Penlon Prima 465 User manual

User Manual
ANAESTHESIA SOLUTIONS
Prima 465 Anaesthetic Machine


Prma 465 Anaesthetc Machne User Manual
IMPORTANT
Servcng and Repars
In order to ensure the full operatonal lfe of ths devce,
servcng by an engneer traned by the manufacturer should
be undertaken perodcally
The machne must be servced to the schedule detaled n
secton 7
Detals of these servce operatons are gven n the Prma 465
servce manual, avalable only for Penlon-traned engneers
For any enqury regardng the servcng or repar of ths devce,
contact the nearest accredted Penlon agent
or communcate drectly wth
UK and ROW, except USA
Techncal Support
Penlon Lmted
Abngdon Scence Park
Abngdon, OX14 3NB, UK
Tel +44 (0) 1235 547060
Fax +44 (0) 1235 547061
E-mal techsupportpenloncom
USA
Penlon Inc
11515 K-Tel Drve
Mnnetonka
MN 55434
USA
Toll Free 800-328-6216
Tel 952-933-3940
Fax 952-933-3375
E-mal customerservcepenloncom
Always gve as much of the followng nformaton as possble
1 Type of equpment
2 Product name
3 Seral number (refer to the devce ID label)
4 Approxmate date of purchase
5 Apparent fault

Prma 465 Anaesthetc Machne User Manual
IMPORTANE OF PATIENT MONITORIN
WARNIN
Anaesthesa systems have the capablty to delver mxtures
of gases and vapours to the patent whch could cause nury
or death unless controlled by a qualfed anaesthetst
There can be consderable varaton n the effect of
anaesthetc drugs on ndvdual patents so that the settng
and observaton of control levels on the anaesthesa system
does not n tself ensure total patent safety
Anaesthesa system montors and patent montors are very
desrable ads for the anaesthetst but are not true clncal
montors as the condton of the patent s also dependent
on hs respraton and the functonng of hs cardo-vascular
system
IT IS ESSENTIAL THAT THESE ELEMENTS ARE MONITORED
FREQUENTLY AND REULARLY AND THAT ANY
OBSERVATIONS ARE IVEN PREEDENE OVER MAHINE
ONTROL PARAMETERS IN JUDIN THE STATE OF A
LINIAL PROEDURE
Before usng any montorng system or devce, the user must
check that t conforms to the relevant standards
Ths manual has been produced to provde authorsed
personnel wth nformaton on the functon, routne,
performance and mantenance checks applcable to the Prma
465 anaesthetc machne
Informaton contaned n ths manual s correct at the date of
publcaton The polcy of the manufacturer s one of contnued
mprovement to ther products Because of ths polcy the
manufacturer reserves the rght to make any changes whch
may affect nstructons n ths manual, wthout gvng pror
notce
Personnel must make themselves famlar wth the contents
of ths manual and the machne functon before usng the
apparatus
Foreword

Prma 465 Anaesthetc Machne User Manual
Contents
1. Warnings and Cautions ................................................................................ 2
2. Purpose............................................................................................. 5
3. Description .......................................................................................... 6
3.1 General construction ..................................................................................6
3.2 Gas circuit ...........................................................................................6
3.3 Gas supply safety devices ..............................................................................7
3.4 Gas circuit components and controls.....................................................................8
3.5 Vaporizer...........................................................................................11
3.6 Communications ports ...............................................................................11
3.7 Control panel .......................................................................................12
3.8 Electrical Power Supply............................................................................... 13
3.9 Alarm system ....................................................................................... 15
3.10 Absorber ...........................................................................................16
3.11 Anaesthetic gas scavenge system (AGSS) ................................................................17
3.12 Ventilator........................................................................................... 18
3.13 Patient monitoring ..................................................................................19
4. Specification........................................................................................ 20
4.1 Physical dimensions .................................................................................20
4.2 Gas supplies ........................................................................................20
4.3 Gas supply pressure and flow rate ......................................................................21
4.4 Auxiliary gas outlets..................................................................................21
4.5 Oxygen flush ........................................................................................21
4.6 Fresh gas mixture ................................................................................... 21
4.7 Environmental ......................................................................................22
4.8 Electrical supply.....................................................................................22
4.9 Ventilator and breathing system........................................................................23
4.10 Device classification and labelling ......................................................................26
5. Installation and Pre-use Checks ....................................................................... 27
5.1 Installation and Commissioning before first clinical use .................................................... 27
5.2 Pre-use test before each clinical procedure ..............................................................33
5.3 Visual Inspection .................................................................................... 33
5.4 Start up test ........................................................................................34
5.5 Pipeline gas supply tests.............................................................................. 36
5.6 Oxygen fresh gas supply check ......................................................................... 37
5.7 Cylinder gas supplies................................................................................. 37
5.8 Vaporizers .........................................................................................39
5.9 Alarm tests .........................................................................................40
5.10 Breathing circuit tests ................................................................................42
5.11 Oxygen flush test ....................................................................................43
5.12 Preoperative procedure ...............................................................................43
6. Operating the Anaesthesia System ..................................................................... 44
6.1 Ventilation modes....................................................................................44
6.2 Standby mode.......................................................................................51
6.3 Home screen .......................................................................................52
6.4 Function fields ...................................................................................... 53
6.5 Ventilator setting fields ............................................................................... 60
6.6 Fresh gas fields .....................................................................................60

Prma 465 Anaesthetc Machne v User Manual
6.7 Waveform field displays...............................................................................61
6.8 Measured values fields - key parameters ................................................................63
6.9 Measured values fields - general parameters ............................................................ 63
6.10 Anaesthetic Gas fields (optional) .......................................................................63
6.11 Alarm silence status .................................................................................63
6.12 Alarm message field .................................................................................64
6.13 System prompt message and icons field ................................................................. 69
6.14 System start-up procedure ............................................................................69
6.15 Ventilation mode.....................................................................................70
6.16 Monitoring parameters ...............................................................................71
6.17 Absorber ..........................................................................................72
6.18 System shut-down procedure ..........................................................................73
7. Maintenance........................................................................................ 74
7.1 Service schedule ....................................................................................74
7.2 Cleaning and dsnfect
i
on ......................................................................75
7.3 Absorber and breathing system ........................................................................ 76
7.4 Anaesthetic gas scavenging system - Receiver unit ........................................................81
7.5 Breathing system sensors.............................................................................81
7.5 Flowmeter zero calibration procedure................................................................... 81
7.7 Oxygen monitor calibration ............................................................................82
7.8 Water trap - sidestream anaesthetic gas monitoring module (optional) ....................................... 84
7.9 Battery replacement ................................................................................. 84
7.10 Fault diagnosis and troubleshooting .................................................................... 84
8. Appendix ........................................................................................... 86
Appendix 1. References ...................................................................................... 86
Appendix 2. Disposal at end of useful life: risk assessment ........................................................86
Appendix 3. Optional extras and accessories ....................................................................86
Appendix 4. Labelling ........................................................................................ 87
Appendix 5. Gas circuit.......................................................................................90
Appendix 6. Optional sidestream anaesthetic gas monitoring module - single agent ...................................91
Appendix 7. Electromagnetic compatibility (EMC).................................................................98
Contents

Prma 465 Anaesthetc Machne 1 User Manual
Ths devce has been bult to conform wth the specfcaton and
operatng procedures stated n ths manual and/or accompanyng
labels and notces when checked, assembled, operated,
mantaned and servced n accordance wth these nstructons
To ensure the safety of ths devce t must be checked and
servced to at least the mnmum standards lad out n ths
manual A defectve, or suspected defectve, product must not
under any crcumstances be used
The user must accept responsblty for any malfuncton whch
results from non-complance wth the servcng requrements
detaled n ths manual
Addtonally, the user must accept responsblty for any
malfuncton whch may result from msuse of any knd,
or non-complance wth other requrements detaled n
ths manual
Worn, broken, dstorted, contamnated or mssng components
must be replaced mmedately Should such a repar become
necessary t s recommended that a request for servce advce be
made to Penlon Lmted or the nearest Penlon Servce entre
Ths devce and any of ts consttuent parts must be repared
only n accordance wth wrtten nstructons ssued by
Penlon Lmted and must not be altered or modfed n any
way wthout the wrtten approval of Penlon Lmted
The user of ths equpment shall have the sole responsblty
for any malfuncton whch results from mproper use,
mantenance, repar, damage or alteraton by anyone other
than Penlon Lmted or ts apponted agents
USA and anadan Federal Law restrcts the sale and use of
ths devce to, or on the order of, a lcensed practtoner
User Responsibility
Statements n ths manual preceded by the followng words
are of specal sgnfcance-
WARNIN
Means there s a possblty of nury to yourself or others
AUTION
Means there s a possblty of damage to the apparatus
or other property
NOTE
Indcates ponts of partcular nterest for more effcent
and convenent operaton
The reader must take partcular notce of the warnngs,
cautons and notes provded throughout ths manual

Prma 465 Anaesthetc Machne 2 User Manual
1. Warnings and Cautions
The following WARNINGS and CAUTIONS must be read and
understood before using this anaesthesia system.
Warnngs
1 Ths anaesthesa system s desgned for use only wth
non-flammable anaesthetc agents It must not be used
wth or n close proxmty to flammable anaesthetc
agents, due to a possble fre or exploson hazard
2 Exteror panels must not be removed by unauthorsed
personnel and the anaesthesa system must not be
operated wth such panels mssng Unauthorsed
personnel must not attempt to access fuses or other
electrcal components There s a possble electrc shock
hazard
3 To solate the machne from the mans power supply,
dsconnect the mans cable from the hosptal power
outlet
Always use a mans power outlet socket that can be
easly accessed
4 No ol, grease or other flammable lubrcant or sealant
must be used on any part of the machne n close
proxmty to medcal gas dstrbuton components
There s a rsk of fre or exploson
5 Attachng or removng a medcal gas cylnder
a) Follow approprate manual handlng gudelnes
when lftng
b) heck that the machne yoke and cylnder faces are
dust free and clean and that the sealng washer
provded s n poston between the cylnder valve
and the yoke
c) Tghten the yoke securely before openng the
cylnder valve Dust and drt presents a fre hazard n
the presence of hgh pressure gas Leakage of hgh
pressure gas can cause serous nury
6 The anaesthesa system must be connected to an
anaesthetc gas scavengng system (ASS) to dspose
of waste gas and prevent possble health hazards to
operatng room staff
Ths requrement must be observed durng test
procedures as well as durng use wth a patent
7 Ths machne must only be used wth Selectatec-
compatble vaporzers nstalled on the backbar
Free-standng vaporzers may be accdentally tpped,
resultng n excessve and uncalbrated volumes of
anaesthetc drug enterng the breathng system
8 Only vaporzers wth the Selectatec-compatble nterlock
functon wll nterlock f nstalled on the backbar
The nstallaton of non-nterlock vaporzers allows the
possble operaton of more than one vaporzer at the
same tme
9 The breathng system whch conveys gases from the
anaesthetc machne to the patent and dsposes of
expred gases s a vtal part of the anaesthetc delvery
system
Because breathng systems requre frequent cleanng
they are not a permanent part of the anaesthetc
machne and therefore cannot be drectly under the
control of the anaesthetc machne manufacturer When
mechancal ventlaton s employed the patent breathng
system must be connected drectly to an over-pressure
relef valve to prevent the possblty of barotrauma
10 Always perform a pre-use check of the machne,
ncludng vaporzers, ventlator, absorber and montors
before clncal use Follow the pre-use checklst (see
secton 52) as a mnmum requrement
Many clncal ncdents occur because of a falure to
check for correct functon
11 The system start-up test (secton 54) ncludes an
automatc system test Ths test ncludes system
calbraton tests If the screen dsplays a ‘Fal’ for the
Pressure sensor, Flow sensor, or Flowmeter zero
calbraton tests, follow the nstructons gven n
sectons 751, 752, and 76
DO NOT use any other procedures
If a ‘Fal’ error s stll dsplayed, contact a Penlon-traned
servce engneer
12 The machne must not be used f any of the alarm,
montorng, or protecton system devces are not
functonng correctly
13 Auxlary gas outlets Flow rates greater than 60 L/mn
could affect the fresh gas flow to the patent
14 When the auxlary gas outlets are n use on a machne
usng cylnder supply only (e f the ppelne supply s
not n use), check flow rate requrements, and check that
adequate back-up cylnders are avalable
15 Do not use the machne solely to provde large flows of
oxygen, va the anaesthetc machne auxlary outlets,
to external devces whch may not be equpped wth a
supply falure alarm
16 On machnes wth ppelne connectons only, note that a
malfuncton of the central gas supply wthn your faclty
may cause mmedate cessaton of gas delvery and total
anaesthesa system falure
17 To avod the rsk of electrc shock, ths system must only
be connected to a mans supply wth a protectve earth
Before any electrcally powered machne s used
clncally for the frst tme, check that the hosptal
engneerng department has carred out an earth
contnuty test
18 Before usng any addtonal electrcal equpment
powered by the auxlary sockets on the machne, check
that the addtonal equpment s correctly wred and s
earthed through ts plug
19 A mssng or defectve protectve earth conductor may
ncrease earth leakage currents to the patent to values
exceedng the allowable lmts, resultng n ventrcular
fbrllaton, or nterference wth the pumpng acton of
the heart

Prma 465 Anaesthetc Machne 3 User Manual
20 Portable RF (rado frequency) communcatons
equpment (ncludng perpherals such as antenna
cables and external antennas) should be used no
closer than 30 cm (12 nches) to any part of ths devce,
ncludng cables specfed by the manufacturer
Otherwse, degradaton of the performance of ths
equpment could result
21 Addtonal equpment placed on the top shelf must be
securely attached
22 The followng condtons must apply before the machne
s transported
a) Detachable parts removed
b) The drawers must be empty
c) All gas cylnders must be removed
23 MRI compatblty - Prma 465 models are not MRI
compatble
24 To prevent patent nury n the event of total anaesthesa
system falure, an alternatve means of ventlaton must
be avalable whenever the devce s n use
25 Obstructon of the breathng system can restrct or
stop gas flow to the patent, and can cause nury or
death Make sure that there are no obstructons n the
breathng system
26 Keep very small components/parts/plugs away from the
breathng system
27 Use non-conductve breathng system hoses
28 Do not touch any electrcal devce connector at the same
tme as the patent, when the machne s connected to
the mans supply
29 Ths machne s not sutable for use n oxygen-rch
envronment
30 Ths devce must not be altered or modfed n any way
wthout the wrtten permsson of Penlon lmted
31 Make sure that the absorber canster sensor s clean and
unobstructed by cables or tubng etc, at all tmes
32 ommuncaton ports should not be subected to
voltages greater than 7 V D Damage to nternal
crcutry may occur
33 In the event of a mans falure or operaton of the mans
crcut breaker, the auxlary mans outlet sockets wll
not functon Make sure that any equpment connected to
the auxlary mans outlet sockets are protected aganst
mans falure
Warnings and Cautions
34 Ventlatng neonates (nfants)
a) Use only Pressure ontrol Ventlaton or Volume
ontrol ventlaton for mandatory ventlaton of
neonates
b) Always set a low target pressure frst and then
ncrease to the requred level
c) Use breathng crcuts and flters specfcally desgned
for paedatrc/neonatal use
d) Do not ventlate pre-term babes wth brth weghts
below 24 kg
35 Patent montorng
a) Always use an anaesthetc agent montor that
comples wth the latest relevant standard
b) Always montor oxygen concentratons
c) Always check that the montors are functonng
correctly before startng the clncal procedure
d) An external anaesthetc gas montorng devce,
complyng wth ISO/IE 80601-2-55 must be
connected to the breathng crcut Use the
manufacturer’s nstructons to correctly connect the
devce
36 When connectng other equpment to the auxlary sockets a
medcal electrcal system s created and the whole system
should be re-evaluated to the requrements of BS EN
60601-1
37 as analyser (NO, O, O) measurements are ntended
only to assst n patent assessment These devces must
be used n conuncton wth other patent physologcal
ndcatons and n the assessment of the overall patent
condton
38 When any accessory s nstalled on the shelf or attached
to an arm mount, you must check the stablty of the
anaesthetc machne before use
39 When the machne s n operaton, the alarm message
feld must be vsble to the operator at all tmes
40 Sdestream anaesthetc gas montorng module (f
ftted) heck the water trap for damage (cracks, etc) and
replace f damaged
To mantan adequate levels of hygene, the water trap must
be replaced every four weeks
Note that the sample tubng s a sngle-use component

Prma 465 Anaesthetc Machne 4 User Manual
Warnings and Cautions
autons
1. Open cylinder valves slowly to avoid damage to
pressure reducing valves.
Check that cylinder valves are at least one full turn
open when in use.
2. Under no circumstances should anaesthetic agents be
used for cleaning purposes.
3. After use, always disconnect the machine from the
piped gas supply and/or close the gas cylinder valves.
4. Compressed gas supplies must be clean and dry.
5. The requirements of IEC 60601-1 apply to any device
connected to the auxiliary electrical sockets. Users
must be aware of the risks of increased leakage
currents when equipment is connected to the auxiliary
power sockets
6. In the event of malfunction of any device powered by
the auxiliary sockets, check if the circuit breaker has
tripped.
7. Do not apply excessive pressure to the display screens.
8. Connect the external RS232 outlet only to approved
devices using protocol provided by Penlon Ltd. Contact
Technical Support Department for details.
9. Vaporizers: Read the instruction manual supplied with
the vaporizer before clinical use.
Note
1 Screen dsplays and waveform dsplays shown n ths
manual are gven as examples only
Settngs and the parameter values shown may not be
replcated on your system
2 Refer to Appendx 4 for labellng and symbols

Prma 465 Anaesthetc Machne 5 User Manual
2. Purpose
Intended use
The Prma 465 anaesthesa system s for use by a professonal
operator n a professonal healthcare envronment, and must
be contnually attended when n use
Applcaton
The devce s ntended to provde controlled concentratons
and flows of anaesthesa gases nto a patent breathng
system, from where the anaesthesa ventlator and breathng
crcut wll then delver ths fresh gas mxture to the patent
Use the devce n conuncton wth anaesthetc vaporzers,
breathng hoses and patent connecton fttngs whch comply
wth the relevant ISO standard or equvalent
Dependng upon the specfcaton, the system can be used n
open or closed crcut confguratons
Intended patent populaton
Ths product s ntended to be used for a patent populaton
from neonatal (nfants) to adult
Intended part of the body or type of tssue appled to or
nteracted wth
No drect nteracton wth any part of the human body The
system s used to transmt ventlated gas to and from a patent
whlst absorbng O n the patent expred gas
ontrandcatons
The Prma 465 s not sutable for use n an MRI envronment
ontact Penlon Lmted for detals of the Prma 451 MRI
anaesthetc machne

Prma 465 Anaesthetc Machne 6 User Manual
3. Description
3.1 General construction
3.1.1 Frame
The machne has a cast alumnum base, extruded alumnum
uprghts, wth alumnum and plastc mouldngs
3.1.2 Mobility
astors (125 mm dameter), wth a brake (1) on each
A footrest s bult nto the front of the machne and, to ad
manoeuvrablty, a handle s provded at the front of the
machne
3.1.3 Mounting posts and brackets
A mountng system s bult nto each par of sde uprghts (2),
to allow the use of pole-mount brackets and V-brackets
3.1.4 Work surfaces and lighting
The work surface has rased edges to retan nstruments, vals
etc
An optonal pull-out wrtng tablet (3) s mounted under the
work surface
An LED lghtng unt, mounted under the top shelf (4), provdes
work-area lghtng A three-poston swtch (Off, On dm lght,
On brght lght) s mounted next to the lght unt
3.1.5 Extractor fan outlet
AUTION
Do not obstruct the extractor fan outlet (5)
3.2 Gas circuit
3.2.1 Cylinder Yokes
The yokes (6) conform wth ISO standards for pn-ndex fttng
To ensure that only cylnders of the approprate gas may be
nstalled the yokes are desgned so that the retanng latch
cannot be closed unless the ndex pns are fully engaged
3.2.2 Pipeline Inlets
Three ppelne gas nlets (7) are ftted
Ppelne supply hoses are connected by terrtory-specfc, non-
nterchangeable, screw threaded unons (see secton 42)
AUTION
A malfuncton of the central gas supply wthn your faclty
may cause mmedate cessaton of gas delvery and total
anaesthesa system falure
A schematic is included in Appendix 5.
6
7
5
3
2
1
4
3
2
1
4

Prma 465 Anaesthetc Machne 7 User Manual
3.2.3 Gas inlet filter
To prevent drt enterng the gas system, a flter s ftted to each
cylnder yoke and ppelne nlet
3.2.4 Gas inlet block
Each ndvdual cylnder or ppelne supply, s routed through a
separate gas block
Each gas block has a pressure gauge, and a non-return valve
to prevent back flow of gas
In addton, cylnder gas blocks have
(a) A daphragm pressure regulator to reduce the pressure of
the compressed gas supply
(b) A pressure relef valve, factory set to 517 kPa (75 ps) Ths
prevents pressure buld up under the daphragm f a leak
develops across the seat of the reducng valve
3.3 Gas supply safety devices
3.3.1 Gas supply cut-off device
A gas cut-off devce, trggered by low oxygen supply pressure,
cuts the supply of ntrous oxde
The supply of ntrous oxde s renstated only when the oxygen
supply pressure rses above the cut-off value
3.3.2 Fresh gas pressure relief valve
A valve s ftted to prevent fresh gas beng delvered to the
breathng system at pressures exceedng 90 cmHO
Description

Prma 465 Anaesthetc Machne 8 User Manual
Description
3.4 Gas circuit components and controls
3.4.1 Anaesthesia system switch
The anaesthesa system swtch (1) controls the operaton of
the anaesthesa machne
1 Swtch labellng
I ndcates On
0 ndcates Off
2 Pneumatc functon
The swtch operates on the oxygen supply and must be n
the ‘On’ poston for normal operaton of the system
NOTE
When the swtch s n the ‘Off’ poston, note that there
may stll be retaned oxygen n the system, even though
oxygen s not beng delvered
3 Electrcal functon
The swtch controls the anaesthesa system nternal
electrcal crcut
3.4.2 Electronic flow mixer
3.4.2.1 Fresh gas flow
Pre-set flows
The dsplay (1) shows the range of default fresh gas flows
avalable
User-set flow
Fresh gas flow values (2) can be set usng the touchscreen
buttons (3 and 4), and the multfuncton control knob (5)
Note that a mnmum oxygen flow of 200 ml/mn s
automatcally delvered
3.4.2.2 Oxygen / nitrous oxide mixture
The software mantans a fresh gas mxture wth a mnmum
of 25% +5%/-4% oxygen throughout the delvery range Flow
values and oxygen concentraton values that have been set by
the user wll be automatcally appled
Ntrous oxde flows are automatcally calculated by the
software and can not be set by the user
See secton 5173 for settngs when the user set a low oxygen
flow
Note
In Standby mode a mnmum oxygen concentraton of 30%
must be set, and a mnmum flow of 300 ml
4
2
3
16
Fresh gas
O2/Air
O2/N2O
O2
O2/Air
Gas mix
FG FLOW
0.08 0.05
O2
8.0
4.0
2.0
1.0
0.5
0
O
2
60
0.2
21 % 100
21 % 100
5
1
1

Prma 465 Anaesthetc Machne 9 User Manual
Description
3.4.3 Auxiliary CGO control (if fitted)
The auxlary common gas outlet (AO) system allows the
user to select ether the system closed breathng crcut
confguraton or an open crcut confguraton
losed crcut confguraton
When the swtch (1) s n the upper poston (as llustrated)
fresh gas s delvered to the absorber crcle system and the
system operates n a closed crcut confguraton
Open crcut confguraton
When the swtch s n the lower poston, fresh gas s delvered
to the outlet (2) for use wth other delvery systems, eg Magll
crcut
NOTE
1 The swtch and the outlet assembly are both llumnated
2 The legend ‘AO’ (3) s dsplayed on the screen
3.4.4 Alternate O supply control and flowmeter
The system provdes an alternate O flow nto the breathng
system
The ON/OFF swtch (1) s llumnated when the swtch s n the
ON poston
When set to ON the software controlled fresh gas flow, gas
mxture and oxygen concentraton dsplays are dsabled
The O control knob (2) vares the flow, as ndcated on the flow
tube (3)
345 O+flush button and ommon gas outlet (O)
The O+ flush button (1) drects a hgh flow of oxygen nto the
selected breathng crcut
1 If the auxlary common gas outlet (AO, see secton
343)) swtch s ON (see secton 343), the oxygen flow s
drected to the common gas outlet port (2)
2 If the AO swtch s OFF, the oxygen flow s drected to
the absorber crcle system
1
2
3
2
1
1
2
3

Prma 465 Anaesthetc Machne 10 User Manual
Description
3.4.6 Cylinder and pipeline pressure gauges
Pressure gauges (1) for oxygen, ar, and ntrous oxde are
located on the front panel
ylnder gauges have a red zone that ndcates a reduced
delvery pressure
3.4.7 Auxiliary oxygen flowmeter
The auxlary oxygen flowmeter (1) s suppled drectly from the
O supply, and wll contnue to delver oxygen f there s a total
power falure
Output s set by the control knob (2) and delvered through the
outlet (3)
3.4.8 Auxiliary gas outlets
AUTION
When the auxlary gas outlets are n use wth a cylnder
supply only, or f the ppelne supply s not n use, check the
flow rate requrements, and make sure that adequate back-
up cylnders are avalable
Oxygen and ar
Auxlary oxygen and ar outlets (1) are mounted on the rear of
the machne
WARNIN
Flow rates greater than 60 L/mn could affect the fresh gas
flow to the patent - see secton 44
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Prma 465 Anaesthetc Machne 11 User Manual
Description
3.5 Vaporizer
AUTION
Read the nstructon manual suppled wth the vaporzer
before clncal use
3.5.1 Vaporizer mounting system
Selectatec compatble vaporzers for the admnstraton of
volatle anaesthetc agents can be ftted to the unversal
backbar manfold (1)
WARNIN
All vaporzers must always be securely mounted, and
never used free-standng Unmounted vaporzers may be
accdentally tpped resultng n uncalbrated and excessve
volumes of lqud anaesthetc drug enterng the breathng
system
Do not nstall or connect any vaporzer of any descrpton
between the alternate common gas outlet (AO) and the
breathng system, unless t s specfcally desgned for such
use Note that the oxygen flush flow wll pass through the
vaporzer, and severe overdosage may result
3.5.2 Selectatec compatible vaporizer
Two Selectatec compatble vaporzers (eg the Sgma Delta)
may be ftted to a Prma 465
Each staton s ftted wth two valve capsule assembles (2)
for vaporzer connector block attachment When a vaporzer
s nstalled on a staton the valves on that staton open
automatcally to allow gas flow nto and out of the vaporzer
Removal of the vaporzer from the staton closes the valves on
that staton
Vaporzer nterlock system
Selectatec compatble vaporzer nterlock systems are
descrbed n the lterature suppled wth the vaporzer
See also, secton 51
3.6 Communications ports
WARNIN
ommuncatons ports should not be subected to voltages
greater than 7 VD Damage to nternal crcutry may occur
1 RS232 nterface
The RS232 nterface (1) s desgned for use wth the
Masmo manstream gas module only
2 albraton port (al Port) (2) and the VA socket (3)
The user must not attempt to access or connect any devce
to these ports
ontact Penlon techncal support department
(techsupportpenloncom) for addtonal nformaton
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Prma 465 Anaesthetc Machne 12 User Manual
Description
3.7 Control panel
Multfuncton control knob (1)
The multfuncton control knob s used to select and adust the
parameters dsplayed on screen
1 Rotate the control to navgate between dalogue boxes, or
to ncrease or decrease values wthn a selected dalogue
box
2 Push the multfuncton control to select the set value
3 A dalogue box wth three crcles next to the ttle, ndcates
that more than one value s assocated wth the dalogue
box
Press the control to move between the foreground and
background value
NOTE
Always confrm the new settng before adustng another
parameter If confrmaton s not gven, the ventlator reverts to
the pre-set value
Alarm slence button (2)
The alarm slence button s used to mute the alarm tone for
120 seconds
Informaton on the alarms s gven n secton 612
Alarm reset button (3)
The alarm reset button clears any cancelled alarms that are
dsplayed on the screen
Home page button (4)
The button returns the dsplayed screen to the home page
Start/Standby button (5)
The start/standby button allows the operator to swtch
between standby mode and operatonal mode
Battery n-use LED (6)
The battery n-use LED s llumnated when there s no mans
power and the machne s swtched on
Battery chargng LED (7)
The LED s llumnated when mans power s appled to the
machne and the battery s recevng charge
Mans power LED (8)
The mans power LED s llumnated when mans power s
appled to the machne
Alarm ndcators (9)
Hgh prorty alarm Three red LEDs
Low or medum prorty alarm Three amber LEDs
All sx alarm ndcators also llumnate as part of the
anaesthetc machne pre-use checks
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7

Prma 465 Anaesthetc Machne 13 User Manual
Description
3.8 Electrical Power Supply
3.8.1 Mains Power Supply
WARNIN
Always use a mans power outlet socket that can be
easly accessed
To solate the machne from the mans power supply,
dsconnect the mans cable from the power outlet
socket
Power s suppled to the machne va the non-detachable
mans cable (1) at the rear upper panel
Mans power ndcators
The LEDs (2) on the control panel and top shelf llumnate
when mans power s connected
The LED (3) on the control panel ndcates that the back-
up battery s beng charged
urrent leakage
NOTE
1 It s the user’s responsblty to ensure that the total
sum of leakage currents from addtonal equpment
plugged nto the auxlary sockets (4) plus the leakage
current from the machne does not exceed the values
specfed n any relevant natonal standards that may
apply n the country where the machne s n use
2 Each socket s protected wth a 2 A fuse n both the
lve and neutral crcuts
382 Mans nlet crcut breaker
A 10 A crcut breaker (5) provdes protecton to all the
electronc devces connected to the system
NOTE
The crcut breaker cannot be reset by the user
If the crcut breaker trps contact a Penlon-traned
engneer to reset and test the anaesthetc machne
383 Auxlary mans power supply sockets
AUTION
1 The requrements of IE 60601-1 apply to any devce
connected to the auxlary sockets (4) Users must
be aware of the rsks of ncreased leakage currents
when equpment s connected to the auxlary mans
power sockets
2 If any devce powered by the auxlary sockets
malfunctons, a Penlon-traned engneer should
check f the crcut breaker has trpped
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24

Prma 465 Anaesthetc Machne 14 User Manual
Description
3.8.4 Battery
3.8.4.1 Specification
A back-up battery provides power to the machine in the event
of an AC mains power failure.
The battery n-use LED (1) s llumnated when there s no
mans power and the machne s swtched on
LED (2) s llumnated when there s mans power appled to
the machne and the battery s recevng charge
If the AC power supply fails, the system will automatically
switch to battery supply.
Backup tme Approxmately 15 hours
Note that the backup time depends on system configuration
and operation.
For example, frequent use of monitoring modules will shorten
the backup time available.
A suitable warning is given prior to total battery discharge.
Battery recharge
The battery s charged automatcally when the machne s
connected to an A power source
Recharge tme Approxmately 4 hours from total dscharge
3.8.4.2 Battery charge indicator
Ventlaton wll stll be possble when a low battery alarm s
trggered
When the ndcator (1) shows empty dsplay sectors, and the
battery total dscharge alarm s trggered, automatc shutdown
wll occur unless mans power s restored
Caution
1 If a battery has been stored n a dscharged state,
chargng may take longer than the tme stated above
2 If the machne s n storage, charge the batteres every
two months
3.8.4.3 Battery life
Battery lfe depends on frequency and perod of use
Penlon recommends replacement every two years
3.8.4.4 Battery replacement
WARNIN
Battery replacement must be undertaken by a competent,
traned engneer, see secton 79
The battery compartment (1) s located at the rear of the
machne
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