GEM™9100 Service Manual Contents 1.0 Update paformenon 1.4 Puture Update Dulletins: 2.0 Description 21 Service Manual .. 2.2 Advisory Information «. 2.3. Servicing Policy... 24 Warranty .. 25 Precautions 26 Cautions 2:7 Warnings ‘2.8 General.. 29 Framework. 2.10 Gas Supply Module 2.11 Sliding Fresh Gas Outlet, Oxygen Flush Valve and 50cm H,0 Patient Safety Valve Module 15 2.12 Rotameter Unit .. 16 2.13 Flow Control Valves 16 2.14 Selectatec® Vaporiser Back Bar 2.15 System ON-OFF Switch 2.16 Fitting Vaporisers. 2.17 Fitting Accessory Equipment. A Fitting Monitor Restraining Strapa. B Fitting of General Accessories. C Ventilator Mount.. D Scavenge Assembly 2.18 Connecting Medical Supplies A General = B Cylinder Supplies ‘a9 Cyribed Medical Gas Suppios 2.19 System Tests .. A Preparation... B Gas Supply Checks 3.0 Specification 3.1 Physical A Dimensions 3.2 Pnoumaucs.. ‘A Flowmeters - Standard Calibrated Ranges. B Vaporiser Back Bar a C Sliding Frosh Gas Outlet, Oxygen Flush Valve and S0carH,0 Patient Safety Valve .. D Intemal Pneumatic Circuitry .. E Oxygen Failure Alarm .. F Nitrous Oxide and Air Failure Alarms G Regulators... H Yoke Blocks ... I. Gas Power Outlet © Copyright 1993 - Iss/Rev A/O ~ Page 3GEM™9100 Service Manual 4.0 Theory of Scenes - Pneumatics 4.4. A Power On... B Oxygen Failure Alarm ... © Gas Supply System .. D oxygen Fst nn E Safety Valve (S0em H,0) .. F Selectatec® Vaporiser Manifold G Low Oxygen Monitor (GMS125) 1H Alarms - 5.0 Theory of Operation - + Electronic 5.1 GMS125 Software Description. A Gas Analysis B Alarms © Solenoids D Option Switches 52. Electronics Hardware A Power Supplies ... B Pneumatics Interface. © Watchdog Timer .. D Ultrasonic Analysis 6.0 Service Cocoa) 6:1 Service Schedules... A General. B Service Procedure 62. Pipeline Gas Hose .. 63 Frame and Castors 64 Gas Supply System. 65 Gas Supply System - Testing and Calibration .. A Test Configuration. B High Pressure Leak Test - Pipeline and Cylinder Nowrevurn Valves and Gas Supply Block Pressure Relief Valve .. C Gas Supply Block Dynamic and Static Output Test. Oxygen Gas Block System Leak Test On/OH Rotary Switch PS1 Set Pressure Roserve 0, Regulator Set Pressur Power Outlet Flow Test N,O Gas Block system Leak Test. Vaporiser Manifold Mechanical Checks 6.13 Pressure Relief Valve Setting Check 6.14. Leak Test (Flowmeters to FGO). 6.15 Port Valve Servicing 6.16 Fault Finding Guide 6.17 O, Flush Valve Test 6.18 Oxygen Analyser Test 6.19 PSZ Set Pressure 6.20 Air Gas Block Systom Leak Test - Page 4 ~ Iss/Rev A/0 ~ © Copyright 1993GEM™9100 Service Manual 6.21 PS3 Set Pressure .... 6.22 O, Failure Operational Check 6.23 AC & DC Power Failure (SOL1) 6.24 GMS125 Test Procedure 6.25 Electrical Safetv ... 7.0 Spare Parts List 7A. Spare parts lis... 80 8.0 General 8.1 Diagnostic/Fault Finding .. 109 £82 Preventative Maintonance.. 12 }8.3 Anaesthesia System Inspection Form 13 84 Patient Breathing System...... 114 85. Sterilisation .. 118 86 Pre-Operative Checkout and System Shutdown 115 Optional Note 1. se “117 Optional Note 2 417 118 Optional Note 3. © Copyright 1993 - Iss/Rev A/O- Page 5ik GEM™9100 Service Manual Illustrations Chapter 2 Fiy 2.1 Example of desis of Nowmoter module .. Fig 2.2 Profile of oxygen flow control knob. Fig 2.3. GEM™9100, On-Off Switch Fig 2.4 Fitting Selectatec® Vaporisers Fig 2.6 Fitting Securing Clip... Fig 2.6 Securing Larger Items of Equipment Fig 2.7. Securing Smallér Items of Equipment. Fig 2.8 Gas Pack Back View ..... Fig 2.9 Isometric of Gas Pack Near Viow Chapter 3 Fig 3.1. Sliding FGO - Oxygen Flush and 50cmH,0 Patient Valve Chapter 4 Pneumatic Circuit Diagram Chapter 5 GMS125 Low Oxygen Monitor Block Diagram. GMS125 Front Panel Circuit Diagram ... GMS125 Microprocessor Circuit... GMS125 Power Supply Circuit.. GMS125 Interface Circuits GMS125 Transducer Circuit. GMS125 Spare Parts Circuit... Chapter 6 Fig 6.1 Tosting Gas Supply Systems .. Fig 6.2 Testing Gas Supply System . Fig 6.3 Test Blocks. a en Fig 6.4 Pressure Relief Valve Leak Test Configuration Fig 6.5 Port Valve ee Fig 6.6 Locking Lever Retention Spring Renewal Fig 6.7 Oxygen Flush Valve Tes... : Fig 6.8 Power Outlet Flow Test Fig 69 Oxygen Analyser Test Configuration Tables Table 6.1 Oxygen Analyser List Table 6.2 Ait/O, Table © Copyright 1993 ~ Iss/MRov A/0- Page 7GEM™9100 Service Manual Chapter 7 Front Elovation GEM™9100 Side Elevation GEM™9100.. Back Elevation GEM"9100 . Rowmever Block Right Side Eleva Rotameter Block Front Elevation Rotameter Block Left Side Elevation. Flow Control Valve Back Bar Front Elevation -.. Fresh Gas Outlet Assembly (FGO).. Auxiliary Oxygen Outlet . Scavenging Interface Assembly Flowmeter Scavange .. Power Board Assembly Photographs Gas Pack (Front View)... Gas Pack (Rear View) Gas Pack (Top View) ... Page 8 ~ Iss/Rev A/0- © Copyright 1993GEM™9100 Service Manual 1.0 Amendment History Page/Section | Iss/Rev | Date ‘Amendment Comments Al Alo | 22/3/93 New Issue © Copyright 1993 - Iss/Rev A/0- Pago 9OnLM EDA se cucune T.E.C. BULLETIN For internal use only No 441 Date of Issue 2 November, 1994 GMS 125 Monitor ‘The GMS 125 monitor has now been in use since 1991. We now have a reasonable supply of data to make some assessment on performance so far. B. Tyers has written a review of some of ‘the most common faults based upon data obtained in the repair of monitors that have been returned to Tulla. Please see attached. Please note that battery life is rated to last 36 mionths in the GEM 9100, You should be replacing batteries now. The P.M. procedure as detailed in the service manual calls for a 3 yearly replacement, Failures of any product is an undesirable, much less in an Anaesthetic machine, It would seem ‘that most of the bugs in earlier monitors have now been addressed through upgrades as detailed in the attached report. Consequently the failure rate under warranty should now start to fall, Further, clarification by B. Tyers on the operation ofthe Monitor should also assist in reducing units being returned to Tulla under the premise that they are faulty when indeed they are good units - Should units fail in the field and the cause may not be clear then please call myself or B, Tyers, ‘ ‘we may be able to assist in the diagnosis and thus improve the "Strike Rate” of only faulty units being returned to Tulla, ‘Should you need further information or clarification please do not hesitate to call me Kind Regards pele TE AND REGULATOR AFFAIRS MANAGER. ISSUED BY THE TECHNICAL. and ENGINEERING CENTRE (TEC) HEAD OFFICE,between extremes of temperature while fully operational. After the F.S.S.. which takes about 18 hours, the modules are fully tested for compliance with specification. The E\S.S, procedure was developed by the USAF and can be statistically shown to improve the reliability of equipment exposed to it by a factor of about 10, When servicing a GEM please record the serial number of the machine- its on the frame just below the instrument shelf= as well as the serial number of the GMS module, Ifyou have replaced the module also record the serial number of the new module, Notwithstanding the possible fault mentioned above, there is an increasing likelihood that a Low Battery alarm may be caused by a low battery If the module is well warmed up and the battery terminal volt 13.4 volt but there is still a Low Battery alarm ihere is a ve battery is not holding its charge and must be replaced The recommended battery is the Yuasa NP7-12, but any equivalent sealed-electrotyte, Iead-acid battery could be used. Yuasa claim that their battery should typically give 36 months useful life in this type of service. Naturally some baneries will be better than this and some worse. We recommend that the battery he changed every 24 months. There are now GEM in the field well over 2 years old oon charge is above good chance that the Conservatively, about 25% of the GMS monitors retumed for repair are found to be operating correctly. ‘The followving functional description should enable vou to perform sufficient testing on a suspect monitor before condemning i ‘Yo perform the testing you will need Oxygen and Nitrous Oxide gas supplies and preferably Air as well; also a voltmeter to check the battery voltage, ‘The battery is located underneath the working surface which will have fo be removed to gain access, Theory OF Operation The monitor uses an ultrasonic technique to measure the velocity of sound in a chamber through which passes the gas mixture exiting from the top of the rotameter block. Every 0.3 second an ultrasonic pulse is wansmited by a transducer mounted at the top of the chamber; the time it takes the pulse to be returned to the same transducer as an echo from the bottom plate is a measure of sound velocity. The Volume of the chamber is about 0.6 litre, and it will therefore take a short time for a cchange in mixture to be registered as at least 0.6 litre of the new misture is needed to replace the old. For example, at a (otal flow of 2 Ipm, you have to allow at feast 18 seconds for the reading to settle. The response time also depends on the magnitude of the change and the degree of mixing of the old mixture with the new. As a general guide, alow at least 3 times the theoretical replacement time; in the above example allow about 60 seconds, There may he some comments about the slow response to a change in gas percentages. 1 should be pointed out, though. that the reading, will always accurately relfect the gas mixture in the sample chamber which is downstream of the rotameter block and is, therefore, closer to the patient The technique is only suitable for determining the percentage of a known gas in a mixture with one other known gas. In our case we have elected to calibrate theinstrument for Oxygen and Nitrous Oxide, or Oxygen and Medical Air. "The method is, robust, inherently accurate and drift tree: itis not expected that there will be any need for routine calibration (and this has been borne cut by cur experience fo date). ‘The ‘only (2 reported) instancvs we have had of incorruct readings have boon duo to Water ‘vapour in the (supposediy dry) Medical Air supply which eave a reading error of several percent, The instrument is fully compensated for changes in temperature. Wthere iy Airin the chamber when the aneniter is frst tuned on, there will be no display and an alarm because the system is looking tor Nitrous Oxide and finding a ‘velocity which is outside the expected range. Similarly, ifthe Air mode is selected when there is a Nitrous Oxide mixture in the chamber there will be a ‘no echo! (HE3) farm and a blanked display, When in the Nitrous Oxide mode, the Low Oxygen Alarm triggers at 23% exactly and does mot reset until the reading rises to 26%, ‘There is an Audible alarm for the Low Oxygen condition but there is no change of state of the Nitrous Oxide Solenoid. Five seconds after the reading falls 0 18%, or lower, the Nitrous Oxide solenoid releases, nd the supply of Nitrous Oxide to the patient is shut off. If there is Oxygen flow the percentage of Oxygen will increase; 15 seconds afier the reading reaches 19%, or above, the Nitrous Oxide solenoid will reactivate and Nitrous Oxide will again be available to the patient circuit. Note the time delays involved in the operation of the solenoid. Depending on the flow rate, the percentage reading shown on the display when the solenoid operates may he quite different to the 18/19% trigger points ‘When the GEM machine is not in use it should always be left connected to the mains supply so thatthe battery is kept charged, I the mains isnot connected there wil he a ffashing red ight on the front panel. (A well charged battery will operate the Mains Cnr light for over a month.) With the monitor switched OFF and the mains connected the battery terminal vollage should be about 13.8 volt. With the monitor ON this will drop to about 13.5 volt. Every 4 minutes the monitor tums off its intemal battery charger for 4 seconds, caving, the montior fo operate solelv from the battery so that the battery condition can be assessed. During this time a good battery will drop to about 12.6 voll. The low battery alarm triuger point is set to between 42.0 volt and 12,2 yolt. Normally a deteriorating battery which has just filed this test will stil power the monitor, without assistance, tor about 30 minutes. ‘There have been a couple of reports of odd readings ovcurring when the system has, been suhjected to extremely rapid changes in flow rate, An extremely sudden change in pressure will temporarily upsct the ultrasonic transducer and there is nothing we can do about that. It oniy takes a couple ot seconds to stabilise. however. and the transducer suffers no permanent damage. Calibration and alarms tests Select Nitrous Oxide: on the Rotameter bank get 2 ipm Oxygen and 2 Ipm Nitrous; after stabilising the readout should be 50%, Reduce the Osygen flow to 1 Ipm- the readout should now go to 339%, ‘On Nitrous Oxide the acceplable tolerance is +/= 2% (of full scale).Drop the Oxygen flow fo 0.5 Ipm,; as the wading eomes down to 20% the Low Oxygen alarm should come on at 23%. Reduce the Oxygen flow further to 0.4 Jpn; as the reading falls the Nitrous solenoid should release $ seconds after the reading reaches 189% the Nitrous baclight should go off, Now increase the Oxygen How back to 1 yuu and observe that a) the Low Oxygen alarm goss out whon the reading reachee 26% and b) the Nitrous supply is restored 15 seconds after the reading reaches 19%. Selcot Air; with 2 Ipm Oxygen and 2 Ipm Air the reading should stabilise to 60%. On the acceptable tolerance is =/- 3%. I you have any questions which have not been answered here or in the Service Manual please contact me directly at Tullamarine- 03 3390 273 or fax 03 338 6094. Rob Tyers, October 14, 199466E SUOHAKOD @- O/Y AOU/SST- OF oBeL Tenuey o1aies 0016,JNDGEM™9100 Service Manual 2.0 Description 2.1 Service Manual ‘This manual includes a general description of the GEM™9100 Anaesthetic Machine and the instructions required in order to set up, operate, and service the machine, ‘Modifications, variations, or alterations made to factory settings, recommended checking procedures, or practices, may affect the warranty liability of CIG Health Care, It is recommended that the nearest CIG Health Care sales or service office be contacted for advice should there be any doubt as to the suitability of non-standard accessories or should any modifications be desired. 2.2 Advisory Information ‘There are Warnings, Cautions, and Notes throughout this manual to draw attention to possible hazards or adverse conditions which may occur if the instructions provided are not followed, Warnings are used to draw attention to a condition which can endanger either the patient or the operator. Cautions are used to draw attention to a condition which can result in damage to the equipment. Notes are used to draw attention to important information or instructions. Special attention must be paid to each Warning and Caution. A comprehensive list of all the Cautions and Warnings which appear in this Manual is provided in Preface 1 and 2. 2.3 Servicing Policy Servicing procedures for this product must be performed by CIG Health Care trained personnel in accordance with written instructions provided by CIG Health Care. WARNING: Only persons trained to repair and/or service the GEM™9100 should attempt to repair and/or service the machine or void the warranty. An improper repair and/or service can result in patient injury. Detailed repair information is included in this Service Manual Warranty repair and service procedures must be performed either by a CIG Health Care Sorvice Roprocentative or at the nearest CIG Health Care Service Centre. © Copyright 1993 ~ Iss/Rev A/O ~ Page 14GEM™9100 Service Manual If the equipment is to be transported to the nearest CIG Health Care Service Centre package * it securely in its original packaging if possible for protection and ship it prepaid. Enclose the following items as applicable. Aletter describing in detail any difficulties experienced with the equipment. Warranty information, such as a copy of the invoice u1 oler applicable Uuvumentation. Purchase order number to cover repair of equipment not under warranty. Ship to and invoicing information. ‘The name and telephone/fax number of the person to contact for functional questions. geese Other than when CIG Health Care's warranty is applicable, repairs are made at CIG Health Care's current list price for replacement part(s) plus a reasonable labour charge. 2.4 Warranty ‘This product is sold by CIG Health Care under the warranties set forth in the following paragraphs. Such warranties are extended only with respect to the purchase of this product, either directly from CIG Health Care or from a CIG Health Care Authorised Distributor as new merchandise. Other than authorised CIG Health Care Distributor warranties are ‘extended to the first buyer of the product only for purposes other than resale. For a period of twelve (12) months from the date of original delivery to the Buyer or to the Buyer's order, but in no event for a period of more than two (2) years from the date of original delivery by CIG Health Care to a CIG Health Care Authorised Dealer, this product, << except for expendable parts, is warranted to be free from functional defects in materials and workmanship, It conforms to the description of the product contained in the O&M Manual and accompanying labels and/or inserts, PROVIDED THAT the Product is properly operated under conditions of normal use, that regular periodic maintenance and service is performed and that any replacements or repairs are made in accordance with the instructions provided, ‘This same warranty is made for a period of thirty (30) days with respect to the expendable parts. ‘These warranties shall not apply if the product has been repaired other than by CIG Health Care trained personnel or other than in accordance with written instructions provided by CIG Health Care, or altered by anyone other than CIG Health Care, or if the product has been subjected to abuse, misuse, negligence or accident, CIG Health Care's sole and exclusive obligation and the Buyer's sole and exclusive remedy under the above warranties is limited to repairing or replacing, free of charge at CIG Health Care's option, a product which is reported by telephone to the nearest local CIG Health Care Sales/Service Centre or to a CIG Health Care Authorised Distributor as being defective, and which, if so advised by CIG Health Care, is thereafter returned to the designated CIG Health Care Service Centre Unit during normal business hours together with a statement of the observed deficiency, not later than seven (7) days after the expiration date of the applicable warranty, transportation charges prepaid, and which, upon CIG Health Care's examination, is found not to conform with the above warranties. CIG Health Care shall not otherwise be liable for any damages including but not limited to incidental damages, consequential damages, or special damages. Puge 12 Iss/Rev A/0- © Copyright 1993,GEM™9100 Service Manual ‘There are no express or implied warranties which extend beyond the warranties previously set forth. CIG Health Care makes no warranty of merchantability or fitness for a particular purpose with respect to the product or parts thereof. 2.5 Precautions ‘There are a number of precautions which must be observed when either setting up, operating, maintaining or servicing the equipment described in this manual. These precautions are designated either as a Warning which indicates a potentially life threatening situation, or as a Cuution which indicates a condition which can lead to equipment damage or malfunction. ‘The following Warnings and Cautions are used in various places throughout this manual to alert the reader to the possibility that potentially hazardous and/or damaging conditions can occur if the precautions are not observed: 2.6 Cautions Avoid using excessive torque when closing flow control valves otherwise a leaking valve can result. ‘The ON/OFF switch must be turned OFF when the anaesthesia system is not in use in order to minimise the possibility of depleting the oxygen supply. Do not exceed the maximum load of 22 Kg specified for the top shelf or 11 kg specified for the mid shelf. An excessive load can damage the system. Do not use wrenches on the cylinder yoke tee handl damage the threads. ising excessive force can Always use a yoke plug and cylinder gasket to seal an unused yoke. Yoke check valves alone may not provide a leak-free seal Use only one bodok seal per yoke. If more than one seul is used it can cause a leakage of cylinder gas. Open cylinder valves slowly to minimise the possibility of causing any damage to the associated pressure regulators or gauges. Normal patient flows can be tured ON or OFF by means of the ON/OFF switch, but the flowmeter unit can be damaged by the sudden onset of gas if the ON/OFF switch 4s tuned ON with a flow control valve set fully counterclockwise. Ensure that all gas flow control valves are turned fully clockwise to their minimum flow stops before the system ON/OFF switch is turned ON. The flowmeter unit can be damaged by a sudden surge of gas whon the system ON/OFF switch is turned ON. © Copyright 1993 — Iss/Rev A/0 - Page 13od GEM™9100 Service Manual In the event of sterilising rubber components with ethylene oxide they must he quarantined in a well-ventilated area to allow dissipation of residual ethylene oxide gas absorbed by the rubber. In some cases aeration periods of seven days or more may be required. Aeration time can be decreased when special aeration devices are used. Follow the steriliser manufacturer's recommendations for specific aeration pertoas required, ‘The oxygen flow control valve incorporates a left-hand thread and must be turned clockwise in order to remove it. 2.7 Warnings Only personnel trained by CIG Health Care should attempt to repair and/or service a GEM™9100 Series Anaesthesia System and it must be repaired and/or serviced only in accordance with written instructions provided by CIG Health Care. Failure to follow the written instructions provided can result in patient injury. ‘The GEM™9100 Series Anaesthesia System is restricted to use with non-flammable anaesthetic agents in order to minimise the possibility of an explosion. Never oil or grease any anaesthesia or 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 presence of oxygen, they burn violently. Either Fomblin UT 18 or Vac Kote’ is the oxygen service lubricant recommended for use. Do not connect the scavenging valve(s) directly to a vacuum source. The vacuum may removed required gases from the patient circuit. Any time that nitrous oxide is used must be properly scavenged to minimise pollution. Do not leave any gas reserve cylinders open if the pipeline supply is in use and the system ON/OFF switch is turned to ON. Pressures from both supplies may become equal and, if simultaneously used, cylinder supplies could be depleted, leaving an insufficient reserve supply in case of pipeline failure. Unqualified personnel must not undertake or attempt the following procedures. An improper repair or service can result in patient injury. Before disconnecting any gas supply tube or electrical lead ensure that It incorporates an identification sleeve and, if necessary, fit an additional temporary identification to facilitate correct reconnection. Remove the temporary identification when the reconnection is completed. Failing to reconnect a supply tube or an electrical connection correctly can cause an incorrect gas delivery and possibly patient injury. “Trademark, Ball Corporation Page 14 - Iss/Rev A/0~ © Copyright 1993GEM™9100 Sorvice Manual 2.8 General ‘The GEM™9100 Anaesthesia System includes electronic and pneumatic circuitry, a three gas rotameter module and two position Selectatec® vaporiser backbar in order to control, Gistribute, and mix medical gases. with wie optional Oluuva Tev* Series Vaporicore fittod, this will then allow the gas and agent mixture to be delivered to the common gas outlet, Note: Selectatec® and Tec® are registered trade names for Ohmeda and the BOC Group, 2.9 Framework ‘The all stainless steel framework is complemented by twin needle roller bearing castors for easy movement. The front castors incorporate a single foot-operated brake bar which is used to lock the rotation and swivel. An accessory mounting rail is fitted to three sides of the work surface area for convenient mounting of accessories. 2.10 Gas Supply Module ‘The GEM™9100 has a removable pneumatic gas supply Module which incorporates the folowing components, + Pressure regulators complete with delivery pressure safety valves. + Cylinder contents gauges. + Pipeline pressure gauges. + Pin indexed yokes for Oxygen, Nitrous Oxide, and Air cylinders. + Pipeline gas inlet for Oxygen, Nitrous Oxide, and Air, fitted with SISS safety sleeve connections. + Ventilator drive gas outlet (oxygen is standard). + Colour coded, diameter indexed nylon pneumatic circuitry. Gas solenoid valves for Oxygen, Nitrous Oxide, Air and a power failure shistle, Pressure switches for Oxygen, Nitrous Oxide, and Air. Oxygen gas failure reservoir Oxygen fail alarm. + Back-up rechargeable battery 2.11 Sliding Fresh Gas Outlet, Oxygen Flush Valve and 50cmH_0 Patient Safety Valve Module A sliding combination Frosh Gas Outlet, Oxygen Flush Valve, and 50 cm H,O patient safety valve has been provided. This module can be mounted on one of the rails that are provided on the three sides of the main work surface area, The design allows for the module to slide over the full length of the rail. The valve controls on “Oxygen Flush” and “Safety Valve Override” are protected, to prevent accidental activation. The fresh gas outlet is a coaxial ‘15mm female/22 mm male fitting with a latching bayonet. Inlets for Oxygen and mixed gases are diameter indexed and are connected to main pneumatic gas module by flexible ‘tubing, © Copyright 1993 ~Iss/Rev A/O - Page 15GEM"9100 Service Manual 2.12 Rotameter Unit Rotameter flow tubes are mounted in the same sequence as the gas supply gauges. Each flow tube meters the flow of one only gas. (Refer Fig.2.1) A preferential oxygen flow system is incorporated in the rotameter unit to ensure that oxygen is delivered into the mixture downstream of all other gases (Refer Fig.2.1) {read ow top) Fig 2.1 Example of design of flowmeter module with the oxygen Mowmeter and control on the left and oxygen entering the common gas manifold last Each rotameter tube is backlit when the gas it measures is selected and is available. 1e rotameter tubes are indexed to ensure non-interchangeability. 2.13 Flow Control Valves The gas supply has a flow control mounted below its rotameter. The flow control's control, knob for each gas is coded by the gas colour and symbol. In addition the oxygen control knob is fluted for easy identification. Control knobs are recessed and protected for safety. Fig 2.2 Profile of oxygen flow control knob. Page 16 ~Iss/Rev A/0- © Copyright 1993GEM™9100 Service Manual Each flow control valve knob must be turned fully anti-clockwise to obtain maximum flow or fully clockwise to shut off the flow. For all gases, tum flow control valves anti-clockwise and check that bobbin spins freely at all flows (particularly at low flows) and also that the rise and fall of bobbin is free. Warning: Low oxygen mixtures can be delivered from the system, but both visual and audible warning will occur. Caution: Avoid excessive torque when turning flow control valves to the fully closed position, as the seat may be damage. No! t is strongly recommended that an oxygen analyser be used at all times in the patient breathing cixeuit in order to verify the oxygen concentration in the gas delivered to the patient, 2.14 Selectatec® Vaporiser Back Bar ‘The GEM"9100 has a two Selectatec® Vaporiser Back Bar fitted as standard which can accommodate either one or two Ohmeda Tec® 3, 4 or § Vaporisers to be fitted. ‘Tec® 4 and 5 Vaporisers incorporate an interlock system which is designed to ensure that only one vaporiser at a time can be turned on. However this feature does not operate if one position has a Tec® 3 mounted, ‘Warning: Do not use a vaporiser which is either visibly out of line on the back bar or can be lifted off the back bar when the locking lever is in the locked position. Note: Selectatec® and Tec® are registered trademarks of Ohmeda. 2.15 System ON-OFF Switch - ‘The system ON-OFF switch on GEM™9100 controls the Oxygen, Nitrous Oxide, and Air supply to the rotameter module via the flow control valves. The GMS125 monitor is also activated when the system is in the ON position. Note: The system ON-OFF switch does not control the gas supply to the oxygen flush valve, the ventilator outlets or the oxygen auxiliary gas outlet. These are active regardless of the position of the ON-OFF switch, providing that oxygen gas supply either from pipeline or cylinders is available. Fig 2.3 GEM™9100, On-Off Switch (© Copyright 1993 - Iss/Rev A/0 - Page 17GEM™9100 Service Manual 2.16 Fitting Vaporisers (ris.20 ‘A maximum of two vaporisers can be fitted. If any vaporiser position is not occupied the gas flow is diverted through the Selectatec® Back Bar. Warning: Do not use a vaporiser which is either visibly out of line on the Back Bar or it it can be lifted off the back bar when the locking lever is in the locked position 1. Ensure that the protective dust caps are removed from the vaporiser inlet and outlet gas ports. 2. Ensure that the Back Bar Manifold “O” Rings are fitted and that there is no foreign matter present on mating surfaces. 3. Remove any damaged "O" Rings, taking care not to damage the port, and fit new “O' Rings. 4. Position the vaporiser onto the back bar so that both vaporiser ports engage with the back bar port valves, and then turn the vaporiser locking lever fully clockwise to lock the vaporiser onto the back bar Refer to the Vaporiser Operating Manuel for the relevant vaporiser operating instructions, he GEM™9100 can be used with Tec® 3, 4, and § Vaporisers. In order to prevent ‘simultaneous delivery of more than one anaosthetic agent the Tec® 4 and 6 Series \Vaporisers have incorporated an internal mechanical safety interlock device which ensures that only ONE vaporiser can be turned ON at any time. Tec” 3 series Vaporisers DO NOT have this safety feature, 6. With the Tec’ 4 and § Vaporisers, if it is necessary to tum OFF, the one IN USE before the other vaporiser can be tumed ON. 2.17 Fitting Accessory Equipment A Fitting Monitor Restraining Straps Caution: Do not exceed the maximum load of 20Kg. specified for Standard Monitor Shelf. 1. Place equipment in the required position on the Monitor Shelf 2. Place two clips through the slot immediately adjacent to one side of the required position of the equipment as illustrated on Fig.2.5, 3. When larger items of equipment are being fitted, secure the buckle end of the securing strap to the two clips as illustrated on Fig.2.6 and then position the equipment onto the shelf immediately adjacent to the clips. 4. Fit two more clips to the shelf on the other side of the equipment, pass the free end of the strap through the clips and tighten the strap to secure the equipment in position, Page 18 -Ias/Rev A/0- © Copyright 1993GEM™9100 Service Manual Fig 2.4 Fitting Selectatec® Vaporisers Fig 2.5 Fitting Securing Clip ye ™ e © Copyright 1993 - Iss/Rev A/O - Page 19GEM"9100 Service Manual _ 2.6 Securing Larger Items of Equipment. 5. When smaller items of equipment are being fitted, secure the buckle end ot the securing strap to the two clips as illustrated on Fig.2.7, position the equipment onto the shel immensaratr ac wnant tn the line and than ft rhe eorond pair of clips. Fig 2.7 Securing Smaller Items of Equipment. ©. Pass the free end of the strap through the clips and back through the buckle and then tighten the strap to secure the equipment in position. 7. Connect the equipment to the gas and/or electrical supplies as required. B Fitting of General Accessories A range of accessories is available to mount onto the multerail. These accessories all clip on using standard multerail clamps and can be locked in place by the wing nut on the multerail clamp. C Ventilator Mount A ventilator mount, suitable for the Ohmeda 7000 series ventilators, secures to the mounting pin provided on the left hand side of the GEM™9100 frame. The mounting pin can also be secured to the right hand side for alternate mounting of the ventilator. D_ Scavenge Assembly ‘A purpose built scavenge assembly is available. It is designed in two parts; a flowmeter is, mounted high on the machine to allow for maximum visibility and an interface resevior is mounted on the rear of the machine. Both parts are removable for cleaning, Page 20 - Ies/Rev A/O- © Copynght 1993GEM"9100 Service Manual 2.18 Connecting Medical Gas Supplies A General All gas supply connectors are colour coded and labelled. Each high pressure hose is fitted with a non interchangeable quick connect probe or gas specific sleeve indexed safety system screw-on handwheel. These features comply with Australian Standard AS.2896 (1986) and are designed to minimise the possibility of connecting an incorrect pipeline gas supply. It is recommended that cylinders are turned OFF when the anaesthesia system is not in use or when a hospital pipeline supply is connocted to the gas pneumatic module. Caution: Always use a yoke plug and Bodok seal on any unused yoke. BR Cylinder Supplies Note: Check valves alone may not provide a leak-free seal. A yoke plug will also prevent the ingress of dust and foreign material. 1. Ensure that the anaesthesia system ON-OFF switch is in the OFF position. 2. If fitting a new cylinder, remove the cylinder valve protective seal and then momentarily open the cylinder valve, thus forcing out any foreign material which may have entered the cylinder valve outlet. 3. Remove the Bodok seals from their plastic bag and fit to the yoke inlet nipple, taking care as not to damage them. Caution: Use only one Bodok seal per yoke. If more than one bodok seal is used, a leak may occur. Warning: Ensure that hands are clean and free from any form of handling bodok seals. or grease when 4, Unscrew the cylinder yoke tee screw. 5. Position the cylinder valve post into the cylinder yoke block, ensuring that it is fully ‘engaged so that the cylinder valve outlet fully engages the yoke block inlet. Yoke index pins must also fully engage the corresponding pin index holes on the cylinder valve post. 6. Secure the cylinder valve in position by screwing the cylinder yoke tee clockwise. 7. Disconnect any gas powered accessory from gas supply outlets on GEM™9100 for the duration of the test detailed in instruction 8 Note: Only C sized cylinders which can accomodate extemal hand wheels are recommended. Some cylinders with interyrated handwhwels only may not allow the handwheels on the GEM"9100 to function. © Copyright 1993 ~ Iss/Rev A/O~ Page 21GEM™9100 Service Manual any damage to the associated ‘AIR N,O Fig 2.8 Gas Pack Back View 8 Open one gas cylinder valve at a time and then fully close it. Note the cylinder pressure gauge position contents (indicator needle) and check that the indication does NOT decrease. Reconnect any gas powered accessory disconnected in Instruction 7. 9. Repeat the procedure described in Instructions 7 and 8 for each gas as required C Piped Medical Gas Supplies 1, Ensure that the high pressure pipeline hose , assembly is fitted with a gas-specific, female screw. on (SISS) handwhee! at the machine end and a gas. specific quick connect probe or a gas-specific sleeve indexed safety sleeved screw-on handwheel at the other end. (Ref. AS.2896-(1986)). 2. Connect the pipeline female (S1SS) handwheel connection to the GEM™9100 male (SISS) inlet on the pneumatic module ensuring that the connection is hand-tight. 3. Connect the gas-specific probe/handwheel to the hospital medical gas supply system. 4. Ensure that each prossure gauge indicates pipeline pressure and then repeat the procedure for each gas supply as required. Fig 2.9 Rear view of Gas Pack showing pipeline inlets and O, ventilator outlet Page 22 ~ Iss/Rev A/O © Copyright 1993,GEM™9100 Service Manual 2.19 Alarm System Tests Warning: Do not attempt to use the GEM™9100 to perform a clinical procedure without first ensuring that the complete system, including all accessory eauinment. is operating correctly. Warning: The following test procedures must be performed using the same medical gas supply outlets/cylinders that will be used during the clinical procedure. A Preparation 1. Ensure that each flow control valve is set to the fully OFF or closed position (fully clockwise) 2. With the ON-OFF switch in the OFF condition, check that there is no gas flow to any of the rotameter tubes, but there is an oxygen supply available at both the Oxygen Flush Valve, the ventilator outlet and the oxygen gas auxiliary outlet at the front of the pneumatics module B Alarm System Checks Note: Gases should be tumad off when the machine is not in use. Check that all gases are OFF before turning ON the machine 1. Tum on the machine at the main ON-OFF switch at the front of the low O, monitor. After the self-test of all lights and audible alam, the oxygen tailure alarm should be initiated, both visible and audible. 2. Push "Mute", The audible alarm should stop and the light continue to flash. The alarm will resound after 15 seconds 2.1 Tum ON the Nitrous Oxide supply and check that it flows through the correct rotameter, Full check out procedure is detailed in the System Pre-operation Check Out and Shutdown section, © Copyright 1993 ~ Iss/Rev A/O - Page 23GEM™9100 Service Manual Page 24 ~ Iss/Rev A/0~ © Copyright 1993GEM™9100 Service Manual D__ Internal Pneumatic Circuitry Diameter and colour coded flexible nylon tubing is used intemally to prevent the accidental cross-connection of gases. colour Diameter OD Oxygen White 6mm Nitrous Oxide Blue Smm Air Black 8mm Mixed Gases Red a" E Oxygen Failure Alarm Failure of the oxygen supply is detected and alarmed by an electronic sensing system. An independent pneumatic interlock ensures that Nitrous Oxide is cut-off if Oxygen fails. ‘A visual and audible alarm will be activated when the Oxygen pressure in the machine drops bolow nominal 207 kPa. In the event of Oxygen failure, an emergency 0.8L reservoir will continue to supply oxygen, at half the normal flow untill exhausted, F Nitrous Oxide and Air Failure Alarms Visual and audible alarms will activate when source Nitrous Oxide or Air pressure decreases to a nominal 240 kPa G Regulators GEM™9100 has one regulator for each gas. Max. Model _Inlet Pressure Set Outlet Safety Valve Oxygen CIGWELD —16,000kPa_320kPastatic —800kPa Series ‘O" Nitrous Oxide CIGWELD —16,000kPa_320kPastatic ~—«800kPa Series ‘O° Air CIGWELD —16,000kPa_320kPastatic —«800kPa Series ‘O° H Yoke Pin indexed yokes are provided (1 x Oxygen, 1 x Nitrous Oxide, 1 x Air). Pin indexing is, required by AS2473.A 34 Micron (max). Inlet filter is fitted. 1 Gas Power Outlet ‘Two oxygen gas power outlets are supplied as standard. One is for ventilator connection and the other is an auxillary oxygen supply. Both are fitted with self sealing SIS screw on connections. © Copyright 1993 - Iss/Rev A/O ~ Page 27GEM"9100 Service Manual a - ‘Static iv Dynamic @ 100 Lpm Ventilator | Auxillary Pipeline Supply 420/980 kPa jeonra | 100%. | cyinder Supply 320 kPa zooKra | 180%Pa Poae 28 —Ioe/Rev A/0~ © Copyright 1993GEM™9100 Service Manual 4.0 Theory of Operation 4.1 Pneumatic A. Power On When the Electro-Pneumatic switch is turned ON the Low Oxygen Monitor will run a Power On Self Test (POST). Once POST has been completed SOL1 and SOL2, will be energised by the monitor's micto-processor. At the same time power to the Oxygen and Nitrous Oxide back light lamps will be supplied by the monitor. At power ON the micro-processor is programmed to default to Oxygen and Nitrous Oxide gas selection. If Air is selected, the micro-processor will de-energise SOL2, and energise SOL3. At the same time the Nitrous Oxide lamps will be extinguished and the Air lamps ‘will light indicating that Air has been selected and that a pressure of 220kPa (#20kPa) is present in the Air pipeline within the machine. B, Oxygen Failure Alarm Oxygen is the preferential gas which is maintained to the patient delivery system during oxygen gas supply failure from the internal reservoir, When either wall or cylinder supply pressure falls below 220kPa, pressure switch (PS1) will open. This will cause Une micro" processor in the Low Oxygen Monitor to initiate the following: 1. De-energise solenoid SOL2 (Hence removing N,0 from ROT2). 2. ‘Tuan OFF die power drivers Wo the lamps which provide back lighting to the Nitrous Oxide rotameter tube, 3. Tum ON the 0, fail indicator and sound the O, failure alarm. Note: If Air is selected it is not deactivated. De-energising SOL2 ensures that any N,O up or down stream of the N,O rotameter fine adjustment valve will be vented to atmosphere resulting in no Nitrous Oxide being dolivered into the pationt circuit. When the pressure on the up stream side of the one way valve (V8) falls below that of the down stream side, VB will shut off. This will ensure that the oxygen left in the oxygen reserve tank will be used to supply fresh gas into the pationt circuit for approximately 45, seconds at 1 LPM flowrate, Regulator REG4 will operate to maintain a pressure 30 in the Oxygen circuit and food das from the oxygen reservcir tank inta the oxygen ga7Ripply circuit. Under normal operating conditions, V@ and V7 act together to ensure that gas is fed into the oxygen reservoir tank from the main oxygen supply. The pressure in the reservoir tank willbe approximately equal to the gas supply system,GEM"9100 Service Manual C. Gas Supply System ‘Two sources of supply are available for each gas, which is wall supply and emergency back up cylinder supply. Under normal conditions gas is selected from the wall outlet which then passes through a non return valve being either V4, V5, or V6. Gas will then pass through to Ine appropnate section of the gas pack. When oxygen is connected from the wall supply V1 will close off and V4 will open allowing oxygen under 400kPa pressure (from wall supply) to enter the machine's pneumatic circuit. ‘This pressure can be measured at the Oxygen test port. When the emergency oxygen supply is in use, REG1 will regulate the pressure to 320kPa with V4 closed off and V1 open allowing oxygen under 320kPa pressure to enter the pneumatic circuit. D. Oxygen Flush When the Oxygen flush valve is activated, Oxygen is fed from the outlet of the Oxygen gas supply system directly to the Fresh Gas Outlet (FGO). Gas will flow for as long as the button is pressed, a momentary back pressure affect will be experieucud by Uke rotameter’s dropping and then coming back to their original settings once the Oxygen flush button has been depressed. E. Safety Valve (50cm H,0) ‘The safety valve is set to operate at 50cm H,O (Nominal). The valve will start to operate at. approximately 40cm H,O and will be fully open at 60cm H,O. The override feature allows the operator to increaso pationt airway pressures as neod be, It ig also used when the Patient circuit is flushed with oxygen. F. Selectatec* Vaporiser Manifold Mixed gas from the rotameter bank is passed through the Selectatec® manifold. The gas will then pass through the appropriate vaporiser at patient airway pressure picking up the desired anaesthetic agent at the concentration indicated on the dial setting. The gas will then pass to the FGO and inta the patient circuit. G. Low Oxygen Monitor (GMS125) ‘The GMS125 is housed in a separate module. It contains a eonzor tube, a printed circuit, board, a front panel assembly and a mains transformer. One end of the sensor tube houses an ultrasonic transducer. This periodically transmits a short burst of pulses into the tube, then reverts to a receiver to detect the echo returning after reflection from the opposite end. The transmit time is an accurate indication of the velocity of sound in the gas mixture in the tube. The velocity of sound varies with the molecular density of a gas and can thus be used to determine the percentage of Oxygen in a mixture with one other (known) gas. Page 20 ~Iss/Rev A/0~ © Copyright 1993,GEM™9100 Service Manual ‘Management of the measurement sequence is handled by the microprocessor which also organises the sequencing and logical verification of the operation of the gas solenoid valves and pressure switches. When aas pressure is detected by a pressure switch, the appropriate rotameter backlight will be illuminated. ‘There is a digital display of Oxygen percentage. If the percentage in a mixture with Nitrous (Oxide goes below 23% an alarm will be initiated. This is a high priority alarm - the audible ‘component can only be muted twice for 15 seconds and after that will continue unabated until the alarm condition is cleared. (There is 3% hysteresis so the percentage must rise to 28 before the alarm condition clears). ‘The electronics are normally powered trom the mains; a rechargeable battery, witich is accommodated in the pneumatics module, is supplied to continue. operation of the system in the event of a mains failure. There is a Mains Off alarm. While the mains is ON, the battery is automatically being charged. When a faulty battery is detected, a Battery Fail alarm is initiated. If no action is taken to recharge (or replace) the battery at that time, the battery will eventually be disconnected by a self protection circuit. Alarms ‘There are three modes of audible alarm sounds to indicate levels of urgency. 1. A top priority alarm pulses on for 200mS and off for 200mS three times then pauses for 1.05 before repeating the cycle. It can only be muted twice for 15S. This level of priority is only applied to the Low Oxygen concentration alarm which operates in a Nitrous Oxide with Oxygon mixture. 2. ‘The medium priority alarm pulses on for 200mS and off for 200mS twice and pauses for 1.08 before repeating the cycle. It can be continually muted for 30S at a time. It is applied to the Failed condition, i.e. low pressure at the pressure switch. 3. A low priority alarm pulses on and off once each for 200mS before a pause of 1.05 and recycling. It is used for the System Error alarm, the Nitrous Oxide and Air Fail alarms, and the Battery Fail alarm ‘The system Error alarm is a single indicator of several alarm conditions which are outside the control of the operator: EF1_N,0 selected, Air detected. EF2 Air selected, N,O detected. EF3 No ECHO. EF4 Air and N,O simultaneously selected. © Copyright 1993 - Iss/Rev A/O- Page 31GEM™9100 Service Manual 5.0 Theory of Operation - Electronic 5.1 GMS125 Software Description Refer to the Block Diagram for details of the hardware which the software controls. Refer also to the Alarm Chart which details the conditions which initiate alarms, ‘The three basic functions of the machine which are controlled by software are: 1. Gas analysis, 2. Alarms (as a result of monitoring the activities around the circuit). 3. Solenoid control (both in normal operation and as a result of an alarm condition). Note that: 1. The rotameter lights are controlled directly by hardware from the pressure switches - not from the software. 2. The power fail alarm, which is an Oxygen powered whistle. and the Mains OFF alarm, operate independently of the software. 3. Similarly the Watchdog timer alarm operates when there is a failure of the microprocessor or associated circuitry; it cannot be software driven. A Gas Analysis Every 500mS a pulse is generated to initiate the measurement process (P270). As a result of this a burst of ultrasonic eneray is transmitted along the sensor tube and an echo is received at the same transducer after a time delay which is dependent upon the velocity of sound in the gas mixture and which is measured by a 16 bit binary counter whose clock input is taken from TO on the microprocessor. ‘The gain of the echo amplifier is controlled such that it is increased, by P263 going low, for mixtures of oxygen in nitrous oxide between 85% and 55%, and further by P263 also going low below 55%. ‘There is a hysteresis of +/-2% on the gain switching points. ‘The 16 bit count is used to calculate the percentage oxygen as a 3 digit BCD format and this is output as short bursts of serial data from P272; P273 is used to clock the data into the shift register in the MMS451 seven segment driver on the front panel PCB ‘The temperature correction factor is required for the calculation, and this is derived trom the thermistor sensor which is mounted on the sensor tube. The thermistor voltage is. converted to 8 bit binary format, input to the microprocessor at ports P10 to P17, and used in the algorithm to calculate the percentage oxygen in the gas. © Copyright 1993 - Iss/Rev A/O ~ Page 35GEM"9100 Service Manual ‘The inputs at ports P342 (nitrous oxide) and P343 (air) are also required to tell the program whether nitrous oxide or aur is in the sample chamber with oxygen and therefore which constants and calculation method are applicable. If the calculated result is outside the expected range, or if there is no discernible echo, the display will be blanked and a SYSTEM ERROR alarm initiated. An exception to this is when a new gas selection has just been made, ui which ease Une Uisplay is blaihed Lut diy alarm is inhibited for 60 seconds, or until a valid reading is obtained, to allow time for the old mixture to be purged from the sample chamber. B Alarms Visual alarms are accompanied by audible alarm tones which suggest degrees of urgency. ‘Two tones are used and they are gated by two ports from the microcomputer; P363 for the high tone and P362 for the low tone. For urgont alarms (Low Oxygen and Oxygen Failure) the tone sequence is High/Low/High; for less urgent alarms Low/High, and for low priority alarms High/Low. ‘Most audible alarms can he muted for a short period by pushing the Mute button. The normal mute time is 30 seconds, after which the audible alarm resumes if the alarm. condition persists. However for high priority alarms the mute time is 15 seconds and a Low Oxygen alarm can be muted only twice, after which only clearing the alarm condition can quieten it. If the oxygen percentage in a mixture with nitrous oxide goes to 23 or below there will be a LOW OXYGEN alarm and the reading has to go up to 26 or higher for that alarm to be cancelled. If the reading continues to fall, 5 seconds after it reaches 18, the nitrous oxide solenoid will be turned OFF; 15 seconds after it goes over 19, the nitrous oxide solenoid will be tured ON again. This function operates independently of the LOW OXYGEN alarm and it is possible to have a condition where the alarm has been cleared but the solenoid is still tumed OFF because it is less than 15 seconds since the display exceeded 19 In the air/oxygen mode there is a LOW OXYGEN alarm if the % oxygen is 18 or lower. ‘The Mains Off alarm is basically a hardware alarm, except that there is a brief audible alarm when the disconnection of the mains is first detected. Thereaiter there 1s no audible alarm, and the flashing light is hardware controlled. Every 4 minutes, a 4 second pulse is outputted from P360 to reduce the output voltage of the regulator U16. During this period the circuit is running only from the battery and it is, thus possible to assess the condition of the battery. A Battery Fail alarm will be detected at 350 (from U19b). If the voltage is less than 11.8 vdc, the alarm will be latched and not be retested for another 255 seconds (4 minutes 15 seconds). Refer to the Alarm Chart for further details of the alarm conditions, the applicable mute ‘sequences and audible alarm priorities. Page 36 -Ise/Rev A/O~ © Copyright 1993GEM™9100 Service Manual c Solenoids ‘The Air solenoid is tumed ON when Air is selected and OFF when Nitrous Oxide is selected. ‘Similarly the Nitrous Oxide solenoid is turned ON when Nitrous Oxide is selected and OFF ‘when Air is selected. However, it is also tumed OF when the oxygen percentage in a mixture with nitrous oxide has been less than 18 for 5 seconds or when the oxygen supply has failed. There is no nitrous oxide alarm under these circumstances because the nitrous oxide has been tumed OFF deliberately. ‘The whistle solenoid is not controlled by the software D Option Switches ’ These three switches can be used for diagnosis and verification of correct operation. 1 2, P371 (Q) Normal 3 gas machine (1) Special instruction set for 2 gases only ie. no air, P9372 (O) Normal (1) Special stress cycle; runs during environmental stress testing. P73 (O) Normal (1) Debug mode: In this pocial diagnostic mode the digital display shows 5 consecutive numbers for 1 second each followed by a 1 second blank - a6 second cycle. The first two numbers correspond to the actual count of the 16 bit binary counter. The first display is the decimal equivalent of the most significant 8 bits and should be multiplied by 256 and added to the second number to obtain the total count. ‘The third number is the A-D Converter output ic. the temperature, The fourth and fifth numbers are the temperature corrected time delay, again with the most significant byte first. In Debug mode the continuous scanning of the sample chamber is halted. so only the first sequence of numbers is necessarily relevant. © Copyright 1993 - Iss/Rev A/O~ Page 37GEM™9100 Service Manual 5.2 Electronics - Hardware Refer to the Block Diagram, to the Circuit Diagram and also to the Software Description, (The Rinck Diagram ie renracantatinnal only and dace not purport ta convey anything more than the general electronics functional blocks and the scheme of their interconnection. The Circuit Diagram contains all the detail of the electronic wiring, A Power Supplies Incoming mains is transformed down to 16 volts, rectified and regulated by U16 whose output is nominally set (by R13) to 13.8 volt (no load). The battery is connected directly to this and is continuously charaed so long as the mains is connected. If the mains is turned OFF or accidentally disconnected, a Mains Fail alarm is initiated by D@ and Q15. There is a brief audible burst (software) and a continuous flashing light on the front panel driven by the U20 oscillator, which has a 100:1 duty cycle to conserve battery life. (It is recommended that the mains be left connected all the time, even when the machine is not in use). ‘The microprocessor and associated circuitry is powered from a § volt regulator, U23 and the rotameter lights and solenoids are supplied from Q11 at 11 volts. There is also a 2.6 volt, supply, O8, for the 7-segment displays on the front panel Battery Management At regular intervals (approximately every 4 minutes) the microprocessor briefly turns on Q9, thus reducing the regulator output by about 20%. If the battery is well charged and able to supply the circuit the voltage drop will not be significant. If the voltage drops by a large amount (to about 11.8 volt) the low voltage detector (U19b) will be tripped and a Low Battery alarm condition created. This alarm will not be reassessed until the next sample period (4 minutes later). If dunng battery-only operation, the battery voltage goes so low (about 1.8 alt) that the battery itself may be damaged by further discharge, the circuit will be ‘automatically disconnected by relay RL1 via detector U19a. In this situation, with no mains supply and the battery disconnected for protection, the GMS125 will no longer be functional If mains is reconnected the monitor will function normally except that a LOW BATTERY alarm will exist until the battery is sufficiently recharged. The monitor will similarly function if the battery is disconnected. B Pneumatics Interface In the pneumatics module are mounted three gas solenoid valves, three gas pressure switches and the battery. Referring to the pneumatic diagram will show that there is one pressure switch ON each of the incoming gases - Oxygen, Nitrous Oxide and Air, The ‘switches are normally closed and open when there is sufficient gas pressure. Page 38 — Iss/Rev A/O- © Copyright 1993GEM™9100 Service Manual The “whistle” solenoid valve is normally operated as soon as the ON/OFF switch is turned ON; sf its not operated Oxygen will pass through it and operate the whistle. If there is a complete power failure (both mains and battery) the whistle will sound to alert the operator to the fact. The other two solenoids control the supply of Nitrous Oxide and Air to the rotameter bank. Note that there is no solenoid which controls the supply of Oxygen to the sulauwtet. However tie ON/OFF switch, mounted at the bottom of the front panel of the monitor is a combination electric/pneumatic device and cuts off the supply of Oxygen to the rotameter at the same time as it turns off the electrical supply. © Watchdog Timer A continuous sequence of low-going pulses from port P241 will keep the input of U7a from going low and thus the output from U8b from going high. If there is a fault with the microcomputer and the pulses cease, the microprocessor will receive a reset signal from | UB8c, which will also cause the whistle solenoid to be released and the whistle to sound. There will be a System Error alarm via OR gate U8d; a System Error alarm may also be caused by a high at port P240 from the microcomputer. D Ultrasonic Analysis A pulse at P270 starts two monostables. The 70mS pulse from U9a starts the measurement sequence and ensures that the measurement electronics continues to operate until the Process is complete. The 1.6mS output at the Q output of Udb blanks the receive circuit from responding until the ringing of the ultrasonic transducer is finished, At the same time as the ultrasonic signal is transmitted along the sample tube a high output appears at connector pin 6 to tum on 016 and thus set the U10 flip-flop. Via Ui0o, the 3.993 MHz signal from TO is fed to the counter U11. When the echo is received pin 7 goes high and. resets the flip-flop, stopping the count which can now be read to the micro. Because the magnitude of the echo signal decreases with increase in nitrous oxide content it is necessary to change the gain of the receive circuit. This is controlled via ports P271 and ) 263; both are high for the minimum gain which is required for all concentrations in Air and down to 85% Oxygen in Nitrous Oxide. For 85% down to 55% a medium gain is required and P263 is low; below 55% both ports are low to give the highest circuit gain. There is a hysteresis of +/-2% on the gain switching points so that, for example, P263 will go low at ‘83% on the way down and high at 87% on the way up. ‘Temperature Compensation: The velocity of sound in a gas is temperature dependent and it is therefore necessary to measure the temperature and correct for its effect. The A-D Converter U25 is fed by U24, a low offset op-amp which conditions the signal from the thermistor RT1 which is bonded to the sample tube. To set up the circuit, measure the resistance between pins 3 and 4 of U24 and adjust R64 so that the result is 8470 ohms. ‘Similarly, adjust R68 so that the resistance between pins 1 and 2 is 7410 ohms. © Copyright 1993 ~ Iss/Rev A/0 ~ Page 39GEM™9100 Service Manual E GMS125 Alarm Chart ‘Page 40 -Iss/Rev A/0- © Copyright 1993 Alarm Visible Audible Mute Other Condition Indication Tones Time Actions Software Alarms No Air when AIR FAIL High/Low 30 sec. — Air selected NON, when N,0 FAIL High/Low 30 sec. — 1,0 selected Oxygen Supply ©, FAIL —-High/Low/Hligh 15 sex. 1,0 shut Failure off % reading outside SYSTEMERROR High/Low 30 sec. —_— expected range Blank Display (EF3) Air ON when SYSTEMERROR High/Low 30 sec. —_— not selected (EF2) N,0 ON when SYSTEMERROR High/Low 30 sec. — not selected (EF2) Battery volts less LOWBATTERY High/Low Continuous than 11.8 volts % less than 24 Low High/Low/High 15 sec. —_ inN,O OXYGEN % less than 18 As above As above As N,Oshut | | for 5 seconds above off % over 19 for NO 18 shut off restored Hardware Alarms Microcomputer Random Continuous No —_ failure Tone Mute Failure of both No lights Continuous No — mains and battery Whistle Mute Powered by Oxygen Mains off MAINS OFF Brief tone No — Light Blinks MuteFRONT PANEL ASSEMBLY 1519301 Gore doeat gies” DECAL ASSEMBLY 151.9300 =) DA/OFF DECAL sues ASSEMBLY 151 a koa, OW/OFF S¥ITCH 151 TeYGEN & Warr suiTcH — ASSEMBLY 151.9309 \ (CASE UNIT 1519117 GROWET STRIP 1510158 SCREW, M4 x 5, ISL0elz, 7ore >= MP crm (LEAD ASSEMBLY 1519012 SCREW, M3 x 10 1510208, 20fF WasHR, Ma FLAT ISL020e Bore WASHER, Ha SPRING 1510203, 20rF [ROTAMETER LIGHT CABLE, MONITOR Sipe, ——s.————30cmH,O must be obtained. Should this be less, then. check all connections and tubing for leaks. Fig 6.4 Pressure Relief Valve Leak Test Configuration © Copyright 1993 ~ Iss/Rev A/0 ~ Page 7GEM™9100 Service Manual 6.14 Port Valve Servicing Note: Complete disassembly and service of a Port Valve should only be carried out at the ‘Service Centre where spares and suitable test equipment will be obtainable. Retum replaced valve to Sydney for service and use as change over valve in future. Port Valve Renewal - 512355 Remove the manifold rear panel. Disconnect connecting pipes at the bottom face of the valve. Remove ‘O' ring and two fixing screws on top face of manifold, Remove valve assembly. Renewal - fit the Port Valve in reverse order to removal. oeeNe ) Note: When replacing connecting pillars, re-seal thread with ‘Loctite’ Hydraulic seal. Care ‘should be taken to remove loose particles that may have been left by previous assembly to prevent leaks and blockages. ‘When the pipes are re-connected ensure that none of the pipes are kinked. The pipes should be positioned so that they do not pass immediately behind any of the brackets fixing points. Refit rear panel ‘Test for cross leaks. Carry out a Back Pressure Test. exe Fig 6.5 Port Valve oO \' Page 72 -lss/Rev A/0~ © Copyright 1983GEM™9100 Service Manual Fig 6.6 Locking Lever Retention Spring Renewal 6.15 Fault Finding Guide Symptom 1. Leak at Port Valve Seals, 2. Leaks around Port Valve 3. Overall Leaks 4. Low Flow when vaporiser is fitted Possible Cause =) a) b) ° @) °) a) >) a) b) 3 4) Faulty Port Valve Rest Pad or Button Vaporiser Plug - on block adjustment Vaporiser locking Lever Retention Spring ‘Vaporiser locking Lever Spindle claws damaged/wom Port Valve ‘O' Ring Associated equipment Intemal pipe assemblies-connection Port Valve Seals Leak Vaporiser Plug - block plunger is not operating Port Valves Internal pipes constriction © Copyright 1993 - Iss/Rev A/O - Page 73) GEM™9100 Service Manual Check/Remedy a) Exchange Port Valve a) Check and adjust setting as necessary b) Check and adjust setting as necessary. See Vaporiser Service Manual c) Check and renew as necessary d) Check and renew as necessary. See Vaporiser Service Manual e) Renew a) Isolate associated equipment b) Remove rear panel, check for leaks using detecting fluid - repair as necessary a) Check external ‘O' Ring - renew as necessary b) Check for leaks c) Fit another Vaporiser - if better, the Vaporiser plunger is faulty. If no better, exchange Port Valve a) Remove rear panel, check for any impingement on pipe assembli 6.16 Oxygen Flush Valve Test 1. Connect for normal operation. 2. Select oxygen on the ETY, select and fit flow element 2 and zero the ETU. Connect the ETU configuration to the common gas outlet. 3. Press the oxygen flush button and check that the flow from the oxygen flush outlet, indicated on the ETU is greater than 36 Ipm and then release the oxygen flush button. 4. _ Ifa flow of between 35 and 75 Ipm cannot be achieved, fit a new Schraeder valve in the common gas outlet block. 5. When all tests are completed, disconnect the test configuration. Fig 6.9 Oxygen Flush Valve Test Page 74 ~ Iss/Rev A/0- © Copyright 1993,GEM™9100 Service Manual Fig. 6.10 Power Outlet Flow Test CR 1ST cs awe nes a 6.17 Oxygen Analyser Test Table 6.1 Oxygen Analyser Test Flowtubes (LPM) ‘Monitor Analyser 0, NO Min = Max Min/Max 00 10.0 0 0 05 95 3 8 1.0 9.0 8 12 20 80 18 22 18 22 40 4.0 49 52 48 52 80 20 8 82 8 82 80 15 89 93 89 93 80 05 92 96 93 96 80 00 98 100 98 100 Table 6.2 Air/Oxygen Table Flowtubes (LPM) ‘Monitor Analyser 0, Air Min Max = Min/Max 0.0 10.0 19 23 19 23 0s 95 24 28 24 28 20 80 35 - 39 35 - 39 40 40 58 62 58 62 80 20 83 87 83 87 95 05 93 97 93 97 10.0 0.0 98 100 98 100 (© Copyright 1993 - Iss/Rev A/0- Page 75GEM™9100 Service Manual Fig. 6.11 Oxygen Analyser Test Configuration. _ SAFETY VALVE "= OXYGEN FLUSH BUTTON Sy OXYGEN % ANALYSER ° % sow accunncy oF ase BBB 1. Connect as per Fig. 6.11. 2. Select N,O. 3. Setflows-as per Teble 6.1 and ensure Analyser and Monitor readings are as shown. 4 Select air §. Repost Stop 3 using Table 6.2 Note: Allow 30 seconds for readings to stabilise after changing rotameter settings. 6.18 PS2 Set Pressure 1. As per 6.10.1 to 6.10. 2. Slowly bleed at ETU. 3. Note pressure when N,0 fail alarm occurs (220kPa nominal). 6.19 Air Gas Block System Leak Test Connect as per Fig. 3.6 to Air test point. Ensure O, supply fitted, On/Off is ON and Air is selected. Open Air cylinder valve. When ETU stabilises, close cylinder valve. Less than 10kPa/min. “ 6.20 PS3 Set Point 1 Asper7.21t0724 2. Slowly bleed at ETU. 3. Note pressure when Air fail alarm occurs (220kPa nominal). gPeNe Page 76 ~ Iss/Rev A/0- © Copyright 1993GEM"9100 Service Manual 6.21 O, Failure Operational Check Connect for normal operation. Select N,O (checking SOL2) Sat ©, and NO Rotamater at 1/2 scale. Close‘0, cylinder valve. When O, fall occurs ensure: a. NO supply ceases. . N,O and O, rotameter back lights extinguish. ¢. O, supply continues at 2LPM. Open O, cylinder valve. ‘System returns to normal operation. Select Air (checking SOL3) Repeat Steps 4 to 7 substituting Air for N,O. (Except Air rotameter does not cut off). 6.22 AC & DC power Failure (SOL1) geene eens Connect for normal operation. Disconnect battery +'ve terminal. Disconnect AC power supply. ‘An audible gas operated alarm must be heard. Senn 6.23 GEM 125 Test Procedure Configure for normal operation of GEM. Supply O,, NO. On/Off to ON. All7 LEDs illuminate and post preformed. O, monitor reads current O, percentage. Select Air - Air Fail ~ N,0 & Air back lights OFF. a, Press mute ~ 30 seconds timeout. 7. ‘Tum ON Air supply - Atr fail OFF. ~ Air back light ON. Select N,O- N,O back light ON. NO supply OFF. (0. Bleed N,O ensuring 0, monitor keeps above 25% - NO fail ~_N,O back light OFF. 11. NO supply ON. 12. 0, supply OFF. 13. Bleed 0, - 0, fail. = 0, and N,O back lights OFF. 14. 0, supply ON. 46. Set O, rotameter at 0.5 LPM and N,O at 2 LPM. = Monitor reads 20% within 90 seconds. - Low O, alarm at 23% set point. ~ Low O, alarm should sound. ogeene nee © Copyright 1993 ~ Iss/Rev A/O- Page 77GEM™9100 Service Manual 16. Increase NO rotameter to 3 pm. ~ N,O cut OFF 6 seconds after monitor passes 18%. ~ Low O, alarm ceases as monitor rises above 25%. =, N,0 restored 16 seconds after monitor rises above 19%, 17. System restored to normal operation. 6.24 Electrical Safety Inspect power lead and GPO's for damage. Ensure all 6 GPOs and power pack On/Off LEDs illuminate when AC supplied. Perform electrical safety tests as per AS3551 - earthresistance — <0.2 Ohm + Tetum earth leakage < 500 micro amps Page 78 —Iss/Rev A/0~ © Copyright 199362, 0803 ~ o/y APW/SSI- E661 TUDBAKCD O Tenueyy eo1es O0T6,.JNIDGEM™9100 Service Manual 7.0 Spare Parts List Item No: 512500 Component LVPref Item No. or 1 512491 01 2 7950226 o1 3 512483 01 4 512486 01 § 612640 01 6 512639 o1 7 © 512498 01 8 7950243 or 9 512659 01 10 512682 01 11 7950233 01 12 512640 01 13 7950146 01 14 7970261 01 15 512590 01 16 © 522011 01 17 521997 01 18 512610 01 19 © 512507 01 20 © © 512551 01 21 7950239 01 22 512570 01 23 7995268 01 24 © 512633 01 25 512614 01 26 © — 322000 01 27 © 512611 01 28 © §12612 01 29 522006 01 30 79sB043 01 31 §12615 01 32 © 512613 01 33 _(NBSS6 01 34 7950244 01 35 7950241 01 36 512715 01 37 ©—-NB4S9 01 38 512605 01 39 © 512472 01 40 © 512475 01 41 812499 01 42 © 512617 01 43) -NB355 Page 80 -Iss/Rev A/O- Quantity Description Per Assembly Pedal Brake Assembly 1.00000 Screw But HD Chrome M6X10 4.00000 Bracket Brake Assy L/H 1.00000 Washer Dia 25mm_ 2.00000 ‘Arm Absorber Assy GEM™9100 1.00000 Cover Gauge Top Panel 6.00000 ‘Multerail Front GEM™9100 1.00000 ‘Screw But Hd Chrome M5X12 12.0000 Bracket Ventilator GEM 1.90000 Cover Plate Side L/H 1.00000 Screw But Hid Skt M5X12B1 21.00000 Low Oxygen Monitor GMS125 1.00000 Screw Pan Hd M5x8 3.00000 Extrusion Jehbsil 534 0.50500 Rotameter 02/N20/Air 1.00000 Label Maximum Load 20Kg 1.00000 Label GEM™9100 Facia 1.00000 ‘Module Back Bar GEM™9100 1.00000 Beading Top Tray 2.00000 Bracket Support O/H Shelf 2.00000 Screw But Head ChroM8X16 ——_12.00000 Overhead Shelf Assembly 1.00000 Cap Plasti-Rect 2146 2.00000 Bracket Hose Management 2.00000 Cover Plate Top 1.00000 Label Anaesthetic Machine 1.00000 Support Backbar Top 1.00000 Support Backbar Bottom 1.00000 Label Low Oxygen Monitor 1.00000 Nut Nylon MS 8.00000 Cover Plate Bottom 1.00000 Bracket Support Cover 1.00000 Retainer Spire SNU1747 3.00000 ‘Screw P/N Hd 10ABX5/8 STST 3.00000 ‘Screw Skt Hd Cap M6X1X16 4.00000 ‘Scav Flow/Interface Assy 1.00000 ‘Screw Grub 3/16" - 32X5LG 4.00000 ‘Tray Top GEM™9100 1.00000 End Cap Multerail 6.00000 Bracket Multerail GEM™9100 6.00000 ‘Multerail Side GEM"9100 2.00000 Frame Ascombly GEM™9100 1.00000 Sorew Csk 1/8BSWX1/4CAD 4.00000 © Copyright 1993 Fa Ea Ea Ea Ea Ea Ea Ea Ea Fa Ea Ea Ea Ea Ea Ea Ea Ea Ea Ea Ea Ea Ea Ea Fa Ea Ea Ea Ea Ea Ea Ea ROR ADR ERR ANNE A OREN NARA SNE ARERR ENE RN REN BBEQ QQR ® @ \wy Q® @ \ —|JdL je © © MTZ. mal a F NN WINN SeROTAMETER 3LOCK 5 4 [Tfuv a wy ay 8 oF wy TEST INSTRUCTIONS. CHECK FOR CORRECT AND SOUND ASSEMBLY ADJUST GLAND NUT AFTER BEDDING IN SPINOLE THE VALVE ACTION MUST BE SMOOTH AND FREE FROM BUMPING CHECK VALVE FOR A POSATIVE SHUT OFF FOR TESTING USE AN OXYGEN FLOWMETER WITH A FLOW RANGE OF 100ml/atn ~ 8l/atn. CONNECT THE VALVE ASSEMBLY TO A 400KPa OXYGEN SUPPLY. WITH VALVE OPEN, “CHECK FOR LEAKS FROM GLAND AT 400n/H20 PRESSURE. OPEN THE VALVE AND CHECK THAT THE BOBBIN RISES OFF THE REST, ROTATES AND MOVES OVER THE FULL. LENGTH OF THE GRADUATED SCALE. CHECK SHUT OFF ~ NO LEAKS ALLOWED. ADJUST CONTROL KNOR TO A FLOW OF 1 SI /nte WITHOUT ALTERING THE SETTING, ALTERNATELY PUSH ANO PULL THE CONTROL KNOR.” THE INDICATED FLOW RATE MUST NOT VARY MORE THAN #150n1 7m tn ASSY,_NO.[ Trew |_| tte 6 [trem 6 ‘512577 | 512576 | 515639 | 92/993 ‘312578 | 912075 _| 9/5809 | 52/992 ‘512579 | 512576 | 512693 | 92/991 NEW RELEASE NoTe - coast SPARINGLY APPLY Flonowuse 6ae3 YO SPINDLE THREAD WITH THE FLATS OF THE HEXAGON ON THE HOUSING IN LINE WLIM THE HORIZONTAL “AXIS ANO THE SPINDLE FULLY SHUT OFF, POSITION LABEL ON THE KNOB WITH LETTERING IN AN UPRIGHT POSITION AS SHOWN. STE aa ae Pease eee ia PES Te, can rom 512577/9 ;VIEW "A" See a sy 1 14 GROMMET RUBBER 5 ID G85 1 7970279, 1S Sone Tene oo To oeeoes Ta Ree TORRE Ta Te eee TT ost on ra 2 [erases eS 1O|NUT TUBING 174 ID 10 _| 7968043 Sean Tiss oe +e 3 pene Ren [ates Ye Sen ee ae Tee sess . ‘4 [REST NYLON BACK BAR 2_| si2332 + esr eae ae 2 [seney Pav ib 2-6 Zc ——| «| Jasons 7 Seer ont ura ‘aisFGO ASSFMBLY @lLAUXILIARY OXYGEN OUTLCT NEW RELEASE saIISTORE NOTES 17 SCREW KNOB CETCM 1) INTO BRACKET (ITEM 2)" as SHOWN. 2/ ENSURE NIPPLE ON BODY (ITEM 4) IS IN A VERTICAL DOWNWARD POSITION AS SlIDWN, SECURE BODY TO BRACKET USING SCREW (ien 3). use Loctite 262 To ScCURE SCREW IN’ POSITION 3/ APPLY LOCTITE 680 TO THE BASE OF THE THREAD ON BobY. “SoREW Stecve (ITCH 5) IN POSITION AGAINST BODY (ENSURE No LOCTETE TS ON EXPOSED AREA OF THREAD) 4/ PLACE CLIP (ITEM 6) AND HEAT SHRINC TUBE (ITEM 7) OVER HOSE (ITEM'8) . POSITION HOSE OVER NIPPLE AN SECURE IN PLACE WITH CLIP.” POSITION HEAT SHEN TUBE OVER CLIP AND. ADOLY.THeAT, TO SECURE. S/ PLACE ‘O/RING (ITEM 10) IN POSITION OVER ADAPTOR (ITEM 9). USING SAME PROCESS AS PER NOTE 4, SECURE ADAPTOR 6/ CHECK FINAL ASSEMBLY TO ENSURE NO LEAKS, THEN PLACE IN PLASTIC BAG (ITEM (1) AND SEAL.” PRINT PART NUMBER AND DATE. ON LABEL AND ADHERE To’ BAG. TI] PRINTED PLASTIC BAG 521607 TO| O-RING 008 NEOP 66/75 1_ [7964100 ‘9 | ADAPTOR _G/CONN FITTING 1 | si2e77 | TUBE OXYGEN [0.75] —ste40s 7 | TUBE H/SHRIN« WHT DIA 19 [0.06] 7970271 | 0-cLiP 9-1 IMM BULK Ogi 2 | oTKiolis ‘5 | SLEEVE DISS 03 1 | 518466, 4 [ BOOY/NIPPLE_ASSY BRAZED 1 | s12679 [ Sonew c7SNK ND _MEXI6 1 | “7350242 2 | BRACKET MULTERATL MACHINED |_| 512688 T [KNOB SHORT GEM 9100 1] 512564 Il MH 15/1091 512705NUIES I/ APPLY A SMALL AMOUNT OF LOCTITE 222 TO THREAD OF SCREW, (ITEM 5). THEN SCRCW IN POSTTION WETH NUT (ITEM 4). ENSURE CET OTe ETB @ | SCAV_INTERFACE PURCHASED T_[s126s2 2/ APPLY 24 HOUR ARALDITE TO THREAD OF NIPPLE (ITEM 7) AND "TD NIPP HOSE BENT $/6"-24exT | 1_| W701 SCREW PiRMCY IN POSETION AS SHOWN. & [CHAD BRASS jo=t36|-—neor 3/ ATTACH LABEL (ITEM 2) TO INTERFACE (ITEM 8) IN POSITION 5 | SOREW PAN HO W2.5x6 NE PL | 1 | 7950214 5" SHOWN. 4 [NUT NSBR M2.5 ZINC PL 1} "7968047 S| scREW 5/16" XNO.4 8 i [we re8e 4/ ENSURE INTERFACE IS KEPT FREE FROM SCRATCHES, MARKS, ETC. See ee NE TEOrACE Haas T[BLUG BLANKING 1] siiais 12 MH 17/1291 12660 SCAV INTERFACE GEH 9100 2 DRAWING RELEASED aE rotTEST AS SHOWN, — Anat orre 24 He Witnbr ovreR Tue. SUCTION SOURCE seri 5 400 KPA AIR SUPPLY eS MRALOTTE 24 Hn CST PROCEDURE: a Set TEST EQUIPMENT AS SHOKN ADJUST SUCTION FLOW TO GIVE 28 L/MIN WRAP TAPE (ITCM 4) AROUND TUBE (ITEM 12) SO THAT.BOTTOM EDGE OF TAPE IS LEVEL. WITH “TOP EDGE"OF BALL. ADJUST SUCTION FLOW TO GIVE 22 L/MIN WRAP TAPE (ITEM 4)AROUND TUBE (ITEM 12) SO THAT, TOP EOGE OF TAPE IS LEVEL, WITH “BOTTOM EDGE*OF BALL. ‘BAG PLASTIC PRINTED 521607 517630 NIPPLE HOSE SUCTION ‘O-RING 115 NEOP6S/7S 2 | 7964108 ‘BRACKET SCAVENGE GENT 512687 BALL 5.6 STST 415745 TUBE MOULDED MACHINED. 512673 TUBE EXTERNAL. 512672 NUT_RETAINING FLOWETER 512674 RETAINER FLOWMETER LABEL_INSTRUCTION 512042 521840 \e LABEL SCAVENGE_FLOWETER ‘522010 ‘SCREW PAN HO_MSX6. "7950022 END CAP FLOWMETER 512669 PIN _SPIROL o1/6"x S76" STST | 2 | NBISoS 7 i 1 H H i i 1 1 i i i i : i) : 4 oO 4 | TAPE PIN STRIPING GREEN o.IME| 7995227, ARALDITE 24 HR ——~ 3 | O-RING [11 NEOPE5S/75_ 1 7964026 aruerrmense™ RES aeeeree ae 512661aie POWER 30ARD ASSEM3LY(© Copyant 1905s AO Page 03(GEM-9100 Service Manual © Coppiats 181 eee AO Page 8GEM™9100 Service Manual 8.0 General 8.1 Fault Finding 8.1 A Performance Matrix (Pneumatics) 8.1 B Performance flow chart - block diagram (Fig. 11) 8.1 C Problem Cause/Check Remedy List Warning: Do not use a damaged or malfunctioning Anaesthesia System, patient injury could result. Warning: Unqualified personnel must not attempt to undertake repair procedures. ‘Event - Possible Fault/Check Remedy ‘Leak - Pipeline Leaking hose : Replace “O” Rings one connection "on hose handwheel nipple Damaged/Faulty Replace Pressure Pressure Hose Hose Assembly Leaking Cylinder Ronew Gylinder Valve - ‘Leaking Bodok Seal -—=—«Replace Bodok Seal Leak - Pipeline Loaking/Faulty Replace Gauge - Pressure Gauge Bordon Tube inGauge Service Call. Leaking/Faulty —-—=—_—éReplace Gauge - Bordon Tube in Gauge Service Call Machine not Connect to pipeline connected to gas supply pipeline gas supply FeltyGeue =< | Replace Gauge — ServiceCall Faulty Gauge © Copyright 1993 - Iss/Rev A/O - Page 109GEM™"9100 Service Manual Event Possible Fault/Check Cylinder Pressure Cylinder Valve Gauge not working "Gauges indicate a "drop in pressure. Oxygen Failure Cut in pressure. ‘Warning Device Out of adjustment. _ Pneumatic Failsafe _ Cites Game ea System) dons not : operate to specification. : On-Off Switch turned Machine not (ON - nothing - connected to mains operates: ‘or tumed OFF at ‘Mains not available - back-up battery flat. No gas flow at Syatom On Off " rotameter. : switch in the OFF Faulty orjammed flow control value, “Leakin Back Bar | Manifold. (No valves inside Back vaporisers fitted. ‘Bar Manifold leaking Page 110 -Iss/Rev A/0- © Copyright 1993 Remedy, oo Tum Oylinder Valve Service Call. : Service Call. : Service Call Service Call Connect to mains and tum ON. Connect to mains and recharge battery. ‘Tum system On-Off switch ON. Free jammed valve. Replace faulty Valve - Service Call. ‘Machine not tured ON. | Faulty solenoid : Service Call. — : Replace internal *O" Rings or valve Service Call.GEM™9100 Service Manual ‘Possible Fault/Check Remedy Vaporiser(s) not _ Remove vaporiser(s) fanifold (Vaporisers seated correctly on "and refit to Back Bar fitted) = ‘Rack Bar. ee ee _ Vaporiser(s) . ° oS locking device not pie ecaad inthelocked = — position Leaking “0” Rings en Back Bar Manifold on ningts) = ce oo ee — jar Manifold. Build up of Thymol Service vaporiser. Lack of routine "Service vaporiser. ‘Seals on filling “Service vaporiser, port damaged. ee a Roplace, "Oxygen Flush Valve Faulty or sticking Fit new seat kit - “leaking (slow). flow valve, will not Service Call. seat correctly. Flow Valvokas 7“ Hitnew acst t= stuck inthe open Service Call. position. : 60 cm : Vents occluded. Unblock occlusion. Safety Valve Manual override ‘Check and/or ‘activated High or jammed closed. replace. Faulty spring Fit new valve kit - tension(nolonger —==—sService Call, within specification Oxygen Analyser /— notcomectly calibrated, Wrong gas in pipeline or cylinder Possible crossed pneumatic circuit = connection. oS © Copyright 1993 ~ Iss/Rev A/0 ~ Page 111GEM™9100 Service Manual - 8.2 Preventative Maintenance Test Gas Hoses es Frame & Casters : Battery Replacement — 0, Gas Block-Yoke ~ Relief Vale zg "= Non-Retum Valves Vi eva “Rog Press Ri co _~ NonRetumValveVB + O2 System Leak . ) ‘On/Off Control + Pst + O2Fail Reg R4 ~ Power Outlet N,0 Gas Block - Yoke ief Valve _Non-Retumn Valves V2 & V5 | + Reg Press RZ + N20 System Leak + PS2 ‘Air Gas Block Yoke = Rolief Valve ~ Non-Return Valves V3 & V6 Reg Press R3 — ‘Air System Leak : + PS3 , Failure System Functional AC & DC Power Failure Alarm Sol 1 Flowmeter Unit - Functional = Major Service - Lights Vaporiser Manifold- 6.5 Book ~ Sealing Tests ‘ 1 - 6.11 Book . 100 6.7 Book - e 6 1 Book GPO Sockets ey 3 45 aif 110 Page 112 - Iss/Rev A/0- © Copyright 1983GEM™9100 Service Manual 8.3 Anaesthesia System Inspection Form Note: All gases must be turned OFF hefore turning the Anaesthesia System ON. Hyponic Monitor/Rotamoter Module 4 ‘Ta ON Onan eae “(Gas Flow - OK) : 5 Tm ON Ain ; (Gas Flow - OK) = ee 6, Set Oxy Flow to 1 lpm - Wait 30 seconds Display should road ‘00% 7, Tum OWN, (Ges Fiow 20K) 8. Set N,0 Flow to 2 ipm- _. (Reduce Oxygen to 1/2 e tebe aig pm) Hypoxic Alarm should activate at set point. Oxygen should 20% within 20 ade. 3. Alarm Roset (automatic) . Tamm OFF 80 flow : completely, Oxygen : fow iipm- ‘Onygen should road 100% within 30 vec 10. TumON Air (GesFowOK) Ga ao 11, SetAirFlowto2Ipm= : Orrgen low at zor, : a Display should read 21% within 30 seconds. 2 © Copyright 1993 ~ Iss/Rev A/O ~ Page 113GEM™9100 Service Manual 8.4 Breathing Systems GEM™9100 is supplied with a sliding fresh gas outlet and this can be considered as the start of the patient circuit. The external diameter is 22 mm male and 15 mm female internal diameter. A latching bayonet connection is provided to help prevent any accidental disconnection and to provide a secure leak tight connection. Breathing Systems or patient circuits that can be used on GEM™9100 would fall into the following categories: Closed circuit, e.g. circle absorber Semi clasad circnit, e.g. Magill (Maplasan A) Open circuit, e.g. Jackson Rees T piece Co-axial circuit, e.g. Bain or Lack CIG Health Care offers a range of products to suit most requirements and a comprehensive catalogue is available on request. As a guide, the ideal patient circuit should have the following properties: Low inspiratory and expiratory effort for spontaneous breathing Identifiable as disposable or reusable Easily sterilised/cleaned Easily handled and light weight High tolerance to fresh gas flow rate - economical Low pollution of the environment Low dead space Corrugated tube not kinkable Length appropriate to type 10. Fittings not susceptible to distortion 11. Anti static (where appropriate) 12. Cost effective gexogeene Page 114 Iss/Rev A/0~ © Copyright 1993GEM™9100 Service Manual 8.5 Pre-Operative Checkout and System Shutdown Warning: Do not begin use of the GEM9100™ without verifying Its correct operation ‘and the correct operation of all associated accessory and optional equipment. Pre- operative check should he performed before each cace and in the roam having the pipeline supply and electrical sources to be used for that case. ‘These checkout procedures are applicable to the GEM9100™ only. If the System doos not function according to the following procedures, call your local CIG Health Care office or a CIG Health Care Authorised Distributor. ‘This checkout procedure is designed to he followed sequentially. If the sequence is interrupted it should recommence at step 8.1. “Instructions Highlighted INDICATE ACTION BY OPERATOR. Ensure all gas supplies are off and drained from machine. To drain gases: ey Varennes. 1, Enaure oxygen supply and ON/OFF switch are both turned ON, | 2. Tum off anid disconnect all nitrou: oxide « nitous oxide rlemeterKaob an ee sega » # Opens “oxide rotameter. 4, Select ait. Repeat step 9 for ai 5, Tum off and di 6. Open oxygen rotameter knob and blond “7, Tum OFF main ON/OFF switch. Cee Fo eed umn ON the main ON/OFF switch, ‘The GMS monitor will self test, all lights should light and alarm sound. After the self test, the O, failure alarm should be initiated both visually and audible. ‘Pabst GA ENLZAS88 Baton! 1me auaibie alarm snould silence and resound after 15 seconds. cee “C iileeWal ipelins wa supplies aavenecx Way Ate avAmANIG)) pen all cylinder valves and after 10 seconds close them. A falling gauge indicator shows a leak Replace O, cylinder if less than 1/4 ful. © Copyright 1993 - Iss/Rev A/O - Page 115GEM™9100 Service Manual 8.14 Breathing, scavenging and other system should be checked as per ANZCA's protocol. Ptonouk a i ait © Copyright 1993 — Iss/Rev A/O - Page 117GEM™9100 Service Manual Operational Note 3 When changing from oxygen/nitrous oxide to oxygen/air a transient system error alarm may occur. This is caused by an inversion layer of N,O moving down the measurement chamber. ‘The condition will automatically clear and display revert to normal when the chamber is. flooded with the new gas mixture of oxygen/air - typically approxumately sv seconas. F Flowmeters 1. Ensure that the bobbin moves freely. 2. Turn OFF each flowmeter control (fully clockwise) and check that the position of the bobbin is at zero and that no gas flows. G Vaporisers 1. Check each vaporiser in turn. 1.1. That it is seated correctly and locked in place and will not lift off the back bar. 1.2. That it can be tumed on. 1.3 That it is turned off. 1.4 That it contains a sufficient amount of the correct liquid agent. 1.5 That the filling and emptying ports are fully closed H_ Test for Leaks Upstream of the Common Gas Outlet 1. Connect a pressure manometer to the fresh gas outlet. 2. Tum ON the oxygen flowmeter control carefully to 100 ml/minute. 2.1 Aggas flow of 100 mi/minute should maintain a pressure of 40 cm H20, i. there are no significant gas leaks. 2.2 Ifa greater gas flow is required to maintain this pressure, the magnitude of the flow indicates the extent of the leak. 2.3. The function of the safety precircuit pressure release valve may be checked by gradually increasing the gas flow until pressure release occurs. 3. Repeat this test with each vaporiser turned “OFF” and “ON” in turn, I Breathing System Selection 1. Check that the gas supply is connected to the selected breathing systems. 2. Check that the size of tubo used to make this connection is adequate to cope with anticipated gas flows. High gas flows require a larger diameter. J Circle Absorption System 1. Soda lime - check that this is not exhausted. Renew if necessary, and remove dust from soda lime when refilling canister. 2. Breathing hoses - check that these are correctly and firmly connected. 3. Valve function and leaks in breathing system Page 148 — Iss/Rev A/O~ © Copyright 1993GEM™9100 Service Manual oreene Close adjustable pressure relief valve and attach spare breathing bag to the patient connection limb of the “Y" piece. Depress the oxygen flush button to fill the breathing bag. Alternately squeeze the two bags to ensure that oxygen passes from one bag to the other, and check visually that each unidirectional valve functions correctly. Squeeze both bags simultaneously to raise the pressure in the circuit w appruxiumately 30 cm water. ‘Open spill valve and check that gas spills easily when both bags are squeezed. Disconnect spare breathing bag and replace with a mask suitable for the patient. Scavenging System Chock that the scavenging circuit is connected correctly to the selected breathing system. ‘Check that all components of the scavenging system are unencumbered to allow free gas flow. If negative pressure is used to aid scavenging check that this does not empty the breathing system. 3.1. Fill the breathing system with oxygen by occluding the patient outlet and. depressing the oxygen flush button. 3.2 Check that the circuit does not empty when the spill valve is opened. 3.3. Close the spill valve again when this check has been done, Apparatus Mounted on the Anaesthetic Machine Other apparatus to be usod in the conduct of the anaesthetic should be checked according to the protocol appropriate to the device. Special attention should be given to: 2.1 Equipment for intubation of the trachea. 2.2 Suction apparatus. 2.3 Ventilators. 24 Gas analysis devices. 2.5 Disconnection alarms. System Shutdown, Leave machine turned ON. ‘Tum OFF all cylinders. Disconnect pipeline supply hoses from wall outlets. Bleed all gases from system. Tum machine OFF. (A “Mains Off” alarm will © Copyright 1993 ~Iss/Rev A/O ~ Page 119GEM™9100 Service Manual ibe nad torr Page bn 2680 Gin vane 0, comune Fite mot cae Sawin) etaaraas fo bance CNOA 18 Baty crocus 1E Comsco carts crores 12 marcrostanoe ons TubeyPoo xstz501 1a Suto Vate claras i newoigo Soove Clo7eanse EareSrcsr Waser ctoreeson se. meg, Sore Choocass set cioreon Weta cro ow MEAS Shove CIo76a056 setGorcane ‘er roretoe 10. Vibe Toofoat I ctaocoss Ro ctoncaee ofciaroatr 19, Ropu ros z2s2 Pune sn coo720 1 Recatcetar 2 Raptr costo 2. Comocton tr) caen28 3 Nee, corse ‘ 45. Rasa et CennctonsCOS12588 2: Rune ovo ir nbemua cos‘GEMI"0100 orice Manual 1 Non Return Val C1G7968069 2. Bracket LH CiG812082 racket RH CLOS4268% 3. Wiis C1G7966062, © Panel & Serew cio 7050295 3. Bracket 7 Bawery @ Panel Clasiz691 8. Conneetion Tube/FGO 16512601 10 Fiver cIG7966081, it Banjo 12 Rog Worgron 010512258 13. Outlt Complete C1GS18301 ‘Side Valve IGZP1135 ‘o'Ring clo7a6i00, Stoeve 0, CIGZP1186 17. Gauge LP CiG518260 18. Gaugo Le cxcsi8268 20. Gauge HP CIGSI9136 21. Gauge LP C10519258,(GEMT9100_ Service Manual pareesrcaea coca casera Scaasond wong cemn Scan Premed Soeeeny wanes, Page 202- Iau A Coors 989.GEM™9100 Service Manual [GRUT9100 ANAESTHETIC APPARATUS LvPret : fe E é A F 3 : re 18 18 a ‘tem No, Pa = = ee oe a cr pea Description Body Block Fresh Gas ‘Tobe Guard Frosh Gas Ripple Preah Gus 1ameplate Emergency Oxy Barton Nut Lacking - Prose Button Washer O-Ring 006 Neon 875 ‘vate Body (Ofing 111 Noop 65/75 Spong auatasist Cap aie! Screw Spring SOx 18 sot Body (Chkng 124 6e9p 0875 Seating Per Assembly 1.00000 100000 100000 100000 2.00000 ‘00000 100000 100000 100000 EPEPOPORESS REET erErery S aGEM™9100 Service Manual ‘Hom Pats List (OEN9100 ANAESTHETIC APPARATUS ‘tom No: 612500 Component LvPret tem No. o2 1 sizse 2 2 7eeaae 2 3 eso06e o2 4 sizaae 2 5 762010 2 7 "orzmo 02 manana 02 3 siziss an “s1z60 02 13 7a6a042 2 is “st25e Mom Pats List Desexpticn Back Bar GENE“9100 Sarew Pan Hd Max Rivet Pop 3/16 7351862 ‘Spring Retaining Deus Sleeve Tubing 1/4 0D (Grommet Raber 81D @e2 {abel Backbar Page 90-0 © Coo 1903 Per Assembly 1.0000 0000 4000 200000 ‘tc000 “Zoom 00 ‘90000 PEPkereporerees & Rooney td meGENI*6100 Service Manual ‘component Ouantiy kom P Lvpret emo. 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