Datex-Ohmeda S/5 Aespire User's Reference Manual
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Datex-Ohmeda S/5 Aespire User's Reference Manual

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S/5 Aespire
User's Reference Manual—Part 1
System Controls, Operation, Checkout

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Summary of Contents for Datex-Ohmeda S/5 Aespire

  • Page 1 S/5 Aespire User’s Reference Manual—Part 1 System Controls, Operation, Checkout...
  • Page 2 Datex-Ohmeda recommends that a telephonic or written request for service advice be made to the nearest Datex-Ohmeda Customer Service Center. This Product or any of its parts should not be repaired other than in accordance with written instructions provided by Datex-Ohmeda and by Datex-Ohmeda trained personnel.

  • Page 3: Table Of Contents

    What is S/5 Aespire? ........
  • Page 4 4 Preoperative Tests S/5 Aespire Preoperative tests schedules ......4-2 Test Intervals ..........4-2 Test devices .
  • Page 5 Table of Contents Alarm tests ...........4-16 Breathing system tests .
  • Page 6 S/5 Aespire 1009-0307-000...
  • Page 7 What is S/5 Aespire? ........

  • Page 8: What Is S/5 Aespire

    Consult with your Datex-Ohmeda representative for details about systems available in your location. The S/5 Aespire is not suitable for use in an MRI environment. Figure 1-1 • S/5 Aespire example 1009-0307-000...

  • Page 9: Symbols Used In The Manual Or On The Equipment

    An Important statement is similar to a Note, but provides a comment of greater emphasis. Other symbols replace words on the equipment or in Datex-Ohmeda manuals. No one device or manual uses all of the symbols. These symbols include: ø ø ø ø...
  • Page 10 Systems with this mark agree with the European Union Representative European Council Directive (93/42/EEC) for Medical Devices when they are used as XXXX specified in their Operation and Maintenance Manuals. The xxxx is the certification number of the Notified Body used by Datex-Ohmeda’s Quality Systems. 1009-0307-000...
  • Page 11 2 System Controls and Menus In this section Anesthesia system controls ........2-2 Breathing system components .

  • Page 12: Anesthesia System Controls

    S/5 Aespire Anesthesia system controls w w w w WARNING Explosion Hazard. Do not use S/5 Aespire systems with flammable anesthetic agents. w w w w WARNING Do not use antistatic breathing tubes or masks. They can cause burns if you use them near high frequency surgical equipment.
  • Page 13 2 System Controls and Menus Figure 2-1 shows these controls on the front of the S/5 Aespire. Item Description Flow controls Turn the control counterclockwise to increase the flow and clockwise to decrease. The system switch must be On for gas to flow.
  • Page 14 S/5 Aespire 1. Circuit Breaker for Electrical Outlet 2. Electrical Outlet 3. Equipotential Stud 4. Mains Inlet 5. System Circuit Breaker 6. Cylinder(s) 7. Pipeline Connection(s) Figure 2-2 • S/5 Aespire rear view 1009-0307-000...

  • Page 15: Breathing System Components

    2 System Controls and Menus Breathing system components 1. Auxiliary common gas outlet (ACGO) switch 2. ACGO 3. Inspiratory check valve (unidirectional valve) 4. Inspiratory flow sensor or flow port adapter / patient connection (circuit connections) 5. Canister (carbon dioxide absorbent) 6.
  • Page 16 S/5 Aespire Figure 2-3 shows these controls on the front of the S/5 Aespire. Item Description Auxiliary Common Sends fresh gas to the ACGO when the switch is Gas Outlet switch activated. The ACGO may be used to provide fresh (ACGO) gas to an external manual breathing circuit.
  • Page 17 2 System Controls and Menus Item Description Canister release Push to remove the canister. This allows the breathing system to vent to the room. Be sure to hold the canister by the handle before releasing the canister. Note: Always do a leak test after operating the canister release.

  • Page 18: Acgo

    S/5 Aespire Item Description Bag / Mechanical Selects between manual ventilation (bag) or Ventilation switch mechanical ventilation (ventilator). • Mechanical ventilation Off (gas to bag): • Mechanical ventilation On (gas to bellows): Bag arm (optional) Squeeze at (1) to raise or lower the arm. The Bag arm rotates at (2).

  • Page 19: Scavenging The Acgo Sample Flow

    2 System Controls and Menus • Fresh gas oxygen concentration is displayed on the ventilation screen. Set alarm limits appropriately. Note that fresh gas oxygen concentration may not reflect FiO in rebreathing circuits such as the Mapleson series. Use an external O monitor if using a rebreathing circuit on ACGO.

  • Page 20: Scavenging From The External Manual Breathing Circuit

    S/5 Aespire Scavenging from the If the external manual breathing circuit is to be used with N O or volatile anesthetics, the exhaust should be scavenged. external manual An auxiliary inlet is available for active AGSS units. It provides a 30 mm male breathing circuit connection into the auxiliary port under the breathing system.

  • Page 21: Ventilator Controls

    Ventilator controls Optional features The S/5 Aespire can be equipped with several optional ventilation functions. References made in this manual to Pressure Mode, O Monitoring, Volume Monitoring, Volume Compensation, and Pressure Waveform Display are only applicable to systems equipped with these functions.

  • Page 22: Menu

    S/5 Aespire 1. Alarm silence /suspend key 2. Alarm message display 3. Measured value 4. Measured value 5. Volume alarms On/Off key 6. Pressure bar graph or pressure waveform 7. Menu key 8. Circuit description 9. Control knob 10. PEEP selection key 11.
  • Page 23 2 System Controls and Menus Step 1 Push the Menu key to see the main menu. Step 2 Turn the knob to select an option (highlight). Step 3 Push the knob to show the next screen. Step 4 Turn, then push the knob to select a setting.
  • Page 24 S/5 Aespire Step 7 To exit, select “Go to Main Go to Main Menu Menu” and push the knob. You can also push the menu key to exit to the normal screen. Step 8 Select “Exit to Normal Exit to Normal Screen Screen”...

  • Page 25: Menu Map

    2 System Controls and Menus Menu Map Figure 2-7 shows the menu map. Some features are optional. If the Alarm Settings page shows VE auto Limits during mechanical ventilation, the system automatically calculates alarm limits according to ventilator parameters. Figure 2-7 • Menu map 2-15 1009-0307-000...

  • Page 26: Optional Auxiliary O Flowmeter And Suction Regulators

    S/5 Aespire Optional auxiliary O flowmeter and suction regulators These options are available: • Auxiliary O flowmeter • A continuous suction regulator or a venturi suction regulator 1. Auxiliary O Flowmeter outlet 2. Auxiliary O Flowmeter 3. Auxiliary O flow control Figure 2-8 •...
  • Page 27 2 System Controls and Menus Suction regulator controls Mode switch: MAX: for maximum suction, set the switch to M M M M A A A A X X X X . On (|): for adjustable suction, set the switch to on (|) or Off (O): to turn off suction, set the switch to O.
  • Page 28 S/5 Aespire 2-18 1009-0307-000...
  • Page 29 3 Operation and Tutorial w w w w WARNING In addition to volume apnea and low airway pressure alarms, other ventilator alarms are included to indicate potential hazard conditions. All alarms that occur should be investigated to help ensure adequate patient safety. Maintain sufficient fresh gas flow when using sevofluorane.

  • Page 30: Turn On The System

    S/5 Aespire Turn on the system Step 1 Connect the power cord to a wall outlet. • The mains indicator comes on when AC power is connected. Step 2 Set the system switch to On ( (On) • The display shows the power-up screen, and the system does a series of self tests.

  • Page 31: Set The Alarm Loudness

    3 Operation and Tutorial Set the alarm loudness Step 1 Push the Menu key to see the main menu. Step 2 Turn the knob to select Screen and Audio Setup. Step 3 Push the knob to show the next screen. Step 4 Turn the knob to highlight Alarm Loudness.
  • Page 32 S/5 Aespire Step 6 Turn the knob to select a new volume. • The volume range is 1 to 5 (loudest). • As you change the selection, you hear the loudness of your selection. Step 7 Push the knob to save the change.

  • Page 33: Show Or Hide Alarm Limits And Units

    3 Operation and Tutorial Show or hide alarm limits and units To simplify the displays, you can hide alarm limits and units of measurement. For example: L/min L/min Show alarm limits Hide alarm limits L/min Show units Hide units and alarm limits If you hide the alarm limits, the screen automatically shows the limits when: •...
  • Page 34 S/5 Aespire Step 3 Push the knob to show the next screen. Step 4 Turn, then push the knob to select Alarm Limits (or Units of Measure). Step 5 Show Turn the knob to select Show or Hide. Hide S S S S t t t t e e e e p p p p 6 6 6 6...

  • Page 35: Turn The Volume Alarms On Or Off

    3 Operation and Tutorial Turn the Volume Alarms on or off W W W W A A A A R R R R N N N N I I I I N N N N G G G G Do not turn off volume alarms with a spontaneously breathing patient. The system will not alarm for low volume.

  • Page 36: Set Alarm Limits

    S/5 Aespire Set alarm limits Note: If the Alarm Settings page shows V Auto Limits during mechanical ventilation, the system is set to automatically calculate V limits according to ventilator parameter settings. Step 1 Push the Menu key to see the main menu.
  • Page 37 3 Operation and Tutorial Step 6 Push the knob to save the change. Step 7 To exit, select “Go to Main Menu” and push the Go to Main Menu knob. You can also press the menu key to exit to the normal screen.

  • Page 38: Set An Audible Alarm For Circuit Leaks

    S/5 Aespire Set an audible alarm for circuit leaks The patient circuit leak alarm comes on if less than half of the inspired volume returns through the expiratory flow sensor during mechanical ventilation. To prevent nuisance alarms from a known circuit leak (e.g. an un-cuffed endotracheal tube), you can set the audio to off.
  • Page 39 3 Operation and Tutorial Step 4 Turn, then push the knob to select Circuit Leak. Step 5 Turn the knob to select Audio On or Audio Off. Step 6 Push the knob to save the change. Note: When Circuit Leak Audio Off is selected, the message “Circuit Leak Audio Off”...

  • Page 40: Set Cardiac Bypass

    S/5 Aespire Set Cardiac Bypass Cardiac Bypass (No / In Progress) turns off volume and apnea alarms when these are not appropriate (e.g. during heart / lung bypass). Set Cardiac Bypass to In Progress to prevent volume and apnea alarms when the patient is on cardio-pulmonary bypass.
  • Page 41 3 Operation and Tutorial Step 4 Push the knob to show the next screen. Step 5 Turn, then push the knob to select Cardiac Bypass. Step 6 Turn the knob to select “No” or “In Progress”. In progress Step 7 Push the knob to save the change.

  • Page 42: Set The Ventilation Mode

    S/5 Aespire Set the ventilation mode Text shows the ventilation mode: • Pressure mode supplies a set pressure during inspiration. • Volume control supplies a set tidal volume during inspiration. Step 1 Push the Menu key to see the main menu.
  • Page 43 3 Operation and Tutorial S S S S t t t t e e e e p p p p 4 4 4 4 Press the knob to confirm the set value. • The flashing box disappears. • The system returns to the main screen.

  • Page 44: Set Ventilator Controls

    S/5 Aespire Set ventilator controls The screen shows control settings: In the pressure mode (an optional function), P replaces V insp Messages appear on the screen if: • You try to set a value the system cannot supply. • You change a setting but do not save it: “Push knob to confirm change...

  • Page 45: Breathing Rate Control (Breaths/Minute)

    3 Operation and Tutorial Step 3 Push the knob or the selection key to save the setting. • The flashing box disappears. Tidal Volume (V ) Control or The left most primary control depends on the ventilation mode. Pressure (P ) Control •...

  • Page 46: I:e Ratio Control

    S/5 Aespire I:E Ratio Control This control lets you set the I:E ratio of mechanical breaths supplied to the patient. 1:1.5 Ratios range from 2:1 through 1:6, in 0.5 increments (e.g.: 2:1, 1.5:1,...1:6). High Airway This control lets you set maximum (and sustained) airway pressures tolerated in the patient’s breathing system.

  • Page 47: Peep

    3 Operation and Tutorial PEEP PEEP is only available during mechanical ventilation. But, you can set the control at any time. The range is off or between 4 and 30 cm H Note: When adjusting PEEP, a digital value is displayed to assist PEEP setting until the setting is confirmed.
  • Page 48 S/5 Aespire Step 2 Turn the knob to select the Setup screen. Step 3 Push the knob to show the Setup screen. Step 4 Push the knob to select Inspiratory Pause. Step 5 Turn the knob to change the setting.

  • Page 49: Optional Passive Agss Operation

    Select “Exit to Normal Screen” and push the Exit to Normal Screen knob. Optional Passive AGSS operation The S/5 Aespire Passive AGSS (Anesthesia Gas Scavenging System) consists of a two-liter reservoir to minimize rapid pressure changes. It contains both positive and negative pressure relief valves to protect the breathing system.

  • Page 50: Connecting Active Agss With A Flow Indicator

    S/5 Aespire The third type is for hospital supplied venturi / ejector systems having their own extract flow meter. This will operate satisfactorily with a minimum extract flow of 30 L/min to 100 L/min. A fourth type is an active adustable fllow. It provides the capability to adjust the flow with a needle valve and a visual indicator bag which should be properly inflated.

  • Page 51: Connecting Active Agss Without A Flow Indicator

    3 Operation and Tutorial Connecting Active The active AGSS option without a flow indicator is for use only with the active adjustable flow scavenging. The flow rate is limited to 30 L/min with this AGSS without a flow option. indicator To use the optional active AGSS installed on the system which does not have a flow indicator, connect it as follows.

  • Page 52: Start Mechanical Ventilation

    S/5 Aespire Start mechanical ventilation w w w w WARNING Make sure the patient circuit is correctly assembled and the control settings are correct before you start ventilation. This example assumes the system is on and in manual ventilation (bag) mode.

  • Page 53: Stop Mechanical Ventilation

    3 Operation and Tutorial Stop mechanical ventilation Step 1 Make sure a manual circuit is set up and the APL valve setting is OK before stopping mechanical ventilation. This valve adjusts the breathing system pressure limit during manual ventilation. The scale shows approximate pressures.

  • Page 54: Alarms

    S/5 Aespire Alarms Alarms appear at the top of the screen. The highest priority alarm is shown in Area 1, the next highest priority alarm in area 2. If all areas are used, the lowest priority alarms cycle in area 4.

  • Page 55: Use The Pressure Waveform

    3 Operation and Tutorial Use the pressure waveform Pressure waveform display is an optional feature. The waveform represents instantaneous values of airway pressure, measuring the same values as the pressure bar graph. Volume Control Mode Pmean Pmax PEEP Pressure Mode Pinsp Pmax PEEP...

  • Page 56: Measure Circuit Compliance

    S/5 Aespire Measure circuit compliance To measure compressible volume in patient tubes: 1. Set the ventilator in volume control mode. 2. Set a tidal volume (V ) of approximately 500 mL 3. Set a rate of 10 breaths/min. 4. Set an I:E ratio of 1:1.

  • Page 57: Preoperative Tests

    In this section S/5 Aespire Preoperative tests schedules ......4-2 Inspect the System ..........4-4 Power failure alarm test .

  • Page 58: S/5 Aespire Preoperative Tests Schedules

    S/5 Aespire S/5 Aespire Preoperative tests schedules Test Intervals Do the Preoperative tests listed below at these events: 1. Every day before the first patient. 2. Before each patient. 3. When required after a maintenance or service procedure. The following table indicates when a test must be done and gives a page number location where the test can be found.

  • Page 59: Test Devices

    If a test failure occurs, do not use the equipment. Have an approved service representative repair the equipment. Test devices The following test tools are needed for some of the tests. Datex-Ohmeda Item Ref. Positive pressure leak test device (BSI, 25 kPa)

  • Page 60: Inspect The System

    S/5 Aespire Inspect the System w w w w WARNING Make sure that the breathing circuit is correctly connected and not damaged. w w w w WARNING The upper shelf weight limit is 34 kg (75 lb). Make sure that: 1.

  • Page 61: Power Failure Alarm Test

    4 Preoperative Tests 13. Connect the power cord to a wall outlet. The mains indicator comes on when AC Power is connected. • If the indicator is not on, the system does not have mains (electrical) power. Use a different outlet. Close the circuit breaker or replace or connect the power cable.

  • Page 62: Pipeline And Cylinder Tests

    S/5 Aespire 5. Set the system switch to Standby. Pipeline and cylinder tests w w w w CAUTION To prevent damage: • Open the cylinder valves slowly. • Do not force the flow controls. If your system does not use cylinder supplies, do not do steps 2 through 12.

  • Page 63: Flow Control Tests

    4 Preoperative Tests • If there is a leak, install a new cylinder gasket and tighten the tee handle as shown in “How to install gas cylinders (high pressure leak test)” of the section ‘1 Setup and Connections’ in Part 2 of this manual.
  • Page 64 S/5 Aespire • Nitrous oxide (N O), if available, flows through the system during this test. Use a safe and approved procedure to collect and remove it. • Incorrect gas mixtures can cause patient injury. If the Link system does not supply O...
  • Page 65 4 Preoperative Tests • Set the N O flow control to the rates shown in the table. The O flow must be greater than the minimum limits. Set the N O flow The O flow must be control to (L/min): greater than (L/min): 7.

  • Page 66: With O Monitoring

    S/5 Aespire With O monitoring w w w w WARNING The Link system cannot replace an O monitor. Sufficient O in the fresh gas may not prevent hypoxic mixtures in the breathing circuit. • Nitrous oxide (N O), if available, flows through the system during this test.

  • Page 67: Vaporizer Installation

    4 Preoperative Tests 7. Test the Link 25 system with flow decreasing: • Set the N O flow to 9.0 L/min. • Set the O flow to 3 L/min or higher. • Slowly turn the O flow control clockwise. • Make sure that the N O flow decreases.

  • Page 68: Vaporizer Back Pressure Test

    S/5 Aespire 2. Set each vaporizer lock lever to the locked position. 3. Try to lift each vaporizer straight up off the manifold rather than pulling forward. Do not rotate the vaporizer on the manifold. 4. If a vaporizer lifts off the manifold, install it again and complete steps 1, 2, and 3.

  • Page 69: Low-Pressure Leak Test

    4 Preoperative Tests • If O flow decreases more than 1 L/min, then install a different vaporizer and try this step again. • If the O flow decreases less than 1 L/min with a different vaporizer, the malfunction is in the first vaporizer. •...
  • Page 70 S/5 Aespire • Put your hand on the inlet of the leak test device. Push hard for a good seal. • If the bulb inflates in less than 60 seconds, replace the leak test device. 4. Turn off all vaporizers.

  • Page 71: Iso 5358 Or Bsi Standard Positive Low-Pressure

    4 Preoperative Tests ISO 5358 or BSI standard positive low-pressure leak test w w w w CAUTION Do a positive pressure leak test at the ACGO port only. 1. Connect the leak test device to the ACGO port with the positive pressure leak test adapter.Push the adapter into the ACGO port throughout the test to get a good seal.

  • Page 72: Alarm Tests

    S/5 Aespire 9. Repeat this low-pressure leak test for each vaporizer: • Set the applicable vaporizer to 1% and do steps 2 through 8. • Fully open the needle valve on the test device to decrease the back pressure. • Turn the vaporizer off.
  • Page 73 4 Preoperative Tests 5. Turn the Bag/Vent switch to Bag and back. Make sure that: • Mechanical ventilation starts. • A subatmospheric pressure alarm does not occur. • The ventilator displays the correct data. • The bellows inflate and deflate during mechanical ventilation. 6.

  • Page 74: Breathing System Tests

    S/5 Aespire • Set the controls: APL Valve: Bag/Vent switch: • Mechanical ventilation stops when the Bag/Vent switch is set to Bag. • Close the patient connection and push the O Flush button. • Make sure that the sustained pressure alarm occurs after approximately 15 seconds at the sustained pressure limit (6-30 cm O varies with pressure limit).
  • Page 75 4 Preoperative Tests w w w w WARNING 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.

  • Page 76: Monitor And Ventilator Tests

    S/5 Aespire • Make sure that the value on the inspiratory pressure gauge is less than approximately 5 cm H • Push the O flush button. Make sure that the value on the inspiratory pressure gauge stays near zero. • Set the O...
  • Page 77 4 Preoperative Tests • The ventilator displays the correct data. • The bellows inflate and deflate during mechanical ventilation. 10. Set the ventilator controls and alarm limits to clinically appropriate levels. 11. If the system will not be used immediately, set the System switch to Standby and close all cylinder valves.
  • Page 78 S/5 Aespire 4-22 1009-0307-000...
  • Page 79 Warranty This Product is sold by Datex-Ohmeda under the warranties set forth in the following paragraphs. Such warranties are extended only with respect to the purchase of this Product directly from Datex-Ohmeda or Datex-Ohmeda’s Authorized Dealers as new merchandise and are extended to the Buyer thereof, other than for the purpose of resale.
  • Page 80 Tel +30 10 9625136-7 Fax +30 10 9623687 The addresses listed on this cover are current as of 4/02. For any location changes, please visit our website at www.datex-ohmeda.com and click on the Contacts button. Datex-Ohmeda, Inc. PO Box 7550...

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