BleaseFrontline Plus Anaesthesia Machine User Manual Jan 1999 Issue 1

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Part Number 119UMOO2 Issue 1 January 1999

Frontline Plus Anaesthetic Machines

Contents

Contents Product Improvement Responsibilities of the Manufacturer Note to Service Personnel Copyright Trademarks and Acknowledgements Warnings Electrostatic Sensitive Devices (ESD) Warnings and Cautions Cautions Oxygen Monitor Ventilator Vaporizer Symbols and Abbreviations Used on Blease Equipment and in this Manual

vi vi vi vii viii ix x xii xiii xiv xv xvii

1

Introduction 1.2 How to Use This Manual

1.1 1.2

2

Description 2.1 General 2.2 The Frame 2.3 Pneumatic Assembly 2.4 Flowblock Assembly 2.5 The Monitor Shelf 2.6 Detachables

2.1 2.1 2.5 2.5 2.5 2.6 2.6

3

Specification 3.1 Physical 3.1.1 Machine Dimensions 3.1.2 Work Surface Dimensions 3.1.3 Monitor Shelf Dimensions 3.1.4 Bottom Shelf Dimensions 3.1.5 Drawer Dimensions 3.2 Maximum Loading 3.3 Pneumatics/Electrics 3.3.1 Gas-Specific Colour Specifications 3.3.2 Electrical Cable Colour Specifications 3.3.3 Miscellaneous 3.3.4 Common Gas Outlet

3.1 3.1 3.1 3.1 3.1 3.2 3.2 3.2 3.2 3.2 3.3 3.3 3.3

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3.4

3.5

4

5

Frontline Plus Anaesthetic Machines

Technical/Performance Specifications 3.4.1 Controls 3.4.2 Monitoring 3.4.3 Alarms/Indicators 3.4.4 Oxygen Monitor Technical Specification 3.4.5 Regulator Safety Valve Settings 3.4.6 Supplies 3.4.7 Environmental Ancillaries and Optional Features 3.5.1 Standard Features 3.5.2 Optional Fittings 3.5.2.1 Vaporizer Fittings 3.5.2.2 Vaporizers 3.5.2.3 Suction

Installation 4.1 Unpacking and Installing the Cylinders 4.2 Pipeline Connections 4.3 Connecting the Electrical Supply 4.4 Connecting the Oxygen Transducer Part No 70300001 4.4.1 Guidelines for Handling 4.5 Fitting Selectatec Vaporizers 4.6 Fitting an Absorber 4.6.1 Absorber Support Arm Assembly Part No 12200005 4.6.2 Making The Breathing System Connections 4.7 Fitting Suction Units Part Nos 11400001 High 11400025 Venturi 4.8 Fitting Ancillary Equipment 4.9 Ventilators 4.10 Post-Installation Check Operation 5.1 Oxygen System and Oxygen Failure Warning Device 5.2 Nitrous Oxide System 5.3 Medical Air System 5.4 Other Gases System 5.5 Oxygen Monitor System 5.5.1 Principles of Operation

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3.4 3.4 3.4 3.4 3.5 3.5 3.6 3.6 3.7 3.7 3.8 3.9 3.9 3.10 4.1 4.1 4.3 4.4 4.4 4.6 4.6 4.9 4.9 4.10 4.10 4.11 4.12 4.12 5.1 5.12 5.14 5.15 5.15 5.16 5.16

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5.6

Contents

5.5.2 On/Off Switch 5.5.3 Alarms 5.5.4 High Oxygen Alarm 5.5.5 Low Oxygen Alarm 5.5.6 Oxygen Monitor Calibration 5.5.7 Fitting a New Oxygen Sensor 5.5.8 Overall Visual Inspection 5.5.9 Overall Performance Check 5 . 5 . 1 0 Mute Operation 5 . 5 . 1 1 Disconnect Alarm 5 . 5 . 1 2 Oxygen High and Low Alarms 5 . 5 . 1 3 Oxygen Sensor Linearity Controls 5.6.1 On/Off Switch 5.6.2 Flow Controls 5.6.3 Oxygen Flush 5.6.4 Hypoxic Guard 5.6.5 Vaporizers

5.17 5.17 5.17 5.17 5.17 5.18 5.19 5.19 5.19 5.20 5.20 5.20 5.21 5.21 5.21 5.22 5.22 5.23

6

User 6.1 6.2 6.3 6.4

Maintenance User Checking Policy Pre-Use Check Full System Check Cleaning

6.1 6.1 6.1 6.1 6.1

7

Pre-Use Check 7.1 Cylinder and Pipeline Supplies 7.2 Flowblock Assemblies 7.3 Oxygen Failure Warning System Check 7.4 Oxygen Monitor Check 7.5 Leak Test -Vaporizers 7.6 General

7.1 7.1 7.1 7.2 7.2 7.3 7.4

8

Full System Test 8.1 Leak Test 8.2 On/Off Switch and Warning System Checks 8.3 Mechanical Hypoxic Guard Test 8.4 Oxygen Flush Tap Test 8.5 Auxiliary Outlet Test 8.6 Ventilator HP Outlet Test

8.1 8.1 8.2 8.3 8.4 8.4 8.4

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8.7 8.8 8.9

Frontline Plus Anaesthetic Machines

Vaporizer Test Integrated Oxygen Monitor Tests General Test

8.4 8.5 8.5

Appendix A Optional Ventilator Mounting Bracket Index

A.1 I

List of Figures

Figure Figure Figure Figure Figure Figure Figure Figure

1 Frontline Plus Anaesthetic Machine 2.2 2 Rear Electrical Panel 2.4 3 Installing the Cylinders 4.2 4 Oxygen Probe 4.5 5 BleaSorb Absorber with Bag/Vent Valve 4.8 6 Absorber Support Arm Mounting Part No 12200005 4.9 7 Frontline Plus Anaesthetic Machine 5.4 8 Pneumatic Circuit (Machines produced up to June 1998) 5.6 Figure 9 Pneumatic Circuit (Machines produced from July 1998 with Component Pneumatics) 5.8 Figure 10 Pneumatic Circuit (Machines with Manifolded Pneumatics) 5.10

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Warningsand Cautions

IMPORTANT Read this manual beforeoperating the machine.

Read the Vaporizer manual beforeoperating the machine.

Read the Ventilator manual beforeoperating the machine.

The user must be familiar with the machine and its various functions beforeusing it on a patient.

Frontline Plus Anaesthetic Machines

Warnings and Cautions

Blease Medical Equipment Limited recommends that the machine should be serviced at intervals not exceeding three months. Qualified Service Personnel and genuine spare parts should be used for all servicing and repairs. Blease Medical Equipment Limited will not otherwise assume responsibility for the materials used, the work performed or any possible consequences of the same. In communication with Blease Medical Equipment Limited, quote the model and serial number of the equipment, with the approximate date of purchase. If the unit is being returned for repair, indicate the nature of the fault or the work you require to be carried out. Contact: Blease Medical Equipment Limited Beech House • Chiltern Court • Asheridge Road • Chesham • Buckinghamshire HP5 2PX • England Tel: Fax:

+44 (0)1494 784422 +44 (0)1494 791497

Copyright ©1999, Blease Medical Equipment Limited. All rights reserved. The information contained in this publication may not be used for any other purpose than that for which it was originally supplied. This publication may not be reproduced in part or in whole without the written consent of Blease Medical Equipment Limited.

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Trademarks and Acknowledgements

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The following trademarks and acknowledgements may appear in Blease

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Medical Equipment Manuals.

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[email protected] registered trademark of BleaseMedical Equipment Limited

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:=1 LJ ABBOTT LABORATORIES is the trademark of AbbottLaboratories.

Dowty is a trademark of Dowty SealsLimited.

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Drager is a trademark ofDragerwerkAG Germany.

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Dzus is a trademark ofDzus FastenersLimited. [email protected] trademark of RocolLimited.

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Frontline FocusTM is a b;ademarkof BleaseMedical Equipment Limited.

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Frontline [email protected] a registered trademark of BleaseMedical Equipment

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[email protected] trademark of Legrand Electric Limited.

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Frontline [email protected] registered trademark of BleaseMedical Equipment

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[email protected] a registered trademark of UK Limited.

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Megger is a trademark of AVO Megger Instruments Ltd. E [email protected] a registered trademark of Dragerwerk AG Germany. E

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[email protected] a trademark of Abbott Laboratories.

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User

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Manual Issue1 PartNo 119UMOO2

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Warnings

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Thisequipmentmustonly beconnectedto gaspipeline supply lines thatarefitted with pressurereliefvalvesthat limit the supply pressureto lessthan7 bar.

2.

Thefunctioningof thismachinemaybeadverselyaffectedby the operationof equipmentsuchashighfrequencysurgical (diathermy)equipment,defibrillatorsorshortwavetherapy equipmentin thevicinity. Increasingthe distancefrom such equipmentwill minimiseanypossibleinterference.

3.

Prior to connectingthemachineto a patientcarry outthepre-use checkto verify correctalarmoperation.Toverify the°2 alarm,set theflowmetersto givea concenuationof 50%oxygen.Usingthe conuolson theoxygenmonitorpanel,setthe low oxygenlevelto 60%andverify the oxygenlow alarmoperates.Setthe high oxygenalarmlevel to 40%and verify thatthe oxygenhigh alarm operates.

4.

The oxygen flow can only be reduced to zero by turning the ON / OFF switch to the OFFposition. Excessiveforce on the oxygen control knob may damagethe hypoxic guard.

5.

Where mains socketsare fitted, it should be noted that 'The connection of EQUIPMENT to the AUXILIARY MAINS SOCKET OUfLET(S) may increase the patient leakage currents to values exceeding the allowable limits in the event of a DEFECTIVE PROTECTIVE EARTH CONDUCTOR'.

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6.

To avoid explosionhazards, flammable anaesthetic agentssuch as ether and cyclopropane must not be used in thesemachines. Only anaestheticagentswhich comply with the requirements on nonflammable anaestheticagentsin IEC 601-2-13'Specification for Anaesthetic Machines', are suitable for use in thesemachines.

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As thesemachinesare not suitable for use with flammable anaestheticagentssuch as ether and cyclopropane the use of antistatic breathing tubes and face masksis not necessary.

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Warningsand Cautions

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The use of antistatic or electrically conductive breathing tubes when utilising high frequency surgery equipment may cause burns and is therefore not recommended in any application that involves such apparatus.

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Before removing any accesscovers,isolate from mains supply by removing the mains plug from the supply socket.

9.

The equipment must be periodically checked and maintained to ensureproper operation.

10.

Performanceof the equipment may be affected attemperatures below 10°C(50°F)and above 400C(104°F).

11

The performance of the anaestheticmachines and vaporizers may be degraded if the two are mismatched. Referto the vaporizer manufacturer's instruction manual beforeuse.

12.

If the integrated oxygen analyser is not fitted, an oxygen analyser complying with ISO 7767shall be used when the anaesthetic machine is in use.

13.

The units use semiconductor devices which are susceptible to damageby overloading, reversed polarity, electrostatic discharge and excessiveheat or radiation. Avoid hazards such as reversal of batteries,prolonged soldering, strong RF fields or other forms of radiation, use of insulation testers or accidentally applied short circuits. Even the leakage current from an unearthed soldering iron may causetrouble.

Electrostatic Sensitive Devices (ESD) Warnings and Cautions All ESDmust be stored in approved conductive packaging, tubes, shipping bags,foam or tote bins.

All personshandlingESDmustbe properlygroundedvia a lMD resistivegroundedwrist strap. Cover all ESDbench tops with grounded conductive mats and connect all work surfacesand equipment to earth ground.

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Transport all assembliescontaining ESDin a conductive bag or container. DO NOT use cellophaneadhesive tape to wrap DW (dual in-line package)tubestogether.

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DO NOT handle ESDby their pins or mix them with other routine electronic parts.

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Avoid cellophanewrappers, synthetic (non-conductive) carpeting, warm or cool air blasts,Styrofoam coffee cups, etc when working with ESD. Use only properly designed heat lamps, heat chambers and/ or ,antistatic' quick-chill sprays during troubleshooting or stress testing procedures.

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In particular electronic assembliesin the Frontline Plus range of machines are easily damaged by ESDand require special handling.

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The following assembliesin the Frontline Plus °2 Monitor are easily damaged by electrostaticdischargesand require special handling:

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Do not leave gas cylinder valves open if the pipeline supply is in use and the system master switch is turned ON. Pressuresfrom both supplies may becomeequal and, if simultaneously used, cylinder supplies could be depleted, leaving an insufficient reserve supply in caseof pipeline failure. The hypoxic guard control system only ensuresthat oxygen-nitrous mixtures will have a minimum (nominal 25%)oxygen concentration. HYPOXIC MIXTURES MAYBE DEUVERED IF GASESOTHER THAN OXYGEN, Nn'ROUS OXIDE OR AIR ARE USED,OR WHEN OPERAnNG AT LOW OXYGEN FLOW RATES. When using carbon dioxide, as an additional gas,make sure the proportions of all gasesare carefully adjusted in accordancewith acceptedclinical practice. Gas mixtures within the breathing systemmust be monitored when using thesegases. Leaking gasesand vapours (downsueam of the flow conuol valves and Oxygen Flush valve) may deprive the patient of metabolic gasesand anaestheticagent may pollute the atmosphere. Teststhat detect leaks must be performed frequently. If detected,leakagemust be reduced to an acceptablelevel.

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Do not use the anaesthesiasystem if the hypoxic guard contTolsystem does not operate within permitted ranges. Using an incorrectly operating contTolsystem may result in incorrect gasmixtures, and injury to the

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When occluding the breathing system for testpurposes, do not use any objectsmall enough to slip completely into the system. Objectsin the breathing systemcan interrupt or disrupt the delivery of breathing system gases,possibly resulting in injury to the patient. Before using the breathing system on a patient, always checkthe breathing system componentsfor foreign objects.

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The voltage for the systemis factory set. Do not changethe original factory setting. Other systemschangesmust be made before changing the voltage setting. H the available voltage differs from the voltage setting, call a qualified servicerepresentative to carry out all the required system changes.

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Do not place materials weighing more than 30kg on the bottom she]f, or more than 50kg on the upper monitor she]f. Overloading may cause damage to the shelves or causeinstability.

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Secureany equipment placed on the shelves.

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To avoid stripping threads,do not use tools on the yoke gate T screws.

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Defective oxygen-sensorcartridges may leak electrolyte, which is caustic. Use extreme carewhen handling oxygen-sensorcartridges. If any oxygen-sensorshows signsof leakagethen do not use it If you get the electrolyte in your eyes,flush with water immediately, then seekmedical attention.

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Position the oxygen sensor'scable with care. If the cable is pinched or cut, the oxygen monitoring may not function correctly.

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Do not use the anaesthesiasystemwithout proper functioning oxygen monitoring installed. When used, the oxygen sensoradaptor and the ventilator's pressure sensorpatient circuit adaptor must be connectedto the inspiratory side of the patient breathing system. If thesedevices are not correctly connected to the inspiratory side of the patient breathing system, oxygen and pressure monitoring and related alarms will not function properly.

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Never immerse any part of the oxygen sensorassemblyin cleaning solution as immersion will destroy the sensor's electrical contacts.

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Do not use cold sterilization, solvents or cleaning agentsto clean the oxygen sensorcartridge. Thesesubstancesmay damagethe oxygen sensorcartridge.

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Always perform the Pre-UseCheckprocedures for oxygensensing functions after replacing the sensorcaruidge.

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Do not remove oxygen sensingcartridges from their protective packaging until just before installation of the cartridges.

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When in use, the oxygen sensor probe should always point down to help reduce condensation on the sensorsurfaces. Condensation on the sensor may affect patient data.

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The volume sensormust be correctly installed at either the distal location in the patient system's expiratory limb or the proximal end of the Y connector. If the sensoris installed incorrectly, volume data will be inaccurateand associatedalarms, including the low minute volume alarm will not function properly.

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Position the volume sensor's cable with care. If the cable is pinched or cut, the ventilator's volume monitoring may not function correctly.

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Do not connectthe ventilator or absorber exhaust directly to a vacuum source. The vacuum may remove required gasesfrom the breathing system. Ventilator inoperative messagesindicate that a problem existsin the ventilator. Do not attempt to use the ventilator while a ventilator message is displayed.

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Do not attempt to use the ventilator if the alarm mute button will not silence alarms.

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WARNING: If an alarm condition cannot be resolved, do not continue to use the system.

Sterilise the bellows assemblyperiodically to minimise the risk of cross infecting patients. Use a sterilization schedule that complies with your institution's infection control and risk managementpolicy. Only use Bleaseapproved sterilization methods.

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If any foreign materials or liquids are trapped in the driving gas circuit, or the pop off valve or the bellows basethey could impair the valve's operation. Do not use the bellows assemblyif you suspectthat materials are trapped. Have the assemblyrepaired by trained service personnel.

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Do not autoclave the ventilator bellows assembly. Autoclaving may damagethe unit.

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Perform the Pre-UseCheckprocedures after cleaning and sterilizing the

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Always perform the Pre-UseCheckprocedures for volume sensing functions after cleaning or replacing the volume sensor. Referto the ventilator's user manual.

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Do not use any vaporizer that is visibly misaligned on the manifold or that, when it is locked, can belifted off the manifold. Incorrect mounting may result in incorrect delivery of gases.

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A vaporizer is calibrated and labelled for one agent only. Do not fill with anything other than the designated agent.

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If a vaporizer is filled with the wrong agent, draining will not eliminate the agent, becausethe wick will have absorbed some of the agent. The wick must be thoroughly cleanedand dried by tramed service personnel.

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The vaporizers must be completely upright for the sight glassto properly indicate agentlevels.

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User Manual Issue 1 PartNo: 119UMO02

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I Never oil or greaseany oxygen equipment unless the lubricant used is made and approved for this type of service. In general, oils and greases oxidise readily, and -in the presenceof oxygen -will burn violently. Fomblin is the recommended oxygenservice lubricant (stock number

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ST7014). After performing any maintenance or repair procedure, always verify proper operation of the systembefore returning to use.

Usecleaningsolutionsparingly. Do notsaturatesystemcomponents. Excessivesolutioncandamageinternaldevices. Following ethylene oxide sterilization, quarantine the equipment in a well ventilated areato allow dissipation of absorbed ethylene oxide gas. In somecases,aeration periods of sevendays or more may be required. Aeration time canbe decreasedwhen special aeration devices are used. Follow the sterilizer manufacturer's recommendationsfor aeration periods required.

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Symbols and Abbreviations Used on Blease Equipment and in this Manual bpm BPM

Breaths perminute

cmHp CPAP

Gaugepressure expressed in centimetres of water Continuous positiveairwaypressure

PEEP I:ERatio

Positive endexpiratory pressure A ratioof inspiratory to expiratory time

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WARNWG:Thereis dangerof personal injuryto the useror patient

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User Manual Issue 1 Part No 119UMOO2

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Frontline Plus Anaesthetic Machines

1 Introduction

1 Introduction This manual describes the Frontline Plus range of anaesthetic machines and the instructions required in order to install, set up, operate and maintain these machines. The information applies to the 690, 560, 440 machines. If an integrated oxygen monitor is fitted, refer to the Oxygen Monitor section in this manual. For information on vaporizer operation, refer to the vaporizer operating manual. Pay special attention to the Warnings and Cautions section at the beginning of this manual and any that appear throughout. Before any attempt is made to set up, use or operate this machine, familiarise yourself with the Blease Frontline Focus Anaesthesia System by reading through this entire manual and the machine’s associated documentation. Also read the manuals for any optional monitors and accessories installed in the system. Any adaptation, modification or procedure not recommended by Blease Medical Equipment Ltd or their agents may affect any warranty relating to the machine. Requests for advice, assistance or servicing facilities should be addressed to Blease Medical Equipment Ltd or an authorised Blease Medical Equipment Ltd agent. Read the User Responsibility statement; it describes what is expected of you to maintain the system. Read the Warranty; it describes Blease Medical Equipment Ltd’s responsibility in case of a functional defect. Keep this manual with the system to refer to and to answer any questions that arise about the system’s operation, maintenance or, if necessary, repair.

User Manual Issue 1

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1 Introduction

Frontline Plus Anaesthetic Machines

1 . 2 How to Use This Manual This manual is designed as a guide for learning to operate the Blease Anaesthesia System, and also as a reference tool to use once you are familiar with the system. When setting up the system for the first time, refer to all of the chapters starting with Chapter 4 Installation. If you have used the Blease Anaesthesia System before but need reminding about details of using the system, refer to Chapters 4 Installation, 2 Description and 5 Operation. Chapter 6 User Maintenance is included to inform you of routine maintenance of the system and to help you solve problems that might occur with the system.

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FrontlinePlusAnaestheticMachines

2 Description c

2.1 General The BleaseFrontline Plus anaestheticmachines contain all the pneumatic circuitry, controls, monitoring, ancillaries and storage required to control, distribute and mix medical gasesand anaesthetic agentsin order to deliver them to a patient system. The Frontline Plus machine is available ill three models 440,560 and 690. The difference between them is the number of gasesand the width of the machines.

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The range of BleaseFrontline Plus Anaesthetic machines are designed to comply with ISO 5358,IEC 601-1 and BS5724:2.13jIEC601-2-13. Referring to Figure 1,the Frontline Plus machine consists of four sections: a frame A, a pneumatic assemblyB, a monitor shelf C Flowblock assemblyG and a set of detachables.

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W ARNIN G: There may be some differences between the specifications in this manual and those for USA-specification Frontline Plus machines.

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Key A

Frame

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Pneumatic unit

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Monitorshelf

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Hypoxic guard

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Drawer(s)

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Cylinder I pipeline gauges

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Flowblock assemblies

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Oxygen flush

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Flow conuol knobs

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Facia or standard shell

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Vaporizer (optional)

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Common gas outlet

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Suction receiverjar (optional)

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Suction unit (optional)

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User Manual

Issue 1

PartNo: 119UMOO2

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Frontline Plus Anaesthetic Machines

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2 Description

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2.2 The Frame The frame is made of steelsupported on four castors,the front two of

whichhavebrakes. The brake is operated by a single full width pedal. The castor's brake is on, when the pedal is down at approximately 45degrees. The pedal should be raised to releasethe brake. Below the work surface of the frame the drawer unit E is mounted (see Figure 1). The drawer unit can be one to four drawers and may have a monitor module box support tray fitted immediately below the work surfacein place of the top drawer.

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The frame contains the pneumatic assemblyB in Figure 1. The pneumatic unit contains the gas supply inputs, the pneumatics that regulate the supply pressuresto a usablepressure, the oxygen failure alarm and its logic circuitry, the common gas outlet, the user controls and the pneumatic power outlets, all located below the work surface. Above the work surface are ti\ecylinder contentsand pipeline pressure gauges, flow control valves, hypoxic guard and flowblock assemblies,the vaporizer support rail and the uprights which support the monitor shelf. The work surface also supports the pneumatic power outlets. The absorbermounting postsare located betweenthe front corner of the work surfaceand the front edgeof the frame above the castors.

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The flowblock assemblyG in Figure 1 may contain an integrated oxygen monitor and a mains electrical outlet socketassembly. The monitor uses a Galvanic sensorto measurethe oxygen concentration of patient gases. It is also equipped with low and high concentration alarms.

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2.5

User Manual Issue 1

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Frontline Plus Anaesthetic Machines

3 Specification ~

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3.1 Physical 3.1.1 Machine Dimensions Model

Height

Maximum Width

Depth

690

1.5m

71cm

80cm

560

105m

58cm

80cm

440

1.5m

46cm

80cm

3.1.2 Work Surface Dimensions Model

~

Width

Depth

690

87cm

68cm

36cm

560

87cm

55cm

36cm

440

87cm

43cm

36cm

3.1.3 Monitor Shelf Dimensions Model

Height

Width

Depth

690

147m

71cm

44cm

.

3 Specification

Frontline Plus Anaesthetic Machines

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Bottom Shelf Dimensions Mode!

Width

Depth

690

69cm

36cm

560

56cm

36cm

440

44cm

36cm

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Drawer Dimensions

e

Drawers

Model

Width

Depth

690

36cm

10.7cm

560

36cm

10.7cm

440

30cm

10.7cm

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3.2 Maximum Monitor shelf Worksurface

Loading

...

50kg 50kg

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440 MODEL ONLY: The monitor shelf must have all equipment removed before the unit is moved out of the theatre.

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3.3 Pneumatics/Electrics :.-

3.3.1

Gas-Specific Colour Specifications Gas

UK

USA

Oxygen

White

Green

NitrousOxide

Blue

Blue

Air

Black

Yellow

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3.2

User Manual

Issue 1

Part No: 119UMOO2/ECN3742

~

.

Frontline Plus Anaesthetic Machines

3 Specification

3.3.2 Electrical Cable Colour Specifications Cable

Colour (UK)

Colour(US)

Neutral

Blue

White

Live

Brown

Black

Earth

Yellow/Green

Green

3.3.3 Miscellaneous Model

Maxno. of

Max no. of

Max no. of

Maxno.

gases

cylinders

pneumatic pipeline inputs

outlets

Electrical

outlets.

AlrIO,

690

4

5

4

3

4

560

4

4

4

3

4

440

3

3

4

3

4

'" Frontline Plus also includes a dedicated ventilator socket.

3.3.4 Common Gas Outlet The common gas outlet is a Cardiff swivel type and is fitted onto the front of the work surface. It will accepta 22mm female or a 15mm male taper coupling and is designed to swivel to a maximum of 60°. The drawer assemblywill be fitted on the oppositeside of the machine to the common gasoutlet.

User Manual Issue 1 PartNo:119UMO02

3.3

;

3 Specification

3.4.1

FrontlinePlusAnaestheticMachines t; I

Controls Oxygenflow

100ml/m to 10 l/m Simplex 100ml/m to 11/m and 11/m to 10 l/m

Cascade Nitrousoxideflow Airflow Carbon dioxide flow Flowblock assemblyaccuracy

Oxygenflush

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100 ml/m to 151/m 100 ml/ m to 21/ m (limited to 11/ m) :t(1.875%measured value + 0.625% fullscale) at 20°C and 101.3KPa

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Non-locking $5to601/m

Hypoxic gases

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100 ml/m to 121/m Simplex 100ml/m to 11/m and 11/m to 121/m

Drager, Penlon, Vaporizers Can acceptSe1ectatec, On-Line or cagemount Minimum 22 %oxygen/nitrous oxide mixture allowed

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3.4.3 AlarmsfIndicators

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Audible alarmfor minimum of 8seconds f I whenoxygenpressurefalls below 2.25 ~ ! bar (225KPa) I High oxygen 30to 100%°2 f: : Low oxygen 15to 85%°2 Sensorcable °2 sensornot connectedindicator g disconnected Low battery Batteryvoltage low light ! Oxygensupplyindicator Greenindicates O2supply available Oxygenfailure

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Orange indicates pressure is less than

'if:

2.25 bar

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User Manual

Issue1

PartNo: 119UMDD2

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3.4.4 Accuracy :tI %of full scale at constant pressure and temperature

Response time

Stability

90% of final reading in less than or equal to 15 seconds Lessthan 1 % of full scale over an 8 hour

period

3.4.5 Cylinder

Cylinder regulator relief valve Machine gas piping design rating Secondary hypoxic regulators Common gas outlet relief valve

3.6 Bar 4 Bar

5 Barjmax. 28 to 32 psi 7 psi

I

3 Specification

Frontline Plus Anaesthetic Machines

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3.4.6 Supplies

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02' air, N2O pipeline

Optionalpipeline ,j

Auxiliary pneumatic outlets

4 bar (400 KPa) BS5682Medical Grade Air 7 bar (700 KPa) BS 5682Medical Grade Air Air or °2 -4 bar at zero flow. 80 11mmax.

flow

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Mains voltage UK

230Volts

Frequency 50Hz Power

2800 VA

USA 110Volts Frequency 60Hz Power 1300 VA Auxiliary socketfuses

Mainsfuses Auxiliary output power Batterypower supply

Type Tj5A IEC 127SheetilljBS 4265

Type13A

BS 1362 3A max for each socket 7.2Vrechargeable

3.4.7 Environmental Temperature: Operation 5OC-40°C(41°F-104°F)

oxygen cell operatesto specification

10°C-4Q°C(50°F-104°F)

Storage: -20°C-60°C(-4°F-140°F)with oxygen ceIl removed O°C-50°C(32°F-122°F)with oxygen cell in

place

Humidity 15-95% N on-condensing

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3.5 3.5.1 Standard Features .Overheadmonitorshelf .Electrical

socketoutlets

.ONjOFFpneumaticand elecmcal switch

.Colour coded cylinder pressuregauge labels

.Oxygen

.Pin index yokes with colour coded symbols

.Colour coded pipeline and pressuregauge labels

.Standard

.Cable

.A

shelf

.High

choice of simplex or cascade. rotametersis available

.Oxygenpreferentialflowblock assembly .Oxygen

failure alarm with

.Drawer

outIetwith over pressure relief valve

hooks

units (2) .

.Roller bearmg castors, lockable front castors .ee

swivel common gas

pressure oxygen outlet

Multipurpose hooks and mounting blocks

multi-gas cutout devices .Cardiff

flush

Thr ' V' brac ke tsforsuppor tin .g suction systems etc

.g Hi h Pressure Venti1ator ou tlet norm ally oxygen -as h Air backup

3 Specification

Frontline Plus Anaesthetic Machines

3.5.2 Optional Fittings Hypoxic Guard Simplex Rotameter (Frontline Plus)

*

Cascade Rotameter with Hypoxic Guard (Frontline Plus)

*

Integral Oxygen Monitor

12100000

Extra Drawer Unit for Frontline 560/690 Plus (maximum 4)

11900516

Additional High Pressure Oxygen Outlet (Frontline Plus) Front

11900815

Additional High Pressure Oxygen Outlet (Frontline Plus) Rear

11900810

High Pressure Air Outlet (Frontline Plus) Front

11900817

High Pressure Air Outlet (Frontline Plus) Rear

11900811

Active Gas Scavenging System 120 litres/min

57204

High Suction Kit comprising of Suction Controller (V mounted), receiver jar and fittings

11400001

Venturi Suction Kit comprising of Suction Controller, receiver jar (V mounted) & fittings

11400025

Magill Circuit

ST7557

Lack Circuit

2010

Semi-closed Circuit

2020

BleaSorb Absorber 1Kg

12200000

BleaSorb Absorber 2Kg

12200010

Scandia Absorber complete with detachables

130204

Canister for Scandia Absorber

SI0643

BleaSorb Support Arm Assembly

12200005

Scandia Absorber Mounting Bracket

780141

Aneroid

780065

Sphygmomanometer

Mercurial Sphygmomanometer

780064

Cylinder Key

11901766

Ventilator mounting bracket Kit

*

Patient entrainment valve Kit

11900601

* Part number varies with trolley configuration, available on request. 3.8

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~

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~ iI 3.5.2.3 Suction

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High SuctionUnits Completewith Jar

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Low Suction Units Complete with Jar

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3.10

User Manual

Issue1

PartNo: 119UMOO2

t i

Frontline Plus Anaesthetic Machines

4 Installation

4 Installation 4 . 1 Unpacking and Installing the Cylinders Upon delivery, inspect the system and its accessories for signs of damage that may have occurred during shipment. If you find any damage, immediately notify the transportation company and file a damage claim. Save the original shipping container, packaging, materials and any manuals or instructions. Many of the steps in the following sections will be performed when a service representative installs the system. Some of the system’s accessories have installation instructions that describe in greater detail the procedures described in this section. However, during use, maintenance or sterilization, the system components may be left disconnected or may be reconnected incorrectly. Read through Chapter 5 Operation to confirm that your system is setup properly. Perform any steps necessary to correctly connect your system’s components. 1.

Open the yoke by turning the bridge piece counter-clockwise.

2.

Ensure that the Bodoc seal is fitted to the cylinder/yoke connector and is clean and undamaged.

3.

When fitting a new cylinder, ensure that its seal and cap are undamaged.

4.

Remove the seal and cap from the cylinder and discard.

5.

Using a non-ratchet cylinder key momentarily open the cylinder. As soon as gas issues from the cylinder close the cylinder again.

WARNING: The cylinder should be ‘cracked’ to ensure that no foreign material enters the yoke when the cylinder is opened on a machine. 6.

Check that the pin indexing on the cylinder valve corresponds to that in the yoke.

7.

Align the cylinder’s connection with the corresponding connections in the cylinder yoke on the machine, and position the valve in the opening in the yoke.

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Frontline Plus Anaesthetic Machines

8.

Taking care to align the yoke’s connector and pins with the corresponding holes in the cylinder valve, push the cylinder into the opening of the yoke so that the connector becomes fully engaged.

9.

Whilst supporting the cylinder from underneath, close the cylinder yoke by turning the bridge clockwise until its cutout is fully engaged in the coupling on the yoke body.

Figure 3 Installing the Cylinders Key A B C D

4.2

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Cylinder Yoke Locking handle Bridge

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4 Installation

10.

Secure the cylinder by turning the locking handle clockwise so that the screw engages with the location in the cylinder valve. Tighten the handle until the cylinder is firmly secured against the connecting face of the yoke.

11.

Repeat for all the cylinders on the machine.

To prevent leakage from the cylinder valve gland nut, keep the cylinder valves shut when not in use. WARNING: To avoid stripping threads, do not use wrenches on the yoke gate T screws.

4.2 Pipeline Connections 1.

Remove and discard the protective caps from the pipeline inlets.

2.

Ensure that each pipeline (O2, N2O or Air) is coupled to the appropriate inlet by noting which gas is marked on the inlet.

WARNING: The pipeline connections are not interchangeable, as they are fitted with gas-specific male NIST connectors (DISS on USAspecification machines). 3.

Align the pipeline’s probe with the corresponding inlet coupling.

4.

Push the probe into the coupling until the threaded section engages with the thread on the connector.

5.

Secure the connector by rotating the locking ring fully clockwise (hand tight only).

6.

Repeat for all the required pipeline supplies.

7.

Plug the pipelines into suitable outlet points.

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Frontline Plus Anaesthetic Machines

4 . 3 Connecting the Electrical Supply 1.

The machine has an electrical inlet/socket box, connect the mains lead to a suitable mains supply.

WARNING: Only equipment that complies with BS 5724 or IEC 601 should be connected to the electrical outlets. The connection of equipment to the electrical outlets may increase the electrical hazard in the event of a defective earth conductor.

4.4 Connecting the Oxygen Transducer Part No 70300001 1.

Connect the transducer plug to the mating connector on the underside of the left hand lower edge of the work surface of the machine. Press the plug release catch into the plug body while pushing it into the connector.

WARNING: The oxygen monitor will need at least 10 minutes to stabilise after it has been turned on. The transducer should always remain plugged into the machine to ensure that it is ready for use. 2.

The transducer should be placed in the upright position (cable exit on top) when in use. See also 4.4.1 Guidelines for Handling, paragraph 2 for further details.

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4 Installation

Figure 4 Oxygen Probe Key A B C D

O2 Probe Body ‘O’ Ring Diffuser Modular Phone Jack

User Manual Issue 1

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Frontline Plus Anaesthetic Machines

4.4.1 Guidelines for Handling 1.

Do not expose the sensor to gas samples exceeding those listed under “Operating Temperature”.

2.

In general, there are no attitude restrictions for installation of the sensor. However, for optimal performance and life characteristics, it is recommended that the sensor be mounted with the sensing surface pointed down or in a horizontal position. It is recommended that the sensor should not be installed with the sensing surface facing in an upward facing position.

3.

Take precautions to prevent condensation forming on the sensor surface.

4.

Do not subject the sensor to excessive shock or vibration. In general, do not expose the sensor to shock greater then 2.7 G.

WARNING: Do not attempt to disassemble or modify the sensor.

4 . 5 Fitting Selectatec Vaporizers The maximum number of vaporizers that can be fitted to Frontline Plus machine backbar are: 690 - 3 560 - 2 440 - 1 1.

Remove the protective caps from the inlet ports on the vaporizer and discard.

2.

Check that the ‘O’ rings on the male connectors on the backbar manifold are present and undamaged (replace if necessary).

3.

Ensure that there is no foreign matter present on the mating surfaces of the manifold or the vaporizer.

4.

Turn the vaporizer locking lever fully counter-clockwise.

5.

Turn the vaporizer concentration setting control fully clockwise to off.

4.6

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4 Installation

6.

Position the vaporizer on to the backbar manifold so the manifold ports align with the vaporizer ports.

7.

Push the vaporizer down on to the backbar manifold and secure in position by turning the locking lever fully clockwise. Refer to the vaporizer operating manual for filling and operating instructions.

8.

Carry out Leak Test (refer to 7.5 Leak Test - Vaporizers in this manual) for details.

WARNING: Refer to the vaporizer operating manual, before use, for filling, operating and service instructions. The manual also contains information concerning the extent to which the delivered vapour concentration is affected by changes in ambient temperature and pressure, and accuracy and calibration details, which should be understood before use. Vaporizers should not be used when set between the OFF position (or the ZERO position if this is also the OFF position) and the first graduation mark. WARNING: Do not use any vaporizer that is visibly misaligned on the manifold or that, when it is locked, can be lifted off the manifold. Incorrect mounting may result in incorrect delivery of gases. To remove a vaporizer: 1.

Move the vaporizer control knob to Off.

2.

Turn the vaporizer locking knob fully counter-clockwise to release the vaporizer.

3.

Carefully lift the vaporizer straight up and off the manifold.

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Frontline Plus Anaesthetic Machines

Key A System pressure port (Luer lock) B Manometer (optional) C Inspiratory non-return valve D Patient inspiratory connector (22mm taper) E Patient expiratory connector (22mm taper) F Expiratory non-return valve H APL valve I Oxygen sensor port J Absorber bypass valve K APL exhaust port (30mm taper) L Fresh Gas port M Bag/vent valve M 1 Vent port M 2 Bag port

Figure 5 BleaSorb Absorber with Bag/Vent Valve 4.8

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4 Installation

4.6 Fitting an Absorber Absorbers are mounted on an absorber support arm assembly which is mounted on one of the two absorber posts on either side of the machine under the work surface. The assembly allows the absorber to be swung under the work surface when the machine is not in use, and positioned at a convenient height or position when in use.

4.6.1 Absorber Support Arm Assembly Part No 12200005 1.

The absorber may be positioned in the horizontal and vertical planes by swinging the absorber support arm assembly about, or up and down, the absorber post; by rotating and/or moving the support arm post in the support arm; or by rotating the absorber on its own arm. In each case ensure that the locking screws or nut are fully tightened after the adjustment has been made.

2.

Refer to the absorber operating manual for filling and operating instructions.

Figure 6 Absorber Support Arm Mounting Part No 12200005 User Manual Issue 1

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Frontline Plus Anaesthetic Machines

4.6.2 Making The Breathing System Connections Connect the anaesthetic machine to the absorber. See Figure 5. 1.

A 22mm connector A is used to attach the fresh gas tube to the system’s common gas outlet. Connect the gas supply tube adaptor onto the common gas outlet.

2.

Connect the other end of the fresh gas supply to the fitting L labelled “Fresh Gas” on the absorber.

3.

Connect a patient breathing system to the absorber D & E.

4.

Attach a patient breathing bag to the absorber M2. M2

5.

Connect the Scavenging system to the Antipollution port G if necessary.

4.7 Fitting Suction Units Part Nos 11400001 High 11400025 Venturi The suction units consist of two units: a suction controller and a receiver jar. The suction unit is mounted on a V bracket on the right-hand upright of the machine above the work surface. The receiver jar is mounted on the right-hand upright, lower V bracket. 1.

Position the suction controller so that its gauge faces the front of the machine and its V bracket adaptor is aligned with the V bracket on the machine.

2.

Push down the controller so that the V bracket adaptor mates with the machine’s V bracket.

WARNING: Note there is no locking or securing mechanism.

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3.

4 Installation

On non-venturi types, plug the controller vacuum probe into a suitable vacuum source. For venturi types, fit the mini-Schräder probe connection of the venturi pipeline to an auxiliary outlet on the anaesthetic machine.

4.

Align the receiver jar V piece with the V bracket and push the receiver jar downwards so that the V piece mates with the V bracket.

WARNING: Note there is no locking or securing mechanism. 5.

Couple the suction controller hose to the connection on the receiver jar.

6.

Refer to the suction unit manual for Cannula fitting, and operating instructions for the suction unit.

4.8 Fitting Ancillary Equipment Ancillary equipment such as drip sets, sphygmomanometers and hose hooks etc can be mounted in the four mounting blocks or the three V brackets on the sides of the machine. The mounting blocks each have two 6.5mm diameter holes into which the hooks or sphygmomanometer posts can be fitted. The equipment is secured in place by locking screws. Ancillary equipment which may need pneumatic power or an oxygen supply (ventilators, saws etc) should have their supply hoses plugged into the pneumatic outlets on the machine. All machines have a rear oxygen power outlet. There are optional additional power outlets of air or oxygen available. WARNING: Note the Oxygen/Air power outlets are not switched on or off by the machine’s On/Off switch.

User Manual Issue 1

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Frontline Plus Anaesthetic Machines

The equipment hose probe should be a mini-Schräder and should be pushed into the outlet port. The port is self-locking and will hold the probe in position. Pull the mini Schräder outlet port shroud downwards to release the equipment probe.

4.9 Ventilators Refer to the ventilator Instruction Manual. The ventilator may be fitted to the machine side arm (see Appendix A Ventilator Mounting Bracket). A preferred mounting is to have the ventilator electronic assembly mounted on the shelf above the vaporizers and the bellows assembly mounted on the absorber or on the side shelf.

4 . 1 0 Post-Installation Check When the system has been installed the full system check should be carried out (See 8 Full System Test).

4.12

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5 Operation

5 Operation Refer to Figure 7. The gas supply inputs consist of the cylinder yokes that couple and secure the gas cylinders to the machine and its pneumatics, and the pipe line inlets. All the gas input connections are gas-specific, the cylinder yokes are pin indexed and the pipeline inlets are non-interchangeable screw threads (NIST) (DISS on USA-specification machines). The pneumatics that regulate the gas supply pressures consist of high pressure regulators to reduce the cylinder gas pressures and non-return valves to ensure that gases do not flow from one inlet to another. Each cylinder yoke and pipeline inlet has an associated pressure gauge F located at the rear of the work surface. The cylinder contents gauges are mounted on the left-hand side and the pipeline pressure gauges on the right-hand side. The sequence of the cylinder gauges is the same as that of the cylinder yokes. The regulated gases are coupled to their flow control valves K via the oxygen failure warning device. The oxygen failure warning device monitors the pressure of the oxygen supply. If the oxygen supply pressure falls below 2.25 bar (225 KPa) all the Hypoxic gases (except oxygen and Air) will be cut off and the pneumatic audible alarm will be activated. The oxygen supply indicator changes from green to orange. The gases flow from the pneumatic logic valves through the flow control valves and their flowblock assemblies G. Each gas has an associated flow control valve K and flowblock assembly. The flow control valve knobs are turned counter-clockwise to increase the gas flow and clockwise to reduce it. All the gases can be turned off by turning the knobs fully clockwise save for the oxygen control which has a minimum (basal) flow of 220 to 280 ml per minute. To turn off the oxygen, the On/ Off switch P at the front of the machine must be used. The valves are independent of each other except for the mechanical hypoxic guard which links the oxygen and nitrous oxide flow controls together such that the ratio of oxygen to nitrous oxide is not less than 22%.

User Manual Issue 1

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Part No: 119UM002

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5 Operation

Frontline Plus Anaesthetic Machines

On some machines, an air-nitrous oxide interlock switch selects one of the two gases prior to the flow control valves. Gases flow from the flow control valves to the vaporizers M (if fitted) and then to the common gas outlet N located on the front edge of the work surface. The common gas outlet is a Cardiff swivel with a male 22mm/ 15mm female taper. The oxygen flush control H is located on the front of the work surface and connects the regulated or pipeline oxygen supply directly to the common gas outlet when it is operated. The control is pressed in to supply oxygen. The oxygen flush is non-locking. The On/Off switch P is located on the front of the flowblock assembly and is used to turn all the gases of the machine on or off (except the supply to the oxygen flush control and the oxygen power outlet). The switch is turned clockwise to turn the machine on and counter-clockwise to turn it off. There is also a selector switch that is used to select either Nitrous oxide or Air W. WARNING: In order to minimise the possibility of running the oxygen supply cylinders down it is recommended that the machine be switched off when it is not in use.

5.2

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5 Operation

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User Manual Issue 1

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Part No: 119UM002

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