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Avance Anesthesia Machine

1. H A Pipeline Manifold i mA B Cylinder Supply C Gas Mixer i D Vaporizer Manifold E SCGO Assembly i i F ACGO Assembly x E 2 P Pressure Transducer 23 AB 91 070 Figure 2 25 Pneumatic circuit 1009 0357 000 09 07 2 25 Avance N20 Air 02 02 6 6 6 A A eld KJP Slp elg dd qm BL BL BLO BLA lt x x x4 9 9 9 9 E l 18 T C 19 MIND 20 E LM X TE a D TM 17 uL 20 F 15 15 4 I 15 15 IJ e mt EN crm AA O me gt gt 22 tt qe a EE Dye oe TS pane SN 1 A Pipeline Manifold E B Cylinder Supply i C Gas Mixer D Vaporizer Manifold 5 E SCGO Assembly S F ACGO Assembly T T P Pressure Transducer Figure 2 26 Pneumatic circuit 2 26 23 09 07 1009 0357 000 Key to Numbered Components Key to Symbols 1009 0357 000 09 07 2 Theory of Operation Referto
2. N20 Air 02 02 6 6 6 6 23 rir rere Sig I 1 r i 1 8 i O bel Bel lai lard a Bl BLI BLI gt 9 9 9 9 v 1 1 1 LS A A JJA da ts 2 3 OF 2 3 o 2 Eo ME ESO FT i me E Lo I x 5b I x 5a 4bx 4ax L EE EPA 18 c 2 A Y 11c 4 11b 11a X WEA WEA WENN 19 o o o i P y EE 10 f E a 20 E ip oi may v Le o e E qp kg 14b l a NE DER 208 lt gt GE 21 A ee ese tee 4 D l 20 IF 15 mi di y EE Es Dal A Pipeline Manifold S B Cylinder Supply 16 8 C Gas Mixer E D Vaporizer Manifold Bm E SCGO Assembly 23 F ACGO Assembly P Pressure Transducer Figure 11 3 Pneumatic circuit diagram 11 4 09 07 1009 0357 000 22 23 22 Vent Engine Board Flow Control Valve T 2 11 Schematics and Diagrams Lower O llei Box Enclosure 12V Battery 12V Battery with Breakers lei H Power m Inrush Board Controli nle solation j ontroller Power Cord and Breaker 120V Transformer Fuse Block Line Filter 220V Board AC INLET BOX MGAS Power Supply Board MGAS Ventilator Pan Anesthesia Display Interface Connector Control Connector board Board A Board Board i
3. DCB E E E DCB A to PanCB A to PanCB B to PanCB B B to PanCB B T ACB J ACB d pese PASS g PCB g 2 Power Supply Key to Symbols Fani U Frame ACB Anesthesia Control board y E O DCB Display Connector board DU Display Unit From HPDU High Performance Display Unit Toroid MGAS Compact Airway Module MGAS PS MGAS Power Supply PanCB Pan Connector board ia PCB Power Controller board mrw ocma 12 VDC 12 VDC 12 VDC 12 VDC U Frame Universal Power Supply Figure 11 12 Electrical cabling Lower Electrical Enclosure 1009 0357 000 09 07 11 13 Auxiliary 0 Flowmeter Sample o T D Return gt Scavenging Downtube mi L1 Vaporizer Manifold e 9 Ie ri des Sample Return From to Breathing Mixer 1 System ES e e 2 rs ea x Ventilator Interface Board EF From 0 Supply zu To 7 Mixer AB 91 058 Avance 1 OH mi N20_ Oe Figure 11 13 Tubing 11 14 Note For Venturi Suction referto Section 10 31 09 07 1009 0357 000
4. Y AB 91 072 Absorber Min a e e ss m 02 Flush Switch H Circle or CGO Selector Switch Di 9 Insp Flow a e Pilot f Paw Trans j v la 150 cm H20 LS FG Pressure d SCGO Limiting Valve 2 cL E RR RUM RUNE j lt Figure 2 40 Fresh gas and O flush flow to Insp port 2 42 09 07 1009 0357 000 2 12 5 Fresh gas and 0 flush flow with ACGO 2 Theory of Operation To ABS Circle Fresh gas 1 flows from the vaporizer manifold outlet to the ACGO Selector Switch breathing system With the ACGO Selector Switch in the ABS position fresh gas flow is channeled to the breathing system The output of the O Flush regulator 2 is channeled to the O Flush valve When activated O flush flow joins the fresh gas flow in the ACGO Selector Switch 1 1 1 A Y From Mixer AB 91 086 Selector Switch Figure 2 41 Fresh gas and Oz flush flow to ABS 1009 0357 000 09 07 ACGO L Variant 4 From 0 Supply Absorber AB 91 120 Insp Flow Paw Trans 2 43 Avance Auxiliary Non circle Fresh gas 1 flows from the vaporizer manifold outlet to the ACGO Selector Switch Common Gas Outlet With the ACGO Selector Switch in the ACGO position fresh gas flow is chan
5. E AB 91 058 Venturi Drive Suction AB 74 033 1009 0357 000 09 07 10 63 Avance 10 32 Tubing for use with Legris fittings 10 64 Item 206 208 209 114 116 117 123 213 214 215 217 219 112 211 104 147 150 203 204 205 Except for the Tygon tubing Items 147 and 150 this tubing is a flexible Nylon type tubing for use with quick release fittings Description Tube Markings factory build only N20 PLINE N20 CYL N20 PLINE MIXER REGULATED 02 AUX 02 02 PLINE REG IN unmarked REGULATED 02 REGULATED 02 REGULATED 02 02 PLINE MIXER 02 CYL 02 PLINE AIR CYL AIR PLINE AIR PLINE MIXER VAP OUT ACGO unmarked Tygon unmarked Tygon FLUSH VLV SCGO FLUSH VLV ACGO MIXER VAP IN Length Size 230 mm 4 mm 330 mm 4 mm 430 mm 4 mm 400 mm 6 mm 250 mm 6 mm 330 mm 6 mm 175 mm 6 mm 560 mm 6 mm 270 mm 6 mm 300 mm 6 mm 580 mm 6 mm 215 mm 6 mm 270 mm 8 mm 460 mm 8 mm 840 mm 1 4 inch 290 mm 1 2 inch 180 mm 1 2 inch 110 mm 1 4 inch 125 mm 1 4 inch 600 mm 1 4 inch Stock Number 1001 3060 000 1001 3060 000 1001 3060 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3062 000 1001 3063 000 1001 3063 000 1001 3064 0
6. On battery decreases to between 10 and 5 min Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting BAL CHANNEL PROP Alternate 02 Likely caused by a leaky Mixer VALVE LEAK FAIL Balance Proportional Valve Replace the proportional valve Replace Mixer ifissue continues BAL FLOW CTRL FAIL Mixer status bit Medium AC Balance gas supply STS FLOW CTRL CH2 FAIL Mixer pressure OK indicates flow attainment failure Reboot System If problem continues replace the Mixer BAL PROP VALVE FAIL Mixer status bit Medium AC STS CH2 PROPN VALVE FAIL Mixer indicates proportional valve failure over current etc Reboot System If problem continues replace the Mixer BATT V VERY LOW Plug in power cable Available battery power Medium PC ACMains Power Failure in progress Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software lt 5 min between 1 and 5 minutes Replace Battery BATTERY lt 1MIN System shutdown in Available battery power is High PC AC Mains Power Failure lt 1min lt 1min in progress Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BATTERY CHARGE FAIL No battery backup The system
7. OUTLET BREAKERS COUNTRY SPECIFIC OUTLETS 11 Schematics and Diagrams d C T INRUSH PCA 100 120V R2 l 1 rd ISOLATION TRANSFORMER r 1 AC INLET MODULE 15A l MAN l SYSTEM BREAKER 10 K1 j l BRN an LINE IN SN UNE BRN sy ci LINE OUT Ss THERMAL FUSE FILTER RV 130C RED P E peleas y ROCKER D6521Z0V151RA20 1500w 3 CONNECTOR mE I l 10 l n l Differential G1 R1 4 Tg THERMAL FUSE s L4 Mode LM USB ww abes lox a Ies TD l 250V 20 I 15 E o 70 o TUNES CONNECTOR 3 l 4 ORN BLU F1 RVI 1A l D6521Z0V141RA20 Paar BLK BLU NEUTRAL IN 140V NEUTRAL OUT l RV3 D6521Z0V141RA20 WHITE 140V L Common 1 Mode c2 U 5B 250V l 2 15 l GND GRN YEL CHASSIS GROUND Li l n C EU A E E E E A ud id ciam E O Li 1 EQUIPOTENTIAL STUD lit 1 E 3 4 POWER SUPPLY ures i POWER CONTROLLER BOARD 1 CHASSIS GROUND i eh an i 1 Li 5A i LINE FILTER l i LINE FILTER v FUSE 1 5A z N FUSE 2 A a z l 2 G N G lt I 1 Fa Z B 1 y i e ee Figure 11 1
8. MIXER XX FLOW CHECK FAIL MIXER XX SELECTION VLV FAIL Does Mixer communicate MIXER VOLTS FAIL in Service Application 12 5V TO ACB XX equals BAL GAS O2 or 02 AIR N2O No Is the Mixer 10VA Volts From Anes Cntrl Bd OK in the Mixer Power Diagnostics i i ication Screen in the Service Application Flowchart 17 No Proceed to Valves Mixer Troubleshooting Yes Are the Mixer 10VA Volts AMPS OK in the Anes Control Board Power Diagnostics Screen in the Service Application No Yes Is the 12 5 v DC from the Power Controller OK in the Anes Control Board Power Diagnostics Screen in the Service Application Are any of the Board Supplies OK in the Mixer Power Diagnostics Screen in the Service Application Turn Machine Power Off and Disconnect J1 Cable from Mixer Yes No No Yes Did the Mixer 10VA VoltsV AMPS return to OK with 3 Check Replace Troubleshoot E the J1 Cable ACB to Mixer Replace Power ae noot B disconnected Cables Controller Board p ES No Yes Problem Continues No gt Problem Solved Check Replace ACB to Mixer Cables Replace Mixer Yes Troubleshoot Replace ACB Flowchart 7 6 7 40 09 07 1009 0357 000 7 Troubleshooting Valves Mixer Troubleshooting Continued from Previous Page Flowchart 16 Connect all gasses Start a case and Did Failure occur during POST flow both O2 and Balance Gas
9. ccc eee rr 1 7 1 6 Display controls neuere reete mede nre onn e ena Ye yea 1 8 1 7 Anesthesia system display siii a eye CREE ERE 1 9 ET USO MEUS uu dae orte rte teh a ttt ed tn ets Don RR EE CR Mta Ron 1 11 1 8 Symbols used in the manual or on the equipment isses 1 12 1 1 Avance 1 1 What this manual includes Other equipment This manual covers the service information forthe S 5 Avance line of anesthesia machines It covers the following components e Display Unit Integral electronics Gas delivery components e Breathing system components Frame component s Optional suction regulator Optional auxiliary O flowmeter Other equipment may be attached to the system on a display mount the top shelf or on the side dovetail rails Consult separate documentation relative to these items for details 1 2 User s Reference manuals Some sections of this manual refer you to the User s Reference manual for the S 5 Avance To expedite repairs you must have and be familiar with the User s Reference manuals for this product Refer to the S 5 Avance User s Reference manual if you need further information about the operation of the system 09 07 1009 0357 000 1 Introduction 1 3 What is an Avance anesthesia machine Note 1009 0357 000 09 07 The Avance anesthesia system combines advanced anesthesia delivery patient monitoring and care information management in a contemporary compact d
10. 9 9 1 Electronic Gas Mixer assembly 1009 0357 000 09 07 The pan electrical enclosure includes the following components Section 10 10 e the Electronic Gas Mixer assembly e the Ventilator Interface board e the Filter board e the Pan Connector board e the pan enclosure fan To replace these components remove the tabletop Section 9 4 and the pan enclosure cover The following procedure describes how to replace the Electronic Gas Mixer assembly 1 Bleed all gas pressure from the machine Section 9 2 2 Ensure that all cylinder and pipeline pressures read zero before proceeding 3 Disconnectthe inlettubing elbow fittings from the manifold Ifthe machine does not include N50 transfer the plug from the N30 inlet to the replacement assembly 4 Disconnect outlet tubing from the elbow fitting A Disconnectthe ribbon cable from the Pan Connector board B Disconnectthe fan harness C 5 6 7 Remove the two screws D that hold the manifold to the enclosure 8 Remove the mounting screw E at the front edge of the main circuit board 9 To replace the Electronic Gas Mixer assembly reassemble in reverse order 10 Load Software 11 Zero Mixer Pressure Transducers Section 4a 5 9 or Section 4b 5 10 9 31 Avance 9 32 9 9 2 Ventilator Interface board 1 8 9 Disconnect the white and black inline tubing fittings from the Inspiratory pressure transducer A D
11. 0 c cece cee eee 8a 10 8a 2 Gas Diagnostics cion sas ura e Wed e ar eae DUE ee renis 8a 11 8a 2 1 Gas Supplies sisside esee mne RR iR Dh eed di AA 8a 12 8a 2 2 MIXer Output never as 8a 13 88 2 3 Mixer Tests and Pressure cece eee ene eee 8a 14 8a 2 4 Mixer Temperature 0 cece cece mnn 8a 15 84 2 5 Setting Gas HOW is a Oh da 8a 16 88 2 6 Breathing System LeakTest 00 eee e eee e eee eee eee ees 8a 17 8a 3 Ventilation Diagnostics 0 c cece ene IM 8a 18 A A mbes o E ce We xa re ienty 8a 19 88 3 2 Vent Flow and Pressure 6 cece eee nee e 8a 20 8a 4 Display Diagnostics ssssesssssseess Ie 8a 21 8a 5 Speclal Functioris s 2225s orbc kA eR ERA VEU a A 8a 22 88 5 1 Mixer Service Menu ssssssssssssss Ie 8a 23 8a 5 2 View Revision LOB oooococococcoccccccccncnnrc iniret 8a 24 88 5 3 View PC Card Install Lo lesse 8a 24 88 6 Software Download 0 ccc eee eee ene Inn 8a 25 ix Avance 8b Software Download and Special Functions HPDU 9b T OVelVIGW ai A sor tie ewe Pad nie 8b 2 8b 1 1 Main Menu and System Information ooooocccococccccoccar o 8b 2 8b 2 Software Download E a e ened mn 8b 3 8b 3 Special Functions es eee Se eere reme emere ene xni n ee gares 8b 5 8b 3 1 PowerDiagnostics sp sona isa ionaid a iea a ene 8b 5 8b 3 2 Power Controller Power Diagnostics cc cece eee eee eee 8b 6 8b 3 3 Display Unit Power Diagnosti
12. 00 c cece eee 12 9 12 6 2 Tools System Calibrations cece cece eee eee 12 10 12 6 3 Tools Transfer Logs oooocooococoocronncrnnr rr 12 11 12 7 Power Diagnostics menu 6 rr 12 12 12 7 1 Power Diagnostics Power Board 6 cece cece eee eens 12 12 12 7 2 Power Diagnostics Anesthesia Control Board Power 12 13 12 7 3 Power Diagnostics Mixer Board Power 0 c cece eee eee 12 14 12 7 4 Power Diagnostics Vent Interface Board Power e0e cues 12 15 12 7 5 Power Diagnostics Display Unit Power ccc ee eee eee eee 12 16 12 8 Gas Delivery Subsystem menu 6 eee e 12 17 12 8 1 Gas Delivery Subsystem Gas Supply Status 0 0008 12 17 12 8 2 Gas Delivery Subsystem Mixer Output 0 00 cece eee 12 18 12 8 3 Gas Delivery Subsystem Mixer Pressure and Temperature 12 19 12 8 4 Gas Delivery Subsystem Gas Delivery StatuS oooooooooommmoo 12 20 12 8 5 Gas Delivery Subsystem Mixer Post Checkout Test Results 12 21 12 8 6 Gas Delivery Subsystem Perform Mixer Checkout TestS 12 22 12 9 Vent Subsystem menu sau srr ipinta crn eee n 12 24 12 9 1 Vent Subsystem Vent Status 0 0c eee eee 12 24 12 9 2 Vent Subsystem Vent Flow and Pressure 0 cece cece eee eee 12 25 12 10 Window menl 2s sene rk RR ee Ree AA e A ENRE E Da 12
13. When options are added Add option dd MMM yyy hh mm ss is written to the event log If more than one option is added each option is be listed separately DU 4a 8 09 07 1009 0357 000 Options List menu 4a 3 4 Copy Configuration Copy Configuration menu Menu Item Save to Card 4a Installation and Service Menus DU The options list shows which options are enabled Menu Item Available Options Message text Values SIMV PSV SIMV vent w pressure support On Off PCV Pressure controlled ventilation On Off PSV Pro Message text Save Configuration and defaults to card Pressure support ventilation w backup Values lt blank gt Fail or OK The field is blank until the data has either been written to the card OK or the system determines it cannot write to the card Fail On Off Comments Saves all settings that are not hardware dependent including facility defaults colors units 02 flow tube position decimal marker and altitude Copy from Card 1009 0357 000 09 07 Copy Configuration and defaults from card When completed Copy from card complete Please reboot system lt blank gt Fail or OK The field is blank until the data has either been read from the card OK orthe system determines it cannot read the card or the card does not have the required data Fail Systems cannot accept configu
14. zo eboot System If problem continues replace the Mixer MIXER BAL GAS TEMP LIMIT Mixer error bit STS CH2 TEMP LIMIT Balance Gas Balance gas temperature exceeds 50 C Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER BAL GAS ZERO FAILLEAK Mixer status bit STS CH2 ZERO FLOWPROP N V CH2 LEAK FAIL TEST FAIL Bal gas proportional valve fails zero flow check shows flow while closed Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER CRC EEPROM FAIL Alternate 0 Screen Runtime CRC check on EEPROM failed Mixer Status Bit STS EEPROM CRC FAIL Medium AC Mixer Reboot System If problem continues replace the Mixer 1009 0357 000 09 07 7 59 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MIXER CRC FLASH FAIL Alternate O Screen Runtime CRC check on Flash failed Mixer Status Bit STIS FLASH CRC FAIL Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER CRC RAM FAIL Alternate O Screen Runtime CRC walking pattern check on RAM failed Mixer Status Bit STS RAMCRC FAIL Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER N20 SELECTION VLV FAIL Mixer Status
15. Install the transducer 6 To reassemble perform the previous steps in reverse order T Perform the checkout procedure Section 3 1009 0357 000 09 07 9 43 Avance 9 14 Service vaporizer manifold parts 9 14 1 Repair 1 Setthe system switch to Standby manifold port valve 2 Remove the vaporizers from the vaporizer manifold 3 Usinga 14 mm wrench carefully remove the valve nipple threaded 4 Disassemble as necessary to replace parts The following illustration shows the parts Note The port valve replacement kit includes the valve cartridge assembly and the seal The kit does not include o rings AAA O ring em a Valve Cartridge Seal Spring Oring umm 5 When installing a new valve cartridge assembly into the vaporizer manifold put a light coat of Krytox on the bottom portion of the cartridge The bottom portion ofthe cartridge is defined asthe brass surface thatis inserted in the lower spring Note Do not apply Krytox to the valve seal 6 Verify that the parts are free of dust and dirt T To reassemble perform the previous steps in reverse order 8 Complete the port valve checkout procedure described below Section 9 14 2 9 44 09 07 1009 0357 000 9 14 2 Checkout procedure for manifold port 1009 0357 000 09 07 valve Note 9 Repair Procedures Use the
16. Item E OOoOnNDO BW ND Note SCGO only applies to Avance and Aisys machines erer NO YNNN N RP RP RP RP RP RC gt WONFRFPODAN DO FW 24 25 26 3 4 Description Assembly main support casting Bolt M6x16 flange Handle grip Screw M6X16 Sems Latch push to close Latch push to close w microswitch Screw SKT HD CAP M3x8 SST Washer lock external M3 Port plug circuit ACGO Port fresh gas SCGO Seal U Cup 12 7 ID BCG 19 05 OD EPR Ring retaining 15 88 SHAFT DIA TYPE E SST Port sample gas Connector bulkhead O2 Cell with harness Ring retaining 9 53 SHAFT DIATYPE E SST Switch subminiature w QDISC terminals Screw M2 5 x10 Bracket BTV switch Lever BTV switch Bracket cap BTV Screw SKT HD CAP M3x8 SST Washer lock external M3 Bracket bypass switch Paddle switch actuator Bracket paddle hinge Screw M6x6 set cup Lubricate sparingly with Krytox Apply Loctite 242 1009 0357 000 09 07 Stock Number 1407 7010 000 1009 3125 000 1407 3317 000 0144 2436 109 1407 3309 000 1407 3310 000 1006 3865 000 9213 0530 003 1407 3333 000 1407 3314 000 1407 3320 000 1406 3446 000 1407 3318 000 1009 5586 000 1406 3277 000 1406 3296 000 1009 3153 000 1407 3319 000 1407 3325 000 1407 3324 000 1006 3865 000 9213 0530 003 1407 3139 000 1407 3141 000 1407 3140 000 1007 3329 000 13 117 12 14 15 anan N N RA N B ana
17. Selecting any of the first four items in the left hand frame brings up the corresponding diagnostic page in the right hand frame Press the ComWheel to return focus to the right hand frame to make another selection Selecting one of the three gas flows brings up a page on which you can set one ofthe four flow values for the selected gas s 0 2 1 min 0 5 l min 5 0 l min 10 0 l min Press the ComWheel to start the selected flow Press the ComWheel again to return to the flow page to observe the Airway Pressure reading Or select one of the four diagnostics pages to view the displayed conditions Selecting Breathing Sys Leak opens the GIV valve and sets a flow through the inspiratory flow valve While on the Breathing Sys Leak page you can set 02 flow to the breathing system and observe the Airway Pressure reading Gas will continue to flow at the set rate until you s set a different flow for the same gas e set a flow for a different gas automatically turns the previous gas flow OFF e setthe current gas flow to OFF all flows OFF s exit Gas Diagnostics to the Main Menu DU 8a 11 Avance with DU 8a 2 1 Gas Supplies Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow 0 5 N20 Flow OFF Air Flow OFF Breathing Sys Leak gt Main Menu DU 8a 12 Each gas supply shows the derived pressure in kPa and psi along with the raw voltage from the pressure transduc
18. The inverters sandwich the mounting plate and use tas a heatsink Follow the procedure in Section 9 6 5 to gain access to the inverters Replace one inverter at a time 1 Disconnect the backlight cable A from the inverter 2 Remove the two Nylon screws B that hold the inverter to the backplate 3 Slide the inverter out of the sleeve and disconnect it from the CPU harness C 4 Reassemble in reverse order The front inverter The rear inverter 09 07 1009 0357 000 9 6 8 To replace the front enclosure or components To replace the window 1009 0357 000 09 07 9 Repair Procedures Disassemble the Display Unit following procedures in the previous sections to the point where you have removed the mounting plate assembly from the front enclosure If you are replacing the front enclosure you can transfer the encoder 12 assembly to the new enclosure but you must build up the replacement enclosure with a new window 11 new membrane switches right side 14 lower 15 left side spacer 16 new keypads right side 17 lower 18 left side blank 19 new EMC gasket 10 If you are replacing a keypad or a membrane switch you must replace both items gt 11 7 16 19 12 Nub 15 18 Place the front enclosure face up on a flat surface Press down on one corner of the window to free it from the enclosure Work your way
19. increment the pressure in the airway circuit observe the output of the airway pressure transducer note that the pressure limit circuit trips at approximately 109 cmH50 E Remove the ABS breathing system from the machine Remove the Exhalation Valve Remove the Vent Engine cover Separate the Circuit Module from the ABS Bellows Module Install the Circuit Module only Plugthe Drive Port A on the Vent Engine interface valve Attach a patient circuit tube to the Calibrated Flow Orifice test tool Insertthe Calibrated Flow Orifice into the Manifold pilot Port B O 0 NO OC A W N Connectthe open end ofthe patient circuit tube to the inspiratory flow patient connection C 09 07 1009 0357 000 Test Procedure 1009 0357 000 09 07 m 6 Installation and Maintenance Onthe Main Menu of the Service Application select Vent Diagnostics Onthe Vent Diagnostics menu select Status and verify that Over Pressure Circuit reads OK Press the ComWheel to return focus to the selection menu Select Gas Inlet Viv ON OFF to Open the gas inlet valve Press the ComWheel to return focus to the selection menu Select Flow Valve Control Adjustthe Flow Valve counts to approximately 1000 counts and observe the Airway Pressure reading Increasethe flow count slowly until the Airway Pressure reading reaches approximately 109 cmH50 Continue to increase the flow by
20. 10 11 12 13 8 9 10 Illustrated Parts Stock Number 1009 3059 000 1009 3141 000 1006 3178 000 1406 3304 000 1406 3319 000 1009 3027 000 1009 3107 000 9211 0440 163 9213 0540 003 1407 3327 000 9211 8350 163 0144 1118 220 1009 3105 000 1011 3946 000 10 59 Avance 10 29 Drawer 10 60 Item 2 3 4 5 6 5 6 Description Slide drawer Screw M4x8 Nyloc Drawer body Drawer Front lower with down arrow on back Drawer Front upper with up arrow on back Screw M4x12 Stock Number 1009 3084 000 1009 3183 000 1009 3078 000 1009 3032 000 1009 3031 000 1009 3109 000 09 07 1009 0357 000 10 30 Legris quick release fittings Cun C gt g q E H ES ES Note Not every fitting is used in all machines 1009 0357 000 09 07 Description Tees tube tube tube 4 mm N50 6 mm 05 8 mm Air 8 mm 6 mm 8 mm SCGO pilot 3 16 inch CO and Heliox Tees tube tube standpipe 6 mm 05 8 mm Air Drive gas Elbow tube standpipe 4 mm N50 6 mm 05 8 mm Air 1 4 inch mixed gas 1 4 inch 45 mixed gas Elbow tube tube 1 4 inch mixed gas 4 mm N50 6 mm 05 Y 6 mm 05 8 mm Air 8 mm Y with tailpiece 1 4 inch mixed gas Plug 4 mm N50 6 mm 05 8 mm Air 3 16 inch CO and Heliox 10 Illustrated Parts Stock Number 1202 3653 000 1006 3544 000 1006 3545 000 1009 3297 000 0213 4727 300
21. 10 Connect the mixer outlet tubing to the vaporizer manifold 11 Replace the back cover 10 Perform the Preoperative Checkout Procedure refer to the User s Reference manual 6 11 Avance 6 8 Auxiliary 05 flowmeter tests 1 Open the Op cylinder valve or connect an O pipeline 2 Rotate the flow control clockwise decrease to shut offthe flow The ball should rest atthe bottom ofthe flow tube and not move 3 Rotate the flow control counterclockwise increase The ball should rise immediately after rotation is begun It should rise smoothly and steadily with continued counterclockwise rotation When a desired flow is set the ball should maintain in a steady position 4 Rotate the flow control clockwise to shut off the flow Flow Accuracy Test Note To check flow accuracy be sure that the flow test device is capable of measuring O to 15 L min with an accuracy of 2 of reading 1 Connectthe flowmeter outlet to the flow test device 2 Adjustthe flowmeter so the center of the ball aligns with the selected test point observe that the ball maintains a steady position for 10 seconds 3 The test device reading should be between the limits shown for each of the selected settings in the table below Flow Tester Reading Flowmeter Setting Lower Limit Upper Limit L min L min L min 1 0 5 1 5 3 2 5 3 5 5 4 5 5 5 10 9 0 11 0 maximum 12 0 jj Taen valve fully open 4 Rotate the flow control clockwise to shut
22. 12 Adapter auxiliary inlet 30 mm male to 30 mm male M1003134 13 Adapter auxiliary inlet 30 mm male to 19 mm male M1003947 Active AGSS Specific Parts 14 Receiver with air brake 1407 3900 000 15 Seal for filter and orifice 1407 3902 000 2 16 Filter 1406 3521 000 Active High Flow Specific Parts 17a Connector high flow M30 thread 1406 3557 000 18 Orifice high flow 1407 3920 000 Active Low Flow with EVAC connector Specific Parts 17b Connector low flow EVAC 1406 3597 000 18 Orifice low flow 1407 3919 000 Active Low Flow with 25 mm connector Specific Parts 17c Connector low flow 25 mm 1406 3573 000 18 Orifice low flow 1407 3919 000 Active Low Flow with 12 7 mm hose barb connector Specific Parts 17d Connector low flow 12 7 mm 1 2 inch 1406 3574 000 18 none Active Low Flow with 30 mm ISO male connector Specific Parts 17e Connector 30 mm ISO Male 1406 3555 000 18 Orifice low flow 1407 3919 000 Lubricate sparingly with Krytox 10 48 09 07 1009 0357 000 10 Illustrated Parts 1009 0357 000 09 07 10 49 Avance 10 22 16 AGSS gauge and sample return 4 Item Description Stock Number 1 Flowtube AGSS 1406 3560 000 2 Clip AGSS flowtube 1009 3181 000 3 Label flow indicator AGSS 1406 3527 000 Label flow indicator AGFS for German variant 1009 3301 000 Label blank for machines without flow indicator 1009 3241 000 4 Label AGFS for German variant 1009 3300
23. 2 Waitapproximately 60 seconds while the logs are downloaded to the card no apparent activity 3 Restart the system with the Service Application to view the logs Whenever a Software Download is completed the specific software download is recorded in the Revision Log that resides on the system Display Unit and in the PC Card Install Log that resides on the PC Card The Compatibility Table lists the current software components that last downloaded on to the system In essence it is the latest listing that appears in the Revision Log which allows you to view the current log directly without having to scroll to it 09 07 1009 0357 000 8a Software Download and Diagnostics DU 8a 5 1 Mixer Service Selecting Mixer Service Menu brings up the Mixer Service Instructions Menu Note This function is not valid on the PCMCIA card and has been moved to the main System Software Section 4a 5 9 for Software versions 3 X and greater Mixer Service Menu Mixer Service Instructions Zero Pres Sensors Reset Defaults to recalibrate the pressure sensor zero offsets gt Special Functions Select Reset Defaults to restore factory default offsets If you want to select Zero Pres Sensors 1 Disconnect gas supplies from system 2 Close cylinders 3 Confirm that all vaporizers are turned OFF 4 Remove the flow sensor cover 5 Move the Bag to Vent switch to the Bag position 6 Press the 02 Flush button for 3 seconds 7 WAIT A
24. 6 7 09 07 1009 0357 000 10 26 Tabletop components LG 1009 0357 000 09 07 Description Tabletop work surface Screw relieved M4x12 Washer retainer Screw relieved M4x16 Washer M5 flat Clip used with bag arm Clip used with bag on tube Window check valve Palnut Hook breathing circuit Bolt shoulder Washer wave Washer Nylon 9 10 11 12 1 10 Illustrated Parts Stock Number 1009 3029 000 1504 3001 000 1009 3178 000 1011 3980 000 1006 1459 000 1009 3142 000 1009 3139 000 1009 3088 000 1009 3090 000 1009 3086 000 1009 3172 000 1009 3035 000 1009 3150 000 10 57 Avance 10 27 Right side Components 10 58 Item Description Extrusion cover Screw M6x20 Lockwasher M6 internal Dovetail RH upright Screw selftapping Cover pipeline inlet Screw M4x8 Stock Number 1009 3021 000 0144 2131 921 0144 1118 130 1009 3129 000 1009 5534 000 1009 3091 000 1006 3178 000 09 07 1009 0357 000 10 28 External components lower assembly 1 3 2 3 1009 0357 000 09 07 Item 2 3 4 5 6 7 8 9 e e e he e gt 0 N e O Description Panel access Panel service Screw M4x8 Thumbscrew Ring retaining Cover scavenger reservoir Bracket suction reservoir Screw M4x16 Lockwasher M4 external Clip suction bag hose Screw M5x16 PAN HD Lockwasher M5 external Bumper absorber Label CO canister
25. A WARNINGS 1009 0357 000 09 07 6 Installation and Maintenance This section covers the regular maintenance procedures minimum requirements needed to make sure thatthe S 5 Avance anesthesia machine operates to specifications 6 1 Avance Installation Checklist oooocooccoccroccorncor rr 6 2 6 2 Avance Planned Maintenance 00 cect eet teen eee ene eae 6 4 6 3 Free breathing valve maintenance cece eee eee een eae 6 6 6 4 MOPV pressure relief valve test o ooooooocccococccccror III 6 7 6 4 T lest Setup ik fics dosh A ME eta na a 6 7 6 4 2 Testprocedure is sta yaw ceeds la fume ad oad lags whe gan ead ade 6 7 6 5 Pressure Limit Circuit test aisa a aena ccc eee eee nnn 6 8 6 6 MIX rtest Loue hA p rot AA eur xe e eres TELA 6 10 6 6 1 Mixer outlet check valve leak test 0 ccc eee eee eee 6 10 6 6 2 Mixer flow verification 2 cee ar 6 10 6 7 Alternate 02 flowmeter tests oooocooccccccncconncr 6 11 6 8 Auxiliary O2 flowmeter tests 0 00 cece eee ene eee I 6 12 6 9 Integrated Suction RegulatortestS ccc cece eee eee eens 6 13 6 10 Battery capacity test 0 cent mn 6 15 Do not perform testing or maintenance on the S 5 Avance anesthesia machine while it is being used on a patient Possible injury can result Items can be contaminated due to infectious patients Wear sterile rubber gloves Contamination can spread to you and others Obey infection control
26. Return to the previous menu During calibration Calibration in progress Push ComWheel to cancel 09 07 1009 0357 000 4a Installation and Service Menus DU 4a 5 3 Insp Flow Zero The Insp Flow Zero instructions appear when the focus is on the Insp Flow Zero menu item Refer to Section 5 4 4 Insp Flow Zero Instructions Read all steps before you start 1 Push the ComWheel to start the zero check 2 No disassembly is required e f the outcome ofthe calibration is Pass the new calibration data is saved e f the outcome is Fail the old calibration data is retained e The result of the calibration is saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keeps the old calibration constants Insp Flow Zero menu Menu Item Message text Values Start Ifthe result is failed do the inspflow Pass or Fail valve calibration Previous Menu Return to previous menu During Calibration Calibration in progress Push ComWheel to cancel 1009 0357 000 09 07 DU 4a 15 Avance with DU 4a 5 4 Inspiratory Flow DU 4a 16 Valve Instructions The Inspiratory Flow Valve instructions appear when the focus is on the Insp Flow Valve menu item Refer to Section 5 4 3 Inspiratory Flow Valve Cal Read all steps before you start 1 Complete the Manifold P Span calibration 2 Put 2 plugs in the manifold a
27. S o Amp Filter Amp Filter Amp Filter Amp Filter O2 Sensor Amp Filter G G G G z lt L Inspiratory Expiratory Manifold Airway Ventilator Interface Board Transducer Transducer Transducer Transducer Figure 2 24 Ventilator Interface board block diagram 1009 0357 000 09 07 2 23 Avance 2 11 Gas flow through the anesthesia machine 2 24 2 11 1 Overview Gas supplies Gas flow Gas mixing Mixed gas Referto Figure 2 25 Gas comes into the system through a pipeline 1 or cylinder 6 connection All connections have indexed fittings filters and check valves one way valves Pressure transducers monitor the pipeline 2 and cylinder 7 pressures The 0 supply failure alarm is derived from the O pipeline and the O cylinder pressure transducer inputs A primary regulator 8 decreases the cylinder pressures to approximately pipeline levels A pressure relief valve 3 helps protect the system from high pressures To help prevent problems with the gas supplies Install yoke plugs on all empty cylinder connections s When a pipeline supply is adequate keep the cylinder valve closed Pipeline or regulated cylinder pressure supplies O or Air directly to the ventilator engine 4a or 4b and as pilot pressure 4 forthe SCGO assembly E Connection points are also available for venturi suction 5a or 5b drive gas supply An additional O regulator 18 decreases the pressure for the O Flush va
28. Section 12 Service Application covers a separate Windows based service application used to run service diagnostics and other service tests The Service menu structure has three levels which are password protected e Install Service super user e Installation Service The Install Service level super user password supports standard hospital preferences choosing units setting ventilator alarm and gas delivery defaults The Installation level requires the service password and supports language gas color codes flow tube position country hardware flags for system components acgo or scgo etc enabling software options and cloning a system The Service level requires the service password and supports diagnostic tools and automated component tests Follow the menu structure to access the various service screens e on the Main Menu select Screen Setup on the Screen Setup menu select Install Service to access the Install Service with super user password menu e on the Install Service menu select Installation with service password to access the Installation menu to access the Service menu select Service with service password on the Install Service menu or from the Installation menu select Service to access the same Service menu without having to enter the service password Install Service 1 Install Service 2 Installation Fresh Gas Controls Configuration SW HW VCV Cardiac Bypass Units
29. Software Level File Name Dsply Unit App Avance DUB Stock Number RevX Software Level File Name Serial Dsply Unit BIO Avance DUF Software Level File Name Dsply Unit Fla Note The Stock Number listed is for the board assembly and may not represent an orderable service item Referto the parts lists in Section 10 for service level stock numbers The Front Panel Control FPC Display Unit Application DUA and the Display Unit Flash DUF reside along with the Display Unit BIOS DUB on the Display Unit CPU board 8a 5 3 View PC Selecting View PC Card Install Log brings up the PC Card Install Log forthe software Card Install Log download card The log includes chronological entries for every Software Download that was completed with the card Each entry includes two header lines and eight data lines in the following format PC Card Install Log INSTALLATION LOG for PC Card XXXXXXX Software configuration after download on day date time SvcApp Version XX XX Machine Serial Number ABCDXXXXX Card XXXXXXX Avance ACB Stock Number RevX Software Level File Name Serial AnesControl B Avance MXR Stock Number RevX Software Level File Name Serial Electronic Mix Avance VNT Stock Number RevX Software Level File Name Serial Vent Intface B Avance FPC Software Level File Name Front Panel CN Avance PSC Stock Number RevX Software Level Fi
30. ieee eee eee eee eens 7 71 7 12 Steps and Messages displayed during the System Checkout for System software 2 X 1 cee need eee eens 7 73 7 12 1 Steps for the Quick Check 0c c cece eee cnet eee e nee 7 73 7 12 2 Steps forthe Vent Check lssssssesssssssles eens T 15 7 1 Avance 7 1 Troubleshooting Guidelines A WARNING Review system error logs using the Special Functions feature of the Software Download card Section 8a 5 Review the logs to identify issues and follow the appropriate subsystem troubleshooting procedures Troubleshooting high pressure and low pressure leaks Troubleshooting Startup Screen POST messages for DU Troubleshooting Startup Screen POST messages for HPDU Troubleshooting the HPDU Display Troubleshooting System Malfunction safe state screen Breathing System Leak Test Guide System Troubleshooting Flowcharts Section 7 2 on page 7 2 Section 7 3 on page 7 4 Section 7 4 on page 7 5 Section 7 5 on page 7 6 Section 7 6 on page 7 7 Section 7 7 on page 7 8 System Malfunction and Alt 02 Flowchart Table Technical Alarms Section 7 8 on page 7 30 Section 7 9 on page 7 42 Section 7 10 on page 7 44 Objects in the breathing system can stop gas flow to the patient This can cause injury or death e Donotuse a test plug that is small enough to fall into the breathing system Make sure that there are no test plugs or other objects caught in the breathing sy
31. lt dot gt Et Enf High Off Language English Et Enf Low Off Gas Supply Colors ISO 02 white N20 blue Air blk wht Fi Hal High 5 02 flow tube Right side FI Hal Low Vent drive gas 02 Et Hal High PSV Pro Enabled SIMV PSV Enabled PCV Enabled SIMV PC Enabled N20 enabled 1009 0357 000 09 07 No Et Hal Low DU 4a 5 Avance with DU 4a 3 Installation Menu Configuration Decimal Marker Language Gas supply Colors 02 Flowtube Ventilator Drive Gas Altitude Gas Outlet N20 Enabled DU 4a 6 Use the service level password to access the Installation menu 26 23 8 Whenever the installation menu is entered Enter Service dd mmm yyyy hh mm ss is recorded in the Event log Menu Item Configuration Message text Set language gas color code and 02 flowmeter position Units Set units Options Key Enable software options Options List Display software options Copy Config Normal Message Save or install configuration and default settings using memory card Blocked Message Please insert memory card Service Show error event and alarm logs Accessing the Service menu from the Installation menu does not require second use of service password Previous Menu Weight C02 Gas Supply Pressure Paw Options Key Curren
32. the original Display Unit DU e or the High Performance Display Unit HPDU The display unit handles most of the machine s user interface functions through the front panel controls and the LCD screen It is the primary interface to external peripherals The main components of the display unit include Anactive matrix thin film transistor liquid crystal display A The CPU board B The System Interconnect assembly C The CPU board includes a host processor and three coprocessors to handle display front panel and monitoring interfaces Both the DU and HPDU use a lithium battery to power the real time clock when the machine is in Standby or Off states The HPDU also uses the lithium battery to retain the BIOS setup If the battery is removed or becomes disconnected the BIOS setup needs to be restored by booting the system off the Software Download Card The DU uses a PCMCIA interface to handle software upgrades and to load the diagnostics Service Application The DU is compatible with system software version 3 2 or earlier The HPDU uses a Compact Flash interface to handle software upgrades and to load the diagnostics Service Application The HPDU requires system software version 4 X or greater Figure 2 18 Display Unit 2 14 09 07 1009 0357 000 2 Theory of Operation 2 6 System connections 2 6 1 Display Unit The DU accommodates the following connections e System Power Interface 1 e System Signal I
33. 10 Perform the checkout procedure Section 3 09 07 1009 0357 000 In this section 1009 0357 000 09 07 10 Illustrated Parts 10 1 Service tools ce a A ein as bas 10 3 LOL Software tools ci A b VEI bb teo pe cr diu d nde 10 3 10 1 2 Manifold pressure test adapter oooocccoooccccnncccca 10 3 10 1 3 Test Devices icc i roti get OR ee ipee reed 10 4 10 1 4 Lubricants and Adhesives cc cece eect eee eee eee eee 10 4 10 T bT stTOOlS td a alt adnate qat rd ak lt 10 5 10 2 External components front VieW 1 ccc eee eee I 10 6 10 3 External components front view references cece cece eee eaee 10 7 10 4 External Components rear VieW oooocccoocccccc II 10 8 10 5 AC Power cords and AC Inlet filter 2 0 0 eects 10 9 10 6 AC Inlet Outlet Components sssssssses I 10 10 10 7 Display Unit DU aeri aae aaa I me 10 12 10 8 High Performance Display Unit HPDU ssssseeseseene eens 10 14 10 9 Lower electronic enclosure components oooocccccccccc rr 10 16 10 9 1 Anesthesia Control and Display Connector board oo o o oo 10 17 10 10 Pan electronic enclosure components 00 0 cece cece 10 18 10 11 Electronic Gas Mixer sssssesssesee I 10 19 10 12 Pipeline inlet fittingS oooooococccnnconnrn rre 10 20 10 13 Cylinder Gas Supplies 0 ccc ccc e nee nnes 10 21 10 13 1 Cylinder inlet fittings 20 0 cece eens 10 22 10 14 Va
34. 37 Description Enclosure rear CPU Board display unit with PCMCIA frame Frame PCMCIA Gasket knife edge 2 each Battery Lithium 3V positive side up Display LCD 12 inch color original DG31 is obsolete Display DG41 LCD 12 inch color includes backlights Backlight Kit for DG41 display backlight assembly 2 inverters and hardware Harness inverter Spacer 8mm Nylon Insulator tube Grommet diagonal cut backlight cable Enclosure front Gasket EMC 1 8mm OD hollow RND 2 3 m per enclosure Window Encoder assembly Knob ComWheel Membrane switches right Membrane switches lower Keypad right side part of keypad set Keypad lower part of keypad set Keypad blank part of keypad set Spacer blank keypad Speaker assembly 8 ohm Rear Connector Panel Assembly with interface boards Cable ribbon CPU to Display Grommet Fan 5Vdc Capsule fan filter Filter fan Door PCMCIA Gasket cover plate Screw M3x6 Sems Screw M4x8 Sems Screw M4x12 relieved body Lockwasher M4 external Screw M3x16 Lockwasher M3 external Screw M3x6 Nylon Screw M2x16 Screw M4x12 Pan Washer HD Stock Number 1009 5673 000 1009 8289 000 1009 5761 000 1009 5804 000 1009 5800 000 1009 5938 000 1009 8243 000 1009 5527 000 1009 5695 000 1009 3149 000 1009 3151 000 1009 5672 000 1009 5802 000 1009 5676 000 1503 3012 000 898794 1009 5505 000 1009 5507 000 Refer to Table 1 Refer to Table
35. 9 9 Servicing the pan electrical enclosure components 00ce cece eee eens 9 31 9 9 1 Electronic Gas Mixer assembly sssessesee I 9 31 9 9 2 Ventilator Interface board 6 eee eee 9 32 9 9 3 Filter bodid 2 zer e ere eder eed bende 9 33 9 9 4 Pan Connector board cece eee ne 9 34 9 9 5 Pari enclosure fanus oe a ia SEES 9 34 9 1 Avance 9 2 9 10 Servicing the Vent Engine 0 cece eee eee drwa 9 35 9 10 1 To remove the Vent Engine ccc cece eee eens 9 36 9 10 2 Replacing Vent Engine components 00 c cece eee eee eee 9 37 9 10 3 Replacing GIV components ccc cece eee eee eee eens 9 38 9 11 Servicing the pipeline inlet manifold components 0 c cece eee eee 9 39 9 11 1 Replace pipeline inlet filter 0 ccc eee eee eee eee 9 39 9 11 2 Replace pipeline inlet check valve cece eect eee eee 9 39 9 11 3 Replace the inlet manifold 0 c cece eee eee eee eee eee 9 40 9 12 Service the cylinder supply modules 00 cece cece eee eee eee 9 41 9 12 1 Replace primary regulator module complete replacement 9 41 9 12 2 Replace cylinder inlet filter llle 9 42 9 12 3 Replace cylinder check valve sssesssesseseeeen 9 42 9 13 Replace gas supply pressure transducers cece eee eee eee eee 9 43 9 14 Service vaporizer manifold parts oocooocccocnccccn rc 9 44 9 14 1 Repair m
36. Available Options Message text SIMV PSV SIMV vent w pressure support On Off PCV Pressure controlled ventilation On Off PSV Pro Pressure support ventilation w backup On Off PCV VG Pressure controlled volume guaranteed ventilation On Off VCV Cardiac Bypass Allow VCV during cardiac bypass On if option enabled Off if disabled Message text Save Configuration and defaults to card Values lt blank gt Fail or OK The field is blank until the data has either been written to the card OK or the system determines it cannot write to the card Fail On Off Comments Saves all settings thatare not hardware dependent including facility defaults colors units O2 flow tube position decimal marker and altitude Copy from Card 1009 0357 000 09 07 Copy Configuration and defaults from card When completed Copy from card complete Please reboot system lt blank gt Fail or OK The field is blank until the data has either been read from the card OK orthe system determines it cannot read the card or the card does not have the required data Fail Systems cannot accept configuration files from a different product model The software version is stored with the saved configuration A system will reject any configurations from otherthan the current version of software Selecting Save to Card overwrites any confi
37. Checkout failed Check for other errors in the error logs VENT FLOW VALVE FAIL Vent Fail Monitoring Incorrect DAC feedbackfor3 Medium AC DAC Only consecutive readings Vent Reboot System If problem continues in the Service Software Vent Flow amp Pressure Diagnosis increase the Flow Valve counts and view the Flow Valve Feedback mV and Counts Verify the settings match VENT 12 5V FAIL Vent Fail Monitoring Only Nominal 12 5V 11 3 Vdc or 213 13 Vdc Medium AC Vent In Service Software under Vent Interface Bd Power Diagnostics Section 8a 1 6 view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int Bd 10VA Voltage reads OK and 12 5 Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB VENT 6V FAIL Vent Fail Monitoring VSIB 6V out of range lt 5 51 High AC Vent 12 5V 10 VA is Only Vdc or gt 6 5 Vdc Vent OK In Service Software under Vent Interface Bd Power Diagnostics Section 8a 1 6 view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int Bd 10VA Voltage reads OK and 6 0Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cablin
38. Error Preceded or followed by yas MIXER POST FAIL Power up the machine with all gases disconnected Bypass Checkout Analyze the logs for new entries Follow the appropriate path based on Error Entry Entries Proportional Valve Related Errors FLOW ATTAIN FAIL XX CHANNEL FLOW ATTAINMENT FAILURE CH1 Valve Mixer Related Errors MIXER XX ZERO LEAK FAIL XX FLOW CTRL FAIL Valve ACB Related Errors 12 0V H AMPS GAS SEL VALVES LT FAILURE MIX FRSH GAS SLCT VLV 10VA OVR CUR Disconnect the flex cable from the Valve eanes inolcatod in the Error Entry All Mixer valves should Replace Selector Replace Proportional Valve for Gas AB 75 081 Valve for the Channel indicated in Error Entry Gas indicated If problem persists replace Mixer measure approximately 759 Replace valves as necessary Ensure Flex Cable is properly installed in J4 connection on Mixer Board Problem Continues Problem Continues i 2 Problem Continues Yes Replace Mixer Replace ACB Problem Solved Flowchart 1009 0357 000 09 07 7 41 Avance 7 9 System Malfunction and Alt 05 Flowchart Table Error Display Type Flow Chart 12 0V H AMPS Gas SEL Valves 12 0V H AMPS ALT 02 12 0V H AMPS MIXER 12 5V TO ACB Alternate O2 Screen Power Valves Mixer Troubleshooting Flowchart 16 ACB RAM MEMORY TEST FAILURE ACB REDUNDANT MEMORY FAIL ACB C
39. Module Back Panel i Electronic Gas YN r meom C kf Display Uni Display Unit System Interface Board Nose net 4 Serial Cable Backlight Backlight Inverter Inverter n i Board Board Display Unit CPU Board Backlight Color LCD Display Display Unit User Interface Board Backlight o 8 3 E E 2 S E 2 5 a 3 o n o gt o Cylinder Pressure Transducer Cylinder Pressure Transducer Cylinder Pressure Transducer Pipeline Pressure Transducer Pipeline Pressure Transducer Pipeline Pressure Transducer m a y o 8 El gt o a 2 5 8 a 2 o a amp 9 a 5 m E E E 3 amp 5 e z O2 Sensor Bag to Vent Switch SCGO Valve ACGO SCGO Switches 02 Flush Switch ABS Connected Switch On Standby LED lt 2 z o o 9 E 2 c 5 2 c S o E Sg o gt 2 v c y 2 o 5 a o amp z u a 9 v E S o gt a E 2 E o E E 3 x G o O2 Bypass Switch o Ez o 2 a Gas Inlet Valve Air Cylinder N20 Cylinder 02 Cylinder 2nd O2 Cylinder N20 Pipeline 02 Pipeline Figure 11 4 Cabling block diagram 1009 0357 000 09 07 AB 91 079 11 5 Avance Lower GuiletBox Enclosure 12V Battery 12V Battery with Breakers hel Power Supply Power Inrush Board Power Cord AC Inlet Isolation Line Controller and Breaker 120V Transformer Filter 220V Board AC
40. Objects in the breathing system can stop gas flow to the patient This can cause injury or death e Donotuse a test plug that is small enough to fall into the breathing system e Make sure that there are no test plugs or other objects caught in the breathing system 09 07 1009 0357 000 7 Troubleshooting 7 7 1 Check Make sure that the check valves on the breathing circuit module work correctly The Valves Inspiratory check valve rises during inspiration and falls at the start of expiration The Expiratory check valve rises during expiration and falls at the start of inspiration A leak across one of the check valves may be great enough to cause a reverse flow alarm Inspiratory check valve 1 2 3 Set the system switch to On Set fresh gas flow to minimum If equipped with an ACGO connect a tube between the ACGO outlet and the Inspiratory port Set the ACGO switch to the ACGO position Verify that the Airway Pressure reading increases to 10 cm H50 in 30 seconds Ifnot equipped with an ACGO select End Case and connect a tube to the Inspiratory port e Stretch the tube approximately 5 cm Occlude the open end ofthe tube Release the tension on the tube Ensure that the Airway Pressure reading increases to between 20 and 40 cm H30 If not repeat the above steps but stretch the tube a little further e Verify that the Airway Pressure reading does not drop by more than 10 cm H50 in 30 seconds Expi
41. ccc cece cent e eee eee n 10 46 10 22 15 Active AGS iii A 10 48 10 22 16 AGSS gauge and sample return 2 eects 10 50 10 22 17 Airway module MGAS components ssslsessseeeseeese 10 51 10 23 Integrated Suction Regulator ooooooccccccccccn rr 10 52 10 23 1 Major Components Continuous and Venturi suction 10 52 10 23 2 Suction Control Module cece eee ene eens 10 53 10 23 3 Venturi assembly ivi ida doi rer an 10 54 10 24 Auxiliary 05 Flowmeter 0 6 ccc cee ERREGEEI SETAREA ene aes 10 55 10 25 Rear panel components sisssssssssssss eee eee 10 56 10 26 Tabletop components sssssssssseees II 10 57 10 27 Right side Components 0 ccc cece eee eee eee 10 58 10 28 External components lower assembly 0 ccc eee eee een eee eens 10 59 10 29 DIAWEr A ancieetatdlgilaccievGus eren ait plea Stade AN RES e Eius 10 60 10 30 Legris quick release fittings ooooooocorcocorrrnrcrr rr 10 61 10 31 Vent Drive and low pressure tubing 10 62 10 32 Tubing for use with Legris fittings aaaeeeaa 10 64 10 33 Cables and harnesses power Supply 00 00 cece eee eee 10 66 10 34 Cables and harnesses in lower electronic enclosure ooooooocoomo o 10 68 10 34 1 Machines with original Power Controller board 10 68 10 34 2 Machines with Universal Power Supply U Frame o o o o oo 10 70 10 35 Cable
42. 02 Cell Flow Sensor etc Gas Transducer Zero All Ventilator Calibrations Preoperative Checkout Power Controller PCB Load Software Preoperative Checkout Ventilator Interface Board VIB Load Software User Calibrations 02 Cell Flow Sensor etc All Ventilator Calibrations Preoperative Checkout Electronic Mixer Mixer Load Software Zero Mixer Pressure Sensors Preoperative Checkout All Others Preoperative Checkout Note Flash software starts loading immediately when the Download Application first boots Do not interrupt the Flash download Allow the download to complete before proceeding 9 4 09 07 1009 0357 000 9 Repair Procedures 9 2 How to bleed gas pressure from the machine 1009 0357 000 09 07 Before disconnecting pneumatic fittings bleed all gas pressure from the machine 1 Close all cylinder valves and disconnect all pipeline supplies from the source Setthe system switch to On Ensure that all cylinder and pipeline pressures read zero 2 3 4 5 Establish a flow forthe affected gas to bleed down the pressure Setthe system switch to Standby 9 5 Avance 9 3 How to remove the rear panels 9 3 1 To remove the rear upper panel 9 3 2 To remove the lower access panels 9 6 You must remove the rear upper panel to repair or replace many of the machine s components To access the rear electronics enclosure you must remove the lower
43. 1 Check cabling 2 Replace VIB 3 Replace ACB 1009 0357 000 09 07 7 51 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting Compatibility failure No version info in file for subsystem 0 Indicates a subsystem did not report compatibility information to the Display Unit DU Look for other entries in the Error Logs i e Self tests Failed Perform Software Download Compatibility failure Indicates a subsystem did DU Software Error not report compatibility information to the Display Unit Look for other entries in the Error Logs i e Self tests Failed Perform Software Download Compatibility Indicates the Compatibility DU incomplete No information forthe versions from Vent Ventilator Interface Board SIB does not match the Compatibility Table created during the last software download or the GIV Test did not pass Check for other errors Self tests Failed Perform Download New to rebuild Compatibility Table If persists replace VIB Compatibility Indicates the Compatibility DU incomplete No information for the versions received Ventilator Interface Board from Vent SIB does not match the Compatibility Table created during the last software download or the GIV Test did not pass Look for other ent
44. 1009 0357 000 09 07 HPDU 4b 9 Avance with HPDU 4b 3 Installation Menu Use the service level password to access the Installation menu 26 23 8 Whenever the installation menu is entered Enter Service dd mmm yyyy hh mm ss is recorded in the Event log Menu Item Message text Configuration Set language gas color code 02 flowmeter position Units Set units Options Key Enable software options Options List Display software options Copy Config Normal Message Save or install configuration and default settings using memory card Blocked Message Please insert memory card Service Show error event and alarm logs Accessing the Service menu from the Installation menu does not require second use of service password Previous Menu Return to previous menu Configuration Configuration Units Options Key Options List Copy Configuration Decimal Marker Weight Current Key Available Options Save to Card Language C02 Entry 1 SIMV PSV Copy from Card Gas supply Colors Gas Supply Pressure Entry 2 PCV 02 Flowtube Paw Entry 3 PSV Pro Ventilator Drive Gas Entry 4 PCV VG Altitude Entry 5 VCV Cardiac Bypass Gas Outlet Entry 6 N20 Enabled Entry 7 Save New Key Control Board ID HPDU 4b 10 09 07 1009 0357 000 4b 3 1 Configuration Menu Item Decimal Marker Message text Select decimal delineator 4b Installation and Service Menus HPDU 0 01 0 01 or 0 01 Commen
45. 134 C A cmH20 Plus positive polarity Minus negative polarity Variability Variability in steps Lamp lighting illumination This way up Pipeline Lock Unlock Close drain Drain remove condensate Not autoclavable Autoclavable APL settings are approximate 1009 0357 000 09 07 I Cl lt o 3k XY ce 02 1 Introduction Movement in one direction Movement in two directions Read top of float Read to center of float Vacuum inlet Suction bottle outlet Cylinder Isolation transformer Linkage system Risk of Explosion Low pressure leak test Mechanical ventilation Bag position manual ventilation 0 Flush button 1 13 Avance Insp 4d ej de kPa C Ts CX REF SN mc ted 1 14 Inspiratory flow Inspiratory flow Pinch hazard Circle breathing circuit module The primary regulator is set to pressure less than 345 kPa 50 psi Absorber on Absorber off CO Bypass active No battery battery failure Stock Number Serial Number Authorized representative inthe European Community Date of Manufactur Manufacturer Exp e kPa gt O N ly E Es XXXX Expiratory flow Expiratory flow Submenu Bain Mapleson D breathing circuit module The primary regulator is setto pressure less than 414 kPa 60 psi CO Bypass Option EZchange Canister CO bypass Battery in use Bar i
46. 4 Insert a non Des cassette 5 Push the 02 Flush button for 3 seconds 6 Let the system sit WITHOUT gas flow for gt 5 min 7 Select Start Do not disturb the system while waiting for results Note If repeated zero attempts fail follow the procedure below 1 Gain access to the components in the pan electrical enclosure Section 9 9 2 Disconnectthe Alt O2 inlet tubing elbow fitting from the Mixer manifold 3 Disconnectthe tubing from the outlet elbow fitting 4 Repeatthe Mixer P Zero following the instructions as they appear on the screen 5 Reassemble in reverse order 1009 0357 000 09 07 DU 4a 21 Notes DU 4a 22 09 07 1009 0357 000 In this section 1009 0357 000 09 07 4b Install Service Menus HPDU 4b 1 Service and Installation menu structure 0c cece eee eee 4b 2 4b 2 Install Service Menu Super User sssssesesesen I 4b 3 4b 2 1 Install Service Page 1 4b 3 Ab 2 2 Install Service Page 2 1 cece 4b 9 4b 3 Installation Menu x CAR re RR Y CER UR ruR exe TUER D Rd 4b 10 4 3 1 Configuration iii iem ter eet ee ne d ach na 4b 11 45 3 2 Configuration Units 2 0 0 6c tenets 4b 12 4b 3 3 Options Ky ck yer exu creer DR he rte De ao 4b 12 4b 3 4 Copy Configuration 0 0 ccc eee eee eee nee eens 4b 13 SA O O PA E DE REE dear acai 4b 14 4b 4 1 Software Hardware Ver MeNU o oocooccccconocccco eee 4b 15 4b 4 2 Service Log Menu oooccocccocconccn rr 4b 16
47. ABS FB ABS Filter Board PCB Power Controller Board SCGO Switched Common Gas Outlet VECB Vent Engine Connector Board Ppln Pressure Transducer Pipeline Pcyl Pressure Transducer Cylinder ABS On li White Canister Release F White m Orange A a d or ea x Bag Vent Avance Task Light 2 T lt Lower Task Light Alternate 05 E White Black Black q AB 91 084 Figure 11 9 Wiring harnesses 1 of 2 11 10 09 07 1009 0357 000 11 Schematics and Diagrams Line Filter AB 91 085 Key to Symbols ABS FB ABS Filter Board PCB Power Controller Board SCGO Switched Common Gas Outlet VECB Vent Engine Connector Board Ppln Pressure Transducer Pipeline Pcyl Pressure Transducer Cylinder Figure 11 10 Wiring harnesses 2 of 2 1009 0357 000 09 07 11 11 Key to Symbols ABS FB ABS Filter Board ACB Anesthesia Control board DCB Display Connector board DU Display Unit MGAS Compact Airway Module MGAS PS MGAS Power Supply PanCB Pan Connector board PCB Power Controller board VIB Ventilator Interface Board ABS FB Raya RRA Ra B from ACB A from ACB Avance I a a o ea lt Figure 11 11 Electrical cabling block diagram Pan Enclosure 11 12 09 07 1009 0357 000 11 Schematics and Diagrams
48. Adjust clockwise f to increase D setting 5 8 Important Cylinder supplies in an S 5 Avance machine must have all primary regulators set to the same pressure range 50 Pin Indexed or 60 DIN If a regulator is replaced the replacement regulator must be set as required to the same specification as the one removed Important Install a full cylinder in the cylinder supply to be adjusted It is essential that the cylinder be within 1096 of its full pressure To adjust the primary regulators follow the procedure in Section 5 1 1 to gain access to the regulators Do not attempt to adjust without flow 1 Onthe Main Menu of the Service Application select Gas Diagnostics 2 Onthe Gas Diagnostics menu select Gas Supplies 3 Slowly open the cylinder valve forthe regulator being tested and observe the pressure reading forthe cylinder 4 Onthe Gas Diagnostics menu set the flow of the tested gas to 0 5 l min 5 On the Gas Diagnostics menu select Gas Supplies 6 Close the cylinder valve and allow the pressure to decay to 2068 kPa 300 psi as indicated on the cylinder pressure display 7 Whenthe cylinder gauge reaches 2068 kPa 300 psi adjustthe regulator output pressure to 60 DIN 386 400 kPa 56 58 psi 50 Pin Indexed 327 341 kPa 47 5 49 5 psi Note It may be necessary to open the cylinder valve and repeat steps 6 and 7 a number of times to achieve the above setting 8 Testthe regulator settings per t
49. Backlight Kit 1009 0357 000 09 07 9 Repair Procedures T Liftthe left side of the LCD display slightly away from the mounting plate to pull some ofthe display ribbon cable I to the top side of the plate Flip the LCD over to the left ofthe assembly 8 Disconnectthe display ribbon cable J 9 Reassemble in reverse order Note When replacingthe LCD pull the excess ribbon cable to the bottom side ofthe plate as you lower the LCD on to the plate For the backlight hamess grommet H ensure that the slit in the grommet faces toward the inside of the keyhole The backlight replacement kit includes a backlight assembly with two backlights and two inverters with mounting hardware To replace the backlight assembly follow the procedure in Section 9 5 4 to gain access to the assembly To replace the inverters follow the procedure in the next section 1 Remove the one screw K that holds the backlight assembly to the LCD 2 Slide the backlight assembly to the left to free it from the retaining tabs and then lift itout ofthe holder 3 Transferthe grommet H to the new backlight assembly 4 Reassemble in reverse order 9 21 Avance 9 6 7 To replace the Inverters Note When replacing a backlight or a backlight inverter you must replace both inverters and the backlight assembly found in the Backlight Kit 9 22 The Display Unit includes two inverters one for each backlight
50. Communication service System OK FAN1 GOOD between Power Controller and Display Computer Connect cooling fan Replace cooling fan FANS FAIL Cooling fans failed Both of the Fan Power Medium PC Communication May overheat Status Bits are Low between Power FAN1 GOOD Controller and FAN2 GOOD Display Computer Connect cooling fans Replace cooling fans Replace PCB FLOW ATTAINMENT Indicates the commanded Mixer FAILURE CH1 flow through the 02 Gas channel does not match the measured flow via the flow sensor and the differential pressure transducers Replace the 02 Proportional Valve Replace the Mixer FLOW SENSOR CAL Calibrate flow sensors Insp or Exp flow sensor or the Low AC Flow sensor detected ERROR airway or manifold pressure Vent sensor zero offset out of range flow calibration failure See associated Errors i e EXP FLOW SENSOR CAL ERROR or AIRWAY SENSOR CAL ERROR FLOW VALVE Indicates the current ACB CURRENT FAILURE feedback from the Insp Flow Valve was incorrect for seven consecutive readings In the Service Software Vent Flow amp Pressure Diagnosis increase the Flow Valve counts and view the Flow Valve Current mA and Counts FLOW_VALVE_DAC_F AILURE Indicates the current feedback from the Insp Flow Valve was incorrect for seven consecutive readings ACB In the Service Software Vent Flow amp Pressure Diagnosis increase the Flow Valve counts and view the Flow Valve C
51. D I 1 S 1 ES Sg gt 2 I o 3 I i USB 1 s I e 1 Control Video USB 2 lo o 1 Almega16 SIO 69000 USS 312 31 I i PCI Bus 3 i X 1 1 1 gr E 1 i Ethernet ale Ethernet E 5232 E El 1 Am79C973 SU gt 98 l SDRAM T ii I ECC E DC DC E I f DU Cnt Brd 28M noa I 1 i n i DIS Bus CPU Memory DU CPU Board Dogg J ge oi ss I Elan SC520 Bus ON Stby 12 5V E l Flash Drvr Dou g i 32M E EH l Strata DIS S ui 1 1 UPI nm jp ModBus f 1 H8S2655 PS 2 Tr SIO Monitor T o i GP ISA Bus RS 232 4 o8 5i 1 Spare ic fy uu Y nen 4 ERE I Moaps Eo AC Wao o l PCMCIA NV RAM Sound QUART RS 422 Se E Board 5 PD6722 512K YM2413B XR16C654 Pwr Sp gt Vy l E RS 422 J l l att i I I l cas I Module I l l 1 J 1 System Board Figure 11 6 System block diagram original DU and Power Controller sheet 1a of 2 1009 0357 000 09 07 Debug Mode Back grou nd Pan Conn Bd 10VA Power Display Connector Board 12 5VDC On Stby RS 422 Dsply Conn Bd Exp Port 2 RS 232 Pan Conn Bd MiniAA 3 3V Power Supply 5V Power Supply 1 8V Power Supply Glue Logic CPLD 4M Flash 16M ECC DRAM 10VA Limit Control EEPROM RS422 x6 Pan Conn Bd Vent Interface Agent Del Bellows Pos Mixer Dsply Conn Bd Display Unit
52. Read all steps before you start 1 Remove the breathing system the exhalation valve and the metal plate 2 Put 2 plugs in the manifold and the drive gas ports of the vent engine 3 Connect a pressure gauge in line with the manifold pressure transducer 4 Push the ComWheel to continue 5 Select Start Manifold P Span 6 Increase the Flow valve setting until the gauge shows 100 cmH20 T When the gauge shows 100 cmH20 select Save Calibration Menu Item Insp Flow Valve DAC Message text Increase setting until test gauge shows 100 cmH20 approx 1020 counts Then save calibration Values Comments Oto 4095 Disabled until user selects Start Manifold P Span Start Manifold P Span Start Calibration Increase flow valve setting until test gauge 100 cmH20 approximately 1020 counts Then save calibration Blocking message Connect a supply of the drive gas to continue Blocked when the ventilator drive gas supply pressure would cause a gas supply failure alarm during normal operation Save calibration Save Manifold P Span calibration Previous Menu Return to the previous menu During calibration Calibration in progress Push ComWheel to cancel 09 07 1009 0357 000 4b Installation and Service Menus HPDU 4b 5 4 Inspiratory Flow The Inspiratory Flow Valve instructions appear when the focus is on the Insp Valve Flow Valve menu item Referto Secti
53. Reset machine for defaults to take effect Action All facility defaults get replaced with factory defaults Super User settings also get set to Factory Defaults No Service level configuration settings are changed Parameter Settings Set volume conditions and CO2 humidity compensation Install Service Page 2 Show page 2 ofthe Install Service Menu Exit 1009 0357 000 09 07 Turn power off to exit the Install Service menu HPDU 4b 3 Avance with HPDU Trends Setup Menu Item Default Trend Message text Change default trend type graphical numerical or settings Values Num default Graph or Set Graphical Trends Configure graphical trend pages Previous Menu Graphical Trends Menu Item Page 1 Page 2 to Page 5 Return to previous menu Message text Configure first graphical trend page secona third fourth fifth Previous Menu Page Menus Menu Item Options Off Select Offto clear trend field rr co2 respiration rate and CO2 Pres Ppeak Pplat and PEEP MVexp expired minute volume and respiration rate C02 C02 02 02 Bal balance gas AA1 current anesthetic AA2 previous anesthetic agent if used N20 N20 MAC minimum alveolar concentration TVexp tidal volume and respiratory rate Pmean Pmean Spont spontaneous MVexp and respiration rate Compl compliance and Raw Field 1 Field 2 Field 3
54. The right side extrusion include an access hole C for removing the left hand mounting screw Note For early production machines that do not have an access hole in the extrusion you must remove the vaporizer manifold to remove the valve block O 09 07 1009 0357 000 1009 0357 000 09 07 9 Repair Procedures Note The valve body o ring and flapper do not come out with the block They stay intact at the bottom ofthe vaporizer manifold 6 11 12 13 14 15 16 Pull the flapper out of the valve body O ring Valve body Flapper Valve body O ring or Flapper y Using a hex wrench put the wrench through one of the holes of the valve body and pull down to remove the valve body and o ring Verify that parts are free of dust and dirt Replace the flapper by inserting the flapper stem and gently pulling the stem until the flapper secures to the valve body Lightly lubricate the o ring with Krytox Place the lubricated o ring on the valve body port at the bottom of the manifold Gently install the valve body in the manifold s Check that the o ring makes a good seal between the manifold and the valve body Check that the flapper valve makes solid contact with the valve body Install the valve block Reconnect the tubing to the valve block Pull on the tube to ensure that it is locked in the fitting Install the vaporizer front pa
55. UK BS1363 Circuit Breaker 1A Rocker Circuit Breaker 2A Rocker Circuit Breaker 3A Rocker Circuit Breaker 4A Rocker Toroid 100 240V Toroid 100 240V used with no outlets Screw M6x70 Screw M6x60 Lockwasher M6 Washer Cover transformer Screw M4x8 DIN84 for transformer cover Stock Number 1009 5698 000 1009 5757 000 1202 3345 000 1009 5674 000 1006 3245 000 1006 3246 000 1009 5690 000 0208 0070 300 1009 5752 000 1009 5753 000 1009 5716 000 1009 5717 000 1001 3305 000 1011 3910 000 1202 3551 000 1006 4421 000 1006 4422 000 1006 3805 000 1006 3578 000 1006 3555 000 1006 3807 000 1001 3309 000 1009 5722 000 1009 5721 000 1009 5720 000 1009 5719 000 1009 5692 000 1009 5758 000 0144 2131 923 0144 2131 914 9213 0560 003 0402 1107 500 1009 3063 000 1006 3178 000 09 07 1009 0357 000 10 Illustrated Parts 1009 0357 000 09 07 AS 3112 GB2099 Australia China AFSNIT 107 2 D1 Danish y CEET T EURO CEET7 A France BS 546 India and South Africa j ME2853 7 K Japanese SEV 1011 Swiss BS1363 UK Nema 5 15 NA 10 11 Avance 10 7 Display Unit DU Note Refer to Section 9 5 5 regarding backlights used in the Display Unit 10 12 Item 1 2 3 4 5 6 see note 7 Ta 7b Tc 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
56. access panels gt 0 N e a ss W N e Bleed all gas pressure from the machine Section 9 2 Ensure that all cylinder and pipeline pressures read zero before proceeding Disconnect all electrical cables Toremove the rear panel fully loosen the three captive screws that hold the panel in place Remove the panel s If the machine includes integrated suction disconnect the two tube fittings from the overflow safety trap manifold e f the machine includes electrical outlets lower the panel and place it so that it does not stress the power cable Disconnectthe power cord from the AC mains supply Bleed all gas pressure from the machine Section 9 2 Ensure that all cylinder and pipeline pressures read zero before proceeding If present remove the inboard cylinders Remove the small upper access panel A to access the display connector board Remove the large lower access panel B to access the electrical enclosure foren PCB U FramePS T TN TT ULTIMI I rl I CELI dl dd ol edad aE h 09 07 1009 0357 000 9 Repair Procedures 9 4 How to remove the tabletop The tabletop is held in place with five captive screws along the periphery of the pan assembly accessed from below the rim of the tabletop One screw A is in a deep recess at the right rear corner of the tabletop Two screws B are at the front of the tabletop one screw is at the right corner of the tabletop one
57. cell is present When one ofthe checks is completed the system will transition to the next check 1 Turn the System switch to On 2 Select Machine Check and follow the instructions 3 Ifa check fails follow the instructions to perform a recheck or accept the results The Machine Check System checks the Bag Vent switch proper gas supply pressures ventilator operation and leak battery and electrical power circuit compliance flow control operation and vaporizer operation This is a two step check 1 Setthe Bag Vent switch to Vent 2 Openthe patient Y 3 ACGO option only Set the ACGO switch to Circle 4 Select Start The display shows the checks being run The system beeps when this portion of the check is done The results are shown on the display Make sure the bellows is fully collapsed Occlude the patient Y Select Continue The display shows the checks being run Oo zuo cO OI When the check passes the system will transition to the next step The Machine Check Circuit checks the Bag Vent switch proper gas supply pressures airway pressure measurement transducer APL valve and manual circuit leak 1 Occlude the patient Y 2 SetBag Vent switch to Bag 3 Setthe APL valve halfway between 30 and 70 4 ACGO option only Set the ACGO switch to Circle 5 Select Start The display shows the checks being run The system beeps when the check is done The results are shown on the disp
58. gt 35 psi E 2nd 02 4 Reg 0 120 LPM Flow Vent Drive O A ee ee ee eee A Hec 7 Alternate 02 On Sidby r V Alternate 02 GO 0 5 10LPM N E y Disable Valve 1 S 110 psi S E Relief leq SCGO Pilot H vH Venturi j le AO KEHO H Q3 j N 02 Flow i j gt 92 GEBOT Controller L O x I A Select Y 6 4 us i llo iar Toe Ri Q Air Selector A Valve N 1 39 e ii O Y HE pw Balance j HL N20 Selector Flow ju 1 Valve Controller ur fo OO E A a i Avance APL valve 0 70 cm H20 NO LE O Free Breathing A NC E dd Check Valve O m Not Used l4 Bag gt i Mechanical Overpressure ___ ql Bag Vent y Valve 110 cm H20 7 EI L 10cm H20 Drive Gas Check Valve Exhalation Valve 3 5 cm H20 bias 2 0 cm H20 bias 0 10 LPM Drive Gas 0 10 LPM Patient and Fresh Gas 0 20 LPM Total Typical Flow VENAL AANE 4 Inspiratory Flow Control Valve ei t Negative Pressure relief valve 200 mL Reservoir Control Bleed to Ambient 1 0 LPM 9 3 0 cm H20 if continuous rate dependent Gas Inlet Valve Ventto Ambient Le 5 4 psi 02 Flush Switch Circle or CGO Selector Switch SCGO om H ae gt 1 NC r Not Used 1 my lA 5 Q Pilot Selectatec Manifold 5 5 psi Pressure NO Lt 1 Relief Valve i ix ra 150
59. port plugged Remove the plug from the Manifold port Attach a patient circuit tube to the Calibrated Flow Orifice Insert the Calibrated Flow Orifice into the Manifold port B Separate the Circuit module from the ABS Bellows module Install only the Circuit module C on to the machine Connect a pressure sensing tee D to the inspiratory flow patient connection Connectthe open end ofthe patient circuit tube to the flow port of the pressure sensing tee Connecta manometerto the pressure sensing port of the tee connector To manometer Calibration procedure 1 2 3 On the Calibration menu select Paw Span Select Start Paw Span Adjust the Insp Flow Valve DAC setting until the manometer reading equals 100 cmH50 e start at approximately 950 counts press the ComWheel to activate e continue to increment the count until the manometer reading equals 100 cmH50 Select Save Calibration Select Previous Menu 09 07 1009 0357 000 1009 0357 000 09 07 Troubleshooting 5 Calibration Paw Span Calibration Failure The Calibration will fail if the e ADC value calculated for span is outside the range of 21000 27000 counts Possible causes for calibration failure Occlusion or moisture in bulkhead ortubing to VIB transducers Pressure transducer outside of range limits Check Service Application for A D value 5 19 Notes 5 20 09 07 1009 0357 000 In this section
60. ready for download Loading System is accepting download data Done Software download has completed successfully Fail Software download did not complete successfully A Fail message will require reloading of the software or repair of the system may be necessary Skipped Software download was bypassed No Comm The subsystem is not communicating with the HPDU Ifthe subsystem is communicating but the HW Rev or current SW Rev are not known dashes will appear for those values As the software loads an activity bar at the bottom of the screen shows the download progress for each subsystem Download complete When all the required subsystem software is download the following message appears on the screen You must shut down the system to exit the download function DOWNLOAD IS COMPLETE Remove AC mains power Turn on standby switch to Standby Then remove external CF card Wait 20 seconds before restoring power to the system Note After powering down the system be sure to wait at least 20 seconds before restarting the system HPDU 8b 4 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU 8b 3 Special Functions Note 8b 3 1 Power Diagnostics 1009 0357 000 09 07 Selecting Special Functions on the Main Menu brings up the following menu selections in the left hand frame Some functions may not be present on all versions ofthe Software Downloader Card Special Functions
61. system Use a safe and approved procedure to collect and remove it To test or calibrate the primary regulators you must boot the system with the PCMCIA Service Application and access the Gas Diagnostics function as detailed in Section 8 5 2 09 07 1009 0357 000 5 1 1 Test setup 5 Calibration ZA WARNING Wear safety glasses while test device is connected to the test port A CAUTION Be careful notto plug the output of the primary regulator without having a pressure relief valve in the output circuit 1 Setthe system switch to Standby Disconnect all pipeline supplies Remove the upper rear panel Section 9 3 2 3 4 5 If equipped turn the auxiliary O flowmeter control fully clockwise no flow Install a full cylinder in the cylinder supply to be tested It is essential that the cylinder be within 1096 of its full pressure Remove the plug from the test port and connect a test device capable of measuring 689 kPa 100 psi 5 1 2 Testing Primary There are two variations ofthe test procedure for the primary regulators Regulators Test A For primary regulators that supply drive gas to the ventilator Test B For all gases not used to supply drive gas to the ventilator 1009 0357 000 09 07 5 3 Avance TestA For primary regulators that supply drive gas to the ventilator 0 or Air Under low flow conditions the output pressure of a properly adjusted functioning regulator sho
62. 0 0 cece eee ete eens 6 2 6 2 Avance Planned Maintenance 0 cece eee eee ne 6 4 6 3 Free breathing valve maintenance 0c cece eee eee 6 6 6 4 MOPV pressure relief valve test oooooooccccoccocccorn rr 6 7 6 4 1 Test Setup na te tnn aceite PRU aa RAT Awe 6 7 6 4 2 Test procedure ss Siraan zeara araia Oh Rr ttis e waged UR UR RT CR HE a eod 6 7 6 5 Pressure Limit Circuittest Toco iee E a ene teens 6 8 6 0 MIXER LEST cits lia A A credat XC aN etn dante Scandi 6 10 6 6 1 Mixer outlet check valve leak test 00 cece eee eee 6 10 6 6 2 Mixer flow verification 2 cece eee eee 6 10 6 7 Alternate 02 flowmeter tests 00 c cece eect e eee nee 6 11 6 8 Auxiliary O2 flowmeter tests 00 0c cece cece een eee eet I 6 12 6 9 Integrated Suction RegulatortestS 0 cece cece eens 6 13 6 10 Battery capacity testi iesiri raaa n a E mn 6 15 7 1 Troubleshooting Guidelines sse T 2 7 2 Troubleshooting high pressure and low pressure leaks 00 e eee eee eee 7 2 7 3 Troubleshooting Startup Screen POST messages for DU c cee eee ae 7 4 7 4 Troubleshooting Startup Screen POST messages for HPDU 7 5 7 5 Troubleshooting the HPDU Display ccc e eee eee eee RI 7 6 7 6 Troubleshooting System Malfunction safe state screen 0 00 e eee eee eae 7 7 7 7 Breathing System Leak Test Guide cece cece teen nena 7 8 T F M
63. 0 c cece eee e eee eee 9 65 9 24 1 Replace Bag Vent switch assembly 0 00 c eee eee o 9 65 9 24 2 Replace bellows base latch assembly 2 00 c cece cece eee eens 9 66 9 24 3 EZchange Canister spring replacement 0 cece eee eee 9 67 9 25 Replace CaSterSivsa rara eee out due t UR dee age adan Gadus 9 68 9 26 Reconfigure sample gas return line 0 6 keene ees 9 69 9 27 Change drive BAS ciao Mk ay ad Plea een eae aes A 9 70 09 07 1009 0357 000 A WARNING ZN N CAUTION 1009 0357 000 09 07 9 Repair Procedures To prevent fires Use lubricants approved for anesthesia or O equipment such as Krytox e Donotuse lubricants that contain oil or grease they burn or explode in high O concentrations e All covers used on the system must be made from antistatic conductive materials Static electricity can cause fires Obey infection control and safety procedures Used equipment may contain blood and body fluids A movable part or a removable component may present a pinch or a crush hazard Use care when moving or replacing system parts and components Some internal parts have sharp edges and can cause cuts or abrasions Use care when servicing internal components After repairs are completed always perform the checkout procedure Refer to Section 3 of this manual Electrostatic discharge through circuit boards may damage the components on them Weara static control wrist strap before t
64. 000 5 Coupling Colder Kit includes mounting nut 1009 8321 000 10 50 09 07 1009 0357 000 10 22 17 Airway module MGAS components 1009 0357 000 09 07 Item Description 1 Guide MGAS module 2 Screw M4x8 3 Cable MGAS to Connector board 4 Screw M4x12 THD FORMING 5 MGAS monitoring board 6 Box MGAS power supply T Screw 4 40 8 Lockwasher 4 split 9 Standoff 10 Cover MGAS power supply 11 Screw M4x8 Apply Loctite 242 10 Illustrated Parts Stock Number 1009 3072 000 1006 3178 000 1009 5555 000 1009 3109 000 1009 5573 000 1009 3092 000 0140 6617 103 0144 1104 331 1504 3007 000 1009 3093 000 0140 6226 113 10 51 Avance 10 23 Integrated Suction Regulator 10 23 1 Major Components Continuous and Venturi suction 10 52 Item oof WN 7 8a 8b 8c 8d 9 10 11 12 13 14 15 16 17 S 8 a b c 17 suction 15 15 vacuum suction vacuum Description Suction Control Module Venturi Assembly Cover blank if no Suction Bracket blank cover mounting Screw M4x10 self tapping Manifold Screw M5x20 BHSCS PT THD FORMING Connector NIST Connector Barb Connector Air Liquide Muffler for Venturi Drive Coupling Colder insert metal Coupling Colder body black Coupling Colder insert black Coupling Colder body white Coupling Colder insert white Tubing Tygon Fitting barb to 8 mm Legris Cap whi
65. 10 Illustrated Parts 10 11 Electronic Gas Mixer A CAUTION Ensure a clean environment when servicing the gas mixer 1 Item Description Stock Number 1 Mixer Assembly complete 1011 8000 000 2 Valve 2 way NO includes screws and gasket 1009 3014 000 3 Valve 2 way NC includes screws and gasket 1009 3013 000 4 Valve proportional 1011 3560 000 5 O ring 2 used with each proportional valve 6027 0000 165 6 Screw M3x16 2 used for mounting each valve 1504 3003 000 T Lockwasher M3 external 9213 0530 003 8 Valve 3 way NC includes screws and gasket 1009 3346 000 9 Flex cable valve interface 1009 3359 000 10 Outlet check valve replacement kit 1009 8246 000 includes o ring and flapper valve 11 Retainer flapper valve 1011 3516 000 12 O ring retainer 1011 3518 000 13 Elbow 1 4 inch tube to 1 8 inch NPT 1011 3071 000 14 Cable TSI interface 1011 3082 000 Lubricate sparingly with Krytox 1009 0357 000 09 07 10 19 Avance 10 12 Pipeline inlet fittings Item 10 20 sb c Description Pipeline inlet 0 fittings Body 05 DISS Body 0 NIST Body 0 DIN Body 0 G 3 8 BSPP Pipeline inlet assembly O France Pipeline inlet assembly 05 Canada Pipeline inlet assembly O Australia Pipeline inlet N20 fittings Body N50 DISS Body N50 NIST Body N50 DIN Body N20 G 3 8 BSPP Pipeline inlet assembly N50 France Pipeline inlet assembly N20 Canada Pipeline inlet assembly N20 Australia Pipeline inl
66. 100 8 O ring 22 ID 30 OD silicone 1407 3104 000 2 9 O ring 21 95 ID 25 51 OD 1406 3558 000 10 Screw M4x8 9211 0640 083 2 11 Cap 3 18 Barb Silicone 1406 3524 000 12 Adapter auxiliary inlet 30 mm male to 30 mm male M1003134 13 Adapter auxiliary inlet 30 mm male to 19 mm male M1003947 Adjustable AGSS Specific Parts 14 Receiver Passive Adjustable 1407 3908 000 15 Plug Assembly tethered 1407 3909 000 16 Screw shoulder M3 1407 3915 000 17 Needle Valve Assembly with DISS EVAC connector 1407 3918 000 18 Bag with 30 mm male connector 8004460 Lubricate sparingly with Krytox 10 46 09 07 1009 0357 000 10 Illustrated Parts 6 5 1009 0357 000 09 07 10 47 Avance 10 22 15 Active AGSS Items 1 through 12 are included in all AGSS kits Item Description Common Parts Stock Number Qty 1 Seal Receiver Body 1407 3901 000 2 Reservoir 1407 3903 000 3 Seal and scavenging down tube 1407 3904 000 4 Thumbscrew M6x28 5 1406 3305 000 5 O ring 4 42 ID 9 65 OD 1407 3923 000 2 6 Thumbscrew M6x43 1406 3304 000 T Valve unidirectional negative pressure relief 1406 8219 000 Ta Seat Valve Negative Pressure 1406 3396 000 Tb Retainer disc 1400 3017 000 c O ring 20 35 ID 23 90 OD 1406 3397 000 Td Disc check valve 0210 5297 100 8 O ring 22 ID 30 OD silicone 1407 3104 000 2 9 O ring 21 95 ID 25 51 OD 1406 3558 000 10 Screw M4x8 9211 0640 083 2 11 Cap 3 18 Barb Silicone 1406 3524 000
67. 1006 3862 000 1009 3370 000 1006 3533 000 1006 3534 000 1006 3535 000 1006 3737 000 1009 3368 000 1202 3804 000 1009 3040 000 1009 3041 000 1009 3043 000 1009 3044 000 1009 3360 000 1006 3065 000 1006 3530 000 1006 3531 000 1006 3532 000 1006 3835 000 10 61 Avance 10 31 Vent Drive and low pressure tubing 10 62 Item 1 O ON DO O1 FW ND e e e RP Re Bp aor WN FP O 120 127 128 129 130 134 135 136 137 144 145 146 148 149 150 225 227 230 240 Description Length Size Coupler female black Coupler male black Coupler female white Coupler male white Coupler female yellow Coupler male yellow Tee male barb Cap plug Fitting coupler barb ends Plug 4 mm Tee 8mm 6mm 8mm Tubing silicone 72 mm 3 8 inch Tubing silicone 42 mm 3 8 inch Tubing silicone 100 mm 3 8 inch Tubing silicone 110 mm 3 8 inch Tube Markings factory build only Length Size Aux 02 OUT low pressure 250 mm 1 4 inch RGM return low pressure 750 mm 1 4 inch unmarked low pressure 300 mm 1 4 inch unmarked low pressure 151 mm 1 4 inch AGSS flowtube low pressure 750 mm 1 4 inch unmarked low pressure 25 mm 1 4 inch unmarked low pressure 50 mm 1 4 inch RGM to Scavenge low pressure 200 mm 1 4 inch RGM to Circuit low pressure 300 mm 1 4 inch Venturi Pilot black 330 mm 4 mm Venturi Drive black 300 mm 8 mm unmarked Tygon 260 mm 1
68. 1009 0357 000 9 Repair Procedures 9 26 Reconfigure sample gas return line Note Inthe U S itis not permitted to return sample gas to the breathing circuit Outside the U S consult with hospital guidelines on filtering of re breathed gas before allowing the sample gas return line to be reconfigured Procedure Sample gas return is directed to the scavenging system as a factory default Perform the following to reroute the sample gas back to the breathing system 1 Remove the tabletop 2 Port 4 A of the ABS breathing system is connected to the expiratory circuit downstream of the expiratory check valve As a factory default Port 4 is plumbed with a length of tubing that is plugged B at the far end 3 Remove the plug from the tube 4 Find the sample return line at the left rear corner of the pan assembly The sample return line includes an inline connector C at the point where the sample line goes down into the vent engine housing 5 Separate the scavenging tube removing the inline connector from the portion of the tube that extends into the vent engine housing Plug the open end of the scavenging tube D with the plug removed above 6 Insertthe inline connector from the sample return port into the open end of the return tube E to Port 4 Pull on the connector to ensure that it is securely connected 7 Replace the tabletop 8 Perform the checkout proced
69. 13 9 Free breathing valve ooocooccoocccnccrncr e 2 50 2 13 10 Breathing circuit flow sensors cee eee eee 2 51 2 1 Avance 2 1 Electrical system 2 2 The electrical system consists oftwo main computing units the Display Unit and the Anesthesia Control board Additional subsystems interact with these computing hosts to perform various gas delivery ventilation and monitoring functions The Display Unit handles the main user interface functions and connections to external devices The Display Unit software runs on the Windows CE operating system Therapy functions are handled by the Anesthesia Control board The Anesthesia Control board is based on the Motorola Coldfire processor with a Nucleus operating system Embedded controllers are used to perform specific machine functions on subsystems like the Power Controller board and the Mixer board The processors communicate through serial bus channels The various functions of the electrical system are accomplished on the following Display Unit CPU A e Display Unit System Interconnect assembly B Display Connector board C Power Control assembly D Anesthesia Control board E Pan Connector board F e Electronic Mixer board G s Ventilator Interface board H ABS Filter board I Vent Engine Connector board J MGAS Power Supply board K e Light Strip board L Inrush board M s Toroid N Early production machines use a f
70. 2 left XX XX Vdc Battery Current X XX A Battery test PASSED FAILED Restore AC mains power If the Avance system is operating under battery power the test begins as soon as you make the Test Keys and Battery selection bypassing the instructions 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU 8b 8 Compatibility Table Selecting Compatibility Table brings up a list ofthe current software components that were last downloaded on to the system In essence it is the latest listing that appears in the Revision Log Refer to section 8b 8 1 The Compatibility Table allows you to view the current log directly without having to scroll to it in the Revision Log Speclal Functlons System s n ABCDXXXXXXXXX loaded by Download XXX on day date time Power Diagnostics using HPDU Softwr Loader amp Svc Ver XX XX from card XXXX to XXXX System Version XX XX Avance FPC Software Level File Name 4 n a Front Panel CN Gas Diagnostics Avance PSC Stock Number RevX Software Level File Name Serial Power Controll Mixer Service Avance ACB Stock Number RevX Software Level File Name Serial AnesControl B Avance VNT Stock Number RevX Software Level File Name Serial Vent Intface B Avance MXR Stock Number RevX Software Level File Name Serial Electronic Mix Vent Diagnostics Display Diagnostics Compatibility Table Avance DUB Stock Number Re
71. 2 17 2 8 Anesthesia Control board 0 cece ne 2 18 2 9 Electronic Gas Mixer oen i e eda v eer EXER D RE Ped 2 20 2 10 Ventilator Interface board 1 cnet enter n nee neee 2 22 2 11 Gas flow through the anesthesia machine 0 ccc e cece eee eens 2 24 2 T1 T OVeIVIGW sc inci ciate sated dore x e er ure Ee sau E RR UD aca s 2 24 2 11 2 Physical connections 0 c cece cece eee een Ie 2 28 2 11 3 Suction regulators oi cic cece heey eg bead a 2 29 2 12 Flow through the breathing system 0 cece cece m 2 30 2 12 1 Overview of flow paths cece eee ene III 2 30 2 12 2 Manual ventilation 0 0 0 cece ene eens 2 31 2 12 3 Mechanical ventilation 0 00 c cece eee ene 2 34 2 12 4 Fresh gas and Oz flush flow with SCGO 0 0 cece 2 41 2 12 5 Fresh gas and 0 flush flow with ACGO 6 sess 2 43 2 13 Ventilator mechanical subsystems 000 c eee eee ene 2 45 2 13 1 Drive gas filter and Gas Inlet Valve 0 cece eee eee 2 45 2 132 PresSure regulator 25e A A Rela aH os 2 46 2 13 3 Flow coritrol valVe ecc te Re ea des ad eae Eee LS 2 46 2 13 4 Drive Gas Check Valve DGCV ssssssssssssese m 2 47 2 13 5 Bellows Pressure Relief Valve ccc cece eee e eee eens 2 47 2 13 6 Exhalation valve esee ta a ex Re che 2 48 2 13 7 Mechanical Overpressure Valve oooooocoooccocconcccro no 2 49 2 13 8 Reservoir and bleed resistor oooooccocccoccccon 2 49 2
72. 26 12 TTHelp MENU A ai 12 26 12 1 Avance 12 1 Avance Service Application PC based Note 12 1 1PC Requirements Port Setup Startup Screen 12 2 This section documents the Avance Service Application that runs on a Windows based computer and communicates with the high performance display unit HPDU It is compatible with Avance system software 5 0 or greater To enable communication with the Service Application the Avance system must be in the Install Service mode or in a failed state provided the display unit is able to communicate The application can be used to diagnose electronically detectable failures in an Avance system This program is for machine diagnosis It cannot be used for machine checkout or acceptance tests Minimum requirements to run the application include Personal computer using a Pentium 600 or higher microprocessor s Windows 2000 XP s 1024 by 768 resolution or higher video adapter e Minimum of 128 MB of RAM 256 MB recommended About 150 MB free hard disk space s Microsoft compatible mouse or equivalent device e Serial Port or USB port with an RS 232 adapter The PC used should meet the GE laptop standards Screen resolution should be set to 96 dpi The Service Application communicates with the system through the serial port on the display unit referto section 2 4 By default the communication is channeled through the COM1 port on the PC Note Ensure that no other applica
73. 5 3 Mixer Output Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures Set 100 02 Flow Set 100 N20 Flow Set Air Flow Breathing Sys Leak gt Previous Menu Settings 02 flow XXX N20 flow XXX Airflow XXX 1009 0357 000 09 07 8b Software Download and Diagnostics HPDU Selecting Mixer Output brings up the Mixer Output Gas Diagnostics page This data comes from the Anesthesia Control board The Flow Verify signals are rough calculations of the mixer flow based on pressure drop and temperature The ADC reference voltage is used to convert flow signals Mixer Output Label Measured 02 Flow Meas Balance Gas Flow 02 Flow Verify 02 Flow Signal 02 Prop Valve Drive Balance Gas ID None Air N20 Balance Flow Verify XX XX Balance Flow Signal X XXX Balance Prop Valve Drive XXXX 02 Select Valve Open Air Select Valve Closed N20 Select Valve Closed ADC Ref Voltage HPDU 8b 19 Avance with HPDU 8b 5 4 Mixer Tests and Pressure Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures Set 100 02 Flow Set 100 N20 Flow Set Air Flow Breathing Sys Leak gt Previous Menu Settings 02 flow XXX N20 flow XXX Airflow XXX HPDU 8b 20 Selecting Mixer Tests and Pres brings up the Mixer Tests and Pres Gas Delivery Diagnostics page Mixer Tests and Pressures Last Power Up Tests 02 Proportional Valve Le
74. 8 To replace the front enclosure or components 00eeeeeeeeeees 9 23 9 7 Replacing the Display and MGAS cables ccc cece eee eee 9 25 9 7 1 Remove the MGAS oxygen partition cece eee eee eee 9 25 9 8 Servicing the lower electrical enclosure components 0ce eae eee eee 9 26 9 8 1 Power Controller board original 2 ccc cece eee eee eee eens 9 26 9 8 2 Power Controller board and Universal Power Supply oooooooooo 9 27 9 8 3 Anesthesia Control board cece cece een eee eee eens 9 28 9 8 4 Backup batteries cece cent He 9 29 EM A Seg tide dk eu A da 9 30 9 8 6 Display Connector board cece eee eee eee eens 9 30 9 9 Servicing the pan electrical enclosure components 00ce cece eee eens 9 31 9 9 1 Electronic Gas Mixer assembly 2 0 0c cece eee e eee e eee eens 9 31 9 9 2 Ventilator Interface board ooooocccccccccccrccrnr ee t eee 9 32 IA een Mae rranas aii eure quand satan 9 33 9 9 4 Pan Connector board cece eee ene eee eens 9 34 9 9 5 Pan enclosure fan oro a an vada oa aes wheat ene S Wd 9 34 XI Avance Xii 9 10 Servicing the Vent Engine lssssssssssssesese II 9 35 9 10 1 To remove the Vent Engine ccc cece eee eee 9 36 9 10 2 Replacing Vent Engine components 00 c cece eee eee eee ee 9 37 9 10 3 Replacing GIV components ccc cece eee eee eee eens 9 38 9 11 Servicing the pipe
75. 8b 5 6 Breathing System Leak Test Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures Set 100 02 Flow Set 100 N20 Flow Set Air Flow Breathing Sys Leak gt Previous Menu Settings 02 flow XXX N20 flow XXX Air flow XXX Note HPDU 8b 22 Selecting Breathing Sys Leak brings up the System Leak Test page Entering the System Leak Test page opens the Gas Inlet Valve and sets up a constant flow through the Inspiratory Flow Valve Onthe Breathing Sys Leak page you can set an O2 flow through the Gas Mixer and view the Airway Pressure System Leak Test This is the Breathing System Leak Test Refer to the Technical Reference Manual for this procedure Set 02 Flow XX Turn the ComWheel to selectthe gas flow Press the ComWheel to change flow setting NOTE Flow Valve and Gas Inlet Valve are OPEN Airway pressure All gas flow stops when you exit Gas Diagnostics to the Special Functions menu This procedure is detailed in Test 6 Testing the bellows module and the Bag Vent switch on page 7 21 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU 8b 6 Mixer Service Menu Automatic Manual Special Functions Power Diagnostics Vent Diagnostics Gas Diagnostics Mixer Service Display Diagnostics Compatibility Table System Download Log CF Card Install Log View Install Errors gt Main Menu Automatic leak test 1009 0357 000 0
76. A DEG bed di a A 8b 14 8b 4 2 Vent Flow and Pressure 0 cece eee eee 8b 15 8b 5 Gas Diagnostics i oreet RI pu eh IA WAR Ree dad 8b 16 8b 5 1 Setting Gas Flow 8b 17 8b 5 2 Gas Supplies oss oue REO y KON E Pra XC ER CREER NEUES 8b 18 amp b 5 3 Mixer OUtput vuelo see a RE ede RE UR EE T Y 8b 19 8b 5 4 Mixer Tests and Pressure 0 cece eee eee ee 8b 20 8b 5 5 MixerTemperature sssrini renni a a mn 8b 21 8b 5 6 Breathing System LeakTest 0 cece eect eee eens 8b 22 8b 6 Mixer Service Menu 61 aa aAa a aa mmn 8b 23 8b 7 Display Diagnostics sssssssssseeeess III 8b 25 8b 7 1 Test Keys and Battery sssssessssssssssee eee 8b 26 8b 8 Compatibility Table inira ir nna a aana IH 8b 27 8b 8 1 System Download Log 0 cee eee 8b 28 8b 8 2 CF Card Install Log xte iir airia ec II 8b 28 8b 8 3 View Install Errors 2 0 eee I 8b 29 1009 0357 000 09 07 HPDU 8b 1 Avance with HPDU 8b 1 Overview 8b 1 1 Main Menu and System Information Note System Serial Number ABCDXXXXXXXXX Software Download Special Functions HPDU 8b 2 This section covers the functions of the Compact Flash card used to download system software or to access Special Functions diagnostics and logs from the High Performance Display Unit To run the application first set the system switch to Standby and set the AC Inlet power switch to Off Insert the Compact Flash card into the interface slot of the display un
77. A ii 11 3 Pneumatic circuit diagram 1 rr 11 4 Cabling block diagram 2 s e ii rh da gue ath A a ee ee 11 5 Cabling block diagram U Frame and HPDU 0 00 cece eee eens 11 6 System block diagram original DU and Power Controller sheet 1a 0f2 11 7 System block diagram with HPDU and U Frame PCB sheet 1b0f2 11 8 System block diagram Sheet 2 Of 2 0 cece cence eee e nee eee 11 9 Wiring harnesses 10f2 enren cid esee ee ceed ewes en kx xh dae ewe ns 11 10 Wiring harneSsesS 2 0f 2 nec ia dar aes eee ye tenes Sue 11 11 Electrical cabling block diagram Pan Enclosure cece eee eee eens 11 12 Electrical cabling Lower Electrical Enclosure 0000 ce cece eee e nee eee 11 13 TUDING a A a tad oy ee A ooh ae tn 11 14 Schematic AC Inlet module 100 120 V with isolated outlets 11 15 Schematic AC Inlet module 100 120 V no outletS 0 ooooocooocccconcoo 11 16 Schematic AC Inlet module 220 240 V with isolated outlets 11 17 Schematic AC Inlet module 220 240 V no outlets 0 eee eee 11 18 11 Schematics and Diagrams 11 1 mxo ON 0 10 LPM SA l REN eae 02 P LINE P M P 02 Cyl opt PA pP TES AIR P LINE Air Cyl opt K N20 P LINE opt Std US ej OPE O N20 Cyl opt gt k k Max 3 cylinders X Test Port Plug ABS Bulkhead Ports 02 FLUSH ER
78. ATmega 103 Processor pneqy c 6r ccv Sy DU Controls Atmel Color LCD ATmega 16 Processor e a e ash a haat ae a apts By te ae ne aa Future Expansion Ports 2 Figure 2 17 System communications with HPDU 1009 0357 000 09 07 2 11 Avance 2 4 1 Software Power On Self Tests POST 2 12 When the machine is in the Off state No AC Power connected to the machine and the On Standby Switch in the Standby position there is no machine activity Circuitry on the Power Controller Board and on the Anesthesia Control Board monitors the On Standby Switch for movement Ifthe machine state changes from the Off state to the On state AC Power connected to the machine while the On Standby Switch in the Standby position the hospital AC stepped to approximately 180v AC by the isolation transformer enters the 150w Power Supply or PCB The AC voltage is converted to 12v dc Standard CPU tests are performed including but not limited to RAM ROM Watchdog and application CRC and the PCB application starts Once the PCB has passed its CPU tests and the application is running the 12 v circuitto powerthe DU and the ACB is activated The DU and ACB simultaneously begin powering on The PCB evaluates the battery capacity and charges the batteries if necessary Both the ACB and the DU begin by converting the incoming 12 v dc to local needed power 3 3 v 4 v 5 v 8 v etc and perform standard CPU tests Ea
79. Alarm Limits Save Default Case Factory Defaults Installation Service Exit Resp C02 Weight C02 Gas Supply Pressure Paw Previous Menu Previous Menu DU 4a 3 Avance with DU 4a 2 1 Colors Menu Menu Item Message text Change color of Paw waveform digits and trend Yellow White Green Red or Blue Change color of Flow waveform Flow and Volume digits and trends Yellow White Green Red or Blue Change color of respiration digits and trend Yellow White Green Red or Blue Change color of CO2 waveform digits and trend Yellow White Green Red or Blue Previous Menu 4a 2 2 Units Menu Return to previous menu The Units menu can be accessed here in the super user level to change individual preferences or if required during installation in the service level Installation menu Menu Item Weight Message text Change weight unit kg or Ib Values kg or Ib c02 Change CO2 unit kPa or mmHg kPa or mmHg Gas Supply Pressure Change gas supply pressure unit kPa psi or bar psi kPa or bar Paw Change Paw unit kPa hPa cmH20 mmHg mbar kPa hPa cmH20 mmHg or mbar Previous Menu DU 4a 4 Return to previous menu 09 07 1009 0357 000 4a 2 3 Factory Defaults Vent Mode 4a Installation and Service Menus DU The following table lists the factory defaults for
80. Alternate 05 11 9 or gt 12 9 Vdc High AC DC checks the service state Reboot system If problem continues replace the Power Controller board 1009 0357 000 09 07 7 45 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting 5V H AMP GAS Cannot read gas Status bit shows current high Medium AC Pressure transducer SUPPLY XDUCERS supply pressures 10VA turned On Reboot system If problem continues 1 With system in Standby disconnect all gas supply pressure transducers from ABS Filter board 2 Reboot system f problem continues replace the ACB f error is no longer present set system to Standby and reconnect one pressure transducer at a time 3 Reboot system and check for error with each transducer connected Replace the transducer that causes the error to appear 12 HR TEST Turn power Off and On System has been operating Low AC System state is in for self tests forlongerthan 12 hours Vent Checkout without a power up self test DC checks enable criteria At next available time move the system switch from the On position to the Off position then back to the On position ACB 4 096V ADC REF Cannot monitor gas 4 018 or 4 176 Vdc Low AC supplies Reboot System If problem continues rep
81. Bit STS_SELV_VN20_NOTIFY_FA ILThe status of the N50 selector valve does not match the commanded state Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER 02 TSENSOR FAIL Alternate O Screen Mixer error bit STS T1 SENSOR FAIL O5 temperature sensor failure Medium AC Mixer zo eboot System If problem continues Replace the Mixer MIXER 02 F SENSOR FAIL Alternate O Screen Mixer error bit STS F2F1 SENSOR FAIL 0 0 flow sensor fail Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER 02 FLOW CHECK FAIL MIXER 02 SELECTION VIV FAIL MIXER 02 TEMP LIMIT Alternate O Screen Mixer status bit STS FLOW TEST CH1 FAIL1 LPM FLOW TEST FAIL O proportional valve fails flow check Medium AC Mixer zo Alternate O Screen eboot System If problem continues replace the Mixer Mixer Status Bit STS SEIV VOXY NOTIFY FAI LThe status of the O selector valve does not match the commanded state Medium AC Mixer zo Alternate O Screen eboot System If problem continues replace the Mixer Mixer error bit STIS CH1 TEMP LIMIT 03 O temperature exceeds 50 T Medium AC Mixer Reboot System If problem continues replace the Mixer 7 60 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition
82. CPU via an RS 422 serial interface 2 22 09 07 1009 0357 000 2 Theory of Operation 12 5V Accessory Power 12 5V Valve Power Exp Data A 12 5 Insp Data Po Le REA to Flow Sensors Eee 5 0VA c M E 45 0V ONDD Filter 5 5 Oo E GND 6 0VA us ond 4125V 3 Bag Vent Sw 6 0VA Regulators 2 m 02 Flush Sw 7 3 2 Emulator AGNI MG a o Header ctivity Indicators 5 O2 Disconnect o z Reset Watchdog a ACGO SCGO Sw ub c Txd amp Rxd o CGO Sw o ATMEGA16 RS 422 Mi ll ABS On Sw IGKOGOTITOHOT Transceiver Canister Release Sw Parallel I O W Do Watchdog and SCGO SCGO SCGO On ADC 09 Under Voltage Driver 10 Bit Monitor A v ie B GIV On Local Power VDD Over G i M 3 rv Sem Over Press Supply Monitors Voltage Monitor g x n o E S 5 Aljo lt 2 X 59 12 5V ISP E 55 5 5 Over Pre Header 2 nin ala ver Press SPI Addr 2 Decoder o l M li DAC FL DAC CS 5 Driver 12 Bit FLDAC LD gt D jaa a o u T ADC Comp e 2 Q 12 Bit ADC CS E a a 8 Channel 2 z z VREF o 9 o na S LL iL 5 2 Airway Press S L Manifold_Press Inspiratory_Press u E ul amp Expiratory Press tc a gt gt a
83. DU 8a 2 4 Mixer Selecting Mixer Temperatures brings up the Mixer Temperatures Gas Temperature Diagnostics page Mixer Temperatures Gas Diagnostics Gas Diagnostics Sensor Data Gas Supplies 02 Temp T1 Mixer Output 02 Temp Volts T1 Mixer Tests and Pres Balance Temp T2 Mixer Temperatures Balance Temp Volts T2 02 Flow 0 5 N20 Flow OFF ADC Ref Voltage Air Flow OFF Breathing Sys Leak gt Main Menu 1009 0357 000 09 07 DU 8a 15 Avance with DU 8a 2 5 Setting Gas Flow Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow OFF N20 Flow OFF Air Flow OFF Breathing Sys Leak gt Main Menu DU 8a 16 Selecting 02 Flow OFF brings up the 02 Flow Setting page on which you can select one of four flows or OFF if flow previously set s 0 21 min s 0 5 l min 5 0 l min 10 0 l min Selecting N20 Flow OFF or Air Flow OFF brings up a comparable page for setting the above flows for the selected gas Selecting a flow for a new gas turns the previous gas flow to OFF 02 Flow Setting 02 Flow To choose a gas flow turn ComWheel Gas flows do not change until you push ComWheel Airway pressure Push ComWheel to Exit and start O2 flow gt After setting a gas flow push the ComWheel again to return to the Flow Setting page to observe the Airway Pressure reading or select one of the four diagnostics pages to view the
84. Exp Port 1 Anesthesia Control Board J9MO4 pleog J0 99UUOJ Ued 12V 10VA On Stby pieog 10129UU0 Ued 11 Schematics and Diagrams On Stby Mains LED 02 Byp pieog aveau pieog 011409 eisaujseuy Pan Connector Board I I mo ox I 2x ac I as as EX 1 S e I a I o gt Sz 2 az Ed Dom oa 5 o S 3 e Filter Bd 1 8 ia 1 I 1 I 1 JojejnuaA o a d 9o ea lt Sh2 Filter Bd i Ren E Sh2 Sh2 Sh2 11 7 Avance an EE Display Connector Board 4 4 A A A A A A Nm E Filter Bd i AC Outlets Sh2 A A E On Stby Dod IS i Mains LED 1 o no i I L Power Supply i i 02 Byp o U Frame g 3 12 5 VDC Switched H 1 Es i 328 _ _ 12 5v0C i 1 35 pm E Fe EE El ons MD Za iterBd 2 O as n y CPLD 1 S inet H ug HEH 8 m 8 KL m Inrush Exile 2 AC DC ew DC DC a Clock i Ren E Breaker l Board I Her PEE Fiter 3 r Oscillator i I i Filter j J m_m H AA Ss rx 22x D x os Le M a A 350 E SS tov tova amp A z 1400VA U o io 32 8 E Sh2 Power Fail A S i 4M Flash 33 35 Voltage Control Microcontroller 3 38 S i 3 RS 422 3 3 1 T El 1 Dsply Con
85. FAIL red lt 10 T Chg yellow 10 16 5 Green 10 0 to 16 50 XX XX ABC XXXX XX Turn the ComWheel to select the second page Push the ComWheel to return focus to the Power Diagnostics selection menu These entries are only listed after a full discharge test of the batteries is first performed Section 6 10 Battery capacity test These entries are not affected by the battery test in the display diagnostics section Section 8b 7 1 Test Keys and Battery 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU Power Controller Readings page 2 Power Diagnostics Label Value Format Units Normal range Power Controller Board Temperature 65C OK green DegC Upper 65 Display Unit Power 65C lt 75C Warn Yellow Anes Control Board gt 75C Fail red Mixer Fan Speed Slow Fast Vent Interface Bd Fan 1 Voltage XX XX 10 08 to 10 92 Fan 1 Status Low High Fail OK gt Previous Menu Turn the ComWheel to return to the first page Push the ComWheel to return focus to the Power Diagnostics selection menu 1009 0357 000 09 07 HPDU 8b 7 Avance with HPDU 8b 3 3 Display Selecting Display Unit Power brings up the Display Unit Power Diagnostics page Unit Power Diagnostics Display Unit Power Readings Power Diagnostics Label Value Format Units Normal range Power Controller a 12 5V Backlight XX XX Vdc 10 54 to 14 87 Display Unit Power 5V Audio Power XXX 4 39 to 5 72
86. Fitting Assembly 6 mm Tubing Adapter 9 Plate Flowmeter Mounting 10 Screw 10 32 x 3 8 11 Screw M4x10 self tapping 12 Tubing low pressure 250 mm 1 4 inch 13 Plate blank if no Auxiliary O Apply Loctite 242 Apply Teflon tape 10 Illustrated Parts Stock Number 1006 8424 000 1006 3841 000 1011 3471 000 9211 0830 053 1006 5177 000 1009 3243 000 0144 3132 140 0204 887 7 300 0204 8788 300 1006 8423 000 1009 3126 000 0140 6631 107 1009 5534 000 1605 1001 000 1009 3128 000 10 55 Avance 10 25 Rear panel components 10 56 Item o oo 1 DOO BP WN FPP e e e RP Be Oo oF Q MN O 17 14 15 16 17 13 15 16 Description Cover rear upper Cap hose reel Screw M5 5x20 Strap hook loop Screw M6x1 0 captive Door access not functional for Aespire Screw M4x12 Spring cantilever Screw M3x8 Cover trap bottle if no internal suction Cover regulator yoke if no regulator Plate clip cover Wrench DIN cylinder without cable Wrench pin index cylinder with cable Cable Ferrule cylinder wrench cable retainer Handle P grip Clean mounting surface with isopropyl alcohol 2 3 Stock Number 1009 3073 000 1009 3075 000 1009 3384 000 1009 3233 000 1009 3114 000 1009 3074 000 1009 3109 000 1009 3124 000 0142 4254 106 1009 3173 000 1009 3121 000 1009 3185 000 1202 3651 000 0219 3415 800 1010 3049 000 1001 3708 000 1009 3343 000
87. HPDU HPDU 4b 24 4b 5 7 Paw Span Instructions Paw Span menu The Airway P Span instructions appear when the focus is on Paw Span menu item Refer to Section 5 4 6 Paw Span Read all steps before you start 1 Complete the Bleed Resistor calibration 2 Install the flow sensor and circuit module 3 Put a 2 plug in the drive gas port of the vent engine 4 Putthe calibrated orifice in the manifold port of the vent engine 5 Connect the pressure tee to the insp port Connect the tee to the calibrated orifice with a 22 mm tube 6 Connect a pressure gauge to the pressure tee T Select Start Paw Span 8 Increase the flow valve setting until the gauge shows 100 cmH20 9 Select Save Calibration Menu Item Insp Flow Valve DAC Message text Increase setting until test gauge shows 100 cmH20 approximately 1020 counts Then save calibration Values Comments 0 to 4095 initially set to 800 Disabled until user selects Start Paw Span Start Paw Span Start Calibration Increase flow valve setting until test gauge 100 cmH20 approximately 1020 counts Then save calibration Blocked text Connect a supply of the drive as to continue Blocked if the ventilator drive gas supply pressure would cause a gas supply failure alarm during normal operation Save calibration Save Paw Span calibration Saves new calibration data Writes calibration result date a
88. Harness Bag Vent switch to Filter Board harness Harness Canister Release switch CO Bypass Harness O Cell to Filter Board harness Transducer pipeline pressure includes cable Transducer cylinder pressure includes cable Harness ACGO switch to Filter Board harness Stock Number 1009 5542 000 1009 5514 000 1009 5538 000 1009 5528 000 1009 8223 000 1009 5521 000 1009 5531 000 1009 5533 000 1009 5532 000 1009 5517 000 1009 5853 000 1009 5854 000 1009 5545 000 1009 5585 000 1407 3144 000 1009 5586 000 1011 3000 000 1011 3001 000 1009 5872 000 09 07 1009 0357 000 10 Illustrated Parts Task Light u Lower Task Light Alternate 0 JJ Bag Vent q VE white a D Ie black ga 15 Y ABS ON pie py black pr hit Filter Canister Release Ug POH Board q 18 Ba AB 91 084 1009 0357 000 09 07 10 73 Avance 10 36 Cables and harnesses in Pan enclosure 10 74 Item Description Cable ribbon J1 ACB to underside of Pan Connector board Harness J3 ACB to underside of Pan Connector board Harness Pan Connector board to Filter board 24 POSN Harness Pan Connector board to Filter board 12 POSN Harness Filter board to VIB Harness Pan Connector board to VIB Cable ribbon Pan Connector
89. High AC RESET Reboot system If problem continues replace the ACB ACGO Vol and Apnea Non Circle ACGO selected Low DC System has ACGO monitoring off No Service Action Required ACMains POWER FAIL Plug in power cable ACMains GOOD goes and Medium PC 30minutes of battery On battery stays low for at least 300 power available msec 3 software loops No Service Action Required AIR PIPE INVALID Cannot monitor Air Air Pipeline pressure is Medium DC pipeline invalid 1009 0357 000 09 07 7 47 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting Check Air Pipeline Supply Check Replace Air Pipeline Pressure Transducer AIR PRESS LOW Air supply pressure low Air pipeline pressure is less Medium AC Airis selected as the than 252 kPa and the air DC balance gas with a non cylinder has a pressure less zero flow of air orthe than 2633 kPa for one ventilator uses air as second the drive gas and mechanical ventilation is ON Check Air Supply Check Replace Air Pipeline Cylinder Pressure Transducer AIR PRESS LOW Air pressure low Air pipeline pressure is less High AC 21 02 Air is DURING 21 02 Increase 02 than 252 kPa and the air DC selected for fresh gas cylinder has a pressure less flow than 2633 kPa for one second Che
90. INLET BOX Ventilator Pan Anesthesia Interface Connector Control Display Connector Backlight Inverter Board Backlight Backlight Inverter Board Backlight Cylinder Pressure Transducer Cylinder Pressure Transducer Cylinder Pressure Transducer Cylinder Pressure Transducer E E gt E E c S E 2 5 E E 2 o o o x Pipeline Pressure Transducer Pipeline Pressure Transducer Vent Engine Board ui po SCGO Valve ACGO SCGO Switches O2 Sensor O2 Flush Switch 2 2 E oO gt 2 o S m Canister Release Switch ABS Connected Switch On Standby LED 8 3 e gt 2 Es B 2 c o S a S D 9 E 2 i a a s c i o x a S a 2 3 x 3 S O2 Bypass Switch Air Cylinder O2 Cylinder Air Pipeline O2 Pipeline o o ES o e o v c A Flow Control Valve Gas Inlet Valve N20 Cylinder N20 Pipeline Figure 11 5 Cabling block diagram U Frame and HPDU board Board Board u Electronic Gas Mixer Display Unit System Interface Board High Performance Display Unit CPU Board Golon T GD Display Display Unit User Interface Board gt 8 ks E is e o m o E o oc MGAS Power Supply Board MGAS Module Serial Cable Display Unit AB 91 082 Network Cable USB Cable USB Cable 09 07 1009 0357 000 AC Outlets I I I I f I I o o o o o o o o 1
91. MEASUREMENT CH1 HIGH TEMP MEASUREMENT CH2 HIGH TEMP SENSOR FAIL BALANCE GAS CH TEMP SENSOR FAILURE CH1 MIXER XX FLOW FAIL MIXER XX FLOW CHECK FAIL Zero Mixer Check Replace TSI Interface Cable gt Problem Continues Yes No Problem Solved Yes Yes Replace Mixer Flowchart 7 5 1009 0357 000 09 07 7 Troubleshooting Error Entry FLOW SENSOR FAIL BALANCE GAS CH FLOW SENSOR FAILURE CH1 FLOW VERIF FAIL dP XX CH XER CRC EEPROM FA XER CRC FLASH FAIL MIXER PRES SENSOR P1P3 FAIL Problem Continues XER P SENSOR P2 FAIL XER PRES SENSOR P1P3 FAIL XER SW WDOG FAIL XER XX F SENSOR FAIL XER XX FLOW FAIL MIXER XX TEMP LIMIT MIXER XX TSENSOR FAIL XER XX ZERO FAIL LEAK TEMP MEASUREMENT CH1 HIGH TEMP MEASUREMENT CH2 HIGH TEMP SENSOR FAIL BALANCE GAS CH TEMP SENSOR FAILURE CH1 XX equals BAL GAS O2 or O2 AIR N2O Mixer CPU Related MIXER CRC EEPROM FAIL MIXER CRC FLASH FAIL MIXER CRC RAM FAIL MIXER SW WDOG FAIL After three zero attempts does the zero calibration Pass No AB 75 079 1 39 Avance Power Valves Mixer Troubleshooting Error Entry XX FLOW CTRL FAIL XX PROP VALVE FAIL FLOW ATTAIN FAIL BAL GAS CHANNEL FLOW ATTAINMENT FAILURE CH1 12 0V H AMPS MIXER 12 0V H AMPS Gas SEL Valves 12 0V H AMPS ALT O2 MIXER BAL GAS CHANGE FAIL
92. Message text Values TV Based on Change volume calculation ATPD default conditions ATPD or BTPS Ambient temperature and pressure dry humidity condition BTPS Body temperature ambient pressure saturated humidity condition C02 Numbers Change humidity compensationtype Dry default in CO2 partial pressure values Wet Previous Menu Return to previous menu HPDU 4b 8 09 07 1009 0357 000 4b Installation and Service Menus HPDU 4b 2 2 Install Service Page 2 Menu Item Message text Comments Fresh Gas Controls Select style for Fresh Gas Controls Default is 0296 02 and Total Flow or Individual Gas Flows VCV Cardiac Bypass Allow machine breaths during Default is No cardiac bypass Installation Setlanguage gas colors hardware Navigate with password to Installation and install options menu Password is 26 23 8 Service Show technical data for Navigate with password to Service menu troubleshooting and calibration Password is 26 23 8 Install Service Page 1 Show page 1 ofthe Install Service Menu Exit Turn power off to exit the Install Service menu Fresh Gas Controls Menu Item Message text Allow flow control styles to change between cases Select Individual Gas Flow controls Select 02 and Total Flow controls VCV Cardiac Bypass Disable alveolar support in cardiac bypass Enable alveolar support in cardiac bypass
93. N e O 13 Description Exhalation Valve assembly Base exhalation valve Diaphragm assembly Seat exhalation valve Cover exhalation valve Screw M4x16 PH PAN HD O ring 2 9 ID 6 46 OD 1 78 W EP 70 DURO Thumbscrew M6x43 10mm head O ring 4 47 ID x 8 03 OD 1 78 W EPR 70 DURO Retainer disk 26 97D 12 7H 0 76T SST flutter Weight dead 10 cm H20 Seat O ring OD19 16 ID15 6 EPDM DURO 70 016 Ring retaining 19 05 SHAFT DIA Lubricate sparingly with Krytox 10 Illustrated Parts Stock Number 1407 7005 000 1407 3701 000 1503 8121 000 1407 3704 000 1407 3700 000 9211 0440 163 1407 3409 000 1406 3306 000 1407 3703 000 1400 3017 000 1406 3572 000 1406 3571 000 1006 3616 000 1406 3577 000 Qty NO N CO CO AE AXIS WAS MEA 10 37 Avance 10 22 7 Bellows 10 38 Item Description 1 2 3 4 5 6 7 8 Bellows housing Bellows Rim Pressure relief valve assy Latch base Seal base Base bellows Manifold bellows base Stock Number 1500 3117 000 1500 3378 000 1500 3351 000 1500 3377 000 1500 3352 000 1500 3359 000 Refer to section 10 22 8 1407 3702 000 09 07 1009 0357 000 10 Illustrated Parts 10 22 8 Bellow base Item Description Stock Number 1 Bellows Base Assy 1407 7006 000 la Latch Assy 1407 7007 000 2 HOOK LATCH 1407 3604 000 3 E Ring 0203 5225 300 1009 0357 000 09 07 10 39 Avance 10 40 10 22 9 Bag Arms 8 9 10 Item Descriptio
94. No Pressure Waveform No Flow Waveform No Bellows Movement Proceed to No Ventilation Yes Troubleshooting Yes Flowchart 9 No Proceed to High Intrinsic Alarms of Type ae UE PEEP Troubleshooting Inspiration Stopped Negative airway pressure PEEP High Blockage Ppeak high Symptoms of Type Continuously High Peep during operation Yes Yes Flowchart 10 Flowchart 6 7 30 09 07 1009 0357 000 1 Troubleshooting Display Troubleshooting Start Turn on System Does the Screen display the company logo or any information Use Flashlight to Illuminate Display Can information be seen Yes Check Contrast Adjustment in Screen Set up Boot up with System Download Card Problem Does Display continues boot normally Yes Check Replace Backlight tubes cables and inverters Check power to ACB Check for DU 12 5v On PCB J3 Pin 4 15 Is 12 5v from PCB OK lt gt 0 Troubleshoot Power Download New All Problem Yes Replace the DU Problem Solved CPU board Is 12 5v within Limit 12 5 0 18V Is the Green Power Indicator on Dashboard illuminated Replace the DU CPU Board Check for On Standby Switch signal On PCB J4 Pin 2 10 Ensure Mains Power is connected If connected Troubleshoot the Power Inlet problem AB 75 071 Measured Voltage 2 5v in Standby state and 1 3v in ON sta
95. OH 1 N20 306 i 1 2 OR 1 jo 30 am ira T 1 4b To i Pilot l i To Vent Drive I 2 28 0 Vacuum p Suction AB 91 059 09 07 1009 0357 000 2 Theory of Operation Figure 2 27 Typical tubing connections pictorial 2 11 3 Suction Pipeline vacuum regulators The suction regulator shown in Figure 2 27 uses an external vacuum source Venturi Drive vacuum The suction regulator shown in Figure 2 28 uses an internal venturi derived vacuum source Drive gas internally plumbed Air or 05 enters the Venturi Module VM atthe drive port A As the drive gas passes through the venturi module a vacuum is created at port B The drive gas exits the venturi module at port C and is exhausted outside the machine through the muffler D The control port E on the venturi module responds to pneumatic signals from the front panel switch on the Suction Control Module SCM to turn the venturi vacuum drive gas on or off The check valve CV helps prevent pressurization of the suction circuitry if the exhaust is occluded orthe venturi unit fails Venturi Drive Gas Air or 05 looo oem om om ee ee ee ee mo Suction Figure 2 28 Venturi suction 1009 0357 000 09 07 2 29 Avance 2 12 Flow through the breathing system 2 12 1 Overview of This section looks at four types of flow paths flow paths ventilation paths How gas f
96. Power Diagnostics 0 cece eee 8a 4 8a 1 4 Anesthesia Control Board Power Diagnostics 00 e eee eee eee eee 8a 6 88 1 5 Electronic Mixer Power Diagnostics 0c cece eee eee eee eee 8a 8 88 1 6 Ventilator Interface Board Power Diagnostics 0 cece eee eee 8a 9 8a 1 7 Display Unit Power Diagnostics 0c cece ene eee eee ee 8a 10 84 2 Gas DIAgNOSUCS car A aay Ree ORE das 8a 11 88 2 1 6as SUDpliBs triacs tto o reme Gov ette ated Pado eer aded stone 88 12 8a 2 2 Mixer OUIpUL isses erm RR a er x RE RP 8a 13 8a 2 3 Mixer Tests and Pressure 0 cece eects 8a 14 8a 2 4 Mixer Temperature lssssssssssssse mmn 8a 15 88 2 5 Setting Gas FOW se sda ranna hari nen eens 8a 16 8a 2 6 Breathing System LeakTest 00 ee eee eee eects 8a 17 8a 3 Ventilation Diagnostics 0 keene nents 8a 18 Sa S Stas a ads 8a 19 8a 3 2 Vent Flow and Pressure ssssssssssssee n 8a 20 8a 4 Display Diagnostics cee eee Ie 8a 21 Sa Special Functions A ta es 8a 22 8a 5 1 Mixer Service Menu 1 0 ce eee eee 8a 23 8a 9 2 View REVISION LOB vir di lr et 8a 24 88 5 3 View PC Card Install Lo 8a 24 88 6 Software Download 0 cece eee eee eh 8a 25 DU 8a 1 Avance with DU 8a 1 Avance Service Application 8a 1 1 Main Menu and System Information Note DU 8a 2 This section documents the Avance Service Application that loads from a PCMCIA card and is used to download soft
97. Seat Valve Negative Pressure 1406 3396 000 Tb Retainer disc 1400 3017 000 c O ring 20 35 ID 23 90 OD 1406 3397 000 Td Disc check valve 0210 5297 100 8 O ring 22 ID 30 OD silicone 1407 3104 000 9 O ring 21 95 ID 25 51 OD 1406 3558 000 10 Screw M4x8 9211 0640 083 11 Cap 3 18 Barb Silicone 1406 3524 000 12 Adapter auxiliary inlet 30 mm male to 30 mm male M1003134 13 Adapter auxiliary inlet 30 mm male to 19 mm male M1003947 Passive AGSS Specific Parts 14 15 16 17 18 Receiver Passive Adjustable Plug Assembly tethered Screw shoulder M3 Connector 30 mm ISO Male Adapter scavenging 30 mm female to 19 mm male Lubricate sparingly with Krytox 1407 3908 000 1407 3909 000 1407 3915 000 1406 3555 000 1500 3376 000 09 07 1009 0357 000 Qty b pack 10 Illustrated Parts 6 5 1009 0357 000 09 07 10 45 Avance 10 22 14 Adjustable items 1 through 12 are included in all AGSS kits AGSS Item Description Common Parts Stock Number Qty 1 Seal Receiver Body 1407 3901 000 2 Reservoir 1407 3903 000 3 Seal and scavenging down tube 1407 3904 000 4 Thumbscrew M6x28 5 1406 3305 000 5 O ring 4 42 ID 9 65 OD 1407 3923 000 2 6 Thumbscrew M6x43 1406 3304 000 T Valve unidirectional negative pressure relief 1406 8219 000 Ta Seat Valve Negative Pressure 1406 3396 000 Tb Retainer disc 1400 3017 000 c O ring 20 35 ID 23 90 OD 1406 3397 000 Td Disc check valve 0210 5297
98. Setups Perform User Calibrations Section 4a 5 1 or Section 4b 5 2 Zero Gas Transducers Section 4a 5 7 or Section 4b 5 8 O 0 NO oa Aa Q Perform all Ventilator Calibrations Section 5 4 9 28 09 07 1009 0357 000 9 Repair Procedures 9 8 4 Backup To remove the batteries batteries 1 Disconnect the battery cable from the Power Controller board A original PCB U FramePS Loosen the two nuts circled that hold the battery restrainerto the enclosure To remove the restrainer slide it forward toward you and then to the left Remove the battery pack from the machine Setthe batteries upright terminals up and slide them out of the tray o coc A C N Remove the harness from the batteries To replace the batteries 1 Gently bend the tabs up just enough for clearance to install the harness 2 Place the batteries side by side and install the harness 3 Slide the tray overthe side ofthe Red to Red batteries Black to Black 4 Guidethe harness into the slot on the edge of the tray 5 Position the battery tray assembly upright 6 Toreplace the battery tray assembly reassemble in reverse order T Allowthe batteries to charge 8 Recycle old batteries in same packaging according to local requirements 1009 0357 000 09 07 9 29 Avance 9 30 9 8 5 Fan 9 8 6 Display Connector board The fan is mounted to the
99. Supply 4 MB Flash Address Bus pal Memory Error Detection and Correction 10VA Power Monitoring 10VA Limit Circuitry SW Test LEDs Backup Audio and Sounder Glue Logic Gas Select Valve Drivers 02 Bypass Pipeline and Cylinder Pressure Transducer Interface EEPROM MCF 5407 Motorola V4 Coldfire Microcontroller UARTs 6 Channels 64 byte FIFO 6 RS 422 Figure 2 20 Anesthesia Control board block diagram 1009 0357 000 09 07 Vent E 2 Theory of Operation AB 91 062 Jamog pjeog 10 99UU0 ued Accesso Accessory 1 Accessory 2 VAOT eod peog 40j28uuo Aejdsiq 02 Select N20 Select 02 Pipe Presr N20 Pipe Presr JeusIS peog 10328uu07 Ued leuis peog 10 3uu09 ejds q apon Bnqaq punoigyoeg Avance 2 9 Electronic Gas Mixer Figure 2 21 Electronic Gas Mixer 2 20 The Gas Mixer receives its pneumatic inputs from the pipeline and cylinder supplies and sends mixed gas to the vaporizer manifold The Gas Mixer interfaces to the Anesthesia Control board for power and communications The Gas Mixer consists ofthe following subassemblies and main components e Gas Mixer board A s Control Manifold B manifold selector valves proportional valves Flow sensor assembly C Mixed gas manifold and exit check valve D 09 07 1009 0357 000 ACB Board Valve Drive 2 Theory of Operation Desired gas flows
100. Vent Diagnostics page select Gas Inlet Viv ON OFF to Open the gas inlet valve Press the ComWheel to return focus to the selection menu Select Flow Valve Control 09 07 1009 0357 000 5 Calibration f Adjust the Flow Valve counts until the Flow Valve Setting atthe bottom of the screen reads 65 l min amp While watchingthe test device toggle the Gas Inlet Valve several times Closed Open Closed Pressthe ComWheel to return focus to the selection menu e Set Gas Inlet Viv to Closed Press the ComWheel to return focus to the selection menu Set Gas Inlet Viv to Open Press the ComWheel to return focus to the selection menu Set Gas Inlet Viv to Closed The minimum test device reading observed must be greater than 60 DIN 221 kPa 32 psi 50 Pin Indexed 207 kPa 30 psi e Repeat this step 4g three times Ifthe test device reading under high flow conditions is less than specified readjust the regulator per the procedure in Section 5 1 3 however set the regulated pressure higher by the difference you noted in this step plus 7 kPa 1 psi This adjusts the low flow regulated output to the high side ofthe specification so that the high flow regulated pressure can fall within the specification Ifthe regulator subsequently fails the low flow specification step 3d because the reading is too high replace the cylinder supply Setthe system switch to Standby Close the cylinder valve Bleed
101. Vent Interface Bd Board Supplies gt Previous Menu Vent Int Bd 10VA Volts Vdc 11 30 to13 13 Vent Valves 10VA Volts a Vdc 11 30 to13 13 3 2Vdc 12bit Vref Vdc 3 179 to 3 221 Counts 1 22Vdc 10bit Vref E Vdc 1 074 to 1 367 Counts 6 0Vdc Vdc 5 510 to 6 500 6 0Vdc i 6 720 to 5 280 HPDU 8b 12 09 07 1009 0357 000 8b 4 Ventilation Diagnostics Special Functions Power Diagnostics Vent Diagnostics Gas Diagnostics Mixer Service Display Diagnostics Compatibility Table System Download Log CF Card Install Log View Install Errors Main Menu 1009 0357 000 09 07 8b Software Download and Diagnostics HPDU The service application provides several pages for ventilator diagnostics Selecting Vent Diagnostics on the Special Functions menu brings up the following menu selections in the left hand frame and the instructions in the right hand frame Vent Diagnostics Vent Status Vent Flow and Pressure Toggle Gas Inlet Vlv Toggle Circuit Set Flow Valve gt Previous Menu Vent Diagnostics Vent Status Vent Flow and Pressure Toggle Gas Inlet Vlv Toggle Circuit Set Flow Valve gt Previous Menu Ventilator Diagnostics Vent Status shows the settings of breathing circuit switches Vent Flow and Pressure shows vent sensor readings Other menu commands let you control ventilator valves and send gas to eitherthe circle or the non circle circuit Action when selected Selecting Ve
102. and restart the system Ifthe error does not reappear in the log replace the VIB and retest Ifthe error persists replace the ACB 1009 0357 000 09 07 7 69 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting VENT SIB Indicates a loss of ACB COMMUNICATION communication between FAILURE the Anesthesia Controller Board ACB and the Ventilator Interface Board VIB after communication has been established Check cabling Replace Pan Connector Board Replace VIB Replace ACB VENT SUSTAINED PAW Vent Fail Monitoring Paw gt 100 cmH50 for 10 Medium AC In range Paw data SDOWN Only seconds Vent available No Service Action Reboot system If problem continues check Airway Pressure signal in Service Mode VENT VALVE 10VA Indicates the current ACB OVER CURRENT feedback from the Insp Flow Valve was incorrect for seven consecutive readings In the Service Software Vent Flow amp Pressure Diagnosis increase the Flow Valve counts and view the Flow Valve Current mA and Counts VENT VALVE POWER Vent Fail Monitoring Nominal 12 5V 11 3 V or Medium AC FAIL Only gt 13 13Vdc Vent In Service Software under Vent Interface Bd Power Diagnostics Section 8a 1 6 view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int B
103. are sent from the Anesthesia Control board to the Gas Mixer Gas Mixer operation is controlled through a microcontroller which e Sends requests forthe Anesthesia Control board to open and close selector valves for 05 N50 and Air e Regulates flow control valves for O and balance gas N50 or Air Closed loop flow control is accomplished through a hot wire anemometer in concert with the flow control valves Gas flow based on a calibration table is on target when the reference measurement equals the flow measurement Pressure measurements across each ofthe flow sensor channels are used as checks on the flow measurement for hazard mitigation ambient pressure compensation and compensation for back pressure downstream of the Mixer In case of certain failures or errors Alternate O control activates automatically to delivers O and agent if turned on through an alternate pneumatic path to the patient circuit Alternate O5 can be activated manually through a front panel control Alternate 02 a Watchdog RS422 Serial S Interface Driver gt Atm
104. around the window until you can get a hold of it from the back Slowly pry the window from the enclosure a ss W N e Place the front enclosure face down on a flat surface taking care not to damage the encoder 6 Remove any remaining residue from the mounting area clean with isopropyl alcohol 7 Remove the inside protective material from the front of the window 8 Peel the front outside frame of the release liner 9 Lowerthe window straight down in the enclose notingthe notch in the window and the matching nub on the enclosure 10 Before seating the window position it in contact with the bottom and right sides of the frame see arrows so thatthe larger gap between the window and the enclosure is at the top and left edges as viewed from behind 11 Remove the protective film from the back side of the window 9 23 Avance To replace a membrane 1 switch and keypad N Remove the screw that attaches the grounding strap to the enclosure Pry the membrane switch and keypad from the enclosure Remove any remaining residue from the mounting area clean with isopropyl alcohol Remove the backing from the membrane Be sure to remove the small backing below the flex cable Be careful notto allow the ribbon cable to adhere to the backing Insertthe flex cable and ground strap through the slot in the enclosure Ensure that all ofthe ground strap passes through the slot an does not remain folded over
105. attach Oxygen supply and activate Confirm Push ComWheel to Confirm HPDU 8b 24 09 07 1009 0357 000 8b 7 Display Diagnostics Special Functions Power Diagnostics Vent Diagnostics Gas Diagnostics Mixer Service Display Diagnostics Compatibility Table System Download Log CF Card Install Log View Install Errors gt Main Menu 1009 0357 000 09 07 Display Diagnostics Test LEDs Test Speaker Test Backlight 1 Test Backlight 2 Test Soft Keys Test Keys and Battery Test LCD Pixels gt Previous Menu Display Diagnostics Test LEDs Test Speaker Test Backlight 1 Test Backlight 2 Test Soft Keys Test Keys and Battery Test LCD Pixels gt Previous Menu 8b Software Download and Diagnostics HPDU Selecting Display Diagnostics brings up the Display Diagnostics menu Board part XXX XXX XXX B XXX Serial ABCXXXXX BIOS Version XX XX FPC Version XX XX MBC Version X MAC Address XX XX XX XX XX XX Internal CF disk Card geometry CPU Temperature XX X deg C CPU Fan Speed XXXX RPM Action when selected Selecting Test LEDs causes the red and yellow LEDS nextto the Silence Alarms key to flash 5 times Selecting Test Speaker causes the speaker to sound for 2 seconds Selecting Test Backlight 1 turns backlight 2 off for 4 seconds If screen goes blank during test then a backlight is out Selecting Test Backlight 2 turns backlight 1 off for 4 second
106. board to Mixer Stock Number 1009 5549 000 1009 5560 000 1009 5544 000 1009 5543 000 1009 5546 000 1009 5547 000 1009 5550 000 09 07 1009 0357 000 10 Illustrated Parts Underside of Pan Connector Board gt NUP p E E CAS E Pan Connector LL Board Ventilator Interface Board AB 91 078 1009 0357 000 09 07 10 75 Avance 10 37 Optional Monitor Display mounts Item Description Stock Number 1 Arm long pivoting display mount 1009 3262 000 2 Cable Guide Kit for long arm 1009 8473 000 3 Extrusion upper dovetail 1009 3113 000 4 Screw M6x20 0144 2131 925 10 76 09 07 1009 0357 000 10 38 Display arm mounting kits for optional equipment 1009 0357 000 09 07 Description Cardiocap 5 mount S 5 Flat Panel mount Spacelabs Flat Panel mount Spacelabs PC Scout mount 10 Illustrated Parts Stock Number 1009 3265 000 1009 3266 000 1009 3267 000 1009 3268 000 10 77 Notes 10 78 09 07 1009 0357 000 In this section Figure 11 1 Figure 11 2 Figure 11 3 Figure 11 4 Figure 11 5 Figure 11 6 Figure 11 7 Figure 11 8 Figure 11 9 Figure 11 10 Figure 11 11 Figure 11 12 Figure 11 13 Figure 11 14 Figure 11 15 Figure 11 16 Figure 11 17 1009 0357 000 09 07 Schematics are subject to change without notice Circuit boards are available only as complete assemblies System cirCuit ATA Mr it A a AAA aad cta 11 2 Gasscavenglng CIRCUITS iii
107. canister cece eee rr 7 25 Testing the cire itmod le oret A dan aes aa veda E EE ada can eee 7 25 Testing the inspiratory side of the circuit module 0 6 eee ene I 7 26 Testing the negative pressure relief valve 1 ene mmm 7 27 Testing the flow Sensors Only i i eek xr wa AR rue bee dd A E 7 28 Testing a flow sensor including the Ventilator Monitoring Assembly and interfacing components 7 29 ZA WARNING Objects in the breathing system can stop gas flow to the patient This can cause injury or death Donotuse a test plug that is small enough to fall into the breathing system Make sure that there are no test plugs or other objects caught in the breathing system A CAUTION Donotuse 0 Flush for leak isolation tests Do not leave pressurized systems unattended High pressure and equipment damage may result 1009 0357 000 09 07 7 15 Avance Testi Verifying the integrity of the test tools Machine Test Tool Front View not connected t Back View 1 Verify integrity of low pressure leak test device Put your hand on the inlet of the leak test device Push hard for a good seal e Squeeze the bulb to remove all air from the bulb e If the bulb completely inflates in less than 60 seconds replace the leak test device t Attach the low pressure leak test device to the Machine Test Tool Plug the two pressure orifices Repeatedly squeeze and release the hand bulb unti
108. cm H20 H 1 FG Pressure een Limiting Valve ariani 5 4 psi 02 Flush Switch ACGO Selector NO Switch A CO2 Bypass and Condenser Option Expiratory T Sensor Inspiratory i Sensor Paw Trans 9 T Exp Flow Trans GILL M Insp Flow Trans HE J a a n Manifold Pressure Trans Ventilator Interface Board AB 91 047 Patient 09 07 1009 0357 000 Scavenging From System 10 cm H20 n pee Relief Valve 0 3 cm H20 Entrainment 30 mm Male Connector Reservoir Passive Key to Symbols x Plugged port 1 8 inch for sample gas return O Plugged port 30 mm for auxiliary breathing system scavenging O Open port 30 mm for auxiliary breathing system scavenging Zeroto 10 l min drive gas zero to 10 min patient and fresh gas zero to 20 l min total typical flow Note Active AGSS systems with a 12 7 mm connector do not include the Flow Orifice and the Flow Indicator Figure 11 2 Gas scavenging circuits 1009 0357 000 09 07 Scavenging Scavenging From System From System 10 cm H20 10 cm H20 2 bee Relief Valve vc peces Relief Valve 0 3 cm H20 Entrainment 0 3 cm H20 Entrainment High or Li Room n igh or ou Air High or Low Filter Flow Orifice Flow Connector to Needle Valve Disposal System Assembly with DISS EVAC Connector Reservoir Reservoir Adjustable Activ
109. data read failure Low AC EEPROM FAILURE sensor Vent Replace the Inspiratory Flow Sensor 1009 0357 000 09 07 1 55 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting LOSS OF GAS After regular communications AC DELIVERY USER has been established SEITINGS between the AC and the Display Computer this alarm LOSS OF VENT Vent Fail Monitoring is declared if the system is in PARAMETER SETTINGS Only the Therapy State and the AC determines the Gas Delivery User Setting Ventilator Parameter Settings from the Display Computer arrived more than 10 seconds ago Reboot system If problem continues check the ACB to Mixer communication LED s or VIB communication LED s 1 If the RCV and XMT or TXD and RXD LED s indicate activity check DU cable connections replace Display Controller board if problem continues 2 If the RCV and XMT or TXD and RXD LED s indicate no activity check the Anesthesia Control board connection replace the Anesthesia Control board if problem continues Low Pressure Leak check failed Indicates the LowP Leak DU section of the System Checkout Failed Troubleshoot the Low Pressure Leak Low Pressure Leak check fails A message or failure DU displayed during the system checkout Low Pressure Leak Check with SCGO failed automated check Le
110. displayed conditions All gas flow stops when you exit Gas Diagnostics to the Main Menu 09 07 1009 0357 000 8a 2 6 Breathing System Leak Test Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow OFF N20 Flow OFF Air Flow OFF Breathing Sys Leak Main Menu Note 1009 0357 000 09 07 8a Software Download and Diagnostics DU Selecting Breathing Sys Leak brings up the Breathing Sys Leak page Entering the Breathing Sys Leak page opens the Gas Inlet Valve and sets up a constant flow through the Inspiratory Flow Valve On the Breathing Sys Leak page you can set an O2 flow through the Gas Mixer and view the Airway Pressure Breathing Sys Leak Breathing Sys Leak Test Flow valve and GIV valve are open 02 Flow To choose a gas flow turn ComWheel Gas flows do not change until you push ComWheel Refer to Technical Reference Manual for this procedure Airway pressure Second ComWheel Push Ends Test gt All gas flow stops when you exit Gas Diagnostics to the Main Menu This procedure is detailed in Test 6 Testing the bellows module and the Bag Vent switch on page 7 21 DU 8a 17 Avance with DU 8a 3 Ventilation Diagnostics The service application provides several pages for ventilation diagnostics Selecting Vent Diagnostics on the Main Menu brings up the following menu selections in the left hand frame and the instructions in the right
111. eee I 9 11 9 5 5 To replace the backlights 0 ccc cece eee eens 9 13 9 5 6 To replace the Inverters ccc eee eee eens 9 14 9 5 7 To replace the front enclosure or components 0eeeeeeeeeaes 9 15 9 6 Servicing the High Performance Display Unit HPDU cece eee eee 9 17 9 6 1 Remove the Display Unit 0 ccc cece eee eee eee eens 9 17 9 6 2 Disassemble the Display Unit 0 00 cece cece eee eee eens 9 18 9 6 3 CPU Fat sc A oe ved we eae eed ata 9 18 9 6 4 To replace the CPU board cece eee eee eee eens 9 19 9 6 5 To replace the LCD display 00 c cece eee eee 9 20 9 6 6 To replace the backlights 0 ccc cece eee eens 9 21 9 6 7 To replace the Inyerters i 22s ce eee desde RE RR ER eaten ed ee 9 22 9 6 8 To replace the front enclosure or components 0eeeeeeeeaes 9 23 9 7 Replacing the Display and MGAS cables ccc cece eee eee eee 9 25 9 7 1 Remove the MGAS oxygen partition 0 cece eee eee eee 9 25 9 8 Servicing the lower electrical enclosure components 0 e eee e ee eens 9 26 9 8 1 Power Controller board original os 0 6 6 cece cece eee ene eens 9 26 9 8 2 Power Controller board and Universal Power Supply oooooocooooo 9 27 9 8 3 Anesthesia Control board 9 28 9 8 4 Backup batteries 00 ccc eee Ie 9 29 9 8 5 Falls Mona A sa api 9 30 9 8 6 Display Connector board cece eee eee nee 9 30
112. erp n ERE Ren ERU Ern 4a 13 48 5 1 User Calibration menu ssssssssseee I 4a 13 48 5 2 Manifold PSpan oooooccccccccccrn mnn 4a 14 4a 5 3 Insp FlOW Zero eurn Rh EXER re mm Rr e e Rr m due 4a 15 48 5 4 Inspiratory Flow Valve oooooccccoccccco nr 4a 16 4a 5 5 Bleed Resisto commons rss b RO E ER RE WR e e ae oe do 4a 18 4a 5 6 Paw Span acuerda VR tnis Re d wing ROUES Ed dn 4a 19 4a 5 7 Zero Gas Xducrs 6 kee ccc niria ratati wrie mre 4a 20 4a 5 8 Cal Config svi ta ish a ea vas RO ale eed da n 4a 21 4a 5 9 MIX EP ZETO at nos 4a 21 09 07 1009 0357 000 Table of Contents 4b Install Service Menus HPDU 5 Calibration 1009 0357 000 09 07 4b 1 Service and Installation menu structure cee eee eee eee eee Ab 2 Ab 2 Install Service Menu Super User 00 cece eee e nee eae 4b 3 4b 2 1 Install Service Page 1 oo ccs 4b 3 Ab 2 2 Install Service Page 2 ooooooccoccccnccnncn rr 4b 9 4b 3 Installation Menu oris 5 cena crece t D x pv Ee ota ed eae EX A g XO 4b 10 4p 3 1 Configuration circa eR ie Rn Vand xr Ro Rer hh DERE Rena 4b 11 45 3 2 Configuration Units 4b 12 4b 3 3 OptionS Key cis css yew RR vee en XR IE REDE I DR SEES A 4b 12 4b 3 4 Copy Configuration 0 0 ccc eee III 4b 13 4b 4 Service Me ii A e aas 4b 14 4b 4 1 Software Hardware Ver Menu 2 00 cece eee m 4b 15 4b 4 2 Service Log Menu ocooccocccocco rr 4b 16 4 5 Calibration ia AT A AA dad 4b 17 4 5 1 Spiro C
113. error listed AB 75 075 Verify with Customer Did Customer depress the Button es Check the Alt O2 Button and wiring harness ABS Filter Normal Operation Connections and ACB No Service Issue Connections Flowchart 7 7 1009 0357 000 09 07 7 35 Avance Anesthesia Control Board Troubleshooting Error Entry ACB CLOCK SPEED ACB CPU TEST FAIL ACB EEPROM FAIL ACB UNEXPECTED RESET es ACB RAM MEMORY TEST FAILURE LOSS OF GAS DELIVERY USER SETTINGS LOSS OF VENT DELIVERY USER SETTINGS Upgrade to current Is Software Version current Software Version No Section 8a 6 No Does ACB communicate in Service Application ACB FLASH FAIL Start ACB HW WATCHDOG ACB MICROPROC ERROR ACB RAM ERROR ACB REDUNDANT MEMORY FAIL ACB SW ERROR ACB SW WATCHDOG Y Can the error be duplicated No Contact Technical Support Replace ACB AB 75 076 Flowchart 7 2 7 36 09 07 1009 0357 000 7 Troubleshooting ACB Mixer Communication Troubleshooting Does Mixer communicate Error Entry MIXER ACB COM FAIL MIXER ACB COM FAILLOST CMD See Power in Service Application Valves Mixer Troubleshooting No Flowchart 16 Yes Can the issue be 2 Contact duplicated Technical No Support Yes Check Replace ACB to Pan Connector and Pan Connector to Mixer Problem Continues Yes Check the Mixer XMT RCV LEDs Problem Solved No Does either LED indi
114. expiratory limb downstream of the expiratory check valve For machines that are plumbed to return sample gas to the breathing system the returned gas SGR enters the breathing system after the expiratory check valve AB 82 027 AP Airway Pressure B Bag Vent switch to Bag FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow to bag Figure 2 30 Flow during manual expiration 2 32 09 07 1009 0357 000 2 Theory of Operation APL Valve The APL valve sets a pressure limit for manual ventilation As you turn the APL knob it puts more or less force on the APL disc and seat D S If the circuit pressure is too high 6 the disc and seat inside the diaphragm opens and vents gasto the scavenging system 7 AB 82 028 D S APL disc and seat 6 APL flow 7 To scavenging Figure 2 31 Flow through the APL Valve 1009 0357 000 09 07 2 33 Avance 2 12 3 Mechanical ventilation Mechanical inspiration The Bag Vent switch closes the manual path V Pilot pressure P closes the exhalation valve Drive gas D pushes down on the bellows Gas flows from the bellows 1 through the absorber 2 and through a unidirectional valve inspiratory check valve to the patient 3 During inspiration fresh gas flows into the inspiratory limb upstream ofthe inspiratory check valve Airway Pressure Drive gas Fresh Gas Pilot pressure Bag Vent
115. formatted 28 External Compact Flash Interface Replacement Kit 29 Fan CPU with heatsink 12V 34 Screw M3x6 Sems 35 Screw M4x12 relieved body 36 Lockwasher M4 external 37 Screw M3x16 38 Lockwasher M3 external 39 Screw M3x6 Nylon 40 Screw M4x8 Sems 41 Screw M4x12 Pan Washer HD Stock Number 1011 8084 000 S 1009 6089 000 1009 5678 000 1009 5679 000 1009 5933 000 1009 5800 000 1009 5938 000 1009 8422 000 1009 5527 000 1009 5695 000 1009 3149 000 1009 3151 000 1009 5672 000 1009 5802 000 1009 5676 000 1503 3012 000 898794 1009 5505 000 1009 5507 000 1009 5506 000 Referto Table 1 Referto Table 1 1009 5870 000 1605 3263 000 M1056239 1009 5520 000 1009 3152 000 1009 6096 000 896089 897010 M1055008 M1056240 1009 6095 000 0140 6219 128 1504 3001 000 9213 0540 003 1504 3003 000 9213 0530 003 9211 1730 065 0140 6226 113 1009 3341 000 When replacing a backlight or a backlight inverter you must replace both inverters and the backlight assembly found in the Backlight Kit Item 7 Keypads will likely be damaged during membrane switch replacement order parts accordingly Remove discard the heatsink from the replacement fan before installing it onto the CPU heatsink on the HPDU CPU board Refer to section 9 6 3 09 07 1009 0357 000 3 24 Jt 23 Table 1 Language Keypad Set Chinese M1080398 Czech M1080
116. is near the O Flush button To accessthe remainingtwo screws C you must remove the ABS one screw is atthe left corner of the tabletop one is nearthe APL Valve 1009 0357 000 09 07 9 7 Avance 9 5 Servicing the Display Unit DU Note 9 8 9 5 1 Remove the Display Unit To service the HPDU referto Section 9 6 The item numbers appearing in parenthesis in this section referto items in the parts list in Section 10 7 The fan filter 26 and the access door 27 to the PCMCIA interface can be replaced with the Display Unit in place To replace the filter slide the filter capsule 25 downward to remove it from the Display Unit To service other components of the Display Unit you must first remove the Display Unit from the machine The Display Unit is held in place with four screws three screws fit into keyhole slots and do not have to be fully removed the fourth screw secures the Display Unit to the front bezel and must be removed to free the Display Unit from the machine 1 Openthe rear access door directly behind the Display Unit 2 Loosen L the top two and the bottom right mounting screws 3 Remove R the lower left mounting screw B Place a protective pad on the tabletop al From the front of the machine slide the Display Unit toward the center of the machine to free it from the keyhole slots o Lowerthe Display Unitface down on the protective pad n
117. lower bag arm assembly 000e eee 9 56 9 18 3 Replace bag port housing 0 cece cece teens 9 57 9 19 Replace system switch assembly 0 ccc cece cee eee eee m 9 58 9 20 Replace Alt 02 COMPONENTS 0 00 c eect II 9 60 9 21 Replace auxiliary O flowmeter 0 eee ee eae 9 61 9 22 Replace the suction regulator 0 0 ccc cece eens 9 62 9 23 Replace task light components cece eect eee I 9 63 9 23 1 To replace the task light switch 02 cece eee eee 9 63 9 23 2 To replace the upper task light 0c cece eee eee eee 9 63 9 23 3 To replace the lower task light 0 ccc cece eects 9 64 9 24 Replace ABS breathing system components 0 c cece cence eee 9 65 9 24 1 Replace Bag Vent switch assembly 000 cece eee eee eee eee 9 65 9 24 2 Replace bellows base latch assembly 2 00 c cece cece eee eee 9 66 9 24 3 EZchange Canister spring replacement 00 cece eee eee eee eee 9 67 9 25 Replace cast ii A cb hav ees Dek es Sale Mee Vena oe 9 68 9 26 Reconfigure sample gas return line 0 6 keene ees 9 69 9 27 Change dive Gas vie tine cd esa e verbit e teehee Id 9 70 09 07 1009 0357 000 10 Illustrated Parts 1009 0357 000 09 07 Table of Contents 10 1 Sermicetools iii tal mee pe ao tar vaste a le Eve nae e eda 10 3 10 1 1 Softwaretools i iiie sett n Er rbd od ead gk eh eke eS 10 3 10 1 2 Manifold pressure test adap
118. menu During Calibration Calibration in progress Push ComWheel to cancel Insp Flow Valve Data menu The Insp Flow Valve Data menu contains a table of 24 entries from the previous calibration The table is erased atthe start of Stage 1 The table is updated in real time during the calibration 1009 0357 000 09 07 HPDU 4b 21 Avance with HPDU 4b 5 5 Insp Flow Zero Instructions Insp Flow Zero menu HPDU 4b 22 The Insp Flow Zero instructions appear when the focus is on the Insp Flow Zero menu item Refer to Section 5 4 4 Insp Flow Zero Read all steps before you start 1 Push the ComWheel to start the zero check 2 No disassembly is required e f the outcome ofthe calibration is Pass the new calibration data is saved e f the outcome is Fail the old calibration data is retained The result of the calibration is saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keeps the old calibration constants Menu Item Message text Values Start Ifthe result is failed do the inspflow Pass or Fail valve calibration Previous Menu Return to previous menu During Calibration Calibration in progress Push ComWheel to cancel 09 07 1009 0357 000 4b Installation and Service Menus HPDU 4b 5 6 Bleed Resistor The Bleed Resistor instructions appear when the focus is on the Bleed Resistor menu item
119. min time left displayed during the system checkout Leave the system plugged into AC Mains for 24 hours If issue persists replace batteries PCB Saved Alarm On Indicates AC Power PCB AC Mains failure Removed No Service Action Required PCB Saved Alarm On Indicates greater than 0 25 PCB DC DC power module amps current draw out of failure the batteries for 2 minutes while AC Mains is connected to the machine Replace Batteries Replace the Power Controller Board PCB Saved Alarm On Indicates a the Power PCB DU to PSC Comm Controller to Display Unit Error communication was lost The Power Controller saved the error and communicated the error to the Display Unit when communication was next established No Service Action Required 1009 0357 000 09 07 1 65 Avance FAIL HIGH but the system reports usingthe battery BATT STAT 1 and 2 LOW Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting PCB Saved Error Indicates communication PCB POWER CNTRL COM between the Display Unit FAIL computer and the Anesthesia Controller Board ACB was lost and a Power Controller error occurred The error was stored until communication could be re established and written to the Display Unit computer Check the Anesthesia Controller Board
120. move the panel forward to access the Alt 02 components Disconnect the tubing from the flowmeter Remove the four screws that hold the flowmeter mounting bracket to the front panel Transfer the mounting bracket to the new flowmeter Loosen the set screw that holds the knob to the needle valve remove knob Disconnect the tubing from the needle valve assembly Remove the four screws that hold the needle valve assembly to the front panel Transfer the mounting plate to the new needle valve assembly Disconnect the switch harness When replacing the switch face the tab on the washer toward the switch body tab not used for positioning 09 07 1009 0357 000 9 Repair Procedures 9 21 Replace auxiliary 0 flowmeter 1 2 9 4 5 Bleed all gas pressure from the machine Section 9 2 Ensure that all cylinder and pipeline gauges read zero before proceeding Remove the tabletop Section 9 4 Remove the adjustment knob from the flowmeter pull forward Remove the gauge panel mounting screws and movethe panel forward to access the flowmeter 9 Disconnect the inlet tube fitting A Disconnect the tube B from the outlet fitting Remove the four screws C that hold the flowmeter mounting bracket to the front panel Transfer the mounting bracket to the new flowmeter 10 Reassemble in reverse order 11 Perform the checkout procedure Section 3 1009 0357 000 09 07 9 61 Avance 9
121. noise Wh gt Excessive fan noise Nr oOo Bo 7 6 09 07 1009 0357 000 1 Troubleshooting 7 6 Troubleshooting System Malfunction safe state screen Machine logs 1009 0357 000 09 07 Compatibility incomplete No versions received from Vent SIB System Self tests failed The above error log entries are due to the Ventilator failing its Power On Self Test Post When the ventilator fails its self test the system enters the safe state The likely cause is a Gas Inlet Valve Solenoid that is not transitioning to the de energized state when valve drive power is removed Troubleshooting above stated condition Replace the Gas Inlet Valve Solenoid Section 9 10 2 e f problem continues replace the Gas Inlet Valve components Section 9 10 3 1 7 Avance 7 7 Breathing System Leak Test Guide 7 8 Note A WARNING Always do the System All Checks Section 3 4 on the machine before proceeding with these breathing system leak tests The LowP leak check looks for leaks between the mixer vaporizer and the inspiratory side of the breathing circuit e A failure in Quick check indicates a leak in Bag Mode e A failure in Vent check indicates a leak in Vent Mode Follow the troubleshooting flowcharts in Section 2 7 2 to determine the best sequence of tests for locating a breathing system leak The procedures in Section 7 7 3 test specific components of the breathing system for leaks
122. not installed the menu row is blank Menu Item Message text Values 02 Pipeline 02 Oylinder 1 02 Oylinder 2 N20 Pipeline N20 Cylinder 0 4095 Counts 0 4095 Counts 0 4095 Counts 0 4095 Counts 0 4095 Counts 0 4095 Counts 0 4095 Counts Air Pipeline Air Cylinder Start Zero Disconnect all pipelines and remove cylinders Then select Start Zero Previous Menu Return to the previous menu During Calibration Calibration in progress Push ComWheel to cancel 09 07 1009 0357 000 4a Installation and Service Menus DU 4a 5 8 Cal Config Before calibration you must verify that the Ventilator Drive Gas and the Altitude settings are set appropriately to match the current drive gas configuration and machine location If you change any of the settings in the Cal Config menu you must restart the system Cal Config menu Menu Item Message text Values Ventilator Drive Gas Change drive gas to match Air 02 machine configuration Altitude Change altitude used for gas 400 to 3000 m calculations in 100 m increments 4a 5 9 Mixer P Zero for System software 3 X previous versions do not include this functiin The Mixer P Zero instructions appear on the Mixer P Zero menu Instructions Default To go back to factory defaults select Defaults above To Zero Pres Sensors 1 Disconnect pipeline gas supplies 2 Close the gas cylinders 3 Remove the flow sensors
123. of Technical Communications Datex Ohmeda Ohmeda Drive PO Box 7550 Madison Wisconsin 53707 Servicing of this product in accordance with this Technical Reference manual should never be undertaken in the absence of propertools test equipment and the most recent revision to this service manual which is clearly and thoroughly understood Technical Competence The procedures described in this Technical Reference manual should be performed by trained and authorized personnel only Maintenance should only be undertaken by competent individuals who have a general knowledge of and experience with devices of this nature No repairs should ever be undertaken or attempted by anyone not having such qualifications Datex Ohmeda strongly recommends using only genuine replacement parts manufactured or sold by Datex Ohmeda for all repair parts replacements Read completely through each step in every procedure before starting the procedure any exceptions may result in a failure to properly and safely complete the attempted procedure 09 07 1009 0357 000 1 Introduction 1009 0357 000 09 07 Table of Contents Dei A A NA AS Aaa eens ii Technical Competence sores arsina a qe ERE Mq CIERRE ned eg ii 1 1 What this manual includes sssssssssseeeee nas 1 2 1 2 User s Reference manuals 0 ccc eect eee enn 1 2 1 3 What is an Avance anesthesia machine 00 cece eect eens 1 3 1 4 Anesthesia system components
124. on gs w m Make sure the following message is displayed e Plugin power cable On battery 6 Connectthe power cable again 7 Make sure the alarm cancels 3 16 Electrical safety tests Make sure the system is completely assembled and all accessory devices are connected to electrical outlets 1 Connectan approved test device e g UL CSA or AAMI and verify that the leakage current is less than Voltage Max Leakage Current 120 100 Vac 300 uAmps 220 240 Vac 500 uAmps 2 Make sure that the resistance to ground is less than 0 2 2 between an exposed metal surface and the ground pin on the power cord 3 14 09 07 1009 0357 000 In this section 1009 0357 000 09 07 4a Installation and Service Menus DU 4a 1 Service and Installation menu structure 00 cece eee eee eens 4a 2 4a 2 Install Service Menu Super User 4a 3 4a 2 1 Colors Menu iii A ee Ra dat 4a 4 4a 2 2 Units Meril 0 eK UE EDU ae ee Rd Res 4a 4 4a 2 3 Factory Defaults 2 ese a Lek ks 4a 5 4a 3 Installation Menu o Lever deu e a ai 4a 6 43 3 1 ConflB ratiOnt a nt E OR set ien ds raced NS DEA RE data 4a T 4a 3 2 UNS Me cor rr EE ER ied an eae ta ee kao UD CREE PERS 4a 8 4a 3 3 Options Key i di td 4a 8 4a 3 4 Copy Configuration 0 2 0 I 4a 9 4 4 Seice MENU vice ieerieryre rete ede nyc e te tree E Y eoe d e koea 4a 10 48 4 1 Software Hardware Ver Menu cece cece een nne 4a 11 48 4 2 Service Log Menu ss
125. or mmHg Change gas supply pressure unit kPa psi or bar psi kPa bar Change Paw unit kPa hPa cmH20 mmHg mbar kPa hPa cmH20 mmHg or mbar The Options Key menu is used to configure the software to include the features that the customer has purchased The included features are shown in Units menu Menu Item Weight C02 Gas Supply Pressure Paw 4b 3 3 Options Key the Options List menu Options Key menu Menu Item Current Key Message text Enter key code to enable options Values XXXAXBC Entry 1 Enter first entry of key code Entry 2 Enter second entry of key code Entry 3 Enter third entry of key code Entry 4 Enter fourth entry of key code Entry 5 Enter fifth entry of key code Entry 6 Enter sixth entry of key code Entry 7 Enter seventh entry of key code 0 to 9 AtoZ G Save New Key Confirm entries for key code Control Board ID Control number used by key code When options are added Add option dd MMM yyy hh mm ss is written to the event log If more than one option is added each option is be listed separately HPDU 4b 12 09 07 1009 0357 000 Options List menu 4b 3 4 Copy Configuration Copy Configuration menu Menu Item Save to Card 4b Installation and Service Menus HPDU The options list shows which options are enabled Menu Item
126. power supply feeds into the Power Controller board G If the system is equipped with electrical power outlets the transformer larger size also supplies isolated power to the electrical outlets through individual circuit breakers The Power Controller board interfaces with the system through the Anesthesia Control board connector H the Display Connector board connector I e the battery connector J and fan connector K Fan1 Figure 2 12 Power subsystem with U Frame Power Supply 2 6 09 07 1009 0357 000 2 3 1 Power Controller board Isolation Transformer To Outlets I 2 Theory of Operation The system uses a distributed power bus The Power Controller board contains a DC DC converter that converts the input from the universal power supply to the 12 5 VDC system bus voltage The Power Controller contains supervisory circuitry that performs battery charge control battery switch circuits provide a minimum of 30 minutes of system power in the event of AC power failure current voltage and temperature monitoring AC sensing s fan control Two 12 volt batteries wired in series provide the back up power The Power Controller communicates with the Display Unit through a RS 422 9 6 kB channel It receives the On Standby signal from the system switch through the Anesthesia Control board Power Supply i U Frame 5 83 12 5 VDC
127. pressure does not stabilize within one minute replace the cylinder supply Ifthe test device stabilizes within one minute but the readings are not within specifications readjust the regulator Section 5 1 3 High Flow Test a On the Main Menu of the Service Application select Gas Diagnostics b On the Gas Diagnostics menu set the flow of the tested gas to 10 0 l min The test device reading must be greater than 60 DIN 221 kPa 32 psi 50 Pin Indexed 221 kPa 32 psi Ifthe test device reading under high flow conditions is less than specified readjustthe regulator perthe procedure in Section 5 1 3 however set the regulated pressure higher by the difference you noted in this step plus 7 kPa 1 psi This adjusts the low flow regulated output to the high side of the specification so that the high flow regulated pressure can fall within the specification Ifthe regulator subsequently fails the low flow specification step 3b because the reading is too high replace the cylinder supply 09 07 1009 0357 000 1009 0357 000 09 07 5 Calibration Setthe system switch to Standby Close the cylinder valve Bleed the system of all pressure 9 po cx 0 Disconnect the test device and plug the test port pull on the plug to ensure it is locked in the fitting 10 Replace the rear panel 11 Perform the checkout procedure Section 3 5 7 Avance 5 1 3 Adjusting Primary Regulators
128. switch cartridge from the housing 5 Replace the Bag Vent switch cartridge in reverse order 6 Reinstall the ABS breathing system 7 Perform the checkout procedure Section 3 1009 0357 000 09 07 9 65 Avance 9 24 2 Replace To replace the latch assembly you must disassemble the bellows base assembly to the bellows base latch Pointwhere you can remove the guide A and latch assembly B as a unit assembly 1 Remove the Bag Vent switch cartridge Section 9 24 1 2 Remove the two remaining screws C that hold the APL BTV manifold to the bellows base assembly Remove the APL BTV manifol 3 To remove the guide latch assembly remove two mounting screws D from the underside Remove two additional mounting screws from the topside Remove the amp uide latch assembly from the bellows base assembly 4 Separate the latch assembly from the guide assembly 5 To install the new latch assembly put the spring E into place in the guide assembly long leg down 6 Placethe latch assembly on the guide assembly so that the latch engages the short leg of the spring Secure the latch assembly F to the guide assembly 7 Mountthe guide latch assembly into the bellows base assembly Extend the latch G while placing the assembly into the base 8 Reassemble the breathing system in reverse order 9 Perform the checkout procedure Section 3 9 66 09 07 1009 0357 000 9 Repair Procedures 9 24 3 EZchange Canister spr
129. the Checkout menu select Bypass Checks On the Start Case menu press the Main Menu button On the Main Menu select Screen Setup On the Screen Setup menu select Install Service dial in 16 4 34 Onthe Install Service menu select Service dial in 26 23 8 On the Service menu select Calibration Unless otherwise specified perform the ventilator calibrations in the order that they appear on the Calibration menu User Calibration s Manifold P Span Insp Flow Zero s Insp Flow Valve Bleed Resistor Paw Span The following calibrations should be performed as required Zero Gas Xducer The pipeline and cylinder pressure transducer should be zeroed at least once a year s Whenever a pipeline or cylinder pressure transducer is replaced e Cal Config Resetthe Ventilator Drive Gas to match the machine configuration Reset the Altitude whenever the machine is moved to a new location that differs by more than 100 meters 1009 0357 000 09 07 5 11 Avance 5 4 1 Cal Config Before calibration you must verify that the Ventilator Drive Gas and the Altitude settings are set appropriately to match the current drive gas configuration and machine location If you change any of the settings in the Cal Config menu you must restart the system 3 Onthe Installation menu select Configuration 4 Onthe Configuration menu verify the Ventilator Drive Gas and the Altitude setting adjust as necessary 5
130. the Display Unit Power Diagnostics page Diagnostics Display Unit Power Diagnostics Power Diagnostics Label Value Format Units Normal range Power Control 5 0Vdc PCMCIA X XX Vdc 4 50 to 5 50 Anes Control Board 3 3Vdc PCMCIA X XX Vdc 2 97 to 3 63 Mixer 5 0Vdc Fan X XX 4 50 to 5 50 Vent Interface Bd 5 0Vdc USB X XX 4 50 to 5 50 Display Unit a 8 0Vdc DIS XXX 7 20 to 8 80 gt Main Menu 11Vdc LCD XX XX 10 35 to 13 62 DU 8a 10 09 07 1009 0357 000 8a 2 Gas Diagnostics Power Diagnostics Gas Diagnostics Vent Diagnostics Display Diagnostics Software Download Start gas flow Stop gas flow 1009 0357 000 09 07 8a Software Download and Diagnostics DU Selecting Gas Diagnostics on the Main Menu brings up the following menu selections in the left hand frame and the instructions in the right hand frame Gas Diagnostics Gas Diagnostics Gas Supplies To troubleshoot a problem with gas supplies or as flows start with the gas supplies menu and Mixer Tests and Pres work forward Mixer Output Mier temperatites To turn on gas flows select 02 N20 or Air in the 02 Flow OFF left menu N20 Flow OFF Available flows are Air Flow OFF 1009602 0 2 0 5 5 10 l min 10096 N20 0 2 0 5 5 10 l min Air 0 2 0 5 5 10 l min Breathing Sys Leak gt Main Menu Turning ON a different gas automatically turns OFF previous flows All gas flows stop if you go back to the main menu
131. the cable between the Power Supply G and the Power Controller board C T Loosen the four screws at each corner that hold the PCB PS mounting plate 8 Liftthe PCB PS assembly slightly to release it from the keyhole slots To replace the power supply 1 Disconnect the output cable G from the power supply Note position of control connector when reconnecting harness 2 From the back of the mounting plate remove the four screws circled that hold the power supply to the mounting plate 3 To replace the Power Supply reassemble in reverse order 9 27 Avance 9 8 3 Anesthesia Toreplace the Anesthesia Control board first remove Control board the Power Controller board Section 9 8 1 e or the PCB PS assembly Section 9 8 2 Then follow the procedure below 1 Disconnect the cables coming from the following components s the large ribbon cable from the Pan Connector board A the harness from the Display Connector board B e the small ribbon cable from the Display Connector board C the harness from the Power Controller board D the harness from the Pan Connector board E 2 Loosen the six screws circled that hold the Anesthesia Control board to the enclosure Liftthe Anesthesia Control board slightly to release it from the keyhole slots Toreplace the Anesthesia Control board reassemble in reverse order Load Software Check Reconfigure the Machine Configurations Install
132. the holder or the battery is below voltage Replace the lithium battery if below rated voltage Install the software downloader card to restore system setups ERROR watchdog circuit failed This indicates a hardware failure Replace the HPDU CPU board NOTE Alarm speaker not detected Check connection Service is required to correct a faulty connection to the speaker Reconnect the speaker if possible Replace the HPDU CPU board if speaker connection can not be corrected NOTE CMOS battery is weak Please replace Service is required to replace the CPU battery Replace the battery on the HPDU CPU board Reload software and check out the system NOTE RTC date time error Battery may be weak Service is required to replace the CPU battery Replace the battery on the HPDU CPU board Reload software and check out the system 1009 0357 000 09 07 1 5 Avance 7 5 Troubleshooting the HPDU Display Symptom Resolution System will not boot from external Compact Flash 1 Verify that the Compact Flash card is properly inserted card during software installation process 2 Insert a backup Compact Flash card 3 Open the HPDU and verify that the external Compact Flash card carrier socket 1009 5961 000 is properly seated 4 Replace external Compact Flash card carrier socket 1009 5961 000 5 Replace HPDU main PCB Display appears mostly white and
133. under the membrane Ground Strap fully inserted Carefullylowerthe membrane straight down to the enclosure Seatthe membrane in place Remove the backing from the keypad and install it overthe membrane switches Attach the ground strap to the enclosure To install the EMI To fully seal the Display Unit enclosure you will need approximately 2 3 meters of gasket EMC gasket 10 Cut the gasket into five strips shown below Insert a continuous length of gasket in the outside grove of the enclosure sparingly apply Super Glue Gel to the channels near the corners before installing the gasket Insert individual lengths of gasket in the inside grove around the window sparingly apply Super Glue Gel to the channels near the corners before installing the gasket 9 24 total four sides E e 1206 mm 09 07 1009 0357 000 9 Repair Procedures 9 7 Replacing the Display and MGAS cables 9 7 1 Remove the MGAS oxygen partition Front View 1009 0357 000 09 07 To access the connections at the Display Connector board remove the small access panel atthe rear of the machine Section 9 3 2 The top side of the Display Connector board accepts the following cables s Airway Module MGAS Power Supply board 1 s System Signal Interface to Display Unit 2 System Power Interface to Display Unit 3 m a To replace any of these cables you must remove the oxygen part
134. versions 26 23 8 Service Log Exit Options List Service Previous Menu Install Service Page 2 09 07 1009 0357 000 4b Installation and Service Menus HPDU 4b 2 Install Service Menu Super User 4b 2 1 Install Service Page 1 Menu Item Trends Setup Message text Configure graphical trend pages Use the super user password to access the Install Service menu 16 4 34 Comments Colors and Units Set colors and units of parameters Refer to section Show Alarm Limits Select yes to show alarm limits in digit fields Default is Yes External Gas Monitor Yes disables O2 limit alarms the No 02 sensor alarm and the No CO2 or AA monitor alarm Default is No Select yes only if system is using external monitor for 02 AA and CO2 Save Default Case Save normal screen gas settings circuit type ventilator and alarm settings from the last case or presettings as defaults Last used alarm settings including hide show alarm limits Auto MV Limit alarm volume screen layout middle waveform selection sweep speed ventilator mode and setting balance gas and start case as outlet selection are saved as facility defaults Note The Pmax alarm limit shall not be saved higher than 40 cmH20 The low FiO2 alarm limit shall not be saved lower than 21 Factory Defaults Return to default factory settings After selecting Factory Defaults
135. 0 ventEngne Amid Free Breathing Check Valve Mechanical Overpressure 7 Valve 110 cm H20 Drive Gas Check Valve Exhalation Valve y 3 5 cm H20 bias H 2 0 cm H20 bias o Inspiratory Flow Control Valve 200 mL Reservoir je ontrol Bleed to Am 10 esoo sico te di Figure 2 47 Bellows pressure relief valve 1009 0357 000 09 07 2 47 Avance 2 13 6 Exhalation valve 2 48 The exhalation valve contains an elastomeric diaphragm that is used along with the flow valve to control the pressures in the breathing circuit The exhalation valve includes two male ports on the bottom for Bellows drive gas 8 e Exhalation valve pilot 9 manifold pressure The exhalation valve includes three ports on top that connect to the bellows base manifold Drive gas pass through 10 Drive gas return and pop off valve flow 11 APL exhaust flow to scavenging 12 A port at the back of the exhalation valve 13 connects to the down tube that directs all the exhaust flows to the scavenging receiver The exhalation valve is normally open Approximately 2 cm H50 of pilot pressure is necessary to close the valve When the exhalation port is open gas flows from the bellows housing to the scavenging port Breathing i LS l j j Popott g inl ical Overpressure fa Valve Bl 10cmH20 i75 H h E l Y 10 cm H20 Drive Gas Check Valve i Exha
136. 0 1504 3003 000 1406 3524 000 1504 3014 000 1006 1473 000 1407 3321 000 1006 3178 000 1009 5545 000 1504 3617 000 0144 2117 206 1407 3327 000 9211 8350 163 0144 1118 220 Referto section 10 16 11 12 N N LS N N 09 07 1009 0357 000 10 16 Vent Engine Item connector 1009 0357 000 09 07 la 1b 1c 1d le 1f 1g 1h 1i Description Vent Engine Assembly Service Avance Aisys Gas Inlet Valve GIV components Solenoid 3 way NO 12 Volt Screw m1 6x14 Retaining ring 34 9 mm Cap inlet valve O ring upper Viton Shuttle inlet valve U cup upper EDPM fits on shuttle valve U cup lower Viton fits on shuttle valve O ring lower Viton Filter under GIV 2 micron install course side DOWN Fitting manifold pressure Reservoir pneumatic engine O ring base 56 87 ID x 60 43 OD O ring screw head 0 219 ID x 0 344 OD Screw M6x90 Flow control valve 12 Volt O ring under flow control valve 2 each Drive gas check valve O ring under drive gas check Interface Manifold Regulator 172 kPa BCG Vent Engine Connector board not part of assembly 10 Illustrated Parts Stock Number 1009 8216 000 Refer to section 9 10 3 1503 3853 000 1006 4730 000 1500 3158 000 1503 5006 000 9221 3032 116 1503 5018 000 1503 3090 000 1503 3089 000 1503 3108 000 1504 3708 000 1500 3116 000 1504 3704 000 1504 3614 000 0210 0686 300 1504 3004 0
137. 0 1009 3052 000 1f Solenoid kit CGO 1009 3279 000 2 Tubing silicone 110 mm 100 mm 1009 3164 000 3 Tie wrap 0203 5915 300 1009 0357 000 09 07 10 27 Avance 10 18 ABS to machine Interface Components ACGO 12a 12b 12c 12 Item Description Stock Number Service Kit to covert SCGO Avance machine to ACGO 1009 8249 000 1 Port ACGO body 1009 3096 000 2 Screw M4x30 9211 0640 304 3 Lockwasher M4 9213 0540 003 4 Cap ACGO check valve 1009 3095 000 5 Screw M4x8 9211 1040 069 6 Disk ACGO check valve 1009 3062 000 7 Flapper ACGO check valve 1009 3097 000 8 O ring 0210 0543 300 9 Fitting elbow barbed 1009 3160 000 10 O ring 0210 0691 300 11 Screw M3x6 9211 1030 055 12 ACGO Selector Switch complete 1009 3099 000 without guard item 13 12a Flush pressure switch 1006 3972 000 12b O ring 1006 3213 000 12c Screws M3x20 0144 2124 201 13 Guard 1009 3140 000 14 Tubing silicone 1009 3164 000 15 Tie wrap 0203 5915 300 Lubricate sparingly with Krytox 10 28 09 07 1009 0357 000 10 Illustrated Parts 10 19 Flush Regulator and Flush Valve 2 3 4 Item Description Stock Number 1 Flush valve without button 1006 8357 000 2 Flush Button with rod 1011 3354 000 3 Spring 1006 3186 000 4 E ring 0203 5225 300 5 Bracket 1011 3355 000 6 Screw M4x8 1006 3178 000 T Screw M4x12 0140 6226 111 8 Lockwasher M4 9213 0540 003 9 Regulator O Flush 1011 3168 000 1009 0357 000 09 07 10 29 Avance 10 20 Front panel Al
138. 0 52 10 23 1 Major Components Continuous and Venturi suction 10 52 10 23 2 Suction Control Module ooooococcccocccocccrnr 10 53 10 23 3 Venturi assembly s sert extern ELRE REY Y rene an 10 54 10 24 Auxiliary 05 Flowmeter lsessssssessss II 10 55 10 25 Rear panel components ssssssssssssssIIIe 10 56 10 26 Tabletop components cece eect eee II 10 57 10 27 Right side Components sssssssssssse 10 58 10 28 External components lower assembly ccc cece eee e eee eens 10 59 A A anc tene ima deren ait Er e AE AN ES eU alates 10 60 10 30 Legris quick release fittings ooooooocooccorrrnnrr rr 10 61 10 31 Vent Drive and low pressure tubing esee 10 62 10 32 Tubing for use with Legris fittings 0 kee eee eens 10 64 10 33 Cables and harnesses power Supply 0 cece eee eee eee 10 66 10 34 Cables and harnesses in lower electronic enclosure o oooooococommo o 10 68 10 34 1 Machines with original Power Controller board 10 68 10 34 2 Machines with Universal Power Supply U Frame 0005 10 70 10 35 Cables and harnesses Filter Board interface oooooooooommmmoo 10 72 10 36 Cables and harnesses in Pan enclosure leslie eese 10 74 10 37 Optional Monitor Display mounts 00 cece eee 10 76 10 38 Display arm mounting kits for optional equipment cc
139. 0 eect rr 2 51 09 07 1009 0357 000 3 Checkout Procedure 1009 0357 000 09 07 Table of Contents 3 1 Inspecttli System xoi A AO edm veda Parce tag e 3 2 3 2 System checkout for System software 3 X or greater 6 cece eee eee 3 2 3 2 T Teak amp 250 mls it hib RU ew 3 2 3 2 2 Machine Check oca e ttt deceret eda ette la d ks 3 3 3 2 3 Machine Check System Ventilator CircuitTesting oo 3 3 3 2 4 Machine Check Circuit Bag Circuit Testing 0 cece eee eee 3 3 3 2 5 Machine Check Circuit 02 0 eee 3 4 3 3 Individual Checks for System software 3 X or greater cc cece eee eee 3 4 SECMBNIHIITUMU TR RU m 3 4 39 2 CITGUIU A ues Rip E ea mamas omelets easy A aia 3 5 93 3 Circuit A O i esed ubera sine ne dr Des 3 5 3 3 4 L0W P Leak oca ia thee X E NER peat E ETE AEM 3 5 3 3 5 Low P Leak machines with ACGO sss 3 5 3 4 System All checks for System software 2 X oooooocccoococcccc ees 3 6 3 4 1 Low P leak check itry rits er eec A e eux lt 3 6 3 4 2 QUICK Checks ssa eei Er RR rr dos a EA a idas 3 7 3 4 3 V nt Check s o a Mesures se Res a sap tor e E adu Rod RE 3 7 3 4 4 Circuit O cell check si erison cece ee coran 3 7 3 5 Bell ws dropitest 2o dudir vies A A a LUUC ERA Ea 3 8 SiO BACKS MULES i ii A ea aud Ios ed Ao Io 3 8 3 7 Vaporizer back pressure test o oooccocccccccccccrn en 3 8 3 8 Pipeline and cylinder tests 00 ccc cece
140. 00 1503 3854 000 1503 3056 000 1503 3006 000 1503 3213 000 Refer to section 10 16 1 1504 3623 000 1011 3165 000 10 25 Avance 10 16 1 Vent Engine under side Item Description Stock Number 1 Interface Manifold pneumatic engine 1504 8505 000 with free breathing valve and mechanical overpressure valve O ring 12 42 ID x 15 98 OD 2 1006 3615 000 la Seat free breathing valve 1503 3204 000 1b Valve flapper 0211 1454 100 1c O ring 1503 3208 000 2 Fitting 6 35 mm 1 4 inch 1504 3621 000 3 Plug 6 35 mm 1 4 inch 1503 3245 000 4 Fitting barbed 1504 3014 000 5 Manifold 1503 3843 000 6 Gasket manifold 1503 3845 000 7 Plate manifold 1503 3844 000 8 Screw M4x8 Pozidriv PAN 1006 3178 000 fnecessary clean with alcohol before installing new trim off flush with outside surface of seat referto removed flapper Install gasket into manifold Check to see that it is properly positioned Carefully install plate onto manifold making sure not to disturb the gasket First start all screws Then torque to 1 7 N m 15 Ib in using sequence shown 10 26 09 07 1009 0357 000 10 Illustrated Parts 10 17 ABS to machine Interface Components SCGO Item Description Stock Number 1 SCGO Selector Module complete 1009 3098 000 1a Flush pressure switch includes o ring 1006 3972 000 1b O ring 1006 3213 000 1c Screws M3x20 0144 2124 201 1d Switch mode CGO SCGO kit 1009 3282 000 1e Valve relief 150 cmH2
141. 00 6700 0005 300 6700 0005 300 1001 3064 000 1001 3064 000 1001 3064 000 With an N50 cylinder supply Item 208 connects the N50 cylinder supply to the Tee connector between Items 206 and 209 With two inboard O cylinder supplies Item 123 connects the second 0 cylinder supply to the first O5 cylinder supply 09 07 1009 0357 000 10 Illustrated Parts 1 s e S e 1 v 1 e e 1 N 1 a ic 1 B E co ND s S 1 N 1 H l 1 h x 1 1 i i i 1 N 1 17 4 3 a fe 1 rex X N 1 eo S 1 1 1 1 e y g o o I 1 I 1 a O I 2 1 o o 1 1 i Pal 1 1 o 1 1 1 1 1 QJ 1 a D 1 i n 3 E z a a E I 1 1 3 o o i L I 1 a N ko 1 I 1 E e TUA i N 1 la an i 1 l 1 N Q i el 1 1 fr i e 1 Y 1 1 1 1 cor Bor Bo i i 1 e 1 e A i i ctr at i oe yK eee eee 1 1 1 10 65 1009 0357 000 09 07 Avance 10 33 Cables and harnesses power supply 10 66 Item Description Power Cord Harness 100 120 V to Toroid Harness 220 240 V to Toroid Harness to 100 120 V outlets Harness to 220 240 V outlets Harness fuse block to AC line filter Harness AC line filter to Power Controller Board Harness AC line filter to Power Supply U Frame Stock Number Referto section 10 5 1009 5752 000 1009 5753 000 1009 5716 000 1009 5717 000 1
142. 00 medium and high priority parameter alarms since the last log reset starting with the most recent The Alarm History log store the last 1000 entries The Copy Logs function copies Error Event and Alarm logs along with the software hardware configuration to a text file on a PCMCIA card The copying takes about one minute Note Do not remove the Flash Card until the screen shows copy is complete 09 07 1009 0357 000 4a 5 Calibration 4a 5 1 User Calibration menu 1009 0357 000 09 07 4a Installation and Service Menus DU For step by step instruction refer to Section 5 4 Ventilator Calibrations Menu Item Instructions Message text User Calibration Show the normal user calibration menu Manifold P Span Calibrate manifold pressure transducer Insp Flow Zero Zero inspiratory flow valve Insp Flow Valve Calibrate inspiratory flow valve Bleed Resistor Calibrate bleed resister flow Paw Span Calibrate the airway pressure transducer Zero Gas Xducrs Calibrate the gas supply transducers Cal Config Set vent drive gas and altitude Previous Menu Return to previous menu Menu Item Message text Flow and Pressure Calibrate the flow and pressure sensors Circuit O2 Cell Calibrate Circuit O2 Cell Airway Gas Start Gas Calibration Calibrate CO2 02 N20 and agent measurements Backlight Test Push ComWheel to test back lights T
143. 009 5754 000 1009 5751 000 M1052276 09 07 1009 0357 000 10 Illustrated Parts B c B B B B c B c B c B Power Supply U Frame Power Controller Board AC Line Filter AC Inlet AC Line Filter AC Inlet AB 91 060 AB 91 085 1009 0357 000 09 07 10 67 Avance 10 34 Cables and harnesses in lower electronic enclosure 10 34 1 Machines 10 68 with original Power Controller board Item 10 Description Cable to MGAS Airway module power supply Cable to Display Unit system power interface Cable to Display Unit system signal interface Harness J3 PCB to J5 DCB Cable ribbon J2 ACB to J9 DCB Harness J7 ACB to J6 DCB Cable ribbon J1 ACB to underside of Pan Connector Board Harness J3 ACB to underside of Pan Connector Board Harness J4 ACB to J4 PCB Harness battery Stock Number 1009 5555 000 1009 5571 000 1009 5572 000 1009 5552 000 1009 5561 000 1009 5556 000 1009 5549 000 1009 5560 000 1009 5551 000 1009 5557 000 09 07 1009 0357 000 10 Illustrated Parts 1009 0357 000 09 07 10 69 Avance 10 34 2 Machines 10 70 with Universal Power Supply U Frame Item 10 11 Description Cable to MGAS Airway module power suppl
144. 1 Refer to Table 1 1009 5870 000 1605 3263 000 1009 8244 000 1009 5520 000 1009 3152 000 1504 3516 000 896089 897010 1009 5679 000 1009 5678 000 0140 6219 128 0140 6226 113 1504 3001 000 9213 0540 003 1504 3003 000 9213 0530 003 9211 1730 065 0140 6216 100 1009 3341 000 Stock Number Backlight Kit for DG 31 display 1009 8243 000 When replacing a backlight or a backlight inverter you must replace both inverters and the backlight assembly found in the Backlight Kit Item 7 Keypads will likely be damaged during membrane switch replacement order parts accordingly Refer to Table 2 for where used 09 07 1009 0357 000 27 1009 0357 000 09 07 10 Illustrated Parts Table 2 Hardware Item where used Qty Speaker 29 2 Door 29 2 CPU to plate 30 4 Rear connector panel assembly 30 2 Ground straps for keypads 30 2 Mounting plate to Front enclosure 30 10 Rear enclosure 31 4 32 4 Fan 33 4 34 4 Inverters 35 4 PCMCIA frame 36 4 Table 1 Language Keypad Set Chinese 1009 5932 000 Czech 1009 5923 000 Danish 1009 5931 000 Dutch 1009 5918 000 English 1009 5915 000 Finnish 1009 5922 000 French 1009 5916 000 German 1009 5917 000 Greek 1009 5927 000 Hungarian 1009 5928 000 Italian 1009 5919 000 Japanese 1009 5929 000 Norwegian 1009 5925 000 Polis
145. 2 Test 3 Test 4 Test 5 Test 6 Test 7 Test 8 Test 9 Test 10 Test 11 Test 12 Test 13 Test 14 Test 15 Kit referto Section 10 1 Service tools The Leak Test Tool Kit includes s the Machine Test Tool the Circuit Test Tool and various Test Plugs When performing these tests on machines with an ACGO outlet ensure that the ACGO selector switch is set to the ABS Circle circuit position Note To perform most of these tests you must boot the system with the PCMCIA Service Application and access the Diagnostics function as described in the test and detailed in Section 8 Verifying the integrity of the test tools ssssessssssssseee m 7 16 Low pressure leak testing the machine l ssssssssssssseee Hm 7 17 Testing the airway pressure transducer and Port 1 and Port 3 u cup seals 0 00 cece eee e eee eee 7 18 Testing the bag port cover the APL valve the Bag Vent switch and the negative pressure relief valve 7 19 Testingthe APL dp Mita ad ds 7 20 Testing the bellows module and the Bag Vent switch oooococcoccccrnccrn are 1 21 Testing the bellows the bellows pop off valve the bellows base manifold and the Bag Vent switch 7 22 Testing the bellows assembly xls eb IR ates whe Sen xe A a esa ERU RE RRRATA 7 23 Testing the flow sensor module the circuit module and the soda lime canister cc cee cece e eee 7 24 Testing the circuit module and the
146. 2 1 Replace primary regulator module complete replacement 1009 0357 000 09 07 Be careful not to expose internal components to grease or oil except Krytox or equivalent a A W N e Disconnect the output tube fitting Remove the three mounting screws and Remove the elbow fitting from the Transfer the pressure transducer to the Bleed all gas pressure from the machine Section 9 2 Ensure that all cylinder and pipeline pressures are at zero before proceeding Remove the rear panel Section 9 3 lockwashers replacement gas supply new supply Section 9 13 s Remove any teflon tape remnants from the transducer mounting threads transducer and module Apply 1 1 4 turns of new teflon tape around the treads Verify that the first few threads are free of tape e Install the transducer To reassemble perform the previous steps in reverse order s Pull on the cylinder output fitting to ensure it is locked in place Checkthe output of the regulator BEFORE you install the rear panel Adjust if necessary Section 5 1 10 Perform the checkout procedure Section 3 9 41 Avance 9 12 2 Replace 1 Open the cylinder yokes cylinder inlet filter 2 Remove the inlet adapter from the cylinder yoke using a 4 mm hex wrench Note A brass retaining ring keeps the filter inside the inlet adapter 3 Thread a 6 mm screw two turns only into the brass retaining ring and pull it out A C
147. 2 4 Menu Items File Section 12 5 Tools Section 12 6 Power Diagnostics Section 12 7 Gas Delivery Subsystem Section 12 8 Vent Subsystem Section 12 9 Window Section 12 10 Help Section 12 11 1009 0357 000 09 07 12 Service Application In addition to the schematic representations the Service Application provides access to diagnostic screens through the following menu item structure Preferences Section 12 5 1 e Exit Communication Status Section 12 6 1 e System Calibrations Section 12 6 2 s Transfer Logs Section 12 6 3 Power Schematic Section 12 3 Power Board Section 12 7 1 Anesthesia Control Board Power Section 12 7 2 s Mixer Board Power Section 12 7 3 s Vent Interface Board Power Section 12 7 4 Display Unit Power Section 12 7 5 s Gas Delivery Schematic Section 12 3 2 Gas Supply Status Section 12 8 1 s Mixer Output Section 12 8 2 s Mixer Pressure and Temperature Section 12 8 3 Gas Delivery Status Section 12 8 4 Mixer Post Checkout Test Results Section 12 8 5 s Perform Mixer Tests Section 12 8 6 s Vent Schematic Section 12 3 3 s Vent Status Section 12 9 1 s Vent Flow and Pressure Section 12 9 2 e standard Window manipulation items e list of all open windows e About 12 7 Avance 12 5 File menu The File menu includes the following menu items Preferences Section 12 5 1 e Exit quits the applicat
148. 2 Button 02 Flush Gas Outlet Config 1009 0357 000 09 07 XXXXX XX XXXXX XX XXXXX XX XXXX XX 0 00 to 27580 00 0 00 to 27580 00 0 00 to 27580 00 0 00 to 9805 00 0 00 to 40000 14 0 00 to 40000 14 0 00 to 40000 14 0 00 to 1422 10 XXX XX 0 00 to 697 00 XXX XX 0 00 to 697 00 XXX XX 0 00 to 697 00 0 00 to 101 09 0 00 to 101 09 0 00 to 101 09 Open Closed Open connected to Mixer Open Closed Open connected to Mixer Open Closed Open connected to Mixer Open Closed Open 02 bypass Not Pressed Pressed Not Pressed Pressed Circle SCGO ACGO 0 00 to 275 80 0 00 to 275 80 0 00 to 275 80 0 00 to 98 05 0 00 to 6 97 0 00 to 6 97 0 00 to 6 97 12 17 Avance 12 8 2 Gas Delivery Subsystem Mixer Output 12 18 Label 02 Flow 02 Flow Verify 02 Flow Signal 02 Prop Valve Drive Balance Gas ID Balance Flow Balance Flow Verify Balance Flow Signal Balance Prop Valve Drive 02 Select Valve Air Select Valve N20 Select Valve ADC Ref Voltage None Air N20 XXX XX X Open Closed Open Closed Open Closed Vdc Range 0 00 0 10 to 15 75 2 00 18 00 0 0986 to 4 0100 0 29 to 138 0 1 15 for Air 0 1 12 for N20 2 18 for Air 2 14 4 for N20 0 050 to 4 045 Vdc 0 29 to 138 2 47 to 2 53 09 07 1009 0357 000 12 8 3 Gas Delivery Subsystem Mixer Pressure and Temperature Mixer Pressure and Temperature Label 02 Pressu
149. 2 inch unmarked Tygon 465 mm 1 2 inch unmarked 40 mm 8 mm unmarked Tygon 180 mm 1 2 inch VENT DRIVE black 440 mm 8 mm SCGO PILOT black 320 mm 6 mm MANIFOLD PRESS low pressure 300 mm 1 4 inch PAW low pressure 500 mm 1 4 inch Referto section 10 32 Sample gas return is directed to the scavenging system as a factory default A qualified service representative can reroute the sample gas back to the breathing system refer to Section 9 26 Stock Number 1503 3128 000 1503 3237 000 1503 3119 000 1503 3236 000 1503 3132 000 1407 3330 000 1009 3011 000 1406 3524 000 1009 3077 000 1006 3530 000 1009 3297 000 1009 3164 000 1009 3164 000 1009 3164 000 1009 3164 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1605 1001 000 1009 3363 000 1009 3296 000 6700 0005 300 6700 0005 300 1001 3063 000 6700 0005 300 1009 3296 000 1009 3295 000 1605 1001 000 1605 1001 000 09 07 1009 0357 000 10 Illustrated Parts From hl 0 Supply 127 a 5 8 5 130 Lo B n 6 B From 0 Air JU ids i Mixer Output I PER To Mixer
150. 22 Replace the suction regulator 9 Lower the upper rear panel Section 9 3 Disconnect the white vacuum A and black suction B fittings from the rear panel Do not remove the tubing from the regulator Ifyouare replacing a Venturi Drive regulator disconnectthe tube C from the control port of the regulator assembly Disconnectthe two screws D that hold the regulator assembly to the mounting bracket Removethe regulator assembly from the front panel Transferthe tubing to the new regulator s Attach the vacuum source tube white fitting to the lower connector E s Attach the suction tube black fitting to the upper connector F Guidethe tubes into the front panel opening While holding the regulator assembly against the front panel attach the retaining bracket to the regulator Tighten the screws to secure the regulator assembly If applicable attach the control port tube to the regulator assembly C 10 Attach the vacuum and suction fitting to the rear panel manifold 11 Replace the rear panel 12 Perform the checkout procedure Section 3 9 62 09 07 1009 0357 000 9 Repair Procedures 9 23 Replace task light components 9 23 1To replace the task light switch 9 23 2 To replace the upper task 1009 0357 000 09 07 light The Avance machine includes two task lights upper and lower that are controlled by a common switch The task light s
151. 4 Schematic AC Inlet module 100 120 V with isolated outlets 1009 0357 000 09 07 11 15 r 1 AC INLET MODULE 15A SYSTEM BREAKER V I LINE j BRN o FILTER la ROCKER AC INLET IEC 320 BLU GND GRN YEL EQUIPOTENTIAL STUD CHASSIS GROUND ITI Avance NRUSH PCA 100 120V ii s ISOLATION TRANSFORMER l FUSIBLE d 1096 BLK l LINE IN 5W CRI UNE GUT THERMAL FUSE 150V PEE 1300 BLK CONNECTOR D6521Z0V151RA20 A Um 10 Differential l Mode LL Db Hu THERMAL FUSE WHITE l C 250V 20 130 a SY 15 2W ORN F1 mi 14 l NN D6521Z0V141RA20 250VAC NEUTRAL IN 140V FUSE2AG NEUTRAL OUT l nva Py D6521Z0V141RA20 140V Common Ta ZZ I I I 2L Z ALIIS S Mode G2 er 250V l 2 15 CHASSIS GROUND I n S d c e CIC POWER SUPPLY U Frame LINE FILTER POWER CONTROLLER BOARD LINE FILTER AB 91 056 Figure 11 15 Schematic AC Inlet module 100 120 V no outlets 11 16 09 07 1009 0357 000 11 Schematics and Diagrams OUTLET BREAKERS o COUNTRY SPECIFIC
152. 400 Danish M1080401 Dutch M1080404 English M1080395 Finnish M1080406 French M1080423 German M1080429 Greek M1080431 Hungarian M1080432 Italian M1080434 Japanese M1080436 Norwegian M1080438 Polish M1080458 Portuguese M1080440 Russian M1080441 Spanish M1080443 Swedish M1080445 Turkish M1080448 1009 0357 000 09 07 10 Illustrated Parts 41 10 15 Avance 10 9 Lower electronic enclosure components U Frame PCB Te 11 10 16 10 4b Description Power Controller board with mounting plate Replacement Kit Power Controller board used with U Frame Battery sealed lead acid 12V 4AH Harness battery Cable Flex Battery 4Ah Fused Tray battery Bracket battery restraint Label battery service instructions harness Label battery service Instructions flex cable Power Supply universal 150W Harness power supply to PCB Harness J3 PCB to J5 DCB Fan flow into enclosure Stock Number 1009 8290 000 M1052795 1011 3572 000 S 1009 5682 000 1009 5557 000 M1049280 1009 3133 000 1009 3060 000 1009 5530 000 M1052828 M1052831 M1049276 1009 5552 000 1009 5697 000 09 07 1009 0357 000 10 9 1 Anesthesia Control and Display Connector board 1009 0357 000 09 07 Item O 0 nN O oO Aa W N EN o Description Anesthesia Control board tested Display Connector Board Cable to Display Unit system power interface Cable to Displ
153. 4b 5 Avance with HPDU Factory Defaults Parameter Vent Mode The following table lists the factory defaults for parameters The table on the next page lists the factory defaults for alarm limits Factory defaults Parameters VCV Parameter CO2 Units TV tidal volume 500 ml Altitude Pinsp 5 cmH20 5 hPa 0 5 kPa 5 mbar 4 0 mmHg Gas Supply Pressure Units 12 min Decimal marker lt dot gt 12 min Language English 1 70 1 2 0 Trig Window 25 Gas Supply Colors ISO 02 white N20 blue Air blk wht Flow Trig 21 min 02 flow tube Right side End Breath 30 Vent drive gas 02 Psupport 2 cmH20 Tpause Off Backup Time 30s Rise Rate with Auto PCV SIMV PSV PSVPro SIMV PC Modes Auto Total Gas Flow 6 l min with Circle and 10 l min with Non Circle Rise Rate without Auto PCV VG Mode 02 Flow l min 6 l min with Circle and 10 l min with Non Circle N20 enabled No Spirometry Source Vent Control Style used for default setting 0296 when Install Service Fresh Gas Controls menu item is set to 02 or User Flow when Install Service Fresh Gas Controls menu item is set to Flow Patient Sensor Type Adult Auto MV Limit Off Alarm Volume 3 MV TV Alarms On C02 Audio On Sweep
154. 7 13 Ring Retaining 3 96 Shaft DIA SST 14 Pin Condenser Manifold 15 Support Cradle Pivot 16 Screw M4x8 Sems BT SKT HD 17 Tube Assembly 18 Washer part of Item 17 19 Fork part of Item 17 20 Screw M5 28x20 part of Item 17 21 Reservoir Condenser 22 Seal Condenser Reservoir 23 Spring Compression Drain Button 24 Button Drain 25 Cover Condenser 26 Guard Apply Loctite 242 Lubricate sparingly with Krytox Stock Number 1407 7026 000 1407 7025 000 1407 7024 000 1407 3123 000 1407 3114 000 0142 4254 106 1407 3142 000 1407 3115 000 1407 3915 000 1006 3968 000 1407 3129 000 1407 3143 000 1407 3104 000 1407 3125 000 1407 3410 000 1407 3411 000 1407 3131 000 1407 3119 000 0144 2436 108 1407 3133 000 S 1407 3137 000 1407 3136 000 1407 3135 000 1407 3134 000 1407 3138 000 1407 3145 000 09 07 1009 0357 000 Qty 2 2 10 Illustrated Parts AB 82 056 AB 75 p80 1009 0357 000 09 07 10 43 Avance 10 22 12 Anesthetic Gas Scavenging System AGSS 10 44 10 22 13 Passive AGSS Items 1 through 12 are included in all AGSS kits Item Description Common Parts Stock Number 1 Seal Receiver Body 1407 3901 000 2 Reservoir 1407 3903 000 3 Seal and scavenging down tube 1407 3904 000 4 Thumbscrew M6x28 5 1406 3305 000 5 O ring 4 42 ID 9 65 OD 1407 3923 000 6 Thumbscrew M6x43 1406 3304 000 T Valve unidirectional negative pressure relief 1406 8219 000 Ta
155. 79 or Vent OK 23 221 Vdc In Service Software under Vent Interface Bd Power Diagnostics Section 8a 1 6 view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int Bd 10VA Voltage reads OK and 3 2 Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB VENT AIRWAY Inspiration stopped High airway overpressure Medium AC Mechanical Ventilation OVERPRESS SIGNAL signal set Vent On No Service Action Reboot system If problem continues check Airway Pressure signal in Service Mode VENT AIRWAY Vent Fail Monitoring Ventilator SIB indicates the Medium AC Mechanical Ventilation OVERPRESS SIGNAL Only High Airway overpressure Vent On FAIL signal was set and Paw 90 cmH 0 and Pmanifold 80 cm H50 No Service Action Reboot system If problem continues check Airway Pressure signal in Service Mode VENT FLOW VALVE FAIL Vent Fail Monitoring Incorrect current feedback for Medium AC CURRENT Only 7 consecutive readings Vent Reboot System If problem continues in Service Software under Vent Interface Bd Power Diagnostics Section 8a 1 6 increase the Flow Valve counts and view the Flow Valve Current mA and Counts VENT SIB 10VA OVER CURRENT Indicates the current ACB feedback from the VIB was incorrect Disconnect VIB power harness
156. 9 07 Selecting Mixer Service brings up the Mixer Service Functions screen This screen includes and automatic and a manual leak test of the Mixer s balance gas inlet check valves The BalGas Auto Leak test does not require disassembly of the system It is a sensitive test that will Pass check valve that have leak rates within specifications however it may Fail some Mixers with marginal but acceptable leak rates s Mixers that Pass the auto leak test do not require further testing and can be left in service s Mixers that Fail the auto leak test should be further tested using the manual leak test The manual BalGas Leak Test requires disassembly of the system Mixers that Pass the manual leak test have acceptable leak rates and can be left in service Mixers that Fail the manual leak test should be replaced Mixer Service Mixer Service Functions BalGas Auto Leak BalGas Leak Test To troubleshoot mixer problems gt Previous Menu Selecting BalGas Auto Leak brings up the Service Instructions page forthe automatic mixer leak test Service Instructions Start Test gt Previous Menu This will perform an Automatic Leak Test ofthe Balance Gas Check Valve 1 Connect an 0 supply 2 Select Start Test to perform the automatic leak test e f Pass balance gas check valve leak rate is acceptable e f Fail verify leak rate using the following manual leak test HPDU 8b 23 Avance with HPDU Manual lea
157. 9 07 1009 0357 000 7 Troubleshooting Error Display Type Flow Chart MIXER CRC EEPROM FAIL Alternate 02 Screen Mixer Specific Troubleshooting MIXER CRC FLASH FAIL Flowchart 15 MIXER CRC RAM FAIL MIXER P SENSOR P2 FAIL MIXER POST FAIL Alternate 02 Screen See Related Errors in Error Logs MIXER PRES SENSOR P1P3 FAIL Alternate 02 Screen Mixer Specific Troubleshooting MIXER SW WDOG FAIL Flowchart 15 MIXER VOLTS FAIL Alternate 02 Screen Power Valves Mixer Troubleshooting Flowchart 16 MIXER XX F SENSOR FAIL Alternate 02 Screen Mixer Specific Troubleshooting Flowchart 15 MIXER XX FLOW CHECK FAIL Alternate 02 Screen Power Valves Mixer Troubleshooting Flowchart 16 MIXER XX FLOW FAIL Alternate 02 Screen Mixer Specific Troubleshooting Flowchart 15 MIXER XX SELECTION VLV FAIL Alternate 02 Screen Power Valves Mixer Troubleshooting Flowchart 16 MIXER XX TEMP LIMIT Alternate 02 Screen Mixer Specific Troubleshooting MIXER XX TSENSOR FAIL Flowchart 15 MIXER XX ZERO FAILLEAK TEMP MEASUREMENT CH1 HIGH TEMP MEASUREMENT CH2 HIGH TEMP SENSOR FAIL BALANCE GAS CH TEMP SENSOR FAILURE CH1 XX CHK VALVE LEAK None Reference TB ADV MSN 04 011 XX FLOW CTRL FAIL Alternate 02 Screen Power Valves Mixer Troubleshooting XX PROP VALVE FAIL Flowchart 13 1009 0357 000 09 07 1 43 Avance 7 10 Technical Alarms The Error Log includes technical alarms and other error
158. 9 Electronic Gas MIXE secretele seem ia eme Deva a de ar rg es 2 20 2 10 Ventilator Interface board 1 eee tenet I 2 22 2 11 Gas flow through the anesthesia machine 0 ccc e eee eee e nee eens 2 24 ZII VOVEMEW 3442208 a aid once ate 2 24 2 11 2 Physical connections enat uu cent e 2 28 2 11 3 SUCTION regulators crac aa ta e e QR atacand 2 29 2 12 Flow through the breathing system 0 cece cece eee ete eens 2 30 2 12 1 Overview of flow paths cece eee eee eee eens 2 30 2 12 2 Manual ventilation ooooocccccccccccnr carr 2 31 2 12 3 Mechanical ventilation 2 34 2 12 4 Fresh gas and Oz flush flow with SCGO ooooooccccoccccccccco 2 41 2 12 5 Fresh gas and Oz flush flow with ACGO sess 2 43 2 13 Ventilator mechanical subsystems oocoocccccccccccn eee neee 2 45 2 13 1 Drive gas filter and Gas Inlet Valve 0 0 cece cece eee eee 2 45 2 13 2 Pressure regulations 2 46 2 13 3 Flow control valve 0 ene II 2 46 2 13 4 Drive Gas Check Valve DGCV 0c cece cee nee eee ene 2 47 2 13 5 Bellows Pressure Relief Valve cc cece cette eee eens 2 47 2 13 6 Exhalatiori valve ise osse rus va ee px eves tha PREEOL EET 2 48 2 13 7 Mechanical Overpressure Valve oooooccoocccconcccra no 2 49 2 13 8 Reservoir and bleed resistor cece eee eee eee eee eee 2 49 2 13 9 Free breathing valve 1 eect e 2 50 2 13 10 Breathing circuit flow sensors
159. ACB to Display Unit communication cable PCSELFTEST Internal failure System PC failed self tests memory High PC may shut down voltages or CPU Reboot system If problem continues check power supplies in the Service Software Replace Power Controller Board if continues PEEP PCV NOT Vol vent only No PEEP Paw data is in range butthe Medium DC None AVAILABLE or PSV Pmanifold lt 15 cmH40 OrLow Perform flow sensor calibration If calibration fails use the Service Application Vent diagnostics to check the transducer precision Use the Flow valve control to compare linearity of the Manifold transducer to the Paw transducer POWER CONTROLER Internal failure System Communications with PC and Medium DC COM FAIL may shut down DC cannot be established for ten seconds Reboot system If problem continues 1 Check DU cable connections 2 Checkthe Display Connector board cable connections 3 Replace the Power Controller board POWER SUPPLY 75C Circuitry 75C Power supply temperature Medium PC shutdown possible exceeds 75C Check Clean cooling fan PRESS SNSOR1 Indicates P1 pressure Mixer FAILURE transducer on the Mixer is out of specification Zero the Mixer pressure transducers Replace Mixer PWR CNTRL DC DC Using battery PC fail AC supply is OK AC GOOD Medium PC If applicable check U frame wiring Set system switch to Standby remove mains wait 20 seconds power up system If problem continues replace P
160. ADO Cal A A QUEE qM 4b 17 4b 5 1 Spiro Calibration ispira a e A RII 4b 18 4b 5 2 User Calibration menu sssssssssee III 4b 19 Ab 5 3 Manifold PSpan apa araea a eee eee m HH mme 4b 20 4b 5 4 Inspiratory Flow Valve 0 ccc eee eee RII 4b 21 4b 5 5 Insp FlOWZETO toria x x ra a x cee es eke dees 4b 22 4b 5 6 Bleed Reslstor cs ico oec Eee ds TUE 4b 23 4p 5 7 Paw Span o meter cer ities eae diea ai Rat d 4b 24 4p 5 8 Zero GS XIU cis cce po E uk e da etx uaa eg Nd Er 4b 25 4b 5 9 Cal Contig ene cep a tons A A DEEST 4b 26 4b 5 TO Miker PZero 2i cus te nt s ER LEURS REA 4b 26 HPDU 4b 1 Avance with HPDU 4b 1 Service and Installation menu structure Menu structure Trends System Status Cardiac Bypass Screen Setup Parameters Setup Calibration Normal Screen Screen Setup Field 1 Field 2 Field 3 Fresh Gas Controls Split Screen Sweep Speed Time and Date Brightness Install Service Previous Menu HPDU 4b 2 Colors and Units Show Alarm Limits Installation External Gas Monitor Service Calibration Save Default Case Install Service Page 1 Options Key Previous Menu Parameter Settings Copy Config This section describes the Service level functions that are part of the main software installed in the anesthesia machine Section 8a Service Diagnostics and Software Download DU covers the functions of the Compact Flash card used to download system software
161. AS 3112 Australia 1006 3888 000 220 240V 50 60Hz GB2099 China M1053942 220 240V 50 60Hz BS1363 UK 1006 3884 000 220 240V 50 60Hz BS546 India and South Africa 1006 3885 000 220 240V 50 60Hz CEE 7 7 EURO and France 1001 3380 000 220 240V 50 60Hz Danish 1011 3696 000 220 240V 50 60Hz SEV 1011 Swiss 1006 3889 000 220 240V 50 60Hz NEMA Peruvian 1006 3882 000 2 Clamp power cord retainer all except China 1009 3103 000 China M1054192 3 Screw M4x8 Pozidriv DIN84 1006 3178 000 4 Filter foam 1009 3064 000 5 Retainer filter 1009 3058 000 1009 0357 000 09 07 10 9 Avance 10 6 AC Inlet Outlet Components 10 10 Item 10 10a 11 11a 12 13 14 15 Description Inlet 100 120 AC with line filter and 15 A circuit breaker Inlet 220 240 AC with line filter and 8 A circuit breaker Fuse 5A 5x20mm Fuse holder Circuit board Inrush 100 120V Circuit board Inrush 220 240V Filter AC Line 6VW1 100 240V Stud Equal Potential 6 mm Harness 100 120 V to Toroid Harness 220 240 V to Toroid Harness to 100 120 V outlets Harness to 220 240 V outlets Outlet Receptacle Australia and China AS 3112 Outlet Receptacle Danish AFSNIT 107 2 D1 Outlet Receptacle EURO CEE 7 7 Outlet Receptacle France CEE 7 4 Support Frame snap in Outlet Receptacle India and South Africa BS 546 Outlet Receptacle Japanese Outlet Receptacle NA Nema 5 15 Outlet Receptacle Swiss SEV 1011 Outlet Receptacle
162. AUTION Be careful not to crush the filter Do not thread in the screw more than two full turns Remove the filter Install the new filter and brass retaining ring Install the inlet adapter in the cylinder yoke Oo OC A Perform the checkout procedure Section 3 9 12 3 Replace The cylinder check valve is nota replaceable item If the check valve is defective you cylinder check ust replace the complete cylinder supply module valve 9 42 09 07 1009 0357 000 9 Repair Procedures 9 13 Replace gas supply pressure transducers The gas supply pressure transducer includes an integral cable that connects to the Filter board on the pan enclosure The transducer itself is mounted directly to the supply module To replace a pressure transducer pipeline or cylinder you have to remove the module from the machine 1 To access the Filter board remove the tabletop Section 9 4 2 Disconnectthe transducer cable from the Filter board 3 Remove the supply module to access transducer For cylinder supplies refer to Section 9 12 For pipeline supplies referto Section 9 11 A Remove the transducer from the module 5 Install the new transducer For pipeline transducers Besurethatan o ring is in place For cylinder transducers Removeanyteflon tape remnants from the module Apply 1 1 4 turns of teflon tape around the treads of the transducer Verify that the first few threads are free of tape
163. Anes Control Board 3 3V Digital XXX 2 86 to 3 81 Mixer 3 3V LCD XXX 2 86 to 3 81 Vent Interface Bd Inverter A XXX 0 00 to 1 09 gt Previous Menu Inverter B XXX 0 00 to 1 09 Ground 1 XXX 0 00 to 0 11 Ground 2 XXX 0 00 to 0 11 HPDU 8b 8 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU 8b 3 4 Anesthesia There are two pages of diagnostics forthe Anesthesia Control board Control Board Selecting Anes Control Board brings up the first page of the Anesthesia Control Board Power Diagnostics Power Readings Anesthesia Control Board Power Readings page 1 Power Diagnostics Value Format Units Normal range Power Controller Display Unit Power 12 5Vdc from Pwr Cntrl Vdc 11 90 to 12 90 Anes Control Board ADC Reference Vdc 4 018 to 4 176 Mixer Vent Interface Bd Gas Select 10VA Volts OK Fail gt Previous Menu Gas Select 10VA Amps OK Fail P Xducer 10VA Amps OK Fail Vent Int Bd 10VA Volts OK Fail Vent Int Bd 10VA Amps OK Fail Vent Valves 10VA Volts OK Fail Vent Valves 10VA Amps OK Fail Acces 1 10VA Volts OK Fail Acces 1 10VA Amps OK Fail Turn the ComWheel to select the second page Push the ComWheel to return focus to the Power Diagnostics selection menu 1009 0357 000 09 07 HPDU 8b 9 Avance with HPDU Anesthesia Control Board Power Readings page 2 Power Diagnostics Label Value Format Power Controller Gas Unit 10VA Volts OK Fail Display Unit Power Ga
164. Anesthetic Gas Scavenging System AGSS Breathing System Drawer Tabletop components Display Unit DU External components lower assembly Auxiliary O5 Flowmeter Integrated Suction Regulator Front panel Alt O2 and system switch ABS to machine Interface Components SCGO Vaporizer manifold Right side Components Optional Monitor Display mounts 10 Illustrated Parts Section number Refer to section 10 22 17 Refer to section 10 22 16 Refer to section 10 15 Refer to section 10 22 12 Refer to section 10 22 Refer to section 10 29 Refer to section 10 26 Refer to section 10 7 Refer to section 10 28 Refer to section 10 24 Refer to section 10 23 Refer to section 10 20 Refer to section 10 17 Refer to section 10 14 Refer to section 10 27 Refer to section 10 37 10 7 Avance 10 4 External Components rear view 10 8 Item Description AC Inlet Pipeline Inlets Label pipeline inlet blank Cylinder Gas Supplies Electrical Power Outlet Suction items Rear panel items Stock Number Referto section 10 5 Referto section 10 12 1009 3197 000 Referto section 10 13 Referto section 10 6 Referto section 10 23 Referto section 10 25 09 07 1009 0357 000 10 Illustrated Parts 10 5 AC Power cords and AC Inlet filter al qa 5 3 pa Pat i amp J E N a 2 Item Description Stock Number 1 Power Cord 100 120V 50 60Hz NEMA Japan and US 1006 3907 000 220 240V 50 60Hz
165. Avance 3 11 Alarm tests NOTE If an Airway Gas Module is installed FiO2 readings are taken from the module instead of the O sensor in the breathing circuit When using an Airway Gas Module a sample line must be connected to the patient circuit for testing the O alarms 3 12 E a Aa WwW N Connecta test lungto the patient connection Starta case Setthe Bag Vent switch to Vent Setthe O concentration to 30 and allow the O reading to stabilize Test the O alarms e Set the Fi02 low alarm limit to 5096 Make sure an Fi02 low alarm OCCUIS e Set the Fi02 low alarm limit back to 2196 and make sure that the Fi02 low alarm cancels e Set the Fi02 high alarm limit to 50 Push the O flush button Make sure the Fi02 high alarm occurs e Set the Fi02 high alarm limit back to 100 Make sure that the Fi02 high alarm cancels Test the MVexp low alarm s Go to the Alarm Setup menu e Set the MV low alarm limit to greater than the measured minute volume Make sure that a MVexp low alarm occurs e Set the MV low alarm limit to off Test the Ppeak high alarm e Set the Pmax to less than the peak airway pressure Make sure that the Ppeak high alarm occurs Set the Pmax to the desired level Testthe PEEP high Blockage alarm s Close the APL valve e Set the Bag Vent switch to Bag Mechanical ventilation stops e Block the patient connection and push the O flush butto
166. Avance 9 10 9 5 3 To replace the CPU board 1 2 Remove the connector panel assembly 21 two screws Disconnect the following cables Inverter harnesses A s Membrane switch flex cable at ZIF zero insertion force connector B e Speaker cable C Encoder assembly cable D e f present IRDA board cable E Membrane switch flex cable at ZIF zero insertion force connector F e Fan cable G LCD cable H 10 Transferthe battery 5b to the new Remove the remaining four screws I that hold the CPU board to the mounting plate Remove the CPU board from the mounting plate If you are replacing the PCMCIA frame 3 on an existing CPU board remove four screws on back of CPU board you must also apply new gaskets 4 to the frame Align the ends of the gaskets with the top edge of the frame CPU board Reassemble in reverse order Download latest software Section 8a 6 Reconfigure the Machine Configurations Install Setups Affix a new Key Code and Board ID label to the Vent casting 09 07 1009 0357 000 9 Repair Procedures 9 5 4 To replace 1 Disconnect the following cables the LCD display Membrane switch flex cable at ZIF zero insertion force connector A Encoder assembly cable B f present IRDA Interface cable C remove IRDA Interface board Membrane switch flex cable at ZIF zero insertion force connector D e Fan cable E e L
167. Avance Datex Ohmeda products have unit serial numbers with coded logic which indicates a product group code the year of manufacture and a sequential unit number for identification The serial number can be in one oftwo formats AAAX11111 AAAXX111111AA The X represents an alpha character indicating the yearthe product was manufactured H 2004 J 2005 etc land O are not used The XX represents a number indicating the yearthe product was manufactured 04 2004 05 2005 etc Avance is a registered trademark of Datex Ohmeda Inc Other brand names or product names used in this manual are trademarks or registered trademarks of their respective holders 09 07 1009 0357 000 Technical Reference Manual Avance Anesthesia Machine Machines with the original display unit DU with System Software 3 2 or earlier Machines with the high performance display unit HPDU with System Software 4 X or greater This document is not to be reproduced in any manner nor are the contents to be disclosed to anyone without the express authorization of the product service department Datex Ohmeda Ohmeda Drive PO Box 7550 Madison Wisconsin 53707 o 2007 Datex Ohmeda Inc 1009 0357 000 09 07 Avance Important A CAUTION The information contained in this Technical Reference manual pertains only to those models of products which are marketed by Datex Ohmeda as of the effective date of this manual orthe la
168. Basic info Priority Source Enabling Criteria Action Troubleshooting MIXER 02 ZERO LEAK Mixer status bit Medium AC FAIL STS_CH1_ZERO_FLOW_TESP Mixer ROPN_V_LEAK_FAILT_FAIL 0 proportional valve fails zero flow checks for leaks when it should be closed Reboot System If problem continues replace the Mixer MIXER P SENSOR P2 Mixer error bit Medium AC FAIL STS PRESS SENSOR FAIL Mixer P2 Pressure sensor 2 in the mixer has failed Reboot System If problem continues replace the Mixer MIXER POST FAIL Alternate 0 Screen Mixer tells AC that Power Up Medium AC Self Test Fail Mixer See associated Error in Error Log i e MIXER O FLOW CHECK FAIL or Mix FLOW VERIFICATION FAILURE dP CH1 MIXER PRES SENSOR Mixer error bit Medium AC P1P3 FAIL STS PRESS SENSOR FAIL Mixer P1P3 One of the pressure sensors in the Mixer has failed P1 or P3 Reboot System If problem continues replace the Mixer MIXER P SENSOR Indicates one of the Mixer Mixer FAIL Pressure Transducers have failed See associated Error in Error Log i e MIXER P Sensor P2 Fail or Mixer Pres Sensor P1P3 Fail MIXER SW WDOG Indicates the Mixer Mixer Watchdog has been activated See associated Error in Error Log i e MIXER O2 FLOW CHECK FAIL or Mix FLOW VERIFICATION MIXER SW WDOG FAIL Alternate 0 Screen Mixer status Bit Medium AC STS SW WDOG FAIL Mixer Reboot S
169. CB 7 66 09 07 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting Quick check fails A message or failure DU displayed during the system checkout Check for other errors in the error logs REVERSE EXPIRATORY Reverse exp flow Flow towards the patient Medium AC Vent In range flow data FLOW Check valves OK volume gt 20 mL on available mechanical expiratory sensor and flow ventilation on towards the patient volume gt 5 mL on the inspiratory sensor during inspiration for 6 consecutive mechanical breaths Check flow sensor connections for No Flow Sensor alarm Check the breathing circuit Perform flow sensor calibration Check Insp Exp check valves Replace the flow sensors Check for kinked VIB tubing Check the VIB cabling SCGO Vol and Apnea Non Circle SCGO selected Low DC System has SCGO monitoring off No service action required SEVERE SUSTAINED Indicates the measures ACB PAW airway pressure was greater than 100 cm H20 for 10 seconds No Service Action Reboot system If problem continues check Airway Pressure signal in Service Mode STANDBY PATIENT No fresh gas flow 3 volume breaths are High DC System in Checkout DETECTION detected within 30 seconds General or Checkout or 3 CO breaths are detected Start Case wit
170. CD cable F 2 Removethe ten screws circled that hold the mounting plate to the front enclosure 3 Remove the mounting plate assembly from the front enclosure 4 Disconnect the backlight harnesses G from the inverter boards 5 Slidethe grommet H out of the mounting plate slot transferto new LCD 6 Remove the four screws circled that hold the LCD to the mounting plate 1009 0357 000 09 07 9 11 Avance Lifttheleftside ofthe LCD display slightly away from the mounting plate to pull some ofthe display ribbon cable I to the top side of the plate Flip the LCD over to the left ofthe assembly Disconnectthe display ribbon cable J DG31 LCD Display DG41 LCD Display e OF q 9 12 Reassemble in reverse order Note When replacingthe LCD pull the excess ribbon cable to the bottom side ofthe plate as you lower the LCD on to the plate For the backlight hamess grommet H ensure that the slit in the grommet faces toward the inside of the keyhole 09 07 1009 0357 000 9 Repair Procedures 9 5 5 To replace the backlights Note Note When replacing a backlight or a backlight inverter you must replace both inverters and the backlight assembly found in the Backlight Kit 1009 0357 000 09 07 Slit Early production Avance Display Units DU included a DG31 LCD display Subsequent display units and the HPDU include a DG41 LCD display T
171. CHECK N AWES iudei ete tore e E A Ao ER AA 7 9 2 7 2 Breathing System Troubleshooting FlowchartS oooococcoconcooo 1 10 f 3 Leak Solation Tests siii Me e A A Ee 1 15 7 8 System Troubleshooting Flowcharts 0 cece eee eee eee eee eee 7 30 7 9 System Malfunction and Alt 02 Flowchart Table 00 ccc cece eee eens 7 42 FAO Technical Alarms ic 2 0 di tada ad 7 44 7 11 Steps and Messages displayed during the System Checkout for System software 3 Xorgreater oooooocoocccccccncccrn 7 71 7 12 Steps and Messages displayed during the System Checkout for System software 2 X isr ranra iraniane ou ita III 7 73 7 12 1 Steps for the Quick Check 0c cece cece ene ete e eee 7 73 7 12 2 Steps forthe Vent Check 00 cece eect eee rr 7 75 09 07 1009 0357 000 Table of Contents 8a Service Diagnostics and Software Download DU 1009 0357 000 09 07 8a 1 Avance Service Application sssssssseseseees II 8a 2 88 1 1 Main Menu and System Information 000 c cece eee eens 8a 2 8a 1 2 Power Diagnostics 0 8a 3 88 1 3 Power Controller Power Diagnostics 0 c cece cece eee ee 8a 4 8a 1 4 Anesthesia Control Board Power Diagnostics 00 e eee eee eee eee 8a 6 88 1 5 Electronic Mixer Power Diagnostics ccc cece eee eee eee 8a 8 88 1 6 Ventilator Interface Board Power Diagnostics cece eee eee 8a 9 8a 1 7 Display Unit Power Diagnostics
172. Drive Gas ABS Installed Flush Valve 02 Cell Status Bag Vent Switch ACGO SCGO Configuration Over Pressure Circuit Open or Closed Open or Closed or Fault Circle or Non Circle Circle Non Circle or Fault Air or 02 Yes or No Not Pressed or Pressed Connected or None Bag or Vent ACGO or SCGO OK or High Pressure 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU 8b 4 2 Vent Flow Selecting Vent Flow and Pressure brings up the Ventilation Flow and Pressure page and Pressure Ventilator Flow and Pressure Vent Diagnostics Menu Item Units Value Units Vent Status Gas Inlet Valve Setting Open or Closed Vent Flow and Pressure Gas Inlet Valve Feedback Open or Closed or Fault Toggle Gas Inlet Vlv we Circuit Setting Circle or Non Circle Toggle Circuit Circuit Feedback Circle Non Circle or Fault Set Flow Valve Inspiratory Flow I min Counts gt Previous Menu Expiratory Flow I min Counts Airway Pressure cmH20 Counts Manifold Pressure cmH20 Counts 02 Cell 96 Counts ADC Ref Voltage Flow Valve Setting XXX X Counts Flow Valve Feedback XXXX mV Counts Flow Valve Current XXXX mA Counts Flow Valve DAC Setting XXXX Counts ANANAN Turn ComWheel to adjust flow Press the ComWheel to change flow setting appears when Set Flow Valve is selected on the Vent Diagnostics menu 1009 0357 000 09 07 HPDU 8b 15 Avance with HPDU 8b 5 Gas Diagnostics Special Functions Power D
173. E S On standby w Mains LED Charge 2 Cntrl pup i 12 5 VDC RS 422 Communications Monitor on standby 10 99uU09 fejdsigl AB 91 020 U Microcontroller A T Power Controller Board 24V Figure 2 13 Power subsystem diagram with U Frame Power Supply 1009 0357 000 09 07 2 7 Avance 2 3 2 Power The Power Controller board provides outputs to the Anesthesia Control board and the distribution Display Connector board These boards provide distribution of power supplies required by the system The Anesthesia Control board interfaces with the Mixer board and the Ventilator Interface board through the Pan Connector board The Display Connector board interfaces with the Display Unit and the Module assembly Power Controller Board Display Display Unit CPU Board Connector CPU 3 3V Board 4 1V Step Dwn Lia 12 5V ua CPU 2 5V switche AC switched bus bus PCMCIA 3 3V Mains voltage voltage PCMCIA 5V 53W 22V to 31V battery voltage 24W 6 0V Step Dwn Mixer Board 2 5V ADC ref 5 5Vdc Module Power Supply Board MGAS 6V Step Dwn 5V LDO 16V Boost 15 Vdd LDO I I I I I I E y 42m LUV Flyback I I I an a a Ventilator Interface Board 1 22V i aBeYOA sng peus AG ZT Anesthesia Control Board ei TEV Vdd ADC Ref Connector 5VA Board 6V 10W 6V 12 5V 10VA 12 5V 10VA External Expansion Periph 2 Vent V
174. ED l Y EL azna CONNECTOR THERMAL FUSE WHITE NEUTRAL IN 275V FUSE2AG NEUTRAL OUT 1306 RV3 l D65Z0V271RA140 l Common 275V p Mode l Li 62 l U 9B 470V ay 15 l GND GRN CHASSIS GROUND a n GRN Y yy e L SS MB aaa T n 2 EQUIPOTENTIAL STUD aa L 4 o POWER SUPPLY POWER CONTROLLER BOARD U Frame CHASSIS GROUND TT LINE FILTER LINE FILTER Figure 11 17 Schematic AC Inlet module 220 240 V no outlets 11 18 AB 91 057 09 07 1009 0357 000 In this section 1009 0357 000 09 07 12 Service Application 12 1 Avance Service Application PC based 0 cece cece ee eee eee aaee 12 2 12 1 1 PC Requirements ive tue vee id p rx x Meee cates ede 12 2 12 2 Startup screen System Status 0 ccc cece cece eere 12 3 12 3 System Schermlatics onse o reyes ERR VA an rcs 12 4 12 3 1 Power Schematic 5 403 is a id 12 4 12 3 2 Gas Delivery Schematic 12 5 12 3 3 Vent Schematic ii emn e Xe a i 12 6 12 4 Men tems incoado caw 24x god 9e i ek PY 3 3 An 12 7 12 5 FII Inenuis et eae er Ehe Lenis rir eedem ett UTER rH EE ADU R EU dE 12 8 12 551 File Preferences iii x TE e ba V ETE SX PIN PEE M EN 12 8 12 6 Tools menu 2 2 i ipyIdi9 Ry Rex Rex WARE uv EREXIT a A 12 9 12 6 1 Tools Communication Status
175. Expiratory flow 5 Flow to bellows 6 To scavenging EA MO nee eA lt UY NSCOR pO gt M pe Ll AB 82 083 Figure 2 35 Mechanical expiration through Condenser with EZchange Canister and Condenser ON 1009 0357 000 09 07 2 37 Avance Mechanical inspiration EZchange and condenser OFF Airway Pressure Drive gas Fresh Gas Pilot pressure Bag Vent switch to Vent r Flow to absorber Bypass flow Inspiratory flow The Bag Vent switch closes the manual path V Pilot pressure P closes the exhalation valve Drive gas D pushes down on the bellows Gas flows from the bellows 1 through the EZchange module bypassing the absorber 2 and through a unidirectional valve inspiratory check valve to the patient 3 During inspiration fresh gas flows into the inspiratory limb upstream ofthe inspiratory check valve E T H ip Y A y V y Sc d Wa lt dra ZIP F i Q y N S AB 82 082 Figure 2 36 Mechanical inspiration with EZchange Canister and Condenser OFF 2 38 09 07 1009 0357 000 Mechanical expiration EZchange and condenser OFF AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow to bellows 6 To scavenging 2 Theory of Operati
176. Figure 2 26 1 2 3 4 13 14 15 16 1T 18 19 20 21 22 23 24 Pipeline inlet Pipeline pressure transducer High pressure relief valve 758 kPa 110 psi Supply connections forthe ventilator and pilot pressure for SCGO a Op drive gas b Air drive gas Venturi suction supply connection a 0 drive gas b Air drive gas Cylinder inlet Cylinder pressure transducer Primary regulator cylinder pressure Test port primary regulator System switch Selector valve a 03 b Air c N20 Flow controller a 05 b balance gas Alternate O disable valve Hot wire anemometer a Op flow sensor channel b balance gas flow sensor channel Vaporizer port valve Vaporizer Low pressure relief valve 38 kPa 5 5 psi O flush and auxiliary flowmeter regulator 241 kPa 35 psi 0 Flush valve Pressure switch used with the ventilator Breathing system pressure relief valve SCGO only 150 cmH50 To Port 3 of ABS interface circle For SCGO to Port 2 of ABS interface non circle Inspiratory port For ACGO to external 22 mm ACGO connector Auxiliary O5 flowmeter optional Approximate values K 4 Pneumatic Connection o Filter gt Direction of Flow A Check Valve 2 27 Avance 2 11 2 Physical Figure 2 27 shows the physical path that the gas takes The item numbers are connections described onthe previous page 2 1
177. I I pieog 001005 eisoujsauy Fan 12 5 VDC Switched Pu 771 2 mu is Inlet l Sur 1 t Inrush I 1 lt li Fusej 1 Line i 2 Breaker HH 1 ll Fuse amp H 5 AC DC LJ DC DC Cntrl Board I E Filter 3 1 iter al H lt i gt o J l l 1 I AN la as y A AA ZN i P 5 U RS 422 1400VA E dekh 3 Microcontroller A x a S T ZW T pets Power Battery Battery Battery AC l Controller Temp Switch v l Sense RETE T 1 Display i a is a tai ia Connector I I Board 5 Display Unit I I i D I I 1 12 1 AM TFT LCD i 1 r 12V I I tss I O A O S b 2 Q Q DQaQOEO Plu l l mo 1 E USB 5 Y gt 1 Net ID I 1 i O i User en EN i L thernet a I Board i OOOOOO Dis ky i O o O pis o gr 1 E MEM ME a o az E a
178. LOCK SPEED System Malfunction Anesthesia Control Board Troubleshooting Flowchart 12 ACB COM FAIL System Malfunction DU ACB Communication Troubleshooting Flowchart 14 ACB CPU TEST FAIL System Malfunction Anesthesia Control Board Troubleshooting Flowchart 12 ACB DCB COM FAIL System Malfunction DU ACB Communication Troubleshooting Flowchart 14 ACB EEPROM FAIL System Malfunction Anesthesia Control Board Troubleshooting ACB FLASH FAIL Flowchart 12 ACB HW WATCHDOG ACB MICROPROC ERROR ACB RAM ERROR ACB SW ERROR ACB SW WATCHDOG ACB UNEXPECTED RESET ALT 02 SWITCH FAIL Alternate 02 Screen Check Alt O2 Switch Harness and Connections DCB RAM ERROR System Malfunction DU ACB Communication Troubleshooting Flowchart 14 FLOW ATTAIN FAIL BAL GAS CHANNEL FLOW ATTAINMENT FAILURE CH1 Alternate O2 Screen Power Valves Mixer Troubleshooting Flowchart 16 FLOW SENSOR FAIL BALANCE GAS CH FLOW SENSOR FAILURE CH1 FLOW VERIF FAIL dP XX CH Alternate O2 Screen Mixer Specific Troubleshooting Flowchart 15 LOSS OF GAS DELIVERY USER SETTINGS LOSS OF VENT DELIVERY USER SETTINGS System Malfunction DU ACB Communication Troubleshooting Flowchart 14 MIXER ACB COM FAIL Alternate O2 Screen ACB Mixer Communication MIXER ACB COM FAILLOST CMD Troubleshooting Flowchart 13 MIXER BAL GAS CHANGE FAIL Alternate O2 Screen Power Valves Mixer Troubleshooting Flowchart 16 7 42 0
179. Lime Canister Negative Pressure Relief Perform Test 9 Testing the Flow Sensor Module Circuit Module and Soda Lime Canister Perform Test 10 iine fhe S Testing the Circuit Module and Canister Negativo eS Pass Fail Fail Pass Perform Test 14 and 15 Perform Test 11 Replace the Negative a Testing the Flow Testing the Circuit Pressure Relief pes ee Sensors Bulkhead Module Bag Vent Cartridge 9 Disk and O Bin connectors and tubing O Rings g AB 74 045 Pass Fail Perform Test 12 Testing the Inspiratory side of the Circuit Module and Canister Inspect Canister for leaks Pass Fail Inspect Expiratory Inspect Inspiratory side of Circuit Module side of Circuit Module Repeat Test 11 Repeat Test 11 Flowchart 4 1009 0357 000 09 07 7 13 Avance Check Replace Flow Sensors or bulkhead connector O Rings Swap Module s with another machine Repair or replace Module Flowchart 5 Leak in Flow Sensor Module or Circuit Module Perform Tests 14 and 15 Testing the Flow Sensors using the low pressure leak test device Do System All Checks Section 3 4 Check Replace the seals on the Circuit Module and the O Ring on the O cell AB 91 016 09 07 1009 0357 000 1 Troubleshooting 7 7 3 Leak Theprevious flowcharts refer you to the following tests Isolation Tests These tests require the use ofthe Low Pressure Leak Test Device and the Leak Test Tool Test 1 Test
180. MWV TV Alarms key O T 2 1 SC 3 C2 E CO E lt 2 p ES oS F AB 91 107 Push to silence any active silenceable high and medium priority alarms or to suspend acknowledge any non active medium or high priority alarms Alarm is silenced for 120 seconds or alarm is suspended for 90 seconds Push to show corresponding menu Push to select a menu item or confirm a setting Turn clockwise or counterclockwise to scroll menu items or change settings Push to remove all menus from the screen Push to change corresponding gas setting or ventilator setting Turn the ComWheel to make a change Push the ComWheel to activate the change Push to start or stop the timer Push to reset the timer back to zero Push to turn off the MV and TV alarms Push again to turn the MV and TV alarms back on Figure 1 6 Ventilator controls 09 07 1009 0357 000 1 7 Anesthesia system display l min min 1 Introduction 32 10 1 l min 2 0 10 0 MV 9 0 s ml TV exp R 498 18 Xoooox 02 0 XXXXXXX 02 21 0ff 1 00 a Xxx XXXXXXXX kP Electronic gas flow tubes Alarm silence countdown Alarm message fields Waveform field Clock Number field Free number display Ventilator settings Gassettings O 0 090 RBoNM amp G Figure 1 7 Normal view 1009 0357 000 09 07 N20 Xx AB 91 002 1 9 Avance W
181. Machine Check Circuit 02 ooocccccccocccccccnnr rn 3 4 3 3 Individual Checks for System software 3 X or greater cece eee eee eee 3 4 3 9 Systems c ip tis a a beets Daas Dares Ea 3 4 3 3 2 Circuit 2 ainda sundae TRE wa RR DR Salas eee Uri eie 3 5 3 3 3 Circuit 02 Cells oo ases pce Rt Rut Eme eta RIO E ERI DArAYIGn 3 5 SiS PAN OWP A MEC Ec LCD cer EE 3 5 3 3 5 Low P Leak machines with ACGO ooocoocccoccccccccocccacccnacao 3 5 3 4 System All checks for System software 2 X 0 cece eee eee eens 3 6 34 1 Low P leak Check ocio A Uem i cades 3 6 3 4 2 QUICk Cle ek ios tan adnan RA OA EE ES RP DEUS PNEU 3 7 3 4 3 Venit check O O phy Headed VETEREM 3 7 3 4 4 Circuit Oo cell check 2 d ceo rr teet e ee ele ERR Del ER 3 7 3 5 BellOWS Crop test z i uo rrr ia dad 3 8 S O BaCkliSht testes i e rte dee cen het iecore A A De ete e a RA Arad 3 8 3 7 Vaporizer back pressure test 0 cece cece eee e 3 8 3 8 Pipeline and cylindertests 0 ccc eee eee eee eet e nee e nee 3 9 3 8 1 05 Supply alarm test viii a dane ee dete bard Mane 3 9 30 Pressure TENET tests cid epe li A nba 3 10 IALO FlUSA How Test arica EET ER E ERR VERE NE VERTU ERE es 3 11 SAL Alarm testSs cae ente Petes ees AR dx Rx a eek ees Debus CREE RA Du 3 12 3 12 Alternate 02 flowmeter tests ssssssesssesse eee eens 3 13 3 13 Auxiliary O2 flowmeter tests cece eee rr 3 13 3 14 Integrated Suction Regulator tests ce
182. Mixer status Bit STS LOSS OF SEIFLOW C MD Mixer has lost AC flow commands for 5 sec or received illegal commands hypoxic mix settings not allowed Medium AC Mixer Reboot System If problem continues e check replace Pan Connector to Mixer cable replace the Mixer 1 58 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MIXER AIR SELECTION VIV FAIL Alternate O Screen Mixer Status Bit STS SELV VAIR NOTIFY FAI LThe status of the air selector valve does not match the commanded state Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER BAL GAS F SENSOR FAIL Alternate O Screen Mixer error bit STS F2 SENSOR FAIL Balance gas flow sensor failure Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER BAL GAS TSENSOR FAIL Mixer error bit STS T2 SENSOR FAIL Balance Gas Balance gas temperature sensor failure Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER BAL GAS FLOW CHECK FAIL Mixer status bit 1LPM FLOW TEST FAIL Bal as proportional valve fails flow check STS FLOW TEST BAL CHAN FAlLshows balance gas proportional valve failed self test Medium AC Mixer
183. N Remove the cables from the rear connector panel 09 07 1009 0357 000 9 Repair Procedures 9 5 2 Disassemble Place the Display Unit face down on an anti static pad Before removing the rear the Display Unit enclosure ensure that the release tabs on the PCMCIA frame are fully depressed 1 Loosen L the four captive screws at each corner of the rear enclosure 2 Liftthe rear enclosure slightly and pivot it away from the lower enclosure at the bottom side of the Display Unit Atthis point you can replace the following items the item numbers referto the parts list in Section 10 7 e the fan 24 the connector panel assembly 21 the encoder assembly 12 s the IRDA board or IRDA board harness First production DUs included an IRDA board that is no longer used System software does not support the IRDA board which is now obsolete e the battery 5 the speaker 20 To access the mounting screws for the speaker you must first remove the ten screws that hold the mounting plate to the front enclosure so that you Can raise the bottom edge of the assembly slightly Refer to section 9 5 4 the rear enclosure 1 You can transfer the captive screws to the new enclosure However the gasket 28 is held in place with adhesive When replacing the rear enclosure also include a new gasket To replace the remaining items requires further disassembly 1009 0357 000 09 07 9 9
184. OUTLETS INRUSH PCA 220 240V R2 6 8 r 1 AC INLET MODULE 8A i INV i SYSTEM BREAKER D i BRN LINE IN FUSIBLE 4 1 LINE OUT b o LINE i SS oo o ISOLATION TRANSFORMER o FILTER RV2 1 5KEA40CA n l ROCKER D65Z0V271RA140 440V KH115 Vio 275V 5 240V l A AC INLET 1500W l IEC 320 Differential 3 I l Mode Sba u l THERMAL FUSE E ow 130C RD L j L 15 209 s A SA E A RN PO A a Vey A CERAMIC RVI C m T eg D65Z0V271RA140 250VAC CONNECTOR THERME um wd o NEUTRALIN 275V FUSE2AG NEUTRAL OUT BLU e e CONNECTOR a i BLU D65Z0V271RA140 ommon 275V Mode l G2 U 9B l 470V l 15 WHITE GND GRN CHASSIS GROUND l mm I e eeu A A DUI E NI i NS TITTI EQUIPOTENTIAL STUD POWER SUPPLY POWER CONTROLLER BOARD U Frame CHASSIS GROUND a f L N LO 2 d LINE FILTER LINE FILTER B 1 lt Figure 11 16 Schematic AC Inlet module 220 240 V with isolated outlets 1009 0357 000 09 07 11 17 Avance R2 6 8 P oooo ooooo 1 AC INLET MODULE 8A SYSTEM BREAKER 10 l l LINE IN LINE OUT 1 LINE ISOLATION TRANSFORMER l FILTER RV n I D65Z0V271RA140 KH115 I ROCKER 275V 1 240V AC INLET l June IEC 320 Differential JH1A W AC240V Q i J l Mode tl ar THERMAL FUSE G dos 1300 BLK 3p 15 R
185. PL Valve and Bag Vent Switch and Negative Pressure Relief Valve Check or Replace the Bag Vent Switch lower Seal Perform Test 5 Testing the APL diaphragm Inspect APL BTV Manifold O Ring seal and Negative Pressure Relief replace as necessary Flowchart 2 1009 0357 000 09 07 1 Troubleshooting Re Install all breathing circuit components and repeat System All Checks Section 3 4 AB 91 014 Replace APL components and repeat Test 4 If test fails the second time inspect APL component replace as necessary Avance Leak in Vent Mode only Perform Test 6 Testing the bellows assembly and Bag Vent Switch Perform Test 8 Testing the bellows and Inspect Exhalation Valve bellows Pop off and Drive Circuit AB 91 015 Re Install all breathing circuit components and repeat System All Checks Section 3 4 Perform Test 7 Testing the Bag Vent Switch Negative Relief Valve Bellows Base Manifold bellows and Pop off Valve Perform Test 8 Testing the bellows and bellows Pop off Check Replace the following Bag Vent parts Upper Seal Disk and O Ring If test fails the second time inspect Negative Relief and APL BTV Manifold O Ring Check Replace Pop off diaphragm Bellows Housing U Cup seal and Bellows integrity Flowchart 3 7 12 09 07 1009 0357 000 7 Troubleshooting Leak in both Bag and Vent Mode Common Areas Flow Sensor Module Circuit Module Soda
186. Power Diagnostics Vent Diagnostics Gas Diagnostics Mixer Service Display Diagnostics Compatibility Table System Download Log CF Card Install Log View Install Errors gt Main Menu The service application provides power supply diagnostics for various circuit boards in the Avance anesthesia machine Selecting Power Diagnostics on the Special Functions menu brings up the following menu selections Power Diagnostics Power Controller Display Unit Power Anes Control Board Mixer Vent Interface Bd gt Previous Menu HPDU 8b 5 Avance with HPDU 8b 3 2 Power Controller Power Diagnostics Power Diagnostics Power Controller Display Unit Power Anes Control Board Mixer Vent Interface Bd gt Previous Menu HPDU 8b 6 There are two pages of diagnostics for the Power Controller Selecting Power Controller brings up the first page ofthe Power Controller Readings Power Controller Readings page 1 Label AC Status 12Vdc Supply 3 3Vdc Supply 1 5 Vdc Supply Battery Connected Battery Status Battery Current Battery 1 Volts Battery 2 Volts Calc Battery Time Date battery Tested Last Full Discharge Time Value Format Normal range OK Fail 11 70 to 12 30 3 201 to 3 399 1 450 to 1 550 Yes No Fail Bulk Chg Over Chg Float Chg Trickle Chg Discharge XXX XX XX Vdc 6 0 FAIL red 10 T Chg yellow 10 16 5 Green 10 0 to 16 50 XX XX Vdc lt 6 0
187. Problem Check APL Valve mechanism for proper function Check APL disk for sticking Check for obstructions in breathing circuit downstream of APL Flowchart 7 O 7 34 Problem continues Yes No Yes Intrinsic PEEP in both Bag and Vent Modes Intrinsic PEEP in Vent Mode only Exhalation Pop off Valve Problem Check Bellows pop off valve for accurate assembly or sticking Check Exhalation valve for accurate assembly or sticking Check for obstructions in bellows base upstream of exhalation valve Check for obstruction downstream of exhalation valve Transducer was out of calibration Scavenging Problem or Breathing Circuit Obstruction Check Hospi hoses and supply vacuum active Check Filter Check for obstruction in the tal s scavenging on active systems AB 75 074 scavenger down tube Check breathing circuit for incorrect assembly or obstructions 09 07 1009 0357 000 7 Troubleshooting Alternate 0 System Malfunction Screen Troubleshooting Download and combine the Error Alarm Logs Section 4a 4 2 or Section 4b 4 2 Analyze the combined log Compare the Combined log to the Error Logs in Section 7 9 Are any of the entries contained in the lt ee log Is ACComm Entering Alt O2 Gas Mode in the analyzed log around the Date and Time of the issue Yes Follow the appropriate Flowchart for the
188. Pushthe ComWheel to confirm the selection 6 Select Normal Screen or push the Normal Screen key to exit the menu and return to the normal monitoring display Select Previous Menu to return to the last displayed menu if available 1009 0357 000 09 07 1 11 Avance 1 8 Symbols used in the manual or on the equipment 1 12 CG O O E y Symbols replace words on the equipment on the display orin Datex Ohmeda manuals No one device or manual uses all of the symbols Warnings and Cautions tell you about dangerous conditions that can occurifyou do not follow all instructions in this manual Warnings tell about a condition that can cause injury to the operator or the patient e Cautions tell about a condition that can cause damage to the equipment Read and follow all warnings and cautions On power Off power Standby Standby or preparatory state for part of the equipment ON only for part of the equipment OFF only for part of the equipment Direct current Alternating current Protective earth ground Earth ground Frame or chassis ground Equipotential Pw Pl yx X AA PHO Alarm silence Alarm silence Type B equipment Type BF equipment Type CF equipment Caution ISO 7000 0434 Attention refer to product instructions IEC 60601 1 Dangerous voltage Electrical input Electrical output Pneumatic input Pneumatic output 09 07 1009 0357 000
189. REV A Anes Board Serial Number ABCXXXXX Disp Software Version XX XX Disp BIOS Ver XX XX Disp Hardware Version XXXX XXXX XXX REV A Disp Hardware Serial Number ABCXXXXX Mixer Software Version XX XX Mixer Hardware Version XXXX XXXX XXX REV A Mixer Board Serial Number ABCXXXXX Mixer O2 Flow Sensor Serial Number XXXXXXXXX Mixer Balance Gas Flow Sensor Serial Number XXXXXXXXX Vent Software Version XX XX Vent Hardware Version XXXX XXXX XXX REV A Vent Intf Board Serial Number ABCXXXXX Power Software Version XX XX Power Hardware Version XXXX XXXX XXX REV A Power Board Serial Number ABCXXXXX MGas Software Version X X MGas Hardware Version module type MGas Hardware Serial Number XXXXXXXX The MGas information is only displayed when an Airway module is present 1009 0357 000 09 07 HPDU 4b 15 Avance with HPDU 4b 4 2 Service Log Menu Error History 4 Event History 4 Alarm History 4 Copy Logs HPDU 4b 16 The Service log menu is an organized listing of stored events Menu Item Message text Scroll Recent Scroll through newest entries Error History Show error history Event History Show event history Alarm History Show alarm history Copy Logs Save HW SW info and all logs to memory card Reset Logs Erase Error and Alarm log entries Previous Menu Return to previous menu Each hist
190. RING SST 0203 5225 300 The flow sensors are not included in the flow sensor module 1009 0357 000 09 07 10 35 Avance 10 22 5 Breathing Circuit Module 10 36 Item 3a 3b 3c 3d 13 14 15 16 The Os cell or plug and the cell cable are not included in the breathing circuit module Description Breathing Circuit Module LENS CIRCUIT CHK VALVES O RING 44 02 ID 51 1 OD 3 53 W SI 70 DURO Check Valve Assembly RETAINER DISK 26 97D 12 7H 0 76T DISC CHK V RVSBL 1 025D SEAT UNIDIRECTIONAL V B S O RING 20 35 ID 23 90 OD 1 78W PLATE CIRCUIT FLANGE SCR SEMS M4X8 BT SKT HD W EXT L W SST 316 HOOK LATCH O RING 22 ID 30 OD 4 W SI 40 DURO O RING 12 37 ID 17 6 0D MANIFOLD CIRCUIT PIN CANISTER PIVOT RING TRUARC 188 SHAFT NO 5133 18H E RING SST LEVER CANISTER LATCH PIN CANISTER LEVER 0 Cell includes o ring O ring cell Plug with o ring for units without circuit O sensing O ring plug Cable O Cell Lubricate sparingly with Krytox Stock Number 1407 7002 000 1407 3101 000 1407 3507 000 1406 8219 000 1400 3017 000 0210 5297 100 1406 3396 000 1406 3397 000 1407 3110 000 0144 2436 108 1407 3604 000 1407 3104 000 1006 3968 000 1407 3100 000 1407 3109 000 0203 5225 300 1407 3102 000 1407 3108 000 6050 0004 110 1406 3466 000 1503 3857 000 1406 3466 000 1009 5570 000 09 07 1009 0357 000 10 22 6 Exhalation valve 1009 0357 000 09 07 Item O ON DO A O Nbe e e pe
191. Referto Section 5 4 5 Bleed Resistor Cal Instructions Read all steps before you start 1 Complete the Insp Flow Valve calibration 2 Put 2 plugs in the manifold and the drive gas ports of the vent engine 3 Push the ComWheel to show the next menu 4 Select Start The calibration fails if the flow required to reach 91 cmH20 is gt 16 l min e f the outcome ofthe calibration is Pass the new calibration data is saved e f the outcome is Fail the old calibration data is retained The result of the calibration is saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keep the old calibration constants Bleed Resistor Menu Menu Item Message text Comments Calibrate manifold pressure to Blocked if the bleed resistor flow ventilator drive gas supply pressure would Blocked text cause a gas supply Connect a supply of the drive failure alarm during as to continue normal operation Bleed Resistor Data Show bleed resistor calibration table Previous Menu Return to the previous menu During Calibration Calibration in progress Push ComWheel to cancel Bleed Resistor Data menu The Bleed Resistor Data menu contains a table of 17 entries from a previous calibration The table is erased at the start of the calibration The table is updated in real time during the calibration 1009 0357 000 09 07 HPDU 4b 23 Avance with
192. Return to previous menu Page 1 Default Page 2 Default Page 3 Default Page 4 Default Page 5 Default rr CO2 Compl Off Previous Menu Return to previous menu HPDU 4b 4 09 07 1009 0357 000 1009 0357 000 09 07 Colors and Units Menu Colors Menu 4b Installation and Service Menus HPDU The Units menu can be accessed here in the super user level to change individual preferences or if required during installation in the service level Installation menu Menu Item Colors Message text Set colors of parameters Values Weight Change weight unit kg or Ib kg or Ib c02 Change CO2 unit kPa or mmHg 96 kPa or mmHg Gas Supply Pressure Change gas supply pressure unit kPa psi or bar psi kPa or bar Paw Change Paw unit kPa hPa cmH20 mmHg mbar kPa hPa cmH20 mmHg or mbar Previous Menu Menu Item Return to previous menu Message text Change color of Paw waveform digits and trend Values Yellow White Green Red or Blue Change color of Flow waveform Flow and Volume digits and trends Yellow White Green Red or Blue Change color of respiration digits and trend Yellow White Green Red or Blue Change color of CO2 waveform digits and trend Yellow White Green Red or Blue Previous Menu Return to previous menu HPDU
193. S error log messages Note 12 0V H AMPS MGAS is not the same as ACB 12 0V H AMPS MGAS Note Single occurrences of ACB 12 0V H AMPS MGAS require no action Remove Gas Module from the Module Bay If the problem continues replace the M Gas Monitoring board If the message disappears when module is removed repair the M Gas module see S 5 AM Technical Reference Manual for repair instructions 12 0V H AMPS Vent Fail Monitoring Status bit shows current high Medium AC Ventilator valves VENT amp OUTLET VALVES Only Vent 10VAis On Disconnect the GIV and Insp Flow Valve Measure the resistance of each valve should be approximately 250 for the GIV and 750 for the Insp Flow Valve 12 0V L VOLT ALT Indicates Low Volts to the ACB 02 Mixer Alt O2 Valve This error can be falsely triggered If no machine issues exist ignore this entry If machine issues exist disconnect the flex cable from the NO Alternate O2 valve Use a Multimeter to measure the resistance of the NO Alternate O2 Bypass Valve It should be approximately 750 12 0V L VOLT Indicates the Gas Inlet Valve ACB VENT amp OUTLET Solenoid or Inspiratory Flow VALVES Control Valve is drawing too much power Disconnect the GIV and Insp Flow Valve Measure the resistance of each valve should be approximately 250 for each valve 12 0V L VOLT Indicates low voltage to the ACB VENTSIB VIB Use the Service Application to isolate VIB from cable 12 5V TO ACB
194. S On switch Check replace harness ABS switches to Filter board CAL DATA FAILURE IN Service calibration Default cal data is being used Low AC EEPROM advised due to corrupt data in cal region Perform complete service level calibrations ventilator CHECK FLOW SENSOR Check flow sensors During Mechanical breaths Medium AC In range flow data the measured flow for 6 Vent available during consecutive breaths to and mechanical ventilation from the patient does not meet certain criteria No or negative flow on Insp flow sensor during inspiration or negative flow on Exp flow sensor Check flow sensor connections Check the breathing circuit Check VIB sensor tubing for leaks Perform flow sensor calibration Check Insp Exp check valves Check Replace flow sensors Circuit check failed A message or failure DU displayed during the system checkout Perform suggested action and repeat the system Checkout Circuit O2 check A message or failure DU skipped displayed during the system checkout Perform suggested action and repeat the system Checkout COM ERROR VENT TO System Malfunction After regular communications High AC Vent ACB has been established between the Ventilator boundary object and the Vent SIB CPU a total loss of communications shall be declared if the Ventilator boundary object receives no messages from the Vent SIB CPU for 35 milliseconds Reboot System If problem continues
195. S pice 128MB x 22 Flash Rom 5 2 1 5 To Super 1 0 SRAM 1 Ethernet soz 1 VT6103 r H om Internal IDE Interface VIA VT8235 i eZ Compact Flash Southbridge I amp E Superl O Monitor Communication amp On STBY 1 gt 12 5V o vr1211 1 ag 28 PCMCIA Es a TI PCII520 On STBY H 7 Driver H 1 ModBus 1 f ModBs Altera PLD PEDE 7 EPIC6F256C8 Mod Bus Communications 1 i i i i 1 410128UU0 y jeusis yun Aejdsig Figure 11 7 System block diagram with HPDU and U Frame PCB sheet 1b of 2 11 8 09 07 1009 0357 000 Figure 11 8 System block diagram sheet 2 of 2 1009 0357 000 09 07 Electronic Gas Mixer Atmel Microcontroller Total Flow tsense Total p sense o Es o a 8 D Shi E Bal Gas Bal Gas s ADC Ref o Prop Flow 5 Check Viv Sense Shi la 12 5V Accessory Power 12 5V Valve Power i ES Exp Data POMUX 125v BA SoH Insp Data E e g to Flow Sensors m zg E Clk Shi zeg a 5 0VA y 524 33 E 5 0V Filter c a Cae E GND Local Power g Gc 412 5V 2 oz Supply 3 9 Bag Vent S
196. Set O Flow to 0 2 l min Onthe Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 Set 02 Flow to OFF 1 25 Avance Test12 Testing the inspiratory side of the circuit module Plug Note If required set up the machine as in Test 10 and 11 1 Connectthe Circuit Test Tool to the Circuit Module as shown above 2 Insert an appropriate test plug in the inspiratory outlet to the canister as shown above 3 Set 0 Flow to 0 2 I min 4 Onthe Gas Diagnostics page reselect the 02 Flow screen e Ensure that the Airway Pressure rises to gt 30 cm H30 5 Set 02 Flow to OFF 1 26 09 07 1009 0357 000 Test 13 1009 0357 000 09 07 7 Troubleshooting Testing the negative pressure relief valve 1 Separate the Bellows Module from the Circuit Module 2 Remove the Bellows Interface Manifold 3 Insert test plug recessed end into the rear Bag Vent switch port as shown 4 Install the Bellows Module 5 Connectthe Machine Test Tool to the interface ports and the Bellows Module as shown above 6 Setthe Bag Vent Switch to Vent T Set 0 Flow to 0 2 l min 8 Onthe Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 9 Set 02 Flow to OFF 1 21 Avance Test 14 Note To ensure a air tight seal use the corresponding plug as illustrated for the original flow sensor A or th
197. System Information menu List box text with X Number A B C letter Total Time XXXXX Minutes Software Release XX XX Model Code XXX Machine Serial Number ABCDXXXXX Option Package XXX Options Code XXXXX Anes Software Version XX XX Anes Hardware Version XXXX XXXX XXX REV A Anes Board Serial Number ABCXXXXX Disp Software Version XX XX Disp Hardware Version XXXX XXXX XXX REV A Disp Hardware Serial Number ABCXXXXX Mixer Software Version XX XX Mixer Hardware Version XXXX XXXX XXX REV A Mixer Board Serial Number ABCXXXXX Mixer 02 Flow Sensor Serial Number XXXXXXXXX Mixer Balance Gas Flow Sensor Serial Number XXXXXXXXX PCA Serial Number ABCXXXXX Vent Software Version XX XX Vent Hardware Version XXXX XXXX XXX REV A Vent Intf Board Serial Number ABCXXXXX Power Software Version XX XX Power Hardware Version XXXX XXXX XXX REV A Power Board Serial Number ABCXXXXX MGas Software Version X X MGas Hardware Version GAS SW Pr XXXXXXX X MGas Hardware Serial Number ABCXXXXX The MGas information is only displayed when an Airway module is present 1009 0357 000 09 07 DU 4a 11 Avance with DU 4a 4 2 Service Log Menu DU 4a 12 Error History 4 Event History 4 Alarm History 4 Copy Logs The Service log menu is an organized listing of stored events Menu Item Message text Scroll Recent Scrol
198. T LEAST 5 MINUTES WITH NO GAS FLOWING 8 Select Zero Pres Sensors on the menu If you want to select Zero Pres Sensors DO NOT DISTURB THE SYSTEM WHILE WAITING FOR RESULTS Zero mixer pressure sensors Mixer Service Menu Zero Pres Sensors Zero Pres Sensors Reset Defaults Pressure sensor zero offset adjust requested gt Special Functions Note this procedure will require at least 2 minutes Reset factory default aren Zero Pres Sensors Reset Defaults Reset to Factory Defaults requested gt Special Functions 1009 0357 000 09 07 DU 8a 23 Avance with DU 8a 5 2 View selecting View Revisions Log brings up the Revision Log for the system The log Revision Log includes chronological entries for every Software Download that was completed to the system Each entry includes two header lines and eight data lines in the following format View Revision Log Software configuration after download on day date time SvcApp Version XX XX Machine Serial Number ABCDXXXXX Avance ACB Stock Number RevX Software Level File Name Serial AnesControl B Avance MXR Stock Number RevX Software Level File Name Serial Electronic Mix Avance VNT Stock Number RevX Software Level File Name Serial Vent Intface B Avance FPC Software Level File Name Front Panel CN Avance PSC Stock Number RevX Software Level File Name Serial Power Controll Avance DUA
199. Tester to check for leak with or without vaporizer See Section 9 14 2 for instructions If test fails tighten repair or replace as needed Leak in mixer If vaporizer manifold passed previous tests Remove tubing from inlet port of vaporizer manifold mixer outlet tube and perform leak test of mixer Leaking relief valve on vaporizer Remove relief valve manifold Occlude opening Perform leak test If test passes replace valve Leaking flush valve Attach pressure measuring device on CGO Replace valve if device shows increased pressure Leaking system switch Attach pressure measuring device on CGO Replace switch if device shows increased pressure Bellows leak Pop off valve diaphragm not sealing Disassemble pop off valve inspect and clean seats properly reseat reassemble Bellows mounting rim loose Remove rim and pop off valve diaphragm reseat diaphragm snap rim 2 into place Bellows improperly mounted or has a Check that only the last bellows convolute is mounted to hole or tear the rim and that the ring roll is in the groove under the rim Inspect the bellows for damage replace Breathing System Leak Absorber canister open or missing Install canister properly Damaged missing canister o ring Check replace o rings Breathing System Leak ACGO 0 sense check valve Replace Intermittent Unable to begin mechanical ABS not fully engaged Remount ABS ventilation No O supply Check O supply Defe
200. The Power Controller e Distributes 12 5 VDC power and communicates with the Display Unit by way of the Display Connector board through connector 10 s Distributes 12 5 VDC power to the Anesthesia Control board through connector 14 The Anesthesia Control board Receives power from the Power Controller board through connector 14 s Distributes 10VA power supplies to the Pan Connector board through connector 15 Communicates with Pan assemblies through connector 16 s Communicates with Display Unit through connector 12 e Distributes 10VA power supplies to the Display Unit through connector 11 Display Connector board topside Power Controller board Display Connector board underside Anesthesia Control board 1009 0357 000 09 07 2 17 Avance 2 8 Anesthesia Control board The Anesthesia Control board A uses a Motorola MCF5307 Coldfire microcontroller with 4M Flash and 16M error correcting DRAM The Anesthesia Control board includes 6 UARTS with a 64 byte FIFO and RS 422 communications to interface with the Display Unit an accessory port and anesthesia delivery subsystems located in the pan electronic enclosure These include the Gas Mixer and the Ventilator Interface board Figure 2 19 Anesthesia Control board 2 18 09 07 1009 0357 000 p 3 S ES 3 ri z S 8 5 H 2 ON Standby and Mains LED 12 5VDC 3 3V Supply 12 5VDC 1 8V Supply 12 5VDC 5V
201. The inverters sandwich the mounting plate and use it as a heatsink Follow the procedure in Section 9 5 4 to gain access to the inverters Replace one inverter at a time 1 Disconnect the backlight cable A from the inverter 2 Remove the two Nylon screws B that hold the inverter to the backplate 3 Slide the inverter out of the sleeve and disconnect it from the CPU harness C 4 Reassemble in reverse order The front inverter The rear inverter 09 07 1009 0357 000 9 5 7 To replace the front enclosure or components To replace the window 1009 0357 000 09 07 9 Repair Procedures Disassemble the Display Unit following procedures in the previous sections to the point where you have removed the mounting plate assembly from the front enclosure If you are replacing the front enclosure you can transfer the encoder 12 assembly to the new enclosure but you must build up the replacement enclosure with a new window 11 new membrane switches right side 14 lower 15 left side spacer 19 new keypads right side 16 lower 17 left side blank 18 new EMC gasket 10 If you are replacing a keypad or a membrane switch you must replace both items gt 11 7 19 18 12 Nub 15 17 Place the front enclosure face up on a flat surface Press down on one corner of the window to free it from the enclosure Work your way around
202. To check flow accuracy be sure that the flow test device is capable of measuring 0 30 L min 1 Connect the patient port of the suction regulator to the flow test device 2 Rotate the suction control knob fully clockwise increase 3 Tum the mode selector switch to ON and verify that the flow rate is e atleast 20 L min 4 Disconnect the test flowmeter Tests continue on next page 6 13 Avance 6 14 Regulation Test Vacuum Bleed Test Vacuum Leak Test a B C N Re 1 Turn the mode selector switch to ON Occlude the patient port of the suction regulator Setthe vacuum regulator gauge to 100 mm Hg 13 kPa Open and close the patient port several times With the patient port occluded the gauge should return to 100 mm Hg 13 kPa within a tolerance of 10 mm Hg 1 3 kPa Occlude the patient port of the suction regulator Setthe vacuum regulator gauge to 100 mm Hg 13 kPa Tum the mode selector switch to O OFF and observe the gauge needle It must return to the zero range bracket or stop pin within 10 seconds Turn the mode selector switch to O OFF Rotate the suction control knob a minimum of two full turns in the clockwise direction increase suction to ensure its setting is not at the off position Occlude the patient port of the suction regulator Observe the suction gauge the needle should not move Rotate the suction control knob fully counterclockwise to ensure
203. UTION 9 68 Replacing a caster requires at least two people to maneuver and tip the machine Personal injury and or machine damage is possible if one person attempts this procedure alone 1 Disconnectall pipeline hoses from the wall and the machine close all gas cylinders unplug the power cord and set the system switch to standby Remove the vaporizers before tipping the machine If a vaporizer is inverted it must be set to 5 and purged for 30 minutes with a 5 L min flow The interlock system prevents purging more than one vaporizer at a time 2 Remove the absorber the vaporizers gas cylinders drawers and all auxiliary equipment To prevent damage do not tip the Avance machine more than 10 degrees from vertical 3 Block the opposite wheels then block up the machine until there is enough room to remove the defective caster To block up the machine tip and slide blocks under the caster base Raise both sides evenly until the unit is high enough to remove the caster 4 The casters are threaded into the base A and held with a Loctite compound Remove the caster with an appropriately sized open end wrench 5 Ifrequired clean the threads of the new caster with denatured alcohol 6 Apply Loctite 242 to the threads of the new caster Install the caster securely into place 7 Make sure the caster turns freely 8 Carefully lower the machine to the floor 9 Perform the checkout procedure Section 3 09 07
204. Vaporizer Manifold Valve Test Tool to perform the checkout procedure forthe manifold port valve This tool and test procedure are intended for use only when the valve cartridge assembly is replaced This replacement and test procedure is a service action and is not part of the maintenance program 1 Setthe system switch to Standby 2 After replacing the valve cartridge assembly remove the vaporizer port o ring 3 Attach the valve testerto the top of the valve by sliding the bottom ofthe tester onto the o ring groove 4 Tighten the tester screw down onto the valve until the screw bottoms out on the top ofthe valve The tester o ring should create a seal with the top of the valve 5 With the Inspiratory Flow Sensor open to atmosphere do no plug the right hand port verify that the system passes the Low P leak check in the System Checkout Section 3 4 1 Remove the valve tester Reassemble the vaporizer port o ring Conduct a negative low pressure leak test on the system LO Qo c 9 Perform system All checks Section 3 4 9 45 Avance 9 14 3 Replace vaporizer manifold check valve 9 46 1 Setthe system switch to Standby 2 Remove the vaporizers from the vaporizer manifold 3 Remove the upper rear panel 4 Disconnectthe tubing from the valve block 5 Remove the valve block To access the left hand mounting screw A remove the right viewed from front side panel B
205. When done reboot the system System switch to Standby then On 5 12 09 07 1009 0357 000 5 Calibration 5 4 2 Manifold P Span Calibration setup 1 Remove the ABS breathing system from the machine 2 Remove the Exhalation Valve 3 Remove the Vent Engine cover 4 Plugthe Drive Port A and the Manifold Port B on the Vent Engine interface valve 5 Connectthe manifold pressure tee adapter C refer to Section 10 1 2 to the Manifold Pressure Transducer tubing white inline connectors 6 Connecta manometerto the open port of the tee adapter Calibration procedure 1 Onthe Calibration menu select Manifold P Span 2 Select Start Manifold P Span 3 Adjustthe Insp Flow Valve DAC setting until the manometer reading equals 100 cmH 0 e start at approximately 950 counts press the ComWheel to activate e continue to increment the count until the manometer reading equals 100 cmH20 Select Save Calibration Select Previous Menu Disconnectthe manometer from the tee adapter Oo 0 A Remove the tee adapter and reconnect the Manifold Pressure Transducer tubing Troubleshooting Manifold P Span Calibration Failure The Calibration will fail if the e ADC value calculated for span is outside the range of 21000 27000 counts Possible causes for calibration failure Occlusion or moisture in bulkhead ortubing to VIB transducers Pressure transducer outside of range limits Check Servi
206. XX 11 82 to 12 18 3 3Vdc Supply X XXX 3 201 to 3 399 1 5 Vdc Supply X XXX 1 45 to 1 55 Battery Connected Yes No Battery Status Fail Bulk Chg Over Chg Float Chg Trickle Chg Discharge Battery Current X XXX Calc Battery Time XX i 0 to 30 Battery 1 Volts XX X 10 0 to 15 5 lt 6 0 FAIL red lt 10T Chg yellow 10 15 5 Green Battery 2 Volts XX X 10 0 to 15 5 lt 6 0 FAIL red lt 10 T Chg yellow 10 15 5 Green Date battery Tested XX ABC XXXX Last Full Discharge Time XX Turn the ComWheel to select the second page Push the ComWheel to return focus to the Power Diagnostics selection menu These entries are only listed after a full discharge test of the batteries is first performed Section 6 10 Battery capacity test 09 07 1009 0357 000 8a Software Download and Diagnostics DU Page 2 of 2 Power Diagnostics Power Control Power Diagnostics Power Control Label Value Format Units Normal range dd Board Temperature lt 65C OK green DegC Upper 64 gt 65C lt 75C Warn Yellow gt 75C Fail red Mixer Vent Interface Bd Fan Speed Slow Fast Display Unit Fan 1 Voltage XX XX 11 52 to 12 48 gt Main Menu Fan 1 Status Low High Fail OK Turn the ComWheel to return to the first page Push the ComWheel to return focus to the Power Diagnostics selection menu 1009 0357 000 09 07 DU 8a 5 Avance with DU 8a 1 4 Anesthesia There are two pages of diag
207. age Push the ComWheel to return focus to the Power Diagnostics selection menu 1009 0357 000 09 07 DU 82 7 Avance with DU 8a 1 5 Electronic Mixer Selecting Mixer brings up the Electronic Mixer Power Diagnostics page Power Diagnostics Mixer Power Diagnostics Power Diagnostics Value Format Units Normal range Power Control Anes Control Board 7 From Anes Cntrl Bd Mixer Mixer 10VA Volts OK Fail Vent Interface Bd Board Supplies Display Unit 12 5V l 11 80 to 13 00 gt Main Menu 5 5V l 5 39 to 5 61 3 3V CPU 3 22 to 3 38 2 5V ADC Ref 2 47 to 2 53 DU 8a 8 09 07 1009 0357 000 8a Software Download and Diagnostics DU 8a 1 6 Ventilator selecting Vent Interface Board brings up the Ventilator Interface Board Interface Board Power Power Diagnostics page Diagnostics Vent Interface Bd Power Diagnostics Power Diagnostics Value Power Control Label Format Units Normal range Anes Control Board From Anes Cntrl Bd Vent Int Bd 10VA Volts OK Fail Vent Valves 10VA Volts OK Fail Mixer Vent Interface Bd Display Unit Board Supplies gt Main Menu Vent Int Bd 10VA Volts Vdc 11 30 to13 13 Vent Valves 10VA Volts a Vdc 11 30 to13 13 3 2Vdc 12bit Vref Vdc 3 179 to 3 221 Counts 1 22Vdc 10bit Vref E Vdc 1 074 to 1 367 Counts 6 0Vdc Vdc 5 51 to 6 50 6 0Vdc i Vdc 6 72 to 5 28 1009 0357 000 09 07 DU 8a 9 Avance with DU 8a 1 7 Display Unit Power Selecting Display Unit brings up
208. ags for system components acgo or scgo etc enabling software options and cloning a system The Service level requires the service password and supports diagnostic tools and automated component tests Follow the menu structure to access the various service screens e on the Main Menu select Screen Setup on the Screen Setup menu select Install Service to access the Install Service with super user password menu e on the Install Service menu select Installation with service password to access the Installation menu to access the Service menu select Service with service password on the Install Service menu or from the Installation menu select Service to access the same Service menu without having to enter the service password Screen Setup Install Service Installation Trends Field 1 Colors Configuration SW HW versions System Status Field 2 Units Units Service Log Cardiac Bypass Field 3 Show Alarm Limits Options Key Calibration Screen Setup Sweep Speed Save Default Case Options List Previous Menu Parameters Setup Time and Date Factory Defaults Copy Config Calibration Brightness Installation Normal Screen Install Service Service Previous Menu Service Exit Previous Menu DU 4a 2 09 07 1009 0357 000 4a Installation and Service Menus DU 4a 2 Install Service Menu Super User Use the super user password to access the Install Service menu 16 4 34 Menu Item Colors Message text Set color
209. ak Alt 02 Valve Leak Balance Gas Prop Valve Leak 02 Flow Test Balance Flow Test Balance Gas ID Pressure Data 02 Pressure P1 02 Pres Cal P1 Balance Pressure P2 Balance Pres Cal P2 Mixer Output Pres P3 Mixer Output Pres Cal P3 ADC Ref Voltage Not done No supply pressure Not done Selector valve incorrect state Pass Fail Selector valve leaks Fail Proportional valve leaks Pass Fail Not done No supply pressure Not done Selector valve incorrect state Pass Fail Selector valve leaks Fail Proportional valve leaks Not done No supply pressure Not done Selector valve incorrect state Pass Fail 3 1 min test Fail 10 l min test Not done No supply pressure Not done Selector valve incorrect state Pass Fail 3 1 min test Fail 10 l min test None Air N20 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU 8b 5 5 Mixer Temperature Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures Set 100 02 Flow Set 100 N20 Flow Set Air Flow Breathing Sys Leak gt Previous Menu Settings 02 flow XXX N20 flow XXX Airflow XXX 1009 0357 000 09 07 Selecting Mixer Temperatures brings up the Mixer Temperatures Gas Diagnostics page Mixer Temperatures Sensor Data 02 Temp T1 02 Temp Volts T1 Balance Temp T2 Balance Temp Volts T2 ADC Ref Voltage HPDU 8b 21 Avance with HPDU
210. ak measured is greater than 50 ml min Check Vaporizer for leaks Check integrity of low pressure circuit Mixer outlet to SCGO Insp Flow Sensor MANIFOLD PAW Vent Fail Monitoring Calibration failure at bootup Medium AC SENSOR FAIL Only Vent In Service Software under Vent Flow and Pressure Diagnostics Section 8a 3 2 verify the Manifold Flow counts is 800 250 Disconnect the White in line connector in the Manifold Pressure If the counts return within specified range check for occlusions in the Bulkhead harness Ifthe counts do not return within the specified range replace the VIB 1 56 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MANIFOLD Indicates a calibration ACB PRESSURE SENSR failure at bootup FAILURE In the Service Software Vent Flow amp Pressure Diagnostics verify the Manifold Flow counts is 800 250 Disconnect the White in line connector in the Manifold Pressure If the counts return within specified range check for occlusions in the Bulkhead harness If the counts do not return within the specified range replace the VIB MANIFOLD SENSOR Indicates the Manifold ACB CAL ERROR Pressure zero failed Could be caused by bad span calibration or leaky vent Insp Flow V
211. alibration oooocooocccrncccccnr rr 4b 18 4b 5 2 User Calibration menu sssssssseeee II 4b 19 4b 5 3 Manifold PSpan ccc cee cece eee erence eben mnn 4b 20 4b 5 4 Inspiratory Flow Valve 0 cece eect RII 4b 21 4b 5 5 INSP FIOW Zeto 1 1 o n MR ds TEUER 4b 22 4b 5 6 Bleed Resisto c us c decet itr IR mE x aa Den 4b 23 4b 5z f PAW SPAM acute A a RR RUE Rd Es 4b 24 Ab 5 8 Zero GasXduars visio eee eect eee e mme 4b 25 ADICON AS E RLIEUESR RI 4b 26 4b 5 10 Mixer P Zero i ios exor ee Xt eee ERR REY Y eeu eo 4b 26 5 1 Primary RESulators snes ee eak rs as rem rx th y Seale PERSE EP TE 5 2 but T TeSESBUID imde e OS Rent RR UR Ne RR nhe e SALE S RR EN RE ENS 5 3 5 1 2 Testing Primary Regulators cece eect eee een eens 5 3 5 1 3 Adjusting Primary Regulators 02 0 cece cece aaaea 5 8 5 2 05 Flush Regulator 02 fin a eet der ena 5 9 5 3 Adjust Drive Gas Regulator 0 cee eee eee 5 10 5 4 Ventilator Calibrations 2 0 0 cient eee e nents 5 11 54 7 Cal Cong iria in ae RE xA a dA ERE SERRE Deas 5 12 5 4 2 Manifold P Spainis os oret xe ais Ea 5 13 5 4 3 Inspiratory Flow Valve Cal n 0 cece eect II 5 14 ALAMOS FloWZero uc Seeds vx eer ped ek ah Sea ER 5 16 5 4 5 Bleed Resistor Cal eror te RR ere ad ewe oe ee 5 17 5 46 Paw Spazi crus te ey poc necs OR RO e RP CR RU Re NR 5 18 vii Avance 6 Installation and Maintenance 7 Troubleshooting viii 6 1 Avance Installation Checklist
212. alve MGAS CHECK SAMPLE Check sample gas out MGAS SPEC Continuous Medium MGAS MGAS present and GAS OUT gt 20 SEC Occlusion Bit set MGAS communicates continuous occlusion for 20 seconds Replace sample line See AM TRM for further Troubleshooting MGAS INLET FILTER Replace D Fend MGAS SPEC Residue build Medium MGAS MGAS present and RESIDUE 40 SEC up on the water trap MGAS communicates membrane This decreases air this the Replace Trap flow alarm bit for 40 seconds Replace D Fend See AM TRM for further Troubleshooting MGAS LINE BLOCKED Sample line blocked MGAS SPEC states The Medium MGAS MGAS present and 220 SEC sample tubing inside or MGAS communicates outside the monitor blocked this the continuous orthe water trap is occluded occlusion alarm for 20 seconds Replace sample line See AM TRM for further Troubleshooting MGAS SAMPLE LINE Check D Fend MGAS SPEC states The Medium MGAS MGAS present and NOT CONNECTED sample tubing orthe D Fend MGAS communicates 2408 module is not installed this the OpenGasCircuit alarm for 40 seconds Replace D Fend See AM TRM for further Troubleshooting MGAS SENSOR INOP Module fail No CO MGAS SPEC Mgas Medium MGAS gt XX AA 05 data communicates hardware failure RAM failure ROM checksum error Error in CPU eeprom Error O5 preamp eeprom Error in SSS board eeprom Voltage error Lamp control failure or UPI does not initialize See AM TRM for further Trouble
213. alve Closed N20 Select Valve Closed ADC Ref Voltage 1009 0357 000 09 07 DU 8a 13 Avance with DU 8a 2 3 Mixer Tests and Pressure Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures 02 Flow 0 5 N20 Flow OFF Air Flow OFF Breathing Sys Leak Main Menu DU 82 14 Selecting Mixer Tests and Pres brings up the Mixer Tests and Pres Gas Delivery Diagnostics page Mixer Tests and Pres Gas Diagnostics Last Power Up Tests 02 Proportional Valve Leak Alt O2 Valve Leak Balance Gas Prop Valve Leak Balance Gas CheckValve Leak 02 Flow Test Balance Flow Test Balance Gas ID Pressure Data 02 Pressure P1 02 Pres Cal P1 Balance Pressure P2 Balance Pres Cal P2 Mixer Output Pres P3 Mixer Output Pres Cal P3 ADC Ref Voltage Not done No supply pressure Not done Selector valve incorrect state Pass Fail Selector valve leaks Fail Proportional valve leaks Pass Fail Not done No supply pressure Not done Selector valve incorrect state Pass Fail Selector valve leaks Fail Proportional valve leaks Pass Fail Not done No supply pressure Not done Selector valve incorrect state Pass Fail 3 1 min test Fail 10 l min test Not done No supply pressure Not done Selector valve incorrect state Pass Fail 3 1 min test Fail 10 l min test None Air N20 09 07 1009 0357 000 8a Software Download and Diagnostics
214. and disconnect the large ribbon cable and the harness from the under side of the board To replace the Pan Connector board reconnect the large ribbon cable and the harness to the under side of the board Lowerthe Pan Connector board over the gasketed opening in the pan enclosure Keep the extra length of ribbon cable in the pan area e Fold the ribbon cable under the enclosure toward the front of the machine to the top side of the board 9 9 5 Pan The fan is mounted to the back side of the enclosure and draws air into the enclosure enclosurefan 4 9 34 Remove the two screws that hold the fan Toreplace the fan reassemble in reverse Disconnect the fan harness from the Mixer board A to the enclosure order e Ensure that the fan is oriented with the flow direction arrow pointing toward the inside of the enclosure 09 07 1009 0357 000 9 Repair Procedures 9 10 Servicing the Vent Engine The Vent Engine is found in a housing located below the breathing system bellows assembly The Vent Engine includes the following subassemblies s Vent Engine Connector board 1 s Gas Inlet Valve Assembly 2 Inlet Filter 3 located under the gas inlet valve e Inlet Valve Solenoid 4 Drive Gas Regulator 5 Flow Control Valve 6 Reservoir 7 e Drive Gas Check Valve 8 e Interface Manifold 9 To replace any of the Vent Engine components you must first remove the Ve
215. and safety procedures Used equipment may contain blood and body fluids 6 1 Avance 6 1 Avance Installation Checklist Serial Number Date YY MM DD Hospital Performed by 6 2 Unpack and assemble the Avance System Reconfigure the sample gas return line as required Section 9 26 Access the Install Service menu and configure the parameter colors as required Section 4a 2 1 Access the Installation menu from the Install Service menu and change the following as required a Configuration Section 4a 3 1 e Decimal Marker Language e Gas Supply Colors 0 Flowtube Ventilator Drive Gas e Altitude Gas Outlet N50 Enabled Units Menu Section 4a 3 2 Weight CO Gas Supply Pressure e Paw Options List Section 4a 3 3 s Check that the factory installed ventilation options match the configuration purchased with the machine Copy Configuration Menu Section 4a 3 4 Can be used to save a configuration to a Compact Flash card and then copy the configuration to additional machines From the Service Menu select the Service Log Menu Section 4a 4 2 Review and reset the error and alarm log entries 09 07 1009 0357 000 1009 0357 000 09 07 O O O 6 Installation and Maintenance f Fromthe Service Menu select Calibration and perform the following calibrations Section 4a 5 User Calibration e Manifold P Span s Insp Fl
216. anifold portvalve 0 cece eee eee eens 9 44 9 14 2 Checkout procedure for manifold port valve ccc eee cence eee 9 45 9 14 3 Replace vaporizer manifold check valve 2 c cece cece eee eee 9 46 9 14 4 Replace vaporizer pressure relief valve o o oooocoooccocoomommmmo 9 48 9 14 5 Replace vaporizer manifold 0 cece cece eee eee eens 9 49 4 15 Replace ACGO selector switch 0 0 cece cece cee rr 9 50 9 16 Clean or replace ACGO port flapper valve cece eect eee eee 9 52 9 17 Replace the APL valve s iii ba ce erbe EC EEE ed ee eee s 9 53 9 18 Replace the bag support AIM eee Ie 9 54 9 18 1 Servicing the bag support arm ketenes 9 55 9 18 2 Replace friction pad in lower bag arm assembly 000ee eee 9 56 9 18 3 Replace bag port housing sss 9 57 9 19 Replace system switch assembly sssssssseeses mm 9 58 9 20 Replace Alt 02 components ssssssssssseses I 9 60 9 21 Replace auxiliary O flowmeter 0 0 ccc teen eens 9 61 9 22 Replace the suction regulator 0 0 c cece nent ene eens 9 62 9 23 Replace task light components ccc eee eee eee eee II 9 63 9 23 1 To replace the task light switch 6 cece eect eee eee 9 63 9 23 2 To replace the upper task light 0 cece cece eee eens 9 63 9 23 3 To replace the lower task light 0 cece cece eee eens 9 64 9 24 Replace ABS breathing system components
217. ard contains an AC DC converter that converts line voltage to high voltage DC a DC DC converter that converts the high voltage DC to battery voltage a DC DC converter that converts battery voltage to the 12 5 VDC system bus voltage The Power Controller contains supervisory circuitry that performs e battery charge control battery switch circuits provide a minimum of 30 minutes of system power in the event of AC power failure current voltage and temperature monitoring AC sensing s fan control Two 12 volt batteries wired in series provide the back up power The Power Controller communicates with the Display Unit through a RS 422 9 6 kB channel It receives the On Standby signal from the system switch through the Anesthesia Control board 1 l o Sg 12 5VDC I S On standby I w P Mains LED SD a 12 5 VDC RS 422 Communications Monitor on standby 1 Controller 1 Board e d al ea x Figure 2 11 Power subsystem original 1009 0357 000 09 07 2 5 Avance 2 3 Power subsystem with U Frame power supply Mains power enters the system through the AC Inlet module A which includes a line filter and the system circuit breaker Mains power is routed through the Inrush B circuit board to the isolation transformer C The isolated secondary output of the transformer is routed through fuses D and a second line filter E to the universal power supply F The DC output of the
218. arge Time e If the Last Full Discharge Time is greater than 45 minutes the batteries can be left in service for one more year e If the Last Full Discharge Time is less than 45 minutes both batteries should be replaced 6 15 Notes 6 16 09 07 1009 0357 000 In this section 1009 0357 000 09 07 7 Troubleshooting 7 1 Troubleshooting Guidelines ccc cece eee eee teen eens 7 2 7 2 Troubleshooting high pressure and low pressure leaks 000 e eee eee eee 7 2 7 3 Troubleshooting Startup Screen POST messages for DU cece eee eae 7 4 7 4 Troubleshooting Startup Screen POST messages for HPDU 0 ooooccocccccco o 7 5 7 5 Troubleshooting the HPDU Display cece eee eee cnet eee enes 7 6 7 6 Troubleshooting System Malfunction safe state screen 00 cece eee ee eae 7 7 7 7 Breathing System Leak Test Guide oooococcococcooncnnnrnrar eee aes 7 8 ETA Check VaVe Sie ines dag ia 7 9 2 7 2 Breathing System Troubleshooting Flowcharts cece eens 7 10 7 7 3 Leak Isolation TestS 2 0 na nara teen ene 7 15 7 8 System Troubleshooting Flowcharts 0 cece eee eee eee ene eee 7 30 7 9 System Malfunction and Alt 02 Flowchart Table 0 cc cece eee eees 7 42 FAO Technical Alarms i2 eoe ed ween tle yee a tinea aie neg tle te cat eae 7 44 7 11 Steps and Messages displayed during the System Checkout for System software 3 Xorgreater 20
219. artridge COVER BTV SCR SEMS M4X8 BT SKT HD W EXT L W SST 316 O RING 44 02 ID 51 1 OD 3 53 W SI 70 DURO SEAL BTV 10 Illustrated Parts Stock Number 1407 7003 000 1407 3500 000 0144 2436 108 1407 3507 000 1407 3506 000 QTY 2 10 33 Avance 10 22 3 Absorber canister Item 10 34 AB 82 017 Description Stock Number Qty Multi Absorber canister reusable 1407 7004 000 does not include absorbent Cover assembly CO canister 1009 8240 000 Foam CO canister pack of 40 1407 3201 000 O ring 1407 3204 000 Canister CO 1407 3200 000 Multi Absorber canister disposable 8003138 white to violet pack of 6 Multi Absorber canister disposable 8003963 pink to white pack of 6 09 07 1009 0357 000 10 Illustrated Parts 10 22 4 Flow Sensor Module AB 82 019 Item Description Stock Number Qty Flow Sensor Module 1407 7001 000 1 Flow Sensor plastic moisture resistant 1503 3858 000 Flow Sensor metal autoclavable 1503 3244 000 Flow Port Adapter 1503 3849 000 2 Cover Flow Sensor Avance and Aespire machines 1407 3000 000 Cover Flow Sensor Aisys machines 1011 3283 000 3 HOLDER FLOW SNSR UPPER 1407 3002 000 4 HOLDER FLOW SNSR LOWER 1407 3003 000 5 SCR THUMB M6X43 SST 1406 3304 000 6 SCR M4 07 X 10 SKT CAP BUTTON HEAD SST 0144 2117 718 2 7 CUFF FLOW SNSR 1407 3004 000 2 8 LATCH FLOW SNSR 1407 3001 000 9 SPR TORSION FLOW SNSR LATCH 1407 3005 000 10 RING TRUARC 188 SHAFT E
220. arts Stock Number 1407 7013 000 1407 8500 000 1407 8505 000 1407 8506 000 1407 8502 000 1407 8504 000 1407 8503 000 1009 3119 000 1504 3016 000 1504 3011 000 1006 3967 000 2900 0001 000 2900 0000 000 0219 7210 300 obtain locally 10 5 Avance 10 2 External components front view 10 6 O Oo 10 01 FW h2 PRP RP R O PB No FP Cohn CO 18 19 20 Description Caster 125 mm with brake front Caster 125 mm no brake rear Cover cable channel Upper shelf Bolt M6x40 Lockwasher M6 internal Label S 5 Avance Handle side Handle Medirail Screw M6x12 Sems Spacer Screw M6x70 Lockwasher M6 external Screw M6x20 Shim Task Light PCB Upper Lens Task Light Screw Switch Assembly task light Plate switch mounting retainer Screw Task Light PCB Lower Stock Number 1006 3070 000 1006 3071 000 1009 3020 000 1009 3022 000 0144 2131 911 0144 1118 130 1009 3206 000 1009 3033 000 1009 3101 000 0144 2436 106 1009 3102 000 0144 2131 923 9213 0560 003 0144 2131 921 1009 3131 000 1009 5855 000 1011 3308 000 0142 4254 106 1009 5587 000 1009 3143 000 0140 6226 107 1009 5857 000 09 07 1009 0357 000 10 3 External components front view references Item O 0 nN O oO A W N e e e e e sp O oO 2 W N be O 1009 0357 000 09 07 st a ye d a co p lt Description Airway module MGAS components AGSS gauge and sample return Vent Engine Housing
221. ately 1 mm of space between the end of the pad and the bottom ofthe base Note Align the friction pad gap with the seam B in the base Position the retaining screw so the pin C at the base is perpendicular to the seam With the bag support arm facing forward place the base ofthe arm overthe swivel post Ensure that the slot in the base D engages the tab E on the swivel post Replace the spring shoulder washerand nut Tighten the nutuntil 5 mm of thread extends beyond the nut arm from side to side Follow the procedure in Section 9 18 to adjust the force required to swing the bag 09 07 1009 0357 000 9 Repair Procedures 9 18 3 Replace 1 Remove the bag support arm bag port housing cover A screw and lockwasher from below 2 Remove nut B to remove the release lever C 3 Remove the retaining ring D 4 Slide the bag port housing E offthe end ofthe bag support arm 5 Before installing the new bag port housing clean and lubricate sparingly with Krytox the exposed metal end F and the guide slot G of the bag support arm 6 Slidethe new bag port housing onto the bag arm Secure it with the retaining ring T Lubricate sparingly with Krytox the pivot boss H before replacing the release lever 8 After replacingthe release lever adjust the mounting nut so that a 2 mm gap remains between the lever and housing when the release
222. ation 1009 0357 000 09 07 4b Installation and Service Menus HPDU For step by step instruction refer to Section 5 4 Ventilator Calibrations Menu Item Instructions Message text These values are used for calibration Ventilator drive gas Air or O2 Altitude XXXX m Change these values on the Cal Config menu Spiro Calibration Check gas module spirometry gains Blocking message Insert gas module with spirometry User Calibration Show the normal user calibration menu Manifold P Span Calibrate manifold pressure transducer Insp Flow Zero Zero inspiratory flow valve Insp Flow Valve Calibrate inspiratory flow valve Bleed Resistor Calibrate bleed resister flow Paw Span Calibrate the airway pressure transducer Zero Gas Xducrs Calibrate the gas supply transducers Cal Config Set vent drive gas and altitude Mixer P Zero Zero mixer pres transducer Previous Menu Return to previous menu HPDU 4b 17 Avance with HPDU 4b 5 1 Spiro Calibration The Spiro Calibration instructions appear when the focus is on Spiro Calibration menu item Instructions To display TV data 1 Connect a spirometry sensor to MGAS 2 Push the ComWheel to continue 3 Select the correct spirometry sensor type Adult or Pedi 4 Use the test device to deliver a known TV through the sensor 5 If necessary repeat steps 1 4 for the other type o
223. ay Unit system signal interface Cable to Airway Module power supply Cable ribbon J2 ACB to J9 DCB Harness J7 ACB to J6 DCB Cable ribbon J1 ACB to underside of Pan Connector Board Harness J3 ACB to underside of Pan Connector Board Harness J4 ACB to J4 PCB 10 Illustrated Parts Stock Number 1009 8291 000 1009 3005 000 1009 5571 000 1009 5572 000 1009 5555 000 1009 5561 000 1009 5556 000 1009 5549 000 1009 5560 000 1009 5551 000 10 17 Avance 10 10 Pan electronic enclosure components 10 18 Item 13 14 15 11 12 Description Fan flow into enclosure Pan Connector Board Gasket Pan Connector Board Harness to J3 ACB Cable ribbon to J1 ACB fold excess cable into pan area Filter Board ABS Gasket EMI 272 mm 2 each required per board Ventilator Interface Board calibrated Gas Mixer Assembly complete Screw M4x6 Screw M4x40 Lockwasher M4 external Plug 4 mm if no N50 Cover pan electronic enclosure Gasket EMI electronic enclosure 4 required Stock Number 1009 5680 000 1009 3003 000 1009 5536 000 1009 5560 000 1009 5549 000 1009 3007 000 1009 5811 000 1009 8236 000 Refer to section 10 11 1009 3283 000 0140 6226 128 9213 0540 003 1006 3530 000 1009 3047 000 1009 5811 000 The top side of the cover has rounder edges Apply the EMI gasket to the underside sharp edges of the cover Also requires Item 7 EMI gasket two each 09 07 1009 0357 000
224. base manifold as shown to the left Note Position the bellows assembly so that the bellows remain collapsed as you plug the ports Set Bag Vent switch to Vent Position the bellows upright with the bellows collapsed Connect the Machine Test Tool to the interface ports as shown above On the Main Menu of the Service Application select Gas Diagnostics On the Gas Diagnostics page select 02 Flow Set O Flow to 0 2 I min Onthe Gas Diagnostics page reselectthe 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 10 Set 02 Flow to OFF 1 22 09 07 1009 0357 000 Test 8 7 Troubleshooting Testing the bellows assembly Note 1009 0357 000 09 07 If required set up the Machine Test Tool and breathing system as shown in Test 7 oN O oO A Remove the bellows base manifold from the Bellows Module Insert appropriate test plugs into the bellows base manifold as shown to the left Note Position the bellows assembly so that the bellows remain collapsed as you plug the ports Connectthe tapered plug ofthe MachineTestToolto the bellows base inlet as shown to the left Position the bellows upright with the bellows collapsed Onthe Main Menu of the Service Application select Gas Diagnostics Onthe Gas Diagnostics page select 02 Flow Set O Flow to 0 2 l min Onthe Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pres
225. c eee eee 10 77 09 07 1009 0357 000 Table of Contents 11 Schematics and Diagrams 12 Service Application 1009 0357 000 09 07 12 1 Avance Service Application PC based cece eee eee eee 12 2 12 1 T PC Requirements cop A ORDRES ER 12 2 12 2 Startup screen System Status 0oooccccoccoccccrr rr 12 3 12 3 System SCHEMAUWCS cies enr da A CE HR Uode us 12 4 12 3 1 PowerScliemialiG i ss oce creed e TERR RAO KC tai cR 12 4 12 3 2 Gas Delivery Schematic 12 5 12 3 3 Vent SCHEMATIC asse eere Roe errore a etse E RP MOM ETE 12 6 12 4 Menu MS scs me I ERE DRE EU i a eg C en rad e E EN E ior em E 12 7 12 5 Fileimernuz us eo teta A C CX eate e e LO o Ca 12 8 12 5 1 File Preferences ous hern xem xg Cur Rd UR DR OR UA 12 8 12 6 Tools MEA iri b e Ud eer re CHARME Mies ad RE 12 9 12 6 1 Tools Communication Status 0 0 e cece eee eee 12 9 12 6 2 Tools System Calibrations cece cece eee eee eee 12 10 12 6 3 Tools Transfer Logs 0 0 20 0c cece eects 12 11 12 7 Power Diagnostics menu 6 ene 12 12 12 7 1 Power Diagnostics Power Board 00 e cece eee eee eee 12 12 12 7 2 Power Diagnostics Anesthesia Control Board Power 12 13 12 7 3 Power Diagnostics Mixer Board Power llis 12 14 12 7 4 Power Diagnostics Vent Interface Board Power o ooooocooomo o 12 15 12 7 5 Power Diagnostics Display Unit Power c
226. cate Activity RCV or No Activity Replace Mixer Check Replace Cables Replace ACB if problem persists AB 75 077 Flowchart 7 J 1009 0357 000 09 07 7 37 Avance DU ACB Communication Troubleshooting Does ACB communicate in Service Application Error Entry DCB RAM ERROR ACB COM FAIL ACB DCB COM FAIL LOSS OF GAS DELIVERY USER SETTINGS LOSS OF VENT DELIVERY USER SETTINGS Does M GAS communicate in Service mode Yes No Yes Replace ACB Replace DU CPU Follow the appropriate path based on Error Entry DCB ACB Comm Related Errors ACB COM FAIL ACB DCB COM FAIL Display Controller Related Errors DCB RAM ERROR Replace Display Check the ACB Controller Board TXD RXD LED s Which LED indicates Activity RXD Replace DU CPU Replace ACB AB 75 078 Flowchart 7 4 7 38 09 07 1009 0357 000 Mixer Specific Troubleshooting Correct Gases Connected Connect N Appropriate Gas Yes Has the machine been moved from a non environmentally controlled area and not Allow the machine stabilized to warm cool and Yes stabilize No Follow the appropriate path based on Error Entry Pressure Sensor Related FLOW VERIF FAIL dP XX CH MIXER P SENSOR P2 FAIL TSI Flow Sensor Related FLOW SENSOR FAIL BALANCE GAS CH FLOW SENSOR FAILURE CH1 MIXER XX F SENSOR FAIL MIXER XX TEMP LIMIT MIXER XX TSENSOR FAIL TEMP
227. cavenging port as shown above 2 3 4 5 Slide the Bellows Module partially back onto the machine casting Ensure that the Bag Port is plugged and that the Bag Vent switch is set to Bag Onthe Main Menu of the Service Application select Gas Diagnostics Onthe Gas Diagnostics page select 02 Flow Set O Flow to 0 2 l min On the Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 10 Set 02 Flow to OFF 7 20 09 07 1009 0357 000 7 Troubleshooting Test6 Testing the bellows module and the Bag Vent switch 1 Separate the Bellows Module from the Circuit Module and re install the Bellows Module Connect the Machine Test Tool to the interface ports as shown above Setthe Bag Vent switch to the Vent position On the Main Menu of the Service Application select Gas Diagnostics a Aa C N Onthe Gas Diagnostics page select Breathing Sys Leak to access the Breathing Sys Leak screen Section 8a 2 6 6 Set 0 Flow to 0 2 l min Ensure that the Airway Pressure rises to gt 30 cm H30 T Press the ComWheel to Exit the Breathing Sys Leak test 8 Set 02 Flow to OFF 1009 0357 000 09 07 7 21 Avance Test7 Testing the bellows the bellows pop off valve the bellows base manifold and the Bag Vent switch oO o n O oO FE C Separate the Bellows Module from the Circuit Module Insert appropriate test plugs into the bellows
228. cc cece eee eee 12 16 12 8 Gas Delivery Subsystem menu cece eee eee enna 12 17 12 8 1 Gas Delivery Subsystem Gas Supply StatuS 00 0c eee 12 17 12 8 2 Gas Delivery Subsystem Mixer Output ccc eee eee ee eee 12 18 12 8 3 Gas Delivery Subsystem Mixer Pressure and Temperature 12 19 12 8 4 Gas Delivery Subsystem Gas Delivery Status 000 eae 12 20 12 8 5 Gas Delivery Subsystem Mixer Post Checkout Test Results 12 21 12 8 6 Gas Delivery Subsystem Perform Mixer Checkout TestS 12 22 12 9 Vent Subsystem menu 1 eee enn eee nee enna 12 24 12 9 1 Vent Subsystem Vent Status 0 0 cece eee eee eee 12 24 12 9 2 Vent Subsystem Vent Flow and Pressure cece eee eee eens 12 25 12 10 Window menu ener REESE a ae ER ER CE Ra 12 26 12 T THEI meh ttt av rnt ecran tfta 12 26 XV Notes xvi 09 07 1009 0357 000 In this section 1009 0357 000 09 07 1 Introduction This section provides a general overview ofthe Avance anesthesia machine 1 1 What this manual includes 0 ccc cece cette een eae 1 2 1 2 User s Reference manuals cerre eias S aen a E nn 1 2 1 3 What is an Avance anesthesia machine o cooococccocccnnccnnrerr 1 3 1 4 Anesthesia system components cece eee eet nee menn 1 4 1 5 Breathing system components cece eee eee mnn 1 6 1 5 1 Optional ABS components
229. ce Application for A D value 1009 0357 000 09 07 5 13 Avance 5 4 3 Inspiratory Flow Valve Cal Troubleshooting 5 14 Calibration setup Leave the Drive Port A and the Manifold Port B on the interface valve plugged Calibration procedure 1 On the Calibration menu select Insp Flow Valve 2 Push the ComWheel to enable the Stage 1 calibration 3 When Stage 1 is completed remove the plug from the Manifold portand insert the calibrated orifice C 4 Push the ComWheel to enable the Stage 2 calibration Maytake two minutes before you see any effects ofthe test on the screen 5 When Stage 2 is completed select Previous Menu o Calibrated Flow Orifice 1504 3016 000 O Stage 1 Calibration Failures The Calibration will fail if the Flow valve DAC counts are 1000 counts while finding points 2 through 6 e Previously found DAC value is to the current DAC value while finding points 2 through 6 Previously recorded flow for a previous DAC is gt the previous flow for a previous DAC Points 2 3 and 4 have the same value stored for flow this would cause a divide by zero when extrapolating Possible causes for calibration failure Check Altitude and Drive Gas selection Leaks around the test plugs e Leaks in Vent Engine Interface Manifold Inspect for leaks Insp Flow Valve not closing completely leaky Replace Insp Flow Valve Drive gas regulator not adjusted stable Chec
230. ce eee eee 3 13 9 T5 Powerfallure teSt an o a duh teas AA aa ba 3 14 3 16 Electrical safety tests osito ad ta 3 14 After any repair or service of the Avance system complete all tests in this section Before you do the tests in this section Complete all necessary calibrations and subassembly tests Refer to the individual procedures for a list of necessary calibrations e Completely reassemble the system If a test failure occurs make appropriate repairs and test for correct operation 3 1 Avance 3 1 Inspect the system A CAUTION A WARNING The upper shelf weight limit is 34 kg 75 Ib Do not leave gas cylinder valves open if the pipeline supply is in use Cylinder supplies could be depleted leaving an insufficient reserve supply in case of pipeline failure Before testing the system ensure that The equipment is not damaged e Components are correctly attached e The breathing circuit is correctly connected not damaged Pipeline gas supplies are connected e Cylinder valves are closed Models with cylinder supplies have a cylinder wrench attached to the system Models with cylinder supplies have a reserve supply of O connected to the machine during system checkout e The casters are not loose and the brakes are set and prevent movement The power cord is connected to a wall outlet The mains indicator comes on when AC Power is connected 3 2 System checkout for System software 3 X
231. cette rr 3 9 3 8 1 05 supply alarm test eens 3 9 3 9 Pressure relief tests oco e tans eee e eee Neue 3 10 3 10 FIUSH FIOW TESE cin ii oen eec en dfe t tegis 3 11 3 11 Alarm tests iuran edu Red Rx x Re RR ER I LE EY UAE LEER 3 12 3 12 Alternate O2 flowmeter tests 0 0 eee eae 3 13 3 13 Auxiliary O2 flowmeter tests 0 cece cece cnet III 3 13 3 14 Integrated Suction Regulator tests cece cece eee eee ees 3 13 3 15 Powel failure test s cese IRR rh eR ER at eee en 3 14 3 16 Electrical safety tests ci ies ee oR aA ene Wee re Re Rea ia 3 14 v Avance 4a Installation and Service Menus DU vi 4a 1 Service and Installation menu structure o ooocoooccocconccnrn 4a 2 4a 2 Install Service Menu Super User 0c cece cent m 4a 3 4a 2 1 Colors MENU A A A ELE 4a 4 4a 2 2 Units MENU soii a eere eee erue e di ec Ra dat 4a 4 4a 2 3Factory Defaults e eee cre p cet RR EY ERE Te cates 4a 5 4a 3 Installation Menu sssssssse II HH 4a 6 44 3 1 Configuratio N roxana ennai enw ee ead emere Rp tad e RA RR 4a 7 4a 3 2 UnitS Men si ssh paw RERR cee lee UDIN km eR e bare ede eee PEETA 4a 8 4a 3 3 Options KEV oce o a A 4a 8 4a 3 4 Copy Configuration lsssssssssssseesI enae 4a 9 4a A SemiceMenw dtu AA E ah d E gen 4a 10 48 4 1 Software Hardware Ver Menu cece eee tenet nn 4a 11 48 4 2 Service Log Menu sssssssssssseee n 4a 12 4a b Calibration 2 geh Riese tree
232. ch board loads their software that resides locally and begins their appropriate self tests described below Once the ACB passes all CPU tests and application is loaded independent circuitry turns on 10 VA limited 12 v dc powerto the Gas Mixer the Ventilator Interface Board and the M Gas Power Supply Board These boards convert the incoming 12 v dc into locally need power supplies and simultaneously begin to power up The ACB energizes the Alt 02 Selector Valve which closes the valve The ACB begins testing the GIV The processor on the Gas Mixer board performs standard CPU tests checks communication link with the ACB reports to the ACB that it has begun to perform Power On Self Tests POST The Gas Mixer tests the 02 and Balance Gas channels for leaks and flow delivery from both channels Once completed reports to the ACB that all Self Tests have been completed and the Gas Mixer compatibility information serial number hardware revision and software revision The processor on the VIB performs standard CPU tests and begins to download application software and ventilator calibration constants from the ACB The VIB works in conjunction with the ACB to perform the GIV test ACB provides valve status information to the VIB the VIB calculates the voltage necessary to open the valve to the desired value Once completed the VIB reportsto the ACB Self Tests have been completed and the VIB compatibility information serial number
233. ck Air Supply Check Replace Air Pipeline Cylinder Pressure Transducer AIRWAY SENSOR CAL Calibrate flow sensors Airway Pressure Sensor zero Low AC Flow sensor detected ERROR offset out of range Vent In Service Software under Vent Flow and Pressure Diagnostics Section 8a 3 2 verify the Airway Pressure counts is 800 250 Disconnect the Black in line connector in the Patient Airway If the counts return within specified range check for occlusions in the Bulkhead harness Ifthe counts do not return within the specified range replace the VIB ALT 02 SWITCH FAIL Alternate O switch status Medium AC indicates Alt O switch fault The fault detection condition must persist for 1 second Replace the Alt O Switch AUX OUTLET FAIL No fresh gas flow The measured SCGO position High AC does not match commanded Vent position In Service Software under Vent Status Section 8a 3 1 view the Circuit Feedback status If the feedback indicates Fault toggle the Circuit If the Status changes to match the Circuit setting check replace the SCGO ACGO microswitches BACKUP MODE Backup Mode active No spontaneous breaths in Low DC ENTERED set period of time Backup Time sec and 30 seconds has elapsed since starting PSVPro mode No spontaneous breaths in set period of time Apnea time and 30 seconds has elapsed since starting PSVPro mode No Service Action Required 7 48 09 07 1009 0357 000 7 Troubleshooting
234. cks tests and calibrations Refer to TRM Section 9 8 4 Perform the following step 1 Replace the system batteries Stock Number 1009 5682 000 Note Referto the Battery capacity test in TRM Section 6 10 6 5 Avance 6 3 Free breathing valve maintenance To replace the flapper valve 6 6 Refer to Section 9 10 to access the Pneumatic Vent Engine Unscrew the valve seat A from the side of the interface manifold Inspect the flapper B and valve seat for nicks debris and cleanliness If necessary clean the new flapper valve with alcohol Pull the tail C of the new free breathing valve flapper through the center ofthe valve seat until it locks in place Trim the tail flush with outside surface of the valve seat refer to the removed flapper Replace the O ring D Lubricate with a thin film of Krytox Hand screw the assembly into the interface manifold Reassemble the system Perform the Preoperative Checkout Procedure refer to the User s Reference manual 09 07 1009 0357 000 6 Installation and Maintenance 6 4 MOPV pressure relief valve test A WARNING 6 4 1 Test setup 6 4 2 Test procedure 1009 0357 000 09 07 Objects in the breathing system can stop gas flow to the patient This can cause injury or death Do not use a test plug that is small enough to fall into the breathing system e Make sure that there are no test plugs or other objec
235. conditions reported by the system Atechnical alarm as apposed to a parameter alarm is an alarm condition that exists whether or not a patient is connected to the machine Technical alarms include Failed state alarms internal problem prevents normal operation e Ventilator failure alarms e Vent Fail Monitoring Only alarms Alternate O state alarms can be caused by multile issues The error logs will indicate the failure Alarms that do not fit into any particular category but are technical in nature are referred to as a Status alarms in this table Source table AC Anesthesia Computer DC Display Controller Mixer Electronic Gas Mixer PC Power Controller Vent Ventilator Interface Log entries may be preceded with the subsystem that reported the error condition example ACB 12 0V H AMPS ALT 02 The Error Log entry listed below does not include the subsystem prefix that reported the alarm ACB Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting 12 0V H AMPS GAS Alternate O Screen AC detected high currentto Medium AC _ Fresh gas select valves SEL VALVES the Gas Select Valves 10VA is turned On Disconnect the flex cable from each three way and NC gas select valves Measure the resistance of each valve should be approximately 750 12 0V H AMPS ALT Alternate O5 Screen AC det
236. corded on the CF card ERROR INCOMPATIBLE SOFTWARE The software version on the CF card is not compatible with the installed XXX subsystem Installed part Stock Number Rev X Swver XX XX CF card part Stock Number Rev X Swver XX XX Note The Install Errors log includes two screen dumps for each occurrence of an error The last screen dump includes the error message at the point where the incompatibility was detected You can scroll up to the next screen dump in sequence to view the completed downloads 1009 0357 000 09 07 HPDU 8b 29 Notes HPDU 8b 30 09 07 1009 0357 000 In this section 1009 0357 000 09 07 9 Repair Procedures 9 1 Circuit board replacement precautions 0 cece ccc eee rr 9 4 9 2 How to bleed gas pressure from the machine 0 ccc cece eee ee 9 5 9 3 How to remove the rear PanelS oooooccoccccccccc e 9 6 9 3 1 To remove the rear Upper panel cece cece eee eee eens 9 6 9 3 2 To remove the lower access PanelS 0 cece cece eee eee e nnne 9 6 9 4 Howto remove the tabletop cece eee Ie 9 7 9 5 Servicing the Display Unit DU 0 ccc cece ene II 9 8 9 5 1 Remove the Display Unit 0 ccc cece eee eee eens 9 8 9 5 2 Disassemble the Display Unit 0 0 c cece een eee eee ens 9 9 9 5 3 To replace the CPU board cece cece eee eee eens 9 10 9 5 4 To replace the LCD display 0 0 c cece cece
237. creen give an overall assessment of the system a green bullet indicates proper operation of the subsystem a red X indicates a failed condition in the subsystem Schematics The System Status screen includes three Softkeys that provide direct access to the schematical representation of a subsystem as shown in the following sections The Power Schematic indicates the condition of power supplies throughout the system Section 12 3 1 e The Gas Delivery Schematic Section 12 3 2 and the Vent Schematic Section 12 3 3 include control devices that allow direct manipulation of components in the subsystem and displays the resulting output values for select downstream components 1009 0357 000 09 07 12 3 Avance 12 3 System Schematics 12 3 1 Power Schematic 09 07 1009 0357 000 12 4 12 Service Application 12 3 2 Gas Delivery Schematic The Softkeys atthe bottom ofthe Gas Delivery schematic bring up related diagnostic screens that are also accessible from the Gas Delivery Subsystem menu Gas Supplies Section 12 8 1 Mixer Output Section 12 8 2 Mixer Press Temp Section 12 8 5 1009 0357 000 09 07 12 5 Avance 12 3 3 Vent Schematic The Softkeys atthe top and bottom of the Vent schematic bring up related diagnostic screens that are also accessible from the Vent Subsystem menu Vent Flow Press Section 12 9 2 Vent Status Section 12 9 1 12 6 09 07 1009 0357 000 1
238. cs 000 c cece eee eee eee eee 8b 8 8b 3 4 Anesthesia Control Board Power Diagnostics cece eee eee 8b 9 8b 3 5 Electronic Mixer Power Diagnostics 0c cece eee eee eee ees 8b 11 8b 3 6 Ventilator Interface Board Power Diagnostics ooooooooommmo 8b 12 8b 4 Ventilation Diagnostics ssssseeseeess eee 8b 13 ODA Vent Status AR NER RW ks 8b 14 8b 4 2 Vent Flow and Pressure cece eee eet eee eh 8b 15 8b 5 Gas Diagnostics 2 2 de 4 ER ee ees a ee e ER RI ER EE IER ila 8b 16 8b 5 1 Setting Gas FW oo id rrr o edes n Reo ER a 8b 17 8b 5 2 Gas Supplies secre a ee E ERE RN CREE T Ur 8b 18 8b 5 3 Mixer OUtDUE rorem Abbe da na mE ERE REM ER edm 8b 19 8b 5 4 Mixer Tests and Pressure 0 cece eee ee 8b 20 8b 5 5 MixerTemperature 0 cece eee eee men 8b 21 8b 5 6 Breathing System Leak Test 0 cece cece cee eee eens 8b 22 8b 6 Mixer Service MeNU a rivisione taminen a wad edly RU er Rr ed 8b 23 8b 7 Display Diagnostics 8b 25 8b 7 1 Test Keys and Battery ocoooccccocccccn e 8b 26 8b 8 Compatibility Table llssssessssssse RII 8b 27 8b 8 1 System Download Log 1 ce eee eee 8b 28 8b 8 2 CF Card Install Log 0 ccc ccc een e I 8b 28 8b 8 3 View Install Errors 2 0 cent IH 8b 29 X 09 07 1009 0357 000 9 Repair Procedures 1009 0357 000 09 07 Table of Contents 9 1 Circuit board replacement precautions 0 0 ccc cece eee een eens 9 4 9 2 H
239. ctive Bag Vent switch Check Bag Vent switch 1009 0357 000 09 07 7 3 Avance 7 3 Troubleshooting Startup Screen POST messages for DU Ifthe Avance system encounters a problem at startup to where it cannot initiate system software a BIOS error message indicating the failure will be displayed Message What it indicates Troubleshooting Action Required NOTE This indicates an illegal value in the Set the system date and time manually to the RTC failed xx CPU s Real Time Clock date or time correct values registers NOTE This is an informational message No action needed CMOS defaults reloaded NOTE Service is required to replace the CPU Replace the battery on the DU CPU board CMOS battery failed Replace soon battery Reload software and check out the system NOTE Alarm tone detection failed Service is required to correct a faulty connection to the speaker Reconnect the speaker if possible Replace DU CPU board if speaker connection can not be corrected System reset EC xx NOTE The RAM memory ECC circuitry is Replace the DU CPU board ECC failed xx faulty NOTE This usually indicates a software Report this error along with the machine logs BIOS failure to Technical Support Reload software If problem persists replace the DU CPU board System reset NOTE Some of the DU hardware could not Replace the DU CPU board Critical har
240. ctor switch mounting screws until the tips are flush with the face of the mounting casting 3 Guide the outlet fittings of the valve body into their respective silicone tubes 4 Holdthe selector knob with the indicator mark facingdown Turn the chrome collarto its maximum counterclockwise position as viewed from the front 9 50 09 07 1009 0357 000 Test procedure 1009 0357 000 09 07 10 11 12 13 14 1 Placethe shroud overthe knob and Ensure that the indicators on the While holding the knob assembly While continuing to force the 9 Repair Procedures guide the assembly into the pan opening shroud align with label on the pan and the alignment tab mates with the alignment hole in the pan steady against the pan place the valve assembly over the knob actuator Using moderate force press the two assemblies together The knob should rotate to the ACGO position Actuator assemblies together rotate the knob assembly to the ABS position The assemblies should snap into place Verify proper alignment ofthe knob with the setting indicators Tighten the mounting screws evenly to secure the switch assembly to the pan Secure the outlet tubing with tie wraps Connect the fresh gas and flush gas tubing Pull on the tubing to ensure that it is locked in the fitting Reconnect the wires to the ACGO mode microswitch at the back of the valve top two terminals Reconnect the wir
241. cylinder gasket and do this step again 4 Close all cylinder valves Do not leave gas cylinder valves open if the pipeline supply is in use Cylinder supplies could be depleted leaving an insufficient reserve supply in case of pipeline failure 1 Establish Oo Air and if equipped N50 gas supplies 2 SetO to25 6 and if equipped N50 as balance gas For machines without N50 set Air as balance gas 3 Settotal flow to 3 L min 4 Stop the O supply Disconnect the pipeline supply or close the cylinder valve 5 Make sure that a The low Os supply pressure low alarm occurs b The N50 if equipped and O flows stop c Air if selected flow continues or an Air selection prompt appears 6 Reconnect the O supply 3 9 Avance 3 9 Pressure relief tests 3 10 To check the pressure relief valve in the vaporizer manifold outlet For machines with SCGO 1 2 5 6 Remove the back cover to access the vaporizer manifold Remove the outlet tubing and connect a test device pressure gauge or a digital manometer to the vaporizer manifold outlet Adjust the O flow to 0 5 L min Verify that the test device reading stabilizes within the following range 31 60 kPa 230 450 mm Hg 4 5 8 5 psi Remove the test device and reconnect the outlet tubing Replace the back cover For machines with ACGO 1 2 Set the ACGO selector switch to ACGO Connect a test device pressure gaug
242. d 3 4 AA 96 287 9 Item Description Stock Number Manifold assembly complete two position 1006 8355 000 Manifold assembly complete one position 1009 8065 000 1 O ring 0 687 inch ID 0 812 inch OD 0210 0544 300 2 Spring compression 1006 3736 000 3 Valve kit includes seal 1006 8373 000 4 Seal 1006 3690 000 5 O ring 14 3 mm ID 1102 3043 000 Package of 6 o rings 1102 3016 000 6 Nipple vaporizer port New Style 1006 4215 000 7 Screw M2 5 0 45x6 PAN Pozidriv SST 1006 3037 000 8 Spring Dzus 1102 3056 000 9 Seat check valve 1006 1352 000 10 O ring 27 1 OD 21 89 mm ID 1006 3866 000 11 Flapper 0211 1451 100 12 Housing 1009 8477 000 13 Screw MA x 30 cap head 9211 0640 304 14 Valve relief 5 5 psi 7 16 20 THD 1006 4128 000 15 Flexible tubing 1 4 inch mixed gas 1001 3064 000 1009 0357 000 09 07 10 23 Avance 10 15 Vent Engine Housing 10 24 Item Description Vent Engine Cover Plate Assy CASTING VENT ENG HOUSING TAB GUIDE BELLOWS BASE SCR M3X16 POSI DR PAN HD A4 SST Cap Plug FITTING PNL MOUNT 3 18 HOSE BARB UNION PLUG HOLE 15 9 DIA NYLON MICRO PLASTICS PLATE CONN VENT SCR M4X8 POZI DR DIN84 PAN SERRATED Harness Vent Engine Board to Connector Plate BLOCK LATCHING DSUB CONN SCR 4 40 X 3 8 SKT BCG HD CAP CLIP SUCTION BAG HOSE SCR M5 X 16 PAN PH HD SST Lockwasher Vent Engine 13 14 15 Stock Number 1407 7009 000 1407 3301 000 1407 3313 00
243. d date of Last Full Discharge refer to section 6 10 09 07 1009 0357 000 12 Service Application 12 7 2 Power Diagnostics Anesthesia Control Board Power Anesthesia Control Board Power Label Value Units Normal range 12 Vdc Supply XX XX Vdc 11 90 to 12 90 ADC Ref XXXX Vdc 4 018 to 4 176 Label Value Label Value Gas Select 10VA Volts OK Fail Periph1 10VA Volts OK Fail Gas Select 10VA Amps OK Fail Periph1 10VA Amps OK Fail Press Transducer 10VA Amps OK Fail Periph2 10VA Volts OK Fail Vent Interface Board 10VA Volts OK Fail Periph2 10VA Amps OK Fail Vent Interface Board 10VA Amps OK Fail Vent Valves 10VA Volts OK Fail Vent Valves 10VA Amps OK Fail Acces 1 10VA Volts OK Fail Acces 1 10VA Amps OK Fail Gas Unit 10VA Volts OK Fail Gas Unit 10VA Amps OK Fail Mixer 10VA Volts OK Fail Mixer 10VA Amps OK Fail Alt O2 10VA Volts OK Fail Alt 02 10VA Amps OK Fail 1009 0357 000 09 07 12 13 Avance 12 7 3 Power Diagnostics Mixer Board Power 12 14 Mixer Board Power Mixer 10VA Volts 12 5V 5 5V 3 3V CPU 2 5V ADC Ref Value Format Units OK Fail XX X X XX X XX X XX Range 11 8 to 13 0 5 39 to 5 61 3 22 to 3 38 2 47 to 2 53 09 07 1009 0357 000 12 Service Application 12 7 4 Power Diagnostics Vent Interface Board Power Vent Interface Board Power Value Label Format Units Range Vent Board 10VA Volts OK Fail Vent Valves 10VA Volts OK Fail Vent B
244. d 10VA Voltage reads OK and the Vent Valve 10VA Volts reads Fail disconnect the VIB to Pan connector harness If the Vent Valve 10VA Volts continues to read Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB VLV BAL GAS CH Indicates the Bal Gas Leak Mixer LEAK TESTS NOT Test skipped DONE Can be caused by no Bal Gas connected at power up No Service Action Required 7 70 09 07 1009 0357 000 7 Troubleshooting 7 11 Steps and Messages displayed during the System Checkout for System software 3 X or greater Stage 1 Step 1 Bag Vent Switch Verify the Bag Vent Switch is set correctly If the switch is setto Ventilator Mode continue with next step If the switch is setto Manual Mode fail with Wrong circuit selected Step 2 02 Pressure Is O available and working If O gt Supply is adequate and mixer passes a mixer flow test of 250 ml min of 0 continue with the next step If not fail with Low 02 supply pressure or with mixer failure Step 3 Ventilator Drive Pressure Make sure ventilator has drive gas pressure If drive gas pressure as measured by the Manifold Pressure Transducer continue with the next step If no drive gas pressure fail with Ventilator has no drive gas If all ofthe steps above pass the ventilator will be commanded to flow 12 L min So
245. d extends from the adjusting nut With use the force required to move the arm increases and may require readjustment 9 54 1 2 Install the new bag support arm Remove the ABS breathing system from the machine From the underside of the casting remove the hardware A that holds the arm in place e f either ofthe pins see below remain in the casting remove them from the casting assembly Position the bag arm over mounting pattern of 4 small holes in the support casting The arm should extend towards the front of the machine Align the two pins B extending from the base ofthe bag arm assembly with two ofthe small holes in the casting that are in line with the APL valve Lowerthe bag arm pushing the two pins into the holes From the underside of the casting secure the bag arm with two M3x20 socket head screws and flat washers Testthe force required to swing the bag arm from side to side and adjust if necessary The force is adjusted by turning the lock nut 8 mm socket which is accessible from underneath the support casting Turn clockwise to increase the force and counterclockwise to reduce the force e Swing the bag arm sideways through the 90 degree arc permitted by its internal stop Adjust to just enough friction to prevent the bag arm from swinging sideways as the bag height is being changed The bag arm height is changed by squeezing the lock release lever C at the f
246. d sparingly with Dow 111 lubricant Drop the plunger 9a round end first into the manifold Thread the pilot valve into the manifold body Set the mode switch to raise the plunger Adjust the pilot valve 9b so that the plunger actuates the pilot valve approximately half of its travel Tighten the jam nut 9c 1009 0357 000 09 07 10 53 Avance 10 23 3 Venturi assembly 10 54 Description C clip retainer Truarc Elbow fitting 4 mm Legris Cap Spoppet Seal u cup large Orifice Screen 150 mesh monel Seal u cup small Body Venturi Elbow fitting 8 mm Legris O ring large O ring small Check valve Bracket Venturi mounting Screw M5x20 BHSCS PTTHD FORMING Cable tie Tubing Tygon Stock Number 1500 3158 000 1006 3663 000 1011 5002 000 1011 5001 000 1503 3090 000 1011 3508 000 1001 3808 000 1503 3089 000 1011 5000 000 1011 3509 000 1011 3510 000 9221 3032 116 1503 3108 000 1011 8002 000 1009 3182 000 1009 3384 000 0203 5915 300 Referto section 10 31 09 07 1009 0357 000 10 24 Auxiliary 0 Flowmeter 1009 0357 000 09 07 2 3 Item Description 1 Flowmeter 1 10 L min Complete with fittings installed Flowmeter 1 10 L min without fittings 2 Knob gray 3 Set Screw 4 Nipple Panel Mount Auxiliary O Outlet 5 Label blank if no Auxiliary 05 6 Nut M12x1 75 SST EX Flowmeter Fitting 1 8 NPTM straight adapter Flowmeter Fitting 1 8 NPTM elbow adapter 8 Flowmeter
247. der the Gas Inlet Valve 3 During normal operation the Gas Inlet Valve GIV is open to let supply gas flow The GIV shuts off supply gas to the ventilator under failure conditions detected by the CPU or over pressure switch The output from the GIV stays at the filtered supply gas pressure Figure 2 43 Inlet filter and Gas Inlet Valve GIV 2 45 Avance 2 13 2 Pressure The pressure regulator 4 is a non relieving pressure regulator that regulates high regulator pressure filtered supply gas down to 172 kPa 25 psi Inspiratory Flow Control Valve L of CS 15LPM Figure 2 44 Pressure regulator 2 13 3 Flow The flow control valve 5 is controlled by the CPU Signals are sent to the flow control control valve X valve of the necessary flow determined by ventilator settings and sensor signals The flow control valve modulates the incoming 172 kPa 25 psi drive gases to an output from 0 to 120 liters per minute at pressures ranging from O to 100 cm H50 1 Free Breathing l check valve e i SA ve wechanicat Overpressure 7 Valve 110 cm H20 7 pe Drive Gas Check Valve 8 5 cm H20 bias Figure 2 45 Flow control valve 2 46 09 07 1009 0357 000 2 Theory of Operation 2 13 4 Drive Gas The Drive Gas Check Valve 6 is used downstream of the flow control valve to create Check Valve the pilot press
248. drive gas connection at the back of the manifold Remove the drive gas tube or plug to access the check valve 4 From the back of the pipeline manifold use a thin tool to push out the check valve For an N50 manifold you will have to carefully apply pressure at the outlet of the manifold with a syringe for example to gently force the check valve out of the manifold 5 Push the new check valve into the opening using the same thin tool The new check valve includes an o ring orient ittoward the pipeline inlet Note Make sureto push the new check valve all the way back into the opening until it bottoms out on the shoulder 6 Install the pipeline inlet fitting 9 39 Avance 9 40 9 11 3 Replace 1 Remove the rear panel Section 9 3 the inlet manifold 2 Disconnectthe tubing from the manifold outlet s 3 Remove the two screw that hold the manifold to the side extrution 4 Transferthe following item to the replacement manifold or install new as required pipeline check valve 1 e inlet filter 2 s inlet fitting 3 and o ring 4 e relief valve 5 5 Transfer the pressure transducer to the new supply Section 9 13 Ensure the o ring is in place s Install the transducer 6 To reassemble perform the previous steps in reverse order T Perform the checkout procedure Section 3 09 07 1009 0357 000 9 Repair Procedures 9 12 Service the cylinder supply modules A WARNING 9 1
249. dware failure xx be initialized NOTE The software must be reloaded Reload software and check out the system OS App ROM CRC failed NOTE The software must be reloaded Reload Software and check out the system 7 4 09 07 1009 0357 000 7 Troubleshooting 7 4 Troubleshooting Startup Screen POST messages for HPDU Ifthe Avance system encounters a problem at startup to where it cannot initiate system software a BIOS error message indicating the failure will be displayed Message What it indicates Troubleshooting Action Required ERROR This indicates a hardware failure Replace the HPDU CPU board CPU data cache fault ERROR This indicates a problem with the Check or replace the internal compact flash No bootable device available internal CF card card ERROR This usually indicates a software file Reload the software and check out the system Program load failed CRC corruption ERROR RAM memory error This indicates a hardware failure Replace the HPDU CPU board ERROR System reset ECXx xx xx This usually indicates a software failure Report this error along with the machine logs to Technical Support Reload software If problem persists replace the internal flash card and reload software If problem persists replace the HPDU CPU board ERROR System reset FFFF FF FF Indicates the HPDU lithium battery has lost contact with
250. e See Note 11 Schematics and Diagrams Key to Symbols Key to Numbered Components 13 14 15 16 17 18 19 20 21 22 23 24 Pipeline inlet Pipeline pressure transducer High pressure relief valve 758 kPa 110 psi Supply connections forthe ventilator and pilot pressure for SCGO a 0 drive gas b Air drive gas Venturi suction supply connection a Op drive gas b Air drive gas Cylinderinlet Cylinder pressure transducer Primary regulator cylinder pressure Test port primary regulator System switch Selector valve a 03 b Air c N50 How controller a 05 b balance gas Alternate O disable valve Hot wire anemometer a Op flow sensor channel b balance gas flow sensor channel Vaporizer port valve Vaporizer Low pressure relief valve 38 kPa 5 5 psi O flush and auxiliary flowmeter regulator 241 kPa 35 psi 0 Flush valve Pressure switch used with the ventilator Breathing system pressure relief valve SCGO only 150 cmH50 To Port 3 of ABS interface circle For SCGO to Port 2 of ABS interface non circle Inspiratory port For ACGO to external 22 mm ACGO connector Auxiliary O flowmeter optional Approximate values K o gt 4 Pneumatic Connection Filter Direction of Flow Check Valve Avance
251. e ventilator drive gas 100 cmH20 approximately supply pressure 1020 counts Then save would cause a gas calibration supply failure alarm during normal Blocked text operation Connect a supply of the drive as to continue Save calibration Save Paw Span calibration Saves new calibration data Writes calibration result date and time to the event log Previous Menu Return to the previous menu During Calibration Calibration in progress Push ComWheel to cancel 1009 0357 000 09 07 DU 4a 19 Avance with DU 4a 5 7 Zero Gas Xducrs Instructions Zero Gas Xducrs menu DU 4a 20 The Zero Gas Xducrs instructions appear when the focus is on the Zero Gas Xducer menu item Read all steps before you start 1 Remove all cylinders 2 Disconnect all pipeline supplies 3 Select Zero Gas Xducers 4 Select Start Zero on the next menu This page also shows Gas supply pressures Gas supply ID A failed test is usually the result of a pipeline or cylinder still connected to the System e f the outcome ofthe calibration is Pass the new calibration data is saved e f the outcome is Fail the old calibration data is retained e The result of the calibration is saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keep the old calibration constants The Zero Gas Xducrs menu shows only transducers that are installed If
252. e LCD cable G Left membrane switch flex cable at ZIF zero insertion force connector H Remove the remaining four screws I that hold the CPU board to the mounting plate Remove the CPU board from the mounting plate Transferthe battery 5b to the new CPU board Reassemble in reverse order Download the latest software Section 8a 6 Reconfigure the Machine Configurations Install Setups Affix a new Key Code and Board ID label to the Vent casting 9 19 Avance 9 6 5 To replace 1 Disconnectthe following cables the LCD display e Right membrane switch flex cable at ZIF zero insertion force connector A Encoder assembly cable B Lower membrane switch flex cable at ZIF zero insertion force connector C e Fan cable D e LCD cable E Left membrane switch flex cable at ZIF zero insertion force connector F 2 Removethe ten screws circled that hold the mounting plate to the front enclosure 3 Remove the mounting plate assembly from the front enclosure 4 Disconnect the backlight harnesses G from the inverter boards 5 Slide the grommet H out of the mounting plate slot transferto new LCD 6 Remove the four screws circled that hold the LCD to the mounting plate 9 20 09 07 1009 0357 000 9 6 6 To replace the backlights Note When replacing a backlight or a backlight inverter you must replace both inverters and the backlight assembly found in the
253. e new moisture resistant offset flow sensor B 1 28 Testing the flow sensors only AB 23 115 AB 82 069 Remove the Flow Sensor Module Plugeach Flow Sensor as shown above Connect the low pressure leak test device to the open end of the Flow Sensor Blockthe connector end ofthe Flow Sensor with your hand Compress and release the bulb until it is empty Ifthe bulb inflates in 30 seconds or less there is a leak in the flow sensor Ifthere are no leaks in the flow sensors go to Test 15 09 07 1009 0357 000 7 Troubleshooting Test15 Testing a flow sensor including the Ventilator Monitoring Assembly and interfacing components Note To ensure a air tight seal use the corresponding plug as illustrated for the original flow sensor A or the new moisture resistant offset flow sensor B AB 82 068 1 Remove Flow Sensors from the Flow Sensor Module Attach the Flow Sensorto the bulkhead connector Plugeach Flow Sensor as shown Connectthe low pressure leak test device to the open end of the Flow Sensor Compress and release the bulb until it is empty Oo oa A C N Ifthe bulb inflates in 30 seconds or less there is a leak The leak may be through the connector o rings in the internal tubing or in the Transducer on the VIB 1009 0357 000 09 07 1 29 Avance 7 8 System Troubleshooting Flowcharts Legend ACB Anesthesia Co
254. e ora digital manometer to the ACGO outlet using the positive pressure leak test adapter Adjust the O flow to 0 5 L min Test Adapter Verify that the test device reading stabilizes within the following range 31 60 kPa 230 450 mm Hg 4 5 8 5 psi Remove the test device and the adapter 09 07 1009 0357 000 3 10 Flush Flow Test Possible Causes of Failure 1009 0357 000 09 07 3 Checkout Procedure 1 With Bag Vent switch in Bag verify case has ended Setthe Bag Vent switch to Vent Attach a patient circuit and plug the patient port For ACGO equipped machines set the ACGO selector switch to Circle Ensure that the bellows is completely collapsed oO 0 BR Q9 M Measure the amount of time it takes to fill the bellows when the O Flush button is fully and continuously depressed T Repeatthe above measurement two more times deflate bellows by removing the plug from the patient port e The bellows should fill in 1 8 to 2 3 seconds e Large leak if long filling time Flush regulator setting Section 5 2 e Flush regulator cross connection if long filling time SCGO ACGO selector valve inlet cross connection if short filling time From To 05 Supply 0 Flush Valve and Alternate 05 Flowmeter and optional Auxiliary 0 Flowmeter 0 Flush Output to upper fitting on SCG0 ACGO 10 Flush Valve Vaporizer Manifold to lower fitting on SCGO ACGO 3 11
255. e ports using the alignment post as shown above al Occlude the tapered plug 6 Onthe Gas Diagnostics page reselect the 02 Flow screen e the Airway Pressure reading should increase If not there is a leak in the tested circuit T Set 02 Flow to OFF 1 18 09 07 1009 0357 000 7 Troubleshooting Test4 Testing the bag port cover the APL valve the Bag Vent switch and the negative pressure relief valve p ill FT e Plug Bag Port 1 Separate the Bellows Module from the Circuit Module and re install the Bellows Module Occlude the Bag Port connector Connect the Machine Test Tool to the interface ports as shown above Setthe Bag Vent switch to Bag and close the APL Valve 70 cm H50 Onthe Main Menu of the Service Application select Gas Diagnostics Onthe Gas Diagnostics page select 02 Flow Set O Flow to 0 2 l min o NO oO A W N On the Gas Diagnostics page reselect the 02 Flow screen e Ensure that the Airway Pressure rises to 2 30 cm H30 Note If the bellows rises it indicates a leak in the Bag Vent Switch 9 Set 02 Flow to OFF 1009 0357 000 09 07 7 19 Avance Test5 Testing the APL diaphragm Plug APL Scavenging Port Plug Bag Port Note If required set up the Machine Test Tool and breathing system as shown in Test 4 1 o 0 N OD Slide the Bellows Module away from the machine Remove the APL ramp and diaphragm Inserta Test Plug into the APL s
256. e the Display Unit from the machine The Display Unit is held in place with four screws three screws fit into keyhole slots and do not have to be fully removed the fourth screw secures the Display Unit to the front bezel and must be removed to free the Display Unit from the machine 1 Openthe rear access door directly behind the Display Unit 2 Loosen L the top two and the bottom right mounting screws 3 Remove R the lower left mounting screw 4 Place a protective pad on the tabletop 5 From the front of the machine slide the Display Unit toward the center of the machine to free it from the keyhole slots 6 Lowerthe Display Unitface down on the protective pad 7 Remove the cables from the rear connector panel 9 17 Avance 9 18 9 6 2 Disassemble the Display Unit 9 6 3 CPU Fan Place the Display Unit face down on an anti static pad 1 Loosen L the four captive screws at each corner of the rear enclosure 2 Liftthe rear enclosure slightly and pivot it away from the lower enclosure at the bottom side ofthe Display Unit 28 29 24 I NNNM ha 27 5 21 2 1 At this point you can replace the following items The item numbers refer to the parts list in Section 10 8 the internal Compact Flash card 27 the external Compact Flash Kit 28 e the fan 24 for the HPDU this is a 12 volt fan the connector panel assembly 21 the encoder as
257. ecesses and are not pinched under the task light lens 9 63 Avance 9 23 3 To replace 1 Remove the rear panel Section 9 3 1 the lower task The lower task light is located directly below the MGAS partition It slides into two light slots in the front bezel A and is retained with a small moveable bracket B 2 Rotate the retaining bracket counterclockwise to free the tack light assembly 3 Disconnect the harness from the task light assembly and connect it to the new task light 4 Placethe task light into the slots lights pointing down Note If the machine includes an integrated suction regulator it may be too cramped for you to place the task light Use long nose pliers or a similartool to guide the task light in place being careful not to damage the lights Or you can temporarily remove the suction regulator to gain more room 5 Rotate the bracket in place to retain the task light 6 Reassemble in reverse order 9 64 09 07 1009 0357 000 9 Repair Procedures 9 24 Replace ABS breathing system components 9 24 1 Replace 1 Remove the ABS breathing system Bag Vent switch 2 From the underside remove the bellows base manifold A and fully loosen the two assembly captive screws B at the bag port side of the APL BTV manifold 3 From the topside rotate the Bag Vent switch cartridge counterclockwise until the Bag Vent switch outlet port C clears the bellows housing 4 Lift out the Bag Vent
258. eck flow sensor connections 2 Replace flow sensors 3 Checkthe VIB tubing for moisture 4 Replace VIB 1009 0357 000 09 07 1 63 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting PCB Alarm Off AC Indicates AC Power PCB Mains failure Removed No Service Action Required PCB Alarm Off DC Indicates the AC supply is PCB DC power module failure OK AC GOOD HIGH but the system reports using the battery BATT STAT 1 and 2 LOW Check U frame wiring Set system switch to Standby remove mains wait 20 seconds power up system If problem continues replace PCB PCB Alarm Off Monitor Current Active w AC Mains Indicates the Battery backup current to monitor is active while AC supply is OK PCB Check AC power connection to anesthesia monitor and circuit breaker If problem continues replace anesthesia monitor PCB Alarm On 1 min time left A message or failure displayed during the system checkout PCB Leave the system plugged into AC Mains for 24 hours If issue persists replace batteries PCB Alarm On AC Indicates AC Power PCB mains failure Removed No Service Action Required PCB Alarm On Bulk Indicates the batteries were PCB charge time being Bulk Charged for a exceeded in stdby period greater than 12 hours while the sys
259. ect Start Zero Previous Menu Return to the previous menu During Calibration Calibration in progress Push ComWheel to cancel 1009 0357 000 09 07 HPDU 4b 25 Avance with HPDU 4b 5 9 Cal Config Cal Config menu 4b 5 10 Mixer P Zero HPDU 4b 26 Instructions Note Before calibration you must verify that the Ventilator Drive Gas and the Altitude settings are set appropriately to match the current drive gas configuration and machine location If you change any of the settings in the Cal Config menu you must restart the system Menu Item Message text Values Ventilator Drive Gas Change drive gas to match Air 02 machine configuration Altitude Change altitude used for gas 400 to 3000 m calculations in 100 m increments The Mixer P Zero instructions appear on the Mixer P Zero menu Default To go backto factory defaults select Defaults above To Zero Pres Sensors 1 Disconnect pipeline gas supplies 2 Close the gas cylinders 3 Remove the flow sensors 4 Insert a non Des cassette 5 Push the 02 Flush button for 3 seconds 6 Let the system sit WITHOUT gas flow for gt 5 min T Select Start Do not disturb the system while waiting for results If repeated zero attempts fail follow the procedure below 1 Gain access to the components in the pan electrical enclosure Section 9 9 2 Disconnectthe Alt O2 inlet tubing elbow fitting from the Mixer ma
260. ected high current Medium AC Alternate Os valve 02 10VA turned On Disconnect the flex cable from the NO Alternate O valve Measure the resistance of the NO Alternate O Bypass Valve should be approximately 750 12 0V H AMPS MIXER Alternate O5 Screen Status bit shows current high Medium AC Mixer 10VA turned On In Service Software under Anesthesia Control Board Power Diagnostics page 2 of Section 8a 1 4 observe that Mixer 10VA Amps is reported as Fail Turn off power to the machine and disconnect the system interface harness from the Mixer Ifthe Mixer 10VA Amps is now reported as OK replace the Mixer Ifthe Mixer 10VA Amps is still reported as Fail inspect the harnesses from the ACB to PCB and PCB to Mixer for cross connections or damaged pins replace the ACB 7 44 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting 12 0V H AMPS Ventilator failure Status bit shows current high High AC Ventilator Interface VENTSIB board 10VA is turned on Reboot system If problem continues replace VIB 12 0V H AMPS MGAS Gas monitoring not Status bit shows current high Medium AC MGAS 10 VA is turned available on after 3 consecutive ACB 12 0V H AMPS MGA
261. eed Resistor Data Show bleed resistor calibration table Previous Menu Return to the previous menu During Calibration Calibration in progress Push ComWheel to cancel The Bleed Resistor Data menu contains a table of 17 entries from a previous calibration The table is erased at the start of the calibration The table is updated in real time during the calibration 09 07 1009 0357 000 4a Installation and Service Menus DU 4a 5 6 Paw Span The Airway P Span instructions appear when the focus is on Paw Span menu item Refer to Section 5 4 6 Paw Span Instructions Read all steps before you start 1 Complete the Bleed Resistor calibration 2 Install the flow sensor and circuit module 3 Put a 2 plug in the drive gas port of the vent engine 4 Putthe calibrated orifice in the manifold port of the vent engine 5 Connect the pressure tee to the insp port Connect the tee to the calibrated orifice with a 22 mm tube 6 Connect a pressure gauge to the pressure tee T Select Start Paw Span 8 Increase the flow valve setting until the gauge shows 100 cmH20 9 Select Save Calibration Paw Span menu Menu Item Message text Values Comments Insp Flow Valve DAC Increase setting until test gauge Oto 4095 shows 100 cmH20 initially set to 800 approximately 1020 counts Then save calibration Start Paw Span Start Calibration Increase flow Blocked if the valve setting until test gaug
262. el AVR Mega1 28L TAG ERO cove FAN Hi Lo Fan esed wit Interface Siy g gt 300ma ash Regulator eae 4K RAM gt xun aav gt 4K EEPROM Regulator 190 ma mex VDD iie Eu 12C Analog 5 5 VDC Port SHION References Regulator for AEE Flow Sensors Diagnostic Balance Gas Indicators Valve Drive 12 Bit A D A 350 ma max Oxygen Valve 8 Channel Analog Drive Mutiplexer BIT Signals sr i Flow Sensor 1 Assembly d gt 1 Signal 1 T Conditioning 4 1 LN 1 ERN VE 1 La 1 X L O e z i 1 1 Im F i res 1 T 1 H Vaporizer E rd LO 1 Balance gt N i Gas B i 1 1 1 1 T2 F2 a 1 Figure 2 22 Electronic Gas Mixer block diagram 2 21 1009 0357 000 09 07 Avance 2 10 Ventilator Interface board The Ventilator Interface board A provides the electrical and or pneumatic interface to the following Inspiratory B and expiratory C flow sensors transducers Patient airway D and manifold E pressures transducers Oxygen sensor in breathing system e ABS On switch Canister Release switch ACGO position switch if ACGO installed SCGO solenoid SCGO CGO position switches if SCGO installed Bag Vent switch O Flush switch s Gas Inlet Valve s Inspiratory Flow Valve Accessory Power for task lights The Ventilator Interface board functions are managed locally by a microcontroller The microcontroller communicates data values to the controlling
263. er If a supply module for a gas is not installed or if the transducer is disconnected the supply shows 0 00 Vdc If a supply module is installed but no supply is connected the supply shows approximately 0 50 Vdc The remaining items show the state of the Electronic Mixer selector valves Gas Supplies Gas Diagnostics Label 02 Cylinder 1 02 Cylinder 2 Air Cylinder N20 Cylinder 02 Pipeline Air Pipeline N20 Pipeline O2 Select Valve Open Flow command ON N20 Select Valve Closed Flow command OFF Air Select Valve Closed Flow command OFF Alt O2 Valve Closed Note 0 0 Vdc not installed or transducer disconnected 09 07 1009 0357 000 8a Software Download and Diagnostics DU 8a 2 2 Mixer Output Selecting Mixer Output brings up the Mixer Output Gas Diagnostics page This data comes from the Anesthesia Control board The Flow Verify signals are rough calculations of the mixer flow based on pressure drop and temperature The ADC reference voltage is used to convert flow signals Mixer Output Gas Diagnostics Gas Diagnostics Label Gas Supplies 02 Flow Mixer Output Balance Flow Mixer Tests and Pres Mixer Temperatures 02 Flow Verify 02 Flow 0 5 02 Flow Signal N20 Flow OFF 02 Prop Valve Drive Air Flow OFF Breathing Sys Leak Balance Gas ID None Air N20 gt Main Menu Balance Flow Verify XX XX Balance Flow Signal X XXX Balance Prop Valve Drive XXXX 02 Select Valve Open Air Select V
264. es from the front side of the board Transducer cables from the pipeline and cylinder gas supplies A Harness from system switch B Harness from SCGO ACGO C s Cable from flow sensors D Cable from Vent Engine board E Harness from ABS switches F Harness from task lights G Harness from Alt O H 3 Remove the six screws that hold the Filter board to the enclosure If the enclosure cover is removed disconnect the three harnesses from the back side of the board before removing the mounting screws 4 Ifthe cover is in place pull the Filter board away from the enclosure and disconnect the three harnesses from the back side of the board 5 Toreplacethe Filter board reassemble in reverse order 9 33 Avance 9 9 4Pan The Pan Connector board is a wiring interface between the lower electrical enclosure Connector board Components and the pan electrical enclosure components refer to Figure 11 11 1 Secure the board to the enclosure Reconnectthe harnesses and ribbon cable Reassemble in reverse order Disconnect the wiring from the top side of the Pan Connector board Two harness connectors coming from the Filter board One harness connector coming from the Ventilator Interface board One ribbon cable connector coming from the Electronic Gas Mixer Remove the four screws that hold the Pan Connector board to the enclosure Liftthe Pan Connector board away from the enclosure
265. es to the flush pressure switch at the top of the valve upper and lower terminals Replace the tabletop Confirm that flush flow and 5 L min fresh gas flow are diverted to the ACGO port and the ABS in the respective knob positions Confirm thatthe ventilator display indicates ACGO mode when the valve is set in the ACGO position Testthe function ofthe flush pressure switch DU Vent Diagnostics Status Section 8a 3 1 s HPDU A X or 5 X Special Functions Vent Diagnostics Vent Status Section 8b 4 1 HPDU 5 X PC Service App Vent Subsystem Vent Status Section 12 9 1 Perform the low pressure leak test Section 3 4 1 Perform the checkout procedure Section 3 9 51 Avance 9 16 Clean or replace ACGO port flapper valve 9 52 1 Remove the tabletop Section 9 4 2 Remove the ACGO cap mounting screws Remove the cap Examine the flapper and disk for obstructions or debris Clean with isopropyl alcohol if necessary retest If leak persists replace the flapper Remove the flapper from the check valve disk Clean the new flapper with isopropyl alcohol Apply a drop of isopropyl alcohol to the center hub of the new flapper e Before the alcohol evaporates align the center hub of the new flapper with the center hole of the check valve disc While pressing the flapper against the disc use your fingernail to help pull the hub t
266. es with ACGO 1 2 3 4 5 6 3 6 Ensure the vaporizers are turned off Setthe ACGO switch to ACGO Attach the negative low pressure leak test device to the ACGO outlet Collapse the bulb squeeze If the bulb inflates in lt 30 seconds there is a leak Ifthe bulb remains collapsed repeat the check for each vaporizer with the vaporizer turned on When the checks pass tur the vaporizer off Select Pass to go the next check 09 07 1009 0357 000 3 4 2 Quick check 3 4 3 Vent check 3 4 4 Circuit 05 cell check 1009 0357 000 09 07 3 Checkout Procedure The quick check checks that the Bag Vent switch works in Bag position Gas supply pressures are OK Power cord is connected and the mains power is OK e Battery is fully charged e Manual circuit leak is OK e Flow controls operate correctly 1 Occlude the patient Y piece 2 Setthe Bag Vent switch to Bag 3 Setthe ACGO switch to Circle ACGO option only 4 Setthe APL valve to approximately 50 between the 30 and 70 marks 5 Select Start The display shows the checks being run 6 When the checks pass select Next to go to the next check The vent check measures circuit compliance and checks that the Bag Vent switch works in Vent position Ventilator drive gas and O pressure are OK Ventilator circuit leak is OK Ventilator delivers correctly Alarms for ventilator failure or problems do not occur Setthe Bag Vent sw
267. esign The system features electronic gas mixing for up to three gases Optional integrated features include auxiliary 05 suction control and gas monitoring E and M Series respiratory gas module capable The Avance system uses SmartVent ventilation technology offering Volume Control Ventilation with tidal volume compensation Pressure Control Ventilation and electronic PEEP The proven SmartVent also features optional Pressure Support Ventilation with an Apnea Backup PSVPro that is used for spontaneously breathing patients Synchronized Intermittent Mandatory Ventilation SIMV modes Pressure control ventilation volume guarantee PCV VG and VCV cardiac bypass The Avance system is not suitable for use in a MRI environment Configurations available for this product depend on local market and standards requirements Illustrations in this manual may not represent all configurations of the product Figure 1 1 S 5 Avance system 1 3 Avance 1 4 Anesthesia system components AB 91 111 8 lt x O Light switch Dovetail GCX rails Vaporizer Alternate O control System switch Mains indicator Integrated suction optional Brake Oo flush button 10 Advanced breathing system 11 Auxiliary O flow control optional 12 Anesthesia display OMONDAOARWNE Figure 1 2 Front view 1 4 09 07 1009 0357 000 1 Introduction AB 91 029 Out
268. est every month Previous Menu Return to the previous menu DU 4a 13 Avance with DU 4a 5 2 Manifold P Span DU 4a 14 Instructions Manifold P Span menu The Manifold P Span instructions appear when the focus is on Manifold P Span menu item Referto Section 5 4 2 Manifold P Span Read all steps before you start 1 Remove the breathing system the exhalation valve and the metal plate 2 Put 2 plugs in the manifold and the drive gas ports of the vent engine 3 Connect a pressure gauge in line with the manifold pressure transducer 4 Push the ComWheel to continue 5 Select Start Manifold P Span 6 Increase the Flow valve setting until the gauge shows 100 cmH20 T When the gauge shows 100 cmH20 select Save Calibration Menu Item Insp Flow Valve DAC Message text Increase setting until test gauge shows 100 cmH20 approx 1020 counts Then save calibration Values Comments 0 to 4095 Disabled until user selects Start Manifold P Span Start Manifold P Span Start Calibration Increase flow valve setting until test gauge 100 cmH20 approximately 1020 counts Then save calibration Blocking message Connect a supply of the drive gas to continue Blocked when the ventilator drive gas supply pressure would cause a gas supply failure alarm during normal operation Save calibration Save Manifold P Span calibration Previous Menu
269. et Air fitting Body Air DISS Body Air NIST Body Air DIN Body Air G 3 8 BSPP Pipeline inlet assembly Air France service kit Pipeline inlet assembly Air Canada service kit Pipeline inlet assembly Air Australia service kit O ring bore seal 0 and N50 Air Sintered metal filter with o ring Pipeline check valve with o ring Gas Inlet Manifold replacement 05 Air Relief valve 689 758 kPa 100 110 psi Screw M4x20 Lockwasher M4 Transducer pipeline pressure includes cable Stock Number 1006 5149 000 1006 5158 000 1006 5161 000 1006 5170 000 1006 8363 000 1006 8360 000 1006 8396 000 1006 5150 000 1006 5159 000 1006 5162 000 1006 5171 000 1006 8362 000 1006 8359 000 1006 8397 000 1006 5151 000 1006 5160 000 1006 5163 000 1006 5172 000 1006 8361 000 1006 8358 000 1006 8398 000 0210 0479 300 0210 0539 300 1006 8351 000 1505 3273 000 1009 8066 000 1009 8067 000 1009 8068 000 1011 3049 000 0144 2124 218 9213 0540 003 1011 3000 000 09 07 1009 0357 000 10 13 Cylinder Gas Supplies Item 1 1 1 Item 2 3 4 1009 0357 000 09 07 2 3 Description Pin Index DIN Gas supply 0 1006 3201 000 1006 3207 000 Gas supply N50 1006 3225 000 1006 3208 000 Gas supply Air 1006 3203 000 1006 3209 000 Description Cylinder inlets Pin Index or DIN for external cylinder Tee handle beige Spacer gas block 2 Screw M8 x 25 long socket head cap 2 Clamp yoke Label Set cylinder supply O Labe
270. f sensor Spiro Calibration menu Menu Item Comments Sensor Type Adult or Pedi Select Sensor type Adult Dlite or Pedi Pedilite Insp Gain TVinsp Exp Gain TVexp HPDU 4b 18 09 07 1009 0357 000 4b 5 2 User Calibration menu 1009 0357 000 09 07 4b Installation and Service Menus HPDU Menu Item Message text Flow and Pressure Calibrate the flow and pressure sensors Remove flow sensor module to start Replace when Pass or Fail message appears Circuit O2 Cell Calibrate Circuit O2 Cell 21 02 Remove Flow Sensor Module Expose O2 Cell to Room Air Start 2196 calibration May take 3 min 100 02 1 Reconnect flow sensor module 2 Set Bag Vent switch to Vent 3 Select 10096 02 Airway Gas Start Gas Calibration Calibrate CO2 O2 N20 and agent measurements MGAS module must be installed Gas calibration is not available during gas sampling warm up and certain alarms Backlight Test Push ComWheel to test back lights Test every month This test turns off one backlight to test the other light Screen brightness may change during test Previous Menu Return to the previous menu HPDU 4b 19 Avance with HPDU 4b 5 3 Manifold P Span Instructions Manifold P Span menu HPDU 4b 20 The Manifold P Span instructions appear when the focus is on Manifold P Span menu item Referto Section 5 4 2 Manifold P Span
271. flow is not between the 2nd and 5th point in the Inspiratory valve calibration table Possible causes for calibration failure Inspiratory Valve Calibration not complete Perform Calibration Insp Flow Valve not closing completely leaky Replace Insp Flow Valve e Insp Flow Valve not linear Replace Insp Flow Valve 09 07 1009 0357 000 5 4 5 Bleed Resistor Cal Troubleshooting 1009 0357 000 09 07 5 Calibration Calibration setup Leave the Drive Port A and the Manifold Port B on the interface valve plugged Calibration procedure 1 On the Calibration menu select Bleed Resistor 2 Select Start 3 When the testis completed select Previous Menu Bleed Resistor Calibration Failures The Calibration will fail if the e Flow is greater than 50 l min before 105 cmH20 of pressure is reached Table created has a pressure or flow that is greater than or equal to the next flow or pressure point in the table Possible causes for calibration failure e Check Altitude and Drive Gas selection Leaks around the test plugs Drive gas regulator not adjusted stable Check regulator calibration Inspiratory Valve Calibration not complete Perform Calibration Insp Flow Valve not closing completely leaky Replace Insp Flow Valve Insp Flow Valve not linear Replace Insp Flow Valve 5 17 Avance 5 4 6 Paw Span 5 18 Calibration setup 1 2 3 4 5 6 T Leave the Drive port A
272. ftware less than 3 20 or 18 L min Software equal to or greater than 3 20 Before selecting Continue on the next menu Make sure the bellows are fully collapsed before you Occlude the Patient Y Stage2 Step 1 Verify the Bellows Empty Check to make sure bellows is collapsed If Airway pressure increases to or above 30 cm H30 in 5 seconds fail the test with Can not empty bellows If not continue with next step Step 2 Circuit Leak Test Attempt to find the leak of the ventilator mode system Ifthe Leak lt 250 ml is set to No Flow 1 l min 02 until pressure increases to 20 cm H50 If pressure does not increase to 20 cm H30 within in 15 seconds fail with Cannot pressurize circuit If it does reach 20 cm H50 change flow to 250 ml min If aflow of 250 ml min reaches 30 cm H50 or greater display Circuit leak is lessthan 250 ml min and continue to next step If it does not increase flow up to 750 ml min If a flow of 750 ml min that reaches 30 cm H50 continue to next step but indicate the Ventilator circuit leak is between 250 ml min and 750 ml min If the circuit pressure does not increase to 30 cm H20 with 750 ml min flow fail with Ventilator circuit leak is greater than 750 ml min Ifthe Leak lt 250 ml is set to Yes 1009 0357 000 09 07 Flow 1 l min 02 until pressure increases to 20 cm H50 If pressure does not increase to 20 cm H50 within in 15 seconds fail with Cannot pressu
273. g between ACB and VIB 7 68 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting VENT 1 22V FAIL Vent Fail Monitoring Voltage lt 1 074Vdc or Voltage Medium AC Vent 12 5V 10 VA is Only gt 1 367 Vdc Vent OK In Service Software under Vent Interface Bd Power Diagnostics Section 8a 1 6 view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int Bd 10VA Voltage reads OK and 1 22 Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB VENT 6V FAIL Vent Fail Monitoring VSIB 6V out of range lt 6 72 High AC Vent 12 5V 10 VA is Only Vdc or gt 5 28 Vdc Vent OK In Service Software under Vent Interface Bd Power Diagnostics Section 8a 1 6 view the Vent Int Bd 10VA Voltage from Board Supplies If Vent Int Bd 10VA Voltage reads OK and 6 0Vdc reads Fail replace the VIB If Vent Int Bd 10VA Voltage reads Fail and the Vent Int Bd 10VA Voltage from the Anes Cntrl Bd reads OK Check cabling between ACB and VIB VENT ADC VREF FAIL Vent Fail Monitoring VSIB ADC3 200V ref voltage High AC Vent 12 5V 10 VA is Only out of range 3 1
274. gh the absorber 2a Condenser 2b and through a unidirectional valve inspiratory check valve to the patient 3 During inspiration fresh gas flows into the inspiratory limb upstream ofthe inspiratory check valve 4 tJ E WX fi 25 ES mi re S O ES i Hise EU AO ee c EE TUE ES E AB 82 081 Bag Vent switch to Vent Flow to absorber 2a 2b Flow from condenser Flow from absorber 3 Inspiratory flow Figure 2 34 Mechanical inspiration through Condenser with EZchange Canister and Condenser ON 2 36 09 07 1009 0357 000 2 Theory of Operation Mechanical expiration Drive gas flow stops and the exhalation valve opens Exhaled gas flows from the EZchange and patient 4 through a unidirectional valve expiratory check valve and into the bellows condenser 5 Residual drive gas D flows out ofthe bellows to the scavenging system 6 ON If PEEP is selected static pressure on the pilot port of the exhalation valve sets the PEEP level During exhalation fresh gas flows backwards through the Condenser and absorber FG into the expiratory limb downstream of the expiratory check valve For machines that are plumbed to return sample gas to the breathing system the returned gas SGR enters the breathing system after the expiratory check valve AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4
275. guration on the card HPDU 4b 13 Avance with HPDU 4b 4 Service Menu Use the service level password to access the Service menu 26 23 8 Whenever service menu is entered Enter Service dd mmm yyyy hh mm ss is recorded in the Event log Menu Item Message text SW HW versions Scroll through system information Service Log Show error event and alarm histories Calibration Push ComWheel to perform service Calibrations Previous Menu Return to previous menu Service Log Menu Calibration HPDU 4b 14 Total Time Software Release Model Code Machine Serial Number Option Package Option Code Scroll Recent Error History Event History Alarm History Copy Logs Reset Logs Previous Menu Instructions Spiro Calibration User Calibration Manifold P Span Insp Flow Valve Insp Flow Zero Bleed Resistor Paw Span Zero Gas Xducrs Cal Config Mixer P Zero Previous Menu 09 07 1009 0357 000 Ab Installation and Service Menus HPDU 4b 4 1 Software Turn the ComWheel to scroll through the list box Hardware Ver Menu Push the ComWheel to return to the Service menu System Information menu List box text with X Number A B C letter Total Time XXXXX Minutes Software Release XX XX Model Code XXX Machine Serial Number ABCDXXXXX Option Package XXX Options Code XXXXX Anes Software Version XX XX Anes Hardware Version XXXX XXXX XXX
276. h 1009 5924 000 Portuguese 1009 5921 000 Russian 1009 5930 000 Spanish 1009 5920 000 Swedish 1009 6140 000 Turkish 1009 5926 000 10 13 Avance 10 8 High Performance Display Unit HPDU Where Used Not Shown Ground straps keypads 10 14 Speaker 2 Door 2 Rear enclosure 4 Rear enclosure 4 Fan 4 Fan 4 Inverters 4 CPU to plate 4 Connector panel 2 2 1 Mounting plate 10 Item Description HPDU Assembly complete without keypads 1 Enclosure rear HPDU 2 Gasket cover plate 3 Door 4 CPU Board HPDU 5 Battery Lithium 3V positive side up 6 Display DG41 LCD 12 inch color includes backlights T Backlight Kit for DG41 display backlight assembly 2 inverters 2 insulators and hardware Ta Harness inverter Tb Spacer 8mm Nylon Tc Insulator tube 8 Grommet diagonal cut backlight cable 9 Enclosure front 10 Gasket EMC 1 8mm OD hollow RND 2 3 m per enclosure 11 Window 12 Encoder assembly 13 Knob ComWheel 14 Membrane switches right 15 Membrane switches lower 16 Membrane switches left 17 Keypad right side part of keypad set 18 Keypad lower part of keypad set 19 Spacer blank keypad 20 Speaker assembly 8 ohm 21 Connector Panel Assembly with interface boards HPDU 22 Cable ribbon CPU to Display 23 Grommet 24 Fan 12Vdc HPDU 25 Capsule fan filter 26 Filter fan 2T Compact Flash Card
277. hand frame Vent Diagnostics Vent Diagnostics Power Diagnostics Status Gas Diagnostics Vent Flow and Pres sus qd SONS Me positiona breathing circuit switches Vent Diagnostics Gas Inlet Viv ON OFF Vent Flow and Pres shows vent sensor readings Display Diagnostics Flow Valve Control Toggle Circuit Other commands in the menu column let you control ventilator valves and send gas to either the circle or the non circle circuit Special Functions gt Main Menu Software Download Vent Diagnostics Action when selected Status Selecting Status displays the Ventilation Status page Vent Flow and Pres Selecting Vent Flow and Pres displays the Ventilation Flow and Pressure page Gas Inlet Viv ON OFF Selecting Gas Inlet Viv ON OFF toggles the Gas Inlet Valve to the Open or Closed position and sets the right hand screen to the Vent Flow and Pressure Diagnostics page Flow Valve Control Selecting Flow Valve Control sets the right hand screen to the Vent Flow and Pressure Diagnostics page and allows the user to increase or decrease the DAC count to the flow valve using the ComWheel Toggle Circuit Selecting Toggle Circuit toggles between commanding Circle or Non Circle forthe SCGO valve and sets the right hand screen to the Vent Status page does not apply to machines with ACGO gt Main Menu Selecting Main Menu closes the Gas Inlet Valve and the Flow Valve and return to the Main Menu The actions of the Gas Inlet t
278. hardware revision and software revision There is no processor on the M Gas Power Supply Local voltages are produced forthe M Gas and available if a M Gas is installed The M Gas module performs its on POST 09 07 1009 0357 000 1009 0357 000 09 07 2 Theory of Operation Once the DU passes all the CPU tests the DU application is started Part of this application is software that enables the DU CPU to communicate with the M Gas module These applications take longer to start than any other system in the machine When the applications have completely loaded and communication has been established with the ACB all the systems compatibility information is transferred to the DU for comparison with the compatibility table created during the last software download If the compatibility does not match the machine enters the System Malfunction If the On Standby switch is moved to the On position while the machine is in the Off state the circuitry on the Power Controller Board engages the batteries to power the CPU onthe PCB Standard CPU tests are performed and the PCB application starts Once the PCB has passed its CPU tests and the application is running it activates the 12 v circuit to power the DU and the ACB The DU and ACB simultaneously begin powering on The PCB evaluates the battery capacity 2 13 Avance 2 5 Display Unit 2 5 1 Software requirements The Avance anesthesia machine can use one oftwo display units
279. he Flow Valve Control and the Circuit selection are reflected on both the Ventilation Status page and the Ventilation Flow and Pressure page The Gas Inlet Valve must be in the ON position in order for gas to flow DU 8a 18 09 07 1009 0357 000 8a 3 1 Status Vent Diagnostics Status Vent Flow and Pres Gas Inlet Viv ON OFF Flow Valve Control Toggle Circuit Main Menu 1009 0357 000 09 07 Selecting Status brings up the Ventilation Status page Menu Item Gas Inlet Valve Flow Valve Circuit Command Vent Drive Gas ABS Installed Flush Valve 02 Cell Status Bag Vent Switch Circuit Feedback ACGO SCGO Configuration Over Pressure Circuit Gas Inlet Valve Feedback Vent Status Open or Closed Counts Circle or Non Circle Airor 02 Yes or No Not Pressed or Pressed Connected or None Bag or Vent Circle Non Circle or Fault ACGO or SCGO OK or High Pressure Open or Closed 8a Software Download and Diagnostics DU DU 8a 19 Avance with DU 8a 3 2 Vent Flow and selecting Vent Flow and Pres brings up the Ventilation Flow and Pressure Pressure Page Vent Flow and Pressure Diagnostics Vent Diagnostics Menu Item Units Value Units Status Gas Inlet Valve Open or Closed Vent Flow and Pres Gas Inlet Viv ON OFF Flow Valve XXXXX Counts Flow Valve Control ERE Turn ComWheel to adjust flow valve appears when Flow Valve Control set ON Toggle Circuit ia Circuit Command Circ
280. he appropriate test in Section 5 1 2 Test A For primary regulators that supply drive gas to the ventilator Test B For all gases not used to supply drive gas to the ventilator 09 07 1009 0357 000 5 2 05 Flush Regulator 1009 0357 000 09 07 1 2 3 O1 9 5 Calibration Bleed all gas pressure for the machine Section 9 2 Remove the upper rear panel Section 9 3 Remove the O Flush Regulator output tubing Attach a 6 mm tee and a test device to the open port Remove output tubing Attach 6 mm tee and test device Jam nut Adjustment screw Connect an O pipeline supply or slowly open the 0 cylinder valve Push the flush button just enough to achieve a slight flow or open the auxiliary flowmeter if equipped with this option Read the pressure shown on the test device The pressure should be 241 7 kPa 35 1 0 psi If adjustment is required a Loosen the adjustment screw s jam nut b Adjustthe regulator in small steps to the above specification c Tighten the jam nut d Verify the reading Disconnect the pipeline supply or close the cylinder valve Bleed gas pressure by pushing the flush button then disconnect the tee and test device Reattach the output tubing to the regulator 10 Install the rear panel 5 9 Avance 5 3 Adjust Drive Gas Regulator 5 10 The drive gas regulator must be adjusted while maintaining a flow of 15 l min To adjust the flow you mus
281. he backlight in the DG31 display is not compatible with the DG41 display Itis impossible to determine which LCD is installed without disassembling the Display Unit The serial numbers reference below are approximate some machines near the cutoffs may have either the DG31 or the DG41 installed DG31 Backlight Kit Avance serial numbers less than ABNGO0380 DG41 Backlight Kit Avance serial numbers greater than ABNHOO400 To replace the backlights in a DG41 display referto Section 9 6 6 To replace the backlights in a DG31 display continue below The backlight replacement kit fora DG31 display includes a backlight assembly with two backlights and two inverters with mounting hardware To replace the backlight assembly follow the procedure in Section 9 5 4 to gain access to the assembly To replace the inverters follow the procedure in the next section 1 Remove the one screw K that holds the backlight assembly to the LCD 2 Slide the backlight assembly to the left to free it from the retaining tabs and then lift it out of the holder 3 Transfer the grommet H to the new backlight assembly 4 Reassemble in reverse order 9 13 Avance 9 5 6 To replace the Inverters Note When replacing a backlight or a backlight inverter you must replace both inverters and the backlight assembly found in the Backlight Kit 9 14 The Display Unit includes two inverters one for each backlight
282. hen a menu key is selected the menu field overlays the gas flow tubes and the waveform fields start at the right edge of the menu 2 12 10 1 X 4000 oT cmH20 90 Xxxx Xxxx Xioox Xox E 32 10 Xox XXXXXX El X XXXXXXX XXXXXXX XXX x AE Koov knox El E I Sos RUE l min 2 0 0 0 Xoooooxx El X MV MO OA X 9 0 X E x ml TVexp RR 498 18 C XXXX XXX XXXXXX XXXXXX 0 2 o a e ERE C02 5 0 06 XXXXXXX 02 2 Xoooox 02 21 0ff 1 00 Xxxxx Xxx 02 N20 Xxx000 Xox A CN MUS Oe Xxx XXXXXXXX kPa 02 XXXXX XXXX TV RR LE XXXX VA l min ml min cmH20 s we des 8 0 0 iz 100 2 00 500 18 1 2 Xxx E 1 Menu 2 Waveform fields Figure 1 8 Menu view 1 10 09 07 1009 0357 000 1 Introduction 1 7 1 Using menus Push a menu key to display the corresponding menu Use the ComWheel to navigate through the menu XXXX XXX XXXXXX XXXXXX AB 91 007 Menu title Present selection Adjustment window Indicates submenu Short instructions Menu selections gx Or e o Es Figure 1 9 Example menu 1 Pushthe menu key to display the corresponding menu 2 Tum the ComWheel counterclockwise to highlight the next menu item Turn the ComWheel clockwise to highlight the previous menu item 3 Pushthe ComWheel to enter the adjustment window or a submenu 4 Turnthe ComWheel clockwise or counterclockwise to highlight the desired selection 5
283. hin 30 seconds No service action required System Self tests Indicates the Power on tests DU failed failed Look for other entries for clarification Check for other errors in the error logs Compatibility failure Compatibility incomplete etc VALVE CH1 LEAK Indicates the 02 Leak Test Mixer TESTS NOT DONE skipped Can be caused by no 02 supply connected at power up No Service Action Required 1009 0357 000 09 07 1 67 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting VAP MIXER FAN FAIL Cooling fan needs Fan current Medium Mixer Communication service System OK lt 0 09 Amps between Display gt 0 25 Amps Computer ACB and ACB Mixer Connect rear panel fan Replace rear panel fan Replace Mixer if no voltage Vent check stage 1 A message or failure DU failed displayed during the system checkout Checkout failed Check for other errors in the error logs Vent check stage 1 A message or failure DU fails displayed during the system checkout Checkout failed Check for other errors in the error logs Vent check stage 2 A message or failure DU failed displayed during the system checkout Checkout failed Check for other errors in the error logs Vent check stage 2 A message or failure DU fails displayed during the system checkout
284. hine Interface Components ACGO 00 cece eee eee eee 10 28 10 19 Flush Regulator and Flush Valve cece eee eee eee 10 29 10 20 Front panel Alt O2 and system SWitch 0 cc cece eee ence enna 10 30 10 21 Breathing system interface cece eect eens 10 31 xiii Avance xiv 10 22 Breathing System cuss seen ia eee seh edt ee a RR EY 10 32 10 22 CARL Vales cae okay ae ah ba E qr alegre lo rre airs 10 32 10 22 2 Bag Vent Switch cesses mmn 10 33 10 22 3 Absorber canister erer asido patani aA DT a nnn 10 34 10 22 4 Flow Sensor Module 000 c cece eect I 10 35 10 22 5 Breathing Circuit Module 10 36 10 22 6 Exhalation valve ssssssssslsesse II 10 37 10 22 7 BelloWS 5 i544 Ponta ueber b a P RR REDE T PTS 10 38 10 22 8 Bellow b se hiiret eem eter cere emere mme Rated 10 39 10 22 9 Bag Arm oo dass eS eR EUR Una OR OE E 10 40 10 22 10 EZchange Canister system CO Bypass oooooocccccccccccc 10 41 10 22 11 Condensed a a A 10 42 10 22 12 Anesthetic Gas Scavenging System AGSS usuuuuuuuuuu 10 44 10 22 13 Passive AGSS rrera aieo ea A e RAT ares 10 44 10 22 14 Adjustable AGSS ssssssssssssesee n 10 46 10 22 15 Ac Ve AGS cocto eeDU PED RA 10 48 10 22 16 AGSS gauge and sample return s 6 eee ees 10 50 10 22 17 Airway module MGAS components ssslsssseeeseeese 10 51 10 23 Integrated Suction Regulator 0 2 0 cece cece eee nena 1
285. hrough the disc from the other side Replace the cap AER TS i e DI a A Hub Flapper B O ring Lubricate the o ring sparingly with Krytox do not get Krytox on the flapper Insert the flapper assembly into the ACGO outlet with the flapper up 09 07 1009 0357 000 9 17 Replace the APL valve 1009 0357 000 09 07 nN Remove the ABS breathing system The APL valve is held in place with a spring and a retainer A that snaps into a recess in the lower body of the APL valve To release the retainer place an appropriately sized straight blade screwdriver into the housing cutout B Twist the screwdriver to release the retainer Placethe new APL valve into position with the setting indicator facing to the front of the machine Placethe spring into the retainer While holding the APL valve tight to the housing snap the spring and retainer onto the valve body from below Reinstall the ABS breathing system Perform the checkout procedure Section 3 9 Repair Procedures 9 53 Avance 9 18 Replace the bag support arm Note To help prevent the bag arm mounting from loosening current production machines use socket head screws and flat washers to secure the bag arm to the casting instead of Posidriv screws and lockwashers Refer to the parts section for stock numbers Note The adjustment nut is initially set so that 5 mm of exposed threa
286. iagnostics Vent Diagnostics Gas Diagnostics Mixer Service Display Diagnostics Compatibility Table System Download Log CF Card Install Log View Install Errors gt Main Menu Start gas flow Stop gas flow HPDU 8b 16 Selecting Gas Diagnostics on the Special Functions menu brings up the following menu selections in the left hand frame and the instructions in the right hand frame Gas Diagnostics Gas Diagnostics Gas Supplies To troubleshoot a problem with gas supplies or flows select Gas Supplies Then work down through other menu Mixer Tests and Pres selections Mixer Output MEMES To turn on gas flows select Set 02 N20 or Air Flow Set 100 02 Flow Available flows are 0 2 0 5 5 and 10 l min and OFF 0 i MAD Turning ON a different gas will turn OFF any other gas Set Air Flow All gas flows stop if you go back to the Previous Menu Breathing Sys Leak gt Previous Menu Settings 02 flow XXX N20 flow XXX Air flow XXX Selecting any ofthe first four items in the left hand frame brings up the corresponding diagnostic page Press the ComWheel to return focus to the right hand frame to make another selection Selecting one of the three gas flows brings up a page on which you can set one of the following flow values forthe selected gas 0 2 min 0 5 l min 5 0 l min 10 0 1 min OFF Press the ComWheel to start the selected flow Press the ComWheel again to return to the flow page to obser
287. icate Battery still charging If Battery charging with 10 20 minutes available indicate Battery still charging If battery charging with 0 10 minutes available indicate Battery still charging If battery fully charged pass step 09 07 1009 0357 000 1 Troubleshooting 7 12 2 Steps for Stage 1 the Vent Check Step 1 Check to make sure bag vent switch is set correctly e f switch is set to ventilator continue with the next step s fsetto manual mode fail with Wrong Circuit Selected Step 2 Is O Pressure Not Low f O5 Supply is Not low and mixer passes it s 3 L test continue to next step e f not fail with Low Os supply pressure or with mixer failure Step 3 Make sure ventilator has drive gas pressure e f drive gas pressure continue with the next step f no drive gas pressure fail with Ventilator has no drive gas s fallofthesteps above pass the ventilator will be commanded to flow 12 L min Depending on the software you have a 10 second delay may be in place before the next menu is displayed Either way before selecting Continue on the next menu Make sure the bellows are fully collapsed before you Occlude the Patient Y Stage 2 Step 1 Checkto make sure bellows are collapsed f Airway pressure increases to or above 30 cm H50 in 5 seconds fail the test with Can not empty bellows e f not continue with next step Step 2 Attempt to find the leak of the ventilator mode s
288. ighten the screws until they are all in place s Attach the new manifold to the right hand extrusion E e Attach the vertical support to the vaporizer manifold D s Attach the bottom of the vertical support to the horizontal bracket C e Attach the vertical support to the front bezel B 10 Tighten the mounting screws in the following order E D C B 11 Reassemble the machine 12 Perform the checkout procedure Section 3 9 49 Avance 4 15 Replace ACGO selector switch Removal 1 Remove the tabletop Section 9 4 2 Clip the tie wraps 1 from the outlet barb fittings at the side of the switch 3 3 Disconnectthe fresh gas 2 and flush 3 tubes at the back of the switch 4 Disconnectthe wires from the ACGO mode microswitch 4 atthe back ofthe selector switch 5 Disconnectthe wires from the flush pressure switch 5 on top of the selector switch 6 Setthe ACGO selector switch to ABS T Backoutthe selector switch mounting screws 6 until the tips are flush with the face ofthe mounting casting 8 While pushingthe selector knob toward the machine and holding it steady push the valve body toward the knob and rotate it counterclockwise to separate the valve body from the knob assembly 9 Remove the knob assembly and protective shroud from the machine 10 Remove the valve from the silicone output tubes Replacement 1 Remove the knob assembly from the valve body 2 Backoutthe sele
289. incorrect state Fail Selector valve leaks Fail Proportional valve leaks 02 Flow Test Pass Not done No supply pressure Not done Selector valve incorrect state Fail 3 LPM test failed Fail 10 LPM test failed Balance Flow Test Pass Not done No supply pressure Not done Selector valve incorrect state Fail 3 LPM test failed Fail 10 LPM test failed 12 21 Avance 12 8 6 Gas Delivery Subsystem Perform Mixer Checkout Tests Selecting Perform Mixer Checkout Tests brings up the following screen This screen includes and automatic and a manual leak test of the Mixer s balance gas inlet check valves EE Perio Weer Terie dlls Checho Lick Test did Balsas Chem ob Loa Fon im Automatic The BalGas Check Valve Leak Test Auto does not require disassembly of the system It is a sensitive test that will Pass check valve that have leak rates within specifications however it may Fail some Mixers with marginal but acceptable leak rates s Mixers that Pass the auto leak test do not require further testing and can be left in service s Mixers that Fail the auto leak test should be further tested using the manual leak test Manual The BalGas Check Valve Leak Test Manual requires disassembly of the system Mixers that Pass the manual leak test have acceptable leak rates and can be left in service Mixers that Fail the manual leak test should be replaced Automatic leak test 1 Connect an O supply 2 Select Start Te
290. ing 37 69 ID 44 75 OD 3 53 W SIL 50 DURO 12 O ring 50 39 ID 57 45 OD 3 53 W SIL 50 DURO 13 O ring OD30 ID 22 4W SIL 40 DURO 14 Valve Housing Assembly Bypass 15 Screw Thumb M4 Shoulder 7 5 X 7 16 Ring Retaining 3 96 Shaft DIA SST 17 Cradle Canister 18 Screw M4x10 CSK SKT HD SSTTYPE 316 19 Spacer Shoulder 6 8 DIA x4 1 L 20 Support Cradle Pivot 21 Screw M4x8 Sems BT SKT HD SST 316 Apply Loctite 242 Lubricate sparingly with Krytox Rubber valve seats can not be removed from assembly Item 14 LS M 10 Illustrated Parts AB 82 055 Stock Number 1407 7021 000 1407 3123 000 1407 3113 000 0142 4254 106 1407 3142 000 1407 3130 000 1407 3116 000 1407 3117 000 1407 3915 000 1407 3115 000 1407 3121 000 1407 3129 000 1407 3143 000 1407 3104 000 1407 3126 000 1407 3410 000 1407 3411 000 1407 3118 000 0140 6226 119 1407 3120 000 1407 3119 000 0144 2436 108 Qty Q Q Q Q Avance 10 22 11 Condenser 10 42 Item Description Condenser assembly includes all Items Condenser module Items 1 through 16 Condenser Items 17 through 26 Cover Bypass Manifold Manifold Condenser Screw PT PAN PH M3X8 SST 4 O ring 63 09 ID 70 15 OD 5 Lever Canister Latch 6 Screw M3x0 5 Shoulder 4 DIA X 4 L SST 7 O ring 12 37 ID 17 6 OD 8 O ring 37 69 ID 44 75 OD g O ring 50 39 ID 57 45 OD 10 O ring 22 ID 30 OD 11 Cap Valve Housing 12 Screw Thumb M4 Shoulder 7 5 X
291. ing replacement 1009 0357 000 09 07 1 Detach the EZchange module from the machine 2 Remove the two M3 screws A that hold the module cover B setthe cover aside 3 Remove the two M3 shoulder screws C that fasten the canister latch lever D 4 Remove the latch lever the switch actuator lever E and the spring discard the spring 5 Placethe new spring on the module as shown below Position the switch actuator lever overthe spring Ensure the spring hooks are fully engaged into the posts on the manifold and the actuating lever 6 Clean any residual Loctite debris from the M3 shoulder screws removed in Step 3 T Placethe canister latch lever in position Apply Loctite 242 to the threads of the two M3 shoulder screw threads and secure the canister latch level 8 Checkthe switch actuator leverto ensure free movement If sticking is observed loosen the M3 shoulder screw approximately 1 8 of a tum until free movement of the switch actuator lever is observed 9 Install the module cover 10 Install the EZchange module 11 Verify thatthe following message appears on the screen when the absorber canister is released e No CO2 absorption for Aespire machines s CO2 Absorber Out of Circuit for Avance and Aisys machines 12 Perform the Preoperative Checkout Procedure refer to the User s Reference manual Avance 9 25 Replace casters A WARNING N CAUTION N CA
292. inspiratory check valve e The expiratory flow sensor is located at the input to the breathin system expiratory check valve For System software prior to 5 0 Feedback from the inspiratory transducer is used to supply tidal volumes that make allowances for the effects of fresh gas flow and circuit compressibility Feedback from the expiratory flow sensor is used to supply signals for expiratory tidal volume monitoring and the breath rate For System software 5 0 or greater Feedback from both the inspiratory and expiratory transducers is used to supply tidal volumes that make allowances for the effects of fresh gas flow and circuit compressibility supply signals for expiratory tidal volume monitoring and the breath rate Expiratory Gas Monitor Flow Sensor Inspiratory Flow Sensor Exp Flow Trans Qq Insp FlowTrans Figure 2 52 Flow sensors 2 51 Notes 2 52 09 07 1009 0357 000 In this section AA WARNINGS 1009 0357 000 09 07 3 Checkout Procedure 3 lInspectthiesystem nci eai e A An 3 2 3 2 System checkout for System software 3 X or greater 2 6 kee eee eee ees 3 2 3 2 1Eeak 250 ml it ad TRE dans 3 2 3 2 2 Machine Check tere ett ene Post PY dti qo a ATE Rs 3 3 3 2 3 Machine Check System Ventilator CircuitTesting o oo 3 3 3 2 4 Machine Check Circuit Bag Circuit Testing sse 3 3 3 2 5
293. inue with the next step Step 5 Run mixer tests on the O channel check supply and run a 3L 10L and leak test 1009 0357 000 09 07 If O5 pressure is low fail with Low 0 Supply pressure If mixer does notfail the 3L 10L and the leak test continue with the next step If mixer fails the 3L 10L or the leak test fail with the mixer failure 7 73 Avance 7 74 Step 6 Run mixertests on the Air channel check supply and run a 3L 10L and leak test If O is drive gas and air supply is low continue with next step and indicate Could not test air If Airis the drive gas and air supply is low continue with next step and indicate Ventilator has not drive gas If mixer does notfail the 3L 10L and the leak test continue with the next step If mixer fails the 3L 10L or the leak test fail with the mixer failure Step 7 Run mixer tests on the N50 channel check supply and run a 3L 10L and leak test If N50 is disabled continue with next step If N50 supply is low continue with next step and indicate Could not test N50 If mixer does not fail the 3L 10L and the leak test continue with the next step If mixer fails the 3L 10L or the leak test fail with the mixer failure Step 8 Are the AC Mains connected and the battery charged If AC Mains failed indicate Power cord disconnected Using battery If Battery failed indicate Battery failure If Battery charging with 20 30 minutes available ind
294. ion 12 5 1 File Preferences Selections on this screen affect the format of applicable values displayed on several of the diagnostic screens Unit Selection Label Gas Supply Pressure kPa psi bar Airway Pressure Units cmH20 kPa hPa mmHg mbar Temperature Units Celsius Fahrenheit Gas Color Code ANSI ISO Serial Port Selection Ifthe COM1 portis in use by another application use the COM Port drop down list on the Serial Port Selection screen to select an alternate COM port to use with the Service Application Port Selection COM Port COM1 12 8 09 07 1009 0357 000 12 6 Tools menu 12 Service Application The Tools menu includes the following menu items s Communication Status Section 12 6 1 e System Calibration Section 12 6 2 e Transfer Logs Section 12 6 3 12 6 1 Tools Communication Status 1009 0357 000 09 07 Communications Status Label Anesthesia Control Board Mixer Board Ventilator Interface Board Power Controller Board Controls Front Panel Board Gas Module MGas Link Status Value OK Fail OK Fail OK Fail OK Fail OK Fail OK Fail not detected No Link 12 9 Avance 12 6 2 Tools System Calibrations The System Calibrations screen displays the most recent date that the system passed a User or Service calibration ortest 12 10 09 07 1009 0357 000 12 Service Application 12 6 3 Tools Transfe
295. ion of software component on the system a Notice appears on the screen that asks you to confirm the downgrade Download All will download all compatible software from the card to the system without issuing a notice that newer version of software component may be on the system Download process The PCMCIA card includes only the latest software for each subsystem along with the diagnostic application As each subsystem software segment is being downloaded the following status messages note the state of each subsystem and the result of the download Busy System is running its application code not ready for download Ready System is in its boot code ready for download CRCtest System is analyzing the download CRC Loading System is accepting download data Done Software download has completed successfully Fail Software download did not complete successfully A Fail message will require reloading of the software or repair of the system may be necessary Skipped Software download was bypassed Linked System is communicating but status is not yet known Not Compatible The software version on the PCMCIA card is not compatible with the subsystem If the subsystem is communicating but the HW Rev or current SW Rev are not known the message Unknown will appear underthe columns forthose values If the HW Rev or current SW Rev are not known the download function will still be available A
296. is in standby and Medium PC the battery charge current is gt 4 0 amps or The system is powered on with a battery current gt 1 7 amps Check the battery charge circuit in Service Software Replace Battery BATTERY EMPTY System shutdown in Available battery power is High PC ACMains Power Failure in progress Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery 1009 0357 000 09 07 1 49 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting BATTERY FAIL No Battery Backup Battery voltage 10 5 V Medium PC or While in bulk over or float charging battery is lt 10 5VDC or Battery has been bulk charging for gt 12 h in Standby or 24 h while powered on or Voltage gt 16 5V during bulk or over charging and normal current gt 0 25 Amps Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BATTERY LOW Plug in power cable Available battery power Medium PC Mains AC Mains Power On battery decreases to between 20 and Failure in progress 30 min Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BATTERY MISSING No batter
297. isconnectthe blue and yellow inline tubing fittings from the Expiratory pressure transducer B Disconnectthe white inline tube fitting from the Manifold pressure transducer and the black inline tube fitting from the Airway pressure transducer C Disconnectthe harness from the Filter board D Disconnect the harness from the Pan Connector board E Remove the four mounting screws one at each corner that hold the board to the enclosure To replace the Ventilator Interface board reassemble in reverse order Ensure that the tubing fittings are connected to like color fittings and that the tubing will not kink when the cover is replaced s Transfer the grommets to the Manifold and Airway pressure tubing F Load Software Perform User Calibrations Section 4a 5 1 or Section 4b 5 2 10 Perform all Ventilator Calibrations Section 5 4 09 07 1009 0357 000 9 9 3 Filter board 1009 0357 000 09 07 9 Repair Procedures Before replacing the Filter board you must apply an EMI gasket around the edges of the board that face the enclosure Refer to section Section 10 10 for required parts You can replace the Filter board without removing the enclosure cover if you do not have to remove cover for other reasons 1 Cutthe gasket pieces to length and apply them to the board as shown Do not block the mounting holes Keep the corner gaps to a minimum 2 Disconnect all cables and harness
298. it then set the AC Inlet power switch and the system switch to On The application will load and display the Main Menu along with the System Information page The Main Menu appears on the left hand side of the screen and includes the following selections as shown in the table below Software Download Access to the Software Download function Special Functions Access to diagnostics and logs from the Display Unit You cannot return to the Special Functions section after entering the Software Download section You must reboot the system to exit Software Download The System Information page appears on the right hand side of the screen and displays the following system information as shown in the table below Avance System Information Currently Installed Subsystem HW Rev Serial SW Ver BootVer Front Panel Cntl n a n a XX XX XXbXX Power Controller XXXX A XX ABCXXXXX XX XX XXbXX Electronic Mixer XXXX A XX ABCXXXXX XX XX XXbXX Vent Intface Bd XXXX A XX ABCXXXXX XX XX XXbXX Anes Control Bd XXXX A XX ABCXXXXX XX XX XX XX Dsply Unit BIOS XXXX XX XX ABCXXXXX XX XX n a Dsply Unit App XXX XX XX ABCXXXXX XX XX n a 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU 8b 2 Software Download Selecting Software Download bring up the Software Download menu Software Download Remarks Download New Downloads only new software versions not found on the system and compatible with installed subsystem hardware Down
299. itch to Vent Open the patient Y piece Setthe ACGO switch to Circle ACGO option only Select Start The display shows time remaining for check Qr T O O cp When check passes follow the instructions on the display 6 Makesure the bellows is collapsed 7 Occlude the patient Y piece 8 Select Continue The display shows the checks being run 9 When the checks pass the circuit compliance is displayed 10 Select Next to go to the next check The circuit O cell check measures the 05 1 Unplugthe patient Y piece 2 Setthe Bag Vent switch to Vent 3 Setthe ACGO switch to Circle ACGO option only 4 The display will show the 05 5 Select Exit when measured 0 is stable O cell calibration is recommended if displayed value is less than 21 3 7 Avance 3 5 Bellows drop test 1 End a case Setthe Bag Vent switch to Vent Occlude the patient Y piece Push the 02 Flush button until the bellows is full a A Co N Afterthe initial drop if the bellows falls more than 100 ml min ithas a leak 3 6 Backlight test Push the Main Menu key Select Calibration Select Backlight Test Select Start Test gu 19 d ES The display will show the test running on light 1 and then on light 2 If the display goes completely blank or flickers during the test one of the lights has failed 3 7 Vaporizer back pressure test WARNING Anesthetic agent comes out of the circuit during this test Use a
300. ition that surrounds the MGAS enclosure and MGAS power supply 1 Remove the rear panel Section 9 3 1 2 Remove the MGAS Airway module 3 Remove the MGAS module guide three screws from outside of machine two screws at MGAS power supply box inside machine Section 10 22 17 4 Remove the Display Unit Section 9 5 1 5 From the front of the machine remove the 11 screws that hold the oxygen partition to the front bezel Do not remove the two screw X that hold the front bezel to the vertical support of the vaporizer manifold When replacing the partition position it over the two locator pins P at the top of the bezel opening 6 Remove the foam plug from under the pan 7 Replace the cables as necessary 8 When replacing the partition ensure that cable are positioned in their respective retaining grooves and that they are long enough to reach the connectors without stressing the cable Be careful not to pinch the task light harness 9 Reassemble in reverse order 9 25 Avance 9 8 Servicing the lower electrical enclosure components The lower electrical enclosure includes the following components Section 10 9 e the Power Controller board the Anesthesia Control board s the Display Connector board e the backup batteries and the lower enclosure fan To replace these components remove the large access panel atthe rear of the machine Section 9 3 To replace the Display Connector board also remove the sma
301. its setting is at the fully off position Turn the mode selector switch to ON Observe the suction gauge the needle should not move 09 07 1009 0357 000 6 Installation and Maintenance 6 10 Battery capacity test Test procedure Note On machines with an HPDU and System Software 5 X you can also access the Power Board Diagnostics data Section 12 7 1 with the PC Service Application 1009 0357 000 09 07 Although replacement of the backup batteries is recommended atthe end of 4 years batteries that pass the capacity test can be considered viable for battery backup of the system for up to 6 years atthe discretion of the hospital Before testing the batteries ensure that they are fully charged 1 Tum the system on and start a case simulated 2 Tum off the mains system breaker on the AC Inlet 3 Allowthe system to run on battery until it does an orderly shutdown and powers off can be in excess of 90 minutes 4 Setthe system switch to Standby and turn on the mains system breaker 5 Startup the system with the appropriate Software Download card and access Page 1 ofthe Power Controller Diagnostics function DU Section 8a 1 3 HPDU Section 8b 3 2 Power Diagnostics Special Functions Power Control Power Diagnostics Power Controller 6 Page 1 ofthe Power Control Power Diagnostics screen shows the Date battery Tested the date of the last full discharge and the Last Full Disch
302. ivs SCGO 12 5V 10VA Module Power Suppl Ld External Expansion Periph 1 AB 91 064 Accessory Light Alt 02 Valve Figure 2 14 Power distribution original 2 8 09 07 1009 0357 000 Power Supply AC Mains 22V to 31V battery voltage 24W Power Controller Board 12 5V switched bus voltage 1 5Vdc 12V fan1 12V fan2 8381 04 sng payoyms AG ZT Display Connector Board 12 5V switched bus voltage 5V Step Dwn 53w 3 3V Step Dwn Anesthesia Control Board ADC Ref 12 5V 10VA External Expansion Periph 1 2 Theory of Operation High Performance Display Unit CPU Board AUDIO 5V BACKLIGHT 12 5V DIGITAL 3 3V Current Limiter LCD3 3V O NN 1 Mixer Board I Module Power Supply Board MGAS petal I 2 5V ADC ref 6V Step Dwn 5V LDO 5 5Vdc 1 16V Boost 15 Vdd LDO H 3 3V CPU 1 15V LDO 14 5W 7 17V Flyback 15VLDO Gas Selector Valves 1 1 1 eee mo mo moa eee ee ee i i Sk mm Ventilator Interface 1 22V Pan Connector Board I Light Vent Vivs SCGO LO Ejea Y t L DS or 1 O2 RICH 10VA Figure 2 15 Power distribution with U Frame Power Supply and an HPDU 1009 0357 000 09 07 AB 91 019 2 9 Avance 2 4 System communications RS 422 serial communication is used between the two main processors Display Unit and Anesthesia Computer and the subsystem processors Va
303. k regulator calibration Insp Flow Valve not linear Replace Insp Flow Valve 09 07 1009 0357 000 1009 0357 000 09 07 Troubleshooting 5 Calibration Stage 2 Calibration Failures The Calibration will fail ifthe Flow valve DAC reaches 4095 before determining the Lift Off Point s Previously found DAC value is to the current DAC value while finding points T through 24 s Previously recorded flow for a previous DAC is gt the previous flow for a previous DAC End point DAC of 4095 does not give a flow gt 100 l min Possible causes for calibration failure Check Altitude and Drive Gas selection e Leaks around the test plug or Calibration Flow Orifice e Leaks in Vent Engine Interface Manifold Inspect for leaks Inadequate drive gas supply cannot deliver gt 100 l min Drive gas regulator not adjusted stable Check regulator calibration Insp Flow Valve not linear Replace Insp Flow Valve 5 15 Avance 5 16 5 4 4 Insp Flow Zero Le Troubleshooting Calibration setup 1 Remove the Calibration Orifice from the Manifold port 2 Plugthe Manifold B port 3 Leave the Drive Gas A port plugged Calibration procedure 1 Onthe Calibration menu select Insp Flow Zero 2 Select Start 3 Select Previous Menu Insp Flow Zero Calibration Failures The Calibration will fail if the Inspiratory Valve Calibration stage 1 and stage 2 has not been performed Corresponding
304. k test Selecting BalGas Leak Test brings up the Service Instructions page for the manual mixer leak test Service Instructions Start Test This will perform a Manual Leak Test gt Previous Menu ofthe Balance Gas Check Valve Select Start Test to perform the manual leak test as follows Selecting Start Test brings up the manual leak test setup instructions Service command Start Test Service Instructions gt Previous Menu This will perform a Manual Leak Test 1 Disconnect Oxygen and Bal Gas Supplies 2 Remove rear cover Avance or dashboard Aisys 3 Disconnect mixer outlet tube MIXER VAP IN at the inlet to the vaporizer manifold Avance or Electronic Vaporizer Aisys and plug the Mixer outlet 1 4 Legris Disconnect the Mixer Alt O2 inlet tube at the On Standby switch SW4 ALT O2 IN Connect a pressurization device with gauge to the Mixer Alt 02 inlet tubing Minimize the tubing length as additional volumes will affect the leak rate Push ComWheel to Start Test Service Instructions 1 Slowly pressurize the Mixer to 400 mmHg over a 5 second period as read on the test device 2 The Pressure shown on the test gauge should not decay to ambient zero in less than 10 seconds 3 Select End Test when done Push ComWheel to End Test Service Instructions 1 Remove all test fixtures 2 Remove plugs and reconnect all tubing disconnected atthe start of this test 3 Re
305. kwise increase The ball should rise immediately after rotation is begun It should rise smoothly and steadily with continued counterclockwise rotation When a desired flow is set the ball should maintain in a steady position 5 Rotate the flow control clockwise to minimum flow 6 Press the Alternate O switch to turn off Alternate O flow confirm yes Note To check flow accuracy be sure that the flow test device is capable of measuring 0 15 l min with an accuracy of 2 of reading To perform the test you must gain access to the mixer outlet tubing which is connected to the inlet of the vaporizer manifold 1 Remove the rear cover 2 Disconnectthe mixer outlet tube at the inlet to the vaporizer manifold 3 Connect a flowmeter to mixer outlet tubing 4 Press the Alternate O switch to turn on Alternate O flow 5 Adjustthe flowmeter so the center of the ball aligns with the selected test point observe that the ball maintains a steady position for 10 seconds 6 Thetest device reading should be between the limits shown for each of the selected settings in the table below Flow Tester Reading Flowmeter Setting Lower Limit Upper Limit L min l min I min minimum valve fully closed 0 5 0 7 1 0 5 1 5 3 2 5 3 5 5 4 5 5 5 10 9 0 11 0 maximum valve fully open 10 0 13 0 T Rotate the flow control clockwise to minimum flow 8 Close the O cylinder valve or disconnect the O pipeline 9 Remove the test device
306. l Set cylinder supply N20 Label Set cylinder supply Air Screw M6x25 socket head cap 3 per supply Lockwasher for above screw Internal MG Transducer cylinder pressure includes cable Refer to Section 9 13 for replacement procedure 10 Illustrated Parts DIN Large Cylinder 1006 3880 000 1006 3881 000 Stock Number Referto section 10 13 1 0219 3372 600 1001 4077 000 9211 0680 253 1001 4076 000 1006 3854 000 1006 3855 000 1006 3856 000 9211 0660 254 0144 1118 130 1011 3001 000 10 21 Avance 10 13 1 Cylinder inlet fittings 1 Pin Index Item la 1b 1c 1d 1e 2a 2b 2c 2d 2e 2f 28 2h 10 22 1e Description Cylinder inlets Pin Index Gasket O ring Adapter inlet Filter sintered bronze Retaining ring filter Cylinder inlets DIN Screw M8x16 Sealing ring DIN DIN Adapter 02 DIN Adapter N40 DIN Adapter Air O ring 0 687 ID 0 812 OD Filter sintered bronze 2 DIN external cylinder 0210 5022 300 9221 3013 116 1001 4075 000 9914 6380 000 1001 5954 000 0144 2140 242 1009 3356 000 1006 4000 000 1006 4001 000 1006 4002 000 0210 0544 300 9914 6380 000 Sealing ring N20 DIN Conn 11 1202 3641 000 Adapter large cylinder N50 Adapter large cylinder O 1006 4028 000 1006 4027 000 Lubricate sparingly with Krytox 09 07 1009 0357 000 10 Illustrated Parts 10 14 Vaporizer manifol
307. l it remains collapsed an Aa Co N Ifthe bulb inflates in less than 30 seconds locate and correct the leak 1 16 09 07 1009 0357 000 7 Troubleshooting Test2 Low pressure leak testing the machine 1 Remove the breathing system from the machine 2 Attach the Machine Test Tool using only the Thru Port and the low pressure leak test device to Port 3 of the breathing system interface as shown above Note To prevent damage to the airway pressure transducer ensure that the gauge port Port 1 is not connected to the Test Tool 3 On the Main Menu of the Service Application select Vent Diagnostics 4 On the Vent Diagnostics page select Status Ensure that the Circuit Setting shows Circle If not select Toggle Circuit in the Vent Diagnostics menu selections For machines with an ACGO outlet ensure that the ACGO selector switch is set to the ABS circle breathing circuit 5 Turn off all vaporizers 6 Compress and release the bulb until it is empty 7 Ifthe bulb completely inflates in 30 seconds or less there is a leak in the low pressure circuit 1009 0357 000 09 07 7 17 Avance Test3 Testing the airway pressure transducer and Port 1 and Port 3 u cup seals Alignment Post Onthe Main Menu of the Service Application select Gas Diagnostics Onthe Gas Diagnostics page select 02 Flow Set O Flow to 0 2 l min a N e Attach the Machine Test Tool to the breathing system interfac
308. l through newest entries Error History Show error history Event History Show event history Alarm History Show alarm history Copy Logs Copy logs to PCMCIA card Takes about 1 minute Reset Logs Erase Error and Alarm log entries Previous Menu Return to previous menu Each history log shows at the top of the screen the total Running Hours and the date when the logs were last reset The running hours number is the same number as the operating hours shown on the system status page during normal operation Whenever logs are reset Reset Logs dd MMM yyy hh mm ss is recorded in the Event log If the logs are saved to a memory card the machine s serial number is saved along with the current contents of the logs and the date and time The Error History log lists the last 200 errors logged since the last log reset starting with the most recent The system stores the last 1 000 errors logged since the last log reset The Event History log records the service history of the device This includes service calibrations entry into the service mode options enabled and software installation In the event of a board replacement it is understood thatthis log like all others could be lost The Event History menu lists the last 200 events logged starting with the most recent The Event History log stores the last 1000 events The Event History log cannot be reset The Alarm History log lists the last 2
309. lace the ACB ACB ADC FAIL Cannot monitor gas ADC timeout on any MUX Low AC supplies channel Reboot System If problem continues replace the ACB ACB CLOCK SPEED System Malfunction AC clock frequency is High AC gt 1 1 expected value or 0 9 expected value AC clock frequency incorrect Reboot System If problem continues replace the ACB ACB COM FAIL System Malfunction After establishing initial High DC communication the DC does not receive any messages from AC in 10 sec Reboot System If problem continues replace the ACB ACB CPU TEST FAIL System Malfunction CPU instruction Test Failure High AC Reboot System If problem continues replace the ACB ACB DCB COM FAIL System Malfunction The Anesthesia Computer High AC Initial communications receives no system state established messages from the Display Computer for 10 seconds Reboot System If problem continues check the ACB to Mixer communication LED s or VIB communication LED s If the RCV and XMT or TXD and RXD LED s indicate activity check DU cable connections replace Display Controller PCB if problem continues If the RCV and XMT or TXD and RXD LED s indicate no activity check the Anesthesia Control board connection replace the Anesthesia Control board if problem continues 7 46 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Sou
310. lation Valve 3 5 cm H20 bias 2 0 cm H20 bias LPM Drive Gas 10 LPM Patient a 0 20 LPM Total Typi piratory Flow Control Valve Negative H relief va 200 mt Reservoir i Control Bleed to Ambient i i Gas Inlet 1 0 LPM 3 0 cm H20 if continuous rate dependent Figure 2 48 Exhalation valve 09 07 1009 0357 000 2 Theory of Operation 2 13 7 Mechanical The Mechanical Overpressure Valve MOPV is a mechanical valve 14 that operates Overpressure Valve regardless of electrical power It functions as a third level of redundancy to the ventilator s pressure limit control functions supplying pressure relief at approximately 110 cm H50 FreeBreathing check valve Mechanical Overpressure j Valve 110 cm H20 i3 E Inspiratory Flow Control Valve Nm psi Y Gas Inlet ein Valve Figure 2 49 Mechanical overpressure valve 2 13 8 Reservoir The reservoir 15 is a 200 ml chamber that dampens the manifold pilot pressure and bleed resistor pulses to the exhalation valve The bleed resistor 16 is a controlled leak from 0 to 12 l min in response to circuit pressures from O to 100 cm H50 The small quantity of pneumatic flow exhausting through the bleed resistor permits control of the exhalation valve s pilot pressure by modulation of the valve output The bleed resistor exhausts only clean drive gas and mu
311. lay 6 When the check passes the system will transition to the next step 3 3 Avance 3 2 5 Machine Check The Machine Check Circuit 02 check measures the 05 Circuit 02 1 Open the patient Y 2 Setthe Bag Vent switch to Vent 3 ACGO option only Set the ACGO switch to Circle 4 The display will show the 05 Do not select Done when 21 is first displayed Allow the reading to stabilize then select Done Calibrate the O cell if necessary measured reading outside 21 x 396 3 3 Individual Checks for System software 3 X or greater Individual checks allow you to perform any combination of single checks These checks are helpful if there is a specific problem alarm and you want to test only that portion of the system The checks do not automatically move on to the next check 3 3 1 System The System check checks the Bag Vent switch proper gas supply pressures ventilator operation and leak battery and electrical power circuit compliance flow control operation and vaporizer operation This is a two step check 1 2 3 4 fo o NO A 3 4 Setthe Bag Vent switch to Vent Open the patient Y ACGO option only Setthe ACGO switch to Circle Select Start The display shows the checks being run The results are shown on the display Make sure the bellows is fully collapsed Occlude the patient Y Select Continue The display shows the checks being run When the check passes select Back Select ano
312. le Name Serial Power Controll Avance DUA Software Level File Name Dsply Unit App Avance DUB Stock Number RevX Software Level File Name Serial Dsply Unit BIO Avance DUF Software Level File Name Dsply Unit Fla DU 8a 24 09 07 1009 0357 000 8a Software Download and Diagnostics DU 8a 6 Software Download Selecting Software Download bring up the following information page F ENTERING SOFTWARE DOWNLOAD MODE Power Diagnostics Gas Diagnostics To return to Diagnostics turn On Standby switch to Standby and turn off AC mains switch in rear Vent Diagnostics Wait 20 seconds then turn on power with the AC mains switch and the On Standby switch Display Diagnostics Special Functions Press ComWheel to continue with Download Software Download Note You can not return to the Diagnostic section of the service application after entering the software download section You must reboot the system to exit Software Download Entering software download brings up the Software Download menu Software Download Remarks Download All Downloads all software subsystems Download New Downloads only new software versions not found on the system and compatible with installed subsystem hardware Since downloading all the subsystem software can take an hour or more you should normally choose Download New to install only the updated subsystem software or software required fo
313. le or Non Circle Inspiratory Flow l min Counts Expiratory Flow I min Counts Airway Pressure cmH20 Counts Manifold Pressure cmH20 Counts 02 Cell Counts ADC Ref Voltage Flow Valve Setting Counts Flow Valve Feedback Counts Flow Valve Current Counts DU 8a 20 09 07 1009 0357 000 8a Software Download and Diagnostics DU 8a 4 Display Diagnostics The service application provides several pages for display diagnostics Selecting Display Diagnostics on the Main Menu brings up the following menu selections in the left hand frame Power Diagnostics Gas Diagnostics Vent Diagnostics Display Diagnostics Special Functions Software Download 1009 0357 000 09 07 Display Diagnostics Test LEDs Test Speaker Test Backlight 1 Test Backlight 2 Test Keys gt Main Menu Display Diagnostics Test LEDs Test Speaker Test Backlight 1 Test Backlight 2 Test Keys Main Menu Display Diagnostics Instructions Select a menu item To troubleshoot a display problem start with Test LEDs and work forward Action when selected Selecting Test LEDs causes the red and yellow LEDS nextto the Silence Alarms key to flash for 10 seconds Selecting Test Speaker causes the speaker to sound for 5 seconds Selecting Test Backlight 1 turns backlight 2 off for 10 seconds If screen goes black during test a backlight is out Selecting Test Backlight 2 turns backlight 1 off for 10 seconds If screen goe
314. let circuit breaker Isolated electrical outlet optional Cable access door Vacuum connection Collection bottle connection Cylinder yoke AGSS Anesthesia Gas Scavenging System Equipotential stud Mains inlet 10 System circuit breaker 11 Pipeline connections O COUN GP OF d 9 M Et Figure 1 3 Rear view 1009 0357 000 09 07 1 5 Avance 1 5 Breathing system components 1 Expiratory check valve 9 Manual bag port 2 Inspiratory check valve 10 Adjustable pressure limiting APL valve 3 Inspiratory flow sensor 11 Bag Vent switch 4 Expiratory flow sensor 12 Bellows assembly 5 Absorber canister 13 Sample gas return port 6 Absorber canister release 14 AGSS indicator only present on some AGSS versions T Leak test plug 15 Airway module optional 8 Breathing system release Figure 1 4 Breathing system 1 6 09 07 1009 0357 000 1 Introduction 1 5 1 Optional ABS components n AB 91 109 AB 82 043 Bag support arm Auxiliary Common Gas Outlet ACGO switch ACGO port Airway module EZchange Canister system CO Bypass EZchange Canister release Condenser drain button Condenser Qo c CU d ONO a Figure 1 5 Breathing system options 1009 0357 000 09 07 1 7 Avance 1 6 Display controls 1 Silence Alarms key 2 Menu keys 3 ComWheel 4 Normal Screen key 5 Quick keys HPDU only 6 Timerkeys T
315. lever is fully depressed 9 Replace the bag arm cover 1009 0357 000 09 07 9 57 Avance 9 19 Replace system switch assembly 1 Bleed all gas pressure from the machine Section 9 2 2 Ensure that all cylinder and pipeline pressures read zero before proceeding 3 Remove the tabletop Section 9 4 4 Remove the gauge panel mounting screws and move the panel forward to access the system switch System Switch electrical Ss Gauge panel 5 Disconnectthe wires from the electrical switch 6 Back out the system switch mounting screws just enough to allow the knob collar to be released T While holding the switch assembly push in the knob and turn it counterclockwise 8 Pull the knob and collar out from the front and remove the switch assembly 9 58 09 07 1009 0357 000 9 Repair Procedures 9 Install the replacement switch assembly a Transferthe 8 mm plugs from the old system switch to the new system switch on the pneumatic module pull on the plug to ensure that it is locked into the module Turn back the system switch mounting screws until their tips recede Orient the switch assembly with the plugged fittings toward the right and the 03 fittings toward the left Install the switch assembly through the gauge panel Pushthe knob collar in with the indicator up and turn it clockwise until it locks Tighten the mounting screws Make sure thatthe top edge ofthe switch as
316. line inlet manifold components ec cece eee eee 9 39 9 11 1 Replace pipeline inlet filter 0 9 39 9 11 2 Replace pipeline inlet check valve ccc cece eee 9 39 9 11 3 Replace the inlet manifold cece eee nee 9 40 9 12 Service the cylinder supply modules 00 c cece nana 9 41 9 12 1 Replace primary regulator module complete replacement 9 41 9 12 2 Replace cylinder inlet filter llle 9 42 9 12 3 Replace cylinder check valve ccc eee eee e eee eee eens 9 42 9 13 Replace gas supply pressure transducers cece eee eens 9 43 9 14 Service vaporizer manifold parts cece cece eect een eee anes 9 44 9 14 1 Repair manifold portvalve 0 cece eee eee eee eens 9 44 9 14 2 Checkout procedure for manifold port valve ccc eee eee eee 9 45 9 14 3 Replace vaporizer manifold check valve 0 cece eee eens 9 46 9 14 4 Replace vaporizer pressure relief valve cece cee eee eee 9 48 9 14 5 Replace vaporizer manifold cece eee eee eee eens 9 49 4 15 Replace ACGO selector switch 0 000 ccc cece ence eee een eens 9 50 9 16 Clean or replace ACGO port flapper valve 0 cece eee eee eee 9 52 9 17 Replacethie APEvalve 5i cits ate at ri t rn ERR Re da ace ear 9 53 9 18 Replace the bag support arm nent e eee 9 54 9 18 1 Servicing the bag support arm 1 1 eee eee 9 55 9 18 2 Replace friction pad in
317. ll access panel 9 8 1 Power The replacement Power Controller board includes the mounting plate Controller board Disconnect the cables coming from the following components original the Display Connector board A e the Anesthesia Control board B e the batteries C e the fan D the line filter E 14 ui li iE MA Ow ka 2 Loosen the four screws circled that hold the Power Controller mounting plate 3 Liftthe Power Controller assembly slightly to release it from the keyhole slots 4 To replace the Power Controller assembly reassemble in reverse order 5 Load Software 9 26 09 07 1009 0357 000 9 8 2 Power Controller board and Universal Power Supply 1009 0357 000 09 07 9 Repair Procedures To replace the Power Controller board 1 Disconnect the cables coming from the following components s the Display Connector board A s the Anesthesia Control board B s the Power Supply C e the batteries D the fan E 2 Remove the four lower screws circled that hold the Power Controller board to the mounting plate 3 Loosen the two upper screws keyhole and remove the Power Controller board 4 To replace the Power Controller board reassemble in reverse order 5 Load Software To replace the power supply U Frame orto provide access to the Anesthesia Control board 6 Disconnect all the cables listed above except
318. load All Downloads all software subsystems Note You cannot return to the Special Functions section after entering the Software Download section You must reboot the system to exit Software Download Since downloading all the subsystem software can take up to 30 minutes you should normally choose Download New to install only the updated subsystem software or software required for newly installed subsystems System Serial Number Loading Avance Product Software Version XX XX ABCDXXXXXXXXX _ Currently Installed___ __New__ Subsystem HW Rev SW Ver SW Ver Status Front Panel Cntl n a XX XX XX XX Power Controller XXXX A XX XX XX XX XX Electronic Mixer XXXX A XX XX XX XX XX Vent Intface Bd XXXX A XX XX XX XX XX Software Download Download New Download All Anes Control Bd XXXX A XX XX XX XX XX Dsply Unit BIOS XXXX XX XX XX XX XX XX Dsply Unit App XXX XX XX XX XX XX XX ModBus Controllr n a XX XX XX XX Dsply Unit FontC n a XX XX XX XX Dsply Unit Font n a XX XX XX XX Note Whenever a Software Download is completed the specific software download is recorded in the following logs in the System Download Log Section 8b 8 1 that resides on the system Display Unit s and in the CF Card Install Log Section 85 8 2 that resides on the Compact Flash card 1009 0357 000 09 07 HPDU 8b 3 Avance with HPDU Notes about downloading software Ifthere is no Front Panel Control software installed in the
319. lows from the drive source bag or bellows to and from the patient Fresh gas paths Fresh gas can flow from the machine interface directly to the patient through the inspiratory check valve or through the absorber into the expiratory flow or directly to an external circuit through the optional auxiliary common gas outlet Scavenged gas paths APL or Pop off Flow through the optional EZchange Canister and Condenser EZchange ON and EZchange OFF CO bypass 2 30 09 07 1009 0357 000 2 12 2 Manual ventilation 2 Theory of Operation Manual inspiration The Bag Vent switch closes the ventilator path B Gas flows from the bag 1 through the absorber 2 into the breathing circuit module and through a unidirectional valve inspiratory check valve to the patient 3 During inspiration fresh gas FG flows from the machine into the inspiratory limb upstream ofthe inspiratory check valve Airway Pressure Bag Vent switch to Bag Fresh Gas Flow to absorber Flow from absorber Inspiratory flow Figure 2 29 Gas flow during manual inspiration 1009 0357 000 09 07 m NN VLA SS f y AB 82 026 2 31 Avance Manual expiration The Bag Vent switch keeps the ventilator path closed B Gas flows from the patient 4 through a unidirectional valve expiratory check valve and into the bag 5 During exhalation fresh gas flows backwards through the absorber FG into the
320. lve 19 and the auxiliary O flowmeter 24 The O Flush valve supplies high flows of O to the fresh gas outlet 22 or 23 through the SCGO ACGO assembly E F The flush pressure switch 20 monitors activation of the flush valve Under normal conditions with the system switch 10 in the On position the Alternate O Disable valve 13 is energized to block alternate O2 flow Normal gas flows are enabled through their respective selector valves 11 The system controls gas flow through the flow control valves 12 and derives the individual flow rates through the hot wire anemometers 14 Under system failure conditions or if Alt O is selected the normally open Alternate O Disable valve 13 allows delivery of O through the Alternate O5 Flowmeter when the system switch is in the On position The mixed gas flows through the vaporizer manifold D and vaporizer 16 that is On to the SCGO ACGO assembly E F A pressure relief valve 17 on the vaporizer manifold limits the maximum outlet pressure The SCGO assembly E directs the mixed gas to the selected circuit 22 ABS circle or 23 to Inspiratory port of ABS On SCGO assemblies a relief valve 21 limits pressure in the breathing system to approximately 150 cmH 0 The ACGO assembly F directs the mixed gas to the selected circuit 22 ABS circle or 23 external ACGO port 09 07 1009 0357 000 2 Theory of Operation
321. ly and run a 3L and 10L flow delivery test and leak test e f O2 pressure is low fail with Low O2 Supply pressure e f mixer does notfail the 3L 10Land the leak test continue with the next step If mixer fails the 3L 10L or the leak test fail with the mixer failure Step 6 AIR Flow Run the mixer tests on AIR channel Check gas supply and run a 3Land 10L flow delivery test and leak test e f O2 is drive gas and air supply is low continue with next step and indicate Could not test air e f Airis the drive gas and air supply is low continue with next step and indicate Ventilator has not drive gas e f mixer does not fail the 3L 10L and the leak test continue with the next step e f mixer fails the 3L TOL or the leak test fail with the mixer failure Step 7 N50 Flow Run the mixer tests on N50 channel Check gas supply and run a 3Land 10L flow delivery test and leak test f N20 is disabled continue with next step f N50 supply is low continue with next step and indicate Could not test N50 e f mixer does not fail the 3L 10L and the leak test continue with the next step e f mixer fails the 3L OL or the leak test fail with the mixer failure 7 72 09 07 1009 0357 000 7 Troubleshooting Step 8 Battery and Electrical Are the AC Mains connected and the battery charged If AC Mains failed indicate Power cord disconnected Using battery If Battery failed indicate Batte
322. n Make sure that the PEEP high Blockage alarm occurs after approximately 15 seconds Test the Ppeak low Leak alarms e Unblock the patient connection e Setthe Bag Vent switch to Vent Set the tidal volume and total flow to minimum Other alarms such as MVexp low can occur e Make sure that the Ppeak low Leak alarms occur 10 Set all alarm limits to approved clinical values 09 07 1009 0357 000 3 Checkout Procedure 3 12 Alternate 0 flowmeter tests Open the O cylinder valve or connect an O pipeline Rotate the Alt O flow control fully clockwise to minimum flow Press the Alternate O switch to turn on Alternate O flow The flowmeter should indicate 0 5 to 0 7 L min Rotate the flow control counterclockwise increase The ball should rise immediately after rotation is begun It should rise smoothly and steadily with continued counterclockwise rotation When a desired flow is set the ball should maintain in a steady position 5 Rotate the flow control clockwise to minimum flow 6 Press the Alternate O switch to turn off Alternate O flow confirm yes 3 13 Auxiliary 05 flowmeter tests Open the O cylinder valve or connect an O pipeline Rotate the flow control clockwise decrease to shut off the flow The ball should rest at the bottom ofthe flow tube and not move Rotate the flow control counterclockwise increase The ball should rise immediately after rotation is begun It
323. n 1 Bag Arm Assembly complete 2 Bag Arm Upper Assembly 2a Cover bag port housing Screw M3x20 Lockwasher M3 internal 2b Housing bag port 2c Lever lock release 2d Ring retaining 2e Nut M3 Nyloc 3 Bag Arm Lower Assembly 3a Pad Friction Material 3b Bag Arm post subassembly 3c Spring 3d Washer shoulder 3e Nut M5 Nyloc 4 Pin dowel 3 18 DIA 31 8 L SST 5 Screw M3x20 SKT HD CAP 6 Washer M3 flat Items if no Bag Arm 7 Clip patient tubing 8 Washer shoulder 9 Lockwasher M4 external 10 Screw M4x16 Accessory items 11 Bag arm connector reusable All except China Bag arm connector reusable China Apply Loctite 242 Stock Number 1009 8159 000 1407 7011 000 1407 3807 000 0140 6719 103 9213 0430 003 1407 3806 000 1407 3808 000 1406 3577 000 0144 3536 112 1407 7012 000 1407 3804 000 0144 2124 201 0144 1003 132 1407 3810 000 1407 3814 000 9213 0540 003 9211 0440 163 8004459 M1082613 09 07 1009 0357 000 Qty 10 22 10 EZchange Canister system CO Bypass 20 18 19 1009 0357 000 09 07 21 hs lt S Y Item Description EZchange Canister module 1 Cover Bypass Manifold 2 Manifold Bypass 3 Screw M3x8 PT PAN PH SST 4 O ring 59 92 ID 66 98 OD 3 53 W SIL 50 DURO 5 Cap Manifold 6 Lever Switch Actuator T Spring Torsion Switch Actuator Lever 8 Screw M3x0 5 Shoulder 4 DIA X 4 L SST 9 Lever Canister Latch 10 Seal Drain 11 O r
324. n BN NO N 10 31 Avance 10 22 Breathing System 10 22 1 APL Valve 20 21 16 17 14 co I a N 9o ca lt fra 11 12 Item Description Stock Number QTY 1 APL Valve Assy includes items 2 through 6 1009 8200 000 2 SPRING CPRSN 53 14 OD 36 8 L 1 48 N MM 1406 3328 000 3 RETAINER SPRING APL 1407 3404 000 4 DIAPHRAGM APL 1406 3331 000 5 CAGE APL 1406 3333 000 6 POPPET APL VALVE 1406 3332 000 7 RAMP APL 1407 3400 000 8 COVER APL 1407 3405 000 9 MANIFOLD APL BTV 1407 3401 000 10 Cover Manifold APL BTV with 22 mm male bag port 1407 3402 000 Cover Manifold APL BTV with Australian bag port 22 mm female 1407 3412 000 11 WEIGHT DEAD 14CM H20 BCG ABS NEG RELIEF 1407 3406 000 12 SEAL ABS NEG RELIEF VLV 1407 3407 000 13 O RING 22 ID 30 OD 4 W SI 40 DURO 1407 3104 000 14 O RING 88 49 ID 95 55 OD 3 53 W SILICONE 50 DURO 1407 3403 000 15 O RING 1 049ID 1 2550D 103W EPDM NO 121 1407 3408 000 16 SCR M4X16 BT SKT HD SSTTYPE 316 0140 6226 115 2 17 Lockwasher M4 external 9213 0540 003 2 18 SCR THUMB M4 SHLDR 7 5 X 7 1407 3410 000 3 19 RING RETAINING 3 96 SFT DIA CRESCENT SST 1407 3411 000 3 20 SCR M4 X 40 FLHD SST PH 0140 6226 122 2 21 O RING 2 9 ID 6 46 OD 1 78 W EP 70 DURO 1407 3409 000 2 22 SCR SEMS M4X8 BT SKT HD W EXT L W SST 316 0144 2436 108 3 10 32 09 07 1009 0357 000 10 22 2 Bag Vent Switch Item BP U N e 1009 0357 000 09 07 AB 82 022 Description BTV Switch C
325. n Bd I A Exp Port 2 1 E Rs422 46 A i i I Battery Battery AC RS 232 Pan Conn Bd 1 i l 2V i Temp Switch v Sense A Pan Conn Bd TOM ECGDRAM Vent Interface Power Controller Board i TA NOESADY Coane Agent Del i I ud dM c CM LE M i E Microcontroller Mi i l 28 2s ixer i 8 Z Pr Power Controller 3 2 Dsply Conn Bd i TE Display i Py Display Unit i 28 Sh2 pais aiii i J 22 Exp Port 1 i i i Connector a i i a SS o 1 3 High Performance i Board i l Speaker 10VA Limit y 5 Display Unit i EIE sonial E SE gt 1 1 i co S amp o Z 1 i Sa 3 ag l 12 1 AM TFT LCD 1 ME om E 5 3 ES USB 3 Ha sS S E I pour iE P 3 7 8 S 1 1 mo 2 3 USB 2 o Data Acquisition e a D 1 He Ethernet A Na 3 3V Power 1 8V Power 5 kH Supply Supply d I OOOOOO T EEPROM 1 O o oo S i I 1 I 1 DC DC 12 5Vin a Spare Communication channel 3 3V 2 5V 1 25V VIT 1 5V VCORE Communication to AC Board XR17C154 Communication to Power Suppl gt I 8 2 l E 1 A DIS NEED d E a a gt 5V Power 2 5V Power P Supply Supply A 1 Fan o 5 FE 2 2 Anesthesia Control Board 1 Connector S E O ii 1 gt a E Board j ae HP DU CPU Board E E I i ATmega16 CPU 30 ES Ee alm VIA Eden ESP 10K 7 5X133MHz NY a o De VIA CLE266 i 22 Nora DDR SO DIMM 1 gx BIO
326. n be replaced by removing the mounting screws and reusing them to secure the replacement part Inspect the two o rings that seal itto the manifold Replace as necessary To replace GIV shuttle valve components refer to Section 9 10 3 Install the filter with the smooth side facing up Inspect the o ring Replace as necessary Inspect the two o rings that seal itto the manifold Replace as necessary Perform the Drive Gas Regulator calibration in Section 5 3 Inspect the two o rings that seal itto the manifold Replace as necessary Lubricate o rings sparingly with Krytox Inspect the o ring that seals it to the manifold Replace as necessary Clean the seat on the manifold and the seal on Drive Gas Check Valve with isopropyl alcohol Note orientation of the flow valve Inspect the two o rings that seal itto the manifold Replace as necessary Perform the Inspiratory Flow Valve calibration in Section 5 4 3 Inspect the two o rings reservoirto manifold reservoir to screw head Replace as necessary Inspect seal between solenoid and GIV body Replace as necessary included with solenoid 9 37 Avance 9 38 9 10 3 Replacing Lubricate items marked with an asterisk sparingly with Krytox GIV components i A i d NS 2 N D AB 23 148 6 7 8 9 Remove the retaining ring A and the GIV cap B Use pneumatic pressure to remove the shuttle Cover the shuttle
327. nd the drive gas ports of the vent engine 3 Push the ComWheel to show the next menu 4 Select Stage 1 calibration 5 After Pass replace the manifold port plug with the calibration orifice 6 Select Stage 2 calibration T You MUST do both stages forthe calibration to be saved During calibration a separate menu shows the counts and corresponding flow at each step f the outcome of both stages of the calibration is Pass the new calibration data is saved e f the outcome of either stage is Fail the old calibration data is retained The results of each stage ofthe calibration are saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keep the old calibration constants 09 07 1009 0357 000 Insp Flow Valve Menu Menu Item 4a Installation and Service Menus DU Message text Calibrate the insp flow valve at low flows Blocked text Connect a supply ofthe drive gas to continue Comments Blocked if the ventilator drive as supply pressure would cause a gas supply alarm during normal operation Stage 2 Calibrate the insp flow valve at high flows Blocked text Stage 1 calibration is required first Blocked if Stage 1 has not been completed Insp Flow Valve Data Show insp flow valve calibration table Previous Menu Insp Flow Valve Data menu Return to previous menu During Calibration Calibra
328. nd time to the event log Previous Menu Return to the previous menu During Calibration Calibration in progress Push ComWheel to cancel 09 07 1009 0357 000 4b Installation and Service Menus HPDU 4b 5 8 Zero Gas Xducrs The Zero Gas Xducers instructions appear when the focus is on the Zero Gas Xducer menu item Instructions Read all steps before you start 1 Remove all cylinders 2 Disconnect all pipeline supplies 3 Select Zero Gas Xducrs 4 Select Start Zero on the next menu This page also shows Gas supply counts Gas supply ID A failed test is usually the result of a pipeline or cylinder still connected to the System e f the outcome ofthe calibration is Pass the new calibration data is saved e f the outcome is Fail the old calibration data is retained e The result of the calibration is saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keep the old calibration constants Zero Gas Xducrs menu The Zero Gas Xducrs menu shows only transducers that are installed If not installed the menu row is blank Menu Item Message text Values 02 Pipeline 0 4095 Counts 02 Cylinder 1 0 4095 Counts 02 Cylinder 2 0 4095 Counts N20 Pipeline 0 4095 Counts N20 Cylinder 0 4095 Counts Air Pipeline 0 4095 Counts Air Cylinder 0 4095 Counts Start Zero Disconnect all pipelines and remove cylinders Then sel
329. ndicates amount of battery power remaining Maximum Caution federal law prohibits dispensing without prescription Systems with this mark agree with the European Council Directive 93 42 EEC for Medical Devices when they are used as specified in their User s Reference manuals The xxx is the certification number of the Notified Body used by Datex Ohmeda s Quality Systems GOST R Russian certification 09 07 1009 0357 000 In this section 1009 0357 000 09 07 2 Theory of Operation 2 1 Electrical system 2 343 2 a a eats wat cake 2 2 2 2 Power subsystem original 2 cece nananana 2 4 2 2 1 Power Controller board 0 eee I 2 5 2 3 Power subsystem with U Frame power Supply 0000 e eee eee eee eens 2 6 2 3 1 Power Controller board 0 ikke eee eee I 2 7 2 3 2 Power distribution wi zi cet ce eee e mx eae eee ye cade eee ed edie 2 8 2 4 System COMMUNICATIONS Lene eee n 2 10 2 4 1 Software Power On Self Tests POST ccc eee eee eee 2 12 2 5 Display Unit ainia p Blew sus ena RAV gd dred boa REY UR dnd 2 14 2 5 1 Software requirements 0 cece eee cee nne 2 14 2 6 System CONNECTIONS siii eva key emere PET a e eas 2 15 2 0 1 Display Uniti cipe e a ii ERG 2 15 2 6 2 High Performance Display Unit ssssseseseeeemm 2 15 2 6 3 Display Connector board ssssssssssessees e 2 16 2 7 Power Controller and Anesthesia Control board connections o
330. ne pressure is Medium DC pipeline invalid Check 0 Pipeline Supply Check Replace O Pipeline Pressure Transducer 02 PRESS LOW 0 supply pressure low 0 pipeline pressure is less High AC N50 flow stops on than 252 kPa and the 0 DC threshold detection cylinder has a pressure less and Air continues to than 2633 kPa for one flow if selected second Check 0 Supply Check Replace O Pipeline Cylinder Pressure Transducer 02 SENSOR FAILURE Replace 05 sensor 05 596 Low AC Galvanic O5 sensor Vent connected Calibrate O Sensor If calibration fails replace 0 Sensor If calibration continues to fail wait 90 minutes and repeat calibration If calibration fails after 90 minute replace VIB O2CAL ERROR Calibrate 05 sensor Offset slope or cell voltage Low AC Galvanic O sensor not in range or 0 gt 110 Vent connected Calibrate O Sensor If calibration fails replace 0 Sensor If calibration continues to fail wait 90 minutes and repeat calibration If calibration fails after 90 minute replace VIB ON STANDBY Turn switch on to On Standby switch High PC System state is SWITCH TO STANDBY continue use transitions from On to Therapy and Power Standby Controller is communicating with DC No Service Action Required PATIENT VOLUME Calibrate dry or PATIENT VOLUME MISMATCH Low AC System state is in MISMATCH OCCURRED replace flow sensors alarm occurred Vent Checkout DC checks enable criteria 1 Ch
331. nel Perform the checkout procedure Section 3 9 47 Avance 9 14 4 Replace vaporizer pressure 9 48 relief valve gt a OO N e Oo O A Setthe system switch to Standby Remove the vaporizers from the vaporizer manifold Remove the upper rear panel Section 9 3 Usinga 13mm open ended wrench remove the vaporizer pressure relief valve by turning counterclockwise 4 Verify that the parts are free of dust and dirt Install a new vaporizer pressure relief valve To reassemble perform the previous steps in reverse order Perform the checkout procedure Section 3 09 07 1009 0357 000 9 14 5 Replace vaporizer manifold 1009 0357 000 09 07 gt a U N 9 Repair Procedures Remove the upper rear panel Section 9 3 Remove the Display Unit Remove the right side panel A Fromthe front ofthe machine remove the two screws B that hold the front bezel to the vertical support From the back of the machine remove the two screws C that hold the vaporizer manifold vertical support to the horizontal bracket From the back of the machine remove the two screws D that hold the vertical support to the vaporizer manifold Removethe vertical support from the machine While holding the vaporizer manifold remove the two screws E at the right hand extrusion to release the manifold 9 Install the new vaporizer manifold in reverse order Do not fully t
332. neled to the ACGO outlet At the ACGO outlet a small sample is diverted to the O Cell in the ABS for O monitoring The output of the O Flush regulator 2 is channeled to the O Flush valve When activated O flush flow joins the fresh gas flow in the ACGO Selector Switch From 0 Supply Selector Switch Figure 2 42 Fresh gas and Oz flush flow to ACGO 2 44 ry From Mixer O i Mixer Absorber oo ee Le 5 4 psi 3 02 Flush ES Switch GO 5 Hyw y e 8 Y E N E Insp Flow Paw Trans E les ey p Variant 1 09 07 1009 0357 000 2 Theory of Operation 2 13 Ventilator mechanical subsystems 2 13 1 Drive gas filter and Gas Inlet 1009 0357 000 09 07 Valve Referto Figure 11 1 System circuit diagram in Section11 forthe complete pneumatic mechanical subsystem diagram The mechanical subsystems for the ventilator include Pneumatic Vent Engine Drive gas inlet filter e Gas inlet valve e Supply gas pressure regulator s Flow control valve Drive gas check valve e Mechanical Overpressure Valve MOPV Bleed resistor Free breathing valve Exhalation valve Bellows assembly Breathing circuit flow sensors Drive gas can be selected from O or Air enters the Vent Engine 1 at a pressure of 241 to 690 kPa 35 to 100 psi through a 2 micron filter 2 that is located un
333. nifold 3 Disconnectthe tubing from the outlet elbow fitting 4 Repeatthe Mixer P Zero following the instructions as they appear on the screen 5 Reassemble in reverse order 09 07 1009 0357 000 A WARNING In this section 1009 0357 000 09 07 5 Calibration After adjustments and calibration are completed always perform the checkout procedure Refer to Section 3 of this manual oT Priman Regulat 2 eene deeds eaa Oe RR ERROR RR I A nca a 5 2 HoT Test setup ioo ies ye tte id ec d 5 3 5 1 2 Testing Primary Regulators 0 cece eect eee eee aes 5 3 5 1 3 Adjusting Primary Regulators 02 0 cece eee cece eens 5 8 5 2 0 Flush Regulator 0 ene Inn 5 9 5 3 Adjust Drive Gas Regulator 0 cece cece eee eens 5 10 5 4 Ventilator Calibrations 2 0 0 cient eens 5 11 6 4 1 CAICOS TEN E A ead EE OE 5 12 5 4 2 Manifold PSpan sli enel ll ca ca rr eed nre ime aaa ed 5 13 5 4 3 Inspiratory Flow Valve Cal sssssseseesese II 5 14 b AInsp FloW Zero iio ote tex be RE E EP EE Rey VOR Teu 5 16 5 4 5 Bleed Resistor Cals cscs coire Re a de RIDE ed ee 5 17 ALO Paw Spali seen ect eda vetet E P Ra uat B RP ERR 5 18 5 1 Avance 5 1 Primary Regulators Follow the procedure in Section 5 1 1 to gain access to the regulators Then in Section 5 1 2 select the test that is appropriate for the regulator you are testing AX WARNING When testing adjusting N50 regulators nitrous oxide flows through the
334. nostics forthe Anesthesia Control board Control Board Power Selecting Anes Control Board brings up the first page of the Anesthesia Diagnostics Control Board Power Diagnostics Page 1 of 2 Power Diagnostics Anes Control Board Power Diagnostics Power Control Value Format Units Normal range Anes Control Board Mixer 12 5Vdc from Pwr Cntrl i Vde 11 90 to 12 90 Vent Interface Bd Display Unit ADC Reference X XXX Vdc 4 018 to 4 176 SIMI Gas Select 10VA Volts OK Fail Gas Select 10VA Amps OK Fail P Xducer 10VA Amps OK Fail Vent Int Bd 10VA Volts OK Fail Vent Int Bd 10VA Amps OK Fail Vent Valves 10VA Volts OK Fail Vent Valves 10VA Amps OK Fail Acces 1 10VA Volts OK Fail Acces 1 10VA Amps OK Fail Turn the ComWheel to select the second page Push the ComWheel to return focus to the Power Diagnostics selection menu DU 8a 6 09 07 1009 0357 000 8a Software Download and Diagnostics DU Page 2 of 2 Power Diagnostics Anes Control Board Power Diagnostics Power Control Label Value Format Anes Control Board Gas Unit 10VA Volts OK Fail Met Gas Unit 10VA Amps OK Fail Vent Interface Bd Mixer 10VA Volts OK Fail Display Unit Mixer 10VA Amps OK Fail gt Main Menu Alt O2 10VA Volts OK Fail Alt 02 10VA Amps OK Fail Periph1 10VA Volts OK Fail Periph1 10VA Amps OK Fail Periph2 10VA Volts OK Fail Periph2 10VA Amps OK Fail Turn the ComWheel to return to the first p
335. nt Engine from the housing referto Section 9 10 1 1009 0357 000 09 07 9 35 Avance 9 10 1To remove 1 the Vent Engine a A CO N Access Regulator Adjustment Disconnect pipeline supplies close cylinder valves bleed off pressure Remove the ABS breathing system Remove the Exhalation valve Remove the scavenging downtube Loosen the five captive screws A that hold the Vent Engine coverto the housing Raise the coverto access the Vent Engine 9 Disconnect the Vent Engine harness B Disconnect the white tube coupler C inline with tube to manifold pressure transducer on the Ventilator Interface Board If present disconnect the black tube coupler D inline with tube to AGSS flow indicator Disconnect the drive gas hose E 10 Loosen the three captive screws F that hold the engine manifold to the housing 11 Liftthe Vent Engine out ofthe housing 12 To replace the Vent Engine reassemble in reverse order 9 36 09 07 1009 0357 000 9 10 2 Replacing Vent Engine components Gas Inlet Valve A Inlet Filter B Regulator C Interface Manifold D Drive Gas Check Valve E Inspiratory Flow Valve F Reservoir G Inlet Valve Solenoid H 1009 0357 000 09 07 9 Repair Procedures Referto Section 6 for Vent Engine components that are to be serviced under regular maintenance Most ofthe components on the Vent Engine ca
336. nt Status displays the Ventilation Status page Selecting Vent Flow and Pressure displays the Ventilation Flow and Pressure page Selecting Toggle Gas Inlet Vlv alternately sets the Gas Inlet Valve to the Open or Closed position and sets the right hand screen to the Ventilator Flow and Pressure page Selecting Toggle Circuit toggles between commanding Circle or Non Circle for the SCGO valve and sets the right hand screen to the Ventilator Flow and Pressure page does not apply to machines with ACGO Selecting Set Flow Valve sets the right hand screen to the Ventilator Flow and Pressure page and allows the user to increase or decrease the DAC count to the flow valve using the ComWheel Selecting Previous Menu closes the Gas Inlet Valve and the Flow Valve and returns to the Special Functions menu The actions ofthe Gas Inlet the Flow Valve Control and the Circuit selection are reflected on both the Ventilation Status page and the Ventilation Flow and Pressure page The Gas Inlet Valve must be in the Open position in order for gas to flow HPDU 8b 13 Avance with HPDU 8b 4 1 Vent Status Selecting Vent Status brings up the Ventilation Status page Ventilator Status Vent Diagnostics Vent Status Vent Flow and Pressure Toggle Gas Inlet Vlv Toggle Circuit Set Flow Valve gt Previous Menu HPDU 8b 14 Menu Item Gas Inlet Valve Setting Gas Inlet Valve Feedback Circuit Setting Circuit Feedback Vent
337. nterface 2 s Serial Port standard interface for external communication 3 DIS connector supports D O Device Interface Solution DIS 4 s Network connection Standard Ethernet port for network connectivity 5 Network ID accept D O proprietary network identification plug 6 USB port standard USB 1 1 interface 7 3 EE 2 6 2 High The HPDU accommodates the following connections Performance e System Power Interface 1 Display Unit s System Signal Interface 2 s Serial Port standard interface for external communication 3 Remote monitor On Standby 4 s Network connection Standard Ethernet port for network connectivity 5 USB port standard USB 2 0 interface 6 USB port standard USB 2 0 interface 7 1009 0357 000 09 07 2 15 Avance 2 6 3 Display The top side ofthe Display Connector board accepts the following cables Connector board System Power Interface to Display Unit 1 s System Signal Interface to Display Unit 2 Airway Module MGAS Power Supply board 8 Not used 9 The under side of the Display Connector board accepts the following cables Power Controller board 10 Anesthesia Control board MGAS power connector 11 Anesthesia Control board signal connector 12 Not used 13 2 16 09 07 1009 0357 000 2 Theory of Operation 2 7 Power Controller and Anesthesia Control board connections
338. ntrol Board PCB Power Controller Board VIB Ventilator Interface Board DU Display Unit GIV Gas Inlet Valve APL Adjustable Pressure Limit Start Turn on System Does the System Application Screen Appear Proceed to Display Troubleshooting l Flowchart 7 Did System go to Yes Alt O2 Mainctent Proceed to Alt O2 System No Yes Malfunction Troubleshooting Flowchart 11 Diagnosis Troubleshoot Are there Alarms Achieved Error Alarm Logs relating to the rotten soe Yes Section 7 10 lt gt event and Users Reference Manual URM Part 2 AB 75 070 Review Active Alarms Error Log and Alarm Log Alarms Symptoms Alarms of Type Proceed to Breathing System Symptoms of Type Breathing system loose Leak Troubleshooting Bellows Falls Circuit Leak Section 7 7 Leak detected System Leak No Alarms of Type Calibrate flow sensors Calibrate Dry or replace Flow Sensors Check flow sensors Proceed to Inaccurate Volume Replace insp exp flow Yes Ventilation Troubleshooting 4 yes Symptoms of Type sensor Flowchart 8 Set Ty vs Measured Ty Reverse insp exp Flow Tv not achieved System Leak Unable to Drive Bellows Volume sensors disagree No Alarms of Type Apnea Apnea 120s No Fresh Gas Flow Unable to Drive Bellows Ventilate Manually Ventilator has no Drive Gas Vol vent only No PEEP or PSV Ppeak Low Leak Symptoms of Type
339. o select the gas flow Press the ComWheel to change flow setting Airway pressure After setting a gas flow push the ComWheel again to return to the Flow Setting page to observe the Airway Pressure reading or select one of the four diagnostics pages to view the displayed conditions All gas flow stops when you exit Gas Diagnostics to the Special Functions menu HPDU 8b 17 Avance with HPDU 8b 5 2 Gas Each gas supply shows the derived pressure in kPa and psi along with the raw voltage Supplies from the pressure transducer If a supply module for a gas is not installed or if the transducer is disconnected the supply shows dashed lines If a supply module is installed but no supply is connected the supply shows approximately 0 500 Vdc The remaining items show the state of the Electronic Mixer selector valves Gas Supplies Gas Diagnostics Label Gas Supplies 02 Cylinder 1 Mixer Output 02 Cylinder 2 Mixer Tests and Pres Air Cylinder Mixer Temperatures N20 Cylinder Set 100 02 Flow Set 10096 N20 Flow 02 Pipeline Set Air Flow Air Pipeline Breathing Sys Leak N20 Pipeline gt Previous Menu 02 Select Valve Open Flow ON Air Select Valve Closed Flow OFF 3 N20 Select Valve Closed Flow OFF Settings Alt 02 Button Not pressed 02 flow XXX N20 flow XXX Note dashed pressure means supply is not installed Air flow XXX or transducer is disconnected HPDU 8b 18 09 07 1009 0357 000 8b
340. oard 12 5V Vdc 11 30 to 13 13 Vent Valves 12 5V Vdc 11 30 to 13 13 3 2 Vdc 12bit Vref i Vdc 3 179 to 3 221 Counts 1 22 Vdc 10bit Vref a Vdc 1 074 to 1 367 Counts 6 0Vdc Vdc 5 51 to 6 50 6 0Vdc Vdc 6 72 to 5 28 1009 0357 000 09 07 12 15 Avance 12 7 5 Power Diagnostics Display Unit Power 12 16 High Performance Display Unit HPDU Display Unit Power Label LCD backlight 12 5V Audio 5V Digital 3 3V LCD 3 3V LCD Inverter B output LCD Inverter A output Value Format XX XX XXX XXX XXX XXX XX XX Units Vdc Vdc Vdc Vdc Vdc Vdc Range 10 50 to 14 00 4 50 to 5 50 2 97 to 3 63 2 97 to 3 63 0 00 to 1 30 0 00 to 1 30 09 07 1009 0357 000 12 Service Application 12 8 Gas Delivery Subsystem menu The Gas Delivery Subsystem menu includes the following menu items s Gas Delivery Schematic Section 12 3 2 Gas Supply Status Section 12 8 1 s Mixer Output Section 12 8 2 s Mixer Pressure and Temperature Section 12 8 3 Gas Delivery Status Section 12 8 4 s Mixer Post Checkout Test Results Section 12 8 5 s Perform Mixer Tests Section 12 8 6 12 8 1 Gas Delivery Subsystem Gas Supply Status Gas Supply Status Label Value Format Range kPa Range psi Range bar 02 Oylinder 1 02 Oylinder 2 Air Cylinder N20 Cylinder 02 Pipeline Air Pipeline N20 Pipeline 02 Select Valve Air Select Valve N20 Select Valve Alt O2 Valve Alt O
341. off the flow 5 Close the O cylinder valve or disconnect the 0 pipeline 6 12 09 07 1009 0357 000 6 Installation and Maintenance 6 9 Integrated Suction Regulator tests Note Gauge Accuracy 1009 0357 000 09 07 Note Flow Test There are two types of integrated suction systems forthe Avance anesthesia machine Continuous Vacuum Regulator Three Mode Pipeline Vacuum e Continuous Vacuum Regulator Three Mode Venturi Derived Vacuum For Pipeline Vacuum systems a vacuum source of at least 500 mm Hg 67 kPa or 20 in Hg is required for testing The supply open flow must be a minimum of 50 L min For Venturi Derived Vacuum systems an O or Air source of at least 282 kPa 41 psi is required for testing The gauge needle should come to rest within the zero range bracket when no suction is being supplied Gauges which do not comply may be out of tolerance To check gauge accuracy be sure that the test gauge is capable of measuring 0 to 550 mm Hg with an accuracy of 1 of reading 1 Connect the suction patient port to the test gauge 2 Turn the mode selector switch to ON 3 Ensurethatthe vacuum test gauge is in agreement with the suction vacuum gauge 38 mm Hg 5 kPa atthe following test points Test points Suction vacuum gauge Test gauge tolerance 100 mm Hg 13 3 kPa 62 138 mm Hg 8 3 18 4 kPa 300 mm Hg 40 kPa 262 338 mm Hg 35 45 kPa 500 mm Hg 66 7 kPa 462 538 mm Hg 61 6 71 7 kPa Note
342. on Drive gas flow stops and the exhalation valve opens Exhaled gas flows from the patient 4 through a unidirectional valve expiratory check valve and into the bellows 5 Residual drive gas D flows out of the bellows to the scavenging system 6 If PEEP is selected static pressure on the pilot port of the exhalation valve sets the PEEP level During exhalation fresh gas flows backwards through the EZchange module FG into the expiratory limb downstream of the expiratory check valve For machines that are plumbed to return sample gas to the breathing system the returned gas SGR enters the breathing system after the expiratory check valve JAD AB 82 084 Figure 2 37 Mechanical expiration with EZchange Canister and Condenser OFF 1009 0357 000 09 07 2 39 Avance Pop off valve The pop off valve limits the pressure inside the bellows to 2 5 cm H50 above the drive gas pressure This normally occurs when the bellows reaches the top of the housing at the end of exhalation 5 Excess gas 6 vents to the scavenging system 7 through the pop off valve and the exhalation valve Y TO AB 82 031 Flow to bellows Pop off flow To scavenging Figure 2 38 Flow through the pop off valve 2 40 09 07 1009 0357 000 2 Theory of Operation 2 12 4 Fresh gas and 0 flush flow with SCGO To ABS Circle Fresh gas 1 flo
343. on 5 4 3 Inspiratory Flow Valve Cal Instructions Read all steps before you start 1 Complete the Manifold P Span calibration 2 Put 2 plugs in the manifold and the drive gas ports of the vent engine 3 Push the ComWheel to show the next menu 4 Select Stage 1 calibration 5 After Pass replace the manifold port plug with the calibration orifice 6 Select Stage 2 calibration T You MUST do both stages forthe calibration to be saved During calibration a separate menu shows the counts and corresponding flow at each step f the outcome of both stages of the calibration is Pass the new calibration data is saved e f the outcome of either stage is Fail the old calibration data is retained The results of each stage ofthe calibration are saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keep the old calibration constants Insp Flow Valve Menu Menu Item Message text Comments Calibrate the insp flow valve at low flows Blocked if the ventilator drive gas supply pressure Blocked text would cause a gas supply Connect a supply of the drive gas to continue alarm during normal operation Stage 2 Calibrate the insp flow valve at high flows Blocked if Stage 1 has not been completed Blocked text Stage 1 calibration is required first Insp Flow Valve Data Show insp flow valve calibration table Previous Menu Return to previous
344. one encoder click and observe the airway pressure until gas flow stops Selectthe Status page and verify that e Over Pressure Circuit reads High Pressure e Gas Inlet Valve Feedback reads Closed Reassemble the system Perform the Preoperative Checkout Procedure refer to the User s Reference manual 6 9 Avance 6 6 Mixer test Eee 6 6 1 Mixer outlet check valve leak test 6 6 2 Mixer flow verification Note On machines with an HPDU and System Software 5 X you can also set up gas flows on the Gas Delivery Schematic Section 12 3 2 ofthe PC Service Application Note 6 10 To perform the mixer tests you must gain access to the mixer outlet tubing which is connected to the inlet of the vaporizer manifold 1 Remove the rear upper panel 2 Disconnect the mixer outlet tube at the inlet to the vaporizer manifold To test the mixer outlet check valve you must apply back pressure to the check valve through the mixer outlet tubing and time the leak down rate of the pressure 1 Tee in a pressure gauge and a syringe to the mixer outlet tube 2 3 Slowly pressurize the mixer outlet check valve to 200 mmHg The pressure shown on the test gauge should not decrease by more than 10 mmHg in 30 seconds To perform the flow verification test you must attach a flowmeter to the mixer outlet tubing and access the Gas Diagnostics function of the Service Diagnostics application on the Softwa
345. or greater 3 2 1 Leak lt 250 ml 3 2 Note For System software 2 X refer to Section 3 4 The Leak 250 ml setting is used during the circuit leak check portion of the checkout procedures This check tests for leaks in the machine breathing circuit patient circuit and manual bag The default setting is No Extraction of gas by external gas monitors may cause failure ofthe leak checks during tests When No is selected the leak test will pass for leaks below 250 ml at 3 kPa 30 cmH 50 pressure with no user interaction required For leaks between 250 ml and 750 ml the user can fix the leak and rerun the test or accept the leak and continue For leaks above 750 ml the test will fail and the user must fixthe leak and rerun the test Setto Yes to quantify small leaks above 100 ml during the checkout procedures Selecting Yes will display the measured leak at 3 kPa 30 cmH 0 pressure and result in the test taking somewhat longer 09 07 1009 0357 000 3 2 2 Machine Check 3 2 3 Machine Check System Ventilator Circuit Testing 3 2 4 Machine Check Circuit Bag Circuit Testing 1009 0357 000 09 07 3 Checkout Procedure The machine check runs automatically and beeps to indicate when it is finished or if interaction is required The Machine Check does a e Machine Check System check Ventilator Circuit s Machine Check Circuit check Bag Circuit and a Machine Check Circuit 02 cell check if circuit O
346. ory log shows at the top of the screen the total Running Hours and the date when the logs were last reset Whenever logs are reset Reset Logs dd MMM yyy hh mm ss is recorded in the Event log If the logs are saved to a memory card the machine s serial number is saved along with the current contents of the logs and the date and time The Error History log lists the last 200 errors logged since the last log reset starting with the most recent The system stores the last 1 000 errors logged since the last log reset The Event History log records the service history of the device This includes service calibrations entry into the service mode options enabled and software installation In the event of a board replacement it is understood thatthis log like all others could be lost The Event History menu lists the last 200 events logged starting with the most recent The Event History log stores the last 1000 events The Event History log cannot be reset The Alarm History log lists the last 200 medium and high priority parameter alarms since the last log reset starting with the most recent The Alarm History log store the last 1000 entries The Copy Logs function copies Error Event and Alarm logs along with the software hardware configuration to a text file on a PCMCIA card The copying takes about one minute Note Do not remove the Flash Card until the screen shows copy is complete 09 07 1009 0357 000 4b 5 Calibr
347. ostics TRM Section 8a 4 MOPV pressure relief valve test TRM Section 6 4 e Pressure Limit Circuit test TRM Section 6 5 e Adjust Drive Gas Regulator TRM Section 5 3 15 From the Service Calibration menu TRM Section 4a 5 perform the following refer to TRM Section 5 4 for details s User Cals s Manifold P Span s Inspiratory flow valve s Inspiratory flow zero Bleed resistor e Paw Span s Zero Gas Transducers 16 From the Service Log menu TRM Section 4a 4 2 perform the following Access the Error History log If any error codes have been logged follow the appropriate troubleshooting procedures Clearthe error log 17 Perform the system All Checks TRM Section 3 4 Low P leak check TRM Section 3 4 1 Quick check TRM Section 3 4 2 s Vent check TRM Section 3 4 3 e Circuit O cell check TRM Section 3 4 4 18 Electrical safety tests TRM Section 3 16 In addition to the 12 month requirements replace the following parts every 24 months All parts should be replaced before performing the checks tests and calibrations Refer to TRM Section 6 3 Perform the following step 1 Replace the free breathing flapper valve Stock Number 0211 1454 100 2 Replace the free breathing valve o ring Stock Number 1503 3208 000 In addition to the 24 month requirements replace the following parts every 48 months All parts should be replaced before performing the che
348. ouchingthe circuit boards Handle all circuit boards by their non conductive edges Use anti static containers when transporting them 9 3 Avance 9 1 Circuit board replacement precautions The Aisys anesthesia system has processors on several boards On three of these boards information such as the machine serial number and optional ventilation modes PCV SIMV and PSVPro are stored redundantly During power up the machine serial number and installed options information stored on the boards are compared If one board differs information from the two agreeing boards will be written to the new board If three boards differ in the case of two boards replaced the system defaults to NO OPTIONS and default machine serial number To retain the installed options install only one replacement board at a time If multiple boards are to be installed install the first board load software on the new board and power up the machine in normal mode Repeat this procedure for each board installation The following table lists the actions required after replacing printed circuit boards Board Name Short Name Required Action After Installation Display Unit CPU DU CPU Load Software see Note Check Re Configure Machine Configurations Affix the new Key Code and Board ID Label to Vent Casting Preoperative Checkout Anesthesia Control Board ACB Load Software Check Re Configure Machine Configurations User Calibrations
349. ow Zero s Insp Flow Valve Bleed Resistor Paw Span Zero Gas Xducers 5 Verify the Schedule Service Calibration message is not present in the normal display 6 Complete the System Checkout by performing the following steps Inspect the system Section 3 1 System checkout Section 3 4 Pipeline and Cylinder tests Section 3 8 Flush Flow test Section 3 10 Alarm tests Section 3 11 Alternate O flowmeter tests Section 3 12 qo gt 000 090 Auxiliary O flowmeter tests if equipped with option Section 3 13 h Integrated suction regulator tests if equipped with option Section 3 14 i Powerfailure test Section 3 15 j Electrical safety tests Section 3 16 6 3 Avance 6 2 Avance Planned Maintenance Serial Number Date YY MM DD Hospital Performed by L1 12 months O 24 month O 48 month O Every twelve 12 months Parts Replacement O Checks and Tests O L1 D LI D D 0 0000 6 4 Perform the following steps every 12 months For details refer to the sections listed e Sections marked URM are found in the User s Reference manuals for the Avance anesthesia system e Sections marked TRM are found in this Technical Reference manual Replace the vaporizer port o rings Section 9 14 1 Kit Stock Number 1102 3016 000 Oo OC FB C N 8 9 AGSS Maintenance URM Part 2 Section 2 Empty any condensate from the re
350. ow to bleed gas pressure from the machine ccc cece teen eee 9 5 9 3 How to remove the rear panels ccc cece ence e 9 6 9 3 1 To remove the rear upper panel cece eee ene eens 9 6 9 3 2 To remove the lower access panels 00 ccc cece eee enes 9 6 9 4 Howto remove the tabletop cece eee eee eee eee eee e eee 9 7 9 5 Servicing the Display Unit DU 0 c cece nee 9 8 9 5 1 Remove the Display Unit 0 0 ccc cece ene eee eens 9 8 9 5 2 Disassemble the Display Unit 000s cece eee eee eens 9 9 9 5 3 To replace the CPU board cece eee 9 10 9 5 4 To replace the LCD display 0 c cece cece e eee eens 9 11 9 5 5 To replace the backlights 0 cece eee eens 9 13 9 5 6 To replace the Inverters cece cee 9 14 9 5 7 To replace the front enclosure or components 0eeeeeeeeeees 9 15 9 6 Servicing the High Performance Display Unit HPDU 0 cee eee eeee 9 17 9 6 1 Remove the Display Unit ooooococcccccccnccccrn II 9 17 9 6 2 Disassemble the Display Unit 0 00 cece cece eee eens 9 18 9 6 3 CPU ica tween is ae aa e wae os rc we Prae hea 9 18 9 6 4 To replace the CPU board cece eee eens 9 19 9 6 5 To replace the LCD display 0 c cece cece eee eee eee eens 9 20 9 6 6 To replace the backlights 0 ccc cece eect nee 9 21 9 6 7 To replace the Inverters cece cece eee eens 9 22 9 6
351. parameters and alarm limits Alarm Limit Value Pmax High 40 cmH20 40 hPa 4 kPa 40 mbar 30 mmHg TV tidal volume 500 ml MV High 10 l min Pinsp 5 cmH20 5 hPa 0 5 kPa 5 mbar 3 6 mmHg MV Low 2 l min RR 12 min TV High 1000 ml Mech RR 12 min TV Low Off Tinsp 1 70 RR High Off E 1 2 0 RR Low Off Trig Window 25 Et CO2 High 6 596 50 mmHg or 6 5kPa Flow Trig 2 l min Et CO2 Low Off End Breath 2596 Fi CO2 High Off Psupport Off Fi O2High Off PEEP Off Fi 02 Low 2196 Tpause Off EtO2 High Off Backup Time 30s EtO2 Low Off 0296 100 Fi Iso High 5 Balance Gas Air Fi Iso Low Off Circuit Circle Et Iso High Off Gas Outlet installed SCGO Et Iso Low Off Paw Color Yellow Fi Sev High 8 Flow Color Green Fi Sev Low Off Resp Color White Et Sev High Off CO2 Color White Et Sev Low Off Paw Units cmH20 Fi Des High 15 Weight Units kg Fi Des Low Off Temperature Units C Et Des High Off CO2 Units Et Des Low Off Altitude Fi Enf High 5 Gas Supply Pressure Units kPa Fi Enf Low Off Decimal marker
352. porizer manifold 0 cece II 10 23 10 15 Vent Engine Housing sriep trn e i E E eens 10 24 10 16 Vent Engi 0 A A 10 25 10 16 1 Vent Engine underside ocooccoccccnccnccr eens 10 26 10 17 ABS to machine Interface Components SCGO suuuuususse 10 27 10 18 ABS to machine Interface Components ACGO sssselesssssss 10 28 10 19 Flush Regulator and Flush Valve cece cece eee eee 10 29 10 20 Front panel Alt O2 and system SWitch 0c ccc cece eee ccoo 10 30 10 21 Breathing system interface 0 0 0 0 cece cece tenets 10 31 10 1 Avance 10 22 Breathing System cuss sees ia a a RR EY 10 32 10 22 CARL Vales cae okay ae beri E a qr alegre lo rre airs 10 32 10 22 2 Bag Vent Switch cesses mmn 10 33 10 22 3 Absorber canister erer asido patani aA DT a nnn 10 34 10 22 4 Flow Sensor Module 000 c cece eect I 10 35 10 22 5 Breathing Circuit Module 10 36 10 22 6 Exhalation valve ssssssssslsesse II 10 37 10 22 7 BelloWS 5 i544 Ponta ueber b a P RR REDE T PTS 10 38 10 22 8 Bellow b se hiiret eem eter cere emere mme Rated 10 39 10 22 9 Bag Arm oo dass eS eR EUR Una OR OE E 10 40 10 22 10 EZchange Canister system CO Bypass sss 10 41 10 22 11 Condensed RR yel v Case A 10 42 10 22 12 Anesthetic Gas Scavenging System AGSS usuuuuuuuuuu 10 44 10 22 13 Passive AGSS iia e ee Xa RU RA e RAT ares 10 44 10 22 14 Adjustable AGSS 0
353. pressure 0309 1319 800 Low pressure Leak Test Device positive pressure ISO 1001 8976 000 Low pressure Leak Test Device positive pressure BSI 1001 8975 000 Flow test device capable of measuring 0 15 L min Referto section 6 7 with an accuracy of 2 of reading Vacuum test gauge capable of measuring O to 550 mm Hg Referto section 6 9 with an accuracy of 1 of reading Test device capable of measuring 0 30 L min see Item 1 above Refer to section 6 9 Leakage current test device Referto section 3 16 Test device capable of measuring 689 kPa 100 psi Refer to section 5 1 1 10 1 4 Lubricants and Adhesives Item Description Stock Number 1 Lubricant Krytox GPL 205 2 oz 1001 3854 000 2 Lubricant Dow 111 5 3 oz 6700 0074 200 3 Thread Lock Loctite No 24221 10 ml 0220 5017 300 4 Super Glue Gel Loctite 454 6812 2160 010 10 4 09 07 1009 0357 000 10 1 5 Test Tools 1009 0357 000 09 07 Item la 1b 1c 1d le 1f ao oo FW NM Tool Leak Test Tool Kit ABS breathing system Test Tool bulkhead Plug tapered 27x12 mm Plug tapered 24x18 mm Test Tool circle module 2 each Plug service B S 11 mm 2 each Plug service BTV 18 mm 2 each Adapter positive low pressure leak test PEEP INSP Calibration Flow Orifice Airway Pressure Sensing Tee Vaporizer Manifold Valve Test Tool Plug stopper Not Shown Tool to help disconnect tubing from Legris fittings Test Lung Leak detection fluid Snoop 10 Illustrated P
354. r the membrane Ground Strap fully inserted Carefullylowerthe membrane straight down to the enclosure Seatthe membrane in place Remove the backing from the keypad and install it overthe membrane switches Attach the ground strap to the enclosure To install the EMI To fully seal the Display Unit enclosure you will need approximately 2 3 meters of gasket EMC gasket 10 Cut the gasket into five strips shown below Insert a continuous length of gasket in the outside grove of the enclosure sparingly apply Super Glue Gel to the channels near the corners before installing the gasket Insert individual lengths of gasket in the inside grove around the window sparingly apply Super Glue Gel to the channels near the corners before installing the gasket 9 16 total four sides E e 1206 mm 09 07 1009 0357 000 9 Repair Procedures 9 6 Servicing the High Performance Display Unit HPDU Note 9 6 1 Remove the Display Unit 1009 0357 000 09 07 To service the DU refer to Section 9 5 The item numbers appearing in parenthesis in this section referto items in the parts list in Section 10 8 The fan filter 26 and the access door 3 to the PCMCIA interface can be replaced with the Display Unit in place To replace the filter slide the filter capsule 25 downward to remove it from the Display Unit To service other components of the Display Unit you must first remov
355. r Logs Transfer Log Files Select the log ies lo tave ff Eno Log i Hate The bensie of log lites may Lake Ewent Lag several minutes All other service activity Key Log ASD Log SwHwLog Transfer Status 1009 0357 000 09 07 12 11 Avance 12 7 Power Diagnostics menu The Power Diagnostics menu includes the following menu items Power Schematic Section 12 3 Power Board Section 12 7 1 Anesthesia Control Board Power Section 12 7 2 s Mixer Board Power Section 12 7 3 s Vent Interface Board Power Section 12 7 4 Display Unit Power Section 12 7 5 12 7 1 Power Diagnostics Power Board 12 12 Power Board Label 12Vdc Supply 3 3Vdc Supply 1 5 Vdc Supply Battery Connected Calc Battery Time Battery 1 Volts Battery 2 Volts Battery Current Battery Status Date battery Tested Last Full Discharge Board Temperature Fan Speed Fan 1 Voltage Fan 1 Status Fan 2 Voltage Value Format XX XX X XXX X XXX Yes No XX XX X 6 0 FAIL red 10 T Chg yellow 10 15 5 Green X XXX Fail Bulk Chg Over Chg Float Chg Trickle Chg On Discharge XX lt 65C OK green gt 65C lt 75C Warn Yellow gt 75C Fail red Slow Fast XX XX Low High Fail OK XX XX Range 11 70 to 12 30 3 201 to 3 399 1 450 to 1 550 00 to 30 10 00 to 16 50 11 000 to 4 000 max 64 max 147 10 08 10 92 10 08 10 92 Date battery Teste
356. r newly installed subsystems Software Download Status Software Download Current New Download All Subsystem SWVer SWVer Status Front Panel Cntl XX XX XX XX Power Controller XX XX XX XX Electronic Mixer XX XX XX XX Vent Intface Bd XX XX XX XX Anes Control Brd XX XX XX XX Dsply Unit BIOS XX XX XX XX Dsply Unit Flash Dsply Unit App XX XX XX XX Download New Loading X XXXXXXXXX XXXXX K K K K K K K K K K K K K e K K K e K ke 1009 0357 000 09 07 DU 8a 25 Avance with DU Notes about downloading software Ifthere is no Front Panel Control software installed in the system as would be the case when the display units control board is replaced the Service Application automatically downloads the Front Panel Controls software at startup Duringthe download the two display unit LEDs will flash and the display speaker will sound an alarm tone to indicate that Software Download is proceeding The display will be black until the automatic download is complete To ensure that all software versions on the system are compatible the end result of Download All or Download New will be the same The software loaded on the machine will exactly match what is on the card Be sure to have the latest correct version of software before attempting a download to avoid inadvertent overwrites of newer software with an older version If duringthe Download New process the compatibility checker detects a newer vers
357. ration files from a different product model The software version is stored with the saved configuration A system will reject any configurations from otherthan the current version of software Selecting Save to Card overwrites any configuration on the card DU 4a 9 Avance with DU 4a 4 Service Menu Use the service level password to access the Service menu 26 23 8 Whenever service menu is entered Enter Service dd mmm yyyy hh mm ss is recorded in the Event log Menu Item Message text SW HW versions Scroll through system information Service Log Show error event and alarm histories Calibration Push ComWheel to perform service calibrations Previous Menu Return to previous menu DU 4a 10 Total Time Software Release Model Code Machine Serial Number Option Package Option Code Anes Hardware Disp Hardware Mixer Hardware Vent Hardware Power Hardware MGas Hardware Service Log Menu Scroll Recent Error History Event History Alarm History Copy Logs Reset Logs Previous Menu Calibration Instructions User Calibration Manifold P Span Insp Flow Zero Insp Flow Valve Bleed Resistor Paw Span Zero Gas Xducer Cal Config Previous Menu 09 07 1009 0357 000 4a Installation and Service Menus DU 4a 4 1 Software Turn the ComWheel to scroll through the list box Hardware Ver Menu Push the ComWheel to return to the Service menu
358. ratory check valve 1 2 3 4 5 1009 0357 000 09 07 Setall gas flows to minimum Setthe Bag Vent switch to Bag Fully close the APL valve 70 cm H50 Connect a tube between the Inspiratory port and the Bag port Slowly increase the O flow to achieve 30 cm H50 e The leak rate is equal to the flow needed to maintain 30 cm H30 e The leak rate should be less than 500 mL min 1 9 Avance 2 7 2 Breathing System Troubleshooting Flowcharts Review Leak Test Guide Section 7 7 Do Machine Check Section 3 2 or System All Checks Section 3 4 Isolate breathing system leak to Bag Mode Vent Mode or Both Perform Leak Test 1 Verifying the integrity of test tools Perform Test 2 Low pressure leak testing the machine Pass Leak in Dag Bag Mode Vent Go to Flowchart 2 Mode lt Vent Mode Mode only or Both only Both Bag and Vent Mode Perform Test 3 Testing the airway pressure transducer Repair leak in machine Go to Flowchart 3 AB 91 013 Inspect Replace tubing to airway pressure transducer Replace U Cup seals and port U cup seals Pass Go to Flowchart 4 Vent Mode Bag Mode Software 2 3 00 Machine Check Machine Check System Circuit Software lt 3 00 Vent Check Quick Check Flowchart 7 09 07 1009 0357 000 Leak in Bag Mode only Perform Test 4 Testing the bag port A
359. rce Enabling Criteria Action Troubleshooting ACB EEPROM FAIL Memory EEPROM Read Write failure or CRC Low AC failure failure ofthe EEPROM located on the Anesthesia Control Board Reboot System If problem continues replace the ACB ACB FLASH FAIL System Malfunction CRC Failure in code space High AC Reboot System If problem continues replace the ACB ACB HW WATCHDOG System Malfunction Hardware watchdog fails boot High AC up test times out or detects an incorrect code sequence Reboot System If problem continues replace the ACB ACB MICROPROC System Malfunction Unexpected microcontroller High AC ERROR exception bus error address error etc Reboot System If problem continues replace the ACB ACB RAM ERROR System Malfunction Memory Test Failure Multiple High AC bit errors detected Reboot System If problem continues replace the ACB ACB REDUNDANT System Malfunction A redundantly stored High AC MEMORY FAIL parameter could not be stored properly or was corrupted Reboot System If problem continues replace the ACB ACB SW ERROR System Malfunction Unexpected software error High AC Reboot System If problem continues reload ACB Software If problem continues replace the ACB ACB SW WATCHDOG System Malfunction Software watchdog failed High AC power up test timed out ora software function was delinquent for too long Reboot System If problem continues replace the ACB ACB UNEXPECTED System Malfunction Unexpected reset of AC
360. re 02 Pressure Cal Balance Pressure Balance Pres Cal Mixer Output Pres Mixer Output Pres Cal 02 Temp 02 Temp Volts Balance Temp Balance Temp Volts 1009 0357 000 09 07 Units Range kpa C 62 05 to 220 63 0 55to 2 90 62 05 to 220 63 0 55to 2 90 62 05 to 199 95 0 55 to 2 90 5 00 to 50 00 0 25 to 3 00 5 0 to 50 0 0 25 to 3 00 Range psi F 9 00 to 32 00 0 55 to 2 90 9 00 to 32 00 0 55 to 2 90 9 00 to 29 00 0 55 to 2 90 41 00 to 122 00 0 25 to 3 00 41 0 to 122 0 0 25 to 3 00 12 Service Application Range bar C 0 62 to 2 21 0 55 to 2 90 0 62 to 2 21 0 55 to 2 90 0 62 to 2 00 0 55 to 2 90 5 00 to 50 00 0 25 to 3 00 5 0 to 50 0 0 25 to 3 00 12 19 Avance 12 8 4 Gas Delivery Subsystem Gas Delivery Status Gas Delivery Status Label Units Range 02 Flow i l min 0 00 0 10 to 15 75 Air Flow min 0 00 0 10 to 15 75 N20 Flow l min 0 00 0 10 to 12 60 12 20 09 07 1009 0357 000 12 Service Application 12 8 5 Gas Delivery Subsystem Mixer Post Checkout Test Results 1009 0357 000 09 07 Mixer Post Checkout Test Results Label Test Results Alt 02 Valve Leak Pass not performed if O2 Valve Leak fails Not done No supply pressure Not done Selector valve incorrect state Fail Selector valve leaks Fail Proportional valve leaks 02 Valve Leak Pass Fail 02 Bypass valve leaks Balance Gas Valve Leak Pass Not done No supply pressure Not done Selector valve
361. re Download card 1 Connect a flowmeter to mixer outlet tubing 2 Ifthe system includes an N20 supply connect the output of the flowmeter to the input of the vaporizer manifold to scavenge the flow On the Gas Diagnostics menu Section 8a 2 for machines with a DU e Section 8b 5 1 for machines with an HPDU select the following and verify the readings on the test flowmeter Verify Flowmeter Reading Select Lower Limit l min Upper Limit 1 min 100 02 at 10 l min 9 0 11 0 100 02 at 0 5 l min 0 45 0 55 Air at 10 l min 9 0 11 0 Air at 0 5 l min 0 45 0 55 100 N20 at 10 l min 9 0 11 0 100 N20 at 0 5 l min 0 45 0 55 If you will be testing the Auxiliary O flowmeter Section 6 7 you can proceed to the Alternate O Flow Accuracy Test at this point without reassembling the machine 4 Remove the test device 5 Connectthe mixer outlet tubing to the vaporizer manifold 6 Replace the back cover T Perform the Preoperative Checkout Procedure refer to the User s Reference manual 09 07 1009 0357 000 6 Installation and Maintenance 6 7 Alternate 0 flowmeter tests Flow Accuracy Test 1009 0357 000 09 07 1 Open the O cylinder valve or connect an O pipeline 2 Rotate the Alt O flow control fully clockwise to minimum flow 3 Press the Alternate O switch to turn on Alternate O flow The flowmeter should indicate 0 5 to 0 7 L min 4 Rotate the flow control countercloc
362. ree end ofthe bag arm and rotating itto the desired position Replace the ABS breathing system 09 07 1009 0357 000 9 18 1 Servicing the bag support 1009 0357 000 09 07 arm Service parts forthe bag support arm include the upper and lower assemblies To replace either assembly 1 2 Remove the bag support arm from the machine Section 9 18 To separate the upper assembly from the lower assembly use a small 2 5 mm pin punch from the bottom to drive the dowel pin up and out To assemble the bag arm apply a light coat of Krytox to the area of the upper arm A that extends into the lower arm including the dowel pin groove Insert the dowel pin into the hole from the top side as shown Drive the dowel pin into the bag arm until itis flush with the top surface Groove 9 Repair Procedures Insertthe upper assembly into the lower assembly Align the surface B of the upper assembly with the surface C of the lower assembly 9 55 Avance 9 56 9 18 2 Replace friction pad in lower bag arm assembly Remove the ABS breathing system from the machine Using an 8 mm socket remove the nut A shoulder washer and spring from the lower assembly Liftthe bag support arm off of the swivel post Remove the old friction pad Wipe any residue and friction particles from the post Insert a new friction pad into the base Keep approxim
363. ries in the Error Logs i e Self tests Failed Replace the GIV Solenoid Check the operation of the Gas Inlet Valve operation Perform Software Download COOLING FAN Indicates the Pan Fan is Mixer CURRENT LOW drawing too little current FAILURE Replace Fan Replace Mixer 7 52 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting CPU FAN SPEED FAIL Cooling fans failed CPU fan speed less than Medium DC May overheat 50 of nominal speed This message relates to the CPU heatsink fan in the HPDU Turn on unit with back cover removed and verify CPU fan is not working Verify fan connector is plugged in Replace CPU fan CPU OVERHEAT Cooling fans failed Temperature reading of Medium DC May overheat either DU thermistor gt 60 degrees C This message relates to the case fan in the HPDU With unit running remove the fan filter from back of unit and feel if fan is working Open case and check that fan connector is plugged in Replace case fan DCB RAM ERROR System Malfunction Self test failure or multi bit High DC error detected Reboot System If problem continues replace the Display Controller Board DC COMMANDED AC Indicates the Display DC TO FAILURE Controller detected issues and commanded the Anesthesia Controller to safe state Check for other erro
364. rious baud rates accommodate data requirements between subsystem and host External communication uses the standard RS 232 interface Mgas Intel 196Processor Mod Bus DU UPI Hitachi H8 processor External 1 0 PCMCIA 2 USB Net ID Ethernet AMD Elan SC520 DIS Processor Display Unit CPU RS 232 Serial C amp T 69000 Display Processsor Serial 9 6 Kbaud DU Controls Atmel Almega 16 Color LCD Processor Figure 2 16 System communications with DU 2 10 RS 422 138 4 Kbaud RS 422 9 6 Kbaud Ventilator Interface Atmel ATmega 16 Processor Mixer Control Atmel ATmega 103 Processor AB 91 065 RS 422 230 Kbaud RS 422 38 4 Kbaud Anesthesia Computer CPU Motorola Coldfire V4 Processor Power Supply Controller ccv S Y Atmel ATmega 103 Processor pneqy 7 6T Future Expansion Ports 2 09 07 1009 0357 000 2 Theory of Operation M Gas Ventilator Intel 196Processor Interface Atmel ATmega 16 Processor Mixer Control Atmel ATmega 103 Processor AB 75 087 Mod Bus RS 422 230 Kbaud High Performance Display Unit RS 422 38 4 Kbaud External 1 0 Compact Flash HP Display Unit CPU RS 422 Anesthesia Computer CPU USB2 i 38 4 Kbaud Ethernet VIA Eden ESP 10K i Motorola Coldfire V4 Monitor On Standby Processor 1 Processor l RS 232 Serial 3 SIE 9 ovo eis Serial 9 6 Kbaud Power Supply Controller Atmel
365. rize circuit If it does reach 20 cm H50 change flow to 100 ml min 7 71 Avance Ifaflow of 100 ml min reaches 30 cm H50 or greater display Circuit leak is less than 100 ml min and continue to next step If it does not gradually increase flow until pressure reaches 30 cm H30 e Ifaflow is found that reaches 30 cm H20 and that flow is less than 750 ml min continue to next step but indicate that Ventilator circuit leak is THE ml min e Ifthe circuit pressure does not increase to 30 cm H20 with 750 ml min flow fail with Ventilator circuit leak is greater than 750 ml min Step 3 Mechanical Ventilation Tests the Mechanical Ventilation by delivering small Pressure Controlled breaths and look for alarms s falarm condition is detected it will be stated in final menu Continue to next step Step 4 Circuit Compliance Tests the circuit compliance by delivering small 15 cm H320 Pressure Controlled breaths measures the circuit volume via the expiratory flow sensor and looks for alarms e Ifthe measured volume is less than 15 ml either due to small patient circuit or flow sensor issues a Check Flow Sensor alarm may be generated that prohibit the calculation of circuit compliance state that Can not measure circuit compliance e falarms did not occur then calculate compliance and state Circuit Compliance YYY ml cm H20 Step 5 O Flow Run the mixer tests on O channel Check gas supp
366. rol Bd XXX A XXX Dsply Unit BIOS XXX A XXX Dsply Unit App XXX A XXX Machine Serial Number ABCDXXXXX PC Card ID XXXX XX 09 07 1009 0357 000 8a 1 2 Power Diagnostics Power Diagnostics Gas Diagnostics Vent Diagnostics Display Diagnostics Special Functions Software Download 1009 0357 000 09 07 8a Software Download and Diagnostics DU The service application provides power supply diagnostics for the various circuit boards in the Avance anesthesia machine Selecting Power Diagnostics on the Main Menu brings up the following menu selections in the left hand frame and the instructions in the right hand frame Power Diagnostics Power Controller Power Diagnostics Power Control Anes Control Board Select a menu item to see the power status and measured voltages Mixer Vent Interface Bd To troubleshoot a power problem Display Unit start with the power controller and work forward Main Menu Problem voltages are in red DU 8a 3 Avance with DU 8a 1 3 Power Controller Power Diagnostics Power Diagnostics Power Control Anes Control Board Mixer Vent Interface Bd Display Unit gt Main Menu DU 8a 4 There are two pages of diagnostics for the Power Controller Selecting Power Control brings up the first page of the Power Controller Diagnostics Page 1 of 2 Power Control Power Diagnostics Label Value Format Normal range AC Status 0K Fail 12Vdc Supply XX
367. rs in the error logs Compatibility failure Compatibility incomplete etc DC FRONT PANEL Indicates a stuck Keypad or DU KEY STUCK encoder on the Display Replace the Keypad Encoder DRIVE GAS LOST Ventilator has no drive 0 supply low if Os is selected High AC Mechanical Ventilation gas drive gas DC is ON OR checks AIR supply low if Air is enable selected drive gas criteria Connect O or AIR supply See Action Troubleshooting for O5 PRESS LOW or AIR PRES LOW EXP FLOW SENSOR Calibrate flow sensors Exp Flow Sensor zero offset Low AC Flow sensor detected CAL ERROR out of range Vent In Service Software under Vent Flow and Pressure Diagnostics Section 8a 3 2 verify the Expiratory Flow counts is 2050 250 Disconnect the Blue and Yellow in line connectors If the counts return within specified range check for occlusions in the Bulkhead harness Ifthe counts do not return within the specified range replace the VIB EXP FLOW SENSOR Replace exp flow EEPROM cal data read failure Low AC EEPROM FAILURE sensor Vent Replace Exp Flow Sensor 1009 0357 000 09 07 7 53 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting FAN FAIL Cooling fan needs Fan Power Status Bitis Low Medium PC
368. ry failure If Battery charging with 20 30 minutes available indicate Battery still charging If Battery charging with 10 20 minutes available indicate Battery still charging If battery charging with 0 10 minutes available indicate Battery still charging If battery fully charged pass step 1 12 Steps and Messages displayed during the System Checkout for System software 2 X 7 12 1 Steps for Stepi Check to make sure bag vent switch is set correctly the Quick Check If switch is setto manual mode continue with the next step If set to ventilator mode fail with Wrong circuit selected Step2 Is O available and working If O5 Supply is Not low and mixer passes a mixer flow test of 250 ml min of 0 continue with the next step If not fail with Low O supply pressure or with mixer failure Step3 Is circuit airway pressure too high Checkthe circuit airway pressure is less than 30 cm H50 continue with the next step If airway pressure greaterthan 30 cm H50 fail with Circuit pressure too high Step4 Find manual circuit leak Increase flow to find the manual circuit leak If pressure does not increase to 30 cm H30 fail with Cannot pressurize circuit If flow required to maintain pressure at 30 cm H2O is greaterthan 250 ml min state Manual circuit leak is XXX ml min at 30 cm H50 If flow required to maintain pressure at 30 cm H30 is less than or equal to 250 cm H50 cont
369. s If screen goes blank during test then a backlight is out On the Test Soft Keys screen pressing a softkey will cause a highlighted square to appear nextto the soft key A second press of the softkey removes the square Refer to section 8b 7 1 On the Test LCD Pixels screen press the ComWheel to sequence through the color screens The first press results in a blank screen Selecting Previous Menu returns to the Special Functions screen HPDU 8b 25 Avance with HPDU 8b 7 1 Test Keys and Battery Display Diagnostics Test LEDs Test Speaker Test Backlight 1 Test Backlight 2 Test Soft Keys Test Keys and Battery Test LCD Pixels gt Previous Menu Note HPDU 8b 26 Note System Software version 4 X only includes the Test Keys function System Software version 5 X includes the combined Test Keys and Batery function Selecting Test Keys and Battery brings up an expanded test keys screen which includes the battery test Test Soft Keys and Battery Press each softkey to display a box Press again to clear it To start the battery test shut off the AC mains Then wait for the end of the 2 minute countdown You can test the keys while you wait After turning off the AC main inlet switch the test begins automatically in a few seconds Test Soft Keys and Battery Press each softkey to display a box Press again to clear it Countdown XXX sec Battery 1 right XX XX Vdc Battery
370. s black during test a backlight is out Selecting Test Keys brings up a representative display of the front panel controls Pressing a softkey will cause the corresponding key text to be highlighted Selecting Main Menu returns to the Main Menu DU 8a 21 Avance with DU 8a 5 Special Functions Note Power Diagnostics Gas Diagnostics Vent Diagnostics Display Diagnostics Special Functions Software Download Mixer Service Menu Error Alarm Event Logs Revision and PC Card Install Logs Compatibility Table DU 8a 22 Selecting Special Functions on the Main Menu brings up the following menu selections in the left hand frame The View Error Log View Alarm Log and View Event Log may not be present on all versions ofthe Software Downloader Card Special Functions Special Functions Mixer Service Menu View Error Log View Alarm Log View Event Log View Revision Log Compatibility Table PC Card Install Log View Install Errors gt Main Menu Refer to section 8a 5 1 In a functioning system the Error Alarm and Event Logs are accessible on the system s Service Log menu refer to Section 4a 4 2 If a system comes up in a Failed State you can download the logs to the Service Application PC Card and view them on the Special Functions screen 1 With the system still in the Failed State insert the Service Application PC Card into the Display Unit and press the Help softkey
371. s Low AC N50 is selected as the low than 252 kPa and the N50 balance gas with a non cylinder pressure is less than zero flow of N50 2633 kPa Check N50 Supply Check Replace N50 Pipeline Cylinder Pressure Transducer NO EXPIRATORY FLOW No exp flow sensor No Expiratory sensor Medium A SENSOR connected and not calibrating Vent Connect Expiratory flow sensor Check Replace Bulkhead harness Replace VIB Board NO INSPIRATORY FLOW No insp flow sensor No inspiratory sensor Medium AC AC Vent SENSOR connected and not Vent calibrating Connect Inspiratory flow sensor Check Replace Bulkhead harness Replace VIB Board 02 Mixer status bit Medium AC PROP VALVE FAIL STS_CH1_PROPN VALVE FAIL Mixer indicates proportional valve failure Reboot System If problem continues Replace the Mixer 02 Mixer status bit Medium AC O gas supply pressure FLOW CTRL FAIL STS FLOW CTRL CH1 FAIL Mixer OK indicates flow control failure Reboot System If problem continues Replace the Mixer 7 62 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting 02 FLUSH FAILURE 0 flush stuck on Switch is detected on Low AC continuously gt 30 sec Vent Alarm condition becomes false for 2 consecutive switch readings 02 PIPE INVALID Cannot monitor 05 0 Pipeli
372. s Unit 10VA Amps OK Fail Anes Control Board Mixer Mixer 10VA Volts OK Fail Vent Interface Bd Mixer 10VA Amps OK Fail gt Previous Menu Alt O2 10VA Volts OK Fail Alt 02 10VA Amps OK Fail Periph 1 10VA Volts OK Fail Periph 1 10VA Amps OK Fail Periph 2 10VA Volts OK Fail Periph 2 10VA Amps OK Fail Turn the ComWheel to return to the first page Push the ComWheel to return focus to the Power Diagnostics selection menu HPDU 8b 10 09 07 1009 0357 000 8b 3 5 Electronic Mixer Power Diagnostics Power Diagnostics Power Controller Display Unit Power Anes Control Board Mixer Vent Interface Bd gt Previous Menu 1009 0357 000 09 07 8b Software Download and Diagnostics HPDU Selecting Mixer brings up the Electronic Mixer Power Diagnostics page Mixer Power Readings Value Format Units From Anes Cntrl Bd Mixer 10VA Volts OK Fail Board Supplies 12 5V 5 5V 3 3V CPU 2 5V ADC Ref Normal range 11 80 to 13 00 5 390 to 5 610 3 220 to 3 380 2 470 to 2 530 HPDU 8b 11 Avance with HPDU 8b 3 6 Ventilator selecting Vent Interface Board brings up the Ventilator Interface Board Power Interface Board Diagnostics page Power Diagnostics Vent Interface Bd Power Readings Power Diagnostics Value Power Controller Label Format Normal range Display Unit Power From Anes Cntrl Bd Vent Int Bd 10VA Volts OK Fail Vent Valves 10VA Volts OK Fail Anes Control Board Mixer
373. s and harnesses Filter Board interface oooooooooommmmo o 10 72 10 36 Cables and harnesses in Pan enclosure oocoococccocccccccccncccro 10 74 10 37 Optional Monitor Display mounts 00 cece eee eee II 10 76 10 38 Display arm mounting kits for optional equipment ssssssseese 10 77 10 2 09 07 1009 0357 000 10 Illustrated Parts 10 1 Service tools 10 1 1 Software tools Item Description Version Stock Number 1 Avance System Software for HPDU 5 X M1087631 S 4X M1062100 S 1 Avance System Software for DU 3 20 M1055796 3 00 1009 6163 000 2 02 1009 6135 000 2 Compact Flash adapter PCMCIA carrier 1009 5874 000 required only for DU 3 Service Application PC based 1X M1088110 for System Software 5 X 3 Cable DU serial portto PC serial port 1011 3984 000 10 1 2 Manifold The manifold pressure test adapter is used to tee into the manifold pressure line for the pressure test Manifold P Span calibration Section 5 4 2 adapter Assemble the adapter using the parts shown 1 2 3 A mo 4 J E L 4 m H 2 Item Description Stock Number 1 Coupler male white 1503 3236 000 2 Tee male barb 1009 3011 000 3 Coupler female white 1503 3119 000 4 Tubing low pressure 1 4 inch 1605 1001 000 1009 0357 000 09 07 10 3 Avance 10 1 3 Test Devices Item Tool Stock Number 1 Test flowmeter 6 50 L min Suction Flow Test 1006 8431 000 Not Shown Low pressure Leak Test Device negative
374. s of parameters Comments Units Set units of weight CO2 gas supply pressure and Paw Show Alarm Limits Select yes to show alarm limits in digit fields Default is Yes Save Default Case Save normal screen air N20 circuit type ventilator settings and alarm limits from the last case as defaults Last used alarm settings including hide show alarm limits screen layout middle waveform selection sweep speed scaling ventilator mode and setting balance gas and start case gas outlet selection are saved as facility defaults Note The Pmax alarm limit shall not be saved higher than 40 cmH20 The low FiO2 alarm limit shall not be saved lower than 21 Factory Defaults Return to default factory settings After selecting Factory Defaults Reset machine for defaults to take effect Action All facility defaults get replaced with factory defaults Super User settings also get set to Factory Defaults No Service level configuration settings are changed Installation Set language gas colors hardware and enable options Navigate with password to Installation menu Password is 26 23 8 Service Show technical data for troubleshooting and calibration Navigate with password to Service menu Password is 26 23 8 Exit 1009 0357 000 09 07 Turn power off to exit the service and super user menus Install Service Trends Setup Colors Units Show
375. s the software loads an activity bar at the bottom of the screen shows the download progress for each subsystem Download complete Whenallthe required subsystem software is download the following message appears on the screen You must shut down the system to exit the download function DOWNLOAD IS COMPLETE Remove PCMCIA card Turn ON STANBY switch to STANDBY Turn OFF AC mains switch in rear Note After powering down the system be sure to wait at least 20 seconds before restarting the system DU 82 26 09 07 1009 0357 000 8b Software Download and Special Functions HPDU In this section 8b 1 OvervieW 0 cece cece cece cece ee eee eee cnn rr 8b 2 8b 1 1 Main Menu and System Information 00 cece eee eee eee 8b 2 8b 2 Software Download sso ve cave uer den wh E t aq ca debe y we 8b 3 8b 3 Speclal Functions 2 2 ehe map amp eveIrr a EE aia E naa 8b 5 8b 3 1 PowerDiagnostics sorone a aa E EE EENE AEA 8b 5 8b 3 2 Power Controller Power Diagnostics 0 cece eee eee eee eee 8b 6 8b 3 3 Display Unit Power Diagnostics 0 0 0 e eee eens 8b 8 8b 3 4 Anesthesia Control Board Power Diagnostics cece eee eee 8b 9 8b 3 5 Electronic Mixer Power Diagnostics 0c cece eee eee eee es 8b 11 8b 3 6 Ventilator Interface Board Power Diagnostics oooooomommmm 8b 12 8b 4 Ventilation Diagnostics 0 eee eens 8b 13 8b 4 1 Vent Stat S i a ca cence don sae owt y
376. sControl B Compatibility Table Avance VNT Stock Number RevX Software Level File Name Serial Vent Intface B instead Avance MXR Stock Number RevX Software Level File Name Serial Electronic Mix Avance DUB Stock Number RevX Software Level File Name Serial Dsply Unit BIO Avance DUA Stock Number RevX Software Level File Name n a Dsply Unit App Avance MBC n a Software Level File Name n a ModBus Control Avance MHB n a Software Level File Name 4 n a Dsply Unit Fon Avance HGG n a Software Level File Name n a Dsply Unit Fon Note The Stock Number listed is for the board assembly and may not represent an orderable service item Referto the parts lists in Section 10 for service level stock numbers The Front Panel Control FPC Display Unit Application DUA the ModBus Control MBC the two font files MHB and HGG reside along with the Display Unit BIOS DUB on the Display Unit CPU board 8b 8 2 CF Card Selecting CF Card Install Log brings up the CF CompactFlash Card Install Log for the Install Log software download card The log includes chronological entries for every Software Download that was completed with the card HPDU 8b 28 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU 8b 8 3 View Install If Software Download detects an incompatible subsystem an error message noting the Errors incompatible subsystem is re
377. safe approved procedure to collect and remove the agent 1 Setthe System switch to On Start a case Setthe O flow to 6 l min FP W N Slowly adjust the vaporizer concentration from 0 to 1 e Make sure that the O flow stays constant s Verify that the system continues to operate without issuing any related alarms 5 Repeat the test for both vaporizer positions 3 8 09 07 1009 0357 000 3 Checkout Procedure 3 8 Pipeline and cylinder tests A WARNING 3 8 1 0 supply alarm test 1009 0357 000 09 07 1 Connectthe pipeline supplies one at a time and ensure that the corresponding display indicates pipeline pressure 2 Disconnect all pipeline supplies a Open each cylinder valve b Make sure that each cylinder has sufficient pressure If not close the applicable cylinder valve and install a full cylinder 3 Testthe cylinder supplies for a high pressure leak Make sure that each cylinder has sufficient pressure lf equipped turn the auxiliary O flow control fully clockwise no flow If equipped turn off venturi derived suction Open each cylinder Record the cylinder pressure Close each cylinder valve gt 0o000lS9 Record the cylinder pressure after one minute If the pressure decreases more than indicated below there is a leak 5000 kPa 725 psig for ventilator drive gas 690 kPa 100 psig for non ventilator drive gas If a cylinder supply fails this test install a new
378. sembly 12 e the battery 5 the speaker 20 To access the mounting screws for the speaker you must first remove the ten screws that hold the mounting plate to the front enclosure so that you can raise the bottom edge of the assembly slightly Refer to section 9 6 5 the rear enclosure 1 You can transfer the captive screws to the new enclosure However the gasket 2 is held in place with adhesive When replacing the rear enclosure also include a new gasket To replace the remaining items requires further disassembly A CAUTION Do not remove the heatsink from the CPU board 1 Note the orientation ofthe fan harness Disconnect the fan harness from the CPU board Remove the fan 29 from the CPU heatsink leaving the heatsink in place Remove the heatsink discard from the replacement fan assembly Noting the orientation of the fan harness secure the fan to the CPU heatsink o A W N Connect the fan harness to the CPU board 09 07 1009 0357 000 9 6 4 To replace the CPU board 1009 0357 000 09 07 1 2 O 0 n O oO A OQ 9 Repair Procedures Remove the connector panel assembly 21 two screws Disconnect the following cables e Inverter harnesses A e Right membrane switch flex cable at ZIF zero insertion force connector B e Speaker cable C Encoder assembly cable D Lower membrane switch flex cable at ZIF zero insertion force connector E e Fan cable F
379. sembly is parallel to the top edge of the gauge panel Loosen the two outside screws on the electrical module Insertthe wires in the electrical module and tighten the screws Pull the wires on the electrical module to ensure that there is a good connection Transfer the tubing from the old system switch to the new system switch on the pneumatic module pull on the tubing to ensure that itis locked into the module 7 1 9 In Port 3 ha il from Alt 0 Flow Control Dem a7 0 Out Port 4 to Electronic Mixer INE a hi d 10 Test the replacement switch assembly zp Oo 29 5 Connect an O supply Connect the power cable to an electrical outlet Set the system switch to On Make sure that the display comes On Select Alt O flow Increase the Alt O flow Make sure that gas flows Make sure that you do not feel or hear any leaks Set the system switch to Standby Make sure all gas flow stops and the display turns Off 11 Reinstall the gauge panel and the tabletop 12 Perform the checkout procedure Section 3 1009 0357 000 09 07 9 59 Avance 9 20 Replace Alt 05 components Alt 05 Flowmeter A Needle Valve Assembly B Alt 0 Switch C 9 60 1 Bleed all gas pressure from the machine Section 9 2 2 Ensure that all cylinder and pipeline pressures read zero before proceeding 3 Remove the tabletop Section 9 4 4 Remove the gauge panel mounting screws and
380. servoir disposable item e Inspect air brake for occlusion on active AGSS Inspect clean or replace filter on active AGSS Breathing System Maintenance URM Part 2 Section 2 Bellows Assembly Maintenance URM Part 2 Section 2 Bellows Assembly Tests URM Part 2 Section 2 O Cell Calibration URM Part 2 Section 3 Flow Sensors Calibration URM Part 1 Section 5 Perform the checkout procedures in Section 3 Inspect the system TRM Section 3 1 e Backlight test TRM Section 3 6 s Vaporizer back pressure test TRM Section 3 7 e Pipeline and cylinder tests TRM Section 3 8 e O supply alarm test TRM Section 3 8 1 Pressure relief tests TRM Section 3 9 e Flush Flow Test TRM Section 3 10 e Alarm tests TRM Section 3 11 Power failure test TRM Section 3 15 Alternate O flowmeter tests TRM Section 6 7 Auxiliary O5 flowmeter tests TRM Section 6 8 10 Integrated Suction Regulator tests TRM Section 6 9 11 Mixer outlet check valve leak test TRM Section 6 6 1 09 07 1009 0357 000 O Every twenty four 24 months Parts Replacement O O Every forty eight 48 months Parts Replacement O 1009 0357 000 09 07 6 Installation and Maintenance 12 Zero the Mixer TRM Section 8a 5 1 13 Mixer flow verification test TRM Section 6 6 2 14 Perform the following diagnostics using the PCMCIA Service Application e Display Diagn
381. set Gas Outlet to SCGO Selectable Common Gas Outlet For machines with an external auxiliary common gas outlet and selector switch set Gas Outletto ACGO Auxiliary Common Gas Outlet DU 4a 7 Avance with DU Message text Change weight unit kg or Ib This is the same menu that is accessible from the super user Install Service Values kg or Ib Change CO2 unit kPa or mmHg kPa or mmHg Change gas supply pressure unit kPa psi or bar psi kPa bar Change Paw unit kPa hPa cmH20 mmHg mbar kPa hPa cmH20 mmHg or mbar The Options Key menu is used to configure the software to include the features that the customer has purchased The included features are shown in 4a 3 2 Units Menu menu Menu Item Weight C02 Gas Supply Pressure Paw 4a 3 3 Options Key the Options List menu Options Key menu Menu Item Current Key Message text Enter key code to enable options Values XXXAXBC Entry 1 Enter first entry of key code Entry 2 Enter second entry of key code Entry 3 Enter third entry of key code Entry 4 Enter fourth entry of key code Entry 5 Enter fifth entry of key code Entry 6 Enter sixth entry of key code Entry 7 Enter seventh entry of key code 0 to 9 AtoZ G Save New Key Confirm entries for key code Control Board ID Control number used by key code
382. shooting 1009 0357 000 09 07 7 57 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MIXER BAL GAS CHANGE FAIL Alternate O Screen Mixer Status Bit STS__BALGAS_CHANGE_OV ER_FAIL Afterthe mixer commanded a change to the balance gas the status ofthe selector valve shows the old balance gas is still connected Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER BALGAS Flow FAIL Mixer error bit STS CH2 DELTAP FLOW FA IL Pressure difference between P3 and P2 differs from the drop expected at the measured flow for channel 2 Balance Gas Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER 02 Flow FAIL Alternate O Screen Mixer error bit STS CH1 DELTAP FLOW FA IL Pressure difference differs from the drop expected at the measured flow for Channel 1 02 Medium AC Mixer zo eboot System If problem continues replace the Mixer MIXER ACB COM FAIL Alternate O Screen Five seconds pass without measured flow data from the mixer Medium AC Communication has been established between mixer and AC Reboot System If problem continues e check replace Pan Connector to Mixer cable replace the Mixer MIXER ACB COM FAILLOST CMD Alternate 0 Screen
383. should rise smoothly and steadily with continued counterclockwise rotation When a desired flow is set the ball should maintain in a steady position Occlude the auxiliary O outlet The ball should rest at the bottom of the flow tube and not move A ball that does not rest at the bottom of the flow tube indicates a leak and requires service Rotate the flow control clockwise to shut off the flow 3 14 Integrated Suction Regulator tests 1009 0357 000 09 07 The gauge needle should cometo rest within the zero range bracket when no suction is being supplied Gauges which do not comply may be out of calibration NO oO FP WD e 00 Adjust the regulator setting to minimum Turn the mode selector to On Ensure the gauge remains less than 200 mmHg 26 kPa 0 26 Bar Occlude the inlet Ensure the gauge remains less than 200 mmHg 26 kPa 0 26 Bar Adjust the regulator in an increasing vacuum level The gauge should rise after rotation has begun The gauge should rise with continued rotation of the regulator adjustment Adjust the regulator setting to minimum 9 Turn the Mode selector to O Off 3 13 Avance 3 15 Power failure test 1 Connectthe power cord to a wall outlet The mains indicator on the front panel comes on when AC Power is connected Set the system switch to On and Start a case Unplug the power cord with the system turned on Make sure that the power failure alarm comes
384. side of the enclosure and draws air into the enclosure through the filter on the AC Inlet assembly For easier access temporarily remove the backup batteries Section 9 8 4 1 Remove the two screws that hold the fan Toreplace the fan reassemble in reverse Disconnect the fan harness from the Power Controller board Fan1 to the enclosure order Ensure thatthe fan is oriented with the flow direction arrow pointing toward the inside of the enclosure To replace the Display Connector board first remove the Power Controller board Section 9 8 1 Then follow the procedure below 1 Disconnect the cables from the top of the Display Connector board Airway Module MGAS Power Supply board A e System Signal Interface to Display Unit B e System Power Interface to Display Unit C Disconnectthe cables from the top of the Display Connector board Harness from Power Controller board D Harness from Anesthesia Control board MGAS power connector E Ribbon cable from Anesthesia Control board signal connector F Loosen the six screws circled that hold the Display Connector board to the enclosure Slidethe Display Connector board slightly rearward to release it from the keyhole slots Toreplace the Anesthesia Control board reassemble in reverse order 09 07 1009 0357 000 9 Repair Procedures 9 9 Servicing the pan electrical enclosure components
385. speed Balance Gas Air Split screen Circuit Circle Wave field 1 Gas Outlet installed SCGO Wave field 2 Paw Color Yellow Wave field 3 Flow Color Green Resp Color White C02 Color White Paw Units cmH20 Weight Units kg Temperature Units C HPDU 4b 6 09 07 1009 0357 000 1009 0357 000 09 07 Ab Installation and Service Menus HPDU Factory defaults Alarm limits Alarm Limit Pmax High 40 cmH20 40 hPa 4 kPa 40 mbar 30 mmHg MV High 10 l min MV Low 2 l min TV High 1000 ml TV Low Off RR High Off RR Low Off Et CO2 High 8 0 60 mmHg or 8 0 kPa Et CO2 Low 3 0 23 mmHg or 2 0 kPa Fi CO2 High Off Fi O2High Off Fi 02 Low 2196 EtO2 High Off EtO2 Low Off Fi Iso High 5 Fi Iso Low Off Et Iso High Off Et Iso Low Off Fi Sev High 8 Fi Sev Low Off Et Sev High Off Et Sev Low Off Fi Des High 15 Fi Des Low Off Et Des High Off Et Des Low Off Fi Enf High 5 Fi Enf Low Off Et Enf High Off Et Enf Low Off Fi Hal High 5 FI Hal Low Off Et Hal High Off Et Hal Low Off HPDU 4b 7 Avance with HPDU Parameter Settings Menu Item
386. sssessssessseeee nn 4a 12 48 5 Calibration coute erac wy etre E Ir LU epe 4a 13 4a 5 1 User Calibration menu sssssssseseeese III 4a 13 48 5 2 Manifold P Span oocooccccccncccrc mnn 4a 14 4a 5 3Insp FlowZero i 1 eee mmm nre 4a 15 48 5 4 Inspiratory Flow Valve ssssssssseseesIA eens 4a 16 4a 5 5 Bleed Resist s te ad eii 4a 18 4a 5 6 Paw Span xls ia ae a EA Rie T Retard E 4a 19 4a 5 Zero Gas AQUCIS gt i o so hel pe ee ne Seen ace glk DE Ra e ae 4a 20 43 5 8 Cal A i emeret exe pere DR NN 4a 21 4a 5 9 MIXerP Zero esos yaw kim eee fate dee saw a ead oe E NUR 4a 21 DU 4a 1 Avance with DU 4a 1 Service and Installation menu structure This section describes the Service level functions that are part ofthe main software installed in the anesthesia machine Section 8a Service Diagnostics and Software Download DU covers a separate service application that loads from a PCMCIA card and is used to download system software and run service diagnostics and other service tests Menu structure The Service menu structure has three levels which are password protected e Install Service super user e Installation Service The Install Service level super user password supports standard hospital preferences choosing units setting ventilator alarm and gas delivery defaults The Installation level requires the service password and supports language as color codes flow tube position country hardware fl
387. sssssssssssseses mn 1 4 1 5 Breathing system components ssssssssssssssseses eee tenet eee 1 6 1 5 1 Optional ABS components cece eee eee eee eee ene 1 7 1 6 Display CON oo or RI REUTiiIveXeg x ale ta eens sada ganda 1 8 1 7 Anesthesia system display ccc eee cece eee nee m 1 9 1 7 1 Using menus ics ce ere r9 eee Rr PUER E ete 1 11 1 8 Symbols used in the manual or on the equipment 6 00 ee cece eee eee 1 12 ii Avance 2 Theory of Operation 2 1 Electrical Stone iaa 2 2 2 2 Power subsystem OrigiNal oooooccccoocccron ocre 2 4 2 2 1 Power Controller board 1 keene eee II 2 5 2 3 Power subsystem with U Frame power Supply 0 00 c cece eee 2 6 2 3 1 Power Controller LOA onres ceva ry dase A AA 2 7 2 3 2 Power distributi0N csi ceed ncn a a A ad eee 2 8 2 4 System communications errereen erran reat urnana 2 10 2 4 1 Software Power On Self Tests POST c cece eee eee eee eens 2 12 2 5 Display Unit 25 2 55 ss LER ETE is ds 2 14 2 5 1 Software requirements 0 c cece eects 2 14 2 0 System connections xoci Hada e xp VIRA E ea weve SERRE Seed GR 2 15 26A Display UNE Ic ea AE 2 15 2 6 2 High Performance Display Unit 0 00 cece eects 2 15 2 6 3 Display Connector board cece cece eee m 2 16 2 7 Power Controller and Anesthesia Control board connections 2 17 2 8 Anesthesia Control board 2 cece nett I 2 18 2
388. st not be connected to a waste gas scavenging circuit The output is routed away from the electrical components to make sure that systems using oxygen drive gas meet the 10VA limitation requirement for oxygen enrichment T vatve x Ew Bag Ven l 1 J 10cm H20 Gas Check Valve i Exhalation Valve Y im H20 bias 2 0 cm H20 bias 0 10 LPM Drive Gas 0 10 LPM Patient and Fresh 0 20 LPM Total Typical Flow i Control Bleed to Ambient 101PM 03 0 cm H20 1 if continuous rate de Figure 2 50 Reservoir and bleed resistor 1009 0357 000 09 07 2 49 Avance 2 13 9 Free The free breathing valve 17 helps assure the patient can spontaneously breathe The breathing valve ventilator is programmed to supply a specified number of breaths per minute to the patient If in between one of these programmed cycles the patient needs a breath spontaneous the free breathing valve permits the patientto inhale The free breathing valve is closed on mechanical inspiration Drive Gas Check Valve 8 5 cm H20 bias 25 psi 15LPM Gas Inlet Valve Figure 2 51 Free breathing valve 2 50 09 07 1009 0357 000 2 13 10 Breathing circuit flow sensors 1009 0357 000 09 07 2 Theory of Operation Two flow sensors are used to monitor inspiratory and expiratory gas flow The inspiratory flow sensor is downstream of the breathing system
389. st to perform the BalGas Check Valve Leak Test Auto f Pass balance gas check valve leak rate is acceptable e f Fail verify leak rate using the manual leak test 12 22 09 07 1009 0357 000 12 Service Application Manual leak test Selecting BalGas Check Valve Leak Test Manual brings up the manual leak test setup instructions Flow Halance Gas Check Valve Manual Leak Test Test Status Disconnect the 02 Supply Remova the rear cover Disconnect the Mixer outlet tube af the inlet ta the Waponzer manifold MER VAP IM and plug the Mixer outlet Disconnect ihe Mixer AH OF inlet tube at the On Standby switch 5444 ALT O2 IN Tea in the pressurization device and gauge to The Mixer AB O2 inlet tubing Minimize the tubing length as additional volumes wall affect tha leak rate Cancal Select Start Test to perform the manual leak test as follows 1 Slowly pressurize the Mixerto 400 mmHg over a 5 second period as read on the test device 2 The pressure shown on the test gauge should not decrese to zero in less than 10 seconds 3 Select End Test when done After completing the test 1 Remove all test fixtures 2 Re assemble Mixer pneumtics and remove plugs from Mixer assembly 3 Re attach Oxygen supply and activate Confirm 1009 0357 000 09 07 12 23 Avance 12 9 Vent Subsystem menu The Vent Subsystem menu includes the following menu items s Vent Schematic Section 12 3 3 s Vent Sta
390. stem 7 2 Troubleshooting high pressure and low pressure leaks Problem Possible Cause Action High Pressure Leak Pipeline leak Use a leak detector or Snoop to check for source of leak Repair or replace defective parts O flush valve Use a leak detector or Snoop to check for source of leak Make sure tubing connections are tight Replace valve if defective System switch Use a leak detector or Snoop to check for source of leak Make sure tubing connections are tight Replace switch if defective Cylinder not installed properly Make sure cylinder is correctly aligned Verify that tee handles are tight Cylinder transducer Use a leak detector or Snoop to check for source of leak Tighten replace transducer if defective Cylinder gaskets Use a leak detector or Snoop to check for source of leak Replace gasket if defective Relief valves Use a leak detector or Snoop to check for source of leak Replace valve if defective 7 2 09 07 1009 0357 000 7 Troubleshooting Problem Possible Cause Action Low Pressure Leak Vaporizer not installed properly Reseat vaporizer if not installed properly with vaporizer mounted Have vaporizer serviced at vaporizer center if vaporizer leaks Missing or damaged o ring on vaporizer Check condition of o ring manifold Replace if missing or damaged Loose fill port Check fill port Tighten if loose Low Pressure Leak Leaking port valve on vaporizer manifold Use the Vaporizer Manifold Valve
391. sure rises to gt 30 cm H30 Set 02 Flow to OFF 1 23 Avance Test9 Testing the flow sensor module the circuit module and the soda lime canister N O 0 A2 OQ 1 24 Separate the Bellows Module from the Circuit Module and re install the Circuit Flow Sensor Module Connect short tubing between the inhalation and exhalation ports of the breathing system Insert an appropriate test plug in the outlet port of the Circuit Module On the Main Menu of the Service Application select Gas Diagnostics On the Gas Diagnostics page select 02 Flow Set O Flow to 0 2 l min Onthe Gas Diagnostics page reselectthe 02 Flow screen e Ensure that the Airway Pressure rises to gt 30 cm H30 Set 02 Flow to OFF Remove the plug to release pressure 09 07 1009 0357 000 Test 10 Test 11 1009 0357 000 09 07 7 Troubleshooting Testing the circuit module and the canister FP O N e Remove the Flow Sensor module Connectthe Circuit Test Tool to the Circuit Module as shown above Set O Flow to 0 2 l min Onthe Gas Diagnostics page reselect the 02 Flow screen Ensure that the Airway Pressure rises to gt 30 cm H30 Set 02 Flow to OFF Testing the circuit module Plug Plug Note If required set up the machine as in Test 10 Remove the Soda Lime Canister Using appropriate Test Plugs plug the three canister ports in the Circuit Module as shown above
392. switch to Vent Flow to absorber Flow from absorber Inspiratory flow Figure 2 32 Mechanical inspiration 2 34 ie VA ao 7 MSD m CAS gt E a AB 82 029 09 07 1009 0357 000 2 Theory of Operation Mechanical expiration Drive gas flow stops and the exhalation valve opens Exhaled gas flows from the patient 4 through a unidirectional valve expiratory check valve and into the bellows 5 Residual drive gas D flows out of the bellows to the scavenging system 6 If PEEP is selected static pressure on the pilot port of the exhalation valve sets the PEEP level During exhalation fresh gas flows backwards through the absorber FG into the expiratory limb downstream of the expiratory check valve For machines that are plumbed to return sample gas to the breathing system the returned gas SGR enters the breathing system after the expiratory check valve AB 82 030 AP Airway Pressure D Drive gas FG Fresh Gas SGR Sample Gas Return 4 Expiratory flow 5 Flow to bellows 6 To scavenging Figure 2 33 Mechanical expiration 1009 0357 000 09 07 2 35 Avance Mechanical inspiration EZchange and condenser ON Airway Pressure Drive gas Fresh Gas Pilot pressure The Bag Vent switch closes the manual path V Pilot pressure P closes the exhalation valve Drive gas D pushes down on the bellows Gas flows from the bellows 1 throu
393. system as would be the case when the display units control board is replaced the Service Application automatically downloads the Front Panel Controls software at startup During the download the two display unit LEDs will flash and the display speaker will sound an alarm tone to indicate that Software Download is proceeding To ensure that all software versions on the system are compatible the end result of Download All or Download New will be the same The software loaded on the machine will exactly match what is on the card Be sure to have the latest correct version of software before attempting a download to avoid inadvertent overwrites of newer software with an older version If duringthe Download New process the compatibility checker detects a newer version of software component on the system a Notice appears on the screen that asks you to confirm the downgrade Download All will download all compatible software from the card to the system without issuing a notice that newer version of software component may be on the system Download process The PCMCIA card includes only the latest software for each subsystem along with the diagnostic application As each subsystem software segment is being downloaded the following status messages note the state of each subsystem and the result of the download n App System is running its application code not ready for download Ready System is in its boot code
394. t 02 and system switch Table 1 Language Alt 0 Label Chinese 1009 3332 000 Czech 1009 3322 000 Danish 1009 3331 000 Dutch 1009 3317 000 English 1009 3315 000 Finnish 1009 3321 000 French 1009 3316 000 German 1009 3314 000 Greek 1009 3326 000 Hungarian 1009 3327 000 Italian 1009 3318 000 Japanese 1009 3328 000 Norwegian 1009 3324 000 Polish 1009 3323 000 Portuguese 1009 3320 000 Russian 1009 3330 000 Spanish 1009 3319 000 Turkish 1009 3325 000 Item Description Stock Number 1 Switch system On Standby 1006 8452 000 2 Harness On Standby system switch 1009 5542 000 3 Panel 1009 3019 000 4 Label Alt O See Table 1 5 Needle Valve assembly flow control 1011 3429 000 6 Knob set screw not included 1011 3472 000 Set screw 9211 0830 053 T Bracket 1009 3127 000 Screw M4x8 bracket to needle valve 2 each 0144 2436 108 Screw M4x10 assembly to front panel 4 each 1009 5534 000 8 Switch Alt O2 includes harness 1009 5517 000 9 Flowmeter Alt O 1011 3428 000 10 Bracket flowmeter 1009 3126 000 Screw 10 32x3 8 bracket to flowmeter 2 each 0140 6631 107 Screw M4x10 assembly to front panel 4 each 1009 5534 000 11 LED assembly mains green 1009 5514 000 10 30 09 07 1009 0357 000 10 21 Breathing system interface 17 16 19 18 21 22 1 13 11 12 10 Illustrated Parts 10 11 12 for SCGO 9 11 12 for ACGO 6 7 8
395. t Key Entry 1 Entry 2 Entry 3 Entry 4 Entry 5 Entry 6 Entry 7 Save New Key Control Board ID Return to previous menu Options List Available Options SIMV PSV PCV PSV Pro Copy Configuration Save to Card Copy from Card 09 07 1009 0357 000 4a 3 1 Configuration Menu Item Decimal Marker Message text Select decimal delineator 4a Installation and Service Menus DU 0 01 0 01 or 0 01 Comments Language Change language translation of screen texts English French German Spanish Italian Japanese Portuguese Dutch Chinese simplified Finnish Norwegian Hungarian Polish Greek Czech Turkish and Russian Default English Gas supply Colors Change color of 02 N20 and Air ANSI ISO Neutral ANSI 02 green Air yellow N20 blue ISO 02 white Air black white N20 blue Neutral All gases white 02 Flowtube 02 on left or right hand side Left Right Ventilator Drive Gas Change drive gas to match machine configuration Air 02 Altitude Change altitude used for gas calculations 400 to 3000 m in 100 m increments Gas Outlet Change type of fresh as outlet SCGO ACGO SCGO Use insp port ACGO Use auxiliary port N20 Enabled 1009 0357 000 09 07 Change to match machine configuration Yes No For machines without a separate auxiliary common gas outlet and selector switch
396. t boot the system with the PCMCIA Service Application and access the Vent Diagnostics function as detailed in Section 8 The drive gas regulator should provide a constant gas input pressure of 172 kPa 25 psi Calibration setup 1 Attach a pressure test device to the regulator pressure port shown below Remove the 6 35 mm 1 4 inch plug s Attach test device to the open port Remove the ABS breathing system from the machine to allow continuous Insp Valve flow through the exhalation valve Regulator pressure port Calibration procedure 1 2 On the Main Menu of the Service Application select Vent Diagnostics Onthe Vent Diagnostics page select Gas Inlet Viv ON OFF to Open the gas inlet valve Press the ComWheel to return focus to the selection menu Select Flow Valve Control Adjustthe Flow Valve counts until the Flow Valve Setting at the bottom of the screen reads 15 l min If required adjust the regulator to 172 1 72 kPa 25 0 25 psi through the access hole in the Vent Engine cover Section 9 10 1 09 07 1009 0357 000 5 Calibration 5 4 Ventilator Calibrations Before performing the ventilator calibrations verify that the drive gas regulator is adjusted to specifications Section 5 3 The Service menu structure is detailed in Section 4 To access the Ventilator Calibrations menu 1 Tum on the system 2 Navigate the menu selections to the Calibration menu s On
397. te Overflow Safety Trap Apply Teflon tape to threads not 8d Stock Number Refer to section 10 23 2 Refer to section 10 23 3 1009 3271 000 1009 3270 000 1009 5534 000 1009 3123 000 1009 3384 000 1011 3524 000 0221 0702 300 1009 8292 000 1011 3511 000 1009 3135 000 1009 3373 000 1009 3374 000 1009 3371 000 1009 3372 000 Refer to section 10 31 1009 3137 000 1009 3385 000 6700 0647 800 09 07 1009 0357 000 10 23 2 Suction Control Module m ud only with Venturi Las TOL i Item 1a 3a 3b O o Y 0 0 A 10 Description Gauge 760 mmHg Gauge 1 Bar O ring Gauge included with gauge assy 2ea required Control panel assembly with suction regulator knob and mode control knob Regulator Module plugs into manifold assembly O ring Regulator Module Large included with regulator module O ring Regulator Module Stem included with regulator module Manifold Assembly without Gauge and Regulator Module Screw 6 2 inch Mounting bracket Screw 6 1 inch Filter Pilot valve adapter assembly includes plunger jam nut and valve assembly Cap white 10 Illustrated Parts Stock Number 1009 3227 000 1009 3228 000 6700 0133 500 1009 3213 000 6700 1225 800 6700 0136 500 0210 0527 300 1009 3277 000 1009 3340 000 1009 3255 000 1009 3339 000 0206 5159 300 1009 3278 000 1009 3192 000 Lubricate the regulator module o rings and the mating bore of the manifol
398. te Yes N Check On Standby Replace the PCB Switch Connections Operation Associated harness connections Flowchart Z 1009 0357 000 09 07 7 31 Avance Inaccurate Volume Ventilation Troubleshooting Start Flow Pressure Sensor libration Passed Zero Flow Pressure Calibration Pas Sensors and No replace both flow sensors Yes Problem Continues Perform all Yes Calibrations and Re evaluate No Sensor Problem Examine for defect or water plug in lines No Problem Solved Do Bit counts on either Insp Exp Flow channel vary more than 10 from the Perform the Flow inital zero counts Sensor VIB Leak test Test 15 p7 29 Inspect pneumatic Yes lines for leaks or water plugs between flow sensor and VIB Perform All Calibrations and Re evaluate Water leaks kinks Correct kinks or Switch Insp and Exp leaks replace pneumatic harness if necessary connections and repeat previous test Yes No Inspect Breathing Circuit check valves replace seat and disks as necessary AB 75 072 Problem Continues Yes Problem Replace bulkhead harness Replace VIB Perform All Calibrations and Re evaluate Perform All Calibrations and Re evaluate Continues Problem Solved No Se Replace ACB Flowchart 8 7 32 09 07 1009 0357 000 7 Troubleshooting No Ventilation Troubleshooting Start Does Bellows Verify Zero Does Bellows return
399. tem was in the Standby state Replace Batteries Replace the Power Controller Board PCB Alarm On Indicates the Battery PCB Monitor Current backup current to monitor is Active w AC Mains active while AC supply is OK Check AC power connection to anesthesia monitor and circuit breaker If problem continues replace anesthesia monitor PCB Saved Alarm Off A message or failure PCB 1 min time left displayed during the system checkout Leave the system plugged into AC Mains for 24 hours If issue persists replace batteries 7 64 09 07 1009 0357 000 1 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting PCB Saved Alarm Off Indicates AC Power PCB AC Mains failure Removed No Service Action Required PCB Saved Alarm Off Indicates the batteries were PCB Blk chrg time exceed being Bulk Charged for a in stdby period greater than 12 hours while the system was in the Standby state Replace Batteries Replace the Power Controller Board PCB Saved Alarm Off Indicates greater than 0 25 PCB DC DC power module amps current draw out of failure the batteries for 2 minutes while AC Mains is connected to the machine Replace Batteries Replace the Power Controller Board PCB Saved Alarm On A message or failure PCB 1
400. ter 0 0 cece eee eee 10 3 10 1 3 Test Devices 0 A a bad 10 4 10 1 4 Lubricants and Adhesives 0 cece eee teen eee eee 10 4 10 1 5 Test T00l ocioteca eee LIRE TEE 10 5 10 2 External components TONTVIeW ooooccoocccccccccc 10 6 10 3 External components front view references oooccccocccccccocnccoo ooo 10 7 10 4 External Components rear view 00 cece cece eee IH 10 8 10 5 AC Power cords and AC Inlet filter 2 0 0 cece eem 10 9 10 6 AC Inlet Outlet Components sssssssesee II 10 10 10 zf Display Unit DU o EID aaa 10 12 10 8 High Performance Display Unit HPDU sssssseeseee I 10 14 10 9 Lower electronic enclosure componentS cece eee eee enna 10 16 10 9 1 Anesthesia Control and Display Connector board 0 oo o o o 10 17 10 10 Pan electronic enclosure components 00cccce cece cece nn 10 18 10 11 Electronic Gas Mixer i ico a She umet rei Rie renes 10 19 10 12 Pipeline inlet fittings o cion hte et nehmen 10 20 10 13 Cylinder Gas Supplies sssessssseseeeeem 10 21 10 13 1 Cylinderinletfittings llle 10 22 10 14 Vaporizer manifold sssssssssssssssee I 10 23 10 15 Vent Engine Housing 1 0 6 keene eens 10 24 10 16 Vent Engine a a a 10 25 10 16 1 Vent Engine underside ooooccoocccncconcr cr 10 26 10 17 ABS to machine Interface Components SCGO 000 eee eee eee 10 27 10 18 ABS to mac
401. test revision thereof This Technical Reference manual was prepared for exclusive use by Datex Ohmeda service personnel in light of their training and experience as well as the availability to them of parts proper tools and test equipment Consequently Datex Ohmeda provides this Technical Reference manual to its customers purely as a business convenience and for the customer s general information only without warranty of the results with respectto any application of such information Furthermore because of the wide variety of circumstances under which maintenance and repair activities may be performed and the unique nature of each individual s own experience capacity and qualifications the fact that customer has received such information from Datex Ohmeda does not imply in anyway that Datex Ohmeda deems said individual to be qualified to perform any such maintenance or repair service Moreover it should not be assumed that every acceptable test and safety procedure or method precaution tool equipment or device is referred to within orthat abnormal or unusual circumstances may not warrant or suggest different or additional procedures or requirements This manual is subject to periodic review update and revision Customers are cautioned to obtain and consultthe latest revision before undertaking any service of the equipment Comments and suggestions on this manual are invited from our customers Send your comments and suggestions to the Manager
402. the checks being run 4 Openthe inspiratory port and reconnect the breathing circuit 5 Select another check or select Start Case to go to the Start Case menu The negative low P leak check measures machine leaks before the breathing System and between the gas mixer and the common gas outlet Make sure the ACGO switch is setto ACGO Attach the squeeze bulb to the ACGO outlet Squeeze collapse the bulb Ifthe bulb inflates in less than 30 seconds select Fail Ifthe bulb remains collapsed select Pass Qo 49r d io Ne ES Remove the squeeze bulb from the ACGO outlet 3 5 Avance 3 4 System All checks for System software 2 X On the system Checkout menu select All Checks and follow the instructions for Low P leak check Quick check Vent check and Circuit O2 cell check If a check fails follow the instructions on the display to perform a recheck or accept the results 3 4 1 Low P leak check The low P leak check looks for leaks between the mixer vaporizer and the inspiratory side of the breathing circuit For machines with SCGO LX oe Or cc qe cpi Ensure the vaporizers are turned off Plug the inspiratory right hand port Select Start The display shows the checks being run Repeat the check for each vaporizer with the vaporizer turned on When the checks pass turn the vaporizer off Remove the plug from the inspiratory port Select Next to go to the next check For machin
403. the green 1 Verify that the cable connecting the HPDU to the system s rear panel is LED is on properly seated 2 Open the HPDU and verify that the cable connecting the main PCB to the display atJ28 is properly seated within the mating housing and check for damage and or wear Replace the HPDU Open the HPDU and verify that the cable connecting the main PCB to the rotary encoder at J38 is properly seated within the mating connector Verify that the revision of the flex cables connecting the main PCB to the keypads at J23 and J26 are at revision 101 or greater by inspecting the labels directly adhered to the flex cables 3 Replace the rotary encoder 4 Replace the HPDU main PCB Co E Rotary encoder fails to work N Ep Unit fails to boot and the green LED is on Open the HPDU and ensure that the lithium coin cell atJ17 on the main PCB is properly installed Replace the lithium coin cell at J17 on the main PCB Verify that the internal Flash card atJ10 on the main PCB is properly seated Attempt to boot the system using a spare compact flash card and replace the card if necessary Attempt to boot the system from the external Compact Flash card Replace the HPDU main PCB Clean the HPDU fan inlet filter Check for obstructions within the external fan and verify source of fan noise Open the HPDU and verify internal CPU fan noise Replace internal or external fan assembly if causing excessive
404. the system of all pressure oO on 9 Disconnect the test device and plug the test port pull on the plug to ensure it is locked in the fitting 10 Replace the ABS breathing system 11 Replace the rear panel 12 Perform the checkout procedure Section 3 1009 0357 000 09 07 5 5 Avance 5 6 Test B For all gases not used to supply drive gas to the ventilator Under low flow conditions the output pressure of a properly adjusted functioning regulator should fall within specifications listed in step 4e Under high flow conditions the output pressure should not drop below the specifications in step 5b 1 2 3 On the Main Menu of the Service Application select Gas Diagnostics On the Gas Diagnostics menu select Gas Supplies Slowly open the cylinder valve for the regulator being tested and observe the pressure reading forthe cylinder Low Flow Test a On the Gas Diagnostics menu set the flow of the tested gas to 0 5 l min b Onthe Gas Diagnostics menu select Gas Supplies c Close the cylinder valve and allow the pressure to decay to 2068 kPa 300 psi as indicated on the cylinder pressure display d Atthe time thatthe cylinder pressure reaches 2068 kPa 300 psi select Main Menu on the Gas Diagnostics page to turn off gas flow e Within one minute the test device reading must stabilize between 60 DIN 372 400 kPa 54 58 psi 50 Pin Indexed 310 341 kPa 45 0 49 5 psi Ifthe test device
405. the window until you can get a hold of it from the back Slowly pry the window from the enclosure oO fF C N e Place the front enclosure face down ona flat surface taking care not to damage the encoder 6 Remove any remaining residue from the mounting area clean with isopropyl alcohol 7 Remove the inside protective material from the front of the window 8 Peel the front outside frame of the release liner 9 Lower the window straight down in the enclose noting the notch in the window and the matching nub on the enclosure 10 Before seating the window position it in contact with the bottom and right sides of the frame see arrows so that the larger gap between the window and the enclosure is at the top and left edges as viewed from behind 11 Remove the protective film from the back side of the window 9 15 Avance To replace a membrane 1 switch and keypad N Remove the screw that attaches the grounding strap to the enclosure Pry the membrane switch and keypad from the enclosure Remove any remaining residue from the mounting area clean with isopropyl alcohol Remove the backing from the membrane Be sure to remove the small backing below the flex cable Be careful notto allow the ribbon cable to adhere to the backing Insertthe flex cable and ground strap through the slot in the enclosure Ensure that all ofthe ground strap passes through the slot an does not remain folded over unde
406. ther check or select Start Case to go to the Start Case menu 09 07 1009 0357 000 3 3 2 Circuit 3 3 3 Circuit 02 Cell 3 3 4 Low P Leak 3 3 5 Low P Leak machines with ACGO 1009 0357 000 09 07 3 Checkout Procedure The Circuit check checks the Bag Vent switch proper gas supply pressures airway pressure measurement transducer APL valve and manual circuit leak 1 Occlude the patient Y 2 SetBag Vent switch to Bag Setthe APL valve halfway between 30 and 70 ACGO option only Set the ACGO switch to Circle e 4 5 Select Start The display shows the checks being run 6 Whenthe check passes select Back 7 Select another check or select Start Case to go to the Start Case menu The Circuit 02 cell check measures the 05 1 Open the patient Y 2 Setthe Bag Vent switch to Vent 3 ACGO option only Set the ACGO switch to Circle 4 The display will show the 05 6 Do not select Done when 21 is first displayed Allow the reading to stabilize then select Done Calibrate the O cell if necessary measured reading outside 21 3 5 Selectanother check or select Start Case to go to the Start Case menu The positive pressure Low P Leak check measures machine leaks before the breathing system and between the gas mixer and the common gas outlet It measures low pressure pneumatic leaks with a pass fail limit of 50 ml 1 Occlude the inspiratory right hand port 2 Select Start 3 The display shows
407. tion such as PDA hot sync is using this port while the Service Application is running If other ports are available you can select an available port in Preferences on the File menu Section 12 5 1 Launching the Service Application opens the System Status screen The startup screen establishes proper communications with the system 09 07 1009 0357 000 12 Service Application 12 2 Startup screen System Status If proper communication is established the System Status screen displays the software and hardware revisions of various subsystems in the tested machine If there is a communication problem with the system an error message is displayed and the connection is not completed Total Ties TULF Hiaurez mechine tire Prosen in Dery cebtwape Release E np Hodel cds 3 Harhine Serial Fuster 111100600000 b ption Eechsge Seto Key Code i T EU BUIRSIRIEH ER VEE HE VER HW RB Azmzthamia Control Board 23 253 EInir 34u04 nDDg HEY H OCDInzlE Display Deis CPE Doan Oa 17 2000 52 133 0001 04 ED 171410117 Displey Uni ETOE gx 1009 56333 00105 EPOD XXENXENXX Hoo Board i J ULE s EF J OCP40126 Fantilator 57D 1011 i J m mi e E E Pomar Controller Board 01 38 3 DCEI0734 Displer Controls Board 03 TEE zam Hncula nnt dabtmctad Power Gua Dalee Sc herr Scheurer W nuns Poser Ciribu V Cai Supplen W nisa Dare 0a Aretha Comi card WR heer Gos Maritor A series of indicator lights at the bottom of the s
408. tion in progress Push ComWheel to cancel The Insp Flow Valve Data menu contains a table of 24 entries from the previous calibration The table is erased atthe start of Stage 1 The table is updated in real time during the calibration 1009 0357 000 09 07 DU 4a 17 Avance with DU 4a 5 5 Bleed Resistor Instructions Bleed Resistor Menu Bleed Resistor Data menu DU 4a 18 The Bleed Resistor instructions appear when the focus is on the Bleed Resistor menu item Referto Section 5 4 5 Bleed Resistor Cal Read all steps before you start 1 Complete the Insp Flow Valve calibration 2 Put 2 plugs in the manifold and the drive gas ports of the vent engine 3 Push the ComWheel to show the next menu 4 Select Start The calibration fails if the flow required to reach 91 cmH20 is gt 16 l min e f the outcome ofthe calibration is Pass the new calibration data is saved e f the outcome is Fail the old calibration data is retained The result of the calibration is saved to the Event Log Selecting Previous Menu before the calibration is done aborts the calibration in progress and keep the old calibration constants Menu Item Message text Comments Calibrate manifold pressure to Blocked if the bleed resistor flow ventilator drive gas supply pressure would Blocked text cause a gas supply Connect a supply of the drive failure alarm during as to continue normal operation Bl
409. to top of 2 Pass Move canister Zero Flow System Leak Sensors and gt 4 gt Troubleshooting replace both flow Yes Yes No Section 7 7 sensors No Yes Check the output of the Drive Gas Regulator Proceed to Breathing Perform All Calibrations and Re evaluate Proceed to Inaccurate Volume Ventilation Troubleshooting No Proceed to Inaccurate AB 75 073 Volume Ventilation Troubleshooting Section 5 3 Flowchart 8 Flowchart 8 Regulator pressure OK at 25 psi No Check Hospital pressure supply Hospital Pressure OK O Yes Yes Set Flow Valve to 120 L min Does high flow md Ton Verify operation of Troubleshoot Cable VIB R rive gas port c Troubleshoot Board failure 0 able Board failure Check Replace inlet filter if necessary Yes Correct Hospital supply problem Examine Exhalation Valve and diaphragm D NN eee Proceed to Breathing System Leak No Troubleshooting Section 7 7 Yes Check for leaks in vent drive gas circuit Flowchart 9 1009 0357 000 09 07 1 33 Avance High Intrinsic PEEP Troubleshooting Start Verify Zero Pass Zero Flow Sensors and replace both flow sensors No Proceed to Inaccurate Volume Ventilation Troubleshooting Flowchart 8 Flow from bleed orifice with Bag Vent switch in Bag mode Problem was improper Replace Flow regulator setting Control Valve APL Valve
410. ts Language Change language translation of screen texts Chinese simplified Czech Danish Dutch English Finnish French German Greek Hungarian Italian Japanese Norwegian Polish Portuguese Russian Spanish Swedish Turkish Default English Gas supply Colors Change color of 02 N20 and Air ANSI ISO Neutral ANSI O2 green Air yellow N20 blue ISO 02 white Air black white N20 blue Neutral All gases white 02 Flowtube 02 on left or right hand side Left Right Ventilator Drive Gas Change drive gas to match machine configuration Air 02 Altitude Change altitude used for gas calculations 400 to 3000 m in 100 m increments Gas Outlet Change type of fresh as outlet SCGO ACGO SCGO Use insp port ACGO Use auxiliary port N20 Enabled Change to match machine configuration Yes No For machines without a separate auxiliary common gas outlet and selector switch set Gas Outlet to SCGO Selectable Common Gas Outlet For machines with an external auxiliary common gas outlet and selector switch set Gas Outletto ACGO Auxiliary Common Gas Outlet 1009 0357 000 09 07 HPDU 4b 11 Avance with HPDU 4b 3 2 Configuration Message text Change weight unit kg or Ib This is the same menu that is accessible from the super user Install Service Values kg or Ib Change CO2 unit kPa or mmHg kPa
411. ts caught in the breathing system E Remove the ABS breathing system 2 Plugthe inspiratory flow drive pressure port of the exhalation valve with a stopper Exhalation valve n Plug Inspiratory Flow Drive Pressure Port To test the pressure relief valve you must establish a flow blocked by setup above of 30 l min through the Inspiratory Flow Control valve To adjust the flow you must boot the system with the PCMCIA Service Application and access the Vent Diagnostics function as detailed in Section 8 1 Onthe Main Menu of the Service Application select Vent Diagnostics 2 Onthe Vent Diagnostics page select Gas Inlet Viv ON OFF to Open the gas inlet valve Press the ComWheel to return focus to the selection menu 3 Select Flow Valve Control 4 Adjustthe Flow Valve counts until the Flow Valve Setting at the bottom of the screen reads approximately 30 l min 3 Carefully listen forthe MOPV relief weightto be relieving and popping off from its seat a purring sound This indicates the valve is functioning correctly Set the system switch to Standby Remove the stopper from the inspiratory flow port DON gt Reassemble the system T Perform the Preoperative Checkout Procedure referto the User s Reference manual 6 7 Avance 6 5 Pressure Limit Circuit test 6 8 Test setup Calibrated Flow Orifice 1504 3016 000 To perform the test establish a closed patient airway circuit
412. tus Section 12 9 1 s Vent Flow and Pressure Section 12 9 2 12 9 1 Vent Subsystem Vent Status Label Value Vent Drive Gas Air or 02 ABS Installed Installed or Not Installed Flush Valve Not Pressed or Pressed CO2 Bypass Closed or Open O2 Cell Status Connected or None Bag Vent Switch Bag or Vent Circuit Feedback Circle Non circle or fault Over Pressure Circuit OK or High Pressure ACGO SCGO Config ACGO or SCGO Gas Inlet Valve Feedback Open or Closed lt gt This refers to the Canister Release switch The value defaults to Closed if the switch kit is not installed referto section 10 21 12 24 09 07 1009 0357 000 12 9 2 Vent Subsystem Vent Flow and Pressure Vent Flow and Pressure Menu Item Units Inspiratory Flow l min Expiratory Flow l min lt gt Airway Pressure cmH50 Manifold Pressure cmH50 02 Cell ADC Ref Voltage Flow Valve Setting Flow Valve Feedback Flow Valve Current lt gt kPA hPA mmHg mBar 1009 0357 000 09 07 12 Service Application Range Counts 0 4095 120 0 to 120 0 120 0 to 120 0 20 0 to 120 0 20 0 to 120 0 5to 110 3 179 to 3 221 0 00 to 140 00 0 to 4095 0 0 to 102 4 2 0 to 11 8 19 6 to 117 7 14 7 to 88 3 19 6to 117 7 12 25 Avance 12 10 Window menu The Window menu includes the following menu items s Cascade e Tile Horizontal Tile Vertical s Close Close All e list of all open
413. uld fall within specifications listed in step 4e Under high flow conditions the output pressure should not drop below the specifications listed in step 5g 1 On the Main Menu of the Service Application select Gas Diagnostics 2 Onthe Gas Diagnostics menu select Gas Supplies 3 Slowly open the cylinder valve forthe regulator being tested and observe the pressure reading for the cylinder 4 Low Flow Test a On the Gas Diagnostics menu set the flow of the tested gas to 0 5 l min Onthe Gas Diagnostics menu select Gas Supplies Close the cylinder valve and allow the pressure to decay to 2068 kPa 300 psi as indicated on the cylinder pressure display Atthe time thatthe cylinder pressure reaches 2068 kPa 300 psi select Main Menu on the Gas Diagnostics page to turn off gas flow Within one minute the test device reading must stabilize between 60 DIN 372 400 kPa 54 58 psi 50 Pin Indexed 310 341 kPa 45 0 49 5 psi Ifthe test device pressure does not stabilize within one minute replace the cylinder supply Ifthe test device stabilizes within one minute but the readings are not within specifications readjust the regulator Section 5 1 3 5 High Flow Test 5 4 Slowly open the cylinder valve Remove the ABS breathing system from the machine to allow continuous Insp Valve flow through the exhalation valve On the Main Menu of the Service Application select Vent Diagnostics On the
414. ull size Power Controller board that includes an on board AC DC power supply Late production machines or machines serviced with replacement assemblies use a universal power supply U Frame that feeds into a half width Power Controller board 09 07 1009 0357 000 2 Theory of Operation C W AN uN Y 4 1009 0357 000 09 07 Avance 2 2 Power subsystem original Mains power enters the system through the AC Inlet module A which includes a line filter and the system circuit breaker Mains power is routed through the Inrush B circuit board to the isolation transformer C The isolated secondary output of the transformer is routed through fuses D and a second line filter E to the input of the Power Controller board F If the system is equipped with electrical power outlets the transformer larger size also supplies isolated powerto the electrical outlets through individual circuit breakers The Power Controller board interfaces with the system through e the Anesthesia Control board connector G the Display Connector board connector H e the battery connector I and fan connector J _ A E z E TITAN 1f WFETESE E Figure 2 10 Power subsystem original 2 4 09 07 1009 0357 000 2 2 1 Power Controller board Isolation Transformer To Outlets 2 Theory of Operation The system uses a distributed power bus The Power Controller bo
415. ure Section 3 Sample Sample Return Return Scavenging Scavenging Downtube Downtube O s C 9 1009 0357 000 09 07 9 69 Avance 9 27 Change drive gas 9 70 N CAUTION Note If you change the drive gas you must also change the drive gas selection on the ventilator service setup screen Refer to Section 4 of the ventilator Technical Reference manual e Ifthe drive gas selection and the actual drive gas do not agree volumes will not be correct The ventilator will alarm with the message Low Drive Gas Press if the selected drive gas pressure either O or Air is lost 1 Remove the rear panel Section 9 3 The O and Air pipeline manifolds have a drive gas connection at the back The connection not in use is plugged 2 Remove the plug from the new connection 3 Disconnectthe drive gas hose from the present connection 4 Install the plug in this connection pull on the plug to ensure that itis locked into the fitting 5 Reroute the drive gas hose so that it does not cause kinks in other tubing 6 Connectthe drive gas hose to the new connection pull on the hose connector to ensure that it is locked into the fitting 7 Do a high pressure leak test Section 3 8 8 Enterthe service mode and select the correct drive gas 9 Testthe primary regulator Verify that itfunctions within specifications now that it will be supplying drive gas to the ventilator Section 5 1
416. ure for closing the exhalation valve during inspiratory phases The DGCV DGCV is biased shut by an integral weight that supplies approximately 3 5 cm H20 of bias pressure before permitting flow downstream to the bellows assembly When the ventilator is exhausting flow from the breathing circuit the DGCV permits the exhalation valve pilot pressure to be de coupled from the circuit pressure This permits the exhalation valve to open and lets gas flow to the exhaust and the gas scavenging system FreeBreathing Check Valve Mechanical Overpressure 1 Valve 110 cm H20 ie Gos Cheek lve l Exhalation Valve 3 5 cm H20 bias 2 0 cm H20 bias 0 Inspiratory Flow Control Valve 25 psi Gas Inlet VISUM Valve Figure 2 46 Drive Gas Check Valve 2 13 5 Bellows The Bellows assembly is the interface between drive gas and patient gas in the Pressure Relief breathing system The pressure relief valve or pop off valve in the bellows Valve assembly 7 controls the pressure in the breathing circuit and exhausts excess patient as through the exhalation valve The pressure relief valve is normally closed maintaining approximately 1 5 cm H50 in the breathing circuit in a no flow condition enough to keep the bellows inflated It is piloted closed during inspiration and remains closed until the bellows is refilled during exhalation It will exhaust lt 4 L min excess fresh gas flow at 4 cm H5
417. urrent mA and Counts 7 54 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting FLOW VERIFICATION Indicates the commanded Mixer FAILURE dP CH1 flow through the 02 Gas Channel and the flow measured by the Hot wire anemometer agrees but the flow as measured by the pressure transducers does not agree Perform the Mixer zero Replace Mixer FRONT PANEL COM Display panel controls Key pad controller fails to Medium DC FAIL failure send life tick for greater Yellow than 10 Sec Reboot system If problem continues replace Display Controller Board GAS INLET VALVE Vent Fail Monitoring Boot up test failed High AC BOOTUP TEST FAIL Only Vent 1 Check GIV solenoid connection 2 Replace GIV 3 Rebuild the GIV components 4 Replace VIB INSP FLOW SENSOR Calibrate flow sensors Insp Flow Sensor zero offset Low AC Flow sensor detected CAL ERROR out of range Vent In Service Software under Vent Flow and Pressure Diagnostics Section 8a 3 2 verify the Inspiratory Pressure counts is 2050 250 Disconnect the Black and White in line connectors If the counts return within specified range check for occlusions in the Bulkhead harness If the counts do not return within the specified range replace the VIB INSP FLOW SENSOR Replace insp flow EEPROM cal
418. vX Software Level File Name Serial Dsply Unit BIO System Download Log Avance DUA Stock Number RevX Software Level File Name n a Dsply Unit App Avance MBC n a Software Level File Name n a ModBus Control CF Card Install Log Avance MHB n a Software Level FileName n a Dsply Unit Fon View Install Errors Avance HGG n a Software Level FileName n a Dsply Unit Fon gt Main Menu lt End of File gt 1009 0357 000 09 07 HPDU 8b 27 Avance with HPDU 8b 8 1 System Whenever a Software Download is completed the specific software download is Download Log recorded inthe System Download Log that resides on the system Display Unit s and in the CF Card Install Log that resides on the Compact Flash Card Selecting System Download Log brings up the Revision Log for the system The log includes chronological entries for every Software Download that was completed to the system Note To view currently System s n ABCDXXXXXXXXX loaded by Download XXX on day date time downloaded system using HPDU Softwr Loader amp Svc Ver XX XX from card XXXX to XXXX software scroll to last e cui ANM TERMED A RA 3 vance ortware Level lle Name n a ront Pane entry In the log End of Avance PSC Stock Number RevX Software Level File Name Serial Power Controll File gt or view the Avance ACB Stock Number RevX Software Level File Name Serial Ane
419. ve the Airway Pressure reading Or select one of the four diagnostics pages to view the displayed conditions Selecting Breathing Sys Leak opens the GIV valve and sets a flow through the inspiratory flow valve While on the Breathing Sys Leak page you can set O2 flow to the breathing system and observe the Airway Pressure reading Gas will continue to flow at the set rate until you s set a different flow for the same gas e set a flow for a different gas automatically turns the previous gas flow OFF setthe current gas flow to OFF all flows OFF exit Gas Diagnostics to the Special Functions menu 09 07 1009 0357 000 8b Software Download and Diagnostics HPDU 8b 5 1 Setting Gas Flow Gas Diagnostics Gas Supplies Mixer Output Mixer Tests and Pres Mixer Temperatures Set 100 02 Flow Set 10096 N20 Flow Set Air Flow Breathing Sys Leak gt Previous Menu Settings 02 flow XXX N20 flow XXX Airflow XXX 1009 0357 000 09 07 Selecting Set 100 02 Flow brings up the Set Gas Flow page on which you can select one ofthe following flow values or OFF if previously set to flow s 0 21 min s 0 5 l min 5 0 l min 10 0 l min s OFF Selecting Set 100 N20 Flow or Set Air Flow brings up a comparable page for setting the above flows for the selected gas Selecting a flow for a new gas turns the previous gas flow to OFF Set Gas Flow Value Units Set 02 Flow X X l min T Turn the ComWheel t
420. w 7 Regulators 2 gz O2 Flush Sw 3 Emulator TENER 2 o D a o Header ctivity Indicators 2 3 2 8 o O2 Disconnect z a Reset Watchdog a Sht SS ACGO SCGO Sw x Txd amp Rxd e co _ 52S CGO Sw a ATMEGA16 RxD Sd 5 a Microcontroller RS 422 le 3 D z ABS On Sw TxD Transceiver or 53 Canister Release Sw Reset l I Ez N rf i3 v0 X Parallel 1 0 1 225 ane Watchdog and Sg 22 sceo SCGO SCGO On ADC W_DO9 Under Voltage i EE Vent Driver 10 Bit Monitor I 2 5 4 1 Engine ES 5 p avo aiv GIV On Local Power VDD Over I I DU a rv P F Connector a S k DNS Over_Press Supply Monitor Voltage Monito 1 A e Board Spy 8 elz n a 5 Ou lt a 3 lt lt 15 0 12 5V ISP y ola lt a R l Header gt 2 oo o a Over_Press LLL SPI Addr 2 Decoder Lu Flow bac FLDACCS s I Valve 12 Bit K 1 gt 2 Driver Bi FL DAC LD o g c E 8 m a a Ga u u ADC amp 8 E 9 12 Bit ADC CS E a 8 Channel 2 3 3 S 2 it 3 o E T S s 1 i Airway Press 8 a o S b i Manifold Fressi z i ie Inspiratory Press ul Expiratory_Press oc a gt ABS 5 g 2 Fi Iter Bd x e O Amp Filter Amp Filter Amp Filter Amp Filter 8 i E a a H amp g 02 Sensor Amp Filter E ACGO Solenoid T 02 Flush SW ES Inspiratory Expiratory Manifold Airway I Ventilator Interface Board Transducer Transducer Transducer Transducer L ACGO SCGO SW 11 Schematics and Diagrams 11 9 Key to Symbols
421. ware orto run various diagnostic functions To run the application first set the system switch to Standby and setthe AC Inlet power switch to Off Insert the card carrier with card facing to the rear into the rear PCMCIA interface slot of the display unit behind left side door then set the AC Inlet power switch and the system switch to On The service application will load and display the Main Menu along with the System Information page The Main Menu appears on the left hand side of the screen and includes the following selections as shown in the table below Main Menu Remarks Power Diagnostics Access to the Power Supply Diagnostics functions Gas Diagnostics Access to the Gas Delivery Diagnostics functions Vent Diagnostics Access to the Ventilator Diagnostics functions Display Diagnostics Access to the Front Panel Controls Special Functions Access to logs from the Display Unit Software Download Access to the Software Download function You can not return to the Diagnostic section of the service application after entering the software download section You must reboot the system to exit Software Download The System Information page appears on the right hand side of the screen and displays the following system information as shown in the table below System Information Subsystem Serial SW Ver Boot Front Panel Cntl Power Controller XXX A XXX Electronic Mixer XXX A XXX Vent Intface Bd XXX A XXX Anes Cont
422. windows 12 11 Help menu The Help menu includes the following menu items About About Avance Service Application E 12 26 09 07 1009 0357 000 Avance Anesthesia System Technical Reference Manual 1009 0357 000 0907B 010102 Printed in USA ODatex Ohmeda Inc All rights reserved
423. witch and the uppertack light are accessible from the front of the machine To service the lower task light you have to remove the rear panel 1 oO oa gt C 1 Remove the four screws A that hold the task light lens to the upper shelf Usinga small needle nose pliers disconnect the switch harness from the task light circuit board connector B Remove the two screws C that hold the switch retainer plate to the upper shelf Transferthe switch retainer plate to the new switch counter sunk side to the outside Mountthe switch to the upper shelf Remountthe task light assembly Ensure that the switch harness and the task light harness wires are positioned in their respective recesses and are not pinched under the task light lens Using a small needle nose pliers disconnect the switch harness from the task light circuit board connector B s disconnect the task light harness from the task light circuit board connector D Slide the task light circuit board out of the lens Slide the new task light into the lens ensuring that the connectors are aligned with the lens cutouts Plug the task light harness and the switch harness into their respective connectors onthe task light circuit board Use a small screwdriver to push the connectors securely into place Remountthe task light assembly Ensure that the switch harness and the task light harness wires are positioned in their respective r
424. with a cloth and briefly apply pressure connect the drive gas hose or use pipeline pressure through the drive gas inlet Remove the upper o ring C and the lower o rings D Install the lower o ring D Lubricate the shuttle E at the three areas shown the circumference of the shuttle where the upper and lower u cup seals are placed and the body part of the shuttle that slides along the lower o ring Install the lower u cup seal F and the upper u cup seal G on the shuttle Pressthe shuttle assembly into the GIV manifold Install the upper o ring C Install the cap B and the retaining ring A 10 Reassemble in reverse order 09 07 1009 0357 000 9 Repair Procedures 9 11 Servicing the pipeline inlet manifold components 9 11 1 Replace pipeline inlet filter 9 11 2 Replace pipeline inlet check valve 1009 0357 000 09 07 The pipeline inlet filter and the inlet check valve can be replaced without removing the pipeline manifold from the machine To replace the pressure transducer you have to remove the manifold 1 Remove the pipeline inlet fitting 2 Pullthe pipeline inlet filter out ofthe fitting The o ring should come out with the filter 3 Install the new pipeline inlet filter in the pipeline inlet fitting The new filter comes with an o ring 1 Remove the rear panel Section 9 3 2 Remove the pipeline inlet fitting 3 The Airand O pipeline manifolds include a
425. ws from the vaporizer manifold outlet to the SCGO assembly breathing system With the Circle system selected fresh gas flow is channeled to Port 3 of the breathing system before the inspiratory check valve The output of the O Flush regulator 2 is channeled to the O Flush valve When activated O flush flow joins the fresh gas flow in the SCGO assembly TER From AAA 05 Supply M From Mixer To Ww SS O SN Mixer 2 o4 E AB 91 071 F PT m m mmn a se a E 02 Flush Switch Circle or CGO Selector Switch IX O Insp Flow Paw Trans 1 150 il H20 d FG Pressure m 1 ScGO Limiting Valve gt E AA jE Figure 2 39 Fresh gas and Oz flush flow to ABS 1009 0357 000 09 07 2 41 Avance Switched Non circle Fresh gas 1 flows from the vaporizer manifold outlet to the SCGO assembly Common Gas Outlet With the Non Circle system selected fresh gas flow is channeled to Port 2 of the breathing system afterthe inspiratory check valve to an external patient circuit through the Inspiratory port The output of the O Flush regulator 2 is channeled to the O Flush valve When activated O flush flow joins the fresh gas flow in the SCGO assembly s 1 O From J o j 0 Supply a z 1 From Mixer To Ses Mixer
426. y Cable to Display Unit system power interface Cable to Display Unit system signal interface Harness J3 PCB to J5 DCB Cable ribbon J2 ACB to J9 DCB Harness J7 ACB to J6 DCB Cable ribbon J1 ACB to underside of Pan Connector Board Harness J3 ACB to underside of Pan Connector Board Harness J4 ACB to J4 PCB Harness flex cable battery Harness Power Supply to PCB Stock Number 1009 5555 000 1009 5571 000 1009 5572 000 1009 5552 000 1009 5561 000 1009 5556 000 1009 5549 000 1009 5560 000 1009 5551 000 M1049280 M1049276 09 07 1009 0357 000 10 Illustrated Parts AB 91 083 Power Supply U Frame 1009 0357 000 09 07 10 71 Avance 10 35 Cables and harnesses Filter Board interface 10 72 Item 10 11 12 13 14 15 16 17 18 19 Description Harness On Standby system switch LED assembly mains green Harness Filter Board to On Standby switch and LED Harness Filter Board to SCGO ACGO Harness Filter Board to ABS flow sensors includes tubing Cable Filter Board to Vent Engine harness connector Harness Filter Board to O Cell and ABS switches Harness Filter Board to Task Lights Harness Filter Board to Alternate O switch Switch Alt O includes harness Harness Task Light Harness Lower Task Light Harness Vent Engine Board
427. y backup Any battery voltage is Medium PC POSTstate between 1 0 VDC Connect Battery Leave the system plugged in to charge the battery If problem continues check the battery charge circuit in Service Software Replace Battery BATTERY REVERSED No battery backup Any battery voltage is less Medium PC CONNECTIONS than 1 0 VDC Check Battery Connections BATTERY V LOW Plug in power cable Available battery power Medium PC ACMains Power Failure On battery decreases to between 10 and in progress 20 minutes Leave the system plugged in to charge the battery Ifproblem continues check the battery charge circuit in Service Software Replace Battery BELLOWS COLLAPSED Unable to drive bellows Manifold pressure is Low AC Inrange Paw and Paw 10 Vent manifold pressure data 0 25 Insp valve flow available and mechanical ventilation On Check the breathing circuit for leaks or hose occlusions Perform flow sensor calibration Check drive gas check valve Check VIB cabling Replace VIB 7 50 09 07 1009 0357 000 7 Troubleshooting Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting BREATHING SYSTEM Breathingsystem loose Breathing system detection Low AC NOT LATCHED switch indicates breathing Vent system not latched Check replace AB
428. ystem Flow 1 l min Os until pressure increases to 20 cm H30 If pressure does not increase to 20 cm H30 within in 15 seconds fail with Cannot pressurize circuit If it does reach 20 cm H30 change flow to 250 ml min Ifa flow of 250 ml min reaches 30 cm H30 or greater continue to next step If it does not increase flow up to 750 ml min Ifa flow is found that reaches 30 cm H30 and that flow is less than 750 ml min continue to next step but indicate that Ventilator circuit leak is ml min e Ifaflow greater than 750 ml min is required fail with Ventilator circuit leak is greaterthan 750 ml min Step 3 System delivers small breaths and looks for alarms using default alarm limits s falarm condition is detected it will be stated in final menu Continue to next step Step 4 Calculate circuit compliance e falarms occurred that prohibit the calculation of circuit compliance state that Can not measure circuit compliance e falarms did not occur then calculate compliance and state Circuit Compliance YYY ml cm H50 1009 0357 000 09 07 7 75 Notes 7 76 09 07 1009 0357 000 8a Service Diagnostics and Software Download DU In this section 1009 0357 000 09 07 8a 1 Avance Service Application ooocccoccccccnocccrn I 8a 2 8a 1 1 Main Menu and System Information 0 0 cece eee eee eens 8a 2 8a 1 2 PowerDiagnostics aa E aaa E een 8a 3 88 1 3 Power Controller
429. ystem If problem continues replace the Mixer MIXER VOLTS FAIL Alternate O Screen Mixer power supply on board Medium AC 12 5V 10 VA to is out of tolerance Status bit Mixer mixer OK STS VOLT REF FAIL In Service Software under Mixer Power Diagnostics Section 8a 1 5 view the Mixer 10VA Voltage from Anes Cntrl Bd If Mixer 10VA Volts reads OK and 12 5 Vdc reads Fail replace the Mixer If Mixer 10VA Volts reads Fail check cabling between ACB and Mixer replace ACB 1009 0357 000 09 07 1 61 Avance Error Log Entry Alarm Text Condition Basic info Priority Source Enabling Criteria Action Troubleshooting MIX 02 BYPASS VIV Indicates the current ACB 10VA OVER CURR feedback from the 02 Bypass Selector was incorrect for seven consecutive readings Measure the 02 Bypass Selector Valve Should be approximately 75 Q Replace ACB MODULE NOT Module not compatible The Monitoring Module Low DC COMPATIBLE detected is not compatible with system software System is designed to work with the following Compact Airway Module versions M CaiO HW rev 00 and above SW rev 3 2 and above and M CaiOV HW rev 00 and above SW Rev 3 2 and above Replace M Gas module with compatible module N20 PRESS LOW N50 supply pressure N50 pipeline pressure is les

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