Penlon A-200-SP Circle Absorber - Service Manual (2005)
Penlon A-200-SP Circle Absorber - Service Manual (2005)
Service Manual
(i)
FOREWORD
(ii)
CONTENTS
Page No.
USER RESPONSIBILITY 1
2. PURPOSE 4
3. DESCRIPTION
3.1 Canisters 6
3.2 Inspiratory and Expiratory Non-return Valves (NRV) 6
3.3 Bag/Ventilator Switch 6
3.4 Adjustable Pressure Limiting (APL) Valve 7
3.5 Fresh Gas Inlet and Tubing 7
3.6 Manometer 8
3.7 Bypass Flow 8
3.8 End Tidal Carbon Dioxide Monitoring 8
3.9 Interface to AV-S Ventilator 9
3.10 Gas Flow Schematic 10
4. SPECIFICATION
4.1 General Dimensions and Weight 11
4.2 Resistance of Breathing System 11
4.2.1 Expiratory Resistance 11
4.2.2 Inspiratory Resistance 11
4.3 Internal Compressible Volume 12
4.4 System Leakage Rate 12
4.5 Canister Capacity and Resistance 12
4.5.1 Canister Capacity 12
4.5.2 Canister Resistance 12
4.6 Non-return valves 13
6. PRE-USE CHECKS
6.1 Pre-use Checklist 19
6.2 Leak Test 20
6.3 APL Valve Test and Pressure Relief Valve Test 20
6.4 Non-return Valve Test 21
6.5 Bag/Ventilator Switch Test 21
6.6 Leak Test - Canister Removed 22
(iii)
CONTENTS
Page No.
7. SERVICE PROCEDURES
7.1 Service Frequency 23
7.2 Canisters and Seals 23
7.3 Condensate Drainage 24
7.4 Manometer 24
7.5 APL Valve 24
8. SERVICE SCHEDULE 25
9. PARTS LIST 29
Preventive Maintenance Parts Lists (12 months and 4 Years) 29
Major Assemblies 30
Bellows Plate and Top Cover 32
Bag Arm Assembly 34
Centre Plate Assembly 35
Manometer 36
APL Valve 37
Base Plate Assembly 38
Canister Assembly 40
10. APPENDIX.
Sterilisation
10.1 Sterilisation Policy 41
10.2 Use of Bacterial Filters 41
10.3 Patient Circuit Components 41
10.4 Absorber Assembly - cleaning procedure before sterilisation 42
10.5 Sterilisation and Disinfectant Treatment Table 44
(iv)
USER RESPONSIBILITY
This device has been built to conform with Statements in this manual preceded by the
the specification and operating procedures stated following words are of special significance:-
in this manual and/or accompanying labels and
notices when checked, assembled, operated,
maintained and serviced in accordance with these
instructions. WARNING means there is a
To ensure the safety of this device it must be possibility of injury to
checked and serviced to at least the minimum yourself or others.
standards laid out in this manual. A defective, or
suspected defective, product must not under any
CAUTION means there is a possibility of
circumstances be used.
damage to the apparatus or
other property
The user must accept responsibility for any
malfunction which results from non-compliance
NOTE indicates points of particular
with the servicing requirements detailed in this
interest for more efficient and
manual.
convenient operation.
Additionally, the user must accept responsibility
for any malfunction which may result from misuse
of any kind, or non-compliance with other The reader must take particular notice of the
requirements detailed in this manual. warnings, cautions and notes provided throughout
this manual
Worn, broken, distorted, contaminated or missing
components must be replaced immediately.
Should such a repair become necessary it is
recommended that a request for service advice
be made to the nearest Penlon Service Centre.
1
1. WARNINGS AND CAUTIONS
The following WARNINGS and CAUTIONS must 7. Do not connect a vacuum systems
be read and understood before servicing or must not directly to the APL valve. A
repairing this Anaesthetic Apparatus receiving system with positive and
negative pressure control functions
must be interposed. Systems must
WARNINGS comply with ISO 8835 Part 2. See 5.2.3.
3. This unit is restricted to use with non- 10. After servicing and cleaning
flammable anaesthetic agents only. procedures, verify positive action of the
bag/ventilator selector switch before
the unit is used clinically.
4. The A200SP Circle System Absorber
must only be used when securely Check that at all times that the switch is
mounted in an upright position. free to move from one end of its travel
a) The inspiratory and expiratory non- to the other.
return valves (NRV) are gravity
operated.
Using the absorber
b) Spillage of absorbent may
contaminate the breathing system.
11. Condensation, which may collect in the
See 3.2/5.1
bottom of the absorber canister is
caustic and care must be taken not to
Before using the absorber spill it on the skin when draining.
See section 7.3.
5. The use of patient Y-pieces
13. Kinking of the fresh gas tube is a
containing non-return valves in
known cause of anaesthetic accident
connection with the Absorber is
and the use of unsuitable tubing can
hazardous, because two sets of non-
contribute to this situation. See 3.5.
return valves may easily be connected
in opposition, by error.
14. Any breathing system utilising the
A200SP absorber must be fitted with:
6. Breathing hoses and bags used with
the absorber must comply to ISO a) An oxygen monitor complying with
5367 (Hoses) and ISO5362 (Breathing ISO7767.
Bags) respectively. The resistance b) A minute volume monitor.
and compliance of these hoses and
c) A breathing system integrity alarm.
bags provide essential factors for the
satisfactory use of this system.
2
WARNINGS AND CAUTIONS
CAUTIONS
3
2. PURPOSE
4
7
11
8
5 4 2
10
5
3. DESCRIPTION
3.1 Canister
The canister (1) is designed to hold 1.3 kg of
loose absorbent, or to take a prepacked unit.
The maximum fill level is marked on the canister
and is equivalent to 1500 ml of absorbent.
DO NOT EXCEED MAXIMUM FILL LEVEL
Fill to a level within 12 mm (0.5 in) of this line.
In addition, the absorber must only be used when
securely mounted in an upright position – spillage
of absorbent may contaminate the breathing
system – see WARNING, in section 5.1.
3
The canisters seals at the top face.
The canister can be removed and refilled during a 2
clinical procedure.
The gas flow through the canister is from bottom
to top.
Note that the bag/ventilator connection is between 1
the absorber and the patient. Bag squeezing or
the use of mechanical ventilation does not result
in the transport of dust toward the patient, but
tends to drive dust back into the absorber.
6
DESCRIPTION
60
Pressure
(cmH2O)
Open Closed
Clockwise rotation
AGSS connector
Taper connector (1) at rear of absorber assembly.
WARNING 1
Kinking of the fresh gas tube is a known cause of 2
anaesthetic accident and the use of unsuitable
tubing can contribute to this situation.
7
DESCRIPTION
3.6 Manometer
CAUTION
Remove the manometer before autoclaving the
absorber unit.
8
DESCRIPTION
9
DESCRIPTION
3 6
7 4
10
4. SPECIFICATION
NOTE
Information in this section complies with the requirements of ISO 8835–2.
The canister must be filled to the MAX level with fresh absorbent, and theAPL
valve fully open.
Bacterial Filter:
A bacterial filter must be used in the patient breathing system to protect the
oxygen sensor.
Use an appropriate filter that does not raise the resistance values of the whole
system to above 0.6 kPa (6 cmH2O).
11
SPECIFICATION
Recommended absorbent:
Soda lime or barium lime, with a colour indicator, 4-8 mesh, supplied in
bulk.
Alternatively, pre-packs may be used.
Note
i) The absorber canister is not electrically conductive.
ii) Cleaning and sterilisation details are given in section 7.
12
SPECIFICATION
60 Flow
4.6 Non-return Valves (L/min)
Pressure drop across the inspiratory and 50
expiratory non-return valves at an air
flow of 60 L/min: 0.1 kPa (1 cmH2O). 40
13
5. INSTALLATION AND OPERATION
2
3
CAUTION
If the absorber has to be lifted or carried by hand,
always support the weight of the unit under the base.
Do not lift the absorber by gripping any of the
components attached to the manifold block at the top
of the absorber.
WARNING
The absorber assembly must only be used when
securely mounted in an upright position.
a) Non-return valves are gravity operated
b) Spillage of absorbent may contaminate the
breathing system.
Lateral Adjustment
Slacken the knob (3) and carefully adjust to the
required position.
Tighten the knob.
14
INSTALLATION AND OPERATION
3 25 26
23
2
24
20 19
18 Note
1. AV-S has spirometry and oxygen monitor.
12 2. Interface cabling is shown for Prima SP
On/Off switch and A200SP Bag/Vent
switch.
4 1
11 10
21
16 27 13
14
28 5 22
26
29 15 17 12
6
9
7
8
15
INSTALLATION AND OPERATION
Bacterial Filter 9
Use a breathing system bacterial filter in the expiratory limb of
the breathing circuit to protect the oxygen sensor (see section
5 in the AV-S ventilator user manual).
CAUTION
Replacement/Disposal - always follow the instructions supplied
with the filter, and always replace at the recommended interval.
16
INSTALLATION AND OPERATION
WARNING
Condensation, which may collect in the bottom of the
absorber canister, is caustic. Avoid skin contact when
draining.
1
1. Grip the handle (1), turn the canister anti-clockwise, and
remove carefully.
2. Check the level of liquid in the canister. 3
Carefully lift out the inner absorbent container (2).
WARNING
Condensate may drip from the container.
Use a cloth to prevent spillage.
Cleaning
Soda lime tends to adhere strongly to surfaces when it has
become exhausted.
To maintain good sealing, the canister, absorbent container,
seal, and the sealing plate above the canister should be wiped
with a damp cloth to remove particles of soda lime, whenever
the absorbent is changed.
17
INSTALLATION AND OPERATION
5.4 Manometer
1
The manometer is located on the top of the
manifold block, to the rear of the inspiratory valve. 3
If the manometer has been removed and refitted,
Function test the absorber, checking for leaks at
the manometer, before clinical use.
CAUTION
Remove the manometer before autoclaving the
absorber unit.
18
6. PRE-USE CHECKS
19
PRE-USE CHECKS
20
PRE-USE CHECKS
21
PRE-USE CHECKS
22
7. SERVICE PROCEDURES
23
SERVICE PROCEDURES
7.4 Manometer
Remove the manometer before sterilisation or
disinfection.
Grip the manometer and detach from the
absorber.
CAUTION Do not sterilise the manometer.
24
8. SERVICE SCHEDULE
1 Initial Checks
1.1 Check serial numbers to determine service required.
1.2 Check general condition of Absorber and fittings.
1.3 Quarter turn absorbent canister and remove.
Remove inner canister.
Drain any condensate from outer canister and re-fit:
Caution Caustic Solution
1.4 If component replacement is required, disconnect fittings at rear of absorber and
remove absorber from anaesthesia machine.
Place absorber on flat work surface with absorbent canister removed
3 Manometer
3.1 Grip manometer assembly and remove by pulling firmly upwards.
Remove manometer and ensure it indicates zero. If not adjust using small screw.
3.2 Using a hand-bulb and test manometer apply increasing pressure, up to 100 cmH2O
and ensure manometer reads within +/- 5 cmH2O.
3.3 Replace manometer O-ring - 5000349
4 Bellows assembly
4.1 Remove bellows canister.
Examine bellows, diaphragm and canister seal for cleanliness and deterioration
4.2 Replace canister seal - 5000072
4.3 Replace bellows and diaphragm valve as part of ventilator service procedure
7 APL Valve
Unscrew APL valve retaining sleeve.
Remove valve plunger and replace APL valve seal - 5000364.
Re-fit plunger and retaining sleeve
10 Re-assembly
Re-fit Base Plate gasket; Centre Plate; Bellows Plate gasket
When re-fitting Bellows Plate ensure Bag/Ventilator knob is aligned with quadrant
shaft and switch 'Push-Pin' is engaged.
Secure Bellows Plate with eight Dzus fasteners
Re-fit Bag arm connector and tighten. Use small drop of Loctite 243
Re-fit manometer ensuring it securely snaps into place
Re-fit electrical box and connect interface cable
Re-fit bellows assembly and absorbent canister assembly
11 Set Up
11.1 Connect absorber to anaesthetic machine that has been checked for LEAKS.
Check that manometer reads zero.
12 Leak Test
12.1 Absorber canister fitted
12.2 Ensure bag fitted to bag port and Bag/Vent switch to 'Bag' position.
12.3 Connect patient ports with hose to form a closed circuit.
12.4 Close APL valve.
12.5 Set a flow of 2 l/min on the anaesthesia machine.
12.6 Stop the gas flow when Manometer reads 3 kPa (30 cm H2O).
Ensure pressure does not fall to zero within one minute.
26
SERVICE SCHEDULE
17 Paperwork
17.1 Restore user settings.
17.2 Sign and date service card, indicate service 6, 12, or 60 month.
17.3 Attach service cards to equipment.
17.4 Remove all tools, test equipment
17.5 THINK, carry out visual checks.
17.6 Fill out service report.
NOTE
This checklist is prepared for use by Penlon-trained Service Engineers.
Other components may be replaced at the discretion of the Engineer if signs of wear
are apparent.
If a replacement is necessary, inform the appropriate hospital engineer.
,
27
SERVICE SCHEDULE
28
9. PARTS LIST
29
PARTS LIST
NOTE
Components contained in assemblies 1 to 5, and 9 are shown in subsequent pages in this
section
30
PARTS LIST
31
PARTS LIST
32
PARTS LIST
33
PARTS LIST
35
PARTS LIST
Manometer
Includes:
1 5000349 ‘O’ Ring 10.0 I/D X 1.5 Section Viton 1
2 5000083 Gauge Connector 1
3 5000082 Gauge Cover 1
36
PARTS LIST
APL Valve
37
PARTS LIST
1 041222 O’ Ring 1
2 5000273 O Ring 59.5 I/D X 3.0 Section Silicon 1
3 5000442 Spring Clip 9
4 5000306 Location Dowel 9
5 01059 M2.5 X 6 Ch HD 18
6 5000202 O Ring 18.0 I/D X 2.0 Section Silicon 2
7 01013 M4 X 10 SKT HD Cap 1
8 5000136 Compression Spring 1
9 5000143 O Ring 5.0 I/D X 1.5 Section Viton 1
10 5000274 O Ring 24.5 I/D X 3.0 Section Silicon 1
11 01011 M4 Plain Washer 1
12 041239 O Ring Ø21 X 1.5 1
13 5000345 Cell Location Spigot 1
14 5000346 Cell Location Plate 1
15 019087 M3 X 16 Cap HD Screw 2
16 029011 Molykote BG87 A/R
17 5000344 O Ring 8.0 I/D X 2.0 Section Viton 1
18 5000342 Extension Spring 1
19 5000358 Canister Location Pin 8
20 5000490 Spring Locating Spacer 2
21 5000343 O Ring 16.0 I/D X 2.0 Section Viton 1
22 5000129 O Ring 18.0 I/D X 2.0 Section Viton 3
23 019067 M4 X 12 SKT HD Cap 4
24 5000104 Valve Stem 2
25 020420 Circlip External Ø8mm Shaft 6
26 5000103 Seal Support Plate 3
27 5000102 22 mm Taper 2
28 5000134 Compression Spring 2
29 5000101 Switch Quadrant 1
30 5000100 Base Plate 1
31 5000135 O Ring 8.0 I/D X 1.5 Section Viton 3
32 5000099 Bypass Plate 1
33 5000098 Quadrant Shaft 1
34 5000096 17 mm Taper 1
35 5000093 Spring Location Spigot 1
36 5000094 Fresh Gas Connector 1
37 102714 O2 Fuelcell 1
38 5000095 Orifice Plate 2
39 041256 O Ring 1
40 5000388 19 mm Taper 1
41 5000097 Valve Seal 3
42 5000092 Canister Seal 1
43 5000089 Support Pin 2
44 031046 Spring 16.76 O/D X 16 LG 2
38
PARTS LIST
39
PARTS LIST
Canister Assembly
*not shown
40
10. APPENDIX
NOTE
If a bacterial filter has not been used in the expiratory limb
of the breathing circuit, the oxygen sensor may be
contaminated and must be replaced.
41
STERILISATION
WARNING
Condensation, which may collect in the bottom of the
absorber canister is caustic and care must be taken not
to spill it on the skin when draining.
CAUTION
When the absorber is lifted or carried by hand, always
support the weight of the unit under the base.
Do not lift the absorber by gripping any of the components 2
attached to the manifold block.
CAUTION
Do NOT clean any component in an automatic
cleaning/washing machine.
42
STERILISATION
Bellows Assembly
9. Turn the bellows housing (8) anti-clockwise,
then lift it from the base.
Remove the bellows (9).
10. Undo the three retaining screws, then remove
the exhalation valve assembly (10). 8
Check that the small O-ring (11) located in the
bellows base under the diaphragm valve is in
place. The ventilator will not function if the O-
ring is missing.
9
Absorber :
11. Remove the absorber assembly from the 10 11
anaesthetic machine.
12. Wash the absorber assembly internally with
warm water and soap solution, then rinse and
air dry.
13. The absorber assembly can now be
autoclaved as a single unit.
43
STERILISATION
Pressure gauge no no no – –
AV-S Bellows Assembly - see section 6.3 in the AV-S user manual
General Notes:
1. Thorough rinsing in warm water and drying in air should follow chemical disinfection.
2. Do NOT clean any component in an automatic cleaning/washing machine.
3. Before clinical use, ALWAYS carry out the Pre-use Checks listed in section 6 of this manual.
44
Cat. No. 52964
Doc. No. A2 0105UI
July 2005
Penlon Limited
Abingdon Science Park
Barton Lane
Abingdon
OX14 3PH
UK.
Technical Support
Tel: 44 (0) 1235 547076
Fax: 44 (0) 1235 547062
E-mail: [email protected]
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Fax: 01235 547023
E-mail: [email protected]
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