Datex-Ohmeda Avance User's Reference Manual
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Datex-Ohmeda Avance User's Reference Manual

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Software Revision 6.X

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Summary of Contents for Datex-Ohmeda Avance

  • Page 1 Avance User’s Reference Manual Software Revision 6.X...
  • Page 2 Datex-Ohmeda, Inc., a General Electric Company, doing business as GE Healthcare. User Responsibility This Product will perform in conformity with the description thereof contained in this User’s Reference manual and accompanying labels and/or inserts, when assembled, operated, maintained, and repaired in accordance with the instructions provided.

  • Page 3: Table Of Contents

    Table of Contents 1 Introduction Intended use ........1-2 Symbols used in the manual or on the equipment .
  • Page 4 Avance 3 Operation Turning on the system ......3-2 Start case (start gas flow) ......3-3 Using default settings .
  • Page 5 Table of Contents Alarm setup ........3-23 Setting alarm limits .
  • Page 6 Avance Circuit O2 cell ....... . . 5-9 Low P leak ........5-9 Low P leak (machines with ACGO) .
  • Page 7 Maintenance summary and schedule ....9-2 Datex-Ohmeda approved service ....9-3 Circuit O2 cell replacement .
  • Page 8 Avance Backlight test ........9-7 How to help prevent water buildup .
  • Page 9 Table of Contents Environmental requirements ..... . 11-12 Airway module specifications ..... . 11-13 Gas specifications .
  • Page 10 Avance 12 Super User Mode Install/Service menu ......12-2 Using super user mode ......12-3 Menus .

  • Page 11: Introduction

    • Test all other system components. If a test fails, do not use the equipment. Have a Datex-Ohmeda trained service representative repair the equipment. In this section Intended use ........1-2 Symbols used in the manual or on the equipment .

  • Page 12: Intended Use

    Optional, integrated features include auxiliary O2 and suction control. The Avance system offers improved usability through integration of ventilation, gas delivery and gas monitoring (E and M-Series respiratory gas module capable) on a full-color 12-inch display.
  • Page 13 1 Introduction Figure 1-1 • Front view M1145956...

  • Page 14: Symbols Used In The Manual Or On The Equipment

    Avance Symbols used in the manual or on the equipment Symbols replace words on the equipment, on the display, or in Datex-Ohmeda manuals. Warnings and Cautions tell you about dangerous conditions that can occur if you do not follow all instructions in this manual.
  • Page 15 1 Introduction Pneumatic inlet Pneumatic outlet Serial number Stock number Equipotential Lamp, lighting, illumination Variability Variability in steps Suction bottle outlet Vacuum inlet Maximum Vacuum Exhaust Bellows volumes are approximate Plus, positive polarity Minus, negative polarity Bag position/manual ventilation Mechanical ventilation Inspiratory flow Expiratory flow Movement in one direction...
  • Page 16 EEC) for Medical Devices when they are used as specified in their User’s Reference manuals. The xxxx is the certification number of the Notified Body used by Datex-Ohmeda’s Quality Systems. Date of manufacture Manufacturer Indicates that the waste of electrical...

  • Page 17: Typeface Conventions Used

    1 Introduction Typeface conventions used Names of hard keys on the display and modules are written in bold Normal Screen typeface; for example, Menu items are written in bold italic typeface; for example, Vent Setup. Messages that are displayed on the screen are enclosed in single quotes;...
  • Page 18 Avance Abbreviation Definition Inspiratory-expiratory ratio Insp Inspiratory Insp Pause Inspriatory pause time Minimum Alveolar Concentration Minute volume MVexp Expired minute volume MVinsp Inspired minute volume Nitrous oxide Oxygen Pair Air supply pressure Paux Auxiliary pressure Airway pressure Pressure controlled ventilation...
  • Page 19 1 Introduction Abbreviation Definition SIMV/PSV Synchronized intermittent mandatory ventilation with pressure supported ventilation SIMV-PC Synchronized intermittent mandatory ventilation - pressure controlled Tidal volume TVexp Expired tidal volume TVinsp Inspired tidal volume VCO2 Carbon dioxide production Volume controlled ventilation Volume M1145956...
  • Page 20 Avance 1-10 M1145956...

  • Page 21: System Controls And Menus

    2 System Controls and Menus WARNING Do not use antistatic or electrically-conductive breathing tubes or masks. They can cause burns if used near high- frequency surgical equipment. Explosion Hazard. Do not use this system with flammable anesthetic agents. In this section System overview.

  • Page 22: System Overview

    Avance System overview 1. Light switch 7. Integrated suction (optional) 2. Dovetail 8. Brake 3. Vaporizer 9. O2 flush button 4. Alternate O2 control 10. Advanced breathing system 5. System switch 11. Auxiliary O2 flow control (optional) 6. Mains indicator 12.
  • Page 23 2 System Controls and Menus Item, Figure 2-1 Description Alternate O2 control Alternate O2 control activates automatically in the case of certain failures or errors. It can also be activated manually by pushing the Alternate O2 control button if the display fails.
  • Page 24 Avance 1. Outlet circuit breaker 7. AGSS (Anesthesia Gas Scavenging System) 2. Isolated electrical outlet (optional) 8. Equipotential stud 3. Cable access door 9. Mains inlet 4. Vacuum connection 10. System circuit breaker 5. Collection bottle connection 11. Pipeline connections 6.

  • Page 25: Advanced Breathing System (Abs) Components

    2 System Controls and Menus Advanced breathing system (ABS) 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.
  • Page 26 Avance Item, Figure 2-3 Description 3, 4 Inspiratory flow sensor Flow sensors provide volume measurements for some monitoring Expiratory flow sensor functions and tidal volume delivery. Absorber canister release Push to remove the canister. This causes the breathing system to vent to the room (unless the EZchange canister option is installed).

  • Page 27: Optional Abs Components

    2 System Controls and Menus Optional ABS components 1. Bag support arm 2. Auxiliary Common Gas Outlet (ACGO) switch 3. ACGO port 4. EZchange canister module (CO2 bypass) 5. EZchange canister release 6. Condenser drain button 7. Condenser Figure 2-4 • Breathing system options Item, Figure 2-4 Description Bag support arm...

  • Page 28: Non-Circle Circuit

    Avance Non-circle circuit Fresh gas flow is diverted around the inspiratory check valve and out through the inspiratory port when non-circle ventilation is selected. This fresh gas source may be used with circuits without CO2 absorbent capability (for example, Mapleson variants). Mechanical ventilation is not available when using the non-circle circuit.

  • Page 29: Acgo (Optional)

    2 System Controls and Menus ACGO (optional) Fresh gas flow is directed through the Auxiliary Common Gas Outlet (ACGO) on the front of the machine when the ACGO switch is in the ACGO position. Mechanical ventilation is not available when operating an auxiliary manual breathing circuit with fresh gas from the ACGO.

  • Page 30: Scavenging From An Auxiliary Manual Breathing Circuit

    Avance Scavenging from an Scavenge the exhaust if an auxiliary manual breathing circuit is used auxiliary manual with N2O or volatile anesthetics. breathing circuit An auxiliary inlet is available for active and passive AGSS units. It provides a female connection with 30 mm - 30 mm male connector (or a 30 mm -19 mm male connector) into the auxiliary port under the breathing system.

  • Page 31: Vaporizer Controls

    2 System Controls and Menus Vaporizer controls Refer to the vaporizer User’s Reference manual for more detailed information on the vaporizer. 1. Tec 6 Plus 2. Tec 7 3. Lock lever 4. Concentration control and release 5. Indicators (Tec 6 Plus) 6.
  • Page 32 Avance Item, Figure 2-5 Description Lock lever Turn the lever fully clockwise to lock the vaporizer in position. Concentration control and Push the release and turn the concentration control to set the agent release concentration. The Tec 6 Plus concentration control does not turn as long as the warm-up indicator is on.

  • Page 33: Display Controls

    2 System Controls and Menus Display controls Silence Alarms key 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. Menu keys Push to show corresponding menu.

  • Page 34: Anesthesia System Display

    Avance Anesthesia system display Plug in power Timer: cable. On battery. cmH2O Measured Ppeak Pmean l/min PEEP RR /min Fi % Et % Agent MAC 40 EtCO2 %s FiCO2 %s EtO2 % FiO2 % Fresh Gas: O2+Air PCV-VG: Ventilator On...
  • Page 35 2 System Controls and Menus When a menu key is selected, the menu field overlays the gas flow indicators and the waveform fields start at the right edge of the menu. cmH2O Main Menu Ppeak Pmean Trends System Status PEEP RR /min Cardiac Bypass Off Fresh Gas Usage...

  • Page 36: Waveform Fields

    Avance Waveform fields Up to three waveforms can be shown on the normal screen view. Each waveform can be set to show specific information such as Paw, agent, flow, or CO2 data. The corresponding numeric information shows in the measured values field to the right of the waveform. If the waveform is set to show the agent and no airway module is inserted, that waveform and numeric areas are blank.

  • Page 37: Using Menus

    2 System Controls and Menus Using menus Push a menu key to display the corresponding menu. Use the ComWheel to navigate the menu. Main Menu Trends System Status Cardiac Bypass Fresh Gas Usage Screen Setup Parameters Setup Calibration Normal Screen On suspends the volume, apnea, low agent, and low CO2 alarms.
  • Page 38 Avance 2-18 M1145956...
  • Page 39 3 Operation WARNING Ventilator alarms indicate potential hazard conditions. All alarms that occur should be investigated to help ensure adequate patient safety. Maintain sufficient fresh gas flow when using sevoflurane. Desiccated (dehydrated) absorbent material may produce dangerous chemical reactions when exposed to inhalation anesthetics.

  • Page 40: Turning On The System

    Avance Turning on the system 1. Plug the power cord into an electrical outlet. Make sure the system circuit breaker is on. • The mains indicator is lit when AC power is connected. • Battery is charging if it is not already fully charged.

  • Page 41: Start Case (Start Gas Flow)

    3 Operation Start case (start gas flow) Start/End Case Access the Start Case menu by pushing the key or by selecting Start Case from the Checkout menu. Use the Start Case menu to set the case data and to start the gas flow. Start Case Default Settings Patient Weight...

  • Page 42: Using Default Settings

    Avance Using default 1. Set the Bag/Vent switch to Bag. settings Start/End Case 2. Push the key. • The case defaults are shown on the menu. • The Default Settings selection shows the preset case type. 3. Verify or change the settings on the Start Case menu.

  • Page 43: Minimum Alveolar Concentration (Mac)

    3 Operation 7. To change the gas settings: Gas Setup • Push the key. • Select Adjust Settings. • Change the settings. • Select Exit to return to the Start Case menu. 8. To change the balance gas: Gas Setup •...

  • Page 44: End Case

    Avance End case Use the End Case menu to stop gas flow and end the patient alarms. End Case End Case Now Normal Screen 1. Set the Bag/Vent switch to Bag. Start/End Case 2. Push the key. 3. Select End Case Now to put the system in standby (stops gas flow and patient alarms).

  • Page 45: Ventilator Setup

    3 Operation Ventilator setup Vent Setup Access the Vent Setup menu by pushing the key. The system has up to six modes of mechanical ventilation: • Volume Control Ventilation (VCV). • Pressure Control Ventilation (PCV) (optional). • Synchronized Intermittent Mandatory Ventilation/Pressure Support (SIMV/PSV) (optional).

  • Page 46: Using Vent Setup Menu

    Avance Using Vent Setup Vent Setup 1. Push the key. menu • Adjust Settings is selected by default. • An arrow to the right of the mode indicates the current mode. 2. Push the ComWheel to enter the adjustment window for the selected mode.

  • Page 47: Gas Setup

    3 Operation Gas setup Gas Setup Access the Gas Setup menu by pushing the key. Use the Gas Setup menu to adjust the O2% and total flow, to change the balance gas, and to change the circuit type. Gas Setup Adjust Settings Gas: Circuit:...

  • Page 48: Changing Circuit Type

    Avance Changing circuit type Gas Setup 1. Push the key. • Adjust Settings is selected by default. • An arrow to the right of the circuit type indicates the circuit currently in use. 2. Use the ComWheel to select Circle or Non-Circle and enter the adjustment window.

  • Page 49: Spirometry

    3 Operation Spirometry There are three types of spirometry loops: Pressure-Volume (P-V), Flow-Volume (F-V) and Pressure-Flow (P-F). View, save, and erase spirometry loops and set the loop scaling in the Spirometry menu. Vent Setup Access the Spirometry menu by pushing the key and selecting Spirometry.

  • Page 50: Setting Loop Type

    Avance Setting loop type The spirometry loops show in the spirometry window and can be set to show alongside the waveforms as the split screen. 1. Volume axis 2. Pressure axis 3. Real-time loop 4. Reference loop (appears on display in white) Figure 3-2 •...

  • Page 51: Scaling

    3 Operation Scaling The scales shown in the spirometry loop graph are set in the Scaling menu. The available settings for the volume, Paw, and flow graph axes are dependent on the set patient type of adult or pediatric. The AUTO selection automatically adjusts the volume, Paw, and flow axes of the loop graph based on the minimum and maximum breath reading shown in the waveform.

  • Page 52: Spirometry Setup

    Avance Spirometry setup Vent Setup Push the key and select Spirometry - Spiro Setup to access the Spirometry Setup menu. Use the Spirometry Setup menu to: • Set the patient and sensor type. • Select a data source. • Set the loop type.

  • Page 53: Selecting A Data Source

    3 Operation Selecting a data Several monitoring parameters can be obtained from the ventilator or source the airway module. When setting the airway module as the data source, make sure that a D-lite or Pedi-lite sensor is properly connected on the airway module. If the sensor is not properly connected, but the airway module is installed, the waveform shows no flow.

  • Page 54: Main Menu

    Avance Main Menu Menus and settings available through the Main Menu include Trends, System Status, Cardiac Bypass, Fresh Gas Usage, Screen Setup, Parameters Setup, and Calibration. System Status shows the status of gas supplies, electrical supplies, and software settings. See “Screen configuration” for information on the Screen Setup menu item.

  • Page 55: Trends

    3 Operation Trends There are three views for patient trends: measured (numerical), settings, and graphical. Trend information is saved every 1 minute for the most recent 24 hours. Trends Cursor Next Page View Measured Settings Graphical Time Scale Previous Menu Main Menu 1.

  • Page 56: Cardiac Bypass

    Avance Cardiac bypass There are two types of cardiac bypass. Manual ventilation cardiac bypass is standard. VCV cardiac bypass is optional. Manual ventilation Manual ventilation cardiac bypass suspends alarms for patients on cardiac bypass cardiac bypass when the ventilator is not mechanically ventilating.

  • Page 57: Fresh Gas Usage

    3 Operation Fresh gas usage Use the Fresh Gas Usage selection to view the volume of O2, Air, N2O, and agents used for the three most recent cases. Data only shows for gases available on the system. Agent data shows the three most recently used agents.

  • Page 58: Screen Configuration

    Avance Screen configuration Each case type selected on the Start Case menu has a corresponding screen configuration for the normal screen. Four additional normal screen views are available through the Select Page menu. The case type screen configurations and the normal screen views are set by the Super User in the Install/Service menu.

  • Page 59: Screen Setup

    3 Operation Screen setup Waveform, digit field, fresh gas control style, split screen, sweep speed, and brightness are adjusted in the Screen Setup menu. Changes made to all settings (except Brightness) during a case are not saved when the case is ended. The set Brightness remains until it is changed again or until the system power is turned off.
  • Page 60 Avance Setting gas controls and There are two ways to configure gas controls: O2% with total flow or screen configuration individual gas flow. The Super User can set the gas control for the facility. Or the Super User can set the gas control to allow the user to select the setting.

  • Page 61: Alarm Setup

    3 Operation Alarm setup Alarm limits, alarm volume, and other alarm settings are adjusted in the Alarm Setup menu. Alarm history is also accessed through this menu. Selecting Default Limits loads the default settings as set by the Super User or the factory defaults if no Super User settings have been entered.

  • Page 62: Volume Apnea

    Avance Volume apnea Volume Apnea is not shown on the Alarm Setup menu when the Volume Apnea Selection is set to Disable in the Install/Service menu. Set Volume Apnea to Off to disable the volume apnea alarm during manual ventilation. ‘Volume Apnea Off’ shows in the general message field.

  • Page 63: Auto Mv Limit

    3 Operation Auto MV limit MV alarm limits can be calculated automatically for mechanical ventilation when in VCV or PCV-VG modes and volume compensation is enabled. Set Auto MV Limit to On for automatic calculations of the MV alarm limits. The MV alarm limits continue to be automatically calculated until Auto MV Limit is set to Off or until an MV alarm limit is manually adjusted during mechanical ventilation.

  • Page 64: Alternate O2 Control

    Avance Alternate O2 control WARNING The Alternate O2 control is not an auxiliary source of O2. Alternate O2 control delivers agent and O2 through an independent pneumatic path to the selected patient circuit and is connected to the system O2 supply. Alternate O2 control activates automatically in the case of certain failures or errors.

  • Page 65: Ezchange Canister (Optional)

    3 Operation EZchange canister (optional) Push the absorber canister release to activate the EZchange canister mode. The canister will swing down to the EZchange position. The EZchange canister mode seals the breathing circuit when the canister holder is down. This permits continued ventilation and rebreathing of exhaled gases while easily replacing the absorber canister.

  • Page 66: Condenser (Optional)

    Avance Condenser (optional) The condenser removes water in the system that is produced from the reaction of CO2 gas with the absorbent. When fresh gas flow settings of less than the patient minute volume are used during ventilation, the amount of re-breathed gas increases. More CO2 flows through the breathing system increasing the absorbent consumption.

  • Page 67: Passive Agss (Optional)

    3 Operation Passive AGSS (optional) WARNING Always verify the proper operation of any gas scavenging system; ensure the scavenging system is not occluded. The passive AGSS (Anesthesia Gas Scavenging System) contains both positive and negative pressure relief valves to protect the breathing system and the patient.

  • Page 68: Active Agss (Optional)

    Avance Active AGSS (optional) WARNING Always verify the proper operation of any gas scavenging system; ensure the scavenging system is not occluded. There are several versions of the optional active AGSS (Anesthesia Gas Scavenging System) available depending on the hospital’s type of waste gas disposal system.

  • Page 69: Connecting Active Agss With A Flow Indicator

    3 Operation Connecting active To use the optional active AGSS on a system that has a flow AGSS with a flow indicator, connect it as follows. indicator 1. Connect the proper hose to the AGSS outlet connector on the bottom of the AGSS underneath the breathing system. Attach the other end to the hospital disposal system.
  • Page 70 Avance 4. Use the needle valve to adjust the flow rate to match the amount of gas being scavenged. Use the visual indicator bag when adjusting the flow rate. The bag should remain partially inflated when the flow rate is adequate.

  • Page 71: Preoperative Checkout

    • Test all other system components. If a test fails, do not use the equipment. Have a Datex-Ohmeda trained service representative repair the equipment. In this section Every day before your first patient ....4-2 Before every patient .

  • Page 72: Every Day Before Your First Patient

    Avance Every day before your first patient Check that necessary emergency equipment is available and in good condition. Check that the equipment is not damaged and that components are correctly attached. Check that pipeline gas supplies are connected and cylinders are installed.

  • Page 73: Before Every Patient

    4 Preoperative Checkout Before every patient Note This check does not need to be done before the first case of the day if the “Every day before your first patient” checklist was done. Check that necessary emergency equipment is available and in good condition.
  • Page 74 Avance M1145956...

  • Page 75: Preoperative Tests

    5 Preoperative Tests In this section Inspect the system ....... . 5-2 Vaporizer installation .

  • Page 76: Inspect The System

    Avance Inspect the system WARNING The top shelf weight limit is 34 kg (75 lb). Make sure that the breathing circuit is correctly connected and not damaged. Replace the breathing circuit if it is damaged. Do not leave gas cylinder valves open if the pipeline supply is in use.

  • Page 77: Vaporizer Installation

    5 Preoperative Tests Vaporizer installation WARNING Use only the Datex-Ohmeda Selectatec series vaporizers Tec 4 or greater. Do not use a vaporizer that lifts off of the manifold when the lock lever is in the locked position. Do not use this anesthesia system if more than one vaporizer can be turned on at the same time.

  • Page 78: Flow And Pressure Calibration

    Avance Flow and pressure calibration Calibrate the flow sensors by removing them from the system. On- Main Menu screen instructions are available through - Calibration - Flow and Pressure. Important Room temperature fluctuations of more than 5°C may affect sensor measurements.

  • Page 79: Checkout Menu

    5 Preoperative Tests Checkout menu The Checkout menu shows on the display after turning on the system. To access the Checkout menu between cases, push the Checkout key. Step-by-step instructions show in the right window next to the Checkout menu during the checks. Use the Checkout menu to: •...

  • Page 80: Machine Check

    Avance Machine check The Machine Check or the individual checks must be performed at least once within every 24-hour period. Perform the Machine Check at the start of each day. The machine check runs automatically and beeps to indicate when it is finished or if interaction is required.

  • Page 81: Machine Check - Circuit

    5 Preoperative Tests Machine check - The Machine Check-Circuit checks the Bag/Vent switch, proper gas circuit supply pressures, airway pressure measurement transducer, APL valve, and manual circuit leak. 1. Occlude the patient Y. 2. Set Bag/Vent switch to Bag. 3. Set the APL valve halfway between 30 and 70. 4.

  • Page 82: Individual Checks

    Avance Individual checks The Machine Check or the individual checks must be performed at least once within every 24-hour period. Individual checks allow the user to perform any combination of single checks. These checks are helpful if there is a specific problem/alarm and the user wishes to test only that portion of the system.

  • Page 83: Circuit O2 Cell

    5 Preoperative Tests Circuit O2 cell The Circuit O2 Cell check measures the O2%. 1. Open the patient Y. 2. Set the Bag/Vent switch to Vent. 3. (ACGO option only.) Set the ACGO switch to Circle. 4. The display will show the O2%. Do not select Done when 21 is first displayed.

  • Page 84: Positive Low Pressure Leak Test (Acgo Systems Only)

    Avance Positive low pressure leak test (ACGO systems only) Note For ACGO machines, perform either a negative Low P Leak check in the Checkout menu or positive low-pressure leak check depending on local requirements. CAUTION Do a positive-pressure leak test at the ACGO port only.

  • Page 85: Vaporizer Back Pressure Test

    5 Preoperative Tests Vaporizer back pressure test WARNING Anesthetic agent comes out of the circuit during this test. Use a safe, approved procedure to collect and remove the agent. 1. Set the System switch to On. 2. Start a case. 3.
  • Page 86 Avance 5-12 M1145956...

  • Page 87: Airway Modules

    6 Airway Modules In this section Airway modules ........6-2 Parameters setup .

  • Page 88: Airway Modules

    CAUTION Use only cables and accessories approved by Datex-Ohmeda. Other cables and accessories may damage the system or interfere with measurement. Single-use accessories are not designed to be reused. Strong scavenging suction on the monitor exhaust port may change the operating pressure of the monitor and cause inaccurate readings or internal damage.
  • Page 89 6 Airway Modules Use only airway modules that have anesthetic agent monitoring and O2 monitoring on this system. The following modules can be used on this system: E-CAiO, E-CAiOV, E-CAiOVX, M-CAiO, M-CAiOV, and M-CAiOVX. (E series modules must be software version 4.5 and above.

  • Page 90: Connection To A Patient

    Avance Connection to a 1. Check that the airway gas module is installed. patient 2. Check that the airway adapter connections are tight and that the adapter is correctly installed. 3. Check that the water trap container is empty and properly attached.

  • Page 91: Parameters Setup

    6 Airway Modules Parameters setup Use the Parameters Setup menu to change the monitoring settings Main of the data source, CO2, O2, agent, and spirometry. Push the Menu key. Select Parameters Setup. Data source Several monitoring parameters can be obtained from the ventilator or the airway module.

  • Page 92: Automatic Agent Identification

    (approximately five minutes). Calibration Calibrate airway modules once every six months or whenever there are indications of errors in the gas readings. Use a Datex-Ohmeda calibration gas and regulator to calibrate the modules. See the “Parts” section for the stock numbers of the calibration gas and regulator.
  • Page 93 6 Airway Modules 9. If adjustments are needed: • Do not close the regulator until all the adjustments have been made. • Select the gas to be adjusted and press the ComWheel. • Use the ComWheel to change the value until it matches the calibration gas cylinder value.
  • Page 94 Avance M1145956...

  • Page 95: Alarms And Troubleshooting

    7 Alarms and Troubleshooting CAUTION No repair should ever be attempted by anyone not having experience in the repair of devices of this nature. See the “Repair policy” in the “User Maintenance” section. WARNING If an alarm occurs, safeguard the patient first before performing troubleshooting or doing repair procedures.

  • Page 96: Alarms

    Avance Alarms Alarms are divided into technical alarms and parameter alarms. These alarms may be high priority, medium priority, or informational. When an alarm occurs during a case, an alarm tone sounds and the alarm message is displayed in the alarm message field.

  • Page 97: De-Escalating Alarms

    Yellow indicates less than 5 minutes battery power remaining. Internal failure ‘Internal problem prevents normal operation.’ shows on the display during a software or hardware failure that requires service. If this message occurs, contact a Datex-Ohmeda trained service representative. M1145956...

  • Page 98: List Of Alarms

    Air pipeline pressure is less than Ensure the air pipeline and cylinder are pressure low 252 kPa (36 psi) and the air properly connected. cylinder pressure dropped below Contact a Datex-Ohmeda trained service 2633 kPa (381 psi) for one representative. second. Apnea Medium Apnea time delay (10-30 Check for leaks in the patient circuit.
  • Page 99 Start a new case. sensors Cannot monitor Medium Air pipeline pressure is invalid. Check pipeline supply pressure. Air pipeline Contact a Datex-Ohmeda trained service representative. Cannot monitor Informational Hardware failure. Contact a Datex-Ohmeda trained service gas supplies representative.
  • Page 100 Avance Message Priority Cause Action Display panel Medium Communication lost between Turn the system off and back on. controls failure panel and key pad. EtCO2 high High EtCO2 is greater than high alarm Check the patient and EtCO2 settings. Check limit.
  • Page 101 Inspiration Medium High airway pressure. Check system for blockages. stopped Internal failure. High Power controller software failure. Contact a Datex-Ohmeda trained service System may representative. shut down. Internal failure. Medium Power controller software failure. Contact a Datex-Ohmeda trained service System may representative.
  • Page 102 Avance Message Priority Cause Action Memory Informational Software error. Contact a Datex-Ohmeda trained service (EEPROM) representative. failure Module fail. No Medium Airway module hardware failure. Replace module. CO2, AA, O2 data. Module not Informational The monitoring module detected Remove the incompatible module. Use a...
  • Page 103 Airway module sample line is Replace airway module sample line. blocked blocked. Service Informational Calibration data is corrupt. Contact a Datex-Ohmeda trained service calibration representative. advised Set Alt O2 flow! Medium Software or hardware failure Contact a Datex-Ohmeda trained service Check agent prevents mixed gas delivery.
  • Page 104 Using battery. Medium Mains supply is OK, but the Shut down the system as soon as possible. Power system is running on the battery. Contact a Datex-Ohmeda trained service Controller fail. representative. Ventilate High Software or hardware failure Use a manual bag to ventilate the patient or manually! prevents mechanical ventilation.
  • Page 105 Shut down PSV. Informational priority alarm when system as soon as possible. Contact a Bag/Vent switch is in Vent and Datex-Ohmeda trained service not running PCV, PSVPro, or representative. SIMV-PC mode; Bag/Vent switch is in Bag; or Non-circle circuit or ACGO is selected.

  • Page 106: Alarm Ranges

    Avance Alarm ranges The alarms names are listed in order they appear on the Alarm Limits page accessible from the Alarm Setup menu. The alarms setting ranges show in the order they appear in the setting selections in the Alarm Settings menu. See the “Super User Mode” section for more information on the alarm default settings.
  • Page 107 7 Alarms and Troubleshooting Alarm Range Increment EtSEV High 0.1 - 10.0%, Off 0.1% EtSEV Low Off, 0.1 - 9.9% 0.1% EtDES High 0.1 - 20%, Off 0.1% EtDES Low Off, 0.1 - 19.9% 0.1% EtENF High 0.1 - 7.0%, Off 0.1% EtENF Low Off, 0.1 - 6.9%...

  • Page 108: Alarm Tests

    Avance Alarm tests Test the system to verify that alarms are functioning. Note If an airway module is installed, the FiO2 readings are taken from the module instead of from the O2 cell. A sample line must be connected from the airway module to the breathing circuit in order to test the O2 alarms.
  • Page 109 7 Alarms and Troubleshooting 9. Test the Ppeak low. Leak? alarm: • Unblock the patient connection. • Set the Bag/Vent switch to Vent. • Set the tidal volume and total flow to minimum. • Other alarms such as MVexp low can occur. •...

  • Page 110: Breathing System Problems

    Breathing System Cleaning and Sterilization” User’s Reference manual. The bellows fills when the Bag/ Leak through Bag/Vent switch. Contact a Datex-Ohmeda trained service Vent switch is set to Bag or the representative to repair the system. bag fills when the switch is set to Vent.

  • Page 111: Electrical Problems

    7 Alarms and Troubleshooting Electrical problems WARNING If a circuit breaker opens frequently, do not use the system. Have a Datex-Ohmeda trained service representative repair the system. Symptom Problem Solution Mains indicator is not on. The electrical power cable is not Connect the power cable.

  • Page 112: Pneumatic Problems

    A vaporizer malfunction (the leak Send the vaporizer to a stops if you use a different Datex-Ohmeda Service Center for vaporizer in the same position). repair. A port valve malfunction (the leak Contact a Datex-Ohmeda trained...
  • Page 113 8 Setup and Connections In this section Setup warnings ........8-2 Canister setup.

  • Page 114: Setup Warnings

    See “Standards” and “System components” in the “Specifications and Theory of Operation” section for information on specific monitoring requirements. WARNING Datex-Ohmeda strongly recommends the use of O2 monitoring and anesthetic agent monitoring with this equipment. Refer to local standards for mandatory monitoring.
  • Page 115 8 Setup and Connections To help prevent false alarms from devices with high- intensity electrical fields: • Keep the electrosurgical leads away from the breathing system, the flow sensors, and the oxygen cell. • Do not allow the electrosurgical leads to contact any part of the anesthesia system.

  • Page 116: Canister Setup

    Avance Canister setup The absorber canister is available in two versions: Disposable Multi Absorber and Reusable Multi Absorber. Both are removed and installed on the breathing system in the same way. Each canister holds 800 grams of loose absorbent. The manufacturer recommends Medisorb absorbent.

  • Page 117: When To Change The Absorbent

    8 Setup and Connections WARNING Obey applicable safety precautions: • Do not use the absorber with chloroform or trichloroethylene. • The Disposable Multi Absorber is a sealed unit which should not be opened or refilled. • Avoid skin or eye contact with the contents of the absorber.

  • Page 118: Removing A Canister

    Avance Removing a canister 1. Hold the canister by the handle and push on the release latch to unlock the canister. 2. Remove the canister by tilting it downward and off the two support pins. Removing an 1. Hold the canister by the handle and push the canister cradle EZchange canister release latch to unlock the canister cradle.

  • Page 119: Reusable Multi Absorber Canister Filling

    8 Setup and Connections Reusable Multi 1. Turn the canister upside down and, using your thumbs, turn the Absorber canister cover locking ring counterclockwise to unlock it. filling 2. Push up to release the seal. 3. Lift off the cover to remove it. 4.
  • Page 120 Avance 6. Place a new filter in the bottom of the canister, pour absorbent into the canister and place a new filter over the absorbent before closing and locking the cover. Wipe off any absorbent dust. 7. Align the cover slots with the canister locking tabs and press the cover down into place.

  • Page 121: Electrical Connections

    8 Setup and Connections Electrical connections Mains inlet Arrow shows the mains power inlet and cord. Outlets Labels show outlet voltage ratings and circuit breaker amp ratings. These are isolated outlets. Regularly test the leakage current. M1145956...

  • Page 122: Serial Port

    Avance Serial port The system has an RS-232C electrical interface. The RS-232C connector allows serial input/output of commands and data. The 15- pin connector is located on the back of the display unit. The 15-pin female D connector - Data Communications Equipment configuration (DCE): •...

  • Page 123: Pneumatic Connections

    8 Setup and Connections Pneumatic connections CAUTION Use only medical grade gas supplies. Other types of gas supplies may contain water, oil, or other contaminants which could affect the operation of the pneumatic system. The gas supplies provide gas to these devices through internal connections: •...

  • Page 124: Sample Gas Return Port

    Avance Sample gas return Connect the Datex-Ohmeda sample gas exhaust tube to the gas port return port. Exhaust gas will be directed to the scavenging system. Vacuum suction The vacuum suction regulator uses an external vacuum supply. regulator (optional) Connect the vacuum connection to the source vacuum supply.

  • Page 125: Venturi Suction Regulator (Optional)

    8 Setup and Connections Venturi suction The venturi suction regulator uses the system air or O2 supply regulator (optional) source. Connect the collection bottle connection to the collection bottle. 1. Venturi muffler 2. Overflow safety trap 3. Splash guard 4. Collection bottle connection Figure 8-3 •...

  • Page 126: How To Install Gas Cylinders

    Avance How to install gas cylinders CAUTION 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. Pin indexed cylinder 1. Locate the cylinder wrench.

  • Page 127: High-Pressure Leak Test

    8 Setup and Connections High-pressure leak 1. Turn on the system. test 2. Disconnect pipeline supplies. 3. Turn off the auxiliary O flowmeter and the venturi suction. 4. Open the cylinder. 5. Record the cylinder pressure. 6. Close the cylinder. •...

  • Page 128: How To Attach Equipment To The Top Of The Machine

    Avance How to attach equipment to the top of the machine WARNING The top of the machine has a weight limit of 34 kg (75 lb). Check the stability of the system in its final configuration. Make sure that weight is evenly distributed throughout the system.

  • Page 129: User Maintenance

    9 User Maintenance WARNING To help prevent fires: • Do not use lubricants that contain oil or grease. They may burn or explode in high O concentrations. • All covers used on the system must be made from antistatic (conductive) materials. Static electricity can cause fires.

  • Page 130: Repair Policy

    Replace damaged parts with components manufactured or sold by Datex-Ohmeda. Then test the unit to ascertain that it complies with the manufacturer’s published specifications. Contact the local Datex-Ohmeda Field Service Representative for service assistance.

  • Page 131: Datex-Ohmeda Approved Service

    Datex-Ohmeda This is the minimum level of maintenance recommended by approved service Datex-Ohmeda. Local regulations may contain additional maintenance requirements. Datex-Ohmeda advocates compliance with local regulations which meet or exceed this minimum level of maintenance.

  • Page 132: Circuit O2 Cell Replacement

    Avance Circuit O2 cell replacement WARNING Handle and dispose of O2 cells according to site biohazard policies. Do not incinerate. Note It may take a new O2 cell 90 minutes to stabilize. If the O2 cell calibration fails after a new O2 cell had been installed, wait 90 minutes and repeat the calibration.

  • Page 133: Calibration Menu

    9 User Maintenance Calibration menu Access the Calibration menu by pushing the Main Menu key and selection Calibration from the Main Menu. Select the calibration procedure and follow the instructions shown. See “Calibration” in the “Airway Modules” section for information on calibrating the airway modules.

  • Page 134: Circuit O Cell Calibration

    Avance Circuit O cell calibration 21% O calibration Main Menu 1. Push the key. 2. Select Calibration. 3. Select Circuit O2 Cell. 4. Remove the flow sensor module. Unscrew the O2 cell to expose it to room air. 5. Select 21% O2 and push the ComWheel to start calibration.

  • Page 135: Backlight Test

    5. 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. Contact a Datex-Ohmeda trained service representative to replace the backlights.
  • Page 136 Avance M1145956...
  • Page 137 10 Parts Note This section lists user-replaceable parts only. For other components, refer to the Technical Reference manual. In this section Flow sensor module ......10-2 Breathing circuit module .

  • Page 138: Flow Sensor Module

    Avance Flow sensor module Item Description Stock number Flow sensor module (does not include flow 1407-7001-000 sensors) Flow sensor cover 1407-3000-000 Flow sensor cuff 1407-3004-000 Flow sensor, disposable (plastic) 1503-3858-000 Flow sensor, autoclavable (metal) 1503-3244-000 10-2 M1145956...

  • Page 139: Breathing Circuit Module

    10 Parts Breathing circuit module Item Description Stock number Breathing circuit module (does not include O2 1407-7002-000 cell, o-ring, or cable) Check valves circuit lens 1407-3101-000 Check valve assembly 1406-8219-000 O-ring for O2 cell or plug 1406-3466-000 O2 cell (includes o-ring) 6050-0004-110 Cable, O2 cell 1009-5570-000...

  • Page 140: Bellows

    Avance Bellows Item Description Stock number Bellows housing 1500-3117-000 Bellows 1500-3378-000 1500-3351-000 Pressure relief valve assembly 1500-3377-000 Latch, rim 1500-3352-000 Manifold, bellows base 1407-3702-000 Bellows base with latch 1407-7006-000 Seal, base 1500-3359-000 Diaphragm, APL 1406-3331-000 Poppet, APL valve 1406-3332-000 Cage, APL...

  • Page 141: Complete Advanced Breathing System

    10 Parts Complete Advanced Breathing System Item Description Stock number Complete breathing system assembly includes: • Flow sensor module (does not include flow sensors) • Breathing circuit module (does not include APL valve,O2 cell, o-ring, or cable) • Complete bellows base •...

  • Page 142: Absorber Canister

    Avance Absorber canister Item Description Stock number Multi absorber, reusable (includes 40 pack of 1407-7004-000 foam) (does not include absorbent) Cover assembly, CO2 canister 1009-8240-000 Foam, CO2 canister (pack of 40) 1407-3201-000 O-ring 1407-3204-000 Canister, CO2 with handle 1407-3200-000 Multi absorber, disposable, white to violet, (pack...

  • Page 143: Exhalation Valve Assembly

    10 Parts Exhalation valve assembly Description Stock number Exhalation valve assembly 1407-7005-000 10-7 M1145956...

  • Page 144: Agss

    Avance AGSS Description Stock number Common Cap 3.18 barb silicone 1406-3524-000 Connector, inlet 30 mm male to 9 mm male M1003134 Connector, inlet 30 mm male to 30 mm male M1003947 O-ring for connector, 21.95 ID 1406-3558-000 O-ring for receiver, 22 ID 1407-3104-000 O-ring for thumbscrews, 4.47 ID...

  • Page 145: Ezchange Canister System

    10 Parts EZchange canister system Item Description Stock number EZchange canister module, includes valve and 1407-7021-000 Valve 1407-3126-000 1407-3130-000 Condenser 1407-7024-000 EZchange canister module with condenser 1407-7027-000 10-9 M1145956...

  • Page 146: Condenser

    Avance Condenser Item Description Stock number Condenser assembly (includes module and condenser) 1407-7026-000 Condenser module 1407-7025-000 Condenser 1407-7024-000 10-10 M1145956...

  • Page 147: Test Tools And System Parts

    10 Parts Test tools and system parts Description Stock number Airway module calibration gas 755583 Airway module calibration gas (U.S. variant only) 755571 Airway module exhaust line 8004463 Calibration gas regulator 755534 Calibration gas regulator (U.S. variant only) M1006864 Cylinder gasket (pin indexed cylinders only) 0210-5022-300 Cylinder wrench (DIN 477 and high-pressure hose) 1202-3651-000...
  • Page 148 Avance 10-12 M1145956...

  • Page 149: Specifications And Theory Of Operation

    11 Specifications and Theory of Operation Note All specifications are nominal and subject to change without notice. Note All displayed values are shown at ambient temperature and pressure dry. In this section System pneumatic circuits ......11-2 Pneumatic specifications .

  • Page 150: System Pneumatic Circuits

    Avance System pneumatic circuits 11-2 M1145956...
  • Page 151 11 Specifications and Theory of Operation 1. Auxiliary O2, 0-10 l/min (optional) 36. Bag 2. 241 kPa (35 psi) secondary O2 regulator 37. APL valve 0-70 cmH2O 3. Pipeline: O2, Air, N2O 38. Optional factory connection 4. Cylinder: O2, Air, N2O 39.

  • Page 152: Gas Supplies

    Avance Gas supplies Pressurized gas supplies enter the system through a pipeline or cylinder connection. All connections have indexed fittings, filters, and check valves. A regulator decreases the cylinder pressures to the appropriate system pressure. A pressure relief valve helps protect the system from high pressures.

  • Page 153: Condenser

    11 Specifications and Theory of Operation Condenser The condenser removes water in the system that is produced from the reaction of CO2 gas with the absorbent. When fresh gas flow settings of less than the patient minute volume are used during ventilation, the amount of re-breathed gas increases.

  • Page 154: Electrical Block Diagram

    Avance Electrical block diagram 11-6 M1145956...
  • Page 155 11 Specifications and Theory of Operation 1. Power cord 36. Air pipeline pressure transducer 2. AC inlet and breaker 37. N2O pipeline pressure transducer 3. Inrush board 38. O2 pipeline pressure transducer 4. Transformer 39. Second O2 cylinder pressure transducer 5.

  • Page 156: Electrical Power

    Avance Electrical power Supply voltage 100-120 or 220-240 Vac +/-10% at 50 or 60 Hz Inlet circuit breakers 100-120 Vac 220-240 Vac 15 A Outlet circuit 110-120 Vac Japan 220-240 Vac breakers (3) 2 A 2) 2 A (3) 2 A...

  • Page 157: Battery Information

    11 Specifications and Theory of Operation Battery information The system is not a portable unit; a sealed lead acid battery supplies backup power in the event of a power failure. • Capacity to operate for 90 minutes under typical operating conditions;...

  • Page 158: Breathing System Specifications

    Avance Breathing system specifications Volume Ventilator side 2730 ml; bag side 1215 ml With EZchange canister system and condenser: ventilator side 3445 ml; bag side 1930 ml Absorbent 950 ml canister Connections Auxiliary Common Gas Outlet: ISO 5356 type connector on the front of the system (standard 22 mm OD or 15 mm ID conical friction fit connectors).

  • Page 159: Gas Scavenging

    11 Specifications and Theory of Operation Pressure flow data (APL valve completely open) Flow (l/min) Flow (l/s) APL pressure cmH2O 0.05 0.78 0.17 1.14 0.51 1.43 2.61 1.17 3.21 Gas scavenging All scavenging Positive pressure relief 10 cmH2O Passive scavenging Negative pressure relief 0.3 cmH2O Outlet connector...

  • Page 160: Physical Specifications

    Avance Physical specifications All specifications are approximate values and can change without notice. CAUTION Do not subject the system to excessive shock and vibration. Do not place excessive weight on flat surfaces or drawers. System Height 136 cm Width 76 cm...

  • Page 161: Airway Module Specifications

    11 Specifications and Theory of Operation Airway module specifications Use only airway modules that have anesthetic agent monitoring and O2 monitoring on this system. The following modules can be used on this system: E-CAiO, E-CAiOV, E-CAiOVX, M-CAiO, M-CAiOV, and M-AiOVX. (E Series modules must be software version 4.5 and above.

  • Page 162: Typical Performance

    Avance Typical performance Measurement range 0 to 15 vol% (0 to 15 kPa, 0 to 113 mmHg). Measurement rise time less than 400 ms typical. Accuracy +/- (0.2 vol% + 2% of reading). Gas cross effects less than 2 vol% (O2, N2O, anesthetic agents).

  • Page 163: Suction Regulators (Optional)

    11 Specifications and Theory of Operation Suction regulators (optional) Venturi Suction Regulator Performance Category Pharyngeal Suction Supply Air or O2 from system gas supply Drive Gas Consumption* 28 l/min with pipeline drive gas at 280 kPa 52 l/min with pipeline drive gas at 600 kPa Maximum Vacuum* 600 mmHg with pipeline drive gas at 280 kPa 550 mmHg with pipeline drive gas at 600 kPa...

  • Page 164: Ventilator Theory

    Avance Ventilator theory The ventilator pneumatics are at the rear of the breathing system. A precision valve controls gas flow to the patient. During inspiration, this gas flow closes the exhalation valve and pushes the bellows down. During expiration, a small flow pressurizes the exhalation diaphragm to supply PEEP pressure.

  • Page 165: O2 Monitoring Theory Of Operation

    11 Specifications and Theory of Operation O2 monitoring theory O2 monitoring measures O2 concentration in the patient circuit. The of operation O2 concentration measured from the O2 cell is shown on the ventilator display. The O2 cell is an electrochemical device (galvanic cell). Oxygen diffuses through a membrane into the cell and oxidizes a base metal electrode.
  • Page 166 Avance Volume control mode Volume control supplies a set tidal volume. The ventilator calculates a flow based on the set tidal volume and the length of the inspiratory time (TI) to deliver that tidal volume. It then adjusts that output by measuring delivered volumes at the flow sensors.
  • Page 167 11 Specifications and Theory of Operation Pressure control mode Pressure control supplies a constant set pressure during inspiration. The ventilator calculates the inspiratory time from the frequency and I:E ratio settings. A high initial flow pressurizes the circuit to the set inspiratory pressure.
  • Page 168 Avance SIMV/PSV mode Synchronized Intermittent Mandatory Ventilation (SIMV) is a mode in which periodic volume breaths are delivered to the patient at preset intervals (time-triggered). Between the machine delivered breaths, the patient can breathe spontaneously at the rate, tidal volume and timing that the patient desires.
  • Page 169 11 Specifications and Theory of Operation PSVPro mode PSVPro is pressure supported ventilation with apnea backup. PSVPro is a spontaneous mode of ventilation that provides a constant pressure once the ventilator senses that the patient has made an inspiratory effort. In this mode, the clinician sets the Pressure Support (Psupport) and PEEP levels.
  • Page 170 Avance 1. Paw 2. PEEP 3. Time Figure 11-4 • PSVPro diagram When the ventilator switches to the backup mode, the alarm text ‘Backup Mode active’ shows as an information message until PSVPro is reinstated or until another ventilation mode is selected. PSVPro...
  • Page 171 11 Specifications and Theory of Operation SIMV-PC mode Synchronized Intermittent Mandatory Ventilation, Pressure Control is a mode in which a relatively slow mandatory breathing rate is set with pressure-controlled breathing. This mode combines mandatory breaths with spontaneous breath support. If a trigger event occurs within the synchronization window, a new pressure-controlled breath is initiated.
  • Page 172 Avance PCV-VG mode In PCV-VG, a tidal volume is set and the ventilator delivers that volume using a decelerating flow and a constant pressure. The ventilator will adjust the inspiratory pressure needed to deliver the set tidal volume breath-by-breath so that the lowest pressure is used.

  • Page 173: Ventilator Operating Specifications

    11 Specifications and Theory of Operation Ventilator operating specifications Pneumatics Gas source Anesthesia system Gas composition Medical Air or O2 Nominal supply pressure 350 kPa (50 psi) Pressure range at inlet 240 to 700 kPa (35 to 102 psi) Peak gas flow 120 l/min at 240 kPa (35 psi), 0.75 seconds Continuous gas flow...

  • Page 174: Ventilator Accuracy Data

    Avance Ventilator accuracy data The following accuracy data are based on patient conditions and settings described in ASTM F1101. The ventilator is assumed to be operating in volume mode. For the following to be true, the ventilator is operating with 100 percent oxygen in the breathing system; or it is connected to an anesthesia gas analyzer.

  • Page 175: Electromagnetic Compatibility (Emc)

    11 Specifications and Theory of Operation Electromagnetic compatibility (EMC) WARNING Changes or modifications to this equipment not expressly approved by the manufacturer could cause EMC issues with this or other equipment. Contact the manufacturer for assistance. This device is designed and tested to comply with applicable regulations regarding EMC as follows.

  • Page 176: Guidance And Manufacturer's Declaration - Electromagnetic Immunity

    Avance Guidance and The system is suitable for use in the specified electromagnetic manufacturer’s environment. The customer and/or the user of the system should assure that it is used in an electromagnetic environment as described declaration - below. electromagnetic immunity...

  • Page 177: Radiated Immunity

    11 Specifications and Theory of Operation Radiated immunity Electromagnetic environment guidance Immunity test IEC 60601-1-2 test Level Compliance level Recommended separation distance Portable and mobile RF communications equipment should be used no closer to any part of the system, including cables, than the recommended separation distance calculated from the equation appropriate for the frequency of the...

  • Page 178: Recommended Separation Distances

    Avance Recommended The system is intended for use in the electromagnetic environment in separation distances which radiated RF disturbances are controlled. The customer or the user of the system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF...

  • Page 179: Electrical Safety

    11 Specifications and Theory of Operation Electrical safety WARNING The system provides connections for items such as printers, visual displays and hospital information networks (only connect items that are intended to be part of the system). When these items (non-medical equipment) are combined with the system, these precautions must be followed: •...

  • Page 180: Iec 60601-1 Classification

    Avance IEC 60601-1 Classification This system is classified as follows. • Class I Equipment. • Type B Equipment. • Type BF Equipment. • Ordinary Equipment. • Not for use with flammable anesthetics. • Continuous operation. Standards Devices used with this anesthesia system shall comply with the following standards where applicable: •...

  • Page 181: System Components

    11 Specifications and Theory of Operation System components Integral This anesthesia system contains the following integral components, monitoring devices, alarm systems, and protection devices that comply with european, international, and national standards: • Breathing system pressure-measuring device. • Airway pressure-limitation device. •...
  • Page 182 Avance 11-34 M1145956...
  • Page 183 12 Super User Mode In this section Install/Service menu ......12-2 Menus .

  • Page 184: Install/Service Menu

    Avance Install/Service menu WARNING Do not enter the menu when a patient is Install/Service connected to the system. Gas flow will cease, and the system must be powered down in order to restart gas flow. Important Changes made to the super user mode affect the system configuration.

  • Page 185: Using Super User Mode

    12 Super User Mode Using super user Select a menu item showing the submenu symbol to go to the mode corresponding submenu. Access the Cumulative Gas Usage, Volume Apnea Setup, Time and Date, Trends Setup, Colors and Units, Parameter Settings, Page Setup, and Case Defaults menus through the Install/Service menu.

  • Page 186: Menus

    Avance Menus Not all menu items are available depending on the system configuration. Inactive menu items are grayed out and are not selectable. Menu selections shown are the factory default values. The options are listed to the right of the menu shown.

  • Page 187: Volume Apnea Setup

    12 Super User Mode Volume apnea setup Use the Volume Apnea Setup menu to enable or disable the user’s ability to turn the volume apnea alarms off during manual ventilation. Set the Volume Apnea Selection to Enable to allow the user to turn the volume apnea alarm on or off from the Start Case menu and the Alarm Setup menu.

  • Page 188: Setting Time And Date

    Avance Setting time and date Use the Time and Date menu to set the time and date. The Hour field is dependent on the Clock Format setting. The Clock Format can be set to a 12 or 24 hour format.

  • Page 189: Trends Setup

    12 Super User Mode Trends setup Use the Trends Setup menu to set the default trend that shows in the right window on the user Trends menu. Access the Graphical Trends menu from the Trends Setup menu. Trends Setup Default Trend Num Num, Graph, Set Graphical Trends Previous Menu...
  • Page 190 Avance Page 1 Field 1 Pres Field 2 TVexp Field 3 CO2 Previous Menu The available selections for Field 1, Field 2, and Field 3 are the same for each field on each page. Selections are Off, rr+co2, Pres, MVexp, CO2, O2, Bal, AA1, AA2, N2O, MAC, TVexp, Pmean, Spont, Compl, VO2.

  • Page 191: Setting Colors And Units

    12 Super User Mode Setting colors and Set the units of the parameters through the Colors and Units menu. units Access the Colors menu through Colors and Units menu. Colors and Units Colors Patient Weight kg kg, lb CO2 % %, kPa, mmHg Gas Supply Pressure kPa psi, kPa, bar...

  • Page 192: Parameter Settings

    Avance Parameter settings Set the volume conditions and the CO2 humidity compensation through the Parameter Settings menu. Set the volume calculation conditions to be based on ATPD (ambient temperature and pressure, dry humidity conditions) or BTPS (body temperature, ambient pressure, saturated humidity condition). Set the humidity compensation type in CO2 partial pressure values to wet or dry.
  • Page 193 12 Super User Mode The default settings for each page type show in the following table. The fields for each page type have the same selections available: • Waveform Fields are AA, CO2, Flow, Paw Off. • Digit Field is Supply, Flow, AA. •...

  • Page 194: Configuring Case Defaults

    Avance Configuring case Set the user selectable default case types that show in the user’s defaults Start Case menu through the Case Defaults menu. The Set to Last Case selection is only available on submenus if a case has occurred.
  • Page 195 12 Super User Mode Each case type has multiple settings. The default settings for the default case types show in the following table. Values in bold are different from the default case type ADULT. A * indicates that the setting is not available for the default ventilation mode. Default settings for default case types ADULT PEDIATRIC...
  • Page 196 Avance Default settings for default case types ADULT PEDIATRIC LOCAL CUSTOM 1 FiISO Low EtISO High EtISO Low FiSEV High FiSEV Low EtSEV High EtSEV Low FiDES High FiDES Low EtDES High EtDES Low FiENF High FiENF Low EtENF High...
  • Page 197 Index Alarm ranges 7-12 Alarm setup 3-23 Abbreviations Auto MV limit 3-25 Absorber canister CO2 alarms 3-24 changing absorbent MV/TV alarms 3-24 filling setting alarm limits 3-23 parts 10-6 volume apnea 3-24 removing Alarm tests 7-14 setup Alternate O2 control 3-26 ACGO Anesthesia system display...
  • Page 198 Avance Circuit circle 3-10 Flow and pressure calibration non-circle 3-10 Flow sensors non-circle relief 11-5 parts 10-2 Circuit compliance compensation prevent water buildup CO2 alarms 3-24 Flow specifications 11-9 Condenser Fresh gas usage 3-19 operation 3-28 parts 10-10 theory 11-5...
  • Page 199 Preoperative Tests Problems breathing system 7-16 Machine check electrical 7-17 circuit pneumatic 7-18 circuit O2 monitor system Main menu Quick keys 3-16 Mains inlet changing gas settings using Maintenance schedule changing ventilator settings using Minimum Alveolar Concentration MV/TV alarms 3-24 Repair policy Negative low pressure leak test Non-circle circuit...
  • Page 200 Avance Spirometry setup 3-14 selecting a data source 3-15 Vacuum suction regulator 8-12 setting patient and sensor type 3-14 Vaporizer setting spirometry split screen 3-15 back pressure test 5-11 Split screen 3-22 controls 2-11 Standards 11-32 installation Start case Vaporizer back pressure test...
  • Page 201 For a period of twelve (12) months from the date of original delivery to Buyer or to Buyer’s order, but in no event for a period of more than two years from the date of original delivery by Datex-Ohmeda to a Datex-Ohmeda Authorized Dealer, this Product, other than its...
  • Page 202 Avance User’s Reference Manual English M1145956 05 08 001 18 05 02 Printed in USA...

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