Spacelabs Healthcare BleaseSirius User manual

BleaseSirius User Manual 1
BleaseSirius
Anesthesia Systems
U S E R M A N U A L
073-0212-00 Rev. E | www.spacelabshealthcare.com

BleaseSirius User Manual
2

BleaseSirius User Manual 3
BleaseSirius
User
Manual
Part Number: 073-0212-00
Rev. E/August 2016
This User Manual applies to the following software versions:
Front Panel Software V10.05 or later
Control Board Software V9.61 or later
(See section 2.2.27.9 for instructions on how to access information on which software version
currently running on the ventilator).
Spacelabs Healthcare Ltd.
(Anesthesia Delivery and Ventilation Division)
Unit B, Foxholes Centre • John Tate Road • Hertford •
SG13 7DT • United Kingdom
Tel: [phone]
Fax: [phone]
e-mail (enquiries): [email protected]
e-mail (technical): [email protected]
www.spacelabshealthcare.com

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Preface

BleaseSirius User Manual 5
Preface
Section 1 BLEASESIRIUS ANESTHETIC MACHINE
Section 2 700/900 SERIES VENTILATORS
Section 3 CAS I & II ABSORBER
Section 4 NOTICES AND IMPORTANT INFORMATION
IMPORTANT
The user must be familiar with the machine and its various functions
before using it on a patient.
Federal law restricts this device for sale by or on the order of a
physician.
Incorrect use of the equipment described herein may result in injury to
the patient. Read this manual before operating the machine. You must be
familiar with the machine and its functions before using it on a patient.
Be sure to pay special attention to warnings, cautions and notes within
the manual. A full list of these can be found in Section 4 of this manual.
Warning Notices
Warning notices denote a potential hazard to the health and safety
of users and/or patients. These notices clearly state the nature of the
respective hazard and the means by which it can be avoided.
Warning notices appear in full in the preliminary pages and are repeated
at their points of application in the manual.
Caution Notices
Cautionary notices denote a potential hazard to the physical integrity
of equipment/software but NOT a danger to personnel. These notices
clearly state the nature of the hazard and the means by which it can be
avoided.
Notes
This symbol signifies relevant or helpful information.

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Notes
Preface

BleaseSirius User Manual 7
Contents
How to Use This Manual ............................................................................19
Section 1 - BleaseSirius.............................................................................21
Intended Use ..............................................................................................................24
1.1 Introduction .....................................................................................................25
1.2 Description ......................................................................................................27
1.2.1 General....................................................................................................27
1.2.2 The Frame ...............................................................................................31
1.2.3 Pneumatic Assembly ...............................................................................31
1.2.4 The Monitor Shelf ....................................................................................31
1.3 Speci!cation....................................................................................................32
1.3.1 Physical ...................................................................................................32
1.3.1.1 Machine Dimensions..................................................................32
1.3.1.3 Monitor Shelf Dimensions ..........................................................32
1.3.2 Maximum Loading......................................................................32
1.3.3 Pneumatics.............................................................................................33
1.3.3.1 Gas-Speci!c Color Speci!cations..............................................33
1.3.3.2 Electrical Cable Color Speci!cations .........................................33
1.3.3.3 Miscellaneous ............................................................................33
1.3.3.4 Common Gas Outlet ..................................................................33
1.3.4 Technical/Performance Speci!cations.....................................................34
1.3.4.1 Controls......................................................................................34
1.3.4.2 Ventilator ....................................................................................34
1.3.4.3 Alarms/Indicators .......................................................................35
1.3.4.4 Regulator Safety Valve Settings.................................................35
1.3.4.5 Electrical Speci!cations .............................................................35
1.3.4.6 Gas Flows ..................................................................................36
1.3.4.7 Environmental Conditions ..........................................................36
1.3.5 Ancillary and Optional Features...............................................................37
1.3.5.1 Vaporizers ..................................................................................39
1.4 Installation .......................................................................................................40
1.4.1 Install the Cylinders .................................................................................40
1.4.1.1 Install the Large Cylinders (Optional).........................................42
1.4.2 Connect the Pipelines..............................................................................43
1.4.3 Connect the Oxygen Transducer ............................................................43
1.4.3.1 Guidelines for Handling the Oxygen Sensor..............................45

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Contents
1.4.4 Install the Selectatec Vaporizers..............................................................45
1.4.5 Install the CAS Absorber..........................................................................49
1.4.6 Install the Extended Work Surface (Optional)..........................................50
RS232 Connection...................................................................................50
1.4.7 Patient Airway Flow Sensor.....................................................................51
1.4.7.1 Filter ...........................................................................................52
1.4.8 Suction Controller ....................................................................................54
1.4.8.1 Fitting the Suction Controller .....................................................54
1.4.8.2 Suction Controller Features .......................................................55
1.4.8.3 Testing the Suction System........................................................55
1.4.8.4 Cleaning.....................................................................................55
1.4.9 Installing Ancillary Equipment (optional)..................................................55
1.4.10 Ventilators ................................................................................................58
1.4.11 Post-Installation Check ............................................................................58
1.5 Theory of Operation ........................................................................................58
1.5.1 C.G.O. Pressure Relief Valve ..................................................................61
1.5.2 Oxygen System and Oxygen Failure Warning Device.............................64
1.5.3 Nitrous Oxide System (Optional) .............................................................66
1.5.4 Medical Air System (Optional) ................................................................67
1.5.5 Controls ...................................................................................................68
1.5.5.1 On/Off Switch .............................................................................68
1.5.5.2 Flow Controls .............................................................................68
1.5.5.3 Auxiliary Flowmeter....................................................................71
1.5.5.4 Oxygen Flush, O2+ Button ........................................................71
1.5.5.5 Hypoxic Guard ..........................................................................71
1.5.5.6 Vaporizers ..................................................................................72
1.5.5.7 Brake Pedal................................................................................72
1.5.5.8 Drawers......................................................................................73
1.5.5.9 Flowmeter Backlight and Da-lites...............................................73
1.5.5.10 Maneuvering the Machine..........................................................74
1.6 User Maintenance Schedule ...........................................................................75
1.7 Pre-Use Checks.......................................................................................75
1.7.1 Gas Supply Hoses and Probes Check ....................................................75
1.7.2 Cylinder and Pipeline Supplies Check.....................................................76
1.7.3 Flowblock Assemblies Check ..................................................................76

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Contents
1.7.4 Oxygen Failure Warning System Check.................................................76
1.7.5 Leak Test -Vaporizers ..............................................................................77
1.7.6 C.G.O. Safety Valve.................................................................................78
1.7.7 A. C.G.O. Safety Valve (if installed).........................................................78
1.7.8 General....................................................................................................78
1.8 Full System Test..............................................................................................79
1.8.1 Leak Test .................................................................................................79
1.8.2 On/Off Switch and Warning System Checks ...........................................80
1.8.3 Mechanical Hypoxic Guard Test ..............................................................81
1.8.4 Oxygen Flush Tap Test ............................................................................81
1.8.5 Auxiliary Outlet Test .................................................................................81
1.8.6 HP Outlet Test (if installed) ......................................................................81
1.8.7 Ventilator Test ..........................................................................................82
1.9 Cleaning...................................................................................................82
1.10 Sterilization......................................................................................................82
Section 2 - 700/900 Series Ventilators ......................................................83
2.1 Description of the Ventilator ............................................................................85
2.1.1 Overview.................................................................................................85
2.1.2 Features...................................................................................................86
2.2.2.1 Controls and Indicators .................................................86
2.2.2.2 Microprocessor Control ............................................................86
2.2.2.3 Dual Mode Ventilation ..............................................................86
2.2.2.4 Pressure Limit Control ..............................................................86
2.2.2.5 Built-in Ventilator Pre-use Test ...................................................86
2.2.2.6 Comprehensive Pressure Monitoring and Alarms .....................86
2.1.2.7 Waveforms and Spirometry ......................................................87
2.1.2.8 Battery Back Up .......................................................................87
2.1.3 Operating Modes .....................................................................................88
2.1.3.1 Volume Control...........................................................................89
2.1.3.2 Precision Pressure Control ........................................................89
2.1.3.3 SIMV-PC + PSV and SIMV-VC + PSV Modes ...........................90
2.1.3.4 Inspiratory Pause .......................................................................91
2.1.3.5 Sigh............................................................................................91
2.1.3.6 Advanced Pressure Support .....................................................92
2.1.4 Principles of Operation ..........................................................................93

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Contents
2.1.5 Parameters .............................................................................................95
2.1.5.1 PEEP..........................................................................................95
2.1.5.3 Support Pressure .......................................................................96
2.1.5.4 Fresh Gas Compensation ..........................................................96
2.2.5.5 Oxygen.......................................................................................96
2.1.5.6 Tidal Volume ..............................................................................96
2.1.5.7 Minute Volume ...........................................................................97
2.1.5.8 Expired Tidal volume..................................................................97
2.1.5.9 BPM (Frequency Control) ..........................................................97
2.1.5.10 I:E Ratio .....................................................................................97
2.1.5.11 Pressure Limit ............................................................................97
2.1.5.12 Pressure Control/ Ptot................................................................97
2.1.5.13 Peak Pressure............................................................................97
2.1.5.14 Mean Pressure...........................................................................97
2.1.5.15 Plateau Pressure (Pplat) ............................................................97
2.1.5.16 Compliance ................................................................................97
2.1.5.17 Volume Measurement ................................................................98
2.1.5.18 Oxygen Measurement................................................................98
2.1.6 User Interface ..........................................................................................99
2.1.6.1 Front Panel.................................................................................99
2.1.6.2 Normal Screen .........................................................................100
2.1.6.3 Activity Display Area.................................................................100
2.1.6.4 Alarms Display Area.................................................................101
2.1.6.5 Measurements Display Area ....................................................101
2.1.6.6 Parameter Display Area ...........................................................101
2.1.6.6 Trak Wheel™ & Touch Screen .................................................102
2.1.7 Battery Status LEDs ..............................................................................104
2.1.8 Menu Tree ............................................................................................105
2.1.8.1 Setup Menu ...............................................................................105
2.1.8.2 Defaults Menu...........................................................................106
2.1.8.3 Alarm Setup ..............................................................................106
2.2 Using the Ventilator .......................................................................................107
2.2.1 Power On the Ventilator.........................................................................107
2.2.2 Start the Ventilator .................................................................................107
2.2.3 Stop the Ventilator .................................................................................108

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Contents
2.2.5 End of Case...........................................................................................108
2.2.6 Power Off the Ventilator.........................................................................108
2.2.8 Pre-Use Test Error Messages...............................................................113
2.2.9 Absorber Not Installed ...........................................................................116
2.2.10 Fresh Gas ..............................................................................................116
2.2.11 Standby/Bag Modes ..............................................................................117
2.2.12 I:E Setting ..............................................................................................119
2.2.13 Oxygen Calibration ................................................................................120
2.2.13.1 O2Calibration with A.C.G.O. System .......................................121
2.2.14 The Measurements Menu.....................................................................122
2.2.15 Adult and Pediatric Modes.....................................................................123
2.2.16 Auxilliary Common Gas Outlet (A.C.G.O.) Option.................................123
2.2.17 Types of Flow Sensors ..........................................................................124
2.2.18 Sensor Placement .................................................................................125
2.2.18 The Waveform Select Menu ..................................................................128
2.2.19 Save a Spirometry Loop ........................................................................128
2.2.19.1 Recall a Spirometry Loop.........................................................129
2.2.19.2 Example Spirometry Loops ......................................................130
2.2.20 Airway Pressure Waveform ...................................................................132
2.2.20.1 Airway Flow Waveform ............................................................132
2.2.21 Ventilation Mode Menu .........................................................................133
2.2.21.1 Pause.......................................................................................133
2.2.21.2 Pause + Sigh settings ..............................................................134
2.2.21.3 Cardiac Bypass ........................................................................134
2.2.22 Setting Parameters ................................................................................134
2.2.23 Alarms....................................................................................................134
2.2.23.1 Alarms Summary......................................................................136
2.2.23.2 Pre-set Alarms..........................................................................137
2.2.24 User De!ned Alarms..............................................................................141
2.2.24.1 Apnea Alarm.............................................................................141
2.2.24.2 Low Oxygen Alarm ...................................................................141
2.2.24.3 High Oxygen Alarm ..................................................................141
2.2.24.4 High BPM Alarm.......................................................................141
2.2.24.5 Pressure Limit Alarm ................................................................141
2.2.24.6 Low BPM Alarm........................................................................142
2.2.24.7 MV High Alarm .........................................................................142

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Contents
2.2.24.8 MV Low Alarm ..........................................................................142
2.2.24.9 Pressure Low Alarm .................................................................142
2.2.25 Auto Alarms ...........................................................................................143
2.2.26 The Alarms Setup Menu ........................................................................144
2.2.26.1 Set the Alarms..........................................................................144
2.2.26.2 Alarm Mute...............................................................................145
2.2.26.3 Set the Apnea Time Alarm .......................................................145
2.2.26.4 Selecting/Deselecting PAW <-10cmH2O..................................146
2.2.27 The Defaults Menu ................................................................................146
2.2.27.1 Save Hospital Default Settings.................................................147
2.2.27.2 Save and Recall Settings .........................................................147
2.2.27.3 Change Names ........................................................................148
2.2.27.4 Save Current Settings ..............................................................149
2.2.27.5 Recall Settings .........................................................................149
2.2.27.6 Changing/Entering New Password ..........................................149
2.2.27.7 Con!guration ...........................................................................150
2.2.27.8 Service Mode ...........................................................................150
2.2.27.9 System Information ..................................................................150
2.2.27.10System Audit Trail...................................................................151
2.3 Installation .....................................................................................................152
2.3.1 Pre-Use Checks...................................................................................154
2.3.2 Discharged Battery ................................................................................156
2.3.3 Installing the Adult Bellows ....................................................................158
2.3.4 Pre-use Test...........................................................................................159
2.3.4.1 Fresh Gas ................................................................................159
2.3.4.2 Compliance Test.......................................................................159
2.4 Routine User Maintenance............................................................................161
2.4.1 Monthly Check.......................................................................................161
2.4.1.1 Control Unit ..............................................................................161
2.4.2 Six-Month Check ...................................................................................161
2.4.2.1 Bellows.....................................................................................161
2.4.3 Other Maintenance ...............................................................................161
2.4.4 Cleaning and Sterilization .....................................................................162
2.4.4.1 Ventilator Surfaces ...................................................................162
2.4.4.2 Patient Flow Sensor and Tubing ..............................................162

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Contents
2.4.4.3 Bellows.....................................................................................164
2.4.4.4 Pop-off Valve Seat ...................................................................164
2.4.5 Methods of Sterilization .........................................................................165
2.5 Troubleshooting.............................................................................................166
2.6 Performance Data .........................................................................................168
2.6.1 Notes on Performance Data ..................................................................168
2.7 Associated Equipment and Accessories .......................................................172
2.8 External Communication Speci!cation..........................................................173
2.8.1 Data Transmission Settings ...................................................................173
2.8.2 Protocol..................................................................................................173
2.8.3 Pin Connections.....................................................................................174
2.8.4 Set Messages........................................................................................174
2.8.5 Breathing Modes....................................................................................174
2.8.6 Breathing Control...................................................................................175
2.8.7 Measured Value Messages ...................................................................175
2.8.8 Event Message......................................................................................177
2.8.9 User/System Settings..............................................................................177
2.8.10 User Alarm Limits ..................................................................................178
2.8.11 Waveform Information............................................................................178
2.10 Error Codes...................................................................................................181
Section 3 - CAS I/II Absorber...................................................................183
3.1 Description ....................................................................................................186
3.1.1 Introduction............................................................................................186
3.1.2 Principles of Operation ..........................................................................187
3.2 Installation .....................................................................................................189
3.2.1 Install the Absorber on the Machine ......................................................189
3.2.2 Fill the Soda Lime Canister(s) ...............................................................189
3.2.2.1 For Disposable Soda Lime Canister(s) ....................................191
3.2.2.2 For Reusable Soda Lime Canister(s).......................................191
3.2.3 Bag Arm Link Pipe .................................................................................192
3.2.4 Attach the Breathing Circuit Tubing .......................................................193
3.2.5 Pre-Use Checks.....................................................................................194
3.2.5.1 Compliance Test ......................................................................195
3.2.5.2 Spontaneous Breathing Setup .................................................195

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Contents
3.3 Absorber Maintenance ..................................................................................196
3.3.1 Change the Canister Soda Lime............................................................196
3.3.1.1 Replace the Reusable Canister Soda Lime .............................196
3.3.1.2 Absorbent Capacity of Canister Soda Lime .............................197
3.3.1.3 When to Replace the Soda Lime .............................................197
3.3.1.4 Change a Disposable Canister.............................................................199
3.3.1.5 Storage of Soda Lime ..............................................................200
3.3.2 Cleaning and Sterilization......................................................................200
3.3.3 Routine Maintenance Checks................................................................202
3.3.3.1 Replace the Non-return Valve Discs ........................................202
3.3.3.2 Annual Maintenance ................................................................203
3.4 Spare Parts and Accessories ........................................................................204
3.5 Manometer ....................................................................................................205
3.5.1 Install the Manometer ............................................................................205
3.5.2 Remove the Manometer ........................................................................205
3.6 Oxygen Sensor .............................................................................................205
3.7 CAS I/II Absorber Condenser........................................................................206
3.8 CAS I/II Absorber Lock Option ......................................................................208
Using the Absorber Lock ..................................................................................208
3.9 Absorber Technical Data ...............................................................................210
3.9.1 Dimensions ...................................................................................................210
3.9.2 Performance..................................................................................................210
Section 4 Notices & Important Information............................................ 211
4.1 Product Improvement....................................................................................213
4.2 Responsibilities of the User...........................................................................213
4.3 Responsibilities of the Manufacturer .............................................................213
4.4 Disclaimer .....................................................................................................214
4.5 Technology Disclaimer / Tamper Proof Seal .................................................214
4.6 Note to Service Personnel ............................................................................214
4.7 Copyright.......................................................................................................215
4.8 Trademarks and Acknowledgements ............................................................216
4.9 Hazard Notices.............................................................................................217
Appendix 1: EMC Tests for IEC 60601-1-2 Compliance ..........................................250

BleaseSirius User Manual 15
List Of Figures
Figure 1 - BleaseSirius Anesthetic Machine...............................................................28
Figure 2 - Back of BleaseSirius ..................................................................................30
Figure 3 - Electrical Labeling......................................................................................36
Figure 4a - Installing the Cylinders.............................................................................41
Figure 4b - Installing Large Cylinders.........................................................................41
Figure 5 - Connect the Oxygen Sensor......................................................................44
Figure 6 - CAS Absorber and Components................................................................48
Figure 7 - CAS Absorber Mounting Brackets .............................................................49
Figure 8 - Extended Work Surface ‘Open’..................................................................50
Figure 9 - Extended Work Surface Operation ............................................................50
Figure 10 - Extended Work Surface ‘Closed’ .............................................................50
Figure 11 - Patient Airway Flow Sensor .....................................................................51
Figure 12a - Filter Set Up ...........................................................................................53
Figure 12b - Filter Set Up ...........................................................................................53
Figure 13 - Suction Controller ....................................................................................54
Figure 14 - BleaseSirius Anesthetic Machine Components .......................................56
Figure 15 - Pneumatic Circuit for the Mechanical Flowmeter.....................................62
Figure 16 - Mechanical Flowmeter .............................................................................68
Figure 17 - Electronic Flowmeter, 3 Gas Option ........................................................69
Figure 18- Gas Consumption Data, System Information Screen ...............................70
Figure 19 - Select Backlight Screens .........................................................................73
Figure 20 - System Handle Locations ........................................................................74
Figure 21 - 900 Series Ventilator................................................................................85
Figure 22 - Low Battery Indicator ...............................................................................87
Figure 23- Volume & Precision Pressure Control Mode Waveforms..........................89
Figure 24 - Inspiratory Pause Waveform....................................................................91
Figure 25 - Pressure/Flow/Volume Waveform............................................................92
Figure 26 - Pneumatic System ...................................................................................94
Figure 27 - PEEP Waveform ......................................................................................95
Figure 28 - Ventilator Front Panel ..............................................................................99
Figure 29 - Normal Run Screen ...............................................................................100
Figure 30 - Home Key .............................................................................................100
Figure 31 - Activity Display Area...............................................................................100
Figure 32 - Parameter Display Area .........................................................................102
Figure 33 - Setup Menu Tree ..............................................105

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List Of Figures
Figure 34 - Defaults Menu Tree................................................................................106
Figure 35 - Alarm Setup Menu Tree ........................................................................106
Figure 36 - Bag/Vent Switch - Vent ..........................................................................107
Figure 37 - Bag/Vent Switch - Bag ...........................................................................108
Figure 38 - End of Case Options..............................................................................108
Figure 39 - Pre-use Opening Screen at Power-On ..................................................109
Figure 40 - Veri!cation Screen if you choose to skip the Compliance Check ..........109
Figure 41 - Start Screen for the Pre-Use Tests ........................................................109
Figure 42 - Pre-use Occlusion Tests Screens ..........................................................110
Figure 43 - Leak Test Screens .................................................................................110
Figure 44 - Perform System Check Screen.............................................................. 111
Figure 45 - System Test Con!rmation Screen.......................................................... 111
Figure 46 - System Test Screens ............................................................................. 111
Figure 47 - Compliance Check Passed Message ....................................................112
Figure 48 - Pre-use Test Error Message (01)...........................................................113
Figure 49 - Pre-use Test Error Message (02)...........................................................113
Figure 50 - Pre-use Test Error Message (03)...........................................................113
Figure 51 - Pre-use Test Error Message (04)...........................................................114
Figure 52 - Pre-use Test Error Message (05)...........................................................114
Figure 53 - Pre-use Test Error Message (06)...........................................................114
Figure 54 - Pre-use Test Error Message (07)...........................................................115
Figure 55 -Pre-use Test Error Message (08)............................................................115
Figure 56 - Absorber Not Fitted Message ................................................................116
Figure 57 - Set Absorber Message...........................................................................116
Figure 58 - Absorber Switch Set to VENT ................................................................117
Figure 59 - Absorber Switch Set to BAG ..................................................................117
Figure 60 - Standby Screen .....................................................................................118
Figure 61 - Fresh Gas Too High Screen (01) ...........................................................118
Figure 62 - Fresh Gas Too High Screen (02) ...........................................................118
Figure 63 - Fresh Gas Too High (03)........................................................................119
Figure 64 - Fresh Gas Too High (04)........................................................................119
Figure 65 - Fresh Gas Too High (05)........................................................................119
Figure 66- A.C.G.O Screen ......................................................................................121
Figure 67 - Oxygen Screen ......................................................................................121
Figure 68 - Setup Menu............................................................................................122

BleaseSirius User Manual 17
List Of Figures
Figure 69 - Con!guration Menu................................................................................122
Figure 70 - Measurements Menu .............................................................................122
Figure 71 - Adult & Pediatric Menu...........................................................................123
Figure 72 - A.C.G.O Port and SwitchLocations ........................................................123
Figure 73 - A.C.G.O Warning ...................................................................................123
Figure 74 - Adult Flow Sensor (L) and Pediatric Flow Sensor (R) ...........................124
Figure 75 - Standby Mode........................................................................................125
Figure 76 - Sensor Placement Screen .....................................................................125
Figure 77 - Airway Sensor Placement - Sensor at Patient and Sensor at Absorber 127
Figure 78 - Waveform Select Options ......................................................................128
Figure 79 - Airway Pressure Bar ..............................................................................128
Figure 80 - Store Loop .............................................................................................128
Figure 81 - Current Loop & Saved Loop Display......................................................129
Figure 82 - Store Loop Options ................................................................................129
Figure 83 - PEEP Loop ............................................................................................130
Figure 84- Spontaneous Breathing Loop .................................................................130
Figure 85 - Bronchospasm Loop ..............................................................................130
Figure 86 - Kinked Tube Loop ..................................................................................130
Figure 87 - Patient Breathing with Vent (e.g. Lack of relaxation) Loop ....................130
Figure 88 - Cuff or Laryngeal mask Leak Loop and Kinked Tracheal Tube Loop ....130
Figure 89 - Intro-abdominal CO2 Insuf"ation Loop ..................................................131
Figure 90 - Pneumothorax Occurs Loop ..................................................................131
Figure 91- PEEP Treatment Loop ............................................................................131
Figure 92 - Zero Baseline.........................................................................................132
Figure 93 - Expired Flow from and Inspired Flow to Patient ....................................132
Figure 94 - Ventilation Mode Menu ..........................................................................133
Figure 95 - Change Ventilation Mode Prompts ........................................................133
Figure 96 - Pause Options .......................................................................................133
Figure 97 - Alarm Screen .........................................................................................135
Figure 98 - Auto Set Alarm Buttons ..........................................................................143
Figure 99 - Alarms Limits Options ............................................................................144
Figure 100 - Mute Time Options...............................................................................145
Figure 101 - Setting Apnea Time..............................................................................145
Figure 102 - PAW <-10cmH2O Option ......................................................................146
Figure 103 - Defaults Menu......................................................................................146

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18
List Of Figures
Figure 104 - Change Names Screen........................................................................148
Figure 105 - Save Current Settings Menu................................................................149
Figure 106 - Change Password Option Selected .....................................................149
Figure 107 - Con!guration Menu..............................................................................150
Figure 108 - Example System Information Screen, Page 1 .....................................150
Figure 109 - Installing the Bellows ...........................................................................157
Figure 110 - Compliance Prompt..............................................................................159
Figure 111 - Removing the Pop-off Valve .................................................................163
Figure 112 - CAS I and CAS II Absorber Components.............................................185
Figure 113 - Absorber Flow Circuit ...........................................................................188
Figure 114 - Install the Absorber .............................................................................189
Figure 115 - Amsorb Seal.........................................................................................190
Figure 116 - Canister Seal Orientation Icon .............................................................191
Figure 117 - Center Seal Icon ..................................................................................191
Figure 118 - Absorber Upper Seal............................................................................192
Figure 119 - Bag Arm Link Pipe................................................................................192
Figure 120 - Connect the Breathing Circuit Tubing ..................................................193
Figure 121 - Large Upper Seal.................................................................................198
Figure 122 - Canister Seal Orientation Icon .............................................................198
Figure 123- Center Seal Icon ...................................................................................198
Figure 124 - Reinstall the APL Valve Past Two Notches ..........................................202
Figure 125 - Non-MRI Manometer ...........................................................................205
Figure 126 - CAS I/II Absorber Condenser...............................................................206
Figure 127 - Clamp Plate Screws.............................................................................207
Figure 128 - Remove/Reinstall Clamp Plate ............................................................207
Figure 129 - Absorber Lock Components.................................................................208
Figure 130 - Locking Bar Disengaged......................................................................209

BleaseSirius User Manual 19
BleaseSirius
How to Use This Manual
This manual is designed as a guide for learning to operate the BleaseSirius
Anesthesia System, and also as a reference tool to use once you are familiar
with the system.
This manual has four sections: the !rst contains information about the
BleaseSirius Anesthesia Machine, the second describes the 700/900 Series
Ventilator, third discusses the CAS Absorber, and fourth lists Notices and
Important User Information.

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