Monnal T60 MM PDF

YM033000 - Ind. 1.
3 - 12/2012
Maintenance manual EN
This maintenace manual is valid for softawre versions higher than or equal to
v1.0.0
www.airliquide.com
www.airliquidemedicalsystems.com
Introduction ...................................................................................................................................................... 3
symbols used in this maintenance manual .................................................................................................. 4
Typography ...................................................................................................................................................... 4
ACRONYMS & ABBREVIATIONS ................................................................................................................... 4
Symbols and markings on the device ........................................................................................................... 5
GENERAL SAFETY INSTRUCTIONS .............................................................................................................. 6
REGULATORY REQUIREMENTS ................................................................................................................. 10
1. description of OPERATION................................................................................................................ 12
1.1. Exterior description ........................................................................................................................ 12
1.1.1. Front view 12
1.1.2. Right-hand side: patient interface 14
1.1.3. Left-hand side: fluid interface 14
1.1.4. View from below 15
1.2. Principle of operation ..................................................................................................................... 16
1.3. Functional description.................................................................................................................... 16
1.3.1. Function flowcharts 16
1.3.2. Electronic sub-system 17
1.3.3. Mechanical sub-system 21
1.3.4. Pneumatic sub-system 26
1.4. Pneumatic operation ....................................................................................................................... 27
1.4.1. – Operation of ventilation 27
1.5. Electrical power sources ................................................................................................................ 30
1.5.1. Power supply management 30
1.6. Description of the pneumatic components .................................................................................. 32
1.6.1. Micro blower unit (T) 32
1.6.2. Mixer unit 33
1.6.3. Expiratory valve 34
1.6.4. Hot wire expiratory flow sensor (FS2) 36
1.6.5. Mass flow sensor (FS1 and FS3) 36
1.6.6. Pressure sensors 37
1.6.7. FiO2 CELL (O2S) 38
1.6.8. Temperature sensor (TS) 39
1.7. Description of circuits .................................................................................................................... 40
1.7.1. Pneumatic circuits 40
1.7.2. Electrical wiring 40
2. Equipment required for maintenance ............................................................................................... 42
3. Access to the maintenance menu ..................................................................................................... 43
4. software update .................................................................................................................................. 44
4.1. Accessing the update screen ........................................................................................................ 44
4.2. Connection....................................................................................................................................... 45
4.3. Preparing the pc 45
4.4. Downloading .................................................................................................................................... 46
4.5. Checking the downloading ............................................................................................................ 49
5. Downloading the black box ............................................................................................................... 50
5.1. Black box downloading procedure via usb key ........................................................................... 50
5.2. Hardware configuration via USB cable ......................................................................................... 50
5.3. Accessing the download screen ................................................................................................... 51
5.4. Black box downloading procedure ............................................................................................... 51
2
6. Downloading the white box ............................................................................................................... 53
6.1. Hardware configuration .................................................................................................................. 53
6.2. Accessing the download screen ................................................................................................... 53
6.3. White box downloading procedure ............................................................................................... 54
7. Annual preventive maintenance........................................................................................................ 56
7.1. Definition .......................................................................................................................................... 56
7.2. Flowchart ......................................................................................................................................... 57
8. Corrective maintenance ..................................................................................................................... 58
8.1. Flowchart ......................................................................................................................................... 58
8.2. Procedure for emergency shutdown ............................................................................................ 59
8.3. Alarm messages .............................................................................................................................. 59
8.4. Diagnostic aid list of alarms .......................................................................................................... 59
9. Disassembly/reassembly procedures .............................................................................................. 74
9.1. Reminders ........................................................................................................................................ 74
9.2. Disassembly .................................................................................................................................... 75
10. Calibration and operating checks ..................................................................................................... 87
10.1. Introduction ..................................................................................................................................... 87
10.2. Checking or replacing parts........................................................................................................... 88
10.3. Functional check of touch screen ................................................................................................. 89
10.4. Functional check of usb port ......................................................................................................... 89
10.5. Sensor calibration ........................................................................................................................... 91
10.6. Ventilation check ............................................................................................................................. 92
10.7. Alarm checks ................................................................................................................................... 94
10.8. Switching off the unit...................................................................................................................... 95
11. CALIBRATION ..................................................................................................................................... 96
11.1. Access to the calibration screen ................................................................................................... 96
11.2. Using the calibration screen .......................................................................................................... 96
11.3. Calibrating the machine ................................................................................................................. 96
11.4. Automatic tests ............................................................................................................................... 97
11.5. Calibration........................................................................................................................................ 99
12. SPARE PARTS AND CONSUMABLES ............................................................................................ 106
12.1. Spare parts..................................................................................................................................... 106
12.2. Consumables ................................................................................................................................. 111
12.3. Tools ............................................................................................................................................... 112
13. Electrical safety checklist ................................................................................................................ 113
14. MONNAL T60 ‘RETURN TO SERVICE' SHEET ............................................................................... 114
3
INTRODUCTION
This document is a maintenance manual, and does not serve as a replacement for the
user manual.
It is a complementary document to the user manual, and is aimed at trained personnel

who are competent and qualified to perform preventive maintenance and /or corrective
maintenance on MONNAL T60 devices.
It contains technical information belonging to Air Liquide Medical Systems, which may
not be divulged except with the company’s prior consent.
YM033000 / Rev. 1.3 / 12-2012 3

SYMBOLS USED IN THIS MAINTENANCE MANUAL
Y Caution
Warns the user of the possibility of minor or serious injury associated with the use, proper
or improper, of the device.
DWarning 
Alerts the user to the possibility of a technical problem or device malfunction occurring,
associated with the use, proper or improper, of the device.
 Note
Emphasises an item of information being given.
TYPOGRAPHY
Font Example Function
Lucida Console Excessive pressure Text taken from screen

Text directing the reader to
another chapter in the manual
Italic See Chapter 3.1
Text referring to the icons
presented above
Emphasises an important point in
Bold, italic Check on patient expiration
a phase
ACRONYMS & ABBREVIATIONS

Abbreviation Meaning
DC Direct Current
SMD Surface-Mount Devices
SV Solenoid Valve
HMI Human-Machine Interface
PV Patient Venting
PEEP Positive End-of-Expiration Pressure
PWM Pulse Width Modulation
TFT Thin Film Transistor
µP Microprocessor
4 YM033000 / Rev. 1.3 / 12-2012

SYMBOLS AND MARKINGS ON THE DEVICE
Manufacturer label Oxygen cell hatch open
Manufacturer Expiratory valve eject button
Compliance with Directive 93/42/EEC

CE0459 High-pressure oxygen inlet fitting
Notified Body 0459.
Catalogue Number of the device Low-pressure oxygen inlet fitting
Serial Number of the device Patient circuit inspiratory connection
Date of manufacture: YYYY-MM Patient circuit expiratory connection
Caution; refer to the instruction manual IRMA CO2 probe connector
This logo means that the equipment

must not be disposed of via ordinary
waste disposal channels. It must
receive appropriate end-of-life
Class II
processing in accordance with
Directive 2002/96/EC WEEE.
This device was manufactured after
13 August 2005.
Type BF device Internal battery operation indicator
Protection Index according to the

EN 60529 standard
3: protection against the penetration of Interchangeable battery operation
IP34
solid bodies of diameter  2.5 mm. indicator
4 : Protection from water splashes in
all directions
Power On button Interchangeable lithium ion battery
DC power supply connector AC or DC power supply indicator
USB connector VGA video output
YM033000 / Rev. 1.3 / 12-2012 5

GENERAL SAFETY INSTRUCTIONS
Use of oxygen
Precautions in case of oxygen leakage:
- Do not smoke
- Avoid flames and sparks
- Disconnect the oxygen source
- Ventilate room during leakage and at least 20 minutes after leakage.
- Ventilate clothes worn.
The machine must not operate in the vicinity of any incandescent source.
This respirator should not be used with inflammable anaesthetic agents or explosive
products.
Do not use the machine with any items contaminated by flammable substances (grease,
oil, etc.).
The components inside the machine were degreased before delivery, or use oxygen-
compatible grease. Do not grease or lubricate any part of the machine.
Only medical-grade oxygen must be used, i.e. it must be dry and dust-free
(H2O < 20 mg/m3).
The supply pressure must be between 280 kPa (2.8 bar) and 600 kPa (6 bar).
We recommend that all oxygen sources be disconnected from the machine when it is not
in use.
Electrical power supply

All electrical installations on the premises must conform to IEC specifications.
Check that the voltage on the mains socket used is a correct match to the electrical
properties of the respirator (shown on the manufacturer plate on the rear).
Use only the power supply cable and power supply box supplied with the machine.
If an external DC power supply is used, check that the voltage and current match the
electrical characteristics of the respirator (indicated on the side of the respirator).
The AC power supply box is not protected from splashing water (IPX0), unlike the
machine, which complies with IPX4 during battery operation.
This respirator is equipped with an internal battery and an interchangeable battery: the
machine must be connected to the mains regularly to maintain adequate battery charge.
In case of doubt concerning the AC power supply cable, use the machine on battery power
only.
Do not use anti-static or electrically conductive tubes.
Electromagnetic Compatibility
The functioning of the respirator may be affected if other equipment is being used in the
vicinity of the device, such as diathermy equipment, high-frequency electro-surgery,
defibrillators, mobile phones or, more generally, by electromagnetic interference exceeding
the levels set under the standard EN 60601-1-2.
Do not use this respirator in a magnetic environment (such as MRI, NMR, etc).
6 YM033000 / Rev. 1.3 / 12-2012

Connection to other electrical devices
Do not connect it electrically to devices not listed in this user manual without first consulting
the manufacturers concerned or a specialist.
The devices connected to the signal inputs and outputs must comply with the 60601-1
Standard, Edition 2 (Article 6.8.2 c).
Commissioning
The device must not be commissioned immediately after storage or transport under
temperature and humidity conditions different from the recommended conditions of use.
After each use, check that the audible and visual alarm is operating properly, and carry out
the checks listed in the appendix (See Section IX.1, ‘Checklist’, in the User Manual).
Use
The manufacturer has anticipated most of the possible instances of malfunction which might
occur on this respirator, and these are normally monitored by the internal surveillance
system; nevertheless, it is recommended that where the patient is totally dependent on the
device, that a supplementary system is provided, wholly independently, to monitor the
effectiveness of the ventilation, as well as an emergency breathing device such as an
appropriate manual insuflator.
If the accessories employed by a user are not in conformity with the manufacturer’s
instructions, then the manufacturer is absolved of all responsibility in the event of an
incident.
Do not expose the device to direct sunlight.
The device and its accessories (masks, circuits, etc.) are latex-free in order to avoid any
allergy risk.
The air inlets at the rear and the side of the device must be clear of any obstruction.
For the device to operate from ambient air, a HEPA filter must be used at the respirator inlet,
as recommended by Air Liquide Medical Systems.
Do not use the respirator in an explosive or nicotine-laden atmosphere (cigarette smoke,
danger, etc.).
Persons intending to operate this respirator must be trained in its use.
Only those who have fully read and understood the user manual are authorised to handle
and use this respirator. This manual was written for the purpose of providing all the
information required to use this respirator, but it cannot replace a medical prescription, which
is essential in order to determine the appropriate settings for the needs of the patient.
Transport
During transport, it is recommended that the device be used in its carrying case. The case
must be firmly secured in the vehicle via the strap loops provided for the purpose.
The device must not be subjected to any brutal impact when not in its carrying case.
Exclusively use the carrying case recommended by Air Liquide Medical Systems.
Maintenance
This respirator should be checked regularly. To plan and keep a record of all maintenance
operations, refer to the maintenance record in Appendix.
According to EN 60601-1 standards (See Appendix A, Section 6.8.2.b):
YM033000 / Rev. 1.3 / 12-2012 7

The manufacturer, the assembler, the installer or the importer shall only consider itself
responsible for the effects on the safety, reliability and characteristics of a device if:
“Assembly, extensions, software updates, adjustments, modifications or repairs have been
carried out by persons whom it has authorised.
The device is used in conformity with the instructions for use.”
The qualified technician must use only Air Liquide Medical Systems replacement parts
during periodic maintenance of the device.
Do not use abrasive powders, alcohol, acetone or any other inflammable solvents.
The device must be disconnected from the AC power supply whenever servicing is being
carried out on it (maintenance operations, cleaning). To avoid any risk of burns, it is
necessary to wait until the internal temperature of the device has fallen to an acceptable
level.
Because the device is used in a hospital environment, it is prone to becoming contaminated
by bacteria, viruses, or other organisms. Before any servicing, it is essential to ensure that
the device has been decontaminated and to apply the personnel protection procedure in
force on the site, as well as the procedure recommended by Air Liquide Medical Systems.
8 YM033000 / Rev. 1.3 / 12-2012

Recommendations for the use of the CO2 measurement probe PHASEIN IRMATM.
 The IRMA mainstream multi-gas probe is intended to be connected to a patient circuit to monitor
inspired/expired gases on adult or paediatric patients in intensive care, anaesthesia, and emergency
treatment applications.
 The probe must not be the only patient monitoring device. It must always be used with other devices
that monitor vital signs and/or in addition to medical advice given by a qualified person. The IRMA
probe may be used exclusively by qualified, authorised medical personnel.
 The IRMA probe must not be used with flammable anaesthetics.
 IRMA adapters are single-use, and must not be re-used from one patient to another. Used adapters
must be disposed of via the appropriate hospital waste disposal channels.
 The IRMA probe must not be used with neonatal patients.
 The measurements from the IRMA probe may deteriorate in the presence of devices emitting
electromagnetic interference exceeding the levels of the 60601-1-2 standard. Ensure that the probe is
used in an appropriate environment.
 Only adapters manufactured by PHASEIN may be used with the IRMA probe.
 Use only IRMA probes sold by Air Liquide Medical Systems, Cat. No.: KB020400
 Do not connect the IRMA probe at the output of a steep bend, to avoid the accumulation of patient
secretions in the adapter, and the obstruction of the BLUEYETM windows.
 When using the IRMA probe, place the adapter so that its BLUEYETM windows are vertical so that
patient secretions do not accumulate on the windows:
 When using the IRMA probe, place the adapter so that moisture and secretions do not accumulate in it
due to the action of gravity.
 Do not use any sprayed medication with the IRMA probe, because the spray might affect IR
transmission through the windows of the adapter.
 Never sterilize the IRMA probe or immerse it in liquid.
 Do not pull on the cable of the IRMA probe.
 Do not use the IRMA probe at a temperature below 10°C or above 40°C.
 When using the IRMA probe, be sure to connect it to the machine before connecting it to the patient.
YM033000 / Rev. 1.3 / 12-2012 9

REGULATORY REQUIREMENTS
Directives
Directive 93/42/EEC of the Council of 13 June 1993 concerning medical devices.
Directive 2002/96/EC of the European Parliament and the Council of 27 January 2003
concerning waste electrical and electronic equipment (WEEE)
Standards
The compliance of Monnal T60 with the essential requirements of Directive 93/42 is based
on the following standards:
NF EN ISO 14971:2001 and A1:2003 | Application of risk management to medical devices
IEC 60601-1:2000 and appendices | Electromedical Devices – Part One: General Safety
Rules
IEC 60601-1-2:2007 | Electromedical Devices - Part 1-2: General Safety Rules – Collateral
Standard: Electromagnetic Compatibility – Requirements and Tests
IEC 60601-2-12:2001 | Electromedical Devices - Part 2-12: Particular requirements for the
safety of lung ventilators – Critical care ventilators
NF EN 794-3:1998, A1:2005 A2: 2009 | Lung ventilators: - Part 3: Particular requirements for
emergency and transport ventilators.
NF EN 1789: 2010 section 6.3 requirements for medical equipment | Medical transportation
vehicles and their equipment.
EN 13718-1: 2008: Part 1: Requirements for medical devices used in air ambulances.
Disposal of components
Waste disposal method:

All waste generated by the use of this respirator (patient circuit, bacteriological filters, etc.)
must be disposed of via the appropriate hospital waste disposal channels.
Device disposal method:

In accordance with Directive 2002/96/EC dated 27 January 2003 concerning Waste
Electrical and Electronic Equipment:
‘Waste from electrical and electronic equipment must be disposed of via appropriate
channels.
Refer to the general conditions of sale of this device for its disposal procedures.'
Disposal of batteries, internal battery, and O2 sensor:

To protect the environment, all batteries, rechargeable batteries, and O2 sensors must be
disposed of via the appropriate channels.
10 YM033000 / Rev. 1.3 / 12-2012

Shipping the equipment
If shipping the equipment, always use its original packaging. If the original packaging is
unavailable, contact your Air Liquide Medical Systems representative to obtain replacement
packaging.
YM033000 / Rev. 1.3 / 12-2012 11

1. DESCRIPTION OF OPERATION
Monnal T60 is a standalone ventilator using air (propelled by a blower) used to treat
children (7 kg* and above) and adults. It is not intended for neonatal ventilation.
It is intended to be operated by hospital personnel (physicians, nurses, etc.) and is used:
- For transportation inside hospitals,

- For primary and secondary transportation,
- In Intensive Care Units,
- and in post-operative recovery rooms.
It is also intended to operate with various components, such as:
- A CO2 measurement probe

- A HEPA filter
- A humidifier
- Oxygen from a network, cylinder, or concentrator.
1.1. EXTERIOR DESCRIPTION
1.1.1. FRONT VIEW
1. Handle
2. Touch screen (8.4-inch)
3. Alarm indicator lights
4. Rotating knob
5. AC power supply operation indicator
6. Internal battery operation indicator
7. Interchangeable battery operation indicator 1
4 3
5 6 7
* 6 kg and above for software version v1.0.2
12 YM033000 / Rev. 1.3 / 12-2012

HANDLE SIDE
8. Emergency air inlet
9. Loudspeaker
10. VGA video port
11. USB port
12. USB port
10 11 12
8 9
FOOT SIDE
13. Electrical connection with the hot wire expiratory flow sensor (expiratory
assembly removed)
14. Feet
14
13
YM033000 / Rev. 1.3 / 12-2012 13

1.1.2. RIGHT-HAND SIDE: PATIENT INTERFACE
15. Cooling vent
16. Port for exhaled patient gas / electrical connection to hot wire flow sensor
17. Expiratory circuit connection
18. IRMA CO2 probe connection socket

15 17 18 19
19. Inspiratory circuit connection
20. Expiratory valve eject button
16
20
1.1.3. LEFT-HAND SIDE: FLUID INTERFACE
21. ON/OFF button

21 22 23 24 25
22. Electrical power supply connector
23. Pull-out protection device
24. High-pressure O2 inlet

28 27 26
25. Cooling vent
26. Interchangeable battery housing
27. Low-pressure O2 inlet
28. Micro blower unit input
14 YM033000 / Rev. 1.3 / 12-2012

1.1.4. VIEW FROM BELOW
29. FiO2 cell
30. Docking station electrical connections
31. Manufacturer label
29 31
30
YM033000 / Rev. 1.3 / 12-2012 15

1.2. PRINCIPLE OF OPERATION
To perform its essential functions, the device brings together four sub-systems:
 Electronic sub-system: this supplies the energy needed to power all electrical
components and runs the overall system (sending instructions to actuators, taking
measurements, etc.).
 Pneumatic sub-system: this performs the essential function of the device, i.e.
ventilating the patient.
 Mechanical sub-system: ensures a robust link between all the components, and
provides the user with an interface combining qualities of design and ergonomics.
 Software sub-system: this is the system’s intelligence.
1.3. FUNCTIONAL DESCRIPTION
1.3.1. FUNCTION FLOWCHARTS

General flowchart
Inspiratory Inhaled air

Air Blower
assembly
O2
Exhaled air
O2 HP Expiratory
Mixer Interconnection board assembly
O2 LP
2 Batteries DC/DC converter

+ Charger
Docking station Human

Micro board Machine
AC-DC
Interface
power supply
110-230Vac-24Vdc
16 YM033000 / Rev. 1.3 / 12-2012

Detailed flowchart
8.4’’ screen
+ 5-wire resistive touchscreen
s Extractible battery Internal battery
RGB bus
u
b
Back B
light
G
R Docking
station
Encoder wheel
Ctrl dalle Charger DC
AC-DC
DC/DC
power supply
Loudspeaker converter 230Vac-24Vdc
Alarm LED
Mains LED Micro board M
Motor ctrl
o
Ext batt LED to
Int batt LED r
ct
VGA rl r
Blower
USB A e
w
USB B
lo
B
IRMA Interconnection board
Fan
TIPI Sensors Actuators
1.3.2. ELECTRONIC SUB-SYSTEM

The electronics can be broken down into main functions:
- The microprocessor board, which orchestrates the operation of all system

elements (actuators, meters, interface, etc.).
- The power unit, which transforms and supplies the energy required for the proper
operation of the ventilation board.
- The visual interface, comprising a graphic display, a touch screen and visual
indicators.
YM033000 / Rev. 1.3 / 12-2012 17

THE MICROPROCESSOR BOARD
Buzzer
Microprocessor board
Power supply board
Processors
The ventilation board comprises two identical Motorola CPUs:
- Ventilator: this sub-system is the processor dedicated to ventilation. It integrates the

electronic conditioning stages linked to the sensors (flow, pressure, etc.), to the controls
for the electro-pneumatic elements (blower, SV. etc.), to the audible alarm (buzzer) and to
the communication with the monitor.
- The monitor: this sub-system is the processor dedicated to the MMI (man-machine
interface). It allows for full management (cf. display interface), integrates the electronic
stages linked to safety and to redundancy of commands for particular elements (audible
and visual alarms, pressure metering, etc.) and handles the communications with the
ventilator.
18 YM033000 / Rev. 1.3 / 12-2012

THE POWER ASSEMBLY
The power card provides the energy to the ventilation board and to all the pneumatic
actuators.
This power may be provided from multiple sources:

- The mains via an AC/DC adapter
- A DC power supply (docking station)
- The on-board emergency back-up battery
- An 'interchangeable' internal battery.
The power board handles automatic switching between these different power sources and
informs the microprocessor board of the sources present.
In the absence of an electrical network, the power supply module will automatically switch
to the interchangeable battery and then, if necessary, to the internal battery if the
interchangeable battery is absent or its charge is too low.
YM033000 / Rev. 1.3 / 12-2012 19

THE DISPLAY INTERFACE
The screen on the MONNAL T60 comprises an 8.4” TFT colour display equipped with LED
back-lighting. These LEDs are powered by a 26 V voltage from the power supply.
The user interface is provided by means of a 5-wire resistive 8.4” touch screen and its
controller. The controller transforms the screen position of the user’s finger into Cartesian
coordinates (x, y). The system for adjusting and validating parameters is handled by a
coding dial (standard 16-position encoder).
The front panel also contains the indicator lights for the system alarms (concerning
ventilation or technical issues) as well as the presence of the various voltage sources and
power supply status.
Voltage sources Alarm indicators
20 YM033000 / Rev. 1.3 / 12-2012

1.3.3. MECHANICAL SUB-SYSTEM
The mechanical system comprises the combination of a chassis, which is the actual device
mount, with face containing the MMI and patient-machine interface.
CHASSIS
The chassis is the central mount for the system, and most of the mechanical and
pneumatic elements are secured to it, and positioned as follows:
Chassis
Mixer unit Micro blower unit
Interconnection board Pneumatic unit
Battery
interchangeable
Internal battery
YM033000 / Rev. 1.3 / 12-2012 21

MICRO BLOWER UNIT:
This assembly consists of a case containing a blower.
PNEUMATIC UNIT ASSEMBLY:
This assembly is the main pneumatic unit, comprising the inspiratory and expiratory
branch. It includes:
● The inspiratory flow sensor: This assembly consists of the sensor and the
electronic board that filters the signals
received from the sensor.
● The patient and atmospheric low-pressure sensors
● One proportional and one on–off PEEP solenoid valve
● A patient insufflated gas temperature monitoring probe
● An oxygen cell.
● Two non-return valves, of which one acts as the backup air inlet
22 YM033000 / Rev. 1.3 / 12-2012

PEEP proportional SV
ON/OFF SV
Pressure sensors
Flow sensor
BATTERY HOUSINGS:
These housings are used to insert the internal battery, secure it mechanically, and receive
the interchangeable battery.
MIXER UNIT ASSEMBLY:
This is the low- and high-pressure oxygen inlet of the machine. It is equipped with two non-
return valves, an oxygen pressure sensor, a proportional solenoid valve, and a flow sensor
used to adjust it to obtain the desired gas mixture. This unit is connected to the micro
blower unit via a polyurethane hose. The air-oxygen mixture is created inside the micro
blower unit.
INTERCONNECTION BOARD:
This board is used to connect all the actuators, sensors, batteries, and the cooling fan.
YM033000 / Rev. 1.3 / 12-2012 23

THE PATIENT-MACHINE INTERFACE
The patient-machine interface on the right-hand side of the device includes the inspiratory branch
fitting, the expiratory valve assembly reception area, and the etCO2 probe connection.
24 YM033000 / Rev. 1.3 / 12-2012

FRONT PANEL
The front panel is the upper part of the external casing of the device. It incorporates the
entire human-machine interface, including the display screen, the 8.4-inch touch screen,
the microprocessor/power board, the rotary knob, and the indicators associated with the
system alarms and AC power supply presence.
YM033000 / Rev. 1.3 / 12-2012 25

1.3.4. PNEUMATIC SUB-SYSTEM
PNEUMATIC SYSTEM
Key
AIR Ambient air inlet PATIENT Patient
O2 BP Low-pressure O2 inlet (concentrator) BALLOON Expiratory valve equipped with a membrane
O2 HP High-pressure O2 inlet (network, cylinder)
C1 Non-return valve PS1 Airway inspiratory pressure sensor
C2 Non-return valve PS2 Airway inspiratory pressure sensor (redundancy)
C3 Non-return valve APS3 Atmospheric pressure sensor
C4 Non-return valve PS4 O2 pressure sensor
F1 O2 inlet filter (O2 concentrator) T Micro blower unit

F2 Air intake filter (HEPA filter) TS Patient gas temperature sensor
F3 O2 intake filter (compressed gas) V1 Oxygen regulating proportional solenoid valve
F4 Bronze filter (flow attenuation) V2 Proportional PEEP adjustment solenoid valve
FS1 Patient flow sensor V3 On-off pause solenoid valve
FS2 Hot wire expiratory flow sensor R1 Calibrated orifice
FS3 O2 flow sensor O2S Oxygen sensor
26 YM033000 / Rev. 1.3 / 12-2012

1.4. PNEUMATIC OPERATION
1.4.1. – OPERATION OF VENTILATION
The micro blower unit (T) of the ventilator takes in ambient air via the HEPA filter (F2) and
ensures sufficient compression according to the patient and the settings concerned. The
compressed gas is then distributed via a pneumatic network according to whether an
inspiratory or expiratory phase is being delivered.
- INSPIRATORY PHASE
The main component during the inspiratory phase is the micro blower unit (T) which
regulates the flow via the flow sensor (FS1) when volume-controlled mode is selected, or
via the pressure sensor (PS1) during pressure-controlled mode.
At the same time, solenoid valves (V3) and (V2) are open and closed, respectively, so that
the pressure of the micro blower unit is applied to the membrane (M1) of the expiratory
valve, thus forcing the air sent by the micro blower (T) towards the patient only.
- EXPIRATORY PHASE
In this phase, the patient expires the gases inspired in the previous phase, and the device
is asked to regulate at a pressure level determined by the settings (PEEP).
With this in mind, the PEEP regulating proportional solenoid valve (V2) regulates the
expiration pressure via the pressure sensor (PS1).
Meanwhile, the micro blower unit (T) regulates the flow rate via the flow sensor (FS1) to a
rinse flow of 5 L/min. This limits reinhalation and ensures fast detection of an inspiratory
demand.
During leakage ventilation , NIV type, the micro blower unit (T) is likely to increase the
rinse flow rate: it then switches to an ‘on-demand valve’ mode. The aim of this function is
to compensate for leaks to maintain the PEEP in the circuit.
- AIR / O2 MIXTURE
The O2 concentration of the gases administered to the patient depends on the source
connected to the device. A distinction is in fact drawn between operation with an O2
network and with a concentrator.
- OPERATION ON AN O2 NETWORK
To be able to operate correctly, the pressure at the O2 intake terminals (O2 HP) must be
between 2.8 and 6 bars. The O2 is then filtered via F3.
The proportional solenoid valve (V1) provides oxygen enrichment to the mixture by
regulating the flow rate (FS3), with the set-point being proportional to the upstream flow
rate (FS1) and according to the FiO2 rate setting.
YM033000 / Rev. 1.3 / 12-2012 27

Operation at a network pressure between 1.5 and 2.8 bar, or between 6 and 7 bar is
possible, but the quality of the enrichment could then be altered. If the pressure falls below
1.5 bar or rises above 7 bar, the oxygen supply is then cut off by the proportional solenoid
valve (V1) and an oxygen supply error alarm is triggered.
- OPERATION ON A CONCENTRATOR
The device is equipped with a ‘low pressure’ connector to operate with a concentrator
(inlet via the filter (F1)). The principle of precise control of the O2 concentration applied at
high pressure is maintained during operation on a low-pressure source: the device then
continuously delivers a mixture at the correct FiO2.
However, the concentration of the mixture might not be reached, because it depends:
- On the type of concentrator and its settings (the O2 flow rate delivered by the
concentrator is often low, and its O2 concentration is variable, between 90 and 100%)
- Ventilation parameters
Below are the maximum concentrations that can be obtained with different concentrator
flow rates (assuming their O2 concentration is 100%) according to the volume per minute
of a patient ventilated at a frequency of 15 bpm.
FiO2 (%)
10L/min
5L/min
2.5L/min
Volume per minute (L/min)

For example, for a concentrator delivering 5 L/min and a patient ventilated in volume-
controlled mode with a Vt of 0.5 L and a frequency of 15 bpm (i.e. a volume per minute of
0.5x15=7.5 L/min), the maximum obtainable concentration will be approximately 50%. The
device will then be able to deliver any concentration requested below that value.
28 YM033000 / Rev. 1.3 / 12-2012

Because the device consumes only the flow rate it needs to provide a mixture of the correct
concentration, Air Liquide Medical Systems recommends setting the low-pressure source to its
maximum flow rate. This will make it possible to obtain a wider range of possible FiO2 values.
Whatever the function mode for the device, the oxygen sensor (O2S) ensures monitoring of the
concentration in the circuit.
This sensor is a chemical cell that carries out an electrolytic reaction. The current produced is
proportional to the partial pressure of oxygen, however, a compensation of this pressure is applied
each time the automatic tests are launched. Ambient humidity similarly influences the
measurement of oxygen, at a rate of -0.03% per %Hr at 25°C (see VIII.4.1 Technical
characteristics – Measured parameters).
YM033000 / Rev. 1.3 / 12-2012 29

1.5. ELECTRICAL POWER SOURCES
This respirator is compatible with various electrical power supply sources:
 AC power supply via the ac power supply box supplied with the device
 Power supply on an external DC source
 Power supply on two internal DC sources (internal battery and interchangeable
battery)
The electrical characteristics of each source are described in Chapter VIII.4.1 (Electrical
specifications).
 If the device has stopped suddenly during ventilation (at the end of battery life, for
example), it relaunches ventilation directly using the last parameters saved when the
device is reconnected to the mains and started up again.
1.5.1. POWER SUPPLY MANAGEMENT

The power supply board manages the automatic switching of energy sources according to
the following hierarchy:
 AC power supply or external DC source
 If absent: by interchangeable battery
 If absent: by internal battery
AC POWER SUPPLY
The presence or absence of the AC power supply or the external DC voltage source is
indicated by two pictograms.
AC power supply presence
AC power supply absence
This is also indicated by a blue LED on the front panel of the device.
INTERCHANGEABLE BATTERY AND INTERNAL BATTERY

The respirator is equipped with two batteries: an internal battery, ‘INT’, which is not
accessible to the user, and an interchangeable battery, ‘EXT’, which can be replaced
during operation.
In the event of absence of the AC power supply or the external DC voltage source,
switching over to the interchangeable battery takes priority. When the interchangeable
battery is fully discharged or absent, the device automatically switches over to the internal
battery.
The internal and removable batteries have the same capacity.
The charge status of both batteries is indicated in the upper left-hand part of the screen:
Full battery charge
30 YM033000 / Rev. 1.3 / 12-2012

High battery charge
Medium battery charge
Battery low: reconnect the device to the AC power supply
For the internal battery, the pictogram is associated with a medium-

priority acknowledgeable alarm: ‘Internal battery low!’.
Battery dangerously low — imminent shutdown
For the internal battery, the pictogram is associated with a medium-

priority acknowledgeable alarm: ‘Internal battery low!!! Connect to mains’
and then ‘Internal battery inoperative!!! Connect to mains’.
It is then urgent to connect the respirator to the mains (AC power supply)
or to replace the interchangeable battery to prevent it from shutting down
due to a lack of power.
When the unit is connected to the mains or an external battery, the unit's internal battery
recharges. When internal battery charging is complete, the machine charges the
interchangeable battery, if any. A special pictogram appears on the screen, representing
the progress of light segments:
Battery discharged Battery half-charged
Battery fully charged
D In the event of operation at a high or very low ambient temperature, a safety device
might interrupt the battery charge. An ‘excessive battery temperature’ alarm is triggered.
This can have a significant effect on the charging time and operating duration of the
battery.
The charging time per battery is approximately 2 hours 20 min (at 25°C ambient).
When the machine is switched off but connected to the mains or an external DC power
source, batteries are automatically recharged .
If the unit cannot recharge the battery because the battery is absent or defective, the
following pictogram appears on screen:
Battery unavailable
For the internal battery, the pictogram is associated with a high-priority

alarm, ‘Internal battery unavailable! Check the battery’.
Y The batteries must not come into contact with water, as this could damage the
batteries or injure the user.
YM033000 / Rev. 1.3 / 12-2012 31

1.6. DESCRIPTION OF THE PNEUMATIC COMPONENTS
1.6.1. MICRO BLOWER UNIT (T)
Air intake
Mixture outlet
Oxygen inlet
ROLE
It pressurises the patient gas.
OPERATION
The motor power supply is 26 V.

The motor has a three-phase power supply with amplitude PWM (Pulse Width
Modulation).
It can supply pressures up to 100 mbar and rotate up to 70,000 rpm.

A servo-system monitored by a Hall Effect sensor is used to control the speed of the micro
blower unit.
D The performance of the micro blower unit is influenced by atmospheric pressure, and
thus by altitude (the density of the gases is lower at altitude).
32 YM033000 / Rev. 1.3 / 12-2012

1.6.2. MIXER UNIT
FS3
V1
O2 HP
To micro
blower unit
PS4
O2 BP
ROLE
The proportional solenoid valve (V1) associated with the flow sensor (FS3) enriches the
mixture with oxygen.
For FiO2 > 21%:
QO2=Qmixture x (FiO2-0.21)
0.79
OPERATION
V1 closed at rest.
V1 is controlled by a signal with the following characteristics:
- Amplitude PWM: 0 - 12V;
- PWM: 20 kHz.
YM033000 / Rev. 1.3 / 12-2012 33

1.6.3. EXPIRATORY VALVE
ROLE
The function of the expiratory valve is to pressurise at patient level during the inspiratory
phase and to control the patient’s expiration.
OPERATION
During expiration, this valve is open to a greater or lesser degree to control the PEEP level
or the expiration flow.
The expiratory valve comprises a membrane, to which a pressure is applied such as to
vary the size of the opening through which the expired gases pass.
Membrane control pressure

Membrane Membrane
Outlet for Outlet for

exhaled gases exhaled gases
Patient pressure Patient pressure
EXPIRATION w/o PEEP EXPIRATION with PEEP
During insufflation, this valve is closed (micro blower unit pressure applied to the
membrane).
34 YM033000 / Rev. 1.3 / 12-2012

Membrane control pressure
Membrane
INSUFFLATION
Patient pressure
 By design, the expiratory valve features a non-return flap to prevent re-inhalation of

expired gases.
The autoclavable expiratory valve tolerates 50 sterilisation cycles. A unit serial number
on the body of the valve advises the date of manufacture of the elements, and if necessary
makes it possible to track the number of cycles gone through.
YM033000 / Rev. 1.3 / 12-2012 35

1.6.4. HOT WIRE EXPIRATORY FLOW SENSOR (FS2)
ROLE
This sensor measures the gas passing through the expiratory branch of the patient circuit.
The measurement makes it possible to:

 Display the expired flow;
 Monitor the ventilation rate per minute.
OPERATION
The sensor comprises a resistance wire placed in the flow, and passed through by a
current at a constant level which increases the temperature of the wire in a continuous
manner. The result of this is a convection heat exchange between the wire and the flow of
gas, and the resulting temperature of the wire is indicative of the speed of the flow.
Range: From 0.5 to 200 L/min.

Accuracy: ± 15 %.
During automatic tests of the device, the hot wire expiratory flow sensor is calibrated.
During ventilation, the zero is periodically recalibrated (every 2 minutes).
1.6.5. MASS FLOW SENSOR (FS1 AND FS3)

ROLE
This sensor is used to measure the inspiratory flow rate and to regulate the mixture.
OPERATION
The sensor measures heat transfer between a point A and a point B situated on one side
and the other of a heating element. The temperature difference is proportional to the mass
flow.
A Heating element B
TA TB
Gas
No flow
Temperature
With flow
Operating range: 0 to 200 L/min (voltage from 1 to 5 V).
36 YM033000 / Rev. 1.3 / 12-2012

Calibration:
 zero: during automatic tests;
 gain: in the factory, or in maintenance, 13 points.
D The operation of the mass flow sensor is affected by atmospheric pressure. The
atmospheric pressure sensor (APS3) adjusts the value measured by mass flow sensors
FS accordingly.
1.6.6. PRESSURE SENSORS

- LOW-PRESSURE SENSORS
ROLE
Differential pressure sensor (PS1, PS2): gives access to the turbine pressure and checks
that the pressure is properly regulated in the patient’s airways.
Absolute pressure sensor (APS3): measures the atmospheric pressure.
OPERATION
Pressure sensors PS1, PS2, and APS3 are piezoelectric.
Piezo-electricity is the special quality which certain crystals such as quartz possess, of
becoming electrically polarised when subjected to mechanical stresses. The quantity of the
electrical charges produced is proportional over a wide range to the pressure exerted.
This type of pressure sensor has a very short response time.
PS1 and PS2 are differential pressure sensors, i.e. they measure the difference between a
given pressure value and a reference pressure (in this case, atmospheric pressure).
APS3 is an absolute pressure sensor; it measures the pressure above absolute zero.
YM033000 / Rev. 1.3 / 12-2012 37

OXYGEN PRESSURE SENSORS (PS4)
PS4
ROLE
O2 pressure sensor (PS1): detects the presence or absence of the oxygen feed supply.
OPERATION
The pressure sensor is piezoelectric. It operation is identical to that of sensors PS1, PS2,
and APS3. It is also differential.
1.6.7. FIO2 CELL (O2S)

ROLE
The FiO2 cell is an electrochemical sensor placed in the inspiratory branch.

It measures the percentage of O2 in the air/oxygen mixture.
OPERATION
This sensor performs an electrolytic reaction. The current produced is proportional to the
partial pressure of oxygen; however, a compensation of this pressure is realised each time
the automatic tests are launched. Calibration is automatic during the automatic tests, and
is made to 21%.
Range: from 21 % to 100%.

Relative accuracy: ± 3 %.
By virtue of its engineering, the lifetime of the FiO2 cell depends on the ventilator’s
consumption of O2.
The operation of the FiO2 cell is affected by the pressure (atmospheric pressure and circuit
pressure). In order to mitigate this effect, software compensation is applied, taking the
pressure sensor measurements into account.
A 10% drift in the voltage in the cell is observed for each additional 1000 metres in altitude.
For example, for a cell with a voltage of 15 mV at sea level, the voltage will fall to 13.5 mV
at 1000 metres altitude.
The ambient temperature and the patient gases affect the oxygen measurement.
Electronic compensation is applied via the temperature of the patient gases.
Ambient humidity similarly influences the measurement of oxygen, at a rate of -0.03% per
%Hr at 25°C.
38 YM033000 / Rev. 1.3 / 12-2012

1.6.8. TEMPERATURE SENSOR (TS)
ROLE
This sensor monitors the temperature of the gases delivered to the patient.
It provides temperature compensation for the O2 cell.
OPERATION
The output voltage from the temperature sensor is linearly proportional to the temperature
in degrees Celsius (+ 10.0 mV/°C).
Range: −55°C to +150°C

Accuracy: 0.5°C (at 25°C)
YM033000 / Rev. 1.3 / 12-2012 39

1.7. DESCRIPTION OF CIRCUITS
1.7.1. PNEUMATIC CIRCUITS
1.7.2. ELECTRICAL WIRING

INTERCONNECTION BOARD
40 YM033000 / Rev. 1.3 / 12-2012

ELECTRONIC ASSEMBLY
YM033000 / Rev. 1.3 / 12-2012 41

2. EQUIPMENT REQUIRED FOR MAINTENANCE
STANDARD TOOLKIT
Software Type of maintenance

Type of device and box Corrective
Preventive
update maintenance
External manometer, 0-5 bar, Class 1 X
measure manometer, 0-100 mbar, Class 1 X X
ment Atmospheric pressure gauge X X
station Flow sensor, 0-200 L/min X X
External oxymeter X X
OR
Digital voltmeter X
T fitting for pressure connector and appropriate silicone
X X
hose
O2 power supply hose with pressure connector X
PC (with HyperTerminal link) X
2GB USB key, Cat. No. YR112900 X X
USB 2.0 cable A (male) – B (male) X
Antistatic apron X
SPECIAL TOOLKIT
Type of maintenance
Catalogue Software
Type of device Corrective
Number Update Preventive
maintenance
Test lung VS206103 X X
O2 connector removal spanner YA000700 X
BM connector removal spanner YA004400 X
Extension ribbon YR122700 X
Blower inlet cap YA018100 X X
 We recommend using an external metering unit such as PF300 from IMT Medical, or
similar. This type of system simultaneously performs the function of manometer (0-5 bar,
0-100 mbar, atmospheric pressure), flow meter 0-200L/min, and oxygen meter - making it
possible to measure the following ventilation parameters: F, I/E, VTi, VTe, PEEP, PSV.
D Rotameter-type flow sensors are sensitive to altitude. Air Liquide Medical Systems
advises against their use and recommends the use of pressure-compensated flow
sensors.
42 YM033000 / Rev. 1.3 / 12-2012

3. ACCESS TO THE MAINTENANCE MENU
The maintenance menu requires special skills confirmed by a maintenance training
course, because it can be used to modify certain critical settings, such as
Start-up configuration of the device, language, serial number (if the microprocessor board
is replaced), enabling of options.
Software version upgrade.
Access to the sensor calibration page on the touch screen.
Access is therefore controlled by the enabling of a code whose validity period is variable
(from 1 month to 3 years), or unlimited, according to the maintenance management mode
chosen.
To access the maintenance screen, power up the MONNAL T60. The stand-by screen
appears.
Press the knob and the centre of the touch screen simultaneously.
The following window appears when the MONNAL T60 is outside the validity period or the
first time you seek access:
Enter the appropriate code and access the following window:
YM033000 / Rev. 1.3 / 12-2012 43

4. SOFTWARE UPDATE
The procedure for updating the Monnal T60 software is supplied with every new software
version. Refer to the technical note accompanying the software version.
A software update is simple, and requires only a few steps. This procedure describes how
to update the ventilator and monitor.
4.1. ACCESSING THE UPDATE SCREEN
In the stand-by screen, press and hold the adjustment knob and touch the centre of the
screen; a new Configuration window appears.
Select Service to enter the Maintenance menu.
Select ‘Update’ to update the VENTILATOR and MONITOR.

44 YM033000 / Rev. 1.3 / 12-2012
The downloading screen appears.
4.2. CONNECTION
Connect the PC to the MONNAL T60 using a USB-A male to USB-B male cable.
4.3. PREPARING THE PC
The first time you connect the PC, install the ALMS Maintenance Utility (‘Flashouilleur’) V.
1.3.6 or above.
This utility is provided on request to any authorised person.
- Open the file, select the ‘update’ tab (normally selected by default).
-Press ‘detect devices’

After a search phase, the utility should detect the two microprocessors to flash.
If it detects nothing, check the connection and repeat the procedure.
YM033000 / Rev. 1.3 / 12-2012 45

4.4. DOWNLOADING
The firmware consists of two binary files (.bin)
Monitor (M) and Ventilator (V).
Select the ventilator upgrade binary file:
The file location should now appear in the maintenance utility window:
46 YM033000 / Rev. 1.3 / 12-2012

Now select the monitor upgrade binary file:
YM033000 / Rev. 1.3 / 12-2012 47

The file location should now appear in the maintenance utility window:
Start updating the device by pressing the ‘Start update’ button:
During the transfer, the speed, progress, and estimated time remaining are indicated.
The software is locked and cannot be stopped in the normal way:
48 YM033000 / Rev. 1.3 / 12-2012

When the software unlocks, the transfer is complete. If the progress bar has not
reached 100%, the transfer has failed. Wait one minute and then repeat the procedure.
4.5. CHECKING THE DOWNLOADING
After updating the VENTILATOR and MONITOR, the machine reboots.
When all the software programs are up to date, check that the software version number
appears at the bottom of the alarm panel (only one version number).
Select New patient, Adult and run an automatic test.

Start ventilation and ensure that there are no technical alarms (it may be necessary to
restart the ventilator to clear the technical alarms).
When the procedure has been successfully completed, the ventilator may be returned to
service.
Complete the tracking sheet included in the technical note, and return it to Air Liquide
Medical Systems.
YM033000 / Rev. 1.3 / 12-2012 49

5. DOWNLOADING THE BLACK BOX
This procedure describes how to download the MONNAL T60 black box.
The black box can be downloaded in two ways: via a USB cable, or directly using a USB
key. The access method depends on the solution chosen.
5.1. BLACK BOX DOWNLOADING PROCEDURE VIA USB KEY
In Stand-by Mode, insert the USB key directly into the appropriate port.
The following screen appears:
MONNAL T60 then looks for the space available on the key. Wait while it does this. When
the space available on the key is displayed, press the ‘Black box’ key.
The transfer takes place.
When downloading is complete, remove the key. The MONNAL T60 returns to stand-by
mode. A directory called MT60 has been created. It contains a sub-directory called 00xxx,
which is the Serial Number of the device.
Send MT60 to Air Liquide Medical Systems.

5.2. HARDWARE CONFIGURATION VIA USB CABLE
Connect the PC to the MONNAL T60 using the USB-A male to USB-B male cable.
Use the same physical port on the PC that is used for software downloading.
50 YM033000 / Rev. 1.3 / 12-2012

5.3. ACCESSING THE DOWNLOAD SCREEN
From the stand-by screen, access Maintenance Mode, and then press Transfer
boxes followed by Black box.
5.4. BLACK BOX DOWNLOADING PROCEDURE

Open the maintenance utility. Select the medical device concerned (in this case, MT60)
from the 'download black boxes' tab.
Click ‘save as…’ to select the location to which you wish the file to be downloaded.
Give it a name in the format
BN_MT60_SNxxx.his. (SNxxx is the serial number of the device.)
Activate ‘download black boxes’ to begin the transfer.
YM033000 / Rev. 1.3 / 12-2012 51

The progress of the transfer is indicated throughout the process. The software is
locked and cannot be stopped in the normal way.
In the location where the file has been downloaded, rename it in the format
BN_MT60_SNxxx.his. (SNxxx is the serial number of the device.)
Send it to Air Liquide Medical Systems.
52 YM033000 / Rev. 1.3 / 12-2012

6. DOWNLOADING THE WHITE BOX
This section gives the procedure for downloading the MONNAL T60 white box in the event
of a technical problem.
The white box restores the specific ventilation signals before and after the occurrence of
some technical problems, to supplement the black box data and optimize the maintenance
diagnosis.
The white box should not be downloaded unless the technical problem corresponds to an
alarm tracked by the black box.
It is important to follow the steps described in this section.

6.1. HARDWARE CONFIGURATION
Connect the PC to the MONNAL T60 using the USB-A male to USB-B male cable.
Use the same physical port on the PC that is used for software downloading.
6.2. ACCESSING THE DOWNLOAD SCREEN

From the Stand-by screen, access Maintenance Mode (see Section 3 for activation of the
maintenance access code, if necessary)
and then press Transfer boxes followed by White box.
YM033000 / Rev. 1.3 / 12-2012 53

6.3. WHITE BOX DOWNLOADING PROCEDURE
Open the maintenance utility. Select the medical device concerned (in this case, MT60)
from the 'download white boxes' tab.
-Select ‘save as…’ to select a location for the downloaded file. Give it a name in the
format BB_MT60_SNxxx.xls. (SNxxx is the serial number of the device.)
-Launch the download by pressing ‘download white boxes’.
The progress of the transfer is indicated throughout the process.

After downloading, retrieve the file and send it to Air Liquide Medical Systems.
The final file size should be around 100 KB.
54 YM033000 / Rev. 1.3 / 12-2012

D After downloading, press the button to delete the white box so that new data
can be recorded there in the future.
You may now quit the menu and return to the Stand-by screen.
YM033000 / Rev. 1.3 / 12-2012 55

7. ANNUAL PREVENTIVE MAINTENANCE
7.1. DEFINITION
Preventive maintenance conducted annually.
It consists of checking the operation of the device (see Section 9), and does not require
the use of a maintenance kit. If the automatic test results and the ventilation performance
are not satisfactory (compared to the expected data in the return to service sheet,
Section12), the device needs to be calibrated. (Refer to Section 10).
This procedure takes about an hour and a half.
The fixed internal and interchangeable batteries and the micro blower unit are subject
to special handling.
The batteries are dealt with by measuring the battery capacity. If the capacity is reduced
by 60%, which is symptomatic of battery wear, a low-priority alarm message is displayed:
‘Internal battery defective’ or ‘Interchangeable battery defective’. The internal battery
must be replaced as soon as possible. The user replaces the interchangeable battery.
The ageing of the micro blower unit depends on several factors: speed, FiO2, ventilation
time and temperature. Using an algorithm, MONNAL T60 is able to determine the rate of
ageing, and generates a signal in the form of a low-priority alarm. Wear can also be
indicated by an alarm such as ‘VTi or PI not reached’.
Summary of preventive maintenance
 See Section 12 for the list of equipment required for maintenance.
Periodicity
Annual
Actions
Electrical test x
Calibration (see Section 9) optional
Overall operating checks (see Section 9)

x
56 YM033000 / Rev. 1.3 / 12-2012

7.2. FLOWCHART
Check external condition,

cleanliness of filters, expiratory
valve assembly and patient
No
OK? Replace defective part(s)
Yes
Corrective
Automatic tests maintenance and/or
calibration
No
OK?
Yes No
Check ventilation and OK?

alarms
Yes
Electrical safety test

End of maintenace
Complete the 'return to service’ sheet
YM033000 / Rev. 1.3 / 12-2012 57

8. CORRECTIVE MAINTENANCE
8.1. FLOWCHART
Corrective maintenance
Automatic tests
Yes
OK?
No
Replace parts Calibration
Calibration screen
O2 or Insp flow
sensor Calibration of both Checks of
flow sensors
operation
Automatic tests
Solenoid valve
Electrical safety
Calibration of flow
Pressure sensor sensor tests
Complete the
Micro blower unit O2 flow sensor calibration ‘return to service’
sheet
Other components
Microprocessor board Complete calibration
DWhen replacing one of the following internal components on the MONNAL T60: flow
sensor, pressure sensor, solenoid valve unit, or microprocessor board, the corresponding
calibration procedure must be performed, along with the operational check (Section 9).
Y During servicing, if there is any reason to suspect that part of the device might
have been contaminated, the components concerned must be replaced.
58 YM033000 / Rev. 1.3 / 12-2012

8.2. PROCEDURE FOR EMERGENCY SHUTDOWN
If the ‘start’ button is no longer functioning, disconnect the internal battery and the mains
power connection.
Shutdown can be performed by the Start button in stand-by mode only if the software is
operational.
8.3. ALARM MESSAGES
The list of alarm messages is linked to the software version used.
To see the alarm messages, refer to the user manual and the technical note providing
updates according to the software version used.
8.4. DIAGNOSTIC AID LIST OF ALARMS
The table below lists all the technical alarms programmed on the MONNAL T60, and for
each message indicates the possible causes which might trigger the alarm and the actions
to be initiated to rectify the problem.
For each alarm, the actions to be implemented are listed in order of implementation. If the
fault persists once the 1st item has been performed, move on to the next recommended
action, and so on.
If the fault persists despite checking all the points listed, please contact our technical
department.
ULTRA alarms are tracked by the white box. The white box downloading procedure is
given in Section 4.
YM033000 / Rev. 1.3 / 12-2012 59

Triggering Activation
No. Alarm Priority Actions
criteria delay
Press the knob to stop

ventilation.
Device switched to Immediate
1 STANDBY mode? MEDIUM
Stand-by Mode triggering
Press ‘Cancel’ to leave
ventilation running.
Press the knob to switch

off the unit.
Switching off Immediate
2 MEDIUM Unit Off request
the unit? triggering
Press ‘Cancel’ to leave
the unit on.
Check the patient circuit.
Triggering after Check the expiratory

two ventilation valve membrane
cycles with high
Patient circuit
pressure and Contact the technical
Expiratory obstructed, or
PEEP + 5 department if the
3 branch might be HIGH expiratory valve
cmH2O or problem persists
obstructed!!! membrane stuck,
PEEP + 5
or electronic fault
cmH2O for 15 Expiration is prolonged
consecutive for a maximum of 15 s,
seconds until the measured PEEP
returns below the PEEP
setting.
The error disappears

automatically if the 12V
Unit out of Electronics failure
returns to an acceptable
service!!! Use a 12V supply falls Immediate
4 ULTRA level.
back-up below 10V triggering
Replace the power
ventilator!!! 695 pas.
supply board/micro board
assembly
Run the automatic tests
If the 11 " alarm is
activated; If the blower is
running too quickly,
particularly with exp
Micro-blower
Unit out of branch blocked or in
error: blower
service!!! Use a Immediate stand-by -> replace the
5 ULTRA running above
back-up triggering power supply
36,000 rpm
ventilator!!! board/micro board
assembly.
If the micro-blower unit

does not start up:
Replace it.
-Run the automatic
tests
If Alarm 4 is activated ->
Unit out of Pressure sensor
(see Alarm 4).
service!!! Use a power supply Immediate
6 ULTRA -Check the connection of
back-up error, below 10V triggering
the sensors to the
ventilator!!! instead of 12V
intercommunication
board.
60 YM033000 / Rev. 1.3 / 12-2012

criteria delay
-Run the automatic

tests
-Check the measurement
Inspiratory flow
range of Dinspi *
error
-If the error appears in
Unit out of 15V internal
ventilation-> Check the
service!!! Use a voltage threshold Immediate
7 ULTRA turbine valve (negative
back-up below 13V. triggering
flow detected)
ventilator!!! Inspiratory flow <
-If the sensor and valve
30 pas
are OK: replace the
power supply/micro
board assembly
Check the level of

Inhibition for 60
Patient leakage
s on ventilation
disconnection or
Patient start-up.
8 HIGH leak level too high, Check the Adult/Child
disconnection!!! Otherwise,
or electronics patient setting.
triggering within
failure
17 s.
Check the coherence of

alarm levels with
Triggered after
ventilation settings
Peak pressure 3 consecutive
9 High pressure!!! HIGH above alarm ventilation
When the pressure
threshold cycles with a
threshold is reached, the
Pmax
machine goes into
expiration mode.
Error Error in dialogue

Check the software
detected!!! between the Connectivity
version.
10 Contact the HIGH ventilator micro tests performed
micro/power supply
technical and the monitor every second
board assembly.
department micro
The error disappears
Error automatically if the 26V
detected!!! returns to an acceptable
11 Contact the HIGH 26V failure 3s level.
technical -Replace the power
department supply board/micro board
assembly.
Error
detected!!!
Contact the technical
12 Contact the HIGH Backlighting error /
technical department.
department
Activated when changing
the software version;
modify a ventilation
Loss of ventilation
Settings Immediate parameter.
13 HIGH settings
inoperative!!! triggering If it persists: replace the
power supply
board/micro board
assembly or its battery.
YM033000 / Rev. 1.3 / 12-2012 61

criteria delay
Change the settings.

Check the software
Settings Incorrect alarm Immediate
14 HIGH version.
inoperative!!! settings triggering
Activated when changing

the software version;
modify an alarm
Loss of alarm
Alarm thresholds Immediate threshold.
15 HIGH settings
inoperative!!! triggering If it persists: replace the
power supply
board/micro board
assembly or its battery.
Inhibition for 60
s on ventilation
Inhaled volume
start-up. Check the coherence of
per minute below
16 "Low VMi!!!" HIGH Triggering alarm levels with
the alarm
within 1 ventilation settings
threshold
ventilation
cycle.
Inhibition for 60
Check the level of
s on ventilation
Exhaled volume leakage
start-up.
per minute below
17 Low VMe!!! HIGH Triggering
the alarm Check the coherence of
within 1
threshold alarm levels with
ventilation
cycle.
Inhibition for 60
s on ventilation
Measured start-up.
frequency below Triggered after
18 Low frequency!!! HIGH alarm levels with
the alarm 3 consecutive
threshold ventilation
cycles with
Fmin.
3cmH2O or 30%
difference between P1
and P2*
-Launch automatic tests
Error -Calibrate
detected!!! -Replace the following, in
Patient pressure Immediate
19 Contact the HIGH order:
sensor 1&2 error triggering
technical Pressure sensor cable
department harness
Patient pressure sensor
-Replace the power
assembly.
Check that the unit is

Temperature of
being used according to
Delivered gases gases delivered to Triggered within
20 HIGH specifications
too hot!!! the patient above 15 s
Check the temperature
60 Ԩ
probe
62 YM033000 / Rev. 1.3 / 12-2012

criteria delay
Check the expiratory

PEEP greater Measured PEEP valve membrane
than PEEP set- at least 5 cmH2O Immediate
21 HIGH
point + 5 greater than the triggering Check the Evpep
cmH2O!!! PEEP setting (balloon) control
Inhibition for 60
Measured Check the coherence of
s on ventilation
frequency above alarm levels with
start-up.
the alarm ventilation settings
High Triggered after
22 HIGH threshold or
frequency!!! 3 consecutive
automatic Reduce the sensitivity of
ventilation
triggering of the the inspiratory trigger if
cycles with
inspiratory trigger justified.
Fmax.
Inhibition for 60
Check the level of
s on ventilation
leakage
Inhaled volume start-up.
23 High VMi!!! HIGH per minute above Triggering
the set threshold within 1
alarm levels with
ventilation
cycle.
Inhibition for 60
s on ventilation
Exhaled volume start-up. Check the coherence of
24 High VMe!!! HIGH per minute above Triggering alarm levels with
the set threshold within 1 ventilation settings
ventilation
cycle.
Inhibition for 50 Check the presence of

s at each the oxygen supply.
change of FiO2
Measured FiO2 setting or Check the coherence of
FiO2 low!!!
25 HIGH below the set change of the alarm levels with
threshold ventilation respect to the oxygen
mode. supply installed.
Triggering
within 5 s. Run the interactive tests.
Inhibition for 50
s at each
change of FiO2
the alarm levels with
Measured FiO2 setting or
respect to the oxygen
26 FiO2 high!!! HIGH above the set change of
supply installed.
threshold ventilation
mode.
Run the interactive tests.
Triggering
within 5 s.
YM033000 / Rev. 1.3 / 12-2012 63

criteria delay
The sum of the

Connect a new
Batteries remaining charge
Immediate interchangeable battery
28 empty!!! Connect HIGH in the two
triggering or connect the machine
AC power batteries is below
to the mains.
a threshold (10%)
The sum of the
remaining charge Connect a new
Batteries nearly
in the two Immediate interchangeable battery
29 discharged!!! MEDIUM
Connect AC power batteries is triggering or connect the machine
between 10 and to the mains.
20%
Error Replace internal battery
detected!!! or interchangeable
The battery Triggering
31 Contact the HIGH battery or the power
charger is faulty. within 10 s
technical supply board/micro board
department assembly.
No patient
T Apnea
respiratory activity
Apnea Switch to back-up
33 HIGH for a time greater
ventilation!!! Immediate ventilation.
than the set T
triggering
apnea
Launch the automatic

tests.
Check the absolute
Error pressure sensor *
detected!!! Atmospheric Replace the following, in
Immediate
34 Contact the HIGH pressure sensor order:
triggering
technical out of range. Pressure sensor cable
department harness. Absolute
pressure sensor. Power
assembly.

tests.
Check the patient1
pressure sensor *
Replace the following, in
Error
order:
detected!!! Patient1 pressure
Immediate Pressure sensor cable
36 Contact the HIGH sensor out of
triggering harness
technical range.
department patient1 pressure
sensor.
Power supply
board/micro board
assembly.

tests.
Error Check the patient2
detected!!! Patient2 pressure pressure sensor *
Immediate
37 Contact the HIGH sensor out of Replace the following, in
triggering
technical range. order:
department Pressure sensor cable
harness
patient2 pressure sensor.
64 YM033000 / Rev. 1.3 / 12-2012
criteria delay
Power supply
board/micro board
assembly.
Error Check the patient circuit.

Expiratory branch
detected!!! Check the expiratory
pressure loss Immediate
38 Contact the HIGH valve membrane
problem. triggering
technical Check the Evpep
department (balloon) control *
Change the patient

Patient circuit
Patient circuit Triggering on circuit, connect patient
leak detected
39 HIGH connection exit from circuit components
during automatic
tests! problem automatic tests carefully, and repeat
automatic tests
Can occur after changing

the micro board or
software (very
occasionally).
Error Calibrate all sensors.
Loss of a sensor
detected!!! Run the automatic
calibration Immediate
40 Contact the HIGH tests.
parameter triggering
technical If the problem persists:
department Replace the micro board
battery or the power
assembly.
Run the automatic

tests.
Check the temperature
Error
Inspiratory sensor *
detected!!!
temperature Immediate Replace the following, in
41 Contact the HIGH
technical sensor out of triggering order:
department range Temperature sensor
-power supply
board/micro board
assembly.
Error Launch the automatic

detected!!! The micro blower Triggering tests.
42 Contact the HIGH unit does not stop during -Replace the power
technical quickly enough automatic tests supply board/micro board
Check the loudspeaker
Error connection.
detected!!! Replace the loudspeaker.
Loudspeaker Immediate
43 Contact the HIGH -Replace the power
disconnected triggering
technical supply board/micro board
YM033000 / Rev. 1.3 / 12-2012 65

criteria delay
Double branch: check

that the hot wire sensor
is in position, or replace
the hot wire sensor, or
disable expiratory
Breakage, poor measurement (in the
No exp flow rate connection, or Immediate Menu). Caution: if
44 HIGH
measurement!!! absence of hot triggering expiratory measurement
wire sensor disabled, Vte and VMe
will not be monitored.
Single branch: disable

expiratory measurement
(in the Menu).
Check that O2 sensor* is

in position, check its
connection, and repeat
automatic tests.
Poor connection
Replace the O2 sensor
or absence of O2
FiO2 measurement Immediate
45 HIGH sensor or
inoperative! triggering During ventilation,
measured FiO2
disable FiO2
below 18%
measurement (in the
Menu). Caution: if FiO2
measurement disabled,
FiO2 will not be
monitored.
Release it.
Error
Long press on Replace the following, in
detected!!!
touch screen or Triggering order:
46 Contact the HIGH
technical touch screen beyond 30 s Touch screen.
department broken -power supply
board/micro board
assembly.
Inhibition for 60
s on ventilation
start-up.
Insufflated tidal Check the coherence of
Triggered after
48 Low VTi!!! MEDIUM volume below the alarm levels with
3 consecutive
set threshold ventilation settings
ventilation
cycles with low
VTi.
Inhibition for 60
s on ventilation Check the level of
start-up. leakage
Exhaled tidal
Triggered after
49 Low VTe!!! MEDIUM volume below the
3 consecutive Check the coherence of
set threshold
ventilation alarm levels with
cycles with low ventilation settings
VTe.
66 YM033000 / Rev. 1.3 / 12-2012

criteria delay
Check the level of

leakage
Triggered after Check the coherence of

Insufflated tidal 3 consecutive alarm levels with
51 High VTi!! MEDIUM volume above the ventilation ventilation settings
set threshold cycles with high
VTi. In pressure-control
mode, when threshold is
reached, the machine
switches to expiration.
Inhibition for 60
s on ventilation
start-up.
Exhaled tidal Check the coherence of
Triggered after
52 High Vte!! MEDIUM volume above the alarm levels with
3 consecutive
set threshold ventilation settings
ventilation
cycles with high
VTe.
Error detected!!
Use a different unit and
Contact the Immediate
53 MEDIUM Electronics failure contact the technical
technical triggering
department department
Error detected!!
Back-up buzzer -Replace the power
54 MEDIUM error supply board/micro board
alarm levels with
Peak pressure
Immediate
56 High pressure! LOW above alarm
triggering When the pressure
threshold
threshold is reached, the
machine goes into
expiration mode.
Inhibition for 60
s on ventilation
Insufflated tidal start-up. Check the coherence of
57 Low VTi! LOW volume below the Triggering alarm levels with
set threshold within 1 ventilation settings
ventilation
cycle.
Inhibition for 60
Check the level of
s on ventilation
leakage
Exhaled tidal start-up.
58 Low VTe! LOW volume below the Triggering
set threshold within 1
alarm levels with
ventilation
cycle.
Inhibition for 60
s on ventilation
Measured
start-up. Check the coherence of
frequency below
59 Low frequency! LOW Triggering alarm levels with
the alarm
within 1 ventilation settings
threshold
ventilation
cycle.
YM033000 / Rev. 1.3 / 12-2012 67

criteria delay
Check the level of

leakage

Triggering
Insufflated tidal alarm levels with
within 1
62 High VTi! LOW volume above the ventilation settings
ventilation
set threshold
cycle.
In pressure-control
mode, when threshold is
reached, the machine
switches to expiration.
Inhibition for 60
s on ventilation
Exhaled tidal start-up. Check the coherence of
63 High Vte! LOW volume above the Triggering alarm levels with
set threshold within 1 ventilation settings
ventilation
cycle.
Measured Inhibition for 60 Check the coherence of
frequency above s on ventilation alarm levels with
the alarm start-up. ventilation settings
64 High frequency! LOW threshold or Triggering
automatic within 1 Reduce the sensitivity of
triggering of the ventilation the inspiratory trigger if
inspiratory trigger cycle. justified.
Error detected! Replace the battery or
Contact the Micro board Immediate the power supply
65 LOW
technical battery inoperative triggering board/micro board
Error detected!
Internal clock Replace the power
66 LOW failure supply board/micro board
Connect the
Operating on The machine is
Immediate interchangeable battery
67 internal LOW operating on
triggering or connect the machine
battery! internal battery
to the mains.
Press the knob to
acknowledge the alarm.
Schedule
O2 sensor at end Immediate
69 replacement of LOW
FiO2 sensor! of life triggering Replace the O2 sensor
the next time you put the
unit in service.
Re-run the automatic
Error detected!
Incorrect Triggering tests.
Contact the
70 LOW activation of during -Replace the power
technical
department actuators automatic tests supply board/micro board
assembly.
Follow the on-screen
Press the screen Immediate
71 Screen locked INFO instructions to unlock if
whilst it is locked triggering
necessary.
Immediate
triggering when
Unit in stand-by ventilation
72 INFO Unit on stand-by
mode shuts down or
when unit is
started up
68 YM033000 / Rev. 1.3 / 12-2012

criteria delay
Press the knob to confirm

screen inversion.
Press the 180° Immediate
73 Screen inversion INFO
button triggering Press ‘cancel’ to leave
the screen in the same
orientation.
Check the machine air
inlet.
Unit out of
Micro-blower unit Run the automatic tests.
service!!! Use a Triggering
74 ULTRA temperature too Replace the filters.
back-up within 60 s
ventilator!!! high -Replace the power
assembly.
Run the automatic tests.
Error detected!
Micro-blower order:
75 LOW temperature micro-blower
department out of range the power supply
board/micro board
assembly.
The patient has
A resuscitation specialist
not been breathing Immediate
76 CO2 apnea!!! MEDIUM must re-evaluate the
for more than 20 triggering
patient’s ventilation.
seconds
Check the
Adapter poorly Immediate
77 adapter of the MEDIUM Check the adapter
IRMA (CO2) probe fitted on the probe triggering
Replace the Adapter
Immediate
78 adapter of the MEDIUM obstructed or Change the adapter.
triggering
IRMA(CO2) probe blocked
CO2
Measured CO2 > Immediate If CO2 actually < 15%
79 concentration MEDIUM
out of tolerance 15% triggering then calibrate the probe.
Calibrate the Immediate
80 MEDIUM Probe drift Calibrate the probe.
IRMA probe(CO2) triggering
Disconnect and
IRMA(CO2) probe Probe hardware or Immediate reconnect the probe. If
81 MEDIUM
error software error triggering the problem persists,
change the probe.
CO2 measurement Probe not Immediate
82 MEDIUM Connect the IRMA probe.
inoperative connected triggering
The internal
temperature of the
IRMA(CO2)probe:
probe has If the ambient
Internal Immediate
83 MEDIUM exceeded the temperature is normal,
temperature out triggering
of tolerance!!! maximum replace the probe.
measurement
threshold
The atmospheric
pressure
measured by the
IRMA(CO2)probe: If the atmospheric
probe has Immediate
84 ambient pressure MEDIUM pressure is normal,
exceeded the triggering
out of tolerance replace the probe.
maximum
measurement
threshold
YM033000 / Rev. 1.3 / 12-2012 69

criteria delay
etCO2
measurement Immediate
85 etCO2 high!!! MEDIUM alarm levels with
above the triggering
threshold setting
etCO2
measurement Immediate
86 etCO2 low!!! MEDIUM alarm levels with
below the triggering
threshold setting
tests.
Error
detected!!! O2 pressure
Immediate order:
89 Contact the HIGH sensor out of
triggering O2 pressure sensor
technical range.
department the power supply
board/micro board
assembly.
High O2 supply O2 supply Immediate Check pressure in wall
90 HIGH
pressure!!! pressure > 7 bars triggering network.
Check remaining supply
in cylinder or pressure in
wall network.
Zero O2 supply O2 supply Triggering For operation on a low-

91 HIGH
pressure!!! pressure is too low within 10 s pressure source, check
that the high-pressure O2
connection hose is
disconnected from the
machine.
O2 flow detected
Error when the O2 SV is Run the automatic tests.
detected!!! closed. Or Check the O2 * SV
Immediate
92 Contact the HIGH absence of O2
triggering
technical flow when O2 SV Calibrate the O2
department opens. Replace the O2 SV

Check the O2 flow sensor
*
Error Replace the O2 flow
detected!!! 15V internal sensor
Immediate
93 Contact the HIGH voltage power - the intercommunication
triggering
technical supply below 13V. board
department the power supply
board/micro board
assembly.
Check remaining supply

in cylinder or pressure in
wall network.
O2 supply
Low O2 supply Immediate
94 MEDIUM pressure < 2.8
pressure!!! triggering For operation on a low-
bars
pressure source, select
'Low-pressure O2’ from
the configuration menu.
70 YM033000 / Rev. 1.3 / 12-2012

criteria delay
O2 maximum for 2 Press the “100% Start of next

95 INFO
min! O2” key ventilation cycle
Press the “Low- Immediate
96 Low-pressure O2 INFO
pressure O2” key triggering
Locate the leak in front of
or behind the micro-
Error
Discrepancy blower when calibrating
detected!!!
between cell and Immediate the O2 flow sensor. After
97 Contact the HIGH
technical flow sensor O2 triggering calibrating the Insp flow
department measurements sensor, you must
recalibrate the O2 flow
sensor.
Check the internal

Internal battery Immediate battery connection.
98 HIGH No internal battery
absent! triggering Replace the internal
battery.
Mean temperature
of internal battery:
- Discharging:
Excessive
above 75°C or Immediate Replace the internal
100 internal battery HIGH
temperature! below -40°C triggering battery.
- Charging: Above
60°C or below -
20°C
Mean temperature
of interchangeable
battery:
Excessive
- Discharging:
interchangeable Immediate Replace the
101 HIGH above 75°C or
battery triggering interchangeable battery.
temperature! below -40°C
- Charging: Above
60°C or below -
20°C
Excessive PCB Power supply PCB Check the actual
Immediate
102 supply HIGH temperature temperature of the board
triggering
temperature! above 95°C in Expert mode.
Check the actual
temperature of the
internal battery in Expert
Correct voltage at mode.
internal battery Replace the following, in
Internal battery terminals, but zero Triggering order:
103 HIGH
error detected! current or within 10 s The internal battery.
temperature The interconnection
outside tolerance board.
The power supply
board/micro board
assembly.
Correct voltage at
interchangeable
Interchangeable
battery terminals, Triggering Replace the
104 battery error HIGH
detected! but zero current or within 10 s interchangeable battery.
temperature
outside tolerance
YM033000 / Rev. 1.3 / 12-2012 71

criteria delay
Actual capacity of
the internal battery
Use a different unit and
Internal battery is too low Immediate
105 LOW contact the technical
defective! compared to its triggering
department
theoretical initial
capacity
Actual capacity of
the
Interchangeable interchangeable
Immediate Replace the
106 battery LOW battery is too low
triggering interchangeable battery.
defective! compared to its
theoretical initial
capacity
Check the touch screen
Error connection.
detected!!! -Replace the touch
Touch screen Immediate
107 Contact the HIGH screen
check error triggering
technical -the power supply
department board/micro board
assembly.
Triggering at
Tele-inspiratory "Inspiratory
the start of the
108 occlusion in INFO pause" respiratory
expiratory
progress function selected
phase
Triggering at
Tele-expiratory "Expiratory pause"
the start of the
109 occlusion in INFO respiratory
inspiratory
progress function selected
phase
Ventilation in Triggering after
Select a mode other than
100% 02 time > 3 100% O2 mode" more than 3
110 LOW 100% O2. Or reduce the
min with the FiO2 minutes of
FiO2 setting.
setting at 100% ventilation
Check that the unit is
being used according to
specifications
High turbine
Check the machine air
temperature!!! High micro-blower Triggering
111 HIGH inlet.
Ventilation temperature within 60 s
could stop.
Replace the filters.
Replace the micro-blower

unit
02 sensor Acknowledge the alarm.

disabled. Use an "O2 monitoring" Immediate
112 MEDIUM
external O2 key disabled triggering Re-enable the "O2
monitor. monitoring” sensor.
72 YM033000 / Rev. 1.3 / 12-2012

criteria delay
Change the patient

circuit, connect patient
Slight patient circuit components
Sealing problem in Triggering on
circuit leak carefully, and repeat
113 LOW the patient circuit exit from
detected during automatic tests
automatic tests! or the machine. automatic tests
This error affects pauses
only.
Rebreathing
Rebreathing Immediate
114 MEDIUM above threshold (4 Reduce the dead space
detected! triggering
mmHg)
IMMEDIATELY replace
the machine’s power
source.
DC input voltage Use a DC power supply
10 s during
DC input voltage greater than 31 V that is compatible with
115 HIGH which the fault
above 30 V!!! for longer than 10 the machine.
is observed
seconds If power supply OK,
replace the power supply
board / micro board
assembly
(*) This check is performed in Expert Mode: Consult us for the access procedures and the expected values.
YM033000 / Rev. 1.3 / 12-2012 73

9. DISASSEMBLY/REASSEMBLY PROCEDURES
Y Before starting work, ensure that:
- The power to the device is switched off;
- The oxygen socket is disconnected;
- A check has been made to ensure the absence of any contamination inside the
device (expiratory valve, etc.)
- The interchangeable battery has been removed,
- Personal protection measures are implemented (wearing of gloves, goggles, anti-
static apron, etc.).
Removal of any element from the MONNAL T60, apart from the interchangeable battery
and any consumables, involves an obligatory requirement for a full check of the device (cf.
return to service form in Appendices).
9.1. REMINDERS
Some reminders, to prevent the connectors from being damaged:
KK-TYPE ELECTRICAL CONNECTORS

As a general rule, these connectors must be extracted by lifting the plastic clips and then
pulling the cable.
ELECTRONIC PRESSURE SENSORS
Avoid placing mechanical stresses on the sensor: its pins could snap.
POLYURETHANE TUBE
 To remove a Polyurethane® tube, press the black ring, continue pressing, and
pull the pipe: the tube is easily extracted.
 Installation is easy: engage the pipe in the quick-fit connector until it stops 
check that the tube is sufficiently engaged in its housing (5 to 8 mm) to prevent
leakage.
HANDLING COMPONENTS (AND ELECTRICAL CONTACTS IN GENERAL)

The pins of components (e.g., EPROM) and all devices intended to fit into electrical
contacts (e.g., connector base) must not be touched, which would place them in contact
with the skin’s acidity.
ELECTRONIC BOARDS
Use an antistatic mat and a bracelet when handling electronic boards.
If the board is removed, place it solder-side down on this mat.
Handle with care and do not subject it to any mechanical stress.
74 YM033000 / Rev. 1.3 / 12-2012

Y Caution: SMD components (surface-mount devices) are relatively fragile.
The microprocessor board must be removed/reinstalled with care: tools must not slip, at the
risk of damaging the components or tracks nearby.
STATIC ELECTRICITY
Touch an earth connection before touching a component in order to release any electrostatic
charge.
9.2. DISASSEMBLY
Y Before commencing disassembly, switch off the unit, disconnect the mains cable,
remove the interchangeable battery, and remove all accessories.
Reassemble by applying the instructions in reverse.
9.2.1 OPENING THE MONNAL T60

 Disengage the two white covers that function as feet.
 Remove the screws associated with the feet.
Screw
White cover
 Remove the three screws under the device on the handle side.
Screws
 Lift the MMI housing assembly
YM033000 / Rev. 1.3 / 12-2012 75

9.2.2 MMI HOUSING ASSEMBLY
REMOVING THE MICROPROCESSOR/POWER SUPPLY BOARD
 Disconnect the ribbon cable from the touch screen (1)

 Disconnect the connector from the coding dial (2)
 Disconnect the loudspeaker (3)
 Disconnect the LED backlighting connector (4)
 Carefully disconnect the screen ribbon cable connector (5)
 Remove the four securing screws
 Lift the board, tilting it slightly to pull the USB and Video connectors clear
3
4
1
2
Screws
76 YM033000 / Rev. 1.3 / 12-2012

REMOVING THE SCREEN
 Remove the transparent insulation plate
 Remove the two securing screws and the two nuts and washers
 Withdraw the screen
Post (b)
Loudspeaker
Nuts
Post (a)
Screws
Screen
YM033000 / Rev. 1.3 / 12-2012 77

REMOVING THE ENCODER
Access the encoder simply by opening the MONNAL T60, and then:
 Remove the dial (6)
 Remove the nut, washer, and seal
 Disconnect the small red connector from the micro board (2)
 Withdraw the encoder via the bottom
Encoder
REMOVING THE LOUDSPEAKER

Access the encoder simply by opening the MONNAL T60, and then:
 Remove the post (a), loosen (b), and turn the support bracket
 Disconnect it from the microprocessor board (3)
 Detach the loudspeaker
 Clean the surface before applying fresh adhesive
78 YM033000 / Rev. 1.3 / 12-2012

9.2.3 PNEUMATIC ASSEMBLY
Unless otherwise specified, it is usually necessary to remove the inspiratory patient flank
to gain access to the internal pneumatic components.
REMOVING THE PATIENT FLANK
 Remove the three lower screws
Screws
 Disconnect the etCO2 ribbon cable from the interconnection board (7)
 Carefully disengage the patient flank, firstly from the inspiratory flow sensor side (a)
and then the expiratory valve side (b).
 Disconnect
- The blue expiratory valve control hose (8)
- The cable harness of the expiratory flow sensor on the interconnection board (9)
- The cable harness of the ventilator on the interconnection board (10)
YM033000 / Rev. 1.3 / 12-2012 79

9 10
Y When reassembling, take care to

insert the two tabs in the grooves of
the inspiratory flow sensor assembly
Tabs Grooves
REMOVING THE LOCK UNIT

 Remove the three screws and remove the lock assembly
Fan
Screws
REMOVING THE COOLING FAN

For this procedure, it is not necessary to remove the patient flank.
 Remove the connector from the interconnection board (10)

 Detach the fan + foam assembly
 Clean the surface before positioning the new fan
80 YM033000 / Rev. 1.3 / 12-2012

REMOVING THE PRESSURE SENSORS
 Loosen the two screws and remove the sensor assembly

 Electrically disconnect the sensor(s) to be replaced
 Unclip them from their mounting
Screws
Mounting
Absolute sensor (APS3)
Patient sensors (PS1 and PS2)
The length of each cable harness depends on the sensor’s position on the mounting.
They cannot therefore be interchanged after the assembly has been mounted.
YM033000 / Rev. 1.3 / 12-2012 81

REMOVING THE INSPIRATORY FLOW SENSOR:
 Remove the patient flank
 Pull out the flow sensor assembly (FS1)
 To remove it fully, remove the two filter board mounting screws.
Filter board Screws
Measured flow orientation

 If replacing the flow sensor, be sure to install the new one in the correct orientation.
REMOVING THE INTERCONNECTION BOARD:

 Remove the two mounting screws and the small transparent insulating card
 Disconnect all the connectors, starting with the internal battery connector.
 Each connector can be identified because its name is written on the board.
 For reassembly, refer to Section 1.6.2
Screws MMI connector
82 YM033000 / Rev. 1.3 / 12-2012

DISASSEMBLING THE INSP/EXP UNIT:
 Remove the oxygen cell (OS2) using the special tool provided
 Remove the two securing screws
 Pull the interconnection board slightly clear to access the connectors
 Disconnect the associated EVPep connector (V2) and the pause on/off relay (V3)
Tool
O2 sensor location
V3
V2
TS
YM033000 / Rev. 1.3 / 12-2012 83

DISASSEMBLING THE MIXER/MICRO-BLOWER UNIT:

 Remove the flow sensor assembly
 Remove the insp/exp unit
 Remove the interconnection board,
 Remove the two mixer securing screws
 Tilt the assembly upwards and pull
 Disconnect one of the quick connectors connecting the micro-blower to the
mixer unit
Screws
Seal
Black ring
Mixer unit
Micro-blower unit
Connection
 Y – When reassembling, carefully reposition the black ring that serves as a seal on
the O2 connector in the corresponding flank.
84 YM033000 / Rev. 1.3 / 12-2012

DISASSEMBLING THE MIXER UNIT:
The mixer/micro-blower unit must be disassembled in order to replace the oxygen flow
(FS3) and pressure (PS4) sensors. To replace the oxygen solenoid valve (V1), it is only
necessary to open the MONNAL T60.
 Remove the five screws from the oxygen flow sensor (FS3) cover.
 Separate the assembly into three parts
 Disconnect the sensor from the metal box
Screws
V1
FS3
 PS4
 The oxygen and PEEP proportional valves are removed/reinstalled after removal of
both mounting screws by rotation/translation.
REMOVING THE TEMPERATURE PROBE:

The probe is accessible without any additional disassembly beyond opening the
MONNAL T60.
 Loosen the two interconnection board mounting screws for easier access to its
connector, and then remove it from its quick connector on the insp/exp unit.
YM033000 / Rev. 1.3 / 12-2012 85

REMOVING THE INTERNAL BATTERY:
The battery is accessible without any additional disassembly beyond opening the
MONNAL T60.
 Remove the connector from the interconnection board.
 Remove the mounting screw from the metal bracket, and remove the bracket
 Remove the battery.
Bracket Screw
Y On reassembly, the cable harness

must be routed on the housing side
86 YM033000 / Rev. 1.3 / 12-2012

10. CALIBRATION AND OPERATING CHECKS
10.1. INTRODUCTION
Operating checks are usually carried out without calibration.
If a stage of the operating check produces an invalid result, calibrate the element(s)
concerned.
In the event that a manometer calibrated in cmH2O is being used, apply the following
correction:
1 cmH2O = 0.981 hPa
1 hPa =1.02 cmH2O
Note: 1 hPa = 1 mbar
Visual inspection procedure
Device not connected to the AC power supply.

Examine the following components:
Labels/Accessories Actions
Manufacturer label Check for presence of the label
Symbol labels Check for presence of labels
Mains (AC) power adapter With MONNAL T60 off, check the integrity of the assembly
Check its condition (good condition, no sign of cracks, hot
Expiratory flow sensor
wire OK)
Check its condition (no sign of cracks), presence of
Expiratory valve
membrane and silicone disc
MT60/valve seal Check the condition of the black lip seal
Electrical cable pull-out

Check for its presence
protection device
YM033000 / Rev. 1.3 / 12-2012 87

Connectors Actions
etCO2 connector
Power button Check the integrity of the connectors

USB-A / USB-B ports
Video output
Communication port cover Check that it is present and holds its position well
10.2. CHECKING OR REPLACING PARTS

Component Actions
Check filter condition and date of installation or replacement

Monnal Clean'In filter
 Replace every 6 months irrespective of condition
Check condition of battery
Interchangeable battery
Check internal condition of battery housing
88 YM033000 / Rev. 1.3 / 12-2012

10.3. FUNCTIONAL CHECK OF TOUCH SCREEN
Function Actions
Connect the AC power supply
 Occasional red alarm indicator, presence of audible
Initialisation
alarm, blue mains indicator and green battery indicator
 Proper operation of cooling fan (check by listening)
Apply power to the device and check that it beeps
Sound alarm
 No alarms are present
Backlighting Check for proper backlighting of the screen
Adjust a weight setting

Touch screen/Encoding
 Check that the touch screen operates correctly (no offset)
dial
and check the confirmation using the encoding dial
Date and time Set the date and time if necessary.
10.4. FUNCTIONAL CHECK OF USB PORT

Carry out the black box transfer and check that it is successfully completed.
Use a USB key.
CHECK OF SWITCHING TO SECONDARY POWER SUPPLIES
Power source Actions
With the device in stand-by mode, disconnect the AC power

cable.
No alarm, indicator light goes off
Check the switchover to interchangeable battery
Interchangeable battery
YM033000 / Rev. 1.3 / 12-2012 89

With the device in stand-by mode, disconnect the AC power
cable and the interchangeable battery.
Check the alarm and the indicator lights.
Internal battery
Check the switchover to internal battery
With the device in stand-by mode, reconnect the

interchangeable battery and the device to the AC power
supply
Check the indicator lights and the absence of any alarm
Check the battery charge
AC (mains) power
Switch off the MONNAL T60 and disconnect it from the AC

power supply.
Batteries Run the device on batteries
Check that it starts up
90 YM033000 / Rev. 1.3 / 12-2012

10.5. SENSOR CALIBRATION
Sensors Comments
Pressure sensors PS1 and

PS2
Atmospheric pressure
sensor APS3
See Section 11. Calibration
O2 pressure sensor PS4
Patient flow sensor FS1
O2 flow sensor FS3

 Initialisation of tests: checking the integrity of sensors to
start the tests
 Pneumatic checks: Check the integrity of the actuators in

Automatic tests the inspiratory and expiratory branches, and the calibration
of the oxygen sensor and expiratory flow sensor
 Closure of tests: Checking the safety devices,

compliance measurement
YM033000 / Rev. 1.3 / 12-2012 91

10.6. VENTILATION CHECK
Connect the device to a ventilation tester and a test lung.
P TESTER
Vt, f, etc…
TEST lung
 Check the consistency of the measurement taken by MONNAL T60 (±10%)

 Maintain ventilation for two minutes, and check that no alarms occur.
ADULT PATIENT
 Adult patient circuit
 1L test lung:
- Rp = 5
- Compliance = 30 ml/cmH2O
VCV mode at constant flow rate

Ventilation parameters Targets
Vt (mL) = 500 450 ≤ Vt (mL) ≤ 550
F(bpm) = 15 14 ≤ F (bpm) ≤ 16
PEEP (cmH2O) = 5 4 ≤ PEEP (cmH2O) ≤ 6
FiO2 = 21% 20 ≤ FiO2 (%) ≤ 22
I/E = ½ and Tplat = 0
Flow rate = Cst
VCV mode at decelerating flow rate
Vt (mL) = 800 720 ≤ Vt (ml) ≤ 880
Fmin (bpm) = 12 11 ≤ F (bpm) ≤ 13
FiO2 = 90% 87 ≤ FiO2 (%) ≤ 93
Flow rate = Decelerating
VPAC Mode
IP (cmH2O) = 20 18 ≤ IP (cmH2O) ≤ 22
Fmin (bpm) = 10 9 ≤ F (bpm) ≤ 11
FiO2 = 60% 57 ≤ FiO2 (%) ≤ 63
92 YM033000 / Rev. 1.3 / 12-2012

PAEDIATRIC PATIENT
 Adult patient circuit
 Test lung settings:
- Rp = 50
- Compliance = 20 ml/H2O
VCV Mode
Vt (mL) = 50 40 ≤ Vt (mL) ≤ 60
F(bpm) = 45 44 ≤ F (bpm) ≤ 46
PEEP (cmH2O) = 0 0 ≤ PEEP (cmH2O) ≤ 1.5
FiO2 = 21% 20 ≤ FiO2 (%) ≤ 22
Flow rate = Cst
PSV Mode
IP (cmH2O) = 25 29 ≤ IP (cmH2O) ≤ 31
F(bpm) = 20 19 ≤ F (bpm) ≤ 21
FiO2 = 30% 28 ≤ FiO2 (%) ≤ 33
ABSENCE OF AUTOMATIC TRIGGERING

Run a standard ventilation cycle to look for automatic triggering events.
VCV Mode
Vt (mL) = 500 450 ≤ Vt (mL) ≤ 550
F(bpm) = 15 14 ≤ F (bpm) ≤ 16
FiO2 = 60% 57 ≤ FiO2 (%) ≤ 63
Trig I = 3 l/min
F max = 17 bpm No Fmax alarm
I/E = ½
YM033000 / Rev. 1.3 / 12-2012 93

10.7. ALARM CHECKS
Alarm Comments
After at least one minute of ventilation, disconnect the test

Patient lung
disconnection  Check that the ‘Patient disconnected’ message
appears.
Switch to VCV mode. Remove the test lung and seal off the
patient circuit.
 Check for the switch to expiratory phase when the
High pressure
pressure reaches the alarm threshold, and check that the
‘high pressure’ message appears in yellow during the
first two cycles and then in red during the third cycle.
Set the Ppeak alarm to 30cmH20. Connect the test lung

PEEP greater than directly to the inspiratory pipe (without the expiratory valve).
PEEP set-point +
5 cmH2O  Start ventilation: check that the message 'PEEP
greater than PEEP set-point + 5cmH2O’ appears
Set a low FIO2 alarm threshold greater than the displayed

FiO2 low
measurement,
 Check that the audible and visual alarm is triggered.
Set a high FIO2 alarm threshold below the displayed

FiO2 high measurement,
 Check that the audible and visual alarm is triggered.
94 YM033000 / Rev. 1.3 / 12-2012

10.8. SWITCHING OFF THE UNIT
Verification Comments
Carry out the safety tests for a Class II device  see sheet
Electrical safety tests
in Appendix
Press the OFF button

Alarm and confirmation
 Check that the confirmation message and alarm are
request
displayed
YM033000 / Rev. 1.3 / 12-2012 95

11. CALIBRATION
11.1. ACCESS TO THE CALIBRATION SCREEN

In addition to calibration of the Monnal T60, the maintenance screen gives access to:
Flash updating of the Monnal T60 firmware

Retrieval of black and white boxes (‘transfer boxes’)
Use of Expert Mode
Integration of the Monnal T60 serial number into the microprocessor board in the event of
replacement (‘Serial Number’)
Touch screen calibration (‘Touch screen calibration’)
Press the ‘Calibration’ key.
11.2. USING THE CALIBRATION SCREEN

The calibration screen is used to calibration all pressure and flow sensors.
All the instructions required to carry out these calibrations are given on screen.
11.3. CALIBRATING THE MACHINE
Press the Calibration button. The following screen appears:
96 YM033000 / Rev. 1.3 / 12-2012

Select the desired field.
The machine is calibrated with the machine closed and without the MT60 tool ribbon cable.
Use of the ribbon cable can cause a pressure sensor and O2 cell calibration error.
11.4. AUTOMATIC TESTS

Start by performing the automatic tests. To do this, press the appropriate button.
Close off the patient circuit outlet, and press the ‘Confirm’ button.
The tests run automatically, as follows:
Particularly checks:
- The integrity of the sensors to start the tests.
Initialisation of
tests - Zeroing of the sensors not sensitive to oxygen
- Blower tachymetry
Particularly checks:
- Presence of the plug
- Sealing of the insp/exp branches
- Circuit rinsing
Pneumatic checks: - Zeroing of expiratory flow sensor
- 21% of the O2 cell
- Insp and Exp flow sensor
- Micro-blower performance
Checking the mixer

Checking the mixer - O2 presence
- Oxygen actuator
Checking the safety mechanisms
Conclusion of tests Compliance measurement
Checking the backup RAM
YM033000 / Rev. 1.3 / 12-2012 97

For each successful test, the symbol appears. For a failed test, the symbol
appears.
The symbol appears to specify the environment of use (e.g.: no oxygen is present, etc.).
At the end of automatic testing, the message ‘Tests successful’ or ‘Tests

failed’ appears, as well as the compliance of the patient circuit.
At the end of testing, check the coherence of the compliance value measured:
1.4 ml/cmH2O (+/- 0.2 mL/cmH2O) for the standard adult double-branch circuit without
water trap (KG020100, batch of 20).
98 YM033000 / Rev. 1.3 / 12-2012

11.5. CALIBRATION
11.5.1 PRESSURE SENSOR CALIBRATION
LOW-PRESSURE SENSORS (PS1, PS2)
Press the Low-pressure sensors key.
Place a T-fitting at the device outlet and then connect the inspiratory branch
to the expiratory branch of the machine via an airtight hose.
Connect the T-fitting to a 0-100 mbar pressure gauge.
Check that the pressure gauge indicates 0 mbar before confirming!!!

Press the knob to confirm.
After a few seconds, the micro-blower starts up. The MONNAL T60 then
pressurises the circuit to approximately 70 cmH2O.
When the bar graph is available on screen, turn the knob to set the actual pressure value
read on the pressure gauge on the MONNAL T60. (Tolerance of ±1mbar).
Then press the knob to confirm.
YM033000 / Rev. 1.3 / 12-2012 99

The message ‘Successful calibration’ or ‘Calibration error’ then appears
on screen.
MONNAL T60 accepts a pressure value between 65 and 75 mb.
In the event of an error:
1) Check that the patient hose does not leak. Repeat the calibration.
2) Run an automatic test. If an error is detected  corrective maintenance is required.
3) Contact Air Liquide Medical Systems.
 Step 1) should usually be sufficient. In the event of corrective maintenance, Step 2) can
help to resolve the situation. If the automatic tests fail, the problem can be diagnosed. If
the tests succeed but calibration fails, call Air Liquide Medical Systems.
Press Return before launching the next calibration.
ATMOSPHERIC PRESSURE SENSOR (APS3)

Press the Atmospheric pressure sensors key.
For this calibration, there is no need to connect a patient circuit or the

inspiratory/expiratory branches.
This calibration lets you compensate for the effects of altitude on the oxygen cell and flow
sensors.
A bargraph is displayed, with the atmospheric pressure as the mean value.
When the bar graph is available on screen, turn the knob to set the pressure value read on
the reference manometer or, if none, the known local atmospheric pressure, on the
MONNAL T60.
Then press the knob to confirm.
100 YM033000 / Rev. 1.3 / 12-2012

The message ‘Successful calibration’or ‘Calibration error’ then appears on
screen.
MONNAL T60 accepts a pressure value between 900 and 1200 mbar.
Repeat the calibration after checking the local atmospheric pressure.
Contact Air Liquide Medical Systems.
Press Return before launching the next calibration.
OXYGEN PRESSURE SENSOR (PS4)
Press the O2 pressure sensor key.
SENSOR OFFSET
Disconnect the oxygen source.
1) Purge any residual pressure from the MONNAL T60 by pressing the valve on the
oxygen connector, and then restart the test.
2) If the test fails, launch an automatic test. If an error is detected  corrective

maintenance is required.
SENSOR GAIN
When the bargraph is visible, connect the machine to an oxygen source (cylinder or wall
network with a pressure gauge or pressure monitoring system).
YM033000 / Rev. 1.3 / 12-2012 101

Turn the knob to set the MONNAL T60 to the pressure value read on the calibration
pressure gauge.
The message ‘Successful calibration’ or ‘Calibration error’ then appears

on screen.
MONNAL T60 accepts a pressure value between 3 and 5 bars.
1) Ensure that the sensor has been zeroed with all O2 sources disconnected (high and
low pressure).
2) Ensure that the sensor gain was done with O2 connected, and that the pressure of
the O2 source is above 2.8 bar.
3) Launch an automatic test. If an error is detected  corrective maintenance is

required.
11.5.2 CALIBRATING THE FLOW SENSORS

PATIENT FLOW SENSOR (FS1)
Press the ‘Patient flow sensor’ field.

Connect the flowmeter to the fitting of the ventilator inspiratory branch.
It is recommended that you place a PALL-type antibacterial filter at the machine outlet,
before the flowmeter.
D The flowmeter must be altitude-compensated.

102 YM033000 / Rev. 1.3 / 12-2012

The MONNAL T60 micro-blower starts up.
In the flow calibration procedure, the ventilator will start by delivering what it believes to be
1 L/min (first calibration point).
Use the knob to adjust this flow until the objective flow rate (in this case, 1 L/min) is read
on the external flowmeter.
When the adjustment has been performed, confirm by pressing the knob, and then
proceed to the next calibration point. Repeat this procedure for all the calibration points (1,
2, 3, 4, 5, 10, 20, 30, 50, 70, 90, 110, 130 L/min).
The table below gives the adjustment range for each calibration point:
Min. Calibration point Max.

(L/min) (L/min) (L/min) %
0.9 1 1.1 10.0
1.9 2 2.1 5.0
2.9 3 3.1 3.3
3.9 4 4.1 2.5
4.9 5 5.1 2.0
9.7 10 10.3 2.0
19.5 20 20.5 2.0
29.4 30 30.6 2.0
48.5 50 51.5 2.0
67.9 70 72.1 2.8
87.3 90 92.7 2.2
107 110 113 1.8
127 130 133 2.3
When calibration is complete, the message ‘Successful calibration’ or

‘Calibration error’ appears.
1) Check that the measuring device is not obstructed (presence of a balloon, etc.), and
check for clogged filters. Repeat the calibration.
2) Run an automatic test. If an error is detected  corrective maintenance is required.
YM033000 / Rev. 1.3 / 12-2012 103

OXYGEN FLOW SENSOR (FS3)
Connect the Monnal T60 to a high-pressure oxygen source.
Substitute the special YA018100 ‘cap turbine air inlet’ tool for the Monnal Clean’In HEPA
filter to block any possible air intake.
Press the ‘O2 flow sensor’ field.
Validate to continue.
Calibration takes place automatically. The previously calibrated patient flow sensor (FS1)
becomes the calibration benchmark sensor. Calibration is then performed internally.
Wait whilst the automatic calibration phase proceeds.
When this phase is complete, reinstall the Monnal Clean'In filter.
1) Ensure that the oxygen source is properly connected and that the micro-blower air
intake is obstructed. Eliminate any leaks between the rear chassis of the machine
and the blower. Repeat the calibration.
2) Repeat the calibration of the patient flow sensor (FS1) and then relaunch the
automatic calibration of the O2 flow sensor.
3) Launch an automatic test. If an error is detected  corrective maintenance is

required.
104 YM033000 / Rev. 1.3 / 12-2012

QUITTING THE CALIBRATION SCREEN
To quit the calibration screen, press the ‘Back’ key in the contextual menu.
The ‘Maintenance’ screen is then displayed.
Press ‘Back’ and then ‘Quit’ to return to Stand-by Mode.
All calibrations require the automatic tests to be repeated, as well as an operational check with
the machine closed (refer to the curative maintenance flow chart in Section 8.1).
YM033000 / Rev. 1.3 / 12-2012 105

12. SPARE PARTS AND CONSUMABLES
12.1. SPARE PARTS

12.1.1 ELECTRICAL AND ELECTRONIC PARTS
PART No. REPRESENTATION NAME
YR125100 MICROPROCESSOR/POWER SUPPLY

BOARD ASSEMBLY
YR114700 MT60 8.4” LCD SCREEN
TOUCHSCREEN + LEXAN MT60

KY682900
YR115300 INTERCONNECTION BOARD
KY665700 MMI ENCODER
KY654400 TEMPERATURE CABLE HARNESS
106 YM033000 / Rev. 1.3 / 12-2012

YR114000 LOUDSPEAKER
EXPIRATORY SENSOR CABLE

KY653500
HARNESS
KY654200 FIO2 CABLE HARNESS
YR114200 PRESSURE SENSOR CABLE HARNESS
YR117700 O2 FLOW SENSOR CABLE HARNESS
KY640300 INTERNAL FLOW SENSOR STRAND
KY658500 FILTER BOARD
KY555000 FLOW SENSOR
YM033000 / Rev. 1.3 / 12-2012 107

YR115400 HUBA RELATIVE PRESSURE SENSOR
YR115500 HUBA ABSOLUTE PRESSURE SENSOR
YR114300 IRMA etCO2 PROBE CABLE HARNESS
YR119200 MT60 BLOWER ASSEMBLY
YR114100 MT60 START CABLE HARNESS
YR114400 MT60 DC INPUT CABLE HARNESS
108 YM033000 / Rev. 1.3 / 12-2012

12.1.2 ELECTROPNEUMATIC PARTS
MT60 INSPIRATORY UNIT ASSEMBLY

KY687000
KY634900 OXYGEN PROPORTIONAL VALVE
KY635100 OXYGEN PRESSURE SENSOR
YR115200 MT60 MICRO-BLOWER UNIT
YM033000 / Rev. 1.3 / 12-2012 109

12.1.3 MECHANICAL PARTS
MT60 LOWER HOUSING PARTIAL

KY703000
ASSEMBLY
MT60 MMI HOUSING PARTIAL

KY683300
ASSEMBLY
MT60 PATIENT INTERFACE PARTIAL

KY684500
ASSEMBLY
KY684200 MT60 LOCK ASSEMBLY
KY693100 MT60 KNOB
KY679500 MT60 HANDLE
YJ073300 BLACK LIP SEAL (X5)
KY687100 FiO2 HATCH
BM053700 FILTER TIP GUIDE
110 YM033000 / Rev. 1.3 / 12-2012

KY691100 MT60 DUMMY BATTERY
KY696101 INTAKE FILTER
KY680400 MT60 O2 CELL TOOLKIT SPANNER
KY691700 MT60 FOOT
12.2. CONSUMABLES
KY692800 INTERCHANGEABLE BATTERY
YR115100 INTERNAL BATTERY
KY632200 AUTOCLAVABLE HOT WIRE SENSOR
SINGLE-USE HOT WIRE

KY664500 SENSOR BATCH (X5)
YR049700 O2 CELL
YM033000 / Rev. 1.3 / 12-2012 111

KY691401 MONNAL Clean'In (HEPA) FILTER
AUTOCLAVABLE MONNAL EVA EXP

KY694500
VALVE ASSEMBLY
BATCH OF MONNAL EVA

KY694800 SINGLE-USE EXP VALVE
ASSEMBLIES (X5)
12.3. TOOLS
YR122700 MT60 TOOLKIT RIBBON CABLE
YA018100 MT60 CAP TURBINE AIR INLET
112 YM033000 / Rev. 1.3 / 12-2012

13. ELECTRICAL SAFETY CHECKLIST
Safety check conducted according to the EN 62353 standard, differential method.
The machine must be tested with its power supply adapter.
Device tested: Monnal T60

Electrical class: Class II
Type of parts applied: Type B, cable not permanently fixed
Serial No.: Time counter:

Establishment: Department:
Test device
Manufacturer: Type: Serial No.:
Technician who performed the test
Last name, first name: Company:
Result
Step Verification
OK
Device ready to be tested (switched on, lid closed, disconnected from
1 
networks)
Visual inspection
2 Check safety-related markings 
3 Check integrity of mechanical parts 
4 Check for absence of contamination 
5 Evaluation of accessories 
6 Check presence of documentation 
Electrical tests
between 90V and
7 Measure mains voltage: 264V

Measure casing leak currents

≤ 500 A
 with site polarities
- open circuit: 
8 - under normal conditions: 
 with inverted polarities
- open circuit: 
- under normal conditions: 
Result of the test

 success  failure
Date: Signature of technician:
YM033000 / Rev. 1.3 / 12-2012 113

14. MONNAL T60 ‘RETURN TO SERVICE' SHEET
preventive
Service Call No.: …………………
Maintenance curative Serial Number:..................
commissioning
Nom &/or Time
Other case:
Technician code:........................ counter: ……………………..h
1. Visual check of labels and accessories (Section 9.1) OK

 Manufacturer label 
 Symbol labels 
 Mains (AC) power adapter 
 Expiratory flow sensor 
 Expiratory valve 
 Expiratory valve housing lip seal 
 Electrical cable pull-out protection device 
2. Visual check of ventilator connectors OK
 etCO2 connector 
 Power button 
 USB-A / USB-B 
 Communication port cover 
3. Check or replace spare parts on the unit (Section 5.1) OK
 Monnal Clean'In filter 
 Interchangeable battery or dummy battery 
4. Apply power and check touch-screen OK
 Audible alarm initialisation 
 Audible alarm 
 Backlighting 
 Touch screen & encoder wheel 
 Date and time 
 Software version checking V. …….
5. USB port operation OK
 Black box downloading test 
6. Switch to secondary power supplies OK
 Switchover to interchangeable battery 
 Switchover to interchangeable battery 
 Switchover to mains (AC) 
 Start-up on battery 
7. Sensor calibration (Sections 10.5 and 10.6) For curative maintenance or in case of NA / OK
failure of ventilation operational checks (Step 9)
 Patient pressure sensors  
 Atmospheric pressure sensor  
 O2 pressure sensor  
 Inspiratory flow sensor  
 Oxygen flow sensor  
8. Automatic tests (Section 10.4) OK
 Initialisation of tests 
 Pneumatic tests 
 Conclusion of tests 
114 YM033000 / Rev. 1.3 / 12-2012

9. Ventilation operational check
Adult ventilation
VCV mode at constant flow rate
Ventilation parameters Targets value
 VT (mL) = 500  450 ≤ VT(mL) ≤ 550 …….
 F(bpm) = 15  14 ≤ F (bpm) ≤ 16 …….
 PEEP (cmH2O) = 5  4 ≤ PEEP (cmH2O) ≤ 6 …….
 FiO2 = 21%  20 ≤ FiO2 (%) ≤ 22 …….
VCV mode at decelerating flow rate
VT (mL) = 800 720 ≤ VT(mL) ≤ 880 …….
F(bpm) = 12 11 ≤ F (bpm) ≤ 13 …….
PEEP (cmH2O) = 0 0 ≤ PEEP (cmH2O) ≤ 1.5 …….
FiO2 = 90% 87 ≤ FiO2 (%) ≤ 93 ……...
VPAC Mode
 PI (cmH2O) = 20  18 ≤ IP (cmH2O) ≤ 22 …….
 Fmin (bpm) = 10  9≤ F (bpm) ≤ 11 …….
 FiO2 = 60%  57 ≤ FiO2 (%) ≤ 63 …….
Child ventilation
VCV Mode
 VT (mL) = 50  40 ≤ VT(mL) ≤ 60 …….
 F(bpm) = 45  44 ≤ F (bpm) ≤ 46 …….
 PEEP (cmH2O) = 0  0 ≤ PEEP (cmH2O) ≤ 1.5 …….
 FiO2 = 21%  20 ≤ FiO2 (%) ≤ 22 …….
PSV Mode
 PI (cmH2O) = 25  24 ≤ IP (cmH2O) ≤ 26.5 …….
 Fmin (bpm) = 20  19 ≤ F (bpm) ≤ 21 …….
 FiO2 = 30%  28 ≤ FiO2 (%) ≤ 33 …….
10. Check alarms (audible and visual) OK
 Patient disconnection 
 High pressure 
 PEEP greater than PEEP set-point + 5 cmH2O 
 FiO2 low and high 
11. Absence of self-triggering 
12. Switching off the unit OK
 Electrical safety tests 
 Alarm and confirmation request 
Date: Technician name:
Measuring instrument: Signature:
YM033000 / Rev. 1.3 / 12-2012 115

116 YM033000 / Rev. 1.3 / 12-2012
Contact
Air Liquide Medical Systems S.A.
Parc de Haute Technologie
6 rue Georges Besse
92182 Antony cedex – France
Tel: +33 1 40 96 66 00
Fax: +33 1 40 96 67 00
Hotline: +33 1 40 96 66 88
Website: www.airliquidemedicalsystems.com
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YM033000 - Ind. 1.

It is a complementary document to the user manual, and is aimed at trained personnel

YM033000 / Rev. 1.3 / 12-2012 3

Emphasises an item of information being given.

Lucida Console Excessive pressure Text taken from screen

ACRONYMS & ABBREVIATIONS

4 YM033000 / Rev. 1.3 / 12-2012

Manufacturer label Oxygen cell hatch open

Manufacturer Expiratory valve eject button

Compliance with Directive 93/42/EEC

Catalogue Number of the device Low-pressure oxygen inlet fitting

Serial Number of the device Patient circuit inspiratory connection

Date of manufacture: YYYY-MM Patient circuit expiratory connection

Caution; refer to the instruction manual IRMA CO2 probe connector

This logo means that the equipment

Type BF device Internal battery operation indicator

Protection Index according to the

DC power supply connector AC or DC power supply indicator

USB connector VGA video output

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Electrical power supply

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NF EN ISO 14971:2001 and A1:2003 | Application of risk management to medical devices

Waste disposal method:

Device disposal method:

Disposal of batteries, internal battery, and O2 sensor:

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- For transportation inside hospitals,

It is also intended to operate with various components, such as:

- A CO2 measurement probe

* 6 kg and above for software version v1.0.2

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17. Expiratory circuit connection

18. IRMA CO2 probe connection socket

20. Expiratory valve eject button

1.1.3. LEFT-HAND SIDE: FLUID INTERFACE

21. ON/OFF button

23. Pull-out protection device

24. High-pressure O2 inlet

26. Interchangeable battery housing

27. Low-pressure O2 inlet

28. Micro blower unit input

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29. FiO2 cell

30. Docking station electrical connections

31. Manufacturer label

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1.3. FUNCTIONAL DESCRIPTION

1.3.1. FUNCTION FLOWCHARTS

Inspiratory Inhaled air

2 Batteries DC/DC converter

Docking station Human

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Mains LED Micro board M

IRMA Interconnection board

TIPI Sensors Actuators

1.3.2. ELECTRONIC SUB-SYSTEM

- The microprocessor board, which orchestrates the operation of all system