S/5 Aespire

Quick Reference Guide

Anesthesia system controls 1

Turn on the system 2
7100 controls and monitored data 3
Menu map 4
Set the ventilation mode 5
Set ventilator controls 6
Vaporizer controls 7
Breathing system components 8
Set the alarm loudness 10
Show or hide alarm limits and units 11
Turn the Volume Alarms on or off 12
Set alarm limits 13
Set an audible alarm for circuit leaks 14
Set Cardiac Bypass 15
About alarms 17
Alphabetical list of alarm messages 18

© 2003 Datex-Ohmeda, Inc. All rights reserved Subject to change without notice Printed in USA 03 03 1009 0486 000 A
1009-0486-000 Guts Page 1 Wednesday, July 16, 2003 2:15 PM

Anesthesia system controls

w WARNING Explosion Hazard. Do not use Aespire systems with flammable

anesthetic agents.

Do not use antistatic breathing tubes or masks. They can cause

burns if you use them near high frequency surgical equipment.

2 4
5
6
1 7

10

9
8

1. Breathing system
2. Flow controls
3. Ventilator / monitoring display
4. Dovetail rails
5. Vaporizer
6. Pipeline pressure gauge(s) (upper row)
7. System switch
8. Cylinder pressure gauge(s) (lower row)
9. Brake
10. O2 flush button

1009-0486-000 03/03 1
1009-0486-000 Guts Page 2 Wednesday, July 16, 2003 2:15 PM

Turn on the system

Step 1
Connect the power cord to a
wall outlet.
• The mains indicator
comes on when AC
power is connected.

Step 2
(On)
Set the system switch to on
(|).
• The display shows the
power-up screen, and
the system does a
series of self tests.
• If the self tests pass, the
normal display
appears.
• If a test fails, the screen
shows an alarm.

2 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 3 Wednesday, July 16, 2003 2:15 PM

7100 controls and monitored data

1 2 3 4 5

20 6
19
18 7
17 8
16

15

14 13 12 11 10 9

1. Alarm silence / suspend key

2. Alarm message display
3. Measured value
4. Measured value
5. Volume alarms On/Off key
6. Pressure bar graph
7. Menu key
8. Circuit description
9. Control knob
10. PEEP selection key
11. Plimit selection key
12. I:E ratio selection key
13. Breathing rate selection key
14. Tidal volume (V T) or airway pressure (Pinsp) selection key
15. Mains indicator light
16. Ventilation mode
17. Mechanical ventilation status (On or Off)
18. Measured value
19. End case key
20. Measured value

1009-0486-000 03/03 3
1009-0486-000 Guts Page 4 Wednesday, July 16, 2003 2:15 PM

Menu map

**

Setup
Inspiratory Pause Off
Heliox Mode Off
About Ventilator...

Go to Main Menu

* Pressure Mode is optional.

** If the Alarm Settings page shows

VE Auto Limits during mechanical
ventilation, the system automatically
calculates alarm limits according to ventilator parameters.

4 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 5 Wednesday, July 16, 2003 2:15 PM

Set the ventilation mode

Volume Control
Pressure Mode

625

5 30

or:

5
625
or

1009-0486-000 03/03 5
1009-0486-000 Guts Page 6 Wednesday, July 16, 2003 2:15 PM

Set ventilator controls

An example of setting controls

625 625

650

650
650

or:

650 650

6 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 7 Wednesday, July 16, 2003 2:15 PM

Vaporizer controls

1
2

3
4

AA.43.051

1. Lock Lever
2. Concentration Control and Release
3. Tec 6 Plus
4. Tec 7

1009-0486-000 03/03 7
1009-0486-000 Guts Page 8 Wednesday, July 16, 2003 2:15 PM

Breathing system components

17
16
15

14

13
1

12

11
10

9
8

7 6 5 4 3 2

8 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 9 Wednesday, July 16, 2003 2:15 PM

18

AB.74.p027
19

1. Expiratory check valve (unidirectional valve)

2. Auxiliary common gas outlet (ACGO) switch
3. ACGO
4. Inspiratory check valve (unidirectional valve)
5. Inspiratory flow sensor or flow port adapter / patient connection (circuit
connections)
6. Canister (carbon dioxide absorbent)
7. Canister release
8. Expiratory flow sensor or flow port adapter / patient connection (circuit con-
nections)
9. Leak test plug
10. Breathing system release
11. Manual bag port
12. APL (adjustable pressure-limiting) valve
13. Bag/mechanical ventilation switch
14. Bellows assembly (mechanical ventilation)
15. Sample gas return port
16. Pressure gauge (airway)
17. Serial port
18. Bag arm (optional)
19. Manual Bag (optional; no bag arm)

1009-0486-000 03/03 9
1009-0486-000 Guts Page 10 Wednesday, July 16, 2003 2:15 PM

Set the alarm loudness

1 5

5 5

10 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 11 Wednesday, July 16, 2003 2:15 PM

Show or hide alarm limits and units

Show
Hide

Hide

1009-0486-000 03/03 11
1009-0486-000 Guts Page 12 Wednesday, July 16, 2003 2:15 PM

Turn the Volume Alarms on or off

w WARNING Do not turn off volume alarms with a spontaneously breathing

patient. The system will not alarm for low volume.

Use this control during manual ventilation when constant attention is being
kept on the patient’s ventilation.

Vol Alarms On

Use the End Case key (on control panel) to prevent volume apnea and alarms
between cases. These alarms will reactivate if two breaths are detected within
30 seconds.

12 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 13 Wednesday, July 16, 2003 2:15 PM

Set alarm limits

100 95

95

1009-0486-000 03/03 13
1009-0486-000 Guts Page 14 Wednesday, July 16, 2003 2:15 PM

Set an audible alarm for circuit leaks

Audio On
Audio Off

Alarm Settings
O2 18 100
VE Off Off
VTE Off Off
Circuit Leak Audio Off
Cardiac Bypass No
Go to Main Menu

14 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 15 Wednesday, July 16, 2003 2:15 PM

Set Cardiac Bypass

Note: Mechanical ventilation must be off. When mechanical ventilation is

turned back on, Cardiac Bypass returns to the No setting and monitoring is
available.

Alarm Settings
O2 25 100
VE 6.0 7.0
VTE 600 700
Circuit Leak Audio On
Cardiac Bypass No
Go to Main Menu

Alarm Settings
O2 No
VE In Progress
VTE
Circuit Leak
Cardiac Bypass
Go to Main Menu

1009-0486-000 03/03 15
1009-0486-000 Guts Page 16 Wednesday, July 16, 2003 2:15 PM

No
In progress

No
In progress

16 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 17 Wednesday, July 16, 2003 2:15 PM

About Alarms

w WARNING If an alarm occurs, safeguard the patient first, before

performing troubleshooting or doing repair procedures.

The area at the top of the display (1) shows alarm information. If there are more
than four alarms at the same time, the lower priority alarms cycle every two
seconds.
1

Alarm priority depends on the level of risk to the patient. High priority alarms
require immediate attention. If an alarm is related to control settings, the limits
flash and a box appears around the parameter.

Priority Alarm tone Alarm silence Note

High 2 bursts of 5 tones, 120 seconds or Reverse video.

pause, repeat cannot be silenced Screen shows
elapsed time

Medium 3 tones, 25 second 120 seconds ----

pause, repeat

Low Single tone Tone does not repeat ----

Alarm messages have three general causes:

1. Malfunctions. Some malfunctions cause reduced function (for example no

PEEP). Others prevent mechanical ventilation (Minimum shutdown).
2. Patient monitoring. These are high and low limit settings that you adjust.
3. Informational. Control settings or system conditions can change operation.
For example, if the audible circuit leak alarm is Off, the screen shows “Circuit
Leak Audio Off” as a low priority alarm.

1009-0486-000 03/03 17
1009-0486-000 Guts Page 18 Wednesday, July 16, 2003 2:15 PM

Alphabetical list of alarm messages

The instructions in this section tell you what you can do:
• During a case to protect the patient.
• After the case to repair a problem.

This table does not include operator instructions.

There are two special types of alarms:

• Minimum monitoring alarms stop mechanical ventilation.

• Minimum shutdown alarms stop mechanical ventilation and monitoring.

Message Priority Cause Action/Concerns Repair

12 Hour Test Low System in use for At end of case, Not necessary.
w more than 12 hours move the system Informational.
without a power-up switch from On to
self test. Standby to On.
Battery Low Battery is not fully Leave the system ---
Charging w charged. If power plugged in to
fails, the total charge the battery.
backup time will be
< 30 minutes.
Cal Flow Low The last flow sensor Calibrate the flow Contact a
Sensors calibration failed. sensors. qualified service
Look for water in representative if
the flow sensor calibrating or
tubes and dry if replacing the
necessary. sensor does not
Replace sensor if correct
necessary. problem.
Check Flw Medium System has Are the flow Inspect one way
Sensors w (low after detected an sensors correctly valves
acknowl- improper flow installed? (breathing
edge) pattern in the Water build up in circuit module.)
breathing circuit. the flow sensor Check the
tubes? condition of the
Is a flow sensor flow sensor and
tube cracked or its tubing.
broken?
Improper check
valve operation?

18 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 19 Wednesday, July 16, 2003 2:15 PM

Message Priority Cause Action/Concerns Repair

Exp Flow Low System cannot read Operation Replace the flow
Sensor Fail the calibration data continues with sensor.
stored in the reduced accuracy.
sensor.
Exp Reverse Medium Flow through the Look at the check Replace the
Flow (low after expiratory sensor valves. expiratory check
acknowl- during inspiration Water build up in valve.
edge) (for 6 breaths in a the flow sensor Check the flow
row). tubes? sensor
Is a flow sensor condition.
tube cracked or
broken?
Insp Flow Low The system cannot Operation Replace the flow
Sensor Fail read the calibration continues with sensor.
data stored in the reduced accuracy.
sensor.
Insp Reverse Medium Flow through the Look at the check Replace the
Flow (low after inspiratory sensor valves. inspiratory
acknow- during expiration Water build up in check valve.
ledge) (for 6 breaths in a the flow sensor Check the flow
row). tubes? sensor
Is a flow sensor condition.
tube cracked or
broken?
Inspiration High Drive gas safety Adjust controls. Contact a
Stopped w switch activated Check systems for qualified service
(high pressure). blockages. representative if
problem
continues.
Low Drive Medium The ventilator does Manually ventilate Make sure that
Gas Press not detect supply the patient. the appropriate
pressure. gas supplies (O2
or air) are
connected and
pressurized.
Low Paw High Paw does not rise at Are circuit Look for circuit
least 4 cm above connections Ok? disconnection.
Pmin during the last Look at the Paw
20 seconds. gauge on the
absorber.

1009-0486-000 03/03 19
1009-0486-000 Guts Page 20 Wednesday, July 16, 2003 2:15 PM

Message Priority Cause Action/Concerns Repair

Monitoring Medium A severe Ventilate manually. Contact a
Only malfunction Cycle system power qualified service
prevents (On- Standby-On). representative.
mechanical If the alarm clears,
ventilation. restart mechanical
Other alarms may ventilation.
also occur.
No O2 High The O2 supply has Air flow will ---
pressure (cannot failed. continue. Ventilate
be manually if
silenced) necessary.
Connect a pipeline
supply or install an
O2 cylinder.
On Battery - Medium The mains supply is Ventilate manually Make sure
Power OK? (low after not connected or to save power. power is
acknowl- has failed and the At full charge, the connected and
edge) system is using battery permits circuit breakers
battery power. approx. 30 min of are closed.
mechanical
ventilation.
Patient Medium Exhaled volume Check breathing Patient circuit
Circuit Leak? <50% of inspired circuit and flow leak audio can
volume for at least sensor be turned off in
30 seconds connections. the alarm
(mechanical settings menu.
ventilation).
Paw < -10 High Subatmospheric Check patient Calibrate the
cmH2O pressure (<-10 cm condition, flow sensors.
H2O). spontaneous With active
activity? Increase scavenging,
fresh gas flow. Look check the
for high flow negative relief
through gas valve on the
scavenging. receiver.
Pinsp Not Low Indicates a problem Check breathing ---
Achieved with breathing circuit connections.
circuit connections Check settings.
or that the ventilator
is unable to deliver
requested pressure
to the patient.

20 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 21 Wednesday, July 16, 2003 2:15 PM

Message Priority Cause Action/Concerns Repair

Pres/Vol Mon Medium Outlet selection Connect the patient - - -
Inactive (low after switch is set to aux. circuit to the aux.
acknowl- gas outlet. gas outlet or set the
edge) switch to the
common gas outlet
for normal
operation.
Service Low Internal calibrations The system is Contact a
Calibration are necessary for operational. qualified service
w maximum accuracy. representative.
Sustained Min. Paw > 100 cm H2O Check tubing for Calibrate the
Airway shut- for 10 seconds. kinks, blockages, flow sensors.
Pressure down disconnects.
(High)
Sustained High Paw > sustained Check tubing for Calibrate the
Paw pressure limit for 15 kinks, blockages, flow sensors.
seconds. * disconnects.
* The sustained pressure threshold is calculated from the pressure limit
setting. The sustained limit is calculated as follows:
Mechanical Ventilation On - Volume Mode

• For Plimits ≤ 30 cm H2O; the sustained pressure limit is 6 cm H2O plus

Set PEEP.
• For Plimits between 30 and 60 cm H2O; the sustained pressure limit is
20% of the Plimit plus Set PEEP.
• For Plimits ≥ 60 cm H2O; the sustained pressure limit is 12 cm H2O plus
Set PEEP.
Mechanical Ventilation On – Pressure Mode

• Sustained pressure limit is 50% of set Pinsp or 4 cm H2O, whichever is

greater, plus Set PEEP
and
• Pmax – Pmin must be less than 50% of set Pinsp or 4 cm H2O, whichever
is greater.
Mechanical Ventilation Off

• For Plimits ≤ 60 cm H2O; the sustained pressure limit is 50% of the

Plimit setting.
• For Plimits > 60 cm H2O; the sustained pressure limit is 30 cm H2O.

1009-0486-000 03/03 21
1009-0486-000 Guts Page 22 Wednesday, July 16, 2003 2:15 PM

Message Priority Cause Action/Concerns Repair

System Low Leak detected Look for leaks in Calibrate the
Leak? between ventilator the absorber flow sensors.
and patient circuit. system. Drain water
Problem with flow buildup from the
sensors? breathing
system and
inspect for leaks
(repair).
Inspect or
replace flow
sensors.
Ventilate High A severe Ventilate manually. Contact a
Manually malfunction Use a stand-alone qualified service
prevents monitor. representative.
mechanical Cycle system power
ventilation and (On- Standby-On).
monitoring. If the alarm clears,
Other alarms may restart mechanical
also occur. ventilation.
Volume Medium No mechanical Check patient. ---
Apnea breaths or Bag as needed.
spontaneous Check for
breaths > 5 mL in disconnects.
last 30 seconds. If the patient is on a
heart lung
machine, select
Cardiac Bypass on
the alarm menu.
Vol Apnea High No mechanical Check patient. ---
> 2 min breaths or Bag as needed.
spontaneous Check for
breaths > 5 mL in disconnects.
last 120 seconds. If the patient is on a
heart lung
machine, select
Cardiac Bypass on
the alarm menu.
V T Comp Off Medium The system supplies Adjust V T manually Inspect the two
(low after the set breath but and continue flow sensors.
acknowl- cannot adjust without
edge) ventilation for compensation, or
compliance and change to the
resistance losses, pressure mode.
etc. In pressure mode
set Pinsp.

22 S/5 Aespire Quick Reference Guide

1009-0486-000 Guts Page 23 Wednesday, July 16, 2003 2:15 PM

Message Priority Cause Action/Concerns Repair

V T Comp Medium A flow sensor has The Volume Contact a
Disabled (low after been connected to Compensated qualified service
acknowl- a non-active Delivery feature is representative
edge) ventilator not active on this for activation of
monitoring feature. system. this feature if
provided or
contact a Datex-
Ohmeda sales
representative
for purchase of
this feature.
V T Not Low Tidal volume Adjust controls to Possible leak.
Achieved measured by supply adequate Modify settings
inspiratory flow tidal volumes. or check for
sensor < set value 6 Check I:E, Plimit, system leaks.
breaths in a row and volume
after the first settings.
minute of
mechanical
ventilation.
V TE > Insp V T Low Expired volume > Check patient Inspect one way
inspired volume for condition. valves
6 breaths with a Are the flow (breathing
circle module. sensors correctly circuit module.)
installed? Replace flow
Water build-up in sensors.
the flow sensor
tubes?
Is a flow sensor
tube cracked or
broken?
Improper check
valve operation?
V T Delivery Low V T > 20% of set Reduce fresh gas ---
Too High value for six flow.
consecutive
breaths.

1009-0486-000 03/03 23
1009-0486-000 Guts Page 24 Wednesday, July 16, 2003 2:15 PM

24 S/5 Aespire Quick Reference Guide

 S/5 Aespire
Quick Reference Guide

Anesthesia system controls 1

Turn on the system 2
7100 controls and monitored data 3
Menu map 4
Set the ventilation mode 5
Set ventilator controls 6
Vaporizer controls 7
Breathing system components 8
Set the alarm loudness 10
Show or hide alarm limits and units 11
Turn the Volume Alarms on or off 12
Set alarm limits 13
Set an audible alarm for circuit leaks 14
Set Cardiac Bypass 15
About alarms 17
Alphabetical list of alarm messages 18

© 2003 Datex-Ohmeda, Inc. All rights reserved Subject to change without notice Printed in USA 03 03 1009 0486 000 A