Dameca MRI 508

Ins tr uc ti o ns f o r U s e

Dameca MRI 508

Anesthesia Machine
Anesthesia Care

Part Number 10651GBMRI-90 50 102014

INSTRUCTIONS FOR USE

2 10651MRIGB-90 50 Dameca MRI 508

 TABLE OF CONTENTS

Table of Contents
1. INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.1 Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.2 Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
1.3 Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
1.4 Operator setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1.5 Manufacturer's liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.6 Built-in safety features in the Dameca MRI 508 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2. SAFETY PRECAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.1 Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.1.1 Explosion hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.1.2 Patient safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.1.3 Machine malfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.1.4 Occupational hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.2 Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
2.3 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
3. FUNCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
3.1 Anesthesia Gas Scavenging System (AGSS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
3.1.1 External breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
4. OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4.1 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
4.2 Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
4.2.1 Integrated breathing system (IBS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
4.2.2 Replacing the CO2 absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
4.2.3 External breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
4.2.4 Patient flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
4.2.5 O2 fuel-cell sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
4.3 Function test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
4.3.1 FULL self-test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
4.3.2 L C self-test, leakage and compliance test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
4.3.3 R otameter box with minoxyguard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
4.3.4 A ir/N2O selector valve (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
4.3.5 O2 monitor test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
4.3.6 E xpired minute volume Low/High alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
4.3.7 A irway pressure High alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
4.3.8 M ains power failure alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4.3.9 T est of reserve gas cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4.3.10 Patient suction test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4.3.11 Vaporizer test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4.3.12 A  uxiliary O2 test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
4.4 Operation of the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
4.4.2 Stop automatic ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
4.4.3 Default ventilator settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

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5. MEASUREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
5.1 Volume measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
5.1.1 Accuracy of volume measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
5.2 Pressure measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
5.3 Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
5.4 O2% Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
6. USER MENUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
6.1 Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
6.1.1 Spirometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
6.1.2 Graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
6.1.3 Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
6.1.4 Self-test data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
6.1.5 Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
6.2 Alarm menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
6.3 Menu structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
6.3.1 Main Menu structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
7. ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
7.1 Ventilator alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
7.1.1 Airway pressure High . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
7.1.2 System pressure High . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
7.1.3 Disconnection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
7.1.4 Drive gas Low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
7.1.5 Battery Low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
7.1.6 System pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
7.1.7 Pressure limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
7.1.8 Fresh gas flow too High . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
7.1.9 Insp. O2% High/Low (only if an external O2 fuel-cell sensor is installed) . . . . . . . . . . . . . . . . . . . 54
7.1.10 Exp. MV High/Low (only if a volume monitor is ­installed) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
7.1.11 Mains power failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
7.1.12 System fail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
7.1.13 TV too High . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
7.1.14 PSV Backup mode is switching to PCV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
7.1.15 Required Insp. pressure is too Low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
7.1.16 Required Insp. pressure is too High . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
7.1.17 Required Insp. pressure too close to High-press. alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

4 10651MRIGB-90 50 Dameca MRI 508

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8. MAINTENANCE AND CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

8.1 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
8.2 Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
8.2.1 Washing machine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
8.2.2 Chemical disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
8.2.3 Autoclaving . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
8.3 Cleaning the Dameca MRI 508 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
8.4 Cleaning the integrated breathing ­system (IBS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
8.4.1 Routine cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
8.4.2 F ollowing an infected p ­ atient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
8.4.3 D isassembling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
8.4.4 After cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
8.4.5 F lushing through the breathing system body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
8.4.6 A ssembling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
8.5 Integrated breathing system (IBS) parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
8.6 Hoses, Y-piece, and respiration bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
8.7 Cleaning the i-SORB reusable absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
8.7.1 A fter cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
8.7.2 Refilling the absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
8.7.3 Use of absorbent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
8.8 Safety control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
8.9 Disposable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
9. TECHNICAL DATA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
9.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
9.2 Gases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
9.3 Rotameter box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
9.4 Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
9.5 Integrated breathing system (IBS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
9.6 Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
9.7 Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
10. ALPHABETICAL INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

Dameca MRI 508 10651MRIGB-90 50 5

INSTRUCTIONS FOR USE

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6 10651MRIGB-90 50 Dameca MRI 508

 INTRODUCTION

1. Introduction
This manual is related to ventilator software version The machine can be equipped with various additio-
2.8. nal equipment such as:

The anesthesia machine, model Dameca MRI 508, is • Active scavenging system
suitable for most types of inhalation anesthesia. O2 • Transfusion stand
and N2O or O2 and Air can be administered, and an- • Arm for patient monitor
esthesia vaporizer(s) can be connected to a back • Pin-index yokes for 4 L gas cylinders
bar. Gases can be supplied from a centralized supply
The machine is designed to accommodate accesso-
or cylinders. There is no difference in machine per-
ries and additional rails, holders, and so on.
formance when gases are supplied from cylinders.

THE MACHINE IS EQUIPPED WITH

• A rotameter unit (Minoxyguard) giving user se-
1.1 Intended use
lectable gas mixes (O2, Air and N2O) in a range of
The Dameca MRI 508 anesthesia machine is inten-
0-10 L/min for each gas. If N2O is selected as a
ded to provide general inhalational anesthesia and
mix to O2, the N2O percentage is limited to
ventilation support to neonatal, pediatric and adult
max. 75% (minimum 25% O2).
patients. The device is intended to provide volume
• Anesthesia ventilator with the following ventila- or pressure controlled ventilation.
tion modes:
VCV Volume Controlled Ventilation The Dameca MRI 508 anesthesia machine must only
SIMV Synchronized Intermittent be used by qualified anesthetists familiar with the
Mandatory Ventilation operation of the device.
PCV Pressure Controlled Ventilation
PSV Pressure Supported Ventilation Prior to use, the machine must be connected to a
PRVT Pressure Regulated Volume Target power supply and gas supply.
A real-time clock is also included in the ventilator.
The machine is MRI compatible, for use in mag-
netic fields up to 1000 Gauss. *
• Breathing system (IBS) that integrates a bag-in-
bottle and patient rebreathing circuit (incl. ab-
sorber) into the same block. Thus, there are only * This applies for machines marked with a yellow
Gauss level label.
two hoses (inspiratory and expiratory) from the
breathing system to the Y-piece.
• APL (Adjustable pressure limiting) valve inte- 1.2 Description
grated into the breathing system allowing the
operator to choose between manual ventilation THE ROTAMETER UNIT (MINOXYGUARD)
and spontaneous respiration. The rotameter unit (Minoxyguard) of the Dameca
MRI 508 controls the fresh gas flow supplied to the
• The ventilator is microprocessor controlled, with
breathing system.
software installed.
The flow is adjusted by the user according to the
measured flow of the rotameter tubes.

Dameca MRI 508 10651MRIGB-90 50 7

INTRODUCTION

THE VENTILATOR Note

The Dameca MRI 508 ventilator uses compressed air Dameca MRI 508 components do not contain latex.
to ventilate the patient through the bag-in-bottle
system located in the breathing system.
Note
The Dameca MRI 508 contains batteries that must
The ventilator measures airway pressure as well as
be replaced by technicians at fixed intervals, as pre-
the inspired/expired volume (optional).
scribed in the service manual.
If a multigas module is not installed, the ventilator
can measure inspired O2 using an optional fuel-cell
sensor placed onto the inspiratory port in the
1.3 Performance
breathing system.
The rotameter unit (Minoxyguard) of the Dameca
MRI 508 is designed to provide a user-selected fresh
THE BREATHING SYSTEM (IBS)
gas mixture of:
The breathing system in Dameca MRI 508 is a re-
breathing circuit with one-way valves in both the in-
• 0–20 L/min O2/N2O
spiratory and expiratory limb, as well as an absorber
(O2 0–10 L/min, N2O 0–10 L/min)
for eliminating CO2.
or
The system is suitable for high fresh gas flow (ap-
• 0–20 L/min O2/Air
proximately the patient's minute volume), medium
(O2 0–10 L/min, Air 0–10 L/min)
fresh gas flow (approximately 1-1.5 L/min) as well as
low fresh gas flow (approximately 0.5-1.0 L/min). This fresh gas flow goes through the vaporizer back
bar, where an anesthetic agent can be added using
The breathing system is a combination of a bag-in- an anesthesia vaporizer.
bottle unit and a patient rebreathing circuit.
The breathing system has a standing bellows that By activating an O2 bypass valve, a flow of approxi-
permits the operator to see the patient's automatic mately 45 L/min O2 will be added to the fresh gas
ventilation based on the bellows motion. flow downstream of the vaporizer back bar.
In addition, any leakage will not result in ambient air
entering the breathing system; and any leakage ex- The Dameca MRI 508 has an integrated gas scaveng-
ceeding the set fresh gas flow becomes immediately ing system that removes excess gases from an open
apparent by the bellows failing to reach the top of reservoir.
the chamber.
This system must be connected to an external AGS
The breathing system has an integrated APL valve system with a flow of 30–40 L/min.
that is used solely for manual ventilation or sponta-
neous breathing. If no external AGS system is available, the Dameca
MRI 508 can be equipped with an integrated AGS
THE i-SORB CO2 ABSORBER. system (optional).
The breathing system uses the i-SORB CO2 absorber,
which contains 900 g of soda lime. The absorber is The ventilator of the Dameca MRI 508 is designed to
available in either a reusable or disposable version. provide an inspiratory flow in the range:

If the absorber is replaced during use, two absorber • Continuous flow: 2–80 L/min
valves automatically close to prevent gas loss from • Max. Peak flow: 120 L/min
the breathing system.

8 10651MRIGB-90 50 Dameca MRI 508

 INTRODUCTION

No matter which mode is used, the set tidal volume, The following features can be installed when the
respiratory rate, I:E rate and inspiratory pause are anesthesia machine is manufactured:
controlled to ensure that the inspiratory flow re-
mains in the range 2-80 L/min. • Integrated patient suction
• Auxiliary fresh gas outlet and integrated auxiliary
Inspiratory flow = Tidal volume x Resp. Rate x O2 flow meter
((I+E)/I) x (100/(100-Insp. pause)) • Auxiliary gas outlets for O2, Air or VAC
• Active AGSS suction
The breathing system has an expiratory and inspira- • PSV available or not
tory resistance of: • PRVT available or not
The following parameters can be configured by the
Resistance 60 L/min 30 L/min 5 L/min super user after the anesthesia machine has been
manufactured:
Expiratory 4.5 2.0 0.3
(x100 Pa) (x100 Pa) (x100 Pa)
• Ventilator volume setting based on tidal volume
Inspiratory 4.5 2.0 0.3 or minute volume
(x100 Pa) (x100 Pa) (x100 Pa) • SIMV available or not
• The O2 monitoring based on an external fuel-cell
sensor can be activated or deactivated
1.4 Operator setup • The volume monitoring can be activated or deac-
tivated
The Dameca MRI 508 can be setup as the operator
If volume monitoring is activated, the measure-
wishes.
ment can be configured in one of two ways:

Expired volume only

Compliance = 4 mL/cmH2O with adult hoses
If the volume monitoring is configured to "Only Exp.
(22 mm diameter).
Volume," the flow sensor must be placed at the
breathing system's expiratory port.
The i-SORB CO2 absorber in the breathing system is
optimized with respect to the flow pattern inside
The volume measurement will then include only the
the absorber to ensure use of all the soda lime.
expired tidal and minute volumes.

CO2 % Full spirometry

1.0
If the volume monitoring is configured to "FULL
0.8
Spirometry," the flow sensor should be placed at
FG = 0.5
0.6 the breathing system's Y-piece.
FG = 1.0
0.4
FG = 2.0
0.2 The volume monitoring will then include the expired
tidal volume, expired minute volume, and the in-
0 2 4 6 8 10 12 14 16 18 20 Hours
spired tidal volume (during manual ventilation); the
operator can select a pressure-volume curve
(spirometry loop).

All these settings can be changed in the Service

Menu by a service technician or superuser.

Dameca MRI 508 10651MRIGB-90 50 9

INTRODUCTION

1.5 Manufacturer's VENTILATOR

In the event of an "airway pressure high" alarm, the
liability ventilator automatically switches to expiration
phase to prevent exposing the patient to excessive
Philips is only liable for equipment safety, reliability airway pressure.
and performance provided that:
In addition, the ventilator has a built-in pressure re-
• Assembly, operation, add-ons, adjustments, lief valve that opens at 90 cmH2O.
modifications, repairs and periodic maintenance
are performed by persons authorized by Philips NPL VALVE
• The medical gas supply in the relevant rooms The NPL valve opens if spontaneous breathing of
comply with medical gas requirements the patient generates a negative pressure of -5 to
• The machine is used in compliance with this user -7.5 cmH20. This opening pressure of the NPL valve
manual is defined at an inspiratory flow rate of 3.5-4.5 L/
min. Negative airway pressure is only possible if the
1.6 Built-in safety patient takes a large spontaneous breath around
the same time as a mandatory breath.
features
GAS SUPPLY
O2, Air and N2O alarms for Low inlet pressure. Built-
in check valves to prevent reverse gas flow (out of
the machine).

Ventilator, optional patient suction, and optional ac-

tive AGSS suction are powered by the primary drive
gas (Air).

The optional patient suction can also be powered by

VAC.

MINOXYGUARD
The N2O cuts off if the O2 supply fails.

O2/N2O ratio control (secures a minimum of 25% O2

in an O2/N2O mix).

An MPL (maximum pressure limiting) valve opens if

the auxiliary gas outlet exceeds 90 cmH2O.

VAPORIZER RAIL
Back bar for one or two vaporizers. The back bar for
two vaporizers has an interlock system to ensure
that only one vaporizer can be opened at a time.

10 10651MRIGB-90 50 Dameca MRI 508

 Pat. suction Active AGSS AGSS
(option) (option)
Flow diagram

Flow marker

Dameca MRI 508 10651MRIGB-90 50

AUX O2
flow meter
Ventilator
(option)

O2 pipeline Ambient AUX

Reservoir
Air AGSS

O2 flush

AIR pipeline
Integrated
Fresh gas breathing Patient
Rotameter system
switch
unit
(option)
N2O pipeline
Vaporizer

AUX fresh gas

INTRODUCTION

11
INSTRUCTIONS FOR USE

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12 10651MRIGB-90 50 Dameca MRI 508

 SAFETY PRECAUTIONS

2. Safety precautions
Read this manual carefully and familiarize yourself with • Bacteria filters used with this machine must comply
the machine before using it. with EN 13328-1 or a similar standard.

• Anesthesia vaporizers connected to this machine

Always ensure that the machine is working properly be-
must comply with ISO8835-4 or a similar standard.
fore use.
• Heat and moisture exchangers used with this machine
must comply with EN ISO9360 or a similar standard.
WARNING
in this manual indicates a potential risk for the pa- • Humidifiers used with this machine must conform to
tient or operator that they may be in danger of in- EN ISO8185 or a similar standard.
jury.
• External suction or vacuum controls used with this
machine must comply with EN ISO10079-1, EN
CAUTION ISO10079-2 and EN ISO10079-3 or similar standards.
indicates a risk of damage to either the machine or
• Medical gases or anesthesia agents used with this ma-
other equipment.
chine must comply with the European Pharmaco-
poeia.
Note • The machine is compatible with medical gases of O2,
indicates circumstances to be considered while
Air and N2O and anesthesia agents of Halothane, En-
using the machine.
flurane, Isoflurane, Sevoflurane and Desflurane

• The central gas supply used with this machine must

2.1 Warnings comply with EN ISO9170-1 and ISO7396 or a similar
standard.
• Do not remove service hatches or covers. There are
no parts or components inside the machine that can
Note
If the central gas supply fails, the optional auxiliary
be repaired by the operator. Always have a qualified
gas outlet on this machine will also fail.
technician perform maintenance and repairs.

• The machine must only be connected to properly • A patient monitor connected to the breathing system
grounded hospital-grade electrical outlets. could cause leakage, even if the monitor is in standby
mode.
• Prior to servicing, cleaning or disinfecting, unplug the
power cord from the electric outlet. ­Allow the • The AGS system must always be activated when the
machine to dry completely before reconnecting the machine is in use.
power cord to the electric outlet.
• Serious personal injury and property damage has re-
• Spilled fluids can cause electrical shock. sulted from the use of steel gas cylinders in close
proximity to MRI devices.
• Ensure that all cables are intact and in good condition
before connecting the machine to a patient. • No add-ons, removals or changes should be made to
this machine unless so authorized by Philips.
• This machine must not be used in an environment
that exceeds the EMC levels stated in the EN60601- • Do not place magnetic items on the machine, as they
1-2 standard. will pose a danger in an MRI environment!

• External breathing systems used with this machine

must comply with EN 740, EN ISO8835-2 or a similar
standard.

Dameca MRI 508 10651MRIGB-90 50 13

SAFETY PRECAUTIONS

• Compressed gas cylinders, cylinder valves, cylinder quency diathermy equipment and are therefore not
regulators, other assemblies included with cylinders recommended for use with this machine.
or any other equipment used to supply compressed
• Once the patient is under anesthesia or connected to
gases shall not be present in the same room as an
the ventilator, the patient should be monitored by
MRI device, unless proven to be non-magnetic and/or
qualified personnel. Some machine malfunctions re-
tested and deemed suitable for use in an MRI envi-
quire immediate action.
ronment.
• When using the ventilator, alternative patient ventila-
2.1.1 Explosion hazard tion equipment must always be available.

• Do not use oil or grease lubricant with this machine. • When operating the machine, an alternative O2 gas
This also applies to silicon-based lubricant and non- supply must always be available.
combustible oils and grease. Only PTFE-based, O2
• Use only the anesthetic agent for which the vaporizer is
compatible lubricants can be used (e.g., Philips special
calibrated. Use of the wrong anesthetic agent in the va-
lubricant, product no. 36825).
porizer may be fatal to the patient.
• Do not use flammable anesthetic gases, such as ether
• If using a reusable CO2 absorber, note the following
or cyclopropane, with this machine. Use only anes-
concerning replacement of the soda lime absorber:
thetic agents that comply with the EN740 or similar
Absorber soda lime is caustic and can produce burns
standard with this machine.
in the respiratory tract if inhaled. Use breathing pro-
• Combustible materials that could be found near pa- tection equipment to prevent inhalation of soda lime
tients should be avoided in the area where O2 is being dust.
administered. This includes: hair oils, oil-based lubri-
• Do not begin any test procedure with a patient con-
cants, skin lotions, facial tissues, clothing and linen,
nected to the machine. Test procedures are designed
rubber and plastic articles, suction tubing, alcohols
to ensure safe and correct machine performance. Test
and acetone.
procedures should not be bypassed unless the pa-
tient's condition requires immediate use of the ma-
2.1.2 Patient safety chine.
• Do not use the machine for clinical procedures until
• The O2 concentration in the breathing system can dif-
ensuring the entire system is operating correctly.
fer significantly from the O2 concentration in the fresh
• The machine should always be used with a separate gas.
monitor for O2, anesthetic agent and CO2 concentra-
• When using soda lime in absorbers, always follow the
tions. This monitor must comply with the relevant
manufacturer's instructions.
standards under the EU council directive on medical
devices. • Use of different anesthetic agents in the machine may
result in the presence of residual agents (ppm) within
• If volume monitoring is not installed, the machine
the machine (vaporizer back bar, etc.). These residuals
should always be used with a separate monitor for ex-
can be minimized by setting a high fresh gas flow for
pired volume. This monitor must comply with the rel-
an extended period of time.
evant standards specified in the EU council directive
on medical devices.
Warning
• Before use, check all hose connections and ensure The use of 100% O2 can cause retinal fibroplasia in
that the machine is working correctly. Pay special at- neonatal patients.
tention to the breathing system and O-rings to ensure
that there are no loose connections or leaks in the
breathing system.
Warning
When 100% O2 from the auxiliary O2 flow meter
• Antistatic or electrically conducting breathing hoses gets in contact with some types of facial creams it
and masks can cause burns if used with High-fre- can ignite.

14 10651MRIGB-90 50 Dameca MRI 508

 SAFETY PRECAUTIONS

• Precautions should be taken to prevent cross infec- • The maximum torque on the table side rails is 20 Nm.
tions between patients. See section 8 regarding main-
• The maximum torque on the table side rails is 20 Nm.
tenance and cleaning.
• Vaporizers used for Fluothane, Halothane or other anes-
Note thetic agents containing Tymol or other stabilizers must
The auxiliary O2 flow meter (optional) bypasses the be emptied every second week and the drained agent
MPL valve. Thus, pressure from the flow meter may must be destroyed.
exceed the pressure from the fresh gas outlet.
• Vaporizer calibration should be regularly checked with a
suitable gas indicator (refractometer or similar).
• If the patient is connected to the anesthesia machine
in a volume controlled ventilation mode, and at- • This machine should be serviced at least once a year by
tempts a large spontaneous breath around the same a qualified technician.
time as a mandatory breath, it is possible for the pa-
• Vaporizers should be serviced at an authorized service
tient to create a high negative airway pressure. If the
center in accordance with the manufacturer's directions.
negative airway pressure is below -7.5 cmH20 (hPa),
the NPL valve of the anesthesia machine will open, • Use only original Philips hoses and accessories; other
but due to the resistance of the flow and the time hoses and accessories may cause malfunction if they do
taken to reach the patient, the airway pressure may not have the same dimensions or materials.
decrease further. The negative pressure however is
• Use only original Philips O-rings; other O-rings may
not sustained. If the patient is breathing spontane-
cause problems if they do not have the same dimensions
ously, and if the machine is installed with support
or are not made of the same materials.
ventilation modes, VSV or PSV could be considered.
• The reserve cylinder valves must be closed when the
2.1.3 Machine malfunction machine is using the central gas supply. The pressure in
the reserve cylinders may be higher than the central gas
• If the machine does not perform as described, it
supply pressure; thus, the cylinders could be depleted.
should not be used until the malfunction has been
corrected by a qualified technician. • When the machine is not in use disconnect it from the
power supply and central gas supply to prevent pollu-
2.1.4 Occupational hazard tion.

• Do not use the machine in insufficiently ventilated ar- • The anesthesia device should not be used next to other
eas. Use AGS systems to prevent elevated levels of an- devices, unless those devices are compatible with IEC
esthetic gases in the operation rooms. Make sure that 60601-1-2. In the event the anesthesia machine is used
the ball in the flow marker is visible. next to other electrical devices, it is recommended that
the user verify that the performance is not affected.

2.2 Cautions Note

Patient hoses used with this machine must comply
• Before connecting the machine to the power supply, ver-
with the EN 12342 standard, and the respiration
ify that the line voltage and frequency comply with the
bags must comply with the EN 1820 standard.
TYPE plate at the rear of the machine.

• The maximum load on the table's side rails is 20 kg.

Heavy equipment attached to one of the sides could
cause the machine to overturn.

• The maximum load on the table top (including side rails)

is 40 kg.

• The internal batteries only power internal systems,

not the auxiliary electrical outlets.

Dameca MRI 508 10651MRIGB-90 50 15

SAFETY PRECAUTIONS

2.3 Symbols 90%

Humidity limitation
10%

Type B (EN 60601-1) protection against 106 kPa

electrical shock Atmospheric pressure limitation

63 kPa

Consult instruction for use

Irritant

Adjustment of auxiliary O2 flow meter

and patient suction: catalogue number
Turn counterclockwise to increase flow.
Turn clockwise to decrease flow Keep away from sunlight

ON/OFF switch for lamp

Keep dry

Protective ground
Temperature limitation
50°C

Equipotentiality 0°C

This way up
ON/OFF

Patient flow pictogram Fragile, handle with care

Manufacturer 1
Stacking limit by number

250 kg max

WEEE symbol indicating that electronics Stacking limit by mass

must not be discarded as normal waste.

Warnings Batteries

Cautions
Gauss level maximum - 1000 Gauss
Note

General symbol for recovery/recyclable Gauss level maximum for gas cylinders -
1000 Gauss
Gaus level maximum for the power sup-
Class ply box - 100 Gauss

Gauss level maximum - 1000 Gauss

CE mark
Activate the brakes on the front wheels
0459
when the anesthesia machine is cor-
rectly placed in the scanner room

16 10651MRIGB-90 50 Dameca MRI 508

 FUNCTION

3. Function
12
11 13
10 14
15
9 16
17
8 18
7 19
Integrated 6
breathing 20
5
system 4
21
3
22
2
23

1 1

Fig. 3-1 Anesthesia machine model Dameca MRI 508 front view

1. Castors with brake 15. ON/OFF switch

2. Auxiliary fresh gas outlet* 16. Air/N2O selector valve*
3. CO2 absorber 17. O2 flush
4. Lock for absorber 18. Pressure gauges for central gas supply
5. BAG connection 19. Back bar for two interlock vaporizers
6. APL valve (for manual ventilation only) 20. Integrated auxiliary O2 flow meter*
7. Bellows 21. Tabletop with integrated side rails
8. Auxiliary O2 flow meter outlet* 22. Integrated patient suction*
9. O2, Air, N2O flow regulator switch 23. Auxiliary fresh gas outlet switch*
10. Rotameter tubes * optional
11. AGSS ON/OFF* flow marker
12. Top shelf
13. Ventilator display and controls
14. Control dial

Dameca MRI 508 10651MRIGB-90 50 17

FUNCTION

7
8

6
5

9
4

10

3
11
2
12

1 1

Fig. 3-2 Anesthesia machine model Dameca MRI 508 rear view

1. Castors without brake 10. Lock for breathing system

2. Grounding point 11. Patient suction connection*
3. Power cord 12. Connection for O2 fuel-cell sensor*
4. Power supply box
5. Auxiliary gas outlet*
6. Auxiliary AGSS connection
7. Gas inlets
8. Connection for patient volume sensor*
9. INSP/EXP cones for breathing system

18 10651MRIGB-90 50 Dameca MRI 508

 FUNCTION

1 2 3 4 5 6 7

Tidal Volume Whispa

May 11 10:28
(500 mL)
Resp. Rate VENT Adult Sensor Compl. 30 mL/cmH2O
P (cmH2O)
12 40 Alarm
30
I:E 30 Peak
20
1.0 : 2.0 20
Plateau
PEEP 10 19
PEEP
OFF 0
3
Insp. Press. 4 8 12 16 20 T (sec)
17 cmH2O
O 2% Insp. OFF Vent. Mode
TV Exp. 480
Insp. Pause OFF
(0 %) 30 22
8.0
MVExp. 4.8 4.0 PCV

9 8

Fig. 3-3 Ventilator display and controls

1. VENT/STBY key with indicator

2. Function keys
3. Display
4. Main Menu key
5. Alarm Menu key
6. Cancel Alarms key with indicator
7. Main Screen key
8. Control dial
9. Ventilation mode key

Dameca MRI 508 10651MRIGB-90 50 19

FUNCTION

3.1 Anesthesia Gas A built-in reservoir in the scavenging system is open

to the ambient air and serves as a relief of the ejec-
Scavenging System tor vacuum.

(AGSS) The AGSS outlet on the rear of the machine should

be connected by a hose to the central gas scaveng-
The Dameca MRI 508 anesthesia machine has a ing system.
built-in gas scavenging system. This system requires
an evacuation flow of 30-40 L/min to remove excess
gases from the breathing system to the AGSS outlet
Warning
The gases and anesthetic agents used during anes-
on the rear of the machine.
thesia may comprise a risk to personnel if the AGSS
is not activated or if the operating room is inade-
The evacuation flow can be generated from either
quately ventilated.
the permanent installation in the operating room or
from a pneumatic ejector within the Dameca MRI
508, which is activated with a switch (ON/OFF) on 3.1.1 External breathing system
the left side of the machine next to the AGSS flow
If using an external breathing system with the
marker. The pneumatic ejector is optional.
Dameca MRI 508 (see section 4.1.3), the excess an-
esthetic gases from that system can be evacuated by
The AGSS flow marker
connecting it to the auxiliary AGSS connector on the
on the left side of the
rear of the machine (9 in fig. 3-2).
machine contains a yel-
low ball that is visible
Remove the plug from the auxiliary AGSS connector
when the flow is 25 L/
(30 mm female connector), then connect the exter-
min or more.
nal breathing system.

Warning
Fig. 3-5 Flow marker If an external breathing system is used, it must have
its own open reservoir integrated into the AGSS sy-
stem. Otherwise, the auxiliary AGSS connection cre-
Note ates subatmospheric pressure in the breathing sy-
The AGSS flow marker only works with the breath- stem, which can be dangerous to the patient.
ing system. If an external breathing system is used
instead, it must be equipped with its own indicator When the external breathing system is no longer
of correct AGSS flow. needed with the machine, the plug must be placed
into the auxiliary AGSS connector (30 mm female
connector).

20 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

4. Operation
Scanner
Note
Before using the machine for the first time, the elec-
trical safety must be tested in accordance with EN
60601-1, and all patient-related parts must be 1000 Gauss line
cleaned.

Note

Scanner table
Before connecting the machine to a patient, per-
form the function test described in section 4.3.

Note
Before connecting the machine to the power supply,
check that the voltage rating on the machine's TYPE
label (on the rear of the machine) is the same as the
°
voltage of the power supply. 25°<
α <90

4.1 Installation
Before the machine is put in use, the following test Warning
must be performed: The power supply box must be properly secured.

1. Mark the 1000 Gauss line on the floor. Place the 2. S tart the machine on a test lung, with the venti-
machine in the MR scanner room, and connect lator activated.
to the power supply and pressurized gases.
3. P
 lace a test object (calibration test object) into
The machine must be placed to the right side of the MR scanner.
the scanner table for the patient, and the angle
between the front of the anesthesia machine 4. O
 bserve if the machine is operating normally,
and the scanner table must be 25-90O. and whether the images from the MR scanner
are influenced by the machine.
The wheels of the machine should always be
placed on the outside of the 1000 Gauss line. 5. If this test indicates normal function of the ma-
chine and of the MR scanner, means must be
Place the ventilator power supply box as far from provided to assure that the user does not place
the MR scanner as possible. The power supply box the machine closer to the MR scanner, e.g. by
should always be placed on the outside of the marking on the floor.
100 Gauss line.
6. If this test indicates abnormal function of the
machine or the MR scanner, then the distance
Warning between the scanner and the machine must be
The power supply box must never be placed on the
increased, and the test should be performed
machine, when the machine is in the MR scanner
again.
room.

Dameca MRI 508 10651MRIGB-90 50 21

OPERATION

Warning 4.2.1 Integrated breathing

The machine is only intended for magnetic fields up
to 1000 Gauss.
system (IBS)

Warning
When the machine is placed in the MR scanner
room, the brakes must be activated.

Warning
The ventilator power supply box must be placed as
1
far from the MR scanner as possible. The box is only
intended for magnetic fields up to 100 Gauss.
2
3
Warning 4
All accessories and parts placed on the machine
5
must be MRI compatible.
6

4.2 Setup
• Connect the machine to the power supply.
• Connect the machine to the gas supply 1. Assemble the breathing system (see section 8),
(300-600 kPa), vacuum (optional) and AGSS. connect it to the base (1) and lock it in place with
the handle (2).
• Activate the AGSS flow and check that the yellow
ball in the flow marker (3 in fig. 3-1) is visible. The
2. Connect the i-SORB CO2 absorber (3) to the
AGSS flow can be generated by either the ma-
breathing system by placing it into the bracket
chine (optional) or by one of the hospital's AGSS
underneath the base and lifting it upward by the
units. If the AGSS flow is generated by the ma-
handle until the lock clicks.
chine, activate it by pressing the red/green pin
above the flow marker (3 in fig. 3-1).
Warning
If using i-SORB disposable absorbers with the ma-
chine, first remove the seal from the
absorber before placing it into the breathing system.

3. Connect inspiratory and expiratory patient hoses

(4) to the cones marked with arrows on the
breathing system, including the Y-piece (6) and
bacteria filter (product no. 38477).
The bacteria filter can be placed in either the
Y‑piece or the breathing systems expiratory port.

22 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

4. Connect the manual respiration bag (5) to the Note

cone marked BAG on the breathing system. Do not change the integrated breathing system dur-
A hose may be added between the BAG cone ing use.
and the bag to give the operator greater flexi-
bility. If the integrated breathing system is disconnected,
the following message will be displayed on the
screen:
Note
The respiration bag must be 1-3 L otherwise the
"Breathing system disconnected".
leakage test of the BAG system included in the Self-
test, may not work correctly.
If the ventilator is being used when this happens,
the message will be followed by an alarm.
• Turn the fresh gas switch (26 in fig. 3-1) to
"Circle system."
Note
The built-in rechargeable battery is charged ONLY if
the ventilator is connected to the power and the
ON/OFF switch (17 in fig. 3-1) is ON. If the ventilator
has not been used for a longer period, the built-in
battery must be charged for approximately 12
hours.

Note
If the i-SORB CO2 absorber has been removed for
more than 30 sec. the following message will be dis-
played on the screen:

"Absorber disconnected".

If the ventilator is being used when this happens,

the message will be followed by an alarm.

Dameca MRI 508 10651MRIGB-90 50 23

OPERATION

4.2.2 Replacing the CO2 absorber

Remove seal on
PRESS new absorber
CLICK
(disposable ver-
sion)

1. Hold the absorber by the handle.

4.2.3 External breathing system
2. P
 ress the button above the handle to release the Other breathing systems can be used with the
absorber. The two absorber valves close to pre- Dameca MRI 508 anesthesia machine.
vent loss of gas while replacing the absorber.
1. Assemble the breathing system and connect it to
3. Remove the used absorber from the bracket. the auxiliary fresh gas outlet (optional) located
on the left side of the table top (5 in fig. 3-1).
4. Place the new absorber into the bracket.
2. To remove excess anesthetic gases from the
5. Lift the absorber handle until the lock clicks. breathing system, connect it to the 30 mm fe-
male connector marked AUX AGSS on the rear of
6. T he new absorber is now connected to the the machine (8 in fig. 3-2). See section 3.1.1
breathing system.
3. Set the fresh gas switch (26 in fig. 3-1) to AUX
Outlet.
Caution
Always use a bacteria filter with the breathing sy-
stem. See section 8.8 Disposable.

Caution
Remove the red protection seal from the new ab-
sorber and place it on the old absorber before di-
scarding.

Note
When used up, the disposable CO2 absorber can be
discarded as other hospital waste.

24 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

Whispa
May 11 10:28
Caution Superusers or technicians can use the Service menu
The ventilator cannot be used when the fresh gas to define the default value for the placement of the
ENT Adult
switch is set to "Aux Outlet," and Sensor
if the user at- Compl.flow30 mL/cmH2O
sensor.
tempts to do so, a "system pressure high" alarm will
P (cmH2O)start and the patient will not be ventilated. Alarm
If the flow sensor is placed at the Y-piece, the sen-
sor must be mounted with the PATIENT port ­facing
30
the patient.
4.2.4 Patient flow sensor
The machine can be equipped with a volume moni-
Peak
• If the TV Insp. value on the ventilator display says
tor which uses a flow sensor. "OFF"20when the ventilator is in STBY mode, the
flow sensor should be placed on the expiratory
Then the ventilator display will appear as follows: Plateau
side, on the breathing system.
• If the 19
TV Insp. value on the ventilator display
Two different types of flow sensors are used:
reads a value when the ventilator is in STBY
A pediatric flow sensor is used for patients with a
mode,PEEP
the flow sensor must be placed at the
Y-piece, between patient and Y-piece.
tidal volume between 20 and 300 mL (Insp./Exp. 3
flow 2-35 L/min).
Note
4 8 12 16 20A bacteria
T (sec)
filter must always be placed between the
patient and the flow sensor.

O 2% Insp. OFF Vent.• IfMode

a external flow sensor is used, tubing must be
TV Exp. 480
connected between the flow sensor and the ma-
chine (6 in fig. 3-2).
OFF
30 22 MVExp. 4.
8.0
8 4.0 PCV

An adult flow sensor is used for patients with a tidal

volume between 200 and 1500 mL (Insp./Exp. flow
10–120 L/min).

If the flow sensor is placed on the expiratory side,

the expired tidal volume and minute volume are
measured.

If the flow sensor is placed at the Y-piece, the in-

spired tidal volume is also measured, and a spirom-
etry curve (pressure-volume) can be shown on the
display.

Dameca MRI 508 10651MRIGB-90 50 25

OPERATION

EXT. FLOW SENSOR KIT, PART NO. 10967-120 1. P

 lace the O2 fuel-cell sensor into the T-piece
(part no. 42012-07) into the breathing system on
Item Description the inspiratory side. The O2 fuel-cell sensor must
1 Spirometry tube 2 m ­always face upward.
2 Adult flow sensor, r­ eusable
3 Pediatric flow sensor, ­reusable 2. Connect the cable between the O2 fuel-cell
4 Single-use bacterial filter ­sensor and the connector on the rear of the
machine (17 in fig. 3-2).

 




Patient port

Tidal Volume Whispa

May 11 10:28
(500 mL)
Caution
After performing a self-test, the type of flow sensor
(adult orResp.
pediatric)Rate
must be definedVENTusing the Adult Sensor Compl. 30 mL/cmH2O

Spirometry menu. O2 fuel-cell
P (cmH2O)
12 40 sensor
Alarm
30
4.2.5 O2 fuel-cell sensor
I:E 30  Peak
The machine can be set up with an O2 monitor, that 20
1.0 : 2.0
uses an external fuel-cell sensor. 20 T-piece
Plateau
PEEP
The display then 10
appears as follows: 19
O2 FUEL-CELL SENSOR KIT; PART NO. 10967-85
PEEP
OFF 0
3
Item Description
Insp. Press. 4 81 12
T-piece 16 20 T (sec)
17 cmH2O 2 O2 fuel-cell sensor
O 2% 3 OFF Vent. Mode
Insp.for O2 fuel-cell sensor
Cable
TV Exp. 480
Insp. Pause OFF
(0 %) 30 22 4.1.6
MVExp. 4.8 8.0
 Suction PCV
canister
4.0
Place a suction canister on the left side of the ma-
chine, in the area below the CO2 absorber.

Connect the canister to the integrated patient suc-

tion (11 in Fig. 3-2) using a suction connection.

The canister should include an overflow protection

26 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

4.3 Function test Note

If an alarm is detected after power-up of the ventila-
Press the ON/OFF switch on the front of the ma- tor, the self-test is not executed. Instead the alarm is
chine (17 in fig. 3-1) to the ON position to power up shown on the display.
the machine.
When "FULL TEST" is selected by the user (by acti-
vating the "Vent. mode" field on the ventilator dis-
Note play, selecting FULL TEST and pressing the control
The breathing system must be assembled and con-
dial), the start-up sequence is activated before going
nected, including hoses, Y-piece and CO2 absorber,
to test sequence 1.
before a function test can be performed.

Warning Note
During the FULL self-test all alarms are disabled.
The patient must not be connected to the machine
when powering up or during the function test.
Test sequences
The machine powers up, carries out an initial self-
Startup
test of internal functions, and performs test se-
quence 1. This takes approximately 25 sec.
Display: "Do you want to perform FULL TEST ?
Yes/No"
Note "Patient must NOT be connected"
If the machine is equipped with an O2 monitor "Select Yes or No and press to continue."
which uses an external fuel-cell sensor, this monitor
will not be working until approximately 30 sec. after • Change between Yes and No by turning the con-
activating the main switch. trol dial, then press to select.
• Selecting Yes launches the FULL self-test.
When the initial self-test has been successfully com- • Selecting No bypasses the FULL self-test. This
pleted, the ventilator is in Standby mode and the should only be used in an emergency.
FULL self-test can be performed.
Even after the FULL self-test has been launched, the
operator can cancel it by pressing the "Main Screen
4.3.1 FULL self-test key" field (7 in fig. 3-3). The following text is then dis-
played:
During a FULL self-test, machine function, compli-
ance, and leakage are tested. Display: "Do you want to bypass self-test ? Yes/No"
"Only bypass in case of an emergency"
Compliance and leakage measurements include the "Select Yes or No and press to continue."
breathing system, including the hoses and Y-piece.
• Change between Yes and No by turning the con-
When the ON/OFF switch on the front panel is trol dial, then press to select.
pressed to the ON position, the machine automati- • Selecting Yes bypasses the FULL self-test. This
cally performs test sequence 1 to verify the correct should only be used in an emergency.
operation of necessary components. Next, test • Selecting No causes the FULL self-test to resume.
­sequence 2 is performed.

Dameca MRI 508 10651MRIGB-90 50 27

OPERATION

Warning 1. Place the Y-piece on the test

If the FULL self-test is bypassed, some of the ma- adapter at the respiration bag
chine functions are not checked. In this case, the connector of the breathing
operator must closely observe the patient during system.
anesthesia to maintain safe performance.
2. Check that the yellow ball in the
flow marker (3 in fig. 3-1)
Warning is visible.
If the FULL self-test is bypassed, compliance and
breathing system leakage are not measured. The
3. Press the control dial to confirm.
ventilator then uses data from the last self-test; thus
the tidal volume to the patient in VCV or SIMV
mode may be inaccurate. Note
If the machine is equipped with a separate gas mon-
itor and no sample from this monitor is returned to
Note the breathing system, the tube for sample flow must
If the FULL self-test is bypassed, the message "TEST
not be connected to the breathing system during
BYPASSED" remains displayed.
the test. Otherwise the leakage will be too High.

Warning TEST SEQUENCE 3 - BAG FILLING

The FULL self-test must be run at least once a day
when the machine is in use. Display: "Set APL valve at pat. circuit to 35
cmH2O. Open vaporizer"
"Activate O2 flush until resp. bag is full"
Warning "Press to continue"
The patient must not be connected to the machine
when powering up or during the FULL ­self-test.
1. Set the APL valve on the breathing system
(9 in fig. 3-1) to 35 cmH2O and open the vapor-
TEST SEQUENCE 1 - SYSTEM AND VALVES
izer.
Display: "System check running"
2. Activate the O2 flush (19 in fig. 3-1) until the res-
piration bag is full and the APL valve opens.
The machine checks the internal safety system
(watchdog), and the ventilator valves.
3. Press the control dial to confirm.
TEST SEQUENCE 2 - OCCLUDE Y-PIECE
After this, the airway pressure in the breathing sys-
tem is checked (should be 25-45 cmH2O).
Display: " Occlude Y-piece (use test adapter)"
"Check gas evacuation (flow marker)"
TEST SEQUENCE 4 - C OMPLIANCE AND LEAKAGE,
"Press to start". If you want to
VENT
leave this test, press Main Screen"
Display: " Set O2 or Air fresh gas flow to 5 L/min"
"Activate O2 flush until bellows is full"
"Press to continue"

1. Set the fresh gas flow on O2 or Air rotameter to

5 L/min.

28 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

If the leakage exceeds 100 mL/min, but is less than

2. Activate the O2 flush (19 in fig. 3-1) until the
1000 mL/min, an error message is displayed on the
­bellows in bag-in-bottle is full.
screen:
3. Press the control dial to continue.
Display: "Leakage in VENT system XXX mL/min.
Accept: Yes/No"
The pressure in the breathing system is checked
"Check BiB, connectors, and hoses"
(Should be 1.5-4.5 cmH2O due to bag-in-bottle).
"Select No to repeat test. Select Yes to
­continue"
Display: " Close fresh gas flow"
"Press to continue"
• Change between Yes and No by turning the con-
trol dial, then press to select.
1. Close the fresh gas flow.
• Selecting Yes accepts the measured leakage, and
the next test sequence is performed.
2. Press the control dial to confirm.
• Selecting No rejects the leakage, and the compli-
ance and leakage tests are performed again.
Display: "Leakage test running"
If the leakage exceeds 1000 mL/min, an error mes-
Next, compliance in the VENT system is checked sage is displayed on the screen:
based on the ventilator volume needed to reach a
breathing system pressure of 30 cmH2O. Display: "Leakage in VENT system XX mL/min"
"Check BiB, connectors, and hoses"
This 30 cmH2O must be reached within 10 sec. at an "Press to repeat test"
inspiratory flow of 5 L/min. Otherwise, an error
message is displayed on the screen. Pressing the control dial restarts the compliance and
leakage test.
System compliance must be between 2.0 and
10.0 mL/cmH2O. Otherwise, an error message is dis- TEST SEQUENCE 5 – LEAKAGE, BAG
played on the screen.
The BAG/VENT valve in the breathing system is set
Once a pressure of 30 cmH2O is achieved, a check of to BAG, and the breathing system pressure is
leakage in the VENT system is performed based on checked to find any leakage from either the APL
the pressure drop over time with respect to the valve or respiration bag.
measured breathing system compliance.
If the pressure has fallen to below 10 cmH2O, an er-
If the pressure falls too rapidly for the leakage to be ror message is displayed on the screen:
measured, an error message is displayed on the
screen: Display: "Leakage in BAG system too High –
(pressure below 10 cmH2O)"
Display: "Leakage too High" "Check APL valve, and resp. bag (empty ?)"
"Check BiB, connectors, and hoses" "Press to repeat test"
"Press to repeat test"
Pressing the control dial restarts the compliance and
Pressing the control dial restarts the compliance and leakage test.
leakage test.

Dameca MRI 508 10651MRIGB-90 50 29

OPERATION

TEST SEQUENCE 6 – L EAKAGE BAG/VENT VALVE, 1. T he APL valve should be adjusted as desired by
EXP. VALVE AND PEEP VALVE the operator.

Display: "Set APL valve at pat. circuit to SP." 2. If the machine is set up with a volume monitor,
"Close vaporizer" the operator must use the Spirometry menu to
"Then remove Y-piece from occlusion" define the type of sensor (adult or pediatric) to
"Press to continue" use.

• S et the APL valve at pat. circuit 3. Pressing the control dial puts the machine in
to SP and close vaporizer. STBY mode, and all user settings are reset to de-
• Remove the Y-piece from the fault values.
occlusion.
• Press the control dial to confirm. 4. Next, the manual part of the self-test should be
performed as described in sections 4.2.3 to 4.2.12.
Display: "Valve check running"

When a 30 cmH2O pressure is reached on the out- 4.3.2 LC self-test, leakage and
side of the bellows of the bag-in-bottle, with the
BAG/VENT valve in BAG position, the leakage from
compliance test
the BAG/VENT valve and the expiration and PEEP
The leakage and compliance (LC) test can be used to
valves inside the ventilator is checked based on the
measure leakage and compliance when parts of the
pressure drop ­during time.
breathing system are changed between two patients
(e.g., hoses and respiration bags).
If the leakage is too high, the following error mes-
sage is displayed on the screen:
During the LC self-test, system compliance is meas-
ured, and leakage is checked.
Display: "Leakage in BiB too High"
"Check BiB and change-over valve"
The compliance and leakage test includes the
"Press to repeat test"
breathing system, including hoses and the Y-piece.
Pressing the control dial restarts the leakage test for
the BAG/VENT valve, the expiration valve, the PEEP
When the operator selects the LC self-test (a sub-
valve inside the ventilator, and the APL valve.
menu of the Setup Menu), the following test se-
quences are performed.
TEST SEQUENCE 7 - TEST COMPLETED

Display: "Leakage in VENT system: XX mL/min" Note

"Compliance in VENT system: During the LC self-test, all alarms are disabled.
XX mL/ cmH2O"
"Press to continue"
Test sequences
Pressing the control dial shows the next message on Startup
the screen.
Display: "Do you want to perform LC TEST ? Yes/
No"
Display: " Test completed. Check pat. suction etc.
"Patient must NOT be connected"
Adjust APL valve. Read user manual"
"Select Yes or No and press to continue"
"If vol. monitor is installed, connect sen-
sor and define in menu. Press to finalize"
• Change between Yes and No by turning the con-
trol dial, then press to select.

30 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

• Selecting Yes launches the LC self-test.

2. Fully open the N2O regulator.
• Selecting No bypasses the LC self-test.
3. S lowly open the O2 regulator and check that the
Even after the LC self-test has been launched, the
N2O rotor does not lift, until the O2 flow is 250
operator can cancel it by pressing the "Main Screen"
+/-25 mL/min.
field key (7 in fig. 3-3). The following text is then dis-
played.
4. S et the O2 regulator to a flow of 0.5 L/min, and
verify that the N2O flow is 1.5 +/- 0.1 L/min.
Display: "Do you want to bypass self-test ? Yes/
No" 5. S et the O2 regulator to a flow of 2 L/min, and
"Only bypass in an emergency" verify that the N2O flow is 6 +/-0.2 L/min.
"Select Yes or No and press to continue"
6. D
 isconnect the O2 supply and verify that both
• Change between Yes and No by turning the con- the O2 and N2O flows decrease. The N2O rotor
trol dial, then press to select. must reach the zero point first.
• Selecting Yes bypasses the LC self-test.
This should only be used in an emergency. 7. C
 heck that the audible O2 alarm is activated
• Selecting No restarts the LC self-test. when the O2 pressure is reduced to approxi-
mately 2.5 bar, and it is activated for at least
Warning 7 sec.
If parts of the breathing system have been changed
and the LC self-test is bypassed, compliance and
8. Reconnect the O2 supply.
breathing system leakage are not measured. The
ventilator then uses data from the last self-test; thus
the tidal volume to the patient in VCV or SIMV 4.3.4 A
 ir/N2O selector valve
mode may be inaccurate.
(optional)
1. S et the Air/N2O gas selector valve to N2O, and
Note adjust the N2O flow to approximately 3 L/min (on
If the LC self-test is bypassed, the message "TEST
machines with minoxyguard open the O2 regula-
BYPASSED" remains displayed.
tor first).

Warning 2. S et the Air/N2O gas selector valve to Air, and ad-

The patient must not be connected to the machine just the Air flow to approximately 3 L/min.
during the LC self-test.
3. C
 hange the Air/N2O gas selector valve between
Test sequence 2 to 7 from the FULL self-test are Air and N2O, and verify that the gas flow is in the
­performed. selected rotameter tube only.

4. Close the gas regulators on the rotameter box.

4.3.3 R
 otameter box with
minoxyguard 4.3.5 O2 monitor test
Slowly open the gas regulators for each gas, and
If the machine is set up with an O2 monitor using an
check that the rotors are rotating and running freely
external fuel-cell sensor (see section 4.2.5), the fol-
over the full range of the rotameter tubes.
lowing test must be performed:
1. S et the Air/N2O gas selector switch (optional) in
1. Set status to MAN. The Y-piece must be open to
N2O position.
ambient air.

Dameca MRI 508 10651MRIGB-90 50 31

OPERATION

2. Set the fresh gas flow to 10 L/min Air and wait 4. Set the "Airway pressure High" alarm to the
until the displayed O2% reading stabilizes. Check same value as before (above Peak pressure) and
that the reading shows 20–22% O2. If not, recali- check that the alarm stops.
brate the O2 fuel-cell sensor as described in sec-
tion 6.1.6.
4.3.8 Mains power failure alarm
3. Set the fresh gas flow to 10 L/min O2 and wait 1. Attach a test lung to the Y-piece and start the
until the displayed O2% reading stabilizes. Check ventilator.
that the reading shows 98–102% O2. If not, re-
calibrate the O2 fuel-cell sensor as described in 2. Disconnect the 230 V power supply to the ma-
section 6.1.6. chine, and check that the "Mains power failure"
alarm triggers and that machine continues to
­operate.
4.3.6 Expired minute volume
Low/High alarm 3. Reconnect the 230 V power supply to the machine.
If the machine is set up with a volume monitor us-
ing a flow sensor (see section 4.1.5), the following 4.3.9 Test of reserve gas cylin-
test must be performed:
ders
1. A
 ttach a test lung to the Y-piece and start the If the machine is set up with reserve O2 or N2O cyl-
ventilator in VCV mode. inders, the following test must be performed:

2. Wait about 1 minute and read the expired min- 1. Disconnect the O2 and N2O supply to the ma-
ute volume on the display. chine and open the reserve gas cylinders.

3. Check that this corresponds with the set minute 2. Open the valves of the reserve O2 and N2O cylin-
volume (Tidal volume x Respiration rate). ders.

4. C
 heck that the Insp. and Exp. valves in the 3. Set the Air/N2O selector valve (16 in fig. 3-1) to
breath-ing system move during inspiration/expi- N2O.
ration.
4. Close O2 and N2O flow regulator knobs (9 in fig.
3-1).
4.3.7 Airway pressure High
alarm 5. Read the pressure in the reserve cylinders on the
manometers on the rear of the machine.
1. Attach a test lung to the Y-piece and start the
ventilator.
6. Check for sufficient cylinder pressure (the pres-
sure of the cylinders must never be below
2. Read the displayed Peak pressure and set the
10 bar).
High-pressure alarm 5 cmH2O lower than the
Peak pressure.
7. Close the reserve cylinders.
3. Check that the "Airway pressure High" alarm
8. Observe the pressure gauges for at least one
triggers and that the Peak pressure is limited by
minute. The pressure must not decrease.
the new alarm setting.

32 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

9. Reconnect the central gas supply to the machine. 3. Close the flow meter regulator (clockwise) and
check that the flow meter reduces to zero.
4.3.10 Patient suction test
If the machine is equipped with patient suction, the
4.2.13 Test of auxiliary fresh gas
following test must be performed: outlet
If the machine is equipped with an auxiliary fresh
1. Fully open the regulator of the suction unit and
gas outlet, set the switch to On
occlude the suction hose.
Block the outlet with a finger and push the O2 flush
2. S tart the suction by activating the ON/OFF
for two seconds to test the Maximum Pressure Limi-
switch, and check that the vacuum gauge indi-
ting (MPL) valve's pop-of function.
cates a vacuum of at least -0.7 bar.
Set the switch to "Circle system" and check that the
3. Set the suction unit regulator to the desired vac-
message disappears.
uum. Turn off the suction unit with the ON/OFF
switch, and reopen the suction hose.
4.2.14 Daily test completed
4.3.11 Vaporizer test 1. Press
 "Cancel Alarms" to clear old alarm mes-
sages from the display.
If the machine is equipped with a vaporizer, the fol-
lowing test must be performed:
Caution
1. Check that the vaporizer(s) is(are) correctly at- After the function test is completed, check that all
tached to the machine. alarm settings are suitable for the patient before
connecting the machine to the patient.
2. For each vaporizer, check that the vaporizer
knob(s) can freely turn throughout the full regu-
lation range and can be locked in the "0" posi-
tion.

3. Check that the vaporizer(s) is (are) adequately

filled.

Note
Consult the vaporizer user manual.

4.3.12 Auxiliary O2 test

If the machine is equipped with an auxiliary O2 flow
meter, the following test must be performed:

1. Open the flow meter regulator (counterclock-

wise).

2. Check that the flow rate can reach 10 L/min.

Dameca MRI 508 10651MRIGB-90 50 33

OPERATION

4.4 Operation of the ventilator

Tidal Volume Whispa

May 11 10:28
(500 mL)
Resp. Rate VENT Adult Sensor Compl. 30 mL/cmH2O
P (cmH2O)
12 40 Alarm
30
I:E 30 Peak
20
1.0 : 2.0 20
Plateau
PEEP 10 19
PEEP
OFF 0
3
Insp. Press. 4 8 12 16 20 T (sec)
17 cmH2O
O 2% Insp. OFF Vent. Mode
TV Exp. 480
Insp. Pause OFF
(0 %) 30 22
8.0
MVExp. 4.8 4.0 PCV

When the self-test is completed, the machine is in The ventilator constantly adjusts the inspiratory
STBY mode ready for automatic ventilation of the flow to deliver the set tidal volume to the patient in-
patient, following adjustment of the ventilation pa- dependently of the breathing system’s compliance
rameters. and the actual fresh gas flow.

The following parameters can be set while the ma- VCV is also known as "CMV" or "IMV".
chine status is in STBY or VENT.
Note
A. Ventilation modes If the patient is connected to the anesthesia ma-
chine in a volume controlled ventilation mode, and
During automatic ventilation, the following ventila-
attempts a large spontaneous breath around the
tion modes are available:
same time as a mandatory breath, it is possible for
the patient to create a high negative airway pres-
VCV Volume Controlled Ventilation
sure. If the negative airway pressure is below -7.5
SIMV Synchronized Intermittent
cmH20 (hPa), the NPL valve of the anesthesia ma-
(Mandatory Ventilation
chine will open, but due to the resistance of the
PCV Pressure Controlled Ventilation
flow and the time taken to reach the patient, the
PSV Pressure Supported Ventilation (optional)
airway pressure may decrease further. The negative
PRVT Pressure Regulated Volume Target
pressure however is not sustained. If the patient is
(optional)
breathing spontaneously, and if the machine is in-
stalled with support ventilation modes, VSV or PSV
VCV mode could be considered.
In VCV mode, the ventilator gives the set tidal vol-
ume pressure to the patient using a constant inspir-
atory flow.

34 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

SIMV mode
In SIMV mode, the patient can trigger a VCV inspira-
tion during the expiration phase by causing the
breathing system pressure to decrease. In the
"Setup menu", the operator can define the size of
pressure drop needed to trigger a VCV inspiration.
The decrease in pressure is in relation to set PEEP.

If the patient has not triggered an inspiration during

the expiration phase, the machine automatically de-
livers a VCV inspiration.

The time interval in which the patient can trigger When the operator reduces the respiration rate in
an inspiration is called the "trigger window." The SIMV mode to force the patient’s spontaneous
ventilator calculates this trigger window when it breathing during wake-up, the trigger window is
shifts to SIMV mode to equal one cycle (inspira- maintained at the end of the expiration phase.
tion + expiration).

Time, pressure graph in previous mode

Time, pressure graph in SIMV mode

Trigger-window: VCV Insp. can be triggered

F or patient safety, the patient cannot trigger a Therefore, the trigger window is prohibited from
new inspiration while the ventilator is delivering entering the inspiratory phase plus a following
an inspiration or just after completion of the period of 200 msec. The patient can only trigger
­inspiration. one inspiration per trigger window.

Time, pressure graph in SIMV mode

Tggeriäg is
Triggering is never
never possible
possible during
during
insp.time
Insp. time + + 200msec.
200 msec.

Dameca MRI 508 10651MRIGB-90 50 35

OPERATION

SETTING THE TIDAL VOLUME AND INSPIRATION SET VOLUME

TIME IN SIMV MODE If the ventilator setup is defined using minute
In SIMV mode, the tidal volume and inspiration time volume as the set volume, the tidal volume in SIMV
should be the same as in VCV mode, even if the op- mode displays "MV". Changing the respiration rate
erator increases the expiration time to force the pa- causes the ventilator to automatically calculate a
tient’s spontaneous breathing during wake-up. new minute volume in order to leave the tidal
volume unchanged.
Therefore, setting inspiratory time and tidal volume
is different than in all other modes. EXAMPLE
All settings on initial values, except for respiration
INSPIRATORY TIME rate, which is set to 20. This gives a tidal volume of
The inspiratory time in SIMV mode is displayed 300 mL.
while setting the I:E ratio.
Changing the respiration rate or Insp. pause causes If SIMV mode is selected and the respiration rate is
the ventilator to automatically calculate a new I:E changed to 10 (to increase the expiratory time), the
ratio to prevent the inspiratory time from changing. set minute volume setting automatically changes
from 6.0 L to 3.0 L to maintain a tidal volume of 300
EXAMPLE mL. To change the tidal volume while in SIMV mode,
All settings on initial values, except for respiration the operator should select "MV" and turn the con-
rate, which is set to 20. This gives an inspiratory trol dial. Once the minute volume is changed, the
time of 1 second. screen displays the new tidal volume. The new set-
If SIMV mode is selected and the respiration rate is ting does not take effect until the control dial is
changed to 10 (to increase the expiratory time), the pressed to confirm the setting.
I:E ratio automatically changes from 1:2 to 1:5 to
maintain the inspiration time at 1 second.
Note
The service menu can be edited to define whether
In SIMV mode, the I:E ratio can be set from 1:1 to
SIMV mode should be available. This setting can
1:9.9, because I:E ratios with longer inspiration than
only be changed by a superuser or service techni-
expiration are not permitted in SIMV mode. Thus,
cian.
no respiration rate or inspiratory pause can be set
that results in an I:E ratio outside the range 1:1 to
1:9.9. PCV mode
In PCV mode, the ventilator gives the set inspiratory
EXAMPLE
pressure above PEEP to the patient using a decele-
All settings on initial values, except for respiration
rating inspiratory flow.
rate, which is set to 20. This gives an inspiratory
The ventilator constantly adjusts the inspiratory
time of 1 second.
flow in order to reach the set inspiratory pressure
and maintain it throughout the full inspiratory
If SIMV mode is selected, the respiration rate can be
phase independently of the breathing system’s com-
changed from 6 resp/min (resulting in an I:E ratio of
pliance and the actual fresh gas flow.
1:9.0) to 30 resp/min (causing an I:E ratio of 1:1).
If the set inspiratory pressure cannot be obtained
during inspiration, the "Pressure limit" alarm is trig-
To change the inspiratory time while in SIMV mode,
gered (see section 7.7).
the operator should select "I:E ratio" and turn the
control dial. Once the I:E ratio is changed, the
screen displays the new inspiratory time. The new
setting does not take effect until the control dial is
pressed.

36 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

PSV mode Note

PSV mode is an option that can be installed by ei-
While in PSV mode, the patient has exclusive control
ther Philips or an authorized technician.
of the ventilator, and the ventilator does not pro-
vide mandatory inspirations to the patient.
Thus, this ventilation mode is suitable for patients Note
with a certain degree of spontaneous breathing, the PSV mode is only available if the flow sensor is
ventilator assisting the patient’s breathing. placed at the Y-piece.

INSPIRATION
When the patient begins an inspiration and the in-
PRVT mode
spiratory flow at the Y-piece (measured by the flow In PRVT mode, the ventilator gives a precise inspira-
sensor) is Higher than the set "Insp. trig." the venti- tory pressure to the patient using a decelerating in-
lator initiates an inspiration in order to reach the set spiratory flow. The ventilator continuously adjusts
"Support pressure". Once this "Support Press." is this flow in the same manner as in PCV mode. The
reached, the ventilator maintains the pressure difference between PCV and PRVT mode is that, in
throughout the remainder of the inspiratory phase. PRVT mode, the ventilator automatically adjusts the
inspiratory pressure for each inspiration in order to
EXPIRATION deliver the set tidal volume to the patient.
The inspiration stops and expiration begins when
the following conditions prevail: The ventilator automatically adjusts the inspiratory
flow to maintain a difference of less than 10% be-
1. The measured pressure in the breathing system tween the set tidal volume and the expired tidal
is Higher than the High-pressure alarm limit (the volume (measured by the flow sensor in the breath-
same function as in the other ventilation modes). ing system).

2. The duration of the inspiration exceeds 2.5 sec. When PRVT mode is selected, the inspiratory flow
(if the flow sensor is set to "Adult") or 1.5 sec. (if for the first three inspirations is the same as in VCV
the flow sensor is set to "Ped."). mode, with an inspiratory pause of 20% in order to
measure patient compliance. This compliance value
3. The inspiratory flow at the Y-piece (measured by is used to calculate the inspiratory pressure needed
the flow sensor) is lower than the set "Exp. trig." to deliver the set tidal volume to the patient.
"Exp. trig." is set as a percentage of the maxi-
mum flow measured during inspiration. For the fourth inspiration, the inspiratory flow is as
in PCV mode, and the inspiratory pressure is based
VENTILATION BACKUP on both the set tidal volume and the measured pa-
If the patient does not trigger an inspiration before tient compliance.
the "PSV backup" period has ended, a "PSV backup
mode is, switching to PCV" alarm triggers (see sec- From the 5th inspiration onward, the ventilator au-
tion 7.6), and the ventilator automatically switches tomatically adjusts the inspiratory flow by compar-
to PCV mode. ing the set tidal volume with the measured expired
tidal volume.
The alarm disappears by pressing "Cancel Alarms".

Dameca MRI 508 10651MRIGB-90 50 37

OPERATION

If the ventilator detects that an inspiratory pressure Press the Vent. Mode key and select the desired
of less than 4 cmH2O is needed to reach the set tidal mode with the control dial (14 in fig. 3-1)
volume, the inspiratory pressure sets to 4 cmH2O
and triggers an alarm: Press the control dial to confirm the selected mode.
"Required Insp. pressure is too Low" (see section 7). The ventilation mode will not change until the con-
trol dial is pressed.
If the ventilator detects that an inspiratory pressure
of more than 67 cmH2O is needed to reach the set
tidal volume, the inspiratory pressure sets to 67
B. Tidal volume/minute volume
cmH2O and triggers an alarm: (active in VCV or SIMV modes only)
"Required Insp. pressure is too High" (see section 7).
The tidal volume/minute volume delivered by the
ventilator in VCV or SIMV mode is automatically
If the ventilator detects that the required inspiratory
compensated for the compliance of the breathing
pressure to reach the set tidal volume is within 5
system and for the fresh gas flow.
cmH2O of the set High-pressure alarm limit, the in-
spiratory pressure resets to the High-pressure alarm
TV,patient = TV,ventilator + TV,fresh gas -
limit minus 5 cmH2O and triggers an alarm:
TV,compliance
"Required Insp. pressure too close to High
press. alarm" (see section 7).
During automatic ventilation in VCV or SIMV mode
the ventilator automatically calculates the correct
If the set inspiratory pressure cannot be obtained
inspiratory flow to give the patient the desired tidal
during inspiration, a "Pressure limit" alarm is trig-
volume/minute volume, independent of other ven-
gered (see section 7).
tilator settings (respiration rate, I:E ratio, inspiratory
pause, etc.) and of the compliance and fresh gas
Caution flow.
If the expired tidal volume measured during PRVT
ventilation is Low compared with the set tidal vol- Press the "Tidal volume/Minute volume" key and
ume, the ventilator automatically increases the in- select the desired tidal volume/minute volume with
spiratory pressure to within 5 cmH2O of the airway the control dial (14 in fig. 3-1).
pressure High alarm limit.
Thus, while in PRVT mode, it is particularly impor- Press the control dial to confirm the selected tidal
tant to set an airway-pressure-High alarm limit to a volume/minute volume. The tidal volume/minute
value suitable for the patient. volume will not change until the control dial is
pressed.
Note The Service menu can be edited to define whether
PRVT mode is an option that can be installed by ei-
the set volume is to be the tidal volume or minute
ther Philips or an authorized technician.
volume. This setting can only be changed by a supe-
ruser or service technician.
Note
PRVT mode is only available if the flow sensor is pla- (Minute volume = Tidal volume x Resp. Rate)
ced at the Y-piece or at the EXP cone on the
breathing system.

38 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

C. Resp. rate (active in all modes) E. PEEP (active in all modes)

Definition: The number of controlled respirations The ventilator can generate PEEP (Positive End Expi-
per minute. ratory Pressure).

1. Press on the "Resp. rate" field and set the de- If PEEP is set to "OFF", the PEEP in the breathing
sired respiration rate using the control dial (14 in system will be approximately 3 cmH2O (depending
fig. 3-1). on the fresh gas flow) due to the bag-in-bottle.

2. Press the control dial to confirm the set respira- 1. Press on the PEEP field and set the PEEP using
tion rate. The respiration rate will not change un- the control dial (14 in fig. 3-1).
til the control dial is pressed.
2. Press the control dial to confirm the set PEEP.
D. I:E ratio (active in all modes) PEEP will not change until the control dial is
Definition: The ratio between the inspiration time pressed.
and expiration time.

1. Press on the "I:E ratio" field and set desired I:E

Note
PEEP cannot be set Higher than the setting for the
ratio using the control dial (14 in fig. 3-1).
High-pressure alarm.
2. Press the control dial to confirm the set I:E ratio.
The I:E ratio will not change until the control dial F. Inspiratory pressure (active in
is pressed.
PCV mode only)
Definition: The inspiratory pressure above PEEP de-
Note livered to the patient in PCV mode.
Some combinations of tidal volume, respiration
rate, I:E ratio and inspiratory pause cannot be set on
The ventilator continuously adjusts the inspiratory
the ventilator, because the continuous inspiratory
flow to reach this pressure during start of inspira-
flow from the ventilator must be between 2 and 80
tion.
L/min. I
Once the set inspiratory pressure above PEEP is
Inspiratory flow = Tidal volume x Resp. rate
reached, the ventilator maintains a pressure plateau
x ((I+E)/I) x (100/(100-Insp. pause))
throughout the remainder of the inspiratory phase.
EXAMPLE OF MINIMUM INSPIRATORY FLOW
1. Press the "Insp. pressure" field and set the de-
Set: Tidal volume = 20 mL, I:E = 1:2, Insp. pause = 0.
sired inspiratory pressure using the control dial (14
in fig. 3-1).
These settings give a minimum respiratory rate of 34.
2. Press the control dial to confirm the set inspira-
EXAMPLE OF MAX. INSPIRATORY FLOW
tory pressure.
Set: Resp. rate = 20, I:E = 1:2, Insp. pause = 0.
The inspiratory pressure will not change until the
These settings give a max. tidal volume on 1330 mL.
control dial is pressed.

Dameca MRI 508 10651MRIGB-90 50 39

OPERATION

3. Turn the "control dial" to set the desired trigger

Note point, and press enter on the control dial to con-
PEEP + inspiratory pressure cannot exceed
firm the new setting.
70 cmH2O.
The new SIMV trigger point will not be effective un-
G. Inspiratory pause (active in VCV til the control dial is pressed.
and SIMV modes only) 4. Leave the menu by pressing the "Main Screen"
Definition: The percentage of the inspiration time, key.
in which the inspiratory flow is closed in VCV or
SIMV mode.
Note
In the Service menu it can be defined whether SIMV
1. Press the "Insp. pause" key and select the de-
mode should be available or not.
sired inspiratory pause with the control dial (14
This setting can only be changed by a super user or
in fig. 3-1).
service technician.
2. Press the control dial to confirm the selected in-
spiratory pause. I. Support pressure (active in PSV
mode only)
The inspiratory pause will not change until the con-
trol dial is pressed. Definition: The inspiratory pressure above PEEP de-
livered to the patient in PSV mode.
H. SIMV trigger point (active in The ventilator controls the inspiratory flow in order
SIMV mode only) to reach and maintain this pressure when the pa-
tient is breathing spontaneously.
If the ventilator is set up with SIMV, the patient can
trigger a VCV inspiration during the expiration phase
When PSV mode is selected, the "Insp. pressure" field
by applying a decrease of the airway pressure in the
on the display automatically changes to "Support
breathing system.
Press".
In the Main Menu the user can define at which de-
1. Press the "Support pressure" field and set the de-
crease of the airway pressure this VCV inspiration
sired support pressure using the control dial (14 in
should be triggered.
fig. 3-1).
The decrease of the airway pressure is relative to
2. Press the "control dial" to confirm the set sup-
the set PEEP.
port pressure.
1. Press the "Setup menu" field (4 in fig. 3-3) and
The support pressure will not change until the con-
turn the control dial (8 in fig. 3-3) until SIMV trig-
trol dial is pressed.
ger is highlighted.

2. Press the "control dial" to activate the SIMV trig Note

setting. When PSV mode is active, the inspiratory pressure
setting used during PCV mode can be changed in
the Main Menu.

40 10651MRIGB-90 50 Dameca MRI 508

 OPERATION

Note 1. Select the "PSV exp. trig." setting by turning the

In the Service menu it can be defined whether PSV control dial until this setting is Highlighted and
mode should be available or not. then press enter on the control dial (14 in
This setting can only be changed by a super user or fig. 3-1).
service technician.
2. Set the desired expiratory trigger flow with the
control dial.
J. More PSV settings (active in PSV
mode only) 3. Press the control dial to confirm the selected ex-
piratory trigger flow.
If the machine is set up with PSV, the patient can
control the inspiration and expiration of the ventila-
The expiratory trigger flow will not change until the
tor.
control dial is pressed.
1. Press the Main Menu key (4 on fig- 3-3) in order
PSV backup period
to get access to the following settings:
If ventilation mode is set to PSV and the patient
does not trigger a inspiration before the PSV backup
PSV inspiratory trigger flow
period has ended, the ventilation mode will auto-
Definition: The inspiratory flow the patient must ap-
matically change from PSV to PCV.
ply, in order for the ventilator to start an inspiration.
1. Select the "PSV backup" setting by turning the
1. Select the "PSV insp. trig." setting by turning the
control dial until this setting is Highlighted and
control dial until this setting is Highlighted and
then press enter on the control dial (14 in
then press enter on the control dial (14 in
fig. 3-1).
fig. 3-1).
2. Set the desired PSV backup period with the con-
2. Set the desired inspiratory trigger flow with the
trol dial.
control dial.
3. Press the control dial to confirm the selected PSV
3. Press the control dial to confirm the selected in-
backup period.
spiratory trigger flow.
The PSV backup period will not change until the
The inspiratory trigger flow will not change until the
control dial is pressed.
control dial is pressed.

PSV expiratory trigger flow 4.4.1 Start automatic

Definition: The inspiratory flow measured during in-
spiration, at which the ventilator will stop inspira-
­ventilation
tion and go to expiration. Press the "VENT/STBY" key (1 in fig. 3-3). The yellow
indicator is no longer illuminated.
The expiratory trigger flow is a percentage of the
Peak flow measured during inspiration. The patient is now ventilated with the set parameters.

All parameters can be changed in VENT mode.

Dameca MRI 508 10651MRIGB-90 50 41

OPERATION

4.4.2 Stop automatic ventilation 4.4.3 Default ventilator set-

Press and hold the "VENT/STBY" key (1 in fig. 3-3) tings
for approximately 1 sec., until the ventilator stops.
When the machine has been turned off or if FULL
The yellow indicator is now illuminated.
self-test or LC self-test has been performed, the ven-
tilator settings switch to the default settings:
The ventilator is in STBY mode, and the patient can
be ventilated manually, with the respiration bag.
Parameter Factory value Limits

Adjust the APL valve (6 in fig. 3-1) in order to limit Ventilation VCV VCV, SIMV, PCV
the airway pressure during manual ventilation. mode
Tidal volume/ 500 mL/6.0 L 20-1500 mL/
Note Minute volume 0.2-60.0 L
The APL valve is for manual ventilation only.
Respiration 12 resp./min 4-80 resp./min
rate
I:E ratio 1:2 3:1 - 1:9.9
PEEP OFF OFF, 4-20
cmH2O
Inspiratory 17 cmH2O 4-67 cmH2O
pressure
Inspiratory 0% 0-70%
pause
High-pressure 30 cmH2O 10-80 cmH2O
alarm
SIMV trigger -3.0 cmH2O -0.5 to -10.0
point cmH2O
PSV support 7 cmH2O 4-50 cmH2O
pressure
PSV Insp.­ 3 L/min 1-10 L/min
trigger flow
PSV Exp. 40 % 10-80%
­trigger flow
PSV backup 30 sec. 10-40 sec.
­periods

42 10651MRIGB-90 50 Dameca MRI 508

 Whispa MEASUREMENTS
May 11 10:28

ENT 5.
P (cmH O)
2
Measurements
Adult Sensor Compl. 30 mL/cmH2O
Alarm
The ventilator of the Dameca MRI 508 performs a The High and Low alarm limits for the expired min-
number of measurements, depending on the config-
30
ute volume are shown on the screen to the right of
uration of the ventilator. the actual expired minute volume values.
Peak
20 inspired and expired tidal volume for
The measured
5.1 Volume measure- each respiration are shown as "TV Insp./Exp." in mL.
Plateau
When the ventilator is set to automatic ventilation
ments and the ventilation mode is VCV or SIMV, the in-
19volume is not displayed, as the inspired
spired tidal
Measurement of the expired minute volume as well tidal volume is controlled by the ventilator based on
as the inspired/expired tidal volume can be dis- PEEP
the ventilator settings.
played on the screen if the machine is equipped 3
with a flow sensor (see section 4.2.4).
5.1.1 Accuracy of volume mea-
4 8 12 16 20 Tsurements
(sec)
The patient flow sensor used for measuring expired
O 2% Insp. OFF Vent. Mode
minute volume and inspired/expired tidal volume
TV Exp. 480
measures the actual inspiration/expiration flow in
real-time.
OFF
30 22 MVExp. 4.
8.0
8 4.0 PCV
The ventilator then integrates this real-time flow
during time, in order for the volume measurement
to be shown on the display.

This inspired/expired flow measured by the patient

If the flow sensor is placed on the expiratory side on flow sensor is dependent upon the actual gas con-
the breathing system, the expired tidal volume and centration of the flow being measured, due to the
expired minute volume are measured. different densities for the gases.

If the flow sensor is placed at the Y-piece, the in- Therefore the accuracy of the measured minute vol-
spired tidal volume will also be measured, and a spi- ume and tidal volume depends upon the actual gas
rometry curve (pressure-volume) can be shown on concentrations.
the display.

Note
A superuser or technician can use the Service menu
to define the default setting for the placement of
the flow sensor.

The measured expired minute volume is displayed

as "MV Exp." in liters, based on the measured ex-
pired tidal volumes over the preceding 60 sec.

Dameca MRI 508 10651MRIGB-90 50 43

 (500 mL)
MEASUREMENTS
Resp. Rate VENT
P (cmH2O)
12 40

I:E 30

5.2 Pressure measure- 1.0 : 2.0 20

ments PEEP 10

On the ventilator display a time-pressure or a pres- OFF 0

sure-volume graph is shown, depending on the user
setting in the Main Menu (see section 6.1) Insp. Press. 4 8
Beside the graph some measured pressures are 17 cmH2O
O 2% In
shown. TV Ex
Insp. Pause OFF
The maximum pressure detected during last inspira-
tion is shown as "Peak" pressure. (0 %) 30 22 MVEx
The pressure detected at the end of last inspiration
period is shown as "Plateau" pressure.

The pressure detected at the end of last expiration

period is shown as "PEEP".

5.3 Compliance
The calculated compliance is displayed next to the
curve in mL/cmH2O.

Compliance = Expired tidal volume/(measured

­Plateau—measured PEEP).

Compliance tells which pressure increase is needed

in order to deliver a certain tidal volume to the pa-
tient.

5.4 O2% Measurements

Measurement of inspired O2 concentration in the
breathing system can be shown on the ventilator
display, if the Dameca MRI 508 is set up with an ex-
ternal O2 fuel-cell sensor.

44 10651MRIGB-90 50 Dameca MRI 508

 USER MENUS

6. User menus 6.1.1 Spirometry

Pressing "Spirometry" opens a submenu on the
The ventilator of the Dameca MRI 508 has a number
­display with the following settings:
of menus for the operator to use:
• Sensor
• Main Menu
• Save loop as ref. (only if the pressure-volume
• Alarm Menu
curve is displayed on the screen)
• Remove loop as ref. (only if a spirometry loop
6.1 Main Menu has previously been saved by the operator).
Use this menu to define volume monitor settings.
When pressing the "Main Menu" key (4 in fig. 3-3),
the Main Menu appears on the right side of the
The active menu item is Highlighted in blue. Activate
display.
the setting by pressing the control dial (14 in fig. 3-1).
Select a setting by turning and pressing the control
Set the value by turning the control dial, then press
dial (14 in fig. 3-1).
the control dial to confirm the setting.
The Main Menu accesses the following settings:
The new setting does not take effect until the con-
trol dial is pressed.
• Spirometry (submenu, only if flow sensor is acti-
vated in the Service menu)
• Graphs (submenu). Note
• SIMV trig (only if SIMV is activated in the Service The Spirometry menu is only available if the
submenu). ­machine is equipped with a flow sensor.
• PSV settings (only if PSV is activated in the Ser-
vice submenu). The operator must enter whether an Adult or Pedi-
• Insp. pressure (same as Insp. pressure setting on atric flow sensor is used in the breathing system to
Main Screen). measure volumes.
• Setup (submenu).
• Self-test data. Adult sensor: Tidal volume 200 to 1500 mL
• Service (submenu). (Insp./Exp. flow 10–120 L/min)
Actual selection is Highlighted.
Ped. sensor: Tidal volume 1 to 300 mL
(Insp./Exp. flow 2–35 L/min)
Activate the setting by pressing the control dial
(14 in fig. 3-1). For "SIMV trig", change the setting
The display indicates which sensor was selected.
by turning the control dial, and press the control
dial to confirm.
If a pressure-volume curve is displayed, the opera-
tor can save a reference spirometry loop.
The new setting does not take effect until the con-
trol dial is pressed.
This pressure-volume loop can be saved and shown
on the display as a yellow line.
Note
A password is required to access the Service sub- The operator can remove this reference loop or save
menu. a new one, which will overwrite the old reference
loop.

Dameca MRI 508 10651MRIGB-90 50 45

USER MENUS

Note The user can choose between the following types of

"Save loop as ref" can only be selected if the opera- graphs:
tor has selected to display the pressure-volume
curve on the screen (see section 6.1.2). • Time-Press curve
• Press-Volume loop
Parameter Factory Limits
By selecting "T-scale", the user can decide the reso-
value
lution of the time-scale on the time-pressure graph.
Patient flow sensor Adult Adult
Pediatric
Parameter Factory value Limits
Placing At the Y-piece At the Y-piece
At the Exp. port Graph type Time-Press Time-Press
No sensor Press-Volume
T-scale 20 sec. 10 20 30 60 sec.

6.1.2 Graph
When "Graph" is selected, a submenu will appear
6.1.3 Setup
on the display with the following settings: When setup is selected, a sub-menu will appear on
the display, with the following settings:
• Type (only if it is defined in the Service menu
that flow sensor is placed at the Y-piece) • O2% calibration
• T-scale • Set time
In this menu the settings for the respiration graph Selecting "O2% calibration" allows the user to cali-
shown on the display can be defined. brate the external O2 fuel-cell sensor.

Actual selection is Highlighted.

Caution
The machine enters STBY mode when O2% calibra-
1. Activate the setting by pressing the control dial
tion is activated.
(14 in fig. 3-1).

2. Change the setting by turning the control dial, Note

and press to confirm. The O2% calibration menu is present, only if O2
monitor with external fuel-cell sensor is activated in
The new setting does not take effect until the con- the Service menu.
trol dial is pressed.
Note
Note This O2 fuel-cell sensor must be placed on the
The type setting is present only if it has been de- breathing system's INSP port. Use the Y-piece (prod-
fined in the Service menu that flow sensor is placed uct no. 42012-07) and place the O2 fuel-cell sensor
at the Y-piece. facing upward.

By selecting "Type", the user can decide which res-

piration graph should be shown on the display.

46 10651MRIGB-90 50 Dameca MRI 508

 USER MENUS

If O2% calibration is activated, the sensor will be cal- 6.1.4 Self-test data
ibrated, by following these sequences:
Selecting "Self-test data" activates a submenu with
A. P
 lace the O2 fuel-cell sensor on the breathing information about the latest self-test results.
system, including patient hoses.
Open fresh gas flow 10 L/min. Air, other gases • Last test type
closed. • Last test time
The Y-piece must be open to ambient Air. • Leakage in Vent. system
As an alternative, place O2 fuel-cell sensor in am- • Compliance in Vent. system
bient Air. Press the control dial (14 in fig. 3-1) to
confirm. 6.1.5 Service
Pressing "Service" opens a submenu "PASSWORD"
B. N
 ow waiting for stable O2 percentage. When the
on the display with the following settings:
O2 percentage has stabilized, the next step of the
calibration procedure will be started.
• Part 1
• Part 2
C. C
 lose Air fresh gas flow, open fresh gas flow 10 L/
• Part 3
min O2. O2 fuel-cell sensor must be placed on the
breathing system, including patient hoses. Press Enter the superuser password, in order to be able to
the control dial (14 in fig. 3-1) to confirm. change the configuration of the ventilator.

D. N
 ow waiting for stable O2 percentage.
When the O2 percentage has stabilized, the next
step of the calibration procedure will be started.

E. P
 ress the control dial (14 in fig. 3-1) to save the
calibration.
Press the "Cancel Alarms" field in order not to
save the calibration.

O2 calibration should be done if the test described

in section 4.3.5 cannot be successfully completed.

If calibration cannot be carried out, the O2 fuel-cell

sensor could be defective. New O2 fuel-cell sensor
has part no. 42035-46.

By selecting "Set Time", the time settings can be ad-

justed. By leaving the menu the new time setting is
saved.

Dameca MRI 508 10651MRIGB-90 50 47

USER MENUS

6.2 Alarm menu Activate the setting by pressing the control dial
(14 in fig. 3-1).
When pressing the "Alarm Menu" key (5 in fig. 3-3),
The alarm settings can be changed immediately, by
the Alarm Menu appears in right side of the display.
turning the control dial, and press to confirm.
Select a setting by turning and pressing the control
The new setting does not take effect until the con-
dial (14 in fig. 3-1).
trol dial is pressed.
The following alarm settings can be accessed in the
alarm menu: Warning
The alarms should be set according to the patient's
• High Press needs and not be set to extreme values.
• High O2% (only if O2 monitor with external fuel-
cell sensor is activated in the Service menu)
• Low O2% (only if O2 monitor with external fuel-
cell sensor is activated in the Service menu)
• High MV Exp. (only if flow sensor is activated in
the Service menu)
• Low MV Exp. (only if flow sensor is activated in
the Service menu)
Actual selection is highlighted.

Alarm limit Factory value Resolution Limits

High Press 30 cmH2O 1 cmH2O 10-80 cmH2O
High O2% OFF 1% 19-100% and OFF
Low O2% 18% 1% 18-100%
High MV Exp. 133% of set MV * 0.1 L 0.1-80.0 L and OFF
Low MV Exp. 66% of set MV * 0.1 L 0.0-79.9 L and OFF

* "OFF" when the machine is in "STBY" mode

48 10651MRIGB-90 50 Dameca MRI 508

 USER MENUS

6.3 Menu structure

The menu structure is organized to make the set-
tings as user-friendly as possible.

6.3.1 Main Menu structure

Main Menu Spirometry Spirometry

Sensor
Spirometry Sensor
Graph Save loop as ref Adult *
SIMV trigger: -X (cmH2O) Ped.
PSV Insp. trig: X (L/min)
PSV Exp. trig: X (%)
PSV backup: X (sec)
Insp. Pres: X (cmH2O)
Setup
Selftest Data
Service
Previous menu Previous menu
Main Screen Main Screen
Main Screen
Software version:

Graph Graph Type

Type Time-Press *
T-scale Press-Volume

Previous menu Previous menu

Main Screen Main Screen

T-scale

10
20 *
30
60

Previous Menu
Main Screen

Dameca MRI 508 10651MRIGB-90 50 49

USER MENUS

6.3.1 Main Menu structure (...continued)

Main Menu

Spirometry
Graph
SIMV trigger: -X (cmH2O)
PSV Insp. trig: X (L/min)
PSV Exp. trig: X (%)
PSV backup: X (sec)
Insp. Pres: X (cmH2O)
Setup Setup O2 Sensor Cal
Selftest Data Confirm
Service O2 % Calib.
Set time Yes *
No
CAUTION:
Main Screen Ventilator will go
Software version: to stby-mode if
calibration is
activated

Previous menu Previous menu

Main Screen Main Screen

Set Time

Year YY:
Month MM:
Date DD:
Hour HH:
Minute MM:

Previous menu
Main Screen

50 10651MRIGB-90 50 Dameca MRI 508

 USER MENUS

6.3.1 Main Menu structure (...continued)

Main Menu Selftest data

Spirometry Last test type:

Graph
Set Time:
SIMV trigger : -X (cmH2O)
PSV Insp. trig: X (L/min) Leakage in VENT system:
PSV Exp. trig: X (%) (mL/min)
PSV backup: X (sec)
Insp. Pres: X (cmH2O) Compl. In VENT system:
Setup (mL/cmH2O)
Selftest Data
Service Previous menu
Main Screen

Main Screen
Software version:
Password

Part1
Part2
Part3

Alarm Menu

High Press Previous menu

High O2% Main Screen
Low O2%
High MV
Low MV

Main Screen

Dameca MRI 508 10651MRIGB-90 50 51

ALARMS

7. Alarms
The ventilator of the Dameca MRI 508 anesthesia 7.1.1 Airway pressure High
machine has a built-in alarm system for all the mea-
sured parameters, as well as for the safe function of The "Airway pressure High" alarm triggers when the
the ventilator. measured pressure in the breathing system exceeds
the High-pressure alarm limit.
All alarms are both audible and displayed. For most
of the alarms, the alarm sound can be disabled for When the airway pressure reaches the High-pressure
120 sec. by pressing the "Cancel Alarms" field alarm limit, the ventilator automatically switches to
(6 in fig. 3-3). If an audible alarm is disabled, a yellow expiration in consideration of patient safety.
light beside the Cancel Alarms key will be shown.
CORRECTIVE ACTION
Whenever an alarm is started, the LED next to the The "Airway pressure High" alarm terminates when
"Cancel Alarms" field will flash on the display. there is an automatic respiration without the airway
pressure reaching the High-pressure alarm limit.
When an alarm ends, the LED will stop flashing. The
alarm message will remain displayed in the alarm
field until the operator confirms the alarm by press-
Note
The "Airway pressure High" alarm is active during
ing the "Cancel Alarms key".
automatic ventilation only.

7.1 Ventilator alarms 7.1.2 System pressure High

The "System pressure High" alarm triggers when the
The ventilator alarms are:
ventilator pressure to the bag-in-bottle system is
• Airway pressure High
more than 10 cmH2O higher than the High-pressure
• System pressure High
alarm limit. This could be caused by an empty bel-
• Disconnection
lows in the bag-in-bottle or by activating the auxil-
• Drive gas Low
iary fresh gas outlet during automatic ventilation.
• Battery Low
• System pressure
When the ventilator's pressure to the bag-in-bottle
• Pressure limit
exceeds the High pressure alarm limit by 10 cmH2O,
• Fresh gas flow too High
the ventilator automatically switches to expiration
• Insp. O2% High/Low (only if an external O2 fuel-
in consideration of patient safety.
cell sensor is installed)
• Exp. MV High/Low (only if a volume monitor is
CORRECTIVE ACTION
installed)
The "System pressure High" alarm terminates when
• Mains power failure
there is an automatic respiration without the venti-
• System fail
lator pressure to the bag-in-bottle system reaching
• TV too High
the alarm limit plus 10 cmH2O.
• PSV backup mode is switching to PCV
• Required Insp. pressure is too Low
• Required Insp. pressure is too High
• Required Insp. pressure too close to high press.
alarm

52 10651MRIGB-90 50 Dameca MRI 508

 ALARMS

7.1.3 Disconnection During a "Battery Low" alarm, the audible alarm

cannot be disabled.
The "Disconnection" alarm triggers if the pressure in
the breathing system has not exceeded PEEP +2
cmH2O within 15 sec. 7.1.6 System pressure
The "System pressure" alarm triggers if the differ-
CORRECTIVE ACTION
ence between the ventilator pressure to the bag-in-
Check that the breathing system, hoses, tubing, etc.
bottle system and airway pressure in the breathing
are properly connected.
system exceeds 15 cmH2O.

Note This could be caused by an empty bellows in the

If PEEP is set to "OFF," the limit is 5 cmH2O because bag-in-bottle. The message "Check BiB and pat. cir-
PEEP is 3 cmH2O, due to the bag-in-bottle system. cuit" will be displayed for additional information.

CORRECTIVE ACTION
7.1.4 Drive gas Low If the bellows is full and the alarm does not stop af-
The "Drive gas Low" alarm triggers if the dynamic ter about 10 sec., check the breathing system, espe-
pressure to the ventilator is less than 2.5 bar. cially the open/close functioning of the yellow valve
flaps in the one-way valves.
CORRECTIVE ACTION
Check that the Air supply is connected to the ma-
chine.
7.1.7 Pressure limit
The "Pressure limit" alarm triggers if the max. air-
way pressure during PCV ventilation is lower than
7.1.5 Battery Low the set inspiratory pressure.
The "Battery Low" alarm triggers if the capacity of
the built-in ventilator battery is too low to ensure CORRECTIVE ACTION
proper performance in case of mains power failure. This could be caused by a full bellows in the bag-in-
bottle. Check that the breathing system, hoses, tub-
If the battery capacity is too low to power the venti- ing, etc. are properly connected.
lator, a "Closing down" message is displayed, and
the machine automatically enters into MAN status.
7.1.8 Fresh gas flow too High
The ventilator will also shut down within approxi- The "Fresh gas flow too High" alarm triggers if the
mately 20 sec. to avoid discharging the battery set fresh gas flow is too high for the ventilator set-
­completely. tings in VCV or SIMV mode, according to the follow-
ing formula:
CORRECTIVE ACTION
Connect the machine to the electrical outlet and Ventilator inspiratory flow – Fresh gas flow
turn on the machine to recharge the ventilator bat- <2 L/min.
tery.
The alarm triggers in order to ensure that the tidal
The machine cannot be used until the battery is volume given to the patient does not exceed the set
charged to a safe level. tidal volume.

CORRECTIVE ACTION
Note Increase the set tidal volume or lower the fresh gas
flow to turn off the alarm.

Dameca MRI 508 10651MRIGB-90 50 53

ALARMS

7.1.9 Insp. O2% High/Low (only if an Note

The internal batteries are primarily intended as
external O2 fuel-cell sensor is installed)
backup for the alarms.
The "Insp. O2% High" alarm triggers if the O2% mea- The machine operates normally during a mains
sured by the external O2 fuel-cell sensor exceeds power failure. A "Closing down" alarm appears be-
the upper alarm limit. fore the machine closes down to avoid discharging
the batteries completely.
The "Insp. O2% Low" alarm triggers if the O2% mea-
sured by the external O2 fuel-cell sensor is below
the lower alarm limit.
7.1.12 System fail
The "System fail" alarm triggers if the watchdog cir-
CORRECTIVE ACTION cuit indicates a malfunction in the electronics of the
Adjust the O2 percentage in the fresh gas flow or ventilator.
the alarm limits.
During this alarm, the ventilator will change to man-
ual ventilation mode.
7.1.10 Exp. MV High/Low (only if a
volume monitor is i­nstalled) CORRECTIVE ACTION
Push the ON/OFF switch on front of the machine
The "Exp. MV High" alarm triggers if the expired
(15 in fig. 3-1) to set it to OFF position.
minute volume measured by the external flow sen-
sor exceeds the upper alarm limit.
The patient must be ventilated manually.
The "Exp. MV Low" alarm triggers if the expired
The fresh gas flow from the rotameter box will not
minute volume measured by the external flow sen-
be affected by a "System fail" alarm.
sor is below the lower alarm limit.

CORRECTIVE ACTION Note

Check the machine's flow sensor settings and that The audible alarm cannot be disabled.
the sensor is correctly placed.
Check that the minute volume alarm limits are cor-
rect with respect to the desired minute volume.
7.1.13 TV too High
The "Measured TV too High" alarm triggers if the
7.1.11 Mains power failure tidal volume measured by the external flow sensor
exceeds 2000 mL (Adult sensor) or 500 mL
The "Mains power failure" alarm triggers if the
(Ped. sensor).
power supply to the machine fails during use.
CORRECTIVE ACTION
CORRECTIVE ACTION
Check the machine's flow sensor settings and that
Check that the machine is connected to the mains.
the sensor is correctly placed.

54 10651MRIGB-90 50 Dameca MRI 508

 ALARMS

7.1.14 PSV Backup mode is 7.1.17 Required Insp. pressure

switching to PCV too close to High-
The "PSV backup mode is switching to PCV" alarm
press. alarm
triggers if the ventilator is in PSV mode and the pa- The "Required Insp. pressure too close to High
tient has not made a supported breath before the press. alarm" alarm triggers if the inspiratory pres-
PSV backup time has ended. sure required to reach the set tidal volume in PRVT
mode is less than 5 cmH2O from the High airway
Actuation of this alarm automatically switches the pressure alarm limit.
ventilator to PCV mode. The message disappears
when "Cancel Alarms" is pressed. CORRECTIVE ACTION
Check for occlusion in patient hoses, tubing,
CORRECTIVE ACTION etc. Consider increasing the High airway pressure
Consider whether the patient has sufficient sponta- alarm limit, or choose another ventilation mode.
neous respiration to be using PSV mode and
whether the backup time is correctly set. Possibly
switch back to PSV mode

7.1.15 Required Insp. pressure is

too Low
The "Required Insp. pressure is too Low" alarm trig-
gers if the inspiratory pressure required to reach the
set tidal volume in PRVT mode is less than 4 cmH2O.

CORRECTIVE ACTION
Consider increasing the tidal volume or respiration
rate, or choose another ventilation mode.

7.1.16 Required Insp. pressure is

too High
The "Required Insp. pressure is too High" alarm trig-
gers if the inspiratory pressure required to reach the
set tidal volume volume in PRVT mode is Higher
than 67 cmH2O.

CORRECTIVE ACTION
Check for occlusion in patient hoses, tubing, etc.

Dameca MRI 508 10651MRIGB-90 50 55

MAINTENANCE AND CLEANING

8. Maintenance and cleaning

Before use, the machine must be cleaned and was-
hed according to the instructions in this section.
Note
Alcohol must never be used as a disinfectant.

8.1 Maintenance Note

Some disinfectants that contain Phenol and
Preventive maintenance must be performed on this ­Aldehyde components can be absorbed and accu-
machine at least once yearly by an authorized tech- mulate in plastic and rubber goods following re-
nician. peated disinfection.

Daily maintenance carried out by the user is limited to:

• Function control
Note
The lifetime of the rubber components is signifi-
• Integrity control
cantly increased by avoiding high temperature de-
• Cleaning
contamination and drying.

8.2 Cleaning
8.3 Cleaning the Dameca
8.2.1 Washing machine MRI 508
Only use a washing machine constructed to clean
Wipe the machine's outer surfaces with a cloth moi-
instruments and anesthesia equipment. The wa-
stened with a mild detergent or Isopropyl alcohol.
shing cycle and detergent must be appropriate for
Afterward, dry the machine with a clean, dry cloth.
cleaning plastic and rubber goods. The cleaning pro-
cedure must conclude with a clean water rinse, heat
disinfection, and drying. Caution
Avoid abrasive or caustic cleaners, as they can dam-
age the machine. Avoid organic liquids, such as Ace-
Note tone, Turpentine, and Thinners.
The detergent should have a pH final dissolution of
7 to 10.
8.4 Cleaning the inte-
8.2.2 Chemical disinfection
Follow the manufacturer's instructions carefully. The
grated breathing
disinfectant should be suitable for the component
being disinfected.
­system (IBS)
Prior to cleaning, the breathing system should be
The components should not be exposed to the dis-
disassembled as described in section 8.4.5.
infectant longer than necessary.

Following disinfection, all components must be

thoroughly rinsed in sterile water and dried at room
temperature.

56 10651MRIGB-90 50 Dameca MRI 508

 MAINTENANCE AND CLEANING

8.4.1 Routine cleaning is labeled B. The tool (11) may be used to help
remove the valves.
All components in the breathing system can be
6. Remove the changeover valve (10) marked A.
washed in a washing machine and tolerate chemical
The tool (11) may be used to help remove the
disinfectants and autoclaving according to directions.
valve.

8.4.2 F ollowing an infected The breathing system can now be cleaned and disin-
fected (see section 8.2).
­patient
Place all breathing system components into a liquid
disinfectant. Afterward, clean all components in
8.4.4 After cleaning
compliance with instructions for routine cleaning. Check that all components are thoroughly dry, un-
damaged, and correctly connected.
8.4.3 D
 isassembling
Fig. 8-1 Breathing system (IBS) overview
Note
Some disinfectants that contain Phenol and
­Aldehyde components can be absorbed and accu-
mulate in plastic and rubber goods following re-
peated disinfection.
1

2 Warning
3 Be careful when rinsing; the components' recesses
may hold hot water when taken from the washing
4

5
machine.

10 6

8 9

11

1. Remove the camber (1) and bellows (2).

2. Remove the cap (3) and membrane (4).
3. Remove the APL valve (5) by pressing the release
button on the side of the base while simultane-
ously pulling the valve outward.
4. Remove the valve dromes (6) and then Insp./
Exp. valves (7) by their bracket.
5. Remove the absorber valves: the inspiratory
valve (8) is labeled C and the expiratory valve (9)

Dameca MRI 508 10651MRIGB-90 50 57

MAINTENANCE AND CLEANING

8.4.5 Flushing through the 2. Mount the valve caps (6).

3. Mount the changeover valve (10) marked A. The
breathing system body tool (11) may be used to help mount the valve.
The following instructions show how to conduct a 4. Mount the absorber valves (8) and (9) (marked B
thorough flushing of the channels in the breathing and C). The tool (11) may be used to help mount
system body. the valves.
5. Mount the APL valve (5). Push the valve in until
the lock clicks.
6. Fit the membrane (4) into the housing (with the
metal disc upward) and replace the cap (3).
7. Mount the bellows (2). Mount the camber (1).

1. Put the cover and valve caps onto the breathing 10 6

system body. See figure A.

2. Place the breathing system body upside down 8 9

and put all the components to be washed into 11

the washing machine.

3. Attach washing hoses to the "EXP" cones and
"BAG" cones. See figure B.
4. Remove the cover and valve caps before drying.

DRYING
After washing, all the components can be dried in a Fig. 8-2 Integrated breathing system (IBS) overview
hot-air cabinet or at room temperature for approxi-
mately 12 hours.

8.4.6 Assembling
1. Mount the Insp. and Exp. valves (7) with the
groove in the valve body fitting over the pin in
the breathing system body. Ensure that the
valves are fully inserted by pushing on the valve
bracket. Inspect the valve flaps for visible dam-
age. If a valve flap is damaged, the whole valve
must be replaced. Do not touch the valve flaps
with your fingers.

58 10651MRIGB-90 50 Dameca MRI 508

 MAINTENANCE AND CLEANING

8.5 Integrated breathing

system (IBS) parts
1
Item Description
1 Chamber 2

2 Bellows
3
3 Cap for Ispill valve
4
4 Spill valve membrane
5
5 APL valve
6 Valve dromes
7 Yellow valve flaps 7
8 C-valve for the absorber 10 6

9 B-valve for the absorber

10 Changeover valve 8 9

11 Help tool for valves 11

8.6 Hoses, Y-piece, and

respiration bag
Clean, disinfect, and dry hoses, Y-piece, and manual
respiration bag in accordance with normal hospital
procedures.

Dameca MRI 508 10651MRIGB-90 50 59

MAINTENANCE AND CLEANING

8.7 Cleaning the i-SORB Warning

Before mounting remove the red absorber seal (8)
reusable absorber to avoid any blockage or malfunction of the absor-
ber.
FIRST TIME IN USE
EMPTYING AND CLEANING THE ABSORBER
It is recommended to clean the i-SORB absorber
1. Unscrew the locking ring(1) and separate the ab-
prior to first use following the IBS cleaning instruc-
sorber lid(2) and the filter(4). Discard the filter.
tions in the anesthesia machine's Instruction for
2. Discard the soda lime according to departmental
Use.
safety procedures.
3. Discard the second filter(5).
Check that the container is undamaged and intact
4. Remove the O-ring(3) from the absorber lid.
before use.
5. Clean and disinfect the absorber as described for
the integrated breathing system in the anesthe-
For safety reasons the person handling the filling
sia machine's Instruction for Use.
and emptying of the absorber should wear suitable
eye/face/hand protection.
Note
1. Open the container by unscrewing the locking Some disinfectants that contain Phenol and Alde-
ring(1) on the bottom of the container. hyde components can be absorbed and accumulate
2. Remove the absorber lid(2) and filter(4). in plastic and rubber goods following repeated dis-
3. Gently pour in one third of the absorbent gra- infection.
nules to the absorber chamber. Gently tap the
sides to settle the granules. Repeat for the next
third, and the final third leaving enough room in
Note
The reusable absorber can not be autoclaved.
the chamber for the second absorber filter.
4. Place the absorber filter(4) on top of the gra-
nules. Remove any residual granules or dust 8.7.1 After cleaning
from the sealing area.
1. Check that all components are undamaged.
5. Place the absorber lid(2) and tighten it with the
2. Place the O-ring(3) at the edge of the absorber
locking ring(1).
lid.
6
3. Enclose two new filters(4, 5) in the container.
7
8
5 4 3 2 1
Consult the anesthesia machine's Instruction For
Use for the filter part number.
4. Mount and tighten the absorber lid(2) with the
locking ring(1).

ABSORBENTS
Following absorbents can be used: Sofnolime, Me-
disorb, Prosorb, Soda lime, LimePak, Agasorb, Sefa-
sorb, CarboLime, Chemosorb, Vitalime, and Vent
6. Remove the absorber seal(8) before mounting.
iSorb.
7. Clean the surfaces of the absorber to ensure re-
sidual granules or dust are removed.
8. Lubricate the absorber ports(7) using a thin
layer of oxygen compatible grease.
9. The i-SORB reusable absorber is now ready to
be mounted onto the integrated breathing sy-
stem (IBS).

60 10651MRIGB-90 50 Dameca MRI 508

 MAINTENANCE AND CLEANING

8.7.2 Refilling the absorber SAFETY PRECAUTIONS

Should the absorbent be suspected to have dried
1. Check that the container is undamaged and in-
out (e.g. to less than about 5% w/w water), or if a
tact before use.
sharp temperature increase is observed during the
2. Open the container by unscrewing the locking
washing-in phase, or an unusual delay in the incre-
ring(1) on the bottom of the container.
ase in inspired anesthetic concentration is observed,
3. Remove the absorber lid(2) and filter(4, 5).
the absorber should be replaced immediately with a
4. Place one of the filters(4 or 5) in the top of the
fresh unit.
absorber chamber.
5. Gently pour in one third of the
absorbent granules to the ab-
sorber chamber. Gently tap
8.8 Safety control
the sides to settle the gra-
After cleaning and sterilization, reassemble the
nules. Repeat for the next
­system and check that it is working correctly.
third, and the final third lea-
ving enough room in the
Do not add components to the system without first
chamber for the second absorber filter.
checking that they are clean and in good condition.
6. Place the second absorber filter(4 or 5) on top
of the granules. Remove any residual granules
Always run a self-test before using the breathing
or dust from the sealing area.
system.
7. Place the absorber lid(2) and tighten it with the
locking ring(1).
8. Clean the surfaces of the absorber to ensure re-
sidual granules or dust are removed.
9. Lubricate the absorber ports(7) using a thin
layer of oxygen compatible grease.
10. The i-SORB reusable absorber is now ready to
be mounted onto the integrated breathing sy-
stem (IBS).

Note
Make sure that the locking ring is correctly positio-
ned before use.

8.7.3 Use of absorbent

During use, a white (pink-to-white grade) or violet
(white-to-violet grade) color will start to develop
and will deepen in intensity to indicate exhaustion
of the absorbent. The appearance of a color change
confirms the activity of the material and indicates
the progress of the carbon dioxide adsorption. This
allows for detection/identification of severe uneven
gas flow (channeling) within the container.

It is recommended to change or re-fill the absorber

when indication of exhaustion appears, or if the in-
spired CO2 level exceeds a defined limit.

Dameca MRI 508 10651MRIGB-90 50 61

MAINTENANCE AND CLEANING

8.9 Disposable
Description 12NC Part number
i-SORB disposable absorber (box of 8 pcs.(11044)) . . . . . . . . . . . . . . . . . . . . . . . . . . 989803185691 (11044-08)
i-SORB reuseable absorber (box of 1 pc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 989803185701 (11048)
Filter for reusable absorber (box of 40 pcs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 989803185711 (11040-40)

Bacteria filter, disposable (box of 50 pcs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453564420221 (38477-50)

Oxygen compatible grease (solid) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453564419181 (36811)

EXTERNAL PATIENT FLOW SENSOR (OPTIONAL)

Adult Patient Spirometry Set for Philips anaesthetic machines, 2 m (20 pcs) . . . . . . . . . . . . . . . . . . 42632-302
Adult Patient Spirometry Set for Philips anaesthetic machines, 3 m (20 pcs) . . . . . . . . . . . . . . . . . . 42632-303
Adult Patient Spirometry Set for Philips anaesthetic machines, 6 m (20 pcs) . . . . . . . . . . . . . . . . . . 42632-306
Paediatric Patient Spirometry Set for Philips anaesthetic machines, 2 m (20 pcs) . . . . . . . . . . . . . . 42632-202
Paediatric Patient Spirometry Set for Philips anaesthetic machines, 6 m (20 pcs) . . . . . . . . . . . . . . 42632-206

Adult flow sensor for Philips anaesthetic machines (25 pcs). . . . . . . . . . . . . . . . . . 989803191191 (42632-342)
Paediatric flow sensor for Philips anaesthetic machines (25 pcs) . . . . . . . . . . . . . . 989803191151 (42632-243)

Spirometry tube, 2 m (5 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453564420111 (42632-08)

Spirometry tube, 3 m (5 pcs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453564420121 (42632-09)
D-LITE Adult flow sensor, disposable (1 pc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453564420091 (42632-06)
PEDI-LITE flow sensor, disposable (1 pc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453564420101 (42632-07)

EXTERNAL O2 FUEL-CELL SENSOR (OPTIONAL)

O2 fuel-cell sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 989803185731 (42035-46)
Cable for O2 fuel-cell sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453564419961 (10967-86)
T-piece for O2 fuel-cell sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453564420981 (42012-07)

White plastic connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 989803186891 (13642)

Note
Cleaning and disposal of accessories should be done as prescribed in the instruction for use accompayning
the individual accessory.

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 TECHNICAL DATA

9. Technical data
All flow and volume measurements are based on STPD conditions (Standard Temperature Pressure Dry).

9.1 General
Dimensions
Height 1510 mm
Width 760 mm (incl. Integrated breathing system (IBS))
Depth 670 mm
Weight Approximately 110 kg (depending on configuration)
MRI compatibility Max. magnetic field: 1000 Gauss
Electrical
Class I
Type B
Power supply voltage 100/115/230 volt 50/60 Hz
Power consumption 80 VA
Battery capacity 1.5 Ah (ventilator)
Battery backup time Approximately 90 min (only by mains power failure)
Battery type Pb rechargeable
Battery charge time Approximately 12 hours
Note There is no difference in performance when the machine is battery powered.

9.2 Gases
Note All gases and anesthetic agents must comply with the European Pharmacopoeia.
Central gas supply

Inlet pressure 4-6 (x 100 kPa) for O2, Air and N2O
Reserve gas supply (optional)
Pin-index yokes for 4 L ONLY MRI COMPATIBLE
cylinders (O2 and N2O) Gas cylinders must be used
Manometers
Central gas supply (optional) 0-10 (x 100 kPa) for O2, Air and N2O
Gas cylinder 0-315 (x 100 kPa) for O2
0-100 (x 100 kPa) for N2O

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TECHNICAL DATA

Auxiliary gas outlet (optional)

Flow for O2 or Air 100 L/min at 4 (x 100 kPa) static pressure
140 L/min at 6 (x 100 kPa) static pressure
>300 L/min at 12 (x 100 kPa) static pressure
AGSS
Scavenging flow 30-40 L/min
Gas alarm
Alarm start-pressure 2.5 (x 100 kPa) for O2, Air and N2O
Auxiliary fresh gas outlet (optional)
Max. pressure (MPL valve) 90 (x 100 Pa)
Integrated auxiliary O2 ball flow meter (optional)
Flow range 0-10 L/min
Accuracy 7.5% actual flow +2.5% full scale
Integrated patient suction (optional)
Max. vacuum -0.8 (x 100 kPa)
Max. suction flow 35 L/min

9.3 Rotameter box

Rotameter tubes
Measuring range 0.1-10 L/min for O2, Air and N2O
Optional: 0.05-1 L/min for O2 and N2O
Optional: 1-10 L/min for O2 and N2O
Accuracy ±(1.9% actual reading +0.6% full scale)
Minoxyguard
Min. O2 concentration in N2O/O2 mix 25% O2
Min. O2 flow in order for N2O flow to open Approximately 0.3 L/min O2
O2 flush valve
Fixed flow Approximately 45 L/min

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 TECHNICAL DATA

9.4 Ventilator
Drive gas (Air)
Pressure Min. 3.0 (x 100 kPa) at 80 L/min
Max. consumption (Peak flow) 120 L/min
Mean consumption Max. 80 L/min at 2.8 (x 100 kPa)
Pressure range
Pressure limitation (P. lim max.) 90 (x 100 Pa) (mechanical, pressure limitation value)
Max. adjustable working pressure 80 (x 100 Pa)
High-pressure alarm 10 to 80 (x 100 Pa)
Min. expiration pressure (P. lim min) +1 (x 100 Pa)
Cycling pressure 1 to 80 (x 100 Pa)
NPL valve opening pressure -5 to -7.5 cmH20 (hPa) at a flow rate of 3.5 to 4.5 L/min.
Note Negative pressure is only possible if the patient is exclusively breathing spontaneously.
Set parameters
Tidal volume 20 to 1500 mL
Accuracy (VCV and SIMV mode) 20 to 250 mL: ±10%, min. 10 mL
250 to 1500 mL: ±5%, min. 25 mL
Minute volume 0.2 to 60.0 L/min
Resp. rate 4 to 80 resp./min
Accuracy ±5%
I:E ratio 3:1 to 1:9.9
PEEP OFF, 4 to 20 (x 100 Pa)
Inspiratory pressure 4 to 67 (x 100 Pa)
Inspiratory pause 0 to 70%
Ventilation mode (controlled) VCV, SIMV, PCV, PSV, PRVT (optional)
SIMV settings
SIMV trigger point -0.5 to -10.0 (x 100 Pa)
PSV settings
Support pressure 4 to 50 (x 100 Pa)
Inspiratory trigger 1 to 10 L/min
Expiratory trigger 10 to 80%
PSV backup 10 to 40 sec.
Test mode LC TEST, FULL TEST

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TECHNICAL DATA

Airway pressure monitor

Measured parameters Peak, Plateau, PEEP, Compliance (if vol. monitor is installed)
Pressure range -10 to 99 (x 100 Pa)
Accuracy ±2 (x 100 Pa)
O2% fuel-cell sensor (optional)
Measurement range 0 to 100% O2 (v/v)
Accuracy ±2% (v/v) at constant temperature and pressure
High O2% alarm 19 to 100% and OFF
Low O2% alarm 18 to 100%
Expected O2 fuel-cell sensor lifetime More than 500,000 O2% hours under normal conditions
(equivalent to 33 months when placed in 25OC air)
Cross-gas interference Less than 1.25% O2 response to anesthetic agents
Drift Less than 1% O2 over 24 hours
Rise time Less than 6 sec. for 90% of final value
Volume monitor (optional)
Measurement range, Ped. sensor 20 to 300 mL (Insp./Exp. flow 2-35 L/min)
Measurement range, Adult sensor 200 to 1500 mL (Insp./Exp. flow 10-120 L/min)
Accuracy, Ped. sensor 20 to 100 mL: ±10 mL
100 to 300 mL: ±10% of reading
Accuracy, Adult sensor 200 to 500 mL: ±50 mL
500 to 1500 mL: ±10% of reading
High expired minute volume alarm 0.1 to 80.0 L and OFF
Low expired minute volume alarm 0.0 to 79.9 L and OFF

9.5 Integrated breathing system (IBS)

Dimensions
Size ø 160 x 360 mm
Weight 4 kg (complete system excl. i-SORB CO2 absorber)
APL valve
Setting SP, 5 to 75 (x 100 Pa)
Accuracy ±7 (x 100 Pa) at 4 L/min
i-SORB CO2 absorber
Capacity Approximately 900 g soda lime
Volume (empty) 1420 mL

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 TECHNICAL DATA

9.6 Environment
Storage temperature -20OC to +50OC (optional O2 fuel-cell sensor: 0OC to +50OC)
Working temperature 10OC to 40OC
Relative humidity 10 to 90% RH (non-condensing)
Storage pressure 63 kPa to 106 kPa
Working pressure 960 to 1060 (x 100 Pa)

9.7 Standards
Dameca MRI 508 complies with the following standards
Software EN 60601-1-4
EMC EN 55011; Group 1, Class B
Electrical safety EN 60601-1
Function safety EN ISO 10524-1, EN ISO 5359, EN 740, EN 837-1, EN 980,
EN ISO 5356-1
O2 fuel-cell sensor (optional) EN ISO 19054, EN ISO 21647, EN ISO 15002
Classification according to EN 60601-1
Class I equipment Type of protection against electrical shock
Type B equipment Degree of protection against electrical shock
Continuous operation Mode of operation
Classification according to Directive 93/42EEC concerning medical equipment
The anesthesia machine, Model Dameca MRI 508, is classified as IIb.

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EMC DECLARATION EMC DECLARATION

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 EMC DECLARATION

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EMC DECLARATION EMC DECLARATION

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 INSTRUCTIONS FOR USE

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ALPHABETICAL INDEX

10. Alphabetical index

A
Absorber 7, 8, 23 E
Adult volume sensor 25 EMC declaration 68
AGSS 64 Expired minute volume low/high alarm 32
Airway pressure high 52 Explosion hazard 14
Airway pressure high alarm 32 Exp. MV High/Low 54
Anesthesia Gas Scavenging System (AGSS) 20 External breathing system 20, 24
Anesthesia machine front view 17 External volume sensor kit 26
Anesthesia machine rear view 18
F
Anesthetic agent 63
Filling of BAG 28
APL valve 42, 66
Flow diagram 11
Assembling the integrated breathing system (IBS)
Flow marker 20
58, 60, 61, 62
Flushing through the breathing system body 58
Autoclaving 56
Fresh-gas flow high 53
Automatic ventilation 7
Fresh gas flow too High 53
Auxiliary gas outlet 64
Fuel-cell sensor 66
Auxiliary O2 test 33
FULL self test 27
B
G
BAG filling 28
Gas alarm 64
Bag-in-bottle 7
Gas supply 7
Battery back-up time 63
Gauss line 21
Battery capacity 63
Battery charge time 63 H
Battery type 63 Halothane 15
High expired minute volume alarm 66
C
Cautions 15 I
Central gas supply 63 IBS patient system, components of 59
Chemical disinfection 56 I:E ratio 39
Cleaning, anesthesia machine 56 Inspiratory flow 39
Cleaning the patient breathing system (IBS) 57 Inspiratory pause 40
CO2 absorbent, replacement of 24 Inspiratory pressure 39
Compliance 9, 44 Inspired O2% High/Low 54
Compliance and leakage, VENT 29 Integrated auxiliary O2 ball flow meter 64
Cross interference 66 Integrated breathing system (IBS) parts 59
Integrated patient suction 64
D
i-SORB CO2 absorber 22, 66
Default ventilator settings 42
Disposable 62 L
Drive gas (Air or O2) 65 LC self-test 30, 42
Drive gas low 53 Line power failure 54
Low expired minute volume alarm 66

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 ALPHABETICAL INDEX

M R
Machine malfunction 15 Relative humidity 67
Magnetic field 22 Replacing the CO2 absorber 24
Maintenance 56 Required Insp. pressure is too high 55
Maintenance and cleaning 56 Reserve gas supply 63
Manometers 63 Respiration rate 65
Manufacturer's liability 10 Resp. Rate 39
Measured parameters 66 Rotameter tubes 64
Measured TV too high 54 Rotameter unit 7
Menu structure 49
S
Minoxyguard 10, 64
Safety precautions 13
Minute volume 38
Self-test data 47
MRI Compatibility 63
Set parameters 65
MRI Compatible 7
Set-up 22
MR scanner and room 21
SIMV mode 35
N SIMV settings 65
NPL valve 10, 15, 65 SIMV trigger point 40
Spirometry 45
O
Start automatic ventilation 41
O2% calibration 47
Storage pressure 67
O2 flush valve 64
Support Pressure 40
O2 fuel-cell sensor kit; part no. 10967-85 26
Symbols 16
O2 sensor lifetime 66
System and valves 28
Occlude Y-piece 28
System fail 54
Occupational hazard 15
System pressure 53
Operator set-up 9
T
P
Test of reserve gas cylinders 33
Patient safety 14
Test sequence 5 – Leakage, BAG 29
Patient-suction test 33
Tidal volume 38
Patient volume sensor 25
Time-Pressure curve 46
PCV mode 36
TV too High 54
Pediatric volume sensor 25
PEEP 39 V
Power failure alarm 33 Vaporizer 33
Pressure limit 53 Vaporizer test 33
Pressure range 65 VCV mode 34
Pressure-Volume loop 46 Ventilation modes 34
PRVT mode 37 Ventilator alarms 52
PSV Backup mode activated 55 Ventilator battery low 53
PSV mode 37 Ventilator display and controls 19
PSV settings 41, 65 Volume monitor (optional) 66
W
Warnings 13
Working pressure 67
Working temperature 67

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INSTRUCTIONS FOR USE

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 INSTRUCTIONS FOR USE

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 Conformity according to the
Council Directive 93/42EEC
0459
concerning Medical Devices.

Philips Anesthesia Care A/S

Phone: +45 4450 9990, Fax: +45 4450 9999
10651GBMRI-90 50 102014

[email protected]

Manufacturer: Dameca A/S,

Islevdalvej 211, 2610 Roedovre, Denmark
© 2014 Philips Philips reserves the right to modify technical specification and design without prior notice