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1.1.1 Software The software (SW) and the hardware (HW) revision level are displayed
revision and during the ventilator power-up test and system test in the upper right
corner in the screen. In service mode SW and HW revision are shown in
Hardware revision the upper left corner in the screen.
Centiva /5
System test SW 2.nn.p HW o/r
Adult Pediatric
Special notice Some information in this manual can possibly point the reader to
electronic troubleshooting and component repair/replacement level of
service. This information, when supplied, is only supplied to add clarity
to service or troubleshooting statements. Datex-Ohmeda Service
Personnel are mandated by Company Policy to service electronic
equipment to a board replacement level only.
• Read completely through each step in every procedure before
starting the procedure; any exceptions can result in a failure to
properly and safely complete the attempted procedure.
• Unless otherwise specified, values in this manual are nominal.
• Sections in this manual begin on odd numbered or right-hand
pages. If there is no text on the preceding, backup even
numbered page, it is labeled “Notes” for your use if you wish.
• Figures that require more than one page have the title and main
text on the left (even numbered) page. Additional figure
information is on the facing (odd numbered) page.
The Centiva/5 ICU ventilator may be used together with additional
accessories, such as trolleys, compressors etc. These accessories
come with a separate service manual. Use this manual together with
the manuals for additional accessories.
1.2.1 User Reference You must have, and be familiar with, the user reference manual for this
Manual product. Study the Centiva/5 ICU Ventilator Operation manual if you
need further information about the operation of the system.
1.2.2 Ventilator tests Service calibration functions let trained service personnel perform
ventilator setup functions, tests, measurements and calibrations from
the front panel display.
WARNING After the Centiva/5 ICU Ventilator has been serviced, you
must perform “Post Service Checkout” to verify the system
is properly functioning before the system can be returned
to clinical use.
WARNING Warnings indicate a condition that can cause injury to the operator or
the patient.
On (power)
Off (power)
Earth ground
Equipotential
Type B equipment
Systems with this mark comply with the European Council Directive
(93/42/EEC) for Medical Devices when they are used as specified in
0123 their Operation and Maintenance Manuals. The “0123” is the
certification number of the Notified Body used by the manufacturer’s
Quality Systems.
or AC Alternating current
or DC Direct current
The user can separate these three assemblies without using any tools.
Main engine
Control panel
Expiration valve
AC line supply Line supply gets via line inlet and fuse SI 0 (EC 01) to the integrated line
main switch (EC 02) from there to the transformer (EC 03). The
transformer is designed to be switched between 115 V and 230 V line
Voltage. For details see section 4. “Change the line voltage”.
From the secondary side of the transformer the supply voltage gets to
the secondary transformer fuses (SI21/22) and from there to the base
supply (EB P14) via a relay switch (EB P01) that is controlled by the
power management of micro B.
DC mains supply The 24 V DC main supplies gets via external DC inlet (EC 04) to the DC
line fuses (SI 23) and from there to the base supply (EB P14) via a relay
switch (EB P02), controlled by the power management of micro B.
Back up battery supply The internal battery supply (EC 05) gets via the battery fuse (SI 24) to
the base supply (EB P14) via a relay switch (EB P03), controlled by the
power management of micro B. To enable the recharging of the
battery when necessary a charger (EB P05) via a fuse (SI 25) feeds the
battery, when the FET switch (EB P04) disconnects the internal battery
from the base supply (EB P14). This way the battery can be charged by
both main supplies, but only when the power management of micro B
is active. A deep discharge control (EB P06) cares for the internals
battery life by prohibiting deep discharging.
Power management Voltage sensors deliver information to the micro B about the current
line voltage (EB P11), the current external DC voltage (EB P12) and the
internal battery voltage (EB P13).
With the ON/OFF button (EB P00) signal micro B turns system on or off:
The micro B manages the three power sources. Line supply and DC
main supply are treated as priority mains supply. A ventilation mode
can only be started, if one of these two supplies is available.
When one of these supply lines is active micro B checks charging
status of the internal battery and recharges if necessary. If the main
supply line fails the system turns to supply via internal battery reduces
power consumption by turning off the expiratory valve heater and
reducing the screen’s back light brightness.
On board power supply The main board B creates three bus supplies by a +13 V bus (EB P07)
micro B via a bus fuse (SI 26), a +15V bus (EB P08) via a bus fuse (SI 27) and a +5
V bus (EB P09) via a bus fuse (SI 28). For analog OP Amps a symmetrical
+- 12 V supply is created by EB P08.
The alarm system (EB S15), the fan (EB S10) and the control panel are
supplied by an OR from both +13V and +15V supply lines.
The watchdog (EB S02) controls the +13V (EBP30) and +15V (EBP31)
power supply of the safety functions of valve supply etc. In case of a
detected malfunction of one or both of the microprocessors the
watchdog is able to move the system into a fail-safe status by turning
off the bus supplies.
Safety Micro B talks to the watchdog system (EB S02 on PC board B, enabling
micro A to react in case of a malfunction of micro B and to allow the
watchdog to shut down the system. The watchdog has access to the
audible alarm too.
On board power supply The control panel supply voltage with +13V/15V is delivered from the
micro A main engine to the panel supply fuse (SI 1), the inverter supply fuse (SI
2) and the alarm supply fuse (SI 4).
From SI 1 the +13V/15V (EA P08) is supplied to the +5V supply (EA P01),
the 5.0V reference (EA P03) and the alarm LED’s (EA S20). Beyond the
fuse SI 3, the 5 V bus EA P02 is distributed to the micro A (EA S00), the
DCU Graphics board (EA S12), the VGA display (EA S13), the buttons (EA
S15) and the Com wheel (EA S16).
From SI 2 the +13V/15V is supplied to the back light inverter (EA S11),
that supplies the Display back lights (EA S10).
From SI 4 the +13V/15V is supplied to the alarm horn system (EA S05).
Input The interface components ComWheel (EA S16) and buttons (EA S15)
talk to micro A directly. Data input from micro B is received via the
internal serial port (EA S01). The Alarm horn control (EA S06) talks to
micro A.
Output Micro A controls output signals to the alarm LED’s (EA S20), the audible
alarm (EA S05) the back light inverter (EA S11) and the VGA display via
the graphic DCU board (EA S12). Data output to micro B is made via the
internal serial port (EA S01).
Safety Micro A talks to the watchdog system (EA S02) on PC board B, enabling
micro B to react in case of a malfunction of micro A. The watchdog has
access to the audible alarm too.
Microprocessor A The micro A handles all data to display in the screen, as well as audible
and visual alarm indicators within the control panel. The A EPROM is
loaded with the language specific issues. The A EEPROM allows storing
a “shadow” data set. Disconnection of the control panel during
operation will cause the watchdog system to activate and micro B to
shut down the system.
Graphic display Graphic display of data in the VGA screen (EA 9) is performed via a DCU
graphic board (EA 8).
Exp. valve heater To prevent the expiratory flow sensor from condensing water the
expiratory valve assembly is heated by the Exp. valve heater (EB E10),
supplied by the base supply via the fuse SI 41. The temperature is
controlled by micro B and the heater monitor (EB E12).
AIR flow A pressure sensor for AIR supply (EB M04) tells the micro B about the
pressure status of the AIR gas supply. Micro B generates AIR flow by
opening the proportional, double staged AIR flow valve (EB M03). The
AIR flow sensor (EB M01) measures the generated AIR flow and reports
this to micro B. To prevent the AIR flow pressure sensor from drifting,
the pressure sensor is periodically zeroed (pneumatically) by use of an
offset valve (EB M02).
O2 flow A pressure sensor for O2 supply (EB M09) tells the micro B about the
pressure status of the O2 gas supply. Micro B generates O2 flow by
opening the proportional, double staged O2 flow valve (EB M08). The
O2 flow sensor (EB M06) measures the generated O2 flow and reports
this to micro B. To prevent the O2 flow pressure sensor from drifting,
the pressure sensor is periodically zeroed (pneumatically) by use of an
offset valve (EB M07).
Exp. Valve (PEEP) The expiratory valve is a magnetic proportional valve system (EB E03)
that is controlled by micro B. Built in the expiratory assembly the
expiratory flow sensor (EB E01) measures the expiratory flow via a
stainless steel flow screen and a pressure sensor. To prevent the exp.
flow pressure sensor from drifting, the pressure sensor is periodically
zeroed (pneumatically) by use of an offset valve (EB E02).
P airway The airway pressure is measured by the airway pressure sensor (EB
M11). To prevent the airway pressure sensor from drifting, the pressure
sensor is periodically zeroed (pneumatically) by use of an offset valve
(EB M12).
O2 sensor A fuel cell type O2 sensor (EB S20) measures the inspiratory O2
concentration and reports to micro B. Calibration is semi automatic.
Over pressure relief valve A solenoid valve operates as an over pressure relief valve (EB S25)
controlled by micro B.
Exp. valve locking motor The expiration valve locking motor system (EB E05) is controlled by
system micro B in current limiting and movement direction.
Nebulizer valves The micro B controls the nebulizer valves (EB M20, EB M21 and EB M22)
in gas selection between O2 and Air and duration of opening.
Watchdog The watchdog (EB S02) controls both microprocessors A and B and
turns off the + 15V WD and +13 V WD supply line, in case of detected
malfunction of program or micros. Thus the system is able to shut
down in a fail-safe mode.
Microprocessor B The micro B handles all controls and sensors, as well as the audible
alarm indicator within the main engine and the serial port
communication. The B EPROM is loaded with the control software. The
B EEPROM allows storing a “shadow” data set.
A and B EEPROM Both micros store data, such as calibration and “learned” values into
the according EEPROM in a “father” and “grandfather” sequence. For
safety reasons this sequence is doubled, which results in total in four
data store sequences. That is why successfully performing five (5)
system test is necessary for rewriting of all storage levels after
replacing PC board A or B.
Gas supply The gas supply connectors for O2 (P 01) and AIR (P 11) are screw
connectors that can be localized to country specific needs (NIST; DISS
etc.). Within the gas connectors there are easy to remove sinter filters
for each gas, to protect the system from particles.
Pressure reducer Pressure reducers for O2 (P 31) and AIR (P 32) regulate the input
pressure to a stabilized level of approx. 2.8 bar (39,5 PSI).
Pressure sensor Pressure sensors for O2 (P 02) and AIR (P 12) monitor the gas pressure
input to be above a minimum operating pressure of 1.9 bar (27 PSI).
O2 flow control Two proportional flow valves control the O2 flow, operating as double
staged valves. The first stage valve (P 03) controls the flow between 0
and approx. 43 l/min. Flow demands beyond this level will cause the
second stage valve (P 04) to open. A flow screen (P 06) generates a
differential pressure from the generated flow, which is measured by
the O2 flow pressure sensor (EB M06). The offset valve (P 05) allows
zeroing the pressure sensor (pneumatically) for online offset
calibration.
AIR flow control Two proportional flow valves control the AIR flow, operating as double
staged valves. The first stage valve (P 13) controls the flow between 0
and approx. 43 l/min. Flow demands beyond this level will cause the
second stage valve (P 14) to open. A flow screen (P 16) generates a
differential pressure from the generated flow, which is measured by
the O2 flow pressure sensor (EB M01). The offset valve (P 15) allows
zeroing the pressure sensor (pneumatically) for online offset
calibration.
Airway pressure The airway pressure within the breathing system is measured by the
airway pressure sensor (EB M11). The offset valve (P 22) allows zeroing
the pressure sensor (pneumatically) for online offset calibration.
Free breathing valve To avoid sub atmospheric pressure a free breathing valve (P 19) allows
ambient air intake in case of a gas supply problem.
Overpressure relief valves To avoid airway pressures beyond a level of 75 mbar (cmH2O) a
passive over pressure relief valve (P 20) is provided. To avoid airway
pressures beyond an adjustable level, set by the Pmax setting, an
active over pressure relief valve (P 21) is provided.
O2 sensor The inspiratory O2 sensor (EB S20) is located within the inspiratory
port.
Patient connection The breathing circuit (P 24) connects the machine via the inspiratory
port (P 23) and the expiratory port (P 26) to the patient.
Expiratory valve The airway pressure within the system is controlled by the expiration
pressure valve (P 27).
Expiratory flow A flow screen (P 29) is built into the expiratory valve assembly and
generates a differential pressure from the generated flow, which is
measured by the Exp. flow pressure sensor (EB E01. The offset valve (P
28) allows zeroing the pressure sensor (pneumatically) for online offset
calibration. The second port of the differential pressure is ambient.
Notes
After servicing the Centiva/5 ICU ventilator, perform the following test
sequence:
After servicing the Centiva/5 ICU ventilator, perform a device safety check
and record the results in a protocol. A proposal for a Centiva /5 device
safety check protocol is attached on the following page.
Location: OPT:
1 Outside appearance
1.1 Housing, marking and buttons without damage
1.2 Power cord and appliance inlet without damage
1.3 O2 and Air hoses without damage
1.4 Expiration valve assembly without damage, flow screen
clean
1.5 Accessories, rubber and silicone parts without damage
2 Functional tests (for details refer to the current TRM)
2.1 Power up and System test shall be performed without
error message
2.2 Perform O2-Sensor calibration
2.3 Service mode values are within the specified ranges
2.4 Perform Service mode check according to TRM
2.5 Perform test lung test according to TRM
2.6 Verify measured O2- (O2-I)
2.7 Verify gas failure alarm for O2 and Air
2.8 Verify line power failure alarm and proper function of
back up supply
2.9 Verify battery condition according to TRM
3 Test of electrical safety
3.1 Protective earth resistance < 0.2 Ω Value:
3.2 Enclosure leakage current < 0.1 mA Value:
3.3 Earth leakage current < 0.5 mA Value:
3.4 Insulation resistance >2MΩ Value:
3.5 Verify line power supply fuse to match with selected
voltage
Remarks: Recharge back up battery after test !!
Device meets requirements
Notes
• Microprocessor A and B
• Watchdog
• RAM and ROM
• Matching software versions in EPROM A and B
• External power supply, AC and DC (if applicable)
• Internal battery back-up function
• Internal back up Battery capacity
• Fan
• Heater
• Expiration valve locking system
• Audible alarm system
If a malfunction is identified
during this power up test, Centiva /5
the corresponding message System test # 07_1 SW 2.nn.p HW 0/r
appears in the message box
area. For details of error EPROM versions do no match
Check software rev. no. of panel and
messages refer to section main engine
5.3.1 “Messages during
power up test”.
Adult Pediatric
Connect the Centiva/5 ICU Ventilator to a breathing circuit and seal the
open end of the y-piece by pushing it onto the sealer located on the
expiratory valve block. Select the type of patient, appropriate to the
breathing circuit attached.
Note The system test parameter will vary with the patient type selected to
match the breathing circuit’s specifications.
Adult
• O2 gas supply
• O2 flow valves
• O2 flow sensor
• AIR gas supply
• AIR flow valves
• AIR flow sensor
• Nebulizer gas supply
• Pressure sensors
• Expiration valve
• Safety valves
• Exp. flow sensor
• O2 sensor
• Internal back up Battery capacity
If a malfunction is identified
during this system test, the Centiva /5
corresponding message System test # 17_4 SW 2.nn.p HW 0/r
appears in the message box
Limited flow in AIR gas supply.
area. For details of error Check gas supply for sufficient flow delivery
messages refer to section
5.3.2 “Messages during
system test”.
Adult
4.1.3 In-operation During operation the Centiva/5 ICU Ventilator continuously (200 times
test a second) checks the following safety relevant functions and
parameters:
• Inspiratory flow sensors
• Expiratory flow sensor
• Inspiratory pressure sensor
• O2 sensor
• AIR gas supply
• O2 gas supply
• Line power supply
• Battery charging status
• Internal power supply
• Fan
• Heater
• Buttons and ComWheel
• Microprocessor A and B
• Watchdog
• Checksums of all safety relevant data
The following screen will appear with the “Adult default settings”:
Bi-Level Adult
15 MV-E 12.0
1.8Liter
2.5
10 Vt-E
5
180mL
Ppeak 23
Paw
cmH2O 2 4 6 8 10 12 14 16 18
13cmH2O
40
Pmin
3cmH2O
20
O2-I 55
Flow
L/min 2 4 6 8 10 12 14 16 18 50 45
%
-20
Rate 40
-40 10 1/min8
Test lung graphics The graphical data will vary with the breathing circuit and test lung
used. Verify that the quality of the graphics is comparable to that
shown on the screen above.
Default alarm settings Verify the following alarm settings (red figures):
• Alarm limits MV E max = 12.0 L
• Alarm limits MV E min = 2.5 L
• Alarm limits Leakage = 25 %
• Alarm limits Pmax =23 cm H2O
• Alarm limits Apn.del. = 20 Sec
• Alarm limits Rate max = 40/Min
• Alarm limits Rate min = 8/Min
• Alarm limit O2-I max = 55 %
• Alarm limit O2-I min = 45 %
Test lung alarm Using the default ventilator and alarm settings will automatically
cause an MV min alarm. Thus, the visual and audible alarm system will
also be checked.
Test lung numeric data The measured data will vary with the breathing circuit and test lung
used. Verify the data to be in the following range of values:
• MV E = 1.5 to 2.5 L
• TV E = 130 to 230 mL
• Ppeak = 12 to 15 cmH2O
• Pmin = 2 to 5 cmH2Or
• O2-I = 45 – 55 %
• Rate = 9 – 11 /Min
Test lung test mode To verify proper mode changing and volume accuracy:
change 1. Note the measured tidal volume (TV) in Bi-Level mode.
2. Change the ventilation mode to VCV.
3. Verify the noted tidal volume (TV) to be the set VT in VCV.
4. Allow the ventilator to cycle for five (5) breaths to stabilize.
5. Verify that the quality of the graphics is comparable to that
shown on the screen below.
6. Verify that averaged measured tidal volume (TV) is within the
tolerance: TV = VT ± (10 ml + 5%) @ 110 to 300 ml.
Note Software revision 2.23 and up have BTPS correction. Using a test lunge
this will cause a constant deviation of the measured volume of –2 %.
To ease servicing this BTPS correction is not active when in service
mode.
Note Software revision 2.23 and up have BTPS correction. To ease servicing
this BTPS correction is not active when in service mode.
The service mode allows for verification of the following internal values
of the system:
• Line voltage = main bus supply voltage
• Type of mains supply = AC or DC
• Panel voltage = control panel supply voltage
• Valve voltage = valve supply voltage
• Battery voltage = internal back-up battery voltage
• Controller A/B = microprocessor A/B supply voltage
• Heater power = expiratory valve heater power dissipation
• Temperature = expiratory valve heater temperature.
1. Ensure proper O2, AIR and line supplies are connected before
turning ON the system.
2. Wait for the power-up test to
complete, and then start the
service mode according to 4.3.
3. Check the actual sensor offset
values for Pat. Pressure, Exp. flow,
AIR flow and O2 flow to be in the
“no re-adjustment necessary”
range according to section 9.9
“Sensor data ranges”.
4. Connect the inspiratory and expiratory ports with one tube.
5. Verify proper AIR supply pressure and proper function of the AIR
pressure switch by AIR flow “ON”.
6. Verify proper AIR flow function by selecting “AIR” and “x 10” and
increasing the flow by use of the ComWheel.
7. Use the ComWheel to verify that the AIR flow can be returned to
zero.
8. Verify proper O2 supply pressure and proper function of the O2
pressure switch by O2 flow “ON”.
9. Verify proper O2 flow function by selecting “O2” and “x 10” and
increasing the flow by use of the ComWheel.
10. Use the ComWheel to verify that the O2 flow can be returned to
zero.
11. Verify proper expiratory flow function by comparing the data
displayed with the set O2 flow.
12. Select “AIR”, “x 1” and adjust the ComWheel for an AIR flow of 20
L/Min.
13. Verify proper Airway pressure function by selecting “Pressure” and
increasing the pressure setting by use of the ComWheel.
14. Verify proper O2 concentration while changing Air and O2 flows.
Both EPROM needs to be of the same revision level. During the power-
up test, the system compares the software revisions in both EPROM. If
they do not match, an error message is displayed in the message box.
Centiva /5
System test SW 2.nn.p HW o/r
Adult Pediatric
The power-on time recognizes the total time that the system is
connected to line power supply AND is switched ON, no matter in what
mode.
The operation time only counts the total time, the system is in any
ventilation mode.
The two timing information are displayed in the Service mode screen.
4.7 Calibrations
In the Centiva/5 ICU Ventilator the following components may be
calibrated during service:
• O2 concentration sensor
• AIR flow sensor
• O2 flow sensor
• Expiratory flow sensor
• Airway pressure sensor
• Battery charging end voltage.
For all other calibrations open the main engine housing first, according
to section 7.2.4.
Important note The expiratory flow sensor calibration is performed by the Centiva/5’s
system test every time, the system test is performed. That replaces the
routine calibration of the expiratory flow sensor.
Only in case of a B-Board change, requiring a basic calibration of the
system or in case of problems with the expiratory flow sensor data is a
re-calibration procedure necessary.
Important note Always allow the Centiva/5 to warm up for at least 15 minutes prior to
any calibration procedure.
BTPS correction note Software revision 2.23 and up have BTPS correction in operation mode.
To ease servicing this BTPS correction is not active when in service
mode.
4.7.1 O2 sensor The Centiva/5 ICU Ventilator performs an automatic calibration of the
calibration O2 sensor during the O2 calibration routine. This routine requires an O2
gas supply. The calibration routine performs the 100% (gain)
calibration only.
Special notice To ensure proper gas mixture at the O2 sensor, connect a tube to the
inspiratory connector.
Adult Pediatric
Special notice Ensure that the UBD (use before date) of the O2 cell is at least 6
months.
Access in service mode From the service mode the O2 calibration is started by pushing the
“O2cal” button.
Special notice After performing an O2 calibration, flush the system with AIR. This will
avoid possible misinterpretations of the FiO2 measurement, caused by
high concentrations of O2 within the internal tubes and pneumatic
components.
4.7.3 AIR flow The AIR flow calibration is divided into two parts
calibration • The offset calibration
• The gain calibration.
Offset calibration The Offset calibration is performed with the use of the service mode
only. The gain calibration is performed by using an external flow
measurement device.
Note Best results for linearity match with all three test flows are received
when initially the “Gain” is adjusted at 30 l/min value of step 16 to read
29.8 L/min on the external flow meter device.
Note Best results for linearity match with all three test flows are received
when initially the “Gain” is adjusted at 30 l/min value of step 16. to
read 29.8 L/min on the external flow meter device.
Note Verify the AIR flow has been calibrated according to 4.7.3 before
performing the expiratory flow gain calibration.
21. Use the ComWheel to decrease the Exp. flow to read 0 L/min.
22. Check the “Exp. flow” “Actual” to be at the “Rated” value ± 100
digits.
23. If not, readjust the “Zero” for the
Exp. flow sensor with R 336 on
the main board to read the
“Rated” value ± 10 digits.
24. Use the ComWheel to increase
the AIR flow to read 10 L/min on
the “AIR flow” “rated” line.
25. Check the “Exp. flow” “Actual” to
read “10” ± 0.5 L/Min.
26. If not, go back to step 20. Change
setting for 30 l/min within the
tolerance in the desired direction
to match the “10” ± 0.5 L/Min.
27. Use the ComWheel to increase the AIR flow to read 60 L/min on
the “AIR flow” “Rated” line.
28. Check the “Exp. flow” “Actual” to read “60” ± 3.0 L/Min.
29. If not, go back to step 20. Change setting for 30 l/min within the
tolerance in the desired direction to match the “60” ± 3.0 L/Min.
30. When all three values match, calibration is performed properly.
31. Remove the expiration
valve assembly inserted in
the Centiva/5.Unscrew flow
screen retainer in the exp.
valve assembly. For flow
retainer with a visible slot
use the stainless steel plate
of the PEEP valve to
unscrew. For other flow
retainer use the inspiration
connection nut from the
tool kit ST4.
32. Remove “Service” Flow screen and insert the original flow screen
(customer flow screen).
33. Screw the flow retainer.
34. Perform a system test to verify proper operation of the valve
assembly.
Note For Centiva/5 NB (newborn extension) use always the silver Adult /
Pediatric (standard) expiration valve with the according “Service “ flow
screen to perform expiration flow sensor calibration.
Calibration without In case expiration flow sensor calibration must be performed without a
“Service” flow screen ST5 “service” flow screen, follow this sequence:
p/n M1063267
Flow screen correction Flow screen tolerance New value New value New value
data table “Insp” for step 19. for step 25. for step 28.
+ 9.99 % to + 9.00 % 27.2 9.1 54.3
+ 8,99 % to + 8.00 % 27.5 9.2 54.9
+ 7.99 % to + 7.00 % 27.8 9.3 55.5
+ 6.99 % to + 6,00 % 28.1 9.4 56.1
+ 5.99 % to + 5.00 % 28.4 9.5 56.7
+ 4.99 % to + 4.00 % 28.7 9.6 57.3
+ 3.99 % to + 3.00 % 28.9 9.7 57.9
+ 2.99 % to + 2.00 % 29.3 9.8 58.5
+ 1.99 % to + 1.00 % 29.6 9.9 59.1
+ 0.99 % to + 0.50 % 29.8 9.9 59.7
0,0 ± 0.50 % (Service flow 30.0 10.0 60.0
screen)
- 0.50 % to – 0.99 % 30.2 10.1 60.3
- 1.00 % to – 1.99 % 30.5 10.2 60.9
- 2.00 % to – 2.99 % 30.8 10.3 61.5
- 3.00 % to – 3.99 % 31.1 10.4 62.1
- 4.00 % to – 4.99 % 31.4 10.5 62.7
- 5.00 % to – 5.99 % 31.7 10.6 63.3
- 6.00 % to – 6.99 % 32.0 10.7 63.9
- 7.00 % to – 7.99 % 32.3 10.8 64.5
- 8.00 % to – 8.99 % 32.6 10.9 65.1
- 9.00 % to – 9.99 % 32.9 11.0 65.7
4.7.6 Airway The Airway pressure sensor calibration is divided into two parts
pressure sensor • The offset calibration
calibration • The gain calibration.
4.7.7 Overpressure The overpressure relief valve calibration is performed with the use of
relief valve the service mode.
calibration To calibrate the overpressure relief valve:
4.7.8 Battery The internal battery is recharged whenever the Centiva/5 ICU
charging voltage ventilator is supplied by a main power supply (line power or 24 V DC
external supplies). To ensure proper recharging of the sealed lead acid
calibration battery, the charger’s maximum voltage needs to be adjusted
whenever the battery is exchanged. Perform the voltage calibration by
using an external voltmeter device.
Battery refreshing A battery with a capacity of less then 30 minutes can be refreshed to
gain capacity again by completely discharging and completely
recharging. The main aspect in that refreshing process is to empty the
battery down to her lowest accepted level, which is controlled by the
Centiva/5’s power management, and fully charge afterwards.
Special notice It is important that the discharging process and the recharging
process are not interrupted.
AIR flow ON/OFF The ON/OFF flag behind the AIR flow indicates the status of the
pressure switch. The flag is ON when an AIR supply pressure is
detected with > 1.9 kPa (27 PSI).
O2 flow ON/OFF The ON/OFF flag behind the O2 flow indicates the status of the
pressure switch. The flag is ON when an O2 supply pressure is
detected with > 1.9 kPa (27 PSI).
Line voltage AC/DC The AC/DC flag behind the line voltage indicates the source of the
(Flag in Service screen) mains supply. The flag is AC when line supply is detected, the flag is DC
when 24 V DC supply is detected.
Line voltage The line voltage is measured at the base supply line and represents
(Operation area) • the secondary transformer voltage when connected to AC line
supply. Accepted voltage range is 19 to 29 V, which represents the
following line supply voltages
o 98 to 132 VAC at 115 VAC (50-60 Hz)
o 198 to 263 VAC at 230 VAC (50-60 Hz)
• the external DC voltage when powered by DC line supply.
Accepted voltage range is 22.5 to 28 VDC.
Panel voltage The panel voltage measures the +13/15V control panel supply.
Accepted voltage range is 12.5 to 17.0 V.
Valve voltage The valve voltage is measured at the main bus 13 V WD (WD =
watchdog controlled bus). Accepted voltage range is 11.5 to 15.0 V.
Battery voltage The battery voltage measures the internal back-up battery voltage.
Accepted voltage range is 22.5 to 29 V. Additional data:
• Ubatt > 29.0 V = Battery failure alarm
• Ubatt < 22.5 V = Battery low alarm
• Ubatt < 22.0 V = Battery depleted alarm
Controll. A/B The controller voltage is measured for each microprocessor, the micro
A and micro B supply bus. Accepted voltage range is 4.5 to 5.5 V.
Heater power The heater power measures the power dissipation of the expiratory
flow sensor heating system. Accepted power dissipation is < 12.0 W.
Centiva /5
System test # 07_1 SW 2.nn.p HW 0/r
While in power-up test and system test the messages will appear in
the message box:
Be aware that system test messages may appear because of artifacts
during the system test sequence. These artifacts could be moving,
manipulating and handling of accessories and breathing circuit
components while performing the tests. In this case no malfunction of
Centiva/5 has created the message performing the system test again
will allow to pass the system test successfully.
5
350mL
Ppeak 21
Paw
cmH2O 2 4 6 8 10 12 14 16 18
14cmH2O
40 MV low Pmin
3cmH2O
20
O2-I 25
Flow
L/min 2 4 6 8 10 12 14 16 18 21 18
%
-20
Rate 40
-40 18 1/min8
Centiva /5
Oxygen sensor calibration
Calibrationtime 42 sec
O2-Concentration 21%
STOP
5.2 Alarms
5.3 Messages
05-2 Exp. Flow System Expiratory flow Check expiration valve Heater can be
sensor heater shut sensor heater control system for turned on
cannot be down error fails. proper connections, if
switched on. necessary replace exp.
Repeat test by valve control assembly
turning OFF or B board
and ON again.
05-3 Heater or System Expiratory flow Check expiration valve Heater current
heater current shut sensor heater control system for limiter works OK
limiter failure. down error current limiter proper connections, if
Repeat test by fails. necessary replace exp.
turning OFF valve control assembly
and ON again. or B board
5.3.2 Messages
during
system test
Code Message Type Set condition Action Reset condition
Complete Advice System has Complete system set Proceed with
system set up, successfully up with breathing system test by
seal Y-piece. passed power system and airway pushing <Enter>
Start system up test and is management
test by ready to start components intended
pressing system test to be used upon
<Enter> following breathing
mode. Seal y-piece by
plugging y-piece onto
the sealer at the
expiration valve block
12-1 No O2 gas Advice Insufficient O2 Check for proper O2 O2 supply
supply. supply pressure gas supply and for pressure
Check O2 gas clean inlet gas filters. exceeding 2 bar
supply or for (28 PSI)
single gas AIR- Or
supply press repeat test by
<Enter> pushing <Enter>
13-1 No AIR gas Advice Insufficient AIR Check for proper AIR AIR supply
supply. supply pressure gas supply and for pressure
Check AIR gas clean inlet gas filters. exceeding 2 bar
supply or for (28 PSI)
single O2- Or
supply press repeat test by
<Enter> pushing <Enter>
14-1 Oxygen flow Advice O2 flow sensor is Recalibrate O2 flow line O2 flow sensor
sensor miscalibrated signal within
miscalibrated Or proper offset
or defective, O2 flow sensor is range
measured defective Or
offset out of repeat test by
range. pushing <Enter>
Repeat test by
pressing
<Enter>.
5.3.3 Messages
during O2 sensor
calibration
Code Message Type Set condition Action Reset condition
N/a No signal: Advice If sensor signal Ensure proper O2 gas Sensor signal
wrong gas or does not exceed supply exceeds 40%at
sensor 40% at Or calibration with
defective. calibration with Replace O2 sensor 99% O2
99% O2
N/a Signal low: Advice If sensor signal Ensure proper O2 gas If sensor signal is
sensor used- does not reach supply in between
up or sensor minimum data Or minimum and
failure. sheet value at Ensure proper AIR gas maximum data
99% supply sheet values at
Or Or 21% with AIR
21% O2 Replace O2 sensor And
99% with O2
N/a Signal high: Advice If sensor signal Ensure proper O2 gas If sensor signal is
sensor failure exceeds supply in between
or PCB failure. maximum data Or minimum and
sheet value at Ensure proper AIR maximum data
99% supply sheet values at
Or Or 21% with AIR
21% O2 Replace O2 sensor And
Or B board 99% with O2
N/a Calibration Advice If calibration Finish the calibration n/a
successfully settles properly procedure
finished. at
21% with AIR
and
99% with O2
5.3.4 Messages
during operation
No. Message Type Set condition Meaning Reset condition
1 Battery xx Advice In all modes: System power In all modes:
Min. If line power supply supply from internal If line power is
fails back up battery. reconnected
Or Remaining operating Or
If external DC power time on battery is “xx If external DC power
supply fails Min” supply is reconnected
Or Or
If internal battery is If internal battery is
charging fully charged
2 Tube: a, xx, Advice In all modes: ARC is active for In all modes:
yy% If Airway resistance a type of tube with If ARC is turned off
compensation ARC is xx mm diameter and
used yy % compensation
3 No test Advice In all modes: System test to Perform system test
If system test had not identify breathing
been performed circuits compliance,
resistance and
leakage was not
performed. System
uses default data to
compensate.
4 Only O2 Advice In all modes: Only O2 gas supply Perform system test
If during system test with setting FiO2 with AIR gas supply
single gas operation default to 100% in all
for O2 only was modes
confirmed
5 Only AIR Advice In all modes: Only AIR gas supply Perform system test
If during system test with setting FiO2 with O2 gas supply
single gas operation default to 21% in all
for AIR only was modes
confirmed
6 Adult Advice In all modes: For all system Select “pediatric” to
System is in “adult settings adult mode change
mode” default values are
used
7 Pedia Advice In all modes: For all system Select “Adult” to
System is in “pediatric settings pediatric change
mode” mode default values
are used
WARNING The oxygen sensor is a fuel cell type sensor and contains
toxic material.
- Do not open the oxygen sensor.
- Do not dispose the oxygen sensor into open fire.
- Do not apply mechanical shock.
- If exposed to electrolyte (acid) wash immediately
with plenty of water.
The oxygen sensor must be disposed of in accordance with
applicable regulatory requirements in effect at the time and
place of disposal.
6.2.2. Every twenty In addition to the 12 month requirements, perform the following every
four (24) months twenty-four months:
7.2.1 Remove the The following procedures describe how to remove the expiration valve
exp. valve assembly of the Centiva/5 ICU Ventilator when:
a. External power supply is available and the ventilator is able to
control the expiration valve locking mechanism.
b. No external power supply is available, but the ventilator is still
able to control the expiration valve locking mechanism.
c. There is no power available or the ventilator is no longer able to
control the expiration valve locking mechanism.
a) Ext. power supply is Operate the system with the external power supply.
available and exp.valve
control is working 1. Connect the system to line power.
2. Turn ON the system.
3. Wait for the automatic power-up test to finish.
4. Press the menu button.
5. The system prompts
with the following
screen. Centiva /5
System test SW 2.nn.p HW o/r
6. Use the ComWheel to
select “unlock Complete system set up, seal Y-piece
8. The locking
mechanism releases Adult Pediatric
Note The re-locking of the expiration valve after re-insertion only works with
an appropriate external power supply (line or DC) connected.
b) Ext. power supply is Operate the system with the internal back-up battery.
not available, but exp.
valve control is working 1. Turn ON the system.
2. The system will Centiva /5
prompt with an alarm System test # 02_1 SW 2.nn.p HW o/r
message indicating No line supply
that line supply is Check power cord and fuses
missing.
7.2.2 Remove the To remove the control panel assembly of the Centiva/5 ICU Ventilator,
control panel follow this sequence
7.2.3 Open the To open the control panel of the Centiva/5 ICU Ventilator, follow this
control panel sequence
7.2.4 Control panel Open control panel of the Centiva/5 ICU Ventilator.
assemblies
7.2.5. Open the main To open the main engine of the Centiva/5 ICU Ventilator, follow this
engine sequence:
7.2.6. Remove the To gain access from the front side of the main engine of the Centiva/5
control panel plate ICU Ventilator, follow this sequence:
7.2.7 Main engine The open main engine of the Centiva/5 ICU Ventilator:
assemblies
230 V 115 V
7. Change the line supply fuses SI 0 a & b inside the line connector
according to the line supply voltage used:
- 2 x 1.6 A slow blow at 115 VAC line voltage
- 2 x 0.8 A slow blow at 230 VAC line voltage
For details refer to section 7.7.1.
8. Verify proper insertion of fuses and installation of the internal
connector to the transformer prior to re-assembly.
9. Verify proper labeling for fuse and supply voltage.
• The A EPROM is located on the control panel board (PC board A).
• The B EPROM is located on the main board (PC board B).
When installing a new software version, verify that both EPROM’s, the
A and the B, are from the same version. During the power-up test, the
system compares the software revisions in both EPROM’s. If they do
not match, an according message is displayed in the message box.
The two kind of boards are identified to the software by a DIP switch
(No.5) setting on the PC board A (control panel).
1 5
On
Off
A A
Eprom micro
Note When updating software with revision 2.23.1 and up to Centiva/5 using
the DCU Board “DCUL7” verify that PC board A has version index “i”
and up. If not replace PC board A with a spare part having hardware
version index “i” and up.
Hardware version index “i” and up can be identified by the version
sticker and as well by the length of the connection cable.
To identify the PC board A hardware index used in the system see
pictures below.
• For the “A” EPROM mark must match the mark in PC print.
• For the “B” EPROM mark must match mark of the socket.
Correct
Wrong!
7.5.1 Change the (A) The Centiva/5 ICU Ventilator’s software is available in the following
EPROM (language) languages:
a) English
DCUL4- DCUL4 and
b) German 512TERS DCUL7
c) Polish English English
d) Spanish German German
e) French Dutch Polish
f) Italian Spanish
g) Portuguese French
h) Dutch Italian
Portuguese
Dutch
To verify proper function, turn ON the system and perform the power-
up test. Verify that the desired language is displayed.
To verify proper function, turn ON the system and perform the power-
up test.
23
On
Off
A A
Eprom micro
To verify proper function, turn ON the system and perform the power-
up test. Verify that the desired units of measure are displayed.
Always use the identical type and rating when replacing a fuse. For
details see list of fuses in section 9.7.
7.7.1 Change the To replace the line fuses inside the line connector, located on the back
line fuses side of the main engine, follow this sequence:
7.7.2 Change the The Centiva/5 ICU Ventilator’s control panel is protected by the
control panel fuses following fuses:
Always use the identical type and rating when replacing a fuse. For
details see list of fuses in section 9.7.
7.7.3 Change the The Centiva/5 ICU Ventilator’s main engine is protected by the
main engine fuses following fuses that are all located on the PC board B:
• SI 10 = Alarm speaker B
= 0.315 A slow blow.
• SI 11 = Fan = 0.315 A
slow blow.
• SI 21 = Transformer
secondary 1 = 3.15 A
slow blow.
• SI 22 = Transformer
secondary 2 = 3.15 A
slow blow.
• SI 23 = Line 24 V DC inlet = 3.15 A slow blow.
• SI 24 = Back-up battery = 3.15 A slow blow.
• SI 25 = Battery charger = 0.5 A slow blow.
• SI 26 = + 13 V bus = 3.15 A slow blow.
• SI 27 = + 15 V bus = 3.15 A slow blow.
• SI 28 = + 5 V bus = 0.5 A slow blow.
• SI 29 = isolated power supply (serial) = 0.315 A slow blow.
• SI 41 = Exp. Valve heater = 1.0 A slow blow.
Always use the identical type and rating when replacing a fuse. For
details see list of fuses in section 9.7.
To replace the fuses on the PC board B inside the main engine follow
this sequence:
1. Open the main engine according to section 7.2.5.
2. Disconnect the back-up battery connector X23.
3. Replace fuse.
4. Verify proper function after reassembly by performing a power-
up test.
5. If the fuse blows again, analyze the reason prior to another
replacement of fuses.
For location details of fuses refer to the component print of PC board B
in section 9.
7.8.2 Replace front To replace the front label and integrated keypad, follow this sequence:
label with keypad
1. Remove the control
panel according to
section 7.2.2.
2. Open the panel
according to section
7.2.3.
3. Unplug keypad
connector X 6.
4. Remove the ComWheel
knob.
5. Use a knife to lift one
side of the adhesive label
and then peel it off
completely and pass the
keypad connector
through the slot in the
panel body.
6. Remove all remaining
adhesive on the panel
body with window
cleaner (alcohol based).
7. Clean LCD window
surface with window
cleaner (alcohol based).
8. Remove the adhesive
cover of the new front
label.
9. Move the keypad
connector of the new
front label though the
slot in the panel body.
10. Align the front label inside the panel frame and then gently press
the film into place.
11. Install the ComWheel knob.
12. Plug in keypad connector X 6.
13. Close panel.
14. Verify proper function after reassembly by performing a power-
up test.
7.8.3 Replace alarm To replace the control panel alarm speaker, follow this sequence:
speaker A
1. Remove the control
panel according to
section 7.2.2.
2. Open the panel
according to section
7.2.3.
3. Unplug alarm speaker
connector X 8.
4. Remove the two
mounting screws of the
alarm speaker on the back panel.
5. Mount the alarm speaker with two washers per screw between
back panel and alarm
speaker and the cable
towards the middle of
the back panel
6. Connect the alarm
speaker connector X 8.
7. Close panel.
8. Verify proper function
after reassembly by
performing a power-up
test.
Note When replacing the PC board A note that this part comes without the A
microprocessor board. If necessary order a new A microprocessor
board separately.
When replacing A-microprocessor board note, that this part comes
without A EPROM. If necessary order a new EPROM set separately.
Note When replacing the PC board A note, that this part comes without the
A microprocessor board. If necessary order a new A microprocessor
board separately.
7.8.7 Replace back To replace the back light inverter power supply PC board, follow this
light inverter PC sequence:
board
1. Remove the control panel
according to section 7.2.2.
2. Open the panel according
to section 7.2.3.
3. Unplug inverter connector
X 3.
4. Unscrew the two screws to
loosen the inverter PC
board.
5. Unplug the two back light
connectors
6. Remove the inverter PC board.
7. Insert the new inverter PC
board.
8. Connect the two back light
connectors
9. Fix the inverter PC bard
with the two screws.
10. Connect the inverter
connection X 3.
11. Close panel.
12. Verify proper function after
reassembly by performing a power-up test.
7.8.8 Replace LCD To replace the LCD screen with integrated back lights, follow this
screen sequence:
7.8.9 Replace Alarm To replace the Alarm LED PC board, follow this sequence:
LED PC board
1. Remove the control panel
according to section 7.2.2.
2. Open the panel according
to section 7.2.3.
3. Remove the LCD screen
chassis according to
section 7.8.7 up to step 9.
4. Unscrew the three screws
to loosen alarm LED PC
board.
5. Remove the Alarm LED PC
board.
7.8.10 Replace To replace the control panel connecting cable of the Centiva/5 ICU
control panel Ventilator, follow this sequence
connecting cable
1. Remove the control panel
according to section 7.2.2.
2. Open the panel according to
section 7.2.3.
3. Pay attention to the serial cable
and the alarm speaker cable in the
back cover.
4. Disconnect sockets X2 and X8 and
unscrew the ground connection.
5. Remove control panel connecting
cable from back panel by cutting
of the socket.
6. Insert new control panel
connecting cable through back
panel. Pay attention that the
Lemosa plug is outside.
7. Fit wires in the white socket seat
with brown in #1, green in #2,
yellow in #3 and white in #4.
Ensure proper seating of the
socket pins within the socket seat.
8. Attach the ferrit core on the
connecting cable below the black
hose.
9. Fit tie wrap in 1 cm distance and
remove excess tie wrap.
10. Pull the connecting cable until the
tie wrap is close to the back
panel’s cut out.
11. Reconnect sockets X2 and X8.
12. Screw in ground connection. Take
care that the mounting spacer is in
the right position.
13. Remount back panel. Take care
that ferrit core does not kink PC
boards.
14. Close panel.
15. Verify proper function after
reassembly by performing a
power-up test.
7.9.1 Remove back- The Centiva/5 ICU Ventilator is equipped with a built-in back-up
up battery battery that is designed to provide a minimum of 30 minutes of
battery operation.
To remove or replace the battery assembly BE-120104 follow this
sequence:
7.9.2 Repair The Centiva/5 ICU Ventilator is equipped with an expiration valve
expiratory valve locking mechanism that uses a motor driven locking system to
properly fix the expiration valve inside the system. To repair and
inspect expiration valve:
7.9.3 Repair The Centiva/5 ICU Ventilator is equipped with an expiration valve
expiratory valve locking mechanism that uses a motor driven locking system to
properly fix the expiration valve inside the system. To remove the
locking assembly expiration valve locking assembly:
7.9.4 Repair The inspiratory connection assembly includes the O2 sensor, the
inspiratory connection to the pneumatic assembly and the connection to the
pressure measuring port. To replace the inspiratory connection
connection assembly:
9. Disconnect tube B
(patient pressure line)
from the inspiratory
connection. NOTE:
Check caution note in
section 7.1. !
10. Upon re-inserting the
inspiratory connection
pay attention to match
the inner housing of
the inspiratory
connection with the anti-turn of the lower cabinet.
11. Reconnect tube B from
the inspiratory
connection.
NOTE: Check caution
note in section 7.1. !
12. Use the “inspiratory
connection nut” from
ST 5 to fix the black
front nut of the
inspiratory connection.
13. Reconnect cable X 31
at the O2 sensor connection.
14. Close the main engine; add the control panel and expiratory
valve.
15. Verify proper function after reassembly by performing a
power-up test.
7.9.5 Replace O2 The O2 sensor is located within the inspiratory connection assembly.
sensor To replace the O2 sensor:
7.9.6 Repair ON-OFF The ON-OFF switch is located on the right lower side of the front. The
switch ON-OFF switch is illuminated whenever the system is supplied by
mains power and the line switch on the back of the unit is turned ON.
To repair the light or the cover:
7.9.7 Replace gas The pneumatic inlet has two gas connections, one for AIR and one for
inlet connectors O2. To match connector needs of different standards these gas
connections can be exchanged without opening the main engine.
To replace the gas inlet connectors:
Note Check that the gas inlet filters are properly seated.
There are different gas inlet connector standards available (NIST, DISS
f, DISS m, S90-116, G 3/8 BSPP)
Caution Ensure that gas connector type matches correct gas inlet
type. (AIR – AIR, O2 – O2) The gas connector type is marked
accordingly.
7.9.8 Replace gas Each of the gas inlets has a sinter filter to protect the pneumatic
inlet filters assembly for foreign material. If the filter's resistance is increased due
to debris, the system will alarm with a message during system test to
clean the filter element. To replace the filter:
Note Note that the filter for AIR and O2 are identical.
7.9.9 Replace The pneumatic assembly contains the four inspiratory valves, the flow
pneumatic control for O2 and AIR, the gas supply pressure sensors, the passive
and the active over pressure relieve valve, the free breathing valve and
assembly the pneumatic PC board with temperature sensor.
To remove the pneumatic assembly:
7.9.10 Replace free The free breathing valve is mounted on the pneumatic assembly.
breathing valve To remove the free breathing valve:
Note The stainless steel rod, that connects with the over pressure relief
valve, opens the free breathing valve when activated. Ensure free
moving of the rod after reassembly of the over pressure relief valve.
7.9.11 Replace PC The PC board B is located on the sub chassis. To replace the PC
board B board B:
7.9.12 Replace The alarm speaker B is located on the rear of the sub chassis. To
alarm speaker B replace the alarm speaker:
7.9.13 Remove sub The sub chassis contains the PC board B, the alarm speaker B, the
chassis transformer assembly and the fan. To replace fan or transformer the
sub chassis must be removed. The sub chassis must also be removed
to gain access to the rear connectors (AC mains connector, DC mains
connector, ground connector, serial connector). To remove the sub
chassis:
Note Connect the primary wires with the black lead in the center position.
7.9.15 Replace fan The fan is located on the sub chassis. To remove the fan:
7.9.16 Replace line The line connector is located on the rear of the main engine. To replace
connector the line connector:
Note The line cable ferrite needs to be placed according to the photo to
allow the sub chassis to be mounted properly.
7.9.17 Replace DC The DC mains connector is located on the rear of the main engine. To
mains connector replace the DC mains connector:
4 orange
5 red X 22
blue
6
7.9.18 Replace The ground connector is located on the rear of the main engine. To
ground connector replace the ground connector:
7.9.19 Replace serial The serial data connector is located on the rear of the main engine. To
data connector replace the serial data connector:
Note Upon reinstallation pay attention to have the small side of the D sub 9
facing down.
Notes
When replacing fittings, position the barb end in the same direction as
the original fitting to make the routing and connection of tubing easier.
8.2.2 Test lung kit The test lung kit (P/N AZ-381501) consist of
ST 3 • Test lung with built in resistor, Vt range = 50 – 500 ml
R approx. 15 – 25 mbar/l/s, , C approx. 10 - 30 ml/mbar
• Filter
This test lung kit is used for servicing the Centiva/5 ICU ventilator. Test
lungs with different compliance and resistance characteristics may
not match test lung related data in this service manual.
8.2.3 “Service” flow The “Service” flow screen (P/N M1063267) is a flow screen with
screen ST 5 tolerance “0%”, used for calibration of the expiratory flow sensor
according to chapter 4.7.5.The flow screen comes in a plastic
protection case
8.2.5 Test Instrumentation used to service the Centiva/5 ICU Ventilator must
equipment meet or exceed the following specifications:
specifications • Pressure meter
• Pressure range 0 – 90 mbar
• Accuracy ± 0.1 mbar
• Flow meter
• Flow range 0 – 150 L/Min
• Accuracy ± 0.05 L/Min or 2% of reading,
• Calibrated for AIR and O2
• Multi meter
• Type standard multi meter
• Accuracy (± 1%).
8.3 Software
1) 4) 3) 2)
4) 6) 2) 1)
Legend to pneumatic
diagram
Identifier Description
P01 O2 input
P02 O2 supply pressure sensor
P03 Proportional solenoid, O2, flow # 1
P04 Proportional solenoid, O2, flow # 2
P05 Offset solenoid O2 flow
P06 Flow screen O2 flow
P07 Internal hoses
P11 AIR input
P12 AIR supply pressure sensor
P13 Proportional solenoid, AIR, flow # 1
P14 Proportional solenoid, AIR, flow # 2
P15 Offset solenoid, AIR flow
P16 Flow screen, AIR flow
P19 Spontaneous breathing valve (free breathing valve)
P20 Overpressure relief vale (passive)
P21 Pressure limiting solenoid (active)
P22 Offset solenoid airway pressure
P23 Inspiratory connector (patient connection)
P24 Breathing circuit
P25 Y-piece
P26 Expiratory connector (exp. valve)
P27 Expiratory (PEEP) valve
P28 Offset solenoid expiratory flow
P29 Flow screen, expiratory flow
P31 Pressure reducer O2
P32 Pressure reducer AIR
P33 Nebulizer gas selection solenoid
P34 Nebulizer O2 solenoid
P35 Nebulizer AIR solenoid
P36 Nebulizer connection
EB M01 AIR flow sensor
EB M06 O2 flow sensor
EB M11 Airway pressure sensor
EB E01 Expiratory flow sensor
EB S20 O2 sensor
Connectors on PC board A
(control panel)
Connectors on PC board B
(main engine)
Tubes
Within PC board B
A Transducer A Offset valve A Silicon, 5 mm φ
B Transducer B Offset valve B Silicon, 5 mm φ
C Transducer C Offset valve C Silicon, 5 mm φ
D Transducer D Offset valve D Silicon, 5 mm φ
Internal fuses
Identifier Where located To secure Type Value
SI 1 Control Panel PC board A Panel supply 5 x 20 mm 0.8 A slow blow
SI 2 Control Panel PC board A LCD backlight 5 x 20 mm 0.8 A slow blow
SI 3 Control Panel PC board A + 5 V bus 5 x 20 mm 0.5 A slow blow
SI 4 Control Panel PC board A Buzzer supply 5 x 20 mm 0.315 A slow blow
SI 10 Main engine PC board B Buzzer supply 5 x 20 mm 0.315 A slow blow
SI 11 Main engine PC board B Fan 5 x 20 mm 0.5 A slow blow
SI 21 Main engine PC board B Transformer sec. 1 5 x 20 mm 3.15 A slow blow
SI 22 Main engine PC board B Transformer sec. 2 5 x 20 mm 3.15 A slow blow
SI 23 Main engine PC board B Line DC inlet 5 x 20 mm 3.15 A slow blow
SI 24 Main engine PC board B Back-up battery 5 x 20 mm 3.15 A slow blow
SI 25 Main engine PC board B Battery charger 5 x 20 mm 0.5 A slow blow
SI 26 Main engine PC board B + 13 V bus 5 x 20 mm 3.15 A slow blow
SI 27 Main engine PC board B + 15 V bus 5 x 20 mm 3.15 A slow blow
SI 28 Main engine PC board B + 5 V bus 5 x 20 mm 0.5 A slow blow
SI 41 Main engine PC board B Exp. Valve heater 5 x 20 mm 1.0 A slow blow
230 V 115 V
Transformer connector
1 grey
X 21 2 orange
3 grey
External DC connector
4 orange
red
X 22 5
6 blue
7 red
X 23
8 blue
Type of sensor Rated (Center) No readjustment necessary range Max. automatic correction range
Pat. pressure 0.00 mbar - 0.8 to + 0.8 mbar - 3.0 to + 3.0 mbar
Exp. flow 500 digits 375 to 625 digits 25 to 975 digits
AIR flow 250 digits 175 to 325 digits 25 to 475 digits
O2 flow 250 digits 175 to 325 digits 25 to 475 digits
Connection Connect an RS 232 data cable at the rear side of Centiva/5 at the serial
data connection (D-Sub 9 female) with the following Pin constellation:
- Pin 2 receive data
- Pin 3 transmit data
- Pin 5 signal ground
Correct connection is provided with serial cable P/N BE-120116.
Ohmeda Com 1.1 Centiva/5 uses the Ohmeda com 1.1 serial protocol (AESTIVA 7900
& 7100 Ventilators). This allows connecting Centiav/5 to all data
management systems using this protocol.
10.2.1 Description The Centiva/5 ventilator pneumatic components of assembly P/N BM-
352382 is described in the following.
P3
P1
O2 input
connector
P6 P29
P4 P27
P2 P19
P15 EB20
P 11
AIR input
connector
P16
P14 P21 P23
P12 P20
P 24
Patient
connector
Gas supply The gas supply connectors for O2 (P 1) and AIR (P 11) are screw
connectors that can be localized to country specific needs (NIST; DISS
etc.).
Pressure switches Pressure switches for O2 (P 2) and AIR (P 12) monitor the gas pressure
input to be in the operation specs (> 2.0 bar, or 28 PSI) and report this
to micro B.
O2 flow control Two proportional flow valves control the O2 flow, operating as double
staged valves. The first stage valve (P 3) control the flow between 0
and approx. 43 l/min. Flow demands beyond this level will cause the
second stage valve (P 4) to open. A flow screen (P 6) generates a
differential pressure from the generated flow that is measured by the
O2 flow pressure sensor (EB 30). The offset valve (P 5) allows zeroing
the pressure sensor (pneumatically) for online offset calibration.
AIR flow control Two proportional flow valves control the AIR flow, operating as double
staged valves. The first stage valve (P 13) controls the flow between 0
and approx. 43 l/min. Flow demands beyond this level will cause the
second stage valve (P 14) to open. A flow screen (P 16) generates a
differential pressure from the generated flow, which is measured by
the AIR flow pressure sensor (EB 20). The offset valve (P 15) allows
zeroing the pressure sensor (pneumatically) for online offset
calibration.
Airway pressure The airway pressure within the breathing system is measured by the
airway pressure sensor (EB 50). The offset valve (P 7) allows zeroing the
pressure sensor (pneumatically) for online offset calibration.
Overpressure relief valves To avoid airway pressures beyond a level of 75 mbar (cmH2O) a
passive over pressure relief valve (P 20) is provided. To avoid airway
pressures beyond an adjustable level, defined by the Pmax setting, an
active over pressure relief valve (P 21) is provided.
O2 sensor The inspiratory O2 sensor (EB 60) is located within the inspiratory port.
Patient connection The breathing circuit (P 23) connects the machine via the inspiratory
port (P 17) and the expiratory port (P 25) to the patient. A free
breathing valve (P19) protects for sub atmospheric pressure in case of
a gas supply failure.
Expiratory valve The airway pressure within the system is controlled by the expiration
pressure valve (P 27).
Expiratory flow A flow screen (P 29) is built into the expiratory valve assembly and
generates a differential pressure from the generated flow, which is
measured by the Exp. flow pressure sensor (EB 40). The offset valve (P
28) allows zeroing the pressure sensor (pneumatically) for online offset
calibration. The second port of the differential pressure is ambient.
Location of pneumatic The following pneumatic components are located within the
components pneumatic assembly:
- Air and O2 pressure switch (P 2, P 12)
- Air and O2 proportional valves ( P 3, P4, P13, P 14)
- Air and O2 flow screen (P 6, P16)
- Over pressure relief valves (P20, P 21)
10.2.2 Test and Test and calibration of the AIR flow control and the O2 flow control is
calibration identical to the procedure described in section:
- 4.7.3 AIR Flow calibration
- 4.7.4 O2 flow calibration.
10.2.3 Replace The pneumatic assembly contains the four inspiratory valves, the flow
pneumatic control for O2 and AIR, the gas supply pressure switches, the passive
over pressure relieve valve and the active over pressure relieve valve.
assembly To remove the pneumatic assembly:
15. Use a screwdriver to remove the two screws that fix the
pneumatic assembly to the lower housing. One screw is in the
middle between the two pressure switches, the other is on the
right side of the O2 pressure switch.
Note P/N BM-352382 is no longer available and has been replaced with P/N
MA-352382 (refurbished pneumatic assembly). For compatibility
details see section 10.2.5.
10.2.5 Compatibility The pneumatic assembly P/N BM-352396 (with Nebulizer) is NOT
downward compatible to P/N BM-352382 (with Nebulizer).
P/N BM-352396
P/N BM-352382
Note The flow measurement tube’s positive (C, D) and negative ends (C’, D’)
are marked in reverse between the pneumatic assembly P/N BM-
352382 (without nebulizer) and the P/N BM-352396 (with nebulizer).
If tube polarity is mismatched, the according flow engine cannot be
calibrated, because the according flow control loop does not operate
properly.
In this case reverse tube’s polarity.
10.3.1 Description At the Centiva/5 ventilators patient connection the gas flowing from
the pneumatic assembly is brought into the inspiratory connector.
10.3.2 Repair patient The patient connection assembly includes the O2 sensor, the free
connection breathing valve, the connection to the pneumatic assembly, the
connection to the overpressure relief valve and the connection to the
pressure measuring port. To replace the inspiratory connection
assembly:
10.3.3 Replace free The free breathing valve is located within the (patient) inspiratory
breathing valve connection assembly. To replace the free breathing valve:
10.3.5 Compatibility The patient connection assembly P/N BM-352210 (without free
breathing valve) is NOT downward compatible to P/N MA-640001 (with
free breathing valve) and shall be used only with the pneumatic
assembly P/N BM-352396 (with nebulizer).
P/N BM-523396
P/N MA-640001
10.4.1 Description The PC board B is located within the main engine and carries most of
the power supply system, the sensors for the different pneumatics, the
controls and drivers and associated electrical connections.
Power supply Line supply gets via line inlet and fuse SI 0 (EC 1a) to the integrated line
main switch (EC 1b) from there to the transformer (EA1c). The
transformer is designed to be switched between 115 V and 230 V line
voltage. For details see section 4. “Change the line voltage”. From the
secondary side of the transformer the supply voltage gets to the
secondary transformer fuses (SI21/22) and from there to the base
supply (EB 2) via a relay switch (EB 3a) that is controlled by the power
management of micro B.
The 24 V DC main supply gets via external DC inlet (EC 1d) to the DC
line fuses (SI 23) and from there to the base supply (EB 2) via a relay
switch (EB 3b), controlled by the power management of micro B.
The internal battery supply (EB 6) gets via the battery fuse (SI 24) to the
base supply (EB 2) via a relay switch (EB 3c), controlled by the power
management of micro B. To enable the recharging of the battery when
necessary a charger (EB 5a) and a fuse (SI 25) feeds the battery, when
the FET switch (EB 5b) disconnects the system from the base supply
(EB 2). This way the battery can be charged by both main supplies, but
only when the power management of micro B is active.
EB 1 To uc B
U line sense
From uc B
EC 1d SI 23 EB 3b
External 24V DC line Relay switch
DC inlet
EB 11 EB 4
Ext. 24 V int. U batt
sense sense
EB 6 SI 24 EB 3c EB 5b
internal int. batt. Relay switch FET switch
battery
SI 25 EB 5a
Charger Charger
Power supply components The following components of the power supply are located within the
housing of the main engine but not on the main board B:
All other components of the power supply are located on the main
board B.
Power management The micro B manages the three power sources. Line supply and DC
main supply are treated as priority mains supply. A ventilation mode
can only be started if one of these two supplies is available.
When one of these supply lines is active micro B checks charging
status of the internal battery and recharges if necessary. If the main
supply line fails the system turns to supply via internal battery reduces
power consumption by turning off the expiratory valve heater and
reducing the screen’s back light brightness.
On board power supply The main board B creates three bus supplies by a +13 V bus (EB 7) via
a bus fuse (SI 26), a +15V bus (EB 9) via a bus fuse (SI 27) and a +5 V bus
(EB 8) via a bus fuse (SI 28). For analog OP Amps a symmetrical +- 12 V
supply is created by EB 9. The alarm system (EB 13) is supplied via the
fuse (SI 13) from both +13V and +15V supply lines.
The watchdog (EB 14) controls the +13V and +15V power supply of the
safety functions of valve supply etc. In case of a detected malfunction
of one or both of the microprocessors the watchdog is able to move
the system into a fail safe status by turning off the bus supplies.
Input Several control sensors talk to the micro B (EB 20, EB 30, EB 40, EB 50,
EB 60, EB 19, EB 23, EB 33). Data input from micro A is received via the
internal serial port (EA 13).
Output Micro B talks to several actors (EB 21, EB 31, EB 41, EB 51, EB 55). Data
output to micro A is made via the internal serial port (EA 13).
EB 7 SI 26 EB 9 SI 27 EB 8 SI 28 SI 13
+ 13 V + 13V bus + 15 V/+- 12V + 15V bus + 5V + 5V bus Alarm supply U=13/15 V
E M
supply supply supply
U base=22 28V
Internal SIO
EB 15 EB 13
Alarm horn
Controller B
from uC A
EPROM, EEPROM
+- 12V
SI 41 EB 20 EB 30 EB 40 EB 50 EB 60 EB 10 EB 14 SI 12
Exp.v. heater Air flow O2 flow Exp. flow Pairway O2 sensor Reference Watchdog fan supply
sensor sensor sensor sensor + 5.0 V
+ 15V WD
EB 16 EB 21 EB 31 EB 41 EB 51 EB 55 + 15V EB 18
Exp. Valve Offset valve Offset valve Offset valve Offset valve Over pres. fan
Heater Air flow O2 flow Exp. flow P airway reliefe valve + 13V
+ 13V WD
EB 17 EB 22 EB 32 EB 42 EB 19
Heater Air flow O2 flow PEEP valve Fan
monitor valve valve monitor
+ 5V
EB 23 EB 33
Air supply O2 supply
switch switch
Exp. valve heater To prevent the expiratory flow sensor from condensing water the
expiratory valve assembly is heated by the Exp. valve hater (EB 16),
supplied by the base supply via the fuse SI 41. The temperature is
controlled by micro B and the heater monitor (EB 17).
AIR flow A pressure switch for AIR supply (EB 23) tells the micro B about the
pressure status of the AIR gas supply. Micro B generates AIR flow by
opening the proportional, double staged AIR flow valve (EB 22). The AIR
flow sensor (EB 20) measures the generated AIR flow and reports this
to micro B. To prevent the AIR flow pressure sensor from drifting, the
pressure sensor is periodically zeroed pneumatically by use of an
offset valve (EB 21).
O2 flow A pressure switch for O2 supply (EB 33) tells the micro B about the
pressure status of the O2 gas supply. Micro B generates O2 flow by
opening the proportional, double staged O2 flow valve (EB 32). The O2
flow sensor (EB 30) measures the generated O2 flow and reports this to
micro B. To prevent the O2 flow pressure sensor from drifting, the
pressure sensor is periodically zeroed pneumatically by use of an
offset valve (EB 31).
Exp. Valve (PEEP) The expiratory valve is a magnetic proportional valve system (EB 42)
that is controlled by micro B. Built in the expiratory assembly the
expiratory flow sensor (EB 40) measures the expiratory flow via a
stainless steel flow screen and a pressure sensor. To prevent the exp.
flow pressure sensor from drifting, the pressure sensor is periodically
zeroed pneumatically by use of an offset valve (EB 41).
P airway The airway pressure is measured by the airway pressure sensor (EB
50). To prevent the airway pressure sensor from drifting, the pressure
sensor is periodically zeroed pneumatically by use of an offset valve
(EB 51).
O2 sensor A fuel cell type O2 sensor (EB 60) measures the inspiratory O2
concentration and reports to micro B. Calibration is semi automatic.
Over pressure relief valve A solenoid valve operates as a over pressure relief valve (EB 55)
controlled by micro B.
Watchdog The watchdog (EB 14) controls both microprocessors A and B and turns
off the + 15V WD and +13 V WD supply line, in case of detected
malfunction of program or micros. Thus the system is able to shut
down in a fail safe mode.
Microprocessor B The micro B handles all controls and sensors, as well as the audible
alarm indicator within the main engine. The B EPROM is loaded with
the control software. The B EEPROM allows storing a “shadow” data
set.
10.4.2 Component
layout PC board B P/
N BE-120081
10.4.3 Test and Test and calibration of the AIR flow sensor, O2 flow sensor, expiratory
calibration flow sensor, airway pressure sensor and battery charging voltage is
identical to the procedure described in sections 4.7.
For PC board B P/N BE-120081 the location of potentiometers differs to
the description in section 4.7.
AIR flow calibration Test and calibration of the AIR flow sensor is identical to the procedure
described in section 4.7.3 “AIR flow calibration”
The following picture shows the location of the offset and gain
potentiometer for the AIR flow sensor calibration on PC board B, P/N
BE-120081.
R 315 R 312
AIR flow sensor Zero Gain
O2 flow calibration Test and calibration of the O2 flow sensor is identical to the procedure
described in section 4.7.4 “O2 flow calibration”
The following picture shows the location of the offset and gain
potentiometer for the O2 flow sensor calibration on PC board B, P/N
BE-120081.
R 305 R 302
O2 flow sensor Zero Gain
Expiratory flow sensor Test and calibration of the expiratory flow sensor is identical to the
calibration procedure described in section 7.5 “Expiratory flow sensor calibration”
The following picture shows the location of the offset and gain
potentiometer for the expiratory flow sensor calibration on PC board B,
P/N BE-120081.
R 335 R 332
Zero Gain Exp. flow sensor
Airway pressure sensor Test and calibration of the airway pressure sensor is identical to the
calibration procedure described in section 4.7.6 “Airway pressure sensor
calibration”
The following picture shows the location of the offset and gain
potentiometer for the airway pressure sensor calibration on PC board
B, P/N BE-120081.
R 325 R 322
Zero Gain Paw pressure sensor
Battery charging voltage Test and calibration of the battery charging voltage is identical to the
calibration procedure described in section 4.7.8 “Battery charging voltage
calibration”
The following picture shows the location of the potentiometer for the
battery charging voltage adjustment on PC board B, P/N BE-120081.
R 213
Charger end voltage
10.4.4 Change the The Centiva/5 ICU Ventilator’s main engine is protected by the
PC board B fuses following fuses which are all located on the PC board B:
a) SI 21 = Transformer secondary 1 = 3.15 A slow blow.
b) SI 22 = Transformer secondary 2 = 3.15 A slow blow.
c) SI 23 = Line 24 V DC inlet = 3.15 A slow blow.
d) SI 24 = Back-up battery = 3.15 A slow blow.
e) SI 25 = Battery charger = 0.5 A slow blow.
f) SI 26 = + 13 V bus = 3.15 A slow blow.
g) SI 27 = + 15 V bus = 3.15 A slow blow.
h) SI 28 = + 5 V bus = 0.5 A slow blow.
i) SI 41 = Exp. Valve heater = 1.0 A slow blow.
Always use the identical type and rating when replacing a fuse.
Si 26
Si 28
Si 27
Si 25
Special notice It may be necessary to remove the battery according to section 9.7.1
to access SI 27. Replacement of SI 25 without removing additional
components requires the use of long nose pliers.
10.4.5 Replace PC The PC board B is located on the sub chassis. To replace the PC
board B board B:
1. Remove the expiration
valve according to section
7.2.1.
2. Remove the control panel
according to section 7.2.2.
3. Open the main engine
according to section 7.2.4.
4. Disconnect X 14 at the PC
board B and move away
panel and remove the
control panel according to
section 7.2.2.
5. Remove the panel mounting plate according to section 7.2.6.
6. Open the main engine
according to section 7.2.5.
7. Remove back-up battery
according to section 7.9.2.
8. Disconnect electrical
connectors X 21, X 22, X23,
X 24, X 12, X 14, X 15, X 16,
X 31, X 41, X 42, X 43.
9. Disconnect exp. flow
measuring tube A at the
expiratory valve control
assembly.
Check caution note in
section 7.1. !
10. Disconnect pressure
measuring tube B at the
tube connector.
Check caution note in section 7.1. !
11. Disconnect flow measurement tubes C/C’ and D/D’ at the tube
connectors. Check caution
note in section 7.1. !
12. Disconnect “ambient” tube
for the pressure
transducers at the T-piece
towards the pneumatic
assembly. Check caution
note in section 7.1. !
13. Unscrew the three nuts (top left, top middle and top right),
fixing the PC board B to the sub chassis by using a 5.5 mm
wrench.
Note P/N BE-120081 is no longer available and has been replaced with P/N
MA-120081 (refurbished PC board B). For compatibility details see
section 10.4.7.
10.4.7 Compatibility The PC board B assembly P/N BE-120120 (SMD style) is downward
compatible to P/N BE-120081 (conventional style) per the following:
10.5.1 Description The audible alarm system in the main engine uses a metal membrane
loudspeaker.
10.5.2 Replace The alarm system is located on the sub chassis. To replace the alarm
alarm system system:
1. Remove the expiration
valve according to
section 7.2.1.
2. Remove the control
panel according to
section 7.2.2.
3. Open the main engine
according to section
7.2.4.
4. Remove the sub chassis
according to section
7.9.13.
5. Disconnect the X16 connector at PC board B.
6. Use a screwdriver to
remove the four (4)
screws.
7. Replace the alarm
system.
8. When mounting the
alarm system, be sure to
place the speaker above
the circuit board and to
verify that all four (4) of
the plastic spacers are in place between the alarm system and
the sub chassis.
10.5.4 Compatibility The alarm system P/N BE-120101 (without board) is NOT compatible to
P/N BE-120090 (with PC board).
P/N BE-120101
P/N BE-120090
10.6.1 Description The ON / OFF switch is located on the right lower side of the front.
10.6.2 Repair The repair procedure for the ON/OFF switch assembly is identical to
ON/OFF switch the procedure described in section 7.9.6.
1) 4) 3) 2)
Note P/N BE-120086 is no longer available and has been replaced with P/N
BE-120114. For compatibility details see section 10.6.4.
10.6.4 Compatibility The LED light P/N EU-748295 is used for both ON/OFF switch assembly
below.
Note The bulb P/N EU-748291 has been obsolete and replaced with the LED
light P/N EU-748295.
P/N BE-120114
P/N BE-120086
10.7.2 Replace To remove or replace the battery assembly follow this sequence:
battery assembly 1. Open the main engine
according to section 7.2.5.
2. Use a 7 mm nut driver to
remove the two hex nuts
left and right of the
battery.
3. Remove the battery from
the transformer assembly.
4. If replacing the back-up
battery disconnect X 23.
5. For some calibration
procedures, the back-up
battery is removed to allow
better access to PC board
B. In those cases, the back-
up battery must stay
connected to PC board B.
6. Insert the new battery and
fix it with the two hex nuts.
7. Connect X 23.
8. Close the main engine.
9. Verify proper function after
reassembly by performing
a power-up test.
10.7.4 Compatibility The back up battery assembly P/N M1054900 is downward compatible
to the back up battery assembly P/N BE-120093 for hardware
revisions 3.x and 4.x.
P/N M1054900
P/N BE-120093
Notes
11.2 Cart
Replace castor This replacement instruction deals with the following carts
- P/N AZ-382133
- P/N AZ 382132.
11.3 Compressor
Replace tube holder Replacement of the tube holder does not require any tools.
Notes