EASTWELL INTERNATIONAL ANESTHESIA SERIES

EHE8-B5

ANESTHESIA MACHINE

SERVICE MANUAL

EASTWELL INTERNATIONAL .

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Contents

PART A: ANESTHESIA MACHINE

1 Troubleshooting 4
2 Maintenance 6
2.1 Maintenance Plan 6
2.2 Maintenance 6
2.3 Repair Cycle 7
2.4 Maintenance for long time suspension 7
3 Transportation and storage 8
4 Technical Specification 9
5 Unpacking and Inspecting 10

PART B: VAPORIZER
1 Technical parameters --------------------------------- 11
2 Maintenance --------------------------------- 12
2.1 Maintenance Plan --------------------------------- 12
2.2 Maintenance --------------------------------- 12
2.3 Repair Cycle --------------------------------- 12
2.4 Maintenance for long time suspension --------------------------------- 12
3 Transportation and Storage -------------------------------- 14

PART C: Ventilator
1 Troubleshooting 15
2 Security protection and trouble removal 17
2.1 The discharge pressure of safety valve 17
2.2 The fuse 17
2.3 Improper operation and handling method 18
3 The cleaning and disinfecting of the ventilator 19
3.1 The cleaning and disinfecting procedure 19
3.2 The focus of cleaning and disinfecting 19
3.3 The method of cleaning 19

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3.4 The method of disinfecting 20

4 Maintenance 21
5 Transportation and storage 22
5.1 Transportation conditions 22
5.2 Storage conditions 22

PART A: ANESTHESIA MACHINE

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1. Troubleshooting

Indications of Failure Possible Reasons Solutions

Cylinder has not been turned on.
Flow could not be turned Turn on the switch of cylinder.
Flow control valve has not been
on. Turn on the flow control valve.
turned on.
The anesthesia machine
Low pressure in source air supply. Turn up oxygen output pressure.
is always alarming.
Power switch has not been turned

on. Source air pressure has not

Turn on the power switch. Turn
No tidal volume output of been adjusted. Tidal volume
on the adjusting valve. Plug in the
the ventilator. adjusting valve has not been
air source.
turned on. Air source has not

been plugged in.

No display of tidal Sensor has not been
Plug in the sensor.
volume. plugged in.
Working pattern switch is not on

the enclosed position. Breathing

Turn on the switch to the
tube has been damaged. The
enclosed position. Replace the
Leakage in circulation vaporizer has not been installed
tube. Install the vaporizer. Add
loop. correctly. O-type ring has not
the O-type ring. Re-insert the
been installed on the interface of
pipe.
vaporizer. Mixture gas outlet pipe

has not been installed correctly.

The knob has not been turned to Switch the knob to zero position.
Difficult to add agents into
zero position. Screw plug has not Turn on the screw plug to add
the vaporizer.
been turned on. agent.
No transmitting

concentration on Collision inside No agent Maintenance Add agent

vaporizer.
No display on the screen of Turn on the switch. Replacement
Power switch has not been turned
ventilator. of products.

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on. Fuse has been damaged.

Maintenance.
Internal failure.
Connect the pipes. Clear the
Pipes fall out. Airway of patient is
patients airway. Reset the
The ventilator is always blocked. Inappropriate setting of
parameter. Send back for
alarming. parameter. Pressure sensor has
maintenance or replacement of
been damaged.
products

2. Maintenance

2.1 Maintenance Routine

The routinely maintenance of the anaesthetic machine is removing dust

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and cleaning the surface. The liquid agent in the vaporizer cavity should be
discharged if the anaesthetic machine will not be used for a period longer
than one month. The sensor should be examined whether normal or not every
quarter and the product should be thoroughly maintained every year by
EASTWELL corporation. You should send the measuring instruments of the
machine (manometer and flowmeter) to the local technical supervision
department for measurement and calibration.

2.2 Maintenance
2.2.1 Cleaning and Clearing
a) The whole Equipment:
Dip a piece of cloth in clean water to wipe off the dust on the outside
surface and add a little neutral cleaning solution in the clean water if
necessary, dry the surface with a piece of clean cloth, and then cover it with
an PVC bag with good permeability. No liquid is allowed to enter into the
ventilator during cleaning process.
b) Cleaning and clearing of the patient contacting components
The components contacted with patients should be cleaned and cleared
up based on different categories and according to the procedure of soaking
firstly, washing secondly, rinsing thirdly and airing finally, and please add the
neutral cleaning solution in the water if necessary. Then assemble the
components, and please keep in mind that the electronic components of the
sensor should not be washed.

2.2.2 Disinfecting
a) Generally, the whole machine doesnt need to be disinfected. Please
disinfect it in the normal temperature environment with epoxy ethane after
being washed according to 7.2.1 a), if the disinfection is necessary.

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b) The components contacted with patients should be disinfected in the

normal temperature environment with epoxy ethane after being washed
according to 7.2.1 b).

2.3 Repair Cycle

For normal operational frequency, the anaesthetic machine should be
inspected annually and we suggest that it is better to authorize EASTWELL
Company to perform it.
During the process of inspection, we suggest that it is better to use the
components produced by EASTWELL Company or the standard components
that we recommended.
Note: The performance of the anaesthetic machine may decrease if
you do not adopt the components produced by EASTWELL or the
standard components that we recommended for inspection.

2.4 Maintenance for long time suspension

The overall maintenance should be conducted by EASTWELL
Corporation personnel in advance before an anaesthetic machine being put
into use again after it has been suspended for more than one year.

3. Transportation and Storage

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Storage condition:
1) Relative Humidity: no more than 90%;
2) Ambient Temperature: normal temperature;
3) Store the products in well-ventilated rooms without corrosive gas and
avoid collision.
Transportation condition:
1) Fasten firmly to avoid collision and do not turn over;
2) Original package and the cushion packing of the anaesthetic machine
should be used against any damage;
3) Rain proof measures should be taken on the package;
4) The transportation vehicle should be provided with rain proof
measures and the anaesthetic machine should be fastened firmly against
collision when it is transported separately.

4. Technical Specification

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1) Working Medium O2
O2 and N2O
Rated Working Pressure Range: 0.30.5MPa
2) Flow meter
Duplex Tube O2 (0.12)L/min (2.510)L/min
Duplex Tube O2 (0.110)L/min N2O (0.110)L/min
Four Tubes(according to the contract)
O2 (0.11)L/ min (1.110)L/ min
N2O (0.11)L/ min (1.110)L/ min
Five Tubes O2 (0.1-1)L/min (1.1-10)L/min
N2O (0.1-1)L/min (1.1-10)L/min
Air (0.1-10)L/min
3)Interlocks: Ensuring the oxygen concentration of the mixed gas25%
4) Flow of rapid oxygen supply (3575)L/ min
5) Oxygen supply failure and the protective device
When the pressure of oxygen supply decreases to 0.2Mpa, the
anaesthetic machine will alarm which will last no less than 7 seconds. When
the pressure of oxygen supply keeps decreasing, the laughing gas flow
should stop to enter into aspiratory circulation loop before the oxygen supply
flow is cut off.
6) Vaporizer
Refer to the instruction manual of vaporizer
7) Circulation Loop
Working Pattern: Enclosed, Semi-Enclosed, Semi-Open;
Resistance: the resistances of inspiration and expiration are both less
than 0.6Kpa;
Adjustable pressure-limiting valve: 14 kPa (standardized loop)
7.5 kPa (integrated loop)
8) The net dimensions and weight of the machine, the dimensions
and gross weight of the package:
Refer to the arrangement drawing of the major components.

5. Unpacking and Inspecting

Be sure that the package is undamaged before unpacking, otherwise,

you should claim against the carrier. During the process of unpacking, you
should open the front door of the package firstly to confirm that the machine
is in good condition before continue unpacking.
The original package should be preserved for later use.
After unpacking, you should check according to the packing list and
contract whether the configuration is complete. Otherwise, please contact the

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seller.

PART B: VAPORIZER

1Technical parameters

1. Range of concentration
Enflurane and isoflurane are both (0.2-5) vol %
Concentration error: 0.25vol% or 20% (the larger value)

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2. Range of flow compensation: 0.5 L/min10L/min

3. Range of temperature compensation: 1535
4. The greatest angle of slope is less than 45 degrees
5. Injection volume: the lowest scale mark is about 30mL and the highest
scale mark is 120mL
6. Weight is about 6.2kg
7. Dimensions (approximated value): Height 215mm, Width 105 mm,
Depth 210 mm.

2. Maintenance

2.1 Maintenance Plan

The routinely maintenance of the vaporizer is removing dust and cleaning
the surface. The liquid agent in the vaporizer cavity should be discharged if
the vaporizer will not be used for a period longer than one month. The product
should be thoroughly maintained every year by Eastwell.

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2.2 Maintenance
2.2.1 Cleaning and Clearing
Dip a piece of cloth in clean water to wipe off the dust on the outside
surface and add a little neutral cleaning solution in the clean water if
necessary, dry it with a piece of clean cloth, and then cover it with an PVC
bag with good permeability. No liquid is allowed to enter into the vaporizer
during cleaning process.
2.2.2 Disinfecting
Generally, the vaporizer doesnt need to be disinfected. Please disinfect it
in the normal temperature environment with epoxy ethane after being washed
according to 7.2.1 a, if the disinfection is necessary.

2.3 Repair Cycle

At normal operational frequency, the vaporizer should be inspected
annually and we suggest that it is better to authorize Eastwell to perform it.
During the process of inspection we suggest that it is better to use the
components produced by Eastwell or the standard components that we
recommended.
Note: The performance of the vaporizer may decrease if you do not
adopt the components produced by Eastwell or the standard
components that we recommended for its inspection.
2.4 Maintenance for long time suspension
The overall maintenance should be conducted by the Eastwell in
advance before an vaporizer being put into use again when it has been
suspended for more than one year.

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3. Transportation and Storage

Storage condition:
1) Relative Humidity: no more than 90%;
2) Ambient Temperature: normal temperature;

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3) Store the products in well-ventilated rooms without corrosive gas and

avoid collision;
The vaporizer should be evacuated and be locked at zero position.
Transportation condition:
1) Fasten firmly against the collision and do not turn over;
2)Original package and the cushion packing of the anaesthetic machine
should be used against any damage;
3) There should be rain proof measures for the package when the
vaporizer is packed separately.

PART C: VENTILATOR

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1Troubleshooting

Indications of
Possible Reasons Solutions
Failure
The setting of tidal volume adjusting knob is too
Adjust tidal volume setting.
low.
Replace it with another
Shortage of power in storage battery after AC
storage battery with reliable
Flicker signal of dump.
power supply.
Airway Pressure
Shortage of source gas pressure. Check source gas pressure.
Alarm Bell
Malfunctions occurred to the pressure regulator
Make Adjustment or replace
of oxygen cylinder or oxygen pipelines. the pressure regulator.
Check whether the
Continuous Alarm
humidifier has been
of Airway Air leakage in breather line and the patient
tightened, and whether
Pressure Lower suffered anoxic symptoms.
theres air leakage on
Limit
ventilation pipelines.
Temporary increasing of lung capacity, and
Adjust the ventilator
lung expansion during operation of thoracic
parameters.
surgery.

Maladjustment of tidal volume and I:E. Adjust I:E and tidal volume.
Airway Pressure Asynchronism between the patients
Alarm and Airway spontaneous breath and the mechanical
Re-adjust the threshold of
Pressure Limit ventilation of the ventilator, resulting in
synchronization trigger.
confrontation between patient and
Continuous Alarm
machine.
of Airway Inappropriate setting of pressure upper Adjust settings of pressure
Pressure Upper limit. upper limit.
Limit Rising air resistance due to tracheospasm Sputum aspiration and
or tract excretion. expectorant.

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Tidal volume less than 50 mL due to

Check the airway pipeline.
airway leakage, obstruction of respiratory
Or applying sputum
tract, etc.
aspiration and expectorant.
Flow sensor failure. Check the flow sensor.
Continuous Switch on the storage
No storage battery has been switched on
Audible Alarm battery with sufficient power
after power down of AC supply.
supply.
The storage battery has run out of power
Replace the storage battery.
or being damaged.
Submit the equipment to us
Damage in power module or flow sensor.
for repairing.
Storage battery is Off-plug of AC supply. Plug in the attaching plug.
working under
normal power grid Fuse burn-out. Replace the fuse.
supply.
Malfunction of air Submit the equipment to us
Damage in sensor and control valve.
course control. for repairing.

2Security Protection and Trouble Removal

2.1 The discharge pressure of Security Valve
The discharge pressure of Security Valves has been set to 6 kPa.
Adjust the tidal volume to ample and block the Y-type trifurcate connecter. The
security valves begin to release gas when the pressure value 6 kPa. If the pressure
value of security valves is too high or too low during operation, please contact us or

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our authorized service center for adjustment and maintenance.

Caution: Ventilator pipe pondings may cause infectious disease and

environmental pollution. Pondings handling should be in strict accordance
with "Administrative Measures for Clinical Waste of Public Health
Authority" issued by the Ministry of Public Health of the Peoples Republic
of China, as well as with the regulations and requirements of government's
environmental protection agencies.

2.2 Fuse
The fuse of ventilator (cartridge fuse) is installed on the rear panel.
If DC supply indicator of the ventilator is on (which means the storage battery is
supplying power to the ventilator) under normal power grid supply, this can be
identified as a sign of fuse burn-out or poor contact of AC supply. The following steps
must be followed when replacing the fuse:
1)Do not switch the power switch of the ventilator under operation. Just unplug
the plug of power wire from power socket, and the ventilator will be automatically
turned into storage battery power supply, then replace the fuse under such condition.

Caution: The power switch of the ventilator is a switch for both AC supply
and emergency battery. Switch off a ventilator under operation would
make it stop working immediately.
2) Open the fuse holder and replace the cartridge fuse.
3) Size of the cartridge fuse is: 520 mm flat-end 1A glass shell cartridge fuse

2.3 Improper operations and their solutions.

Improper operation of the ventilator includes:

2.3.1 High adjustment of tidal volume and airway pressure limit may cause the patient
to suffer from barotrauma.

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2.3.2 Low adjustment of tidal volume and airway pressure limit may cause the patient
to suffer from anoxia due to insufficient ventilation.
The two conditions mentioned above can be corrected by adjusting
corresponding knobs.

2.3.3 Using unearthed power supply may cause static electricity in the machine, thus
causing the patients or operators to be electrically shocked. Way for handling such
situation is using safely earthed power supply.

3The Cleaning and Disinfection of the Ventilator

3.1 The cleaning and disinfecting procedure
Routinely disinfect the ventilator, namely, replace the patients ventilator pipe
with new or disinfected one and perform cleaning and disinfection, or use two
disinfected ventilators alternatively.
Final disinfection should be conducted to unused ventilator, namely, thoroughly
clean and disinfect the ventilator, assemble it again for next service. Clean and

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disinfect the ventilator which has not been used for a long time before using it again.
Keep all cleaning and disinfection record on file for investigation.

3.2 The focus of cleaning and disinfecting

Place emphasis on the respiratory pipe of the ventilator, including components
such as breathing pipe, face mask, etc.

3.3 The method of cleaning

3.3.1 Cleaning the breathing pipe and face mask:
Cleanse the dirt on the inner wall of pipe with neutral cleaning solution, pay
special attention to phlegm, blood stain, oil stain, and other dirt residue, then rinse the
pipe with clean water.

3.3.2 Cleaning the ventilator:

Dip a piece of soft cloth in warm water or neutral cleaning solution to wipe off
the dirt and dust on shell as well as on pulley bracket of the ventilator, and then dry
them with a piece of dry cloth. No liquid is allowed to enter into the ventilator during
cleaning process.

Caution: Waste water and dirt produced during ventilator cleaning may cause
infectious disease and environmental pollution. Disposal of these dirts
should be in strict accordance with "Administrative Measures for Clinical
Waste of Public Health Authority" issued by the Ministry of Public Health
of the Peoples Republic of China, as well as with the regulations and
requirements of government's environmental protection agencies.

3.4 The method of disinfecting

Method 1: Soak the cleansed breathing pipe and face mask, etc. in disinfectant
for 30-60 minutes (Attention: Silicone products would be easily damaged by soaking
too much time). Common disinfectants include bromogeramin peracetic acid, 84

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disinfectant, etc. Cleanse the disinfectant both inside and outside the pipe with
sterilizing brine or distilled water, then hang to dry it.
Method 2: Put the cleansed breathing pipe and face mask, etc. in epoxy ethane
disinfectant tank for conventional disinfection.

4Maintenance
The maintenance of the Ventilator
Do not use equipment with functional defect. Any maintenance service of this
ventilator should be provided by the manufacturer or its authorized agency. After
maintenance, check various functions of the ventilator to ensure them in accordance
with descriptions in this instruction book.
The ventilator should be thoroughly cleaned, disinfected and maintained every 6
months by specifically appointed personnel. Keep the maintenance record on file.
Overall performance examination must be conducted in advance before a ventilator
was put into use again when it has been suspended for more than 6 months.

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"Troubleshooting" provided in this instruction manual is a basic rule for

eliminating failures of the ventilator. In case the failures could not be eliminated or
the failures frequently re-occurred after adopting these methods mentioned above,
contact the manufacturer and authorized service agency in time for maintenance.

5Transportation and Storage

5.1 Transportation conditions

5.1.1 Original package and cushion packing of the ventilator should be used pursuant
to relevant regulations.

5.1.2 Standardize the transportation process in accordance with the graphical

representations and signs on the package, including:
Do not turn over;
Fragile;
Avoid rain;

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5.1.3 Shelter must be provided for open-air transportation. Avoid the sunlight, rain,
and violent vibration. Do not turn over and toss the package during loading and
unloading process.

5.2 Storage Condition

Ambient Temperature: 40 55 ;
Relative Humidity: no more than 93% at 40;
Barometric Pressure: 50 kPa 106 kPa;
Store the products in well-ventilated rooms without corrosive gas.

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