ACM600 Series Anesthesia Machines’ Service Manual

ACM 600 Series Anesthesia Machines

Service Manual

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 ACM600 Series Anesthesia Machines’ Service Manual

Chapter 1 ACM600 Series Anesthesia Machine’s Gas Passage Tank

1.1 Malfunction and its solution:

Malfunction 1: The gas passage tank leaks

Reason: the inner film of the gas-driving switch is aging

Solution: replacing its inner film

Malfunction 2: When opening the gas supply, the gas passage tank always

has gas whistling sound

Reason: there is something wrong with the shift switch

Solution: replacing the shift switch or disconnect it to clean and reinstall

Malfunction 3: After closing the flowmeter, there is still gas inflating the

foldable bellow

Reason: the O2 flush switch cannot be reset

Solution: replace O2 flush switch

Malfunction 4: The floater in the glass tube of flowmeter calibrates

Reason analysis: unidirectional valve is damaged

Solution: replace the unidirectional direction valve

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Chapter 2 ACM600 Series Anesthesia Machine’s outer gas circuit

2.1 Bellow assembly

Bellow housing

Foldable bellow

Bayonet table

2.2 Circle Absorber

2.3 common malfunction of the gas passage and the solutions

2.3.1 Simple checking methods of the gas passage

First connect the pipelines, set the manual/mechanical shift switch into

the mechanical mode, press the O2 flush switch to inflate the foldable

bellow to its full, then quickly pull out the connecting pipeline from the

circle absorber and block it with hands. If the foldable bellow doesn’t go

down, the bellow and the connecting pipelines are ok and the problem

perhaps lies in the circle absorber. Then join the pipelines and connect

the inspiratory connector and the expiratory connector with one

pipeline. Connect the breathing bag, set the manual/mechanical shift

switch into the mechanical mode, press the O2 flush switch to inflate

the foldable bellow, and pinch the breathing bag with hand to make

the pressure gauge on the circle absorber point to 3Kpa and see the

pointer’s movements. If the pointer goes down quickly, the circle

absorber has some problem. If the pointer doesn’t move, then the

circle absorber is all right.

2.3.2 Outer gas passage malfunction and solutions:

Malfunction 1: foldable bellow goes down continually

Reasons: Probably as follows:

1) Foldable bellow is broken or aging;

2) The corrugated hose that connects bellow and circle absorber is

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broken or aging;

3) Patient’s breathing circuit is broken or

aging;

Foldable Bellow

4) Respiratory valve in the circle absorber is broken or aging or

not well-installed;

5) Soda lime absorber of the circle absorber is broken or aging;

Solution: replacing the spare parts that are

broken or aging

Soda Lime Absorber

Malfunction 2: the foldable bellow goes down to certain place and stands

still

Reason: spill over valve’s pressure has

been adjusted lower

Solution: readjust it
Spill Valve

Note: the spill over valve can be moved with wrench: clockwise

rotation means pressure decrease and counterclockwise rotation

means pressure increase. Its standard setting is 0.2~0.3Kpa. After

adjustment, connect the gas passage, adjust the flowmeter to 5L, and
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at this time if the pressure gauge on the circle absorber is 0.2~0.3Kpa,

then it is ok now.

Malfunction 3: While using the machine, the foldable bellow still inflates

or swells, though the flowmeter isn’t opened.

Reason: there is something wrong with the four-tube flowmeter or the O2

flush switch

Solutions: replace the four-tube

flowmeter or the O2 flush switch

Malfunction 4: the bellow cannot be

compressed or cannot be enough

compressed at inspiration;

Reason: 1. The connecting corrugated

hose falls off

2. Anesthesia ventilator’s problem

3. The connecting line of the

manual/mechanical shift switch is

broken

4. The below housing is broken or aging

Solution: 1. Reconnect the corrugated hose

2. Overhaul the anesthesia ventilator

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3. Replace manual/mechanical shift switch’s connecting line

4. Replace bellow housing

Malfunction 5: the airway pressure is

too high at manual ventilation mode

Reason: APL valve’s pressure hasn’t

been adjusted correctly

Solution: readjust APL valve

Note: when necessary to adjust, remove the round lid on the top of

APL valve, and screw off the six-angle screw above with six-angle

wrench, and adjust the six-angle screw below with six-angle wrench.

The upper limit is 6Kpa.

Malfunction 6: though the work pressure of the machine is enough, the

foldable bellow cannot be inflated when pressing the O2 flush switch.

Reason: the pipelines inside the gas passage tank fall off or are broken.

Solution: reinstall or replace pipelines

Malfunction 7: LED display monitor‘s show value has big error

Reasons: Flow sensor’s wheel has dirt

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Solutions: Clean the flow sensor

Malfunction 8: At the time of O2 flush, gas still goes through the

mechanical mode passageway when shifting to manual mode; vice versa.

Reasons: the inner film of the switch is aging or frayed

Solution: replace its inner film

Malfunction 9: From manual to

mechanical mode, the shift

switch returns slowly

Reasons: the switch’s inner

spring has lost its elasticity

Solutions: replace the switch

valve core

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Chapter 3 Flow meter

3.1 Four-tube flow meter

3.1.1 ACM603 、 ACM603B 、

ACN606、ACM607B、ACM606B、

ACM607 、 ACM608B all use

four-tube flowmeter. (See the picture

on the right)

3.1.2 slim tube: 0.1L/min～2L/min

thick tube: 2.5L/min～10L/min

3.1.3 four tubes are of O2 and N2O

Compensation adjustment

3.2 Five-tube flowmeter

3.2.1 ACM618B anesthesia machine uses five-tube flowmeter (see the

picture below)

3.2.2 N2O: 0L/min～10L/min

O2: 0L/min～10L/min

Air: 0L/min～10L/min

Base flow: 130L/min ～

190L/min

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3.3 Flowmeter’s common malfunctions and their solutions

Malfunction 1: O2/N2O flow linkage ratio is invalid

Reasons: Gear loosens

Solutions: Refasten the gear

Malfunction 2: after closing the knob tightly, the floater cannot return to

the bottom position

Reason: The adjustment knob is frayed and cannot be sealed

Solution: Replace the flowmeter

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Chapter 4 Vaporizer

4.1 ACM600 series anesthesia machines’ equipped vaporizers

4.1.1 ACM102 vaporizer (see the picture on the right)

ACM102 vaporizer’s dial has a “△”

symbol, which is the knob place to

add anesthetic agent.

1) Concentration adjusting range:

0.5～5.0％VOL

2) Possessing the function of flow

and temperature compensation

4.1.2 ACM105/ACM108 Vaporizer

1) Concentration adjusting range: 0.2～5.0％VOL

2) Possessing the function of flow and temperature compensation

ACM 105 Vaporizer ACM108 Vaporizer

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4.1.3 DRAGER Vaporizer

1) Concentration adjusting range:

0.2～5.0％VOL

2) Possessing the function of flow and

temperature compensation

3) Temperature compensation:

15°C～35°C

4) Perfusion between the maximum and minimum graduation

5) It needn’t be emptied on the process of transportation

4.2 Vaporizers’ common malfunctions and their solutions

Malfunction 1: vaporizer leaks

Reasons: 1) Bypass valve’s seal ring is aging

2) The agent discharge outlet hasn’t been screwed down

3) Part of the inject base’s seal ring is aging

Solutions: replace the aging seal ring or screw down the agent discharge

outlet

Malfunction 2: dial’s knob cannot be easily twisted

Reasons: It hasn’t been installed well or the spare parts are not of good

quality

Solutions: Reinstall or replace the spare parts

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Malfunction 3: the output concentration is not accurate (cannot

anesthetize patients)

Reasons: The inner double-sheet metal or other parts have become

distorted or aging

Solutions: Need to re-regulate or repair (send back to the our company to

re-regulate or repair)

Notice: vaporizer is a kind of precision instruments, needing to be

regulated with high-precision instrument. It is usually hard to mend

it on the spot. If with serious problem, it should be sent back to the

company to be dealt with.

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Chapter 5 Anesthesia ventilator

5.1 Summary

5.1.1 The anesthesia ventilators that are equipped on the anesthesia

machines of various types

603 603-1 606 607 60 603B 606B 608B 618B

802A 802A 802 814A 803 812A 812A 813A 805A

A A

5.1.2 Misoperation and solutions of other simple malfunctions

Phenomenon Possible reasons Solutions

Digital pipeline 1 Power cable disconnect 1 Connect the cable

doesn’t flash, 2 Power off 2 Turn on the power

ventilator doesn’t 3 Fuse is blown out supply

work 3 Replace the fuse

The ventilator

suddenly stops The power supply Manual ventilation

working during fails

operation, the

indicator light is off

with sound alarm

1 Patient’s pipeline is 1 Check the patient’s

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blocked pipeline and adjust it

Upper airway 2 Patient’s airway is 2 Check patient’s

pressure limit blocked condition

3 Upper airway pressure 3 Reset the alarm limit

limit is set too low 4 Recalculate ventilation

4 Ventilation parameters parameters

change

Airway pressure 1 Connecting hoses 1 Reconnect the pipe

gauge between inspiration

passage and flow sensor

gets loose or is connected 2 Replace gas supply

reversely

2. Gas supply is out

1 Flow sensor’s plug gets 1. Re-insert

Tidal volume loose 2. Connect the pipelines

display is too low 2 Circuit leaks properly

3 Expiration valve leaks 3. Replace expiration

valve

Probe

、804A、
5.2 The common malfunctions and Solutions about the 802A、 、

、813A Anesthesia Ventilators

Malfunction 1: There is no tidal volume

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display on the LED window

Reason: The flow sensor’s probe or the main board is damaged.

Solution: Replace flow sensor’s probe or main board.

Malfunction 2: The board parameters do not appear when opening the

machine.

Reason: The fuse is burned out or power

module is damaged.

Solution: Replace the fuse or power

module.

Advert: Check the power module whether

it is damaged, multimeter can be used to

check whether the output voltage is

correct.

Malfunction 3: When turn on the machine, it is easy to hang (each

parameter can not be adjusted, and the LED digital tube and indicator

light are all bright);

Reason: There is something wrong with the main board.

Solution: Replace the main board.

Malfunction 4: The anesthesia ventilator can work normally, but the

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parameters can’t be adjusted.

Reason: the connecting lines of the fore board become loose or aging or

damaged.

Solution: re-insert the surface line or replace

the surface film.

804 Fore Board

there is only light but no alarm sound.

Reason: Scale the voltage of the buzzer. If there is voltage, then the

buzzer is damaged; if without voltage, then there is something wrong

with the main board.

Malfunction 6: The tidal volume can’t be adjusted or can’t be closed

tightly.

Reason: The tidal volume knob falls off.

Solution: Retighten the knob.

Malfunction 7: There is loud noise during

the machine’s working.

Reason: The expiration valve rubber sheet is

aging or distorted.

Solution: Replace the expiration valve

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rubber sheet.

Malfunction 8: There is no driven gas output in the anesthesia ventilator.

Reason: We can use multimeter to check the electromagnetic valve, then

we will know whether the output voltage is normal; If the

electromagnetic valve is normal, then there must be something wrong

with the main board.

Solution: Replace the electromagnetic valve or main board.

Malfunction 9: It appears black on LCD

Screen (only ACM813A).

Reason: Inverter is not connected tightly or

damaged.

Solution: Re-insert the line or replace inverter.

Malfunction 10: There is nothing appears on the screen or no signal (only

ACM813A).

Reason: The signal wire of display control

board looses or the display control board is

damaged.

Solution: Retighten the signal wire or

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replace display control board.

5.3 The parameters of Anesthesia Ventilators should be adjusted to

“ first choose, then adjust”.

5.3.1 The adjustment of panel parameters.

1) Irradiance line: It displays the change of airway pressure, the red light

on the right and left means low voltage with high-pressure alarm.

Low pressure alarm: Avoid breath circuit’s leakage.

High-pressure alarm: It can protect patents’ lung, and avoid the hurt

from high pressure.

2) The adjustments of I/E ratio and respiration rate.

Press the I/E ratio or respiration rate key on the panel, adjust by the

two symbols of“▲”.

3) Tidal volume: Adjust with the flow knob, and calculate by the weight

of patients’ “weight (kg)*(8-12)”.

* 4) Oxygen concentration: It can only appear but can’t be adjusted.

5) Silence for 2 minutes: silence time for alarm.

6) There is an “air entrance” on the back panel of the ventilator. Using the

Venturi theory, it inhales air through oxygen pressure, thus save the

oxygen.

5.3.2 The adjustment of Ventilators’ inner parameters

When the ventilator’s malfunctions are caused by circuit board, we can

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solve these problems by replacing it. Then we should regulate and adjust

parameters of the new circuit board to ensure the status of Ventilator.

The corresponding parameters of ACM 813A ‘ respective rheostat

6201372 control board: *R3 adjusts the increase of airway pressure, i.e.

the adjustment of Ppeak.

*R4 is used to adjust the zero point of airway pressure

*R35 is used to adjust the oxygen supply failure alarm

S1: SESR, the segments 1, 2, 3 adjust the modulus of tidal volume.

Segment 4 adjusts the airway pressure waveform when it is on, and

adjusts its close when it is off.

Notice: Above with‘#’sign shouldn’t be adjust randomly, and above

with ‘*’sign need special instrument.

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