Datex-Ohmeda D-Tec Manuel d'utilisateur

Aestiva/5Operation Manual - Part 1Software Revision 4.XSystem Controls, Operation, Checkout

Aestiva 1-4 1006-0938-0001-4Figure 1-1 • Aestiva systemsTwo vaporizer positions, left-hand configuration with basic display mount.Two vaporizer positi

Aestiva I-2 1006-0938-000 End case keyfunction 2-13location 2-11 F Flow control tests A-7Flow controls 2-2function of 2-3Flow Sen

Index1006-0938-000 I-3Preoperative testsbefore every patient A-16breathing system tests A-19Every day A-3Every time a different clinician uses t

AestivaI-4 1006-0938-000

Warranty This Product is sold by Datex-Ohmeda under the warranties set forth in the following paragraphs. Such warranties are extended only with resp

Aestiva/5Operation Manual, English1006 0938 00010 03 C 02 13 07Printed in USA©Datex-Ohmeda, Inc. All rights reserved

1 Introduction1006-0938-000 1-51-5Symbols used in the manual or on the equipmentwWarnings and wCautions tell you about dangerous conditions that can o

Aestiva 1-6 1006-0938-0001-6rFrame or chassis groundREFStock NumberåAlarm silence buttonSNSerial NumberYEquipotential Systems with this mark agree wit

1 Introduction1006-0938-000 1-71-7134°CAutoclavableRBag position/ manual ventilationrMechanical ventilationuOpen drain (remove liquid)UClose drainqIns

Aestiva 1-8 1006-0938-0001-8

1006-0938-000 2-1 2 In this section Anesthesia system controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Aestiva 2-2 1006-0938-000 Anesthesia system controlsw WWWWAAAARRRRNNNNIIIINNNNGGGG Explosion Hazard. Do not use Aestiva systems with flammable ane

2 System Controls and Menus 1006-0938-000 2-3 2 Figure 2-1 shows these controls on the front of the Aestiva. Item Description System switch Set the

Aestiva 2-4 1006-0938-000 The circuit breakers are on the rear panel of the Aestiva. 1. Circuit Breaker for Electrical Outlet2. Electrical Outlet3.

2 System Controls and Menus 1006-0938-000 2-5 2 Breathing system controls 1. Canister release2. Auxiliary common gas outlet (optional) 3. Outlet swit

User Responsibility This Product will perform in conformity with the description thereof contained in this Operation manual and accompanying labels a

Aestiva 2-6 1006-0938-000 . Item Description Bag/Vent switch When you first turn on the system, mechanical ventilation is always off. To start mech

2 System Controls and Menus 1006-0938-000 2-7 2 Canister release Open to replace soda lime or remove the canisters. Note, this also opens the breath

Aestiva 2-8 1006-0938-000 Outlet switch(optional)Sends fresh gas to the selected outlet when the system has an auxiliary common gas outlet. Monitor

2 System Controls and Menus 1006-0938-000 2-9 2 Vaporizer controls Refer to the description in this section and the vaporizer operation and maintenan

Aestiva 2-10 1006-0938-000 1. Power Cable (Only the Tec 6 Vaporizer)2. Concentration Control3. Concentration Control Release4. Lock lever5. Alarm S

2 System Controls and Menus 1006-0938-000 2-11 2 Ventilator controls Optional Features The Aestiva 7900 can be equipped with several optional ventila

Aestiva 2-12 1006-0938-000 All but two of the controls for the ventilator are located on the Ventilation/Monitoring display. The two controls are:•

2 System Controls and Menus 1006-0938-000 2-13 2 End Case key End Case helps to prevent false alarms when no patient is connected. It: • Puts the apn

Aestiva 2-14 1006-0938-000 How to set controls The bottom of the screen shows control settings. Notes: • The ventilator will not allow the setting

2 System Controls and Menus 1006-0938-000 2-15 2 How to use the menu Screens go back to the normal display 25 seconds after the last action.During a

Table of Contents 1006-0938-000 i i 1/Introduction How to use this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Aestiva 2-16 1006-0938-000 Menu map Figure 2-6 shows the menu map. The table tells you about some of the options. Figure 2-6 • Menu mapAB.90.036AB

2 System Controls and Menus 1006-0938-000 2-17 2 More about menu functions Menu Option Function Main Cardiac Bypass(In Progress/No)Turns off volume a

Aestiva 2-18 1006-0938-000How to change menusettingsThis example changes alarm limits.The screen goes back to the normal display 25 seconds after the

2 System Controls and Menus1006-0938-000 2-192Optional flowmeter and suction regulatorsThese options are available:• An external O2 flowmeter • Contin

Aestiva 2-20 1006-0938-000Suction regulatorcontrolsExternal flowmetercontrolsItem DescriptionMode switch: With a continuous suction regulator (3 Modes

2 System Controls and Menus1006-0938-000 2-212Optional CO2 Bypass mode operationPulling and turning the canister release opens the canisters and activ

Aestiva 2-22 1006-0938-000

1006-0938-000 3-1 3 3 Operation and Tutorialw WWWWAAAARRRRNNNNIIIINNNNGGGG In addition to volume apnea and low airway pressure alarms, oth

Aestiva 3-2 1006-0938-000 Turn On the system Step 1 Connect the power cord to a wall outlet. The mains indicator comes on when AC Power is connecte

3 Operation and Tutorial 1006-0938-000 3-3 Set the alarm loudness Step 1 Select the Screen and Audio Setup menu.• Push the menu key.• Turn, then pu

Aestiva ii 1006-0938-000 ii Start mechanical ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14Stop mechanical

Aestiva 3-4 1006-0938-000 Step 3 Turn, then push the knob to adjust the volume. • The volume range is 1 to 5 (loudest).• As the volume is changed, t

3 Operation and Tutorial 1006-0938-000 3-5 Show or hide alarm limits and units To simplify the displays, hide alarm limits and units of measurement

Aestiva 3-6 1006-0938-000 Step 2 Turn, then push the knob to select Alarm Limits or Units of Measure. Step 3 Turn, then push the knob to select Show

3 Operation and Tutorial 1006-0938-000 3-7 Adjust patient data for Heliox The Aestiva 7900 can be equipped with several optional ventilation functio

Aestiva 3-8 1006-0938-000 Turn the volume alarms on or offw WWWWAAAARRRRNNNNIIIINNNNGGGG Do not turn volume alarms off with a spontaneously breat

3 Operation and Tutorial 1006-0938-000 3-9 Set alarm limits Note: If the Alarm Settings page shows ◊ E Auto Limits during mechanical ventilation,

Aestiva 3-10 1006-0938-000 Step 3 Turn, then push the knob to change the limit.• Push the knob to save the change.• The screen returns to the normal

3 Operation and Tutorial 1006-0938-000 3-11 3 Set an audible alarm for circuit leaks The patient circuit leak alarm is activated if less than half of

Aestiva 3-12 1006-0938-000 Set Cardiac Bypass Set Cardiac Bypass to In Progress to prevent volume and apnea alarms when the patient is on cardio-pul

3 Operation and Tutorial 1006-0938-000 3-13 3 Step 1 Select the Cardiac Bypass menu item:• Push the menu key.• Turn, then push the knob to select Car

Table of Contents 1006-0938-000 iii iii Pipeline and cylinder tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5Flow co

Aestiva 3-14 1006-0938-000 Start mechanical ventilationw WWWWAAAARRRRNNNNIIIINNNNGGGG Make sure the patient circuit is correctly assembled and the

3 Operation and Tutorial 1006-0938-000 3-15 3 Stop mechanical ventilationw WWWWAAAARRRRNNNNIIIINNNNGGGGMake sure the patient circuit is correctly ass

Aestiva3-16 1006-0938-000Set the ventilation modeText below the waveform shows the ventilation mode:• Pressure controlled modes supply a set pressure

3 Operation and Tutorial1006-0938-000 3-173Step 3Set the highlighted control parameter. Each mode has one parameter that must be set (VT for Volume an

Aestiva3-18 1006-0938-000Set ventilator controlsOptional featuresThe Aestiva 7900 can be equipped with several optional ventilation functions. Referen

3 Operation and Tutorial1006-0938-000 3-193Ventilator controlsFlow Trigger Level This parameter sets the minimum flow detected by the ventilator which

Aestiva3-20 1006-0938-000Trigger Window This control sets the range as a percent of the exhalation phase within which the patient may trigger the next

3 Operation and Tutorial1006-0938-000 3-213PSVPro modePSVPro is pressure supported ventilation with apnea backup.The figure below shows PSVPro setting

Aestiva3-22 1006-0938-000Set inspiratory pause(volume modes)You can only use inspiratory pause in Volume Control or SIMV modes. In pressure modes, Ins

3 Operation and Tutorial1006-0938-000 3-233Step 2Turn, then push the knob to select Inspiratory Pause.Step 3Turn, then push the knob to change the set

Aestiva iv 1006-0938-000 iv

Aestiva3-24 1006-0938-000Set SIMV and PSVPro controlsThe SIMV and PSVPro modes allow the user to set additional ventilator controls. The Pinspired, Ra

3 Operation and Tutorial1006-0938-000 3-253Step 3Turn, then push the knob to select a setting.Step 4Turn, then push the knob to change the setting. Yo

Aestiva3-26 1006-0938-000Silence alarmsThe alarm silence key silences current alarms for 120 seconds. When no alarm is active, holding down the alarm

3 Operation and Tutorial1006-0938-000 3-273Reading the pressure waveform (Paw)Different points on the waveform are instantaneous values for measured p

Aestiva3-28 1006-0938-000Example Volume Control • PEEP: Off• Maximum sensed inspiratory pressure (Pmax): 25• Mean positive airway pressure (Pmean): 11

3 Operation and Tutorial1006-0938-000 3-293Example SIMV • Plateau pressure (Ppl): 15• Inspiratory time (Tinspired): 1.5• Inspiratory Pause: 60Figure 3

Aestiva3-30 1006-0938-000Measure circuit complianceTo measure compressible volume in patient tubes: 1. Set the ventilator to volume control mode.2. Se

3 Operation and Tutorial1006-0938-000 3-313Show the service settingsThe About Ventilator screen shows ventilator settings that can only be changed by

Aestiva3-32 1006-0938-000Step 2Turn, then push the knob to select About Ventilator.AB.90.045AB.90.047AB.90.051

3 Operation and Tutorial1006-0938-000 3-333Optional Passive AGSS operationThe Aestiva/5 7100 Passive AGSS consists of a two-liter reservoir to minimiz

1006-0938-000 1-1 1 Introduction1-1In this section How to use this manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Aestiva3-34 1006-0938-000Optional Active AGSS operationVersions There are at least three versions of the optional active AGSS (Anesthesia Gas Scavengi

3 Operation and Tutorial1006-0938-000 3-353Connecting Active AGSSwith a flow indicatorTo use the optional active AGSS on a system which has a flow ind

Aestiva3-36 1006-0938-000Connecting Active AGSSwithout a flow indicatorThe active AGSS option without a flow indicator is for use only with hospital d

1006-0938-000 4-1 4- In this section This section is a checklist of the necessary preoperative tests under different conditions. For step-by-step ins

Aestiva 4-2 1006-0938-000 Every daybefore the first patient  Inspect the system. Look for damage, necessary drugs and equipment, correct breathing

4 Preoperative Checklist 1006-0938-000 4-3 4- Every time a differentclinician uses the system  Do a low-pressure leak test. Before every pa

Aestiva 4-4 1006-0938-000

1006-0938-000 A-1 In this section Test Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Aestiva A-2 1006-0938-000 Test Intervals The preoperative tests are done at one of three intervals:1. Every day before the first patient2. Every tim

Appendix - Preoperative Tests 1006-0938-000 A-3 Every day before the first patient Inspect the Systemw WWWWAAAARRRRNNNNIIIINNNNGGGG Make sure that

Aestiva 1-2 1006-0938-0001-2How to use this manualThe Aestiva comes with several user manuals. This manual describes the controls and how to use them.

Aestiva A-4 1006-0938-000 12. On trolley model, make sure the casters are not loose and the brake is set and prevents movement. 13. Connect the powe

Appendix - Preoperative Tests 1006-0938-000 A-5 Minimize alarms(optional) Set the ventilator controls to decrease the number of alarms:1. Control Ke

Aestiva A-6 1006-0938-000 •Close the cylinder valve.•Record the cylinder pressure after one minute. If the pressure decreases more than 690 kPa (100

Appendix - Preoperative Tests 1006-0938-000 A-7 Flow control testsw WWWWAAAARRRRNNNNIIIINNNNGGGG The Link system cannot replace an O 2 monitor. Su

Aestiva A-8 1006-0938-000 7. Test the O 2 flow control:•Set the N 2 O flow to 9.0 L/min. •Set the O 2 flow to 3 L/min or higher.•Slowly turn the O

Appendix - Preoperative Tests 1006-0938-000 A-9 •If the O 2 flow also decreases more than 1 L/min with a different vaporizer, the malfunction is in

Aestiva A-10 1006-0938-000 Alarm tests 1. Connect a test lung to the patient connection.2. Set the Bag/Vent switch to Vent.3. Set the controls:•Venti

Appendix - Preoperative Tests1006-0938-000 A-11•Make sure that a low minute volume alarm occurs.•Go to the alarms menu. •Set the low minute volume ala

AestivaA-12 1006-0938-000Every time a different clinician uses the systemThe following tests must be performed every time a different clinician uses t

Appendix - Preoperative Tests1006-0938-000 A-13•Put your hand on the inlet of the leak test device. Push hard for a good seal.•Remove all air from the

1 Introduction1006-0938-000 1-31-3Ventilators and monitorsThe system uses a microprocessor-controlled ventilator with internal monitors, electronic PE

AestivaA-14 1006-0938-000ISO 5358 or BSIlow-pressure leak testwCCCCAAAAUUUUTTTTIIIIOOOONNNN::::You can only do a positive pressure test at the common

Appendix - Preoperative Tests1006-0938-000 A-15w CCCCAAAAUUUUTTTTIIIIOOOONNNNIf the needle valve is not fully open, this test can damage the pressure

AestivaA-16 1006-0938-000Before every patientInspect the systemBefore each case, perform the following anesthesia system checks.w WWWWAAAARRRRNNNNIIII

Appendix - Preoperative Tests1006-0938-000 A-1711. On trolley model, make sure the casters are not loose and the brake is set and prevents movement. 1

AestivaA-18 1006-0938-000Minimize alarms(optional)Set the ventilator controls to decrease the number of alarms:1. Control Keys:•Volume alarms: Off•Pli

Appendix - Preoperative Tests1006-0938-000 A-195. With a Tec 6 vaporizer:•Make sure that the vaporizer is under the Tec 6 electrical outlet.•Make sure

AestivaA-20 1006-0938-0004. Make sure that the one-way valves (breathing circuit module) work correctly. • The inspiratory check valve rises during in

Appendix - Preoperative Tests1006-0938-000 A-21•Release the flush button. The pressure must not decrease. A pressure decrease large enough to see on t

AestivaA-22 1006-0938-000•The ventilator displays the correct data.•The bellows inflate and deflate during mechanical ventilation.5. Set the O2 flow c

Index 1006-0938-000 I-1 A About ventilatorshow service settings 2-17About Ventilator... 3-32AGSSconnecting 3-34 , 3-35operation, activ