN CURRENT CELL A 366 CURRENT CELL B 371 ZERO CALIBRATION PROCEDURE REMOVE O2 CELL FROM SENSOR HOUSING LET CURRENT CELL VALUES STABILIZE SELECT STORE ZERO KEY PRESS TRIGGER TO ENTER CALIBRATION VALUES REINSTALL OXYGEN CELL IN SENSOR HOUSING STORED ZERO CELL A 240 STORED ZERO CELL B 241 Figure 5 5 OXYGEN MONITOR SERVICE SCREEN 5 14 STORE ZERO PRESSURE MONITOR SELECTS FUNCTION gt ACTIVATES FUNCTION Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued 5 6 Breathing Pressure Monitor Calibration 5 6 1 Turn the System Power switch to ON 5 6 2 Enter the Main Service Screen ref Section 2 select the appropriate Service Code PMS or SRVC and enter your Technical Service Representative 1 0 number 5 6 3 Select MONITORS and press the trigger Place the cursor at PRESSURE MONITOR and press the trigger 5 6 4 Zero Calibration 5 6 4 1 Disconnec the pressure sample line from the absorber and let the
49. 20 4 14 21 4 14 22 4 14 23 4 14 24 If components are removed from the support plate be sure that any spacers and O rings are correctly positioned during reinstallation Following component replacement position the support plate in the bellows box and reconnect the large and small diameter tubing that was previously removed Slide the support plate up and to the rear until it is seated properly in the bellows box Reinstall the two front support plate screws and tighten the rear support plate screw Install the volume indicator on the bellows adjustment rod in the same position as before disassembly and tighten its two setscrews Install the bellows guide by screwing its stem into the bellows adjustment rod Place the bellows box front panel into position ensure that the slots in the knob assemblies are correctly aligned with their drive pins on the bellows adjustment and pressure limit control shafts and reinstall the screws holding the front panel to the machine Replace the bellows canister ensure that its markings are facing forward Replace the bellows assembly and tighten the wing nuts holding it in place Reconnect any hoses that were previously removed from the bellows assembly Reconnect the pipeline hoses and AC power cord Perform the PMS Procedure given in Section 6 4 47 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C
50. 204 Screw Index Pin 2x per yoke 4105929 205 Yoke Labels Label O Green USA Suevia audes xai dex OR Ra 1101768 UK LETT 4103890 Blue Germany 4111266 001 Label Blue USA UK Canada 1101619 Gray Germany 4111266 003 Label Air Yellow USA Germany 4102742 Black White 4103826 Label O He Green Brown 5 4110950 White Brown Canada 4110942 Label CO Gray USA JUK 1101639 Black Germany 4111266 005 Rev G 8 29 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 224 2 D i J XD MS 4 SN lt lt 8 30 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM DESCRIPTION PART NUMBER 206 O Sensor Interface Panel Asm Incl Cable to Processor 4110136 207 Spiromed Interace Panel Asm Incl Cable to Processor 4111994 001 208 Baromed Interface Panel Asm Incl Tubing to Processor 4108996
51. 25B 16 6 25B 17 6 25B 18 6 25B 19 BELLOWS PEDIATRIC INTERNAL if applicable Set the ventilator frequency to 10 BPM Set the Ratio to 1 2 Turn the ventilator ON Adjust the Inspiratory Flow control on the ventilator to Medium Set the to l min the 15mm patient side of the Y piece and fill the bellows by pressing the O Flush button Observe the absorber breathing pressure gauge as the ventilator cycles What is the pressure when the bellows completes its downward travel ___cmH 0 gt 30 What is the pressure when the bellows completes its upward travel ___ lt 3 Install a L breathing bag onto the patient circuit Y piece Fill the bellows by pressing the O Flush button Adjust the O flow to 10 l min What is the PEEP cmH O x3 Adjust the O flow to 500 ml min Adjust the inspiratory flow control until the bellows collapses entirely Does the ventilator deliver the full tidal volume during 5 consecutive cydes Y Set the ventilator frequency to 20 BPM and the ratio to 1 1 Adjust the O flow to l min Adjust the inspiratory flow control until the bellows collapses to the 100 ml mark on the pediatric bellows assembly 6 52 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued v Rev AB 6 25B 20 6 25B 21 6 25B 22 6 25B 23 6 25B 24 6 25B 25 6 25B 26
52. 293 Screw 5 16 18 x Hd HW06023 294 SAN A ec ee cee 4110792 070 295 Screw 8 32 x 7 16 in Skt Hd 3 HW01013 296 Lock Washer 8 split HW65011 297 Connector Assembly 22MM 4106744 298 Label Ventilator Hose 1100563 299 O Ring 117 Silicone 4105766 300 cri A eee 4110792 071 301 O Ring 120 EPDM 4112629 001 302 Nut 5 16 18 Hexseal 4112613 001 303 Hole Plug 3 16 in dia 4111663 001 304 ss A E ETE uM Vu 4102894 305 Label Breathing Bag a Sy 1100561 306 Bag Mount Assembly 4112622 001 307 Man Auto Sensor Cord Asm for AV 2 ventilator 4113126 SPO Seis 2452855685 sees eae sees eee eee ese 4108983 Form Narkomed 2 PMS Checklist 5010211 8 39 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 308 AUXILIARY O2 FLOW METER NEW STYLE 312 313 314 311 315 316 309 317 310 318 AUXILIARY 02 FLOW METER OLD STYLE
53. 3 Cover assembly vapor block plastic 4112699 4 Straight fitting 1 4 tube 4109408 5 Set Screw 10 32 a eee ee eee ee HW04012 6 Keep nut 10 32 2X ses ke ARI EROS MARG HW55002 7 Pivot arm as co oa ETAT 4104975 8 s ors uoce anos n Sam uma 2 eee Roe 4108043 9 Set Screw 8 32 2X si 2445445 55 Gu A ua 4111693 10 H 4104343 11 coca PCT 4110792 014 Not shown Support bar don are 4104976 Rev AA 8 15B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C REAR VIEW OF FLOWMETER HOUSING WITH REAR COVER REMOVED 101A F 107 E 101 qu T pa 102 103 105 104 106 SV50517 8 16 Rev D RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM DESCRIPTION PART NUMBER 101 ORC Assembly u RA X9 X has aqa 4111800 Service Exchange SE 4111800 101A ORC Assembly low flow design for later machines 4113329 001 Service Exchange 5E4113329 001
54. 6 1 thru 6 57 Entire section revised to reflect PMC nomenclature RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS Dr gerService fag gr Dr gerService is a division of Draeger Medical Inc 3122 Commerce Drive Telford PA 18969 Tel 215 721 5402 800 543 5047 Fax 215 721 5784 Web www draegermedical com Printed in the U S A
55. ASSEMBLY 4 60 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued Rev J 4 20 DATAGRIP Assembly The Datagrip Assembly is attached to the outboard end of the display arm and comprises the handle and trigger switch thumbwheel encoder cable and mounting rod for the display The remote display must be removed from the Datagrip assembly before the assembly is removed from the display arm Refer to the illustration Figure 4 19 accompanying the remote display replacement procedure for details on remote display removal Figure 4 20 illustrates the Datagrip assembly mounting arrangement 4201 Turn the System Power switch to STANDBY and remove AC power from the machine CAUTION Do not plug or unplug remote display or Datagrip with power applied 4 20 2 Disconnect the Datagrip and remote display cables from their ports on the underside of the ventilator box 4203 Remove the screws holding the cable clamps along the display arm and separate the cables from the display arm 4 20 4 Remove the screws holding the cable clamps to the underside of the bellows box and the underside of the ventilator box 4 205 Cutthetiestrap that secures the display cable to the Datagrip cable 4 20 6 Loosen the display mounting clamp screws accessible through clearance holes in the back cover of the display 4207 Orient the display with its face is toward the floor or as needed to
56. FREQUENCY to 10 Adjust the Tidal Volume to 1200 ml What is the PEEP __ H O x3 Adjust the O flow to 500 ml Does the ventilator deliver the full Tidal Volume during 5 consecutive cycles _ Y Does the bellows stop adjust smoothly _ Y 6 49 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 25A BELLOWS PEDIATRIC EXTERNAL if applicable 6 25A 1 6 25A 2 6 25A 3 6 25 4 6 25A 5 6 25A 6 6 25A 7 6 25A 8 6 25 9 6 25A 10 6 25A 11 6 25A 12 6 25 13 6 25 14 6 25 15 6 25 16 6 25 17 6 25 18 6 25 19 Set the ventilator frequency to 10 BPM Set the Ration to 1 2 Adjust the tidal volume to 300 ml min Turn the ventilator ON Adjust the Inspiratory Flow control on the ventilator to Medium Adjust the fine flow control of the Ped Bellows attachment fully clockwise Set the O to 3 l min Ocdude the 15mm patient side of the Y piece and fill the bellows by pressing the O Flush button Observe the absorber breathing pressure gauge as the ventilator cycles What is the pressure when the bellows completes its downward travel cmH O gt 30 What is the pressure when the bellows completes its upward travel CcmH O lt 3 Attach a test lung to the patient circuit Y piece Fill the bellows by pressing the O Flush button Verify that with the Pediatric Bellows Fine Flow Control
57. Hg 210 390 Remove the test gauge Remove the blood pressure cuff from the E cylinder 6 22 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 10 VAPOR EXCLUSION SYSTEM Rev AB 6 10 1 6 10 2 6 10 3 6 10 4 6 10 5 6 10 6 6 10 7 6 10 8 6 10 9 6 10 10 6 10 11 6 10 12 6 10 13 6 10 14 6 10 15 6 10 16 6 10 17 Set all vapors to zero 0 Adjust the handwheel on the left vapor viewed from the front of the machine to any concentration above zero 0 Using the datagrip select Verify that the correct abbreviation for the agent selected appears on the display Is it possible to adjust the center vapor _ N Is it possible to adjust the right viewed from the front of the machine vapor __ Adjust the handwheel on the left vapor to zero 0 Adjust the handwheel on the center vapor to any concentration above zero 0 Verify that the correct abbreviation for the agent selected appears on the display Is it possible to adjust the left vapor N Is it possible to adjust the right vapor _ N Adjust the handwheel on the center vapor to zero 0 Adjust the handwheel on the right vapor to any concentration above zero 0 Verify that the correct abbreviation for the agent selected appears on the display Is it possible to adjust the left vapor _ N Is it possible to adjust th
58. IN 1 PME SECTION 4 N Y RECONNECT ORIGINAL DATAGRIP ASSEMBLY REPLACE PROCESSOR ASSEMBLY AS OUTLINED IN SECTION 4 CONTACT NAD SERVICE DEPT IS DATAGRIP WORKING PROPERLY N REINSTALL ORIGINAL PROCESSOR ASSEMBLY 3 12 START 15 VENTILATOR Y WORKING RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C TROUBLESHOOTING GUIDE continued GUIDE 10 Ventilator Inoperative PROPERLY VERIFY CORRECT SETTINGS VENTILATOR SWITCH ON INSP FLOW FREQUENCY RATIO TIDAL VOLUME PRESS LIMIT CONTROL CHECK CYLINDER AND PIPELINE SUPPLIES FOR CHECK CABLES AND TUBING CONNECTIONS AT VENTILATOR CONTROLLER REPLACE ADEQUATE 02 PRESSURE VERIFY CORRECT BREATHING HOSE AND SCAVENGER HOSE CONNECTIONS TO BELLOWS ASSEMBLY 15 VENTILATOR WORKING PROPERLY IS 8V POWER PRESENT 2 ON VENTILATOR CONTROLLER CHECK WIRE HARNESS FROM ALARM CHANNEL J 3 CABLE FROM POWER SUPPLY J 2 TO ALARM CHANNEL CHECK POWER SUPPLY REPLACE DEFECTIVE ASSEMBLY CONTROLLER ASSEMBLY AS OUTLINED IN SECTION 4 IS VENTILATOR WORKING PROPERLY REINSTALL ORIGINAL VENTILATOR CONTROLLER REPLACE VALVE AND GUIDE ASSEMBLY AS OUTLINED IN SECTION 4 IS VENTILATOR ae an WORKING PROPERLY COMPLETE PMS ON UNIT
59. Is the FRESHGAS OUTLET label on the freshgas outlet Y 6 17 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 8 5 Breathing System Leak 6 8 5 1 6 8 5 2 6 8 5 3 6 8 5 4 6 8 5 5 6 8 5 6 6 8 5 7 6 8 5 8 Verify the System Power switch is at STANDBY Close all flow control valves Interconnect the inspiratory and expiratory valves with a 12 inch hose Attach a test terminal with a cuff inflation bulb P N S010159 to the bag mount Set the Man Auto selector valve to BAG Close the APL valve Apply 50 cm H O pressure to the absorber system After 30 seconds what is the pressure the absorber system __ cm H O gt 30 6 8 6 APL Valve 6 8 6 1 6 8 6 2 6 8 6 3 6 8 6 4 6 8 6 5 Open the APL valve to its stop Turn the SYSTEM POWER switch to ON Set the oxygen flow to 8 l min What is the pressure on the absorber pressure gauge __ cm H O lt 3 Close the oxygen flow control valve turn the System Power switch to STANDBY and remove the test terminal from the bag mount 6 8 7 Absorber Flow Direction and Leak 6 8 7 1 Expiration Valve Leak 6 8 7 1 1 Close the APL valve 6 8 7 1 2 Connect a 22mm hose between the inspiration valve and the bag mount 6 8 7 1 3 Connect a test terminal to the expiration valve or the expirtory hose terminal on the ultrasonic flow sensor if applicable 6 8 7 1 4 Connect a Cap
60. PROCEDURES continued 4 4 15 4 4 16 4 4 17 4 4 18 4 4 19 4 4 20 4 4 21 4 4 22 4 4 23 4 4 14 1 Open the cylinder valve and check for a pressure indication on the corresponding gauge at the gas instrumentation panel NOTE The cylinder used for this test must contain the following minimum pressure O 1000 Psi 700Psi HE 1000 Psi CO 800 Psi AIR 1000 Psi 1000 Psi 4 4 14 2 Close the cylinder valve and remove the cylinder from the yoke 4 4 14 3 For any gas the pressure should not drop more than 50 Psi in two minutes Reinstall the cylinder in the yoke Place the plexiglass cover over the gauges and flow tubes and ensure that the cover is fitted properly over the flow control valves Place the knob guard over the flow control valves and install its two retaining screws Install the oxygen flow control knob and tighten its setscrews If the knobs are installed properly their labels will be straight when the knobs are against their clockwise stops Replace the front plate at the top of the plexiglass cover and secure it with the hardware that was previously removed Replace the rear cover and its retaining screws Replace the table top and its retaining screws Connect the pipeline hoses Perform the PMS Procedure given in Section 6 4 15 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 5 Howm
61. Power Battery Power Supply Casters 8 30 8 31 Data Manager Incl Keyboard 8 32 8 33 Absorber Assembly Breathing Pressure Hoses Oxygen Sensor 8 34 8 35 Ultrasonic Flow Sensor Assembly 8 35A 8 35B Man Auto Selector Valve 8 36 8 37 Man Auto Selector Valve later design 8 38 8 39 Auxiliary O Flowmeter Assembly 8 40 8 41 Open Reservoir Scavenger 8 42 8 43 Open Reservoir Scavenger old style 8 44 8 45 A C Scavenger amp Vent Grill Adapter 8 46 8 47 Rev AA 8 1 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C O 550510 ANS N B Eu E WII A ES B T EN lo lt 7 a L O B o
62. REPLACEMENT PARTS continued ITEM DESCRIPTION PART NUMBER Absorber Assembly 2 000 400 scene bbe he Pee Ree EEE Dee eee ee eee ee eee eee 4109430 Absorber Assembly with PEEP and bypass 4109431 232 Inspiratory Valve Assembly incl O sensor 4112773 001 Ref Valve w o O Sensor Mount old no 2122810 233 Plug Assembly Oxygen Sensor 4106387 233A Dome amp Label Insp Valve 4108329 233B ValveAsm 4112151 ServiceExchange SE4112151 233C Label Inspiration 2 2 xh RE A EORR E Rare 1100559 234 Expiratory Valve Assembly old no 2122812 new no 4112150 ServiceExchange SE4112150 234A DOME edi i3 ius 2109230 235 Gasket Valve Dome Both Valves 2109231 236 Disk Both Valves sa isa iakin a Maude aed Vena tees dew tied 2123249 236A Label Expiration Gawd 1100565 237 Gasket Valve EEE ER DOR ee eee 1101690 238 Spiromed Sensor 4106362 ServiceExchange
63. Rev 4 3 Cylinder Cutoff Valves Canada Access to the cylinder cutoff valves requires removal of the table top from the anesthesia machine Figure 4 3 shows the locations of the O Air or 3rd gas and cutoff valve assemblies Theinstructions apply to all three assemblies On earlier machines the tubing arrangement may be slightly different from that illustrated NOTE Replacement of the O Cutoff Valve Assembly shall be performed every 24 months Documentation shall be created by the service person and a copy distributed to the owner institution Testing of the O Cutoff Valve shall be performed at each PMS Perform the flow test given at the end of the following procedure 4 3 1 Disconnect all pipeline hoses and set the System Power switch toON 4 3 2 Close all cylinder valves except the O valve 4 3 3 Set the oxygen flow to 5 liters per min 4 3 4 Open the other gas flow control valves to drain pressure from the system 4 3 5 Close the O cylinder valve and close the flow control valves Press the O Flush valve to drain oxygen pressure from the system 4 3 6 Set the System Power switch to STANDBY 4 3 7 Remove the screws holding the table top to the machine and lift out the table top 4 3 8 Remove the top drawer from the cabinet and pull the writing or keyboard tray out to its fully extended position 4 3 9 Disconnect the compression fittings indicated at points marked C on the illustration 4 3 10 Cut the t
64. Rev A 2 5 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS DIAGNOSTICS continued NM2C 2 4 Oxygen Monitor Service Screen The Oxygen Monitor Service Screen shown in Figure 2 6 displays current readings for the O cells a zero calibration procedure and the stored calibration values To enter the Oxygen Monitor Service Screen from the Main Service Screen highlight MONITORS ref Figure 2 3 with the selection wheel and press the trigger To perform a zero calibration highlight STORE ZERO with the selection wheel and follow the calibration procedure shown on the screen Pressing the trigger stores the current values as the new zero calibration To proceed to the Pressure Monitor Service Screen select PRESSURE MONITOR and press the trigger To return to the Main Service Screen select EXIT and press the trigger OXYGEN MONITOR SERVICE SCREEN STORE ZERO CURRENT CELL A 366 CURRENT CELL B 371 ZERO CALIBRATION PROCEDURE REMOVE 02 CELL FROM SENSOR HOUSING LET CURRENT CELL VALUES STABILIZE SELECT STORE ZERO KEY PRESS TRIGGER TO ENTER CALIBRATION VALUES PRESSURE REINSTALL OXYGEN CELL IN SENSOR HOUSING MONITOR STORED ZERO CELL A 240 STORED ZERO CELL B 241 SELECTS FUNCTION gt ACTIVATES FUNCTION Figure 2 6 OXYGEN MONITOR SERVICE SCREEN 2 6 Rev RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C DIAGNOSTICS continued Press
65. SCREW 2X SUPPORT PLATE 1 4 20 X 7 8 IN BUTTON HEAD SOCKET SCREW AND LOCKWASHER 4X Figure 4 21C OPTIONAL PATIENT LINE BOOM ARM ASSEMBLY DETAILS 4 66 Rev B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued Rev A 422 DATA MANAGER Sub Assembly TheO R DATA MANAGER ORDM Sub Assembly is located behind the right front ventilator box cover Replacement of the ORDM requires removal of the ventilator box back panel and disconnecting the ORDM processor board cable The ORDM can then be withdrawn from the front of the ventilator box for access to the remaining cables Figure 4 22 shows the ORDM mounting and cable connection arrangement 4 221 Turn the System Power switch to STANDBY and remove AC power from the machine 4 22 2 Remove any disk from the disk drive CAUTION UseESD protection when handling the sub assembly 4 223 Remove the back panel of the ventilator box and disconnect the ribbon cable from J 5 on the processor board Leave the other end of the cable attached to the ORDM assembly NOTE Ifthemachineis equipped with an auxiliary lamp it must be removed before proceeding to the next step 4 224 Remove the two screws securing the right end of the ORDM front bezel 4 225 Pull the right side of the bezel outward slide it tothe right until the locking tab on the left side of the bezel is dear of its receptacle and remove
66. SENSOR CONNECTION imm J1 O2 SENSOR J16 ALARM J2 SPEAKER J5 EE ORDM E J15 POWER J17 J22 FAN VOLUME SENSOR REAR PANEL MOUNTING SCREWS 6X REAR VIEW O O O 8 B C N PROCESSOR BOARD MOUNTING SCREWS 2X SERIALLF PORTS N PRINTER REMOTE DISPLAY PORT PORT DATAGRIP PORT Figure 4 18 PROCESSOR ASSEMBLY 4 57 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 18 9 4 18 10 4 18 11 4 18 12 4 18 13 4 18 14 4 18 15 Slide the processor assembly into the ventilator chassis and secure it with the two screws that were previously removed Connect the O R DATA MANAGER ribbon cable to J5 on the processor board Reinstall the back pane of the ventilator box and secure it with the six screws that were previously removed Reconnect the Datagrip and remote display cables and restore any serial interface or printer connections Restore power to the machine and observe the Power U Diagnostic display see Section 2 to verify that the replacement processor is working properly Access the secondary service screen and enter the machine serial number and vaporizer configuration into memory Contact the Draeger Medical Inc Technical Service Department for access instructions if necessary Perform the PMS Procedure
67. Service Screen This screen allows access to the functions shown in Figure 7 11 WARNING These functions should only be accessed by a Draeger Medical Inc qualified Technical Service Representative mproper access to certain functions may causeimportant service data to be lost At the Primary Service Menu described earlier select the SERV access level and enter your ID Press ALT the keyboard then type in 2 5 6 to display the secondary service screen Press arrow keys to change fields return to perform action MACHINE ID NM2C SOFTWARE VERSION 1 20 SERIAL NUMBER 00011066 SYSTEM FEATURES 0003 Clear Service Hours and Reset Date Clear Total Hours Running Display Product Features Configure Vaporizers Machine Options Clear Service Log F10 PREVIOUS MENU V50123 Figure 7 11 SECONDARY SERVICE SCREEN Press ESC on the ORDM F10 on the external PC to return to the Primary Service Menu If desired press ESC or F10 again to return to the SST Main Menu Rev G 7 15 A C NTENTS TAE NT NTE TAE i RETURI C RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS 8 0 SPARE AND REPLACEMENT PARTS Part numbers for field replaceable items on the 2 anesthesia system arelisted on the following pages along with part numbers for related hardware and cables The item numbers ar
68. Straight Fitting MPT x s FPT 2x 4102906 163 Elbow Fitting 316 Tube x 4109409 164 Straight Fitting 3 16 Tube x 4109415 O Flush Valve and Related Parts 165 Valve Clippard 2 way 4103340 166 Straight Fitting Ya Tube x MPT 4109408 167 Elbow Fitting Ya Tube x e 4109410 168 A 4101867 169 Space 24544244444 X3 dos dc dex ui is A 4110792 006 B tto O FLUSH cus RS ROS ed S oS S S 4103249 171 Label Dot Green 05 4103178 White UK Canada 4105981 Germany 4111266 002 172 Se Screw 3 48 x 3 16 2x HWO4020 17535 Washer ts CETTE 4110792 021 See next page for items 8 25 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued SV50522 CSA
69. all pipeline hoses and set the System Power switch to ON Close all cylinder valves except the O valve Set the oxygen flow to 5 liters per min Open the other gas flow control valves to drain pressure from the system Close the O cylinder valve and the O flow control valve Press the O Flush valve to drain oxygen pressure from the system Set the System Power switch to STANDBY Remove the press on clamp securing the flexible O line to the ORC and carefully disconnect the tubing from the hose barb Remove the three screws holding the ORC to the flowmeter sub assembly and carefully removethe ORC from the flowmeter housing For low flow ORC P N 4113229 replacement install the 6 in length of flexible tubing with a blue label on the replacement ORC see detail view in illustration Secure each connection with a press on hose clamp Position the replacement ORC at the back of the flowmeter sub assembly be sure that its O rings and filter are in place and install its three mounting screws Connect the flexible O line to the ORC and secure it with the press on hose clamp Open the and cylinder valves 4 30 Rev D RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued REAR VIEW OF FLOWMETER HOUSING WITH REAR COVER REMOVED SV50504 ADJUSTING SCREW LOCKNUT 02 CONNECTION ORC ASSEMBLY O RING 105 NEOPRENE
70. appear the Advisory display Y Press and hold the BATTERY TEST button Is green Battery Test LED lighted as long as BATTERY TEST button is depressed Y Release the BATTERY TEST button Restore AC power to the machine Does the AC PWR FAIL message disappear and the LED extinguish 6 4 CONHGURATION 6 4 1 6 4 2 6 4 3 6 4 4 Rev AB Press the Datagrip trigger select SET and enter the SYSTEM CONFIGURE screen The remote display shall display the Configuration Screen Verify the correct Time and Date Adjust the Volume to the highest setting 6 5 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 5 SERVICE DATA 6 5 1 6 5 2 6 5 3 6 5 4 6 5 5 6 5 6 6 5 7 6 5 8 6 5 9 6 5 10 6 5 11 6 5 12 6 5 13 On the display key panel press and hold the Speaker Disable and LOG DATA or VENT ALARMS OFF keys simultaneously and then press the Datagrip trigger while still holding the keys The remote display shall display the Main Service Screen Record the Last Service Date on the PMS form Record the Hours Run Since Last Service on the PMS form Record the Total Hours Run on the PMS form Select and enter the Service Log Verify any pertinent information from the Service Log Contact the Draeger Medical Inc Technical Service Department if necessary Set the cursor to EXIT and press the trigger
71. being adjusted Remove the acorn nut on the bottom of the regulator to expose the adjusting screw For N2O turn the screw until the test gauge indicates 46 psi 50 psi for CSA machines For O2 and other gases use the compensated regulator output setting based on the cylinder pressure given in the following table 5 2 Rev X RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued CAUTION Based on information supplied by the cylinder regulator manufacturer when the regulator is used for gases other than N20 or CO2 its output pressure will decrease 0 5 psi for every 100 psi increase in cylinder pressure above 1000 psi Currently these regulators are calibrated at 47 psi with a cylinder supply of 1000 psi If a 2000 psi cylinder 15 then installed the regulator output will be 42 psi This change in output must be compensated for to provide accurate performance throughout the cylinder s working range NOTE Cylinder pressure compensation for the N 20 regulator is not required Cylinder Compensated Regulator Compensated Regulator Pressure psi Output Setting psi Output Tolerances 4 2 38 44 41 47 39 45 42 48 Canada Settings NOTE If the 02 cylinder regulator is adjusted according to the chart perform the following test to verify that the Lo 02 supply alarm 15 not activated during ventilation Open the 02 cylinder valve
72. current pressure value stabilize 5 6 4 2 Set the cursor to STORE ZERO and press the trigger to store the current value as the new zero 5 6 5 Span Calibration 5 6 5 1 With a test fixture connected as shown in Figure 5 6 apply a pressure of 50 cm to the pressure sample line 5 6 5 2 When the displayed current value is stabilized set the cursor to STORE SPAN and press thetrigger to store the current value as the new span calibration 5 6 6 Disconnect the test fixture 5 6 7 Set the cursor to EXIT and press the trigger to return to the Main Service Screen 5 15 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C CONNECTION ON SENSOR INTERFACE PANEL BREATHING PRESSURE ASSEMBLY TOP VIEW TEST FIXTURE PRESSURE MONITOR SERVICE SCREEN STORE ZERO CURRENT PRESSURE VALUE 201 STORE SPAN ZERO CALIBRATION PROCEDURE REMOVE PRESSURE SAMPLE LINE FROM ABSORBER EXPOSE TO AIR LET CURRENT PRESSURE VALUE STABILIZE SELECT THE STORE ZERO KEY AND PRESS THE TRIGGER TO ENTER THE CURRENT VALUE AS THE OXYGEN CALIBRATION ZERO VALUE MONITOR SPAN CALIBRATION PROCEDURE REMOVE PRESSURE SAMPLE LINE FROM ABSORBER APPLY 50 CMH20 CONSTANT PRESSURE AT THE SAMPLE LINE VERIFIED BY A KNOWN CALIBRATED METER LET CURRENT VALUE STABILIZE SE
73. given in Section 6 4 58 Rev A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued Rev J 4 19 Remote Display Assembly The Remote Display Assembly is mounted on a rod extending from the Datagrip assembly located at the outboard end of the display arm Figure 4 19 illustrates the Display assembly mounting arrangement 4 19 1 Turn the System Power switch toSTANDBY and removeAC power from the machine CAUTION Do not plug or unplug remote display or Datagrip with power applied 4 19 2 4 19 3 4 19 4 4 19 5 4 19 6 4 19 7 4 19 8 4 19 9 4 19 10 4 19 11 4 19 12 4 19 13 4 19 14 Disconnect the remote display cable from its port on the underside of the ventilator box Remove the screws holding the cable clamps along the display arm and separate the cables from the display arm Remove the screws holding the cable clamps to the underside of the bellows box and the underside of the ventilator box Loosen the display mounting clamp screws accessible through clearance holes in the back cover of the display Cut the tie strap that secures the display cable to the Datagrip cable Orient the display with its face toward the floor or as needed to enable the mounting clamps to slide past the stop pins on the mounting rod and pull the display from the rod Slide the replacement display assembly onto the mounting rod oriented so th
74. has been detected The machine will not proceed into the MACHINE MONITOR or SYSTEM MONITOR screen Further diagnostic functions are available through service screens that can be called up at the display panel Thefollowing paragraphs provide a description of each service screen that can be accessed at the display If no display is present upon system power up refer to Section 3 of this manual for troubleshooting assistance DIAG NOSTIC TESTS NARKOMED 2C COPYRIGHT 1992 NAD INC VERSION X XX NM2C SW VIDEO PASS SOFTWARE ID XXXX FIRMWARE PASS STATIC RAM PASS TIMER PASS A D CONVERTER PASS AUDIO PRIMARY PASS BACKUP PASS SERIAL 1 0 PASS CLOCK PASS NON VOLATILE MEMORY PASS FUNCTIONAL Figure 2 1 POWER UP DIAGNOSTICS SCREEN Rev B 2 1 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS DIAGNOSTICS continued NM2C 2 1 Main Service Screen 2 1 1 View Mode The Main Service Screen displays the machine serial number the last service date hours run since last service and total hours run Selections listed on the right side of the display allow entry into additional service screens Es To access the Main Service Screen press and hold the LAARMS OF ang 45 keys and press the Datagrip trigger The View Mode service screen shown in Figure 2 2 will then appear The VENTILATION ALARMS OFF key was labeled LOG DATA on earlier machines If the MONITORS service screens are accessed in the
75. head shroud can be positioned at any point within the 90 range and holds fast 6 31 2 3 Verify that the lamp can rotate 360 and hits a stop located within 45 on either side of the top center point 6 31 2 4 Verify that the lamp is plugged into a live AC receptacle 6 31 2 5 Turn the lamp 6 31 2 6 Adjust thedimmer control and verify that the light varies with the adjustment of the knob 6 31 2 7 Turn the lamp OFF Y 6 31 3 Final Check 6 31 3 1 Verify that all cylinder pressure gauges indicate zero 6 31 3 2 Verify that the pipeline hoses are connected to the hospital pipeline 6 31 3 3 Verify that the APL valve knob is turned completely counter clockwise fully open 6 31 3 4 Place the Auto Man selector in the BAG position 6 31 3 5 Verify that the O Med sensor is removed from the valve dome adapter 6 31 3 6 Verify that the valve dome is plugged 6 31 3 7 Verify that the machine is plugged into a live outlet 6 31 3 8 Return all machine controls and settings to their original state Rev K 6 57 A C NTENTS TAE NT NTE TAE i RETURI C RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SOFTWARE UPDATE PROCEDURE 7 0 SOFTWARE UPDATE PROC EDURE This section outlines several software installation methods and also describes the operation of the Service Software Toolkit SST The Service Software T oolkit SST allows all service constants
76. in the illustration Install the replacement alarm switch with sealing tape on the threads and ensure that the switch is oriented on the assembly as shown in the illustration Connect the orange and orange white wires tothe repl acement switch in the same manner as the original Feed the flowmeter lights wire harness through the hole at the top of the alarm channel and set the alarm channel assembly into place Install the upper and lower alarm channel mounting screws If applicable reconnect the flex line from the auxiliary O flowmeter and install a new tie strap at the hose barb Reconnec the the O lines and tighten the three compression fittings Reconnect the cables to J 1 J 2 J and J 4 on the alarm circuit board Reinstall the front flowmeter and vapor box cover with the six screws that were previously removed Pull the writing or keyboard tray out to its fully extended position Locate the tee fitting in the in diameter output line of the O regulator and remove the plug from the tee fitting Connect a dedicated O test gauge to the tee fitting Connect AC power tothe machine and enablethe circuit breakers by pressing their buttons in 4 28 Rev A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued 4 8 32 4 8 33 4 8 34 4 8 35 4 8 36 4 8 37 4 8 38 4 8 39 4 8 40 4 8 41 4 8 42 Open an cylind
77. lift out the table top Remove the six screws holding the flowmeter shield and vapor box front cover panel and pull the panel forward approximately Y inch Remove the oxygen flow control knob The knob has two setscrews NOTE If the knob must be rotated to allow access to a setscrew carefully note its position so that it can be re assembled in the same position with the Off Stop properly set Remove the two screws holding the knob guard in place and remove the knob guard Carefully remove the plexiglass cover from the front of the flowmeter housing 4 12 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued REAR VIEW OF FLOWMETER HOUSING WITH REAR COVER REMOVED N N fF UN OO CO GAUGE MOUNTING NUTS TYPICAL FLEXIBLE OO TUBING Kon CONNECTION PIPELINE C PRESSURE GAUGES O N O CAS 4 COMPRESSION FITTING A gem CYLINDER PRESSURE GAUGES Figure 4 4 CYLINDER AND PIPELINE PRESSURE GAUGES Rev G 4 13 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C NOTE ntermedi ate assemblies may need to be removed to allow access to the gauge connections and mounting hardware Be sure to keep a record of the disassembly sequence so that all tubing can be correctly re assembled 4 4 13A For the cylinder pressur
78. min Low Flow 4107699 Later style w o color band 4112568 001 Flow Tube O 100 1000 ml min 4103417 Later style w o color band 4112559 001 Flow Tube 20 500 ml min Low Flow 4107698 Later style w o color band 4112567 001 Flow Tube 1 10 4103420 Later style w o color band 4112562 001 Flow Tube 0 6 10 l min Low Flow 4105758 Later style w o color band 4112564 001 Flow Tube 100 1000 ml min 4103419 Later style w o color band 4112561 001 Flow Tube 20 500 ml min Low Flow 4105757 Later style w o color band 4112563 001 Flow Tube Air 1 10 l min 4106693 Later style w o color band 4112566 001 Flow Tube Air 100 1000 ml min 4106692 Later style w o color band 4112565 001 Flow Tube Air 0 2 10 l min 4 gas machines 1101084 Later style w o color band
79. number of the regulator that was removed and record the serial number of the replacement regulator If fittings must be installed in the replacement regulator use Loctite 271 red Refer to the parts list in Section 8 For Canadian machines verify that the correct relief valve is installed in the regulator Refer tothe parts list in Section 8 for CSA items Position the replacement regulator in its mounting bracket and connect the three compression fittings Do not tighten the fittings yet RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C TOP VIEW OF NARKOMED 4 WITH TABLE TOP REMOVED O CYLINDER N O CYLINDER PRESSURE PRESSURE REGULATOR O REGULATOR EJE SET 5 2 1 C 6 AIR OR OPTIONAL 3RD GAS CYLINDER PRESSURE REGULATOR TEST GAUGE CONNECTION lt SIDE VIEW TYPICAL ADJUSTMENT SCREW ACORN NUT Figure 4 2 CYLINDER PRESSURE REGULATORS 4 6 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROC
80. outlet Disconnect the pipeline hoses Pinch the bypass line on the ORC See Figure 5 Open the oxygen and nitrous oxide cylinder valves Set the System Power switch to ON Close the O and flow control valves Set the O flow control valve to 10 l min Set the flow control valve to 10 Set the O flow control valve to 800 ml min for one 1 minute Verify that the O concentration indicates 21 to 29 O Decrease the oxygen flow rate If the nitrous oxide flow does not stop when the oxygen flow rate 15 between 325 and 350 ml per minute loosen the adjusting screw locknut and turn the adjusting screw counter clockwise to decrease flow clockwise to increase flow Tighten the locknut Repeat steps 5 3 7A thru 5 3 12A until no further adjustment is needed Adjust the oxygen flow to a point where the nitrous oxide flowmeter indicates 10 liters per minute The oxygen concentration should be between 21 and 29 oxygen Slowly decrease the oxygen flow to 800 ml min The nitrous oxide flow should decrease proportionally and the oxygen concentration should remain between 21 and 29 oxygen Reduce the O flow to 500 ml min Verify that the flow is greater than or equal to 600 ml min 5 10A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C 5 3 18A 5 3 19A 5 3 20A 5 3 21A 5 3 22A
81. the bezel 4 22 6 Loosen the two captive mounting screws securing the ORDM sub assembly tothe ventilator box then pull the ORDM sub assembl y out far enough to gain access to the remaining connections 4227 Disconnect the following at the system interface board on the back of the ORDM sub assembl y 2 Power Supply Wire Harness 19 Network Cable 5 Keyboard Cable DIN Connector The ORDM sub assembly can now be removed from the ventilator box 4 67 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C SV50534 TOP VIEW OF VENTILATOR BOX BACK PANEL ORDM PROCESSOR BOARD CABLE PROCESSOR BOARD EF f f roms ANITA LOCATOR TAB ON CONNECTOR SYSTEM INTERFACE BOARD B NETWORK CABLE KEYBOARD CABLE FACES AWAY FROM DISK DRIVE O HE ORDM BEZEL SCREWS 2X CAPTIVE MOUNTING SCREWS ORDM BEZEL ORDM SUB ASSEMBLY REAR VIEW OF SYSTEM INTERFACE BOARD POWER SUPPLY WIRE HARNESS ORDM PROCESSOR BOARD CABLE CONNECTIONS Figure 4 22 O R DATA MANAGER 4 68 Rev A RETURN
82. the short arm Refer to Figure 4 21C for installations with an optional patient line boom arm 4 211 Turn the System Power switch to STANDBY CAUTION Do not plug or unplug remote display with power applied 4212 Disconnect the remote display and Datagrip cables from their ports on the underside of the ventilator box 4 213 Remove the screws holding the cable clamps along the display arm and separate the cables from the display arm 4 214 Remove the screws holding the cable clamps to the underside of the bellows box and the underside of the ventilator box 4 215 Remove the plastic cap at the end of the display arm to expose the Datagrip assembly mounting screw 4 21 6 While holding the Datagrip assembly loosen the mounting screw until the assembly separates from the display arm WARNING Donot attempt to disassemble the display arm sections Release of the internal spring may cause injury to personel 4 217 While holding the display arm remove the six screws holding its support plate to the side of the machine NOTE If the replacement display arm hardware was not pre assembled refer to Service Procedure SP00114 for assembly details 4 21 8 Hold the replacement display arm assembly in place and secure the support plate to the machine with the screws that were previously removed If the machine is equipped with a manual sphygmomanometer the longer screw is used to secure the gauge mount at the lower front corner of the support p
83. three drawer lip retaining screws and lift the faceplate from the keyboard Disconnect the cable from the keyboard and carefully lift the keyboard from the pull out tray Carefully lower the replacement keyboard into the pull out tray and connect the cable Place the faceplate over the keyboard and install the four faceplate retaining screws Install the three drawer lip retaining screws Test the movement of all keys to ensure that none are sticking If any are found to be sticking loosen the four faceplate retaining screws and the three drawer lip retainer screws and reposition the faceplate Tighten all screws and retest the key action Fit a new polyurethane shield over the keys and press its adhesive perimeter firmly onto the faceplate Perform the PMS procedure given in Section 6 4 70 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued POLYURETHANE SHIELD FACEPLATE FACEPLATE RETAINING SCREWS 4X CONNECTOR PULL OUT TRAY KEYBOARD DRAWER LIP RETAINING SCREWS 3X Figure 4 23 KEYBOARD ASSEMBLY RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 24 SPIROMED Respiratory Volume Sensor The respiratory volume sensor is installed between the top of the absorber assembly and the expiratory valve Figure 4 24 shows the volume sensor mounting and gasket arrangement
84. to 5 liters per min Open the other gas flow control valves to drain pressure from the system Close the O cylinder valve and the O flow control valve Press the O Flush valve to drain oxygen pressure from the system Set the System Power switch to STANDBY and remove AC power from the machine Disable the circuit breakers on the power supply by pulling out each button with a knife or sharp object Remove the six screws holding the flowmeter shield and vapor box front coverpanel and pull the panel forward approximately inch Remove the screws holding the flowmeter housing rear cover and remove the cover Remove the screws holding the table top and lift out the table top Disconnect the cables from J 1 J 2 J and 4 on the alarm circuit board Disconnect the compression fitting on the O line nearest to the oxygen supply pressure alarm switch Disconnect the remaining two O lines at the top and bottom of the tee fitting If the machine is equipped with an auxiliary O flowmeter cut thetie strap on its flexible line and carefully remove the flex line from the hose barb 4 26 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued REAR VIEW SIDE VIEW UPPER ALARM CHANNEL 5 5 MOU
85. to ON Set the corresponding flow to 4 l min On the second test gauge what is the regulator output pressure PSI 40 49 for N20 43 49 for Air Depressurize the gas circuit Remove the test gauge and replace the plug in the TEE fitting Repeat Steps 6 12 13 thru 6 12 20 for all other gases except CO circuits 6 27 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 13 HIGH PRESSURE LEAK 6 13 1 Oxygen High Pressure Leak 6 13 1 1 6 13 1 2 6 13 1 3 6 13 1 4 6 13 1 5 6 13 1 6 6 13 1 7 Verify the System Power switch is at STANDBY Open one 1 oxygen cylinder valve Let the pressure stabilize Close the oxygen cylinder valve and remove the cylinder Observe the oxygen cylinder pressure gauge After two 2 minutes what is the pressure 10552 __ PSI lt 50 Attach the cylinder Y 6 132 Nitrous Oxide High Pressure Leak 6 13 2 1 6 13 2 2 6 13 2 3 6 13 2 4 6 13 2 5 6 13 2 6 6 13 2 7 6 13 2 8 6 13 2 9 Turn the System Power switch to Open one 1 oxygen cylinder valve and one 1 nitrous oxide cylinder valve Adjust the oxygen flow to 4 l min Let the pressure stabilize Close the nitrous oxide cylinder valve and remove the cylinder Observe the nitrous oxide cylinder pressure gauge After two 2 minutes what is the pressure 10552 __ PSI lt 50 Attach the cylinder Close the oxygen f
86. to damage the valve s fragile disk Brush any accumulated lint or dust off the valve with a soft brush The valve may be further deaned with a low flow of clean air or oxygen Reinstall the valve and plastic washer into the housing Reinstall the valve housing onto the scavenger body making sure that the O ring is properly seated 6 7C 5 Negative Pressure 6 7C 5 1 6 7C 5 2 6 7C 5 3 6 7 5 4 Connect a 22mm breathing hose between the absorber s inspiratory and expiratory valves Set the Man Auto valve to the BAG position Turn theAPL valve fully counter clockwise Occlude the bag mount connector Verify that the suction waste gas disposal system is active Close all flow control valves on the machine Adjust the scavenger needle valve to allow typical suction through the scavenger Install a scavenger adapter P N 4108114 with a hose barb between the 19mm hose terminal of the scavenger and the scavenger hose Connect a test monitor to the hose barb adapter and observe the pressure reading on the test gauge The gauge shall indicate a pressure of 1 0 cmH O 6 7 6 Positive Pressure 6 7C 6 1 6 7C 6 2 6 7C 6 3 6 7 6 4 Close the scavenger needle valve by turning it fully clockwise Push the O Flush button to inflate the scavenger reservoir bag Open the oxygen flow control valve to 10 I min Observe the pressure reading on the test gauge The gauge shall indicate a pressure of 10 0
87. to drain oxygen pressure from the system Remove the screws holding the table top to the machine and lift out the table top Hold the O Flush button in and rotate it until one of its set screws are visible through an access hole in the guard ring and loosen the set screw Turn the O Flush button 180 degrees hold it in and loosen the other set screw Remove the O Flush button and washer from the valve shaft Disconnect the two compression fittings at the valve NOTE Do not lose the flow restrictor located at the right angle fitting This restrictor will be transferred to the replacement valve assembly The O Flush valve is retained by the guard ring on the front of the machine frame H old the body of the Clippard valve with an open end wrench insert a rod or hex wrench through the holes in the guard ring or use a Spanner wrench and un screw the guard ring from the front of the frame rail Assemble the replacement O Flush valve spacer internal tooth lock washer and guard ring through the frame and tighten the assembly making sure that the valve is mounted straight Connect the compression fittings to the valve Be sure the flow restrictor is in place at the right angle fitting Place the washer and the O Flush button on the valve shaft 4 36 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued COMPRESSION FITTINGS A sa gt RESTRICTOR
88. view mode current values will be displayed but the operator will not be able to perform calibrations Additional service mode screens are described in thenext paragraph These are accessed by pressing thetrigger which will highlight VIEW Then scroll tothe desired service mode with the selection wheel and press the trigger MAIN SERVICE SCREEN MACHINE SERIAL NUMBER DOXXXXXXXX SERVICE LAST SERVICE DATE 1 3 94 LOG HOURS RUN SINCE LAST SERVICE 97 PMS TAL HOURS RUN TO OURS RU 3383 CRITERIA MONITORS SERVICE CODE SELECTS FUNCTION gt ADJUST SETTING Figure 2 2 MAIN SERVICE SCREEN VIEW MODE 2 2 Rev A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C DIAGNOSTICS continued 2 1 2 Service Mode The following additional service mode screens are available by selecting the appropriate Service Code PMS For performing scheduled Periodic Manufacturer s Service INST For initial installation of the NM2C This selection establishes the start date for the warranty period SRVC For unscheduled service visits requiring component replacements or calibrations The Service Mode screen appears as shown in Figure 2 3 Press the trigger to highlight the first Technical Service Representative box rotate the selection wheel until the first character of the appears then enter the selection by pressing the trigger Enter the remaining three characters in the same
89. 10 0 on later versions Adjust the low minute volume alarm to 2 0 liters Set VOLUME ALARMS to OFF and exit the set up menu Turn on the ventilator and start a stopwatch What is the time when APNEA VOLUME appears in the Caution column ___ sec 13 17 What is the time when APNEA VOLUME appears in the Warning column ___ sec 26 34 Within one 1 minute does the MINUTE VOLUME LOW message appear in the Caution column Y Insert a test minute volumeter in between the Spiromed sensor or absorber if the system is equipped with the ultrasonic flow sensor and the exhalation valve Reconnect the ventilator hose to the Ventilator Hose terminal Adjust the FREQUENCY to 6 BPM Adjust the I E RATIO to 1 2 Adjust the flow to the maximum of the LOW zone Adjust the oxygen flow to 2 l min Adjust the Tidal Volume to 200 ml 6 47 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 23 16 6 23 17 6 23 18 6 23 19 6 23 20 6 23 21 6 23 22 6 23 23 6 23 24 6 23 25 6 23 26 6 23 27 6 23 28 6 23 29 6 23 30 6 23 31 After the first breath is detected does the APNEA VOLUME in the Warning column and the MINUTE VOLUME LO inthe Caution column deactivate Y Adjust the low alarm limit above the indicated minute volume Does the MINUTE VOLUME LO message appear in the Caution column _ Y Adjust the low alarm limit below t
90. 102 O ring 105 Neoprene 2 4111693 103 Filters Pp 4111805 104 O ring 0 066 x 0 042 Buna n 4111894 105 Screw 8 32 x 11 2in skt hd 3X HW01020 106 Lock Washer 8 split 3X HW65001 107 Hose Clamp Press On 4104161 Rev AA 8 17 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 116 118 117 REAR VIEW 2 J4 J1 J3 SIDE VIEW 111 118 112 108 114 115 109 SV50535 8 18 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM DESCRIPTION PART NUMBER 108 Alarm Channel Assembly 4112125 109 Oxygen Supply Pressure Alarm Switch 4106037 110 Wire Harness Alarm Switch 3 to Ventilator Controller 2 4112146 111 Housing Push Button 4106046 112 Cap Push BUtEON uuu val o o Sp Red 4106047 113 eee a s Rh ee 4103423 114 Knob Main SWIECIS sn aan aa qu da ad 4106044 115 Housing Main Switch
91. 106385 4025 VIEOD siii al al Ere SCR RE RR RUE SOR Bae Rea aa ruens ees 4105791 O ring 016 viton 2X i ied ec Rr e Rom eese RC m a 4106388 Rev AA 8 35 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM UN DESCRIPTION PART NUMBER Ultrasonic Flow Sensor Assembly 4115754 Service Exchange part number 4115777 Flow HOUSING 55552555 4114444 Transducer set of two incl O ringS 4114445 E EE ads 9 oe abe ewes 4115147 Connector HOSE 4114912 Rev AA 8 35B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 258 259 260 261 262 279 273 269 272 264 E on 5 280 270 e 277 263 4 d 2 285 272 272 271 A B 283 269 A 282 281 ABSORBER ASSEMBLY FLANGE 8 36 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM 258 259 260 261 262 263 264 265 266 267 268 269 269A
92. 163 AIR 3RD GAS REGULATOR ASSEMBLY 8 24 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ITEM DESCRIPTION PART NUMBER O Regulator Assembly 148 Reg lat r PPP 4103590 149 Elbow Fitting Ya Tube x YMPT 4109401 150 Straight Fitting x s FPT 2x 4102906 151 Elbow Fitting 3 16 Tube x MPT 2X 4109409 152 Elbow Fitting Ye MPT x 1 FPT 4103513 153 Fitting 3 16 Tube x 3 16 Tube x MPT Replaces previous two items if machine has an additional O yoke 4109404 Regulator Assembly 154 Regulator sees eSew tees Goes es 4103591 155 Elbow Fitting 4109401 156 Straight Fitting 74 6 FPT 2x 4102906 157 Elbow Fitting 3 16 Tube x Y MPT 2X 4109409 158 Elbow Fitting Ya MPT FPT 4103513 159 Tee Fitting 3 16 Tube x 3 16 Tube x MPT Replaces previous two items if machine has an additional yoke 4109404 Air or 3rd Gas Regulator Assembly 160 Reg lat r sees ESE ENES EPERE els 4103590 161 Elbow Fitting Ya Tube x 4109401 162
93. 177 8 46 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ITEM DESCRIPTION PART NUMBER 407 Scavenger A C 4106161 408 Chain assembly in a a 4112495 006 409 Screw round hd 10 32 VIE aaa HW06007 410 ses os eee UMS eee ee ee 4102140 411 O ring 112 neoprene 4102141 412 ee ee ee 1101527 413 sc E 4110792 007 414 Valve A Semi es bee suma BERR SEER daa e ees 2207032 415 O ring 027 neoprenie 2444454545445 04 2h ENNA 4101871 416 Body solder assembly 4102105 417 Label SCAVENGER HOSE 2 4104806 418 Label EXHAUST suis osa ata a SS 4106878 419 Vent Grill Adapter for 19 mm 1101312 420 Screw round hd 10 24 x 2 HW06012 421 nL us yama yma ee eee S y 4101862 422 Label SCAVENGER HOSE EX XA 4104806 423 Deleted Hose Barb Adapter 4108114 Rev AA 8 47 A C NTENTS TAE NT NTE TAE i RETURI C RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS Narkomed 2C Service Manual Rev AB summary of changes Page Description
94. 2 372 Flowmeter Housing 4110980 373 O ring 012 neoprene 1101523 374 Flowmeter A E Re ees 4112289 375 Screw 6 32 x in Tlat hd 2 HW05006 376 sc 52 uy ee 4110999 377 4111000 378 Screw 10 32 x btn hd Ax HW09005 Rev AA 8 43 383 382 SV00294 384 385 386 381 379 380 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 391 390 389 L 388 387 401 399 8 44 392 402 394 393 395 396 397 403 404 405 406 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ITEM DESCRIPTION PART NUMBER Open Reservoir Scavenger Assembly old 5 4109321 379 Reservoir Assembly 4109320 380 Label CAUTION casita 4104294 381 Screw cap skt hd 20 2X HW01036 382 Mounting Bracket os tact yess 4109314 383 Screw flat hd 8 32 x 2X HW03026 384 DISS Dody XP add 4103669 385 acces e eee
95. 2520 001 This label shall be attached to the vaporizer directly above the keyed filler Place a check mark at 1 5 5 LABEL on the PM Certification form If machine is equipped with HALOTHANE Drager Vapor 19 or 19 1 vaporizer determine if vaporizer must be inspected for soil condition one Check the serial number plate located on the rear of the vaporizer for a plus preceding the serial number A HALOTHANE vaporizer serial number not preceded with a must be tested for soil in accordance with SP00073 vaporizer does not need to be inspected indicate so with a plus next to the Vapor Inspection H line on the Vigilance Audit form If vaporizer is soil condition O indicate so with SOIL 0 written next to the Vapor Inspection H line on the Vigilance Audit form If vaporizer is soil one indicate so with SOIL 1 written next to the Vapor Inspection H line on the Vigilance Audit form Place a CAUTION DO NOT USE label part 4114327 on the vaporizer and issue a departmental alert The TSR shall also seek permission from the equipment operator to remove the failed vaporizer from the machine and apply a replacement vaporizer or an adapter block onto the mount All SOIL 1 vaporizers must be removed from service for machine to receive certification 6 1J Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued PM Certification Procedure for Narkomed 2C
96. 270 271 272 272A 272B 273 274 275 276 277 278 279 280 281 282 283 284 285 Rev G DESCRIPTION PART NUMBER Valve Man Auto Selector 4102698 as Ge ee LE ed oy oe cee 4104839 Fiber Washer Supplied with APL Valve Screw Selector Valve Mounting 8 32 x 7 16 in Skt Hd Cap 3x HW01013 Lock Washer Selector Valve Mounting 8 int t 3x HW67000 O Ring Neoprene 4102941 Screw Adapter Flange Mounting 8 32 x Yin 4 01014 Adapter E IO ss vss Seek Sex ER asum eee RSS B O 4102694 O Ring SINCONE lt 2 52 25405 bes RR baaa 4105767 Valve Housing 4102734 Valve Chanel ada as 4102692 A 4110975 P 005 Switch Assembly 4102700 Dowel Pin 0 187 X 1 HW76002 Dowel Pin 0 250 X 9s iN uds ss sa HW76003 II 4102690 Label 4102699 Label si eee kS ae 1101098 Stene 3 Sat ap AU Gah o de dc dac hy dato d Be 1101011 Bull aos oe a o EUM UE M MV 4101848 Ball Bestind 2X Sees a Rr Gia 1101637 E A 4103118 Valve Switch Block tas adi 4102691 Set Screw Adjustment 1 28 x Ya 2X
97. 3 6 5 3 7 5 3 8 5 3 9 5 3 10 5 3 11 5 3 12 5 3 13 5 3 14 5 3 15 5 3 16 See Procedure 5 3A for low flow ORC P N 4113229 adjustment Remove the rear cover of the flowmeter housing Connect a calibrated oxygen monitor to the fresh gas outlet Disconnect the pipeline hoses Open the oxygen and nitrous oxide cylinder valves Set the System Power switch to ON Close the O and flow control valves Set the O flow control valve to 10 l min Set the flow control valve to 10 Set the O flow control valve to 800 ml min for one 1 minute Verify that the O concentration indicates 21 to 29 O Decrease the oxygen flow rate If the nitrous oxide does not stop when the oxygen flow 15 between 325 and 350 ml per minute loosen the adjusting screw locknut and turn the adjusting screw counter clockwise to decrease flow clockwise to increase flow Tighten the locknut Repeat steps 5 3 6 thru 5 3 11 until no further adjustment is needed Adjust the oxygen flow to a point where the nitrous oxide flowmeter indicates 10 liters per minute The oxygen concentration should be between 21 and 29 oxygen Slowly decrease the oxygen flow to 800 ml min The nitrous oxide flow should decrease proportionally and the oxygen concentration should remain between 21 and 29 oxygen Reduce the O flow to 500 ml min Verify that the flow is greater than or equal to 600 ml min 5 8 Rev
98. 30 9 6 30 10 6 30 11 6 30 12 6 30 13 6 30 14 6 30 15 6 30 16 Press and release the O FLUSH button Does the flow of oxygen stop immediately _ Y Close the APL valve Connect a 12 inch hose to the inspiratory valve Set the Man Auto selector to BAG Ocdude the bag mount Insert the sensor from a calibrated O Med intothe valve dome adapter on the inspiratory valve Close all flow control valves Press the O FLUSH button What is the O concentration after the value stabilizes 0 97 100 Remove the O M ed sensor and install the plug Removethetest minute volumeter P N 2212300 from the absorber and connect it to the common gas outlet using Fresh Gas Outlet Volume Test Device P N S010158 Press and hold the FLUSH button for 15 seconds multiply the value by 4 What is the oxygen flush flow rate l min 45 65 Remove the test minute volumeter and test fixture and reconnect the fresh gas hose Turn the System Power switch to ON 6 56 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 31 ANAL TESTS 6 311 Operators Instruction Manual 6 31 1 1 Verify that the availability location of the machine s Operator s Instruction Manual 15 in close proximity of the machine 6 312 Auxillary Lamp if applicable 6 31 2 1 Verify that the lamp head shroud can move approximately 90 6 31 2 2 Verify that the lamp
99. 4108658 Rev AA 8 27B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C CUT AWAY OF YOKES SHOWING 195 INDEX PIN POSITION FOR EACH GAS 190 E 02 LL 196 197 204 INDEX PINS lol 198 191 i N2O 205 199 FT 711 201 198 O2 He 203 202 202 194 A SV50528 8 28 Rev F RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ITEM DESCRIPTION PART NUMBER 190 Yoke 1101620 T91 Yoke Pop 1101621 192 omar da 1101625 193 TORSO TR 4110957 194 Yoke CO EIA AAA 1101624 Parts Common to All Yokes 195 A A OL ap RI 4104716 196 Check Valve Assembly 4111792 197 Screw 10 32 x 36 HW06006 198 Chain Coupling 25554595 eee ed Sees eee ees 4101868 199 Chal 40 Bead 15 7941 sees a Bas Bes SES Sees ESSE SSS ES RSS 4103940 Items 198 and 199 superseded by Chain Assembly 4112495 003 200 A 1101655 Plug assembly includes Items 198 199 200 4112755 001 201 Bolt Toggle Handle 1101556 ZUZ Handle 255a E REX 1101595 202A Plastic T handle amp bolt replaces Items 201 202 203 4113536 2038 a wama hiw du domu HW75003
100. 5 3 23A 5 3 24A The nitrous oxide flow should stop when the flow of oxygen 15 between 250 and 400 ml per minute Un pinch the bypass line on the Close the O flow control valve and fully open the flow control valve Verify that the O concentration 15 22 31 Close the flow control valve and turn the System Power switch to STANDBY Reconnect the pipeline hoses Replace the flowmeter housing rear cover Perform the PMS Procedure given in Section 6 ADJUSTING SCREW LOCKNUT LOW FLOW ORC ASSEMBLY N20 BYPASS LINE SV49042 Figure 5 3A LOW FLOW OXYGEN RATIO CONTROLLER 5 10B Rev D RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued Rev E 5 4 Display Arm Tension Adjustments 5 4 1 5 4 2 5 4 3 Display Arm Hinge Adjustment 5 4 1 1 Loosen the friction adjustment screw on the underside of the display arm no more than one turn It may be necessary to raise or lower the arm to align the screw with the access hole See Figure 5 4 5 4 1 2 Raise and release the arm and verify that t returns to an approximately horizontal position Lower and release the arm and verify that it returns to an approximately horizontal position Contact the NAD Service Department if the display arm fails to return to a near horizontal position 5 4 1 3 With
101. 6 25B 27 6 25B 28 6 25B 29 6 25B 30 6 25B 31 What is the tidal volume on the test volumeter 65 135 Adjust the inspiratory flow control until the bellows collapses entirely What is the tidal volume on the test volumeter 2240 Close the O flow control valve Remove the ventilator hose from the ventilator hose terminal Attach a test terminal to the bellows assembly ventilator hose terminal Connect a flowmeter test stand P N S000081 to the test terminal Set the frequency to 1 BPM Adjust the INSPIRATORY FLOW to maximum What is the flow indicated during the inspiratory phase 50 ml Remove the test terminal and flowmeter test stand Return all controls to their original position 6 53 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 26 TRACE amp TREND 6 26 1 6 26 2 Trace Verify that the display tracks the Breathing Pressure and Volume waveforms Trend Select VENT and select SCROLL TREND roll selection dial tothe right and verify that Breathing Pressure Volume and O concentration trend information 15 available 6 26 2 1 Turn the ventilator OFF 6 27 PRESSURE LIMIT CONTROLLER AV 2 AV 2 or optional PLC if applicable 6 27 1 6 27 2 6 27 3 6 27 4 6 27 5 6 27 6 6 27 7 6 27 8 6 27 9 6 27 10 6 27 11 6 27 12 6 27 13 6 27 14 Turn the ventilator Set the Inspiratory F
102. 7 12 6 4 7 12 7 Open the cylinder val ves Set the System Power switch to ON Set the oxygen flow to five liters per minute Set the other gas flow to five liters per minute Close the oxygen cylinder valve As the oxygen flow decreases the other gas flow should stop Set the System Power switch to STANDBY Replace the rear cover and ts retaining screws Connect the pipeline hoses Perform the PMS Procedure given in Section 6 4 25 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 8 Alam Channel and Oxygen Supply Pressure Alarm Switch The alarm channel assembly includes the oxygen supply pressure alarm switch the alarm circuit board and the system power switch Whenever the alarm channel 15 replaced the oxygen supply pressure alarm switch must be tested to ensure that its operating point is set correctly Removal of the alarm channel requires removal of the upper flowmeter and vapor box cover plate and removal of the flowmeter housing rear cover The alarm channel assembly 15 held in place by two screws from the back Figure 4 8 shows a rear view of the assembly and its connections 4 8 1 4 8 2 4 8 3 4 8 4 4 8 5 4 8 6 4 8 7 4 8 8 4 8 9 4 8 10 4 8 11 4 8 12 4 8 13 4 8 14 Disconnect all pipeline hoses and set the System Power switch toON Close all cylinder valves except the O valve Set the oxygen flow
103. ALL GASES Open the air cylinder val ve Is it possible to adjust the flow of the air over the full range of the flowmeter Y Close the air cylinder valve and bleed the pressure Close the air flow control valve Connect the Air pipeline supply and verify the proper operation of the air flowmeter Close the air flow control valve Is the correct flow control knob and label attached to the air flow control valve _ Y What is the minimum flow of oxygen ml 0 6 15 4 Oxygen Helium Flowmeter if applicable 6 15 4 1 6 15 4 2 6 15 4 3 6 15 4 4 6 15 4 5 Set the gas selector switch to ALL GASES Open the oxygen helium gas cylinder valve Is it possible to adjust the flow of the oxygen helium over the full range of the flowmeter Y Close the oxygen helium flow control valve Is the correct flow control knob and label attached to the oxygen helium flow control valve Y These items do not apply to machines with later design P N 4113329 001 ORC these items do not apply to 4 gas machines 6 35 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C Y 6 15 5 Carbon Dioxide Flowmeter if applicable m 6 15 5 1 Set the gas selector switch to ALL GASES 6 15 5 2 Open the carbon dioxide gas cylinder valve 6 15 5 3 Isit possible to adjust the flow of the carbon dioxide over its range of 600 ml min _ Y 6 15 5 4 Close the carbon di
104. Anesthesia System 9 10 11 12 13 14 15 16 17 Perform the vapor concentration test on all Dr ger vapor vaporizers in accordance with SP00073 at a six month maximum interval Perform the vaporizer concentration test on all Desflurane vaporizers in accordance with SP00091 for fixed mount vaporizers and SP00189 for user removable D tec vaporizers at a six month maximum interval For every vaporizer tested fill out a VAPOR VAPORIZER CALIBRATION CHECK label part 5010016 Information on this label shall include your signature type of agent date tested test results 1 2 5 4 for H E or S vaporizers or 4 10 12 16 for Desflurane vaporizers and a PASS or FAIL indication This label shall be attached to the upper right side of the vaporizer If vaporizer fails the concentration verification internal leak or exclusion system tests check NO the RECOMMENDED FOR USE section on the PM Certification form Placea CAUTION DO NOT USE label part 4114327 on the vaporizer and issue a departmental alert The TSR shall also seek permission from the equipment operator to remove the failed vaporizer from the machine and install a replacement vaporizer or an adapter block onto the mount All nonfunctional Drager vapor vaporizers must be removed from service for machine to receive certification Proceed with PM Certification procedure If any tests fail refer to the Failure Codes listing in NAD Recomme
105. C TT 15 15 EEN 43 44 05 E PROCESSOR BOARD LDO 9 CONNECTOR J15 10 11 12 ee TOP VIEW OF CONNECTOR ves OOO AS SEEN FROM FRONT CHANNEL DOG OF MACHINE 40057067 CONNECTOR J3 B 2 000 gt SV50556 Figure 3 1 POWER SUPPLY TEST POINTS REAR VIEW OF CONNECTORS Rev U 3 1 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS TROUBLESHOOTING GUIDE continued NM2C 30 PSI SW VENTILATOR SPEAKER CONTROLLER VAPORIZER FAN SELECT 19 2 22 J16 J J J J Y n n 02 SENSOR 5 PROCESSOR 12 ORDM 117 seen vol FLOWMETER lt LIGHTS SENSOR ALARM 115 T CHANNEL DATAGRIP REMOTE DISPLAY J4 FILTER CONVENIENCE RECEPTACLES 13 12 CB2 1 CB3 TB2 FILTER POWER SUPPLY MAINS Figure 3 2 NARKOMED 2C BLOCK DIAGRAM ELECTRICAL 3 2 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C TROUBLESHOOTING GUIDE continued 3 2 Battery 3 3 While the machine is operating from an AC line the battery voltage at full charge should be within the range of 12 83 to 14 18 VDC Battery voltage ca
106. CABLE GAUGE di Figure 4 12 AV2 VENTILATOR CONTROLLER ASSEMBLY 4 40 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued SELECTOR CABLE FROM INTERFACE PANEL B T D h 1 e J2 ALARM CHANNEL WIRE HARNESS J7 AV2 CONTROLLER 4 SELECTOR CABLE BEZEL ASSEMBLY Figure 4 12A AV2 VENTILATOR CONTROLLER ASSEMBLY Rev F 4 40A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C This page intentionally left blank 4 40B Rev F RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued 4 12 10 412 11 412 12 Slide the controller into the ventilator box carefully fit the locking tab into its receptacle at the right side of the panel and slide the assembly to the right until it is properly seated Reinstall the two retaining screws at the left side of the panel Perform the PMS Procedure given in Section 6 4 41 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 413 Convenience Outlet AC Power Filter The convenience outlet AC power filter is located at the back of the ventilator box near the AC convenience outlets Access to the power filter requires removal of the ventilator box top panel Figure 4 13 shows the location of t
107. D SV50503 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued REAR VIEW OF FLOWMETER HOUSING WITH REAR COVER REMOVED 0 MITA Figure 5 3 OXYGEN RATIO CONTROLLER 5 9 ADJUSTING SCREW LOCKNUT ORC Li ASSEMBLY RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C 5 3 17 The nitrous oxide flow should stop when the flow of oxygen 15 between 250 and 400 ml per minute 5 3 18 Close the flow control valve and turn the System Power switch to STANDBY 5 3 19 Reconnect the pipeline hoses 5 3 20 Replace the flowmeter housing rear cover 5 3 21 Perform the PMS Procedure given in Section 6 5 10 Rev C RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued Rev D 5 3A Low How Oxygen Ratio Controller ORC Adjustment 5 3 1A 5 3 2A 5 3 3A 5 3 4A 5 3 5A 5 3 6A 5 3 7A 5 3 8A 5 3 9A 5 3 10A 5 3 11A 5 3 12A 5 3 13A 5 3 14A 5 3 15A 5 3 16A 5 3 17A Remove the rear cover of the flowmeter housing Connect a calibrated oxygen monitor to the fresh gas
108. D CALIBRATION PROCEDURES continued NM2C 5 1 Cylinder Pressure Regulator Adjustment except CO2 5 1 1 5 1 2 5 1 3 5 1 4 5 1 5 5 1 6 5 1 7 5 1 8 5 1 9 5 1 10 5 1 11 5 1 12 Disconnect all pipeline hoses and set the System Power switch to Close all cylinder valves except the O valve Set the oxygen flow to 4 liters per min Open the other gas flow control valves to drain pressure from the system Close the 02 cylinder valve Close all of the flow control valves and press the O Flush valve to drain oxygen pressure from the system Set the System Power switch to STANDBY Remove the table top from the machine and remove the top cabinet drawer Pull the writing tray out out to its fully extended position Minimum cylinder pressures for this adjustment shall be N20 CO2 600 psi O2 Air 2 2 1000 psi Locate the TEE fitting in the Y in diameter regulator output line and remove the plug from the TEE fitting Connect a test gauge to the TEE fitting For gases other than O2 the 02 cylinder valve must be open to allow other gases to flow For 20 regulator adjustment open the N20 flow control valve completely then open the O2 flow control valve until the N20 flow reaches 4 L min Open the cylinder valve and set the System Power switch to ON Set the O2 flow to 4 L min also set the N20 or other gas flow to 4 L min if these regulators are
109. E continued NM2C 7 5 INSTALLING NM2C SO FIWARE FROM THE USING THE SST In order to run the SST from an ORDM a 3 in floppy disk with Narkomed 2C SST software is needed 7 5 1 7 5 2 7 5 3 7 5 4 Insert the NM2C SST disk into the ORDM floppy disk drive Turn the System Power switch to STANDBY then return the switch to ON Wait for several minutes until the remote display screen displays the SST Main menu Figure 7 3 Select ENTER PRIMARY SERVICE from the SST main menu Select Load System Software from the Primary Service menu Figure 7 8 The software load screen shown in Figure 7 9 appears Select the desired protocols and press ESC on the ORDM keyboard follow the on screen instructions to download the software Software installation is complete when the machine resets 7 6 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SOFTWARE UPDATE PROCEDURE continued 7 6 SSTOperation The SST Main Menu shown in Figure 7 3 appears on the remote display or external PC MACHINE ID NM2C SOFTWARE VERSION 1 20 SERIAL NUMBER 00011066 SYSTEM FEATURES 0003 Serial Port Configuration Set Time and Date Display UUT Configuration Save Restore Settings Enter Primary Service Exit SST SV50101 Figure 7 3 SST MAIN MENU the upper left corner of the screen MACHINE ID indicates the N arkomed 2 15 under test NM2C and the SERIAL NUMBER of the
110. EDURE continued Rev AB 6 8 4 Freshgas Leak 6 8 4 1 6 8 4 2 6 8 4 3 6 8 4 4 6 8 4 5 6 8 4 6 6 8 4 7 6 8 4 8 6 8 4 9 6 8 4 10 6 8 4 11 6 8 4 12 6 8 4 13 6 8 4 14 6 8 4 15 6 8 4 16 6 8 4 17 6 8 4 18 Turn the System Power switch to STANDBY Remove the 15 mm connector from the FRESHGAS OUTLET Is the common gas outlet assembly in good condition _ Y Connect a digital pressure manometer and Fresh Gas Leak Test Device to the freshgas outlet Apply 50 cm of pressure to the system After thirty 30 seconds what 15 the pressure on the manometer ___ 240 cm HO Turn on the left mounted vaporizer to the first graduated marking Apply 50 cm of pressure to the system After thirty 30 seconds what is the pressure on the manometer ___ 240 cm Turn off the vaporizer Remove the test equipment from the Fresh Gas Outlet Turn the System Power switch to ON Open the O flow control valve to 5 l min purge the system for 5 seconds then close the O flow control valve Turn the System Power switch to STANDBY Turn on the center mounted vaporizer to the first graduated marking repeat Steps 6 8 4 4 and 6 8 4 8 thru 6 8 4 14 __ gt 40 cm Turn on the right mounted vaporizer to the first graduated marking repeat Steps 6 8 4 4 and 6 8 4 8 thru 6 8 4 14 gt 40 cm Reconnect the 15 mm connector from the absorber system to the FRESHGAS OUTLET
111. EDURES continued 4214 Tighten the regulator mounting setscrews to a torque of 50 to 55 in Ibs 4 2 15 Tighten the compression fittings 4 2 16 Locate the TEE fitting in the diameter regulator output line and remove the plug from the TEE fitting 42 17 Set the regulator output pressure in accordance with the Cylinder Pressure Regulator Adjustment given in Section 5 4 2 18 Perform the following leak test on the high pressure side of the regulator 4 2 18 1 Open the cylinder valve and check for a pressure indication on the corresponding gauge at the gas instrumentation panel NOTE The cylinder used for this test must contain the following minimum pressure O 1000 Psi 700 Psi HE 1000 Psi CO 800 Psi AIR 1000 Psi 1000 Psi 4 2 18 2 Closethe cylinder valve and removethe cylinder fromthe yoke 4 2 18 3 For any gas the pressure should not drop more than 50 Psi in two minutes 4 2 19 Reinstall the cylinder in the yoke 4 2 20 Replace the table top and its retaining screws 4221 Replace the top drawer the cabinet 4 2 22 Connect the pipeline hoses 4 2 23 Perform the PMS Procedure given in Section 6 Rev A 4 7 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C This page intentionally left blank 4 8 Rev A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued
112. ENTS NM2C REPLACEMENT PROCEDURES continued YOKE ASSEMBLY TYPICAL YOKE SPACER FILTER AND CHECK VALVE ASSEMBLY LINE 2 GAS gt Figure 4 1 CYLINDER YOKE ASSEMBLY Rev G 4 3 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 1 12 4 1 13 4 1 14 4 1 15 4 1 16 4 1 17 4 1 18 4 1 19 Position the yoke on the spacer and install the two mounting screws and lockwashers Tighten the screws securely Connect the gas line fitting to the yoke If a new cylinder is being installed remove the old sealing washer from the gas inlet of the yoke and install a new washer Install the correct cylinder in the yoke making sure that the index pins are properly engaged before tightening the handle bolt The cylinder should hang vertically after the handle is tight Perform the following leak test on the yoke assembly 4 1 15 1 Open the cylinder valve and check for a pressure indication on the corresponding gauge at the gas instrumentation panel NOTE The cylinder used for this test must contain the following minimum pressure O 1000 Psi 700 Psi HE 1000 Psi CO 800 Psi AIR 1000 Psi 1000 Psi 4 1 15 2 Close the cylinder valve and remove the cylinder from the yoke 4 1 15 3 For any gas the pressure should not drop more than 50 Psi in two minutes Reinstall the cylinder in the yoke Replace th
113. EP by pass 6 20 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued Rev AB 6 8 9 Bain Circuit Adapter if applicable 6 8 9 1 6 8 9 2 6 8 9 3 6 8 9 4 6 8 9 5 6 8 9 6 6 8 9 7 6 8 9 8 6 8 9 9 6 8 9 10 6 8 9 11 6 8 9 12 6 8 9 13 6 8 9 14 6 8 9 15 Close the APL valve by turning the knob fully clockwise Insert the O sensor plug into the O sensor inlet on the Bain Circuit Attach a test terminal with a cuff inflation bulb P N SO10159 to the Breathing Bag port on the Bain Circuit Attach digital pressure meter tothe female quick connect connection on the Bain Circuit Occlude the expiration port on the Bain Circuit Apply 50cmH 0 to the Bain Circuit via test terminal and inflation bulb After 30 seconds what is the pressure the cmH O digital pressure meter 45 to 50 Verify that the pressure indicated on the gauge is within of the digital pressure meter reading Open the APL valve by turning the knob fully counter clockwise Connect a test hose from the fresh gas outlet to the Expiration port of the Bain Circuit Set the O flow to 10 L min What is the pressure on the digital pressure meter lt cmH O Verify that the pressure indicated on the cmH O gauge is within 3 cmH O of the digital pressure meter reading Remove the test termi
114. ERFACE PANEL d Le GASKET VOLUME pui O SENSOR e SPIROMED SENSOR SENSOR RETAINING NUT 0 GASKET 3 EXPIRATORY VALVE MOUNT ABSORBER ASSEMBLY SENSOR PLUG Figure 4 24 RESPIRATORY VOLUME SENSOR 4 73 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 25 Oxygen Sensor The oxygen sensor is located on top of the inspiratory valve Figure 4 25 shows the arrangement of the sensor capsule and its housing and also its connection to the sensor interface panel 4 25 1 4 25 2 4 25 3 4 25 4 4 25 5 4 25 6 4 25 7 4 25 8 Set the System Power switch to STANDBY Pull the oxygen sensor housing from the inspiratory valve dome It is a press fit Unscrew the cover from the sensor housing and remove the sensor capsule Remove the replacement sensor capsule from its shipping container and install it in the housing Ensure that the copper rings on the capsule mate with the electrical contacts in the sensor housing Wait 15 minutes to allow the sensor capsule to stabilize Restore power to the machine and perform the 21 calibration procedure for the oxygen monitor given in Section 5 Press the sensor assembly into the inspiratory valve dome Perform the PMS Procedure given in Section 6 4 74 Rev C RETURN TO THIS
115. FE ASSEMBLY a mm 7 75 Y MINIMUM FLOW 02 VALVE ASSEMBLY SV50513 8 12 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM 68 70 71 72 73 74 75 76 Rev B DESCRIPTION PART NUMBER Failsafe Assembly Failsafe Block Asembly 4112043 Nipple Te NPT X All 4102784 Check Valve MIC Vell lus ye a es o oaa s 4105815 Straight Fitting VaTube x Ya MPT 4109408 Air or 3rd Gas Failsafe Assembly Failsafe Block Asembly 4112043 Nipple Ve NPT XA 25 55 935 44044504 ERG EX RE E REY AA 4102784 Check Valve 1 4105815 Straight Fitting VaTubex 2X 4109408 Elbow Fitting ATUDEX Ye MPT 4109410 Minimum O Flow Valve Assembly Pilot Oe hu hin 4102055 Valve 2 Way Poppet 4103549 Lock Washer iuis Supplied with Valve 182145 MACRO RR 4110792 013 Fitting nylon 1 16 Hose x e 4106366 Replaced by brass fitting
116. Gas 5 4109867 92 Block Gas Selector Switch 4109866 93 Switch Asm Mounting Screws 8 32 x in Skt hd 2 01012 94 Lock Washer 8 int t 2x HW67000 Valve Assembly Gas Selector 95 Valve Gas Selector 2X 4103621 96 Fitting 1 16 I D Hose x 10 32 4 4103445 97 Washer 4X ossi d Ry P RA 4102165 Later design fitting has integral seal replaces previous two items 4112707 98 Valve Asm Mounting Screws 10 32 x 5 16 in skt hd 2 HW01022 99 Lock Washer 10 int t 2 HW67006 100 Flat Washer 10 2 HW66003 1004 Label Arrow Vaporizer 4112055 Rev AA 8 15 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 1 800581 8 15 Rev RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ITEM DESCRIPTION PART NUMBER 1 Pin assembly 255995 x ir 4110187 2 O rings 2x per vaporizer 2121929
117. HECK SENSOR Y AND VALVE MOUNTING amp GASKETS N 5 SENSOR INSTALLED PROPERLY Y REPLACE VOLUME SENSOR AS OUTLINED IN SECTION 4 DOES UNIT Y UNIT 15 PASS PMS FUNCTIONAL N IS RESPIRATORY Y PERFORM A VOLUME MONITOR COMPLETE PMS WORKING PROPERLY ON UNIT CONTACT NAD SERVICE DEPT REINSTALL ORIGINAL VOLUME SENSOR CHECK INTERNAL CABLE FROM INTERFACE PANEL TO J17 ON PROCESSOR BOARD IS RESPIRATORY VOLUME MONITOR WORKING PROPERLY IS RESPIRATORY VOLUME MONITOR WORKING PROPERLY REINSTALL ORIGINAL PROCESSOR ASSEMBLY REPLACE PROCESSOR ASSEMBLY AS OUTLINED IN SECTION 4 3 6 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C TROUBLESHOOTING GUIDE continued GUIDE 4 No Audio Alarms START ARE Y AUDIO ALARMS WORKING N CHECK SPEAKER WIRE HARNESS AND CONNECTION TO PROCESSOR BOARD J 2 ARE Y AUDIO ALARMS WORKING N MEE SUBSTITUTE ANOTHER SPEAKER ARE AUDIO ALARMS 2 WORKING N V REPLACE PROCESSOR PERFORMA DOES UNIT Y UNIT IS ASSEMBLY COMPLETE PMS PASS PMS FUNCTIONAL AS OUTLINED IN ON UNIT SECTION 4 N ARE Y AUDIO ALARMS WORKING N REINSTALL ORIGINAL CONTACT NAD PROCESSOR ASSEMBLY 3 7 SERVICE DEPT RETURN TO THIS MANUAL S TABLE OF CONTENTS
118. INUTE VOL SCALE and verify selections of 0 5 0 10 and 0 20 6 48 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 24A BELLOWS ADULT if applicable v 6 24B Rev AB 6 24A 1 6 24A 2 6 24A 3 6 24 4 6 24 5 6 24A 6 6 24A 7 6 24A 8 6 24A 9 6 24A 10 6 24 11 6 24 12 6 24 13 6 24 14 6 24 1 6 24 2 6 24B 3 6 24 4 6 24 5 6 24 6 6 24 7 6 24B 8 Set the FREQUENCY to 10 BPM Set the I E RATIO to 1 2 Adjust the O flow to 300 ml min Adjust the INSPIRATORY FLOW to MED Adjust the Tidal Volume to 200 ml Press the O Flush momentarily to inflate the bellows What is the Tidal Volume on the test volumeter 125 250 Adjust the Tidal Volume to 1000 ml and the fresh gas flow to 3 L min Press the O Flush momentarily to inflate the bellows What is the Tidal Volume on the test volumeter 900 1100 Adjust the O flow to 5 l min Adjust the Tidal Volume to maxi mum Remove the test lung and attach a 3 liter breathing bag Adjust the INSPIRATORY FLOW to fully compress the bellows Bag should be placed on a flat horizontal surface to reduce artifact volume What is the Tidal Volume on the test volumeter _ ml 21400 VENTILATOR RELIEF VALVE ADULT Adjust the O flow to 10 l min Adjust the INSPIRATORY FLOW to MED Adjust the RATIO to 1 3 and the
119. LECT THE STORE SPAN KEY AND PRESS THE SELECTS TRIGGER TO ENTER THE CURRENT VALUE AS THE FUNCTION CALIBRATION SPAN VALUE STORED ZERO 205 STORED SPAN 544 gt ACTIVATES FUNCTION Figure 5 6 PRESSURE MONITOR SERVICE SCREEN 5 16 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued 5 7 Vaporizer Intedock Adjustment 5 7 1 5 7 2 5 7 3 5 7 4 5 7 5 Set the System Power switch to STANDBY Turn the center vaporizer handwheel ON The left and the right vaporizer handwheels should be locked in their Zero position If the left or right vaporizer does not lock tighten the corresponding center set screw until the handwheel locks properly Turn the center vaporizer OFF and turn the left vaporizer ON The center and the right vaporizer handwheels should be locked in their Zero position If the right vaporizer does not lock loosen the locking nut on the right set screw and adjust the set screw until the handwheel locks properly Tighten the locking nut while holding the set screw to maintain the correct adjustment NOTE Do not over tighten the set screws Each vaporizer handwheel must turn easily while the other vaporizers are locked Turn the left vaporizer OFF and turn the right vaporizer ON The center and the left vaporizer handwheels should be locked in their Zero position the left vaporizer does no
120. MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued SV20316 SENSOR HOUSING RECEPTACLE SENSOR CAPSULE ON INTERFACE PANEL SENSOR HOUSING COVER 0 INSPIRATORY _ VALVE DOME 2 Dr 1 Nm INSPIRATORY SENSOR rimami VALVE DOME CORD UD PLUG CONNECTOR Figure 4 25 OXYGEN SENSOR REPLACEMENT Rev 4 75 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 26 Auxiliary Oxygen How Meter Old and new style auxiliary oxygen flowmeters are attached to the side of the machine s flowmeter housing by two screws accessible from inside the housing Later installations of the new style auxiliary oxygen flowmeter have a stud and nut arrangement for mounting A flexible O supply tube from the flowmeter connects to a hose barb fitting at the system power switch Figure 4 26 shows a typical mounting and tubing arrangement 4 26 1 4 26 2 4 26 3 4 26 4 4 26 5 4 26 6 4 26 7 4 26 8 4 26 9 4 26 10 4 26 11 Disconnect all pipeline hoses and close all cylinder val ves Press the O Flush button to drain oxygen pressure from the system Turn the System Power switch to STANDBY and remove AC power from the machine Remove the back cover from the flowmeter housing Cut the tie strap on the flexible tube at the system power switch and remove the tube Remove th
121. N line on the Periodic Manufacturer s Certification form Replace the VENTILATOR RELIEF VALVE DIAPHRAGM in accordance with SP00075 Place a check mark and the replacement date at VENT RELIEF VALVE REPLACEMENT line on the Periodic Manufacturer s Certification form Ifa TEC 6 DESFLURANE vaporizer is mounted to the machine a label stating WARNING THE ADMINISTRATION OF DESFLURANE ANESTHESIA MAY REQUIRE FRESH GAS CONCENTRATIONS HIGHER THAN COMMONLY USED WITH OTHER VOLATILE ANESTHETIC AGENTS 02 FRESH GAS CONCENTRATION OF LESS THAN 21 MAY BE OBTAINED WITH HIGH VAPORIZER SETTINGS CONTINUOUS MONITORING OF THE O2 CONCENTRATION IN THE BREATHING SYSTEM IS THEREFORE REQUIRED DRAEGER MEDICAL INC RECOMMENDS THE CONTINUOUS MONITORING OF THE CONCENTRATION OF ANESTHETIC VAPORS IN THE BREATHING SYSTEM DURING THE ADMINISTRATION OF INHALATION ANESTHESIA part 4112737 001 Shall be attached to the vapor box immediately above the TEC 6 vaporizer Check all vapor 19 and 19 1 vaporizers for correct labeling All vaporizers must have a label stating THE CONCENTRATION OUTPUT OF THIS VAPORIZER SHALL BE VERIFIED AFTER HAS BEEN ATTACHED TO THE ANESTHESIA MACHINE part 5010015 This label shall be attached to the rear of the vaporizer directly below the mount All Key Index Safety Systems vaporizers 1 5 5 must have a label stating CAUTION AFTER FILLING HAS BEEN COMPLETED REINSERT PLUG INTO UPPER FILLER PORT AND TIGHTEN LOCKING SCREW part 411
122. N TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C CAI Li er 900 100 A 10 5 800 20099 vol min 2212300 MINUTE VOLUMETER 700 i 300 Dr ger lt 600 400 500 Pop A SVOOO24 l lt 4104389 x TEST TERMINAL Lu 6 1E Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued Periodic Manufacturer s Certification General Instructions The purpose of these procedures is to provide detailed instructions for performing a Periodic Manufacturer s Certification PMC inspection on the Narkomed 2C anesthesia machine A PMC consists of a complete Periodic Manufacturer s Service procedure and a certification level inspection based on Draeger Medical Inc Recommendations and equipment performance Additional inspections are also performed to insure proper product labeling Several additional documents have been created to ensure the success of this new program Following is a brief description of the purpose of each document Field Service Procedure Periodic Manufacturer s Certification Forms Part Number 5 00175 This procedure illustrates sample checklists with typical periodic maintenance items filled in including vapor concentrations verification tests parts replaced general comments and cert
123. NNECTIONS ALARM 02 SUPPLY CHANNEL 170 PRESSURE ALARMS PROCESSOR BOARD J 16 FUNCTIONAL N ARE Y 02 SUPPLY PRESSURE ALARMS FUNCTIONAL N REPLACE REPLACE PROCESSOR ASSEMBLY ALARM CHANNEL AS OUTLINED IN AS OUTLINED IN SECTION 4 SECTION 4 ARE REINSTALL ORIGINAL 02 SUPPLY x PROCESSOR ASSEMBLY PRESSURE ALARMS FUNCTIONAL N 3 9 ARE 02 SUPPLY PRESSURE ALARMS FUNCTIONAL CONTACT NAD SERVICE DEPT RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS TROUBLESHOOTING GUIDE continued NM2C GUIDE 7 Display Blank Upon System Power up START 15 DISPLAY N BLANK UPON SYSTEM POWER UP POWER OFF CONNECT DISPLAY CABLE TO PROCESSOR PORT J 4 N IS DISPLAY CABLE CONNECTED TO PROCESSOR PORT J 4 CHECK POWER SUPPLY VOLTAGES REPLACE POWER SUPPLY IF OUT OF TOLERANCE IS DISPLAY N BLANK UPON SYSTEM POWER UP POWER OFF SUBSTITUTE ANOTHER UNIT IS DISPLAY FUNCTIONAL Y POWER OFF IS DISPLAY N REPLACE DISPLAY PERFORMA DOES BLANK UPON SYSTEM ASSEMBLY COMPLETE PMS UNITPASS POWER UP AS OUTLINED IN ON UNIT PMS SECTION 4 POWER OFF RECONNECT ORIGINAL DISPLAY in tien POWER OFF REPLACE Ur sa Y REINSTALL ORIGINAL CONTACT NAD PROCESSOR ASSEMBLY 1 PROCESSOR SERVICE DEPT AS OUTLINED IN UP ASSEMBLY SECTION 4
124. NT VALUE STABILIZE SELECT THE STORE SPAN KEY AND PRESS THE SELECTS TRIGGER TO ENTER THE CURRENT VALUE AS THE FUNCTION CALIBRATION SPAN VALUE STORED ZERO 205 gt ACTIVATES STORED SPAN 544 FUNCTION Figure 2 7 PRESSURE MONITOR SERVICE SCREEN Rev G 2 7 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS DIAGNOSTICS continued NM2C 2 6 NVRAM Dump Screen TheNVRAM Dump Screen displays locations of non volatile memory processor status registers This screen is shown in Figure 2 8 To enter this screen from the Main Service Screen highlight NVRAM DUMP ref Figure 2 3 with the selection wheel and press the trigger Toobtain a printout of this screen press thetrigger with PRINT highlighted The register contents will be dumped to the printer port at 9600 baud To return to the Main Service Screen select EXIT and press the trigger NVRAM DUMP FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FOFOFOFO0 FOFOFOFO FOFOFOFO FOFOFOFO FOFOFOFO FOFOFOFO FOFOFOFO FOFOFOFO FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF 40203044 40203044 40203044 40203044 FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FFFFFFFF FOFOFOFO0 FOFOFOFO FOFOFOFO FOFOFOFO FOFOFOFO FOFOFOFO FOFOFOFO FOFOFOFO FFFFFFFF __ FFFFFFFF FFFFFFFF FFFFFFFF
125. NTING SCREW gt J1 ue x ALARM CIRCUIT 021143 BOARD AUXILARY 2 FLOWMETER CONNECTION 02 CONNECTIONS e E Nao D A 1 I i ESN a N ON WO 2 y 487 5 CC ZA 2 ADJUSTMENT WHEEL INCREASE SETPOINT gt OXYGEN DECREASE SETPOINT SUPPLY PRESSURE ALARM SWITCH un COM LOWER ALARM N C CHANNEL MOUNTING U SCREW SV50508 Figure 4 8 ALARM CHANNEL AND OXYGEN SUPPLY PRESSURE ALARM SWITCH Rev G 4 27 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 8 15 4 8 16 4 8 17 4 8 18 4 8 19 4 8 20 4 8 21 4 8 22 4 8 23 4 8 24 4 8 25 4 8 26 4 8 27 4 8 28 4 8 29 4 8 30 4 8 31 From the back of the flowmeter housing remove the upper and lower alarm channel mounting screws At the front of the machine pull the alarm channel assembly forward and feed the flowmeter lights wire harness through the hole at the top of the alarm channel Disconnect the orange and orange white wires from the oxygen supply pressure alarm switch The following steps apply to replacement of the oxygen supply pressure alarm switch If the entire alarm channel assembly is being replaced skip the next two steps Remove the alarm switch from the assembly at point as shown
126. OCKING PIN NUT HANDWHEEL B SETSCREW VAPORIZER VAPORIZER MOUNTING SCREWS 2 EA RECESSED SV20325 VAPORIZER INTERLOCK MECHANISM REAR VIEW 5 T O 9 LEFT SETSCREW VAPORIZER CENTER MOUNTING SCREW RIGHT SETSCREWS LOCATIONS 2 EA SETSCREW RECESSED Figure 4 10 VAPORIZER INSTALLATION AND INTERLOCK ADJUSTMENT 4 34 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued 4 10 10 410 11 4 10 12 NOTE Should a vaporizer containing anesthetic agent be accidentally tilted more than 45 degrees it must be drained and flushed in accordance with instructions given in the manual supplied with the vaporizer Set the handwheel on the replacement vaporizer to its Zero position Install the replacement vaporizer on the machine be sure the O rings are in place and tighten the mounting screws to a torque of 24 to 26 5 inch pounds Perform the following test on the interlock mechanism and make any necessary adjustments 4 10 12 1 4 10 12 2 4 10 12 3 Turn the center vaporizer handwheel ON The left and the right vaporizer handwheels should be locked in their Zero position If the left or right vaporizer does not lock tighten the corresponding center set screw until the handwheel locks properly Turn the center vaporizer OFF and turn the left vaporizer ON The center and the right vaporizer handw
127. Open the carbon dioxide cylinder valve Let the pressure stabilize Close the carbon dioxide cylinder valve and remove the cylinder Observe the carbon dioxide cylinder pressure gauge After two 2 minutes what is the pressure loss __ PSI lt 50 Attach the carbon dioxide cylinder These items do not apply to machines with later design P N 4113329 001 ORC 6 14 OXYGEN SUPPLY FAILURE PROTECTION 6 14 1 6 14 1 1 6 14 1 2 6 14 1 3 6 14 1 4 6 14 1 5 6 14 1 6 6 14 1 7 6 14 1 8 6 14 1 9 6 14 1 10 6 14 1 11 Nitrous Oxide O F P D Open and close the oxygen cylinder valve Open the nitrous oxide cylinder valve Set the and flows to 4 l min Does the flow of nitrous oxide cease when the oxygen pressure 15 depleted _ Y Connect the O pipeline supply Close the nitrous oxide cylinder valve and bleed the pressure from the circuit Connect the pipeline supply Disconnect the O pipeline supply Does the flow of nitrous oxide cease when the oxygen pressure 15 depleted __ Y Close the nitrous oxide flow control valve Disconnect the pipeline supply 6 30 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 14 2 Air O F P D if applicable 6 14 2 1 6 14 2 2 6 14 2 3 6 14 2 4 6 14 2 5 6 14 2 6 6 14 2 7 6 14 2 8 6 14 2 9 Set the gas selector switch to ALL GASES Open the
128. R SCREWS 5 TEST GAUGE CONNECTION TYPICAL SV20342 Figure 5 1 CYLINDER PRESSURE REGULATOR ADJUSTMENT UJ 5 3 AIR OR OPTIONAL 3RD GAS CYLINDER PRESSURE REGULATOR lt SIDE VIEW ADJUSTMENT SCREW ACORN NUT RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C 5 14 CO2 Cylinder Pressure Regulator Adjustment 5 1 1 A 5 1 2 A 5 1 3 A 5 1 4 A 5 1 5 A 5 1 6 A 5 1 7 A 5 1 8 A 5 1 9 A Perform Steps 5 1 1 thru 5 1 7 Open the CO cylinder valve and set the System Power switch to ON Fully open the CO flow control valve Remove the acorn nut on the bottom of the CO regulator to expose the adjusting screw Turn the screw until the CO flowmeter indicates 550 ml min Replace the acorn nut on the bottom of the regulator Close the cylinder valve and allow pressure to drain from the system Close the flow control valve and set the System Power switch to STANDBY Replace the table top and its retaining screws Replace the top drawer in the cabinet 5 1 10 A Connect t
129. RETURN TO CD ROM TABLE OF CONTENTS TROUBLESHOOTING GUIDE continued NM2C GUIDE 5 Serial Port Communication Failure START SERIAL N PORT COMMUNICATION FAILURE Y CHECK PERIPHERAL AND HOST SERIAL PORT CONFIGURATION SETTINGS SERIAL N PORT COMMUNICATION FAILURE CONNECT Y PERIPHERAL CABLE TO SERIAL INTERFACE PORT IS N PERIPHERAL CABLE CONNECTED TO SERIAL INTERFACE PORT Y SUBSTITUTE SERIAL N PERFORM A ANOTHER CABLE PORT COMMUNICATION COMPLETE PMS FAILURE ON UNIT Y N SERIAL PORT COMMUNICATION FAILURE N DOES REINSTALL ORIGINAL UNIT PASS PROCESSOR ASSEMBLY PMS Y Y REPLACE PROCESSOR ASSEMBLY AS OUTLINED IN SECTION 4 CONTACT NAD UNIT 15 SERVICE DEPT FUNCTIONAL REPLACE CABLE 3 8 START ARE 02 SUPPLY Y RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C TROUBLESHOOTING GUIDE continued GUIDE 6 No O Supply Pressure Alarms PRESSURE ALARMS FUNCTIONAL UNIT FUNCT PERFORM A DOES UNIT COMPLETE PMS PASS PMS ON UNIT N CHECK 02 LOW PRESSURE ALARM SWITCH LOW 02 AND WIRE HARNESS SUPPLY PRESSURE ON D ALL CONNECTIONS TO DISPLAY ONLY ALARM CHANNEL REF SECTION 4 Y CHECK CABLE AND ARE CO
130. RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS Dr gerService Technical Service Manual Part Number 4112259 001 Rev AB Date 20 May 2002 O 2002 Draeger Medical Inc Narkomed 2C Anesthesia System A C NTENTS TAE NT NTE TAE i RETURI C RETURN TO CD ROM TABLE OF CONTENTS DragerService Drager Narkomed 2C Service Manual Table of Contents Summary of What s New in Rev AB DESCRIPTION PAGE SECTION 1 INTFOJUELION a a Bue ias 1 1 SECTION 2 DIAQNOSEIOS maian AA AA A 2 1 2 1 Service Menu 5 2 2 2 2 Service Log cesa 2 4 2 3 PMS Criteria Screen 2 5 2 4 Oxygen Monitor Service Screen 2 6 2 5 Pressure Monitor Service Screen 2 7 2 6 NVRAM Dump Screen 2 8 SECTION 3 Troubleshooting ce is sehe 3 1 3 1 Power Supply and Voltage Distribution 3 1 3 2 Battery 2 ok epee a dm 3 3 3 3 Troubleshooting Guides 3 3 SECTION 4 Replacement Procedures 4 1 4 1 Cylinder Yoke Assemblies
131. Service Code PMS or SRVC and enter your Technical Service Representative 1 0 number Select MONITORS to bring up the Oxygen Monitor Service Screen Zero Calibration 5 5 4 1 NOTE 5 5 4 2 5 5 4 3 Remove the oxygen sensor capsule from its housing and allow several minutes for the displayed offset readings to stabilize The difference between the displayed CELL A and CELL B readings should be no greater than 8 With the cursor set to STORE ZERO press thetrigger to store the current values as the new zero calibration Reinstall the sensor capsule in its housing 2196 Calibration 5 5 5 1 5 5 5 2 5 5 5 3 5 5 5 4 5 5 5 5 NOTE Expose the sensor to ambient air only away from any open part of the breathing system and allow it to stabilize for several minutes Set the cursor to EXIT and press the trigger to return to the Main Service Screen Select EXIT again and press the trigger to return the display to normal operation Press the Datagrip trigger to display the Screen Selection Menu Select the SET UP option and press the trigger Set the cursor to OXYGEN SENSOR and press the trigger to initiate calibration Follow the on screen instructions When calibration is complete reinstall the sensor assembly in the inspiratory valve dome If the O sensor will not calibrate properly refer to the Oxygen Monitoring section of the NARKOMED 2C OPERATOR S INSTRUCTION MANUAL for further information 5
132. TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued FLOW TUBE lt D RETAINER SCREW lt gt lt mde e i UPPER FLOW A TUBE RETAINER 4 LA FLOW TUBE E LIGHTING CHANNEL A FLOW 1 1 RESTRICTOR GASKET Figure 4 5 FLOWMETERS Rev G 4 17 GUIDE RING SV40605 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 5 12 4 5 13 4 5 14 4 5 15 4 5 16 4 5 17 4 5 18 Loosen the screw directly above the flowmeter tube to be replaced Turning the screw counter clockwise will raise the upper flow tube retainer Raise the retainer far enough to be able to pull the top of the tube outward and remove the tube NOTE If the bottom of the tube is seated in a flow restrictor be sure that the arrangement of the restrictor and its gaskets is not disturbed Make sure that the replacement flow tube bears the correct markings and has a ball Place the bottom of the flowmeter tube into the guide ring of the lower gasket seal and position the top of the flow tube into the center guide ring of the top gasket seal It will be easier to hold the tube if the adjacent lighting channel is pulled forward and temporarily removed CAUTION The flowmeter tube must be properly centered over the guide rings or damag
133. TEM DESCRIPTION PART NUMBER DISS Body Pipeline Fittings 55 O DISS Fitti i 2 Le 4102563 56 AIDI SS PICO oic oic do cedo s ac di cdd ct 4102886 57 A ersten ten sos eee ese enses 4111384 NIST Body Pipeline Fittings 58 O Male NIST Connector 4110388 59 Air Male NIST Connector 4110386 60 N O Male NIST Connector 4111382 DISS Nut Pipeline Fittings 61 Diss NIDIE eses ocio sua aaraa 4103877 62 OS Diss NUE ova 4102848 63 Ail DISS NIDDIS S ss 2255 l a cars is i 4111385 64 ADISS NUC 5223 5 2 ds an ad 4103120 65 N O IDI Nipple eee S Swa ees 4111383 66 N O DISS NUU 5 55 qhapa 4102850 67 Pipeline Inlet Filter Asm Typ All Inlets 4106198 mi Me TT 4102532 CONNECTOR qe aiiis bos epee bw EE Ew ae 4106897 O ring for N O DISS Nipple 4113494 Common Parts 67A Pipeline Inlet Housing Old AA 4102559 replaced by 4113363 new no 4113974 PERCULIT HW52002 Lock Washer int t HWe67001 Rev AA 8 11 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C N20 FAILSAFE AIR OR THIRD GAS ASSEMBLY FAILSA
134. TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued Rev A 4 22 8 4 22 9 4 22 10 4 22 11 4 22 12 4 22 13 4 22 14 4 22 15 4 22 16 Remove the cable from J 1 and J 4 the system interface board marked in the illustration Remove the ORDM processor board cable from J 2 3 of the ORDM CPU PCB marked in the illustration Reinstall the ORDM processor board 24 cond connector on J 2 3 of the ORDM CPU PCB on the replacement ORDM Ensure that the locator tab on the connector faces away from the disk drive Install the 10 cond connector of the ORDM processor cable on J 1 of the system interface board Install the 16 cond connector of the ORDM processor cable on J 4 of the system interface board Position the replacement ORDM sub assembly in the ventilator box and reconnect the keyboard cable network cable and power supply wire harness to the system interface board at the back of the ORDM sub assembly Slide the assembly into into the ventilator box Tighten the captive mounting screws to attach the ORDM sub assembly to the ventilator box Carefully fit the locking tab on the left side of the bezel into its receptacle then slide the bezel to the left until it is properly seated Reinstall the two retaining screws at the right side of the bezel Reinstall the auxiliary lamp at this time if applicable 4 22 17 4 22 18
135. air cylinder valve if applicable Connect the air pipeline hose if applicable Open one 1 oxygen cylinder valve Set the air flow to 4 l min set the oxygen flow to 4 l min Close the oxygen cylinder valve Does the flow of air cease when the oxygen pressure is depleted Y Close the air flow control valve Disconnect the air pipeline hose if applicable 6 14 3 Oxygen Helium O F P D if applicable 6 14 3 1 6 14 3 2 6 14 3 3 6 14 3 4 6 14 3 5 6 14 3 6 6 14 3 7 Set the gas selector switch to ALL GASES Open the oxygen helium cylinder valve Open one 1 oxygen cylinder valve Set the oxygen helium flow to 4 l min set the oxygen flow to 4 I min Close the oxygen cylinder valve Does the flow of oxygen helium cease when the oxygen pressure is depleted _ Y Close the oxygen helium flow control valve These items do not apply to machines with later design P N 4113329 001 ORC Rev AB 6 31 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 14 4 Carbon Dioxide O F P D if applicable 6 14 4 1 6 14 4 2 6 14 4 3 6 14 4 4 6 14 4 5 61446 6 14 4 7 6 14 4 8 Set the gas selector switch to ALL GASES Open the cylinder of carbon dioxide Open one 1 oxygen cylinder valve Set the carbon dioxide flow to 500 ml set the oxygen flow to 4 I min Close the oxygen cylinder valve Does the flow o
136. al leakage current with the Polarity and Ground switches set as follows Ground Polarity Open Normal Normal Normal Open Reversed Normal Reversed Verify that the leakage current is 75 microamps or less in each of the switch positions 110 microamps or less for the 220 240 volt power supply option 100 microamps if external monitors are plugged into convenience outlets 6 3 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C Y 6 2 SELFDIAGNOSTCS 6 2 1 Connect the pipeline supply or open the cylinders 6 2 2 Turn the System Power switch to 6 2 3 Verify that the following is displayed on the alarm CRT VIDEO PASS NARKOMED 2C FIRMWARE PASS COPYRIGHT 1993 NAD INC STATIC RAM PASS VERSION X XX NM2C SW TIMER PASS SOFTWARE ID XXXX A D CONVERTER PASS AUDIO PRIMARY PASS BACKUP PASS SERIAL I O PASS CLOCK PASS NON VOLATILE MEMORY PASS FUNCTIONAL 6 2 4 Record the machine software version on the header of the checklist form 6 4 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 3 BATERY CIRCUIT 6 3 1 6 3 2 6 3 3 6 3 4 6 3 5 6 3 6 6 3 7 6 3 8 6 3 9 15 ON LED lighted _ Y With the System Power switch ON unplug the AC power cord Is yellow PWR FAIL LED lighted as long as the power cord is unplugged Y Does the AC PWR FAIL message
137. all other previous PMC and Vigilance Audit Validation labels have been removed In the CERTIFICATION LEVEL section of the PM Certification form record the last visit certification level the current certification level and the next visit due month and year three months from date of PM Certification in the spaces provided Ifapplicable removethe previous PM CERTIFICATION VALIDATION label and attach the new label P N 5010006 w phone or P N SO10007 w o phone in a prominent location on the rear of the anesthesia machine Check the appropriate boxes on the PM CERTIFICATION NOTICE label part S010011 If the machine 15 not certified the last box of this notice label shall be marked Attach this notice to the flow shield of the anesthesia machine Havethe customer sign each PM Certification form or the Executive Summary and review the equipment conditions and the recommendations with the customer Return top copy to Draeger Medical Inc Service Department keep middle copy for service organization records give bottom copy to customer Rev AB 6 1K RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 1 ELECTRICAL SAFETY 6 1 1 Ground Continuity 6 1 1 1 NOTE NOTE 6 1 1 2 6 1 1 3 6 1 1 4 Turn the System Power switch to STANDBY Do not plug the safety analyzer power cord into a line isolation monitor as inaccurate readings may occur P
138. als Required Dow Corning High Vacuum Grease P N S4105908 Spiromed Sensor Lubrication Kit P N 2218180 Breathing Bag 3 liter P N 9995330 or equivalent Tube Corrugated 22 mm x 12 in long P N 9995112 Test equipment illustrations are shown on following pages Rev AB 6 1 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 4113119 FRESH GAS LEAK TEST DEVICE CONNECT TO TEST PRESSURE GAUGE SVOOO22 6 1A Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 4115128 SIEMENS TEST LUNG SVOOO25 Rev AB 6 1B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C TEST TERMINAL S010159 BREATHING SYSTEM LEAK TEST DEVICE TEST TERMINAL 5700023 5010158 FRESH GAS OUTLET VOLUME TEST DEVICE 6 1C Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 70 100 5000081 5000063 FLOW METER REGULATOR TEST TEST STAND PRESSURE GAUGE Rev AB 6 1D RETUR
139. anager Ind Keyboard 8 32 8 33 Absorber Assembly Breathing Pressure Hoses Oxygen Sensor 8 34 8 35 Ultrasonic Flow Sensor Assembly 8 35A 8 35B Man Auto Selector Valve 8 36 8 37 Man Auto Selector Valve later design 8 38 8 39 Auxiliary O Flowmeter Assembly 8 40 8 41 Open Reservoir Scavenger 8 42 8 43 Open Reservoir Scavenger old style 8 44 8 45 A C Scavenger amp Vent Grill Adapter 8 46 8 47 Rev AA iii RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NARKOMED 2C ANESTHESIA SYSTEM DISPLAY ARM CC REMOTE DISPLAY DATAGRIP BREATHING SYSTEM SENSOR INTERFACE PANEL 1 0 VENTILATOR O R DATA MANAGER OPTIONAL SV50533 Rev D RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C INTRODUCTION 1 0 RECOMMENDATIONS Because of the sophisticated nature of Draeger Medical nc anesthesia equipment and its critical importance in the operating room setting it is highly recommended that only appropriately trained and experienced professionals be permitted to service and maintain this equipment Please co
140. at the mounting clamps in the display assembly slide past the stop pins on the rod until the display is in the correct position on the rod Tighten the display mounting clamp screws accessible through clearance holes in the back cover of the display until the display has the desired amount of friction on the mounting rod Install the remote display and Datagrip cables in the cable clamps that were previously removed and reinstall their screws along the display arm bellows box and ventilator box Ensure that the display arm has full range of motion with no binding caused by the cables Install a tie strap to secure the remote display and Datagrip cables together Connect the remote display and Datagrip cables to their ports on the underside of the ventilator box Restore power tothe machine and verify operation of the remote display and Datagrip by exercising the display selections Perform the PMS Procedure given in Section 6 4 59 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C REMOTE DATAGRIP DISPLAY PORT PORT TAN NARKOMED 2C REAR VIEW OF CABLE CLAMPS ACCESS TO CLAMP SCREWS CABLE CLAMPS APPROXIMATE LOCATION DISPLAY ASSEMBLY MOUNTING ROD DATAGRIP SV50527 Figure 4 19 REMOTE DISPLAY
141. c replacement GENERAL TROUBLESHOOTING GUIDELINES Troubleshooting the Narkomed 2C should always begin by communicating with those who observed or experienced a problem with the unit This may eliminate unnecessary troubleshooting steps Once a general problem is identified refer to the troubleshooting flow charts in Section 3 to determine the proper corrective action to be taken After a component has been replaced verify that the unit is operating properly by running the appropriate diagnostic procedure The PMS PROCEDURE in Section 6 must also be performed after any component has been replaced The general arrangement of the Narkomed 2C Anesthesia System is shown on the opposite page WARNINGS are used in this manual before procedures which if not performed correctly could result in personal injury CAUTIONS are used in this manual to alert service personnel to the possibility of damage to the equipment if a procedure is not performed correctly Rev H 14 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS INTRODUCTION NM2C Copyright Copyright O 1999 by Draeger Medical Inc All rights reserved No part of this publication may be reproduced transmitted transcribed or stored in a retrieval system in any form or by any means electronic or mechanical including photocopying and recording without the written permission of Draeger Medical Inc Trademark Notices CliniDAS Datagrip NAD Information S
142. clears the circuit breaker wires Lift the power supply from the box Position the replacement power supply chassis in the box and tighten the four captive mounting screws Place the battery in the compartment Reinstall the battery bar post Reinstall the battery retainer bar by placing its tab through the slot in the compartment and reinstalling the retainer screw at the other end of the bar Connect the battery wire harness to circuit breaker CB2 Connect the cables that were previously removed from J 2 and J 3 on the side board of the power supply Connect the battery wire harness and the circuit breaker wire harness to their terminal blocks as noted in the following tables Battery Wire Harness Connections to TB1 TERMINAL WIRE COLOR Circuit Breaker Wire Harness Connections to TB2 TERMINAL WIRE COLOR N 220V White Blue L 220V White Brown 4 55 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 17 20 Join the lamp connector to J 2 on the bottom board of the power 4 17 21 4 17 22 4 17 23 4 17 24 4 17 25 supply Power Indicator Lamp Wire Connections to J2 TERMINAL WIRE COLOR Black Reinstall the power supply compartment to the frame rails with the hardware that was previously removed Reinstall the power supply compartment cover with the four screws that were previously removed Reinstall the bottom and cente
143. compatible configured with PC DOS or MS DOS V3 3 or higher RS 232C Serial Port connected to COM 1 Hard Drive or 3 in Floppy Drive The COM 1 port on the PC must be configured as follows Baud Rate 9600 Stop Bits 1 Parity None Data Bits 8 The download port Port A on the NM2C must be set to Vitalink and be configured as follows 7 4 1 7 4 2 7 4 3 7 4 4 7 4 5 7 4 6 7 4 7 7 4 8 Baud Rate 9600 Stop Bits 1 Parity None Data Bits 8 Verify that the System Power switch on the machine 15 set to STANDBY and that the power switch on the PC 15 OFF Connect a 30 in long Vitalink cable P N 4110328 to COM 1 on the PC and connect the other end of the cable to Port A on the Narkomed 2C ref Figure 7 1 Turn the System Power switch to ON and turn the PC At the DOS prompt type SST the SST Main Menu appears Figure 7 3 Select ENTER PRIMARY SERVICE from the SST main menu Select Load System Software from the Primary Service menu Figure 7 8 The software load screen shown in Figure 7 9 appears Select the desired protocols and press ESC or F10 follow the on screen instructions to download the software Software installation is complete when the machine resets Set the System Power switch on the NM2C to STANDBY and the power switch on the PC to OFF Disconnect the interface cable 7 5 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SOFTWARE UPDATE PROCEDUR
144. configurations logs and templates to be saved to a disk for later viewing or adding to a service report These same constants can be reloaded after a processor has been replaced The SST can also be used to install Narkomed 2C software Actual servicing of the machine is performed manually without the use of SST Software updates to the Narkomed 2C anesthesia system induding communication protocols for external monitors are done through a serial port connection to an external PC or through the O R Data Manager ORDM The software can be downloaded tothe PC via modem or furnished on a floppy disk Following is a summary of the software installation methods described in this section From an external PC using the batch file LOADNM2C BAT Initial installation will install the SpaceLabs Datalogger Marquette Tram Net Datex AS3 and Criticare POET IQ protocols From the ORDM Initial installation will install the SpaceLabs Datalogger Marquette Tram Net Datex AS3 and Criticare POET IQ protocols From external PC using the SST Any desired protocols may be selected From the ORDM using the SST Any desired protocols may be selected Rev G 7 1 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SOFTWARE UPDATE PROCEDURE continued NM2C 7 1 SOFIWARE TRANSFER TO PC VIA MODEM 7 2 Equipment required Interface Cable NAD Part No 4109882 P 9 pin to 25 pin or 4110328 A 9 pin to 9 p
145. crease the pressure to 25 cm H O then decrease the pressure to 20 cm Does the THRESHOLD LOW message appear in the Advisory column Y Set the Man Auto valve to AUTO and turn the ventilator ON Bleed the pressure and start a stopwatch What is the time when APNEA PRESSURE appears in the Caution column ___ sec 13 17 What is thetime when theAPNEA PRESSURE appears in the Warning column ___ sec 26 34 After the APNEA PRESSURE alarm is displayed in the Warning column on remote display slowly increase the test pressure At what pressure does the APNEA PRESSURE alarm deactivate __ cm H O 7 13 6 43 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 20 19 6 20 20 6 20 21 6 20 22 6 20 23 6 20 24 6 20 25 6 20 26 6 20 27 6 20 28 6 20 29 6 20 30 6 20 31 6 20 32 Adjust the threshold to 18 cm Increase the pressure to 20 cm maintain the pressure and start a stopwatch What 15 the time when CONTINUOUS PRES appears in the Warning column ___ sec 12 18 Decreasing the pressure slowly what 15 the pressure at which the CONTINUOUS PRES alarm deactivates __ cm H O 15 21 Slowly increase the pressure At what pressure does the VENT PRESSURE HI alarm activate cm H O 62 68 Bleed the pressure Slowly create a sub atmospheric pressure At what pressure does the SUB ATM PRESSURE alarm activate __ cm
146. crews holding the rear cover and remove the cover Cut thetie wrap clamp on the flexible O control line and disconnect the flexible tube On later machines with assemblies that have brass fittings instead of nylon the flex tubing is attached with a press on hose clamp instead of a tie strap Disconnect the compression fittings at the side ports and at the check valve and remove the assembly If fittings must be installed in the replacement block assembly use Loctite 271 red See parts list in Section 8 Install the replacement failsafe assembly and tighten the three compression fittings Connect the flexible tubing to the control port and install a new tie wrap clamp 4 23 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C OXYGEN SUPPLY FAILURE PROTECTION DEVICE N20 CONTROL DEVICE ILLUSTRATED 657 E 2 CONTROL LINE i A 2 FLOW CONTROL VALVE 7 m A CHECK VALVE L KA FROM CYLINDER PRESSURE oJ REGULATOR FROM PIPELINE INLET ASSEMBLY SV50536 Figure 4 7 OXYGEN SUPPLY FAILURE PROTECTION DEVICE 4 24 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued 4 7 12 4 7 13 4 7 14 4 7 15 Perform the following test 4 7 12 1 4 7 12 2 4 7 12 3 4 7 12 4 4 7 12 5 4
147. d 4111819 001 plated 4th gas only 4111819 002 Valve Flow Control 4103352 New part number 4115871 Rev AA 8 23 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C ene SV50524 gt us 168 a al 155 Bry A 157 Eho Q 5 7 EUN yo uw H ASSEMBLY mer EH J T B TO K Ba E E 00 YE PUN Wi us x 4 E E P 5 pe ter p X 02 REGULATOR 8 d x V EG ASSEMBLY N m T es mou o9 WU qu 61 Pe n 169 P i P L 02 FLUSH VALVE ASSEMBLY A
148. d NM2C On the ORDM press ESC to return to the SST Main Menu Use 10 on the external PC 7 6 3 Display UUT Configuration The Display Unit Under Test UUT Configuration screen Figure 7 6 shows the last service date machine hours and the software version number for each of the machine tems listed At the SST Main Menu move the cursor to DISPLAY UUT CONFIGURATION and press ENTER On the ORDM press ESC to return tothe SST Main Menu Use F10 on the external PC MACHINE ID NM2C SOFTWARE VERSION 1 20 SERIAL NUMBER 00011066 SYSTEM FEATURES 0003 LAST SERVICE DATE 17 DEC 95 HOURS RUNNING SINCE LAST SERVICE 0470 3 TOTAL MACHINE RUN HOURS 0485 7 SERIAL NUMBER 00011066 SYSTEM SOFTWARE VERSION 1 20 F10 PREVIOUS MENU SV50104 Figure 7 6 DISPLAY UUT CONFIGURATION SCREEN 7 10 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SOFTWARE UPDATE PROCEDURE continued 7 6 4 Save Restore Settings This screen allows serial port configuration and templates to be copied to the ORDM disk drive or tothe external PC disk drive These settings can then be restored from the disk to the machine following any hardware replacement At the Primary Service Menu described earlier set the cursor to SAVE RESTORE SETTINGS and press ENTER Move the cursor with the up or down keys to the desired function and press ENTER Press arrow keys to change menu items re
149. d carry the same weight as DMI Recommendation equipment condition codes The final matrix is the most comprehensive index sorted by machine model and includes Equipment Condition Certification Code and DMI Recommendations It also specifies any suggested upgrade path including ordering information that should be taken such as installing a Bellows with Pressure Limit Control 4109664 501 Kit after market modification kit toa machine not equipped with pressure limit control Rev AB 6 1F RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C The letters A B D and the Roman Numerals are used as codes the individual matrix for each model of anesthesia machine The letters A B and D are used in descending order to indicate the certification level of the equipment They are as follows A Certified Certified with Recommendations C Conditionally Certified No Certification Roman Numerals and do not affect the certification level but rather are provided to give further instructions to the end user as follows The system in its present configuration shall only be used with a CO2 monitor incorporating an apnea warning The operator of the system 15 advised to frequently scan the CO2 readings and alarm thresholds The present configuration of equipment requires that the unit operate at all times with oxygen analyzer that includes a
150. d its retaining screws Connect the pipeline hoses Perform the PMS Procedure given in Section 6 4 19 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 6 How Control Valves The flow control val ves have replaceable elements that are removable from the front of the gas instrumentation panel as shown in Figure 4 6 Each flow control knob has a clockwise positive stop arrangement that prevents damage to the valve seat Whenever a valve cartridge is replaced the off stop must be set as outlined in the following procedure 4 6 1 4 6 2 4 6 3 4 6 4 4 6 5 4 6 6 4 6 7 4 6 8 4 6 9 4 6 10 4 6 11 4 6 12 4 6 13 Disconnect all pipeline hoses and set the System Power switch toON Close all cylinder valves except the O valve Set the oxygen flow to 5 liters per min Open the other gas flow control valves to drain pressure from the system Close the O cylinder valve and the O flow control valve Press the O Flush valve to drain oxygen pressure from the system Set the System Power switch to STANDBY Remove the oxygen flow control knob Remove the two screws holding the knob guard in place and remove the knob guard Remove the knob if not already removed from the valve that is being replaced and remove the stop pin nut Remove the flow control valve by holding it at the wrench flats and turning it counter clockwise I
151. dicated in the illustration for the ultrasonic flow sensor connector There shall be no continuity between these points 6 2 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued v Rev AB 6 1 3 6 1 4 v Convenience Outlet and Auxiliary Outlet Strip NOTE 6 1 3 1 6 1 3 2 This test will check the convenience outlets and the auxiliary strip outlets for fault conditions such as open ground 231 reverse polarity open line and open neutral This is done each time the BIOTECH 501 PRO is powered up and allowed to cycle through its self test Shut off and unplug the safety analyzer Remove the anesthesia machine plug from the analyzer and plug it into the same outlet that was being used by the analyzer Plug the safety analyzer into the first convenience outlet to be tested and turn the analyzer power switch ON Allow the analyzer to cyde through its Auto Test sequence If no wiring fault is indicated shut off the analyzer and move its plug to the next convenience outlet Test this outlet in the same manner and continue until all convenience outlets and auxiliary strip outlets are tested Chassis Leakage Current 6 1 4 1 6 1 4 2 6 1 4 3 Turn the anesthesia machine System Power switch to ON and set the safety analyzer to the CHASSIS LEAKAGE CURRENT position Attach the safety analyzer test lead to a cylinder yoke Record the tot
152. e barb P N 4108114 between the 19 mm hose terminal of the scavenger and the scavenger hose Connect a calibrated test pressure monitor to the hose barb on the adapter and observe the pressure reading on the test gauge The gauge shall indicate a pressure of O to 0 5 cm 29 6 7B 3 Scavenger Open Reservoir Positive Pressure Relief 6 7B 3 1 6 7B 3 2 6 7B 3 3 6 7B 3 4 Turn the scavenger needle valve fully clockwise closed Open the oxygen flow control valve on the anesthesia machine to flow of 10 and occlude the absorber breathing bag terminal The flow of oxygen shall now exit the system through the relief ports around the top of the canister The test pressure gauge shall indicate a pressure less than 1 0 cm After the test adjust the scavenger needle valve for a flowmeter indication halfway between the two white lines 6 10 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued Y 6 7C SCAVENGER INTERFACE if applicable 6 7C 1 Scavenger Inspection 6 7C 1 1 Check all scavenger hoses and reservoir bag for deterioration Replace all worn components 6 7 2 Primary Negative Relief Valve Cleaning 6 7C 2 1 Remove the plastic valve cover on the front surface of the scavenger body by turning it in a counter clockwise direction 6 7C 2 2 Removethe valve and washer from the scavenger body by turning it counter clockwise A need
153. e center vapor _ N Adjust the handwheel on the right vapor to zero 0 6 23 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 11 YOKES 6 GAUGES Y 6 11 1 Yokes Check Valves 6 11 1 1 6 11 1 2 6 11 1 3 6 11 1 4 6 11 1 5 6 11 1 6 6 11 1 7 6 11 1 8 6 11 1 9 6 11 1 10 6 11 1 11 Turn the System Power switch to STANDBY Disconnect all pipeline hoses and close all cylinder valves Remove cylinder or yoke plug from each yoke assembly Do all the yoke handles adjust smoothly _ Y Are the two 2 yoke pins installed securely in each yoke Y Is there only one 1 cylinder washer on each yoke assembly ___ Y Is there a yoke plug attached to each yoke assembly Y Is the proper gas label affixed to each yoke assembly _ Y Attach a cylinder to each yoke assembly open the cylinder valve let the pressure stabilize close the cylinder valve and remove the cylinder from the yoke assembly Does the yoke check valve assembly prevent the escape of excessive pressure _ Y Attach the cylinders to the yokes 6 24 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued v v Rev AB 6 11 2 Cylinder Gauges 6 11 2 1 6 11 2 2 6 11 2 3 6 11 2 4 6 11 2 5 6 11 2 6 Are the pressure gauges correc for the gases indicated by the flowme
154. e gauges Disconnect the compression fitting at the back of the gauge Remove the gauge mounting nuts and remove the gauge from the front of the panel Install the replacement gauge in the panel using the flat washers lock washers and mounting nuts that were previously removed Connect the gas line to the gauge and tighten the compression fitting 4 3 13B For the pipeline pressure gauges Locate the flexible tubing connecting the gauge to the pipeline inlet assembly cut the tie wrap tubing clamp at the pipeline inlet and disconnect the tubing NOTE On later machines that have brass fittings instead of nylon the flex tubing is attached with a press on hose clamp instead of a tie strap Remove the gauge mounting nuts and remove the gauge from the front of the panel Cut thetie wrap tubing clamp and disconnect the flexible tubing from the gauge Connect a new 7 inch length of tubing 8 inch for the air pipeline pressure gauge to the replacement gauge and secure it with a new tie wrap clamp Place the gauge in the panel and secure it with the flat washers lock washers and mounting nuts that were previously removed Connect the other end of the flexible tubing to the pipeline inlet assembly and secure it with a tie wrap clamp 4 4 14 Ifa cylinder pressure gauge was replaced perform the following leak test 4 14 Rev B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT
155. e keyed to the accompanying illustrations to aid in identifying the item and its location ASSEMBLY PART PAGE Processor Asm and related cables Fan Convenience Outlets and related items 8 2 8 3 AV 2 Ventilator Controller Assembly 8 4 8 5 Valve Case and Guide Assembly Pressure Limit Control Bellows Assembly 8 6 8 7 Bellows Valve Assembly details 8 7A 8 7B Display Arm Datagrip and Display Assemblies 8 8 8 9 Pipeline Inlet Fittings 8 10 8 11 Failsafe Assemblies Minimum O Flow Valve Assembly 8 12 8 13 Vapor Indicator PCB Vapor Select Switches Gas Selector Switch and Valves 8 14 8 15 Vapor EXCUSION ss sust rre suyo 8 15A 8 15B ORC Assembly bra RAY e a es 8 16 8 17 Alarm Channel Assembly and related cables 8 18 8 19 Flowmeter Shields Knobs Labels Gauges 8 20 8 21 Flow Tubes Restrictor Assemblies Flow Control Valve 8 22 8 23 Cyl Regulator Assemblies O Flush Valve and related parts 8 24 8 25 CSA Items Relief Valve Cylinder Cutoff Valves 8 26 8 27 Canada Fresh Gas Outlet 8 27A 8 27B Yokes Common Parts Labels 8 28 8 29 Sensor Interface Panel Asms AC
156. e screws or nuts securing the auxiliary O flowmeter and remove the flowmeter Position the replacement flowmeter at the side of the flowmeter housing feed the flex tubing through the clearance hole and secure the auxiliary O flowmeter with the two screws or nuts that were previously removed Connect the flex tubing to the hose barb fitting behind the Clippard valve and secure it with a tie strap Reinstall the flowmeter housing back cover Connect the pipeline hoses and restore AC power to the machine Perform the PMS Procedure given in Section 6 4 76 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued MOUNTING SCREW 2X USED WITH EARLIER MOUNTING ARRANGEMENT PRESS ON HOSE CLAMP FLEX TUBING h KEP HEX NUT TIE STRAP HOSE BARB FITTING MACHINES WITH LATER STYLE CHANNEL SV50547 Figure 4 26 AUXILIARY O FLOWMETER Rev G 4 77 AUXILIARY OXYGEN AUXILIARY 02 FLOWMETER NEW STYLE ILLUSTRATED FLEX TUBING TIE STRAP RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 27 PEEP Valve Magnet Assembly Replacement The PEEP valve magnet assembly removal and replacement is outlined in the following procedure Figure 4 33 shows the knob and magnet assembly details NOTE
157. e table top and its retaining screws Replace the pipeline hoses Perform the PMS Procedure given in Section 6 4 4 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued 4 2 Cylinder Pressure Regulators Access to the cylinder pressure regulators requires that the table top be removed from the anesthesia machine Figure 4 2 shows the mounting arrangement of the regulators and typical connections 4 2 1 4 2 2 4 2 3 4 2 4 4 2 5 4 2 6 4 2 7 4 2 8 4 2 9 4 2 10 4 2 11 4 2 12 NOTE NOTE 4 2 13 Disconnect all pipeline hoses and set the System Power switch to ON Close all cylinder valves except the O valve Set the oxygen flow to 5 liters per min Open the other gas flow control valves to drain pressure from the system Close the O cylinder valve and close the flow control valves Press the O Flush valve to drain oxygen pressure from the system Set the System Power switch to STANDBY Remove the cylinder corresponding to the regulator to be replaced Remove the screws holding the table top to the machine and lift out the table top Remove the top drawer from the cabinet and pull the writing or keyboard tray out to its fully extended position Disconnect the three compression fittings at the regulator Loosen the two setscrews holding the regulator to its mounting bracket and remove the regulator Record the serial
158. e to the flowmeter tube may occur Ensure that the markings on the flow tube are facing forward and turn the upper retainer screw clockwise until the flow tube is firmly held in place CAUTION Do not over tighten the screw as the flowmeter tube may break Perform the following leak test on the system 4 5 16 1 Disconnect the absorber hose from the fresh gas outlet 4 5 162 Connect a test gauge and bulb to the fresh gas outlet and pressurize the system to 50 cm 4 5 16 3 The pressure should not drop more than 10 cm H O in thirty seconds Disconnect the test gauge and reconnect the absorber hose to the fresh gas outlet Replace any lighting channels that were previously removed 4 18 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued 4 5 19 4 5 20 4 5 21 4 5 22 4 5 23 4 5 24 4 5 25 Place the plexiglass cover over the gauges and flow tubes and ensure that the cover 15 fitted properly over the flow control valves Place the knob guard over the flow control valves and install ts two retaining screws Install the oxygen flow control knob and tighten its setscrews If the knobs are installed properly their labels will be straight when the knobs are against their clockwise stops Replace the front plate at the top of the plexiglass cover and secure it with the hardware that was previously removed Replace the table top an
159. en Disconnect the Baromed breathing pressure sensor line from the absorber and expose it to air Let the Current Pressure Value stabilize set the cursor to STORE ZERO and press the trigger Connect a test fixture and calibrated digital pressure manometer tothe breathing pressure sensor line Pressurize the circuit to 50 cm and allow the Current Value to stabilize Set the cursor to STORE SPAN press the trigger and verify that new span values are stored Release the pressure disconnect the manometer and test fixture and reconnect the breathing pressure sensor line to the absorber Set the cursor to EXIT and press the trigger to return to the Main Service screen Set the cursor to EXIT and press the trigger to return to normal operation 6 7 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C Y 67A SCAVENGER A C ifapplicable 6 7A 1 Scavenger A C Cleaning 6 7A 1 1 6 7A 1 2 6 7A 1 3 6 7A 1 4 6 7A 1 5 6 7A 1 6 6 7A 1 7 Remove all scavenger hoses one at a time and drain all accumulated moisture Inspect all scavenger hoses for deterioration and replace any worn hoses Remove the safety relief valve housing by unscrewing it in a counter clockwise direction Inspect the rubber O ring and replace if worn Remove the safety relief valve from its housing by twisting it out in a counter clockwise direction The tips of needle nose p
160. equipped with a PEEP valve turn the PEEP valve control knob fully counter clockwise Set the oxygen flow to 10 and occlude the 19 mm scavenger terminal labeled EXHAUST After the ventilator bellows inflates the flow of oxygen will exit the system through the positive pressure safety relief valve At this point the absorber system breathing pressure gauge shall indicate a pressure of 10 0 cm or less 6 7B SCAVENGER OPEN RESERVOIR if applicable Rev AB 6 7B 1 Scavenger Open Reservoir Cleaning 6 7B 1 1 6 7B 1 2 6 7B 1 3 6 7B 1 4 6 7B 1 5 6 7B 1 6 6 7B 1 7 6 7B 1 8 6 7B 1 9 Remove all scavenger hoses one at a time and drain all accumulated moisture Inspect all scavenger hoses for deterioration and replace any worn hoses Disconnect the hospital vacuum source from the scavenger If applicable remove the scavenger flow control needle valve assembly Inspect the needle valve and seat for lint or dust accumulation Clean with compressed air if necessary and reinstall the needle valve assembly Remove the scavenger mounting screws Remove the two screws securing the access pane at the bottom of the scavenger canister Remove and inspect the silencer replace if needed Remove the reservoir canister from the scavenger body by unscrewing the four socket head cap screws located at the top of the canister Remove the flowmeter from its housing by turning it counter clockwise I
161. er valve and turn the System Power switch to ON Set the oxygen flow to five liters per minute Close the oxygen cylinder valve As the pressure drops the O SUPPLY alarm should activate when the pressure is between 40 and 34 psi as shown on the test gauge If the alarm activates when the pressure 15 below 34 psi or above above 40 psi turn the adjustment wheel see illustration repeat the test and adjust as necessary to bring the set point into the correct range Turn the System Power switch to STANDBY Disconnect the test gauge and replace the plug in the regulator line tee fitting Replace the table top and ts retaining screws Replace the flowmeter housing rear cover and its retaining screws Connect the pipeline hoses Perform the PMS Procedure given in Section 6 4 29 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 9 Oxygen Ratio Controller The Oxygen Ratio Controller ORC is part of the flowmeter sub assembly and is located within the flowmeter housing The 15 accessible by removing the rear flowmeter housing cover Figure 4 9 shows a typical ORC location and mounting arrangement with a detail of the O rings and filter The following procedure applies to both ORC designs P N 4111800 and Low Flow design P N 4113229 4 9 1 4 9 2 4 9 3 4 9 4 4 9 5 4 9 6 4 9 7 4 9 8 4 9 9 4 9 10 4 9 11 Disconnect
162. erside of the ventilator chassis 4 18 6 Slide the processor assembly out of the ventilator chassis and carefully disconnect the following J 1 O Sensor Cable J17 Volume Sensor Cable J 2 Speaker Wire Harness 119 Vapor Box Cable J 15 Pwr Supply Wire Harness J 22 Fan Wire Harness J 16 Ventilator Box Cable Breathing Pressure Sensor Hose 4 18 7 Inspect the jumper on J P1 on the replacement processor assembly and ensure it is installed on both pins of J P1 before installing the processor assembly NOTE This jumper is not placed on both pins of J P1 in order to prevent backup battery drain while the processor assembly is in stock 4 18 8 Position the replacement processor assembly part way into the ventilator chassis and connect the breathing pressure hose to the sensor on the processor board Carefully connect all of the cables that were previously removed 4 56 Rev A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued VENTILATOR BOX TOP VIEW WITH COVER REMOVED SV50537 BREATHING PRESSURE
163. es in the back cover of the display until the display has the desired amount of friction on the mounting rod Install the remote display and Datagrip cables in the cable clamps that were previously removed and reinstall their screws along the display arm bellows box and ventilator box Ensure that the display arm has full range of motion with no binding caused by the cables Install a tie strap to secure the remote display and Datagrip cables together Connect the remote display and Datagrip cables totheir ports on the underside of the ventilator box Restore power to the machine and verify operation of the remote display and Datagrip by exercising the display selections Perform the PMS Procedure given in Section 6 4 63 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 21 Display Assembly This procedure applies to both the adjustable arm and the short arm The display arm assembly includes a support plate that attaches to the left side of the machine with socket head screws that thread into the bellows box and ventilator box Before removing the display arm from the machine the Datagrip and remote display assembly must be removed from the outboard end of the arm Figure 4 21 shows a typical display arm mounting arrangement Figure 4 21A shows the cable routing arrangement for the adjustable arm and Figure 4 21B shwos the cable routing arrangement for
164. eters The flowmeter tubes are held by compression in gaskets at the top and bottom of each tube Each upper gasket is seated in an adjustable retainer that allows removal of the tube as shown in Figure 4 5 Access to the flow tubes and their retainers requires removal of the plexiglass cover on the gas instrumentation panel 4 5 1 Disconnect all pipeline hoses and set the System Power switch toON 4 5 2 Close all cylinder valves except the O valve 4 5 3 Set the oxygen flow to 5 liters per min 4 5 4 Open the other gas flow control valves to drain pressure from the system 4 5 5 Close the O cylinder valve and close the flow control valves Press the O Flush valve to drain oxygen pressure from the system 4 5 6 Set the System Power switch to STANDBY 4 5 7 Remove the screws holding the table top to the machine and lift out the table top 4 5 8 Remove the six screws holding the flowmeter shield and vapor box front cover panel and pull the panel forward approximately Y inch 4 5 9 Remove the oxygen flow control knob The knob has two setscrews NOTE If the knob must be rotated to allow access to a setscrew carefully note ts position so that can be re assembled in the same position with the Off Stop properly set 4 5 10 Remove the two screws holding the knob guard in place and remove the knob guard 4 5 11 Carefully remove the plexiglass cover from the front of the flowmeter housing 4 16 RETURN TO THIS MANUAL S
165. f carbon dioxide cease when the oxygen pressure is depleted __ Close the carbon dioxide flow control valve Set the gas selector switch to O 4N O 6 14 5 Deleted Theseitems do not apply to machines with later design P N 4113329 001 ORC 6 32 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued Rev AB 6 14 6 6 14 7 6 14 7 1 6 14 7 2 6 14 7 3 6 14 7 4 6 14 7 5 6 14 7 6 6 14 7 7 Deleted Oxygen Supply Pressure Alarm If not already connected connect a dedicated O test gauge to the TEE fitting in the O regulator output line Open and close an oxygen cylinder Set the oxygen flow to 2 l min What is the pressure on the dedicated O test gauge when the O2 SUPPLY PRESSURE LED turns on PSI 34 40 Does the 02 SUPPLY LOW message appear in the Caution display __ Bleed the remaining O pressure from the system then close the flow control valve Remove the test gauge from the TEE fitting in the O regulator output line and replace the plug 6 33 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 15 FLOWMETERS v v 6 15 1 Oxygen Flowmeter 6 15 1 1 6 15 1 2 6 15 1 3 6 15 1 4 6 15 1 5 6 15 1 6 6 15 1 7 6 15 18 Open the O cylinder valve Is it possible to adjust the flow of oxygen over the full range of
166. ght side of the panel is dear of its receptacle then pull the assembly out far enough to gain access to its connections 4125 Disconnect the alarm channel wiring harness from J 2 on the controller circuit board AV2 controllers also disconnect the Man Auto selector interface cable from J 7 on the circuit board 4 12 6 Disconnect the following large and small diameter pneumatic tubing the letters are keyed to the illustration A Small dia tube from solenoid to rear vent fitting on bellows box B Large dia tube from supply valve to venturi C Small dia tube to auto ranging valve D Large dia tube from main switch O supply 4 12 7 Remove the controller assembly from the machine 4 12 8 Position the replacement controller assembly in the ventilator box and reconnec the four pneumatic lines 4 12 9 Reconnect the alarm channel wire harness to J 2 on the controller circuit board On AV2 controllers also reconnect the Man Auto selector interface cable to 7 on the circuit board 4 39 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C TO VENTURI TO AUTO RANGING VALVE TO VENT 02 SUPPLY NS gt TOP VIEW A CONTROLLER E ASSEMBLY e IN VENTILATOR BOX W RETAINING SCREWS 2X SUPPLY VALVE D B c INSPIRATORY SOLENOID DE 5 FLOW REGULATOR A ON OFF SWITCH 1 2 CONTROLLER ALARM CHANNEL ASSEMBLY
167. h on the NM2C to STANDBY and the power SERIAL INTERFACE PORTA SV50555 Figure 7 1 Rev G switch on the PC to OFF Disconnect the interface cable lil PRINTER PORT NARKOMED 2 REAR VIEW NARKOMED 2C EXTERNAL SOFTWARE LOAD INTERFACE CONNECTION 7 3 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SOFTWARE UPDATE PROCEDURE continued NM2C SYSTEM STARTUP C 1994 NAD INC VERSION X XX SOFTWARE ID XXXX NM2C SOFTWARE LOADER LOADING IMAGE VERSION X XX NM2C SW FIGURE 7 2 NARKOMED 2C LOAD MODE SCREEN 7 3 INSTALLING NM2C SOFTWARE FROM THE Toinstall NM2C software from an a 3 in floppy disk with the N arkomed 2C software is needed 7 3 1 Insert the floppy disk into the 7 3 2 Set the System Power switch on the Narkomed 2C to STANDBY 7 3 3 Press and hold the SILENCE and AUTOSET keys on the remote display and turn the System Power switch to ON Release the keys when the load mode screen shown in Figure 7 2 appears Software installation is complete when the machine resets 7 4 Rev NM2C RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SOFTWARE UPDATE PROCEDURE continued 74 INSTALLING NM2C SOFIWARE FROM A PC USING THE SST Rev G Running the SST from an external computer requires an amp PC or IBM PC
168. he filter its connections and its mounting arrangement 4 13 1 4 13 2 4 13 3 4 13 4 4 13 5 4 13 6 4 13 7 4 13 8 4 13 9 4 13 10 4 13 11 4 13 12 4 13 13 4 13 14 Set the System Power switch to STANDBY and remove AC power from the machine Disable all circuit breakers by pulling each button out with a knife or sharp object If the machine is equipped with a second shelf remove any items from the shelf and remove the shelf from the machine Remove the four screws securing the ventilator box top panel Disconnect the ground wire and remove the panel Remove the two screws holding the safety cover over the AC power filter and remove the cover Disconnect the AC wiring from each side of the filter Note the position of the wires so they can be attached to the replacement filter in the same manner Unscrew the two hex post nuts holding the filter to the ventilator box and remove the filter Install the replacement filter and secure it with the two hex post nuts Connect the AC wiring to the replacement filter Be sure to observe the wire color code as illustrated Place the safety cover over the filter and secure it with the two screws that were previously removed Reconnect the ventilator box top panel ground wire and reinstall the panel with the four screws that were previously removed If applicable reinstall the top shelf on the machine Enable all circuit breakers by pressing their b
169. he indicated minute volume Does the MINUTE VOLUME LO message in the Caution column deactivate Y Increase the tidal volume to 1000 ml and the frequency to 10 BPM Press the O Flush momentarily to inflate the bellows Readjust the inspiratory flow as necessary to fully collapse the bellows Are the tidal and minute volumes on the Spiromed or ultrasonic flow sensor and on the test volumeter within 20 of each other Y Create a reverse flow by loosening the expiratory valve dome If equipped with an ultrasonic flow sensor remove the breathing hose from the flow sensor Connect a test terminal and a Riken aspirator negative pressure squeeze bulb to the 22 mm male port of the flow sensor Disconnect the hose attached to the exhalation valve Compress and release the aspirator Each time a reverse flow greater than 20 ml is detected does the REVERSE FLOW message appear in the Advisory column Y Tighten the expiratory valve dome If equipped with an ultrasonic flow sensor remove the test terminal and aspirator from the flow sensor and reconnect the patient circuit hose Reconnect the hose between the expiratory valve and the flow sensor Disconnec the respiratory volume sensor cord from the VOLUME SENSOR interface Dothe VOL SENSOR DISC and VOL ALARMS OFF messages appear in the Advisory column _ Y Reconnect the respiratory volume sensor cord to the Volume Sensor interface and verify that the alarms dear Select M
170. he pipeline hoses 5 1 11 A Perform the PMS Procedure given in Section 6 5 4 Rev B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued Rev A 5 2 Oxygen Supply Pressure Alarm Switch Adjustment 5 2 1 5 2 2 5 2 3 5 2 4 5 2 5 5 2 6 5 2 7 5 2 8 5 2 9 5 2 10 5 2 11 5 2 12 5 2 12 5 2 13 5 2 14 5 2 15 Disconnect all pipeline hoses and set the System Power switch to ON Close all cylinder valves except the O valve Set the oxygen flow to 5 liters per min Open the other gas flow control valves to drain pressure from the system Close the O cylinder valve and close the flow control valves Press the O Flush valve to drain oxygen pressure from the system Set the System Power switch to STANDBY Remove the rear cover from the flowmeter housing Remove the table top and pull the writing or keyboard tray out to its fully extended position Locate the TEE fitting in the Y in diameter regulator output line and remove the plug from the TEE fitting Connect a dedicated O test gauge to the TEE fitting Open the O cylinder valve and set the System Power switch to ON Set the oxygen flow to 5 liters per min Close the oxygen cylinder valve As the pressure drops the O SUPPLY alarm should activate when the pressure is between 40 and 34 psi as shown on the test gauge If the alarm activates when the p
171. heels should be locked in their Zero position If the right vaporizer does not lock loosen the locking nut on the right set screw and adjust the set screw until the handwheel locks properly Tighten the locking nut while holdingtheset screw to maintain the correct adjustment NOTE Do not over tighten the set screws Each vaporizer handwheel must turn easily while the other vaporizers are locked Turn theleft vaporizer OFF and turn the right vaporizer ON The center and the left vaporizer handwheels should be locked in their Zero position If the left vaporizer does not lock loosen the locking nut on the left set screw and adjust the set screw until the handwheel locks properly Tighten thelocking nut while holding the set screw to maintain the correct adjustment 4 10 13 Perform the PMS Procedure given in Section 6 4 35 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 11 02 Hush Valve The O flush valve 15 located at the front of the machine next to the fresh gas outlet Access to the flush valve requires removal of the table top Figure 4 11 shows the mounting and assembly details of the flush valve 4 11 1 4 11 2 4 11 3 4 11 4 4 11 5 4 11 6 4 11 7 4 11 8 4 11 9 4 11 10 4 11 11 4 11 12 4 11 13 Set the System Power switch to STANDBY Disconnect all pipeline hoses Close the O cylinder valve Press the O Flush valve
172. hygmomanometer the lower front corner mounting screw is a 20 x 2 in P N HWO9064 Lock Washer Ya split 6X HW65010 Datagrip Assembly 4111907 Service Exchange 5E4111907 Display SES EES 4112314 Service Exchange SE 4112314 Label Dot Datagrip 4111882 Knob ea kanaa aoa E otc EA 4111782 Set screw 6 32 x 1 2 in CUP pt HW04032 O ring 021 Neoprene 4104576 Cable assembly Datagrip 4112779 001 Screw 4 40 x 5 16 in btn hdskt 3x HWO9014 Screw 4 40 x 1 2 in btn hd skt 2x HW09028 MRICS eer ha E ee a h sbs s 4111780 Spring CPRSN 0 120 OD 3 41 4110975 020 Rev AA 8 9 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C 55 P 67 56 57 DISS BODY PIPELINE FITTINGS 68 58 59 62 61 60 NIST BODY 64 PIPELINE Ly A FITTINGS KAS l 63 DISS NUT 7 S PIPELINE lt gt FITTINGS gt 66 65 SV50515 8 10 Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued I
173. ie wrap clamp and disconnect the flexible tubing from the cutoff valve assembly at the point marked A on the illustration NOTE On later machines with assemblies that have brass fittings instead of nylon the flex tubing is attached with a press on hose damp instead of a tie strap 4 3 11 Remove the cylinder cutoff assembly 4 3 12 Connect the flexible tubing to the replacement cutoff valve assembly and secure it with a new tie wrap clamp 4 9 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C SV50526 E JENI HL NS a 2 E m N y N x 4x dy au ULL c 1 1 B De C A YA 2 CYLINDER AIR OR 3RD GAS N20 CYLINDER CUTOFF VALVE CYLINDER CUTOFF VALVE ASSEMBLY CUTOFF VALVE ASSEMBLY ASSEMBLY Figure 4 3 CYLINDER CUTOFF VALVES CANADA Rev G 4 10 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued 4 3 13 Connect and tighten the compression fittings at points marked on the illustratio
174. ification levels Alsoincluded are sample PMC labels marked to show several levels of certifications An excerpt from Draeger M edical nc s Anesthesia System Risk Analysis and Risk Reduction is included and also a sample of an Executive Summary to be furnished to the hospital s Risk Manager or Chief of Anesthesia Field Service Procedure DMI Recommendations Guidelines Index Anesthesia Systems Part Number 5010250 This Guideline was created to provide an assessment of each machine s certification It contains various comprehensive overviews of possible equipment conditions and their associated certification levels The first list in the Recommendation Guidelines is a reference chart for machine certification based on equipment status The second 15 an abbreviated summary of all DMI Recommendations and Failure Codes including the Condition Number Equipment Condition Recommended Corrections Certification Code and Tests Affected when applicable There is also a matrix classified as Failure Codes which identifies the correct manner in which to document equipment tests that fail or were unable to be performed due to circumstances beyond the control of the service technician performing the inspection Ex Air cylinder supply is unavailable to perform Air High Pressure Leak test The Failure Codes section also indicates suggested resolution of the situation Failure Code numbers begin at 34 and use the same certification levels strategy an
175. in BM PC or IBM PC Compatible configured with 7 1 1 7 1 2 PC DOS or MS DOS V3 3 or higher RS 232C Serial Port connected to COM 1 Hard Drive or Floppy Drive Modem or external modem Call the NAD Technical Service Department and obtain the following information for downloading NARKOMED 2C software System configuration Communications protocol Download the software to the hard disk or to Drive A on the PC INSTALLING NM2C SOFTWARE FROM A 7 2 1 7 2 2 7 2 3 7 2 4 7 2 5 7 2 6 Set the System Power switch the NARKOMED 2 to STANDBY and the power switch on the PC to OFF Connect the appropriate interface cable 9 pin or 25 pin to COM 1 on the PC and connect the other end of the cable to the NM2C serial interface Port A as shown in Figure 7 1 Press and hold the SILENCE and AUTOSET keys on the remote display and turn the System Power switch to ON Release the keys when the load mode screen shown in Figure 7 2 appears Power up the PC and wait for the DOS prompt to appear on the screen Set the PC to read the drive holding the software For example if the software was downloaded to drive A type A and press ENTER Type LOADNM2C and press ENTER Software installation is complete when the machine resets 7 2 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SOFTWARE UPDATE PROCEDURE continued 7 2 7 Set the System Power switc
176. izes what is the oxygen concentration __ 64 70 Close the nitrous oxide flow control valve 6 17 2 Oxygen Air Concentration if applicable 6 17 2 1 6 17 2 2 6 17 2 3 6 17 2 4 Y 6 17 25 6 17 2 6 6 17 2 7 6 17 2 8 Depress the O FLUSH button for 5 seconds Does the O Med read 97 100 after the value stabilizes Y Set the gas selector switch to ALL GASES Verify the O flow is at 4 l min set the air flow to 2 l min After the value stabilizes what is the O concentration __ 71 77 Close the air cylinder valve and bleed the pressure from the circuit if applicable Close the air flow control valve Set the gas selector switch to O W 0 These items do not apply to machines with later design P N 4113329 001 ORC Rev AB 6 39 6 17 3 6 17 3 1 6 17 3 2 6 17 3 3 6 17 3 4 6 17 3 5 6 17 3 6 6 17 3 7 6 17 3 8 6 17 3 9 6 17 4 6 17 4 1 6 17 4 2 6 17 4 3 6 17 44 6 17 45 6 1746 6 17 4 7 6 17 4 8 6 17 4 9 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C Oxygen Helum and Oxygen Concentration if applicable Depress the O FLUSH for 15 seconds Does the O Med read 97 100 within 3 minutes _ Y Set the gas selector switch to ALL GASES Verify the oxygen flow is at 4 Set the oxygen helium flow to 2 l min After the value stabilizes what is the O concentration
177. late 4 64 Rev B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued DISPLAY ARM 2 2 xo E l SUPPORT PLATE LOCKWASHER 6X SUPPORT PLATE MOUNTING SCREWS 6X SV50525 Figure 4 21 DISPLAY ARM 4 65 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C THREADED HOLE FOR 3 4 IN CABLE CLAMP MOUNTING PATIENT IV LOOM DETAIL CABLES gt 4111184 MOUNTING SCREW SPACER P N 4111199 005 P N 4110792 064 LOCKWASHER P N HW65010 BEARING 4111181 8 23 lt a SPACER D P N 4117092 064 Su CABLE CLAMPS DELRIN SPACER APPROXIMATE P N 4110792 044 LOCATION o DATAGRIP AND SV20501 REMOTE DISPLAY ASSEMBLY Figure 4 21A CABLE ROUTING ARRANGEMENT FOR ADJUSTABLE DISPLAY ARM 65A Rev RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued REMOTE DATAGRIP REAR VIEW OF DISPLAY PORT NARKOMED 2 PORT lt A 3 8 IN CABLE CLAMP COIL EXCESS CABLE MOUNTING SCREW P N 4111199 005 3 8 IN CABLE CLAMP LOCKWASHER P N HW65010 SPACER da BEARING P N 4110792 064 P N 4111181 SPACER P N 4117092 064 7 O THREADED HOLE FOR 3 4 IN CABLE CLAMP MOUNTING 3 8 IN CABLE CLAMP
178. ld Flowmeter Gas Domestic 4111831 Shield Flowmeter Gas Air Canada 4111830 002 Shield Flowmeter 3 Gas Export Gauge 4111826 Shield Flowmeter 3 Gas Export 5 Gauge 4111827 Shield Flowmeter 4 Gas Air CO Domestic 4111829 003 Shield Flowmeter 4 Gas Air O He Domestic 4111829 001 Shield Flowmeter 4 Gas Air O He Canada 4111829 002 Shield Flowmeter 4 Gas Export 4111828 Knob Guard 2 lt 4110621 knob Guard 4110574 Screw 6 22 x 7 16 btn hd 2 HW09017 K NOD Osna ua a ge 4103156 Label O Flow Control K nob Green USA 4103178 White UK Canada 4105981 Blue Germany 4111266 002 aima ise 4103736 Label Flow Control Knob Blue USA UK Canada 4103904 Gray Germany 4111266 004 Label Air Flow Control Knob Yellow USA Germany 4103905 Black White UK Canada 4105982 Label CO Flow Control Knob Gray USA UK Canada 4103908 Black Germany 4111266 006 Label O He Flow Control Knob Green Brown 05
179. le nose pliers may be used to turn the valve but use care not to damage the valve s fragile disk 6 7C 2 3 Brush any accumulated lint or dust off the valve with a soft brush The valve may be further cleaned with a low flow of clean air or oxygen 6 7C 2 4 Reinstall the plastic washer and valve into the scavenger body Replace the valve cover 6 7C 3 Secondary Negative Relief Valve Cleaning 6 7C 3 1 Unscrew the chrome plated valve housing on the left side of the scavenger body by turning its fitting counter clockwise with a wrench 6 7C 3 2 Unscrew the valve from the housing by turning it in a counter clockwise direction 6 7C 3 3 Brush any accumulated lint or dust off the valve with a soft brush The valve may be further cleaned with a low flow of clean air or oxygen 6 7C 3 4 Reinstall the valve in the housing and then reinstall the housing into the scavenger body Note This valve does not require washers or O rings 6 7C 4 Positive Relief Valve Cleaning 6 7C 4 1 Remove the valve housing on the right side of the scavenger body by turning it counter clockwise 6 7C 4 2 Inspect the rubber O ring and replace if worn Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 7 4 3 6 7 4 4 6 7C 4 5 6 7C 4 6 Remove the valve from the housing by turning it counter dockwise A needle nose pliers may be used toturn the valve but use care not
180. liers can be used to turn the valve Be careful not to damage the valve disk Remove any accumulated lint or dust from the valve with a soft brush The valve may be further cleaned with a low flow of clean air or oxygen The scavenger body can be cleaned with a moist cloth Reinstall the valve into the housing making sure that it is threaded all the way into the housing and that the plastic washer is properly seated on its upper surface Make sure that the interior of the valve body is completely dry Reinstall the valve housing onto the scavenger body making sure that the O ring is properly seated 6 7A 2 Scavenger A C Positive Pressure Relief 6 7A 2 1 6 7A 2 2 6 7A 2 3 Connect a 19 mm scavenger hose between the bottom of the absorber pole and the right hand port on the scavenger Connect a short 19 mm scavenger hose between the APL valve and the port on the rear of the absorber pole Connect a 19 mm scavenger hose between the ventilator relief valve and the left hand port on the scavenger Connect a short 22 mm breathing hose from the inspiratory valve to the expiratory valve on the absorber or the expiratory hose terminal on the ultrasonic flow sensor if applicable Set the Man Auto valve to the AUTO position 6 8 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 7A 2 4 6 7A 2 5 6 7A 2 6 If the absorber system or ventilator bellows are
181. low control valve 6 28 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued Y 6 13 3 Air High Pressure Leak if applicable 6 13 3 1 6 13 3 2 6 13 3 3 6 13 3 4 6 13 3 5 6 13 3 6 6 13 3 7 Set the gas selector switch to ALL GASES Open the air cylinder valve Let the pressure stabilize Close the air cylinder valve and remove the cylinder Observe the air cylinder pressure gauge After two 2 minutes what is the pressure loss X PSI lt 50 Attach the air cylinder Y 6 13 4 Oxygen Helium High Pressure Leak if applicable 6 13 4 1 6 13 4 2 6 13 4 3 6 13 4 4 6 13 4 5 6 13 4 6 6 13 4 7 Set the gas selector switch to ALL GASES Open the oxygen helium cylinder valve Let the pressure stabilize Close the oxygen helium cylinder valve and remove the cylinder Observe the oxygen helium cylinder pressure gauge After two 2 minutes what is the pressure 10552 __ PSI lt 50 Attach the oxygen helium cylinder These items do not apply to machines with later design P N 4113329 001 ORC Rev AB 6 29 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 13 5 6 13 5 1 6 13 5 2 6 13 5 3 6 13 5 4 6 13 5 5 6 13 5 6 6 13 5 7 Carbon Dioxide High Pressure Leak if applicable Set the gas selector switch to ALL GASES
182. low oxygen warning The operator of the system 15 advised to frequently scan the oxygen readings and alarm limits Following is an explanation of machine certification levels Certified No recommendations apply to machine being inspected Only item number 33 No Recommendations shall apply for this certification level Certified with Recommendations A numbered recommendation with a code of B applies to the machine being examined Conditionally Certified A numbered recommendation with a code of or applies to the machine being examined No Certification A numbered recommendation with a code of D applies to the machine being examined When multiple recommendations apply No Certification would take precedence over Conditionally Certified and Certified with Recommendations Conditionally Certified would take precedence over Certified with Recommendations 6 1G Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued For example A Narkomed 3 could have recommendation number 21 and failure code 61 1 apply 21 No ventilator pressure limit control Code is B 61 1 Enflurane agent is unavailable to test Code is BC Correct certification for this machine is BC which means CONDITIONALLY CERTIFIED WITH RECOMMENDATIONS A Narkomed 4 could have recommendation numbers 14 and 21 apply 14 CO2 Agent monitor exhaust port is not properly co
183. low to the bottom of the low range Set the oxygen flow rate to 4 Set the Pressure Limit Control to the MAX position Occlude the Y piece with your thumb Slowly increase the Inspiratory Flow setting until a peak pressure of 80 cm H O is achieved Set the Pressure Limit Control to 30 What is the peak pressure cm H O 27 33 Set the Pressure Limit Control to the Min position What is the peak pressure cm H O lt 15 Remove your thumb from the Y piece Set the Inspiratory Flow to the maximum of the LOW zone Close the oxygen flow control valve Turn the ventilator OFF 6 54 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 28 This section intentionally left blank 6 29 AUDIO SILENCE Rev AB 6 29 1 6 29 2 6 29 3 6 29 4 6 29 5 6 29 6 Turn the System Power switch to STANDBY then turn it ON Verify the 120 sec delay at power up and allow a full countdown Create any warning alarm Press the key labeled with a crossed out speaker Does the SILENCE 120 message appear on the display 15 the audio alarm silenced during the count down _ Y Does the SILENCE count down to 0 and then disappear _ Y 6 55 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 30 OXYGEN FLUSH VALVE 6 30 1 6 30 2 6 30 3 6 30 4 6 30 5 6 30 6 6 30 7 6 30 8 6
184. lug the unit into the safety analyzer and plug the power cord of the safety analyzer into an AC receptacle The BIOTECH 501 PRO will automatically test the source outlet for open ground or ground resistance of 31 Q or higher reverse polarity open neutral and open line The latter two conditions will prevent the analyzer from powering up Set the safety analyzer function switch to the GROUND WIRE RESISTANCE position Attach the test lead to the SINGLE LEAD connector of the analyzer Connect the other end of the red test lead to the ground socket of the front panel outlet on the safety analyzer Verify a displayed resistance of 0 000 or if necessary press the CALIBRATE key on the front panel of the analyzer to zero the device Set the safety analyzer GROUND switch to NORMAL Set the POLARITY switch to OFF The safety analyzer shall indicate 0 1 or less with its test lead applied to the following points Cylinder yoke Power supply assembly chassis Each convenience outlet ground socket Each Auxiliary Outlet Strip ground socket 6 1 2 Circuit Isolation 6 1 2 1 6 1 2 2 Disconnect the respiratory volume sensor cord from the interface panel With a multimeter set to its highest resistance es range check for continuity between the power 59 Sn supply chassis and the circuit common at the pd sensor interface connector keyway pin usethe 12 s o clock position for the Spiromed connector or the position in
185. machine 15 displayed The service functions that are available through the SST main menu are described on the following pages To terminate the SST program move the cursor to EXIT SST with the down arrow key and press ENTER Rev G 7 7 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SOFTWARE UPDATE PROCEDURE continued NM2C 7 6 1 Seral Port Configuration Thescreen shown in Figure 7 4 indicates the current configuration parameters for each of the Narkomed 2 serial ports and also allows changing of these settings At the SST Main Menu set the cursor to SERIAL PORT CONFIGURATION and press ENTER to display the Serial Port Configuration screen MACHINE ID NM2C SOFTWARE VERSION 1 20 SERIAL NUMBER 00011066 SYSTEM FEATURES 0003 PROTOCOL BAUD PARITY STOP DATA PTA VITALINK 9600 NONE 1 8 PTB OR LINK 9600 EVEN 2 8 F10 PREVIOUS MENU SV50102 Figure 7 4 SERIAL PORT CONFIGURATION SCREEN Move the flashing cursor in the PROTOCOL column to the line corresponding to the port for which you want to change the settings Press ENTER then use the up or down arrow key to make the selection and press ENTER again The cursor will start flashing Move the flashing cursor tothe BAUD column and press ENTER up or down arrow key to select the desired baud rate and press ENTER again The cursor will start flashing Move the flashing cursor to the PARITY column and press ENTER Use
186. manner The selection wheel can now be used to select the service screens described in the following paragraphs Selecting RESET and pressing the trigger will set the last service date to the current date and the hours run since last service to zero Selecting ORDM DISPLAY allows O R Data Manager diagnostic information to appear on the screen pressing the trigger while in the ORDM mode returns the display to the Service M ode Selecting EXIT and pressing the trigger will return the display to normal operation MAIN SERVICE SCREEN MACHINE SERIAL NUMBER XXXXXXXX LAST SERVICE DATE 1 3 94 was LOG HOURS RUN SINCE LAST SERVICE 97 TAL HOURS RUN ud ORDM CRITERIA DISPLAY MONITORS TECHNICAL SERVICE 1 D SELECTS FUNCTION gt ADJUST SERVICE CODE SETTING Figure 2 3 MAIN SERVICE SCREEN SERVICE MODE Rev A 2 3 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS DIAGNOSTICS continued NM2C 2 2 Service Log The Service Log Screen displays a tabular listing of each service event including date time parameter code and event description as shown in Figure 2 4 To enter the Service Log screen from the Main Service Screen highlight SERVICE LOG ref Figure 2 3 with the selection wheel and press the trigger With SCROLL LOG highlighted press the trigger to enable scrolling through the list of service log e
187. n 4 3 14 Perform the following test Remove the plug from the test gauge connection at the Tee fitting the regulator outlet piping and install a test gauge NOTE Thecylinders used for this test must contain the following minimum pressure O 1000 PSI AIR 1000 PSI O He 1000 PSI 745PSI Set the System Power switch to ON For the O cutoff valve open the O cylinder valve and set the oxygen flow to 4 liters per min For the cutoff valve open the O cylinder valve and the cylinder valve Set each flow to 4 liters per min Verify that regulator outlet pressure is between 43 and 49 PSI Connect the pipeline hoses and pressurize to 50 PSI Turn off the pipeline supply and observe the pipeline pressure gauge The cutoff valve shall open when the pipeline pressure drops through the range of 45 to 40 PSI Close the cylinder valve s and close the flow control valve s Disconnect test pressure gauge and reinstall the plug in the regulator outlet piping 4 3 15 Replace the table top and its retaining screws 4 3 16 Replace the top drawer in the cabinet 4 3 17 Connect the pipeline hoses 4 3 18 Perform the PMS Procedure given in Section 6 O Flow Test Disconnect all pipeline supplies nstall a full cylinder on the machine and open the cylinder valve Turn the System Power switch to ON Set the Inspiratory Flow control to maximum high and turn the ventilator switch
188. n be measured at TB1 terminals 1 and 2 on the power supply During battery operation the low battery cutoff voltage should be within the range of 10 5 to 10 0 VDC Troubleshooting Guides Table 3 2 lists common failure modes and symptoms excluding simultaneous multiple faults for the monitoring and display devices in the NARKOMED 2 Each failure mode or symptom is keyed to a troubleshooting guide flow chart at the back of this section to assist the TSR in locating a problem These flow charts assume that the machine is plugged into an AC outlet with the correct voltage and the machine is not running on its backup battery TABLE 3 2 NARKOMED 2C FAILURE MODE AND SYMPTOM LIST FAILURE MODE SYMPTOM CORRECTIVE ACTION Loss of Monitor Loss of Breathing Pressure Monitor Loss of Respiratory Volume Monitor Ventilator Inoperative 3 3 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS TROUBLESHOOTING GUIDE continued NM2C GUIDE 1 Loss of O Monitor START 15 02 MONITOR WORKING X PROPERLY CONNECT SENSOR N CORD TO INTERFACE PANEL IS SENSOR CORD CONNECTED INTERFACE PANEL INSTALL SENSOR ELEMENT CORRECTLY 15 SENSOR ELEMENT INSTALLED CORRECTLY CHECK INTERNAL CABLE FROM INTERFACE PANEL TO J10N PROCESSOR BOARD IS 02 MONITOR WORKING PROPERLY
189. nada 185 Pilot Actuator Modified 186 Clippard Valve MJ 2 187 TeeFitting 1 4Tube x MPT 188 Pl TUDO a 189 Straight Fitting Y4 Tube x 8 27 4110364 4106498 4106218 4109406 4109410 4106218 4103072 4109408 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SPARE AND REPLACEMENT PARTS continued NM2C SV00538 FRESHGAS 8 27A Rev AA RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SPARE AND REPLACEMENT PARTS continued ITEM DESCRIPTION PART NUMBER 1 Fresh Gas outlet assembly Canada 4109015 2 Block GUIDE crias a 4110707 3 Plate aces ite ah Malus Mrs 4110708 001 4 Common outlet 15 x 22MM 4109013 5 Block solderasm 4108662 001 6 Label Freshgas Outlet A Vx 4108666 001 7 Screw 1 4 OD x 14 28 x 4 6 L sltd 4109011 8 Spring CPRSN 0 36 OD 13 81 4110975 002 9 Screw 1 4 20 x 1 1 4 L cap skt hd HW01039 10 BUSHING 2 4 sss a
190. nal and inflation bulb from the Breathing Bag port Return all controls to their original positions 6 21 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C Y 6 9 MANUAL SPHYG MOMANOMETER if applicable 6 9 1 6 9 2 6 9 3 6 9 4 6 9 5 6 9 6 6 9 7 6 9 8 6 9 9 6 9 10 6 9 11 6 9 12 6 9 13 6 9 14 6 9 15 Insert the male Luer fitting of the Sphygmomanometer squeeze bulb hose assembly into the female Luer fitting labeled BP BULB on the front of the machine Wrap the blood pressure cuff around an E cylinder Hand pump the squeeze bulb until pressure of 200 mm Hg is indicated on the Sphygmomanometer gauge on the machine Pinch the hose adjacent to the Luer fitting to assure that the hose bulb is not the source of any leak After thirty 30 seconds what is the pressure on the Sphygmomanometer gauge mm Hg 190 200 Bleed the pressure The Sphygmomanometer should indicate within the band Attach a test gauge in series with the sphygmomanometer gauge being tested Hand pump the squeeze bulb until the machine gauge indicates 100 mm Hg What does the test gauge indicate __ mm Hg 90 110 Hand pump the squeeze bulb until the machine gauge indicates 200 mm Hg What does the test gauge indicate Hg 180 220 Hand pump the squeeze bulb until the machine gauge indicates 300 mm Hg What does the test gauge indicate
191. ndations Guidelines Index P N SO10250 to determine correct certification level starting point Failure codes shall be documented on the RECOMMENDATIONS GENERAL COMMENTS section of thePM Certification form and on the Executive Summary If a test fails that has not been identified by the Failure Codes list consult with Draeger Medical Inc to assess the proper certification level Basedonthe EQUIPMENT CONDITION inspect the machinefor any RECOMMENDATIONS that would apply Use the Narkomed 2 section of the RECOMMENDATION GUIDELINES INDEX P N 5010250 Note all applicable recommendations on the Executive Summary NOTE If using a carbon form indicatethe Equipment Condition number and toseereverseside under the RECOMMENDATIONS GENERAL COMMENTS section of the form Determine the correct certification level of the machine based on the combined lowest common denominator of Equipment Conditions and Failure Codes the machine is at least conditionally certified fill out the PM CERTIFICATION label Check the box s on the validation label where appropriate Write the month and year three months from date of PM Certification next to NEXT VISIT DUE If certification level D machine shall not receive a CERTIFICATION label Any machine not receiving a PM Certification label shall receive a WARNING NOT CERTIFIED label This label shall be placed at a prominent location on the left side of the machine after
192. nect the following cables from the side board of the power supply J2 Ribbon Cable to Alarm Channel 3 Wire Harness to Processor Remove the screw holding the battery retainer bar and remove the retainer bar Removethe screw on the underside of the power supply compartment securing the battery retainer bar post and remove the post 4 53 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C TB1 BATTERY WIRE HARNESS CIRCUIT BREAKER WIRE HARNESS J3 J2 TB2 WHT BLU O WHT BRN O GRN YEL O BLU 4Q BRN C J2 LAMP d CONNECTOR CAPTIVE MOUNTING SCREWS 4X POWER SUPPLY ASSEMBLY POWER SUPPLY COMPARTMENT SV50506 Figure 4 17 POWER SUPPLY 4 54 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued Rev A 4 17 10 4 17 11 4 17 12 4 17 13 4 17 14 4 17 15 4 17 16 4 17 17 4 17 18 4 17 19 Disconnect the battery wire harness from the center circuit breaker CB2 Note the wire color and position of the wires so that the harness can be reinstalled in the same manner Lift the battery from the compartment Loosen the four captive mounting screws on the power supply chassis Lift the power supply and slide it tothe right until the left edge of the supply
193. nnected to the waste gas scavenger Code B 21 No ventilator pressure limit control Code B The correct certification for this machine 15 B which means CERTIFIED WITH RECOMMENDATIONS A Narkomed 28 2 or GS could have recommendation 30 apply 30 Anesthesia machine is equipped with inhalation anesthesia vaporizers without an agent analyzer the breathing system Code The correct certification for this machine is which means CERTIFIED WITH RECOMMENDATIONS A Narkomed 6000 could have no DMI recommendations or failure codes apply The correct certificaiton level for this machine is Code A CERTIFIED Code D which means NO CERTIFICATION also means the machine shall not receive a Periodic Manufacturer s Certification label The machine shall also receive a WARNING This System is Not Certified label P N 4114857 This label shall be placed at a prominent location on the right side of the machine after all other previous PM and Vigilance Audit Validation labels have been removed Rev AB 6 1H RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C PM Certification Procedure for Narkomed 2C Anesthesia System 1 2 Use the PM Certification form for Narkomed 2B 2C GS Anesthesia Systems P N 5010211 Completely fill in the header information All Narkomed 2Cs are equipped with Humphrey valves Indicate so with next to the MJ V 2 LUBRICATIO
194. nomed flowmeter to the test terminal 6 18 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued Rev AB v 6 8 7 1 5 Turn the System Power switch to ON turn up the oxygen flow until the system pressurizes to 30 6 8 7 1 6 What is the value indicated on the flowmeter _ lt 60ml min 6 8 7 1 7 Remove all test equipment and turn the System Power switch to STANDBY 6 8 7 2 Inspiration Valve Leak 6 8 7 2 1 Connect a test terminal to the inspiratory valve 6 8 7 2 2 Connect a tee fitting P N 4109292 and calibrated pressure meter to the test terminal 6 8 7 2 3 Connect a pressure bulb to the open port of the tee adapter 6 8 7 2 4 Connect another test terminal to the bag connector 6 8 7 2 5 Connect a Capnomed flowmeter to the test terminal on the bag mount 6 8 7 2 6 Pressurize the system to 30 6 8 7 2 7 What is the value indicated on the flow meter _ lt 60 ml min 6 8 7 2 8 Remove all test equipment 6 8 7 3 Flow Direction 6 8 7 3 1 Attach a breathing circuit with a 3 liter bag at the Y piece to the inspiration valve and expiration valve or the expiratory hose terminal on the ultrasonic flow sensor if applicable 6 8 7 3 2 Attach a 3 liter bag to the swivel bag mount 6 8 7 3 3 Turn the System Power switch to ON 6 8 7 3 4 Set the flow to 4 l min 6 8 7 3 5 Inflate the simulated lung by briefly using the O Flu
195. nspect the tube and clean with compressed air if needed Reassemble the scavenger assembly and reactivate the vacuum source 6 9 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 7B 2 Scavenger Open Reservoir Negative Pressure Relief 6 7B 2 1 6 7B 2 2 6 7 2 3 6 7 2 4 6 7 2 5 Connect 19 mm scavenger hose between the bottom of the absorber pole and the right hand port on the scavenger Connect a 19 mm scavenger hose between the APL valve and the rear port on the absorber pole The left hand scavenger port may be capped for this test or may be connected to the ventilator relief valve Connect a DISS vacuum hose to the threaded terminal on the left side of the scavenger Alternatively an adapter can be used to attach a wall suction hose to the hose barb fitting on the adapter Connect a short 22 mm breathing hose from the inspiratory valve to the expiratory valve on the absorber or the expiratory hose terminal on the ultrasonic flow sensor if applicable Set the Man Auto selector valve to the BAG position Turn the APL valve control knob fully counter clockwise Verify that the suction waste gas disposal system is active Adjust the scavenger needle valve until the flowmeter indicates between the white lines Close all flow control valves on the anesthesia machine Occlude the absorber breathing bag terminal Install a scavenger adapter with a hos
196. nstall the replacement flow control valve in the valve body CAUTION Before tightening the cartridge rotate the valve shaft several turns counter clockwise to prevent bottoming the valve element into the seat when the cartridge is tightened Replace the stop pin nut Replace the knob guard and secure it with the two mounting screws 4 20 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued FLOW CONTROL VALVE VALVE HOUSING KNOB GUARD LABEL KNOB SV50502 Figure 4 6 FLOW CONTROL VALVES Rev G 4 24 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 6 14 Set the System Power switch to ON 4 6 15A For the O flow control valve Open the oxygen cylinder valve Turn the flow control valve clockwise until the flow rate will not drop any further If the machine has been modified to eliminate the minimum flow feature turn the valve until the flow rate is zero 4 6 15B For the other gas flow control valves 4 6 16 4 6 17 4 6 18 4 6 19 4 6 20 Open the oxygen cylinder valve and open the cylinder valve corresponding to the flow control valve replacement Set the oxygen flow rate to four liters per minute Turn the other gas flow control valve clockwise until the flow rate is zero Place the knob on the flow control valve shaft and turn it clock
197. ntact DragerService at 800 543 5047 for service of this equipment Draeger M edical I nc also recommends that its anesthesia equi pment be serviced at three month intervals Periodic Manufacturer s Service Agreements are availablefor equi pment manufactured by Draeger Medical Inc For further information concerning these agreements please contact us at Draeger Medical 800 543 5047 Draeger Medical Inc products material in need of factory repair shall be sent to Dr gerService 3124 Commerce Drive Telford PA 18969 Include RMA Number HOW TO USE THIS MANUAL The manual is divided into several sections The DIAGNOSTICS section describes self test and service diagnostics for checking the system functions An understanding of the on board service capabilities is necessary before any attempt is made to troubleshoot the unit The TROUBLESHOOTING section lists error codes and provides troubleshooting guides to assist the TSR in locating the source of a problem The REPLACEMENT PROCEDURES section contains instructions for removal and replacement of the assemblies that are considered field replaceable The ADJ USTMENT AND CALIBRATION PROCEDURES section contains the field procedures needed to restore original system specifications The Periodic Manufacturer s Service PMS PROCEDURE section outlines the steps required to verify the electrical mechanical and pneumatic safety of the unit and also identifies components requiring periodi
198. nting screws and gas line connection requires that the table top be removed from the machine 4 1 1 Disconnect all pipeline hoses and set the System Power switch to ON 4 1 2 Close all cylinder valves except the O valve 4 1 3 Set the oxygen flow to 5 liters per min 4 1 4 Open the other gas flow control valves to drain pressure from the system 4 1 5 Close the O cylinder valve and close the flow control valves Press the O Flush valve to drain oxygen pressure from the system 4 1 6 Set the System Power switch to STANDBY 4 1 7 Remove the cylinder where the yoke is to be replaced WARNING Store the cylinder in a safe place and lay it on its side 4 1 8 Remove the screws holding the table top to the machine and lift out the table top 4 1 9 Pull the writing or keyboard tray out to its fully extended position 4 110 Disconnect the gas line fitting at the yoke and remove the two yoke mounting screws 4 1 41 Removethe filter and check valve assembly from the yoke and install a replacement assembly NOTE If the entire yoke assembly is being replaced verify that the pin indexing arrangement and the label are in agreement with the gas designation stamped on the mounting surface of the yoke Refer to the parts list in Section 8 NOTE If the yoke spacer is removed from the frame rail of the machine be sure to re install it in its original position 4 2 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONT
199. ntries with the selection wheel To obtain a printout of the service log if you are in the Scroll mode first return to the selection mode by pressing the trigger select PRINT LOG and press the trigger to activate the printer Select EXIT and press the trigger to return the display to the Main Service Screen SERVICE LOG SCROLL LOG DATE 11 01 92 11 01 92 11 02 92 11 13 92 PARAMETER CODE DESCRIPTION PRINT LOG XXXXXXXX XXXX INSTALLATION XXXX SOFTWARE STARTUP 02 CAL XXXX SOFTWARE STARTUP SELECTS FUNCTION gt ACTIVATES FUNCTION Figure 2 4 SERVICE LOG 24 Rev A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C DIAGNOSTICS continued 2 3 PMS Screen The 5 Criteria Screen allows a service representative to select for display the month of the next scheduled Periodic M anufacturer s Service This screen 15 shown in Figure 2 5 To enter the PMS Schedule Service Screen from the Main Service Screen highlight PMS CRITERIA ref Figure 2 3 with the selection wheel and press the trigger Turn the selection wheel to indicate the desired month and press the trigger to enter that month To return to the Main Service Screen select EXIT and press the trigger SELECT CRITERIA FOR PREVENTIVE MAINTENANCE MESSAGE SELECTS FUNCTION gt ADJUST SETTING Figure 2 5 PMS CRITERIA SCREEN
200. on Y 6 21 11 Set the Man Auto selector switch to AUTO 6 2112 Verify the FAULT indicator turns off Y 6 2113 Do the APNEA P ALARM OFF VOL ALARMS OFF messages disappear from the Advisory column Y 6 21 14 Adjust the INSPIRATORY FLOW to the maximum of the LOW zone 6 21 15 Ocdude the Y piece with your thumb 6 21 16 Inflate the bellows by momentarily pressing the O Flush Y 6 2117 What is the peak inspiratory pressure cm H O gt 30 cm H O 6 21 18 Attach a test lung to the Y piece These items only apply to machines with an AV2 ventilator Rev AB 6 45 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 21 19 6 21 20 6 21 21 6 21 22 6 21 23 6 21 24 6 21 25 6 21 26 6 21 27 6 21 28 Using a stopwatch time the inspiratory phase What is the inspiratory time ___ seconds 1 8 2 2 Using a stopwatch time the expiratory phase What is the expiratory time ___ seconds 3 6 4 4 Press and hold the EXTENDED RANGE switch and scroll the E ratio dial counter clockwise and verify the extended values increment 2 1 3 1 and 4 1 return the ratio to 2 1 Using a stopwatch time the inspiratory phase What is the inspiratory time seconds 3 6 4 4 Using a stopwatch time the expiratory phase What is the expiratory time ___ seconds 1 8 2 2 Adjust the FREQUENCY
201. or 6 47 6 248 Bellows Adult 6 49 6 248 Ventilator Relief Valve Adult 6 49 ii Rev P RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C CONTENTS continued DESCRIPTION PAGE 6 25A Bellows Pediatric External 6 50 6 258 Bellows Pediatric Internal 6 52 6 26 amp 6 54 6 27 Pressure Limit Controller 6 54 6 29 6 55 6 30 Oxygen Flush Valve eee 6 56 ox MEI NI II 6 57 SECTION 7 Software Update Procedure 7 1 7 1 Software Transfer to PC Modem 7 2 7 2 Installing NM2C Software 7 2 7 3 Installing NM2C Software from the ORDM 7 4 74 Installing NM2C Software from a PC using the SST 7 5 7 5 Installing NM2C Software from the ORDM using the SST 7 6 76 SST Operation usss hhi am usa h huu e 7 7 SECTION 8 Spare and Replacement Parts ASSEMBLY PART PAGE Processor Asm and related cables Fan Convenience Outlets and related items 8 2 8 3 AV 2 Ventilator Controller A
202. orrectly you will be able to tighten the set screws several turns until they stop If you experience resistance STOP tightening the set screw to prevent damage to the magnet assembly Re align the magnet assembly and tighten the set screw correctly Perform the PMS procedure given in Section 6 4 78 Rev Z RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued O RING MAGNET ASSEMBLY O RING Sims 28 5 7 7 m RETAINING RING SCREWS DOWEL PIN RETAINING RING ANAY REAR VIEW OF KNOB SET SCREW 2X 20559 Figure 4 27 PEEP Valve Magnet Assembly Replacement Rev Z 4 79 A C NTENTS TAE NT NTE TAE i RETURI C RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES 5 0 ADJ USIMENTAND CALIBRATION PROCEDURES Rev B Equipment Required Test Gauge for setting cylinder pressure regulators NAD Part No S000063A Oxygen Monitor for adjusting Oxygen Ratio Controller Test fixture with breathing pressure line connector TEE connector gauge and inflation device for breathing pressure monitor calibration 7 64 in hex wrench for display arm friction adjustment 5 1 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AN
203. ose the oxygen flow control valve What is the flow of nitrous oxide ml min 0 or 375 750 ml min on machines with later design ORC P N 4113329 001 What is the oxygen concentration with the O flow control valve closed 96 221 Close the nitrous oxide flow control valve These items do not apply to machines with later design P N 4113329 001 ORC 6 42 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 20 BAROMED v Rev AB 6 20 1 6 20 2 6 20 3 6 20 4 6 20 5 6 20 6 6 20 7 6 20 8 6 20 9 6 20 10 6 20 11 6 20 12 6 20 13 6 20 14 6 20 15 6 20 16 6 20 17 6 20 18 Disconnect the breathing pressure sensor line from the absorber Connect a test pressure gauge and syringe to the breathing pressure sensor line Enter the SET UP screen and select the THRESHOLD PRES alarm limit Does a box shall appear around the Threshold Alarm Limit _ Y What is the threshold alarm default _ cm H O 12 Verify that the threshold alarm limit has a range from 5 to 30 cm Adjust the threshold to 10 cm H20 Select the PRESSURE HIGH alarm limit Does a box shall appear around the High Pressure Alarm Limit _ Y What is the high alarm limit default cm H O 50 Verify that the high alarm limit has a range from 30 to 120 cm Set the high alarm limit to 65 cm H O and exit from the set up menu In
204. overage of lubricant Insert the valve channel into the valve body Insert the spring into the stick shift block Align the index pins on the stick shift block to the holes in the valve channel Securethe stick shift block tothe selector valve body with the four screws that were previously removed Operate the selector valve handle and verify smooth movement 6 15 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C Y 6 8 3 Lubrication Spiromed Sensor if applicable 6 8 3 1 Locate the four lateral holes at the sides of the Spiromed sensor marked by printed arrows CAUTION Use only Sensor Lubrication Kit P N 2218180 for the 6 8 3 2 6 8 3 3 6 8 3 4 6 8 3 5 6 8 3 6 6 8 3 7 6 8 3 8 following procedure Remove the protective cover from the pipette and open the lubricant bottle Dip the tip of the pipette into the lubricant and draw one drop of lubricant into the pipette by pulling the pin upwards Insert the pipette into one of the four holes as far as it will go Push the pin forward to its stop to inject lubricant into the hole Repeat the procedure on the three remaining holes Wipe any lubricant residue from the exterior of the sensor Reattach the sensor to the absorber top dome Reattach the expiratory valve to the sensor 6 16 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROC
205. oxide flow control valve 6 15 5 5 Is the correct flow control knob and label attached to the carbon dioxide flow control valve Y These items do not apply to machines with later design P N 4113329 001 ORC 6 36 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 16 02 MED Rev AB 6 16 1 6 16 2 6 16 3 6 16 4 6 16 5 6 16 6 6 16 7 6 16 8 6 16 9 6 16 10 6 16 11 6 16 12 6 16 13 6 16 14 6 16 15 Disconnect the oxygen sensor cable from the Oxygen Sensor interface The following message shall appear on the remote display O2 SENS DISC Reconnect the O Med sensor The following message shall appear on the remote display CAL 02 SENSOR Press the Datagrip trigger select SET UP and perform an calibration Make surethat the sensor has been stabilized in ambient air for several minutes After calibration is completed what is the oxygen concentration 96 21 Select TEMPLATE and press the trigger select GET TEMPLATE and enter the factory defaults The warning INSP O2 LOW shall appear on the remote display and the warning heading shall be flashing There shall be a continuous audible alarm What is the low oxygen alarm default _ 96 30 Exit the Default screen and re enter the SET UP screen Select the OXY GEN LOW alarm limit Does a box appear around the low alarm limit _ Y Verif
206. r cabinet drawers Ensure that their locking tabs are correctly in place Enable the circuit breakers and restore power to the machine Perform the PMS Procedure given in Section 6 4 55A Rev A RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued This page intentionally left blank Rev A 4 55B RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 18 Processor Assembly The Processor Assembly 15 located in the ventilator chassis and 15 accessible by removing the back panel of the ventilator box Figure 4 18 shows the electrical and pneumatic connections to the processor assembly and its mounting arrangement 4 18 1 Turn the System Power switch to STANDBY and remove AC power from the machine CAUTION Do not plug or unplug the remote display with power applied 4 18 2 Disconnect any serial interface or printer cables from their ports on the underside of the ventilator chassis Disconnect the Datagrip and remote display cables 4 183 Remove the six screws securing the back panel of the ventilator box and remove the panel CAUTION The processor board contains static sensitive devices Use ESD protection when handling this assembly 4 18 4 Disconnect the O R DATA MANAGER ribbon cable from J 5 on the processor board 4 18 5 Remove the two processor assembly mounting screws from the und
207. r switch to STANDBY and remove AC power from the machine Close all cylinder valves and disconnect the pipeline hoses from the machine Press the O Flush button to relieve pressure from the system Adjust the TIDAL VOLUME control to raise the volume indicator to its maximum setting Disconnect the breathing hose and the scavenger hose from the bellows assembly Loosen the wing nuts and remove the bellows assembly Remove the canister from the bellows box by pulling it downward Unscrew the bellows guide from the adjustment rod Loosen the set screws on the tidal volume indicator note the position of the indicator on the adjustment rod so that t can be reassembled in the same position and remove the indicator Remove the screws holding the bellows box front panel and knob assemblies and remove the panel Loosen the rear support plate screw and remove the two front support plate screws Pull the support plate forward then lower it to a point where the tubing connections are accessible Disconnect the large diameter tubing from the venturi and the small diameter tubing from the auto ranging valve Carefully remove the assembly from the machine Mounting screws for the adjustable pressure limit control and the valve case assembly are shown in the illustration 4 44 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued 10
208. r the machine to the floor Check for proper operation of the caster and ensure that the front casters lock properly Perform the PMS Procedure given in Section 6 including a vaporizer calibration verification Replace any unsecured equipment and accessories that were previously removed 4 48 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued SETSCREW PLASTIC CAP Figure 4 15 CASTER REPLACEMENT 4 49 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 16 Battery The backup battery is located in the power supply compartment below the cabinet drawers Access to the power supply requires removal of the lower drawers and removal of the power supply compartment cover Figure 4 16 shows the power supply connection and mounting arrangement 4 16 1 416 2 416 3 Turn the System Power switch to STANDBY and remove AC power from the machine Disable the circuit breakers on the side of the power supply compartment by pulling out each button with a knife or sharp object Remove the bottom and center drawers from the cabinet by pulling each one out to its fully extended position pressing in the locking tabs and lifting it from the tracks WARNING Ensure that AC power 15 removed from the machine before 416 4 416 5 4 16 6 4 16 7 4 16 8 4 16 9
209. require a response at the corresponding line on the checklist form Space 15 also provided on the PMC checklist form to record the results of a vapor concentration test NOTE Test equipment listed below with an asterisk requires calibration at a maximum interval of one year Verify the dates on test equipment calibraitonlabels DO NOT USE any test equipment having an expired calibration date Notify your supervisor immediately if any equipment is found to be out of calibration In the space provided at the bottom of the PMC checklist form record the Model and ID number of all calibrated test equipment used Also record the calibration due dates Test Equipment Required Multi Meter Fluke or equivalent Electrical Safety Analyzer Biotek 501 Pro or equivalent Regulator Test Pressure Gauge P N 5000063 or equivalent Fresh Gas Outlet Volume Test Device P N 5010158 or equivalent Fresh Gas Leak Test Device P N 4113119 or equivalent Adapter Assembly Test Terminal P N 4104389 or equivalent two are required Flowmeter Test Stand Capnomed P N S000081 or equivalent Breathing System Leak Test Device P N S010159 or equivalent Baromed Pressure Test Fixture or equivalent Test Minute Volume Meter P N 2212300 or equivalent Digital Pressure Manometer SenSym PDM 200CD or Equivalent Riken Gas Indicator Model 18H or 1802D or equivalent Stop Watch Service Test Lung P N 4115128 Materi
210. ressure is below 34 psi or above 40 psi turn the adjustment wheel see illustration repeat the test and adjust as necessary to bring the set point into the correct range Turn the System Power switch to STANDBY Disconnect the test gauge and replace the plug in the regulator line TEE fitting 5 5 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C ADJUSTMENT WHEEL INCREASE SETPOINT gt lt DECREASE SETPOINT N e REAR VIEW OF S ALARM CHANNEL 9 peu FLOWMETER HOUSING 2 REAR COVER REMOVED SR OXYGEN SUPPLY PRESSURE ALARM SWITCH Figure 5 2 OXYGEN SUPPLY PRESSURE ALARM SWITCH 5 6 SV50552 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued 5 2 16 5 2 17 5 2 18 5 2 19 Replace the table top and ts retaining screws Replace the rear cover and ts retaining screws Connect the pipeline hoses Perform the PMS Procedure given in Section 6 5 7 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C 5 3 Oxygen Ratio Controller ORC Adjustment NOTE 5 3 1 5 3 2 5 3 3 5 3 4 5 3 5 5
211. rtment below the cabinet drawers Access to the power supply requires removal of the lower drawers and removal of the power supply compartment cover Figure 4 17 shows the power supply connection and mounting arrangement 4 17 1 Turn the System Power switch to STANDBY and remove AC power from the machine 4 17 2 Disable the circuit breakers on the side of the power supply compartment by pulling out each button with a knife or sharp object 4 17 3 Remove the bottom and center drawers from the cabinet by pulling each one out to its fully extended position pressing in the locking tabs and lifting it from the tracks WARNING Ensure that AC power is removed from the machine before 4 17 4 4 17 5 4 17 6 4 17 7 4 17 8 4 17 9 opening the power supply compartment cover F ailureto observe this precaution may cause injury by electric shock Removethe four screws holding the power supply compartment cover and remove the cover Place a support under the power supply compartment and removethe screws holding the compartment to the frame rails Lower the front of the compartment to gain access to the inside Disconnec the following items from the bottom board on the power supply 2 Lamp Connector bottom board TB1 Battery Wire Harness two wires TB2 Circuit Breaker Wire Harness five wires Note the wire color and position of the wires so that the replacement power supply can be connected in the same manner Discon
212. sh 6 8 7 3 6 Partially open the APL valve 6 19 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C v 6 8 8 6 8 7 3 7 Squeeze the breathing bag attached to the bag mount at a rate of approximately 10 BPM Readjust the APL valve if required to properly ventilate the simulated lung 6 8 7 3 8 Observe operation of each unidirectional valve disc at eye level and make sure the inspiratory valve disc raises only during theinspiration phase and the expiratory valve raises only during the exhalation phase Watch the valves until satisfied that both valves operate correctly and move freely without sticking 6 8 7 3 9 Remove the breathing circuit 6 8 7 3 10 Open the APL valve Absorber PEEP Valve w By Pass if applicable 6 8 8 1 6 8 8 2 6 8 8 3 6 8 8 4 6 8 8 5 6 8 8 6 6 8 8 7 6 8 8 8 6 8 8 9 Connec a 12 in hose between the inspiratory and expiratory valves and set the O flow to 5 l min Place the PEEP bypass in the ON position Adjust the absorber PEEP valve dockwise to the maximum positi on Does the PEEP valve adjust smoothly _ Y What is the maximum PEEP __ cm 15 22 Place the PEEP bypass in the OFF position Does the PEEP return to lt 3 cm H O Y Adjust the absorber PEEP valve counterclockwise to its minimum position Close the O flow control valve These items apply only to machines with a PE
213. ss ENTER again Move the cursor with the up down keys to select the desired functions These are described in the following paragraphs 7 12 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SOFTWARE UPDATE PROCEDURE continued 7 6 6 Download System Software This screen displays the list of protocols available for communication with external monitors At the Primary Service Menu described earlier move the cursor to LOAD SYSTEM SOFTWARE and press ENTER Maximum protocols selected MACHINE ID NM2C SOFTWARE VERSION 1 20 SERIAL NUMBER 00011066 SYSTEM FEATURES 0003 CRITICAR 1100 1 01 DATEX CARDCAP 1 00 COLIN BP 508 1 00 SIEMENS SIRECUST 1 00 CRITICAR POET IQ 1 00 DATEX AS3 1 00 CRITIKON DINAMAP 1 00 PURITAN BENNETT 1 00 DATASCOP DIAP 1 00 DATASCOP MULTINEX 1 00 TRAM NET 1 00 SPACELAB LOGGER 1 00 NELLCOR N 1000 1 00 indicates selected protocol MAXIMUM PROTOCOL SELECTED ESC or F10 to download code SV50124 Figure 7 9 SELECT PROTOCOL SCREEN Use the up and down arrow keys to scroll through the list press ENTER to select the desired protocol 5 and press ESC to initiate the downloading process Ref Paragraphs 7 4 and 7 5 Rev G 7 13 7 6 7 Service Log RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SOFTWARE UPDATE PROCEDURE continued NM2C This screen displays the service log of the machine sho
214. ssembly 8 4 8 5 Valve Case and Guide Assembly Pressure Limit Control Bellows Assembly 8 6 8 7 Bellows Valve Assembly details 8 7A 8 7B Display Arm Datagrip and Display Assemblies 8 8 8 9 Pipeline Inlet Fittings 8 10 8 11 Failsafe Assemblies Minimum O Flow Valve Assembly 8 12 8 13 Vapor Indicator PCB Vapor Select Switches Gas Selector Switch and Valves 8 14 8 15 Vapor Exclusion System 8 15A 8 15B ORC Assembly o s d etr RU a AROS AAA A 8 16 8 17 Alarm Channel Assembly and related cables 8 18 8 19 Flowmeter Shields Knobs Labels Gauges 8 20 8 21 Flow Tubes Restrictor Assemblies Flow Control Valve 8 22 8 23 Cyl Regulator Assemblies Flush Valve and related 5 8 24 8 25 CSA Items Relief Valve Cylinder Cutoff Valves 8 26 8 27 Canada Fresh Gas Outlet 8 27A 8 27B Yokes Common Parts LabelS 8 28 8 29 Sensor Interface Panel Asms AC Power Battery Power Supply Casters 8 30 8 31 Data M
215. t lock loosen the locking nut on the left set screw and adjust the set screw until the handwheel locks properly Tighten the locking nut while holding the set screw to maintain the correct adjustment When the interlock adjustment procedure is completed ensure that all vaporizer handwheels are set to their zero or OFF position Perform the PMS Procedure given in Section 6 5 17 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C VAPORIZER INTERLOCK MECHANISM REAR VIEW SV40660 O Q O O Eu xm Fer O Q LEFT SETSCREW VAPORIZER CENTER MOUNTING SCREW RIGHT SETSCREWS LOCATIONS 2 EA SETSCREW RECESSED Figure 5 7 VAPORIZER INTERLOCK ADJUSTMENT 5 18 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE 6 0 PMC PROCEDURE NARKOMED 2C The procedures in this section shall be performed in their entirety each time a component 15 removed replaced calibrated adjusted and during all scheduled Periodic Manufacturer s Certification PMC visits A PMC Checklist form P N 5010211 available from the Draeger Medical Inc Technical Service Department shall be completed by the TSR each time a PMC s performed Steps in the procedure marked with
216. ters _ Y Is the gauge dosest to the table top for cylinder supply pressure Y Bleed all pressure from the cylinder circuit Are the cylinder gauges at zero 0 PSI __ Y Open the cylinder valves Do the cylinder pressure gauges respond properly Y 6 11 3 Pipeline Gauges 6 11 3 1 6 11 3 2 6 11 3 3 6 11 3 4 6 11 3 5 6 11 3 6 6 11 3 7 Are the gauges right below the flowmeters for pipeline supply pressure Y Are the pipeline pressure gauges at zero 0 PSI Y Connec the pipeline supply Do the pipeline pressure gauges respond properly _ Y Are the correct gas identification labels affixed at each of the pipeline inlets _ Y Does the back panel identify each of the pipeline inlets properly 7 Disconnect the pipeline hoses 6 25 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 12 HIGH PRESSURE REG ULATOR Minimum cylinder pressures for this test are N20 CO2 600 psi 6 12 1 6 12 2 6 12 3 6 12 4 6 12 5 6 12 6 6 12 7 6 12 8 6 12 9 6 12 10 6 12 11 6 12 12 6 12 13 6 12 14 6 12 15 O2 Air He O2 2 1000 psi Verify the System Power switch 15 ON Verify all cylinder valves are closed except the O valve Set the oxygen flow to 4 liters per min Open the other gas flow control valves to drain pressure from the system Close the O cylinder val
217. the flowmeters Y Close the O cylinder valve and bleed the pressure Connect the O pipeline supply and verify the operation of the oxygen flowmeter Is the correct flow control knob and label attached to the oxygen flow control valve _ Y Close the oxygen flow control valve Set the Gas Selector switch to the position What is the minimum flow of oxygen 100 200 ml min 0 ml for 4107615A Minimum O Flow Elimination 6 15 2 Nitrous Oxide Flowmeter 6 15 2 1 6 15 2 2 6 15 2 3 6 15 2 4 6 15 2 5 6 15 2 6 6 15 2 7 Set the oxygen flow to 4 l min Open the nitrous oxide cylinder valve Is it possibleto adjust the flow of nitrous oxide over the full range of the flowmeter Y Close the nitrous oxide cylinder valve and bleed the pressure Connect the pipeline supply and verify the proper operation of the flowmeter 15 the correct flow control knob and label attached to the flow control valve _ Y Close the oxygen and nitrous oxide flow control valves Theseitems do not apply 2 gas machines or later design P N 4113329 001 ORC 6 34 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued v v Rev AB 6 15 3 Air Fowmeter if applicable 6 15 3 1 671532 ae 6 15 3 3 671534 6 15 3 5 6 15 3 6 6 15 3 7 6 15 3 8 Set the gas selector switch to
218. the arm in a horizontal position slowly re tighten the friction adjustment screw until the arm stays in position when raised or lowered Do not over tighten the screw as this will cause the arm to loose tension in the raised position Machine Mount Joint 5 4 2 1 If there is excessive free swing at the machine mount joint tighten the shoulder screw shown in the illustration The correct torque setting is 75 in lbs Datagrip and Remote Display Assembly Torque Adjustment 5 4 3 1 Remove the plastic cap at the end of the display arm to expose the remote display assembly mounting screw 5 4 3 2 While holding the remote display assembly tighten the mounting screw to a torque of 3 to 5 foot pounds 5 4 3 3 Replace the plastic cap at the end of the display arm 5 11 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS ADJUSTMENT AND CALIBRATION PROCEDURES continued NM2C SHOULDER SCREW MACHINE MOUNT JOINT FRICTION ADJUSTMENT FRICTION ADJUSTMENT SCREW ON UNDERSIDE OF DISPLAY ARM USE 7 64 in HEX WRENCH SV63001 Figure 5 4 DISPLAY ARM ADJUSTMENTS 5 12 Rev E RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C ADJUSTMENT AND CALIBRATION PROCEDURES continued Rev 5 5 Oxygen Sensor Calibration 5 5 1 5 5 2 5 5 3 5 5 4 5 5 5 Turn the System Power switch to ON Enter the Main Service Screen ref Section 2 select the appropriate
219. the auxiliary oxygen flowmeter _ Y Set the flow rate to 5 l min Hold the sensor from a calibrated O Med at the auxiliary oxygen flowmeter outlet After the value stabilizes what is the oxygen concentration _ 97 100 Remove the O Med sensor from the auxiliary oxygen flowmeter and insert it into the inspiratory valve dome adapter Close the flowmeter flow control valve 6 41 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 19A OXYGEN RATIO CONTROLLER E 6 19A 1 6 19A 2 6 19A 3 6 19A 4 6 19 5 6 19A 6 Y 6 19 7 6 19A 8 6 19 9 6 19A 10 6 194 11 6 19A 12 6 19A 13 6 19 14 6 19A 15 6 19A 16 Set the Gas Selector switch to O N O Depress the O F LUSH for 5 seconds Set the oxygen flow to 1000 ml min Open the nitrous oxide flow control valve to the stop position What is the oxygen concentration after the value stabilizes 21 29 Adjust the oxygen flow to 1 5 What is the oxygen concentration after the value stabilizes 21 29 Adjust the oxygen flow to 2 l min What is the oxygen concentration after the value stabilizes 21 29 Adjust the oxygen flow to 4 l min What is the oxygen concentration after the value stabilizes __ 21 29 Reduce the flow to 500 ml min Verify that the flow is greater than or equal to 600 ml min Cl
220. this test Close the oxygen cylinder valve The pressure should not drop more than 50 psi in two minutes Connect a volumeter to the fresh gas outlet and reset the volumeter to zero Press the O Flush button and observe the flow rate It should be between 45 and 65 liters per minute Disconnect the volumeter from the fresh gas outlet Connect the absorber fresh gas hose to the fresh gas outlet Replace the table top and secure it with the mounting screws Connect the pipeline hoses Perform the PMS Procedure given in Section 6 4 38 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued Rev F 4 12 AV 2 and AV 2 Ventilator Controller Assembly The Ventilator Controller assembly 15 attached to the left front panel of the ventilator box and includes electrical and pneumatic components Figures 4 12 and 4 12A show the mounting screw locations and connections tothe ventilator controller 4 121 Set the System Power switch to STANDBY and remove AC power from the machine 4 12 2 Disconnect all pipeline hoses and close all cylinder val ves CAUTION Thecontroller circuit board contains static sensitive devices Use ESD protection when handling the controller assembly 4123 Remove the two screws securing the left end of the ventilator controller panel 4 124 Pull the left side of the panel outward slide it to the left until the locking tab on the ri
221. to ON Set the oxygen flow to 10 l min Verify that the oxygen flow does not drop below 8 l min while the ventilator is running Press and hold the O FLUSH button while observing the O flowmeter and verify that the oxygen flow does not drop below 8 l min f the oxygen flow in either of the above two steps drops below 8 l min replace the O cutoff valve assembly Rev C 4 11 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 4 Cylinder and Pipeline Pressure Gauges Replacement of the cylinder and pipeline pressure gauges requires that the plexiglass front cover be removed from the gas nstrumentation panel and also the rear cover for access to the gauge connections Figure 4 4 shows gauge mounting and connection details 4 4 1 4 4 2 4 4 3 4 4 4 4 4 5 4 4 6 4 4 7 4 4 8 4 4 9 4 4 10 4 4 11 4 4 12 Disconnect all pipeline hoses and set the System Power switch toON Close all cylinder valves except the O valve Set the oxygen flow to 5 liters per min Open the other gas flow control valves to drain pressure from the system Close the O cylinder valve and close the flow control valves Press the O Flush valve to drain oxygen pressure from the system Set the System Power switch to STANDBY Remove the screws holding the rear cover and remove the cover Remove the screws holding the table top to the machine and
222. to return to the Main Service Screen Select the PMS Service Code and press the Datagrip trigger Select and enter your Technical Service Rep D number Set the cursor to RESET and press the trigger This resets the last service date to the current date and resets the hours run since last service to zero Set the cursor to PMS CRITERIA and press the trigger Select and enter the month of the next service due date The internal clock of the machine limits the amount of date advance to a maximum of six months from the current service date 6 6 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 6 CALIBRATIONS Rev AB 6 6 1 6 6 2 6 6 3 6 6 4 6 6 5 6 6 6 6 6 7 6 6 8 6 6 9 6 6 10 6 6 11 6 6 12 6 6 13 Set the cursor to MONITORS and press the trigger to bring up the Oxygen Monitor Service Screen Remove the oxygen sensor from the valve dome adapter and remove the oxygen sensor capsule from the oxygen sensor housing When the CURRENT CELL A and CURRENT CELL B readings have stabilized set the cursor to STORE ZERO and press the trigger to store the values NOTE The higher the offset the higher the calculated oxygen concentration appears at high concentrations Put the oxygen sensor capsule into the oxygen sensor housing Set the cursor to PRESSURE MONITOR and press the trigger to enter the pressure monitor service scre
223. turn to activate sub screen MACHINE ID NM2C SOFTWARE VERSION 1 20 SERIAL NUMBER 00011066 SYSTEM FEATURES 0003 Save Serial Ports Restore Serial Ports F10 PREVIOUS MENU SV50121 Figure 7 7 SAVE RESTORE SETTINGS SCREEN Press ESC on the ORDM F10 on the external PC to return to the Primary Service Menu If desired press ESC or F10 again to return to the SST Main Menu Rev G 7 11 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS SOFTWARE UPDATE PROCEDURE continued NM2C 7 65 Primary Service Menu At the SST Main Menu move the cursor to ENTER PRIMARY SERVICE and press ENTER Software installation and other service functions are entered through this screen shown in Figure 7 8 Press arrow keys to change menu items return to activate sub screen MACHINE ID NM2C SOFTWARE VERSION 1 20 SERIAL NUMBER 00011066 SYSTEM FEATURES 0003 ACCESS LEVEL VIEW SERVICE ID Load System Software Service Log F10 PREVIOUS MENU SV50105 Figure 7 8 PRIMARY SERVICE MENU With the flashing cursor at ACCESS LEVEL press ENTER Use the up or down arrow key to select the desired mode and press ENTER The following service modes are available VIEW For verifying machine configuration and status SERV For unscheduled service PMS For scheduled Periodic Manufacturer s Service INST For initial installation Type in your ID on the ORDM or external PC keyboard and pre
224. turned fully counter dockwise the bellows does not collapse during inspiration Readjust the knob to the fully dockwise position Adjust the O flow to 10 l min What is the PEEP cmH O x3 Adjust the O flow to 500 ml min Does the ventilator deliver the full tidal volume during 5 consecutive cycles Y Set the ventilator frequency to 20 BPM and the I E ration to 1 1 6 50 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 25A 20 6 25 21 6 25A 22 6 25A 23 6 25 24 6 25 25 6 25 26 6 25 27 6 25A 28 6 25A 29 Rev AB Adjust the flow to l min What is the tidal volume on the test volumeter _ ml 2250 Remove the ventilator hose from the ventilator hose terminal Attach a test terminal to the bellows assembly ventilator hose terminal Connect a flowmeter test stand P N 5000081 to the test terminal Set the frequency to 1 BPM Set the I E RATIO to 1 1 What is the flow indicated during the inspiratory phase 50 ml Remove the test terminal and flowmeter test stand Return all controls to their original position 6 51 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS PMC PROCEDURE continued NM2C 6 25B 6 25B 1 6 25B 2 6 25B 3 6 25B 4 6 25B 5 6 25B 6 6 25B 7 6 25B 8 6 25B 9 6 25B 10 6 25B 11 6 25B 12 6 25B 13 6 25B 14 6 25B 15 6
225. ure Monitor Service Screen The Pressure Monitor Service Screen shown in Figure 2 7 displays the current reading for airway pressure a procedure for zero and span calibration and the stored calibration values To enter the Pressure Monitor Service Screen from the Oxygen Monitor Service Screen highlight PRESSURE MONITOR ref Figure 2 6 with the selection wheel and press the trigger To perform a zero calibration highlight STORE ZERO with the selection wheel and follow the procedure shown on the screen Pressing the trigger stores the current value as the new zero calibration To perform a span calibration highlight STORE SPAN with the selection wheel and follow the procedure shown on the screen pressing the trigger stores the current value as the new span calibration To return to the Oxygen Monitor Screen select OXY GEN MONITOR and press the trigger To return the Main Service Screen select EXIT and press the trigger PRESSURE MONITOR SERVICE SCREEN STORE ZERO CURRENT PRESSURE VALUE 201 STORE SPAN ZERO CALIBRATION PROCEDURE REMOVE PRESSURE SAMPLE LINE FROM ABSORBER EXPOSE TO AIR LET CURRENT PRESSURE VALUE STABILIZE SELECT THE STORE ZERO KEY AND PRESS THE TRIGGER TO ENTER THE CURRENT VALUE AS THE OXYGEN CALIBRATION ZERO VALUE MONITOR SPAN CALIBRATION PROCEDURE REMOVE PRESSURE SAMPLE LINE FROM ABSORBER APPLY 50 CMH20 CONSTANT PRESSURE AT THE SAMPLE LINE VERIFIED BY A KNOWN CALIBRATED METER LET CURRE
226. uttons in Restore power to the machine and perform the PMS Procedure given in Section 6 4 42 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued NARKOMED 2C VENTILATOR BOX TOP VIEW FILTER MOUNTING SPACERS 2X ZA BROWN GREEN BLACK a YELLOW WHITE i BLUE CONVENIENCE OUTLET AC POWER FILTER 7 SCREWS i v 2 U Dan SV50538 AC POWER FILTER COVER Figure 4 13 CONVENIENCE OUTLET POWER FILTER Rev G 4 43 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS REPLACEMENT PROCEDURES continued NM2C 4 14 Ventilator Bellows Valve and Guide Assembly with Pressure Limit Control The Ventilator Bellows Valve and Guide Assembly and the Pressure Limit Control are located in the bellows box on the left side of the machine Access tothe components requires removal of the bellows box front panel and removal of the upper bellows support plate from the bellows box Figure 4 14 shows the pneumatic connections and the mounting arrangement of the components 4 14 1 4 14 2 4 14 3 4 14 4 4 14 5 4 14 6 4 14 7 4 14 8 4 14 9 4 14 10 4 14 11 4 14 12 4 14 13 Set the System Powe
227. ve and press the O Flush valve to drain oxygen pressure from the system Turn the System Power switch to STANDBY Remove the table top from the machine and remove the top cabinet drawer Refer to replacement procedure 4 2 Locate the TEE fitting in the in diameter O regulator output line and remove the plug from the TEE fitting Connect a dedicated O test gauge to the TEE fitting Two test gauges are required to avoid contamination of the O circuit from the other gases a dedicated test gauge for O and a second test gauge for the other gases Open the O cylinder valve Turn the System Power switch to ON and turn the gas selector switch to ALL GASES if applicable Verify the oxygen flow is 4 liters per min On the test gauge what is the regulator output press PSI 43 49 Leave the dedicated O test gauge connected for later use the Oxygen Supply Pressure Alarm Test Turn the System Power switch to STANDBY For the other pressure regulators locate their corresponding TEE fittings in the Ya in diameter regulator output line and remove the plug from the TEE fitting one at a time Connect the second test gauge to the TEE fitting 6 26 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued v Rev AB 6 12 16 6 12 17 6 12 18 6 12 19 6 12 20 6 12 21 Open the corresponding cylinder valve and set the System Power switch
228. wing a list of normal and failed events error events service and calibration events See Figure 7 10 At the Primary Service Menu described earlier set the cursor at SERVICE LOG and press ENTER MACHINE ID NM2C SERIAL NUMBER 00011066 001 12 07 95 002 12 07 95 003 12 07 95 004 12 07 95 005 12 07 95 006 12 07 95 007 12 07 95 008 12 07 95 F1 SAVE 09 17 09 16 09 13 09 11 09 09 09 08 09 07 09 06 00000005 TEO1 ORDM ORDM ORDM ORDM 06000400 ORDM 06000400 SOFTWARE VERSION 1 20 SYSTEM FEATURES 0003 V001 V003 V002 V001 0000 V001 0000 ENTERING VTLK COM VTLK COM VTLK COM VTLK COM SOFTWARE VTLK COM SOFTWARE TESTMODE ERROR REGAINED LOST ERROR STARTUP ERROR STARTUP F10 PREVIOUS MENU Figure 7 10 SERVICE LOG SCREEN SV50106 Use the up and down arrow keys to scroll through the log PGUP and PGDN keys to move from page to page in the log To copy the service log tothe disk drivein the ORDM or the external PC press the F1 save key To clear the service log press the DRUGS key on the ORDM F3 on the external PC This function is not available the VIEW mode Press ESC on the ORDM F10 on the external PC to return to the Primary Service Menu If desired press ESC or F10 again to return to the SST Main Menu 7 14 Rev G RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C SOFTWARE UPDATE PROCEDURE continued 7 6 8 Secondary
229. wise until it engages the stop pin Tighten one of the knob setscrews Turn the knob in both directions and ensure that the flow can be controlled over its entire range When the valve is closed the knob should be against the clockwise stop Tighten the remaining setscrew If the knob label is not horizontal when the valve is closed remove the label and install a new label in the correct position Connect the pipeline hoses Perform the PMS Procedure given in Section 6 4 22 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C REPLACEMENT PROCEDURES continued Rev B 4 7 Oxygen Supply Pressure Failure Protection Device The oxygen supply failure protection devices failsafe assemblies are located within the flowmeter housing Access to these assemblies requires removal of the rear cover Figure 4 7 shows a typical arrangement of a failsafe assembly and its connections 4 7 1 4 7 2 4 7 3 4 7 4 4 7 5 4 7 6 4 7 7 4 7 8 NOTE 4 7 9 NOTE 4 7 10 4 7 11 Disconnect all pipeline hoses and set the System Power switch to ON Close all cylinder valves except the O valve Set the oxygen flow to 5 liters per min Open the other gas flow control valves to drain pressure from the system Close the O cylinder valve and the O flow control valve Press the O Flush valve to drain oxygen pressure from the system Set the System Power switch to STANDBY Remove the s
230. y that the low alarm limit has a range from 18 to 99 Place the oxygen sensor intotheinspiratory valve dome adapter set the Man Auto selector BAG close the APL valve Attach a 12 inch hose to the inspiratory valve and occlude the bag mount Set the oxygen flow to 4 Set the low limit to 18 and verify the INSP O2 LOW message has cleared 6 37 RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS 6 16 16 Select the OXYGEN HIGH alarm limit Does a box appear around the high alarm limit _ Y 6 16 17 What is the high oxygen alarm default __ 100 6 16 18 Verify that the high alarm limit has a range from 100 to 19 6 16 19 Set the high alarm limit to 95 6 16 20 The message INSP O2 HIGH shall appear on the remote display under the Advisory column 6 16 21 Return the high alarm limit to 100 6 16 22 ThelNSP O2 HIGH message shall disappear Y 61623 Within minutes what is the oxygen concentration 97 100 6 38 Rev AB RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C PMC PROCEDURE continued 6 17 OXYGEN CONCENTRATIONS 6 17 1 Oxygen Nitrous Oxide Concentration 6 17 1 1 6 17 1 2 6 17 1 3 6 17 1 4 6 17 1 5 6 17 1 6 Verify the oxygen flow is at 4 Depress the O Flush button for 5 seconds Does the O Med read 97 100 after the value stabilizes Y Set the nitrous oxide flow to 2 l min After the value stabil
231. ystems NAD Logo Narkomed O R Data Manager O R Link ORM PC Prep View Quality Service For Life Vigilance Audit Vitalert Vitalink and Narkomed GS are registered trademarks of Draeger Medical Inc All other products or name brands are trademarks of their respective owners Disclaimer The content of this manual 15 furnished for informational use only and 15 subject to change without notice Draeger Medical assumes no responsibility or liability for any errors or inaccuracies that may appear in this manual 1 2 Rev L RETURN TO THIS MANUAL S TABLE OF CONTENTS RETURN TO CD ROM TABLE OF CONTENTS NM2C DIAGNOSTICS 2 0 DIAGNOSTCS The Narkomed 2C contains a diagnostic system that monitors certain system functions and records their operational status A series of tests is performed when the system 15 powered up and the results are displayed on the diagnostics screen shown in Figure 2 1 The display also includes one of three messages at the completion of the diagnostics FUNCTIONAL This message indicates that the NARKOMED 2 has passed all power up tests and is fully functional The machine will proceed to the MACHINE MONITOR screen after a short delay CONDITIONALLY This message indicates that a minor problem has been FUNCTIONAL detected The NARKOMED 2C will retain this display until the trigger is pressed then the MACHINE MONITOR screen will be displayed NON FUNCTIONAL This message indicates that a serious problem

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