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AN716E

Maintenance Manual

KESTREL

KESTREL(v.40 & 5) Anaesthesia Ventilator MAINTENANCE MANUAL


Anmedic Tech Pub 0041-130
3rd Ed. November 2001

Anmedic AB 2001 All rights reserved. The copying reproduction modification adaption and transmission of any part of this document is forbidden without the written permission of Anmedic AB. Strictly Private and Confidential.

The original of this manual is in the English Language. Whenever this manual appears in translation; it must be accepted that the English Language version is the Master Copy. The Kestrel Ventilator is manufactured by: Salvia Lifetec GmbH for

Anmedic AB Galgbacksvagen 6, 186 30 Vallentuna, Sweden. Tel:+46 (0) 8514 30 600 Fax: +46 (0) 8514 30 620 email: mailbox@anmedic.se website: anmedic.com

Following a policy of continuous improvement, Anmedic reserves the right to implement changes without prior notice.

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

TABLE OF CONTENTS
SECTION SAFETY PRECAUTIONS IMPORTANT NOTES 1.0 INTRODUCTION 1.1 1.2 1.3 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 3.0 3.1 3.2 3.3 3.4 General Power and Pressure Supply Patient connection CONTROLS Ventilator Display Using the Ventilator Controls Alarms (General) Diagram - Ventilator Front Panel Tidal Volume Breath Rate I:E Ratio Inspired Flow Inspired Flow (IMV) Inspired Flow (PCV) version 5 software Inspired Flow (PLV) version 40 software Breath Pressure PEEP High Pressure (IMV/SIMV and PLV) Mode - Version 5 Software Mode - Version 40 Software Silence Alarm Rotary Control Fresh gas Compensation KESTREL flow diagram VENTILATOR MODES IMV SIMV PCV (Version 5 software models only) PLV (Version 40 software models only) Page (i) (ii) 1-1 1-1 1-2 1-2 2-1 2-1 2-1 2-1 2-2 2-4 2-5 2-6 2-7 2-8 2-8 2-8 2-9 2-10 2-11 2-12 2-13 2-14 2-15 2-16 2-17 3-1 3-1 3-3 3-7 3-12 (continued)

Tech Pub. 0041-130

3rd Ed. (2001)

(contents)

(Contents, continued) 4.0 4.1 4.2 4.3 4.4 5.0 5.1 5.2 6.0 6.1 6.2 6.3 7.0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.8.1 7.8.2 7.9 7.9.1 7.9.2 7.9.3 7.10 7.10.1 7.10.2 7.10.3 7.11 7.11.1 7.11.2 7.11.3 7.11.4 7.12 ALARMS

KESTREL (v.40 & 5) Ventilator

Maintenance Manual 4-1 4-1 4-2 4-2 4-3 5-1 5-1 5-6 6-1 6-1 6-2 6-4 7-1 7-1 7-1 7-1 7-1 7-1 7-2 7-2 7-2 7-2 7-3 7-3 7-3 7-3 7-3 7-4 7-4 7-4 7-4 7-5 7-5 7-5 7-5 7-6 7-7 (continued)

General Alarm Phase Safety Systems Alarms Description SETTING TO WORK Preparatory Phase T1 (Function) Test SELECTION OF VENTILATOR MODE Parameter Input VENTILATE/STANDBY Phase Faults/IDLE State PLANNED PREVENTIVE MAINTENANCE Responsibilities (Operator) Responsibilities (Manufacturer) Warranty Planned Maintenance Routines Service Kits Maintenance Intervals Maintenance Equipment Required Content of the Planned Maintenance Routines Six-Monthly Performance & Calibration Check Twelve-Monthly Calibration and Standard Service Maintenance Notes Maintenance Warnings (General) Maintenance Warnings (Gas Hazard) Maintenance Warnings (Electrical Hazard) Cleaning and Sterilising Cleaning (Plastic Surfaces) Cleaning (Metal Surfaces) Sterilising Cleaning and Sterilising the SIMV Flowsensor Cleaning (Flowsensor) Sterilising (Flowsensor) Consumable Spare Parts SIMV Flowsensor Environmental Protection

(contents)

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual (Contents, continued) 8.0 8.1 8.1.1 8.1.2 8.1.3 8.2 8.2.1 8.2.2 8.2.3 8.2.3 (1) 8.2.3 (2) 8.2.3 (3) 8.2.3 (4) 8.2.3 (5) 8.2.3 (6) 9.0 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 9.10 9.11 9.12 9.13 9.14 9.15 9.16 9.17 9.18 10.0 10.1 10.2 10.3 10.4 11.0 12.0

KESTREL (v.40 & 5) Ventilator 8-1 8-1 8-1 8-2 8-2 8-4 8-4 8-4 8-4 8-5 8-7 8-8 8.9 8.10 8.11 9-1 9-1 9-2 9-8 9-8 9-10 9-10 9-11 9-12 9-12 9-13 9-14 9-15 9-16 9-18 9-20 9-21 9-22 9-23 10-1 10-1 10-10 10-13 10-22 11-1 12-1 3rd Ed. (2001) (contents)

PLANNED MAINTENANCE ROUTINES Six-Monthly Performance Check Visual Check Electrical Safety Check Functional Safety Check Twelve-Monthly Calibration & Standard Service Visual Check (SIMV & non-SIMV) Electrical Safety check (SIMV & non-SIMV) Calibration Entering Calibration Mode Fresh Gas Flowsensor Calibration (Fresh) Bellows Drive Flow (Offset/Bellows) SIMV Flowsensor (SensFlow) Pressure Relief Valve Pressure Sensors REPAIR AND REPLACEMENT PROCEDURES Procedures Removing the Kestrel Ventilator from the Anaesthesia Machine Replacing the Flowsensor Replacing the Flowsensor Cable Removing the Battery Adjusting the Battery Charge Voltage Replacing the Main PCB Replacing the Front Panel & Display PCB Replacing the Display Module Replacing the Ventilation Fan Replacing the Warning Buzzer & PCB Adjusting the Warning Buzzer Replacing the Oxygen Solenoid Valve (O 2 Drive-gas only) Service and Removal of the Peep and Expiration Valve Replacing the Filter and O-ring Seals Replacing Silicone Tubing Replacing BAG/VENT Switch Membrane Replacement Parts Spares List T1 TEST DIAGNOSTIC CHARTS AND ERROR MESSAGES T1 Test diagnostic flowcharts Version 40.xx T1 Test error messages/codes Version 40.xx T1 Test diagnostic flowcharts Version 5.xx T1 Test error messages/codes TECHNICAL SPECIFICATION Diagrams Tech Pub. 0041-130

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

KESTREL
-10 0 10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

Anmedic Kestrel Ventilator

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

SAFETY PRECAUTIONS

KESTREL (v.40 & 5) Ventilator

l l

Read this manual carefully and familiarize yourself with the ventilator before attempting to use it in a clinical procedure. The built-in, self-monitoring, circuits of the ventilator are very sensitive to leakage in the patient circuit. It is vitally important to ensure that all equipment is in good condition and that all connections and joints are correctly made. The KESTREL ventilator contains ferrous materials and is not suitable for use in MRI (Magnetic Resonance Imaging) environments. Further information regarding the Ventilator/Anaesthesia Machine physical interface is contained in the: FALCON Maintenance Manual: Anmedic Tech.Pub. 0041-113.

l l

SYMBOLS AND ABBREVIATIONS USED IN Anmedic TECHNICAL PUBLICATIONS AND ON EQUIPMENT WARNING AND INSTRUCTIONAL LABELLING
O2 N2O CO2 AIR CGO VAC = = = = = = Oxygen Nitrous oxide Carbon dioxide Medical air Common Gas Outlet Vacuum millibar pascal hectoPascal (Pa x 100) kiloPascal (Pa x 1000) Litre millilitre (L/1000) Litres/minute cms.water mm.mercury = pounds force/in2 Enter A W V Hz AC DC = = = = = = ampere watt volt Hertz Alternating current Direct current

mbar = Pa = hPa = kPa = L = mL = L/min = cm.H2O = mm.Hg = lbf/in2(psi) <ETR> =

I O
Vt

= =
=

ON OFF

BPM = I:E T1 = =

Breath Per Minute

Tidal Volume

Inpiration:Expiration T1 (Function) Test

< >

= less than = greater than

This device is protected against electric shock in accordance with IEC 60601-1, DIN/VDE 0750-1

! !

Refer to the relevent section of the Manual

= =

equipotential point earth point

Tech Pub. 0041-130

3rd Ed. (2001)

(i)

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

IMPORTANT NOTES

ventilator with version 40.xx and 5.xx software. It must be used whenever any repairs or planned preventative maintenance are carried out. It is associated with the Maintenance Manual for the ANMEDIC FALCON Anaesthesia Machine (ANMEDIC No.0041-113) - and other manuals - with which it may be bound.

l This Manual gives details and information concerning the technical aspects of the Kestrel

l Refer to the FALCON Operators Manual for details of the operating environment.
sections are printed within a box for emphasis.

l Maintenance manuals should be kept together at all times.

l Certain sections in these instructions are marked WARNING, CAUTION or NOTE. These WARNINGS The KESTREL Ventilator does not support Neonatal ventilation.

To ensure safe operation, use only accessories approved for design and compatibility. Do not obstruct the ventilation apertures. Do not remove the power-supply lead by pulling on the cable.

CAUTION Anaesthetic procedures at the operating site can be adversely affected if electromagnetic interference exceeds the limits set by the IEC 601-1-2 standard. Where the ventilator uses oxygen as a driving gas; ensure that the oxygen solenoid interrupts the oxygen supply when the machine is switched off.

The anaesthesia ventilator is not provided with a system to measure expiration volume. An appropriate monitor set for expiration volume lower limit should be used to ensure safe operation. The mains supply plug should be disconnected before cleaning or disinfecting mainspowered machines. This medical instrument is not designed for use in the presence of explosive gases.

NOTE The supplier is liable for safety, reliability and functionality only if: l the machine is used in accordance with the operators instructions; l the machine is used only on sites conforming to VDE 0107 requirements; l any assembly, added parts, resetting, modifications and repairs are only carried out by personnel authorised by the supplier or manufacturer. Manufacturer:

Salvia Lifetec Gerte fr Medizintechnik GmbH & Co.KG Niederhchstdter Str. 62 61 476 Kronberg Taunus Tech Pub. 0041-130 3rd Ed. (2001)

(ii)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

1.0 1.1
l l l

INTRODUCTION General

Introduction

The KESTREL Ventilator is designed for use in conjunction with the Anmedic FALCON anaesthesia machine. It requires the use of a circle system provided with a B.I.B (Bag-in-Bottle) drive to ventilate a patient connected to the anaesthesia machine. The ventilator provides the necessary power (in the form of driving-gas, AIR or OXYGEN supplied from the FALCON), to generate volumes and pressures in the ventilating system. The ventilator is controlled by 2 micro-controllers ( A and B) which work independently of each other while monitoring each other over a serial interface. Controller A is responsible for data input and display control. Controller B is responsible for capture of metered data and control of switching valves. The display controls allow selection of a variety of ventilation modes and parameters; allowing the driving pressure and volume to be set at pre-determined levels.

Version 40.xx only

The following ventilation modes can be selected via the controls at the display panel:IMV Intermittent Mandatory Ventilation PLV Pressure Limited Ventilation SIMV (when specified) Synchronised Intermittent Mandatory Ventilation Spontaneous Ventilation (via STANDBY mode) Manual Ventilation (via STANDBY mode)

Version 5.xx only

The following ventilation modes can be selected via the controls at the display panel:IMV Intermittent Mandatory Ventilation PCV Pressure Controlled Ventilation SIMV (when specified) Synchronised Intermittent Mandatory Ventilation Spontaneous Ventilation (via STANDBY mode) Manual Ventilation (via STANDBY mode) Inspiration flow is calculated from the selected values for I:E Ratio; Tidal Volume and Breath Rate. The fresh gas flow and compliance of the ventilator circuit are compensated for. Inspiration plateau phase can be achieved by manually increasing the inspiration flow above the minimum value displayed. When SIMV is required; first select the SIMV mode on the main PCB, then fit the SIMV Flowsensor to the base connection of the Bag-in-Bottle and make the pneumatic and electrical connection from the flowsensor to connectors at the rear of the ventilator (as described in the section Setting to Work). A rechargeable battery provides emergency power in case of mains failure. The battery charges as long as the ventilator is switched ON. When fully charged it allows 30 mins emergency operation. A microprocessor provides 2 charging levels:(1) ON and STANDBY - high charge (2) ON and VENTILATE - reduced charge

Tech Pub. 0041-130

3rd Ed. (2001)

1-1

Introduction 1.2

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Power and Pressure Supply

Driving-gas (AIR or Oxygen) is provided through the FALCON anaesthesia machine at a nominal pressure of 340 - 420 kPa. Electrical power (115V or 230V, 50/60 Hz, AC) is provided via the FALCONs mains power supply. Driving-gas and mains power are both monitored during operation. An alarm is activated if, during operation, the driving-gas pressure is too low to supply the selected flow-rates. In the event of mains power failure, the KESTREL can continue operating without interruption through the built-in emergency battery supply. Use of the emergency supply is signalled by a high priority alarm and a visual display. 1.3 Patient Connection The KESTREL is connected via the FALCON to the B.I.B systems pressure chamber and the circle system is connected to the B.I.B via the pneumatic bag/vent switch (built into the B.I.B.) l (SIMV only) The SIMV flowsensor must be fitted between the patient system and the B.I.B. The function of the sensor is inspiration-flow dependent triggering during SIMV operation, and airway pressure data capture. WARNING The SIMV flowsensor lines and the armoured electrical heater cable must be connected to the marked connectors at the rear of the KESTREL ventilator. (see section 5 page 5) l (For all breathing modes) Connect the pressure line from the distal end of the expiratory limb of the patient circuit to the single connector on the front panel of the ventilator. Refer to the section Setting to Work for details of necessary connections.

1-2

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual 2 CONTROLS

KESTREL (v.40 & 5) Ventilator

2.1 Ventilator Display (see Diagram of Front Panel, page 2-2)

The ventilator is provided with a double-row, 40-digit, back-lit, LCD display, mounted in the control panel. During the powering-up phase, and in conjunction with the T1 Functions Test, the display is used exclusively for control messages. During operation, individual sections of the display are allocated to specific labelled parameters. The displayed parameters can be altered by means of a rotary control in conjunction with the appropriate setting key.

Switching from VENTILATE to STANDBY , or vice versa, is achieved by pressing the marked key. The selected mode being indicated by a green or yellow indicator colour. The ventilation mode can only be changed between volume and pressure modes during STANDBY. During operation, ventilator control is via the keypad on the front panel (see Diagram). This contains 10 operating keys and the rotary/press control wheel. All the functions are appropriately identified. The Rotary Control is used to set and then confirm ventilation parameters. The value to be altered is first selected by pressing the relevent key. This causes the selected value to flash in the display. The value may now be altered by turning the rotary control (clockwise to increase counter-clockwise to decrease). When the desired value has been set it can be entered by pressing the rotary control (input, enter, <ETR>. 2.3 Alarms (General)

2.2 Using the Ventilator Controls (General)

The KESTREL ventilator is provided with alarm indicator lights and an audible warning.

High Priority Alarms are indicated by a flashing red light above the rotary control.

Low Priority Alarms are indicated by a steady yellow light above the rotary control. When the alarms are silenced; the warning lights remain illuminated.

NOTE Short-term alarms only activate the audible warning in the event of a fault; however, they are stored and displayed to allow later identification. The storage of an alarm status is cancelled by pressing the Silence Alarm key. In the event of a continuous fault; the audible warning can be cancelled for a period of 2 minutes at a time.

Tech Pub. 0041-130

3rd Ed. (2001)

2-1

Introduction

2-2

1 3 5 9 7 8

4 6

29

-10 0 10 20 30

Breathing Circuit Pressure [100Pa]


40 50 60

28
[l/min]
BREATH BREATH. PRESS. RATE RATIO FLOW I:E INSPIR

10
[I:E] [1/min]
PEEP
MODE

[ml] [100Pa]

[100Pa]

[100Pa]

[MODE]

11 12

TIDAL

VOLUME

HIGH PRESS LIMIT

T1 Test

27
STANDBY VENTILATE Silence Alarms

Tech Pub. 0041-130 3rd Ed. (2001)

KESTREL (v.40 & 5) Ventilator

Patient pressure

13

26 18 17 16 15 14

25 24

23 22 21 20 19

Maintenance Manual

KESTREL VENTILATOR - Front Panel

Maintenance Manual

KESTREL (v.40 & 5) Ventilator Introduction

2.4

KESTREL Ventilator - Front Panel. Key to the diagram


(see page 2-2)

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

Selected Tidal Volume display (20 -1500 mL) Selected Breath Rate display (4- 60/min) Selected I:E Ratio display (3: 1 -1 :9,9) Selected Inspiration Flow display (2 -80/Lmin) , Selected Breath Pressure display (5- 55 hPa) Selected PEEP display (3 -20 hPa) Pressure Limit display (10-65 hPa) Ventilation Mode display: IMV, PCV, (SIMV when specified) Data field (displaying triggered alarm) Pressure Monitor RED Alarm light -high priority YELLOW Alarm light -low priority Key -Ventilation Mode Rotary Control (and press to input <ETR> key) Key- HIGH PRESSURE Key-PEEP YELLOW display -Audible warning silenced Key -Audible warning silence Key -Breath Pressure Setting Key- Inspiration Flow Key- I:E Ratio Setting Key - Breath Rate Key -VENTILATE/STANDBY GREEN/YELLOW display -VENTILATE/STANDBY Mode Key -Tidal Volume Connector- Patient pressure Connector -T1 Test Pressure Display Bar High Alarm Setting

Tech Pub. 0041-130

3rd Ed. (2001)

2-3

Controls

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

2.4 Tidal Volume

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

SELECT BY PRESSING Tidal Volume BUTTON


2-4

Version 5 software

The ventilator sets a value giving no inspiration plateau. The Button is active in both volume and pressure modes of ventilation. The Button is only active during volume ventilation.

Version 40 software All versions

Tidal Volume can be set from 20 to 1500 mL (depending on settings of BPM & I:E Ratio). The setting increment increases with the volume range first 2 mL, then 5mL, then 10mL, and finally 20mL. Tidal Volume is compliance compensated. Tidal Volume is fresh gas flow compensated. Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Controls

2.5 Breath Rate

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

SELECT BY PRESSING Breath Rate BUTTON

(Tha range of settings may be restricted by the settings for Volume and I:E Ratio)

Breath rate can be set from 4 to 60 breaths per minute (BPM)

Tech Pub. 0041-130

3rd Ed. (2001)

2-5

Controls

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

2.6 I:E Ratio

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

SELECT Version 5 software

BY PRESSING I:E Ratio BUTTON

Version 40 software All Versions

The button is active in both volume and pressure modes of ventilation. The button is only active during volume ventilation. I:E Ratio can be set from 3:1 to 1 :9.9 I: E Ratio is set in increments of 0.1

2-6

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator Controls

2.7

Inspired Flow

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

SELECT

BY PRESSING Insp Flow BUTTON

Version 5 software

All versions

The ventilator sets a value giving no inspiration plateau. The button sets the flow of gas (L/min) delivered to the patient during the active inspiration phase. The Inspired Flow can be set from 2 L/min to 80L/min (depending on ventilation settings), subject to default minimum. The setting increment changes with the flow set - O.2L, O.5L, 1.0L Inspired Flow should be the final parameter set (See also, page 2-8 section 2-9 & 2-10)

Tech Pub. 0041-130

3rd Ed. (2001)

2-7

Controls

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

2.9
l l

Inspiratory Flow (IMV) - All versions


There is a default setting of 15 L/min Minimum (the default setting in IMV) is selected by the ventilator when any of the settings previously described are adjusted. Increasing the setting of Inspired Flow generates an Inspiration Plateau in IMV.

2.10

Inspiratory Flow (PCV) - Version 5 software only


l There is NO MINIMUM SETTING DURING PCV the setting may be too low to achieve the desired Breath Pressure during PCV. When PCV is selected there is a default setting of 15 L/min Fresh gas compensation is used to achieve a constant Inspired Flow and Plateau Pressure.

l . l

2.11
l

Inspired Flow (PLV) - Version 40 software only


There is NO MINIMUM SETTING DURING PLV -the setting may be too low to achieve the desired Breath Pressure during PLV (2.5~:1) When PLV is selected there is a default setting of 15 L/min Fresh gas compensation is used to achieve a constant Inspired Flow

l l

2-8

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Controls

2.12

Breath Pressure

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

Version 5 software
l l l l

SELECT BY

PRESSING Breath Press BUTTON

The button is only active when PCV is selected The Breath Pressure is the target pressure that the ventilator will try to achieve during Inspiration. (within a defined time window) Breath pressure is directly linked with High Pressure limit The pressure range is 5 to 55 hPa

Version 40 software
l l l l l The button is only active during PLV The Breath Pressure is the target pressure that the ventilator will try to achieve during Inspiration (within a defined time window) When the ventilator achieves this target pressure the Inspiration phase will terminate (regardless of Time or Volume) Breath pressure is directly linked with High Pressure The pressure range is 5 to 55 hPa 2-9

Tech Pub. 0041-130

3rd Ed. (2001)

Controls

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

2.13

Positive End Expiratory Pressure (PEEP)

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

SELECT BY PRESSING

PEEP BUTTON

l l l l

The PEEP is adjustable up to 20 hPa

There is a minimum setting pressure of 3 hPa ( due to the weight of the spill valve in the Bag-in-Bottle). PEEP is active during the Expiration phase. Setting PEEP values increases drive gas consumption.

PEEP impacts on Breath Pressure (in PLV - mode version 40)

2-10

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Controls

2.14 High Pressure (IMV and SIMV)

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

IMV / SIMV all versions l This setting limits the maximum permissible pressure during Inspiration phase in Volume Ventilation (IMV, SIMV). l The maximum setting is 65 hPa l Version 5 PCV l In PCV, this parameter cannot be selected. l The setting is locked to Breath Pressure + 10 hPa. l The maximum setting is 65 hPa. l The minimum setting is 15 hPA (in PCV) Version 40 PLV l This setting limits the maximum pressure during Inspiration phase in Pressure Ventilation l In PLV, this parameter cannot be selected l The setting is locked to Breath Pressure + 10 hPa l The maximum setting is 65 hPa l The minimum setting is 15 hPa (in PLV) The minimum setting is 10 hPa (in IMV)

SELECT BY PRESSING

High Press BUTTON

Tech Pub. 0041-130

3rd Ed. (2001)

2-11

Controls

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

2.15 Mode - Version 5 software only

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

Following T1 Test, the ventilator is on STANDBY with IMV automatically selected PRESS THE Mode BUTTON For desired MODE
(display indicator flashes)

l l l l l l

The Mode is selected during STANDBY by pressing the Mode button ( display indicator flashes ). Then turn the knob and press to select: IMV [Intermittent Mandatory Ventilation] SIMV [Synchronised IMV] PCV [Pressure Controlled Ventilation]

LC- T [Leakage and compliance test] (results in partial repeat of T1 Test). Useful to re-check leakage and compliance if the circuit is altered. Time [Clock Time] <ETR> switch off (removes time window) Time [Clock Time] <ETR> switch on (displays time window) Adjust brightness of display <ETR> DIM (goes to option to select 4 display panel brightness levels) T1- T [Repeat complete T1 Test] (repeats whole test)

l l l

2-12

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

2.16 Mode - Version 40 software only

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

FIRST SELECT

STANDBY - THEN PRESS

THE Mode BUTTON

l l l l l l

The Mode can only be selected during STANDBY In turn, pressing the Mode button selects:IMV (Intermittent Mandatory Ventilation) SIMV (Synchronised IMV) PLV (Pressure Limited Ventilation) STBY (Spontaneous or Manually ventilated) T1-T (re-runs T1 Test)

Tech Pub. 0041-130

3rd Ed. (2001)

2-13

KESTREL (v.40 & 5) Ventilator

Maintenance Manual Controls

2.17

Silence Alarm

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

SELECT BY PRESSING

Silence Alarm BUTTON

Pressing Silence Alarm while the alarm is sounding:

l l l l

Mutes the active alarms for 120 seconds (The flashing indication continues while the alarm is muted) Clears any non-active alarm messages Suspends alarms for 30 seconds when in Standby There is no user adjustment for volume

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Tech Pub. 0041-130 3rd Ed. (2001)

Controls

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

2.18

Rotary Control

-10

10

Breathing Circuit Pressure [100Pa]


20 30 40

50

60

[ml]
TIDAL VOLUME

[l/min]
BREATH RATE

[I:E]
I:E RATIO

[1/min]
INSPIR FLOW

[100Pa]
BREATH. PRESS.

[100Pa]
PEEP

[100Pa]
HIGH PRESS LIMIT

[MODE]
MODE

T1 Test

Patient pressure

STANDBY VENTILATE

Silence Alarms

Operate by ROTATING TO SET and PRESSING

TO ENTER <ETR>

The Rotary Control is used to set and then confirm ventilation parameters: .

l l l l

First select the value to be altered by pressing the relevent key Note that the display flashes the selected value Set the required value by rotating the control ( clockwise to in crease; counter-clockwise to decrease) When the desired value is indicated; press the rotary control to enter the value (input: enter: <ETR> )

Tech Pub. 0041-130

3rd Ed. (2001)

2-15

KESTREL (v.40 & 5) Ventilator

Maintenance Manual Controls

2.19

Fresh Gas Compensation

l
.

Fresh Gas from the flowmeter is electronically measured (Hot wire anemometer) The ventilator compensates the Drive Gas Volume (based on the amount of fresh gas flowing) to ensure that the selected tidal volume is achieved The higher the Fresh Gas flow rate the less the bellows will be moved by the drive gas. What you set (on the display) is what you get (at the patient Y piece) from the two sources.

l l l

. .

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Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual KESTREL (v.40 & 5) Ventilator Pneumatic layout of the internal components

2.20 Flow Diagram

KESTREL FLOW DIAGRAM


2-17

Tech Pub. 0041-130

3rd Ed. (2001)

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

Main processors (A and B) Oxygen cut-off valve (Oxygen drive only) Proportional valves (2 off) in parallel Differential Pressure transducer Drive-gas pressure transducer Patient-gas pressure transducer SIMV flow transducer Fresh gas flow transducer Fresh gas flowsensor Fresh gas (from FALCON) Delivered tidal volume flowsensor Overpressure valve (driving-gas) (no compnent) SIMV flowsensor Reservoir bag APL (Airway Pressure Limiting) valve Bag/Vent Switch Fresh gas supply to the Circle System Patient gas from Bellows Circle System Inspiration limb of patient circuit T -piece adaptor (patient pressure) Pressure Regulator Bag/Vent Switch solenoid valve Expiration and PEEP valve Driving-gas to Bag-in-Bottle Bag-in-Bottle PATIENT

KEY TO THE FLOW DIAGRAM (see page 2-17)

2-18

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual 3 Modes

KESTREL (v.40 & 5) Ventilator

3.1

VENTILATOR MODES

IMV - The following parameters can be selected:Tidal Volume Breath Rate I:E Ratio PEEP 20 mL to 1500 mL 4 to 60 bpm 3:1 - 1:9,9

INTERMITTENT MANDATORY VENTILATION (IMV)

Inspiration Flow Pressure Limit 3.1.1

2 L/min to 80 L/min 3 hPa to 20 hPa 10 hPa to 65 hPa

When the ventilator has satisfactorily carried out the TI Test (see Setting to Work), it is ready for use with the default parameters in IMV mode. 500 [mL] Tidal Volume 10 [/mln] Breath Rate 1 : 2,0 [I:E] I:E Ratio 15 [L/mln] Insp Flow [hPA] Breath Press 3 [hPa] PEEP 30 [hPa] High Press IMV

The Default Parameters.

MODE

The ventilator may now be switched from STANDBY to VENTILATE and will immediately start to cycle at the default settings.

In Figure 1, (opposite page), the default Inspired Flow (15 L/min) during the inspiration phase achieves the desired tidal volume within the time period determined by the default I:E Ratio (1 :2). 3.1.2 User-selected Parameters

If alternative settings are required at the start of ventilation; use the relevant keys to change the displayed settings while still in the STANDBY mode. Note however, that the parameters may be changed at any time during active ventilation. In Figure 2, (opposite page), the Inspiration Flow has been increased. The desired tidal volume is reached in a shorter time period. Since I:E Ratio remains the same (1 :2); a pressure plateau forms which remains until the expiration phase commences.

Tech Pub. 0041-130

3rd Ed. (2001)

3-1

Modes

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Diagrams for IMV


IMV PARAMETERS
I:E Ratio Tidal Volume Breath Rate Inspiration Flow PEEP Pressure Limit 3:1 - 1:9.9 20 - 1500 mL 4 - 60 BPM 2 - 80 L/min 3 - 20 hPa 10 - 65 hPa (Default = 1:2) (Default = 500) (Default = 10) (Default = 15) (Default = 3) (Default = 30)

IMV Default Curve (default settings)


Inspiration
I : E Ratio = 1 : 2

Expiration

Flow

Figure 1

TIME (s)

IMV - Increased Inspiration Flow


Inspiration
I : E Ratio = 1 : 2

Expiration

Flow

Figure 2

TIME (s)

3-2

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual 3.2

KESTREL (v.40 & 5) Ventilator

SYNCHRONISED INTERMITTENT MANDATORY VENTILATION


SIMV -The following parameters can be selected: I:E Ratio 3:1 to 1:9,9 Tidal Volume 20 mL to 1500 mL Breath Rate 4 to 60 bpm Inspiration Flow 2 L/min to 80 L/min PEEP 3 hPa to 20 hPa (3 mbar to 20 mbar) Pressure Limit 10 hPa to 65 hPa (10 mbar to 65 mbar)

Modes

SIMV is a ventilation mode where the ventilator is monitoring the flow of gas during the expiration phase. If the patient attempts to breath the flow sensor will recognise this activity and deliver a mandatory breath. This mandatory breath will conform to the settings displayed.

Breath stacking does not occur due to monitoring functions within SIMV. The ventilator will delay the next breath for as long as possible (the time being dependant on rate and I:E Ratio). The ventilator will not deliver a breath if the patient is breathing. If the ventilator is consistantly triggered, ALL breaths will be triggered by patient activity and the ventilator will deliver triggered mandatory breaths upto the set breath rate. Any triggering above this set rate will be ignored (no mandatory breaths delivered) and the patient will be able to breath spontaneously Refer to Figures 1- 4 Terms

The objective of the ventilator is to maintain the set breath rate. This is achieved by varying the length of the expiration phase. If a triggered breath occurs during the normal expiration window the next expiration window will be extended to compensate for the set breath rate.

Trigger Window: The time interval within the expiration phase during which mechanical inspiration can be triggered. Mandatory Pause: A safety interval of 0,3s at the beggining of the expiration phase where no triggering can occur. This prevents spurious triggering caused by unstable flow measurement.

l l l

The Trigger Window opens at the start of respiration. (possibly delayed by 0,3 s depending on operational conditions) and the length of the window is determined by the setting of I:E Ratio and Breath Rate. Triggering occurs when an inspiration flow of 3,0 L/min is measured for 30ms by the SIMV flowsensor.

The SIMV respiration cycle always starts with the expiration phase. (Unlike IMV which commences with the inspiration phase ). No spontaneous breaths can occur during mechanical ventilation.

Tech Pub. 0041-130

3rd Ed. (2001)

3-3

Modes

KESTREL (v.40 & 5) Ventilator Diagrams for SIMV 20 -1500 mL 3:1 -1 :9.9 4 -60 BPM 2 -80 L/min 3 -20 hPa 10- 65 hPa

Maintenance Manual

SIMV PARAMETERS Tidal Volume I:E Ratio Breath Rate Inspiration Flow PEEP Pressure Limit

(Default = 500) (Default = 1 :2) (Default = 10) (Default = 15) (Default = 3) (Default = 30)

Version 5 software Flow Trigger Version 40 software Flow Trigger

3 L/min for 30 ms (fixed) 2 L/min

SIMV (No patient trigger)


Inspiration
I : E Ratio = 1 : 2

Expiration

Flow

Mandatory Breath delivered


1 2 3 4 5 6 7

TIME (s)

Figure 1

(Figure 1, above ): No spontaneous triggering takes place: The Trigger Window starts 0,3 secs (Mandatory Pause) after the end of an inspiration phase and lasts until the start of the next inspiration phase. The inspiration phase is designed to finish at the end of the respiration cycle. The function is the same as that found in the IMV mode.

3-4

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Modes

SIMV - (Patient trigger)

Figure 2

SIMV - (Patient trigger)

Figure 3
.

(Figure 2-3, above): The patient breaths once within the Trigger Window: If this causes a negative flow of at least 3,0 L/min for 30ms; a mechanical inspiration is triggered (using the ventilator settings).

(Triggering, outside the parameters of the Trigger Window, is ignored and the standard ventilation cycle continues unchanged).

A new Trigger Window opens during the following expiration phase - thus offering triggered mechanical inspiration.

Following a triggered mechanical inspiration there is no Mandatory Pause (0,3s) nor is there a new Trigger Window. This allows the patient to breath freely and spontaneously during this expiration phase without triggering further mechanical inspiration.

Tech Pub. 0041-130

3rd Ed. (2001)

3-5

Modes

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

SIMV - (Trigger Window)

Figure 4

SIMV RULES

NO trigger is possible (in Expiration Time) after a Triggered breath Triggered Inspiration is always followed by Non- triggered Inspiration The ventilator tries to maintain the set breath rate by extending the Expiration Time

3-6

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator Modes

3.3

PRESSURE CONTROLLED VENTILATION (PCV)


Note - only version 5 software has PCV

PCV- the following parameters can be set:


I:E Ratio Breath Rate Inspiration Flow Breath Pressure Pressure Limit PEEP

3:1 - 1 :9.9 4 to 60 bpm 2 to 80 L/min 5 hPa to 60 hPa Breath Pressure + 10 hPa 3 - 20hPa

3.3.1 The Default Parameters

When the ventilator has satisfactorily carried out the TI Test, it is immediately ready for use with the default parameters provided. These are displayed in the flashing mode and are as follows:
[mL1 Tidal Volume 10 [/min] Breath Rate 1:2.0 [I:E] I:E Ratio 15 [L/mln] Insplr. Flow 10 [hPa1 Breath. Pressure 3 [hPa] PEEP 20 [hPa] High Press PCV RESPIR. MODE

To ventilate using the default parameters; first confirm the settings by pressing the rotary control. Then switch from STANDBY to VENTILATE and the ventilator will immediately start to cycle (using the default settings).

Tech Pub. 0041-130

3rd Ed. (2001)

3-7

Modes

KESTREL (v.40 & 5) Ventilator Diagrams for PCV


3:1-1:1.99 4 -60 BPM 2 -80 Umin 3 -20 hPa 15 -65 hPa 5 -55 hPa

Maintenance Manual

PCV PARAMETERS I:E Ratio Breath Rate Inspiration Flow PEEP Pressure Limit Breath Pressure

(Default = 1:2) (Default = 10) (Default = 15) (Default = 3) (Default = 20) (Default =10)

PCV - Default Curve

Figure 1

In Figure 1, the time taken to reach breath (target) pressure is dependent on both inspiration flow and patient compliance.

The target pressure is maintained by the ventilator for the remainder of inspiration time. Inspiration time is determined by the BPM and I: E Ratio settings chosen by the operator. On completion of inspiration time, the expiration phase commences.

3-8

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual
(PCV continued)

KESTREL (v.40 & 5) Ventilator

3.3.2 User-selected parameters

If alternative settings are required at the start of ventilation; first confirm the ventilation mode and set the pressure by adjusting the Breath Pressure at the ventilator and confirm. Then, while still in the STANDBY mode, change any other settings as required. Note however, that the parameters may be changed at any time during active ventilation. CAUTION In the interests of patient safety, the HIGH PRESSURE alarm is tied to the value for BREATH PRESSURE, so that:High Pressure Limit = Breath Pressure + 10 hPa

In PCV, the High Pressure button is deactivated. High Pressure limits will be altered when the value for Breath Pressure is altered (Breath Pressure + 10 hPa).

In Figure 3 (opposite page), the inspiration flow has been increased. This increases the slope of the graph so that the set pressure is achieved in a shorter period of time. Inspiration time is decreased and expiration time increased (to fit the set breath rate ).

In Figure 4 ( opposite page ), the inspiration flow has been decreased. This decreases the slope of the graph so that a longer period of time is taken to achieve the set pressure. Inspiration time is increased and expiration time decreased (to fit the set breath rate ). In Figure 5 (next page), the inspiration flow has been decreased to a level at which the set pressure cannot be achieved within the time allowed by the breath rate. In this case the ventilator switches to the expiration phase of the cycle before the set pressure is reached. This activates the PRESSURE LIMIT alarm -which remains active until the start of the next inspiration phase and will then resume each time the set pressure is not reached.

NOTE If the PRESSURE LIMIT alarm condition remains for longer than 15 seconds; the alarm changes to a DISCONNECTION alarm.

Tech Pub. 0041-130

3rd Ed. (2001)

3-9

Modes

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

PCV - (Increased Inspiration Flow)

Inspiration

Expiration Breath pressure

3-10

PRESSURE

Constant IE Ratio

TIME (s)
Figure 3

PCV - (Reduced Inspiration Flow)

Inspiration

Expiration Breath pressure

PRESSURE

Constant IE Ratio

TIME (s)
Figure 4

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

PCV RULES
l l l l Plateau time is available Fresh gas will reduce the Inspired Flow

(The ventilator cannot compensate for excessive leakage around the ET tube) I:E Ratio is displayed

Tech Pub. 0041-130

3rd Ed. (2001)

3-11

Modes

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

3.4 PRESSURE LIMITED VENTILATION (PLV)


Note only version 40 software has PLV
Breath Rate Inspiration Flow Breath Pressure Pressure Limit PEEP PLV - the following parameters can be set: 4 to 60 bpm 2 to 80 L/min 5 mBar to 60 mBar 10 mbar to 65 mbar 3 - 20 mBar

3.3.1 The Default Parameters

When the ventilator has satisfactorily carried out the TI Test, it is immediately ready for use with the default parameters provided. These are displayed in the flashing mode and are as follows: [mL]
Tidal Volume

10 [/min]
Breath Rate

[I:E]
I:E Ratio

15 [L/min]
Inspir. Flow

10 [mbar]
Breath. Pressure

[mbar]
PEEP

30 [mbar]
High Press

PLV
RESPIR. MODE

To ventilate using the default parameters; first confirm the settings by pressing the rotary control. Then switch from STANDBY to VENTILATE and the ventilator will immediately start to cycle (using the settings provided and confirmed by the operator).

3-12

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Diagrams for PLV


PLV PARAMETERS
Breath Rate Inspiration Flow PEEP Pressure Limit Breath Pressure 4 - 60 BPM 2 - 80 L/min 3 - 20 hPa 15 - 65 hPa 5 - 55 hPa (Default = 10) (Default = 15) (Default = 3) (Default = 20) (Default 10)

PLV - Default Curve Inspiration Expiration Breath pressure

l In Figure 1, the default flow (15 L/min) during the inspiration phase will increase the breath pressure until the set pressure limit is reached. The time taken for the inspiration phase being dependent on both flow and pressure. When the set pres sure is achieved; expiration takes place - the time being dependent on the breath rate setting. (The ventilator calculates the I:E ratio as long as the ratio does not exceed 3:1).

Pressure

Time (s)

Figure 1

Tech Pub. 0041-130

3rd Ed. (2001)

3-13

Modes (PLV continued)

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

3.3.2

User-selected parameters

If alternative settings are required at the start of ventilation; first confirm the ventilation mode and set the pressure by adjusting the Pressure-limiting Valve at the Bag-in-Bottle, or the High Pressure Limit at the ventilator and confirm. Then, while still in the STANDBY mode, change settings as required. Note however, that the parameters may be changed at any time during active ventilation.
CAUTION In the interests of patient safety, the HIGH PRESSURE alarm is tied to the value for BREATH PRESSURE, so that:High Pressure = Breath Pressure + 10 mBar In PLV, the High Pressure button is deactivated. High Pressure limits will be altered when the value for Breath Pressure is altered (Breath Pressure + 10 mBar).

l In Figure 1 (previous page), the default flow (15 L/min) during the inspiration phase will increase the breath pressure until the set pressure limit is reached. The time taken for the inspiration phase being dependent on both flow and pressure. When the set pressure is achieved, expiration takes place (the time being dependent on the breath rate setting). l In Figure 3 (opposite page), the inspiration flow has been increased. This increases the slope of the graph so that the set pressure is achieved in a shorter period of time. Inspiration time is decreased and expiration time increased (to fit the set breath rate). l In Figure 4 (opposite page), the inspiration flow has been decreased. This decreases the slope of the graph so that a longer period of time is taken to achieve the set pressure. Inspiration time is increased and expiration time decreased (to fit the set breath rate). l In Figure 5 (next page), the inspiration flow has been decreased to a level at which the set pressure cannot be achieved within the time allowed by the breath rate. In this case the ventilator switches to the expiration phase of the cycle before the set pressure is reached. This activates the PRESSURE LIMIT alarm - which remains active until the start of the next inspiration phase and will then resume each time the set pressure is not reached.
NOTE If the PRESSURE LIMIT alarm condition remains for longer than 15 seconds; the alarm changes to a DISCONNECTION alarm.

3-14

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Modes

PLV - (Increased Inspiration Flow) Inspiration


Increased Inspiration flow

Expiration Breath pressure

Pressure Pressure

Time (s)

Figure 3

PLV - (Reduced Inspiration Flow Inspiration


Reduced Inspiration flow

Expiration Breath pressure

Time (s)

Figure 4

Tech Pub. 0041-130

3rd Ed. (2001)

3-15

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

PLV - (Reduced Inspiration Flow set too low) Maximum Inspiration


Breath pressure not achieved

Expiration Breath pressure

Pressure

Time (s)

Figure 5

PLV RULES
l l l l l

NO plateau time is available

Fresh gas will reduce the Inspired Flow (The ventilator cannot compensate for excessive leakage around the ET tube) I:E Ratio is not displayed (because it is affected by Inspiratory Flow) I:E Ratios in excess of 2.5:1 will result in failure to reach Breath Pressure

3-16

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

4.1 General

Alarms

An alarm is triggered when the ventilator detects a physical defect in the equipment or if any of the operator-defined parameters are not met. The alarms fall into 3 groups:1 PATIENT SYSTEM (disconnection, high pressure, pressure limit not achieved) SYSTEM ERROR (ventilator failure)

POWER SUPPLY (driving-gas failure, mains power failure, battery failure)

The Power Supply Alarms are triggered as follows:l l l

HIGH PRIORITY ALARM (280 kPa driving-gas pressure not achieved during expiration) HIGH PRIORITY ALARM (mains power fails -machine switches to battery) HIGH PRIORITY ALARM (battery becomes exhausted during mains failure)

The System Error Alarms are triggered when:-

l Either of the micro-processors fails or their mutual interface becomes faulty. Then, an alarm is activated; ERROR messages displayed; the machines switches to an IDLE state. (This state is defined as a no-pressure state at the Bag/Vent Switch). During the IDLE state, the patient can breath spontaneously and be ventilated by using the Reservoir Bag. Pressure-Iimiting:-

l In addition to the selection of pressure-Iimiting during operation; the machine is provided with a system for limiting the driving-gas maximum pressure to 75 hPa. This is achieved by a spring-Ioaded pressure-control valve -the correct operation of which is tested during the T1 Test.

Tech Pub. 0041-130

3rd Ed. (2001)

4-1

Alarms

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

4.2 Alarm phase


ALARM

Explicit alarms are displayed. The following messages are provided: ALL HIGH PRIORITY unless stated

HIGH PRESSURE DISCONNNECTION? SIMV FLOWSENSOR SYSTEM PRESSURE PRESSURE LIMIT FRESH GAS HIGH PRESSURE< -8mBar Batt. overload Batt. discharged Mains Failure Hardware fault Watchdog error Fan fault BELLOWS DRIVE PRESSURE FAULT Software failure 4.2.1 Safety Systems j k l m n j

High priority delayed by 15 s; with BPM<=8,2 Low priority Low priority High priority delayed by 30s

PCV Operation suspended (Ver.5 only) (Ver.5 only)

The following safety systems are provided. (In accordance with EN 740 (Table 51-1)).

Airway Pressure......................................... Monitored with upper & lower alarm limit Expiration Volume...................................... (Use external Monitor) Ventilation system monitoring Maximum airway pressure limiting Controllable airway pressure limiting

k l m n 4-2

Airway Pressure is displayed in the form of a bar graph, within which the high pressure limit may be set and displayed. When the set high pressure is reached; a high priority alarm is triggered and the ventilator switches immediately to expiration. The pressure is actively limited to the set high limit. Expiration Volume must be monitored with an external monitor with limitalarms -since the ventilator generates a defined inspiration tidal volume. Ventilation system monitoring is achieved by cyclic monitoring of airway pressure in the inspiration and expiration phases. A disconnection alarm triggers in the event of faulty pressure values.

Maximum airway pressure limiting is achieved by the use of a spring-Ioaded pres sure-limiting valve set to 75 hPa. Controllable pressure limiting is provided in the ventilator by adjusting the High Pressure setting on the display and an APL valve on the BIB controls the pressure (between 1.5 and 65 hPa) for the spontaneous circuit.

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator


Alarms

4.3

A high priority alarm is triggered when airway pressure reaches the set high pressure limit. This terminates the inspiration phase; switches off driving-gas and opens the expiration valve; so reducing the airway pressure to minimum. The acoustic alarm lasts as long as the fault remains unrectified and can be suppressed for a period of 120s at a time. The visual alarm flashes as long as the fault remains. Once the fault is rectified; the alarm remains illuminated for later identification until manually reset. The high priority alarm state is terminated as soon as-an inspiration phase is successfully concluded (but the red lamp stays illuminated and the error message will remain until the MUTE button is pressed to clear the message ). DISCONNECTION ?

HIGH PRESSURE

Alarms Description

l l l

IMV/SIMV -the alarm is triggered when the inspiration pressure does not rise above, and fall below PEEP + 7 hPa.

PCV -the alarm is triggered when the initial inspiration pressure does not rise above and fall below, Breath pressure -2 hPa. PLV -the alarm is triggered when the initial inspiration pressure does not rise above and fall below, Breath pressure -2 hPa. SIMV FLOWSENSOR SIMV Flowsensor

A high priority alarm is triggered when a fault within the flowsensor or its associated circuits is recognised. SYSTEM PRESSURE

A high priority alarm is triggered if a difference between driving-gas pressure and patient pressure of > 4 hPa is recognised during the inspiration phase. This alarm has no delay and can be triggered at any time during the ventilation phase. The most common problem that causes this alarm is the bellows are empty due to leakage or disconnection

Tech Pub. 0041-130

3rd Ed. (2001)

4-3

Alarms

KESTREL (v.40 & 5) Ventilator ALARMS Description (continued) PRESSURE LIMIT

Maintenance Manual

4.3

In the event of the pressure limit not being reached during PCV (Pressure Controlled Ventilation); a low priority alarm is triggered during the first 30s and automatically resets when the condition is rectified. If the condition lasts longer than 30s, the alarm switches to a high priority state and must be confirmed before it can be turned off. This alarm can be triggered due to the inspiration flow being set too low. ACTIVE ONLY IN PLV MODER RE LIMIT In the event of the pressure limit not being reached during PLV (Pressure Limited Ventilation); a low priority alarm is triggered during the first 30s and automatically resets when the condition is rectified. If the condition lasts longer than 30s, the alarm switches to a high priority state and must be confirmed before it can be turned off. FRESH GAS HIGH

ACTIVE ONLY IN PCV MODE

A low priority alarm is triggered if an excessively high fresh gas flow rate is set at the flowmeter. In this case, bellows movement is much reduced or absent -therefore ventilation is carried out only by the fresh gas flow and the specified Tidal Volume cannot be guaranteed (it may be higher or lower than that set). The alarm automatically resets as soon as the fresh gas flow is reduced. An alarm is also triggered if the fresh gas flow exceeds 25 L/min. (Not activated when the O2 Flush is used). PRESSURE < -8mBar

A High Priority alarm is triggered if the pressure in the patient circuit is reduced to less than -8 mBar. (A state which I if continued, will damage the pressure transducers of the ventilator and monitor presenting a potential hazard for the patient). e.g. In a closed circuit, when a sampling-pump (which is used by some monitors), may reduce the patient circuit pressure to a negative value.

(continued) 4-4

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual 4.3

KESTREL (v.40 & 5) Ventilator

BATT OVERLOAD

ALARMS Description (continued)

Alarms

Battery discharged please wait 20 mins A high priority alarm is triggered if the battery becomes defective ( e.g. through overloading or overcharging) or if the battery has become discharged to the point where safe operation can no longer be assured. The ventilator switches into the IDLE state when the battery becomes defective. The patient can breathe spontaneously, or be ventilated manually.
WARNING l Kestrels with serial numbers below 88990252 must not be allowed to discharge beyond the point at which the low battery message is given. These older ventilators can be identified internally by having one relay on the main PCB; newer versions have two relays close together. The extra relay protects later versions by making the unit shut down before it can discharge the battery below a certain level (10.75V) at some point below this level, the battery of earlier versions of the ventilator can be permanently damaged by so-called deep discharge. Once permanent damage has ocurred the ventilator will not pass its T1 test and will be unusable. (see also diagrams page 12-4 & 12.5)

WARNING l

The FALCON anaesthesia machine is provided with an automatic solenoid valve which will interrupt the driving-gas supply to the ventilator in the event of simultaneous failure of both the mains power supply and the ventilatorsemergency battery. Should this occur; ventilation must continue with the use of the reservoir bag. MAINS FAILURE

A high priority alarm is triggered in the event of mains power failure. This indicates that the ventilator has automatically switched to its internal emergency battery power. HARDWARE FAULT

A high priority alarm is triggered if the ventilator recognises the development of a fault in its associated hardware (i.e. valve operation). WATCHDOG ERROR

A constant alarm is triggered if the internal watchdog circuits, which constantly monitor the performance of the ventilator, recognise the development of any electronic circuit faults. The ventilator will display a series of numbers to inform the user of what type of fault has occurred, e.g. 30 24 16. Record these numbers to aid in diagnosing the fault. Tech Pub. 0041-130 3rd Ed. (2001) 4-5

Alarms 4.3

KESTREL (v.40 & 5) Ventilator


ALARMS Description (continued)

Maintenance Manual

A ventilation fan is incorporated in the ventilator casing. If the ventilator is driven with oxygen; the fan prevents oxygen concentrating internally in the event of an internal gas leak. The rotation of the fan is monitored optically and if it fails to rotate a high priority alarm is triggered. A high priority alarm is triggered during expiration if the gas-supply pressure is insufficient to provide the required driving-gas flow. The alarm sounds for as long as the fault remains unrectified and during this time it can be muted for periods of 120 seconds at one time. When the fault in gas supply is rectified, the visual alarm remains illuminated until it is manually reset. Ventilation cannot be guaranteed due to the drop in driving gas pressure and it is suggested that the ventilator is switched to standby and manual ventilation is used. PRESSURE FAULT version 5 software BELLOWS DRIVE

FAN FAULT

A high priority alarm is activated in PCV if a sustained high pressure (above breath pressure) is monitored during expiration. In this event, the ventilator suspends ventilation and switches to a state displayed by flashing of both GREEN and YELLOW LEDs at the VENTILATE/STANDBY button. If this occurs; the VENTILATE/STANDBY button must be pressed in order to place the ventilator in the STANDBY mode which resets the alarm. Remedial action can now be taken and the VENTILATE mode reselected as appropriate. PRESSURE FAULT version 40 software

PRESSURE FAULT A high priority alarm is activated in PLV if a sustained high pressure (above breath pressure) is monitored during expiration. In this event, the ventilator suspends ventilation and switches to MANUAL. This state is displayed by flashing of both RED and YELLOW LEDs at the VENTILATE/ STANDBY button. If this occurs; the VENTILATE/STANDBY button must be pressed in order to place the ventilator in the STANDBY mode which resets the alarm. Remedial action can now be taken and the VENTILATE mode reselected as appropriate. SOFTWARE version 5 software

A fault is indicated in the system software. 4-6

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Setting to Work

The phases of setting the ventilator to work are:l l l l l Preparatory Phase (5.1 ) Function Test (5.2) Selection of Ventilator Mode (5.3) Parameter Input (5.4) Ventilate/Standby (5.5)

SETTING TO WORK

All phases must be correctly carried out if the ventilator is to operate efficiently. 5.1 Preparatory Phase This phase includes assembly of the circle system and all hose connections. As far as the ventilator is concerned, fitting the SIMV flowsensor into the patient connection and connecting the associated pneumatic lines are of particular importance. Assembly of the Breathing System The sequence of assembling patient system components depends on the type of circle system to be used. Various options are illustrated in the FALCON OPERATORS MANUAL although the list is not exhaustive. However, it will be necessary to make the following connections:(1) (2) Fit the hose from the Bag-in-Bottle (BIB) to the circle system.

(For SIMV only) -fit the SIMV flowsensor to the connector in the base of the BIB. (For non-SIMV and SIMV) -fit the patient pressure monitoring line to the connec tor at the front face of the ventilator (marked Patient). (For SIMV only) -Fit the SIMV flowsensor twin-tube pneumatic line from the flowsensor to the 2 marked connectors at the rear panel of the ventilator and also connect the flowsensor armoured, electrical heater cable to the 2-pin socket at the rear face. Fit the reservoir bag to the connector in the base of the BIB. Proceed with the Function Test (T1 ). (Section 5.2 on ...)

(3)

(4) (5)

Tech Pub. 0041-130

3rd Ed. (2001)

5-1

Setting to Work

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

5.1 (continued)

AIRWAY PRESSURE LIMITING (APL) VALVE

F A L C O N

PATIENT CIRCUIT CONNECTOR

U-TUBE BAG/VENT CONNECTION

RESERVOIR BAG CONNECTOR

The Anmedic Bag-in-Bottle connections (without SIMV) 5-2 Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

5.1 (continued)

Setting to Work

FRESH GAS

B.I.B PATIENT CONNECTOR

BAG-IN-BOTTLE CONNECTOR EXPIRATORY LIMB

INSPIRATORY LIMB

FRESH GAS Circle connections using Anmedic Jumbo 90 and Q system absorbers Tech Pub. 0041-130 3rd Ed. (2001) 5-3

Setting to Work

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

5.1 (continued)

Anmedic Bellows Assembly (FALCON)

Bellows Connector

REAR FACE

SAMPLE RETURN

Bag Connector

Rotary Toggle

SIMV FlowSensor and Toggle FITTING THE SIMV FLOWSENSOR

External tubing link to the internal bag/Vent switch

1 - Pull off the external tubing link from the Bellows Connector

2- Fit the SIMV Flowsensor to the Bellows Connector and secure it with the rotary toggle 3- Fit the external tubing link to the end of the SIMV Flowsensor

4 - Fit the 2 pneumatic lines and the single armoured heater cable between the SIMV sensor and the rear of the ventilator

Anmedic Bag-in-Bottle Connections (for SIMV)


5-4 Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

5.1 (continued)
KESTREL VENTILATOR

Setting to work

Patient Pressure Connector Adaptor

SIMV flowsensor Heater cable

Anmedic Bellows Assembly

SIMV flowsensor lines Internal connectors SIMV flowsensor lines SIMV flowsensor Heater cable

SIMV FLOWSENSOR secured by toggle or half nut

SIMV Flowsensor Connections


Tech Pub. 0041-130 3rd Ed. (2001) 5-5

5.2.1 Rationale

5.2

Setting to Work

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 (Function) Test

In the interests of safety, EN 60601-1:1990 requires that no danger to patients, users and objects may arise when the first fault develops (single-fault condition). KESTREL is designed purely as a ventilator (without respiration monitor). Safe operation can only be ensured by the use of an additional monitor which provides independent supervision of respiration parameters. The FALCON anaesthesia machine MUST be provided with a monitor complying with EN740. EN 60 601-1 requires that safety installations must be duplicated, to prevent a dangerous situation arising should one system fail. l One safety system is represented by the presence of the external respiration monitor. l The second is formed by the monitoring functions of the ventilator.

During the powering-up phase of the ventilator, the T1 Test checks the functionality of the ventilators integrated safety systems. A functional test of the external monitor then ensures that both workstation safety systems are operational at the start of anaesthetic ventilation. 5.2.2 Method

The T1 test is divided into two parts. The first part is mandatory and cannot be by-passed. The second part requires the operator to participate in the test process. The T1 Test starts automatically as soon as the ventilator is switched on. The test checks that all ventilator functions and safety systems operate correctly before each session of use. Safe operation of the ventilator is possible only when the T1 Test has been performed without a fault being detected.

WARNINGS

When the T1 Test has been by-passed the responsibility for safe operation lies with the operator who must ensure that all apparatus is in an appropriate condition.

In an emergency, when immediate use of the workstation is required, part of the T1 Test may be by-passed by using a coded key-operation (1 + 2 + 3). In this case a complete check of the circle system is not carried out and SIMV is not available.

The patient must not be connected during the T1 Test

5-6

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Setting to Work

KESTREL VENTILATOR
                                                       

Patient circuit Y-piece

T1 Test adaptor connector

Pressure line from the circle system (Patient Circuit Pressure monitoring)

Y-piece connection for T1 Test instruction (see 5.2.3 -T1 Test Sequence)

Connect Y-piece to T1 adaptor

<ETR>

Tech Pub. 0041-130

3rd Ed. (2001)

5-7

Setting to Work

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

5.2.3

Operators action:

T1 Test Sequence

(1) Switch the FALCON mains power ON/OFF switch to ON. Display shows (in sequence):

T1 Test is running T1 Test is running

Version xx Verion 5.2

Connect Y--piece to T1 adaptor

<ETR>

Operators action:

(2) Connect the Y-piece to the T1 Test adaptor at the front of the ventilator. (3) Press rotary control (<ETR> = enter). Display shows:

Set bag overpressure valve to 20 mBar

<ETR>

Operators action:

(4) Set the APL valve to position marked 20hPa. (5) Press rotary control (<ETR> = enter). Display shows:

Fill bag (e.g. with O2 flush

<ETR>

Operators action:

(6) Press and hold the 02 flush button until the reservoir bag is full. (7) Press rotary control (<ETR> = enter).

5-8

(Continued)

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Setting to Work

5.2.3 (T1 Test, continued)


Display shows:

Fill bellows (e.g. with O2 flush) Turn off fresh gas flow

<ETR>

(8) Press and hold the 02 flush button until the bellows is full. (9) Turn off the fresh gas flow at the flowcontrol valve and the gas selector switch. (10) Press rotary control (<ETR> = enter). Display shows (in sequence):

Operators action:

T1 Test is running

( 11) Set 5 I/min fresh gas flow at the fIowcontrol valve. (12) Press rotary control (<ETR> = enter).

Operators action:

Set 5 l/min fresh gas flow rate Oxygen or air flow, bellows full

T1 Test is running

Display shows (in sequence):

Display, L.E.Ds and keys test Display, L.E.Ds and keys test

Turn off fresh gas flow Perform apparatus pre-use check Disconnect Y-piece Compliance------ml/hPa

<ETR>

(13) Turn off fresh gas flow at the fIowcontrol valve. (Version 5 software only)

<ETR>

(14) Press rotary control (<ETR> = enter). KESTREL automatically selects IMV mode. (15) Carry out the FALCON pre-use checks.

Operators action:

FALCON and KESTREL are now ready for use.

Tech Pub. 0041-130

3rd Ed. (2001)

5-9

5.2.4

T1 Test Sequence

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 Test (Individual test sequence)

Power on

Mandatory Tests Test 1 leakage test Test 2 Overpressure test Test 3 Circuit Volume/fresh gas test Test 4 Circuit Compliance test Test 5 SIMV Flow sensor test Test 6 Bag Vent switch test

Ventilation

Test 7 Display Elements test

The diagram above shows the individual tests that are carried out during the TI test. When the test is running no indication is given as to what the ventilator is testing. The following pages will explain the tests that are being performed. The following pages look at each test and define what happens if the test passes or fails. Some hints are given to what is the most likely cause in the event of a failure. The ventilator testing can be divided into seven separate elements.

5-10

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 Test (Actions and Advice)


Test 1

Mandatory Tests Test 1 - Leakage test


PASS FAIL

<ETR>

Test 2
1,2,4

Re-Test Accept By-Pass


1,2,3

Ventilation

The system is pressurised and any change in pressure is recorded as leakage. If leakage is found an error message is displayed. Action is taken by the user to identify and correct the problem. If the test passes test 2 immediately follows.

Mandatory Tests Test 1 - Leakage test


FAIL

Test 1 Advice

Bellows moving UP
Circuit

l Leak in Drive

Bellows moving DOWN

l Fresh gas flowing

l Fresh gas flowing

l BiB l Circle system l Anaesthesia machine l Vaporizer l Monitor l Calibration fault

If a leak is displayed then repeat the test and watch to see in which direction the bellows move. This may be a very small amount of movement. The bellows will either move up or down. Analyse by a process of elimination.

Test 1 Leakage test Test 2 - Overpressure test


PASS FAIL

Test 2

<ETR>

Set 5 L flow (O2 or Air)

ETR

Re-Test By-Pass
1,2,3

Test 3

Ventilation

The system is over-pressurised to force the safety pressure relief valve to open. If the valve operates correctly the test will pass. If a failure is displayed re run the test. If a continued failure is recorded call for technical assistance as the valve is located inside the ventilator.

Tech Pub. 0041-130

3rd Ed. (2001)

5-11

T1 Test (Actions and Advice)


Test 2 - Overpressure test Set 5 L flow (O2 or Air)
ETR

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Test 3

Test 3 Circuit Volume/Fresh gas test


PASS FAIL

<ETR>

Test 4

Re-Test
1,2,3

Prior to test 3 the user sets the flow at the flowmeter to 5 Lpm for further tests. During test 3 the circuit volume is measured and the flow set on the flowmeter is verified. These are requirements for the following test.

Ventilation

Set 5 L flow (O2 or Air)

ETR

Test 4

Test 3 Circuit Volume/Fresh gas test Test 4 Circuit Compliance test


PASS FAIL

<ETR>

Test 5

Re-Test
1,2,3

Ventilation

The compliance of the patient circuit (upto the end of the Y piece) is tested and calculated. Failures occur due to oversized breathing circuits. Any change in the circuit volume (removing the soda-Iime canister) will affect the accuracy of this test and effect the tidal volume accuracy.

Pressure rise caused by closed circuit and 5lpm fresh gas flow

Test 4 Advice

PASS

The compliance is measured by watching a pressure rise over time (this is caused by the 5 Lpm fresh gas flow into a closed circuit). If the pressure rise stays within limits then the compliance test is passed.

5-12

PRESSURE
2 4

TIME (secs)

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 Test (Actions and Advice)


Test 5 The SIMV flow sensor will be tested for flow accuracy and operation (heater function). If a fault is recognised the display asks if SIMV is a required mode. If yes the fault is displayed and corrective action is required. If no the mode will be unavailable during ventilation and $ will be displayed in the lower right of the display.

Test 4 Circuit Compliance test Test 5 SIMV Flow sensor test


PASS FAIL

<ETR>

Test 6

Include SIMV Mode ? Re-Test


1,2,4

No SIMV

Ventilation

Test 5 SIMV Flow sensor test Test 6 Bag Vent Switch test
PASS FAIL

Test 6

<ETR>

Test 7

Re-Test Wait

Ventilation

The function of the bag/vent switch is tested by setting up two different pressures (one in the manual circuit of 20 hPa and the other in the bellows circuit by the ventilator driving gas into the chamber). The ventilator looks for two differing pressures to ensure the valve is changing from ventilator to manual.

Test 6 Bag Vent Switch test Test 7 Display Elements test Watch
PASS FAIL

Test 7

<ETR>

Re-Test

Ventilation

The display elements are illuminated and visually checked by the user to ensure no elements are missing. The buttons and the LEDs are also tested and the ventilator will display an error message if a fault is found.

Tech Pub. 0041-130

3rd Ed. (2001)

5-13

Setting to Work

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

5.2.5 Error Messages during T1 Test

The following Error Messages may be displayed. Some prompt operator response while others require the attention of a qualified technician. 1) 2) 3) Faulty controller and RAM on front - PCB EPROM versions different Watchdog A fault (This will be accompanied by a series of numbers such as 2045 80. The numbers represent various faults either software or hardware related. Write down these numbers as they offer assistance to the qualified technician.) Faulty EPROM on front -PCB Faulty controller and RAM on main -PCB 02-valve does not close, sw. machine off Check driving gas, sensor adjustment 02-valve does not open, Check driving gas, sensor adjustment Fan defective Check fan (rear panel) Faulty EPROM on main -PCB T1 Test is running

4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15)

<ETR> <ETR>

Driving gas valve does not open Check bellows drive, and gas valve

No mains voltage Check mains plug, check fuse

Driving gas valve does not close Check bellows drive, and gas valve

<ETR> <ETR> <ETR> <ETR> <ETR>

2nd driving gas valve does not open Check driving gas valve, electronics PEEP valve does not close - or disconnection in driving gas circuit

PEEP valve does not open, sw. machine off Check membrane of PEEP valve Tech Pub. 0041-130 3rd Ed. (2001)

(continued, opposite)

5-14

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

(5.2.5 continued from previous page) 16) 17) 18) 19) 20) 21) 22) 23) 24) 25) 26) 27) 28) 29) 30) 31) 32) 33) 34)

Setting to Work

PEEP valve has high resistance sw. machine off, check PEEP valve membrane ConnectY-piece to T1 adaptor Fill bag (e.g. with 02 flush) Set bag overpressure valve to 20 hPa Fill bellows (e.g. with 02 flush) Turn off fresh gas flow

<ETR> <ETR> <ETR> <ETR>

Turn off fresh gas flow Check fresh gas flow tubes and sensor Leakge 0,3 L/min Accept with silence-alarm- button, or Leakage 0,6 L/min Leakage 0,8 L/min Leakage 0,9 L/min Leakage 0, 7 L/min

<ETR> <ETR>

Leakage -Check bellows full, tubing, connectors, pressure relief valve Bellows drive faulty, pressure high ? Check driving gas valve, fresh gas

<ETR> <ETR> <ETR> <ETR> <ETR>

Presure reading faulty, sw. machine off Check adjustment of press. sensors

Changeover valve is stuck, check tubing No pressure in patient circuit ? Pressure limiting valve < 65 hPa Check adjustment of limiting valve Pressure limiting valve > 85 hPa Check adjustment of limiting valve Set 5 L/min fresh gas flow rate37 Oxygen or air flow, bellows full

Turn on 5 L/min fresh gas flow rate (Use oxygen or air)

<ETR> <ETR> (continued overleaf)

Tech Pub. 0041-130

3rd Ed. (2001)

5-15

KESTREL (v.40 & 5) Ventilator


Setting to Work

Maintenance Manual

(5.2.5 continued from previous page) 35) 36) 37) 38) 39) 40) 41) 42) 43) 44) 45) 46) 47) 48) 49) 50) 51) 5-16 Bellows drive too low Check driving gas pressure Bellows drive too high Fill bellows before testing <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR>

T1- Test adapter faulty, Pressure <10 hPa Check driving gas flow rate T1- Test adapter faulty or obstructed Pressure drop >45 hPa, check adapter

T1- Test adapter faulty, blocked Pressure > 65 hPa, check tubing

Fresh gas flow too low Check flowmeter

Bellows drive reading faulty Check adjustment of flow sensors

Fresh gas flow too high Check flowmeter

< 10 hPa for compliance test pressure not achieved. Check PEEP valve Final pressure 30 hPa not obtained Check leakage, bellows drive, volume Include SIMV Mode ? Silence alarms buttons?

Patient flow sensor wrongly positioned Check sensor adjustment Offset valve is stuck Switch-off [ ]

Yes No

<ETR> <ETR>

Patient flow too low Check sensor, tubing Patient flow too high Flow sensor heater does not work Check plug, sensor, or replace sensor

<ETR>

Bag overpressure valve check, pr.< 10 hPa Check valve (or bag empty ?) Tech Pub. 0041-130 3rd Ed. (2001)

<ETR>

Maintenance Manual

KESTREL (v.40 & 5) Ventilator


Setting to Work

(5.2.5 continued from previous page) 52) 53) 54) 55) 56) 57) 58) 59) 60) 61) 62)

Bag overpressure valve check, pr.> 30 hPa Check valve Change-over valve is stuck Check membrane and valve-pressure <ETR>

Battery discharged Please wait until charged (20 minutes)55) Battery out of circuit Check fuse, connectors, mains sense56) Battery overloaded, defective Switch-off [ ] Display, LEDs and keys test Keys depressed or faulty

Turn off fresh gas flow Perform apparatus pre-use check Disconnect Y -piece Ventilator ready for use

<ETR> <ETR>

Disconnect Y -piece Compliance 0.0mL/hPa

Software/Hardware fault Please note down, inform service

<ETR>

Tech Pub. 0041-130

3rd Ed. (2001)

5-17

KESTREL (v.40 & 5) Ventilator

Maintenance Manual Modes

6.0

6.0.1 Program selection: (Select STANDBY) .

SELECTION OF VENTILATOR MODE

The user must confirm the proposed ventilation mode (which is flashing) by pressing <ETR> ,or alter it by rotating the rotary control and pressing to confirm the selection. 6.1 Parameter input

6.1.1 SETUP Parameter:

After selecting the ventilation mode, a list of default settings appears. Each parameter should be checked and validated for the proposed use. 6.1.2 Default Settings:
PCV PLV SlMV/IMV 10 10 0500 10 [mL] [/min] Tidal Breath Volume Rate 1,0:2,0 [I:E] I:E Ratio 15 15 15 [L/min] INSP. FLOW 10 [hPa] Breath Pressure 3 3 3 [hPa] PEEP 20 20 30 [hPa] High Pressure PCV PLV IMV MODE STBY STBY STBY

6.1.3 Special Functions using key combinations (a)

The T1 Test can be skipped from TEST 1 (Fill BIB with flush <ETR) by simultaneously pressing the keys:- (1 + 2 + 3) (A hash mark (#) appears at the lower, right-hand end of the display and remains until the ventilator is switched off). This indicates that compliance compensation and fresh gas flow compensation are not active. WARNING: After partially skipping the T1 Test. The machines safety systems are not completely tested. The user must pay particular attention to ensure safe operation and complete the T1 Test as soon as possible.

Partial skipping of the T1 Test (Emergency Procedure):

6-1

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

6.2

Modes

KESTREL (v.40 & 5) Ventilator

6.2.1 In the STANDBY phase, the Bag-in Bottle is separated from the circle system by the pneumatic Bag/Vent switch and is connected to the Reservoir Bag.

VENTILATE I STANDBY Phase:

By pressing the VENTILATE I STANDBY key, the selected operational phase can be directly switched on - (as long as all inputs have been confirmed). l l The green LED is lit during VENTILATION. The yellow LED is lit during STANDBY- this mode may last indefinitely (it is a battery charging mode). STANDBY WARNINGS .

l The visual display bargraph remains active during the STANDBY phase. l The patient alarms and the machine alarms are turned off during the STANDBY phase. l The bellows cannot be filled during the STANDBY phase. l In STANDBY breathing is either spontaneous or is manually induced using the reservoir bag 6.2.2 Altering target & limit values during the VENTILATION phase

All parameters, including the high pressure limit, can be altered during VENTILATION. On pressing the appropriate key, the display for the parameter to be changed starts to flash and can be changed to the desired value by the rotary control.

During this stage, the ventilator continues working with the existing parameters. The new parameter is confirmed, <ETR> , by pressing the rotary control or pressing another key. The current respiratory stroke continues without interruption using the old values, and the new values become active with the next respiratory stroke.

When parameters are changed during the STANDBY phase, the new values commence with the first respiratory stroke immediately after switching to VENTILATE. Switching to a different ventilation mode during ventilator operation can only be achieved via the STANDBY phase, except IMV and SIMV.

Altering multiple values. It is possible to alter more than one value without the necessity to confirm <ETR> between each change. CAUTION (MODE SWITCHING) Individual parameters may change, since operational ranges are defined in different ways in the various ventilation modes. (Refer to Sections on opposite page). Tech Pub. 0041-130 3rd Ed. (2001) 6-2

KESTREL (v.40 & 5) Ventilator

Maintenance Manual Modes

6.2.3 Switching over from (IMV to SIMV) or (SIMV to IMV): (When SIMV is specified)

When switching over from IMV to SIMV, all individual set parameters are copied directly. In order to optimise SIMV operation (and particularly to ensure a sufficiently long timewindow) appropriate parameters (BPM and I:E) can be altered. l In order to maintain the same ventilation format as during the previous IMV operation, then the previously indicated inspiration flow must be maintained. e.g. If, after switching to SIMV, it is intended to reduce the number of respiration strokes per minute -while maintaining the existing ventilation pattern, then:j k l Read off the existing inspiration flow value.

Reduce the SIMV frequency to the desired value. This will cause the inspiration flow to be reduced in accordance with the frequency set. The inspiratory ventilation pattern is now maintained.

Now reset the displayed inspiration flow to its previous value by reducing I:E ratio.

6.2.4 Switching over between PCV and IMV/SIMV: (When SIMV is specified)

When entering the PCV mode; the Breath Pressure and the High Pressure settings will default to 10 hPa and 20 hPa respectively, regardless of the previous settings. 6.2.5 Switching over between PLV and IMV/SIMV: (When SIMV is specified)

When entering the PLV mode; the Breath Pressure and the High Pressure settings will default to 10 hPa and 20 hPa respectively, regardless of the previous settings.

6-3

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual Modes

KESTREL (v.40 & 5) Ventilator

6.3

The idle state is initiated if a machine fault occurs which makes it impossible to maintain safe operation with the pre-determined patient parameter tolerances and ventilation parameter tolerances. eg. Watchdog error These faults are characterised by:j k l m Hardware fault

Faults I IDLE state

a permanent visual and acoustic alarm.

all switching elements are de-energised.

the pneumatic Bag/Vent switch switching to BAG (zero pressure). The ventilator is in an IDLE state and must be switched off.

WARNING In the IDLE state, the patient can breathe spontaneously or be ventilated by using the Reservoir Bag.

Tech Pub. 0041-130

3rd Ed. (2001)

6-4

7. PLANNED PREVENTIVE MAINTENANCE


7.1 RESPONSIBILITIES (Operator)

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

The Anmedic KESTREL ventilator will only fulfill its specification if it is operated and maintained in accordance with the manufacturers instructions. The KESTREL ventilator must be operated only by qualified, trained personnel who have read and understood the OPERATORS MANUAL for either version 40 or 5 (Anmedic Tech.Pub. 0041-127 & MO125EA1) and all instructional and warning labelling on the ventilator, and who have observed the precautions contained in them. If the ventilator does not perform as described in the OPERATORS MANUAL it must not be used until the fault is rectified. The operator is responsible for any damage or injury resulting from improper use, unauthorised repair or incorrect maintenance.

7.2 RESPONSIBILITIES (Manufacturer)

The manufacturer will take full responsibility for the proper functioning of this machine only if:u It is used and maintained in accordance with the manufacturers instructions. v All assembly, routine service operations, adjustments, modifications and repairs are carried out by persons authorised by, and on behalf of, the manufacturer.

7.3 WARRANTY

All warranties made by the manufacturer with respect to this machine are rendered null and void if the machine is not operated and maintained in accordance with the instructions provided.

7.4 PLANNED MAINTENANCE ROUTINES

The key to reliable, safe and efficient operation of the KESTREL ventilator lies in the implementation of the manufacturers Planned Maintenance Routines. The routines are designed to provide the ventilator user with the maximum degree of reliability, combined with the minimum amount of down-time and cost. It is the duty of the responsible Service Department/Servicing Personnel to ensure that the prescribed Planned Maintenance Routines are carried out in accordance with the manufacturers instructions and at the recommended time intervals.

7.5 SERVICE KITS

Service Kits are available from the manufacturer. The Service Kits contain all the items necessary to perform the manufacturers recommended Planned Maintenance Routines.

Where servicing operations call for the replacement of specified items; it is essential that only items from the manufacturers Service Kits are utilised. The fitting of unauthorised parts will automatically render the manufacturers Warranty null and void.

7-1

Tech Pub. 0041-130 3rd Ed. (2001)

l l

7.6 MAINTENANCE INTERVALS

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

6 MONTHLY - Performance & Calibration Check 12 MONTHLY - Calibration and Standard Service

7.7 MAINTENANCE EQUIPMENT REQUIRED


l

Maintenance requires few tools that would not be expected in a standard Service Technicians Toolkit. However, the following Test Equipment is required :Flow/Pressure Analyser (able to measure flowrate up to 90 L/min. and pressure up to 100 mbar). A recommended type is the Timeter RT 200 or Respical T300. Whatever type is used, it must possess a valid Certificate of Calibration. A double-male 22 mm adaptor. 1 metre of flexible 22 mm tubing.

l l

7.8 CONTENT OF THE PLANNED MAINTENANCE ROUTINES


7.8.1 6 MONTHLY - PERFORMANCE & CALIBRATION CHECK

u
l l l l

v
l

Visual Check Check the condition of the ventilator housing, controls, display and tubing connectors Check that all labelling is present and in good legible condition Check the condition of all accessories (Bag-in-Bottle, Bag/Vent Switch, APL Valve, tubing and sensors) Check that all documentation, including OPERATORS MANUAL are present, up to date and in good condition. Electrical Safety Check This is carried out as part of the anaesthesia machine checks (described in the FALCON MAINTENANCE MANUAL -Tech. Pub. 0041-113). Functional Safety Check Carry out the Function Test T1 Carry out the Functional Safety Check (including calibration check)

w
l l

Tech Pub. 0041-130

3rd Ed. (2001)

7-2

KESTREL (v.40 & 5) Ventilator 7.8.2

Maintenance Manual

12 MONTHLY - CALIBRATION AND STANDARD SERVICE Replace the following parts: The membrane in the PEEP Valve. The silicone membrane in the Bag/Vent Switch. Carry out the Calibration as detailed in the calibration section that follows.

u
l l

7.9 MAINTENANCE NOTES


7.9.1 MAINTENANCE WARNINGS (GENERAL) l l l l 7.9.2 l l l l l l It is of the utmost importance that all the ventilator Functional and Safety Checks are carried out immediately on completion of any of the Planned Maintenance Routines. It cannot be emphasised too strongly that until the ventilator has been checked for safe and correct operation THE MAINTENANCE PROCEDURE HAS NOT BEEN COMPLETED and the ventilator must not be used. Keep all spare parts/Service Kit items, in their packing until they are required for use. Do not reuse O-ring seals. As soon as they are removed, old O-rings should be cut through and discarded. MAINTENANCE WARNINGS (GAS HAZARD) Dust, oil and excess grease can cause explosions in pressurised systems. Never allow oil to come into contact with oxygen under pressure, nor with oxygensystemcomponents. Grease should only be used where specified in this manual. Use only the specifiedoxygencompatiblegreaseanduseitsparingly. Components requiring greasing should be dismantled after initial assembly and surplus grease wiped off before final assembly. Pay special attention to keeping pipe bores and internal drillings clean and free from grease.

7.9.3 MAINTENANCE WARNINGS (ELECTRICAL HAZARD) l l l Do not use the ventilator if the electrical power supply lead has evidence of physical damage(e.g.cutsorabrasion). Do not use the ventilator if the mains supply plug is damaged. Do not use the ventilator if there is any sign of overheating.

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7.9 MAINTENANCE NOTES continued l Ensure that the ventilator is electrically disconnected from the anaesthesia machine before commencing any maintenance procedure that requires dismantling the casing. (For certain maintenance procedures the power supply can be restored with care after the casing is removed ). Observe anti-static precautions when working on the electronic components of the ventilator. Do not obstruct the ventilation apertures. During external cleaning routines; keep liquids out of the casing.

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7.10

CLEANING AND STERILISING (Machine Surfaces)

7.10.1 CLEANING (Metal surfaces) l l l l Clean the external surfaces of the ventilator with a soft, clean cloth; dampened with warm water and a neutral soap. Polish with a soft, clean, dry cloth. If required, use disinfecting wipes or a mild solution of a proprietary, non-caustic disinfectant. (Tri-Sodium Phosphate is suitable). Observe the disinfectant manufacturers instructions with regard to solution strength and operative safety. Do not use toxic solvents.

7.10.2 CLEANING (Plastic surfaces) l l l Clean the front panel of the ventilator with a soft, clean cloth dampened only with clean, warm water. Do not use abrasive cleaners or glass polishes. Do not use solvents, anaesthetic agents or ether.

7.10.3 STERILISING l l l If the ventilator has become contaminated it is the responsibility of the hospital concerned to ensure that it is completely decontaminated before releasing it for Maintenance or Repair. Maintenance personnel must exercise extreme caution when stripping components likely to have been in contact with infectious patients or contaminated material. Maintenance personnel must take all necessary precautions. Do not transport contaminated equipment.

Tech Pub. 0041-130

3rd Ed. (2001)

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KESTREL (v.40 & 5) Ventilator

Maintenance Manual

7.11

CLEANING AND STERILISING THE SIMV FLOWSENSOR


7.11.1 CLEANING At regular intervals the SIMV flowsensor should be dissembled and the stainless-steel mesh examined for cleanliness. (Figure 1 refers). If necessary, the mesh should be carefully cleaned using a cold sterilising solution and a non-metallic SOFT BRUSH. (Do not use harsh mechanical cleaning meth ods). Alternatively, the mesh may be cleaned with a high liquid flow. After cleaning, rinse thoroughly in sterile water and dry with hot air To dissemble the SIMV flow sensor proceed as follows: (Figure 1 refers) l l l l l Remove the flowsensor from the base of the Bag-in-bottle by unscrewing the retaining halfnut or toggle (10) and pulling the flowsensor from the Bag-in-bottle connector. Remove the double-lumen silicone tubing by unscrewing the 2 plastic luer connectors from their connections at (08)(09) and disconnect the armoured heater cable from its plug at (02). Unscrew the knurled securing-ring (06) and separate the halves of the flowsensor. Remove the stainless-steel mesh (04) from between the halves. Re-assemble in reverse order.

7.11.2 STERILISING Note: the SIMV flowsensor (complete) must not be autoclaved. Exposing the SIMV flowsensor to excessively high temperatures can damage the sensors heating resistance and prevent availability of the SIMV ventilation mode.

The tubing may be autoclaved but the process may be inefficient for small-bore tubes. If necessary, cold sterilant can be passed through the tubing by means of a syringe. If this is done it is very important to ensure that the tubing is thoroughly rinsed in sterile water and dried with warm air before use. After use with cases of gross infection the double-lumen tubing and the single-lumen patient-pressure sensor line should be renewed. 7.11.3 CONSUMABLE SPARE PARTS Double-lumen tubing set (complete with Luer connectors) Patient-pressure sensor line (tubing only) SIMV sensor stainless steel mesh SIMV sensor complete 7-5 Tech Pub. 0041-130 3rd Ed. (2001) Part No. 8857-022 Part No. 0026-002 Part No. 8857-212 Part No. 8857-211

All SIMV sensors must, therefore, be cold sterilised and not autoclaved.

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

(if latch not fitted)

Figure 1 - SIMV flowsensor

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KESTREL (v.40 & 5) Ventilator 7-12 Enviromental protection

Maintenance Manual

l The machine is provided with a maintenance-free sealed lead-acid battery, which, when fully charged, ensures interruption-free operation for up to 30 minutes in the event of mains failure. Ensure that the battery is not disposed of in domestic refuse; but is disposed of as hazardous waste at the waste disposal facilities provided by the local authorities.

The battery can be removed at the end of the machiness life, in order to be disposed of according to the method prescribed. The batterys materials can be recycled. l The ventilator is made mainly of metals, which should be recycled at the end of the machines life. Electronic scrap should be disposed of in accordance with local regulations.

l The machine contains electric components which generate electric and magnetic radiation. Radiation intensity is tested in accordance with EN 55011 for electromagnetic compatibility. Noise emission is below 55 dB(A).

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8.0
l

PLANNED MAINTENANCE ROUTINES


8.1 SIX MONTHLY PERFORMANCE CHECK
Equipment required: Test Flow/Pressure Analyser (Timeter RT 200 or Respiral T300 or similar) Multimeter (voltage measurement up to 20 volts) Double-lumen tubing set (complete with Luer connectors) 1 metre 22 mm tubing.

8.1.1 Visual Check


l l

Examine the ventilator and its associated accessories as follows: Check the casing for signs of damage - particularly the front and rear panels. Examine the display panel for damage to the display and the keypads. (The keypads are vulnerable to operation with hard instruments (e.g. pens) which can pierce the outer membrane.) Check the rotary control wheel turns freely and can pressed inwards to operate the switch. Check that the sensor connectors are secure in the front panel. Check the rear panel for damage to the mains power connector and fuse holders. Check that the correct fuses are fitted and that the warning label is intact and legible. Check the condition of all accessories. (Although the Bag-and Bottle assembly is part of the anaesthesia machine, it is sensible to include it in the ventilator checks). Check that the bellows is in good condition and that the bellows chamber is undamaged and correctly fitted. Test the mechanical operation of the pressure-limiting valve. Check that all tubing is in good condition and does not have kinks, cuts or crush damage. Pay particular attention to the condition of the tubing connectors. Check the absorber assembly for damage. Ensure that components are correctly assembled and all connectors are undamaged. Examine the APL valve - ensuring that it can be set through its full range. Check that all included sensors and adaptors are in good condition and that their connectors are undamaged. Carefully examine the small-bore sensor tubing for damage. Check that the KESTREL Operators Manual is kept near to the ventilator and that it is in good condition. Check that it is the latest issue. NOTE The latest issue of the KESTREL V5 Operators Manual at 1st September, 2001 is as follows: Anmedic Tech. Pub, MO125EA1 (2001).

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KESTREL (v.40 & 5) Ventilator

8.1.2
l

Electrical Safety Check


This should be carried out at the same time as the Electrical Safety Check for the FALCON anaesthesia machine; of which it is an electrically integral part. The check entails testing the continuity of the earthing arrangements and insulation. Details for this check are contained in the FALCON MAINTENANCE MANUAL, Anmedic Tech. Pub. 0041-113 4th Edition 2001.

8.1.3 Functional Safety Check


l

First carry out the full T1 TEST, as described in Section 5.2, onwards. With the T1 Test completed; it is necessary to enter the Calibration Mode in order to check the ventilator calibration parameters. This mode is accessed after the ventilator has been switched on and the madatory part of the T1 test completed. At this point the message Connect Y piece to T-1 adaptor will appear. The key combination Tidal Vol, BPM and Insp Flow should be pressed simultaneously in order to access the calibration mode.

Fit Y piece to T1 adaptor

Selecting Calibration Mode


<ETR>

PP + 0,0 PBD + 0,6

The display above will appear on the ventilator with five pieces of active data that are viewed and adjusted during the calibration (Note that the actual values will vary from those shown above).

SensFlow Offset 500

+ 0.5 500

Freshgas 0,0

The ventilator pressure transducers can be terminally damaged by pressures in excess of 70 hPa (SIMV version) or 100 hPa (non-SIMV version). In normal use the microprocessor protects the transducer from excess pressure, but this safeguard is removed while in the Calibration Mode. The maximum pressure that can be displayed is 72 hPa (SIMV) or 92 hPa (nonSIMV) pressures greater than this can be entered - but WILL NOT BE DISPLAYED. Extreme care must be taken not to exceed a pressure of 70 hPa (SIMV) or 90 hPa (non-SIMV) while in the Hardware Compensation Program.

WARNING (Calibration Mode)

Tech Pub. 0041-130

3rd Ed. (2001)

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KESTREL (v.40 & 5) Ventilator

Maintenance Manual

DISPLAY
0.3 Lpm 4.0 Lpm 10.0 Lpm

Calibration Mode parameters

FRESHGAS

TOLERANCE
+/- 0.1 Lpm +/- 0.5 Lpm +/- 1.0 Lpm

OFFSET/BELLOWS Offset 500 500 Bellows 25 Lpm 40 Lpm SENSFLOW 0.0 Lpm 20.0 Lpm 30.0 Lpm PP/PBD 0.0 mBar 75.0 mBar l +/- 0.1mBar +/- 2.0mBar +/- 1.0 Lpm +/- 1.0 Lpm +/- 1.0 Lpm +/- 10.0 mV +/-10.0 mV +/- 2.0 Lpm +/- 3.0 Lpm

If a parameter tolerance is exceeded; the ventilator must be re-calibrated in accordance with the instructions in 12 MONTHLY Calibration and Standard Service. The 6 MONTHLY CALIBRATION CHECKS are now completed. Restore the ventilator to normal operating state (press HIGH PRESSURE to exit program). Carry out the T1 Test. If the T1 Test is satisfactory; switch off the ventilator, close the anaesthesia machine gas supply and isolate the anaesthesia machine from the mains power supply.

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KESTREL (v.40 & 5) Ventilator

8.2 TWELVE-MONTHLY CALIBRATION & STANDARD SERVICE


l Equipment required: Test Flow/Pressure Analyser (Timemeter RT 200, Respiral T300 or similar) Double lumen tubing (for SIMV version) 1 metre 22mm tubing Inflation bulb (Sphygmo type) Service Kit - Anmedic Part No. 8857-700 Preparation: Carry out the following procedures: 8.2.1 Visual Check (SIMV & non-SIMV) Carry out the visual examination of the ventilator in accordance with the instructions provided for the (SIX MONTHLY PERFORMANCE CHECK 8.1.1) Electrical Safety Check (SIMV & non-SIMV) Carry out the Electrical Safety Check in accordance with the instructions provided for the (SIX MONTHLY PERFORMANCE CHECK 8.1.2) 8.2.3 8.2.3.(1) 8.2.3.(2) 8.2.3.(3) 8.2.3.(4) 8.2.3.(5) 8.2.3.(6) CALIBRATION The calibration procedures are as follows: Entering the Calibration Mode Fresh Gas Flowsensor Calibration (Fresh) Bellows Drive Flow (Offset/Bellows) SIMV Flowsensor (SensFlow) Pressure Relief Valve Pressure Sensors

8.2.2

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Maintenance Manual

8.2.3.

(1) Entering the Calibration Mode

Note To gain access to the potentiometers (to make adjustments to the calibration settings) it is necessary to remove the top cover of the ventilator. This is secured with five screws. The process of calibration requires the ventilator to be set into a special mode that displays active output signals from the pressure and flow transducers. This mode is accessed after the ventilator has been switched on and the mandatory part of the T1 test completed. At this point the message Fit Y piece to T-1 adaptor will appear. The key combination Tidal Vol, BPM and Insp Flow should be pressed simultaneously in order to access the calibration mode.

Selecting Calibration Mode


<ETR>

Fit Y piece to T1 adaptor

PP + 0,0 PBD + 0,6

SensFlow + 0.5 Offset 500 500

Freshgas 0,0

The display above will appear on the ventilator with five pieces of active data that are viewed and adjusted during the calibration (Note that the actual values will vary from those shown above). l PP Output from transducer P1 measuring Patient Pressure from the T piece connector normally positioned in the expiration limb of the patient circuit. During ventilation the output from this transducer is used to display pressure on the bargraph. PBD Output from transducer P2 measuring the Pressure in the Bellows Drive circuit of the ventilator. This measurement is used for the System Pressure alarm. SensFlow Output from the differential transducer P4. The two pressure signals applied to this transducer are produced in the SIMV flowsensor that is positioned in the patient circuit at the base of the BiB.

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Maintenance Manual l

KESTREL (v.40 & 5) Ventilator

Offset Two numbers appear in the display that are relative to voltages applied to the two proportional valves when they are fully closed. The proportional valves control the flow of drive gas into the ventilator. The drive gas is used to compress the bellows and deliver a controlled tidal volume to the patient. Each of the propor tional valves controls a range of flows. The ranges are from 0 to 25 Lpm and 26 to 90 Lpm. Two operational amplifiers are used to drive the valves. If the control wheel is rotated the message Offset changes to Bellows and a number will appear that indicates the flow of drive gas in Litres per minute that is being driven into the bellows chamber. The flowrate that is being driven is calculated from information from differential transducer P3. Freshgas Output from the hot-wire transducer positioned behind the flowtubes of the anaesthetic machine. This is a combined flow measurement and amplifica tion device that measure the flow of fresh gas being delivered from the flowmeter bank. The ventilator receives an electrical signal from the sensor via connector X3 pins 5 and 4.

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3rd Ed. (2001)

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Maintenance Manual

8.2.3. (2) Fresh Gas Flowsensor


Special Tools l Voltmeter accurate to <1 mVolt

( Fresh )

Locate l Connector X3 pins 4 (-ve) and 6(+ve) l Potentiometer R145 l Potentiometer R52 for version 40.x - R62 for version 5.x 1. Ensure that the flow of fresh gas is set to zero (gas switch in off or Air only position and control valves closed) 2. Open the CGO 3. Measure voltage at X3 pins 4 and 6 and use R 145 to set the value to 10.00 volts (0.00) 4. Adjust R52 until Fresh = 0.0 ( 0 ). 5. Set a flow of oxygen on the flowmeter of 4 Lpm and check that Fresh = 4.0 Lpm ( 0.5 Lpm) 6. Set a flow of oxygen on the flowmeter of 10 Lpm and check that Fresh = 10.0 Lpm ( 1.0 Lpm) 7. Set a flow of oxygen on the flowmeter of 0.3 Lpm (Basal Flow)and check that Fresh = 0.3 Lpm ( 0.1 Lpm)

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KESTREL (v.40 & 5) Ventilator

8.2.3. (3)Bellows Drive Flow


Special Tool Requirements l

[Offset / Bellows]

Flow measurement device for oxygen and air upto 90 Lpm (Timeter RT 200

Locate l Potentiometer R24 l Potentiometer R26 l Potentiometer R34 l Potentiometer R36 l Bellows drive outlet from the ventilator Set up the ventilator as follows 1. Gain access to the left side of the ventilator by removing the left top side cover of the anaesthesia unit. 2. Remove bellows drive hose from the ventilator (leaving the connector in place). 3. Connect a suitable length of hose from the bellows drive outlet to the RT200 flow port.(high range) 4. Set RT200 to measure a flow upto 90 Lpm of Oxygen (for ventilators with Oxy gen drive) or Air (for ventilators with Air drive). 5. Rotate the control wheel on the ventilator until Offset xxx xxx appears 6. Adjust R36 until the left 500 value = 500 (10 mV). 7. Adjust R26 until the right 500 value = 500 (10 mV). 8. Rotate the control wheel on the ventilator until Bellows 40 appears. 9. Check RT 200 reading for a flow of 40 Lpm ( 2 Lpm). 10. Adjust R34 until RT 200 dispaly shows 40 Lpm ( 2 Lpm) if necessary 11. Rotate the control wheel on the ventilator until Bellows 25 appears. 12. Adjust R24 until RT 200 display shows 25 Lpm ( 2 Lpm) if necessary. 13. Set control wheel for the following values Bellows 10, 25, 26, 44, 45 and 70 and check the RT 200 for a flow of 5% 14. Set control wheel to Offset 500 500 and re-check thatthe values are still 500 10mV. If adjustment is necessary follow points 5, 6, 7 and then point 13.

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3rd Ed. (2001)

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8.2.3. (4)

SIMV Flowsensor

KESTREL (v.40 & 5) Ventilator

[SensFlow]

Maintenance Manual

Locate l Potentiometer R40 l Potentiometer R42 l Bellows drive outlet from the ventilator Set up the ventilator as follows NOTE: Make sure the bellows drive hose is connected to the ventilator. 1. Remove the bellows from the bellows chamber and then refit the chamber. 2. Ensure the SIMV flow sensor is fitted correctly and all connections are good. 3. Set display to Offset 500 500 position. 4. Adjust R40 so that SensFlow = 0.0 ( 1 Lpm) 5. Set Bellows 30. 6. Adjust R42 so that SensFlow + 30 ( 1 Lpm) is displayed. 7. Set control wheel for the following values and check the SensFlow reading for 1 Lpm Bellows 10, 20 and 40 8. Set display to Offset 500 500 position.

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Tech Pub. 0041-130 3rd Ed. (2001)

8.2.3.

Maintenance Manual

(5) Pressure Relief Valve

KESTREL (v.40 & 5) Ventilator

Special Tools: Long nose pliers Pressure meter to measure up to 100 mBar Locate l Over pressure valve on the ventilator l Bellows drive outlet from the ventilator 1. Gain access to the left side of the ventilator by removing the left top side cover of the anaesthesia unit. 2. Remove bellows drive hose from the ventilator (leaving the connector in place) number 3 in Figure 1 below. 3. Fit the pressure meter to the connector in the Bellows drive outlet of the ventilator 4. Adjust the control wheel for Bellows 1 and allow the pressure to rise and stop. 5. Adjust the control wheel for Bellows 5 6. Adjust the relief valve so that the pressure meter reads 75 ( 2 mBar) l Clockwise to increase and counter clockwise to reduce. 7. Set Offset 500 500 Refit Bellows drive hose to ventilator.

Fig.1 - Side view of Kestrel Tech Pub. 0041-130 3rd Ed. (2001) 8-10

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

8.2.3. (6)
Special Tools

Pressure Sensors

(PP/PBD)

Pressure measurement device to measure upto 100 hPa Locate l l l l l Potentiometer R4 Potentiometer R6 Potentiometer R14 Potentiometer R16 Patient pressure sensor T piece

1. Remove the SIMV flowsensor from the BiB 2. Fit the Sensor T piece to the BiB 3. Adjust R6 so that PP=0.0(+/-0.1 hPa) 4. Adjust R16 so that PBD=0.0(+/-0.1 hPa) 5. Onto to the end of the T piece connector fit the pressure meter 6. Set bellows 5 and wait for the pressure to rise to approximately 75 hPa 7. Check pressure reading on pressure meter 8. Adjust R4 so that PP= the same reading at the pressure meter 9. Adjust R14 so that PBD = the same reading at the pressure meter Set Offset 500 500 and re-check the zero values

To return to normal mode press High Pressure or key number 7

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Maintenance Manual

REPAIR & REPLACEMENT PROCEDURES


9.1
9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 9.10 9.11 9.12 9.13 9.14 9.15 9.16 9.17 9.18

PROCEDURES
Removing the Kestrel Ventilator from the Anaesthesia Machine Replacing the Flowsensor Replacing the Flowsensor Cable Removing the Battery (Accumulator) Adjusting the Battery (Accumulator) Charge Voltage Replacing the Main PCB Replacing the Front Panel & Display PCB Replacing the Display Module Replacing the Ventilation Fan Replacing the Warning Buzzer & PCB Adjusting the Warning Buzzer Replacing the Oxygen Solenoid Valve (O2 Drive-gas only) Service and Removal of the Peep and Expiration Valve Replacing the Filter and O-ring Seals Replacing Silicon Tubing Replacing BAG/VENT Switch Membrane Replacement Parts Spares List

9-1

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Maintenance Manual

KESTREL (v.40 & 5) Ventilator

9.2

REMOVING THE KESTREL VENTILATOR FROM THE ANAESTHESIA MACHINE

Procedure: 1. Switch off mains and gas supplies 2. Remove left top panel of Falcon 3. Remove the two green electrical connectors from the ventilator ( See 1 and 2 Fig 1) l Note that both connectors are the same and must not be cross fitted. Mark the connectors in order to replace them in the correct position, or locate the cables on the drawing of the main board 4. Remove the large drive gas hose 5. Remove the two small clear tubes from the barbed connectors of the ventialtor. l Number 5 and 4 on the drawing below 6. Remove the top tray on top of the ventilator 7. Remove the cables from the rear of the ventilator l 1 x mains lead l 1 x heater cable for SIMV sensor l 2 x luer fittings for SIMV sensors 8. Remove the presure sensor line from the front of the ventilator. 9. Remove the ventilator from the Falcon and move it to a suitable area.

Figure 1 - Side view of Kestrel Tech Pub. 0041-130 3rd Ed. (2001) 9-2

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Anmedic

Dameca

(see Figure 3 for SIMV connections)

Figure 2 - Ventilator Connections

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Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Anmedic

Dameca

O R

Figure 3 - Ventilator Connections

SIMV connections

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3rd Ed. (2001)

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Maintenance Manual

10

11 1

2 8

12 7 6 1 2 3 4 5 6 Filter Retaining Device (see figure 13 for component breakdown) Outlet 22 mm Connector Tubing Connectors Bag/Vent Solenoid Valve Tubing connections 7 8 9 10 11 12 4 5 3

Pressure Regulator Valve Proportional Valves PEEP Valve Body Diaphragm Membrane PEEP Valve Top Manifold Block

Figure 4 - Component Layout (Manifold)


9-5 Tech Pub. 0041-130 3rd Ed. (2001)

See Section 9-18 for Part Numbers

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

2 3

1 2

Front Panel Main PCB

3 4

Manifold Block Assembly Rear Panel

Figure 5 - Pneumatic Tubing Connections

See Section 9-18 for Part Numbers

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3rd Ed. (2001)

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KESTREL (v.40 & 5) Ventilator 1

Maintenance Manual

3 11

10

9 7 8 1 2 3 4 5 6

Top cover 7 Mains Transformer Fuses 8 Pneumatic manifold assembly Main PCB 9 Bottom cover Rear Panel assembly 10 Front panel Battery (Accumulator) 11 Control PCB Chassis See Section 9-18 for Part Numbers

9-7

Figure 6 - Component Layout


Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

6 5

2 4 3

1 2 3 4

Pressure Limiting Valve 5 Mains inlet connector Fan assembly with Optical 6 Fuses surveillance 7 Hose adaptor (limit valve) Acoustic Alarm Assembly 8 Hose adaptor (exhaust) 2/2 Solenoid Valve See Section 9-18 for Part Numbers

Figure 7 - Component Layout Rear Panel


Tech Pub. 0041-130 3rd Ed. (2001) 9-8

9.3

REPLACING THE FRESH GAS FLOWSENSOR

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Replace the Flowsensor

Replacement part number : see section 9-18 Procedure: (see Figure 8) 1. 2. 3. 4. 5. 6. Switch off the anaesthesia machine and isolate the mains power. Unplug the mains power connector at the ventilator. Disconnect pipelines and/or gas cylinders, and de-pressurise the machine. Open the rear cover of the machine gasbox. Locate the flowsensor (at the rear of the flowmeters). Remove the screened cable from the body of the flowsensor (plug connector) and make sure to note orientation. 7. Disconnect both the top and bottom tubing connectors from the machine tubing and withdraw the flowsensor complete with the 'banjo' connectors. 8. Fit the replacement flowsensor to the machine tubing - ensuring that the tubing is pushed completely into the connectors. 9. Refit the screened cable connector. 10. Re-calibrate. 11. Replace the gasbox rear cover and carry out the T1 Test of the ventilator.

9.4

Replacement part number : see section 9-18

REPLACING THE FLOWSENSOR SCREENED CABLE

Procedure: 1. Switch off the anaesthesia machine and isolate the mains power. 2. Unplug the mains power connector at the ventilator. 3. Disconnect pipelines and/or gas cylinders) and de-pressurise the machine. 4. Remove the bellows chamber to gain access to the top sidepanel of the L.H. sideleg and remove the panel. (On early models, the T1 hose must be removed from the T1 test adaptor which is fitted to the sidepanel). 5. Open the rear cover of the machine gasbox. With the sidepanel removed, the ventilator connector blocks can be seen (see fig 1, section 9.2). 6. Locate and remove the connector block containing the screened flowsensor cable (see item 2, fig 1). (If the ventilator is driven by oxygen; the oxygen solenoid is connected into the same connector block - in this case it will be necessary to transfer the oxygen solenoid leads to the new connector block which is supplied with the replacement screened sensor cable). 7. Remove the cable from the flowsensor (plug connection), fit the new cable and fit the connector block to the ventilator. 8. Replace the gasbox rear cover and the sideleg cover, and carry out the T1 Test. 9-9 Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Flowsensor

Figure 8 Ventilator Flowsensor (located at rear of Flowmeter Block)

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9-10

9.5

REMOVING or REPLACING THE BATTERY

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Replacement part number: see section 9-18 The 12 volt sealed lead acid battery is located inside the chassis of the ventilator and access is gained by removing the lower cover of the ventilator. Information The battery is changed on defect. The battery is rated at 2.6 Ah The charging voltage is 13.7 volts When fully charged the battery will power the ventilator for 30 minutes The charge time for a discharged battery is 12-14 hours When battery voltage drops to approximately 11 volts the battery discharged alarm will be raised WARNING If the Battery is left to deep discharge it will be permanently damaged. To prevent this, acknowledge the ventilator error message and action it. (See section 4.3 page 4-4 for further details also, diagrams page 12.4 & 12.5) Observe anti-static precautions.

Special Tools No special tools are required

Locate Connections on the left side of the ventilator 1. 2. 3. 4. 5. 6. Procedure: Remove the ventilator from the anaesthesia machine Full instructions are in the section Removing the Kestrel ventilator from the anaesthesia machine (9.2). Remove the five screws securing the lower cover. Locate the battery and remove both terminals. Remove the plug connector for the control wheel. Unscrew the two thumb wheel screws that secure the battery. Remove the battery. When fitting a battery follow these instructions in reverse ensuring that after refitting the ventilator that the battery is allowed to charge for a period of one hour. Observe anti-static precautions. Procedure: With the ventilator top cover removed: Remove battery leads from terminals X1(3) and X1(4) Monitor the voltage accross terminals X1(3) and X1(4) and adjust R111 until the reading is 13.7 volts. Refit the ventilator top cover. Tech Pub. 0041-130 3rd Ed. (2001)

9.6
1. 2. 3. 4. 9-11

ADJUSTING THE BATTERY CHARGE VOLTAGE

9.7

Maintenance Manual

Information: The main PCB controls the valve and motor functions of the ventilator. It is located in the top half of the ventilator and access is gained through removing the top cover of the ventilator casing. All calibration adjustments are carried out on this board. The main PCB is connected to the front PCB via a serial interface. Other internal valves are connected via connectors X1 and X4. External services are connected via connectors X2 and X3. Special Tools: Anti-Static mat and wrist strap Locate: Connectors X1,X2,X3,X4,X6 Pressure Transducers P1,P2,P3 Offset Valves 1 and 2 Procedure: (for removal) 1. Remove the ventilator from the anaesthesia machine in accordance with the instructions in Section 9.2. 2. Observe anti-static precautions. 3. Remove the five screws that secure the top cover and lift it off. 4. Locate the connectors (stated above). 5. Remove the connectors starting with connector XI. 6. Locate the silicone tubing that is connected to the pressure transducers and the offset valves. 7. Mark the tubing or note its position for re-assembly. 8. Remove the tubing that is connected to P1, P2, P3 and the input tubing that is connected to the offset valves 1& 2. 9. Locate the six nuts that locate the main board onto the chassis and remove them along with the spring washers. 10. Carefully lift the main PCB away from the chassis. Ensure that the spacers on the six studs remain in place. These stop the electrical soldered connections coming into contact withg the chassis. Procedure: (fitting the Main PCB) 1. Follow the removal instructions in reverse. 2. Once the Main PCB is fitted and the connections re-made refit the ventilator onto the anaesthesia machine. 3. Calibrate the Kestrel (see calibration section). 4. Carry out a T1 Test. 5. Refit the top cover. 6. Refit any shelving and equipment that has been removed. Tech Pub. 0041-130 3rd Ed. (2001)

REPLACING THE MAIN PCB

KESTREL (v.40 & 5) Ventilator

9-12

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

9.8

REPLACING THE FRONT PANEL & DISPLAY PCB

Procedure: 1. Remove the ventilator from the anaesthesia machine in accordance with the instructions in Section 9.2. 2. Observe anti-static precautions. 3. Remove the 10 securing-screws from the sides of the ventilator to remove the two halves of the ventilator case. 4. Disconnect the ribbon cable at the main PCB. (X5) 5. Pull off all tubing connections. (According to version, these will include the tubing to the T1 adaptor and 1 to 4 silicon tubes - mark the tubes before removing them). 6. Remove the 4 x long M 5.5 hexagon nuts securing the front panel and remove the panel from the chassis. 7. Remove the EPROM (carries Version identification) from the PCB of the front panel and fit it to the replacement panel. 8.. Fit the replacement panel to the chassis and secure it with the 4 x long M 5.5 hexagon nuts. 9. Reconnect the ribbon cable to the main PCB. 10. Replace the tubing to the T1 adaptor and the silicon tubing to the front connectors. 11. Replace the ventilator covers and secure them with the 10 securing-screws. 12. Refit the ventilator to the anaesthesia machine and carry out the T1 Test.

9.9

REPLACING THE DISPLAY MODULE

Replacement part number: see section 9-18 With the front panel removed, as described above: 1. 2. 3. 4. Procedure: Disconnect the ribbon cable at the PCB. Remove the 4 x M 5.5 nuts and washers, rotate the 12 x turn securing tabs and remove the display from the panel. (The 4 x screws are fitted with insulating-spacers below the display). Fit the new display - ensuring the insulating-spacers are in place. Secure with the 4 x M 5.5 nuts and washers and the securing-tabs.

9-13

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

9.10

Replacement part number: see section 9-18 With the ventilator removed from the anaesthesia machine in accordance with the instructions in Section 9.2. Procedure: 1. Observe anti-static precautions. 2. Remove the 10 securing-screws from the sides of the ventilator to remove the two halves of the ventilator case. 3. Disconnect the fan supply from the main PCB connector block and cut the cable-tie holding the 2 x leads into the loom. 4. Remove the 4 x M3 screws, nuts and washers securing the fan and remove the fan from the rear panel. 5. Fit the replacement fan into place and secure it with the 4 x M3 screws, nuts and washers. 6. Connect the supply leads to the main PCB connector block and supply a new cable-tie to secure the leads into the loom. 7. Replace the ventilator covers and secure them with the 10 securing-screws. 8. Supply power and check that the fan runs in the correct direction. 9. Refit the ventilator to the anaesthesia machine and carry out the T1 Test volume adjustment blanking plate warning buzzer connections for ventilator fan identification label SIMV tubing

REPLACING THE VENTILATION FAN

mains connector and fuses

drive overpressure valve

drive circuit exhaust

Electrical connection for SIMV heater

Figure 9 - Rear Panel Components


Tech Pub. 0041-130 3rd Ed. (2001) 9-14

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

9.11

REPLACING THE WARNING BUZZER & PCB (Acoustic Alarm)

Replacement part number: see section 9-18 With the ventilator removed from the anaesthesia machine in accordance with the instructions in Section 9.2. Observe anti-static precautions. Remove the 10 securing-screws from the sides of the ventilator to remove the two halves of the ventilator case. 3. Remove the buzzer/PCB supply leads from the main PCB connector block. Cut the cable tie if necessary. 4. Unscrew and remove the 2 x securing-screws from the PCB (access to the inner screw is limited but it can be reached with a flexible driver). 5. Remove the warning buzzer circuit PCB, complete with the buzzer, from the chassis. Take care not to lose the 2 x insulating spacers fitted beneath the assembly. 6. Fit the replacement assembly and the insulating spacers - ensuring that the buzzer volume adjusting potentiometer is aligned with its access hole and the potentiometer is adjusted fully. 7. Tighten the 2 x securing-screws. 8. Connect the leads to the connector block on the main PCB, and fit a new cable tie. 9. Replace the ventilator covers and secure them with the 10 securing-screws. 10. Refit the ventilator to the anaesthesia machine and carry out the T1 Test. 1. 2.

9-15

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

9.12
1. 2. 3.

ADJUSTING THE WARNING BUZZER


Procedure: Identify the small aperture immediately above the warning buzzer at the rear of the ventilator case. The volume adjusting potentiometer is visible through this aper ture. Switch the ventilator ON and adjust the controls to produce a WARNING situation (i.e. induce an ALARM). Use a small screwdriver to adjust the potentiometer until the maximum volume is reached. Rear Panel Components: Identification label Blanking plate Ventilator fan Warning buzzer Volume adjustment

Connections for SIMV tubing Mains connector Drive overpressure valve Drive circuit exhaust Electrical connection for SIMV heater

volume adjustment warning buzzer blanking plate connections for ventilator fan identification label SIMV tubing

mains connector and fuses

drive overpressure valve

drive circuit exhaust

Electrical connection for SIMV heater

Figure 10 - Rear Panel Components


Tech Pub. 0041-130 3rd Ed. (2001) 9-16

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

9.13

REPLACING THE OXYGEN SOLENOID (O2 DRIVE-GAS ONLY)

Replacement part number: see section9-18 Description: When oxygen is the the specified driving-gas for the ventilator; a solenoid-valve is fitted into the drive-gas supply at the anaesthesia machine.The valve is a safety device, whose purpose is to ensure that oxygen is fed to the ventilator drive circuit only when electrical power is available at the ventilator and the ventilator is switched ON. Procedure: (see figure 10 - Ventilator Connections) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Isolate the anaesthesia machine from the mains electrical power supply. Turn off gas-bottles/remove pipelines, and de-pressurise the machine. Remove the bellows chamber. Undo the securing-screws and remove the LH top cover-plate from the sideleg. Identify the oxygen solenoid valve. It is fitted into the line feeding the Oxygen auxiliary outlet and has a black lead connecting the solenoid to the ventilator. (Connector X2). Unplug the connector from the ventilator and disconnect the 2 x leads from their terminals. Release the solenoid valve assembly from the plastic tubing (push-inconnectors) and remove the assembly complete. (The assembly consists of the pneumatic valve, electrical connector and lead, and the tubing push-inconnectors). Using a suitable spanner; remove the tubing connectors and fit them to the replacement solenoid valve assembly. Fit the replacement solenoid valve assembly to the plastic tubing. Ensure that the ends of the tubing are not damaged and that they are each fully inserted into their push-in connectors. Feed the electrical lead to the ventilator connector X2, and connect the leads into the terminals - red lead to terminal (1), black lead to terminal (2). Reconnect the connector to the ventilator connector block. Supply oxygen to the anaesthesia machine, put the control switch to an O2 position and check the replacement assembly for leaks. When satisfied that the assembly is gas-tight; replace and secure the side panel and the bellows chamber. Supply mains power to the ventilator and carry out the T1 Test.

9-17

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Oxygen Solenoid
#POGFKE



Figure 11 - Ventilator Connections O2 Drive

Tech Pub. 0041-130

3rd Ed. (2001)

9-18

9.14

SERVICE AND REMOVAL OF THE PEEP AND EXPIRATION VALVE

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Replacement part numbers: see section 9-18 Information: The Peep valve is attached to the pneumatic manifold block. To gain access to the Peep valve it is necessary to remove the ventilator from the anaesthesia unit and gain access to the internal components by removing the lower cover of the ventilator. The Peep valve is serviced once per year. The valve has two functions: To control the level of PEEP in the patient circuit above 3hPa To control the flow in the patient circuit during expiration.

Special Tools: A tool suitable for levering that will not damage plastic. Locate: PEEP and expiration valve

Procedure (Servicing): 1. Remove the ventilator from the anaesthesia machine in accordance with the in structions in Section 9.2. 2. Turn the ventilator over and remove the five screws that secure the lower cover. 3. Remove the straddle clip that is secured with two nuts. 4. Move the valve away from the pneumatic block but no further. The valve has a taper fit and will normally require some force to dislodge it. Be extremely careful and ensure the plastic is not damaged. A slight twisting action can help with removing the valve. 5. Detach the front plastic section from the motor drive. The plastic section is re moved by twisting the two parts counter clockwise for approximately 1/3 of a turn. The fitting is of the bayonet type. 6. Remove the silicone membrane from the plastic section taking note of how it is fitted. 7. Fit a new membrane. 8. Refit the plastic section. Note that there are three lugs that engage on the motor section. One of these is larger than the other two. Ensure that it is fitted in the correct position. 9. Refit the valve into the pneumatic block ensuring the hose connection is lying as flat as possible. Ensure the taper is engaged so a gas tight seal is created. 10. Refit the saddle clamp and the two nuts. Do not over-tighten the saddle clamp nuts as damage to the valve can result.

9-19

Tech Pub. 0041-130 3rd Ed. (2001)

9.14

(continued) Procedure (Removal): Locate: Connector X4 pins 9 (+ve) and 10 (-ve) PEEP valve 1. 2. 3. 4. 5. 6. With ventilator removed from the anaesthesia machine, remove both the upper and lower covers of the ventilator. Locate connector X4 pins 9 and 10. Remove the two wires and feed the wires through the chassis towards the valve. Remove the two nuts that secure the saddle clamp. Move the valve away from the pneumatic block This may require some force as the fitting is a taper. If you use a lever ensure no damage occurs to the plastic part of the valve. A twisting motion may help the removal. Remove the 22mm hose from the plastic section of the valve. Remove the valve from the ventilator. Refitting is carried out by following the above instructions in reverse.

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Refitting:

Testing: Once the valve has been successfully fitted, the ventilator must be refitted to the anaesthesia machine with the top cover still removed. 1. Calibrate the ventilator (see Calibration section) 2. Run a T1 test. 3. Run the ventilator (using a suitable test lung) and input various PEEP values. With each value that is set ensure that the PEEP pressure displayed on the bar graph is correct within +/- 1 hPa after 2 breaths. 4. Refit the top cover of the ventilator. 5. Prepare the ventilator and anaesthesia machine (in accordance with the manufacturers instructions) so that it is ready for clinical use.

Clear plastic valve top

Diaphragm membrane Clamp

Valve stem & nipple

PEEP Valve

Figure 12 - The PEEP Valve Membrane


Tech Pub. 0041-130 3rd Ed. (2001) 9-20

9.15
Description:

REPLACING THE FILTER & O-RING SEALS

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Replacement part number: see section 9-18

The sintered-metal filter is fitted into the manifold block and is held in place by the housing of the Negative-pressure Relief Valve - which is sealed by an O-ring seal. The assembly is retained in the bore of the manifold block by a threaded insert. 1. 2. 3. 4. 5. 6. 7. 8. Procedure: Unscrew and remove the threaded nylon insert from the end of the manifold block. Insert a soft instrument into the manifold connector and push out the black, plastic Negative-pressure Relief Valve assembly. Remove and discard the O-ring seal. Turn the ventilator onto its side and shake out the disc-shaped, sintered-metal filter. Discard the filter. Drop the replacement filter into the bore of the manifold block. Smear the replacement O-ring with the minimal amount of Fomblin grease and fit it to the recess in the end of the valve assembly. Carefully refit the valve assembly - ensuring that the relief valve disc is horizontal and facing upwards. Fit the threaded nylon insert and tighten it to secure the valve assembly. On completion of the maintenance carry out the T1 Test.

Pneumatic manifold

Filter retaining device (shape may vary between models)

2 x O-Ring seal p/n. 8857-014 Filter/Drive Gas Flow Sensor p/n. 8857-016

Figure 13 - Filter and O-Ring Assembly


9-21 Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

9.16

REPLACING SILICONE TUBING

WARNING When fitting tubing to push-on connectors it is important not to grip the tubing so tightly that the tubing is crushed and occluded. The pressure generated by pushing a dead-ended tube onto a pressure transducer can easily destroy the transducer. CAUTION The silicone tubing set provided is sufficient to re-tube one ventilator. It is very important that the tubes are not crossed during replacement and that the connections are correctly made. It is recommended that before the original tubes are removed, each end of the same tube is marked so that the lines can be traced from connection to connection.

Procedure: With the ventilator removed from the anaesthesia machine as described in Section 9.2; and the ventilator case removed: Refer to Diagrams - Tubing Connections. 1. 2. 3. 4. 5. Prepare the tubes for removal by first using a soft, lead pencil to mark the opposite ends of the same tube. Take care not to cross tubes when marking the ends of the double-lumen set. Using a soft, lead pencil, carefully mark the ends of the replacement tubes. Take great care not to press too hard on the tubing because it is very soft and the ends must not be damaged. Working one tube at a time, remove the tube and fit the replacement tube(s). Recheck the newly installed tubes to ensure that the connections are good and that the tubes run smoothly without sharp bends or kinks. Replace the cover; refit the ventilator to the anaesthesia machine and carry out the T1 Test.

Tech Pub. 0041-130

3rd Ed. (2001)

9-22

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

9.17

REPLACING THE BAG/VENT SWITCH MEMBRANE


NOTE The membrane fitted to the Bag/Vent Switch is identical to that fitted in the ventilator PEEP Valve.

Procedure:
1. 2. 3. 4. 5. 6. Remove the Bag/Vent Switch from the patient circuit. Hold the body of the switch; grasp the cap of the switch firmly and unscrew it from the switch body. Remove the silicone membrane from its recess machined in the outer circumference of the switch body. (The end of the valve-stem is now revealed). Fit the replacement membrane from the Service Kit - ensuring that it is the correct way round (with the cup and corrugations facing outward) and that the edge is secure in the recess. Refit the cap to the switch body and tighten firmly by hand. Replace the switch in the circuit and carry out the T1 Test.

Switch Body (contains valve)

Switch Cap

Membrane Disc (dimple faces valve stem)

Figure 14 - The Bag/Vent Switch Membrane


(Remote version)

9-23

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

9.18

REPLACEMENT PARTS SPARES LIST

Note: Always quote Serial Number and Software version of ventilator when ordering spare parts.
Description Service Kit 12 Month SIMV Sensor Tube with luer SIMV Sensor assembly SIMV Sensor Wire Mesh SIMV Sensor Lead Heater Cable Display LCD only PEEP Valve assembly complete PEEP valve housing (plastic moulding) Diaphragm Membrane (PEEP & Bag/Vent Switch) Pressure Regulator Valve (Manifold Block) O Ring for Filter Retaining Device (Manifold Block) Filter (Manifold Block) Pressure Limiting Valve Assembly Solenoid Valve 3/2 way Proportional Valves (Manifold Block) Battery (12 V) Fan Assembly with Optical surveillance Acoustic Alarm Assembly (Buzzer) Mains Transformer (115-230V) Common Wheel Rotary Encoder Knob - Common Wheel Solenoid valve (Oxygen) externally fitted Connector for Solenoid valve (8857-201) Fresh Gas Flow Sensor Cable -Fresh Gas Flow Sensor Patient pressure line assembly & T piece Fuses (fitted externally) Part Number 8857-700 8857-022 8863-560 8857-212 8857-213 8857-218 8857-502 8857-219 8842-441 8857-011 8857-014 8857-016 8857-020 8857-207 8857-205 8857-210 8857-503 8857-208 8857-214 8857-216 8857-217 8857-201 8857-202 8857-203 8857-200 8856-751 1450-012

For PCB assemblies please quote serial number and software version.

Tech Pub. 0041-130

3rd Ed. (2001)

9-24

10
10.1

T1 TEST DIAGNOSTIC FLOWCHARTS for version 40.xx

T1 TEST DIAGNOSTIC CHARTS AND ERROR MESSAGES

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 TEST DIAGNOSTIC FLOWCHART

v40

CARRY OUT PRE T1 TEST CHECKS

SWITCH SYSTEM ON

MANDATORY TEST

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Mains voltage/fuse l O2 valve/drive gas l PEEP valve l EPROM versions l Watchdog l RAM

ERROR CODE: l 45MT001 l 45MT002 l l l l 45MT017

10-1

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 TEST DIAGNOSTIC FLOWCHART

v40

USER INSTRUCTIONS

LEAK TEST (t1)

Connect Y-piece to T1 adapter Set bag overpressure valve to 20 hPa <ETR> l Fill bag (e.g.with O2 flush) l Fill bellows (e.g.with O2 flush) l Turn off fresh gas flow l l
PASS TEST

ERROR CODE: l 45LK018 l 45LK019 l l l l 45LK027

NO
ERROR MESSAGE

YES
COMPONENTS CHECKED: l Drive circuit l Patient circuit l Tubing l Pressure relief valve l Driving gas valve l Gas box l Bag/Vent

OPTION

Accept with 1-2-4 buttons

or <ETR>

T1-Test is running

Tech Pub. 0041-130

3rd Ed. (2001)

10-2

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 TEST DIAGNOSTIC FLOWCHART

v40

OVER PRESSURE TEST (t2)

NO
PASS TEST ERROR MESSAGE

YES
COMPONENTS CHECKED: l Drive pressure circuit l Pressure limiting valve l Bag/Vent ERROR CODE: l 45OP028 l 45OP029

10-3

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 TEST DIAGNOSTIC FLOWCHART

v40

USER INSTRUCTIONS

CIRCUIT VOLUME/ FRESH GAS TEST (t3)

l Set 5 l/min fresh gas flow rate l Oxygen or air flow, bellows full <ETR>
PASS TEST

NO
ERROR MESSAGE

YES
CHECKED: l T1- Test adapter l Drive gas flowrate l Flow sensors l Bellows

ERROR CODE: l 45CV030 l l l 45CV036 l 45FG037 l 45FG038

Tech Pub. 0041-130

3rd Ed. (2001)

10-4

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 TEST DIAGNOSTIC FLOWCHART

v40

CIRCUIT COMPLIANCE TEST (t4)

NO
PASS TEST ERROR MESSAGE

YES
CALCULATION OF CIRCUIT COMPLIANCE

ERROR CODE: l l 45CP039 45CP040

10-5

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 TEST DIAGNOSTIC FLOWCHART

v40

SIMV TEST (t5)

ERROR CODE: l 45SM041 l 45SM042 l l l l 45SM047

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Patient flowsensor l Tubing l Offset valves l Sensor heater l Sensor lead l Flow transducer

OPTION

Accept with 1-2-4 buttons

or <ETR>

T1-Test is running

Tech Pub. 0041-130

3rd Ed. (2001)

10-6

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 TEST DIAGNOSTIC FLOWCHART

v40

BAG/VENT SWITCH TEST (t6)

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Solenoid valve l Bag/Vent switch l Switch membrane l APL valve l Bag/Vent regulator

ERROR CODE: l 45BV048 l 45BV049 l 45BV050

10-7

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 TEST DIAGNOSTIC FLOWCHART

v40

BATTERY (ACCUMULATOR) TEST (t7)

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Battery l Battery charge circuit l Fuse l Mains sense

ERROR CODE: l 45AC051 l 45AC052 l 45AC053

Tech Pub. 0041-130

3rd Ed. (2001)

10-8

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 TEST DIAGNOSTIC FLOWCHART

v40

DISPLAY TEST (t8)

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Display LEDs l Operator keys l +5V supply to display PCB l
USER INSTRUCTIONS

ERROR CODE: l l 45DS055 45DS056

Turn off fresh gas flow Perform apparatus pre-use check <ETR> l Disconnect Y-piece Ventilator ready for use

END T1 TEST

10-9

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

10.2

T1 TEST ERROR MESSAGES/CODES for Version 40.xx


CODE 45MT001 45MT002 45MT003 45MT004 45MT005 45MT006 45MT007 45MT008 45MT009 45MT010 45MT011 45MT012 45MT013 45MT014 45MT015 45MT016 45MT017 45LK018 45LK019 45LK020 45LK021 45LK022 45LK023 45LK024 DISPLAY MESSAGE Switch off ventilator Faulty controller and RAM on front - PCB EPROM versions different Watchdog A fault Faulty EPROM on front - PCB Faulty controller and RAM on main - PCB Faulty EPROM on main - PCB O2-valve does not close, sw. machine off Check driving gas, sensor adjustment <ETR> O2 valve does not open Check driving gas, sensor adjustment <ETR> Fan defective Check fan (rear panel) No mains voltage Check mains plug, check fuse Driving gas valve does not open Check bellows drive, and gas valve <ETR> Driving gas valve does not close Check bellows drive, and gas valve <ETR> 2nd driving gas valve does not open Check driving gas valve, electronics <ETR> PEEP valve does not close - or disconnection in driving gas circuit ETR PEEP valve does not open, sw. machine off Check membrane of PEEP valve <ETR> PEEP valve has high resistance sw. machine off, Check PEEP valve membrane Turn off fresh gas flow <ETR> Check fresh gas flow tubes and sensor Leakage 0,5 l/min Accept with 1-2-4 buttons, or <ETR> Leakage 0,6 l/min Accept with 1-2-4 buttons, or <ETR> Leakage 0,7 l/min Accept with 1-2-4 buttons, or <ETR> Leakage 0,8 l/min Accept with 1-2-4 buttons, or <ETR> Leakage 0,9 l/min Accept with 1-2-4 buttons, or <ETR> Leakage - Check bellows full, tubing, Connectors, pressure relief valve <ETR>

(ENTER)

continued... Tech Pub. 0041-130 3rd Ed. (2001) 10-10

10.2 continued... 45LK025 45LK026 45LK027 45OP028 45OP029 45CV030 45CV031 45CV032 45CV033 45CV034 45CV035 45CV036 45FG037 45FG038 45CP039 45CP040 45SM041 45SM042 45SM043 45SM044 45SM045 45SM046

KESTREL (v.40 & 5) Ventilator Bellows drive faulty, pressure high ? Check driving gas valve, fresh gas Pressure reading faulty, sw. machine off Check adjustment of press. sensors Change-over valve is stuck, check tubing No pressure in patient circuit ? Pressure limiting valve < 65 mbar Check adjustment of limiting valve Pressure limiting valve > 85 mbar Check adjustment of limiting valve Turn on 5 l/min fresh gas flow rate (Use oxygen or air) Bellows drive too low Check driving gas pressure Bellows drive too high Fill bellows before testing T1-Test adapter faulty, Pressure <10mBar Check driving gas flowrate T1-Test adapter faulty or obstructed Pressure drop >45mBar, check adapter T1-Test adapter faulty, blocked Pressure >65 mBar, check tubing Bellows drive reading faulty Check adjustment of flow sensors Fresh gas flow too low Check flowmeter Fresh gas flow too high Check flowmeter <10mBar for compliance test pressure not achieved. Check PEEP valve Final pressure 30mBar not obtained Check leakage, bellows drive, volume Include SIMV Mode? Yes 1-2-4 buttons No Patient flow sensor wrongly positioned Check sensor adjustment Offset valve is stuck Switch_off Include SIMV Mode? Yes 1-2-4 buttons No Patient flow too low Check sensor, tubing Patient flow too high Check sensor, tubing <ETR>

Maintenance Manual

<ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR>

<ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR>

continued... 10-11 Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual 10.2 continued... 45SM047 45BV048 45BV049 45BV050 45AC051 45AC052 45AC053 45DS054 45DS055 45DS056

KESTREL (v.40 & 5) Ventilator

Flow sensor heater does not work Check plug, sensor, or replace sensor Bag overpressure valve check, pr.<10mbar Check valve (or bag empty ?) Bag overpressure valve check, pr.>30mbar Check valve Change-over valve is stuck Check membrane and valve-pressure Battery discharged Please wait until charged (20 minutes) Battery out of circuit Check fuse, connectors, main sense Battery overloaded, defective Switch_off Display, LEDs and keys test Keys depressed or faulty Software / Hardware fault Please note down, inform service

<ETR>

<ETR>

<ETR>

Tech Pub. 0041-130

3rd Ed. (2001)

10-12

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

10.3

T1 TEST DIAGNOSTIC FLOWCHARTS for version 5.xx

T1 TEST DIAGNOSTIC FLOWCHART

v5

CARRY OUT PRE T1 TEST CHECKS

SWITCH SYSTEM ON

MANDATORY TEST

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Mains voltage/fuse l O2 valve/drive gas l PEEP valve l EPROM versions l Watchdog l RAM

ERROR CODE: l 05MT001 l 05MT002 l l l l 05MT017

10-13

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 TEST DIAGNOSTIC FLOWCHART

v5

USER INSTRUCTIONS

LEAK TEST (t1)

Connect Y-piece to T1 adapter Set bag overpressure valve to 20 hPa <ETR> l Fill bag (e.g.with O2 flush) l Fill bellows (e.g.with O2 flush) l Turn off fresh gas flow l l
PASS TEST

ERROR CODE: l 05LK018 l 05LK019 l l l l 05LK029

NO
ERROR MESSAGE

YES
COMPONENTS CHECKED: l Drive circuit l Patient circuit l Tubing l Pressure relief valve l Driving gas valve l Gas box l Bag/Vent

OPTION

Accept with silence alarmsbutton or <ETR> DISPLAY MESSAGE T1-Test is running

Tech Pub. 0041-130

3rd Ed. (2001)

10-14

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 TEST DIAGNOSTIC FLOWCHART

v5

OVER PRESSURE TEST (t2)

NO
PASS TEST ERROR MESSAGE

YES
COMPONENTS CHECKED: l Drive pressure circuit l Pressure limiting valve ERROR CODE: l 05OP030 l 05OP031

10-15

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 TEST DIAGNOSTIC FLOWCHART

v5

USER INSTRUCTIONS

CIRCUIT VOLUME/ FRESH GAS TEST (t3)

l Set 5 l/min fresh gas flow rate l Oxygen or air flow, bellows full <ETR>
PASS TEST

NO
ERROR MESSAGE

YES
CHECKED: l T1- Test adapter l Drive gas flowrate l Flow sensors l Bellows

ERROR CODE: l 05CV032 l l l 05CV038 l 05FG039 l 05FG040

Tech Pub. 0041-130

3rd Ed. (2001)

10-16

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 TEST DIAGNOSTIC FLOWCHART

v5

CIRCUIT COMPLIANCE TEST (t4)

NO
PASS TEST ERROR MESSAGE

YES
CALCULATION OF CIRCUIT COMPLIANCE

ERROR CODE: l l 05CP041 05CP042

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Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 TEST DIAGNOSTIC FLOWCHART

v5

SIMV TEST (t5)

ERROR CODE: l 05SM043 l 05SM044 l l l l 05SM049

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Patient flowsensor l Tubing l Offset valves l Sensor heater l Sensor lead l Flow transducer

OPTION

Accept with silence alarmsbutton or <ETR> DISPLAY MESSAGE T1-Test is running

Tech Pub. 0041-130

3rd Ed. (2001)

10-18

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 TEST DIAGNOSTIC FLOWCHART

v5

BAG/VENT SWITCH TEST (t6)

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Solenoid valve l Bag/Vent switch l Switch membrane l APL valve l Bag/Vent regulator

ERROR CODE: l 05BV050 l 05BV051 l 05BV052

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Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

T1 TEST DIAGNOSTIC FLOWCHART

v5

BATTERY (ACCUMULATOR) TEST (t7)

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Battery l Battery charge circuit l Fuse l Mains sense

ERROR CODE: l 05AC053 l 05AC054 l 05AC055

Tech Pub. 0041-130

3rd Ed. (2001)

10-20

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

T1 TEST DIAGNOSTIC FLOWCHART

v5

DISPLAY TEST (t8)

NO
PASS TEST ERROR MESSAGE

YES
CHECKED: l Display LEDs l Operator keys l +5V supply to display PCB l
USER INSTRUCTIONS

ERROR CODE: l 05DS056 l 05DS057 l 05DS058

Turn off fresh gas flow Perform apparatus pre-use check <ETR> l Disconnect Y-piece Ventilator ready for use

END T1 TEST

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Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

10.4

T1 TEST ERROR MESSAGES/CODES for Version 5.xx


05MTO01 05MTO02 05MTO03 05MTO04 05MTO05 05MTO06 05MTO07 05MTO08 05MTO09 05MT010 05MT011 05MT012 05MT013 05MT014 05MT015 05MT016 05MT017 05LK018 05LK019 05LK020 05LK021 05LK022 05LK023 CODE DISPLAY MESSAGE Switch off ventilator Faulty controller and RAM on front -PCB EPROM versions different Watchdog A fault Faulty EPROM on front -PCB Faulty controller and RAM on main -PCB Faulty EPROM on main -PCB 02-valve does not close, sw. machine off Check driving gas, sensor adjustment <ETR> 02 valve does not open Check driving gas, sensor adjustment <ETR> Fan defective Check fan (rear panel) No mains voltage Check mains plug, check fuse Driving gas valve does not open Check bellows drive, and gas valve <ETR> Driving gas valve does not close Check bellows drive, and gas valve <ETR> 2nd driving gas valve does not open Check driving gas valve, electronics <ETR> PEEP valve does not close -or disconnection in driving gas circuit <ETR> PEEP valve does not open, sw. machine off Check membrane of PEEP valve <ETR> PEEP valve has high resistance sw. machine off, Check PEEP valve membrane Turn off fresh gas flow <ETR> Check fresh gas flow tubes and sensor Leakage 0,3 I/min Accept with silence-alarm-button, or <ETR> Leakage 0,4 I/min Accept with silence-alarm-button, or <ETR> Leakage 0,5 I/min . Accept with silence-alarm-button, or <ETR> Leakage 0,6 I/min Accept with silence-alarm-button, or <ETR> Leakage 0, 7 I/min Accept with silence-alarm-button, or <ETR>

Tech Pub. 0041-130

3rd Ed. (2001)

10-22

KESTREL (v.40 & 5) Ventilator 10.4 continued 05LK024 05LKO25 05LKO26 05LKO27 05LKO28 05LKO29 050PO30 050PO31 05CVO32 05CVO33 05CVO34 05CVO35 05CVO36 05CVO37 05CVO38 05FGO39 05FGO40 05CPO41 05CPO42 05SMO43 05SMO44

Maintenance Manual

Leakage 0,8 I/min Accept with silence-alarm-button, or Leakage o,g I/min Accept with silence-alarm-button, or Leakage- Check bellows full, tubing, Connectors, pressure relief valve Bellows drive faulty, pressure high ? Check driving gas valve, fresh gas Pressure reading faulty, sw machine off Check adjustment of press sensors Change-over vaive is stuck, check tubing No pressure in patient circuit ? Pressure limiting valve < 65 mbar Check adjustment of limiting valve Pressure limiting valve > 85 mbar Check adjustment of limiting valve Turn on 5 I/min fresh gas flow rate (Use oxygen or air) Bellows drive too low Check driving gas pressure Bellows drive too high Fill bellows before testing T1- Test adapter faulty, Pressure <10mBar Check driving gas flowrate T1- Test adapter faulty or obstructed Pressure drop >45mBar, check adapter T1-Test adapter faulty , blocked Pressure >65 mBar, check tubing Bellows drive reading faulty Check adjustment of flow sensors Fresh gas flow too low Check flowmeter Fresh gas flow too high Check flowmeter <10mBar for compliance test pressure not achieved Check PEEP valve Final pressure 30mBar not obtained . Check leakage, bellows drive, volume Include SIMV Mode? Yes Silence-alarm-button Patient flow sensor wrongly positioned Check sensor adjustment

<ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> . <ETR>

<ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> <ETR> No <ETR>

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Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual 10.4 continued 05SM045 05SM046 05SM047 05SM048 05SM049 05BV050 05BV051 05BV052 05AC053 05AC054 05AC055 05DS056 05DS057 05DS058

KESTREL (v.40 & 5) Ventilator

Offset valve is stuck Switch off Include SIMV Mode? Yes - <ETR> Silence-alarm-button No Patient flow too low Check sensor, tubing <ETR> Patient fiow too high Check sensor, tubing <ETR> Flow sensor heater does not work Check plug, sensor, or replace sensor <ETR> Bag overpressure valve check, pr.<10mbar Check valve ( or bag empty ?) Bag overpressure valve check, pr.>30mbar Check valve Change-over valve is stuck Check membrane and valve-pressure <ETR> Battery discharged Please wait until charged (20 minutes) Battery out of circuit Check fuse, connectors, main sense Battery overloaded, defective Switch off Display, LEDs and keys test Keys depressed or faulty Software I Hardware fault Please note down, inform service <ETR>

Tech Pub. 0041-130

3rd Ed. (2001)

10-24

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Left blank

10-25

Tech Pub. 0041-130 3rd Ed. (2001)

11.0

Maintenance Manual

TECHNICAL SPECIFICATION

KESTREL (v.40 & 5) Ventilator

Flow rates and volumes are measured under STPD conditions (standard temperature pressure dry)

Physical:

Dimensions: HxWxD mm Weight

140 x 260 x 260 10 kg (approx.) 115 or 230 V, 50/60/70 Hz, AC 0.35 / 0.7 A, 80 W 2 x 1.6 AT passive, 5x20 long 2 x 0.8 AT passive, 5x20 long Safety Class 1 B 75 hPa (pressure limiting valve) 3 - 20 hPa 0.38 hPa (0-70C) 0.5 of pressure end value 65 hPa (SIMV) 55 hPa (PLV) 4 - 60 BPM 0.01% 2.6 Ah >200 mA 12 hours (approx) 30 mins (fully charged, approx.) overload protected 340 - 420 kPa (60 Lmin at 280 kPa max) 90 L/minute

Electrical Supply: Operational voltage Power: Main fuses (115 V) Main fuses (230 V) Safety Class Safety Type Pressure Ranges: Pressure limiting (P lim max) PEEP range Zero drift Display error Max set working pressure (via pressure regulating) Respiration Frequency: Frequency range Tolerance Battery operation: Accumulator capacity Charging current (machine ON) Charging time (STANDBY) Battery operation duration Charging current circuit Driving gas Supply: Air or Oxygen Maximum usage Ventilation Modes: IMV TV I:E Ratio Frequency Insp.flow Pressure limit PEEP

20 - 1500 mL 3:1 - 1:9.9 4 - 60 BPM 5 - 80 L/min 10 - 65 x 100 Pa 3 - 20 x 100 Pa

SIMV PLV

Figures correspond directly with IMV Trigger sensitivity 3 L/min Frequency V40. Insp.flow Breath pressure Pressure limit PEEP 4 - 60 BPM 5 - 80 L/min 5 - 55 hPa 15 - 65 hPa 3 - 20 hPa V5. 4 - 60 BPM 2 - 80 L/min 5 - 60 hPa Breath pressure +10 hPa 3 - 20 hPa (continued overleaf)

Tech Pub. 0041-130

3rd Ed. (2001)

11-1

Alarms:

Specification (continued)
Disconnection System Pressure Overpressure Fresh gas high Flow sensor Bellows drive Pressure limit Batt. overloaded Batt. discharged Mains failure Hardware fault Watchdog error Fan fault Pressure fault

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Special features: T1 Test: (Ventilator self-test during startup and user selectable) T1 Test is repeatable Manual ventilation: in STANDBY mode Spontaneous ventilation: in STANDBY mode or during ventilation Fresh gas flow compensation Compliance compensated (T1 Test) Automatic battery backup (30 mins fully charged) Backlit display Peripherals: Fresh gas flow sensor T1 Test adaptor Bag/Vent Switch SIMV flowsensor Pressure sensor Test Standards: The ventilator was tested in acordance with the following standards to ensure that any faults do not result in dangerous conditions: Software: EMV electromagnetic compatibility Electrical safety: Functional safety: DIN VDE 0801 EN 55011; group 1; class B EN 60601 - 1:1990 EN 740 rev.6.0, Dec 1994 1 - 20 L/minute ( 1.0 L/min) 15 mm taper connector automatic - pneumatic control Fit according to B.I.B T-piece adaptor

11-2

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

DIAGRAMS Page 12-2 12-3 12-4 12-5 Pneumatic Tubing Connections Buzzer PCB and Circuit Ventilator Electronic Component Layout (Main PCB) earlier boards Ventilator Electronic Component Layout (Main PCB) 2 relays

Circuit diagrams are included as fold-out diagrams at the rear of this manual: 1 2 3 Power Supply Main PCB Display PCB

Tech Pub. 0041-130

3rd Ed. (2001)

12-1

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Pneumatic Tubing Connections

12-2

Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

VCC

Tech Pub. 0041-130 3rd Ed. (2001) 12-3

R4 TI C4 C3 C1 C1 1 F R1 2 5 8 R
TRIG CVolt

R2 10k

R4 100k

C4 4n7
R5 47k R3 10k

+C5 10 F

C7

KESTREL (v.40 & 5) Ventilator

SPEAKER

Buzzer PCB and Circuit

ICI

TI TIP 125

VCC

R5

DIS THR

7 6

GND

R2 R3 TCI

555

C3 Text

C2

C3 10 nF

C2 100 nF

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

single relay 12-4 Tech Pub. 0041-130 3rd Ed. (2001)

Maintenance Manual

KESTREL (v.40 & 5) Ventilator

Electronic Component Layout Main PCB 2 relays Tech Pub. 0041-130 3rd Ed. (2001) 12-5

KESTREL (v.40 & 5) Ventilator

Maintenance Manual

Left blank

12-6

Tech Pub. 0041-130 3rd Ed. (2001)