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Documente Profesional
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July 2006
ZY9100series multi-functional Anesthesia machine
CONTENTS
1 Introduction ……………………………………………………………………………1
……………………………………………………………………………1-1
1.1 Components of the Anesthesia System ……………………………………………
……………………………………………1
………………………1-2
1.2 Components of the Respiration System ……………………………………………1
……………………………………………1-4
1.3 LCD Control Key……………………………………………………………………1
……………………………………………………………………1-5
…………………………………………………………………………1
1.4 LCD Display………………………………………………………………………… 1- 5
………………………………………1
1.5 Signs used in this manual or on the equipment ……………………………………… 1- 6
2 Working principle ………………………………………………………………………2-1
……………………………………………………………………2
2.1 Electrical System…………………………………………………………………… 2- 2
2.2 Power supply subsystem ……………………………………………………………2
……………………………………………………………2-2
2.2.1 Summary …………………………………………………………………………2
…………………………………………………………………………2-2
2.2.2 Charging panel ……………………………………………………………………2
……………………………………………………………………2-2
………………………………………………………………2
2.3 Alarm & signal exchange……………………………………………………………… 2- 2
2.3.1 Alarm panel ………………………………………………………………………2
………………………………………………………………………2-2
2.3.2 Data link panel ……………………………………………………………………2
……………………………………………………………………2-3
2.4 Display part…… ……………………………………………………………………2
……………………………………………………………………2-3
2.4.1 Summary ……………………………………………………………………………2
……………………………………………………………………………2-3
2.4.2 Panel key and shuttle key …………
……………………………………………………
……………………………………………………2
……………………………………………2-4
2.4.3 Display connection …………………………………………………………………2
…………………………………………………………………2-4
2.4.4 Communication connection …………………………………………………………2
…………………………………………………………2-5
2.5 Control part …………………………………………………………………………2
…………………………………………………………………………2-5
2.5.1 Summary …………………………………………………………………………2
…………………………………………………………………………2-5
2.5.2 Main board ………………………………………………………………………2
………………………………………………………………………2-5
2.6 System communication ………………………………………………………………2
………………………………………………………………2-5
2.7 Schematic airway of the Anesthesia Machine ………………………………………2
………………………………………2-6
2.7.1Summary ……………………………………………………………………………2
……………………………………………………………………………2-6
2.8 Schematic airway of the respiration system ………………………………………
………………………………………2
…………………2-6
…………………………………………………………………2
2.8.1 Manual ventilation ………………………………………………………………… 2- 6
……………………………………………………………2
2.8.2 Mechanical ventilation …………………………………………………………… 2- 6
2.8.3 Fresh gas and O2 flush ……………………………………………………………2
……………………………………………………………2-6
2.9 Mechanical ventilation subsystem ……………………………………………………2
……………………………………………………2-7
2.9.1 Pressure reducing valve ……………………………………………………………2
……………………………………………………………2-7
………………………………………………2
2.9.2 Solenoid valve and VT adjusting valve……………………………………………… 2- 7
………………………………………………………………………2
2.9.3 Exhaust valve ……………………………………………………………………… 2- 7
2.9.4 Expiration valve ……………………………………………………………………2
……………………………………………………………………2-8
…………………………………………………………………………2
2.9.5 Safety valve………………………………………………………………………… 2- 8
2.9.6 Flow sensor…………………………………………………………………………2
…………………………………………………………………………2-8
3 Testing procedure ………………………………………………………………………3
………………………………………………………………………3-1
……………………………………………………3
3.1 Vaporizer back-pressure testing …………………………………………………… 3- 2
3.2 Pipeline testing………………………………………………………………………3
………………………………………………………………………3-2
3.2.1 O2 supply failure alarm test…………………………………………………………
…………………………………………………………3
……………………………………………3-2
3.3 O2 flush test…………………………………………………………………………3
…………………………………………………………………………3-2
3.4 Alarm test ………
……………………………………………………………………………3
……………………………………………………………………3-2
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ZY9100series multi-functional Anesthesia machine
1
ZY9100series multi-functional Anesthesia machine
1 Introduction
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ZY9100series multi-functional Anesthesia machine
1
4
7 2
figure 1-
1 -1
1-2
ZY9100series multi-functional Anesthesia machine
6
5 7
8
9
4
figure1-
figure1-2
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ZY9100series multi-functional Anesthesia machine
7
1
10
2
8
6
9
1 Expiration valve
2 Airway pressure meter 12
11
3 Inspiration valve
4 O2% sensor
5 Manual/Auto switch
6 APL valve
7 Bellows integration
8 bag joint
9Fresh gas inlet
10 Auto-control joint
11 Releasing pin of the absorber canister
12 Absorber canister
figure 1-3
1-4
ZY9100series multi-functional Anesthesia machine
Paw[hPa] O2 50 % 8 7
30
1 I:E
1/ 2.0 6
Freq
0
-10
BPM 20
0 2 4 6 8[s] TRG
Flow[L/Min]
80
hPa --
VT
L .90
1 PEAK
-80
hPa 19
0 2 4 6 8[s]
MV
MV HIGH !! ↑
01:12:20
LPM 18
2 3 4 5
1 waveform
2 Alarm indication
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ZY9100series multi-functional Anesthesia machine
3 Power indication
4 Triggering indication
5 Measured value
6 Parameter value
7 Mode display
8 O2% display
figure1
figure1-5
1.5 Signs used in this manual or on the equipment
Warnings and Cautions show the possible dangerous situations if do not follow this
manual.
Warnings show possible situations that might cause harm to the operator or patients.
Cautions show possible situations that might cause damage to the equipment. Please read
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ZY9100series multi-functional Anesthesia machine
1-7
ZY9100series multi-functional Anesthesia machine
2 work principle
2.1 Electrical system
2.2 Power supply subsystem
2.2.1 Summary
2.2.2 Charging panel
2.3 Alarm & signal exchange
2.3.1 Alarm panel
2.3.2 Data link panel
2.4 Display part
2.4.1 Summary
2.4.2 Panel key and shuttle key
2.4.3 Display connection
2.4.4 Communication connection
2.5 Control part
2.5.1 Summary
2.5.2 Main board
2.6 System communication
2.7 Schematic airway of the Anesthesia Machine
2.7.1 Summary
2.8 Schematic airway of the respiration system
2.8.1 Manual ventilation
2.8.2 Mechanical ventilation
2.8.3 Fresh gas and O2 flush
2.9 Automatic ventilation subsystem
2.9.1 Pressure reducing valve
2.9.2 Solenoid valve and VT adjusting valve
2.9.3 Exhaust valve
2.9.4 Expiration valve
2.9.5 Safety valve
2.9.6 Flow sensor
2-1
ZY9100series multi-functional Anesthesia machine
to battery
When connected to AC, two battery are recharged by the charging panel, and provide power
and information of AC power to the main board. When AC does not work properly, battery will
provide power to the main board by charging panel, and provide backup battery information to
the main board.
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ZY9100series multi-functional Anesthesia machine
Q2
The oscillatory circuit sends out impulse signals to control the buzzer’s phonation, and Q2
controls the on/off of the voice.
to main board J6
The data link panel is used to transfer signals, and provide a RS-232 communication line to
the user, the link agreement is in Chapter 7.
2.4 Display part
2.4.1 Summary
User joint function is achieved by display part.
Display part is composed of the following main parts:
·LCD
·Display panel
·Inverter panel
·Indicator light panel
·Driven panel
Display panel
LCD
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ZY9100series multi-functional Anesthesia machine
Inverter panel
Driven panel
to shuttle key
to panel key
The display panel adopts two CPUs produced by ATMEL company. Both of them has a main
frequency of 11.0592MHz.89C2051 is used to process singles generated by the shuttle key and
89C58 is to process sigles generated by the panel key.
Connect to driven
panel J2
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ZY9100series multi-functional Anesthesia machine
Connect to display
panel JP2
Connect to data
Connect to charging panel
joint panel JP3
Connect to alarm
Connect to data panel J1
joint panel JP1
\
The main board adopts two CPUs produced by ATMEL company. It gathers and processes flow
signal、pressure signal and O2% signal through A/D exchange circuit.According to user’s
respiration parameters, it controls the solenoid valve through D/A exchange circuit. It transmits
singles with the display part by 89C52 through RS-232 serial port.
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ZY9100series multi-functional Anesthesia machine
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ZY9100series multi-functional Anesthesia machine
O2 passes the pressure reducing valve to the O2 flush valve. When press the O2 flush button,
O2 and fresh gas enter the mixed gas outlet together.
Connect to expiration
valve (1)
The VT adjusting valve adjusts the flow that enters the expiration valve, therefore controls VT.
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ZY9100series multi-functional Anesthesia machine
Exhaust valve
In respiration system, the bellows integration is the connection between driven gas and
patient’s airway, the exhaust valve of bellows integration is used to control the pressure of the
respiration loop, and discharge excessive gas from the patient from the exhaust gas outlet.
In normal condition, the exhaust valve is closed. If there is no gas flow, the pressure value of
respiration loop is maintained at 1.5cmH2o level. It’s enough to keep the bag in inflated state.
When inspires, it will be turned off until when it expires and the bag is inflated. The exhaust gas
exhausts at not more than 4L/Min when the pressure under 4cmH2O
2.9.4 Expiration valve
2 1
Usually, the expiration valve is open. When inspires, the pressure (1), which is loaded on the
expiration valve, braves the film, then the expiration valve closes. When expires, the gas pressure
disappears, then the expiration valve will open.
2.9.5 Safety valve
There is a mechanical safety valve in the expiration valve, when the pressure of driven gas is
more than safety valve’s default value (about 110cmH2o), it will open.
2.9.6Flow sensor
Flow sensor is used to monitor the expiration VT, it is installed at the patient’s T joints. If gas
flow passes through the sensor, both sides of the sensor’s film will generate a pressure difference,
the difference single will be read by the CPU of the main board, then get the VT value through
calculation.
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ZY9100series multi-functional Anesthesia machine
3 Testing
3-1
ZY9100series multi-functional Anesthesia machine
Warning: During testing, the anesthetic will overflow, please use safe and appropriate
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ZY9100series multi-functional Anesthesia machine
4 Calibration
Warning: After testing and calibration, please test again according to Chapter 3 of this
manual.
Contents of this chapter
4.1O2 flush valve
4.2 Paw calibration
4.3 VT calibration
4.4 Calibration the O2% of inspiration
4-1
ZY9100series multi-functional Anesthesia machine
deferent joint
Pressure reducing valve
4-2
ZY9100series multi-functional Anesthesia machine
Paw
Gain : xx
Paw
Zero : xx
Flow
Gain : xx
Flow
Zero : xxx
O2
Gain : xx
O2
Zero : xxx
2. Connect a pressure meter to the patient’s T joint; connect gas to the patient’s port
3. Adjust the Paw Zero value, make display value of Paw to 0.
4. Connect a mock lung to the patient’s port
5. Adjust Paw Gain value, make sure the display value of Paw is same as the value of the
pressure meter.
6. Repeat step1 to 5
7. Press MENU key, exit the system parameter menu
4.3 VT calibration
1. The instrument is in IPPV(VC)mode, and the setting of the respiration parameter is as
follows:
·F 20,
·I:E 1:20,
·Trig OF THEF,
2. Press MENU key and enter“PASSWORD”to get into the system parameter menu
3. Connect the VT testing instrument to the patient’s T joint, and connect the mock lung to
the patient’s port.
4. Set the VT value to 200mL, adjust the Flow Zero parameter, the display value of the VT
should be as same as the value of the testing(error should be ≤±5%or ±20 mL )
5. Set the VT value to 800mL, adjust the Flow Gain parameter value, the display value of the
VT should be as same as the value of the testing(error is ≤±5%or ±20 mL )
6. If the setting value is±20% more than the display value, then
· Remove the panel cells
· Connect the pressure meter, check the output pressure of the pressure reducing valve, it
should be 200±20kPa
·if needs adjustment
·Pull out the adjusting knob
·Turn the knob to the pressure mentioned above.
· Push up the adjusting knob
·Calibrate the pressure reading value
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ZY9100series multi-functional Anesthesia machine
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ZY9100series multi-functional Anesthesia machine
5 Failure exclusion
CONTENTS OF THIS CHAPTER
5.1 Normal failure exclusion
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ZY9100series multi-functional Anesthesia machine
6Repair procedure
Contents of this chapter
6.1 How to exhaust the machine’s inside gas pressure
6.2 How to remove the back cover board
6.2.1 Remove the back-up cover board cells
6.2.2 Remove drawer frame cover board
6.3 How to remove the panel cells
6.4 Replacing the incoming gas filter core of the pipeline
6.4.1 Replacing the one-way valve cells
6.5 Maintenance of the vaporizer installation seat
6.5.1 Maintenance of the port valve
6.5.2 Replacing the vaporizer installation seat
6.6 Replacing the one-way valve
6.7Replacing the truckles
6-1
ZY9100series multi-functional Anesthesia machine
Please abide by the antisepsis control and safety rules, because used equipments may
contain blood and body fluid.
The active parts and knock-down cells may catch your hand or crush it. Be careful to move
or change the parts of the system
Some inner components have sharp side, it may cut your hand, so when maintaining the
inner parts, please be more careful.
When the maintenance has been completed, check the system again.
Caution: Static discharge from the circuit panel may damage the components. Before you
take off the panel, please put on antistatic gloves, hold the insulated wire of the panel
and place the circuit panel in an anti-static container.
6.1 How to exhaust the machine’s inner gas pressure
Before you disconnect the gas source, please exhaust the inner gas pressure of the equipment
1. Turn off all gas source valves, and disconnect the gas source
2. Make sure the reading value of all the pressure values of all pipelines are 0.
3. Open the flow meter; make the gas pressure value decrease to 0 if they are not at 0.
6.2 How to remove the back cover board
You have to remove the back cover board to maintain or change some parts of the machine.
6.2.1 Remove the back-up cover board cells
1. Exhaust all of the machine’s inner gas pressure (Refer to 6.1).
2. Make sure the reading value of all the pressure values of all pipelines are 0.
3. Pull out the power plug
4. Screw off eight M4×8 stainless steel bolts, then remove the back-up cover board cells
6.2.2 Remove the drawer frame cover board
1. Exhaust all of the machine’s inner gas pressure (Refer to 6.1)
2. Make sure the reading value of all the pressure values of all pipelines are 0.
3. Pull out the power plug
4. Screw off six M4×8 stainless steel bolts, then remove the drawer frame cover board
6-2
ZY9100series multi-functional Anesthesia machine
charging panel
Power switch
storage battery
4. Use a small screwdriver to push out the one-way valve cells from behind the enter gas
valve.
6-3
ZY9100series multi-functional Anesthesia machine
1. Put a new set of one-way valve cells into the enter gas valve, and there should be one
O-ring seal loop on it, and it is towards the enter gas direction.
Caution: Make sure the one-way valve has been completely placed into the enter gas
valve.
6. Screw up the enter gas tie-in seat of the pipeline
7. Test.
6.5 Maintenance of the vaporizer installation seat
spout
spring
picture,
6-4
ZY9100series multi-functional Anesthesia machine
M6×12
Fixing bolt M6×12 M6×12 Fixing bolt M6×12
A
A
Caution: The direction of the one-way valve’s arrow must point to the common gas outlet.
M4×25
one-way valve
Fixing bolt M4×25
M4×25
Warning: At least two people are needed to replace the casters. If only one person is doing
it, it might hurt himself (herself) or damage the equipment.
1.Pull out the power plug, and disconnect the gas source
Caution: Before tilting the equipment, please remove the vaporizer. If the vaporizer tilted
over, set the density of the vaporizer to 5%, use the 5L/min airflow to wash the vaporizer for 30
minutes, the interlocker can prevent washing two vaporizers at the same time.
2. Remove the respiration system, vaporizer, drawer and all of the assistant devices.
Caution: In order to prevent damage to the equipment, don’t tilt it more than 10 degree.
3. Raise one side of the defective caster still you can replace it conveniently.
4. The casters are fixed on the base plate, use a proper hatch spanner to screw off them.
5. If needed, wipe the new caster with alcohol.
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ZY9100series multi-functional Anesthesia machine
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ZY9100series multi-functional Anesthesia machine
7-1
ZY9100series multi-functional Anesthesia machine
BIT0 ―― standby
BIT1 ―― standby
BIT2 ―― standby
BIT3 ―― standby
BIT4 Triggering Triggering status flag, 0 is not triggering, 1 is triggering.
Flag
BIT5 PAWSign Airway pressure sign, 0 is positive, 1 is negative.
BIT6 FlowSigh Flow speed sign, 0 is positive, 1 is negative.
BIT7 IE Flag Inspiration and expiration status flag, 0 is inspiration phase,1 is
expiration phase.
STATUS definition
When M-904, BIT 4、BIT 5、BIT6 are not used.
7-2
ZY9100series multi-functional Anesthesia machine
ALARM1 definition:
When M-904, BIT 5、BIT6 、BIT 7 are not used.
ALARM2 definition
When M-904, BIT 0、BIT 1、BIT2 、BIT 3 are not used.
PNO definition
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ZY9100series multi-functional Anesthesia machine
PNO PVALUE
0 ( VC
MODE: Breathing machine mode: 0 is manual, 1 is auto I PPV ) mode, 2 is auto I
( VC
PPV ) mode.M-904 and ZY9100 does not have mode 2.
1 : Frequency respiration default value (unit: times/min)
FREQ
2 RATIO: Respiration ratio default value X10. if it is 2.0, it means the respiration ratio is
1:2.0
3 : Triggering sensitivity default value (unit: -hPa). M-904 is not in use.
TRG
4 : Tidal volume default value (unit: 10ml). M-904 and ZY9100 are not in use.
VT
5 : Compliant compensation default value (unit: %). M-904 and ZY9100 are not in
CLT
use.
6 : Sign times default value (unit: times). M-904 and ZY9100 are not in use.
SIGH
7 : Platform time percentage default value (unit: %). M-904 and ZY9100 are not in
TIP
use.
8 : PEEP default value (unit: -hPa). M-904 and ZY9100 are not in use.
PEEP
9 : High Paw alarm (unit: hPa).
PH
10 : Low Paw alarm (unit: hPa)
PL
11 : High Tidal volume alarm (unit: 10ml). M-904E is not in use.
VTH
12 : Lowest Tidal volume alarm (unit: 10ml). M-904E is not in use.
VTL
13 : Highest Minute ventilation alarm (unit: L/min). M-904E is not in use.
MVH
14 : Lowest Minute ventilation alarm (unit: L/min). M-904E is not in use.
MVL
15 :
O2H High O2 consistency alarm (unit: %). M-904E doesn’t use.
16 :
O2L Lowest O2 density alarm (unit: %). M-904E is not in use.
17 : Airway Pressure gain (unit: -). System parameter. M-904E doesn’t use.
PAWGAIN
18 : Zero Airway Pressure (unit: -). System parameter. M-904E is not in use.
PAWZERO
19 : Tidal volume gain (unit: -). System parameter.
VTGAIN
20 :
VTZERO Zero Tidal volume (unit: -). System parameter.
21 : O2 density gain (unit: -). System parameter. M-904E is not in use.
O2GAIN
22 : O2 density zero (unit: -). System parameter. M-904E doesn’t use.
O2ZERO
23 : PEEP zero (unit: -). System parameter. M-904E doesn’t use.
PEEPZERO
24 : Pmax default value in PC mode (unit: -). M-904 and ZY9100 don’t use.
PMAX
25 : Type default value (unit: -). 0 is ZY9300,1is ZY9100,2 is -
SETTING M 904E.
26 :
MUTE Mute default value (unit: -). 0 is not mute, 1 is mute.
When D1=04H
7-4
ZY9100series multi-functional Anesthesia machine
7-5
ZY9100series multi-functional Anesthesia machine
8schematic diagram
8-1
ZY9100series multi-functional Anesthesia machine
1 Filter 6Vaporizer
2 Pressure meter 7 One-way valve
3 Check valve 8 O2 flush valve
4 Pressure reducing valve 9Common gas outlet
5 Flow meter 10 Vaporizer installation seat
8-2
ZY9100series multi-functional Anesthesia machine
13 Auto/Manual switch
14 APL valve
15reservoir bag
16 Respiration loop
17 Fresh gas inlet
18 Water storage container
19 Exhaust valve
20 O2 driven gas coming from airway
8-3
ZY9100series multi-functional Anesthesia machine
Electromagnet Alarm
ism valve panel
Key/shuttle
key
A
C Power Main board
Recharging
switch panel display
panel
Batter
y
Display Inverter
Flow sensor
screen
panel
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ZY9100series multi-functional Anesthesia machine
By
Technical Department