Datex-Ohmeda Avance Assembly instructions

Avance
User’s Reference Manual
Software Revision 8.X

Datex-Ohmeda, Inc., a General Electric Company, doing business as GE Healthcare.
User Responsibility
This Product will perform in conformity with the description thereof
contained in this User’s Reference manual and accompanying labels
and/or inserts, when assembled, operated, maintained, and repaired
in accordance with the instructions provided. This Product must be
checked periodically. A defective Product should not be used. Parts
that are broken, missing, plainly worn, distorted, or contaminated
should be replaced immediately. Should repair or replacement
become necessary, Datex-Ohmeda recommends that a telephonic or
written request for service advice be made to the nearest
Datex-Ohmeda Customer Service Center. This Product or any of its
parts should not be repaired other than in accordance with written
instructions provided by Datex-Ohmeda and by Datex-Ohmeda
trained personnel. The Product must not be altered without the prior
written approval of Datex-Ohmeda. The user of this Product shall
have the sole responsibility for any malfunction which results from
improper use, faulty maintenance, improper repair, damage, or
alteration by anyone other than Datex-Ohmeda.
CAUTION U.S. Federal law restricts this device to sale by or on the
order of a licensed medical practitioner. Outside the
U.S.A., check local laws for any restriction that may apply.
Datex-Ohmeda products have unit serial numbers with coded logic
which indicates a product group code, the year of manufacture, and a
sequential unit number for identification. The serial number can be in
one of two formats.
Avance, Advanced Breathing System, ComWheel, D-fend,
EZchange, Disposable Multi Absorber, Reusable Multi Absorber,
PSVPro, SmartVent, Tec 6 Plus, and Tec 7 are registered
trademarks of Datex-Ohmeda, Inc.
Other brand names or product names used in this manual are
trademarks or registered trademarks of their respective holders.
AAAX11111 AAAXX111111AA
The Xrepresents an alpha
character indicating the year
the product was manufactured;
H= 2004, J= 2005, etc. Iand
Oare not used.
The XX represents a number
indicating the year the product
was manufactured; 04 = 2004,
05 = 2005, etc.

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Table of Contents
1 Introduction
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Symbols used in the manual or on the equipment . . . . . . . .1-4
Typeface conventions used . . . . . . . . . . . . . . . . . . . . . . . . .1-8
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-9
System information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
System classification . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
Device standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
Integral system components . . . . . . . . . . . . . . . . . . . .1-11
Not integral system components . . . . . . . . . . . . . . . . .1-11
System safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
Preparing for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
Inspecting the system . . . . . . . . . . . . . . . . . . . . . . . . .1-13
Electrical safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14
2 System controls and menus
System overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Using the brakes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4
Using the O2 flush button . . . . . . . . . . . . . . . . . . . . . . .2-4
Advanced breathing system components . . . . . . . . . . . . . .2-5
Using the bag support arm . . . . . . . . . . . . . . . . . . . . . . .2-6
Vaporizer controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7
Display controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8
Menu Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9
Anesthesia system display . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Waveform fields . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
Digit field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
Display navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Using menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13

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Using the ComWheel . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
Using quick keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
Using Select Page menu . . . . . . . . . . . . . . . . . . . . . . .2-14
3 Operation
System operation safety . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Turning on the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4
Start a case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Minimum Alveolar Concentration . . . . . . . . . . . . . . . . . .3-6
Starting a case using default settings . . . . . . . . . . . . . .3-6
Starting a case using custom settings . . . . . . . . . . . . . .3-6
End a case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8
Ventilator setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9
Changing ventilator settings . . . . . . . . . . . . . . . . . . . . . .3-9
Changing ventilation mode and ventilator settings . . . .3-9
Gas setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-11
Changing gas settings . . . . . . . . . . . . . . . . . . . . . . . . .3-11
Changing balance gas and gas settings . . . . . . . . . . .3-11
Changing circuit type . . . . . . . . . . . . . . . . . . . . . . . . . .3-11
Using the circle circuit . . . . . . . . . . . . . . . . . . . . . . . . .3-12
Using the non-circle circuit . . . . . . . . . . . . . . . . . . . . . .3-12
Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Cardiac bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-14
Fresh gas usage . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
Screen setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-15
Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-19
Setting trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-19
Alarm setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
Setting alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-20
Setting volume apnea alarm . . . . . . . . . . . . . . . . . . . .3-20
Setting MV/TV alarms . . . . . . . . . . . . . . . . . . . . . . . . .3-21
Silencing leak audio alarms . . . . . . . . . . . . . . . . . . . . .3-21
Setting CO2 alarms . . . . . . . . . . . . . . . . . . . . . . . . . . .3-21
Setting auto MV limit . . . . . . . . . . . . . . . . . . . . . . . . . .3-22
Setting alarm volume . . . . . . . . . . . . . . . . . . . . . . . . . .3-22

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M1204616 iii
Setting apnea time . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22
Viewing alarm history . . . . . . . . . . . . . . . . . . . . . . . . . .3-22
Spirometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-24
Setting loop type . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-25
Setting loop graph scaling . . . . . . . . . . . . . . . . . . . . . .3-25
Spirometry setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-26
Storing, viewing, erasing spirometry loops . . . . . . . . .3-27
Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-28
Pause gas flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-28
Vital capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-29
Cycling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-30
Alternate O2 control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-32
Using Alternate O2 control . . . . . . . . . . . . . . . . . . . . . .3-32
EZchange canister mode . . . . . . . . . . . . . . . . . . . . . . . . . .3-33
Using EZchange canister mode . . . . . . . . . . . . . . . . . .3-33
Condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-35
Draining the condenser . . . . . . . . . . . . . . . . . . . . . . . .3-35
Auxiliary Common Gas Outlet . . . . . . . . . . . . . . . . . . . . . .3-36
Using the ACGO . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-36
4 Preoperative checkout
Every day before your first patient . . . . . . . . . . . . . . . . . . . .4-2
Before every patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
5 Preoperative tests
Vaporizer installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2
Flow and pressure calibration . . . . . . . . . . . . . . . . . . . . . . .5-3
Circuit compliance compensation . . . . . . . . . . . . . . . . . . . .5-4
Checkout menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5
Machine check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6
Machine check - system . . . . . . . . . . . . . . . . . . . . . . . .5-6
Machine check - circuit . . . . . . . . . . . . . . . . . . . . . . . . .5-6
Machine check - circuit O2 . . . . . . . . . . . . . . . . . . . . . .5-7
Machine check - monitor . . . . . . . . . . . . . . . . . . . . . . . .5-7
Individual checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8

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System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8
Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8
Circuit O2 cell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9
Low P leak . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9
Low P leak (machines with ACGO) . . . . . . . . . . . . . . . .5-9
Positive low pressure leak test (ACGO systems only) . . . .5-10
Vaporizer back pressure test . . . . . . . . . . . . . . . . . . . . . . .5-11
6 Airway modules
Airway modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2
Connection to a patient . . . . . . . . . . . . . . . . . . . . . . . . .6-4
Parameters setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5
Data source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5
CO2 setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5
O2 setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5
Agent setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5
Spirometry setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5
Automatic agent identification . . . . . . . . . . . . . . . . . . . . . . .6-6
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-7
7 Alarms and troubleshooting
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Alarm priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Silencing alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2
Display changes during alarms . . . . . . . . . . . . . . . . . . .7-3
De-escalating alarms . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
Battery indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
Internal failure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
List of alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4
Alarm ranges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12
Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-14
Breathing system problems . . . . . . . . . . . . . . . . . . . . . . . .7-16
Electrical problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-17
Pneumatic problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-18

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M1204616 v
8 Setup and connections
Setup safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2
Setting up the absorber canister . . . . . . . . . . . . . . . . . . . . .8-4
When to change the absorbent . . . . . . . . . . . . . . . . . . .8-5
Removing a canister . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6
Removing an EZchange canister . . . . . . . . . . . . . . . . . .8-6
Filling the Reusable Multi Absorber canister . . . . . . . . .8-7
Electrical connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9
Mains inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9
Outlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9
Serial port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10
Pneumatic connections . . . . . . . . . . . . . . . . . . . . . . . . . . .8-11
Pipeline inlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-11
Scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-11
Sample gas return port . . . . . . . . . . . . . . . . . . . . . . . .8-13
Vacuum suction regulator (optional) . . . . . . . . . . . . . .8-14
Venturi suction regulator (optional) . . . . . . . . . . . . . . .8-14
Auxiliary O2 flowmeter (optional) . . . . . . . . . . . . . . . . .8-15
Installing gas cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-16
Installing cylinders with pin indexed yokes . . . . . . . . .8-16
Installing cylinders with DIN connections . . . . . . . . . . .8-16
Performing a high-pressure leak test . . . . . . . . . . . . . .8-17
Attaching equipment to the top of the machine . . . . . . . . .8-18
Passive AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-19
Connecting passive AGSS . . . . . . . . . . . . . . . . . . . . . .8-19
Active AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-20
Connecting active AGSS with a flow indicator . . . . . . .8-20
Connecting active adjustable AGSS . . . . . . . . . . . . . .8-21
9 User maintenance
Maintenance safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2
Repair policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-3
Maintenance summary and schedule . . . . . . . . . . . . . . . . .9-4
Datex-Ohmeda approved service . . . . . . . . . . . . . . . . .9-4

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Circuit O2 cell replacement . . . . . . . . . . . . . . . . . . . . . . . . .9-6
Calibration menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-7
Flow and pressure calibration . . . . . . . . . . . . . . . . . . . .9-7
Circuit O2 cell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-7
Airway gas calibration . . . . . . . . . . . . . . . . . . . . . . . . . .9-8
Backlight test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-8
How to help prevent water buildup . . . . . . . . . . . . . . . . . . . .9-9
10 Parts
Flow sensor module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2
Breathing circuit module . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
Bellows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-4
Complete Advanced Breathing System . . . . . . . . . . . . . . .10-5
Absorber canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-6
Exhalation valve assembly . . . . . . . . . . . . . . . . . . . . . . . . .10-7
AGSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-8
EZchange canister system . . . . . . . . . . . . . . . . . . . . . . . . .10-9
Condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-10
Test tools and system parts . . . . . . . . . . . . . . . . . . . . . . .10-11
11 Specifications and theory of operation
System pneumatic circuits . . . . . . . . . . . . . . . . . . . . . . . . .11-2
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-4
O2 flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-4
Air and N2O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-4
Mixed gas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-4
EZchange canister . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5
Condenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5
Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . .11-5
Gas supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5
ACGO Port relief . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-5
Non-circle circuit relief . . . . . . . . . . . . . . . . . . . . . . . . .11-5
Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . .11-6
Electrical power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-8
Power cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-8

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Battery information . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-9
Flow specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-9
Breathing system specifications . . . . . . . . . . . . . . . . . . . .11-10
Gas scavenging . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-11
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . .11-12
Environmental requirements . . . . . . . . . . . . . . . . . . . . . .11-12
Airway module specifications . . . . . . . . . . . . . . . . . . . . . .11-13
Gas specifications . . . . . . . . . . . . . . . . . . . . . . . . . . .11-13
Typical performance . . . . . . . . . . . . . . . . . . . . . . . . .11-14
Suction regulators (optional) . . . . . . . . . . . . . . . . . . . . . .11-15
Ventilator theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-16
O2 monitoring theory of operation . . . . . . . . . . . . . . .11-17
Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . .11-17
Ventilation modes factory default settings . . . . . . . . .11-26
Ventilation mode transition . . . . . . . . . . . . . . . . . . . . .11-27
Ventilator operating specifications . . . . . . . . . . . . . . . . . .11-28
Pneumatics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-28
Fresh gas compensation . . . . . . . . . . . . . . . . . . . . . .11-28
Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-28
Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-28
Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-28
Ventilator accuracy data . . . . . . . . . . . . . . . . . . . . . . . . .11-29
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . .11-30
Guidance and manufacturer’s declaration -
electromagnetic emissions . . . . . . . . . . . . . . . . . . . . .11-30
Guidance and manufacturer’s declaration -
electromagnetic immunity . . . . . . . . . . . . . . . . . . . . .11-31
Recommended separation distances . . . . . . . . . . . . .11-33
12 Super user mode
Super user menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2
Cumulative gas usage . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-3
Reset cumulative gas usage . . . . . . . . . . . . . . . . . . . .12-3
Trends setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-4
Setting the default trend type . . . . . . . . . . . . . . . . . . . .12-4

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Setting graphical trends pages . . . . . . . . . . . . . . . . . .12-4
Display settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-6
Setting colors and units . . . . . . . . . . . . . . . . . . . . . . . .12-6
Page setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-7
Ventilator settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-9
Alarm settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-10
Volume apnea setup . . . . . . . . . . . . . . . . . . . . . . . . .12-10
Parameter settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-12
Setting volume conditions and humidity
compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-12
Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-13
Configuring case defaults . . . . . . . . . . . . . . . . . . . . .12-13
Lung mechanics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-17
Index
Warranty

M1204616 1-1
1 Introduction
In this section Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Symbols used in the manual or on the equipment . . . . . . . .1-4
Typeface conventions used . . . . . . . . . . . . . . . . . . . . . . . . .1-8
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-9
System information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
System safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12

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Intended use
The Avance anesthesia system combines our highly advanced
anesthesia delivery, the very best in patient monitoring, and care
information management. The contemporary, compact design
addresses many ergonomic considerations including an efficient
cable management solution and storage system and an extra large
work surface area. Optional, integrated features include auxiliary O2
and suction control. The Avance system offers improved usability
through integration of ventilation, gas delivery and gas monitoring (E
and M-Series respiratory gas module capable) on a full-color 12-inch
display. This system also features electronic gas mixing of upto three
gases.
This anesthesia system is designed for mixing and delivering
inhalation anesthetics, Air, O2, and N2O. The anesthesia system’s
small breathing system volume allows an anesthetic agent delivery
response time of less than 7 seconds. (Agent response time defined
as achieving 90% of the setting change measured while in non-circle
circuit with a 2 l/min fresh gas flow.)
This anesthesia system uses SmartVent ventilation technology
offering Volume Control Ventilation with tidal volume compensation
and electronic PEEP. The proven SmartVent technology also
features optional Pressure Control Ventilation, Pressure Support
Ventilation with an Apnea Backup (PSVPro) that is used for
spontaneously breathing patients, Synchronized Intermittent
Mandatory Ventilation (SIMV) modes, Pressure Control Ventilation-
Volume Guarantee (PCV-VG), Constant Positive Airway Pressure/
Pressure Support Ventilation (CPAP/PSV), and VCV cardiac bypass.
In Volume Control Ventilation, a patient can be ventilated using a
minimal tidal volume of 20 ml. In Pressure Control Ventilation,
volumes as low as 5 ml can be measured. These advanced features
allow for the ventilation of neonates to adult patients.
This anesthesia system uses the Advanced Breathing System (ABS).
This integrated breathing system is easy to remove and disassemble
and is fully autoclavable. Its fully integrated design enhances the
system’s elegance while minimizing tube connections, minimizing
circuit volume, and increasing the work surface area.
This anesthesia system is designed for expansion and upgrades, so it
is easy to add new technologies and ventilation capabilities without
investing in a new system.
This anesthesia system is not suitable for use in an MRI environment.
This system must only be operated by authorized medical personnel
well trained in the use of this product. It must be operated according
to the instructions in this User’s Reference manual.
WARNING Explosion Hazard. Do not use this system with flammable
anesthetic agents.

1 Introduction
M1204616 1-3
Note Configurations available for this product depend on local market and
standards requirements. Illustrations in this manual may not
represent all configurations of the product. This manual does not
cover the operation of every accessory. Refer to the accessory
documentation for further information.
Figure 1-1 • Front view
AB.91.132

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Symbols used in the manual or on the equipment
Symbols replace words on the equipment, on the display, or in
Datex-Ohmeda manuals.
Warnings and Cautions tell you about dangerous conditions that can
occur if you do not follow all instructions in this manual.
Warnings tell about a condition that can cause injury to the operator
or the patient.
Cautions tell about a condition that can cause damage to the
equipment. Read and follow all warnings and cautions.
On (power) Off (power)
Standby O2+O2 Flush button
Type BF equipment Type B equipment
Airway module indicator ACGO active
Dangerous voltage Frame or chassis ground
Protective earth ground Earth ground
Direct current Alternating current
Caution/Warning Attention, refer to product instructions
Refer to product instructions Pinch hazard
Electrical input Electrical output
Electrical input/output Sample gas inlet to scavenging
Pneumatic inlet Pneumatic outlet

1 Introduction
M1204616 1-5
SN Serial number REF Stock number
Equipotential Lamp, lighting, illumination
Variability Variability in steps
Suction bottle outlet Vacuum inlet
Maximum Vacuum
Exhaust Bellows volumes are approximate
+Plus, positive polarity -Minus, negative polarity
Bag position/manual ventilation Mechanical ventilation
Inspiratory flow Expiratory flow
Movement in one direction Movement in two directions
Lock Unlock
Isolation transformer Low pressure leak test
134°C Autoclavable Not autoclavable
This way up O2% O2 cell connection
APL settings are approximate Anesthetic Gas Scavenging System
O2% indicator on left and balance gas
indictor on right. Colors associated
with gas settings.
Gas indicator. Color associated with gas
settings.

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Alarm silence Submenu
No battery/battery failure Battery in use. Bar indicates amount of
battery power remaining.
Read to center of float EZchange canister (CO2 bypass)
Open drain (remove liquid) Close drain
Pipeline Cylinder
Systems with this mark agree with the
European Council Directive (93/42/
EEC) for Medical Devices when they
are used as specified in their User’s
Reference manuals. The xxxx is the
certification number of the Notified
Body used by Datex-Ohmeda’s
Quality Systems.
Authorized representative in the
European Community
Date of manufacture Manufacturer
Indicates that the waste of electrical
and electronic equipment must not be
disposed as unsorted municipal waste
and must be collected separately.
Please contact an authorized
representative of the manufacturer for
information concerning the
decommissioning of equipment.
GOST R Russian certification
This product consists of devices that
may contain mercury, which must be
recycled or disposed of in accordance
with local, state, or country laws.
(Within this system, the backlight
lamps in the monitor display contain
mercury.
Caution: federal law prohibits
dispensing without prescription.
Device contains phthalates Single use device

1 Introduction
M1204616 1-7
Alarm silence touch key (Tec 6 Plus) When moving or transporting
anesthesia machine, place the display
arm in the transport position as shown.
Maximum mass of configured mobile
equipment

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Typeface conventions used
Names of hard keys on the display and modules are written in bold
typeface; for example, Normal Screen.
Menu items are written in bold italic typeface; for example, Vent
Setup.
Messages that are displayed on the screen are enclosed in single
quotes; for example, ‘Check sample gas out.’
When referring to different sections and other documents, the names
are written in italic typeface and enclosed in double quotes; for
example, “System controls and menus.”

1 Introduction
M1204616 1-9
Abbreviations
Abbreviation Definition
A
AA Anesthetic agent
ABS Advanced breathing system
ACGO Auxiliary Common Gas Outlet
AGSS Anesthesia Gas Scavenging System
Alt O2 Alternate O2
APL Adjustable pressure-limiting
APN Apnea
C
CGO Common Gas Outlet
CO2 Carbon dioxide
Compl Compliance
CPAP/PSV Constant Positive Airway Pressure/Pressure Support
Ventilation
E
ET End-tidal concentration
EtCO2 End-tidal carbon dioxide
EtO2 End-tidal oxygen
Exp Expiratory
F
FI Fraction of inspired gas
FiCO2 Fraction of inspired carbon dioxide
FI-ET Difference between inspiratory and expiratory
concentrations
FiO2 Fraction of inspired oxygen
F-V Flow-volume loop
I
I:E Inspiratory-expiratory ratio
Insp Inspiratory
Insp Pause Inspriatory pause time
M
MAC Minimum Alveolar Concentration
MV Minute volume
MVexp Expired minute volume
MVinsp Inspired minute volume
N
N2O Nitrous oxide

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O
O2 Oxygen
P
Pair Air supply pressure
Paux Auxiliary pressure
Paw Airway pressure
PCV Pressure controlled ventilation
PCV-VG Pressure controlled ventilation - volume guaranteed
PEEP Positive end expiratory pressure
PEEPe Extrinsic positive end expiratory pressure
Pexp Expiratory pressure
P-F Pressure-flow loop
Pinsp Inspiratory pressure
Plimit High pressure limit
Pmax Maximum pressure
Pmean Mean pressure
PO2 Oxygen supply pressure
Ppeak Peak pressure
Pplat Plateau pressure
Psupp Support pressure
PSV Pressure supported ventilation
PSVPro Pressure supported ventilation with apnea backup
P-V Pressure-volume loop
R
Rate Respiratory rate
Raw Airway resistance
RR Respiratory rate
S
SIMV/PSV Synchronized intermittent mandatory ventilation with
pressure supported ventilation
SIMV-PC Synchronized intermittent mandatory ventilation -
pressure controlled
T
TV Tidal volume
TVexp Expired tidal volume
TVinsp Inspired tidal volume
V
VCO2 Carbon dioxide production
VCV Volume controlled ventilation
Vol Volume
Abbreviation Definition