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Tech Pub 0041-130

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 ac-
cepted 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 Page

SAFETY PRECAUTIONS (i)


IMPORTANT NOTES (ii)
1.0 INTRODUCTION 1-1

1.1 General 1-1


1.2 Power and Pressure Supply 1-2
1.3 Patient connection 1-2

2.0 CONTROLS 2-1

2.1 Ventilator Display 2-1


2.2 Using the Ventilator Controls 2-1
2.3 Alarms (General) 2-1
2.4 Diagram - Ventilator Front Panel 2-2
2.5 Tidal Volume 2-4
2.6 Breath Rate 2-5
2.7 I:E Ratio 2-6
2.8 Inspired Flow 2-7
2.9 Inspired Flow (IMV) 2-8
2.10 Inspired Flow (PCV) version 5 software 2-8
2.11 Inspired Flow (PLV) version 40 software 2-8
2.12 Breath Pressure 2-9
2.13 PEEP 2-10
2.14 High Pressure (IMV/SIMV and PLV) 2-11
2.15 Mode - Version 5 Software 2-12
2.16 Mode - Version 40 Software 2-13
2.17 Silence Alarm 2-14
2.18 Rotary Control 2-15
2.19 Fresh gas Compensation 2-16
2.20 KESTREL flow diagram 2-17

3.0 VENTILATOR MODES 3-1

3.1 IMV 3-1


3.2 SIMV 3-3
3.3 PCV (Version 5 software models only) 3-7
3.4 PLV (Version 40 software models only) 3-12

(continued)

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual

(Contents, continued)

4.0 ALARMS 4-1

4.1 General 4-1


4.2 Alarm Phase 4-2
4.3 Safety Systems 4-2
4.4 Alarms Description 4-3

5.0 SETTING TO WORK 5-1

5.1 Preparatory Phase 5-1


5.2 T1 (Function) Test 5-6

6.0 SELECTION OF VENTILATOR MODE 6-1

6.1 Parameter Input 6-1


6.2 VENTILATE/STANDBY Phase 6-2
6.3 Faults/IDLE State 6-4

7.0 PLANNED PREVENTIVE MAINTENANCE 7-1

7.1 Responsibilities (Operator) 7-1


7.2 Responsibilities (Manufacturer) 7-1
7.3 Warranty 7-1
7.4 Planned Maintenance Routines 7-1
7.5 Service Kits 7-1
7.6 Maintenance Intervals 7-2
7.7 Maintenance Equipment Required 7-2
7.8 Content of the Planned Maintenance Routines 7-2
7.8.1 Six-Monthly Performance & Calibration Check 7-2
7.8.2 Twelve-Monthly Calibration and Standard Service 7-3
7.9 Maintenance Notes 7-3
7.9.1 Maintenance Warnings (General) 7-3
7.9.2 Maintenance Warnings (Gas Hazard) 7-3
7.9.3 Maintenance Warnings (Electrical Hazard) 7-3
7.10 Cleaning and Sterilising 7-4
7.10.1 Cleaning (Plastic Surfaces) 7-4
7.10.2 Cleaning (Metal Surfaces) 7-4
7.10.3 Sterilising 7-4
7.11 Cleaning and Sterilising the SIMV Flowsensor 7-5
7.11.1 Cleaning (Flowsensor) 7-5
7.11.2 Sterilising (Flowsensor) 7-5
7.11.3 Consumable Spare Parts 7-5
7.11.4 SIMV Flowsensor 7-6
7.12 Environmental Protection 7-7

(continued)
(contents) Tech Pub. 0041-130 3rd Ed. (2001)
Maintenance Manual KESTREL (v.40 & 5) Ventilator
(Contents, continued)

8.0 PLANNED MAINTENANCE ROUTINES 8-1

8.1 Six-Monthly Performance Check 8-1


8.1.1 Visual Check 8-1
8.1.2 Electrical Safety Check 8-2
8.1.3 Functional Safety Check 8-2
8.2 Twelve-Monthly Calibration & Standard Service 8-4
8.2.1 Visual Check (SIMV & non-SIMV) 8-4
8.2.2 Electrical Safety check (SIMV & non-SIMV) 8-4
8.2.3 Calibration 8-4
8.2.3 (1) Entering Calibration Mode 8-5
8.2.3 (2) Fresh Gas Flowsensor Calibration (Fresh) 8-7
8.2.3 (3) Bellows Drive Flow (Offset/Bellows) 8-8
8.2.3 (4) SIMV Flowsensor (SensFlow) 8.9
8.2.3 (5) Pressure Relief Valve 8.10
8.2.3 (6) Pressure Sensors 8.11

9.0 REPAIR AND REPLACEMENT PROCEDURES 9-1

9.1 Procedures 9-1


9.2 Removing the Kestrel Ventilator from the Anaesthesia Machine 9-2
9.3 Replacing the Flowsensor 9-8
9.4 Replacing the Flowsensor Cable 9-8
9.5 Removing the Battery 9-10
9.6 Adjusting the Battery Charge Voltage 9-10
9.7 Replacing the Main PCB 9-11
9.8 Replacing the Front Panel & Display PCB 9-12
9.9 Replacing the Display Module 9-12
9.10 Replacing the Ventilation Fan 9-13
9.11 Replacing the Warning Buzzer & PCB 9-14
9.12 Adjusting the Warning Buzzer 9-15
9.13 Replacing the Oxygen Solenoid Valve (O 2 Drive-gas only) 9-16
9.14 Service and Removal of the Peep and Expiration Valve 9-18
9.15 Replacing the Filter and O-ring Seals 9-20
9.16 Replacing Silicone Tubing 9-21
9.17 Replacing BAG/VENT Switch Membrane 9-22
9.18 Replacement Parts Spares List 9-23

10.0 T1 TEST DIAGNOSTIC CHARTS AND ERROR MESSAGES 10-1


10.1 T1 Test diagnostic flowcharts Version 40.xx 10-1
10.2 T1 Test error messages/codes Version 40.xx 10-10
10.3 T1 Test diagnostic flowcharts Version 5.xx 10-13
10.4 T1 Test error messages/codes 10-22

11.0 TECHNICAL SPECIFICATION 11-1

12.0 Diagrams 12-1

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual

 KESTREL
Breathing Circuit Pressure [100Pa]
-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

Anmedic Kestrel Ventilator

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


Maintenance Manual KESTREL (v.40 & 5) Ventilator

SAFETY PRECAUTIONS

l Read this manual carefully and familiarize yourself with the ventilator before
attempting to use it in a clinical procedure.

l 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 equip-
ment is in good condition and that all connections and joints are correctly
made.

l The KESTREL ventilator contains ferrous materials and is not suitable for
use in MRI (Magnetic Resonance Imaging) environments.

l Further information regarding the Ventilator/Anaesthesia Machine physical


interface is contained in the:
FALCON Maintenance Manual: Anmedic Tech.Pub. 0041-113.

SYMBOLS AND ABBREVIATIONS USED IN Anmedic TECHNICAL PUBLICATIONS


AND ON EQUIPMENT WARNING AND INSTRUCTIONAL LABELLING

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

!! 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
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 Operator’s 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 operator’s 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 Geräte für


Medizintechnik GmbH & Co.KG
Niederhöchstädter Str. 62
61 476 Kronberg Taunus

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


Maintenance Manual KESTREL (v.40 & 5) Ventilator
Introduction
1.0 INTRODUCTION
1.1 General

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 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.

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.

Version 40.xx only


l 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


l 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)

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:-

(1) ON and STANDBY - high charge


(2) ON and VENTILATE - reduced charge

Tech Pub. 0041-130 3rd Ed. (2001) 1-1


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Introduction

1.2 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 FALCON’s 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 system’s 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)

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.

l Refer to the section ‘Setting to Work’ for details of necessary connections.

1-2 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

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.

2.2 Using the Ventilator Controls (General)

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>.

2.3 Alarms (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


2-2
1 2 3 4 5 29 6 7 8 9
Introduction

Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

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

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


pressure Alarms 13
KESTREL (v.40 & 5) Ventilator

VENTILATE

26

25 24 23 22 21 20 19 18 17 16 15 14

KESTREL VENTILATOR - Front Panel


Maintenance Manual
Maintenance Manual KESTREL (v.40 & 5) Ventilator

Introduction

2.4 KESTREL Ventilator - Front Panel.

Key to the diagram (see page 2-2)

1 Selected Tidal Volume display (20 -1500 mL)


2 Selected Breath Rate display (4- 60/min)
3 Selected I:E Ratio display (3: 1 -1 :9,9)
4 Selected Inspiration Flow display (2 -80/Lmin) ,
5 Selected Breath Pressure display (5- 55 hPa)
6 Selected PEEP display (3 -20 hPa)
7 Pressure Limit display (10-65 hPa)
8 Ventilation Mode display: IMV, PCV, (SIMV when specified)
9 Data field (displaying triggered alarm)
10 Pressure Monitor
11 RED Alarm light -high priority
12 YELLOW Alarm light -low priority
13 Key -’Ventilation Mode’
14 Rotary Control (and ‘press to input’ <ETR> key)
15 Key- ‘HIGH PRESSURE’
16 Key-’PEEP’
17 YELLOW display -’Audible warning silenced’
18 Key -‘Audible warning silence’
19 Key -’Breath Pressure Setting’
20 Key- ‘Inspiration Flow’
21 Key- ‘I:E Ratio Setting’
22 Key -’ Breath Rate’
23 Key -’VENTILATE/STANDBY’
24 GREEN/YELLOW display -VENTILATE/STANDBY Mode
25 Key -’Tidal Volume’
26 Connector- ‘Patient pressure’
27 Connector -T1 Test
28 Pressure Display Bar
29 High Alarm Setting

Tech Pub. 0041-130 3rd Ed. (2001) 2-3


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Controls

2.4 Tidal Volume

Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

SELECT BY PRESSING ‘Tidal Volume’ BUTTON

Version 5 software
• The ventilator sets a value giving no inspiration plateau.

• 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

• 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.

2-4 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator
Controls

2.5 Breath Rate

Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

SELECT BY PRESSING ‘Breath Rate’ BUTTON

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

(Tha range of settings may be restricted by the settings for


Volume and I:E Ratio)

Tech Pub. 0041-130 3rd Ed. (2001) 2-5


KESTREL (v.40 & 5) Ventilator Maintenance Manual

Controls

2.6 I:E Ratio

Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

SELECT BY PRESSING ‘I:E Ratio’ BUTTON

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

• 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

Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

SELECT BY PRESSING ‘Insp Flow’ BUTTON

Version 5 software
• The ventilator sets a value giving no inspiration plateau.

All versions

• 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


KESTREL (v.40 & 5) Ventilator Maintenance Manual

Controls

2.9 Inspiratory Flow (IMV) - All versions

l There is a default setting of 15 L/min

l Minimum (the default setting in IMV) is selected by


the ventilator when any of the settings previously described
are adjusted.

l 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.

l When PCV is selected there is a default setting of 15 L/min

. l Fresh gas compensation is used to achieve a constant


Inspired Flow and Plateau Pressure.

2.11 Inspired Flow (PLV) - Version 40 software only

l There is NO MINIMUM SETTING DURING PLV -the


setting may be too low to achieve the desired Breath
Pressure during PLV (2.5~:1)

l When PLV is selected there is a default setting of 15 L/min

l Fresh gas compensation is used to achieve a constant


Inspired Flow

2-8 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator
Controls

2.12 Breath Pressure




Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

SELECT BY PRESSING ‘Breath Press’ BUTTON

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

Tech Pub. 0041-130 3rd Ed. (2001) 2-9


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Controls

2.13 Positive End Expiratory Pressure (PEEP)

Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

SELECT BY PRESSING ‘PEEP’ BUTTON

l The PEEP is adjustable up to 20 hPa

l There is a minimum setting pressure of 3 hPa ( due


to the weight of the spill valve in the Bag-in-Bottle).

l PEEP is active during the Expiration phase.

l Setting PEEP values increases drive gas consumption.

l 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)




Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

SELECT BY PRESSING ‘High Press’ BUTTON


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 The minimum setting is 10 hPa (in IMV)

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)

Tech Pub. 0041-130 3rd Ed. (2001) 2-11


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Controls

2.15 Mode - Version 5 software only




Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

l Following T1 Test, the ventilator is on STANDBY with IMV


automatically selected

For desired MODE


(display indicator flashes)
PRESS THE ‘Mode BUTTON

l The Mode is selected during STANDBY


by pressing the Mode button ( display indicator flashes ).
Then turn the knob and press to select: -

l IMV [Intermittent Mandatory Ventilation]


l SIMV [Synchronised IMV]
l PCV [Pressure Controlled Ventilation]
l 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.
l T1- T [Repeat complete T1 Test] (repeats whole test)
l Time [Clock Time] <ETR> switch off (removes time window)
l Time [Clock Time] <ETR> switch on (displays time window)
l Adjust brightness of display <ETR>
DIM (goes to option to select 4 display panel brightness levels)

2-12 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

2.16 Mode - Version 40 software only




Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

FIRST SELECT ‘STANDBY’ - THEN PRESS THE ‘Mode’ BUTTON

l The Mode can only be selected during STANDBY


In turn, pressing the Mode button selects:-

l IMV (Intermittent Mandatory Ventilation)

l SIMV (Synchronised IMV)

l PLV (Pressure Limited Ventilation)

l STBY (Spontaneous or Manually ventilated)

l 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

Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

SELECT BY PRESSING ‘Silence Alarm’ BUTTON

Pressing ‘Silence Alarm’ while the alarm is sounding:

. l Mutes the active alarms for 120 seconds


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

2-14 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator
Controls

2.18 Rotary Control

Breathing Circuit Pressure [100Pa]


-10 0 10 20 30 40 50 60

[ml] [l/min] [I:E] [1/min] [100Pa] [100Pa] [100Pa] [MODE]

HIGH
TIDAL BREATH I:E INSPIR BREATH.
PEEP PRESS MODE
VOLUME RATE RATIO FLOW PRESS.
LIMIT

T1 Test

Patient STANDBY Silence


pressure Alarms
VENTILATE

Operate by ROTATING TO SET and PRESSING TO ENTER <ETR>

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

l First select the value to be altered by pressing the relevent key


l Note that the display flashes the selected value
. l Set the required value by rotating the control ( clockwise to in
crease; counter-clockwise to decrease)
l When the desired value is indicated; press the rotary control to
enter the value (input: enter: <ETR> )

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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)

. l The ventilator compensates the Drive Gas Volume


(based on the amount of fresh gas flowing) to ensure that
the selected tidal volume is achieved

. 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.

2-16 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

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KESTREL (v.40 & 5) Ventilator Maintenance Manual

KEY TO THE FLOW DIAGRAM


(see page 2-17)

1 Main processors (A and B)


2 Oxygen cut-off valve (Oxygen drive only)
3 Proportional valves (2 off) in parallel
4 Differential Pressure transducer
5 Drive-gas pressure transducer
6 Patient-gas pressure transducer
7 SIMV flow transducer
8 Fresh gas flow transducer
9 Fresh gas flowsensor
10 Fresh gas (from FALCON)
11 Delivered tidal volume flowsensor
12 Overpressure valve (driving-gas)
13 (no compnent)
14 SIMV flowsensor
15 Reservoir bag
16 APL (Airway Pressure Limiting) valve
17 Bag/Vent Switch
18 Fresh gas supply to the Circle System
19 Patient gas from Bellows
20 Circle System
21 Inspiration limb of patient circuit
22 T -piece adaptor (patient pressure)
23 Pressure Regulator
24 Bag/Vent Switch solenoid valve
25 Expiration and PEEP valve
26 Driving-gas to Bag-in-Bottle
27 Bag-in-Bottle
28 PATIENT

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Maintenance Manual KESTREL (v.40 & 5) Ventilator
Modes
3 VENTILATOR MODES
3.1 INTERMITTENT MANDATORY VENTILATION (IMV)

IMV - The following parameters can be selected:-

Tidal Volume 20 mL to 1500 mL

Breath Rate 4 to 60 bpm

I:E Ratio 3:1 - 1:9,9

Inspiration Flow 2 L/min to 80 L/min

PEEP 3 hPa to 20 hPa

Pressure Limit 10 hPa to 65 hPa

3.1.1 The Default Parameters.

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 10 1 : 2,0 15 - 3 30 IMV


[mL] [/mln] [I:E] [L/mln] [hPA] [hPa] [hPa]

Tidal Breath I:E Insp Breath PEEP High


Volume Rate Ratio Flow Press Press 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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Modes

Diagrams for IMV

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)

IMV Default Curve (default settings)


Inspiration I : E Ratio = 1 : 2 Expiration
Flow

Figure 1

1 2 3 4 5 6 7

TIME (s)

IMV - Increased Inspiration Flow

Inspiration I : E Ratio = 1 : 2 Expiration

Figure 2
Flow

1 2 3 4 5 6 7

TIME (s)

3-2 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

Modes

3.2 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)

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 ).

l No spontaneous breaths can occur during mechanical ventilation.

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Modes
Diagrams for SIMV

SIMV PARAMETERS

Tidal Volume 20 -1500 mL (Default = 500)


I:E Ratio 3:1 -1 :9.9 (Default = 1 :2)
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)

’ Version 5 software
Flow Trigger 3 L/min for 30 ms (fixed)

Version 40 software
Flow Trigger 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).

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.

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).

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Modes

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 3:1 - 1 :9.9
Breath Rate 4 to 60 bpm
Inspiration Flow 2 to 80 L/min
Breath Pressure 5 hPa to 60 hPa
Pressure Limit Breath Pressure + 10 hPa
PEEP 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:

10 1:2.0 15 10 3 20 PCV
[mL1 [/min] [I:E] [L/mln] [hPa1 [hPa] [hPa]

Tidal Breath I:E Insplr. Breath. PEEP High RESPIR.


Volume Rate Ratio Flow Pressure Press 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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Modes

Diagrams for PCV

PCV PARAMETERS

I:E Ratio 3:1-1:1.99 (Default = 1:2)


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

PCV - Default Curve

Figure 1

l 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 KESTREL (v.40 & 5) Ventilator

(PCV continued)

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).

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.

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Modes

PCV - (Increased Inspiration Flow)


Inspiration Expiration

Breath pressure
PRESSURE

Constant
IE Ratio

TIME (s)
Figure 3

PCV - (Reduced Inspiration Flow)

Inspiration Expiration

Breath pressure
PRESSURE

Constant
IE Ratio

TIME (s)
Figure 4

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Maintenance Manual KESTREL (v.40 & 5) Ventilator

PCV RULES

l Plateau time is available

l Fresh gas will reduce the Inspired Flow

l (The ventilator cannot compensate for excessive


leakage around the ET tube)

l I:E Ratio is displayed

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Modes

3.4 PRESSURE LIMITED VENTILATION (PLV)


Note only version 40 software has PLV

PLV - the following parameters can be set:

Breath Rate 4 to 60 bpm


Inspiration Flow 2 to 80 L/min
Breath Pressure 5 mBar to 60 mBar
Pressure Limit 10 mbar to 65 mbar
PEEP 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:

10 15 10 30 PLV
[mL] [/min] [I:E] [L/min] [mbar] [mbar] [mbar]

Tidal Breath I:E Inspir. Breath. PEEP High RESPIR.


Volume Rate Ratio Flow Pressure Press MODE

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).

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


Maintenance Manual KESTREL (v.40 & 5) Ventilator

Diagrams for PLV

PLV PARAMETERS

Breath Rate 4 - 60 BPM (Default = 10)


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

PLV - Default Curve

Inspiration Expiration

Breath pressure
Pressure

Time (s) Figure 1

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).

Tech Pub. 0041-130 3rd Ed. (2001) 3-13


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Modes

(PLV continued)

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 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.

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


Maintenance Manual KESTREL (v.40 & 5) Ventilator

Modes

PLV - (Increased Inspiration Flow)

Inspiration Expiration

Breath pressure
Increased
Pressure

Inspiration
flow

Time (s)
Figure 3

PLV - (Reduced Inspiration Flow

Inspiration Expiration

Breath pressure
Reduced
Pressure

Inspiration
flow

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 Expiration

Breath Breath pressure


Pressure

pressure not
achieved

Time (s) Figure 5

PLV RULES

l NO plateau time is available

l Fresh gas will reduce the Inspired Flow

l (The ventilator cannot compensate for excessive


leakage around the ET tube)

l I:E Ratio is not displayed (because it is affected by


Inspiratory Flow)

l 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 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:-

1 PATIENT SYSTEM (disconnection, high pressure, pressure limit not achieved)

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

3 SYSTEM ERROR (ventilator failure)

The Power Supply Alarms are triggered as follows:-

l HIGH PRIORITY ALARM (280 kPa driving-gas pressure not achieved during
expiration)

l HIGH PRIORITY ALARM (mains power fails -machine switches to battery)

l 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). Dur-
ing 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


KESTREL (v.40 & 5) Ventilator Maintenance Manual

Alarms

4.2 Alarm phase


Explicit alarms are displayed. The following messages are provided:

ALARM ALL HIGH PRIORITY unless stated

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)

4.2.1 Safety Systems


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

j Airway Pressure......................................... Monitored with upper & lower alarm limit


k Expiration Volume...................................... (Use external Monitor)
l Ventilation system monitoring
m Maximum airway pressure limiting
n Controllable airway pressure limiting

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 limit’alarms -since
the ventilator generates a defined inspiration tidal volume.

l 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.

m Maximum airway pressure limiting is achieved by the use of a spring-Ioaded pres


sure-limiting valve set to 75 hPa.

n 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.

4-2 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

Alarms

4.3 Alarms Description


HIGH PRESSURE

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

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Alarms

4.3 ALARMS Description (continued)

PRESSURE LIMIT

ACTIVE ONLY IN PCV MODE

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

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).

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 KESTREL (v.40 & 5) Ventilator
Alarms

4.3 ALARMS Description (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
ventilator’semergency 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.

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Alarms

4.3 ALARMS Description (continued)


FAN 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.

PRESSURE version 5 software


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 LED’s 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 version 40 software


FAULT
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 LED’s 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

5 SETTING TO WORK
The phases of setting the ventilator to work are:-

l Preparatory Phase (5.1 )


l Function Test (5.2)
l Selection of Ventilator Mode (5.3)
l Parameter Input (5.4)
l Ventilate/Standby (5.5)

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 OPERATOR’S MANUAL although the list
is not exhaustive. However, it will be necessary to make the following connections:-

(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 ...)

Tech Pub. 0041-130 3rd Ed. (2001) 5-1


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Setting to Work
5.1 (continued)

AIRWAY PRESSURE -

F
LIMITING
(APL) VALVE

A
L
C
O
N
PATIENT CIRCUIT
CONNECTOR

U-TUBE BAG/VENT RESERVOIR BAG


CONNECTION 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
Setting to Work
5.1 (continued)

FRESH GAS

ñ
B.I.B PATIENT
CONNECTOR

BAG-IN-BOTTLE
CONNECTOR

EXPIRATORY LIMB

INSPIRATORY LIMB

ñ
FRESH GAS

Circle connections using Anmedic ‘Jumbo 90’ and Q system absorbers

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Setting to Work

5.1 (continued)

Anmedic Bellows Assembly (FALCON)

Bellows Connector

REAR SAMPLE

FACE
RETURN

ñ R

Bag Connector 








 
 




 Rotary Toggle

SIMV FlowSensor External tubing link


and Toggle to the internal bag/Vent switch

FITTING THE SIMV FLOWSENSOR

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
Setting to work
5.1 (continued)

KESTREL VENTILATOR
Patient Pressure
Connector Adaptor

Anmedic Bellows Assembly


SIMV flowsensor
Heater cable

SIMV flowsensor lines SIMV FLOWSENSOR


secured by
toggle
Internal connectors or ‘half’ nut

SIMV flowsensor lines

SIMV flowsensor
Heater cable

SIMV Flowsensor Connections

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Setting to Work

5.2 T1 (Function) Test


5.2.1 Rationale

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 inde-
pendent 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
ventilator’s 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.

5-6 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator
Setting to Work

KESTREL VENTILATOR

             
             
             
             

ðð
Patient circuit
Y-piece

Pressure line from the circle system T1 Test adaptor


(Patient Circuit Pressure monitoring) connector

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Setting to Work

5.2.3 T1 Test Sequence


Operator’s action:

(1) Switch the FALCON mains power ON/OFF switch to ON.

Display shows (in sequence):

T1 Test is running
Version xx
Verion 5.2

T1 Test is running

Connect Y--piece to T1 adaptor <ETR>

Operator’s 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>

Operator’s 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>

Operator’s action:

(6) Press and hold the 02 flush button until the reservoir bag is full.

(7) Press rotary control (<ETR> = ‘enter’).

(Continued)
5-8 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>

Operator’s 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’).

Display shows (in sequence):

T1 Test is running

Set 5 l/min fresh gas flow rate


Oxygen or air flow, bellows full

Operator’s action:

( 11) Set 5 I/min fresh gas flow at the fIowcontrol valve.


(12) Press rotary control (<ETR> = ‘enter’).

Display shows (in sequence):

T1 Test is running

Display, L.E.Ds and keys test


Display, L.E.Ds and keys test

Turn off fresh gas flow <ETR>


Perform apparatus pre-use check

(13) Turn off fresh gas flow at the fIowcontrol valve. (Version 5 software only)
Disconnect Y-piece <ETR>
Compliance------ml/hPa
Operator’s action:

(14) Press rotary control (<ETR> = ‘enter’).


KESTREL automatically selects IMV mode.
(15) Carry out the FALCON pre-use checks.

FALCON and KESTREL are now ready for use.

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
5.2.4 T1 Test Sequence

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 ventilator testing can be divided into seven separate elements.

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.

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
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

Mandatory Tests Test 1 Advice

If a leak is displayed then re-


peat the test and watch to see in
Test 1 - Leakage test
FAIL
which direction the bellows
Bellows moving UP Bellows moving DOWN move. This may be a very
l Leak in Drive l Fresh gas flowing
small amount of movement.
Circuit l BiB The bellows will either move up
l Fresh gas flowing l Circle system or down. Analyse by a process
l Anaesthesia machine
l Vaporizer
of elimination.
l Monitor
l Calibration fault

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 By-Pass is recorded call for technical


assistance as the valve is lo-
cated inside the ventilator.
1,2,3
Ventilation

Tech Pub. 0041-130 3rd Ed. (2001) 5-11


KESTREL (v.40 & 5) Ventilator Maintenance Manual

T1 Test (Actions and Advice)

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>

ments for the following test.


Test 4 Re-Test

1,2,3
Ventilation

Set 5 L flow (O2 or Air) ETR Test 4

Test 3 Circuit Volume/Fresh gas test The compliance of the patient


circuit (upto the end of the ‘Y’
Test 4 Circuit Compliance test piece) is tested and calculated.
Failures occur due to oversized
breathing circuits. Any change in
PASS FAIL <ETR>

the circuit volume (removing the


soda-Iime canister) will affect the
Test 5 Re-Test

1,2,3 accuracy of this test and effect


Ventilation the tidal volume accuracy.

Pressure rise caused


by closed circuit and 5lpm Test 4 Advice
fresh gas flow
The compliance is measured by
PASS watching a pressure rise over
time (this is caused by the 5 Lpm
PRESSURE

fresh gas flow into a closed


circuit). If the pressure rise stays
within limits then the compliance
test is passed.

2 4
TIME (secs)

5-12 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

T1 Test (Actions and Advice)

Test 4 Circuit Compliance test Test 5

The SIMV flow sensor will be


tested for flow accuracy and
Test 5 SIMV Flow sensor test
PASS FAIL <ETR> operation (heater function). If a
fault is recognised the display
Test 6 Include SIMV Mode ? asks if SIMV is a required mode.
If ‘yes’ the fault is displayed and
corrective action is required. If
Re-Test

‘no’ the mode will be unavailable


1,2,4 No SIMV
during ventilation and ‘$’ will be
Ventilation displayed in the lower right of
the display.

Test 5 SIMV Flow sensor test Test 6

Test 6 Bag Vent Switch test The function of the bag/vent


switch is tested by setting up two
different pressures (one in the
PASS FAIL <ETR>

manual circuit of 20 hPa and the


other in the bellows circuit by the
Test 7 Re-Test
Wait ventilator driving gas into the
chamber). The ventilator looks
for two differing pressures to
ensure the valve is changing
Ventilation from ventilator to manual.

Test 6 Bag Vent Switch test Test 7

The display elements are illumi-


nated and visually checked by
Test 7 Display Elements test

Watch FAIL <ETR> the user to ensure no elements


are missing.
The buttons and the LEDs are
PASS
Re-Test

also tested and the ventilator will


display an error message if a
Ventilation fault is found.

Tech Pub. 0041-130 3rd Ed. (2001) 5-13


KESTREL (v.40 & 5) Ventilator Maintenance Manual

Setting to Work

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.

T1 Test is running

1) Faulty controller and RAM on front - PCB

2) EPROM versions different

3) 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.)

4) Faulty EPROM on front -PCB

5) Faulty controller and RAM on main -PCB

6) Faulty EPROM on main -PCB

7) 02-valve does not close, sw. machine off


Check driving gas, sensor adjustment <ETR>

8) 02-valve does not open,


Check driving gas, sensor adjustment <ETR>

9) Fan defective
Check fan (rear panel)

10) No mains voltage


Check mains plug, check fuse

11) Driving gas valve does not open


Check bellows drive, and gas valve <ETR>

12) Driving gas valve does not close


Check bellows drive, and gas valve <ETR>

13) 2nd driving gas valve does not open


Check driving gas valve, electronics <ETR>

14) PEEP valve does not close - or


disconnection in driving gas circuit <ETR>

15) PEEP valve does not open, sw. machine off


Check membrane of PEEP valve <ETR>

(continued, opposite)

5-14 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator
Setting to Work

(5.2.5 continued from previous page)

16) PEEP valve has high resistance


sw. machine off, check PEEP valve membrane

17) ConnectY-piece to T1 adaptor <ETR>

18) Set bag overpressure valve to 20 hPa <ETR>

19) Fill bag (e.g. with 02 flush) <ETR>

20) Fill bellows (e.g. with 02 flush)


Turn off fresh gas flow <ETR>

21) Turn off fresh gas flow <ETR>


Check fresh gas flow tubes and sensor

22) Leakge 0,3 L/min


Accept with silence-alarm- button, or <ETR>

23) Leakage 0,6 L/min

24) Leakage 0, 7 L/min

25) Leakage 0,8 L/min

26) Leakage 0,9 L/min

27) Leakage -Check bellows full, tubing,


connectors, pressure relief valve <ETR>

28) Bellows drive faulty, pressure high ?


Check driving gas valve, fresh gas <ETR>

29) Presure reading faulty, sw. machine off


Check adjustment of press. sensors <ETR>

30) Changeover valve is stuck, check tubing


No pressure in patient circuit ? <ETR>

31) Pressure limiting valve < 65 hPa


Check adjustment of limiting valve <ETR>

32) Pressure limiting valve > 85 hPa


Check adjustment of limiting valve

33) Set 5 L/min fresh gas flow rate37


Oxygen or air flow, bellows full <ETR>

34) Turn on 5 L/min fresh gas flow rate


(Use oxygen or air) <ETR>

(continued overleaf)
Tech Pub. 0041-130 3rd Ed. (2001) 5-15
KESTREL (v.40 & 5) Ventilator Maintenance Manual

Setting to Work

(5.2.5 continued from previous page)

35) Bellows drive too low


Check driving gas pressure <ETR>

36) Bellows drive too high


Fill bellows before testing <ETR>

37) T1- Test adapter faulty, Pressure <10 hPa


Check driving gas flow rate <ETR>

38) T1- Test adapter faulty or obstructed


Pressure drop >45 hPa, check adapter <ETR>

39) T1- Test adapter faulty, blocked


Pressure > 65 hPa, check tubing <ETR>

40) Bellows drive reading faulty


Check adjustment of flow sensors <ETR>

41) Fresh gas flow too low


Check flowmeter <ETR>

42) Fresh gas flow too high


Check flowmeter <ETR>

43) < 10 hPa for compliance test pressure


not achieved. Check PEEP valve <ETR>

44) Final pressure 30 hPa not obtained


Check leakage, bellows drive, volume <ETR>

45) Include SIMV Mode ? Yes - <ETR>


Silence alarms buttons? No

46) Patient flow sensor wrongly positioned


Check sensor adjustment <ETR>

47) Offset valve is stuck


Switch-off [ ]

48) Patient flow too low


Check sensor, tubing <ETR>

49) Patient flow too high

50) Flow sensor heater does not work


Check plug, sensor, or replace sensor <ETR>

51) Bag overpressure valve check, pr.< 10 hPa


Check valve (or bag empty ?)

5-16 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

Setting to Work

(5.2.5 continued from previous page)

52) Bag overpressure valve check, pr.> 30 hPa


Check valve

53) Change-over valve is stuck


Check membrane and valve-pressure <ETR>

54) Battery discharged


Please wait until charged (20 minutes)55)

55) Battery out of circuit


Check fuse, connectors, mains sense56)

56) Battery overloaded, defective


Switch-off [ ]

57) Display, LEDs and keys test

58) Keys depressed or faulty

59) Turn off fresh gas flow


Perform apparatus pre-use check <ETR>

60) Disconnect Y -piece


Ventilator ready for use <ETR>

61) Disconnect Y -piece


Compliance 0.0mL/hPa

62) 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 SELECTION OF VENTILATOR MODE


6.0.1 Program selection: (Select STANDBY) .

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 - 10 - 15 10 3 20 PCV STBY
PLV 10 15 - 3 20 PLV STBY
SlMV/IMV 0500 10 1,0:2,0 15 - 3 30 IMV STBY
[mL] [/min] [I:E] [L/min] [hPa] [hPa] [hPa]
Tidal Breath I:E INSP. Breath PEEP High
Volume Rate Ratio FLOW Pressure Pressure MODE

6.1.3 Special Functions using key combinations

(a) Partial skipping of the T1 Test (Emergency Procedure):

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 machine’s 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.

6-1 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

Modes

6.2 VENTILATE I STANDBY Phase:


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.

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 The green LED is lit during VENTILATION.


l 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 neces-
sity 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 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:-

j Read off the existing inspiration flow value.


k Reduce the SIMV frequency to the desired value. This will cause the inspiration
flow to be reduced in accordance with the frequency set.

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

The inspiratory ventilation pattern is now maintained.

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.

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Maintenance Manual KESTREL (v.40 & 5) Ventilator

Modes

6.3 Faults I IDLE state

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

These faults are characterised by:-

j a permanent visual and acoustic alarm.

k all switching elements are de-energised.

l the pneumatic Bag/Vent switch switching to BAG (zero pressure).

m 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.

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KESTREL (v.40 & 5) Ventilator Maintenance Manual

7. PLANNED PREVENTIVE MAINTENANCE

7.1 RESPONSIBILITIES (Operator)


The Anmedic KESTREL ventilator will only fulfill its specification if it is operated and
maintained in accordance with the manufacturer’s instructions.
The KESTREL ventilator must be operated only by qualified, trained personnel
who have read and understood the OPERATOR’S 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 OPERATOR’S 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 manufacturer’s 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 manufacturer’s 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 manufacturer’s 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 manufacturer’s
recommended Planned Maintenance Routines.
Where servicing operations call for the replacement of specified items; it is essential
that only items from the manufacturer’s Service Kits are utilised.
The fitting of unauthorised parts will automatically render the manufacturer’s Warranty
null and void.

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Maintenance Manual KESTREL (v.40 & 5) Ventilator

7.6 MAINTENANCE INTERVALS


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

7.7 MAINTENANCE EQUIPMENT REQUIRED


Maintenance requires few tools that would not be expected in a standard Service
Technician’s Toolkit. However, the following Test Equipment is required :-

l 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.
l A double-male 22 mm adaptor.
l 1 metre of flexible 22 mm tubing.

7.8 CONTENT OF THE PLANNED MAINTENANCE ROUTINES

7.8.1 6 MONTHLY - PERFORMANCE & CALIBRATION CHECK

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 OPERATOR’S MANUAL are
present, up to date and in good condition.

v Electrical Safety Check


l This is carried out as part of the anaesthesia machine checks
(described in the FALCON MAINTENANCE MANUAL -Tech.
Pub. 0041-113).

w Functional Safety Check


l Carry out the Function Test T1
l Carry out the Functional Safety Check (including calibration check)

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7.8.2 12 MONTHLY - CALIBRATION AND STANDARD SERVICE

u Replace the following parts:


l The membrane in the PEEP Valve.
l The silicone membrane in the Bag/Vent Switch.

v Carry out the Calibration as detailed in the calibration section that follows.

7.9 MAINTENANCE NOTES

7.9.1 MAINTENANCE WARNINGS (GENERAL)

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.
l 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.
l Keep all spare parts/Service Kit items, in their packing until they are
required for use.
l Do not reuse O-ring seals. As soon as they are removed, old O-rings
should be cut through and discarded.

7.9.2 MAINTENANCE WARNINGS (GAS HAZARD)

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 specified‘oxygencompatible’greaseanduseitsparingly.
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.

7.9.3 MAINTENANCE WARNINGS (ELECTRICAL HAZARD)

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.

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Maintenance Manual KESTREL (v.40 & 5) Ventilator

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 ).
l Observe anti-static precautions when working on the electronic
components of the ventilator.
l Do not obstruct the ventilation apertures.
l During external cleaning routines; keep liquids out of the casing.

7.10 CLEANING AND STERILISING (Machine Surfaces)

7.10.1 CLEANING (Metal surfaces)

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 manufacturer’s instructions with regard to solution
strength and operative safety.
l Do not use toxic solvents.

7.10.2 CLEANING (Plastic surfaces)

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

l If the ventilator has become contaminated it is the responsibility of the hospi-


tal concerned to ensure that it is completely decontaminated before
releasing it for Maintenance or Repair.
l Maintenance personnel must exercise extreme caution when stripping com-
ponents likely to have been in contact with infectious patients or contami-
nated material.
l Maintenance personnel must take all necessary precautions. Do not
transport contaminated equipment.

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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 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

Note: the SIMV flowsensor (complete) must not be autoclaved.


Exposing the SIMV flowsensor to excessively high temperatures can damage the
sensor’s heating resistance and prevent availability of the SIMV ventilation mode.
All SIMV sensors must, therefore, be cold sterilised and not autoclaved.

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) 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

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Maintenance Manual KESTREL (v.40 & 5) Ventilator

(if ‘latch’ not fitted)

Figure 1 - SIMV flowsensor

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7-12 Enviromental protection

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 machines’s life, in order to be disposed
of according to the method prescribed. The battery’s materials can be recycled.

l The ventilator is made mainly of metals, which should be recycled at the end of
the machine’s 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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KESTREL (v.40 & 5) Ventilator Maintenance Manual

8.0 PLANNED MAINTENANCE ROUTINES

8.1 SIX MONTHLY PERFORMANCE CHECK

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.

8.1.1 Visual Check

Examine the ventilator and its associated accessories as follows:

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 Operator’s 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 Operator’s Manual at 1st September,
2001 is as follows: Anmedic Tech. Pub, MO125EA1 (2001).

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Maintenance Manual KESTREL (v.40 & 5) Ventilator

8.1.2 Electrical Safety Check

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.

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.

Selecting Calibration Mode

Fit Y piece to T1 adaptor <ETR>

PP + 0,0 SensFlow + 0.5 Freshgas 0,0


PBD + 0,6 Offset 500 500
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).

WARNING (Calibration Mode)


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.

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KESTREL (v.40 & 5) Ventilator Maintenance Manual

Calibration Mode parameters


DISPLAY TOLERANCE
FRESHGAS

0.3 Lpm +/- 0.1 Lpm


4.0 Lpm +/- 0.5 Lpm
10.0 Lpm +/- 1.0 Lpm

OFFSET/BELLOWS

Offset
500 500 +/- 10.0 mV +/-10.0 mV

Bellows
25 Lpm +/- 2.0 Lpm
40 Lpm +/- 3.0 Lpm

SENSFLOW

0.0 Lpm +/- 1.0 Lpm


20.0 Lpm +/- 1.0 Lpm
30.0 Lpm +/- 1.0 Lpm

PP/PBD

0.0 mBar +/- 0.1mBar


75.0 mBar +/- 2.0mBar

l If a parameter tolerance is exceeded; the ventilator must be re-calibrated


in accordance with the instructions in 12 MONTHLY Calibration and
Standard Service.

l The 6 MONTHLY CALIBRATION CHECKS are now completed.

l Restore the ventilator to normal operating state (press HIGH PRESSURE


to exit program). Carry out the T1 Test.

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.

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Maintenance Manual 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)

8.2.2 Electrical Safety Check (SIMV & non-SIMV)

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:

8.2.3.(1) Entering the Calibration Mode


8.2.3.(2) Fresh Gas Flowsensor Calibration (Fresh)
8.2.3.(3) Bellows Drive Flow (Offset/Bellows)
8.2.3.(4) SIMV Flowsensor (SensFlow)
8.2.3.(5) Pressure Relief Valve
8.2.3.(6) Pressure Sensors

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KESTREL (v.40 & 5) Ventilator 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

Fit Y piece to T1 adaptor <ETR>

PP + 0,0 SensFlow + 0.5 Freshgas 0,0


PBD + 0,6 Offset 500 500
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.

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.

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Maintenance Manual KESTREL (v.40 & 5) Ventilator

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.

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KESTREL (v.40 & 5) Ventilator Maintenance Manual

8.2.3. (2) Fresh Gas Flowsensor ( Fresh )

Special Tools

l Voltmeter accurate to <1 mVolt

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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Maintenance Manual KESTREL (v.40 & 5) Ventilator

8.2.3. (3)Bellows Drive Flow [Offset / Bellows]

Special Tool Requirements

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

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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KESTREL (v.40 & 5) Ventilator Maintenance Manual

8.2.3. (4) SIMV Flowsensor [SensFlow]

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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Maintenance Manual KESTREL (v.40 & 5) Ventilator

8.2.3. (5) Pressure Relief Valve

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

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KESTREL (v.40 & 5) Ventilator Maintenance Manual

8.2.3. (6) Pressure Sensors (PP/PBD)

Special Tools

Pressure measurement device to measure upto 100 hPa

Locate
l Potentiometer R4
l Potentiometer R6
l Potentiometer R14
l Potentiometer R16
l 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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KESTREL (v.40 & 5) Ventilator Maintenance Manual

9 REPAIR & REPLACEMENT PROCEDURES

9.1 PROCEDURES

9.2 Removing the Kestrel Ventilator from the Anaesthesia Machine

9.3 Replacing the Flowsensor

9.4 Replacing the Flowsensor Cable

9.5 Removing the Battery (Accumulator)

9.6 Adjusting the Battery (Accumulator) Charge Voltage

9.7 Replacing the Main PCB

9.8 Replacing the Front Panel & Display PCB

9.9 Replacing the Display Module

9.10 Replacing the Ventilation Fan

9.11 Replacing the Warning Buzzer & PCB

9.12 Adjusting the Warning Buzzer

9.13 Replacing the Oxygen Solenoid Valve (O2 Drive-gas only)

9.14 Service and Removal of the Peep and Expiration Valve

9.15 Replacing the Filter and O-ring Seals

9.16 Replacing Silicon Tubing

9.17 Replacing BAG/VENT Switch Membrane

9.18 Replacement Parts Spares List

9-1 Tech Pub. 0041-130 3rd Ed. (2001)


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

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


Maintenance Manual KESTREL (v.40 & 5) Ventilator

Anmedic

OR
Dameca

SIMV connections

Figure 3 - Ventilator Connections

Tech Pub. 0041-130 3rd Ed. (2001) 9-4


KESTREL (v.40 & 5) Ventilator Maintenance Manual

10

11

12

7
5

6
3

1 Filter Retaining Device 7 Pressure Regulator Valve


(see figure 13 for component breakdown) 8 Proportional Valves
2 Outlet 9 PEEP Valve Body
3 22 mm Connector 10 Diaphragm Membrane
4 Tubing Connectors 11 PEEP Valve Top
5 Bag/Vent Solenoid Valve 12 Manifold Block
6 Tubing connections
See Section 9-18 for Part Numbers

Figure 4 - Component Layout (Manifold)

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


Maintenance Manual KESTREL (v.40 & 5) Ventilator

1 Front Panel 3 Manifold Block Assembly


2 Main PCB 4 Rear Panel

See Section 9-18 for Part Numbers

Figure 5 - Pneumatic Tubing Connections

Tech Pub. 0041-130 3rd Ed. (2001) 9-6


KESTREL (v.40 & 5) Ventilator Maintenance Manual

3
4
11

10

6
9

1 Top cover 7 Mains Transformer


2 Fuses 8 Pneumatic manifold assembly
3 Main PCB 9 Bottom cover
4 Rear Panel assembly 10 Front panel
5 Battery (Accumulator) 11 Control PCB
6 Chassis
See Section 9-18 for Part Numbers
Figure 6 - Component Layout

9-7 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

1
6

1 Pressure Limiting Valve 5 Mains inlet connector


2 Fan assembly with Optical 6 Fuses
surveillance 7 Hose adaptor (limit valve)
3 Acoustic Alarm Assembly 8 Hose adaptor (exhaust)
4 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


KESTREL (v.40 & 5) Ventilator Maintenance Manual

9.3 REPLACING THE FRESH GAS FLOWSENSOR

Replace the Flowsensor


Replacement part number : see section 9-18
Procedure: (see Figure 8)

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.

9.4 REPLACING THE FLOWSENSOR SCREENED CABLE

Replacement part number : see section 9-18

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)

Tech Pub. 0041-130 3rd Ed. (2001) 9-10


KESTREL (v.40 & 5) Ventilator Maintenance Manual

9.5 REMOVING or REPLACING THE BATTERY

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

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.

9.6 ADJUSTING THE BATTERY CHARGE VOLTAGE


Observe anti-static precautions.
Procedure:
1. With the ventilator top cover removed:
2. Remove battery leads from terminals X1(3) and X1(4)
3. Monitor the voltage accross terminals X1(3) and X1(4) and adjust R111 until the
reading is 13.7 volts.
4. Refit the ventilator top cover.

9-11 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

9.7 REPLACING THE MAIN PCB


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 connec-
tors 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) 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:

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.

9-13 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

9.10 REPLACING THE VENTILATION FAN


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
identification label ventilator fan
SIMV tubing

mains connector and fuses drive circuit exhaust


drive overpressure Electrical connection for
valve 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.

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. 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.

9-15 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

9.12 ADJUSTING THE WARNING BUZZER

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.

Rear Panel Components:


Identification label Connections for SIMV tubing
Blanking plate Mains connector
Ventilator fan Drive overpressure valve
Warning buzzer Drive circuit exhaust
Volume adjustment Electrical connection for SIMV heater

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

mains connector and fuses drive circuit exhaust


drive overpressure Electrical connection for
valve 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. 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-in’connectors)
and remove the assembly complete. (The assembly consists of the pneumatic
valve, electrical connector and lead, and the tubing ‘push-in’connectors).
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.

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual

9.14 SERVICE AND REMOVAL OF THE PEEP AND


EXPIRATION VALVE

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 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.

9-19 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

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
manufacturer’s instructions) so that it is ready for clinical use.

Clear plastic valve top

Diaphragm
membrane
Valve stem & nipple

Clamp
PEEP Valve

Figure 12 - The PEEP Valve Membrane

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual

9.15 REPLACING THE FILTER & O-RING SEALS

Replacement part number: see section 9-18

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

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. 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.

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. Remove the Bag/Vent Switch from the patient circuit.


2. Hold the body of the switch; grasp the cap of the switch firmly and unscrew it from
the switch body.
3. 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).
4. 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.
5. Refit the cap to the switch body and tighten firmly by hand.
6. 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 Part Number

Service Kit 12 Month 8857-700


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

For PCB assemblies please quote serial number and software version.

Tech Pub. 0041-130 3rd Ed. (2001) 9-24


KESTREL (v.40 & 5) Ventilator Maintenance Manual

10 T1 TEST DIAGNOSTIC CHARTS


AND ERROR MESSAGES
10.1 T1 TEST DIAGNOSTIC FLOWCHARTS for version 40.xx

1 T1 TEST DIAGNOSTIC FLOWCHART


v40

SWITCH
CARRY OUT SYSTEM ON
PRE T1 TEST CHECKS

MANDATORY TEST

NO

PASS TEST ERROR MESSAGE

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

10-1 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

2 T1 TEST DIAGNOSTIC FLOWCHART


v40

USER LEAK TEST ERROR CODE:


INSTRUCTIONS (t1) l 45LK018
l 45LK019
l -
l Connect Y-piece to T1 adapter l -
l Set bag overpressure valve l -
to 20 hPa <ETR> l 45LK027
l Fill bag (e.g.with O2 flush)
l Fill bellows (e.g.with O2 flush)
l Turn off fresh gas flow
NO

PASS TEST ERROR MESSAGE

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

Tech Pub. 0041-130 3rd Ed. (2001) 10-2


KESTREL (v.40 & 5) Ventilator Maintenance Manual

3 T1 TEST DIAGNOSTIC FLOWCHART


v40

OVER PRESSURE
TEST
(t2)

NO

PASS TEST ERROR MESSAGE

YES

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

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


Maintenance Manual KESTREL (v.40 & 5) Ventilator

4 T1 TEST DIAGNOSTIC FLOWCHART


v40

CIRCUIT VOLUME/
FRESH GAS TEST
USER INSTRUCTIONS (t3)

l Set 5 l/min fresh gas


flow rate
l Oxygen or air flow,
bellows full NO
<ETR>

PASS TEST ERROR MESSAGE

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

Tech Pub. 0041-130 3rd Ed. (2001) 10-4


KESTREL (v.40 & 5) Ventilator Maintenance Manual

5 T1 TEST DIAGNOSTIC FLOWCHART


v40

CIRCUIT COMPLIANCE
TEST
(t4)

NO

PASS TEST ERROR MESSAGE

YES ERROR CODE:

CALCULATION OF l 45CP039
CIRCUIT COMPLIANCE l 45CP040

10-5 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

6 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 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

Tech Pub. 0041-130 3rd Ed. (2001) 10-6


KESTREL (v.40 & 5) Ventilator Maintenance Manual

7 T1 TEST DIAGNOSTIC FLOWCHART


v40

BAG/VENT
SWITCH TEST
(t6)

NO

PASS TEST ERROR MESSAGE

YES ERROR CODE:

CHECKED: l 45BV048
l Solenoid valve l 45BV049
l Bag/Vent switch l 45BV050
l Switch membrane
l APL valve
l Bag/Vent regulator

10-7 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

8 T1 TEST DIAGNOSTIC FLOWCHART


v40

BATTERY
(ACCUMULATOR)
TEST
(t7)

NO

PASS TEST ERROR MESSAGE

YES ERROR CODE:

CHECKED: l 45AC051
l Battery l 45AC052
l Battery charge circuit l 45AC053
l Fuse
l Mains sense

Tech Pub. 0041-130 3rd Ed. (2001) 10-8


KESTREL (v.40 & 5) Ventilator Maintenance Manual

9 T1 TEST DIAGNOSTIC FLOWCHART


v40

DISPLAY
TEST
(t8)

NO

PASS TEST ERROR MESSAGE

YES ERROR CODE:

CHECKED: l 45DS055
l Display LEDs l 45DS056
l Operator keys
l +5V supply to
display PCB

l Turn off fresh gas flow


Perform apparatus pre-use
check <ETR>
USER
l Disconnect Y-piece
INSTRUCTIONS
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 DISPLAY MESSAGE

45MT001 Switch off ventilator


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

continued...

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


KESTREL (v.40 & 5) Ventilator Maintenance Manual
10.2 continued...

45LK025 Bellows drive faulty, pressure high ?


Check driving gas valve, fresh gas <ETR>
45LK026 Pressure reading faulty, sw. machine off
Check adjustment of press. sensors <ETR>
45LK027 Change-over valve is stuck, check tubing
No pressure in patient circuit ? <ETR>
45OP028 Pressure limiting valve < 65 mbar
Check adjustment of limiting valve <ETR>
45OP029 Pressure limiting valve > 85 mbar
Check adjustment of limiting valve <ETR>
45CV030 Turn on 5 l/min fresh gas flow rate
(Use oxygen or air) <ETR>
45CV031 Bellows drive too low
Check driving gas pressure <ETR>
45CV032 Bellows drive too high
Fill bellows before testing
45CV033 T1-Test adapter faulty, Pressure <10mBar
Check driving gas flowrate
45CV034 T1-Test adapter faulty or obstructed
Pressure drop >45mBar, check adapter <ETR>
45CV035 T1-Test adapter faulty, blocked
Pressure >65 mBar, check tubing <ETR>
45CV036 Bellows drive reading faulty
Check adjustment of flow sensors <ETR>
45FG037 Fresh gas flow too low
Check flowmeter <ETR>
45FG038 Fresh gas flow too high
Check flowmeter <ETR>
45CP039 <10mBar for compliance test pressure
not achieved. Check PEEP valve <ETR>
45CP040 Final pressure 30mBar not obtained
Check leakage, bellows drive, volume <ETR>
45SM041 Include SIMV Mode? Yes - <ETR>
1-2-4 buttons No
45SM042 Patient flow sensor wrongly positioned
Check sensor adjustment <ETR>
45SM043 Offset valve is stuck
Switch_off
45SM044 Include SIMV Mode? Yes - <ETR>
1-2-4 buttons No
45SM045 Patient flow too low
Check sensor, tubing <ETR>
45SM046 Patient flow too high
Check sensor, tubing <ETR>

continued...

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


Maintenance Manual KESTREL (v.40 & 5) Ventilator

10.2 continued...

45SM047 Flow sensor heater does not work


Check plug, sensor, or replace sensor <ETR>
45BV048 Bag overpressure valve check, pr.<10mbar
Check valve (or bag empty ?)
45BV049 Bag overpressure valve check, pr.>30mbar
Check valve
45BV050 Change-over valve is stuck
Check membrane and valve-pressure <ETR>
45AC051 Battery discharged
Please wait until charged (20 minutes)
45AC052 Battery out of circuit
Check fuse, connectors, main sense
45AC053 Battery overloaded, defective
Switch_off
45DS054 Display, LEDs and keys test
45DS055 Keys depressed or faulty
45DS056 Software / Hardware fault
Please note down, inform service <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

1 T1 TEST DIAGNOSTIC FLOWCHART


v5

SWITCH
CARRY OUT SYSTEM ON
PRE T1 TEST CHECKS

MANDATORY TEST

NO

PASS TEST ERROR MESSAGE

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

10-13 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

2 T1 TEST DIAGNOSTIC FLOWCHART


v5

USER LEAK TEST ERROR CODE:


INSTRUCTIONS (t1) l 05LK018
l 05LK019
l -
l Connect Y-piece to T1 adapter l -
l Set bag overpressure valve l -
to 20 hPa <ETR> l 05LK029
l Fill bag (e.g.with O2 flush)
l Fill bellows (e.g.with O2 flush)
l Turn off fresh gas flow
NO

PASS TEST ERROR MESSAGE

YES OPTION

COMPONENTS
CHECKED:
l Drive circuit Accept with
l Patient circuit ‘silence alarms’button
l Tubing
l Pressure relief valve or <ETR>
l Driving gas valve
l Gas box
l Bag/Vent DISPLAY MESSAGE
T1-Test is running

Tech Pub. 0041-130 3rd Ed. (2001) 10-14


KESTREL (v.40 & 5) Ventilator Maintenance Manual

3 T1 TEST DIAGNOSTIC FLOWCHART


v5

OVER PRESSURE
TEST
(t2)

NO

PASS TEST ERROR MESSAGE

YES

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

10-15 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

4 T1 TEST DIAGNOSTIC FLOWCHART


v5

CIRCUIT VOLUME/
FRESH GAS TEST
USER INSTRUCTIONS (t3)

l Set 5 l/min fresh gas


flow rate
l Oxygen or air flow,
bellows full NO
<ETR>

PASS TEST ERROR MESSAGE

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

Tech Pub. 0041-130 3rd Ed. (2001) 10-16


KESTREL (v.40 & 5) Ventilator Maintenance Manual

5 T1 TEST DIAGNOSTIC FLOWCHART


v5

CIRCUIT COMPLIANCE
TEST
(t4)

NO

PASS TEST ERROR MESSAGE

YES ERROR CODE:

l 05CP041
CALCULATION OF
l 05CP042
CIRCUIT COMPLIANCE

10-17 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

6 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 OPTION

CHECKED:
l Patient flowsensor
l Tubing Accept with
l Offset valves ‘silence alarms’button
l Sensor heater
l Sensor lead or <ETR>
l Flow transducer

DISPLAY MESSAGE
T1-Test is running

Tech Pub. 0041-130 3rd Ed. (2001) 10-18


KESTREL (v.40 & 5) Ventilator Maintenance Manual

7 T1 TEST DIAGNOSTIC FLOWCHART


v5

BAG/VENT
SWITCH TEST
(t6)

NO

PASS TEST ERROR MESSAGE

YES ERROR CODE:

CHECKED: l 05BV050
l Solenoid valve l 05BV051
l Bag/Vent switch l 05BV052
l Switch membrane
l APL valve
l Bag/Vent regulator

10-19 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

8 T1 TEST DIAGNOSTIC FLOWCHART


v5

BATTERY
(ACCUMULATOR)
TEST
(t7)

NO

PASS TEST ERROR MESSAGE

YES ERROR CODE:

CHECKED: l 05AC053
l Battery l 05AC054
l Battery charge circuit l 05AC055
l Fuse
l Mains sense

Tech Pub. 0041-130 3rd Ed. (2001) 10-20


KESTREL (v.40 & 5) Ventilator Maintenance Manual

9 T1 TEST DIAGNOSTIC FLOWCHART


v5

DISPLAY
TEST
(t8)

NO

PASS TEST ERROR MESSAGE

YES ERROR CODE:

CHECKED: l 05DS056
l Display LEDs l 05DS057
l Operator keys l 05DS058
l +5V supply to
display PCB

l Turn off fresh gas flow


Perform apparatus pre-use
check <ETR>
USER
l Disconnect Y-piece
INSTRUCTIONS
Ventilator ready for use

END T1 TEST

10-21 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

CODE DISPLAY MESSAGE

05MTO01 Switch off ventilator


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

10.4 continued

05LK024 Leakage 0,8 I/min


Accept with silence-alarm-button, or <ETR>
05LKO25 Leakage o,g I/min
Accept with silence-alarm-button, or <ETR>
05LKO26 Leakage- Check bellows full, tubing,
Connectors, pressure relief valve <ETR>
05LKO27 Bellows drive faulty, pressure high ?
Check driving gas valve, fresh gas <ETR>
05LKO28 Pressure reading faulty, sw machine off
Check adjustment of press sensors <ETR>
05LKO29 Change-over vaive is stuck, check tubing
No pressure in patient circuit ? <ETR>
050PO30 Pressure limiting valve < 65 mbar
Check adjustment of limiting valve <ETR>
050PO31 Pressure limiting valve > 85 mbar
Check adjustment of limiting valve <ETR>
05CVO32 Turn on 5 I/min fresh gas flow rate
(Use oxygen or air) <ETR> .
05CVO33 Bellows drive too low
Check driving gas pressure <ETR>
05CVO34 Bellows drive too high
Fill bellows before testing
05CVO35 T1- Test adapter faulty, Pressure <10mBar
Check driving gas flowrate
05CVO36 T1- Test adapter faulty or obstructed
Pressure drop >45mBar, check adapter <ETR>
05CVO37 T1-Test adapter faulty , blocked
Pressure >65 mBar, check tubing <ETR>
05CVO38 Bellows drive reading faulty
Check adjustment of flow sensors <ETR>
05FGO39 Fresh gas flow too low
Check flowmeter <ETR>
05FGO40 Fresh gas flow too high
Check flowmeter <ETR>
05CPO41 <10mBar for compliance test pressure
not achieved Check PEEP valve <ETR>
05CPO42 Final pressure 30mBar not obtained .
Check leakage, bellows drive, volume <ETR>
05SMO43 Include SIMV Mode? Yes - <ETR>
Silence-alarm-button No
05SMO44 Patient flow sensor wrongly positioned
Check sensor adjustment <ETR>

10-23 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

10.4 continued

05SM045 Offset valve is stuck


Switch off
05SM046 Include SIMV Mode? Yes - <ETR>
Silence-alarm-button No
05SM047 Patient flow too low
Check sensor, tubing <ETR>
05SM048 Patient fiow too high
Check sensor, tubing <ETR>
05SM049 Flow sensor heater does not work
Check plug, sensor, or replace sensor <ETR>
05BV050 Bag overpressure valve check, pr.<10mbar
Check valve ( or bag empty ?)
05BV051 Bag overpressure valve check, pr.>30mbar Check valve
05BV052 Change-over valve is stuck
Check membrane and valve-pressure <ETR>
05AC053 Battery discharged
Please wait until charged (20 minutes)
05AC054 Battery out of circuit
Check fuse, connectors, main sense
05AC055 Battery overloaded, defective
Switch off
05DS056 Display, LEDs and keys test
05DS057 Keys depressed or faulty
05DS058 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)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

11.0 TECHNICAL SPECIFICATION

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

Driving gas Supply:


Air or Oxygen 340 - 420 kPa (60 Lmin at 280 kPa max)
Maximum usage 90 L/minute

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

SIMV Figures correspond directly with IMV


Trigger sensitivity 3 L/min

PLV Frequency V40. 4 - 60 BPM V5. 4 - 60 BPM


Insp.flow 5 - 80 L/min 2 - 80 L/min
Breath pressure 5 - 55 hPa 5 - 60 hPa
Pressure limit 15 - 65 hPa Breath pressure +10 hPa
PEEP 3 - 20 hPa 3 - 20 hPa

(continued overleaf)

Tech Pub. 0041-130 3rd Ed. (2001) 11-1


KESTREL (v.40 & 5) Ventilator Maintenance Manual
Specification (continued)
Alarms:

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:

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 1 - 20 L/minute (± 1.0 L/min)


T1 Test adaptor 15 mm taper connector
Bag/Vent Switch automatic - pneumatic control
SIMV flowsensor Fit according to B.I.B
Pressure sensor T-piece adaptor

Test Standards:

The ventilator was tested in acordance with the following standards to ensure that any
faults do not result in dangerous conditions:

Software: DIN VDE 0801


EMV electromagnetic compatibility EN 55011; group 1; class B
Electrical safety: EN 60601 - 1:1990
Functional safety: EN 740 rev.6.0, Dec 1994

11-2 Tech Pub. 0041-130 3rd Ed. (2001)


Maintenance Manual KESTREL (v.40 & 5) Ventilator

DIAGRAMS

Page

12-2 Pneumatic Tubing Connections

12-3 Buzzer PCB and Circuit

12-4 Ventilator Electronic Component Layout


(Main PCB) earlier boards

12-5 Ventilator Electronic Component Layout


(Main PCB) 2 relays

Circuit diagrams are included as fold-out diagrams at the


rear of this manual:

1 Power Supply

2 Main PCB

3 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

C7
R4
100k +C5
R2
10 µF

KESTREL (v.40 & 5) Ventilator


10k
R4 C4
SPEAKER
4n7
Buzzer PCB and Circuit

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

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)

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