Ams 700-900 Manual

700/900 Series
Ventilators
Operations
Manual
MODIFICATIONS LABEL
ECN 1 ECN 2 ECN 3 ECN 4 ECN 5

4863
ECN 6 ECN 7 ECN 8 ECN 9 ECN 10
0120
December 2007
700/900 Series Ventilators Operations Manual 1
IMPORTANT
The user must be familiar with the machine and its

various functions before using it on a patient.
Read this manual before operating the machine.
Read the Vaporizer manuals before operating this
machine.
Read the Absorber manual before operating the
machine.
2 700/900 Series Ventilators Operations Manual

Contents
Symbols & Abbreviations ................................................................................... 9
Identify your Ventilator ............................................................................... 10
1. Introduction ....................................................................................11
1.1 Overview ...................................................................................... 11
1.2 Features ....................................................................................... 12
1.2.1 Controls & Indicators ....................................................... 12
1.2.2 Microprocessor Control ................................................... 12
1.2.3 Dual Mode Ventilation ..................................................... 12
1.2.4 Pressure Limit Control..................................................... 12
1.2.5 Built-in Ventilator Pre-use Test........................................ 12
1.2.6 Comprehensive Pressure Monitoring & Alarms............... 12
1.2.7 Spirometry ....................................................................... 13
1.2.8 Battery Back-up............................................................... 13
1.2.9 Calibration Connector ..................................................... 13
1.2.10 Data Output ................................................................... 13
1.3 Operating Modes .......................................................................... 14
1.3.1 Volume Control ............................................................... 15
1.3.2 Pressure Control ............................................................. 15
1.3.3 SIMV + PSV .................................................................... 16
1.3.4 Inspiratory Pause ............................................................ 16
1.3.5 Sigh ................................................................................. 17
1.3.6 Pressure Support ............................................................ 18
1.4 Principles of Operation .................................................................. 20
1.5 Parameters ................................................................................... 20
1.5.1 PEEP .............................................................................. 21
1.5.2 Trigger............................................................................. 21
1.5.3 Support Pressure ............................................................ 21
1.5.4 Fresh Gas Compensation ............................................... 21
1.5.5 Oxygen ............................................................................ 21
1.5.6 Tidal Volume ................................................................... 21
1.5.7 Minute Volume ................................................................ 21
1.5.8 Expired Tidal Volume ...................................................... 21
1.5.9 BPM (Frequency Control) .............................................. 21
1.5.10 I:E Ratio ........................................................................ 22
1.5.11 Pressure Limit ............................................................... 22
1.5.12 Peak Pressure............................................................... 22
1.5.13 Mean Pressure .............................................................. 22
1.5.14 Compliance ................................................................... 22
1.5.15 Volume Measurement ................................................... 22
1.5.16 Oxygen Measurement ................................................... 22
1.6 User Interface ............................................................................... 23
1.6.1 Front Panel...................................................................... 23

Contents
1.6.2 Normal Screen ................................................................ 24

1.6.3 Activity Display Area ........................................................ 24
1.6.4 Alarms Display Area ........................................................ 25
1.6.5 Parameter Display Area .................................................. 25
1.6.6 Trak Wheel & Touchscreen ............................................. 26
1.6.6.1 Trakwheel .............................................................. 26
Selecting a Parameter ........................................... 26
Editing a Parameter ............................................... 26
Selecting a Menu Item ........................................... 26
User Adjustable Parameters can be set
from normal screen .......... 26
1.6.6.2 Touchscreen ........................................................... 27
Setting Parameter.................................................. 27
To change Settings................................................ 27
1.7 Battery Status LEDs .................................................................... 28
1.8 Menu Tree ................................................................................... 29
1.8.1 Setup Menu ........................................................................ 29
1.8.2 Defaults Menu .................................................................... 30
1.8.3 Alarm Setup........................................................................ 30
2 Using the Ventilator .................................................................. 31
2.1 Powering up the Ventilator ............................................................ 31
2.2 Starting the Ventilator .................................................................... 31
2.3 Stopping the Ventilator .................................................................. 31
2.4 Activating and monitoring Alarms .................................................. 31
2.5 End of Case .................................................................................. 31
2.6 Powering down the Ventilator ........................................................ 31
2.7 Pre-use Testing ............................................................................. 32
2.8 Pre-use Test Error Messages ....................................................... 35
2.9 Compliance Test Skipped ............................................................. 37
2.10 Fresh Gas ................................................................................... 37
2.11 Standby/Bag/Vent ....................................................................... 39
2.12 I:E Setting .................................................................................... 40
2.13 Oxygen Calibration ...................................................................... 41
2.14 The Measurements Menu ........................................................... 42
2.15 Adult & Pediatric .......................................................................... 43
2.16 Sensor Placement ........................................................................ 44
2.17 The Waveform Select Menu ......................................................... 46
2.18 Spirometry .................................................................................... 46
2.18.1 Recalling Loops ........................................................... 47
2.18.2 Pressure/Volume ......................................................... 48
2.18.3 Flow/Volume ................................................................ 48

Contents
2.18.4 Pneumothorax during Laparoscopy

Diagnosis & Treatment.............................................. 49
2.19 Airway Pressure ........................................................................ 50
2.19.1 Airway Flow ................................................................. 50
2.20 Mode Selection Menu ............................................................... 51
2.20.1 Cardiac Bypass ........................................................... 51
2.20.2 Setting Parameters ..................................................... 52
2.21 Alarms ....................................................................................... 53
2.21.1 Alarms Summary......................................................... 54
2.21.2 Pre-set Alarms ............................................................ 55
2.21.2.1 Apnea Alarm ............................................... 55
2.21.2.2 Low Supply Gas Pressure Alarm................. 55
2.21.2.3 Vent Inoperative Alarm ................................ 55
2.21.2.4 Setting Error Alarm ...................................... 56
2.21.2.5 Sustained Pressure Alarm........................... 56
2.21.3 Power Fail & Battery Low Alarms ................................. 56
2.21.4 No Charge .................................................................... 57
2.21.5 Comms Fail .................................................................. 57
2.21.6 PEEP Alarm ................................................................. 57
2.21.7 Under Pressure Alarm (PCV Only) ............................... 57
2.21.8 Sensor Error ................................................................. 57
2.21.9 Sensor Not Detected .................................................... 57
2.21.10 PAW < - 10 cmH2O..................................................... 57
2.22 User Defined Alarms .................................................................. 58
2.22.1 Pressure High Alarm .................................................... 58
2.22.2 Pressure Low Alarm ..................................................... 58
2.22.3 MV High Alarm ............................................................. 58
2.22.4 MV Low Alarm .............................................................. 58
2.22.5 High BPM Alarm........................................................... 59
2.22.6 Low BPM Alarm ........................................................... 59
2.22.7 High Oxygen Alarm ...................................................... 59
2.22.8 Low Oxygen Alarm ....................................................... 59
2.22.9 Fresh Gas Too High ..................................................... 59
2.22.10 Pressure Limit ............................................................. 59
2.23 Auto Alarms ............................................................................... 60
2.24 The Alarms Menu ....................................................................... 61
2.24.1 Setting Alarms .............................................................. 61
2.24.2 Alarm Mute ................................................................... 62
2.24.2.1 Setting the Alarm Mute Time ........................ 62
2.24.3 Setting the Apnea Time................................................ 63
2.25 The Defaults Menu .................................................................... 64
2.25.1 Change Names ............................................................ 64
2.25.2 Save Hospital Defaults ................................................. 66

Contents
2.25.3 Saving and Recalling Settings ...................................... 66

2.25.4 Save Current Settings .................................................. 67
2.25.5 Recall Previous Settings............................................... 67
2.25.6 Changing/Entering New Password ............................... 67
2.25.7 Configuration ................................................................ 68
2.25.8 Set up ........................................................................... 68
2.25.9 Fresh Gas Calibration................................................... 69
2.25.10 Sigh Setting ................................................................ 69
2.25.11 Absorber Setting .......................................................... 69
2.25.12 System Information...................................................... 69
3. Installation ................................................................................ 71
Cautions .............................................................................................. 71
3.1 Pre-use Checks ............................................................................ 73
3.2 Discharged Battery ....................................................................... 75
3.3 Installing the Adult Bellows ........................................................... 77
3.4 Pre-use Test ................................................................................. 78
3.4.1 Fresh Gas......................................................................... 78
3.4.2 Compliance ...................................................................... 78
4. Routine User Maintenance ..................................................... 80
4.1 Weekly Checks............................................................................. 80
4.1.1 Control Unit ..................................................................... 80
4.2 Six-Monthly Checks...................................................................... 80
4.2.1 Bellows ............................................................................ 80
4.3 Other Maintenance ....................................................................... 81
4.4 Exchanging Fuses ........................................................................ 81
4.5 Cleaning and Sterilization ............................................................. 82
4.5.1 Ventilator Surfaces .......................................................... 82
4.5.2 Pop-off Valve Seat .......................................................... 82
4.5.3 Patient Airway Flow Sensor............................................. 84
4.5.4 Bellows ............................................................................ 84
4.6 Methods of Sterilization ................................................................ 85
5. Troubleshooting ...................................................................... 87
6. Appendices .............................................................................. 89
6.1 Performance Data ......................................................................... 89
6.1.1 Notes on Performance Data .............................................. 90
6.1.1.1 Dimensions ........................................................... 90
6.1.2 Factory Default Settings .................................................... 91
6.1.2.1 Volume Control Defaults at Startup ..................... 91
6.1.2.2 Pressure Control Ventilation Defaults at Startup . 91
6.1.2.3 SIMV + PSV Defaults at Startup .......................... 92
6.1.2.4 Fixed Features..................................................... 92
6.1.2.5 Mode Dependant Features .................................. 93
6.2 Associated Equipment & Accessories ............................................ 94

Contents
6.3 External Communication Specification ................................................. 96

6.3.1 Data Transmission Settings......................................................... 96
6.3.2 Protocol ...................................................................................... 96
6.3.3 Pin Connections ......................................................................... 97
6.3.4 Set Messages............................................................................. 98
6.3.5 Breathing Modes ......................................................................... 98
6.3.6 Breathing Control ........................................................................ 98
6.3.7 Measured Value Messages ......................................................... 98
6.3.8 Event Message............................................................................ 98
6.3.9 Alarm Messages.......................................................................... 99
6.4 Error Codes ........................................................................................ 100
7. Notices & Important Information .............................................. 101
7.1 Product Improvement ........................................................................ 101
7.2 Responsibilities of the User ............................................................... 101
7.3 Responsibilities of the Manufacturer ................................................. 101
7.4 Disclaimer ......................................................................................... 102
7.5 Technology Disclaimer ...................................................................... 102
7.6 Note to Service Personnel................................................................. 102
7.7 Copyright ........................................................................................... 103
7.8 CE Marking ....................................................................................... 103
7.9 Trademarks & Acknowledgements .................................................... 104
7.10 Hazard Notes ................................................................................... 105
7.10.1 Electrostatic Sensitive Devices ............................................. 106
7.10.2 Ventilator Warnings .............................................................. 107
7.10.3 Ventilator Hazard Info ........................................................... 108
7.10.4 Cautionary Notices ............................................................... 111
8. Glossary ........................................................................................ 115
Index ...................................................................................................... 116

Contents
List of Figures
Figure 1 700/900 Series Ventilator ............................................................................. 11
Figure 2 Pneumatic System ....................................................................................... 19
Figure 3 Front Panel ................................................................................................... 23
Figure 4 Airway Sensor placement with Absorber with Sensor at Patient and with Sensor
at Absorber (two diagrams) ........................................................................................ 45
Figure 5 Exchanging Bellows Units ........................................................................... 76
Figure 6 Exchanging Fuses........................................................................................ 81
Figure 7 Removing the Pop-off Valve ........................................................................ 83

Symbols & Abbreviations
Symbols and Abbreviations Used

APL Airway Pressure Limiting Oxygen Flush
bpm BPM Breaths per minute
cmH2O Gauge pressure expressed in centimeters of water Pipeline
CPAP Continuous positive airway pressure
PEEP Positive end expiratory pressure Cylinder
I:E Ratio A ratio of inspiratory to expiratory time
IEC symbol to consult the instructions for use Bag
IEC symbol denoting type B applied part Canister unlocked
WARNING: There is danger of personal injury to the Canister locked

user or patient
Further relevant or helpful information
Canister
Turning the control in the direction of the
thickening line, an increase in that parameter is produced Canister seal
Canister
Power off
Power on LATEX Where this sign is shown, latex free

material is used.
Dangerous voltage
Exhaust.
l/m lpm Liters per minute
ML Milliliters
O2 Oxygen
Psi Pounds per square inch
Psig Pounds per square inch gauge
L Liters
IEC symbol for alternating current
Confers approval under the European Medical Device Directive
E of C End of Case
This symbol indicates that the waste of electrical and

electronic equipment must not be disposed as
unsorted municipal waste and must be collected
separately. Please contact an authorized
representative of the manufacturer for information
concerning the decommissioning of your equipment.

700/900 Series Ventilators
Identify your Ventilator

Use the table below to identify your ventilator model in order to
then refer to relevant sections of the manual.
700 Series 900 series
710 720 730 750 950 970 990
Screen size 8.4” 8.4” 8.4” 8.4” 8.4” 8.4” 8.4”
Display Mono Mono Mono Mono Color Color Color
Interface Touch & Touch & Touch & Touch & Touch & Touch & Touch &
Trak Trak Trak Trak Trak Trak Trak
Tidal volume
compensation
Fresh gas compensation Optional Optional Optional Optional Optional Optional Optional for
for OEM/ for OEM/ for OEM/ for OEM/ for OEM/ for OEM/ OEM/stand
stand stand stand stand stand stand alone
alone alone alone alone alone alone
Configurable preset or
measured compliance
Vent mode
Volume Control
Pressure Control
SIMV + PSV
Pressure Support
Vent monitoring
Oxygen
Exhaled volume
monitoring
Airway Pressure
Pressure waveform
Flow waveform
Spirometry Loops
Data Output

Section 1 - 700/900 Series Ventilators
1. Introduction
1.1 Overview
The 700/900 series ventilator is an advanced, microprocessor-controlled,
pneumatically driven ventilator which has been designed specifically for the
mechanical ventilation of adult and pediatric patients under general
anesthesia.
The control unit houses the electronic and pneumatic control systems. It sets
the desired ventilatory parameters and generates alarm, warning and status
messages. The control unit also calculates and implements the functions
necessary to drive the bellows pneumatically.
The bellows assembly comprises a base and a bellows housing.
The 700/900 series ventilator is designed for use with a circle-type absorber
and is ideally suited to both low-flow and high-flow applications. The
ventilator may also be used with either a Bain-type coaxial circuit or a
Jackson-Rees/Ayres T-piece type pediatric circuit by using an adaptor.
There are variations based on the drive gas used (MED AIR or oxygen) and
the drive gas connector type (depending on the eventual country of use).
See 6.2 Associated Equipment and Accessories for ordering information for
the various types.
Figure 1 700/900 Series Ventilator

1.2 Features
1.2.1 Controls and Indicators

The operating parameters of the ventilator are set by a combination of touch
screen and Trak Wheel. Parameter values are shown on the touch screen.
1.2.2 Microprocessor Control

The built-in microprocessor control system makes it easy to upgrade and
customize the unit.
1.2.3 Dual Mode Ventilation

The ventilator can be used as either a flow generator or a pressure generator
and in both cases it is time cycled. Ventilation can therefore be tailored to
meet all patient requirements as each mode has an adult and pediatric
application. In addition to this the ventilator can be patient flow triggered.
1.2.4 Pressure Limit Control
This prevents barotrauma and gives maximum safety by ensuring accurate,
safe ventilation to a pre-set pressure limit.
1.2.5 Built-in Ventilator Pre-use Test

A ventilator Pre-use Test system ensures accurate ventilator delivery
irrespective of system back-pressure.
1.2.6 Comprehensive Pressure Monitoring and

Alarms
Selectable functions allow Airway, Peak and Mean pressure monitoring
spirometry, together with high, low and built-in airway flow detected Apnea
alarms.
Alarms are activated to guard reliably against disconnection, circuit leakage

and unachieved set volumes. The alarms are audible and visible. When
activated, the alarms are listed on the display.
The mains and battery alarms also have light emitting diode (LED) indication.

1.2.7 Spirometry
The 700/900 series ventilator offers a simple, accurate and user-selectable
display of set and monitored tidal volumes.
The user also has a choice of one of the following on-screen waveforms:
1) Airway Pressure
2) Pressure/Volume
3) Flow/Volume
4) Airway Flow
1.2.8 Battery Back Up

The internal battery is automatically charged when the ventilator is connected
to the mains electrical supply. If the ventilator is in the 'ON' position and the
mains electrical power fails, the battery will provide continued operation of the
ventilator for a minimum of 30 minutes if fully charged. A discharged battery
takes approx. 8 hours to fully charge.
Low Battery Indicator
The mains fail alarm will be activated and a
battery symbol will appear in the alarms panel.
Symbol indicates how much charge is left in
the battery.
1.2.9 Calibration Connector

A 9-way D-type connector labeled CALIBRATION PORT is situated at the
rear of the ventilator. This is not an RS232 port and is used purely for
calibration of the 700/900 series ventilator in conjunction with a special lead.
Further details can be obtained from AMS Technical Support.
1.2.10 Data Output

A 9-way D-Type connector is provided for RS232 connection of data to
external monitor systems.
Improper connection of equipment or any power sources to the

calibration port may permanently damage the ventilator. Only a
qualified technician should connect monitoring equipment to the
recorder output. Such equipment must be AMS-compatible
and meet the regulatory standards of the countries in which the
ventilator is used.

1.3 Operating Modes
Some features of the ventilator are only available in certain

ventilatory modes
There are four ventilation modes; Volume Control, Pressure Control,

Pressure Support and SIMV + PSV.
The differences between the Adult and Pediatric modes are:
• The ventilator sustained pressure requires a greater pressure
'movement' in adult mode to avoid being activated.
• Setting alarms and limits are, in general, optimized for lower pressures
and volumes to be used in pediatric mode.
WARNING: Short inspiratory times may result in inconsistent

breath delivery. Avoid control combinations which may
produce very short inspiratory times (<150 ms).
WARNING: Pressure limiting is a safety feature and is also used

in adult and pediatric mode to provide ventilation (PCV). It
should not be used for any other purpose, such as creation of
micro-breaths or emulation of specialized high frequency/low
volume ventilation systems, otherwise injury to the patient may
result.

1.3.1 Volume Control

Volume Control Ventilation is a time cycled mode that delivers a set volume
into the circuit within a set time. The 700/900 series ventilator ensures that
the delivered volume is independent of any compression losses in the
absorber, bellows and associated tubing. Changes to fresh gas do not cause
a permanent change to the delivered volume, the ventilator automatically re-
adjusts the delivered tidal volume within the next few breaths.
When the tidal volume limit is reached, the ventilator immediately cycles into
expiration.
1.3.2 Pressure Control

Pressure Control Ventilation is a time-cycled mode where the ventilator
maintains the set inspiration pressure for the inspiratory period. The user sets
the required pressure.
The ventilator delivers volume until the set pressure limit is reached; then
maintains the pressure until the end of the inspiratory time.
The effect of Volume and Pressure modes on the pressure and flow
waveforms is shown below:
Volume Control Mode Pressure Control Mode
Set pressure limit
Insp
Flow
Exp

1.3.3 SIMV + PSV

Synchronized Intermittent Mandatory Ventilation (SIMV) is an extension of
the spontaneous mode in so far as the patient can take breaths on demand
with optional pressure support, but some mandatory breaths are included.
The user must set a Trigger threshold and Support Pressure, as for Pressure
Support, and a Tidal Volume and Breathing Rate.
To prevent hyperventilation, any changes in the breathing rate are only
allowed to take place slowly. If the patient fails to make any effort to breathe,
the SIMV function automatically defaults to the ventilation function, identical
to Volume Control Mode at the set SIMV rate.
1.3.4 Inspiratory Pause

When pause is activated, a percentage of the inspiratory time is used as a
plateau prior to the start of the expiratory phase. This means that the I:E ratio
is maintained irrespective of the duration of the pause. The pause feature is
found under the Mode Selection menu and is user selectable from 0-50%.

1.3.5 Sigh
When Sigh is activated, the delivered tidal volume in Volume Control Mode is
increased by the set percentage of the duration of one breath at the set
frequency. The default percentage is 10% and default frequency is once
every tenth breath.
1.3.6 Pressure Support

In Pressure Support mode the patient controls when the ventilator starts to
deliver and when the ventilator cycles into expiration.
The start in inspiration is set by the flow trigger, once the patient has made
an attempt to breathe that exceeds the set flow trigger the ventilator will
deliver at the support pressure until the flow is reduced to 25% of the peak
flow. The ventilator will then go into expiration.
In Pressure mode bpm, tidal volume and I:E ratio are all monitored values.
The user must set two parameters: the Trigger threshold (5 to 15 L/min), and
the Support Pressure which is referenced to the PEEP level (5 to 30 cm
H2O).
PS + PEEP
PEEP
Trigger
Pressure
Peak Flow (up to 100 LPM)
Exp. Theshold (25%)
Flow
Volume
Insp. Exp.

1.4 Principles of Operation

For active inspiration, the flow control valve is opened to provide a specific
gas flow into the bellows assembly. Simultaneously the expiratory solenoid
closes and pressure is generated in the bellows assembly producing an
inspiratory flow to the patient.
The flow and pressure are measured and monitored by the microprocessor
feedback system.
Expiration occurs when the flow control valve is closed and the expiratory
solenoid opens and releases the gas from the bellows assembly.
In Pressure Control Mode the set pressure is achieved during inspiration and
maintained at that level by allowing a controlled bypass through the
expiratory valve. This allows the required pressure level to be maintained
whilst compensating for any fresh gas flow into the patient circuit.
For expiration the expiratory solenoid is opened which releases the gas from
the bellows assembly.
During all modes of ventilation an autozero is periodically applied to the flow
sensors just prior to a breath being delivered; at this point there is no flow
through the sensors, this ensures that the measured values are maintained
as accurately as possible regardless of environmental variations.
A safety valve is present in the drive pressure exhaust 75 cmH2O. Its

function is to protect the patient against pressures exceeding 75
cmH2O ± 2 cmH2O by relieving the drive pressure on the bellows.
NEEP is not supported by this machine but patient generated

pressures may be measured to - 10 cmH2O at which point an alarm
will sound.

Figure 2 Pneumatic System
PEEP
VALVE INSP
SOCKET CONTROL
BOARD
75cmH2O
EXHAUST
RELIEF
PORT
VALVE EXPIRATORY
SOLENOID
VALVE
34.5 psi
FLOW CONTROL VALVE
PNEUMOTACHOGRAPH
DRIVE
GAS GAS
SUPPLY OUTLET
INLET PORT
36-101 psi
FILTER
2.5-7 BAR MAIN AIRWAY FLOW FRESH GAS
REG ULATOR SENSOR INLET SENSOR INLET
LOW
SUPPLY
700/900 Series Ventilators Operations Manual

PRESSURE
DETECTOR
36psi
AUTO ZERO VALVE

AUTO ZERO VALVE
PT2 PT4 PT5 PT3 PT1
PRESSURE FLOW PEEP DUMP

SWITCH VALVES VALVE VALVE
PL5 PL4 PL8 PL5
INSPIRATORY DRIVE PATIENT PATIENT FRESH
FLOW PRESSURE PRESSURE AIRWAY FLOW GAS FLOW
CONTROLLER BOARD POWER SUPPLY BOARD PRESSURE INTERFACE BOARD
19
1.5 Parameters
The following parameters can be set and/or monitored when the ventilator is
in operation.
PEEP
P(cmH2O)
1.5.1 PEEP
The 700/900 series ventilator
continuously monitors and displays the PEEP OFF
(Resident PEEP
O
Positive End Expiratory Pressure 2-4cmH2O)
(PEEP). By default, a PEEP of 2 - 4 cm T

H2O is introduced to the circuit, caused P(cmH2O)
by the bellows assembly, which is Pressure Control
shown as OFF. A PEEP value between MIN 8cmH2O (Adult)

5cmH2O (paed)
3 and 20 cm H2O can be set from the
SET PEEP
panel, with an automatic alarm of more (3-20cmH2O)
than 25% above the set value. T
A minimum difference of 8 cm H2O in adult and 5 cm H2O in ped is enforced

between the set PEEP level and the pressure controls shown below.
MODE PRESSURE CONTROL
Volume Control Pressure Limit
Pressure Control Set Pressure
Pressure Support Support Pressure
SIMV + PSV Support Pressure + Pressure Limit
When the user changes a value such that it does not comply with the
required difference the box surrounding the feature being adjusted and the
value of the feature causing limiting to be enforced is highlighted red. The
value being adjusted could either be the PEEP level or the relevant pressure
control.
The user can then:

• Accept the value being adjusted, in which case it will be set to the
nearest acceptable value.
• Adjust the value to a non-conflicting value.
If the user does not make the change before end of time allowed for
adjustment the value will set to the nearest acceptable value.

1.5.2 Trigger
The level of negative flow caused by the patient's attempt to breathe before
the ventilator initiates flow to assist the patient with the spontaneous breath.
Range 5 to 15 L/min all modes (SIMV + PSV and Pressure Support).
1.5.3 Support Pressure
Breathing circuit pressure level for assistance with patient's spontaneous
breath.
Range 5 cm H2O to 30 cm H2O SIMV + PSV and Pressure Support (PEEP
referenced).
1.5.4 Fresh Gas Compensation
0 l/m to 30 l/m of fresh gas can be compensated for and displayed on screen.
1.5.5 Oxygen
A fuel cell sensor can be connected to allow monitoring of 0% to 100% O2,
with alarms of 18% to 110%. The sensor can be calibrated
1.5.6 Tidal Volume
Volume to be delivered by the ventilator in each breath.
Range 20 ml to 1500 ml all modes.
1.5.7 Minute Volume
Measured volume delivered by the ventilator per minute.
Range 0.3 l/m to 25 l/m all modes.
1.5.8 Expired Tidal volume
Expired tidal volume is measured by the sensor in the breathing circuit, in
either mechanical ventilator spontaneous breathing mode. The measured
value is displayed in the tidal volume window.
1.5.9 BPM (Frequency Control)
The mechanical frequency of the ventilator in breaths per minute (BPM).
Range 2 bpm to 99 bpm all modes.

1.5.10 I:E Ratio

The ratio of the inspiratory time to the expiratory time.
Range 2.0:1 to 1:5.0 all modes.

1.5.11 Pressure Limit
The breathing system maximum pressure limit.
Range 10 cm H2O to 50 cm H2O Paed.
10 cm H2O to 50 cm H2O Adult.
1.5.12 Peak Pressure

Range 0 cm H2O to 100 cm H2O
1.5.13 Mean Pressure

Range 0 cm H2O to 100 cm H2O
1.5.14 Compliance
System compliance in ml/ cm H2O
Patient compliance in ml/ cm H2O
15.15 Volume Measurement

Accuracy of delivered gas at 25oC 101.3kPa/14.6psi (volume mode)
= ± 10% ± 10 ml from 50 ml to 1 liter.
Volume monitoring accuracy = ± 7% ± 10 ml.
Controlled Patient Pressure = ± 10% ± 2 cmH2O.
Monitored Patient Pressure = ± 5%.
Deliverd PEEP = 1.5 cmH2O from 4 to 12 cmH2O
Fresh gas Flow = ± 10% ± 200 ml from 300 ml to 15 liters.
15.16 Oxygen Measurement
Oxygen Concentration accuracy = 3%.

Drift < 1% over 8 hours at constant temperature.
Response time < 30 seconds for 90% change.

1.6 User Interface
1.6.1 Front Panel

The front panel of the 700/900 series ventilator has the following controls and
indicators:
1 LCD Touch Screen (700 monochrome, 900 Color)

2 Battery-Status LEDs
3 Trak Wheel
Figure 3 Front Panel

1.6.2 Normal Screen

The normal screen is divided into three display areas: Activity, Alarms and
Parameters.
Alarms
Activity
Parameters
1.6.3 Activity Display Area

The activity area includes a graphical display updated in real time to show
the breathing cycle. The graph is auto-scaled to fit on the y-axis and to show
three cycles on the x-axis.
Status Line
Graphical
Display
Peak
Marker

Below the waveform, the status line shows:
• The current ventilator mode (Volume Control, Pressure Control,

Pressure Support or SIMV + PSV);
• Adult or Ped mode;
• Pause (when selected);
• Sigh (when selected).
1.6.4 Alarms Display Area

The alarm display lists any active alarms, with the most recent at the top of
the list. The alarm settings for the current mode of operation are shown at the
bottom of the alarm display area.
1.6.5 Parameter Display Area

The parameters display comprises of an array of windows, each of which
displays a parameter that has been selected for monitoring, or a level that
has been set for the current function.
If a parameter has a pre-set level, as well as a monitored value, the pre-set
level is indicated at the bottom left of the parameter window and the
monitored value is shown in the larger font to the right of the window.
Parameter
Monitored
Value
Pre-set
Level

1.6.6 Trak Wheel & Touch Screen

The Trak Wheel is a rotary encoder, incorporating a switch, which functions
in a similar way to a computer mouse when turned left or right. It allows
control of the on-screen cursor and the option to vary numerical data.
1.6.6.1 Trak Wheel
Selecting a Parameter
1. Turn the Trak Wheel in either direction until the required parameter is
highlighted.
2. Press the Trak Wheel to select the item.
The selection is cancelled if the Trak wheel is not moved for

approximately 5 seconds.
Editing a Parameter
1. When a parameter is selected, turn the Trak Wheel clockwise to increase
the numerical value or anticlockwise to decrease the value.
2. Press the Trak Wheel when the required value is displayed to confirm
selection.
Selecting a Menu Item
1. Within a menu, turn the Trak Wheel clockwise to descend the menu or
anticlockwise to ascend the menu. If a menu item is displayed in white, it
is not selectable at this time.
2. Press the Trak Wheel to confirm selection.
User adjustable parameters can be set from the normal screen:
1. Turn the Trak Wheel until the desired parameter is highlighted. When the
cursor reaches the end of one row it will move to the other.
2. Press the Trak Wheel. The parameter is highlighted, indicating that it can
be edited.
3. Rotate the Trak Wheel until the required value is indicated.
4. Press the Trak Wheel again to confirm the new value.

1.6.6.2 Touchscreen
Setting Parameter
Be sure to use your fingertip to activate the touchscreen, do not use
pens or pencils or any other sharp instruments as these will damage
the touchscreen.
• Touch box for the parameter you want to change.
• The up and down and confirm buttons are now active.
• Press up or down button until you have the desired setting.
• Press confirm to confirm setting.
To change settings.
• Menu keys on the right of the screen
• Press appropriate setup or alarm button
• Another menu box will appear
• Select parameter
• Press return until normal screen is restored.
Note If confirm button is not pressed the old value will be

restored.
Combination of both touchscreen and trakwheel can be used.

1.7 Battery Status LEDs
Icon Color Function

Mains Failure - the mains power supply has
RED failed and the ventilator is running from its
internal battery.
Battery Low - the battery is running low and the

AMBER mains supply should be connected to recharge
the battery immediately.
Battery Charging - the mains power supply is

GREEN available and the battery is charging.
This indicator glows green when the ventilator is
switched on.
To preserve battery life, never store the ventilator with its

battery discharged, Do not store the ventilator in close
proximity to heat sources of any kind.

SETUP
1.8 Menu Tree
1.8.1 Setup Menu

OXYGEN CALIBRATION
MEASUREMENTS
WAVEFORM SELECT
SYSTEM INFORMATION
MODE
DATE/TIME SETUP
PRE-USE PERFORM CHECK
SERVICE MODE
CONFIGURATION
BACKLIGHT (ONLY APPLIES TO

INTEGRATED)

DEFAULTS
1.8.2 Defaults Menu
DEFAULT MODE
SAVE CURRENT SAVE HOSP DEFAULTS RECALL CHANGE NAMES
ALARM LIMITS
ALARM SETUP
1.8.3 Alarm Setup
MUTE TIME
APNEA TIME

2. Using the Ventilator

This section describes how to:
• switch on the ventilator;
• select the operating mode and functions;
• set the operating parameters.
WARNING: Short inspiratory times may result in inconsistent breath delivery.

Avoid control combinations which may produce very short inspiratory times
(<150 ms).
WARNING: Pressure limiting is a safety feature and is also used in adult and
pediatric mode to provide ventilation (Pressure Control). It should not be used
for any other purpose, such as creation of micro-breaths or emulation of
specialized high frequency/low volume ventilation systems, otherwise injury to
the patient may result.
WARNING: Patient circuit disconnection is a hazard to the patient. Take

extreme care to prevent such an occurrence.
Monitored values require a few minutes to stabilize after initial activation.
Despite this, the ventilator and set values will function correctly.
2.2.1 Powering Up the Ventilator

To power up the 700/900 series ventilator fitted to the AMS, turn the
gas supply switch on (clockwise) on the AMS trolley. The screen will
then turn ON and give access to the pre-use test. The ventilator powers up
in Standby with monitoring in standby.
2.2.2 Starting the Ventilator
The ventilator is started by turning the BAG/VENT switch to VENT on the
absorber.
2.2.3 Stopping the Ventilator
The ventilator is stopped by turning the BAG/VENT switch to BAG on the
absorber.
2.2.4 Activating and monitoring alarms
Monitoring and monitoring alarms are activated with breath detection.
2.2.5 End of Case
With the ventilator stopped and in bag mode the end of
case button is active. With selection of end of case the
options shown on following screen diagram are available.
2.2.6 Powering down the Ventilator
To power down the 700/900 series ventilator turn the gas
supply switch to OFF (anticlockwise). The ventilator will then turn OFF.
Integrated
AMS User Manual 31

2.7 Pre-use Testing
Please read the following instructions in conjunction with the

information on Compliance compensation contained in the
Installation section of this manual.
The patient airway flow sensor head must be in the patient

circuit in order to carry out compliance compensation.
The option to run a Pre-Use Test for Compliance Compensation is built into
the Startup menu. (model numbers shown on screens would be different
dependant on configuration).
The opening screen at switch on.

The warning screen if the pre-use is
cancelled.
Following YES this is the start screen for the pre-use tests. Follow all on
screen instructions.

At this stage 1 of 2 screens may appear depending on how the gas analyzer
is set-up. The left screen is if the analyzer is scavenged or the right screen if
the analyzer exhaust is returned to the circle.
The instructions given are the preparation for performing 3 ventilator tests.
1. PEEP Valve calibration, 2. Calculation of system dead space (compliance), 3. Leak
Test.
Having calibrated the PEEP valve and measured the dead space the leak
test starts on the left and concludes with the right hand screen after 20
seconds.

The following 3 screens are the Gas Machine Tests.
NB. This is just a set of instructions it is not an active test. Set the controls as instructed
and carry out the manual test as instructed making the necessary observations that all is
working as correctly.
Having proved that the manual system works the ventilator can be tested at
nominal settings of TV 500 mL, 12 BPM, I:E 1:2.0 Set up the system as
described Press the track wheel when ready and set the Bag/Vent switch to
Vent. Ensure that the Bag and Bellows are full. Observe the displayed wave
form and expired volume are consistent with the expected result. Other tests
can be carried out at the users discretion.
When this test is completed satisfactorily the system is ready for use.
If the optional external PEEP valve is tested during the Pre-Use test. If the
valve is replaced or fitted during use the Pre-Use test must be carried out to
ensure continued accurate operation.

2.8 Pre-use Test Error Messages

If errors are encountered during the pre-use test then one of the following
screens will be displayed. The screens are designed to give an indication of
what may have caused the error and possible solution.
This screen suggests that the patient pressure is too high (>4cmH2O) to
begin the test.
If the absorber is not set to Vent when starting the test the system will give a
reminder.
Fresh Gas too High. Reduce and Re-Start.

Pull forwards a couple of Check the gauges for correct

cm, check no foreign gas supply.
objects are between the
absorber and main frame,
push absorber fully back.
Failure to fill the bellows at the If the system has a leak that is
start of the tests will be too large or if the circuit is not
detected. occluded correctly the test will
fail at this point.
NB. It has been noted that this can be caused

by fitting a Re-Breathing bag to the “Y”
connector instead of occluding the circuit on
the plug provided on the absorber.
If a leak is detected the above causes are the possible places to look. It
should be noted that these are not the only leak possibilities, small holes in
the sensor tubing, Cracks in Breathing circuits are sometimes possibilities
too.

Below are the screens that set-up the conditions affecting the opening Pre-
use screens regarding gas analyzer exhaust positioning.
The gas analyzer exhaust gas can be dealt with in two ways a) it can be
simply exhausted to atmosphere (scavenged) or b) it may be returned to the
circle. These choices need to made by the hospital and the selection made
at the time of commissioning the system. The selection can have marked
effects on he leak tests carried out during the pre-use testing.
If the sample line is disconnected but the exhaust is returned to the circle
then it may mask leaks by providing an additional gas input. If the reverse
situation i.e. the sample line is connected but the exhaust is not then it would
constitute a leak.
2.9 Compliance test skipped

If the operator chooses not to
carry out a compliance pre-use
test' the information below will be
displayed on screen.
The opening screen. The warning screen

2.10 Fresh Gas that proceeds if the
pre-use is cancelled.
Fresh Gas Flow Compensation has several effects on
the operation of the ventilator. In normal conditions the
volume added to each breath due to fresh gas flow / time is deducted from
the driving gas volume that is used to compress the bellows, this gives a
volume at the "Y" piece that is constant.
In some situations when the normal correction cannot be completed an alarm
will be caused and advice given as to what to do when correction cannot be
made by reducing drive gas.

2.11 Standby/Bag/Run
By turning the absorber to
VENT the ventilator will
automatically run.
By returning switch to BAG the

ventilator will go into BAG
mode.
The diagram shows a breath Expiration

+2LPM
as flow into and away from
the patient -2LPM
Inspiration
The Breath is detected when:-

• Inspired is passing down thro -2LPM
• Expiration is when passing from -2LPM and up thro +2LPM
• The breath ends when the next transition is made thro +2LPM and down to -2LPM
• The breathing detection that activates “Bag Mode” is after 3 such transitions has
taken place in <30 seconds
After a breathing pattern is detected the Apnea detector is made active. This will
detect a failure to breath after the user set period.
The ventilator in STANDBY will on detecting a spontaneously breathing patient switch
to BAG mode and STANDBY on screen will be replaced by the word “BAG”. In this
condition all relevant alarms will be active.
The alarms not in use at this time are:
• Pressure Low
• MV Low
The system will when set to RUN change the on screen display to VENTILATION and
operate as the selected mode.

Whilst in BAG mode all monitoring is still active and

alarms are active with the exception of low/high MV,
low/high BPM and PEEP alarms.
To cancel these and return to Standby mode press
End of Case button on screen and then select an
option.
The following is a summary of the alarm messages, under various conditions.

The ‘normal’ situation at mid-high tidal volumes is that there will be the option
to change either I:E or fresh gas. The I:E is highlighted in red, and the value
to set the fresh gas to is displayed in the alarm panel (i.e. in this case 10
LPM).
If the tidal volumes are low, the allowable fresh gas flow will be low, and
where the suggested calculated fresh gas flow would be less than 2 LPM, the
ventilator would say “Reduce Fresh Gas”.

Section 2 - 700/900 Series Ventilator
In some cases, at high fresh gas flow, the calculated I:E would be outside the
range of I:E settable on the ventilator. The maximum I:E settable on the
ventilator is 1:5.0. i.e. if calculated I:E should be 1:7 which is not possible.
Then the only option is to reduce the fresh gas flow. Thus the I:E will NOT
be forced red, and will be left at it’s set value.
2.12 I:E Setting

In the case where the I:E is forced to a value in RED, when you rotate to it,
THAT value, rather than the previously set value will be displayed.
So initial condition becomes present, I to E is calculated.

Now rotate to It. It IMMEDIATELY shows the correct value, just CLICK and
accept.
If nothing happens during the first 12 seconds of the alarm the suggested I:E
will be forced. The alarm will continue to sound.
2.13 Oxygen Calibration

The Oxygen Calibration menu allows adjustment of the displayed oxygen
concentration to match the gas that the probe is exposed to; this is normally
100% pure oxygen.
NOTE: Calibration is only possible if the ventilator is in Standby

and a probe is connected.
1. Ensure O2 is selected as monitored parameter.

2. Press the Setup menu key, Oxygen Calibration.
3. Expose the probe to 100% pure oxygen flow or 21% room air.
4. Adjust the displayed value to 100% or 21% as applicable by turning and
pressing the Trak wheel.
5. Press the Trak wheel again to start the calibration process. This takes
approximately one minute and a countdown is displayed whilst it is in
progress.
6. Once the calibration process is complete return to the main screen, stop
the flow of pure oxygen and expose the probe to room air for a few
minutes.
7. The oxygen concentration should nominally read 20.9+/-0.5%.

2.14 The Measurements Menu

The Measurements Selection menu allows the operator to assign parameters
to the second row of on-screen buttons.
The features available will depend on the operating mode.
1. Press Setup Menu.

2. Select Configuration Menu.
3. Select Measurements.
The Measurements Selection Menu opens.
4. Turn the Trak Wheel to highlight a feature on the menu, for example
Fresh Gas.
5. Press the Trak Wheel. The left-hand button on the second row of
displayed parameters is highlighted.
6. Turn the Trak Wheel to highlight each button in turn until a new one is
selected.
7. Press the Trak Wheel again to assign Fresh Gas to the highlighted button
and return to the Features Selection menu. Follow the same process to
un-assign a button.
8. Select Return to close Measurements Selection Menu.
9. Select Return to close the Main menu and go back to the normal screen.

2.15 Adult and Pediatric
1. Place ventilator into BAG or Standby.

2. To select either Adult or Pediatric mode
press the Defaults Menu button.
3. Change selection and press return.
4. Or place into BAG or Standby mode and
press on the Adult/Pediatric button on the
main screen and change selection
5. Alternatively whilst in BAG or Standby
mode press the adult or pediatric button
on the screen, select and return.
Option can only be changed whilst

ventilator is in BAG or Standby mode
and not in run mode.
A.C.G.O. (Optional Feature)

The ventilator will display the warning “A.C.G.O” for approx. 10
seconds when the auxiliary common gas outlet is selected by
the switch position adjacent to the C.G.O.

2.16 Sensor Placement

The sensor can be placed at two locations in the circuit at the patient, or at
the absorber expiratory port.
The sensor measures inspired and expired flow
into and fro patient , it also delivers as well as
senses pressure in patient airway,.
1. Place ventilator into Bag mode or Standby, to
place into Bag mode turn absorber switch to bag.
To place into standby place absorber in Bag mode
then press end of case on the screen and choose
one of the options to place ventilator into Standby
mode.
2. Press Sensor button on screen.
This can only be done in standby mode and not in run mode.
3. Select Absorber or Patient position using the Trak Wheel.

4. Select either “Sensor At Patient” or “Sensor At Absorber” and press the
Trak Wheel to confirm.
5. To come out of Standby, turn absorber switch to VENT.
When the sensor is at the absorber expiratory port the ventilator can only
be run in Volume Control and Pressure Control modes.
Placing the sensor at the absorber has several implications on the running
of the ventilator.
1. There is no inspired volume measurement box. If this was previously
selected as a feature when the sensor is chosen to be at absorber, the
box is forced off the screen. The “Inspired Volume” feature is grayed out
and inaccessible.
2. The user cannot select to view spirometry graphs. Waveform Select is
grayed out and inaccessible in the menu. If the graph was previously set
to “Flow/ Pressure” or “Flow/Volume” when “Sensor at Absorber” is
chosen, the graph is forced to be pressure.
3. If the sensor placement setting is different between adult and pediatric, a
warning banner is displayed when switching between adult and pediatric
or when the ventilator is first turned on. The banners are “Check Sensor
Fitted At Patient” and “Check Sensor Fitted at Absorber”. If adult and
pediatric have the same sensor placement, no banner is displayed.
If you start to run and then immediately go into the menus, this may
occur whilst in the menus. If it does the banner is displayed and you are
forced back to the run screen.

If the absorber position is changed and it is required that this change be

permanent the user must either save current settings or save hospital
defaults.
4. When switching to run from standby, a sensor position check is
performed. If the sensor is not in the position that has been set a banner
is displayed “check sensors position (either at patient or at absorber)”.
A patient filter is recommended but no essential since all parts in
the patient circuit may be sterilized.
All Y circuit tubing must conform to ASTM F-1205.
P P
Patient Airway
Flow
Patient Sensor
Airway
Flow Sensor
Connector
Connector
O2 O2
% %
Spirometry
Spirometry
Sensor Head
Sensor head
Y Circuit
Y Circuit
Y Circuit
Y Circuit
Patient
Patient Airway
Airway
Flow Sensor
Flow Sensor
Connector
Connector
Spirometry
Spirometry
Sensor Head
Sensor Head
At Patient At Absorber
Figure 4 Airway Sensor Placement with Blease Absorber with

Sensor at Patient and Sensor at Absorber

2.17 The Waveform Select Menu

From the Waveform Select option, the operator can choose to view one of
two Spirometry loops (Pressure/Volume or Flow/Volume) as an Airway
Pressure display and Airway flow display and Airway Flow waveform.
Select the desired display using the Trak Wheel.
In all modes the airway pressure bar is shown to the left of the trace area.
This shows the real time airway pressure. The peak value of the last breath is
also displayed.
Previous Peak
Real Time Pressure Level
2.18 Spirometry
Once either of the spirometry waveforms has been selected from the
waveform menu, an extra box (’Store Loop’) becomes available on screen for
selection.

Once the user is satisfied that the patient is in a stable pre-operative

condition, the next loop to be displayed can be saved.
To save the loop, highlight the loop button directly below the loop and
confirm.
A message that states saving, will be displayed. The next loop will be saved
and displayed in red. Up to 6 loops can be saved.
Any one of the stored loops can be recalled by highlighting the stored loop
button, then use the trakwheel up/down arrows to select the required loop,
then confirm.
By using the highlighted button, you can select which loop defined by time to
recall and display or turn the saved function off. As shown below.
2.18.1 Recalling loops
Recall a
Loop
(by saved
time) Turn
saved
Loop OFF
Save a
Loop
(Time of
saving is
displayed
next to
button)

2.18.2 Pressure/Volume
2.18.3 Flow/Volume

2.18.4 Pneumothorax during Laparoscopy - Diagnosis &

Treatment
Case Evolution
I. Intra-abdominal CO2 Insufflation
- Compliance drops
- Pplat increases
II. Pneumothorax Occurs

- Compliance drops further
- Pplat increases further
- ETC02 increases more sharply
* (The occurrence of pneumothorax
was confirmed through fluoroscopy)
III. Treatment with PEEP

- Compliance improves
- Pplat decreases gradually
- ETC02 decreases
IV. Deflation of the abdomen

2.19 Airway Pressure

This waveform represents the airway pressure. The Trace autoscales so that
the amplitude is 80% of the available height. The high and low points are
shown on the left of the area bordering the trace. The zero graticule is shown
as a black dotted line.
When the pressure is greater than or equal to zero, the trace is blue and
when it is less than zero, it is shown in green.
Zero Graticule
2.19.1 Airway Flow
Expired from patient
Inspired to patient
This waveform represents the airway flow. The Trace autoscales so that the
amplitude is 80% of the available height. The scale to the side still shows
airway pressure. The zero graticule is shown as a black dotted line.
The flow to the patient is shown as green and the expired flow is shown as
blue.

2.20 Mode Selection Menu

Refer to Section 1.6.3 for descriptions of the modes available.
2. Select Mode using the Trak wheel.
3. From the Mode selection menu,
(shown above) select the required
new mode using the Trak wheel.
A cross in the check box next to the
menu indicates that it is selected.
4. Each mode enables different
options - the available functions are those which are displayed in black text.
Before changing mode when the ventilator is in run mode, a
prompt screen will appear asking you to confirm or adjust the
main parameter for that mode. As shown below.
5. Alternatively, highlight mode on the main screen to select. Use arrows on
screen or trak wheel to change selection.
If the Trak wheel is not moved for approximately 30 seconds
the display will automatically return to the main screen.
Compliance Measurement is displayed only in Volume Control and

SIMV + PSV modes.
2.20.1 Cardiac Bypass
This selection represents the same standby function as End Case, except the
case timer does not stop and measurement of flow in the patient circuit does
not bring the ventilator back out of standby.
To exit Cardiac Bypass turn the ventilator ON by activating the bag to vent
switch or end the selection of Cardiac Bypass in the ventilator control menu.

2.20.2 Setting Parameters

1. From the normal Run screen, turn the Trak Wheel to the desired
parameter and press.
2. The selected parameter window is highlighted. Turn the Trak Wheel
clockwise to increase the set value or anti-clockwise to decrease the set
value.
The value will not increase above the high pre-set limit, or decrease below
the low pre-set limit.
3. When the required value is displayed, press the Trak Wheel.

2.21 Alarms
The 700/900 series ventilator contains a number of pre-set and user-defined
alarms for patient monitoring and monitoring of the ventilator itself.
WARNING: An audible alarm indicates an anomalous condition

that may result in damage to the equipment or injury to the
patient. The cause of each alarm should be investigated and
any necessary measures taken to remove the alarm condition.
WARNING: The pressure high and pressure low alarms are

important for patient care.
When an alarm is activated:
• an audible warning sounds;
• a flashing message appears in the activity zone of the display;
• the alarm is added to the list of active alarms in the alarm zone on
the screen.
The active alarm is displayed on the list in the alarm zone for a minimum Of
30 seconds. If the alarm condition is removed during this time, the alarm is
automatically cleared from the list. If more than one alarm is activated, each
new alarm is added to the top of the list.
Check alarms periodically at clinically suitable intervals. If the

audible alarm or visual indicator of any alarm function fails to
activate during any alarm condition, or fails to reset after the
alarm has been cleared, refer the unit to an authorized
technical engineer.

2.21.1 Alarms Summary

The available alarms are summarized in the table below. Each alarm is
described in detail later in this section.
Priority level, 1=Hi, 2=Med, 3=Low Alarm sound pressure range >65dB(A) <90dB(A)
ALARM RANGE/SETTING PRIORITY
Apnea (Default) 30 seconds User Defined 15-60 secs. 1
Low Supply Gas Pre-set. 35 ±0.5 psig. 1

Pressure
Vent Inoperative Pre-set. System Failed. 1
Setting Error Pre-set. Ventilatory parameter set out of range. 2
Sustained Pressure Pre-set. less than 5 cm H2O (adult) or 3 cm H2O in (pediatric) 1

change in pressure per breath.
Power Fail Pre-set. Mains electrical supply failure 3
Battery Low Pre-set. <15 minutes battery life remaining. 2
No Charge Pre-set. Mains supply ON, battery not charging. 2
Comms fail Pre-set. Internal communications error. 1
Pressure High User defined. 10 cm H2O to 70 cm H2O. 1
Pressure Low User defined. 5 cm H2O to 50 cm H2O. 2
MV High User defined. 2 l/m to 25 l/m adult. 1 I/m to 25 I/m ped. 2
MV Low User defined. 1 l/m to 24 l/m adult. 0 I/m to 24 I/m ped. 2
High BPM User defined. 1 BPM to 99 BPM. 2
Low BPM User defined. 0 BPM to 98 BPM. 2
High Oxygen User defined. 19% to 110%. 2
Low Oxygen User defined. 18% to 109%. 1
PEEP Error Pre-set. 3
Under Pressure Pre-set. 3
Fresh Gas too High Pre-set 2
Sensor Error Pre-set 3
Sensor Not Detected Pre-set 3
PAW <-10 cmH2O Pre-set 2
Press limit User Defined. 1
Fan Fail Pre-set 3

2.21.2 Pre-set Alarms
2.21.2.1 Apnea Alarm

Once an initial breath has been detected, the alarm is activated if the
ventilator ceases to record a tidal volume for the set apnea time.. This is the
case when the system is selected to either BAG or VENT.
2.21.2.2 Low Supply Gas Pressure Alarm

Activates when the pressure of the gas supply falls below that required for
correct ventilator operation.
As a safety precaution while this alarm is active, the ventilator flow delivery
system is prevented from trying to compensate for the lack of supply gas by
opening the flow control valves further. This stops the large surge of flow that
may otherwise occur if the supply gas is suddenly re-applied, particularly
when a bottled supply is changed.
WARNING: If the supply gas pressure is reduced, the patient

minute volume may be reduced and injury to the patient could
result. Do not use the ventilator if the supply pressure cannot
be maintained.
2.21.2.3 Vent Inoperative Alarm

Activates if an internal fault is detected. If a vent inop alarm occurs, user must
contact a technical engineer.
WARNING: The Vent Inoperative alarm indicates that the

ventilator cannot provide ventilation functions. Under no
circumstances should the ventilator be used on a patient while
this alarm is activated.

2.21.2.4 Setting Error Alarm

The setting error alarm is activated under the following conditions where the
ventilator’s performance limits are exceeded:
• The ventilator settings (BPM, I:E, TV) require a flow greater than 100
Ipm or less than 1.5 Ipm.
• Mode switch setting is indeterminate.
• The internal feedback systems cannot accurately provide what is set.
• On occasions when extreme control settings are used, a difficult

combination of patient compliance and resistance may cause the
ventilator to exceed its specification as the feedback systems attempt
to compensate, but do not quite reach what is set.
2.21.2.5 Sustained Pressure Alarm

Activated if the patient breathing system pressure does not go through a pre-
set absolute pressure change as a breath is delivered. Two failed breaths
activate the alarm; two good breaths clear it. The pressure changes must be
in a positive and negative direction for each breath, and therefore the alarm
will be activated if there is a build-up of pressure.
Less than 5 cm H2O (adult) or 3 cm H2O (pediatric) change in pressure per
breath.
2.21.3 Power Fail and Battery Low Alarms

These alarms are indicated by a change in color of the LED
adjacent to the display. Under normal conditions the LED will be
GREEN.
A few seconds after mains failure occurs, the Power Fail indicator is
illuminated. If the condition persists for more than one minute, the alarm is
activated and the LED remains illuminated RED.
To conserve power, the display is switched off while the Power Fail alarm is
activated. To restore power to display press a key or turn trak wheel.
The ventilator continues to function normally, powered by its internal battery
for a minimum of 30 minutes.
When the internal battery is nearly exhausted and has less than 15 minutes
of running capacity left, the Battery Low alarm is activated and the Battery
Low indicator is illuminated AMBER.

This is an estimated time and should not be relied on.
When mains power is restored, the Battery Low indicator may remain lit for a
few minutes as the battery recharges.
If the Battery Low indicator illuminates without a mains failure, there may be a
battery or charging fault. The ventilator will then have no battery backup and
must not be used until the fault has been repaired.
2.21.4 No Charge
Mains supply ON, battery not charging.
2.21.5 Comms Fail

Internal communications error between control and monitoring systems.
2.21.6 PEEP Alarm

Activated if the measured PEEP is more than 25% above the set value, or
above 5cm H2O if PEEP is not set.
2.21.7 Under Pressure Alarm (PCV mode only)

Activated when the peak pressure is less than 80% of the set pressure and
greater than the lower pressure limit.
2.21.8 Sensor Error

Activated when pressures measured from the airway flow sensor do not
correspond to readings measured on the drive pressure sensor. Generally
caused by disconnected or blocked spirometry tubing.
2.21.9 Sensor Not Detected

Activated if 30 seconds after bag/vent switch has been set to vent no
significant flow has been detected in either positive or negative direction.
2.21.10 PAW <-10 cmH2O

Activated if the patient pressure is lower than –10 cmH2O (sub-atmospheric).

2.22 User Defined Alarms
2.22.1 Pressure High Alarm
In pressure control mode the high pressure alarm is 25% above set pressure.
In Volume Control mode, SIMV and Pressure Support modes the pressure
high alarm limit is set via pressure limit setting on main screen. It will be
activated if one of the following occurs:
• The patient breathing system pressure rises significantly above that

set limit.
• The patient breathing system pressure has not fallen after a
pressure-terminated breath has cycled into expiration.
• Pressure cycling occurs in adult ventilation mode.
Due to the connection with the pressure limit control, it is

possible with some patients that the alarm may occasionally be
activated when pressure limiting at low pressures in pediatric
mode.
The alarm is automatically cleared when the pressure falls.
2.22.2 Pressure Low Alarm

The alarm is automatically cleared on the second breath that exceeds the
alarm limit, if within 20 seconds. The pressure low alarm is activated if the
pressure falls below the set PEEP + 4cmH2O for more than 20 secs.
2.22.3 MV High Alarm

Range 2 Ipm to 25 Ipm adult mode.
Range 1 lpm to 25 lpm ped mode.
Activated when the monitored expired volume exceeds the set limit. When
the expired volume falls below the alarm limit, the alarm immediately clears.
2.22.4 MV Low Alarm

Range 0 Ipm to 24 adult mode.
Range 0 lpm to 24 lpm ped mode.
Activated when the monitored expired volume falls below the set limit.

2.22.5 High BPM Alarm

Range 1 BPM to 99 BPM
Activated when the monitored BPM exceeds the set level.
2.22.6 Low BPM Alarm

Range 0 BPM to 98 BPM
Activated when the monitored BPM falls below the set level.
2.22.7 High Oxygen Alarm

Range 19 % to 110 %
Activated when the monitored oxygen level rises above the set level.
2.22.8 Low Oxygen Alarm

Range 18 % to 109 %
Activated when the monitored oxygen level falls below the set level.
2.22.9 Fresh Gas Too High

Activated in two ways:
1) during compliance compensation if fresh gas goes above basal flow.
2) during Ventilation if fresh gas is more than 65% of required tidal volume.
2.22.10 Press. Limit

Activated when measured airway pressure is higher than the pressure limit
control.

2.2.23 Auto Alarms

The user can choose to automatically set the alarm parameters at any time
while the ventilator is running.
This is done by highlighting the AUTO SET once ‘off’ is displayed.
AUTO SET
The ventilator requires parameters to stabilize, before the alarms
can be set.
The set values are ± 25% of the current monitored value. Except AUTO SET
in the following cases:- OFF
• pressure where the minimum value is always 4 cm H2O.

AUTO SET
• oxygen where minimum value is 18%. SET
If the user changes any of the user selectable parameters or

changes mode the set alarms will be cancelled and returned to
the values set previous to turning them on. When this occurs
the ventilator will beep and a message displayed on screen.
If the user goes into the Set Alarms Menu whilst the auto alarms
are set the previous values set will be restored without warning.
The user can restore the previous set of alarm limits at any
time by either selecting Off in the auto box, or going into the
Alarm Limits Menu and making no changes.

2.24 The Alarms Setup Menu

2.24.1 Setting Alarms
From the Alarms Setup Menu, high and low alarms appropriate to the mode
of operation and the particular patient can be set.
High and low alarms are linked intelligently so that a low alarm
value greater than a high alarm value cannot be set.
1. Press Alarm Setup Menu.

2. Select Alarm Limits
3. Turn the Trak Wheel to highlight and select the desired alarm, then press
the Trak Wheel.
Only those alarms that are relevant to the current operating

mode are displayed.
4. Alarm levels can be set by turning the Trak Wheel clockwise (increase) or
anti-clockwise (decrease).
5. When the required value is displayed, press the Trak Wheel to set the
parameter.
6. Select Return to close the screen and return to the alarm options.

2.24.2 Alarm Mute

Alarms can be muted for a pre-set time, up to a maximum of 2 minutes, by
pressing Mute.
2.24.2.1 Setting the Alarm Mute Time

1. Press Alarm Menu.
2. The alarm menu opens. Select Mute Time.
The Mute Time Selection menu opens.
3. Select the required mute time in the range

shown.
A cross in the check box next to a menu
item indicates that it is selected.
4. Select Return to close the menu.

2.24.3 Setting the Apnea Time

1. Press Alarm Setup Menu.
2. The Alarm Setup Menu opens. Select

Apnea Time.
The Apnea Time Selection menu opens.
3. Select the required Apnea time in the

range shown using the Trak wheel.
A cross in the check box next to a menu
item indicates that it is selected.
4. Select Return to close the menu.

2.25 The Defaults Menu

From the Defaults menu it is possible to:
• save the current settings so that they can be re-used later;
• set hospital defaults;
• select previously stored settings
• change setting names;
• change the basic setup of the ventilator;
The first three items can be stored in Adult or Pediatric mode.

Ensure that the Patient Selection Switch is in the required
position before selecting these items.
Note: Certain options are password protected. Contact the

distributor for further information.
2.25.1 Change Names
A user name must be set before any settings can be saved.
1. Press Defaults Menu. The Defaults Menu opens.

2. Select Change Names. The Change Names menu opens.
3. Select one of the names displayed using the Trak Wheel. The first
character of the name is displayed in Red when the Track wheel is
pressed.
4. Turn the Trak Wheel clockwise to move through the alphabet from A to Z
and then through the numbers 1 to 0. To insert a space, use the under-
score character ( _ ).
5. Press the Trak Wheel when the desired character is displayed to enter the
character and move the cursor on to the next letter.
6. Repeat steps 3 and 4 until the name is complete. A total of 10 characters
must be entered - even if there are spaces. Pressing the Trak wheel at the
10th character will cause the name to be saved.
7. Press Default Menu again to save the name and exit the menu.

2.25.2 Save Hospital Defaults

This menu option allows the change of default start up settings from the
factory set ones and is password protected. Contact the distributor for further
details.
1. Press Defaults Menu. The Default

Menu opens.
2. Select 'Save Hospital Defaults'.
3. Enter the password one letter at a

time using the Trak Wheel.
4. Press the Trak Wheel to store the ventilator's current settings as the start
up settings.
2.25.3 Saving and Recalling Settings

The configuration of the ventilator can be saved and recalled. This includes
all user-settable features, alarm limits etc.
Two totally different sets of parameters can be set up - one for

Adult and one for Pediatric.
WARNING: When recalling previously saved settings the user

should always ensure that settings and alarm limits are clinically
appropriate for use.

2.25.4 Save Current Settings

1. Press Default Menu.
2. The Default Menu opens. Using the Trak
Wheel, select Save Current Settings?
3. The Save As menu opens. Select a name
from the menu.
4. Press the Trak Wheel to initiate the save. A message will be displayed
played stating the setting (Adult or Ped), and the saved name.
5. Select Return to close the Save As menu.
2.25.5 Recall Previous Settings

2. The Default Menu opens. Using the Trak Wheel, select Recall Settings?
3. The Recall Settings menu opens. Select a name from the menu using the
Trak Wheel
4. Press the Trak Wheel to initiate recalling parameters. A message will be

displayed stating the mode (Adult or Ped), and the recalled name.
5. Select Return to close the Save As menu.
2.25.6 Changing/Entering New Password

2. Press Save Hospital Defaults.
3. Tick ‘change password ‘and enter old password and confirm.
4. New screen will ask you to add ‘new password’ and ‘repeat new
password’ then confirm.
5. New password is saved.

2.25.7 Configuration
By selecting the Configuration option, the following menu is displayed:
2.25.8 Set Up
The Set up menu allows the user to:
• calibrate the fresh gas sensor
• enable absorber switching
Please Note: These options are password protected. Contact

the supplier for further information.

2. Select configuration.
3. Select Service Mode.
4. Enter the password supplied by the distributor.

2.25.9 Fresh Gas Calibration
The CGO of the trolley must be open to atmosphere for the

calibration to be accurate.
1. Put the ventilator into Standby.
2. Enter the Setup Menu and choose Configuration and then Service Mode.
In order to continue, the password will need to be obtained from Blease.
This is a multi point calibration.
3. Disconnect the gas supply and turn off cylinders to ensure that there is no
gas flow when zero is set. Having set zero reconnect the gas supply and
turn on the cylinders, you will be prompted for each required flow, after
each flow has been set there will be an audible beep to confirm.
The calibration can be aborted at any time - doing so will cause the last set
of saved calibration values to be used. If the user inadvertently sets the
same flow for two readings, the calibration will automatically be aborted.
2.25.10 Sigh Setting
1. Enter the Setup Menu and choose Configuration and then Service Mode.
In order to continue, the password will need to be obtained from

Blease.
2. Select Sigh setting.

3. The volume of the sigh breath can be set to the volume plus 5% - 60% of
the set volume in increments of 5%. (Default settings are 1-10 and 10%).
4. The frequency can be set to between 1 in 10 breaths to 1 in 100 breaths.
2.25.11 Absorber Setting

1. Having pressed the Setup button and chosen Configuration, select
Absorber Setting from the menu.
2. If Bag/Vent switch detection is provided, select Absorber Fitted from the
options otherwise, leave it unchecked.
2.25.12 System Information

This menu shows important details regarding the ventilator for reference
purposes.

Notes

3. Installation
Cautions
An explosion hazard could occur if this equipment is used with

flammable anesthetic agents such as ether or cyclopropane. To
avoid the risk of explosion, use this equipment only with
anesthetic agents that comply with the requirements on non-
flammable anesthetic agents in the IEC standard 'Particular
Requirements for the Safety of Anesthetic Machines'.
Use of a driving gas other than oxygen or MED AIR may damage
the ventilator and will cause inaccurate operation, resulting in
potential injury to the patient. Do not use any other driving gas.
The performance of this equipment may be adversely affected by
extremes of temperature. The equipment should not be used if
the ambient temperature is below 10oC (50oF) or above 40oC
(104oF).
The use of antistatic or electrically conductive breathing tubes
and high frequency electric surgery equipment may cause burns
and is therefore not recommended in any application of this
machine. The ventilator is not suitable for use with flammable
anesthetic agents such as ether and cyclopropane and therefore
the use of antistatic breathing tubes and face masks is in any
case unnecessary.
This equipment may be damaged if the gas supply pressure is

too high. The ventilator must only be connected to gas pipeline
supply lines that are fitted with pressure relief valves that limit
the supply pressure to less than 7 bar.
The ventilator may be adversely affected by the operation of

equipment such as high frequency surgical (diathermy)
equipment, defibrillators or short-wave therapy equipment in the
vicinity.

Cautions Cont.
To preserve battery life, never store the ventilator with its battery
discharged. Do not store or use the ventilator in close proximity
to heat sources of any kind.
In the event of a mains electrical power failure when the ventilator

is running from its internal battery, do not remove the mains plug
from the mains supply as this would prevent the immediate
resumption of normal operation when the mains power is
restored.
Excessive electronic noise caused by poorly regulated devices

may interfere with the proper functioning of the ventilator. To
avoid this, do not connect the ventilator to the same mains
supply outlet as electrically noisy equipment such as
electrocautery units. Do not use a mains extension lead to
connect the ventilator to the mains electrical supply.
The driving gas is discharged through the port on the rear panel
of the ventilator. This port must be completely free of any
obstruction and should have nothing connected to it. The
exhaust gas is oxygen or MED AIR and does not contaminate the
environment.
A negative or positive pressure applied to the EXHAUST port of

the bellows assembly results in positive pressure in the patient
breathing system. The scavenging system must therefore not
generate more than 5 cm H2O positive or negative pressure when
connected to the
ventilator. The use of an AGSS to EN 740 1999 is recommended.
Do not connect a PEEP valve to the EXHAUST port of the bellows
base. This will increase the pressure inside the bellows and
cause it to detach from the base, resulting in a serious
malfunction. Any problem arising from an improperly functioning
scavenging system is solely the responsibility of the user.

3.1 Pre-Use Checks
Prior to connecting the ventilator to a patient, the unit must be

run to verify that it is functioning correctly. Before using the
ventilator, check that all connections are correct and that there
are no leaks.
1. Switch on the mains power supply.
2. Check that the audible alarm sounds at switch on.
3. Select and carry out the procedure for pre-use tests.
This will perform the compliance test and leak test the system.
4. Follow the on screen instructions.

Other alarms may also be activated ie. the sustained pressure.
CAUTION: Injury to the patient may result if a faulty ventilator is

used. If there is any malfunction, do not use the ventilator.
Refer to Troubleshooting for help. If the malfunction cannot be
rectified, call an authorized technical engineer or return the
ventilator to the supplier.
CAUTION: If an alarm condition is ignored, injury to the patient

may result. Always check the alarms before connecting the
ventilator to a patient. If the audible alarm or the visual
indicator of any alarm function fails to activate during an alarm
condition, or fails to reset after the alarm has been cleared, the
ventilator must not be used. Contact an authorized technical
engineer.

3.2 Discharged Battery

If the internal battery is fully discharged, the power failure alarm will not
function. Charging the battery for 2 hours from a discharged state will allow a
minimum of 2 minutes of continuous audible alarm. The audible alarm should
be verified before returning the unit to service.
A fully charged battery (8 hours) in serviceable condition will allow the
ventilator to run for a minimum of 30 minutes.
CAUTION: To preserve battery life, never store the ventilator

with its battery discharged. Do not store or use the ventilator in
close proximity to heat sources of any kind.

Exchanging Bellows Units
Figure 5 Exchanging Bellows Units

A Adult Bellows Cover
B Adult Bellows

3.3 Installing the Adult Bellows

1. Remove the bellows housing by twisting it slightly anti-clockwise until the
bayonet tabs are free, then lift it from the base.
2. Mount the adult bellows.
3. Push the adult bellows housing down over the bellows, then twist it slightly
clockwise to engage the bayonet tabs.
WARNING: At pressures above 10 cm H2O differential positive

pressure, the bellows may be dislodged from the mounting
ring, resulting in a dangerous malfunction of the ventilator. Do
not exceed the stated pressure.

3.4 Pre-use Test

3.4.1 Fresh Gas
Fresh gas (FG) flow adds to the delivered Tidal Volume (TV) during the
inspiratory period. To compensate, the delivered volume must be reduced.
The formula for this reduction is:
Effective TV = TV - (( FG Flow Rate/60) x Insp Time (sec))
For example:
Let FG flow = 5 LPM, TV = 600 ml, frequency = 10 BPM, I:E = 1:2.0
5000 x 2 seconds = 166 ml
60
The new effective TV is:

600 - 166 = 434 ml
3.4.2 Compliance
Compression of gas in the dead space within the breathing system reduces
the tidal volume delivered to the patient. In an ideal ventilator, the Set TV
would be the volume of gas that is delivered to the patient's lungs. This
cannot be achieved because the anatomy of the patient is unknown.
However, the Set TV can be accurately delivered from the catheter mount,
thus reducing Set TV errors to a minimum.
To calculate the effect of breathing system compliance on the delivered TV it
is necessary to measure the capacity or compliance (Cs) of the system. This
can only be done as part of a pre-use check procedure.
1. Switch the unit ON. The compliance menu will be displayed.
The patient airway flow sensor head

must be in the patient circuit in order
to carry out compliance
compensation.
2. You will be offered this screen.
3. Select Yes to Compliance Compensation
and follow the instructions on screen.

The ventilator delivers a breath of known volume to the breathing circuit,

records the pressure (cm H2O) achieved and verifies that a leak is not
present.
3. The dead space is calculated as follows:

Volume in ml = dead space compliance Cs
Pressure
This value is retained in memory until the ventilator is switched off or
retested.
4. When the ventilator is set to use on a patient and when the ventilation is
stable, the total compliance of system and patient Ct is measured. The TV
can then be increased to compensate for the volume lost due to
compression within the breathing system. The increase in tidal volume is
calculated by the formula:
Set TV x (1 + Cs ) = new TV
Ct - C
For example:
A system test measurement at a TV of 200 ml gave a pressure rise of 25
cm H2O.
Cs = 200 ml =8
25 cm H2O
Running the ventilator on a patient with a set 500 ml TV gave a peak
pressure of 20 cm H2O.
Ct = 500 ml = 25
20 cm H2O
To calculate the increase in TV:
500 x (1 + 8 ) = 735 ml
25 - 8
Thus the 735 ml is the actual ventilator output into the breathing circuit to give
500 ml at the catheter mount. The value must be recalculated every time
volume controlled ventilation starts.

4. Routine User Maintenance

WARNING: Lethal voltages are present within this equipment when
it is connected to the mains electrical supply. Do not remove any of
the ventilator covers or panels. Refer all repairs and servicing to an
authorized technical engineer.
4.1 Weekly Checks

4.1.1 Control Unit
1. Connect the mains electrical power and turn the ventilator ON.
2. Disconnect the mains supply and check that the MAINS FAIL alarm
activates.
3. Reconnect the mains electrical power and check that the alarm resets.
4. Turn the ventilator on.
5. Disconnect the O2 and MED AIR hose and turn off the O2 cylinder. The
SUPP GAS LOW alarm should activate.
WARNING: Injury to the patient may result if a faulty ventilator

is used. If there is any malfunction, do not use the ventilator.
Refer to Troubleshooting for help. If the malfunction cannot be
rectified, call an authorized technical engineer or return the
ventilator to the supplier.
4.2 Six-Monthly Checks

4.2.1 Bellows
Each time the bellows assemblies are opened for cleaning, all visible parts
should be inspected carefully and damaged components replaced. The
bellows material deteriorates with age and use, and should be examined and
replaced, if necessary, every six months.

4.3 Other Maintenance

Occasionally, maintenance may be required on items that are not covered by
periodic routine maintenance tasks.
It is recommended that annual maintenance checks are performed by a
qualified technical engineer.
4.4 Exchanging Fuses

WARNING: The use of incorrectly rated fuses constitutes a fire
hazard. Replace the two fuses only
with the correct type and rating of
fuse.
1. At the rear of the machine in the bottom left
hand corner is located the mains outlet.
2. There are two small tabs located here.
3. Pull these tabs toward you using finger and

thumb.
4. Fuses are now visible and can be

exchanged.
5. Push compartment back into outlet

6. If the fuse fails a second time contact a
technical engineer.
Figures 6 Exchanging
fuses

4.5 Cleaning and Sterilization
WARNING: Ingress of liquid into the control unit may damage

the unit or result in injury to personnel. Ensure that no liquid
enters the control unit, and always disconnect the unit from the
mains electrical supply before cleaning.
WARNING: Do not clean the LCD Screen with liquid.

Use only a dry, soft, lint-free cloth.
4.5.1 Ventilator Surfaces

Clean the outside surfaces of the ventilator by wiping them with a damp cloth
soaked in a mild detergent solution. Ensure that all residues are removed
after cleaning by wiping with a dry, lint-free cloth. Never use abrasive
cleaning material, particularly on the screen.
The ventilator surfaces are not scratch-resistant. Do not use

abrasive cleaning agents otherwise damage to the surfaces will
result.
4.5.2 Pop-off Valve Seat

1. Remove the bellows housing and bellows.
2. Loosen the black thumbscrews and remove the pop-off valve.
3. Clean the valve seat carefully using a soft, lint-free cloth.
4. There is an O-ring located in the bellows base, (see opposite) which
provides a seal with the pop-off valve. After cleaning, check that the O-
ring is in place, as the ventilator cannot function correctly without it.
If the valve seat is damaged, the pop-off valve will leak and may
cause serious malfunction. Take care not to damage the
precision-molded surface of the valve seat while cleaning.
Never use a hard object or abrasive detergent. Use only a soft,
lint-free cloth.

G
D
Figure 7 Removing the Pop-off Valve

A Cover E Bellows Base
B Bellows F Fixing Screws
C Pop-off valve G O-ring
D Valve seat

4.5.3 Patient Airway Flow Sensor

The flow sensor can be hand or machine washed and disinfected with a
suitable disinfectant. Steam autoclaving must not exceed 134oC. The sensor
can be sterilized with ethylene oxide.
To clean the flow sensor, pour distilled water slowly and gently into the outlet
port. Water must not be directed into this port under pressure.
Chemical decontaminants or liquid sterilization agents will

damage the sensor and must NOT be used for cleaning or
sterilizing. If autoclaving the sensor, the autoclave must only be
used with distilled water.
Blanking cap on patient flow sensor is NOT autoclavable.
4.5.4 Bellows
Only the bellows base and the parts inside the bellows require
sterilization.
To avoid damage to the equipment:

Peak sterilization temperature must not exceed 134ºC.
Do not sterilize the control unit.
Gas sterilization should be followed by quarantine in a well-
ventilated area to allow dissipation of residual absorbed gas.
Follow the sterilization agent manufacturer's instructions.
The expiratory valve must be disassembled prior to autoclaving
to prevent the occurrence of clamping stresses.
1. Pull absorber forward to disconnect the bellows base.

2. Loosen the two thumb screws retaining the bellows base and remove the
bellows base and housing from the control unit.
3. Remove the pop-off valve and pediatric bellows adapter (if fitted) and
clean and sterilize them separately.
4. Perform sterilization as specified in the table opposite.

4.6 Methods of Sterilization
ITEM METHOD
Bellows* Gas1, liquid2, autoclave3
O-ring Gas1, liquid2, autoclave3
Bellows housing* Gas1, liquid2, autoclave3
Bellows base* Gas1, liquid2, autoclave3
Pop-off valve Gas1, liquid2 autoclave3
Pop-off diaphragm Gas1, liquid2 autoclave3
Control unit Do not sterilize
Patient Airway Flow sensor Gas1, autoclave 134o C max

N.B. The white plastic blank is not
Autoclavable.
Notes:
1. Ethylene oxide, 54°C max.
2. Eg. Cidex, Sporicidin, Sonacide.
3. Steam autoclave, 134°C max.
The autoclavable bellows base has a 30mm/1.2” diameter

exhaust port, the canister is smokey grey with ribs around it
and there are four large lugs. The rubber bellows has a plastic
coated metal top plate. Older type canisters are clear with only
two lugs. Old style bellows have a solid plastic top plate.

Notes

5. Troubleshooting
The table below describes faults, their probable causes and recommended
corrective actions. If a fault persists, do not use the ventilator. Contact your
Blease service representative.
FAULT CAUSE ACTION
MAINS FAIL Power cable not connected. Connect power cable.

alarm activated
Defective mains supply. Check supply.
when
ventilator Blown Fuse(s). Exchange fuses.
switched on.
Bellows cannot Breathing system hose Check hose. Exchange if
be filled, or disconnected or leaking. damaged.
collapses. Broken bellows base. Exchange bellows base.
Defective or detached Check bellows. Exchange if
bellows. damaged.
Damaged pop-off valve. Exchange pop-off valve.
Missing or defective O-ring. Fit or exchange O-ring.
Check patient connections
Bellows Breathing system leak. Exchange hose.

progressively Open or defective pop-off Exchange pop-off valve.
deflates valve.
despite normal Damaged pop-off valve seat. Exchange pop-off valve seat.
fresh gas flow. Damaged bellows base O-
ring. Exchange O-ring.
Damaged bellows base.
Exchange bellows base.
Check patient connections.
Tidal volume Missing pop-off valve seat Fit O-ring.
incorrect or O-ring.
inconsistent. Partially detached or Check bellows. Change if
defective bellows. damaged.
Damaged pop-off valve disc Exchange pop-off valve disc
or seat. or seat.

FAULT CAUSE ACTION
Irregular rate when Defective mains Change mains supply

supply outlet. outlet.
electro-cautery is
used.
Defective eletro-cautery. Check and repair
electro-cautery.
PRESSURE LOW Disconnected or kinked Reconnect tube or
alarm activated but pressure pick-up tubing. remove kink.
ventilation normal.
Exchange tube if
damaged.
Tidal volume not Pressure limit set too low. Change pressure limit.
delivered and
PRESSURE Obstructions in breathing Remove obstructions.
CYCLING alarm system or bellows drive
activated. gas.
SUPP GAS LOW Incorrect drive gas supply Check drive gas supply
alarm blinks on pressure. pressure.
each breath.
Kinked or obstructed Reconnect hose or
drive gas supply hose. remove kink.
Exchange hose if
damaged.
Unwanted PEEP Defective or poorly Adjust or exchange
and overfull regulated scavenging scavenging system.
bellows. system.
Partially obstructed Remove the obstruction.

exhaust.
High Gas Flow

BATT LOW alarm Defective or discharged Charge battery.
activated. battery.
Exchange if defective.

6. Appendices
6.1 Performance Data
CONTROL/PARAMETER RANGE/VALUE
Input power 90 – 265 VAC
Frequency 50/60 Hz
Current 500 mA max.
Power consumption 50 VA
Input supply gas 40 psig to 101 psig at 120 lpm
Adult bellows size 1600 ml
Adult minute volume 0.3 lpm to 25 lpm
Adult tidal volume 20 ml to 1500 ml
Pediatric minute volume 0.3 lpm to 25 lpm
Pediatric tidal volume 20 ml to 1500 ml
Rate 2 bpm to 99 bpm
I:E ratio 2.0:1 to 1:5.0
Pressure limit control:

Adult 10 cm H2O to 70 cm H2O
Pediatric 10 cm H2O to 50 cm H2O
Maximum working pressure range 5 cm H2O to 70 cm H2O
Altitude (self-compensating) 0 to 3,000 m
Compliance (see note) Calibrated as maximum % of set volume

Adult
PEEP 3 cm H2O to 20 cm H2O

6.1.1 Notes on Performance Data

Both adult and pediatric compliance are increased by approximately 0.6 ml/
cm H2O when the ventilator bellows is separated from the control unit by 1.5
m of 22 mm tubing.
6.1.1 .1 Dimensions
Height 185 mm/7.2”
Width 310 mm/12.2”
Depth 310 mm/12.2” (case)
Weight 10kg/22.0lbs

6.1.2 Factory Default Settings

The tables below show the default settings at start-up.
These are default settings and can be changed to suit by going to the
defaults menu.
VOL RATE PRESSURE MINUTE PRESS

(ML) (BPM) I:E LIMIT VOL ALARM ALARM
(cm H2O) LO / HI LO / HI
ADULT 500 12 1:2.0 50 1/25 4/50
PED 150 15 1:2.0 50 1/25 4/50
6.1.2.1 Volume Control Defaults at Startup
VENT PRESS PRESS

(cm H2O) RATE ALARM MINUTE
LO /HI
BPM VOL
ALARM
LO/HI
ADULT 15 12 4/18 1/25
PED 15 15 4/18 1/25
6.1.2.2 Pressure Control Ventilation Defaults at Startup
RATE MINUTE PRESSUR

ALARM VOL E ALARM Trigger Support Pressure
LO / HI ALARM LO / HI Limit
LO / HI
ADUL 2/99 1/25 4/50 5 10 50

T
PED 2/99 1/25 4/50 5 10 15

6.1.2.3 SIMV + PSV Defaults at Startup

SUPPO PRESS RATE MINUTE PRESS
RT LIMIT ALARM VOL ALARM BPM VOLUME PEEP I-TIME
PRESS (cm LO / HI ALARM LO / HI
(cm H2O) LO / HI
H2O)
ADULT 10 50 2/99 1/25 4/50 12 500 OFF 2.0
PED 10 15 2/99 1/25 4/15 15 150 OFF 1.0
6.1.2.4 Fixed Features
COMPLIANCE FRESH PEEP OXYGEN
GAS
VOLUME Meas/Set Meas

CONTROL
PRESSURE Meas/Set Meas

SUPPORT
SIMV + PSV Meas/Set Meas
PRESSURE Meas/Set Meas

CONTROL

6.1.2.5 Mode Dependent Features
SIGH PAUSE PRESSURE PRESSURE BPM VOL/ I:E PRESSURE

SUPPORT SUPPORT
TRIGGER PRESSURE LIMIT
FLOW
VOLUME
CONTROL
Set Meas/set Set Pressure
Limit
PRESSUR
E
ALWAYS ALWAYS Meas Meas Meas Pressure
Limit
SUPPORT
SIMV +
PSV
ALWAYS ALWAYS Meas
/set
Meas/set Meas/
set
Pressure
Limit
PRESSUR
E
Set IFLOW Set Set
CONTROL Pressure

6.2 Associated Equipment and Accessories
Part Number Description
700/900 Ventilator User Manual
10110026 Adult bellows assembly complete PEEP
10110016 Bellows base assembly
83034 Adult bellows only
83035 Adult bellows cover only
80200026 Mains cable UK .5 m
80200027 Cordset connector lock UK
80200028 Mains cable US 2.5 m
80200029 Cordset connector lock US
80300026 T1A Fuse
81027 Corrugated Hose (17 mm/0.6” x 200 mm/7.8”)
ST2101 Corrugated tubing 42” (22 mm)

Associated Equipment and Accessories cont.
1070002 High pressure pipeline 02 NIST to mini Schräder
10700003 High pressure pipeline 02 NIST to mini Schräder UK
81014 High pressure pipeline 02 DISS to DISS US
940603 High pressure pipeline air DISS to UK probe
S10637 Filter - patient pressure internal line
S10638 Luer female to male adapter
S10639 Luer male to male adapter
10110102 AMS patient airway flow sensor tubing assembly

(3m/9.8ft)
10110103 AMS patient airway flow sensor tubing assembly

(6m/19.6ft)
10110017 Pop Off Valve Assembly

6.3 External Communication Specification
6.3.1 Data Transmission Settings

RS232 Setup
Data Bits 8
Stop Bits 1
Parity None
Baud Rate 19200
Hardware handshaking not used.
6.3.2 Protocol
• All messages will be standard ASCII
• All messages from the ventilator will be prefixed with [.
• All messages will be delimited by a ‘\r’
• All messages will be continuously re-transmitted.
• There will be 4 basic message types as listed below. These messages will
be prefixed with the leading character to aid parsing.
Message Function
Set User set value
Measured Monitored measured value
Event Monitor events
Alarm Alarm status and message
6.3.3 Pin Connections
9-way D-socket 9-way D plug

Connections for external Connections for manufacturer’s
data monitoring diagnostics
Pin 1 not connected Pin 1 Reserved for manufacturer’s use.
Pin 2 RXD: data input Pin 2 Reserved for manufacturer’s use.
Pin 3 TXD: data output Pin 3 Reserved for manufacturer’s use.

9-way D-socket 9-way D plug

Connections for external Connections for manufacturer’s
data monitoring diagnostics
Pin 4 reserved Pin 4 Reserved for manufacturer’s use.
Pin 5 GROUND Pin 5 RXD: data input
Pin 7 reserved Pin 7 GROUND
Pin 9 Not connected Pin 9 TXD: data output
6.3.4 Set Messages

[SBxx’\r’ Set breaths/minute. xx = 2 digit bpm value
[SITxxx’\r’ Set inpiratory time(hundredths of secs) xxx = 3 digit time value
[SIFxxx’\r Set inpiratory flow (deciliters/minute) xxx = 3 digit time value
[SVxxx’\r’ Set tidal volume. xxx = 3 digit value in centiliters
[SLxx’\r’ Set pressure limit. xx = 2 digit value in cmH2O
[SRxx’\r’ Set I/E ratio. xx = 2 digit value * 10
[SPExx’\r’ Set PEEP value. xx = 2 digit value in cmH20
[SMON’\r’ Set mute on
[SMOFF’\r’ Set mute off
[SARES’\r’ Alarm reset
[SCCxxx’\r’ Compliance compensation mLiters/cmH2O Set to 0 if no compensation
[SFZON’\r’ Close flow sensor zero valve
[SFZOFF’\r’ Open flow sensor zero valve
[SOFxx'\r' Set Serial Output Format where
xx=00 VueLink Format
xx=01 Standard Blease Output Format
xx=99 Flow Output
[SATOG\r - Standby switch has been toggled

6.3.5 Breathing modes

[SCMV’\r’ Continuous Mandatory Ventilation
[SSIMV’\r’ Synchronized Intermittent Mandatory Ventilation
[SSPONT’\r’ Spontaneous Ventilation (ASB mode)
[SPCV’\r’ Pressure Controlled Ventilation
6.3.6 Breathing control

[SSON’\r’ Set sigh on
[SSOFF’\r’ Set sigh off
[SPxx’\r’ Pause on for % xx of inspired
[SPOFF’\r’ Pause off
[SPTxx’\r’ Set pressure trigger level xx = -cmH2O
[SPSxx’\r’ Set pressure support level xx = cmH2O
6.3.7 Measured Value Messages

[MBxx’\r’ Measured breaths/minute. xx = 2 digit bpm value
[MTVxxx’\r’ Measured tidal volume. xxx = 3 digit value in centiliters
[MMVxxx’r’ Measured minute volume. xxxx = 3 digit value in deciliters
[MPPxxx ’\r’ Measured breath pressure peak xxx=3 digit value in cmH2O*10
[MPMxxx’\r’ Measured breath pressure min. xxx= 3 digit value in cmH20*10
[MOxxxx’\r’ Measured oxygen % concentration xxxx=4 digit value * 0.1%

[MIExx’\r’ Measured I:E ratio xx= 2 digit value *0.1
[MFGxxx’\r’ Measured fresh gas flow xxx=deciliters/minute
6.3.8 Event Message
[ESVxxx’\r’ Sign on software version (xxx implied period x.xx)

6.3.9 Alarm Messages

The alarm status will be sent every 4 sec’s unless an event had occurred
which requires the alarm status to be updated. The string sent will be as
follows:
[MALMxxxxxxxx’\r’ Alarm status xxxxxxxx= 8 digit hex code as
below
BIT ALARM RANGE/SETTING DESCRIPTION
0 Apnea Pre-set. 30 seconds (default). User Defined 15-60 secs.
1 Sustained Pressure Pre-set. less than 5 cm H2O (adult) or 3 cm H2O in

pediatric) change in pressure per breath.
2 Pressure Low User defined. 4 cm H2O to 50 cm H2O.
3 Low Supply Gas Pre-set. 35 ±0.5 psig.

Pressure
4 Setting Error Pre-set. Ventilatory parameter set out of range.
5 Power Fail Pre-set. Mains electrical supply failure
6 Battery Low Pre-set. <15 minutes battery life remaining.
7 No Charge Pre-set. Mains supply ON, battery not charging.
8 Comms fail Pre-set. Internal communications error.
9 Pressure High User defined. 5 cm H2O to 70 cm H2O.
10 MV High User defined. 1 l/m to 25 l/m.
11 MV Low User defined. 0 l/m to 24 l/m.
12 High BPM User defined. 1 BPM to 99 BPM.
13 Low BPM User defined. 0 BPM to 98 BPM.
14 High Oxygen User defined. 19% to 110%.
15 Low Oxygen User defined. 18% to 109%.
16 PEEP Error Pre-set.
17 Under Pressure Pre-set.
18 Vent Inoperative Pre-set. System Failed.
19 Press Limit High User defined
20 Fresh Gas Flow Too High Pre-Set
Fan Fail Pre-Set
ACGO Pre-Set

6.4 Error Codes

Error Error Name Description Error Error Name Description
Code Code
1 E_PIO_PORTA N/A 29 E_ADC_DPRESZER Drive pressure zero

O_LOW is too low
2 E_PIO_PORTB N/A
30 E_ADC_DPRESZER Drive pressure zero
3 E_ADC_VOLSET_UNDER 6x00 only O_HIGH is too high
4 E_ADC_VOLSET_OVER 6x00 only 31 E_ADC_5VANEG The -5V supply is

out of specification
5 E_ADC_BPMSET_UNDER 6x00 only
32 E_ADC_5VA The 5V Analog
6 E_ADC_BPMSET_OVER 6x00 only supply is out of
specification
7 E_ADC_IERATIOSET_UNDER 6x00 only
33 E_ADC_5VMAG 6x00 only
8 E_ADC_IERATIOSET_OVER 6x00 only
34 E_ADC_5VALARM The 5V Alarm
9 E_ADC_PRESLIMSET_UNDER 6x00 only supply is out of
specification
10 E_ADC_PRESLIMSET_OVER 6x00 only
35 E_ADC_5VD The 5V Digital
11 E_ADC_PRESLOLIM_UNDER 6x00 only supply is out of
specification
12 E_ADC_PRESLOLIM_OVER 6x00 only
36 E_ADC_6V The 6V supply is
13 E_ADC_PRESHILIM_UNDER 6x00 only out of specification
14 E_ADC_PRESHILIM_OVER 6x00 only 37 E_TEST_LINK The 8 way test link

header is incorrect
15 E_ADC_COMPOT_UNDER N/A
99 E_MEM_UNPROTE N/A
16 E_ADC_COMPOT_OVER N/A CT
17 E_ADC_DEVLINK_3_5 N/A 100 E_COM0_IBUF_FU N/A

LL
18 E_ADC_DEVLINK_6_8 N/A
101 E_COM0_DEV_ER N/A
19 E_ADC_DEVLINK_9_11 N/A R
20 102 E_COM1_IBUF_FU N/A

E_ADC_FLOWZERO_LOW Flow zero is too low
LL
21 E_ADC_FLOWZERO_HIGH Flow zero is too high
103 E_COM1_DEV_ER N/A
22 E_ADC_INTREF N/A R
23 104 E_PARAM_CHKSU
E_ADC_TEST0 Internal i/o test line 0 failed
M
24 E_ADC_TEST1 Internal i/o test line 1 failed
105 E_PROG_CHKSUM N/A
25 E_ADC_TEST2 Internal i/o test line 2 failed
106 E_RAM_READ_WRI N/A
26 E_ADC_TEST3 Internal i/o test line 3 failed TE
27 E_ADC_PPRESZERO_LOW Patient pressure zero is too

low
28 E_ADC_PPRESZERO_HIGH Patient pressure zero is too

high

7. Notices & Important Information

7.1 Product Improvement
A MS Limited has a policy of continued product improvement and
therefore reserves the right to make changes which may
affect the information contained in the manual without giving prior notice.
7.2 Responsibilities of the User

The 700/900 Series Ventilator conforms with the specifications and operating
procedures described in this manual and on any accompanying notices and
labels only if it has been installed, used and maintained in accordance with
the instructions. The safe function of the ventilator can only be guaranteed if
it is regularly checked and serviced at or in excess of the standards specified
in this manual.
If the ventilator is suspected of being worn, defective or otherwise unfit for

use, it should under no circumstances be used.
Broken, worn, missing or contaminated component must be replaced

immediately; contact the AMS distributor from whom the ventilator was
obtained for further service advice.
7.3 Responsibilities of the Manufacturer

The manufacturer accepts responsibility for the effects on safety, reliability
and performance of the equipment only if:
• assembly operations, extensions, adjustments, modifications and repairs

are carried out by persons with written authorization from the
manufacturer;
• the equipment is used in accordance with the instructions for use;
• the electrical installation of the relevant room complies with the
‘Regulations for the Electrical Equipment of Buildings’.
NB
If during the warranty period the equipment is serviced by an unauthorized
party, the warranty will be void.

7.4 Disclaimer
Opening of the control unit by unauthorized personnel automatically voids all
warranties and specifications. The prevention of tampering is solely the
user's responsibility; the manufacturer assumes no liability for any
malfunction or failure of the ventilator if the control unit is opened.
7.5 Technology Disclaimer / Tamper Proof Seal

Unauthorized removal of or damage to seal will invalidate product warranty
and could affect accuracy and performance of this product.
In the interest of both patient and user safety no unauthorized calibration or
access to technical techniques and practices including calibration information
of this product will be issued.
The technical performance and characteristics of this product belong to
AMS. Under no circumstances will those details be issued to non-AMS
personnel.
Technical data, calibration co-efficients and all intellectual property rights of
this product remain the property of AMS. To ensure correct functioning, the
equipment must be serviced at regular intervals.
7.6 Note to Service Personnel

The 700/900 Series Ventilators and integrated equipment must only be
serviced by Qualified Technical Engineers.
The contents of this manual are not binding. If any significant difference is
found between the product and this manual please contact AMS Limited
for further information.
To ensure correct functioning, the equipment must be serviced at regular
intervals.
AMS Limited recommends that the machine should be
serviced at intervals not exceeding three months. Qualified Technical
Engineers and genuine spare parts should be used for all servicing and
repairs. AMS Limited will not otherwise assume
responsibility for the materials used, the work performed or any possible
consequences of the same.

In communication with AMS Limited, quote the model and serial number
of the equipment, with the approximate date of purchase.
If the equipment is being returned for repair, indicate the nature of the fault or
the work you require to be carried out.
Contact your local dealer:
A MS Limited
Kazim Karabekir Cad. 95/95 iskitler
Ankara-TURKEY
Tel: +90 (0)384 0520
Fax: +90 (0)342 3307
e-mail : ams@ams.com.tr
www.ams.com.tr
7.7 Copyright
©2007, AMS Limited.
All rights reserved. The information contained in this publication may not be
used for any other purpose than that for which it was originally supplied.
This publication may not be reproduced in part or in whole without the written
consent of AMS Limited.
7.8 CE Marking 0120

The product is labeled with the CE mark.

7.9 Trademarks and Acknowledgements

The following trademarks and acknowledgements may appear in
Blease Medical Equipment Manuals.
is the trademark of Abbott
Laboratories.
Da-LitesTM is a trademark of Blease Medical Equipment Limited
UK.
Datum® is a registered trademark of Blease Medical Equipment
Limited UK.
Dowty is a trademark of Dowty Seals Limited.
Draeger is a trademark of Draegerwerk AG Germany.
Dzus is a trademark of Dzus Fasteners Limited.
Fomblin® is a registered trademark of Rocol Limited.
BleaseSirius® is a registered trademark of Blease Medical
Equipment Limited.
Legrand® is registered trademark of Legrand Electric Limited.
Loctite® is a registered trademark of Loctite Corporation USA.
Megger is a trademark of AVO Megger Instruments Ltd.
Plug-in® is a registered trademark of Draegerwerk DAG Germany.
Quik-Fil® is a trademark of Abbott Laboratories.
Rigel is a trademark of Seaward Electronics Ltd.
Scotchbrite® is a registered trademark of 3M.
SELECTATEC® is a registered trademark of Ohmeda/BOC UK Ltd.
Snoop® is a registered trademark of the Nupro® Company Ohio
USA.
Trak Wheel ® is a registered trademark of Blease Medical
Equipment Ltd.

7.10 Hazard Notices

This handbook contains important hazard information. You must read
this hazard information before using the AMS 700/900 Series
Ventilators.
Warning Notices
Warning notices denote a potential hazard to the health and

safety of users and/or patients. These notices clearly state the
nature of the respective hazard and the means by which it can
be avoided.
Warning notices appear in full in the preliminary pages and are

repeated at their points of application in the manual.
Caution Notices
Cautionary notices denote a potential hazard to the physical

integrity of equipment/software but NOT a danger to personnel.
These notices clearly state the nature of the hazard and the
means by which it can be avoided.
Relevant or helpful

7.10.1 Electrostatic Sensitive Devices (ESD)

Warnings and Cautions
• All ESD must be stored in approved conductive packaging, tubes,

shipping bags, foam or tote bins.
• All persons handling ESD must be properly grounded via a 1MW
resistive grounded wrist strap.
• Cover all ESD bench tops with grounded conductive mats and connect
all work surfaces and equipment to earth ground.
• Transport all assemblies containing ESD in a conductive bag or
container.
• DO NOT use cellophane adhesive tape to wrap DIP (dual in-line
package) tubes together.
• DO NOT handle ESD by their pins or mix them with other routine
electronic parts.
• Never place ESD on ungrounded surfaces or leave them unattended in
an open area.
• Avoid cellophane wrappers, synthetic (non-conductive) carpeting,
warm or cool air blasts, Styrofoam coffee cups, etc when working with
ESD.
• Use only properly designed heat lamps, heat chambers and/or

‘antistatic’ quick-chill sprays during troubleshooting or stress testing
procedures.
NB
In particular electronic assemblies in the AMS range of
machines are easily damaged by ESD and require special
handling.

7.10.2 Ventilator Warnings

• The volume sensor must be correctly installed at either the
distal location in the patient system’s expiratory limb or the
proximal end of the Y connector. If the sensor is installed
incorrectly, volume data will be inaccurate and associated
alarms, including the low minute volume alarm will not
function properly.
• Position the volume sensor’s cable with care. If the cable
is pinched or cut, the ventilator’s volume monitoring may
not function correctly.
• Ventilator inoperative messages indicate that a problem
exists in the ventilator. Do not attempt to use the ventilator
while a ventilator message is displayed.
• Do not attempt to use the ventilator if the alarm mute button
will not silence alarms.
WARNING: If an alarm condition cannot be resolved, do not
continue to use the system.
• Sterilize the bellows assembly periodically to minimize the
risk of cross infecting patients. Use a sterilization schedule
that complies with your institution’s infection control and
risk management policy. Only use AMS approved
sterilization methods.
• If any foreign materials or liquids are trapped in the driving
gas circuit, or the pop off valve or the bellows base they
could impair the valve’s operation. Do not use the bellows
assembly if you suspect that materials are trapped. Have
the assembly repaired by Trained Technical Personnel.
• Perform the Pre-Use Check procedures after cleaning and
sterilizing the bellows.
• Always perform the Pre-Use Check procedures for volume
sensing functions after cleaning or replacing the volume
sensor.
• Do not obstruct the drive gas exhaust, this may lead to the
ventilator not functioning correctly.

7.10.3 Hazard Information
Warnings
1. USE OF EQUIPMENT
Incorrect use of the equipment described herein may result in
injury to the patient. Read this manual before operating the
machine. You must be familiar with the machine and its functions
before using it on a patient.
2. SHORT INSPIRATORY TIMES

Short inspiratory times may result in inconsistent breath delivery.
Avoid control combinations which may produce very short
inspiratory times (<150 ms).
3. PRESSURE LIMITING
Pressure limiting is a safety feature and is also used in adult and
pediatric mode to provide ventilation (Pressure Control). It should
not be used for any other purpose, such as creation of micro-
breaths or emulation of specialized high frequency/low volume
ventilation systems, otherwise injury to the patient may result.
4. PATIENT CIRCUIT DISCONNECTION

Patient circuit disconnection is a hazard to the patient. Take
extreme care to prevent such an occurrence.
5. AUDIBLE ALARM
An audible alarm indicates an anomalous condition that may result
in damage to the equipment or injury to the patient. The cause of
each alarm should be investigated and any necessary measures
taken to remove the alarm condition.
6. REDUCED MINUTE VOLUME

If the supply gas pressure is reduced, the patient minute volume
may be reduced and injury to the patient may result. Do not use
the ventilator if the supply pressure cannot be maintained.

7. VENT INOPERATIVE ALARM
The Vent Inoperative Alarm indicates that the ventilator cannot

provide ventilation functions. Under no circumstances should the
ventilator be used on a patient while this alarm is activated.
8. EXPLOSION HAZARD
An explosion hazard exists if this equipment is used with flammable

anesthetic agents such as ether or cyclopropane. To avoid the risk
of explosion, use this equipment only with anesthetic agents that
comply with the requirements on non-flammable anesthetic agents
in the IEC standard ‘Particular Requirements for the Safety of
Anesthetic Machines’.
9. DRIVING GAS
Use of a driving gas other than oxygen or MED AIR may damage the
ventilator and will cause inaccurate operation, resulting in potential
injury to the patient. Do not use any other driving gas.
10. OPERATING TEMPERATURE

The performance of this equipment may be adversely affected by
extremes of temperature. The equipment should not be used if the
ambient temperature is below 10oC (50oF) or above 40oC (104oF).
11. ANTI-STATIC OR ELECTRICALLY CONDUCTIVE BREATHING

TUBES
The use of anti-static or electrically conductive breathing tubes and
high frequency electric surgery equipment may cause burns and is
therefore not recommended in any application of this machine. The
ventilator is not suitable for use with flammable anesthetic agents
such as ether and cyclopropane and therefore the use of anti-static
breathing tubes and face masks is in any case unnecessary.
12. VENTILATOR MALFUNCTION

Injury to the patient may result if a faulty ventilator is used. If there is
any malfunction, do not use the ventilator.
Refer to Section 5 Troubleshooting for help. If the malfunction
cannot be rectified, call an authorized technical engineer or return
the ventilator to the supplier.

13. ALARM OPERATION

If an alarm condition is ignored, injury to the patient may result.
Always check the alarms before connecting the ventilator to a
patient. If the audible alarm or the visual indicator of any alarm
function fails to activate during an alarm condition, or fails to
reset after the alarm has been cleared, the ventilator must not be
used. Contact an Authorized Technical Engineer.
14. ALARM SETTING
Alarms should not be set to extreme values that can cause the
alarm system to not warn correctly.
15. BELLOWS PRESSURE

At pressures above 10 cm H2O differential positive pressure, the
bellows may be dislodged from the mounting ring, resulting in a
dangerous malfunction of the ventilator. Do not exceed the stated
pressure.
16. ELECTRIC SHOCK HAZARD

Lethal voltages are present within this equipment when it is
connected to the mains electrical supply. Do not remove any of
the ventilator covers or panels. Refer all repairs and servicing to
an Authorized Technical Engineer
17. FUSES FIRE HAZARD

The use of incorrectly rated fuses constitutes a fire hazard.
Replace the two fuses only with the correct type and rating of
fuse.
18. LIQUID INGRESS

Ingress of liquid into the control unit may damage the unit or
result in injury to personnel. Ensure that no liquid enters the
control unit, and always disconnect the unit from the mains
electrical supply before cleaning.
19. SIMV
The SIMV mode uses a flow Trigger to sense the patient attempt
to breath. Therefore SIMV mode will be unable to work with
patient sensor placed at the absorber.

7.10.4 Cautionary Notices
1. GAS SUPPLY PRESSURE

This equipment may be damaged if the gas supply pressure is too
high. The ventilator must only be connected to gas pipeline supply
lines that are fitted with pressure relief valves that limit the supply
pressure to less than 7 bar/101.5psi.
2. HIGH FREQUENCY SURGICAL EQUIPMENT

The ventilator may be adversely affected by the operation of
equipment such as high-frequency surgical (diathermy)
equipment, defibrillators or short-wave therapy equipment in the
vicinity.
3. BATTERY LIFE
To preserve battery life, never store the ventilator with its battery
discharged. Do not store or use the ventilator in close proximity to
heat sources of any kind.
4. POWER FAILURE
In the event of a mains electrical power failure when the ventilator
is running from its internal battery, do not remove the mains plug
from the mains supply as this would prevent the immediate
resumption of normal operation when the mains power is restored.
5. ELECTROMAGNETIC INTERFERENCE
Excessive electronic noise caused by poorly regulated devices
may interfere with the proper functioning of the ventilator. To
avoid this, do not connect the ventilator to the same mains supply
outlet into which an electrocautery unit is connected.
6. EXHAUST GAS
The driving gas is discharged through the port on the rear panel
of the ventilator. This port must be completely free of any
obstruction and should have nothing connected to it. The exhaust
gas is oxygen or MED AIR and does not contaminate the
environment.

7. BELLOWS EXHAUST
A negative or positive pressure applied to the EXHAUST port of

the bellows assembly results in positive pressure in the patient
breathing system. The scavenging system must therefore not
generate more than 5 cm H2O positive or negative pressure when
connected to the ventilator. The use of an AGSS to EN 740:1999 is
recommended. Do not connect a PEEP valve to the EXHAUST port
of the bellows base. This will increase the pressure inside the
bellows and cause it to detach from the base, resulting in a serious
malfunction. Any problem arising from an improperly functioning
scavenging system is solely the responsibility of the user.
8. DAMAGE TO INTERNAL COMPONENTS
Excessive penetration of fixing screws into the ventilator may

damage internal components. Ensure that the screws do not
penetrate more than 7 mm/0.2” into the ventilator.
9. CLEANING AGENTS
The ventilator surfaces are not scratch-resistant. Do not use

abrasive cleaning agents otherwise damage to the surfaces will
result.
Chemical decontaminants or liquid sterilization agents will damage

the sensor and must NOT be used for cleaning or sterilizing. If
autoclaving the patient sensor, the autoclave must only be used
with distilled water.
10. VALVE SEAT
If the bellows valve seat is damaged, the pop-off valve will leak and
may cause serious malfunction. Take care not to damage the
precision-molded surface of the valve seat while cleaning. Never
use a hard object or abrasive detergent. Use only a soft, lint-free
cloth.

Cautions continued.
11. STERILIZATION (bellows)
To avoid damage to the equipment:
Peak sterilization temperature must not exceed 134ºC.
Do not sterilize the control unit.
Gas sterilization should be followed by quarantine in a well-

ventilated area to allow dissipation of residual absorbed gas.
Follow the sterilization agent manufacturer's instructions.
12. CALIBRATION PORT
Improper connection of equipment or any power sources to the

calibration port may permanently damage the ventilator. Only a
qualified technician should connect monitoring equipment to this
port. Such equipment must be AMS-compatible and meet the
regulatory standards of the countries in which the ventilator is
used.
13. FLOW SENSOR TUBING
Check flow sensor tubing regularly for trapped water as it could

affect ventilator readings.

Notes

8. Glossary
Apnea occurs when the patient fails to receive or perform

Apnea a breath during a period of 30 seconds or as set.
Compliance Compensation for back-pressure.
I:E Ratio The ratio of the inspiratory time to the expiratory time.
LCD Liquid Crystal Display.
LED Light Emitting Diode.
MV Minute Volume (expired).

When Pause is activated, a percentage of the inspiratory
Pause time is used as a plateau before starting the expiratory
phase.
Positive End Expiratory Pressure.
PEEP
Pressure Pressure Control Ventilation
Control
Pressure Spontaneous Breathing
Support
PSV Pressure Support ventilation
If selected, the delivered volume is increased by 10% for

Sigh every 10th breath (volume ventilation only).
Synchronized Intermittent Mandatory Ventilation.
SIMV + PSV
Tidal Volume.
TV
Volume Control Controlled Mandatory Ventilation

Index
A Sustained Pressure...............56
Abbreviations...................................9 Under Pressure.....................57
Absorber Setting ..............................69 User Defined.........................58
A.C.G.O...........................................43 Associated Equipment Accessories .94
Activity Display Area ........................24 Appendices......................................89
Adult/Pediatric .................................43
Airway Flow .....................................50
Airway Pressure ..............................50
Alarms .............................................53
Activating & Monitoring .........31
Apnea ....................................55
Auto Alarms ...........................60
Battery Low............................56
Comms Fail ...........................57
Display Area ..........................25
Fresh Gas Too High ..............59
High BPM Alarm ....................59
High Oxygen Alarm ................59
Low BPM Alarm .....................59
Low Oxygen Alarm ................59
Low Supply Gas Pressure......55
Messages ..............................99
Mute ......................................62
Mute time Setting ...................62
MV High Alarm ......................58
MV Low Alarm .......................58
No Charge .............................57
PAW ......................................57
PEEP .....................................57
Power Fail..............................56
Pressure High Alarm ..............58
Pressure Limit ........................59
Pressure Low Alarm...............58
Pre-set ...................................55
Sensor Error ..........................57
Sensor Not Detected..............57
Setting ...................................61
Setting Apnea ........................63
Setting Error ..........................56
Setup .....................................30
Setup Menu ...........................61
Summary ...............................54

Index
B C
Bag ................................................ 38 Calibration Connector...................... 13
Battery ............................................ Cardiac Bypass ............................... 51
Alarm Low ........................... 56 Cautions ....................................71, 111
Backup ................................ 13 CE Marking ..................................... 103
Discharged .......................... 75 Change Names ............................... 64
Status LEDs ........................ 28 Cleaning .......................................... 82
Bellows ........................................... Configuration ................................... 68
Checks ............................... 80 Controls........................................... 12
Exchanging ........................ 76 Control Unit ..................................... 80
Installation .......................... 77 Compliance ..................................... 22,178
BPM................................................ 21 Comms Fail ..................................... 129
Breathing Control ............................ 98 Comp Pressure Monitoring .............. 27
Breathing Modes ............................. 98 Compliance Test Skipped................ 37
Built-In Vent Pre-use Test ............... 12 Copyright ......................................... 103
Current Settings .............................. 67

Index
D E
Data Output ..................................13 End of Case .................................... 31
Data Transmission Settings ..........16 Error Codes..................................... 100
Defaults at Startup ........................
ESD ................................................ 106
Volume Control ............91
Event Message ............................... 98
Pressure Control ..........91
Exchanging Fuses........................... 81
SIMV+PSV...................92
Defaults Menu ..............................30,64 Expired Tidal Volume ...................... 21
Dimensions...................................90 External Comms Spec..................... 96
Disclaimer ....................................102
Dual Mode Ventilation...................12

Index
F H
Factory Default Settings .................. 91 Hazard Notices ............................... 105
Features .......................................... 12 Hospital Defaults ............................. 66
Flow/Volume ................................... 48
Fresh Gas ....................................... 37
Calibration ...................... 68
Compensation ................ 21
Pre-Use Test .................. 78
Front Panel ..................................... 23
Fixed Features ................................ 92

Index
I L
Identify your Ventilator .....................10 Laparoscopy ................................ 49
I:E Ratio ..........................................22 Loops recalling ............................. 47
I:E Setting........................................40
Inspiratory Pause.............................16
Installation .......................................71
Introduction......................................11

Index
M N
Maintenance ....................................80 Normal Screen ............................. 24
Mean Pressure ................................22 Notes on Performance Data ......... 90
Measurements Menu ......................42 Notices ......................................... 101
Measured Value Messages .............98
Menu Tree .......................................29
Microprocessor Control....................12
Minute Volume ................................21
Mode Dependant Features ..............93
Mode Selection Menu ......................51

Index
O P
Operating Modes .............................14 Parameters ..................................... 20,53
Oxygen Calibration ..........................41 Parameter Display Area .................. 25
Oxygen Measurement .....................22 Password Changing/entering New .. 67
Overview .........................................11 Patient Airway Flow Sensor ............ 84
PEEP .............................................. 20
Performance Data ........................... 89
Pin Connections .............................. 96
Pneumatic Assembly ..................... 19
Pneumothorax ................................ 49
Pressure Control ............................. 15
Pressure Limit ................................. 22
Pressure Limit Control..................... 12
Pressure Support ............................ 17
Pressure/Volume ............................ 48
Pre-Use Checks .............................. 73
Pre-use Test—error messages ....... 35
Pre-use—Testing ............................ 32
Pre-use Test– Vents ....................... 78
Principles of Operation .................... 18
Product Improvement ...................... 101
Protocol .......................................... 96

Index
R S
Recalling Loops ...............................47 Saving Settings ............................ 66
Recalling Settings ............................66 Sensor Placement........................ 44
Removing Pop-off Valve ..................83 Service Personnel ........................ 102
Responsibilities of the Manufacturer 101 Set Messages .............................. 97
Responsibilities of the User .............101 Setup ........................................... 68
Run .................................................38 Setup Menu ................................. 29
Sigh ............................................. 17
Sigh Setting ................................. 69
SIMV + PSV ................................ 16
Six Monthly Checks ..................... 80
Spirometry ................................... 13,46
Sterilization .................................. 82
Sterilization Methods .................... 85
Support Pressure ......................... 21
Symbols ....................................... 9
System Information ...................... 69

Index
T U
Tidal Volume 21 User Checking Policy ................... 61
Trademarks .....................................104 User Interface .............................. 23
Trakwheel ........................................26 User Maintenance ........................ 80
Trigger .............................................21
Troubleshooting...............................87
Touchscreen....................................27

Index
V W
Ventilator ....................................... Warnings ......................................107
Powering Up .................... 31 Waveform Select Menu ................46
Powering Down ................ 31 Weekly Checks .............................80
Starting ............................ 31
Stopping ........................... 31
Using .............................. 31
Volume Control ............................... 15
Volume Measurement ..................... 22

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700/900 Series

ECN 1 ECN 2 ECN 3 ECN 4 ECN 5

ECN 6 ECN 7 ECN 8 ECN 9 ECN 10

The user must be familiar with the machine and its

2 700/900 Series Ventilators Operations Manual

700/900 Series Ventilators Operations Manual 3

1.6.2 Normal Screen ................................................................ 24

4 700/900 Series Ventilators Operations Manual

2.18.4 Pneumothorax during Laparoscopy

700/900 Series Ventilators Operations Manual 5

2.25.3 Saving and Recalling Settings ...................................... 66

6 700/900 Series Ventilators Operations Manual

6.3 External Communication Specification ................................................. 96

700/900 Series Ventilators Operations Manual 7

8 700/900 Series Ventilators Operations Manual

Symbols and Abbreviations Used

bpm BPM Breaths per minute

cmH2O Gauge pressure expressed in centimeters of water Pipeline

CPAP Continuous positive airway pressure

PEEP Positive end expiratory pressure Cylinder

I:E Ratio A ratio of inspiratory to expiratory time

IEC symbol to consult the instructions for use Bag

IEC symbol denoting type B applied part Canister unlocked

WARNING: There is danger of personal injury to the Canister locked

Further relevant or helpful information

Power on LATEX Where this sign is shown, latex free

Psi Pounds per square inch

Psig Pounds per square inch gauge

IEC symbol for alternating current

Confers approval under the European Medical Device Directive

This symbol indicates that the waste of electrical and

700/900 Series Ventilators Operations Manual 9

Identify your Ventilator

10 700/900 Series Ventilators Operations Manual

Figure 1 700/900 Series Ventilator

700/900 Series Ventilators Operations Manual 11

1.2.1 Controls and Indicators

1.2.2 Microprocessor Control

1.2.3 Dual Mode Ventilation

1.2.5 Built-in Ventilator Pre-use Test

1.2.6 Comprehensive Pressure Monitoring and

Alarms are activated to guard reliably against disconnection, circuit leakage

12 700/900 Series Ventilators Operations Manual

1.2.8 Battery Back Up

1.2.9 Calibration Connector

1.2.10 Data Output

Improper connection of equipment or any power sources to the

700/900 Series Ventilators Operations Manual 13

1.3 Operating Modes

Some features of the ventilator are only available in certain

There are four ventilation modes; Volume Control, Pressure Control,

WARNING: Short inspiratory times may result in inconsistent

WARNING: Pressure limiting is a safety feature and is also used

14 700/900 Series Ventilators Operations Manual

1.3.1 Volume Control

1.3.2 Pressure Control

Volume Control Mode Pressure Control Mode

Set pressure limit

700/900 Series Ventilators Operations Manual 15

1.3.3 SIMV + PSV

1.3.4 Inspiratory Pause

16 700/900 Series Ventilators Operations Manual

1.3.6 Pressure Support

700/900 Series Ventilators Operations Manual 17

1.4 Principles of Operation

A safety valve is present in the drive pressure exhaust 75 cmH2O. Its

NEEP is not supported by this machine but patient generated