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

BleaseSirius User Manual
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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