Aisys CS² Planned Maintenance Checklist Rev B Oct 2016

Visual Inspection Procedures .

Procedure

Expected Results

Outcome

Check display fan filter

Fan filter clean

Pass / Fail

Check filters on the upper and lower rear access panels

Access panel filters clean

Check condition and tightness of all display, cabinet, frame, drawer, arm, and shelf parts

All parts in good condition and tightened

Check the casters for proper operation and mounting

Casters roll and lock as needed. Casters are firmly mounted to machine.

Check labels

All labels are clearly legible

Check external tubing, rubber goods, hoses, and pipeline hoses

No visible deterioration and securely attached

Check external electrical cabling

All external cabling are correctly connected and are not deteriorated

Verify proper display arm adjustment

Display arm counterbalance, side to side movement, and tilt are properly adjusted

Comments

Verify Annunciators .

Procedure

Expected Results

Outcome

Verify audible “beep” after system switch is turned on

Audible “beep” after system switch is turned on

Pass / Fail

Verify a second audible “beep”

After several seconds into power-up, verify that a second audible “beep” is heard

Verify a third and fourth audible “beep”

Before power-up is completed, verify that a third and fourth audible “beep” is heard from the display unit

Comments

Pipeline and cylinder test .

Procedure

Expected results

Actual results

Outcome

Disconnect the pipeline supplies and close all cylinder valves

All gauges read zero. Low O2 supply alarm occurs.

Pass / Fail

2

Comments

2069137-PMC B 10 2016

Procedure

Expected results

Actual results

Outcome

Connect pipeline supplies one at a time Corresponding gauge indicates facility pipeline pressure

Pass / Fail

Test each cylinder for high pressure leaks

Comments

Pressure decay after one minute is less than 690 kPa (100 psig) for all cylinders Cylinder #1

Pass / Fail / Not applicable

Cylinder #2

Pass / Fail / Not applicable

Cylinder #3

Pass / Fail / Not applicable

O2 Supply Alarm Test .

Procedure

Expected Results

Outcome

Perform the O2 supply alarm test

Low O2 supply alarm occurs

Pass / Fail

Comments

N2O and O2 flows stop Air flow continues - if Air is selected as Balance Gas

AGSS Inspection and Testing .

Procedure

Expected Results

Visual-Mechanical Inspection

System in working order

Pass / Fail

Scavenger Positive Relief Functional Check

The pressure should not indicate a pressure rise of more than 10 cmH2O

Pass / Fail

2069137-PMC B 10 2016

Actual Results Outcome

Comments

3

ABS Inspection .

Procedure

Expected Results

Outcome

Flow Sensor Module

System inspected

Pass / Fail

Breathing Circuit Module and O2 Sensor

System inspected

Absorber Canister and locking mechanism

System inspected

Bellows Assembly Inspection

System inspected

Bellows Assembly test

Bellows does not fall within one minute: inverted and upright

APL Valve inspection

System inspected

Comments

Bag port items and negative relief System inspected valve inspection Bag to Vent Switch inspection

System inspected

Exhalation Valve Inspection

System inspected

EZchange and Condenser Inspection

System inspected

Pass / Fail / Not applicable

Ventilator Free Breathing Valve Inspection .

Procedure

Expected Results

Free breathing valve maintenance System inspected; parts replaced at 24 months

Outcome

Comments

Pass / Fail / Not applicable

Ventilator Tests .

Procedure

Expected Results

Outcome

View or Copy Logs

Appropriate actions taken on log entries

Pass / Fail

Flow and Pressure

“Pass” is displayed

Pass / Fail

Circuit O2 Cell 21%

“Pass” is displayed

Pass / Fail

Circuit O2 Cell 100%

“Pass” is displayed

Pass / Fail

MOPV pressure relief valve test

MOPV relief weight relieving; purring noise

Pass / Fail

Pressure Limit Circuit test [you may have to repeat the test to observe the results]

“Over Pressure Circuit” briefly reads “High” and then returns to “OK”

Pass / Fail

“Gas Inlet Valve Feedback” reads “Closed”

Pass / Fail

4

Comments

2069137-PMC B 10 2016

Procedure

Expected Results

Outcome

Manifold P Span

“Pass” is displayed

Pass / Fail

Inspiratory Flow Valve Cal

Stage 1 “Pass” is displayed

Pass / Fail

Stage 2 “Pass” is displayed

Pass / Fail

Bleed Resistor Cal

“Pass” is displayed

Pass / Fail

Paw Span

“Pass” is displayed

Pass / Fail

Zero Gas Transducers

“Pass” is displayed

Pass / Fail

Zero the Mixer

“Pass” is displayed

Pass / Fail

Comments

Display Diagnostics .

Procedure

Expected Results

Outcome

Test LEDs

LEDs flash 5 times

Pass / Fail

Test Speaker

Speaker sounds for 2 seconds

Test Battery

“Passed” is displayed for battery test

Test Hard Keys

Speaker sounds when each key is pressed

Test LCD

Display sequences through the color screens

Calibrate Touch

Touch targets calibrated

Comments

Network Connectivity Test [Software 11] .

Procedure

Expected results

Port / Device

Outcome

Perform the Network Connectivity Test

All enabled ports / devices display:

Port 1 (P1)

Pass / Fail / Not applicable

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•

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2069137-PMC B 10 2016

Pass - Green check mark in circle Indicates the port interface status P1 Device (P1 Device) is good. Port 2 (P2) Fail - Red X in circle - Indicates the port interface has configuration P2 Device 1 errors. (P2 Device 1) Fail - Orange ? in circle - Indicates P2 Device 2 (P2 Device 2) the port interface has run time P2 Device 3 errors. (P2 Device 3) Not applicable - Empty gray circle - Log Transfer (P2) Indicates the port interface is not configured.

Comments

Pass / Fail / Not applicable Pass / Fail / Not applicable Pass / Fail / Not applicable Pass / Fail / Not applicable Pass / Fail / Not applicable Pass / Fail / Not applicable

5

Vaporizer Tests .

Procedure

Expected Results

Actual Results Outcome

eVap Test - Test Cassette inserted

“Pass” / “Complete” on screen

Pass / Fail

eVap Test - Therapy Cassette Leak Test

Stable flow readings less than or equal to 10 ml/min

Pass / Fail

Comments

Mixer Tests .

Procedure

Expected Results

Actual Results Outcome

Mixer outlet check valve leak test

200 mmHg pressure shown on the test gauge should not decrease by more than 10 mmHg in 30 seconds

Pass / Fail

100% O2 at 10 l/min

9.0 to 11.0 sl/min

Pass / Fail

100% Air at 10 l/min

9.0 to 11.0 sl/min

Pass / Fail

100% N2O at 10 l/min

9.0 to 11.0 sl/min

Pass / Fail

100% N2O at 0.5 l/min

0.45 to 0.55 sl/min

Pass / Fail

100% Air at 0.5 l/min

0.45 to 0.55 sl/min

Pass / Fail

100% O2 at 0.5 l/min

0.45 to 0.55 sl/min

Pass / Fail

Comments

Mixer flow verification

Alternate O2 flowmeter tests .

Procedure

Expected results

Actual results

Outcome

Turn on Alt O2 at minimum flow

0.5 to 0.7 l/min

Pass / Fail

Rotate the flow control counterclockwise to increase flow and observe the results

The float rises immediately; it rises smoothly and steadily with continued counterclockwise rotation. When a desired flow is set, the float maintains a steady position.

Pass / Fail

Minimum (fully closed)

0.5 to 0.7 l/min

Pass / Fail

1 l/min

0.5 to 1.5 l/min

Pass / Fail

3 l/min

2.5 to 3.5 l/min

Pass / Fail

Comments

Accuracy at the following flows:

6

2069137-PMC B 10 2016

Procedure

Expected results

Actual results

Outcome

5 l/min

4.5 to 5.5 l/min

Pass / Fail

10 l/min

9.0 to 11.0 l/min

Pass / Fail

Maximum (fully open)

10.0 to 13.0 l/min

Pass / Fail

Comments

Auxiliary O2 flowmeter tests .

Procedure

Expected results

Actual results

Set flow control fully clockwise (decrease) to shut off the flow

The float rests at the bottom of the flowtube and does not move

Rotate the flow control counterclockwise to increase flow and observe the results

The float rises immediately; it rises smoothly and steadily with continued counterclockwise rotation. When a desired flow is set, the float maintains a steady position.

Outcome

Comments

Pass / Fail

Flow Accuracy Test: Set the flow to 1 l/min

0.5 to 1.5 l/min

Pass / Fail

Set the flow to 3 l/min

2.5 to 3.5 l/min

Pass / Fail

Set the flow to 5 l/min

4.5 to 5.5 l/min

Pass / Fail

Set the flow to 10 l/min

9.0 to 11.0 l/min

Pass / Fail

Set the flow to Maximum (fully open)

Greater than or equal to 12.0 l/min

Pass / Fail

Integrated Suction Regulator tests .

Procedure

Expected results

Actual results

Outcome

Comments

Test vacuum gauge accuracy at following points: Suction regulator in Off position

The gauge needle should come to rest within the zero range bracket

100 mmHg (13.3 kPa)

62 - 138 mmHg (8.3 - 18.4kPa)

300 mmHg (40 kPa)

262 - 338mmHg (35 - 45kPa)

500 mmHg (66.7 kPa)

462 - 538 mmHg (61.6 - 71.7kPa)

Flow Test - suction control fully clockwise

≥ 20 l/min

Pass / Fail / Not applicable

Regulator Test

100 mmHg ± 10 (13 ±1.3 kPa)

Pass / Fail / Not applicable

Vacuum Bleed Test

Gauge returns to zero range within 10 seconds

Pass / Fail / Not applicable

2069137-PMC B 10 2016

Pass / Fail / Not applicable

7

Procedure

Expected results

Actual results

Vacuum Leak Test

Gauge does not increase when regulator is off

Outcome

Comments

Pass / Fail / Not applicable

Flush Flow test .

Procedure

Expected results

Actual results

Perform the Flush Flow test The bellows fills in 1.8 to 2.3 seconds

Outcome

Comments

Pass / Fail

Calibrating the airway module .

Procedure

Expected results

Actual results

Outcome

Comments

Perform Airway Module calibration

Displayed gas values are calibrated to match Calibration gas values

CO2

5.0%

Pass / Fail

O2

54.5%

Pass / Fail

N2O

36.0%

Pass / Fail

AA / DES

2.0%

Pass / Fail

System checkout .

Procedure

Expected results

Outcome

Full Test

Full Test Passes / Complete

Pass / Fail

Low P Leak (machines with SCGO)

Low P Leak check Passes / Complete

Pass / Fail / Not applicable

Low P Leak (machines with ACGO)

Bulb inflation time greater than 30 seconds

Pass / Fail / Not applicable

8

Comments

2069137-PMC B 10 2016

Alarm tests .

Procedure

Expected results

Outcome

Perform Alarm tests

“FiO2 Low” alarm occurs

Pass / Fail

Comments

“FiO2 High” alarm occurs “MVexp low” alarm occurs “Ppeak high” alarm occurs “PEEP high. Blockage?” alarm occurs “Ppeak low. Leak?” alarm occurs

Power failure test .

Procedure

Expected results

Outcome

With power cord connected to mains outlet

The mains indicator comes on

Pass / Fail

Comments

With system switch on, start case: “Plug in power cable. On battery.” power unplug power cord failure alarm message is displayed Plug in power cord

Alarm cancels

Electrical Safety Checks .

Procedure

Expected results

Measure the ground resistance

Less than or equal to 0.2 ohms

Pass / Fail

Measure the leakage current

100/120 Vac: less than 300 micro amps

Pass / Fail / Not applicable

220/240 Vac: less than 500 micro amps

Pass / Fail / Not applicable

2069137-PMC B 10 2016

Actual results

Outcome

Comments

9

Final Machine Checks .

Procedure

Expected results

Verify the following:

Light bar and/or gooseneck lights, if equipped, work Pass / Fail properly

10

Outcome

Comments

All vaporizers are locked and in the OFF position

Pass / Fail / Not applicable

Flow control valves at minimum

Pass / Fail / Not applicable

APL valve open (minimum setting, fully counterclockwise)

Pass / Fail

Covers secured

Pass / Fail

Pipeline hoses connected

Pass / Fail

Cylinders turned off

Pass / Fail

All units are plugged into an appropriate power source

Pass / Fail

2069137-PMC B 10 2016