A200SP Service Manual.qxd
Contents
1. 5 1 Mounting the Absorber CAUTION If the absorber has to be lifted or carried by hana always support the weight of the unit under the base Do not lift the absorber by gripping any of the components attached to the manifold block at the top of the absorber WARNING The absorber assembly must only be used when securely mounted in an upright position a Non return valves are gravity operated b Spillage of absorbent may contaminate the breathing system Polemount bracket assembly 1 Secure the polemount assembly to the side of the anaesthetic machine Mount the absorber on the bracket assembly and secure by tightening the knob 2 Height Adjustment Slacken the knob 2 and position the assembly at the required height Tighten the knob Lateral Adjustment Slacken the knob 3 and carefully adjust to the required position Tighten the knob INSTALLATION AND OPERATION 5 2 System Connection Hoses and Cables Schematic AV S and A200SP Absorber CN F D JONE Be ID 11 12 13 14 15 16 17 Bellows Ventilator Control Unit Outlets to Anaesthetic Gas Scavenging System AGSS Bacterial Filter Absorber valve block Heat and moisture exchanger Patient CGO Block on anaesthetic machine Fresh Gas Supply Auxiliary Outlet on anaesthetic machine Drive Gas Supply Flow sensor expiratory Flow sensor inspiratory Connectors sensor pressure moni2. Bag Arm Assembly Item Part No Description Quantity 1 029011 Molykote BG87 A R 2 057003 Loctite 242 A R 3 041231 O Ring 20 0 X 1 5 Cs 3 4 5000131 O Ring 17 0 I D X 1 5 Section Viton 1 5 041207 O Ring 0251 16 1 6 5000391 Label Bag Arm 2 7 041212 O Ring 19 1 X 1 6 Viton 1 8 041217 O Ring 1 9 5000085 Bag Arm Locking Ring 1 10 5000086 Bag Arm Locking Nut 1 11 5000087 Bag Arm Connector 1 12 5000084 Bag Arm Tube Inner 1 13 5000127 Screw M4 X 8 SKT Set 3 14 5000077 Bag End Adaptor 1 15 5000078 Bag Arm Swivel 1 16 5000079 Bag Arm 1 34 PARTS LIST NOTES 1 PRESS FIT 3 16 DIA ST STL BALLS TO GIVE APPROPRIATE LIFT TO SWITCH QUADRANT BALLS SHOULD PROTRUDE BY DIMENSION SHOWN IN SECTION 2 FIT HOLLOW DOWELS USING LOGTITE 601 RETAINER 057001 eds 4 T e SEE NOTE 2 AN _8 a Centre Plate Assembly Item Part No Description Quantity 1 031064 Spring 04 6 X 8 0LG 1 2 5000307 Push Pin 1 3 5000309 Push Rod Plate 1 4 5000075 Hollow Dowel 2 5 5000126 O ring 14 0 I D X 1 5 Section Viton 1 6 5000111 APL Valve Seat 1 7 057001 Loctite 601 A R 8 5000115 Valve Seat 2 9 0462 3 16 Ball SS 2 10 5000112 Centre Plate 1 11 041231 O Ring Y 20 0 X 1 5 CS 2 12 01067 Washer M3 Plain 2 13 01153 Screw M3 X 6 Pan HD 2 14 5000308 Push Rod 1 35 PARTS LIST Manometer Item Part No 5000121 1 5000349 5000083 5000082 D GAUGE MECHANISM
3. Description Manometer Assembly Includes O Ring 10 0 I D X 1 5 Section Viton Gauge Connector Gauge Cover 36 Quantity PARTS LIST APL Valve Item Part No 1 5000105 2 5000106 3 5000107 4 5000125 5 019074 6 041245 7 5000128 8 020001 9 5000110 10 5000108 11 041256 12 5000363 13 5000364 14 020510 15 029011 16 020533 17 5000468 18 019117 19 041238 9 Sly 6 EN az Se AAN 5 GER 1 41 as SE Kl SES 10 17 i 16 R G7 Kl i ay 1 WW ER SE K 17 NY 412s TE CITY Ee Description APL Valve Plunger APL Valve Adjuster APL Valve Body Compression Spring M5 X 16 LG Set Screw Ss O Seal 07 0 X 1 5 O Ring 24 0 I D X 2 0 Section Silicon M5 Nut APL Valve Knob Spring Location Bush O Ring Retaining Sleeve Plunger Seal Dowel Pin 3 X 20 Molykote BG87 Dowel Pin 3 X 8 Knob Location Plate M3 X 6LG CSK HD O Ring 23 0 X 1 5 37 Quantity 1 DB oo oo sch sch A R UU A PARTS LIST Base Plate Assembly Item Part No 1 041222 2 5000273 3 5000442 4 5000306 5 01059 6 5000202 7 01013 8 5000136 9 5000143 10 5000274 11 01011 12 041239 13 5000345 14 5000346 15 019087 16 029011 17 5000344 18 5000342 19 5000358 20 5000490 21 5000343 22 5000129 23 019067 24 5000104 25 020420 26 5000103 27 5000102 28 5000134 29 5000101 30 5000100 31 5000135 32 5000099 33 5000098 34 5000096 35 500
4. A200SP Circle Absorber Service Manual Partnership for Life IMPORTANT Servicing and Repairs In order to ensure the full operational life of this device servicing by a Penlon trained engineer should be undertaken periodically We recommend that the absorber should be serviced on the following schedule a Six monthly inspection and function testing b Annual service which includes routine replacement of seals etc as preventive maintenance c Four year service which includes additional component replacement Details of these operations are in this A200SP Circle Absorber service manual Servicing should be carried out by Penlon trained engineers For any enquiry regarding the servicing or repair of this device contact the nearest accredited Penlon agent or communicate directly with Technical Support Department Penlon Limited Abingdon OX14 3PH UK Tel 44 0 1235 547076 Fax 44 0 1235 547062 E mail technicalsupport penlon co uk Always give as much of the following information as possible 1 ARON Type of equipment Product name Serial number Approximate date of purchase Apparent fault FOREWORD This manual has been produced to provide authorised personnel with information on the function routine performance servicing and maintenance checks applicable to the A200SP Absorber Information contained in this manual is correct at the date of publication
5. Check that the small O ring 11 located in the bellows base under the diaphragm valve is in place The ventilator will not function if the O ring is missing Cleaning procedures before sterilisation Absorber 11 Remove the absorber assembly from the anaesthetic machine 12 Wash the absorber assembly internally with warm water and soap solution then rinse and air dry 13 The absorber assembly can now be autoclaved as a single unit Ventilator Bellows Assembly Refer to section 7 2 in the AV S user manual 43 STERILISATION 10 5 Sterilisation and Disinfectant Treatment Table Component Soap water Cidex Sonacid Steam Maximum Note 1 Autoclave Temperature OF OG Breathing hoses yes yes yes 278 137 Penlon Safelock fittings yes yes yes 278 137 Reservoir bag yes yes yes 278 137 Penlon Manifold block yes yes yes 278 137 including non return valves Frame assembly yes yes yes 278 137 Canisters yes yes no APL valve yes yes yes 278 137 Pressure gauge no no no PEEP valve yes yes yes 278 137 AV S Bellows Assembly see section 6 3 in the AV S user manual General Notes 1 2 3 Thorough rinsing in warm water and drying in air should follow chemical disinfection Do NOT clean any component in an automatic cleaning washing machine Before clinical use ALWAYS carry out the Pre use Checks listed in section 6 of this manual 44 CE 0473 Cat No 52964 Doc No A2 0105Ul J
6. The policy of Penlon Limited is one of continued improvement to their products Because of this policy Penlon Limited reserves the right to make any changes which may affect instructions in this manual without giving prior notice Personnel must take themselves familiar with the contents of this manual and the machine function before using the apparatus Copyright Penlon Ltd 2005 All rights reserved IMPORTANCE OF PATIENT MONITORING WARNING Anaesthesia systems have the capability to deliver mixtures of gases and vapours to the patient which could cause injury or death unless controlled by a qualified anaesthetist There can be considerable variation in the effect of anaesthetic drugs on individual patients so that the setting and observation of control levels on the anaesthesia system does not in itself ensure total patient safety Anaesthesia system monitors and patient monitors are very desirable aids for the anaesthetist but are not true clinical monitors as the condition of the patient is also dependent on his respiration and the functioning of his cardio vascular system IT IS ESSENTIAL THAT THESE ELEMENTS ARE MONITORED FREQUENTLY AND REGULARLY AND THAT ANY OBSERVATIONS ARE GIVEN PRECEDENCE OVER MACHINE CONTROL PARAMETERS IN JUDGING THE STATE OF A CLINICAL PROCEDURE CONTENTS Page No USER RESPONSIBILITY 1 1 WARNINGS AND CAUTIONS 2 2 PURPOSE 4 3 DESCRIPTION 3 1 Canisters 6 3 2 Inspirato
7. 3 SERVICE SCHEDULE Initial Checks Check serial numbers to determine service required Check general condition of Absorber and fittings Quarter turn absorbent canister and remove Remove inner canister Drain any condensate from outer canister and re fit Caution Caustic Solution If component replacement is required disconnect fittings at rear of absorber and remove absorber from anaesthesia machine Place absorber on flat work surface with absorbent canister removed Bag arm assembly Check bag arm assembly for movement and security of attachment Unscrew Bag arm connector and replace O Ring 041217 Manometer Grip manometer assembly and remove by pulling firmly upwards Remove manometer and ensure it indicates zero If not adjust using small screw Using a hand bulb and test manometer apply increasing pressure up to 100 cmH20 and ensure manometer reads within 5 cmH20 Replace manometer O ring 5000349 Bellows assembly Remove bellows canister Examine bellows diaphragm and canister seal for cleanliness and deterioration Replace canister seal 5000072 Replace bellows and diaphragm valve as part of ventilator service procedure Electrical Interface Box Disconnect electrical interface connector Undo the four thumbscrews securing electrical box to absorber and remove electrical box Replace four O rings 041230 Internal component inspection and replacement Upper Undo the eight 4 turn Dzus fasteners and lift up Bellows
8. 30 cmH20 turn off the flow of gas Select ventilator pressure on gauge should drop but bag should remain inflated Squeeze bag there should be no loss of pressure and bellows must not rise 21 PRE USE CHECKS 6 6 Leak test Absorber Canister Removed 1 Remove absorbent canister 1 Set the switch 2 to Bag position and close APL valve 3 2 Pressurise the system to 3 kPa 30 cmH20 and turn off the gas flow 3 Check that pressure does not fall to zero within one minute 4 Refit absorbent canister A pressure loss will occur as valves operate Repressurise the system to 3 kPa 30 cmH20 and turn off gas flow 5 Check that pressure does not fall to zero within one minute then open APL valve to release pressure 22 7 SERVICE PROCEDURES 7 1 Service Frequency Servicing and repairs must only be carried out by Penlon trained technicians and engineers a Six monthly inspection and function testing b Annual and four year service which includes routine replacement of seals etc as preventive maintenance 7 2 Canister and Seals Cleanliness is the essential requirement for all components in contact with absorbent Soda lime tends to adhere strongly to surfaces when it has become exhausted To maintain good sealing the canister absorbent container seal and the sealing plate above the canister should be wiped with a damp cloth to remove particles of soda lime w
9. 41 10 2 Use of Bacterial Filters 41 10 3 Patient Circuit Components 41 10 4 Absorber Assembly cleaning procedure before sterilisation 42 10 5 Sterilisation and Disinfectant Treatment Table 44 iv USER RESPONSIBILITY This device has been built to conform with the specification and operating procedures stated in this manual and or accompanying labels and notices when checked assembled operated maintained and serviced in accordance with these instructions To ensure the safety of this device it must be checked and serviced to at least the minimum standards laid out in this manual A defective or suspected defective product must not under any circumstances be used The user must accept responsibility for any malfunction which results from non compliance with the servicing requirements detailed in this manual Additionally the user must accept responsibility for any malfunction which may result from misuse of any kind or non compliance with other requirements detailed in this manual Worn broken distorted contaminated or missing components must be replaced immediately Should such a repair become necessary it is recommended that a request for service advice be made to the nearest Penlon Service Centre This device and any of its constituent parts must be repaired only in accordance with written instructions issued by Penlon Limited and must not be altered or modified in any way without the written approval of Pe
10. Bag to Vent The ventilator will reset from Spontaneous Mode to the previously set active mode iii If the ventilator is in any mode other than those detailed above operation of the absorber Bag Vent control will not affect the ventilator NOTE This function can be enabled disabled through the AV S on screen menus refer to the AV S user manual DESCRIPTION 3 10 Gas Flow Schematic Inspiratory Gas Path Patient Gas from bellows Through the bag vent switch Down to absorbent canister Through the absorbent Into the inspiratory non return valve Fresh gas flow from anaesthetic machine Through inspiratory connector to patient breathing circuit NO OTR 002 4 SPECIFICATION NOTE Information in this section complies with the requirements of ISO 8835 2 4 1 General Dimensions All figures are approximate Overall height 380 mm Width 186 mm Depth 240 mm Weight empty 5 7 kg Mounting system Polemount assembly 4 2 Resistance of Breathing System Resistances listed in 4 2 1 and 4 2 2 are measured with A An absorber fitted with 1060 mm 42 inch breathing hoses complying with ISO 5367 and a Penlon Safelock Y piece B Absorber only The canister must be filled to the MAX level with fresh absorbent and theAPL valve fully open Bacterial Filter A bacterial filter must be used in the patient breathing system to protect the oxygen sensor Use an appropriate filte
11. Plate Replace Bellows Plate gasket 5000080 Replace Inspiratory and Expiratory Disc valves x2 5000394 APL Valve Unscrew APL valve retaining sleeve Remove valve plunger and replace APL valve seal 5000364 Re fit plunger and retaining sleeve Internal component inspection and replacement Lower Lift away the Centre Plate Replace the Base Plate gasket 5000081 Replace the Bag Ventilator switch o rings x2 5000202 Inspect by pass valve seals for cleanliness and deterioration Clean seals and re grease valve stems Replace absorbent canister gasket 5000092 By pass plate removal Remove the E clips securing the valve seals and supports and remove Remove further two E clips from by pass plate guides 25 SERVICE SCHEDULE Lift Bellows Plate from the By pass Plate Replace large o ring 5000273 and small o ring 5000274 Replace valve seals x3 5000097 Replace seal support internal o rings x3 5000135 Apply oxygen safe grease to By pass Plate guides Re assemble 10 Re assembly Re fit Base Plate gasket Centre Plate Bellows Plate gasket When re fitting Bellows Plate ensure Bag Ventilator knob is aligned with quadrant shaft and switch Push Pin is engaged Secure Bellows Plate with eight Dzus fasteners Re fit Bag arm connector and tighten Use small drop of Loctite 243 Re fit manometer ensuring it securely snaps into place Re fit electrical box and connect interface cable Re fit bellows assembly and absorben
12. at 5 5 2 3 Anaesthetic Gas Scavenging AGS The outlet 6 from the APL valve 7 must be connected to a receiver system WARNING Do not connect a vacuum system directly to the APL valve A receiving system with a positive and negative pressure control function must be interposed The system must comply with the requirements of ISO 8835 part 2 5 2 4 Oxygen Monitor The use of an oxygen monitor and a carbon dioxide analyser is highly recommended when using any partial rebreathing anaesthetic system Oxygen Monitor the sensor 8 is fitted to the right hand side of the absorber Bacterial Filter Use a breathing system bacterial filter in the expiratory limb of the breathing circuit to protect the oxygen sensor see section 5 in the AV S ventilator user manual CAUTION Replacement Disposal always follow the instructions supplied with the filter and always replace at the recommended interval 5 25 Pressure Monitor and Spirometer Pressure monitor self sealing connector 9 Connect to PATIENT PRESSURE port on the rear panel of the AV S ventilator control unit 5 2 6 Bag Vent Switch and Spirometer The multifunction connector 10 provides an interface between the AV S ventilator and a the spirometer flow sensors and b the sensor that detects the position of the Bag Ventilator switch 11 16 INSTALLATION AND OPERATION 5 3 Changing CO2 Absorbent WARNING If the absorbent is to be chan
13. visual checks Fill out service report Other components may be replaced at the discretion of the Engineer if signs of wear are apparent If a replacement is necessary inform the appropriate hospital engineer 27 SERVICE SCHEDULE 9 PARTS LIST A200SP Preventive Maintenance Kits Annual Service Components Manometer O ring Bag arm connector O ring Electrical Box O ring x4 Disc valves x2 Bellows Plate gasket Base Plate gasket Canister gasket Bag vent switch O ring x2 Fresh gas hose 0 5 metres Tie wrap x2 Bellows Canister seal 4 year Service Components Manometer O ring Bag arm connector O ring Electrical Box O ring x4 Disk valves x2 Bellows Plate gasket Base Plate gasket Canister gasket Bag vent switch O ring x2 Fresh gas hose 0 5 metres Tie wrap x2 Bellows Canister seal APL valve seal By pass seal x3 Seal support internal O ring x3 Large canister plate O ring Small canister plate O ring 5000349 041217 041230 5000394 5000080 5000081 5000092 5000202 462631 103612 5000072 5000349 041217 041230 5000394 5000080 5000081 5000092 5000202 462631 103612 5000072 5000364 5000097 5000135 5000273 5000274 29 PARTS LIST Major Assemblies and Miscellaneous Components Item Part No Description Quantity 1 5000122 Base Plate Assembly 1 2 5000119 Centre Plate Assembly 1 3 5000118 Bellows Plate Assembly 1 4 5000120 Canister Assembly 1 5 5000121 Pressure Gau
14. your local hospital guidelines Autoclavable components are listed in section 8 5 10 2 Bacterial Filters The use of respiratory bacterial filters is essential to protect the oxygen sensor mounted at the side of the side of the absorber Fit a bacterial filter to the expiratory limb of the breathing circuit In addition a heat and moisture exchange HME unit should be fitted at the patient Y piece Refer to the diagram in section 5 Breathing Circuit Connections and the information on flow resistance in sections 4 2 1 and 4 2 2 Filters may be sterilisable or single use Please read the labelling supplied by the manufacturer CAUTION Replacement Disposal always follow the instructions supplied with the filter or HME Always renew components at the recommended interval NOTE If a bacterial filter has not been used in the expiratory limb of the breathing circuit the oxygen sensor may be contaminated and must be replaced 10 3 Patient Circuit Components The components should be separated washed with warm soap and water solution rinsed in warm water and air dried For sterilisation follow the instructions supplied by the manufacturer 41 STERILISATION 10 4 Absorber Assembly Cleaning Procedure Before Sterilisation WARNING Condensation which may collect in the bottom of the absorber canister is caustic and care must be taken not to spill it on the skin when draining CAUTION When
15. 0093 36 5000094 37 102714 38 5000095 39 041256 40 5000388 41 5000097 42 5000092 43 5000089 44 031046 Description O Ring O Ring 59 5 I D X 3 0 Section Silicon Spring Clip Location Dowel M2 5 X 6 Ch HD O Ring 18 0 I D X 2 0 Section Silicon M4 X 10 SKT HD Cap Compression Spring O Ring 5 0 I D X 1 5 Section Viton O Ring 24 5 I D X 3 0 Section Silicon M4 Plain Washer O Ring 21 X 1 5 Cell Location Spigot Cell Location Plate M3 X 16 Cap HD Screw Molykote BG87 O Ring 8 0 I D X 2 0 Section Viton Extension Spring Canister Location Pin Spring Locating Spacer O Ring 16 0 I D X 2 0 Section Viton O Ring 18 0 I D X 2 0 Section Viton M4 X 12 SKT HD Cap Valve Stem Circlip External Vd8mm Shaft Seal Support Plate 22 mm Taper Compression Spring Switch Quadrant Base Plate O Ring 8 0 I D X 1 5 Section Viton Bypass Plate Quadrant Shaft 17 mm Taper Spring Location Spigot Fresh Gas Connector O2 Fuelcell Orifice Plate O Ring 19 mm Taper Valve Seal Canister Seal Support Pin Spring 16 76 O D X 16 LG 38 D NN ODO sch A R D M A Och AM ch ch ch ch A ch CO A ND NWOANAWANO Quantity PARTS LIST PARTS LIST Canister Assembly Item Part No Description 5000074 Canister Outer 2 5000396 Location Tube 3 Sodalime Pre Pack 4 5000073 Canister Inner not shown 40 Quantity a a U 10 APPENDIX 10 1 Sterilisation Policy Follow
16. 6 SERVICE SCHEDULE 15 15 1 15 2 15 3 15 4 16 16 1 16 2 16 3 16 4 16 5 17 17 1 17 2 17 3 17 4 17 5 17 6 NOTE This checklist is prepared for use by Penlon trained Service Engineers Bag Ventilator Switch Test 2 Ensure ventilator bellows and bag arm bag are deflated Refit hose to patient ports Select bag vent switch to vent and ensure APL valve fully closed Set a flow of 10 l min and check that bellows starts to inflate Ensure that bag is not inflating Move Bag Vent switch to Bag position Observe bag inflate and bellows stops rising When the pressure reads 3 kPa 30 cm H20 turn off the flow of gas Select ventilator Pressure on gauge should drop but bag should remain inflated Squeeze bag There should be no loss of pressure and bellows must not rise Absorber Bypass function Remove absorbent canister Select Bag position and close APL valve Pressurise the system to 3 kPa 30cm H20 Turn off gas flow Check that pressure does not fall to zero within one minute Re fit absorbent canister A pressure loss will occur as valves operate Re pressurise the system to 3 kPa 30 cmH20 Turn off gas flow Check that pressure does not fall to zero within one minute Open APL valve to release pressure Paperwork Restore user settings Sign and date service card indicate service 6 12 or 60 month Attach service cards to equipment Remove all tools test equipment THINK carry out
17. avity operated b Spillage of absorbent may contaminate the breathing system 11 See 3 2 5 1 Before using the absorber 5 The use of patient Y pieces Pap 13 containing non return valves in connection with the Absorber is hazardous because two sets of non return valves may easily be connected in opposition by error 14 6 Breathing hoses and bags used with the absorber must comply to ISO 5367 Hoses and ISO5362 Breathing Bags respectively The resistance and compliance of these hoses and bags provide essential factors for the satisfactory use of this system Do not connect a vacuum systems must not directly to the APL valve A receiving system with positive and negative pressure control functions must be interposed Systems must comply with ISO 8835 Part 2 See 5 2 3 Underfilling of the canister can lead to inefficient CO2 absorption Overfilling may result in poor sealing of canister due to caking of granules and abrasion of the canister and seal See 3 1 and 5 3 Do not use the Absorber without ensuring that it passes all pre use checks See Section 6 After servicing and cleaning procedures verify positive action of the bag ventilator selector switch before the unit is used clinically Check that at all times that the switch is free to move from one end of its travel to the other Using the absorber Condensation which may collect in the bottom of the absorber canister is caustic and ca
18. eservoir bag and block the bag port 4 Use the flow controls on the anaesthesia machine to produce a high flow of gas into the system and check that the APL valve provides excess pressure relief The manometer reading must not exceed 6 kPa 60 cmH20 10 at 6 L min Refit the reservoir bag 20 PRE USE CHECKS 6 4 6 5 1 Inspiratory and Expiratory Non return Valve Test Detach the hose connecting the inspiratory 1 and expiratory 2 connectors Check that the APL valve 3 is closed Block the inspiratory valve outlet 1 with a suitable bung and inflate the reservoir bag with a 2 L min oxygen flow Turn off the gas flow and check that the bag does not empty by reverse flow through the expiratory valve 2 Remove the bung and attach a spare reservoir bag to the inspiratory valve connector 1 Turn on a 2 L min oxygen flow and fully inflate this bag and the absorber reservoir bag Turn off the gas flow Check that gas cannot be forced through the inspiratory valve by gentle squeezing of the spare bag on the valve outlet Remove the bag from the inspiratory connector 1 Bag Ventilator Switch Refit the breathing hose between the inspiratory 1 and expiratory 2 connectors Set a flow of 10 L min and check that bellows starts to inflate Ensure that bag is not inflating Move switch 4 to Bag position and watch bag inflate and bellows stops rising When the pressure reads 3 kPa
19. ge Assembly 1 7 300049 Canister Screen Printed 1 9 5000117 Bag Arm Assembly 1 10 5000394 Valve Disc 2 11 5000080 Bellows Plate Gasket 1 12 5000081 Base Plate Gasket 1 13 5000320 Electrical Box Assembly 1 14 019075 Screw M3 X 30 Cap HD 15 011108 Cap M3 16 5000389 APL Valve Label 1 17 406027 Adult Bellows Assembly KR P NOTE Components contained in assemblies 1 to 5 and 9 are shown in subsequent pages in this section 30 PARTS LIST 31 PARTS LIST Bellows Plate and Top Cover Assembly Item Part No Description 1 054529 Valve One Way 2 5000071 Dowel Pin 6 0 X 20 0 Long ST STL 3 5000072 Bellows Canister Seal 4 5000495 Bellows Ring 5 025606 Washer M3 Fibre 6 020808 Screw No 6 X 3 8 Self Tap 7 5000116 Bellows Plate 8 5000393 Switch Knob Label 9 5000491 Compression Spring 10 057003 Loctite 242 11 406059 Bellows Base Seat 12 5000304 Stud Assembly 13 5000076 Switch Knob 14 406037 Bellows Location 15 01130 Screw M5 X 16 SKT Cap Head ST STL 16 5000123 APL Valve Assembly 17 019003 Screw M3 X 20 Ss SK HD 18 5000109 Switch Shaft 19 019110 Screw M3 X 14 Cap HD 20 011108 Cap M3 21 5000137 O Ring 94 0 I D X 1 5 section Viton 22 020807 Screw No4 X 3 8 Self Tap 23 041204 Seal 5 1 I D X 1 6 CSS Viton 24 406020 Diaphragm Assembly 32 Quantity O A A ech os m A R sch O D D A ND sch A CO PARTS LIST SEE NOTE 1 33 PARTS LIST
20. ged during clinical use adequate fresh gas flow must be maintained to prevent excessive build up of CO2 Removing the canister i WARNING Condensation which may collect in the bottom of the absorber canister is caustic Avoid skin contact when draining 1 Grip the handle 1 turn the canister anti clockwise and remove carefully 2 Check the level of liquid in the canister Carefully lift out the inner absorbent container 2 WARNING Condensate may drip from the container Use a cloth to prevent spillage 3 Dilute the liquid in the canister with water before disposal Follow your hospital procedure 4 Dispose of the absorbent from the inner container Cleaning Soda lime tends to adhere strongly to surfaces when it has become exhausted To maintain good sealing the canister absorbent container seal and the sealing plate above the canister should be wiped with a damp cloth to remove particles of soda lime whenever the absorbent is changed Refilling with absorbent WARNING Underfilling can lead to inefficient CO2 absorbtion Overfilling may result in poor sealing of the canister due to caking of granules and abrasion of the canister seal 1 Pre packed soda lime Remove the packing seal following the manufacturer s instructions a Check that the container 2 is clean and dry and empty of dust or soda lime granules b Insert the pre pack into the container Follow the instructions prov
21. henever the absorbent is changed These components should be scrubbed under running water when the complete system is dismantled for sterilisation or disinfection See section 8 4 23 SERVICE PROCEDURES 7 3 Condensate Drainage WARNING Condensation which may collect in the bottom of the absorber canister is caustic and care must be taken not to spill it on the skin when draining Wear suitable protective gloves Dilute the liquid with water before disposal Daily Procedure 1 Check the level of liquid in the canister 1 If necessary remove the canister by turning anti clockwise and carefully lift out the inner absorbent container 2 WARNING Condensate may drip from the container Use a cloth to prevent spillage 2 Dilute the liquid in the canister with water before disposal Follow your hospital procedure 3 Refit the container ensuring that the three spacers 3 are located as illustrated 4 Refit the canister to the absorber 7 4 Manometer Remove the manometer before sterilisation or disinfection Grip the manometer and detach from the absorber CAUTION Do not sterilise the manometer 7 5 APL Valve Autoclave the valve as part of the absorber assembly see section 8 5 Check that the valve is in the open position before autoclaving Do NOT wash in an automatic cleaning washing machine 24 8 oo GO D 1 4 2 1 2 2 3 1 3 2 3 3 4 1 4 2 4
22. ided by the pre pack manufacturer 2 Using bulk packed soda lime check the container in the same manner then place it on a horizontal surface and fill it with soda lime up to the MAX line but not above it 17 INSTALLATION AND OPERATION Refitting the canister 1 Check that the three spacers 3 are in place refit the container 2 to the canister 1 then refit the canister Check that the seal and the canister align correctly as the canister is rotated clockwise to the locked position 2 Leak test the absorber see section 6 2 5 4 Manometer The manometer is located on the top of the manifold block to the rear of the inspiratory valve If the manometer has been removed and refitted Function test the absorber checking for leaks at the manometer before clinical use CAUTION Remove the manometer before autoclaving the absorber unit 18 6 6 1 PRE USE CHECKS Pre use Checklist Check the absorbent replace if necessary Before refitting the canister check that the sealing surfaces are clean and dust free Ensure that the canister in place when refitted Check that the fresh gas hose is connected to the anaesthetic machine Note that the anaesthetic machine must be leak tested before the absorber pre use checks are made Leak test the absorber see section 6 2 Carry out a function check and pressure relief test on the APL valve see section 6 3 Check the inspiratory a
23. nd expiratory non return valves for correct operation see section 6 4 Check the Bag Ventilator switch for correct operation see section 6 5 Carry out a leak test with the canister removed see 6 6 Repeat the absorber leak test see section 6 2 19 PRE USE CHECKS The procedures detailed in sections 6 2 to 6 6 must be carried out in the order listed The absorber must be attached to an anaesthetic machine which must be leak tested before the checks are carried out Check that the manometer is zeroed before use 6 2 Leak Test Check that the bag is correctly fitted and set the switch 1 to Bag Connect the fresh gas hose to the anaesthetic machine Use a breathing system hose to connect the patient ports 2 to form a closed leak free circuit Close the APL valve 3 1 Turn on a flow of 2 L min of oxygen and pressurise the system 2 Stop the gas flow when the system pressure reaches 3 kPa 30 cmH20 and check that pressure is maintained i e the pressure must not fall to zero in less than one minute 6 3 APL Valve Test and Pressure Relief Test APL Valve Function 1 Open the APL valve 3 Check that gas escapes freely from the system through the valve outlet APL Valve Flow Resistance 2 Set maximum flow and check that the retained pressure is less than 0 5 kPa 5 cmH20 3 Reduce flow to minimum Pressure Relief 4 Close the APL valve fully clockwise 5 Remove the r
24. nlon Limited The user of this equipment shall have the sole responsibility for any malfunction which results from improper use maintenance repair damage or alteration by anyone other than Penlon or their appointed agents USA and Canadian Federal Law restricts the sale and use of this device to or on the order or a licensed practitioner Statements in this manual preceded by the following words are of special significance WARNING means there isa possibility of injury to yourself or others CAUTION means there is a possibility of damage to the apparatus or other property NOTE indicates points of particular interest for more efficient and convenient operation The reader must take particular notice of the warnings cautions and notes provided throughout this manual 1 WARNINGS AND CAUTIONS The following WARNINGS and CAUTIONS must 7 be read and understood before servicing or repairing this Anaesthetic Apparatus WARNINGS General Information 8 1 Personnel must make themselves familiar with the contents of this manual and the function of the A200SP Absorber before servicing or use 9 2 Trichloroethylene must not be used in association with soda lime 3 This unit is restricted to use with non 10 flammable anaesthetic agents only 4 The A200SP Circle System Absorber must only be used when securely mounted in an upright position a The inspiratory and expiratory non return valves NRV are gr
25. piece Absorber ON Leakage rate less than 50 ml min at 3 kPa 30 cmH20 B Absorber only Absorber OFF canister removed Leakage rate less than 50 ml min at 3 kPa 30 cmH20 4 5 Canister Capacity and Resistance 4 5 1 Canister Capacity When filled to the MAX level mark the canister holds 1 3 kg 2 87 Ib of absorbent 1500 ml Recommended absorbent Soda lime or barium lime with a colour indicator 4 8 mesh supplied in bulk Alternatively pre packs may be used Note i The absorber canister is not electrically conductive ii Cleaning and sterilisation details are given in section 7 4 5 2 Canister Resistance The resistance of a freshly filled canister is less than 0 2 kPa 2 cmH20 at 60 L min SPECIFICATION 4 6 Non return Valves Pressure drop across the inspiratory and expiratory non return valves at an air flow of 60 L min 0 1 kPa 1 cmH20 Note that flow characteristics are identical for valves in a dry or wet condition A wet valve is defined as a valve in a flow of humidified gas such that moisture is visible on the surface of the valve 60 50 40 30 20 10 Flow L min Pressure kPa 0 02 0 04 0 6 0 08 0 01 5 INSTALLATION AND OPERATION JLo od ti 2 o o S o 3 4
26. r that does not raise the resistance values of the whole system to above 0 6 kPa 6 cmH20 4 2 1 Expiratory Resistance Tested with a flow of 6 L min of air through the fresh gas inlet and an induced flow of 60 L min through the breathing system A expiratory resistance less than 0 6 kPa 6 cmH20 B expiratory resistance less than 0 5 kPa 5 cmH20 4 2 2 Inspiratory Resistance Tested with a flow of 6 L min of air through the fresh gas inlet and an induced flow of 60 L min through the breathing system A inspiratory resistance less than 0 6 kPa 6 cmH20 B inspiratory resistance less than 0 45 kPa 4 5 cmH20 11 SPECIFICATION 4 3 Internal Compressible Volume Note that the reservoir bag is not fitted and the bag mount blocked These figures are measured with A An absorber fitted with 1060 mm 42 inch breathing hoses complying with ISO 5367 and a Penlon Safelock Y piece Volume required to raise the system pressure to 3 kPa 30 cmH20 180 ml B Absorber only Volume required to raise the system pressure to 3 kPa 30 cmH20 170 ml Other disposable breathing hoses may give different figures the supplier of the hose will provide compressible volume figures 4 4 System Leakage Rate The patient connection port is sealed and the APL valve fully closed These figures are measured with A An absorber fitted with 1060 mm 42 inch breathing hoses complying with ISO 5367 and a Penlon Safelock Y
27. re must be taken not to spill it on the skin when draining See section 7 3 Kinking of the fresh gas tube is a known cause of anaesthetic accident and the use of unsuitable tubing can contribute to this situation See 3 5 Any breathing system utilising the A200SP absorber must be fitted with a An oxygen monitor complying with 1SO7767 b A minute volume monitor c A breathing system integrity alarm WARNINGS AND CAUTIONS CAUTIONS 1 Do not sterilise autoclave the manometer 2 Do not autoclave the electrical interface unit at the rear of the absorber 3 Remove the absorbent canister before autoclaving 3 If the absorber has to be lifted or carried by hand always support the weight of the unit under the base Do not lift the absorber by gripping any of the components attached to the top of the absorber the manometer APL valve breathing circuit connectors etc 4 Do not use any ventilator with the A200SP absorber that does not comply with ISO 8835 part 2 2 PURPOSE The A200SP Absorber is designed for use as part of a closed breathing system for anaesthesia providing CO2 absorption in conjunction with the appropriate ventilator breathing hoses reservoir bags and patient connections Depending on the flow of fresh gas relative to patient minute volume the patient may receive fresh gas or partial recirculated gas as determined by the anaesthetist The system incorporates a Bag Ven
28. ry and Expiratory Non return Valves NRV 6 3 3 Bag Ventilator Switch 6 3 4 Adjustable Pressure Limiting APL Valve 7 3 5 Fresh Gas Inlet and Tubing 7 3 6 Manometer 8 3 7 Bypass Flow 8 3 8 End Tidal Carbon Dioxide Monitoring 8 3 9 Interface to AV S Ventilator 9 3 10 Gas Flow Schematic 10 4 SPECIFICATION 4 1 General Dimensions and Weight 11 4 2 Resistance of Breathing System 11 4 2 1 Expiratory Resistance 11 4 2 2 Inspiratory Resistance 11 4 3 Internal Compressible Volume 12 4 4 System Leakage Rate 12 4 5 Canister Capacity and Resistance 12 4 5 1 Canister Capacity 12 4 5 2 Canister Resistance 12 4 6 Non return valves 13 5 INSTALLATION AND OPERATION 5 1 Mounting the Absorber 14 5 2 System Connections 15 5 3 Changing CO2 Absorbent 17 6 PRE USE CHECKS 6 1 Pre use Checklist 19 6 2 Leak Test 20 6 3 APL Valve Test and Pressure Relief Valve Test 20 6 4 Non return Valve Test 21 6 5 Bag Ventilator Switch Test 21 6 6 Leak Test Canister Removed 22 iii CONTENTS Page No 7 SERVICE PROCEDURES 7 1 Service Frequency 23 7 2 Canisters and Seals 23 7 3 Condensate Drainage 24 7 4 Manometer 24 7 5 APL Valve 24 8 SERVICE SCHEDULE 25 9 PARTS LIST 29 Preventive Maintenance Parts Lists 12 months and 4 Years 29 Major Assemblies 30 Bellows Plate and Top Cover 32 Bag Arm Assembly 34 Centre Plate Assembly 35 Manometer 36 APL Valve 37 Base Plate Assembly 38 Canister Assembly 40 10 APPENDIX Sterilisation 10 1 Sterilisation Policy
29. s used to prevent the risk of hypercapnia When the canister is removed expiratory gas passes directly to the APL valve and bag or ventilator without passing through the absorbent This allows the canister to be refilled during a clinical procedure 3 8 End Tidal Carbon Dioxide Monitoring The use of end tidal carbon dioxide monitoring is strongly recommended Connection of a suitable analyser must be made between the patients airway and the patient connection Y piece Detailed instructions are provided by the manufacturers of the analyser DESCRIPTION 3 9 Interface to AV S Ventilator The absorber is designed to interface with 1 the AV S Ventilator and the ventilator bellows unit 1 is built into the absorber The interface cable links the connector 2 on the ventilator control panel to the multifunction connector 3 on the interface unit at the rear of the absorber a The A200SP is fitted with fitted with a sensor that detects the position of the absorber bag vent control 4 The sensor signal cabling is routed internally to connector 3 b Operation of the Bag Vent control will trigger automatic Mode switching on the AV S ventilator as follows i If the Absorber Bag Vent control is moved from Vent to Bag the ventilator S will change from Volume Mode or Pressure Mode into Spontaneous Mode Sk Te eo ABO ii Switching the absorber Bag Vent control from
30. t canister assembly 11 Set Up 11 1 Connect absorber to anaesthetic machine that has been checked for LEAKS Check that manometer reads zero 12 Leak Test 12 1 Absorber canister fitted 12 2 Ensure bag fitted to bag port and Bag Vent switch to Bag position 12 3 Connect patient ports with hose to form a closed circuit 124 Close APL valve 12 5 Set a flow of 2 l min on the anaesthesia machine 12 6 Stop the gas flow when Manometer reads 3 kPa 30 cm H20 Ensure pressure does not fall to zero within one minute 13 APL Valve Test And Pressure Relief Test 13 1 Fully open APL valve 13 2 Set maximum flow rate Check that manometer indicates 5cm H20 or less 13 3 Turn off gas supply 13 4 Close the APL valve Fully 13 5 Use O2 flow and check APL valve relieves pressure at 6 kPa 60cm H20 10 at 6 l min flow rate 14 Inspiratory and Expiratory Non return Valve Test 14 1 Remove hose from patient ports 14 2 Occlude Inspiratory port with suitable bung 143 Fully close APL valve 14 4 Fit re breathing bag to bag arm and inflate with O2 flush Ensure bag does not deflate within one minute 14 5 Remove bung from inspiratory port Transfer re breathing bag from bag arm to Inspiratory port Occlude bag arm with suitable bung 14 6 Inflate bag with 02 flush Remove occlusion from bag port Ensure rebreathing bag fitted to inspiratory port does not deflate within one minute 14 7 Remove bag from inspiratory port Refit bag to bag arm 2
31. tainless steel disc valve providing breathing system pressure control and excess pressure relief The spring pressure can be varied by rotating the control knob on top of the valve In the fully counterclockwise position the minimum pressure is 1 0 cmH20 at 6 L min This can be increased by clockwise rotation to 60 cmH20 60 Pressure cmH20 Open Closed Clockwise rotation As shown in the graph above further clockwise rotation causes a rapid increase in opening pressure so that in the fully closed position the valve functions as a 60 cmH20 excess pressure relief valve AGSS connector Taper connector 1 at rear of absorber assembly 3 5 Fresh Gas Inlet and Tubing The fresh gas inlet 2 is at the rear of the absorber The absorber is supplied with a fresh gas hose assembly with attached end fitting Do not use any other type of hose WARNING Kinking of the fresh gas tube is a known cause of 2 anaesthetic accident and the use of unsuitable tubing can contribute to this situation DESCRIPTION 3 6 Manometer NOTE The use of a manometer is strongly recommended at all times The manometer is located on the top of the manifold block to the rear of the expiratory valve Manometer scale 10 to 100 cmH20 Manometer accuracy 5 within range 10 to 80 cmH20 CAUTION Remove the manometer before autoclaving the absorber unit 3 7 Bypass System It is strongly recommended that a capnometer i
32. the absorber is lifted or carried by hand always support the weight of the unit under the base Do not lift the absorber by gripping any of the components attached to the manifold block CAUTION Do NOT clean any component in an automatic cleaning washing machine 1 Remove the canister 1 by turning anti clockwise 2 Carefully lift out the inner container 2 and dispose of the absorbent WARNING Condensate may drip from the container Use a cloth to prevent spillage 3 Dilute the liquid in the canister with water before disposal Follow your hospital procedure 4 Thoroughly scrub off all particles of absorbent from the canister inner container seal and sealing face of the 5 Refit the container to the canister ensuring that the three spacers 3 are located as illustrated 6 Remove the manometer 4 Do not autoclave 7 Remove the oxygen sensor 5 disconnect the cable and unscrew the sensor from the side of the absorber Do not autoclave 8 APL Valve 6 autoclave the valve as part of the absorber assembly check that the valve is in the open position before autoclaving 9 Disconnect all connectors and hoses then remove the electrical interface unit 7 42 STERILISATION Bellows Assembly 9 Turn the bellows housing 8 anti clockwise then lift it from the base Remove the bellows 9 10 Undo the three retaining screws then remove the exhalation valve assembly 10
33. tilator switch to enable a spontaneous breathing or manually assisted ventilation in Bag mode b use with an anaesthesia ventilator when Ventilator is selected ODO A AE A200SP Circle System Absorber Adjustable pressure limiting valve APL valve Inspiratory non return valve NRV Inspiratory hose connector Bag ventilator switch Reservoir bag connector Canister Ventilator bellows housing Electrical interface unit Expiratory hose connector Expiratory non return valve NRV Manometer 3 DESCRIPTION 3 1 Canister The canister 1 is designed to hold 1 3 kg of loose absorbent or to take a prepacked unit The maximum fill level is marked on the canister and is equivalent to 1500 ml of absorbent DO NOT EXCEED MAXIMUM FILL LEVEL Fill to a level within 12 mm 0 5 in of this line In addition the absorber must only be used when securely mounted in an upright position spillage of absorbent may contaminate the breathing system see WARNING in section 5 1 The canisters seals at the top face The canister can be removed and refilled during a clinical procedure The gas flow through the canister is from bottom to top Note that the bag ventilator connection is between the absorber and the patient Bag squeezing or the use of mechanical ventilation does not result in the transport of dust toward the patient but tends to drive dust back into the absorber 3 2 Inspiratory and E
34. tor Expiratory Valve Absorber Inspiratory Valve Absorber Inlet from Ventilator Bellows Connector Reservoir Bag Inlet Absorber Fresh Gas Supply 15 18 19 20 21 22 23 24 25 26 27 28 29 Note 1 AV S has spirometry and oxygen monitor 2 Interface cabling is shown for Prima SP On Off switch and A200SP Bag Vent switch Drive Gas Inlet Ventilator Drive gas Outlet ventilator control unit to bellows Outlet Exhaust Valve Inlet Bellows Drive Gas Outlet to breathing system Input socket Oxygen monitor sensor Input socket Prima SP interface SP on off switch Input socket i A200SP Absorber Bag Vent control position ii Spirometer sensor signal Interface connections on Prima SP and A200SP APL Valve Outlet from APL Valve to AGSS Oxygen sensor INSTALLATION AND OPERATION 5 2 1 Breathing System Hose Reservoir Bag Ventilator Inspiratory 1 and expiratory 2 hose connectors and the reservoir bag connector C are 22 mm male complying with ISO 5356 1 The bag arm 3 is height adjustable and the bag connector can be rotated to the desired position Ventilator connection point 4 Connect a 16 mm diameter corrugated hose between the ventilator control unit drive gas outlet labelled DRIVE GAS and the connector 4 at the rear of the absorber 5 2 2 Fresh Gas Supply The fresh gas hose from the common gas outlet of the anaesthetic machine assembly is connected
35. uly 2005 O Penlon Ltd 2005 All rights reserved Penlon Limited Abingdon Science Park Barton Lane Abingdon OX14 3PH UK Technical Support Tel 44 0 1235 547076 Fax 44 0 1235 547062 E mail technicalsupport penlon co uk UK Sales Tel 01235 547036 Fax 01235 547023 E mail uksales penlon co uk International Sales Tel 44 0 1235 547001 Fax 44 0 1235 547021 E mail export penlon co uk InterMed Group of Companies Penlon is a member of the InterMed Group
36. xpiratory Non return Valves NRV The valves are positioned on the top of the manifold block and control the direction of the gas flow through the system Each valve consists of a rubber disc located over a valve seat The discs operate by gravity and are retained by guides to prevent lateral movement The valves are visible through the top cover 2 and the operation of each valve can be visually checked as the patient breathes in and out IT IS IMPORTANT THAT THE ABSORBER IS MOUNTED UPRIGHT SO THAT THESE VALVES MOVE IN A TRULY VERTICAL PLANE WITH THE VALVE SEATS HORIZONTAL 3 3 Bag Ventilator Switch 3 Ventilator mode In Ventilator mode the reservoir bag is closed off from the breathing system and the ventilator connection port at the rear of the manifold block is in circuit WARNING The APL valve is out of circuit when the system is in Ventilator mode The ventilator must be equipped with a pressure relief valve Bag mode The breathing bag acts as an additional over pressure protection device preventing pressure exceeding 60 cmH20 WARNING If no ventilator is connected to the absorber care must be taken to ensure that the bag ventilator switch is kept in the Bag position to avoid gross loss of gas from the breathing system and to maintain the reservoir bag in the system DESCRIPTION 3 4 Adjustable Pressure Limiting APL Valve The APL valve is a spring loaded s
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