Ohmeda 5250, Operation And Maintenance Manual

Page 1: ...5250 Respiratory Gas Monitor Operation and Maintenance Manual S G a aie Display Mi Release of A BOC Health Care Company Critical Care...

Page 2: ......

Page 3: ...e Sensor Cartridge Figure 8 6 Transducer cartridge replacement 8 9 Figure 8 7 Sensor clip removal from the breathing C rCuit ee 8 9 Figure A 1 Service Screen A 1 Figure A 2 Pneumatics Service Screen A...

Page 4: ...ry or equipment damage may result continued circulation distal to the probe site after application Patient Safety Prolonged monitoring or patient condition may require changing the probe test site per...

Page 5: ...monitor voltage selected agrees with the local voltage available Do not cover or block the cooling fan Connect only a high input inpedance device 10K ohm or higher to the analog output connector Impro...

Page 6: ...al solely for the convenience of users having proper knowledge tools and test equipment and for service representatives trained by Ohmeda Alter replacing the internal U sensor perform the calibration...

Page 7: ...Notes...

Page 8: ...program used for the setup and operation of the monitor Section 3 explains how to calibrate the monitor before using it with a patient Section 4 describes how to connect the patient to the RGM for th...

Page 9: ...Notes...

Page 10: ...gh the rear panel of the main unit and through the side panel of the display which makes software upgrades and future options simple to install Clock Calendar Display Sample Inlet PAW Inlet Spo Connec...

Page 11: ...Display with White Line To remove the display from the RGM press the Display Release push button and slide the display to the right until the alignment marks in the trap area and on the upper right si...

Page 12: ...isplayed as an option on a screen Simply touch the option to Figure 2 4 Sample Filter Cartridge Replacement FU LIV OLIO EER EEE AL Lo LIUL LIGUUDDGIV LU CAGIL pressure on the screen since the infrared...

Page 13: ...mode The alarm silence interval can be changed on the Setup Screen Note If the 78xx ventilator interface is being used the mute period is limited to 30 seconds The All Mute function is inhibited if th...

Page 14: ...in sertion A slight tug on the cord will ensure that the plug is fully seated Analog Output The analog output provides an analog signal proportional to the real time N O waveform CO waveform and othe...

Page 15: ...y CO Exni F t mmHg kPa i Expiratory Inspiratory OX ory CO mmHg kPa 0 2 0 Display 2 Minimum CO Display Airway Pressure Positive cm H 0 Inspiratory Mean Pressure Paw Pulse k cm HO cm HO Indicator na Pul...

Page 16: ...r with SpO Option Agent Gas Analyzer Only Je 95 32 12 HALQOTHANE an Agent Gas pump Analyzer with SpO Note All display screens show optional flow sensor Figure 2 7 and optional patient circuit O sensor...

Page 17: ...200 breath trend of inspired and expired values appears Tick marks denote five minute intervals in this trend O Alarms Alarm Message Default Range Type LOW INSPIRED O 18 18 100 Emergency HIGH INSPIRE...

Page 18: ...ting a tee into the pressure line Data from the ventilator is MAX pressure MIN pressure and PLAT pressure plateau Airway Pressure Waveform Trend Display The pressure waveform appears with the scale on...

Page 19: ...value shown is the patient circuit O mean over five seconds value This is an optional feature Patient Circuit O Alarms Alarm Message Default Range Type LOW CIRCUIT O 18 18 99 Emergency HIGH CIRCUIT O...

Page 20: ...t powerup the No Agent option is selected Alarm volume lets you select the volume for alarms The higher the number the louder the volume Note If the monitor is powered down with the alarm volume set t...

Page 21: ...ast 12 5 mm sec or slow 6 5 mm sec waveform display refresh Trend time lets you select the display for the trends on the display screen either every breath or eight hour Wave type lets you choose the...

Page 22: ...r Touch CLOCK SET to set the i Clock Calendar 7 Display Touch VIEW ALL Touch to see all EXIT parameters to Return and options Touch NEXT PAGE to go to the second page Touch NEXT PAGE to go back to the...

Page 23: ...s Touch EXIT to Return Touch CHANGE to Touch REC CAL for Select New Value Chart Recorder Connection View All Setup Screen The View All Setup Screen is two pages when the monitor includes Agent and SpO...

Page 24: ...iddle Waveform Touch Here to Select the Bottom Waveform Touch Here to Select the Select the Desired Scale Desired Waveform 000 Touch EXIT to Return Figure 2 10 Waveform Trend and Scale Selection Selec...

Page 25: ...Indication Audible Indication System Failure Alarms Visual Indication Signals that indicate a condition requiring immediate action A flashing red indicator appears on the lower left area of the displ...

Page 26: ...Select LIMITS Select Option Select Alarm Press Select Select Alarm Limits Press SELECT to view or adjust other alarm limits Select EXIT to Return to Wave Display Figure 2 11 Changing Alarm Limits...

Page 27: ...an eer I 7...

Page 28: ...on Procedure Refer to Figures 3 1 and 3 2 1 Connect a sample tube to the sample inlet Check that all connections are properly made and secure 2 Switch the monitor on and allow it to warm nn for five m...

Page 29: ...5 Wr ChERLE CALE AL ll Pow 1 Select CALIBRATE Calibrate Internals Zero Calibration Span Calibration Touch EXIT to return Agent Calibrate Screen Zero Calibration Span Calibration Ficure 3 1...

Page 30: ...menu The Calibrate Circuit O Sensor Screen ap pears Refer to Figure 3 3 Sample Line Calibration Gas Calibration Reservoir Bag Figure 3 2 Calibration Gas Connection 4 Expose the sensor to room air for...

Page 31: ...Room Air Calibration 100 O Calibration Figure 3 3 CALIBRAT INTERNALS CALIBRATE Select CKT 02 Calibrate CKT O Touch EXIT to return...

Page 32: ...ing gas To RGM Monitor Sample Inlet 2 Straight Adapter Figure 4 1 5 Ensure that the sample exhaust on the back panel is connected to the gas scavenging system or returned to the patient circuit Refer...

Page 33: ...between the probe emitter and detector can reduce the signal strength and result in a poor signal If the signal strength is half scale or less a test site with a shorter distance between the emitter a...

Page 34: ...ory check valve of the absorber Blockages in the tubing circuit can cause high patient airway pressures and may not be detected by the RGM CAUTION Pressure in excess of 10 psi above atmospheric could...

Page 35: ...clip will be Figure 4 4 Sensing Tube retained in the coupling and extended out from the coupling about 3 16 H Replace the pressure gauge with the coupling at tached into the GMS Absorber 5 Slip one en...

Page 36: ...to the pressure gauge coupling Pressure Edil outlet Pressure Outlet 3 Join the pressure gauge and coupling Pressure Outlet H 3 16 4 Seat the pressure gauge coupling 5 Attach tubing HA Figure 4 5 To th...

Page 37: ...well when the sensor is mounted proximally however accuracy is optimized when the sensor is mounted distally Figure 4 6 Flow Sensor Connection Refer to Figure 4 6 1 Install the cartridge with the sens...

Page 38: ...k pliers be available to remove the cartridge in case it has been jammed on too tightly Before every use ensure that the TVX flow cartridge is operational and easily removable Reter to Figure 4 8 1 In...

Page 39: ...the monitor WARNING Do not insert the circuit O plug into the flow sensor connector on the back of the machine Damage to the monitor could result 4 Switch the monitor on and allow it to warm up for fi...

Page 40: ...rfaces with above ambi ent temperatures Important To use the 5250 RGM effectively Be familiar with the RGM s controls and connectors see Sections 2 2 and 2 3 e Understand the monitor s alarms and mes...

Page 41: ...low Pressure Displayed Parameter Waveform Et CO Fi CO Resp Rate Mean N 0 FiO Ckt O Tidal Volume Minute Volume Waveform Bar graph Waveform Mean Range 0 15 2 90 bpm 0 100 0 100 0 100 Pediatric Minimum f...

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Page 43: ...E T1 5A 250 V 120 Vac 50 60 Hz 1 0A T1 5A 250 V 220 240 Vac 50 60 Hz 0 5A E T1 0A 250 V H Alarms Message Category Range ACX DECODE TASK FAIL system failure alarm na ACX XMIT TASK FAIL system failure...

Page 44: ...Measuring Range Gain Stability Zero Drift Linearity Temperature Zero Drift Temperature Gain Drift Response Time 0 2 CO 10 C 0 2 CO 10 C 0 4 N 0 10 C 0 2 N 0 10 3 0 O 24 hours 0 2 CO 24 hours 12 0 O 6...

Page 45: ...SPHERIC PAW VENT TIDAL VOLUME APNEA VENT TV APNEA ALARM OFF VENT VOLUME SENSOR FAIL VENT VOL MONITOR STANDBY Category advisory system failure alarm advisory advisory advisory advisory advisory warning...

Page 46: ...efer to Anesthetic Agent display in Section 2 8 Category system failure alarm system failure alarm system failure alarm system failure alarm system failure alarm system failure alarm system failure al...

Page 47: ...jects through the flow car tridge vanes The precision movement may be damaged The cartridge should be replaced if it becomes clogged or obstructed Tf the cartridge is sterilized with liquid agents all...

Page 48: ...absorbed by the probe Follow the sterilizer manufacturer s recommendations for specific aeration periods required Note Information about the materials that com promise the probes is available upon re...

Page 49: ...er Disconnect both monitor hoses from the fittings at the sample chamber 6 Remove the sample chamber thumb screws and carefully remove the sample chamber 7 Connect the cleaning tube standard acces sor...

Page 50: ...Pull the cartridge straight out from the fluid trap assembly 3 Place the new cartridge in position and slide it in until it seats properly Slide Collection Bottle Down to remove it Figure 7 1 Sample...

Page 51: ...ee Wie By...

Page 52: ...for further cleaning by clear out the cleaning solution Repeat the repeating steps 1 through 8 of Section 7 8 flushing three to five times b Using a syringe as before fill the cama o f Reassemble the...

Page 53: ...not be installed or O cell may be at end of life Air leak in gas sample system or sample line blocked Condensed moisture in sample line Sample line occluded Purging system cannot clear blocked line R...

Page 54: ...erienced with the unit e Warranty information when less than one year old a copy of the invoice or other applicable documentation must be included e Purchase order number to cover repair of a unit not...

Page 55: ...k System monitor the yellow alarm failure indicator is on and the audible alarm sounds continuously Display blank System monitor the yellow alarm display failure indicator is on and or the audible ala...

Page 56: ...stuck open Water trap full Moisture in the measurement chamber SpO probe failure The probe in use is not compatible SpO circuits have failed Touch panel not initialized properly The unit was possibly...

Page 57: ...layed through the cover when it is closed Turn to Open Cover Voltage Rating Line Power Input Module Figure 8 1 Fuse Replacement 5 Note the direction of the arrow on the ends of the fuse holders down S...

Page 58: ...Grasp the installed software cartridge and pull away from the chassis 4 Install the new software cartridge and replace the cover plate and mounting screws Software cartridges are keyed to install only...

Page 59: ...The sensor assembly consists of the hous ing probe for the oxygen sensor cartridge the coiled cable and the connector that joins the sensor assembly to the monitor The sensor cart ridge is not includ...

Page 60: ...8 5 To replace the sensor module 1 Hold the rear housing with the cable connec tion down 2 Note the three gold colored terminals in the rear housing The sensor mates to these terminals through three c...

Page 61: ...ounted correctly the 5250 Respiratory Gas Monitor will not operate properly Figure 8 6 Transducer Cartridge Replacement 5 sensor Clip heplacement If the Flow Sensor portion of the RGM does not provide...

Page 62: ...we ee...

Page 63: ...vice Cal Screen Pneumatics Service Screen Service Diagnostics Screen CAL Service CAL Screen EXIT Return to Monitoring Screen Figure A 1 Service Screen 8 Check that the Barometric Pressure reading on t...

Page 64: ...L 0 O oxygen cell ai ATAN CE O RE AO Purge valve stat 200 iene Sample flow rate E i Sample pump statu Water trap BAG Ze Valve status Options Function ON Turns pump on OFF Turns pump off UP Raises pump...

Page 65: ...OG ERA Measiremenl Pange PAW CAL Sample pump status UE ETAT Add a flow restri O Se meter to sample exhaust flow meter reads 150 ml Then press SPAN Gaz Figure A 3 Service Calibration Screens...

Page 66: ...ample exhaust outlet on the back of the machine 4 Press SET ZERO The pump is automatically switched off Wait for the ZERO CALIBRA TION COMPLETE message to flash 5 Measure the flow at the sample outlet...

Page 67: ...volt 2 full scale Adjust the strip chart recorder 2 N O Waveform 10 mV 5 Press EXIT three times to return to the display 3 Paw Waveform V 140 20 cm H O screen 4 Flow Waveform 10 mV 1 L min 5 SpO 10 mV...

Page 68: ...he values received from the 78xx ventilator The calculations for PAw values by the ventilator differ from those of the RGM Mean as calculated by the RGM is changed to PLAT as calculated by the 78xx ve...

Page 69: ...xpendable parts The foregoing warranties shall not apply if the Product has been repaired other than by Ohmeda or in accordance with written instructions PIUVIUOU Uy VIUNO VI dilelCi by anyone over th...

Page 70: ...Tel 800 772 5420 International UK Europe Africa and Middle East Ohmeda Ohmeda House 71 Great North Road Hatfield AL9SEN Hertfordshire England Tel 707 263570 Fax 707 260065 707 260191 Telex 915128 Lat...