Академический Документы
Профессиональный Документы
Культура Документы
Maintenance
Manual
KESTREL
KESTREL(v.40 & 5)
Anaesthesia Ventilator
MAINTENANCE MANUAL
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 Page
(continued)
(Contents, continued)
(continued)
(contents) Tech Pub. 0041-130 3rd Ed. (2001)
Maintenance Manual KESTREL (v.40 & 5) Ventilator
(Contents, continued)
KESTREL
Breathing Circuit Pressure [100Pa]
-10 0 10 20 30 40 50 60
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
SAFETY PRECAUTIONS
l Read this manual carefully and familiarize yourself with the ventilator before
attempting to use it in a clinical procedure.
l The KESTREL ventilator contains ferrous materials and is not suitable for
use in MRI (Magnetic Resonance Imaging) environments.
O2 = Oxygen A = ampere
N2O = Nitrous oxide W = watt
CO2 = Carbon dioxide V = volt
AIR = Medical air Hz = Hertz
CGO = Common Gas Outlet AC = Alternating current
VAC = Vacuum DC = Direct current
mbar = millibar I = ON
Pa = pascal
hPa = hectoPascal (Pa x 100) O = OFF
kPa = kiloPascal (Pa x 1000)
L = Litre Vt = Tidal Volume
mL = millilitre (L/1000) BPM = Breath Per Minute
L/min = Litres/minute
cm.H2O = cms.water I:E = Inpiration:Expiration
mm.Hg = mm.mercury T1 = T1 (Function) Test
lbf/in2(psi) = pounds force/in2
<ETR> = Enter
< = less than This device is protected against electric shock in
accordance with IEC 60601-1, DIN/VDE 0750-1
> = greater than
= equipotential point
= earth point
IMPORTANT NOTES
l This Manual gives details and information concerning the technical aspects of the Kestrel
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 Maintenance manuals should be kept together at all times.
l Refer to the FALCON Operators Manual for details of the operating environment.
l Certain sections in these instructions are marked WARNING, CAUTION or NOTE. These
sections are printed within a box for emphasis.
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 mains-
powered 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:
l 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.
l 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.
l 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.
l 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.
l 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).
l 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:-
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.
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 func-
tion 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)
2 CONTROLS
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 appropri-
ately 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>.
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.
10
28
[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE] 11
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
12
27
Patient STANDBY Silence
VENTILATE
26
25 24 23 22 21 20 19 18 17 16 15 14
Introduction
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
Version 5 software
The ventilator sets a value giving no inspiration plateau.
Version 40 software
All versions
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
Controls
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
Version 5 software
The button is active in both volume and pressure
modes of ventilation.
Version 40 software
The button is only active during volume ventilation.
All Versions
I:E Ratio can be set from 3:1 to 1 :9.9
Controls
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
Version 5 software
The ventilator sets a value giving no inspiration plateau.
All versions
The setting increment changes with the flow set - O.2L, O.5L, 1.0L
Controls
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
Version 5 software
l The button is only active when PCV is selected
l The Breath Pressure is the target pressure that the
ventilator will try to achieve during Inspiration.
(within a defined time window)
l Breath pressure is directly linked with High Pressure limit
l The pressure range is 5 to 55 hPa
Version 40 software
l The button is only active during PLV
l The Breath Pressure is the target pressure that the
ventilator will try to achieve during Inspiration (within
a defined time window)
l When the ventilator achieves this target pressure the
Inspiration phase will terminate (regardless of Time or
Volume)
l Breath pressure is directly linked with High Pressure
l The pressure range is 5 to 55 hPa
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
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)
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT
T1 Test
The Rotary Control is used to set and then confirm ventilation parameters:
Controls
. l The higher the Fresh Gas flow rate the less the bellows will
be moved by the drive gas.
. l What you set (on the display) is what you get (at the patient
Y piece) from the two sources.
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.
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).
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.
IMV PARAMETERS
I:E Ratio 3:1 - 1:9.9 (Default = 1:2)
Tidal Volume 20 - 1500 mL (Default = 500)
Breath Rate 4 - 60 BPM (Default = 10)
Inspiration Flow 2 - 80 L/min (Default = 15)
PEEP 3 - 20 hPa (Default = 3)
Pressure Limit 10 - 65 hPa (Default = 30)
Figure 1
1 2 3 4 5 6 7
TIME (s)
Figure 2
Flow
1 2 3 4 5 6 7
TIME (s)
Modes
SIMV is a ventilation mode where the ventilator is monitoring the flow of gas during the expira-
tion phase. If the patient attempts to breath the flow sensor will recognise this activity and de-
liver a mandatory breath. This mandatory breath will conform to the settings displayed.
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 expira-
tion window the next expiration window will be extended to compensate for the set breath rate.
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
Trigger Window: The time interval within the expiration phase during which mechanical inspira-
tion 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 The Trigger Window opens at the start of respiration. (possibly delayed by 0,3 s depend-
ing on operational conditions) and the length of the window is determined by the setting
of I:E Ratio and Breath Rate.
l Triggering occurs when an inspiration flow of 3,0 L/min is measured for 30ms by the
SIMV flowsensor.
l The SIMV respiration cycle always starts with the expiration phase. (Unlike IMV which
commences with the inspiration phase ).
SIMV PARAMETERS
Version 5 software
Flow Trigger 3 L/min for 30 ms (fixed)
Version 40 software
Flow Trigger 2 L/min
Mandatory
Breath
delivered
1 2 3 4 5 6 7
TIME (s)
Figure 1
Modes
Figure 2
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).
A new Trigger Window opens during the following expiration phase - thus offering
triggered mechanical inspiration.
( (Triggering, outside the parameters of the Trigger Window, is ignored and the standard
ventilation cycle continues unchanged).
Figure 4
SIMV RULES
The ventilator tries to maintain the set breath rate by extending the
Expiration Time
Modes
10 1:2.0 15 10 3 20 PCV
[mL1 [/min] [I:E] [L/mln] [hPa1 [hPa] [hPa]
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).
PCV PARAMETERS
Figure 1
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.
(PCV continued)
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).
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 inspira-
tion 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.
Breath pressure
PRESSURE
Constant
IE Ratio
TIME (s)
Figure 3
Inspiration Expiration
Breath pressure
PRESSURE
Constant
IE Ratio
TIME (s)
Figure 4
PCV RULES
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:
10 15 10 30 PLV
[mL] [/min] [I:E] [L/min] [mbar] [mbar] [mbar]
l 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).
PLV PARAMETERS
Inspiration Expiration
Breath pressure
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).
(PLV continued)
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 de-
creases 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.
Modes
Inspiration Expiration
Breath pressure
Increased
Pressure
Inspiration
flow
Time (s)
Figure 3
Inspiration Expiration
Breath pressure
Reduced
Pressure
Inspiration
flow
pressure not
achieved
PLV RULES
4 Alarms
4.1 General
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:-
l HIGH PRIORITY ALARM (280 kPa driving-gas pressure not achieved during
expiration)
Pressure-Iimiting:-
Alarms
HIGH PRESSURE
DISCONNNECTION? High priority delayed by 15 s; with BPM<=8,2
SIMV FLOWSENSOR
SYSTEM PRESSURE
PRESSURE LIMIT Low priority
FRESH GAS HIGH Low priority
PRESSURE< -8mBar High priority delayed by 30s
Batt. overload
Batt. discharged
Mains Failure
Hardware fault
Watchdog error
Fan fault
BELLOWS DRIVE
PRESSURE FAULT PCV Operation suspended (Ver.5 only)
Software failure (Ver.5 only)
j 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.
k Expiration Volume must be monitored with an external monitor with limitalarms -since
the ventilator generates a defined inspiration tidal volume.
Alarms
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 expi-
ration 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 success-
fully concluded (but the red lamp stays illuminated and the error message will remain
until the MUTE button is pressed to clear the message ).
DISCONNECTION ?
l IMV/SIMV -the alarm is triggered when the inspiration pressure does not rise
above, and fall below PEEP + 7 hPa.
l PCV -the alarm is triggered when the initial inspiration pressure does not rise
above and fall below, Breath pressure -2 hPa.
l 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
PRESSURE LIMIT
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.
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 guaran-
teed (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).
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)
BATT OVERLOAD
Battery discharged please wait 20 mins
A high priority alarm is triggered if the battery becomes defective ( e.g. through over-
loading 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 pro-
tects 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.
l 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.
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.
BELLOWS DRIVE
A high priority alarm is triggered during expiration if the gas-supply pressure is insuffi-
cient 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 sug-
gested that the ventilator is switched to standby and manual ventilation is used.
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.
5 SETTING TO WORK
The phases of setting the ventilator to work are:-
All phases must be correctly carried out if the ventilator is to operate efficiently.
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.
(1) Fit the hose from the Bag-in-Bottle (BIB) to the circle system.
(2) (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).
(3) (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.
(4) Fit the reservoir bag to the connector in the base of the BIB.
(5) Proceed with the Function Test (T1 ). (Section 5.2 on ...)
AIRWAY PRESSURE -
F
LIMITING
(APL) VALVE
A
L
C
O
N
PATIENT CIRCUIT
CONNECTOR
FRESH GAS
ñ
B.I.B PATIENT
CONNECTOR
BAG-IN-BOTTLE
CONNECTOR
EXPIRATORY LIMB
INSPIRATORY LIMB
ñ
FRESH GAS
5.1 (continued)
Bellows Connector
REAR SAMPLE
FACE
RETURN
ñ R
Bag Connector
Rotary Toggle
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
KESTREL VENTILATOR
Patient Pressure
Connector Adaptor
SIMV flowsensor
Heater cable
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).
Safe operation can only be ensured by the use of an additional monitor which provides inde-
pendent supervision of respiration parameters. The FALCON anaesthesia machine MUST be
provided with a monitor complying with EN740.
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 automati-
cally 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
l The patient must not be connected during the T1 Test
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.
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.
KESTREL VENTILATOR
ðð
Patient circuit
Y-piece
Y-piece connection for T1 Test instruction (see 5.2.3 -T1 Test Sequence)
T1 Test is running
Version xx
Verion 5.2
T1 Test is running
Operators action:
(2) Connect the Y-piece to the T1 Test adaptor at the front of the ventilator.
Display shows:
Set bag overpressure valve to 20 mBar <ETR>
Operators action:
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.
(Continued)
5-8 Tech Pub. 0041-130 3rd Ed. (2001)
Maintenance Manual KESTREL (v.40 & 5) Ventilator
Setting to Work
Display shows:
Operators action:
(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).
T1 Test is running
Operators action:
T1 Test is running
(13) Turn off fresh gas flow at the fIowcontrol valve. (Version 5 software only)
Disconnect Y-piece <ETR>
Compliance------ml/hPa
Operators action:
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.
Test 1
Mandatory Tests
The system is pressurised and
Test 1 - Leakage test
any change in pressure is
PASS FAIL <ETR> recorded as leakage. If leak-
age is found an error message
is displayed. Action is taken by
Test 2 Re-Test
1,2,4 Accept
the user to identify and correct
By-Pass the problem. If the test passes
test 2 immediately follows.
1,2,3
Ventilation
Test 2
Test 1 Leakage test
The system is over-pressurised
to force the safety pressure
relief valve to open. If the valve
Test 2 - Overpressure test
PASS FAIL <ETR> operates correctly the test will
pass. If a failure is displayed re
Set 5 L flow (O2 or Air) Re-Test
run the test. If a continued failure
ETR
Test 3
Test 2 - Overpressure test
Prior to test 3 the user sets the
Set 5 L flow (O2 or Air) ETR
flow at the flowmeter to 5 Lpm
for further tests. During test 3
Test 3 Circuit Volume/Fresh gas test the circuit volume is measured
and the flow set on the flowmeter
is verified. These are require-
PASS FAIL <ETR>
1,2,3
Ventilation
2 4
TIME (secs)
Setting to Work
The following Error Messages may be displayed. Some prompt operator response while
others require the attention of a qualified technician.
T1 Test is running
3) Watchdog A fault
9) Fan defective
Check fan (rear panel)
(continued, opposite)
(continued overleaf)
Tech Pub. 0041-130 3rd Ed. (2001) 5-15
KESTREL (v.40 & 5) Ventilator Maintenance Manual
Setting to Work
Setting to Work
Modes
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.
After selecting the ventilation mode, a list of default settings appears. Each parameter
should be checked and validated for the proposed use.
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 compli-
ance 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.
Modes
By pressing the VENTILATE I STANDBY key, the selected operational phase can be
directly switched on - (as long as all inputs have been confirmed).
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.
Altering multiple values. It is possible to alter more than one value without the neces-
sity to confirm <ETR> between each change.
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 time-
window) appropriate parameters (BPM and I:E) can be altered.
l In order to maintain the same ventilation format as during the previous IMV opera-
tion, 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:-
l 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.
Modes
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.
Hardware fault
Watchdog error
WARNING
In the IDLE state, the patient can breathe spontaneously or be ventilated by
using the Reservoir Bag.
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.
u Visual Check
l Check the condition of the ventilator housing, controls, display and
tubing connectors
l Check that all labelling is present and in good legible condition
l Check the condition of all accessories (Bag-in-Bottle, Bag/Vent Switch,
APL Valve, tubing and sensors)
l Check that all documentation, including OPERATORS MANUAL are
present, up to date and in good condition.
v Carry out the Calibration as detailed in the calibration section that follows.
l Dust, oil and excess grease can cause explosions in pressurised systems.
l Never allow oil to come into contact with oxygen under pressure, nor with
oxygensystemcomponents.
l Grease should only be used where specified in this manual. Use only the
l specifiedoxygencompatiblegreaseanduseitsparingly.
l Components requiring greasing should be dismantled after initial assembly
and surplus grease wiped off before final assembly.
l Pay special attention to keeping pipe bores and internal drillings clean and
free from grease.
l Do not use the ventilator if the electrical power supply lead has evidence of
physical damage(e.g.cutsorabrasion).
l Do not use the ventilator if the mains supply plug is damaged.
l Do not use the ventilator if there is any sign of overheating.
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.
l If required, use disinfecting wipes or a mild solution of a proprietary,
non-caustic disinfectant. (Tri-Sodium Phosphate is suitable).
l Observe the disinfectant manufacturers instructions with regard to solution
strength and operative safety.
l Do not use toxic solvents.
l Clean the front panel of the ventilator with a soft, clean cloth dampened only
with clean, warm water.
l Do not use abrasive cleaners or glass polishes.
l Do not use solvents, anaesthetic agents or ether.
7.10.3 STERILISING
7.11.1 CLEANING
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.
l 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).
l Unscrew the knurled securing-ring (06) and separate the halves of
the flowsensor.
l Remove the stainless-steel mesh (04) from between the halves.
l Re-assemble in reverse order.
7.11.2 STERILISING
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.
Double-lumen tubing set (complete with Luer connectors) Part No. 8857-022
Patient-pressure sensor line (tubing only) Part No. 0026-002
SIMV sensor stainless steel mesh Part No. 8857-212
SIMV sensor complete Part No. 8857-211
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.
Blank Page
l 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.
l Check the casing for signs of damage - particularly the front and rear panels.
l 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.
l 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.
l 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.
l 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.
l Check the absorber assembly for damage. Ensure that components are
correctly assembled and all connectors are undamaged.
l Examine the APL valve - ensuring that it can be set through its full range.
l 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.
l 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).
l 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.
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.
OFFSET/BELLOWS
Offset
500 500 +/- 10.0 mV +/-10.0 mV
Bellows
25 Lpm +/- 2.0 Lpm
40 Lpm +/- 3.0 Lpm
SENSFLOW
PP/PBD
l 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.
l Equipment required:
Preparation:
Carry out the Electrical Safety Check in accordance with the instruc-
tions provided for the (SIX MONTHLY PERFORMANCE CHECK 8.1.2)
8.2.3 CALIBRATION
The calibration procedures are as follows:
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
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.
l 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.
l 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.
l 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.
l 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.
Special Tools
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)
3. Measure voltage at X3 pins 4 and 6 and use R 145 to set the value to
10.00 volts (±0.00)
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)
l 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
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.
Locate
l Potentiometer R40
l Potentiometer R42
l Bellows drive outlet from the ventilator
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.
Special Tools:
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.
6. Adjust the relief valve so that the pressure meter reads 75 (± 2 mBar)
l Clockwise to increase and counter clockwise to reduce.
Special Tools
Locate
l Potentiometer R4
l Potentiometer R6
l Potentiometer R14
l Potentiometer R16
l Patient pressure sensor T piece
Blank Page
9.1 PROCEDURES
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.
Anmedic
Dameca
Anmedic
OR
Dameca
SIMV connections
10
11
12
7
5
6
3
3
4
11
10
6
9
1
6
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. Open the rear cover of the machine gasbox.
5. Locate the flowsensor (at the rear of the flowmeters).
6. 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.
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.
Flowsensor
Figure 8
Ventilator Flowsensor (located at rear of Flowmeter Block)
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)
Locate
Connections on the left side of the ventilator
Procedure:
1. Remove the ventilator from the anaesthesia machine
Full instructions are in the section Removing the Kestrel ventilator from the
anaesthesia machine (9.2).
2. Remove the five screws securing the lower cover.
3. Locate the battery and remove both terminals.
4. Remove the plug connector for the control wheel.
5. Unscrew the two thumb wheel screws that secure the battery.
6. 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.
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.
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.
Procedure:
1. Disconnect the ribbon cable at the PCB.
2. Remove the 4 x M 5.5 nuts and washers, rotate the 12 x ½ turn securing tabs
and remove the display from the panel. (The 4 x screws are fitted with
insulating-spacers below the display).
3. Fit the new display - ensuring the insulating-spacers are in place.
4. Secure with the 4 x M 5.5 nuts and washers and the securing-tabs.
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
identification label ventilator fan
SIMV tubing
With the ventilator removed from the anaesthesia machine in accordance with the
instructions in Section 9.2.
Procedure:
1. 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.
2. Switch the ventilator ON and adjust the controls to produce a WARNING situation
(i.e. induce an ALARM).
3. Use a small screwdriver to adjust the potentiometer until the maximum volume is
reached.
volume adjustment
blanking plate warning buzzer
connections for
identification label ventilator fan
SIMV tubing
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.
1. Isolate the anaesthesia machine from the mains electrical power supply.
2. Turn off gas-bottles/remove pipelines, and de-pressurise the machine.
3. Remove the bellows chamber.
4. Undo the securing-screws and remove the LH top cover-plate from the sideleg.
5. 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).
6. Unplug the connector from the ventilator and disconnect the 2 x leads from their
terminals.
7. 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).
8. Using a suitable spanner; remove the tubing connectors and fit them to the
replacement solenoid valve assembly.
9. 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.
10. 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).
11. Reconnect the connector to the ventilator connector block.
12. Supply oxygen to the anaesthesia machine, put the control switch to an O2 position
and check the replacement assembly for leaks.
13. When satisfied that the assembly is gas-tight; replace and secure the side panel
and the bellows chamber.
14. Supply mains power to the ventilator and carry out the T1 Test.
Oxygen Solenoid
#POGFKE
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.
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 posi-
tion.
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.
9.14 (continued)
Procedure (Removal):
Locate:
Connector X4 pins 9 (+ve) and 10 (-ve) PEEP valve
1. With ventilator removed from the anaesthesia machine, remove both the upper
and lower covers of the ventilator.
2. Locate connector X4 pins 9 and 10. Remove the two wires and feed the wires
through the chassis towards the valve.
3. Remove the two nuts that secure the saddle clamp.
4. 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.
5. Remove the 22mm hose from the plastic section of the valve.
6. Remove the valve from the ventilator.
Refitting:
Refitting is carried out by following the above instructions in reverse.
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.
Diaphragm
membrane
Valve stem & nipple
Clamp
PEEP Valve
Description:
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.
Procedure:
1. Unscrew and remove the threaded nylon insert from the end of the manifold block.
2. 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.
3. Turn the ventilator onto its side and shake out the disc-shaped, sintered-metal
filter. Discard the filter.
4. Drop the replacement filter into the bore of the manifold block.
5. 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.
6. Carefully refit the valve assembly - ensuring that the relief valve disc is horizontal
and facing upwards.
7. Fit the threaded nylon insert and tighten it to secure the valve assembly.
8. On completion of the maintenance carry out the T1 Test.
Pneumatic manifold
2 x O-Ring seal
p/n. 8857-014
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. 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.
2. 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.
3. Working one tube at a time, remove the tube and fit the replacement tube(s).
4. Recheck the newly installed tubes to ensure that the connections are good and
that the tubes run smoothly without sharp bends or kinks.
5. Replace the cover; refit the ventilator to the anaesthesia machine and carry
out the T1 Test.
NOTE
The membrane fitted to the Bag/Vent Switch is identical to that fitted in the ventilator
PEEP Valve.
Procedure:
Membrane
Note:
Always quote Serial Number and Software version of ventilator when
ordering spare parts.
For PCB assemblies please quote serial number and software version.
SWITCH
CARRY OUT SYSTEM ON
PRE T1 TEST CHECKS
MANDATORY TEST
NO
YES
ERROR CODE:
CHECKED: l 45MT001
l Mains voltage/fuse l 45MT002
l O2 valve/drive gas l -
l PEEP valve l -
l EPROM versions l -
l Watchdog l 45MT017
l RAM
YES OPTION
COMPONENTS
CHECKED:
l Drive circuit Accept with
1-2-4 buttons or <ETR>
l Patient circuit
l Tubing
l Pressure relief valve
l Driving gas valve
l Gas box
l Bag/Vent T1-Test is running
OVER PRESSURE
TEST
(t2)
NO
YES
ERROR CODE:
COMPONENTS l 45OP028
CHECKED: l 45OP029
l Drive pressure
circuit
l Pressure limiting
valve
l Bag/Vent
CIRCUIT VOLUME/
FRESH GAS TEST
USER INSTRUCTIONS (t3)
YES
ERROR CODE:
l 45CV030
l -
CHECKED: l -
l T1- Test adapter l 45CV036
l Drive gas flowrate l 45FG037
l Flow sensors l 45FG038
l Bellows
CIRCUIT COMPLIANCE
TEST
(t4)
NO
CALCULATION OF l 45CP039
CIRCUIT COMPLIANCE l 45CP040
SIMV TEST
(t5) ERROR CODE:
l 45SM041
l 45SM042
l -
l -
l -
l 45SM047
NO
YES OPTION
CHECKED:
l Patient flowsensor
l Tubing
l Offset valves
Accept with
l Sensor heater or <ETR>
1-2-4 buttons
l Sensor lead
l Flow transducer
T1-Test is running
BAG/VENT
SWITCH TEST
(t6)
NO
CHECKED: l 45BV048
l Solenoid valve l 45BV049
l Bag/Vent switch l 45BV050
l Switch membrane
l APL valve
l Bag/Vent regulator
BATTERY
(ACCUMULATOR)
TEST
(t7)
NO
CHECKED: l 45AC051
l Battery l 45AC052
l Battery charge circuit l 45AC053
l Fuse
l Mains sense
DISPLAY
TEST
(t8)
NO
CHECKED: l 45DS055
l Display LEDs l 45DS056
l Operator keys
l +5V supply to
display PCB
END T1 TEST
continued...
continued...
10.2 continued...
SWITCH
CARRY OUT SYSTEM ON
PRE T1 TEST CHECKS
MANDATORY TEST
NO
YES
ERROR CODE:
CHECKED: l 05MT001
l Mains voltage/fuse l 05MT002
l O2 valve/drive gas l -
l PEEP valve l -
l EPROM versions l -
l Watchdog l 05MT017
l RAM
YES OPTION
COMPONENTS
CHECKED:
l Drive circuit Accept with
l Patient circuit silence alarmsbutton
l Tubing
l Pressure relief valve or <ETR>
l Driving gas valve
l Gas box
l Bag/Vent DISPLAY MESSAGE
T1-Test is running
OVER PRESSURE
TEST
(t2)
NO
YES
ERROR CODE:
COMPONENTS l 05OP030
CHECKED: l 05OP031
l Drive pressure
circuit
l Pressure limiting
valve
CIRCUIT VOLUME/
FRESH GAS TEST
USER INSTRUCTIONS (t3)
YES
ERROR CODE:
l 05CV032
l -
CHECKED: l -
l T1- Test adapter l 05CV038
l Drive gas flowrate l 05FG039
l Flow sensors l 05FG040
l Bellows
CIRCUIT COMPLIANCE
TEST
(t4)
NO
l 05CP041
CALCULATION OF
l 05CP042
CIRCUIT COMPLIANCE
SIMV TEST
(t5) ERROR CODE:
l 05SM043
l 05SM044
l -
l -
l -
l 05SM049
NO
YES OPTION
CHECKED:
l Patient flowsensor
l Tubing Accept with
l Offset valves silence alarmsbutton
l Sensor heater
l Sensor lead or <ETR>
l Flow transducer
DISPLAY MESSAGE
T1-Test is running
BAG/VENT
SWITCH TEST
(t6)
NO
CHECKED: l 05BV050
l Solenoid valve l 05BV051
l Bag/Vent switch l 05BV052
l Switch membrane
l APL valve
l Bag/Vent regulator
BATTERY
(ACCUMULATOR)
TEST
(t7)
NO
CHECKED: l 05AC053
l Battery l 05AC054
l Battery charge circuit l 05AC055
l Fuse
l Mains sense
DISPLAY
TEST
(t8)
NO
CHECKED: l 05DS056
l Display LEDs l 05DS057
l Operator keys l 05DS058
l +5V supply to
display PCB
END T1 TEST
10.4 continued
10.4 continued
Left blank
Flow rates and volumes are measured under STPD conditions (standard temperature pressure dry)
Physical:
Dimensions: HxWxD mm 140 x 260 x 260
Weight 10 kg (approx.)
Electrical Supply:
Operational voltage 115 or 230 V, 50/60/70 Hz, AC
Power: 0.35 / 0.7 A, 80 W
Main fuses (115 V) 2 x 1.6 AT passive, 5x20 long
Main fuses (230 V) 2 x 0.8 AT passive, 5x20 long
Safety Class Safety Class 1
Safety Type B
Pressure Ranges:
Pressure limiting (P lim max) 75 hPa (pressure limiting valve)
PEEP range 3 - 20 hPa
Zero drift 0.38 hPa (0-70ºC)
Display error ±0.5 of pressure end value
Max set working pressure 65 hPa (SIMV)
(via pressure regulating) 55 hPa (PLV)
Respiration Frequency:
Frequency range 4 - 60 BPM
Tolerance ±0.01%
Battery operation:
Accumulator capacity 2.6 Ah
Charging current (machine ON) >200 mA
Charging time (STANDBY) 12 hours (approx)
Battery operation duration 30 mins (fully charged, approx.)
Charging current circuit overload protected
Ventilation Modes:
IMV TV 20 - 1500 mL
I:E Ratio 3:1 - 1:9.9
Frequency 4 - 60 BPM
Insp.flow 5 - 80 L/min
Pressure limit 10 - 65 x 100 Pa
PEEP 3 - 20 x 100 Pa
(continued overleaf)
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
Special features:
Peripherals:
Test Standards:
The ventilator was tested in acordance with the following standards to ensure that any
faults do not result in dangerous conditions:
DIAGRAMS
Page
1 Power Supply
2 Main PCB
3 Display PCB
C7
R4
100k +C5
R2
10 µF
TI C4 C3 8
R1 ICI TI
4 3 R5
R Q
VCC
C1 47k TIP 125
3rd Ed. (2001)
R5 2 7
TRIG DIS
C1
1 µF 5 6 R3
THR
10k
GND
CVolt
R2
555
1
R3
C3 C2
TCI
Text C3 C2
10 nF 100 nF
12-3
KESTREL (v.40 & 5) Ventilator Maintenance Manual
single relay
Left blank