Stephan ARTEC Series User manual

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ARTEC
Anesthesia system
Version 1.2. Status 04.10/
Picture shows Artec with optional components
Operating instruction


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Table of contents
1GENERAL INFORMATION 5
2TECHNICAL DESCRIPTION 6
2.1 Possible Expansion and Upgrading of the Unit 6
2.2 Scope of Use and Application 8
3DESCRIPTION 9
3.1 Gasmixing unit 3 and 4 9
3.2 O2– Ratiosystem (optional) 10
3.3 O2-Flush 11
3.4 AIR/N2O Mode Switch 11
3.5 O2- supply deficiency signal 11
3.6 Nitrous Oxide Block 11
3.7 Vaporizer 12
3.8 Gas-cylinder Supply Component 13
4CHANGEOVER MOUNTING ARM (OPTIONAL) 14
4.1 Top view 14
4.2 Front view 15
4.3 Rear view 16
4.4 Connecting the changeover mounting arm 17
5TESTING UNIT FUNCTIONS 21
5.1 Dosage valves of the Gas Mix Unit 21
5.2 O2-Flush 21
5.3 AIR / N2O Mode Switch 21

Operating Instructions Artec
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6GAS TYPE TEST AND TESTING SAFETY DEVICES 23
6.1 Testing Gas Type: 23
6.3 Testing the Vaporizer / Vaporizer holding rack 24
7CLEANING AND CARE OF ANESTHESIA UNIT 25
8TROUBLESHOOTING 26
8.1 ARTEC 26
8.2 Changeover mounting arm (if available) 27
9TECHNICAL DATA 29
10 MAINTENANCE AND SERVICING 31
10.1 Artec 31
10.2 Changeover mounting arm (if available) 31

Operating Instructions Artec
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1 General Information
The Medical Equipment Regulations (MedGV), and the law on technical medical working
materials (MPBetreibV) stipulate that the attention of the operator must be drawn to the
following:
The operation of the Unit must be carried out only by qualified personnel. Exact knowledge
and understanding of the Operating Instructions is a pre-conditioned for operation.
Use of the equipment is solely for that as stipulated in the Operating Instructions.
Inspections and servicing must be duly entered in the Logbook of the Unit. The Equipment
must be inspected at regular intervals by qualified personnel only.
F.Stephan GmbH stipulates a half-yearly inspection and maintenance by one of its
authorized Service Technicians.
Before each use of the unit, a complete function test of the unit must be carried out.
In the case on medico.technical devices with electrical connection, the standards of
particular VDE 0751 and IEC 601 must be closely complied with. According to these
standards, such devices may only be set up and put into operation by the manufacturer or
his expressedly authorized technician or dealership.
Unit equipped with a pressure reducer should undergo a basic overhaul at least every 5
years for reasons of safety.
An emergency ventilation system (e.g. Ambu-Bag) must always be in close proximity of
the unit.
F. Stephan shall assume no responsibility or liability for any damage or defects arising
from non-observance of the above-mentioned information.

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2 Technical Description
Driven by customer requests and requirements, the ARTEC model series had been
designed and developed as a compact universal version. At the same time high quality-
standards and maximum economy has been achieved.
The elementary structure ensures a good overview and quick allocation and adjustment of
parameters for the respective unit components. The ARTEC anesthesia unit is an
inhalation anesthesia unit that is equipped with a anesthesia agent specific vaporizer for
use in a semi-closed system
The unit consists of a basic housing of stainless steel in which a drawer is provided.
Located above that is the gas-mix unit (GME, with which the available medical gases O2,
N2O and (optional) compressed air can be dosaged.
The GME consists of an integrated pneumatic unit with relvant safety valves providing for
N20 block and O2deficiency signal and the dosage unit for the above-mentioned medical
gases.
On the right-hand side, an anesthesia agent specific vaporizer can be mounted on special
mounting racks ( one or two-fold).
Located on the basic unit and depending on model, there is provided a stainless steel shelf
for additional monitoring or a ventilation module with integrated monitoring.
On the reverse side of the unit there are standard connections for gas supply linea and
depending on model, holding racks for reserve bottles with integrated high-pressure
reducers.
The unit is also equipped with four plug sockets for electrical power supply for additional
monitors. These sockets are constantly supplied with current regardless of the Ventilators
ON/OFF power supply status.
2.1 Possible Expansion and Upgrading of the Unit
Basic Model
The ARTEC basic model is suitable for wall mounting. For such mounting, the mounting
rails of the basic unit ar attached to the V2A rails.
For wall mounting, exact vertical mounting of the unit must be strictly observed, otherwise
inexact mounting could lead to falsh measuring results of gas flows. An adjustable
distancer device provides a precise alignment of the unit.
Unit Model with Mobile Stand
The unit can be mounted on a mobile stand that enables and ensures variable site
operation.
The basic unit can be mounted on the mobile stand profile (80x30) by tightening the four
mounting bolts. The mobile stand can be equipped with a stand-alone oxygen,
compressed air and vacuum generator module „STAXEL“

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Gas Supply:
The unit is designed with a central gas supply coupling connection. A set of hoses is
supplied with the unit for the three types of gases O2, N2O and compressed air ( if air is
provided).
Gas supply can either be via a central gas supply network, or via bottle supply with 10 litre
bottles O2and N2O. To ensure uninterrupted gas supply, in the event of breakdown of the
central gas supply, 2 litre reserve bottles can be connected.
An alternative to bottled gas supply, the ARTEC anesthesia unit offers the possiblity of a
decentalized oxygen supply via the supply „outlet“. This is the „STAXEL“ that has been
especially developed as an oxygen / compressed air and vacuum generator.
Ventilation Module:
The ventilation module ABVA is
easy to use and can eventually
mounted to the basic unit later on.
For this the V2A shelf is removed
from the basic unit. After that the
ventilation module can be mounted
to the basic unit via two mounting
bolts. The compressed air supply of
the ventilator is created via a
connection line to the basic unit.

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After attaching the V2A shelf, you now
have a respiratory-contolled anesthesia
ventilation system with the current
necessary state-of-the-art monitoring
system.
It is strongly advised to have the
installation carried out by our specially
trained Stephan Service Team.
2.2 Scope of Use and Application
The ARTEC is an inhalation anesthesia unit for the manual anesthesia of infants, children
and adults.
It can be used in conjunction with a ISO circuit system, but can also be operated with open
ventilation systems. The scope of applications of the ARTEC anesthesia unit ranges from
use in the practitioner’s surgery to hospital operation theatres.

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3 Description
3.1 Gasmixing unit 3 and 4
The gasmixing unit serves as a dosage unit for medical gases
(e.g. O2, N2O, Air). The choosen gases can mixed in a arbitary
relation, but the ratio-system guarantees a O2-concentration not
lower then 21 % (see below). The different gases are clearly
displayed with rotary buttons.
To avoid mistakes, the O2-rotary button discerns from the others.
A unintentional move is prevented by a protection.
The dosing device makes a continuous flow enable, when opening
the valves by rotation against clockwise.
The O2-measuring range contains two measuring devices. This
makes a fine dosage possible.
The left measuring tube has a range from 0 to 2 l/min O2, the right
tube has a range from 2 to 15 l/min O2. As point of observation
serves the upper surface of the floating body.
The measuring tubes for AIR and/or N2O are laid out as double
cone measuring tubes. The lower zone of the measuring tubes
(AIR/N2O) is more finely gradated than the upper.
The side parts of the GMUE 3/4 can be changed in their dimensions
so it is possible to use different types of measuring tubes (e.g. firm
Rota, firm KDG and others).
0
0
Gasmi
s
c h e in he i t G M E 4
A rt .
N
r . 1 5 0 6 1 0 7 1
N
02
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N
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6
2
4
8
1 2
1
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0
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A r t.
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r. 150 61 0 70
0 FLU
S
H
2 0 2
2
O
O
2
1 1
0
,
4
0
,
2
0,6
5
4
3
6
1
0
,
8
9
8
7
1
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2 1 2
02
0
, 4
0FL
U
SH2
2
0
,
2
0
,
6
1
0
,
8
2
0
,
8
N
0
2
AIR
2
0
,
6
0
,
4
0
,
2
A
IR 2
5
4
3
2
6
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6
2
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9
8
7
12
1
0
8
8
1 2
1
0
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1
0
AIR
N
0
2
2

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3.2 O2– Ratiosystem (optional)
The Gasmixing units GME 3 and GME 4 can be equipped optionally with a pneumatical
system to assure at every flowrange of N2O a minimum concentration of oxygen of 25 %
O2(+/- 5%).
The so called O2 - Ratiosystem avoids the delivery of pure N2O to the breathing system.
Mode of operation
The O2– Ratiosystem examines the O2– Flowrate. If there is no O2– Flow the N2O – Line
is blocked. Thus it is impossible to apply pure N2O to the breathing system without opening
the O2– Valve at the GME. Only when the O2– Valve is opened counterclockwise, a N2O
– flow according the flowrate of O2 can be adjusted. The minimal achievable oxygen
concentration is 25 % +/- 5%.
Control of function
1. Close O2– and N2O – Valve at the GME.
2. Open N2O – Valve to maximum There should be no N2O – Flow
3. Open O2– Valve counterclockwise N2O – Flow is increasing
For example:
Adjust 1 l/min O2N2O – Flow should be 3 l/min +/- 0,2 l/min
Adjust 3 l/min O2N2O – Flow should be 9 l/min +/- 0,6 l/min
Caution
The O2– Ratiosystem controls the O2– concentration in the freshgas.
It doesent prevent in any case a hypoxic gasmixture in the circlesystem.
Caution
Please do control the inspiratory O2– concentration by using an
oxygenmonitor.

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3.3 O2-Flush
By pressing the O2Flush push-button, a fast oxygen supply (approx.
50 litres per minute) is activated directly to the fresh-air outlet (not via
the anesthesia vaporizer).
After releasing the O2Flush push button it must return to it original
position.
3.4 AIR/N2O Mode Switch
The Air / N2O Mode Switch is located below the rotary knobs for (AIR
/N2O). This offers a pre-selection of the gases AIR or N2O. The
respective dosage of the gases is effected via the regulation valve.
3.5 O2- supply deficiency signal
In the event of a pressure drop in the supply system (oxygen below
2.0 to 1.5 bar) an acoustic warning alarm is activated for a duration
of at least 7 seconds. An interruption is not possible).
3.6 Nitrous Oxide Block
In the event of a further fall in presure of oxygen to about 1 bar,the ratio of N2O is reduced
proportionately to the oxygen supply. Should there be a total fallout of oxygen, the N20 flow
is set to zero. Release of N2O is then closed.
The unit stand-by mode can be resumed only by setting the stipulated oxygen pressure of
at least 2 bar at the network inlet.

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3.7 Vaporizer
On request, the ARTEC inhalation anesthesia unit can be equipped with various vaporizer-
systems. In the standard model, the vaporizerss come in use which are equipped with an
„Interlock‘“ locking system to enable alternating operation of two vaporizers.
The anesthetic agent is mounted to the
selected vaporizer rack by means of a click-in
mechanism. The locking lever secures the
vaporizer on the holding rack.
Please read the operating instructions of the
respective model of vaporizer with which the
ARTEC anesthesia unit is equipped.
Vaporizer holding-rack „single“
The unit is equipped with one vaporizer rack holder. Only one vaporizer can be put into
operation.
The vaporizer holding rack is provided with automatic closing valves. The seal between the
vaporizer and the holding rack takes on the function of a gasket ring placed on the valve.
Optionally, a side-rail possiblity for a second vaporizer can be provided besides the active
vaporizer holding rack.
Vaporizer holding rack „two-fold“ Interlock locking system:
The unit is provided with two vaporizer
holding racks. Two vaporizers can be
alternately used. The vaporizers are provided
with locking devices that disables the
vaporizer that is not in operation
.
Interlock

Operating Instructions Artec
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3.8 Gas-cylinder Supply Component
When in the gas-cylinder operation mode, the gas is reduced from 200 or 50 bar to a
working pressure of 5 bar. The cylinder pressure can be read on the pressure gauge and
indicates the status of level fill of the gas bottles.
The feed of the gases to the actual unit is effected via the quick-fit couplings or the DIN
threaded couplings which are unmistakeably coded according to type of gas being used.
Caution
When transporting, it is absolutely necessary to close the cylinder-valves.

Operating Instructions Artec
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4 Changeover mounting arm (optional)
As an option, the anesthesia system can be equipped with a changeover mounting arm. At
the fresh gas outlet of this mounting arm a circuit system ISO 1 (Art.Nr. 11561006 / re-
breathing system with CO2 absorber) or all commercially available non re-breathing
systems (e.g. Magill, Mapelson, Bain etc.) can be connected.
4.1 Top view
Fig. 1: Top view
1 Circuit system holder 4 Fresh gas outlet
2 Safety valve,
connection for
anesthetic gas
aspiration Ø 28 mm
3 Fastening point
anesthesia system
5 Adapter for O2sensor when
using a non re-breathing
system
(Must be sealed with the cap
when using a circuit system
/re-breathing system)

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4.2 Front view
Fig. 2: Front view
4 Fresh gas outlet 6 Fresh gas inlet coming
from the gas mixing unit
(GMU)
5 Adapter for O2sensor when
using a non re-breathing
system (Must be sealed
with the cap when using a
circuit system /
re-breathing system)

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4.3 Rear view
Fig. 3: Side view on the left
6 Fresh gas inlet coming
from the gas mixing unit
(GMU)
2 Safety valve, connection for
anesthetic gas aspiration Ø
28 mm
5 Adapter for O2sensor when
using a non re-breathing
system
(Must be sealed with the
cap when using a circuit
system /
re-breathing system)

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4.4 Connecting the changeover mounting arm
4.4.1 Connection to the circuit system (re-breathing system)
Fig. 4: Connection to the changeover mounting arm
4 Fresh gas outlet 6 Fresh gas inlet coming from
the gas mixing unit (GMU)
7 Connection hose for circuit
system
5 Adapter for O2sensor
when using a non re-
breathing system
(Must be sealed with the
cap when using a circuit
system /
re-breathing system)
8 Fresh gas inlet of the circuit
system
Proceed as follows to connect the mounting arm to the circuit system:
Connect the fresh gas outlet of the GMU with compressed air hose to fresh gas inlet
of the mounting arm (It. 6).
Attach connection hose of the circuit system (It. 7) to fresh gas outlet of changeover
mounting arm.(It. 4).

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Caution
The adapter for O2 sensor must be sealed with the cap when using a circuit
system /re-breathing system.
4.4.2 Connection to a non re-breathing system
Fig. 5: Connection of the mounting arm to a non re-breathing system
4 Fresh gas outlet 6 Fresh gas inlet coming from
the gas mixing unit (GMU)
7 Connection hose for circuit
system
5 Adapter for O2sensor
when using a non re-
breathing system
(Must be sealed with the
cap when using a circuit
system /
re-breathing system)
8 Fresh gas inlet of the circuit
system

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Proceed as follows to connect the mounting arm to a commercially available non re-
breathing system (e.g. Magill, Mapelson, Bain etc.) proceed as follows:
Remove the connection hose for circuit system ( It. 7) from the fresh gas outlet of
the mounting arm (It. 4).
Connect the non re-breathing system to the fresh gas outlet of the mounting arm
(It. 4).
Caution
When using a non re-breathing system, an O2 sensor must be connected to
the adapter (It. 5).
Caution
When using a non re-breathing system, the APL valve of the circuit system
fastened to the mounting device is not active. This is why it is advisable to use
non re-breathing systems with integrated APL valve.

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