Proceso de Mantenimiento Maquina Anestesia
Proceso de Mantenimiento Maquina Anestesia
Proceso de Mantenimiento Maquina Anestesia
I. GENERAL INFORMATION
WARNING: This procedure contains limited warnings and cautions. Refer to the product
Service Manual for a full listing of precautions.
1. Ensure that the System Master Switch is in the STANDBY position. Remove all pipeline
connections.
2. Open all cylinder valves. Verify that there is at least 1000 psi (745 psi for N2O) or higher on
the cylinder pressure gauges.
3. Close all cylinder valves. Verify that the pressure does not visibly drop in 1 minute.
4. Loosen the "T" handles and pull the cylinders back to verify that the pin index and strainer
nipples are intact.
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Maintenance Procedures
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employees or non-designees is strictly prohibited without the express written consent of General Electric Company or subsidiary thereof.
Maintenance Procedures
1. Connect all pipeline supplies and cylinder-only gas supplies (for example, Heliox).
a. Open all cylinder valves to ensure that the pneumatic circuits are pressurized.
b. Close cylinder valves for gases which also have pipeline supplies.
2. Turn the System Master Switch to the ON position.
3. Set all flowmeters for 3 L/min.
4. Verify that the cylinder gauges for pipeline supplied gases have not dropped to 0 psi. Such
a drop would indicate that the flowmeters are being supplied by the cylinders.
5. Remove oxygen supply.
6. Verify that the following events occur in the following sequence:
a. Audio alarm activates for at least 7 seconds and Pneumatic indicator is red or orange, if
equipped.
b. Flowmeter floats for all gases except O2 fall to zero.
c. O2 flowmeter float falls to zero .
7. Turn the Ventilator ON. Ensure that the Low O2 Supply Pressure LED is ON and the audio
alarm sounds (older units may not have an audio alarm).
8. Turn the Ventilator OFF.
9. Turn all flowmeters to their minimum settings.
10. Re-establish O2 supply.
11. Verify that the audio alarm silences and the Pneumatic indicator is green or black, if
equipped.
NOTE: The old style relief valve may allow a negative pressure indication up to –
2 cmH2O. If you find an old style relief valve, replace it with the new style valve
assembly.
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Maintenance Procedures
F. GMS Inspection
NOTE: For units manufactured prior to 1986, verify that the Inhalation Port pressure
sensing nipple, a raised head gasket, a drain valve for adjustable height bag
arms, and check valve disk retainers with stand offs are installed.
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GENERAL ELECTRIC COMPANY, IT’S SUBSIDIARIES, AFFILIATES OR DESIGNEES. Distribution or copying of this document by non-
employees or non-designees is strictly prohibited without the express written consent of General Electric Company or subsidiary thereof.
Maintenance Procedures
MP 1017 The information contained in this document is CONFIDENTIAL INFORMATION and IS INTENDED ONLY FOR THE USE OF EMPLOYEES OF
GENERAL ELECTRIC COMPANY, IT’S SUBSIDIARIES, AFFILIATES OR DESIGNEES. Distribution or copying of this document by non-
employees or non-designees is strictly prohibited without the express written consent of General Electric Company or subsidiary thereof.
Maintenance Procedures
10. Verify the smooth operation of the GMS gauge as the pressure drops with each turn of the
APL valve.
11. Verify that the tactile indication ceases at approximately 30 cmH2O and that the Sustained
Pressure alarm resets.
12. Continue turning the APL knob until it is fully counter-clockwise.
13. If the bi-annual (24 month) GMS APL assembly inspection was performed at this visit, skip
this test. Verify that the gauge indicates 1-5 cmH2O.
14. Reconnect the bellows assembly to the absorber.
1. Functional Check
a. Note the position of the interface needle valve.
b. Close the interface needle valve.
c. Adjust the O2 flow to 6 L/min.
NOTE: For passive systems, cap the evacuation output port then proceed.
NOTE: For a passive system, reattach evacuation output tubing. Step f need not
be performed.
New style PEEP valves started with serial number AAXS01000. If you find an old style valve, call
the Anesthesia Complaint Coordinator in Madison, at 1-800-521-0086, for disposition.
1. Pre-Operative Checkout
a. Check that the scale and knob labels are legible. If not, replace PEEP valve assembly.
b. Check that the instruction label is legible.
2. Inspection
a. Remove the PEEP Valve from the absorber.
b. Disassemble the lower section of the PEEP Valve and remove the blue check disk.
c. Verify that the pin moves side to side and freely in and out. Any restriction of movement
indicates that cleaning is required.
d. Reassemble the valve and reinstall it on the absorber.
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Maintenance Procedures
3. Testing
With the patient circuit attached, the ventilator turned "OFF", and the absorber switched to
the ventilator mode, perform the following:
a. Remove the gas supply hose from the common gas outlet of the machine.
b. Attach one end of a 22 mm corrugated hose to the common gas outlet, attach the other
end to the patient outlet of the "Y" connector in the patient circuit.
c. Turn the PEEP Valve fully clockwise to the maximum PEEP setting.
d. Press the flush button while observing the absorber pressure gauge. Typically, the
indicated pressure will be approximately 40 cmH2O. If the pressure exceeds 60 cmH2O,
the valve must be serviced or replaced.
e. Perform the following test:
1) Flow 3 L/min of oxygen with the PEEP Valve knob turned fully clockwise.
NOTE: If the pressure reading is not in the recommended range, the spring may
need replacing.
2) Observe the pressure on the absorber pressure gauge. It should be between
16 and 27 cmH2O.
3) Return the PEEP Valve to the "OFF" (fully counterclockwise) position and reduce
the O2 flow to minimum.
4) Remove the 22 mm corrugated hose from the common gas outlet and the "Y"
connector. Reconnect the gas supply hose and any circuit connections
previously removed.
MP 1017 The information contained in this document is CONFIDENTIAL INFORMATION and IS INTENDED ONLY FOR THE USE OF EMPLOYEES OF
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Maintenance Procedures
C. Breathing System Pressure Leak Test (Absorber, bellows assembly, manifold, and drive
gas hose)
NOTE: Before performing this test, the bellows must be at the bottom of the housing.
1. Set the BAG/VENT switch to VENTILATOR position (GMS and 21 Absorber with selector
switch).
2. Disconnect the 17 mm Drive Gas hose at the back of the ventilator and occlude the hose
with a test plug.
3. Observe the pressure gauge while slowly increasing the O2 flow until the pressure reaches
30 cmH2O. Quickly reduce the flow until the pressure stabilizes.
4. The O2 flowmeter reading is the total system leak rate. Verify that the leak rate is not
greater than 225 ml/min.
NOTE: If this test is performed with a patient circuit with an occluded 'Y' piece, the
allowable leak rate is 300 ml/min.
5. Remove the corrugated hose, the test plug from the drive gas hose, and occlusions on any
gas sampling connections. Reconnect the drive gas hose.
B. Proportioning System
WARNING: Use the hospital evacuation system with the service gas-evacuator tee. If
hospital evacuation system is not available, perform service in a well-ventilated
area.
1. Every 12 months, perform flowmeter verification on O2 at the following flows: 500 ml/min,
1 L/min, and 5 L/min.
2. Use the N2O Flow Control Valve and perform the tests in Table A progressively from low to
high flows. Do not overshoot any setting. Allow the System O2 monitor to stabilize between
readings.
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Maintenance Procedures
TABLE A
3. Set the N2O flow to 10 L/min. Verify that you cannot turn the N2O flow control knob more
than 2 additional turns counterclockwise.
4. Increase O2 to 6 L/min.
5. Use the O2 Flow Control Valve and perform the tests in Table B progressively from high to
low flows. Do not overshoot any setting.
TABLE B
Set the O2 Flow Cont. The N2O flow must then read between
Valve to (L/Min) the following readings:
6. Decrease N2O to minimum, the O2 float should not decrease at this time.
7. For optional gas(es) use the appropriate table shown below.
TABLE C
Oxygen He Oxygen
N2 Monitor Range
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Maintenance Procedures
TABLE D
TABLE E
8. Set all gas flows to minimum. Verify that the O2 flowmeter indicates 200 ml ± 25.
C. Vaporizer Test
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Maintenance Procedures
NOTE: The 3/8 Amp fast acting should not be used for any future replacements.
NOTE: The replacement fuse for the 7000 Multi-Voltage Ventilator is a 1 Amp 250 Volt
5X20mm fast acting fuse.
TABLE F
NOTE: Respirometer readings have been adjusted to compensate for respirometer response
curve.
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employees or non-designees is strictly prohibited without the express written consent of General Electric Company or subsidiary thereof.
Maintenance Procedures
G. Alarm Tests
1. Push the lamp test button. All the lamps must light and the audio alarm must sound.
MV Alarm Condition(s)
15 L/Min None
15-20 L/Min Actual I:E Less Than Dial Setting
20-25 L/Min Actual I:E Less Than Dial Setting and
Set Volume Not Delivered.
15 L/Min None
NOTE 1: The electronic high pressure relief system should be present in all 7000
ventilators. If it is not present, retrofit the ventilator using the high pressure
relief kit. Charge the kit to warranty.
NOTE 2: There are two parts to this procedure, the first is verifying that the alarm
threshold is triggered at the correct pressure. The second test, which is done
later in conjunction with other alarm tests, checks that the alarm is actually
triggered at the patient.
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employees or non-designees is strictly prohibited without the express written consent of General Electric Company or subsidiary thereof.
Maintenance Procedures
K. Sigh Test
1. Set the controls to: MV-15, R-40, I:E-1:2
2. Turn the sigh switch ON and start stop watch. Count breaths beginning with the first
inspiratory cycle after the sigh is switched ON. On the 64th breath, ±2 breaths
(approximately 96 seconds) a larger breath, (approximately 150% of set volume) must be
delivered.
3. Reset the all controls to its their original positions.
A. Pre-Inspection
1. Remove the TVX cartridge and sensor clip and inspect for cracks and physical damage.
2. Inspect the battery and compartment for damage. Replace the battery as necessary, or
every 24 months. Record the replacement date on the battery.
3. Turn Monitor ON. Verify all segments are lit and the backlighting is on.
4. Verify the function of Adult/Ped switch. Switch to Ped. and verify that PEd is displayed and
the green LED is on. Switch to Adult and verify Adu is displayed.
B. Functional Check
1. High Minute Volume Alarm Test
a. Set Ventilator controls to MV 6, Rate 10, I:E 1:1.
b. Set High Minute Volume Alarm to 4.
c. Verify the High Minute Volume alarm activates.
d. Reset High Minute Volume alarm to its original position.
2. Low Minute Volume Alarm Test
a. Set the Low Minute Volume alarm to 7.
b. Verify the Low Minute Volume alarm activates.
c. Press alarm silence to silence the alarm.
d. Reset the Low Minute Volume alarm to its original position.
3. Apnea Alarm
a. Turn the Ventilator OFF.
b. Verify the following occurs:
1) After 30 sec., APNEA message appears on the display, LED begins to flash, one
low-high tone sounds.
2) After 60 sec., two low-high tones sound.
3) After 90 sec., three low-high tones sound.
4) After 120 sec., continuous low-high tones sound.
c. Turn the monitor OFF.
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employees or non-designees is strictly prohibited without the express written consent of General Electric Company or subsidiary thereof.
Maintenance Procedures
4. Flow Test
a. Connect the TVX cartridge and sensor clip to common gas outlet with the gas flow arrow
pointing away from the machine.
b. Set the O2 flow to 6 L/min.
c. Turn the monitor ON.
d. Verify that the volume displayed is 6L/min ± 2L/min.
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employees or non-designees is strictly prohibited without the express written consent of General Electric Company or subsidiary thereof.
Maintenance Procedures
NOTE: Perform electrical Safety Tests every 6 months, or if the covers to a machine(s) are
removed.
NOTE: If tests are conducted with power from an isolated electrical power system, conduct
the tests as detailed below and record "ISOLATED POWER SYSTEM" on the MSR
detail block. Do not use an electrical jumper plug to defeat the isolation of the
power system.
A. Disconnect all test devices and reconnect pipeline hoses, monitors and accessories that were
previously removed. Ensure the following:
B. All vaporizers are OFF.
C. The fresh gas hose is connected.
D. All flow control valves are at the minimum stop.
E. The APL valve is Open (minimum setting).
F. Verify correct operation of lightbar (if equipped).
G. All panels and tray top are attached.
H. The pipeline hoses are connected.
I. All cylinder gauges are at zero.
J. All units are plugged into an appropriate power source.
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employees or non-designees is strictly prohibited without the express written consent of General Electric Company or subsidiary thereof.
Maintenance Procedures
Appendix A
Required Tools
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Maintenance Procedures
Appendix B
Required Parts
5120 O2 Monitor
1. Outer O-ring 0210-0503-300 As Required
2. Inner O-ring 0210-0499-300 As Required
The batteries and cartridge are user replaceable and not covered by an MA contract.
7000 Ventilator
1. Battery 1502-3016-000 24 months
2. Bellows, Adult ABA 1500-3378-000 As Required
3. Bellows, Pediatric Non ABA 0229-1018-700 As Required
4. Diaphragm and Seat Assy, ABA 1500-3377-000 As Required
5. Disk/ Ring /Bumper Assy, ABA 1500-3381-000 As Required
6. O-ring, large, pop-off valve Non ABA 1500-3267-000 As Required
7. O-ring, small, pop-off valve Non ABA 0210-0593-300 As Required
8. O-ring, drive gas nipple 0210-0593-300 As Required
9. Retaining ring, Ped Bellows Non ABA 0229-0036-300 As Required
10. Seal, ABA 1500-3359-000 As Required
11. Seat, Free Breathing Valve 0207-5590-100 As Required
12. U Cup Seal Non ABA 0210-0784-300 As Required
GMS Absorber
1. APL Valve Service Kit 0216-6785-870 As Required
1 ea Instr Instal GMS Apl Repl Parts
1 ea Label Set ABS GMS
1 ea Shaft Needle
1 ea Seat Valve APL
2 ea O-Ring 1-1/16OD 15/16ID
1 ea Disk APL 1.03D BL Delrin GMS ABS
2 ea Washer .946ID 1.1960D .016T Brass
2 ea Ring Retainer 15/16Shaft Truarc #5103-93H ST ST
1 ea Grommet APL Valve
1 ea Ring Locking APL Valve
1 ea Spring, Com 12.70D 38.1L
2. Canister Gaskets 0210-1214-100 As Required
3. Canister Seals 0210-1218-300 As Required
4. Disk Valve - PEEP 0210-5297-100 As Required
MP 1017 The information contained in this document is CONFIDENTIAL INFORMATION and IS INTENDED ONLY FOR THE USE OF EMPLOYEES OF
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Maintenance Procedures
GMS Absorber
5. Disk Retainer - PEEP 0207-1642-542 As Required
6. Dome - PEEP 0207-1638-100 As Required
7. Instruction Tab - PEEP 1400-3006-000 As Required
8. Manifold Gasket with Risers 0229-2077-100 As Required
9. Washer Pin Gasket 0202-0094-300 As Required
10. O-Ring - Bag Arm Drain 0210-0483-300 As Required
11. O-Ring - Gauge 0210-0566-300 As Required
12. O-Ring - Lower Dish Drain, New Style 0210-0594-300 As Required
13. O-Ring - Lower Dish Drain, Old Style 0210-0481-300 As Required
14. O-Ring 0210-0574-300 As Required
15. Pivot Bracket 0229-2085-200 As Required
16. Retaining Ring - PEEP 0203-5249-300 As Required
17. Return Tube 1400-3009-000 As Required
18. Screen 0214-7167-535 As Required
19. In/Exhalation Check Valve Service Kit 1400-8011-000 As Required
2 ea O-Ring 2-1/16OD 1-7/8ID
1 ea O-Ring 9/16OD 7/16ID
2 ea Disc Chk Vlv Rvsbl
2 ea Pad Die Cut 2-1/2 X 1-1/4
2 ea Dome Valve Check
2 ea Cup Seal
1 ea O-Ring .437ID .625OD
20. 2 ea Cup Seal 0229-2007-100 24 Months
21. Service Kit - Selector Valve GMS 0216-6782-800 As Required
1 ea Bearing .130 DIA X. 250L
1 ea Bearing Nylon .250ID
1 ea Bushing Selector Valve
1 ea O-Ring .500 ID .625 OD .062W EPR 80 Duro
1 ea O-Ring 1/8X1/4X1/16 EPR
1 ea O-Ring .250ID .375OD .062W EPR 78 Duro
1 ea Roller
1 ea Sleeve Pivot Pin
1 ea Instr Instal Kit Selector Valve & Gauge Sensing
1 ea Spring Com
2 ea Ring Truarc .125 Shaft #5133-12H E-Ring
1 ea Adapter Barbed End 1/16ID Tube X 6-32 THD
1 ea Net, HT 6-32, Full MCH, SST
1 ea Pin Pivot
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Maintenance Procedures
GMS
1 ea Retainer Cover
1 ea Shaft Retaining Ring
1 ea Bracket Support
1 ea Shaft Selector Valve
1 ea Bracket Pivot
2 ea Washer .438OD X .128ID X .065T Delrin
1 ea Tube Connector Patient Press 1/16ID Silicone Med
1 ea Washer No 6 Flat SST
22. Spring - PEEP 1400-3023-000 As Required
23. Thrust Pin - PEEP 0207-1635-500 As Required
24. Upper Gasket 0210-1057-100 As Required
25. Washers - Switch Assy. 0402-1044-500 As Required
Excel
1. Battery 7.2V 1502-3016-000 24 Months
2. Gasket, Yoke Cylinder Valve 0210-5022-300 As Required
3. Index Pin 0201-0503-500 As Required
4. Inlet Strainer Nipple w/ Filter 9914-6380-000 As Required
5. O - Ring Tec Port Manifold 0210-0736-300 12 Months
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Maintenance Procedures
Appendix C *
Maintenance Procedure Revision Log
* Note: This document has been under revision control, but a revision history has not
been required to be included with this procedure. From this revision going forward, this
log will be updated to inform the user of changes made to this document.
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