Mindray WATO EX-65 User manual

WATO EX-65 Anesthesia
Machine
Operator’s Manual

I
CE Marking
The product bears CE mark indicating its conformity with the provisions of the Council
Directive 93/42/EEC concerning medical devices and fulfils the essential requirements of
Annex I of this directive.
The product is in radio-interference protection Group I Class B in accordance with EN55011.
The product complies with the requirement of standard EN60601-1-2 “Electromagnetic
Compatibility – Medical Electrical Equipment”.
Revision History
This manual has a revision number. This revision number changes whenever the manual is
updated due to software or technical specification change. Contents of this manual are subject
to change without prior notice. Revision 1.0 is the initial release of the document.
Revision number: 1.0
Release time: 2009-1
© Copyright 2009Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights reserved.
WARNING
zFederal Law (USA) restricts this device to sale by or on the order of a physician.

II
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called
Mindray) owns the intellectual property rights to this product and this manual. This manual
may refer to information protected by copyrights or patents and does not convey any license
under the patent rights of Mindray, nor the rights of others.
Mindray intends to maintain the contents of this manual as confidential information.
Disclosure of the information in this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden. Release, amendment, reproduction, distribution,
rental, adaption and translation of this manual in any manner whatsoever without the written
permission of Mindray is strictly forbidden
, and WATO are the registered trademarks or trademarks owned by
Mindray in China and other countries. All other trademarks that appear in this manual are
used only for editorial purposes without the intention of improperly using them. They are the
property of their respective owners.
Contents of this manual are subject to changes without prior notice.

III
Manufacturer’s Responsibility
All information contained in this manual is believed to be correct. Mindray shall not be liable
for errors contained herein nor for incidental or consequential damages in connection with
the furnishing, performance, or use of this manual.
Mindray is responsible for the effects on safety, reliability and performance of this product
only if:
all installation operations, expansions, changes, modifications and repairs of this product
are conducted by Mindray authorized personnel; and
the electrical installation of the relevant room complies with the applicable national and
local requirements; and
the product is used in accordance with the instructions for use.
Warranty
This warranty is exclusive and is in lieu of all other warranties, expressed or implied,
including warranties of merchantability or fitness for any particular purpose.
Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or
other charges or liability for direct, indirect or consequential damages or delay resulting from
the improper use or application of the product or the use of parts or accessories not approved
by Mindray or repairs by people other than Mindray authorized personnel.
This warranty shall not extend to
Any Mindray product which has been subjected to misuse, negligence or accident; or
Any Mindray product from which Mindray's original serial number tag or product
identification markings have been altered or removed; or
Any product of any other manufacturer.

IV
Return Policy
In the event that it becomes necessary to return a unit to Mindray, follow the instructions
below.
1. Return authorization.
Contact the Customer Service Department and obtain a Customer Service Authorization
number. This number must appear on the outside of the shipping container. Returned
shipments will not be accepted if the number is not clearly visible. Please provide the model
number, serial number, and a brief description of the reason for return.
2. Freight policy
The customer is responsible for freight charges when this product is shipped to Mindray for
service (this includes customs charges).
3. Return address
Please send the part(s) or equipment to the address offered by the Customer Service
Department.
Contact Information
Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Address: Mindray Building, Keji 12th Road South, Hi-tech Industrial Park,
Nanshan, Shenzhen 518057 P.R. China
Tel: [phone] [phone]
Fax: [phone] [phone]
Website: www.mindray.com
EC-Representative: Shanghai International Holding Corp. GmbH (Europe)
Address: Eiffestraße 80, Hamburg 20537, Germany
Tel: [phone]
Fax: [phone]

V
Preface
Manual Purpose
This manual contains the instructions necessary to operate the product safely and in
accordance with its function and intended use. Observance of this manual is a prerequisite for
proper product performance and correct operation and ensures patient and operator safety.
This manual is based on the maximum configuration and therefore some contents may not
apply to your product. If you have any question, please contact us.
This manual is an integral part of the product. It should always be kept close to the equipment
so that it can be obtained conveniently when needed.
Intended Audience
This manual is geared for clinical professionals who are expected to have a working
knowledge of medical procedures, practices and terminology as required for monitoring of
critically ill patients.
Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect the
setup or data displayed on your anesthesia machine.
Conventions
Italic text is used in this manual to quote the referenced chapters or sections.
[ ] is used to enclose screen texts.
→is used to indicate operational procedures.

VI
FOR YOUR NOTES

1
Contents
1 Safety................................................................................................................................. 1-1
1.1 Safety Information ..........................................................................................................1-1
1.1.1 Dangers .............................................................................................................. 1-2
1.1.2 Warnings............................................................................................................. 1-2
1.1.3 Cautions ............................................................................................................. 1-3
1.1.4 Notes .................................................................................................................. 1-4
1.2 Equipment Symbols ........................................................................................................ 1-5
2 The Basics ......................................................................................................................... 2-1
2.1 System Description ......................................................................................................... 2-1
2.1.1 Intended Use....................................................................................................... 2-1
2.1.2 Contraindications ............................................................................................... 2-1
2.1.3 Components ....................................................................................................... 2-2
2.2 Equipment Appearance ................................................................................................... 2-3
2.2.1 Front View.......................................................................................................... 2-3
2.2.2 Rear View........................................................................................................... 2-7
2.3 Batteries ........................................................................................................................ 2-12
3 System Controls and Basic Settings................................................................................ 3-1
3.1 Display Control ............................................................................................................... 3-1
3.2 Display Screen ................................................................................................................ 3-3
3.3 Basic Settings.................................................................................................................. 3-5
3.3.1 Adjust Screen Brightness ................................................................................... 3-5
3.3.2 Adjust Sound Volume......................................................................................... 3-5
3.3.3 Set System Time................................................................................................. 3-6
3.3.4 Set Language...................................................................................................... 3-6
3.3.5 Set Unit .............................................................................................................. 3-6
3.3.6 Restore Default Configurations.......................................................................... 3-6
3.3.7 Set the IP Address of Anesthesia Information System (CIS) ............................. 3-7
4 Operations and Ventilation Setup................................................................................... 4-1
4.1 Turn on the System ......................................................................................................... 4-1
4.2 Turn off the System.........................................................................................................4-1
4.3 Input Fresh Gas ............................................................................................................... 4-2
4.3.1 Set O2, N2O and Air Inputs ................................................................................. 4-2
4.3.2 Set Anesthetic Agent .......................................................................................... 4-3
4.4 Set Ventilation Mode....................................................................................................... 4-4
4.4.1 Set Manual Ventilation Mode............................................................................. 4-4
4.4.2 Make Settings before Starting Mechanical Ventilation Mode............................ 4-5

2
4.4.3 Volume Control Ventilation (VCV).................................................................... 4-5
4.4.4 Pressure Control Ventilation (PCV) ................................................................... 4-8
4.4.5 Synchronized Intermittent Mandatory Ventilation (SIMV)...............................4-11
4.4.6 Pressure Support Ventilation (PSV) ................................................................. 4-17
4.5 Start Mechanical Ventilation ......................................................................................... 4-21
4.6 Set the Timer ................................................................................................................. 4-22
4.6.1 Start the Timer.................................................................................................. 4-22
4.6.2 Stop the Timer .................................................................................................. 4-22
4.6.3 Reset the Timer ................................................................................................ 4-22
4.7 Stop Mechanical Ventilation ......................................................................................... 4-23
5 User Interface and Parameter Monitoring .................................................................... 5-1
5.1 Screen Layout ................................................................................................................. 5-1
5.1.1 Standby Screen................................................................................................... 5-2
5.1.2 Normal Screen.................................................................................................... 5-3
5.1.3 Special Screen .................................................................................................... 5-4
5.2 Screen Setup.................................................................................................................... 5-5
5.3 Parameter Monitoring ..................................................................................................... 5-5
5.3.1 O2 Concentration Monitoring ............................................................................ 5-5
5.3.2 Anesthetic Agent (AA) Concentration Monitoring ............................................ 5-7
5.3.3 CO2 Concentration Monitoring ......................................................................... 5-8
5.3.4 Pressure Monitoring ........................................................................................... 5-9
5.3.5 Tidal Volume Monitoring ................................................................................. 5-10
5.3.6 Tidal Volume Compensation ............................................................................ 5-12
5.3.7 Volume Monitoring .......................................................................................... 5-13
5.3.8 Breath Rate Monitoring.................................................................................... 5-13
5.3.9 BIS Monitoring ................................................................................................ 5-14
5.4 Display Electronic Flowmeter....................................................................................... 5-16
5.5 Spirometry Loop ........................................................................................................... 5-16
6 Preoperative Test.............................................................................................................. 6-1
6.1 Preoperative Test Schedules............................................................................................ 6-1
6.1.1 Test Intervals ...................................................................................................... 6-1
6.2 Inspect the System ..........................................................................................................6-2
6.3 Power Failure Alarm Test................................................................................................ 6-2
6.4 Pipeline Tests .................................................................................................................. 6-3
6.4.1 O2 Pipeline Test ................................................................................................. 6-3
6.4.2 N2O Pipeline Test .............................................................................................. 6-4
6.4.3 Air Pipeline Test................................................................................................. 6-4
6.5 Cylinder Tests.................................................................................................................. 6-4
6.5.1 Check the Cylinder in Full Status....................................................................... 6-4
6.5.2 O2 Cylinder High Pressure Leak Test ................................................................ 6-5
6.5.3 N2O Cylinder High Pressure Leak Test ............................................................. 6-5
6.6 Flow Control System Tests ............................................................................................. 6-5

3
6.6.1 Without O2 Sensor ............................................................................................. 6-5
6.6.2 With O2 Sensor .................................................................................................. 6-7
6.7 Vaporizer Back Pressure Test .......................................................................................... 6-8
6.8 Breathing System Tests ................................................................................................... 6-9
6.8.1 Bellows Test ....................................................................................................... 6-9
6.8.2 Breathing System Leak Test in Mechanical Ventilation Status ........................ 6-10
6.8.3 Breathing System Leak Test in Manual Ventilation Status................................6-11
6.8.4 APL Valve Test..................................................................................................6-11
6.9 Alarm Tests.................................................................................................................... 6-12
6.9.1 Prepare for Alarm Tests.................................................................................... 6-12
6.9.2 Test the O2 Concentration Monitoring and Alarms.......................................... 6-13
6.9.3 Test the Low Minute Volume Alarm ................................................................ 6-13
6.9.4 Test the Apnea Alarm ....................................................................................... 6-14
6.9.5 Test the Sustained Airway Pressure Alarm....................................................... 6-14
6.9.6 Test the High Paw Alarm.................................................................................. 6-14
6.9.7 Test the Low Paw Alarm .................................................................................. 6-15
6.9.8 Test the AG Module Alarm .............................................................................. 6-15
6.10 Preoperative Preparations............................................................................................ 6-15
6.11 Inspect the AGSS ........................................................................................................ 6-16
7 User Maintenance............................................................................................................. 7-1
7.1 Repair Policy................................................................................................................... 7-1
7.2 Maintenance Schedule .................................................................................................... 7-2
7.3 Breathing System Maintenance....................................................................................... 7-3
7.4 Flow Sensor Calibration.................................................................................................. 7-3
7.5 O2 Sensor Calibration..................................................................................................... 7-5
7.5.1 21% O2 Calibration............................................................................................ 7-5
7.5.2 100% O2 Calibration.......................................................................................... 7-6
7.6 Water Build-up in the Flow Sensor ................................................................................. 7-7
7.6.1 Prevent Water Build-up ...................................................................................... 7-7
7.6.2 Clear Water Build-up.......................................................................................... 7-8
7.7 Airway Pressure Gauge Zeroing ..................................................................................... 7-8
7.8 AGSS Transfer Tube Maintenance................................................................................ 7-10
8 CO2 Monitoring............................................................................................................... 8-1
8.1 Introduction..................................................................................................................... 8-1
8.2 Identify CO2 Module ...................................................................................................... 8-2
8.3 Use a Sidestream CO2 Module ....................................................................................... 8-3
8.3.1 Prepare to Measure CO2 .................................................................................... 8-3
8.3.2 Make CO2 Settings ............................................................................................ 8-4
8.3.3 Measurement Limitations................................................................................... 8-6
8.3.4 Troubleshooting.................................................................................................. 8-6
8.3.5 Scavenge the Sample Gas .................................................................................. 8-7
8.3.6 Zero the Sensor .................................................................................................. 8-7

4
8.3.7 Calibrate the Sensor ........................................................................................... 8-7
8.4 Use a Microstream CO2 Module .................................................................................... 8-8
8.4.1 Prepare to Measure CO2 .................................................................................... 8-8
8.4.2 Make CO2 Settings ............................................................................................ 8-8
8.4.3 Measurement Limitations..................................................................................8-11
8.4.4 Scavenge the Sample Gas .................................................................................8-11
8.4.5 Zero the Sensor ................................................................................................ 8-12
8.4.6 Calibrate the Sensor ......................................................................................... 8-12
8.4.7 Oridion Information ......................................................................................... 8-12
8.5 Use a Mainstream CO2 Module.................................................................................... 8-13
8.5.1 Prepare to Measure CO2 .................................................................................. 8-13
8.5.2 Make CO2 Settings .......................................................................................... 8-14
8.5.3 Measurement Limitations................................................................................. 8-16
8.5.4 Zero the Sensor ................................................................................................ 8-16
8.5.5 Calibrate the Sensor ......................................................................................... 8-16
9 AG and O2 Concentration Monitoring .......................................................................... 9-1
9.1 Introduction..................................................................................................................... 9-1
9.2 Understand MAC Values................................................................................................. 9-2
9.3 Identify AG Modules....................................................................................................... 9-3
9.4 Prepare to Measure AG ................................................................................................... 9-3
9.5 Make AG Settings ........................................................................................................... 9-5
9.5.1 Set Anesthetic Agent .......................................................................................... 9-5
9.5.2 Set Pump Rate.................................................................................................... 9-5
9.5.3 Set O2 Compensation......................................................................................... 9-5
9.5.4 Set Working Mode.............................................................................................. 9-5
9.5.5 Set CO2 Unit...................................................................................................... 9-6
9.5.6 Restore Defaults................................................................................................. 9-6
9.5.7 Set CO2 Waveform ............................................................................................ 9-6
9.6 Change Anesthetic Agent ................................................................................................ 9-6
9.7 Measurement Limitations................................................................................................ 9-7
9.8 Troubleshooting .............................................................................................................. 9-7
9.9 Scavenge the Sample Gas ............................................................................................... 9-8
9.10 Calibrate the AG Module .............................................................................................. 9-8
10 BIS Monitoring............................................................................................................. 10-1
10.1 Introduction................................................................................................................. 10-1
10.2 Identify the BIS Module.............................................................................................. 10-1
10.3 Safety Information ...................................................................................................... 10-2
10.4 Understand BIS Parameters ........................................................................................ 10-3
10.5 Prepare to Measure BIS .............................................................................................. 10-4
10.6 Continuous Impedance Check..................................................................................... 10-5
10.7 Cyclic Impedance Check............................................................................................. 10-6
10.8 BIS Sensor Check Window......................................................................................... 10-6

5
10.9 Set BIS Smoothing Rate.............................................................................................. 10-7
10.10 Restore Defaults ........................................................................................................ 10-7
10.11 Set BIS Related Waveforms ...................................................................................... 10-8
11 Alarms ............................................................................................................................11-1
11.1 Introduction ..................................................................................................................11-1
11.1.1 Alarm Categories.............................................................................................11-1
11.1.2 Alarm Levels ...................................................................................................11-2
11.2 Alarm Indicators...........................................................................................................11-2
11.2.1 Alarm Lamp.....................................................................................................11-2
11.2.2 Audible Alarm Tones.......................................................................................11-3
11.2.3 Alarm Message................................................................................................11-3
11.2.4 Flashing Alarm Numeric .................................................................................11-3
11.2.5 Alarm Status Symbols .....................................................................................11-3
11.3 Set Alarm Volume ........................................................................................................11-4
11.4 Set Alarm Limits ..........................................................................................................11-4
11.4.1 Set Ventilator Alarm Limits.............................................................................11-4
11.4.2 Set CO2 Alarm Limits.....................................................................................11-4
11.4.3 Set AG Alarm Limits.......................................................................................11-5
11.4.4 Set BIS Alarm Limits ......................................................................................11-5
11.5 Set Alarm Level............................................................................................................11-5
11.6 Set Cardiopulmonary Bypass (CPB) Alarm .................................................................11-5
11.7 Set MV&TVe Alarm.....................................................................................................11-6
11.8 Set Apnea Alarm...........................................................................................................11-6
11.9 Alarm Silence ...............................................................................................................11-7
11.9.1 Set 120 s Alarm Silence...................................................................................11-7
11.9.2 Cancel 120 s Alarm Silence.............................................................................11-7
11.10 When an Alarm Occurs ..............................................................................................11-7
12 Trend and Logbook...................................................................................................... 12-1
12.1 Trend Graph ................................................................................................................ 12-1
12.2 Trend Table.................................................................................................................. 12-2
12.3 Alarm Logbook ........................................................................................................... 12-3
13 Installations and Connections..................................................................................... 13-1
13.1 Install the Breathing System ....................................................................................... 13-1
13.1.1 Breathing System Diagrams........................................................................... 13-2
13.1.2 Circuit Adapter Diagram ................................................................................ 13-3
13.1.3 Install the Breathing system ........................................................................... 13-4
13.1.4 Install the Bag Arm ........................................................................................ 13-6
13.1.5 Install the Bellows.......................................................................................... 13-7
13.1.6 Install the Flow sensor.................................................................................... 13-9
13.1.7 Install the O2 Sensor .................................................................................... 13-10
13.1.8 Install the Sodalime Canister........................................................................ 13-12

6
13.2 Install the Breathing Tubes........................................................................................ 13-19
13.3 Install the Manual Bag .............................................................................................. 13-20
13.4 Install the Vaporizer .................................................................................................. 13-21
13.4.1 Assemble the Vaporizer................................................................................ 13-21
13.4.2 Fill the Vaporizer.......................................................................................... 13-25
13.4.3 Drain the Vaporizer ...................................................................................... 13-27
13.5 Install/Replace the Gas Cylinder............................................................................... 13-29
13.6 Install Modules.......................................................................................................... 13-31
13.6.1 Install the CO2 Module................................................................................ 13-31
13.6.2 Install the AG Module .................................................................................. 13-31
13.6.3 Install the BIS Module ................................................................................. 13-32
13.7 Pneumatic Connectors............................................................................................... 13-32
13.7.1 Connect the Pipeline Gas Supplies............................................................... 13-33
13.7.2 Install the Gas Cylinder................................................................................ 13-34
13.8 CIS Connector........................................................................................................... 13-34
13.9 Scavenging ................................................................................................................ 13-34
13.10 AGSS Transfer and Receiving System.................................................................... 13-35
13.10.1 Components................................................................................................ 13-35
13.10.2 Assemble the AGSS ................................................................................... 13-36
13.10.3 Waste Gas Disposal System ....................................................................... 13-37
14 Cleaning and Disinfection............................................................................................ 14-1
14.1 Clean and Disinfect the Anesthesia Machine Housing................................................ 14-2
14.2 Disassemble the Breathing System Cleanable Parts ................................................... 14-2
14.2.1 O2 Sensor....................................................................................................... 14-3
14.2.2 Manual Bag .................................................................................................... 14-4
14.2.3 Breathing Tubes ............................................................................................. 14-5
14.2.4 Airway Pressure Gauge .................................................................................. 14-6
14.2.5 Bag Arm ......................................................................................................... 14-6
14.2.6 Bellows Assembly.......................................................................................... 14-7
14.2.7 Flow Sensor.................................................................................................... 14-8
14.2.8 Expiratory Check Valve Assembly................................................................. 14-9
14.2.9 Inspiratory Check Valve Assembly ................................................................ 14-9
14.2.10 Sodalime Canister ...................................................................................... 14-10
14.2.11 Water Collection Cup ..................................................................................14-11
14.2.12 Breathing system........................................................................................ 14-12
14.2.13 AGSS Transfer and Receiving System....................................................... 14-13
14.3 Clean&Disinfect and Re-install the Breathing System ............................................. 14-15
14.3.1 Breathing system.......................................................................................... 14-17
14.3.2 Water Collection Cup ................................................................................... 14-17
14.3.3 Manual Bag .................................................................................................. 14-17
14.3.4 Breathing Mask ............................................................................................ 14-18
14.3.5 Inspiratory and Expiratory Check Valves Assembly .................................... 14-18
14.3.6 Bellows Assembly........................................................................................ 14-18

7
14.3.7 Sodalime Canister ........................................................................................ 14-19
14.3.8 Breathing Tubes and Y Piece........................................................................ 14-20
14.3.9 Flow Sensor.................................................................................................. 14-20
14.3.10 O2 Sensor................................................................................................... 14-21
14.3.11 AGSS Transfer and Receiving System ....................................................... 14-21
15 Accessories .................................................................................................................... 15-1
ATheory of Operation....................................................................................................... A-1
A.1 Pneumatic Circuit System ............................................................................................. A-1
A.2 Electrical System Structure ........................................................................................... A-4
B Product Specifications.....................................................................................................B-1
B.1 Safety Specifications ......................................................................................................B-1
B.2 Environmental Specifications.........................................................................................B-2
B.3 Power Requirements.......................................................................................................B-2
B.4 Physical Specifications...................................................................................................B-3
B.5 Pneumatic Circuit System Specifications.......................................................................B-4
B.6 Breathing System Specifications ....................................................................................B-5
B.7 Ventilator Specifications.................................................................................................B-7
B.8 Ventilator Accuracy ........................................................................................................B-9
B.9 Anesthetic vaporizer .....................................................................................................B-10
B.10 AGSS Transfer and Receiving System Specifications................................................B-10
B.11 O2 Sensor Specifications............................................................................................B-11
B.12 CO2 Module Specifications .......................................................................................B-14
B.13 AG Module Specifications .........................................................................................B-17
B.14 BIS Module Specifications.........................................................................................B-21
C EMC ................................................................................................................................ C-1
D Alarm Messages.............................................................................................................. D-1
D.1 Physiological Alarm Messages...................................................................................... D-1
D.2 Technical Alarm Messages............................................................................................ D-4
E Symbols andAbbreviations ............................................................................................E-1
E.1 Symbols .......................................................................................................................... E-1
E.2 Abbreviations..................................................................................................................E-3
F Factory Defaults...............................................................................................................F-1
F.1 CO2 Module.................................................................................................................... F-1
F.2 AG Module...................................................................................................................... F-2
F.3 BIS Module ..................................................................................................................... F-3
F.4 Ventilator ......................................................................................................................... F-4

8
FOR YOUR NOTES

1-1
1 Safety
1.1 Safety Information
DANGER
zIndicates an imminent hazard that, if not avoided, will result in death or serious
injury.
WARNING
zIndicates a potential hazard or unsafe practice that, if not avoided, could result in
death or serious injury.
CAUTION
zIndicates a potential hazard or unsafe practice that, if not avoided, could result in
minor personal injury or product/property damage.
NOTE
zProvides application tips or other useful information to ensure that you get the
most from your product.

1-2
1.1.1 Dangers
There are no dangers that refer to the product in general. Specific “Danger” statements may
be given in the respective sections of this manual.
1.1.2 Warnings
WARNING
zBefore putting the system into operation, the operator must verify that the
equipment, connecting cables and accessories are in correct working order and
operating condition.
zThe equipment must be connected to a properly installed power outlet with
protective earth contacts only. If the installation does not provide for a protective
earth conductor, disconnect it from the power line.
zUse AC power source before the batteries are depleted.
zTo avoid explosion hazard, do not use the equipment in the presence of flammable
anesthetic agent, vapors or liquids.
zDo not open the equipment housings. All servicing and future upgrades must be
carried out by the personnel trained and authorized by us only.
zDo not rely exclusively on the audible alarm system for patient monitoring.
Adjustment of alarm volume to a low level may result in a hazard to the patient.
Remember that alarm settings should be customized according to different patient
situations and always keeping the patient under close surveillance is the most
reliable way for safe patient monitoring.
zThe physiological parameters and alarm messages displayed on the screen of the
equipment are for doctor’s reference only and cannot be directly used as the basis
for clinical treatment.
zDispose of the package material, observing the applicable waste control regulations
and keeping it out of children’s reach.
zTo avoid explosion hazard, do not use flammable anesthetic agent such as ether
and cyclopropane for this equipment. Only non-flammable anesthetic agents which
meet the requirements specified in IEC 60601-2-13 can be applied to this
equipment. This anesthesia machine can be used with halothane, enflurane,
isoflurane, sevoflurane and desflurane. Only one of the five anesthetic agents can
be used at a time.
zDo not touch the patient, table, or instruments during defibrillation.

1-3
WARNING
zUse appropriate electrodes and place them according to the instructions provided
by the manufacturer. The display restores to normal within 10 seconds after
defibrillation.
1.1.3 Cautions
CAUTION
zTo ensure patient safety, use only parts and accessories specified in this manual.
zAt the end of its service life, the equipment, as well as its accessories, must be
disposed of in compliance with the guidelines regulating the disposal of such
products.
zMagnetic and electrical fields are capable of interfering with the proper
performance of the equipment. For this reason make sure that all external devices
operated in the vicinity of the equipment comply with the relevant EMC
requirements. Mobile phone, X-ray equipment or MRI devices are a possible
source of interference as they may emit higher levels of electromagnetic radiation.
zThis system operates correctly at the electrical interference levels identified in this
manual. Higher levels can cause nuisance alarms that may stop mechanical
ventilation. Pay attention to false alarms caused by high-intensity electrical fields.
zBefore connecting the equipment to the power line, check that the voltage and
frequency ratings of the power line are the same as tube indicated on the
equipment’s label or in this manual.
zAlways install or carry the equipment properly to avoid damage caused by drop,
impact, strong vibration or other mechanical force.
zThe anesthesia machine keeps stable with a 10º tilt in typical configuration. Do not
hang articles on both sides of the anesthesia machine for fear of getting tilted.

1-4
1.1.4 Notes
NOTE
zPut the equipment in a location where you can easily see the screen and access the
operating controls.
zKeep this manual close to the equipment so that it can be obtained conveniently
when needed.
zThe software was developed in compliance with IEC 60601-1-4. The possibility of
hazards arising from software errors is minimized.
zThis manual describes all features and options. Your equipment may not have all
of them.