Heyer Modular Anaesthesia System - Service Manual

H E Y E R Modular+
Anesthesia System
Service Manual
Rev.2.1.0
Software version Service software: 1.8
Table of Contents
HEYER MEDICAL AG
Carl-Heyer-Strasse 1-3
56130 Bad Ems
Germany
Tel. +49 - 2603 – 791 - 3
Fax. +49 - 2603 – 791 - 209
E-mail: [email protected]
2
Theory of Operation
0 Table of Contents
0 Table of Contents ............................................................................................................................. 3
0.1 Table of Figures ........................................................................................................................ 6
1 General Information.......................................................................................................................... 7
1.1 Guidelines ................................................................................................................................. 7
1.2 Product improvements .............................................................................................................. 7
1.3 Manufacturer’s Liability ............................................................................................................. 7
1.4 Manufacturer’s specification ..................................................................................................... 8
1.5 Updating status ......................................................................................................................... 8
1.6 Warning, Precautions and Notes .............................................................................................. 9
1.6.1 Warnings............................................................................................................................ 9
1.6.2 Precautions ...................................................................................................................... 10
1.6.3 Notes................................................................................................................................ 11
2 Theory of Operation ....................................................................................................................... 13
2.1 Microprocessor-Controlled Ventilator...................................................................................... 13
2.2 Patient Module ........................................................................................................................ 13
2.3 Gas Conditioning Unit ............................................................................................................. 13
2.4 The Ventilator Unit .................................................................................................................. 13
2.5 Adjustable Alarms ................................................................................................................... 13
2.5.1 Pmax limiting on alarm violation......................................................................................... 14
2.6 Fresh Gas Decoupling ............................................................................................................ 14
2.7 Compliance compensation...................................................................................................... 14
2.8 Electrical supply ...................................................................................................................... 15
2.8.1 Electrical components...................................................................................................... 16
2.9 Power supply module.............................................................................................................. 17
2.9.1 Connectors on power supply board AVM 2-1.................................................................. 18
2.9.2 Fuses on power supply board AVM 2-1........................................................................... 19
2.9.3 Charging / discharging control for the battery:................................................................. 20
2.9.4 Status Indicators Of Battery Control: ............................................................................... 20
2.10 Module 1.............................................................................................................................. 21
2.10.1 Connectors on module 1 .............................................................................................. 22
2.11 Ventilator Module 2, AVM 3-1 and AVM 3-2 ....................................................................... 23
2.11.1 Parts list module 2........................................................................................................ 24
2.11.2 Connectors on module 2 .............................................................................................. 24
2.11.2.1 Plug connectors on board AVM 3-1 ........................................................................ 24
2.11.2.2 Plug connectors on board AVM3-2 ......................................................................... 25
2.12 Display................................................................................................................................. 25
2.13 Battery ................................................................................................................................. 25
2.14 Ventilator pneumatic............................................................................................................ 26
2.14.1 Ventilator pneumatic drive............................................................................................ 27
2.14.2 HP pressure reducer .................................................................................................... 27
2.14.3 LP- double stage pressure reducer.............................................................................. 27
2.14.4 Solenoid valves MV1 to MV4 ....................................................................................... 27
2.14.5 Pneumatic driving module............................................................................................ 28
2.14.6 Flow metering module .................................................................................................. 28
2.14.7 Tube color coding......................................................................................................... 28
2.15 The patient module (circle system) ..................................................................................... 29
2.15.1 Front and back side view on the patient module.......................................................... 29
2.15.2 Bottom and back side view on the patient module....................................................... 30
2.15.3 Functional representations of the patient module ........................................................ 31
2.15.3.1 CMV mode, inspiration ............................................................................................ 32
2.15.3.2 CMV mode, expiration ............................................................................................. 33
2.15.3.3 Manual mode, inspiration ........................................................................................ 34
2.15.3.4 Manual mode, expiration ......................................................................................... 35
2.15.3.5 Spontaneous mode, inspiration............................................................................... 36
2.15.3.6 Spontaneous mode, expiration................................................................................ 37
2.15.4 Components of the patient module .............................................................................. 38
2.15.4.1 Ventilation bellows system ...................................................................................... 38
2.15.4.2 Manual Respiration Bag / Reservoir........................................................................ 38
2.15.4.3 CO2 absorber........................................................................................................... 38
Theory of Operation
2.15.4.4 Inspiratory and expiratory valves............................................................................. 38

2.15.4.5 Airway pressure relief valve .................................................................................... 38
2.15.4.6 Room Air valve ........................................................................................................ 38
2.15.4.7 Diaphragm valves.................................................................................................... 38
2.15.2.7.1 Status of the diaphragm valves:....................................................................... 39
2.15.2.7.2 Machine OFF Or Ventilator In Standby ............................................................ 39
2.15.2.7.3 Manual / Spontaneous Mode, INSPIRATION And EXPIRATION.................... 39
2.15.2.7.4 CMV Child / Adult Mode, INSPIRATION.......................................................... 39
2.15.2.7.5 CMV Child / Adult, EXPIRATION ..................................................................... 39
2.15.2.7.6 CMV Adult, EXPIRATION And PEEP .............................................................. 39
2.15.2.7.7 Compliance Test Patient Module ..................................................................... 40
2.15.2.7.8 Leak Test Patient Module and Fresh Gas Module........................................... 40
3 Repair Information.......................................................................................................................... 41
3.1 Introduction ............................................................................................................................. 41
3.2 Warnings and precautions ...................................................................................................... 41
3.2.1 Precautions ...................................................................................................................... 41
3.2.2 Warnings.......................................................................................................................... 41
3.3 Troubleshooting Guidelines .................................................................................................... 42
3.4 Troubleshooting Charts........................................................................................................... 42
3.4.1 Error Messages during ventilation ................................................................................... 42
3.4.2 Alarm messages during the compliance test, leak test and O2 calibration ..................... 46
3.4.2.1 Messages during the system tests ........................................................................... 47
3.4.3 Symptoms of Fuse Failures ............................................................................................. 49
3.5 Required Tools ........................................................................................................................ 50
3.6 Disassembly instructions......................................................................................................... 50
3.6.1 Connecting and disconnecting vaporizers ....................................................................... 50
3.6.2 Removing the compressed gas tanks (PIN-Index) .......................................................... 50
3.6.3 Removing the Patient Module.......................................................................................... 51
3.6.4 Removing the CO2 Absorber Canister............................................................................. 51
3.6.5 Removing the Bellows and Dome System ...................................................................... 51
3.6.6 Removing the Airway Pressure Limiting Valve (APL)...................................................... 51
3.6.7 Inspecting/replacing the Decoupling, Bellow and Expiratory Valves............................... 52
3.6.8 Disassembling the Room Air, Inspiration and expiration valves...................................... 52
3.6.9 Removing the Gas Block Module .................................................................................... 52
3.6.10 Removing the flow tubes .............................................................................................. 52
3.6.11 Removing the pressure gauges ................................................................................... 53
3.6.12 Removing the Module 2 Circuit Board Set ................................................................... 53
3.6.13 Removing Module1 Circuit Board Set .......................................................................... 53
3.6.14 Removing the Power Supply Module ........................................................................... 53
3.6.15 Removing Internal Regulators, Proportional Valve and Flow Divider .......................... 54
4 Maintenance and Calibration ......................................................................................................... 55
4.1 Introduction ............................................................................................................................. 55
4.2 Calibration Warnings and Precautions.................................................................................... 55
4.3 Test Procedure........................................................................................................................ 56
4.3.1 General ............................................................................................................................ 56
4.3.2 Inspecting/replacing consumable parts ........................................................................... 56
4.3.3 Power supply checks ....................................................................................................... 61
4.3.4 Functional Tests............................................................................................................... 62
4.3.4.1 Pneumatic tests ........................................................................................................ 62
4.3.4.2 Alarm Tests............................................................................................................... 63
4.3.4.3 Electrical Tests ......................................................................................................... 65
4.4 Service Software ..................................................................................................................... 66
4.5 Key code Access..................................................................................................................... 67
4.6 Navigation ............................................................................................................................... 68
4.6.1 System Testing ................................................................................................................ 70
4.6.2 Coefficient programming.................................................................................................. 79
4.6.2.1 O2 sensor calibration ................................................................................................ 79
4.6.2.2 P1 Pressure sensor calibration................................................................................. 81
4.6.2.3 P2 Pressure sensor calibration................................................................................. 83
4.6.2.4 Temperature Sensor Calibration .............................................................................. 85
4.6.2.5 Proportional Valve Calibration .................................................................................. 87
4.6.2.6 Internal Flow Sensor Calibration .............................................................................. 92
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Theory of Operation
4.6.2.7 Characteristic of the Proportional Valve ................................................................... 94

4.6.2.8 External Flow Sensor Calibration ............................................................................. 96
5 Preventive Maintenance................................................................................................................. 99
5.1 6 Month Service Interval ......................................................................................................... 99
5.2 12 Month Service Interval ..................................................................................................... 100
5.3 36 Month Service Interval ..................................................................................................... 100
5.4 Cleaning ................................................................................................................................ 101
5.4.1 Cleaning and disinfecting the apparatus ....................................................................... 101
5.4.2 Cleaning and sterilizing the Patient Module .................................................................. 101
5.5 Battery Replacement and Maintenance................................................................................ 101
5.5.1 Battery replacement....................................................................................................... 101
5.5.2 Battery Maintenance ...................................................................................................... 101
6 Order Information ......................................................................................................................... 103
5
Theory of Operation
0.1 Table of Figures

Fig. 1 Line Terminal Block, 120/230VAC Supply ................................................................................. 15
Fig. 2 Overview electrical components................................................................................................. 16
Fig. 3 Power supply module ................................................................................................................. 17
Fig. 4 Module 1 PC board..................................................................................................................... 21
Fig. 5 View on module 2 ....................................................................................................................... 23
Fig. 6 Ventilator pneumatic................................................................................................................... 26
Fig. 7 Top and backside view on the patient module ........................................................................... 29
Fig. 8 Bottom and backside view on the patient module...................................................................... 30
Fig. 9 Survey of the patient module...................................................................................................... 31
Fig. 10 Survey of the patient module, CMV mode, inspiration ............................................................. 32
Fig. 11 Survey of the patient module, CMV mode, expiration.............................................................. 33
Fig. 12 Survey of the patient module, Manual mode, inspiration ......................................................... 34
Fig. 13 Survey of the patient module, Manual mode, expiration .......................................................... 35
Fig. 14 Survey of the patient module, Spontaneous mode, inspiration................................................ 36
Fig. 15 Survey of the patient module, Spontaneous mode, expiration ................................................ 37
Fig. 16 Patient module, front view ........................................................................................................ 57
Fig. 17 Patient module, top view .......................................................................................................... 58
Fig. 18 Supply inlet filters and water traps ........................................................................................... 59
Fig. 19 Power Supply Board................................................................................................................. 61
Fig. 20 Alarm screen ............................................................................................................................ 63
Fig. 21 O2 Whistle adjustment (appearance may differ due to different configuration options) .......... 64
Fig. 22 Initialization screen ................................................................................................................... 66
Fig. 23 Key code entry screen.............................................................................................................. 67
Fig. 24 Main menu screen .................................................................................................................... 68
Fig. 25 Test menu screen..................................................................................................................... 69
Fig. 26 Patient Module, motor control screen....................................................................................... 70
Fig. 27 Docking station, Start/ Stop switches ....................................................................................... 71
Fig. 28 Pressure, O2 and Temperature screen .................................................................................... 72
Fig. 29 Proportional valve test screen .................................................................................................. 75
Fig. 30 Drive Gas Outlet ....................................................................................................................... 75
Fig. 31 Solenoid Valves MV-1 MV-4 test screen.................................................................................. 76
Fig. 32 Docking Station valve connectors ............................................................................................ 77
Fig. 33 Power and Heater Control screen ............................................................................................ 78
Fig. 34 O2 Calibration screen ............................................................................................................... 79
Fig. 35 P1 Calibration screen ............................................................................................................... 81
Fig. 36 P2 Calibration screen ............................................................................................................... 83
Fig. 37 Temperature Sensor screen..................................................................................................... 85
Fig. 38 Proportional Valve Calibration screen ...................................................................................... 88
Fig. 39 Docking Station, drive gas outlet.............................................................................................. 88
Fig. 40 Pressure Regulator for the Driving Gas with Test Port ............................................................ 89
Fig. 41 Adjustment Screw on top of the Flow Divider .......................................................................... 91
Fig. 42 Internal Flow Sensor Calibration Screen.................................................................................. 92
Fig. 43 Characteristic of the Proportional Valve screen ....................................................................... 94
Fig. 44 External Flow Sensor Calibration screen ................................................................................. 96
Fig. 45 How to measure the voltages U1 and U2................................................................................. 98
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Theory of Operation
1 General Information
1.1 Guidelines
The information in this service manual exclusively refers to servicing and maintenance work of the
anesthesia system HEYER Modular+.
Please, read from the operator’s manual HEYER Modular+ the service, setting, maintenance and care
of the apparatus, normally carried out by the user.
These service instructions are to be used only by a skilled, trained and authorized service staff. The
servicemen must be provided with the specified special tools and accessories. This service manual is
utilized for business affairs and general customized information. HEYER gives no guarantee when
using the information.
The service technicians should have read and fully understood the service instructions prior to
beginning with their service duties. The functional principles of the apparatuses have also been
described in the user’s manual. The user’s manual contains general precautions, which are also of
importance to the service technician.
1.2 Product improvements

HEYER reserves the right to improve their products or revise the instructions without prior notice. This
manual deals with the status of the anesthesia system HEYER Modular+ at the time of issue.
HEYER is not obliged to retrofit former models subject to improvements and modifications. An
exception to be examined will be made when improvements or modifications due to design and
production deviations are influencing the patient’s safety or would entail malfunctioning of the
apparatus.
1.3 Manufacturer’s Liability

HEYER can only be held liable for safety, reliability and fail-safe operation of the system, provided
that:
− the system was being operated in conformity with the instructions given by the manufacturer,
− certifications, readjustments, changes, or repairs have been carried out by authorized

personal,
− service and maintenance was being made in conformity with the instructions given by the
manufacturer.
− the system was operated in a building with grounding equipment in compliance with the
regulations issued by IEC, NFPA, and UL.
In no event will HEYER be liable for any special, incidental, or consequential damages, including loss
of profits, whether or not foreseeable and even HEYER has been advised of the possibility of such
loss or damage.
HEYER disclaims any liability arising from a combination of its product with products from other
manufacturers if the combination has not been endorsed by HEYER.
Buyer understands that the remedies noted in HEYER's limited warranty are its sole and exclusive
remedies.
Theory of Operation
1.4 Manufacturer’s specification

Product: HEYER MODULAR+
Manufacturer:
Heyer Medical AG
Carl-Heyer-Strasse 1-3
56130 Bad Ems
Germany
Tel. + 49 2603 / 791-3
Fax. +49 2603 / 791-209
1.5 Updating status

State of this service manual: Rev. 2.1.0 of February 2004
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Theory of Operation
1.6 Warning, Precautions and Notes

Warnings alert the user to potential serious outcomes (death, injury or serious adverse events) to the
patient or user.
Precautions alert the reader to exercise special care necessary for the safe and effective use of the
device
Notes are a general information statement concerning the Modular+
Please read adhere to all warning, precautions and notes listed here and in the appropriate areas
throughout this manual.
1.6.1 Warnings
Warning: The Modular+ anesthesia machine works on line voltage and at high pressure.
Therefore, an electric shock hazard may exist when the instrument covers are
removed. Repair and calibration procedures should only be performed by
qualified personnel who follow proper servicing techniques. Warnings are given
in appropriate locations
Warning: In order to prevent an electrical shock, the machine (protection class I) may only
be connected to a correctly grounded mains connection (socket outlet with
grounding contact).
Warning: Possible explosion hazard. Do not operate near flammable substances.
Warning: The use of anti-static or electrically conductive breathing tubes, when utilizing
high frequency electric surgery equipment, may cause burns and is therefore
not recommended in any application of this machine.
Warning: Possible fire hazard. Fuses (i.e., additional sockets) must only be replaced by
fuses of the same type and with the same rating.
Warning: Possible shock hazard. The machine may only be opened by qualified and
authorized service personnel.
Warning: Compressed gasses are considered Dangerous Goods/hazardous Materials per

I.A.T.A. regulations. It is a violation of international law to offer any package or
over pack of dangerous goods for transportation without the package being
appropriately identified, packed, marked, classified, labeled and documented
according to I.A.T.A. regulations. Please refer to the applicable I.A.T.A
Dangerous Goods Regulations for further information.
Warning: Never block airflow at the drive gas outlet. Blocking the drive gas outlet raises
internal pressures above specified limits and will result in permanent damage to
internal sensors.
9
Theory of Operation
1.6.2 Precautions
Caution: Refer to the maintenance intervals in the Preventive Maintenance section for
guidance on which steps are preformed when.
Caution: Use surgical gloves whenever touching or disassembling valves or other

internal components of the Patient Module.
Caution: If possible, always connect the output of the APL valve to the anesthetic
removal line, usually installed in the operation theater.
Caution: Carry out the daily checks specified on the checklist and do not operate the
system in case of a fault until the fault has been repaired.
Caution: The patient should be visually monitored by qualified personnel. In certain

situations circumstances may occur which may not necessarily trigger an
alarm.
Caution: Always set the alarm limits so that the alarm is triggered before a hazardous
situation occurs. Incorrectly set alarm limits may result in operation personnel
not being aware of changes in the patient’s condition.
Caution: This machine must only be operated by trained, skilled medical staff.
Caution: Before starting the machine, the operating personnel must be familiar with
operating instructions and must have been instructed by a qualified instructor.
Caution: If the machine does not function as described, the machine must be examined
and possibly repaired by qualified service personnel, before being returned to
use.
Caution: Handle the machine with care to prevent damage or functional faults.
Caution: Ensure that the gas supply of the machine always complies with the technical
specification.
Caution: Before clinical use, the machine must be correctly calibrated and/or the
respective machine tests performed, as described in the operation instructions.
Caution: If the machine should show faults during the initial calibration or testing, the
machine should not be operated until the fault has been repaired by a qualified
service technician.
Caution: After servicing, functional, sensor and system tests must be carried out before
clinical use.
Caution: Only bacteria filters with a low flow resistance must be connected to the patient
module and/or patient connector.
Caution: Failure to connect device to a grounded mains outlet may elevate leakage
current in excess of permissible values.
Caution: During transportation of the patient module, transportation should be applied to

the rear to protect the valve connectors.
Caution: After changing the CO2 absorbent, carry out a system leak test.
Caution: The spring in the top of the APL valve may not be stressed. After removal, place
to one side, taking care that the spring is not unduly loaded.
10
Theory of Operation
Caution: Only Selectatec™ compatible vaporizers with interlock system may be used
with the Modular+ unit.
Caution: After each exchange of a vaporizer, carry out a system leak test.
Caution: Use cleaning agent sparingly. Excess fluid could enter the machine causing
damage.
Caution: The patient dome of the bellows system cannot be autoclaved. It is not in
contact with the ventilation gas. If soiled, the patient dome should be cleaned
with water and liquid cleaning agent. The unit can be disinfected with a standard
surface-disinfecting agent. Do not use alcohol.
Caution: Do not clean the machine while it is on and/or plugged in.
Caution: Pressing Quit at any time during the calibration procedure will cancel the
session’s settings and reload the previously stored calibration coefficients.
1.6.3 Notes
Note: Unauthorized servicing may void the remainder of the warranty. Check with the
factory or with a local authorized HEYER dealer to determine the warranty status
of a particular instrument.
11
Theory of Operation
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12
Repair Information
2 Theory of Operation
The anesthesia system HEYER MODULAR+ represents a flexible employable workstation to apply
and monitor anesthesia inhalation in semi-closed and almost closed circuits in low flow techniques for
minimized consumption of gas and anesthetics.
The basic model Modular+ includes the following components:
2.1 Microprocessor-Controlled Ventilator

The Microprocessor-controlled ventilator allows with its dedicated patient module time-controlled,
pressure limited, and a constant volume controlled ventilation for all patient groups of a body weight of
3 kg upwards.
The system compliance of the patient module and respiratory tubes are automatically compensated by
the ventilator. Low tidal volumes, therefore, can be dosed very accurately.
Thanks to the different ventilation modes, a ventilation is feasible, even in case of complicated lung
conditions.
A comprehensive test and alarm management system prevents uncontrollable operating conditions
and therefore provides the patient a high safety standard.
The ergonomically designed control surface allows an easy operation of the ventilator. The display
informs about the selected ventilation parameters and the measured values for volume, pressure, FiO2
and shows real time curves of the expiratory flow and airway pressure.
2.2 Patient Module

The patient circuit is integrated in a compact aluminum block. This block is brought to a moderate
temperature to avoid the formation of water vapor. In additional, it includes a controlled emergency
valve, a reservoir in form of a manual respiratory bag and an expiratory flow sensor.
The patient module is automatically connected to the basic unit through a motor drive. A threaded
shaft pulls the block toward the basic unit, and all connections to the docking block are checked in the
compliance- and leak tests.
2.3 Gas Conditioning Unit

The flow meter block features all the necessary safety facilities, such as O2 pressure loss alarm and
N2O shut-off. An integrated pneumatically controlled system provides a minimum of 25% oxygen
concentration in the fresh gas flow at all flow settings (ratio system).
2.4 The Ventilator Unit

The microprocessor-controlled ventilator allows time-controlled, volume-constant and pressure-limited
(CMV) or pressure targeted (PCV) artificial respiration without assisted or synchronized control
functions. The system also allows manual respiration as well as spontaneous respiration of the patient.
Adjustable PEEP, breathing time ratios (I:E) and pressure sustaining plateau functions are available.
Volume-constant respiration is effected by the time control of the respirator and the fresh gas
decoupling of the patient module. The ventilator computes the inspiratory flow required for the settings
tidal volume (VT), respiratory rate and the ventilation time ratio (I:E). The resultant tidal volume (VT) is
delivered to the patient at high accuracy
2.5 Adjustable Alarms

Minimum and maximum alarm limit settings are available for Peak Pressure, Mean Pressure and FiO2
minimum alarm settings are available for tidal volume and minute volume.
Repair Information
2.5.1 Pmax limiting on alarm violation

Exceeding the Pmax alarm limit automatically halts the inspiratory phase preventing airway pressure
from exceeding the high alarm setting. In the CMV mode, the setting of the Pmax peak pressure
provides pressure limitation. When reaching this pressure limit, a warning (alarm) “Peak greater than
Pmax” is displayed, and the inspiration is discontinued. The next inspiration is at a regular time interval,
the time control of the respiratory unit does not increase the respiratory rate. The result is a decrease
of the tidal volume “VT” and minute volume “M Vol.”. The respirator responses to pressure limitation
through displaying the Pmax alarm constantly.
2.6 Fresh Gas Decoupling

The tidal volume (VT) is adjusted independently of the adjusted fresh gas flow. This is achieved by
fresh gas decoupling. In inspiratory procedure the fresh gas flow is uncoupled by the decoupling and
expiratory diaphragm valves from the internal subsystem of the patient module. Fresh gas either is
filling the manual respiration bag (reservoir) or is led into the scavenging through the airway pressure
relief valve.
2.7 Compliance compensation

The tidal volume (VT) is automatically corrected in response to the compliance of the patient module
and patient tubes. Volume reduction due to system compliance is compensated as a result of this.
14
Repair Information
2.8 Electrical supply

The line cord of the Modular+ is connected to an internal terminal block. Directly connected to this
terminal are convenience receptacles and the unit itself. Line supply to the receptacles is available
with the line cord connected. Line supply for the unit is switched by the main switch at the right side of
the unit. The two pole switched power supply is protected by each one 5A circuit breaker. The
switched line supply is connected to the AC IN connector on power supply board AVM 2-1. Another
third pole of the main switch is connected via the terminal to the board AVM 2-1 (X5:5,6), enabling to
detect a main switch OFF position or missing line supply.
X5 pin 6
Line cord X5 pin 5 power supply board
X5 pin 4
N 120/230 V
X5 pin 3
L 120/230 V
int. ground
wiring
PE
1 1 2 2 3 4 5 6
1 1 2 2 3 4 5 6
Circuit breakers
ventilator 5 A
1 2 3
Main switch
4
8 7
Circuit breaker battery
5A
Power
supply board
Convenience The 120 V configuration has

additional circuit breakers
receptacles
Fig. 1 Line Terminal Block, 120/230VAC Supply
15
Repair Information
2.8.1 Electrical components
RS 232 RS 232
interface interface RS 232
interface
Option 1 Option 2
module 1
Display
Controller
module 1
Communication
flow meter
backlight
RS 232
interface module 1
Display
transformer
module 1
power supply
main Touch Screen
switch
battery
module 2
AVM 3-1
motor P T 100
Supervisor
heat
blanket
fan I²C
interface
P2 P1
oxygen module 2 ext. flow

sensor AVM 3-2 sensor
Ventilation
proportional int. flow
valve sensor
solenoid valve
block
Fig. 2 Overview electrical components
16
Repair Information
2.9 Power supply module

The power supply module is located in the frame behind the drawers. This module serves for the
voltage supply of the ventilator modules 1 and 2, the flow meter block illumination, the patient circuit
heating blanket and the charging / discharging control for the battery. The power supply board allows
the supply with either 230VAC or 115VAC, the supply voltage can be selected with a switch on the
power supply board.
Fig. 3 Power supply module
17
Repair Information
2.9.1 Connectors on power supply board AVM 2-1
Connector connected to Pin. def. Func. / Signal Color / No.

X1 Module 1 X1-1 +5V yellow
X1-2 GND red
X1-3 GND green
X1-4 +12V blue

X2 X2-1 +5V
X2-2 GND
X2-3 GND
X2-4 +12V

X3 X2-1 -
X2-2 -
X2-3 GND
X2-4 +12V

X4 X4-1 +5V
X4-2 GND
X4-3 GND
X4-4 +12V

X5 Battery, X5-1 BATT+ brown
Fuse for Battery X5-2 BATT- black
Main switch X5-3 Cir.break. bat. black 6
X5-4 Cir.break. bat. black 5
X5-5 Main switch black 4
X5-6 Main switch. black 3
Connector connected to Pin. def. Func. / Signal Color wire isolat.

X6 Transformer X6-1 sec.IIa 15VAC blue
RT110/12 secondary X6-2 sec IIa green
X6-3 sec. IIb 15VAC blue
X6-4 sec IIb green
Connector connected to Pin. def. Func. / Signal Color wire isolat.

X7 Transformer X7-1 prim.I, L120/230VAC black/
RT110/12 primary X7-2 prim.I, N120/230VAC orange
X7-3 prim.II,L120/230VAC white
X7-4 prim. II, . violet
Connector connected to Pin. def. Func. / Signal Col. wire isolat.

X11 Transformer X11-1 Sec.Ia 22VAC red
RT110/22 secondary X11-2 Sec Ia yellow
X11-3 Sec. Ib 22VAC red
X11-4 Sec Ib yellow
18
Repair Information

X12 int. connection X12-1 AC, N 110V/230V blue
AC IN terminal X12-2 AC , L 110V/230V black

X13 Module 2 X13-1 +12V red
Board X13-2 GND blue
AVM 3-2 X13-3 +5V(1) red
X13-4 GND blue

X14 Module 2 X14-1 +5V(2) red
Board X14-2 GND blue
AVM 3-2 X14-3 -12V red
X14-4 GND blue

X15 Module 2 X15-1 Control Sign. white
Board X15-2 Control Sign. white
AVM 3-2 X15-3 Control Sign. white
X15-4 Control Sign. white

X16 Module 2 X16-1 GND blue
AVM 3-2 X16-2 +31V red

X17 solid state relay X17-1 22VAC to heat. bl. black
heating blanket X17-2 22VAC to relay black
X17-3 + Control voltage black
X17-4 GND black

X22 DC-AC convert. X22-1 +supply voltage red
for flow meter X22-2 -
illumination X22-3 -
X22-4 GND black
2.9.2 Fuses on power supply board AVM 2-1
Fuse No. Fuse value Fuse protects

F1 4 A MT, medium slow-blow DC / DC-converter +5V
F7 8 A M, medium -blow DC / DC-converter +12V
F8 8 A M, medium -blow Transformer, Sec. IIa
F9 8 A M, medium -blow Transformer, Sec. IIb
F10 10 A T, slow-blow Transformer, Sec. Ia
F11 10 A T, slow-blow Transformer, Sec. Ib
19
Repair Information
2.9.3 Charging / discharging control for the battery:

The charging / discharging control for the battery is also located on the power supply board AVM 2-1.
Status indicators as red, green and yellow LEDs are located on the board to show functions like check
or charging of the battery.
2.9.4 Status Indicators Of Battery Control:

LED LED light Battery status
LED yellow (V28) continuous charging
LED yellow (V28) flashing check
LED green (V37) continuous fully charged
LED red (V38) flashing or continuous. defect
20
Repair Information
2.10 Module 1
Ventilator module 1 consists of two processor boards. This module serves for the operation of touch
screen interface with different menus displayed on the display.
All safety functions, e.g. the complete ventilator control, are located on ventilator module 2. Module 1
is connected to module 2 by means of an RS 232C- interface. Module 1 serves to give the functions
for parameter and alarm settings to module 2. Module 2 sends the measured parameters or generated
alarm signals to module 1 to display.
Fig. 4 Module 1 PC board
21
Repair Information
2.10.1 Connectors on module 1
Connector connected to Plug conf. Func. / Signal

X4 Module 2 10 pole communication
with module 2

X5 EL Display 20 pole Connected to the
display

X6 Power supply 4 pole Power suppy

X7 Touch screen 32 pole communication
with touch screen

with module 2

with module 2

X10 Selector switch 14 pole communication
With the selector
switch

X19 LCD Display Flat cable Connected to the
connector display

X20 Display 4 pole Power supply
(on the illumination display
backside) illumination
22
Repair Information
2.11 Ventilator Module 2, AVM 3-1 and AVM 3-2

Ventilator module 2 serves for the active ventilator control. Module 2 consists of two CPU boards, the
CPU board AVM3-1 with µP1 serves for a continuous validation of control actions generated by CPU
board AVM3-2 and for the communication between module 2 and module 1.
The CPU board AVM3-2 with µP2 generates all active control signals, after a validation of these
signals by µP1, AVM3-2 is enabled to operate the different active elements like the solenoid vales and
proportional valve.
Keyboard Alarm Panel
X1
1
X2 X3
CPU-board
IF
8 7 6 5 4 321 AVM 3-2 X5
1
MD ON
X4 R33
X7 EF
RS232 CPU-board P3
1
AVM 3-1 P5 X1
GND
O2
X8
1 P6 X8
1
X7
P1 P2
V19
Q1 X9 1
1
Pressure
Sensor #2
X101
P1 P8
AVM 3-1 X11
1
V29 P7
Software P2 P9
P1 P2
V30 Pressure
Sensor #1
P1 P2
V38
P11
P10
GND
X13
PV
P1 P2 X3
1
M X11
+12GND GND GND -12GND DIS/ACBATT +31
+5(1) +5(2) HTON
1
1 X15 1 X16
Power Supply
sw rt rs ws sw ge gn
Motor Endsch. Start
(-) (+) -> lösen
Fig. 5 View on module 2
23
Repair Information
2.11.1 Parts list module 2
Pos. No. Description Order No.

1 Ventilator module 2, complete 460-1150
2.11.2 Connectors on module 2
2.11.2.1 Plug connectors on board AVM 3-1

with module 1

with module 1

with module 1

X7 PT-100 sensor X7-1 temperature dep. blue
X7-2 resistance red

X9 Fan ventilator X9-1 +12V red
FAN pneumatic X9-2 fan control signal yellow
module X9-3 n.c.
X9-4 n.c.
X9-5 GND black

X10 Driving gas X10-1 +12V white
Driving gas switch switch to detect X10-2 GND brown
a failure of the gas X10-3 n.c.
supply X10-4 n.c.
X10-5 n.c.

X11 over temperature X11-1 22VAC when red
HTSEC switch (NC) X11-2 switch is open blue
patient X11-3 n.c.
block heating X11-4 n.c.
X11-5 n.c.
24
Repair Information
2.11.2.2 Plug connectors on board AVM3-2

X5 internal X5-1 signal (+1-5 V) orange
IF flow sensor X5-2 +10V mint
X5-3 GND. violet
X5-4 n. c.
X5-5 n. c.

X7 external X7-1 flow dep. signal. red
EF flow sensor X7-2 n.c.
X7-3 n.c.
X7-4 n.c.
X7-5 flow dep. signal. blue

X8 Oxygen cell X8-1 n. c.
O2 X8-2 + voltage fuel cell red
X8-3 - voltage fuel cell blue
X8-4 n.c.
X8-5 n.c.

X3 proportional X3-1 + 12V blue
PV valve X3-2 n. c.
X3-3 control volt. 0-5V gray
X3-4 n.c.
X3-5 GND green

X11 solenoid X11-1 GND ( MV4) brown / 1
valve X11-2 + 10V (MV4) red / 2
block X11-3 GND (MV3) orange / 3
X11-4 + 10V (MV3) yellow / 4
X11-5 GND (MV1) green /5
X11-6 + 10V (MV1) blue / 6
X11-7 GND (MV2) violet / 7
X11-8 + 10V (MV2) gray / 8
2.12 Display
The display of the ventilator is a LCD or EL type. It is connected to the module 1.
2.13 Battery
The battery is a maintenance free seal lead acid type. The recharging time is a maximum of 7 hours
with a fully depleted battery. The backup time is about 30 minutes with a fully charged battery. To
prevent unintended loss of battery operation, it is recommended to replace it with a new HEYER
battery every 3 years.
25
Repair Information
2.14 Ventilator pneumatic
Fig. 6 Ventilator pneumatic
26
Repair Information
2.14.1 Ventilator pneumatic drive

Air or Oxygen, in the CMV mode, serves as driving gas for the ventilator. In addition to the flow meter
block, a pressure reducer, reducing the supply pressure to 200 kPa (2 bar; 29 PSI), is supplied by the
Air or oxygen connection. This pressure represents the high system pressure of the ventilator. The
pressure reducer is named HP pressure reducer.
The HP pressure reducer is placed ahead of the proportional valve that generates the driving gas flow
during the inspiratory phase. This flow is led through the flow divider and fills the bellows dome that
surrounds the silicone bellow.
In response to the inspiratory and expiratory phases of a respiration cycle, the pneumatic valves
(diaphragm valves) of the patient module are activated by solenoid valves.
These solenoid valves, MV1, MV3, and MV2 are supplied by a second pressure reducer assembly
(LP- double stage pressure reducer) at the low system pressure, together with MV4, with about 20 kPa
(200 mbar; 2.9 PSI)// 25 kPa (250 mbar; 3,63PSI).
Cyclic activation of the proportional valve and solenoid valves is steered by the processors of module
2 according to the parameters set on the control panel of the ventilator.
A description of the individual components will be found in the following chapters:
2.14.2 HP pressure reducer

The HP pressure reducer serves for a stabilization of the supply pressure for the proportional valve.
The flow generated by the proportional valve thus becomes independent of pressure variations.
The setting of the HP pressure reducer (200 kPa (2 bar; 29 PSI)) at the same time determines the
maximum inspiratory flow of 75 +0/-4 L/min with respect to the respirator.
2.14.3 LP- double stage pressure reducer

This pressure reducer assembly is supplied with oxygen in parallel to the measuring tube block or ratio
system, respectively. It reduces the input pressure to 20 kPa (200 mbar; 2.9 PSI)// 25 kPa (250 mbar;
3,63PSI), and is connected to the solenoid valve bank.
2.14.4 Solenoid valves MV1 to MV4

The solenoid valves MV1, MV2, MV3 and MV4 are mounted on a bank behind the patient module
docking station to which the tubes to the docking station of the patient module and the LP- double
stage pressure reducer are connected.
MV1: This solenoid valve activates, in the CMV mode, the valve for closing the outlet of the bellows
dome (bellows control valve) through the line 5, when driving gas flows in for inspiration. It is supplied
by the LP- double stage pressure reducer.
MV2: This solenoid valve activates, in the CMV mode, the valve closing the expiratory channel of the
patient module (expiratory valve), via MV2 through the line 1. It is supplied by the LP- double stage
pressure reducer via MV4.
MV3: This solenoid valve activates, in the CMV mode, the valve for the fresh gas decoupling
(decoupling valve) through the line 6. It is supplied by the LP- double stage pressure reducer.
MV4: This solenoid valve is used for internal supply of MV2 with pressure of the LP- reducer.
27
Repair Information
2.14.5 Pneumatic driving module

The driving module consists of the proportional valve and flow divider with an internal flow sensor. The
proportional valve supplied by the HP pressure reducer generates a driving gas flow of 0-75 l/min in
relation to the control voltage of the proportional valve of 0 - 5VDC.
The control voltage of the PV, required for the pre-selected parameter settings, is generated by the
CPU board AVM 3-2.
The driving gas flow Qdrive gas is in the following in relationship with the tidal volume:
Qdrive gas = VT/Ti with Qdrive gas = driving gas flow
VT = generated tidal volume
Ti = Inspiratory time
2.14.6 Flow metering module

The flow metering module attached to the proportional valve consists of a flow sensor with a
measuring range of 0 - 1 l/min and a flow divider. The flow divider splits the total flow in a ratio of 79: 1,
and the bypass flow is lead to the flow sensor. A closed loop that allows high accuracy and back up in
the generation of the tidal volume results from this configuration via the module 2 CPU-boards.
2.14.7 Tube color coding

Despite the local color coding system, all the pneumatic tubes inside the apparatus will be according
to the coding label inside the unit, if it is not according to the local color coding system, next to the flow
meter block. Typically it will be according to one of the follow standards.
Gas ISO 32 Standard US standard

O2 White Green
N2O Blue Blue
AIR Black/White Yellow
On the outside of the apparatus, the coding will be as ordered.
28
Repair Information
2.15 The patient module (circle system)
2.15.1 Top and back side view on the patient module
1 2 3 4
6
5 12 15
8 9 10 11 13 14
7 7
Fig. 7 Top and backside view on the patient module
Pos. Description
1. Expiratory valve (passive)

2. Airway pressure limiting valve (APL)
3. Inspiratory valve (passive)
4. Room air valve, emergency air valve
5. Connector of expiratory flow sensor
6. Connectors of power supply heating blanket
7. Bores for guiding pins of connecting block
8. Expiratory valve (active)
9. Port for pressure measurement
10. Port for expiratory valve activation in the manual mode
11. Port for driving gas
12. Locking bolt
13. Bellows diaphragm valve
14. Decoupling diaphragm valve
15. Port for fresh gas
29
Repair Information
2.15.2 Bottom and back side view on the patient module
1 2
3
5
6
4
7
8
Fig. 8 Bottom and backside view on the patient module
Pos. Description
1 Fixing screws for locking bolt
2 Exhaust for driving gas
3 Driving gas in- and outlet to bellows dome
4 Thread for CO2 absorber canister fixing, outlet from patient module to absorber
5 Inlet for re-breathing gas from absorber to patient module
6 Connector for bellows
7 Inlet for ambient air valve / emergency air valve
8 Port for anesthetic gas scavenging tube (30 mm cone)
30
Repair Information
2.15.3 Functional representations of the patient module
gas-
monitoring
2 5 P 16
3 6 12
11
1 4 7
14
8
15
19
9
17
V
10 18
V
13
Fig. 9 Survey of the patient module
Pos. Description
1 Patient's y-piece
2 Side stream gas monitor
3 Inspiratory bacterial filter
4 Expiratory bacterial filter
5 Airway pressure monitor connection
6 Inspiratory valve (passive)
7 Expiratory valve (passive)
8 Spirometry sensor
9 Airway pressure limiting valve (APL)
10 Waste gas outlet
11 Expiratory valve
12 Room air valve, emergency air valve
13 Ventilator control pneumatic
14 CO2 absorber
15 Bellows
16 Decoupling valve
17 Bellows dome
18 Bellows valve
19 Reservoir / manual ventilation bag
31
Repair Information
2.15.3.1 CMV mode, inspiration
gas monitoring
P decoupling valve
expiratory valve
when reservoir pressure V bellows valve

is > 2 mbar
MV3 ="1"
MV2 ="1"
MV4 ="1"
MV1 ="1"
Fig. 10 Survey of the patient module, CMV mode, inspiration
32
Repair Information
2.15.3.2 CMV mode, expiration
gas monitoring
P decoupling valve
expiratory valve
V bellows valve
when reservoir pressure
is > 2 mbar
MV3 ="0"
MV2 ="0"
MV4 ="0"
MV1 ="0"
Fig. 11 Survey of the patient module, CMV mode, expiration
33
Repair Information
2.15.3.3 Manual mode, inspiration
gas monitoring
P decoupling valve
expiratory valve
when the set respiratory V

pressure is attained bellows valve
MV3 ="0"
MV2 ="0"
MV4 ="0"
MV1 ="0"
Fig. 12 Survey of the patient module, Manual mode, inspiration
34
Repair Information
2.15.3.4 Manual mode, expiration
gas monitoring
decoupling valve
expiratory valve
V bellows valve
MV3 ="0"
MV2 ="0"
MV4 ="0"
MV1 ="0"
Fig. 13 Survey of the patient module, Manual mode, expiration
35
Repair Information
2.15.3.5 Spontaneous mode, inspiration
gas monitoring
decoupling valve
P
emergency air valve opens
at p < - 3 mbar
expiratory valve
when reservoir pressure V

is > 2 mbar bellows valve
MV3 ="0"
MV2 ="0"
MV4 ="0"
MV1 ="0"
Fig. 14 Survey of the patient module, Spontaneous mode, inspiration
36
Repair Information
2.15.3.6 Spontaneous mode, expiration
gas monitoring
P decoupling valve
expiratory valve
waste gas V bellows valve
MV3 ="0"
MV2 ="0"
MV4 ="0"
MV1 ="0"
Fig. 15 Survey of the patient module, Spontaneous mode, expiration
37
Repair Information
2.15.4 Components of the patient module
2.15.4.1 Ventilation bellows system
The ventilator’s driving system can be characterized as a constant flow generator. The driving gas of
this generator fills the bellows dome to compress the bellows. The breathing gas is pressed out of the
bellows into the circuit. Due to the weight of the descending bellows, it is self-filling when the driving
gas flow is stopped. The bellows control valve enables the escape of the driving gas.
2.15.4.2 Manual Respiration Bag / Reservoir
In the manual mode this device acts as a normal breathing bag, enabling the user to ventilate the
patient manually. In CMV mode this bag acts as a reservoir for fresh gas in the inspiration phase. In
the expiratory phase the re-breathing gas and the fresh gas are accumulated in this reservoir. The
bag’s in- and deflation corresponds to the volume balance of the breathing circuit and the patient.
When a volume loss occurs, the bag deflates breath by breath and finally collapses. Such a collapsing
breathing bag is an indicator for a leakage. The breathing bag must collapse if the fresh gas flow,
reduced by the patient’s uptake, is not able to compensate the leakage.
2.15.4.3 CO2 absorber
The soda lime inside the absorber retains the carbon dioxide from the re-breathing gas. The flow
orientation is upstream.
2.15.4.4 Inspiratory and expiratory valves
To ensure the gas flow direction the two one-way-valves in the inspiratory limb and expiratory limb are
integrated inside the patient module. These valves are seen activating form the top of the module.
2.15.4.5 Airway pressure relief valve
In CMV position the APL valve closes the re-breathing system towards the scavenging line and limits
the reservoir pressure to a constant value of 2 cmH2O. In manual mode the APL valve acts as a
normal spring loaded pressure relief valve, limiting the maximum pressure in the re-breathing system.
2.15.4.6 Room Air valve
Due to the tendency of the descending bellows to refill itself by creating a negative pressure inside the
bellows this valve prevents the patient from becoming any negative pressure by opening the
diaphragm and allowing ambient air to refill the bellows.
2.15.4.7 Diaphragm/Membrane valves
Inside the patient module valves operate the expiratory line, the bellows dome outlet and the fresh gas
decoupling line during the CMV-mode. These valves are controlled by pressured gas to open or close
the valve’s path. All valves are open when not inflated. The power gas for these valves is controlled by
the ventilator’s valve bank using a supply pressure of about 20 kPa (200 mbar; 2.9 PSI)// 25 kPa (250
mbar; 3,63PSI) from the ventilator pneumatic.
38
Repair Information
2.15.2.7.1 Status of the diaphragm/membrane valves:

The diaphragm valves are pneumatically operated by solenoid valves. The following list shows the
correspondence between diaphragm valve, solenoid valve and pressure port.
Valve Bellows valve Exp. valve Decoupling valve

controlled by MV 1 MV 2 MV 4 MV 3
connected to port # 5 1 3 6
wire # 5, 6 7, 8 1, 2 3, 4
In the following the status of the diaphragm/membrane valves are shown corresponding to the
selected ventilation mode of the ventilator.
2.15.2.7.2 Machine OFF or Ventilator In Standby
Valve MV 1 MV 2 MV 3 MV 4
Activity OFF OFF OFF OFF
Pressure on port 5, No 1, No 6, No no sup. of MV2
2.15.2.7.3 Manual / Spontaneous Mode, INSPIRATION and EXPIRATION
Pressure on port 5, No 1, No 6, No no sup. of MV 2
2.15.2.7.4 CMV Child / Adult Mode, INSPIRATION
Activity ON ON ON ON
Pressure on port 5, Yes 1, Yes 6, Yes supply of MV 2
2.15.2.7.5 CMV Child / Adult, EXPIRATION
Pressure on port 5, No 1, No 6, No no sup. of MV 2
2.15.2.7.6 CMV Adult, EXPIRATION and PEEP
Valve MV 1 MV2 MV3 MV4

Activity OFF ON OFF ON
Pressure on port 5, No 1, Yes 6, No supply of MV2
39
Repair Information
2.15.2.7.7 Compliance Test Patient Module
The compliance test patient module is divided in 3 phases.

Phase 1. Flow into the re-breathing system and test of flow sensors.
Activity ON OFF ON ON
Pressure on port 5, Yes 1, No 6, Yes no sup. of MV2
Phase 2. Pressure increase up to test pressure 40 cmH2O, calculation of system compliance.

Pressure on port 5, Yes 1, Yes 6, Yes supply of MV2
Phase 3. Test of pressure loss.

Pressure on port 5, Yes 1, Yes 6, Yes supply of MV2
2.15.2.7.8 Leak Test Patient Module and Fresh Gas Module

Activity ON OFF OFF OFF
Pressure on port 5, Yes 1, No 6, No no sup. of MV2
40
Maintenance and Calibration
3 Repair Information
3.1 Introduction
This chapter of the service manual provides the necessary technical information to perform repairs to
the instrument. The most important perquisites for effective troubleshooting are a trough
understanding of the instruments functions, as well as understanding the principals of operation.
3.2 Warnings and precautions

In the event the instrument covers are removed, observe the following warnings and guidelines
3.2.1 Precautions
1. Do not short components leads together
2. The instrument covers must not be removed by anyone other than qualified technical personnel
who have received supplementary instructions regarding maintenance of medical equipment
and/or have equivalent experience in this area.
3.2.2 Warnings
1. This device operates using compressed gas at high pressures. When attaching emergency gas
tanks, always open tank valves slowly, watching the cylinder gauge indicate the tank pressure.
When disconnecting the tanks, always close the valves slowly. Use the Modular+ flow meters to
bleed down the pressure, watching the cylinder gauge indicating the depleting tank pressure,
before disconnecting the tank from the yoke. Always open and close tank valves fully.
2. This device operates using compressed gas at high pressures from the hospital central supply.
When connecting gas supply lines, attach the hose connection to the machine before connecting
the quick disconnect fitting to the hospital source. Disconnect the supply hose from the hospital
source connection prior to disconnecting it from the Modular+ gas connection fittings.
3. Whenever flowing anesthetic gases, nitrous oxide, oxygen, or any hospital gas always use the
appropriate agent evacuation system.
4. Never oil or grease any oxygen equipment unless the lubricant used is made and approved for
this kind of service. In general, oils and greases oxidize readily, and in the presence of oxygen
burn violently.
3.3 Troubleshooting Guidelines

1. Identify the problem – Due to the wide variety of potential symptoms, certain problems may be
more subtle than others. Following the guidelines of the tests will help determine the problem if
one exists.
2. Avoid shorting component leads together – During repair procedures, it can be tempting to
make a quick series of measurements. Always turn the power off before connecting and
disconnecting the test leads and probes. The accidental shorting of leads can easily stress the
components and cause a second failure (aside from the safety risk).
3. Use the proper equipment – The equipment listed below is suggested to fulfill a wide range of
troubleshooting requirements. It is imperative to use the designated equipment in order to ensure
proper results of any and all test procedures.
4. Clean up the repair area – After any repair, clean off the repair area.
3.4 Troubleshooting Charts

3.4.1 Error Messages during ventilation
Corrective action
Display message Cause Corrective action User
Service technician
Vent Error: No communication between Finish the case with manual Exchange module 2 (ventilator
AVM 3-1 and AVM 3-2 ventilation; microprocessor boards)
Use Manual Ventilation
(ventilator microprocessor Take the machine out of use;
Call Service boards) for more than 8 sec. Call Service
CPU Error: Use Manual No communication Finish the case with manual Exchange either the module 2,
between AVM 3-1 and module ventilation; the module 1 or the
Ventilation
1 (user interface) for more than Take the machine out of use; communication cable
Call Service 20 sec. Call Service connecting the two modules
System Failure (Module 1)
Watchdog Error (Module
2)
Set APL valve to AVM3-2 Set APL to the CMV/SP If resetting the APL valve does
PPEAK is greater than 10 mbar position not solve the problem, check
CMV/SP position and lowest expiration pressure Reset automatically after the correct functions of the APL
after the expiration still greater pressure relief, Restart of the valve, solenoid valves and the
than PPEAK–2mbar ventilation after request. diaphragm valves
No pressure relief in the
expiration
Flow Error: Use Manual CMV, PCV Finish the case with manual Recalibrate the proportional
After the first five breaths in ventilation; valve, internal flow sensor and
Ventilation
CHILD resp. after the first three Take the machine out of use; the characteristic of the
Call Service breaths ADULT: Last Call Service proportional valve. If that does
inspiratory flow is lower than not solve the problem,
0,05 L/min, even though more exchange the
than 2.00 L/min were set at the 1. proportional valve
prop. valve 2. internal flow sensor
Sensor does not deliver any
values
Valve Error: AVM3-2 CMV The intermitting tone is reset via Recalibrate the proportional
The internal actual flow value is the mute button valve, internal flow sensor and
Use Manual Ventilation
measured during the inspiration (acknowledgement) the characteristic of the
Call Service and may not exceed the Reset the error message via proportional valve. If that does
following desired value x factor the compliance test not solve the problem,
1.5: exchange the
1. proportional valve
AVM3-2 PCV 2. internal flow sensor
The same as CMV, but other
tolerance
Prop. Valve faulty
42
Corrective action
Service technician
Valve Error: Use Manual AVM3-2 CMV/ PCV Finish the case with manual Recalibrate the proportional
ventilation; valve, internal flow sensor and
Ventilation The actual internal flow value Take the machine out of use; the characteristic of the
Call Service should be 0 during expiration Call Service proportional valve. If that does
not solve the problem,
exchange the
1. proportional valve
2. internal flow sensor
Calibrate Breathing AVM3-2 CMV, PCV The intermitting tone is reset via Check the correct voltage
Difference between the set and
the mute button supply for the solenoid vales. If
System
the detected state of each (acknowledgement) that does not solve the problem
Perform Compliance Test solenoid valve for more than
Reset the error message via exchange the according
when convenient 200 ms the compliance test solenoid valve
Pressure Reading out of AVM3-1, AVM3-2 The intermitting tone is reset via Recalibrate the pressure
A difference between the two
the mute button sensors and check the
tolerance
pressure sensors of more than
(acknowledgement) according tubing. If that does
Perform Compliance Test 10 mbar Reset the error message via not solve the problem exchange
when convenient the compliance test the module 2
No drive gas; please AVM3-1 Ensure the driving gas supply, Check the gas supply, the
Monitoring of the pressure restart the ventilation on correct tubing and the correct
check switch for the driving gas request. connection and function of the
pressure switch
Flow/Volume Readings AVM3-1 during ventilation The intermitting tone is reset viaExchange the external flow
the mute button sensor
not available
External flow sensor is broken (acknowledgement)
Replace Flow Sensor – or short-circuited Reset the error message via
Call Service the compliance test
APNEA AVM3-1. Manual/ spontaneous Create expiration Ensure the correct function of
Within a period of 15 to 60 the circle system
seconds a expiration cannot be
detected
Breathing Circuit AVM3-1 CMV, (S)CMV, PCV Create a pressure increase in Ensure the correct function of
The peak pressure PPEAK is the inspiration phase the circle system and the
Disconnect lower than 0.5 mbar and lower correct electrical and pneumatic
then the set pressure limit Pmin function of the solenoid valves
PEEP greater than Pmin AVM3-1 CMV, (S)CMV, PCV Lower the end expiratory Check the correct position and
The end expiratory pressure is pressure or raise the pressure function of the APL valve.
greater than the set pressure limit Pmin Ensure the correct function of
limit Pmin the circle system
FiO2 lower than FiO2 AVM3-1 Increase the O2 value or raise Recalibrate and check the
The measured O2 value is the limit O2min correct function of the O2 cell.
min lower than the set O2min limit Exchange if necessary
Tidal Volume lower than AVM3-1 Increase the VTE value or raise
The measured VTE value is the limit VTEmin
VTE lower than the set VTEmin limit
Peak pressure greater AVM3-1 Decrease the Ppeak value or
The measured Ppeak value is raise the limit Pmax
than alarm limit
greater than or equal to the set
Pmax limit
Peak pressure below AVM3-1 Increase the Ppeak value or
The measured Ppeak value is lower the limit Pmin
alarm limit
lower than the set Pmin limit
Minute Volume below AVM3-1 Increase the ventilation rate or
The calculated M.Vol value is the VTE value or lower the limit
alarm limit
lower than the set M.Vol min Pmin
limit
PEEP greater than AVM3-1 Decrease the PEEP value or Check the correct position and
The measured PEEP value is 5 raise the set PEEP function of the APL valve
PEEP-Setting
mbar higher than the set PEEP
FiO2 greater than FiO2 AVM3-1 Decrease the FiO2 value or Re-calibrate the O2 sensor
The measured FiO2 value is raise the set FiO2max limit
alarm limit
greater than the set FiO2max
limit
Check Vent Dial position AVM3-1 The last detected valid position 1. Check the correct function of
The selector switch position is is maintained until a new valid the Vent Dial
monitored An invalid position position is detected, then the
must be eliminated within two message disappears
seconds. After this the alarm
message appears.
43
Corrective action
Service technician
System Error EEPROM is checked during the Take the machine out of use;Recalibrate the complete
start up and during the sensor Call Service system. If that does not solve
Cal Required test for CRC errors the problem exchange the
Call Service module 2
Temp Sensor readings AVM3-1 Restore the function of the Recalibrate the temperature
The measured temperature temperature sensor sensor in the service mode. If
not available value is out of tolerance that does not solve the problem
Call Service exchange the module 2
Temp Sensor out of AVM3-1 Restore the function of the Recalibrate the temperature
The over-temperature switch heating blanket sensor in the service mode.
tolerance activated or the temperature of Check the correct function of
Check Heating System - the patient module has not the solid state relay and the
Call Service increased for 20 min even according power supply
though heater is switched on
Fan Error AVM3-1 Restore the function of the Fan 1. Check for physical
Check Fan - Call Service The Fan does not deliver any
impulses
obstructions
2. Exchange the fan
AC Power lost, using AVM3-1 Restore the line supply 1. Ensure the correct line
The line power fail signal voltage
Battery
reports use of battery 2. Ensure the correct function of
the power supply module
Continuous Pressure AVM3-1 Manual/ spontaneous Increase the pressure
Over a time of 10 seconds the difference
minimum and the maximum
pressure is measured. If the
actual pressure is greater than
10 mbar and the difference
between the minimum and the
maximum pressure is smaller
than 5 mbar, the error message
is issued
Battery running low AVM3-1 Battery mode Restore the line supply 1. Charge the battery
The valid discharge time is over 2. Check the capacity of the
Use Manual Ventilation battery, if necessary, exchange
it.
Ambient Air Intake: AVM3-1 CMV, PCV Correct the fresh gas flow. Check the correct calibration of
In the expiration phase there is When the smallest Pressure the pressure sensors
Check Fresh Gas setting
a sub-atmospheric of more than zero higher is, the error
2 mbar, an error message is message disappears
issued
Set APL to CMV/SP AVM3-1 Controlled ventilation Set APL to VENT (CMV) 1. Ensure the correct function of
position • The measured PEEP position the APL valve.
value is 5 mbar higher than the 2. check the breathing circuit for
set PEEP over a period of 5 obstructions
ventilation cycles
• The controlled
ventilation is being started
Check Settings AVM3-2 CMV Decrease ventilation frequency
The maximum position of the or VTE
Proportional valve has been
reached
30 min. remaining AVM3-1 Battery mode Restore the line supply 1. Charge the battery
30 minutes of battery use left 2. Check the capacity of the
battery, if necessary, exchange
it.
it.
it.
it.
44
Corrective action
Service technician
10 min. remaining AVM3-1 Battery mode Restore the line supply1. Charge the battery
it.
it.
Unable to attain target AVM3-2 PCV Increase driving gas flow or Check the system for leakages
The peak pressure PPEAK is lower the plateau
pressure, Adjust flow or lower than the set volume
I:E ratio
PCV Setting not valid AVM3-2 PCV Reduce ventilation frequency or
Bellow monitor active. increase “I”
additional volume delivery is not
possible
Expiratory time too short AVM3-2 PCV Reduce ventilation frequency or
The calculated expiratory time increase “E”
is greater than 1 second (Adult)
resp. 0.5 second (Child)
Resume Ventilation AVM3-1 Restart the ventilation
Message to restart the

ventilation
The system is started without Perform the compliance test
Compliance Test
having performed the
bypassed compliance test
45
3.4.2 Alarm messages during the compliance test, leak test and O2 calibration
Corrective action
Service technician
System Resistance AVM 3-2 Repeat the compliance test Check the breathing circuit for
If with in 1 sec. after a flow of obstructions
too high 12 l/min has been generated, a
pressure increase of 10 mbar is
measured
Leak rate too high AVM 3-2 Troubleshoot the breathing Troubleshoot the breathing
If after 10 mbar have been circuit for leakages circuit for leakages
reached, 40 mbar are not
reached within 2s
Compliance out of range AVM 3-2 Replace bacteria filter and Replace bacteria filter and
The measured compliance has breathing circuit. Use the breathing circuit. Check the
to be between 2.0 and 9.9 Compliance test in Standby / complete breathing system for
OPTIONS to retest. If all else obstructions.
fails call Service.
System Error AVM 3-2 Retry function. Reboot Recalibrate the system. If this
Data for parameter or alarm machine. If all else fails call fails, exchange the module 2
Cal Required limit settings was not saved Service. processor board
Call Service correctly, the data exchange
between the ventilator modules
and on-screen display is faulty
or the startup test for Internal
circuit EEPROM has failed.
Check Diaphragm Valves AVM 3-2 Remove the Breathing circuit Remove the Breathing circuit
The PV closes after 40mbar from the Docking Station and from the Docking Station and
check the Decoupling and
has been reached. If after this a check the Decoupling and
pressure increase of 4 mbar Expiratory valves for intact Expiratory valves for intact
takes place within 4 s membranes. Replace as membranes. Replace as
required or call Service. required
Pressure Reading out of If the pressure sensors Take the machine out of use; Recalibrate the pressure
measure a difference greater Call Service sensors and check the
tolerance
than 3 mbar during the offset according tubing. If that does
Perform Compliance Test comparison, even though the not solve the problem exchange
when convenient system is pressure relieved. the module 2
Flow Error: Compliance Test Take the machine out of use; Recalibrate the proportional
Use Manual Ventilation • When during the Call Service valve, internal flow sensor and
offset calibration a flow of the characteristic of the
Call Service greater than 3 L/min is proportional valve. If that does
detected not solve the problem,
• During the exchange the
compliance test a flow of 1. proportional valve
12 L/min is delivered 2. internal flow sensor
through the prop. valve. If
the delivered flow is out
of tolerance
Flow Sensor Error
Flow/Volume Readings AVM3-2 Pressure test Retry function. Reboot Exchange the external flow
not available • Cannot be set to zero via machine. If else fails call sensor
the analogue output service
Replace Flow Sensor - • Set DAC value greater
Call Service than 1,83V
• The amplifier circuit is not
working correctly
System Error EEPROM is checked during the
Take the machine out of use; Recalibrate the complete
start up and during the sensor
Call Service system. If that does not solve
Cal Required - Call test for CRC errors the problem exchange the
Service module 2
Calibrate Breathing The checking of the solenoid Retry function. Reboot Check the correct voltage
valves failed machine. If else fails call supply for the solenoid vales. If
System service that does not solve the problem
Perform Compliance Test exchange the according
solenoid valve
Insert Breathing system The system does not detect a Insert Breathing system, else Test the correct function of the
signal from the stop switch in call service stop switch in the service mode.
the docking station If the function ids OK, readjust
it’s positioning. If the function is
faulty, exchange the stop switch
46
Corrective action
Service technician
System pressurized AVM 3-2 Vent the system by opening the Relieve the system pressure,
A pressure larger than 10 mbar Breathing circuit. Monitor recalibrate the pressure
is measured before the start of system pressure. sensors
the compliance test
System vented AVM 3-2 Check the O2 cell is present, Troubleshoot the breathing
During the compliance test or APL valve is set to max (leak circuit for leakages
or drive gas missing
Leak test a pressure higher test) and breathing circuit is
than 10 mbar is not measured connected properly.
3.4.2.1 Messages during the system tests
Result Compliance Test Compliance Test Leak Test O2 calibration

Start Up
OK Compliance Test Test Passed Leak Test Passed
Passed Set APL Valve to
Leak rate < 300 VENT (CMV)
ml/min position
Press Enter to
continue
OK with a leak of Compliance Test Test Complete
300ml to 600ml Complete Leak rate is xxx
Leak rate is ml/min
between 300-600 Compliance is
ml/min x.x ml/cmH2O
Press Enter to Please check
continue breathing circuit
OK with a leak of Leak Test
500ml to 1000ml Complete
Leak rate is
xxx ml/min
Verify that APL
Valve
is set to Max
CO2 absorber,
vaporizers locked
OK with a leak of Compliance Test Test Complete
>600ml/min Complete Leak rate is higher
Leak rate is higher than 600ml/min
than 600 ml/min Please check for
Tighten valve rings leaks
Check breathing
circuit
Press Enter to
continue
OK with a leak of Leak Test
>1000ml/min Complete
Leak rate is higher
than 1000 ml/min
Verify that APL
Valve
is set to Max CO2
absorber,
vaporizers locked
47
Result Compliance Test Compliance Test Leak Test O2 calibration

Start Up
OK O2Sensor
calibration
successful
O2 too high O2 concentration
too high
Expose Sensor
to room air
Press Enter to Start
O2 Sensor too old O2 Sensor is out of
rage
Replace O2 Sensor
Press Enter to Start
48
3.4.3 Symptoms of Fuse Failures
The following table shows the reaction to a failed fuse on the power supply board. The fuses F2, F3,
F4, F5 and F6 have been removed from the power supply module and are therefore subject of the
production date.
FUSE Failure during working Failure during start

F1 Display is black; module 1 and 2 do not Display is black; module 1 and 2 do
work not boot
F7 alarm „Solenoid Valves faulty“, „Fan after booting the message „Selected
faulty“ and „Ambient Air Intake“; real mode is not Standby“ is shown;
time curve shows a zero line module 2 does not boot; fan does not
work
F8/F9 alarm „AC power lost, using battery“ after the machine has booted alarm
„AC power lost, using battery“ is
shown
F10/F11 During the ventilation there is no failure; after the machine has booted the
after you have turned the selector message„Insert patient module“ is
switch to Standby the message „Insert shown; during using battery the
patient module“ is shown; during using message disappeared
battery the message disappeared
49
3.5 Required Tools

Item Part Description Specification
Number Number
1 - Operation manual HEYER specification
2 - Service manual HEYER specification
3 900-4726 Calibration pump, Pressure sensors 0 – 80 cmH2O
4 - Safety analyzer For electrical tests according to IEC-
601-1,B
5 - Digital Volt Meter
6 - Calculator Standard four function
7 900-4715 Temperature simulator HEYER specification
8 - Mass flow meter 0 – 80 l/min ± 2% of reading
9 - Surface cleaner Standard hospital grade
10 340-3000 Gasket set HEYER specification
11 460-0610 Driving gas test adapter with 1 meter HEYER specification
tubing
12 603-4000 Test lung Adult size
13 - Test lung Neonate size
14 - High pressure gauge 0 – 2.5 kPa x 100(0 – 2.5 bar;
0 – 38 PSI)
15 - Low pressure gauge 0 – 250 Pa x 100(0 – 250 mbar;
0 – 3.8 PSI)
17 - Hand tools, calibration tool, flat screw Metric standard
driver, socket and Allen wrench set
3.6 Disassembly instructions
3.6.1 Connecting and disconnecting vaporizers

1. To connect the vaporizer, place it carefully onto the vaporizer manifold. The manifold is Selectatec
type.
2. Lock the vaporizer with the locking lever ¼ turn to the fully locked position.
3. Only vaporizers with interlock-system may be used with this system.
4. After each exchange of a vaporizer, perform a leak test.
3.6.2 Removing the compressed gas tanks (PIN-Index)

1. Ensure that the tank is closed
2. Rotate the hand tight knob that retains the tank against the port seat.
3. Flip the swiveling yoke collar 180 degrees.
4. Grip the tank firmly and remove it from the yoke.
5. Connect a new tank in reverse order, ensuring a single tank washer is present on the yoke port
seat.
50
3.6.3 Removing the Patient Module

1. Remove the CO2 absorber dome.
2. Remove the bag in bottle system.
3. Remove the O2 cell cable from the O2 cell.
4. Remove the scavenger hose.
5. Remove the breathing circuit.
6. Turn the locking handle 180° counterclockwise
7. Pull out the patient module.
3.6.4 Removing the CO2 Absorber Canister

1. To release the absorber canister from the patient module, turn the unit counter clockwise. Secure
the Canister that it does not fall to the ground when the thread has ended.
Note: The discoloration of the spent soda lime disappears again after some time if it has not
been used. If used again, the color discoloration returns. Dry soda lime becomes
malsorbant.
3.6.5 Removing the Bellows and Dome System

1. Turn the unit counter clockwise and unscrew the unit ¼ turn.
2. Once released, remove the silicon bellows by pulling it down form the Patient Module fitting.
3.6.6 Removing the Airway Pressure Limiting Valve (APL)

1. Unscrew the union nut. The top section can now be removed.
2. The membrane can be removed from the bottom section and replaced, if necessary.
3. The membrane is placed back into the bottom section with the metal facing upwards.
4. Replace the top part of the Airway Pressure Limiting valve by lining up the index line in its correct
orientation.
5. Secure with union nut.
Caution: The spring in the top of the APL valve may not be stressed. After removal from
the bottom section place the top section to one side, taking care that the spring
is not unduly loaded.
51
3.6.7 Inspecting/replacing the Decoupling, Bellow and Expiratory Valves

1. To replace the Patient modules rear side valves’ membrane, undo the coupling nut.
2. After removing the valve assembly, undo the black nut securing the valve.
3. Inspect and /or replace the valve, ensuring no hole or deformity that would cause a leak.
4. Assemble in reverse order
CAUTION: During transportation of the patient module, transportation protection should be

applied at the rear to protect the valves.
3.6.8 Disassembling the Room Air, Inspiration and expiration valves

1. To dismantle the valves, the coupling ring must be unscrewed from the valve body. The valve
cover can now be removed.
2. The O-ring and the metal baskets in the expiration or inspiration valve can now be removed. The
valve plate can be removed. Assemble in reverse order.
3. The membrane of the room air valve can be carefully removed from the valve body after removing
the coupling ring and the valve cover. Assemble in reverse order.
4. The O-rings of the valve bodies have only to be exchanged if the valves were pulled out of the
Patient Module’s top.
3.6.9 Removing the Gas Block Module

1. Disconnect all sources of pressurized gas.
2. Remove the screws holding the rear access panel.
3. Remove the internal access panel containing the Gas Block.
4. Remove the screws and nuts holding the gas block to the enclosure.
5. Disconnect the gas lines running to the various connections.
6. Remove the Gas Block as a single module.
7. Reinstall the Gas Block in reverse order. Apply gas pressure and test prior to final button-up.
WARNING: An error in the tubing can lead to a serious health damage or death of the
patient. Reinsure the correct connection of the gas lines before the unit is put
back to use.
3.6.10 Removing the flow tubes

1. Remove the Gas Block Module
2. Remove the spring-loaded flow tubes by pushing it up and removing from the bottom.
3. Reinstall in reverse order.
52
3.6.11 Removing the pressure gauges

1. Remove the Gas Block Module
2. Remove the metal compression fittings from the gauge.
3. Remove the gauges from the front panel enclosure.
4. Reinstall in reverse order
5. Connect gas supplies at each gauge. Observe and test compression fittings for leaks.
3.6.12 Removing the Module 2 Circuit Board Set

1. Disconnect AC power.
2. Remove the cables connecting the Module 2 circuit boards to the rest of the Modular+.
3. Remove the three nuts holding the Modular to the enclosure.
4. Remove the Module 2 circuit as a module.
5. Reinstall in the reverse order.
3.6.13 Removing Module1 Circuit Board Set

1. Remove the Module 2 circuit board set.
2. Remove the cables connecting the Module 1 circuit board to the rest of the Modular+.
3. Remove the screws holding the Module 1 to the front plate of the enclosure.
4. Remove the Module 1 circuit boards as a module
5. Reinstall in the reverse order.
3.6.14 Removing the Power Supply Module

1. Disconnect AC power
2. Remove the protection cover of the power supply module.
3. Remove cables connecting the power supply module to the rest of the Modular+.
4. Remove the screws holding the board/module to the access panel.
5. Remove the power supply as a module.
6. Reinstall in reverse order.
53
3.6.15 Removing Internal Regulators, Proportional Valve and Flow Divider

1. Disconnect all sources of pressurized gas.
2. Remove vaporizers.
3. Remove the access panel attached to the yoke assembly.
4. Remove the screws holding the swinging rear access panel.
5. Disconnect each gas hose and electric cable running through each section.
6. Disconnect the top section from the middle section by disconnecting fasteners.
7. Remove the top section exposing the internal regulators and proportional valve. Replace the
targeted component. Replace each hose and cable.
8. Reconnect hoses and cables to the new component.
9. Rebuild in reverse order.
10. Apply gas pressure and power to functional test prior to final button-up
54
Preventive Maintenance
4 Maintenance and Calibration
4.1 Introduction
The Modular+ maintenance and calibration is comprised of four distinct activities:
1. Inspecting and/or replacing consumable parts
2. Adjusting individual potentiometers
3. Functional testing
4. Programming coefficients into stored memory
Consult the Preventive Maintenance chapter of this manual to determine the appropriate interval for
inspection and replacement of consumables, mechanical and electronic adjustments, testing and
programming.
Ensure that all testing materials, including gas drive, breathing circuits, test fixtures, tools and
documents are available and in good working order prior to beginning test procedures.
Testing and programming requires utilizing internal service software. A password is provided by
HEYER.
4.2 Calibration Warnings and Precautions

WARNING: The Modular+ Anesthesia Machine operates on line voltage and at high
pressure. Therefore, an electric shock hazard may exist when the instrument
covers are removed. Repair and calibration procedures should only be
preformed by qualified personnel who follow proper servicing techniques.
Warnings are given in appropriate location.
WARNING: Possible fire hazard. Fuses (i.e., additional sockets) must only be replaced by
fuses of the same type with the same rating.
WARNING: Possible electrical shock hazard. The machine may only be opened by HEYER
authorized service personnel.
CAUTION: Refer to the maintenance intervals in the preventive maintenance section for
guidance on which steps are preformed when.
CAUTION: Use surgical gloves whenever touching or disassembling valves or other

components of the patient module.
CAUTION: Ensure that the gas supply of the machine always complies with the technical
specification.
CAUTION: If the machine should show faults during the initial calibration or testing, the
machine should not be operated until the fault has been repaired by a qualified
service technician.
CAUTION: After servicing, functional, compliance and leak tests must be carried out before
clinical use
CAUTION: Failure to connect device to a grounded mains out may elevate leakage current
in excess of permissible values.
CAUTION: During transportation of the patient module, transportation protection should be

applied to the rear to protect the diaphragm valves
CAUTION: The spring in the top of the APL valve may not be stressed. After removal,
ensure that the APL valve is in position “CMV” and place to one side, taking
care that the spring is not unduly loaded.
CAUTION: Use cleaning agent sparingly. Excess fluid could enter the machine, causing
damage.
4.3 Test Procedure
4.3.1 General
1 Ensure that the Service Manual and Operation Manual are present.
2 Ensure there is no external damage to machine and accessories by visual inspection.
3 Ensure all accessories are complete and functional by visual inspection.
4.3.2 Inspecting/replacing consumable parts
1 Remove the patient module from the Modular+
a Turn on the Modular+ and ensure adequate driving gas is present.
b Remove the CO2 absorber dome.
c Remove the bag in bottle system.
d Remove the O2 cell cable from the O2 cell.
e Remove the scavenger hose.
f Remove the breathing circuit.
g Turn the locking handle 180° counterclockwise
h Pull out the patient module.
i Verify that the patient module window changes from Unlock to Unlocked.
56
valve inlet
40° turned drawn
2 3 4
6
insp. port
reservoir /
bag port exp. port
Fig. 16 Patient module, front view
57
bellows control
diaphragm
expiratory valve
decoupling
diaphragm
diaphragm
valve
valve
16
15
14
13
12
11
10
Fig. 17 Patient module, top view (diaphragm version)
Pos. No. Description Order No.

1 Airway pressure relief valve, cpl. 323-0095
2 Emergency air valve, cpl. 323-0098
3 Inspiratory valve, cpl. 323-0096
4 Expiratory valve, cpl. 323-0097
5 Heat blanket, cpl 323-0314
6 Flow sensor, cpl. 323-0220
7 Ventilation Bellow 323-0158
8 Absorber vessel 323-0046
9 Bellow dome 323-0045
10 Fixing nut diaphragm valve 323-0294
11 Bessel diaphragm valve 323-0110
12 Ring plate diaphragm valve 323-0042
13 O-ring 28.3x1.78 323-0292
14 Gasket 13x6.5x2 980-1170
15 Diaphragm valve body 323-0100
58
2 Ensure that the O-ring (323-0147) and the packing ring (980-1170) of the CO2 absorber are intact.
3 Ensure that the O-ring (323-0147) on the ventilator bellow is intact.
4 Ensure that the O-ring (049-3182) on each vaporizer mount is intact.
5 Check O-rings (049-3052) of the docking station ports (located between the patient module and its
docking station).
a Replace O-rings at recommended interval
6 Inspect the spindle nut (323-0115) on the patient module for wear and tear. Replace if necessary.
7 Inspect O-ring washer (980-1174 for O2 and N2O; 980-1170 for AIR) between tank and yoke
connection. Replace if necessary.
8 Ensure the inspiratory valve (610-3156) is intact, replace if necessary.
9 Ensure the expiratory valve (610-3156) is intact, replace if necessary.
10 Ensure the APL valve (323-0310) is intact, replace if necessary.
11 Ensure the Room air valve (323-0099) is intact, replace if necessary.
12 Ensure that the inspiratory and expiratory valve O-rings (610-3157) are intact, replace if
necessary.
13 Ensure the Fresh gas decoupling, Driving gas and expiratory diaphragm valves (323-0100) are
intact, replace if necessary.
14 Check gas supply inlet filters (370-0017) and water traps (340-0344).
a Verify that minimal to no condensation or dirt are present in the inlet filter and bottles. Drain
any liquid from bottles.
b Clean and/or replace the contaminated inlet filters and O-rings, if necessary.
Fig. 18 Supply inlet filters and water traps
59
15 Reassemble the patient module and install back into the docking station.
16 Turn off the Modular+ power switch.
17 Verify O2, N2O and AIR tank check valves. *
a Connect and open a full gas tank on each yoke
b Withdraw the gas connecting coupling from the supply outlet.
c Verify the check valves prevent gas from escaping through the open supply outlets.
d Verify there is no external damage to the gas connecting coupling
18 Verify O2, N2O and AIR supply check valves.
a Remove the tanks and reconnect the gas connecting couplings to the supply outlets.
b Verify the check valves prevent gas from escaping through the open tanks yokes.
c Verify there is no external damage to the gas tank or yoke pins.
* Subject of configuration
60
4.3.3 Power supply checks

1 Remove the screws from the upper panel. Swing the door open exposing the power supply PC
board. The power supply assembly is attached to the door.
2 Carefully remove the plastic shield.
Warning: AC voltage is present
3 Adjust P1 on the power supply board for +5.2 VDC. Use the ground pin located to the right as
meter ground.
V 54 P2 Ground P1
Fig. 19 Power Supply Board
4 Adjust P2 on the power supply board for +12.5 VDC. Use the ground pin located to the right as
meter ground.
5 Verify that the V54 LED is illuminated, indicating -12 VDC.
6 Reinstall the plastic shield to the Power supply assembly.
61
4.3.4 Functional Tests
4.3.4.1 Pneumatic tests
1 Perform automatic compliance test.
a Turn on the Modular+ and ensure adequate drive gas is present
b Attach a breathing circuit the patient module.
c Seal the Y-piece by attaching the open port to the parking place on the side of the patient
module.
d Turn off the fresh gas flow or set it to minimal flow in case of basil flow configuration.
e Select OK to start the test. The test calibrates the ventilator for tubing compliance at 40 Pa x
100 (40 mbar; 40 cmH2O) and performs a leak test on the patient circuit pneumatics between
the decoupling valve and the expiratory valve.
f Verify successful completion and that no leaks are indicated.
2 Perform automatic leak test.
a Turn on the Modular+ and ensure adequate drive gas is present. Enter the Leak Test via the
Options menu.
b Attach a breathing circuit the patient module.
c Connect the y-piece to the hose end where the reservoir bag normally is connected.
d Turn off the fresh gas flow or set it to minimal flow in case of basil flow configuration.
e Set the APL valve to max (fully closed)
f Select OK to start the test. The test pressurizes the system the pneumatic system all the way
back to the spindle valve of the flow meters.
g Verify successful completion and that a minimal leak (less than 300 ml/min at 40 cmH2O) is
indicated.
3 Perform the manual pressure test.
a With the selector switch of the Modular+ turned to the manual position, attach a breathing
circuit to the patient module.
b Connect the y-piece to the hose end where the reservoir bag normally is connected.
c Set the APL valve to max (fully closed).
d Rotate the O2 or AIR spindle until 60 Pa x 100 (60 mbar; 60 cmH2O) is observed on the
screen.
e Reduce the gas flow by counter rotating the spindle until the pressure stabilizes at 60 Pa x
100 (60 mbar; 60 cmH2O)
f The gas flow indicates the Modular+’s leak rate. If the automatic Compliance and Leak test
have passed, this test will indicate a leak in the drive gas system, or may be used to
troubleshoot system leaks at a higher-pressure level.
62
4 Verify APL Valve accuracy.
a Attach a breathing circuit the patient module.
b Connect the y-piece to the hose end where the reservoir bag normally is connected.
c Set a fresh gas flow of 5 l/min.
d Set the APL valve to each pressure graduation (10, 20, 30, 40 and 50 Pa x 100 (mbar;
cmH2O))
e Compare the valves on the pressure gauge with the valve settings. Deviations from pressure
indication and setting must not exceed ±20% of the set value or 10 Pa x 100 (10 mbar; 10
cmH2O), whichever is greater.
4.3.4.2 Alarm Tests
1 Turn on the Modular+ and ensure adequate driving gas is present.
2 Perform the Compliance test.
3 Verify the VTE min (low alarm), Peak pressure (high and low alarms), M.Vol (low alarm) and O2
(high and low alarms).
a Ventilate a test lung in the CMV mode.
b Set each parameter’s alarm limit one at a time, to violate it’s high and low alarm setting.
c Verify that alarm indications function.
Fig. 20 Alarm screen
63
4 Verify O2 pressure loss alarm (whistle) and N2O cutoff.
a Ventilate a test lung in the CMV mode.
b Set the AIR/N2O switch to N2O
c Flow 1 l/min O2 and 1 l/min N2O using the flow meter spindle valves.
d Interrupt the O2 supply to the Modular+.
e Verify the O2 pressure loss alarm whistle for approximately 7 seconds, and the flow of nitrous
oxide lowers to 0 l/min. If O2 is the ventilator drive gas, an electrical alarm and message will
also activate.
f Verify at the same time, Air is available by adjusting the AIR spindle valve. AIR flow will be
available regardless of the position of the AIR/N2O switch position. Air flow can be increased
by rotating the Air flow spindle.
g If necessary, adjust the time and loudness level of the O2 deficiency whistle by setting the
screw adjustment next to the Whistle reservoir.
Fig. 21 O2 Whistle adjustment (appearance may differ due to different configuration options)
5 Verify line voltage alarm.
a Interrupt AC line voltage while the respirator unit is in manual/spontaneous or automatic

ventilation mode.
b Verify that the line power alarm sounds and that the AC connector icon appears on the
display. The alarm is reset when reconnecting the line power supply.
c Verify the battery icon appears on the screen after AC reconnection. This indicates battery
charging.
64
6 Verify N2O:O2 ratio system.
a Set the O2 and N2O valves to minimum.
b Rotate the N2O valve throughout its range from 0.5 to 10 l/min.
c Using the readings from the flow tube, verify that no less than 25% ± 5% O2 can be achieved
at any N2O flow rate.
4.3.4.3 Electrical Tests
1 Check convenient AC outlets.
a Verify AC voltage is present at each AC outlet with the Modular+ Mains switch in the ON or
OFF position.
CAUTION: Perform the following electrical safety inspection as the last step after completing a
repair or after routine maintenance.
2 Conduct electrical safety inspection.
3 Test of electric safety according to IEC 601-1:
a Test the protective conductor resistance.
b For the measurement, use a test set according to IEC 601-1.
c The maximum protective conductor resistance must not exceed 0.1 Ohms.
d Enter the result into the test protocol.
4 Test the leakage current.
a For the measurement use a test set according to IEC 601-1.
b Before the measurement of the leakage current, withdraw the power supply cable of all units
form the convince receptacles at the rear side of the apparatus.
c The maximum leakage current must not exceed 500µA (0.5 mA).
d Enter the result into the test protocol.
5 Test the insulation resistance.
a For the measurement, use a test set according to IEC 601-1.
b The insulation resistance must be higher than 70 MOhms.
c Enter the result into the test protocol.
65
4.4 Service Software

Calibration and testing is accomplished through software driven service diagnostics. The current
software version is displayed in the main menu.
To enter the service software
1 Turn off the Mains switch. Set the Switch to standby. Turn on the mains switch.
2 Select the keys
a SET
b OPT.
d OK
One at a time and in sequence, while waiting for the indicator to advance. After each key is
pressed, an asterisk (*) will appear in the lower left corner of the screen. When boot up is
completed, the Modular+ enters the service mode.
3 Select Key code.
Fig. 22 Initialization screen
66
To Exit the Service Software
1 To exit the service software, select the Exit (or Quit key in advanced screens) to return to the
Initialization screen menu
2 Shut down the Modular+ after each diagnose software session by turning off the mains switch.
4.5 Key code Access

1 Enter a key code (provided during service training) to invoke the service software.
2 Advance from this window to the main menu by pressing OK
Fig. 23 Key code entry screen
67
4.6 Navigation
1 While in the main menu screen, select individual keys to calibrate the O2 sensor, Temperature
sensor, P1 pressure sensor, P2 pressure sensor, Internal flow sensor, External flow sensor or
proportional valve.
2 Select the test menu screen.
Fig. 24 Main menu screen
68
3 While in the test menu screen, Pressure, O2 and Temperature sensors, Proportional valve output,
Solenoid valve continuity, Power indicators, and Heating blanket thermal cutoff.
Fig. 25 Test menu screen
Note: The motor button has no function with units without the patient module
69
4.6.1 System Testing

1 Conduct Motor Control test. (Skip to step 1-f if already in the Test menu)
Note: Skip to step 2 if you have a unit without the patient module motor
a Select the Select the keys.
i) SET
ii) OPT.
iii)
iv) OK
b Select KEYCODE to enter the diagnostic screens.
c Enter a valid key code to invoke the service software.
d Advance from this window to the main menu by pressing ENTER.
e Select TEST MENU.
f Select MOTOR.
Fig. 26 Patient Module, motor control screen
70
g Select UNLOCK and verify the patient Module moves away from the Docking station. Remove
the Patient module.
h With the Patient module removed, select the start button located on the inside surface of the
docking station
i Select the Stop button located on the inside of the docking station and verify that its screen
indicator illuminates
j Reinstall the Patient module and select UNLOCKED to secure it into the docking station. The
start and stop screen will illuminate.
k Select QUIT to return to the test menu.
Start switch Stop switch
Fig. 27 Docking station, Start/ Stop switches
71
2 Conduct pressure, O2 and temp sensor test. (Skip to step 1-f if already in the Test menu)
i) SET
ii) OPT.
iii)
iv) OK
d Advance from this window to the main menu by pressing ENTER.
e Select TEST MENU.
f Select the P, O2, °C key.
g Attach the all tubes to the Y-piece.
h Set the APL valve to MAX (fully closed)
i Remove the O2 cell from its mount.
j Verify that the O2 displays 21% ± 2 % after stabilization.
Fig. 28 Pressure, O2 and Temperature screen
72
k P1 and P2 values for both AVM 3-1 and 3-2 rows display 0.0 ± 1 digit. Reinstall the O2 cell to
its mount.
l Flow in fresh gas until P1 AVM 3-1 reads approximately 40.
m P1 and P2 values for both AVM 3-1 and 3-2 rows display ± 2 digits after stabilization. Release
system pressure.
n Verify the correct reading of the temperature sensor. It should be, depending on the heating
status of the patient module, between 20°C and 36°C .
o Select QUIT to return to the Test Menu.
p Set the APL valve to the CMV position.
73
3 Conduct Proportional valve (PV) verification test, with the patient module removed.
(Skip to step 3-m if already in the Test menu with the removed patient module)
a Remove the CO2 absorber dome.
b Remove the bag in bottle system.
c Remove the O2 cell cable from the O2 cell.
d Remove the scavenger hose.
e Remove the breathing circuit.
f Turn the locking handle 180° counterclockwise
g Pull out the patient module.
h Select the Select the keys.
i) SET
ii) OPT.
iii)
iv) OK
i Select KEYCODE to enter the diagnostic screens.
j Enter a valid key code to invoke the service software.
k Advance from this window to the main menu by pressing ENTER.
l Select TEST MENU.
m While in the Test Menu, select CHARAC. PV.
74
Fig. 29 Proportional valve test screen
n Attach a flow meter to measure flow directly from the Drive Gas Outlet.
WARNING Never block airflow at the drive gas outlet. Blocking the airflow at the drive gas
outlet raises internal pressure above specified limits and will result in
permanent damage to internal sensors.
o Use the UP/DOWN arrow keys to move the arrow to the desired flow.
p Select ENTER to start the flow of gas.
q Verify the AVM 3-1 and AVM 3-2 values match the flow rate settings and the flow meter
measurement (± 10%) after stabilization.
r Select 0 l/min to stop the flow of gas.
s Select QUIT to return to the test menu.
Drive Gas Outlet
Fig. 30 Drive Gas Outlet
t Reinstall the Patient Module.
75
4 Conduct Solenoid Valves MV1 – MV4 test. (Skip to step 4-m if already in the Test menu with the
removed patient module)
i) SET
ii) OPT.
iii)
iv) OK
l Select TEST MENU.
Fig. 31 Solenoid Valves MV-1 MV-4 test screen
76
m Select M1-M4
n Activate the MV1 valve by pressing its label (shown on screen). Verify gas flow at the docking
station’s Diaphragm valve connection.
o Activate the MV3 valve. Verify gas flow at the docking station’s decoupling Valve connection.
p Activate the MV2 and MV4 valves at the same time. Verify gas flow at the docking station’s
expiratory valve connection.
q Select QUIT to return to the Test menu.
r Insert the Patient Module.
Decoupling Bellows Expiratory

Valve Valve Valve
Fig. 32 Docking Station valve connectors
77
5 Conduct Power control test (Skip to step 5-e if already in the Test menu.)
i) SET
ii) OPT.
iii)
iv) OK
d Advance from this window to the main menu by pressing ENTER. Select TEST MENU.
e Select MISC.
f Unplug the AC mains cable and verify the AC-OK indicator illuminates.
g Plug in the AC and verify the BATT (charging) indicator illuminates.
h Select QUIT to return to the test menu.
Fig. 33 Power and Heater Control screen
78
4.6.2 Coefficient programming
4.6.2.1 O2 sensor calibration
1 Enter the Service Software by pressing the following keys prior to the end of the startup routine:
a SET
b OPT.
d OK
2 Select KEYCODE to enter the diagnostic screens.
3 Enter a valid key code to invoke the service software.
Advance from this window to the main menu by pressing ENTER.
4 Select O2 sensor to enter the O2 sensor screen.
Note: This test should be performed using a new and acclimatized O2 cell.
Fig. 34 O2 Calibration screen
79
5 Adjust the minimum range calibration
a Place the oxygen sensor into room air (21%)
b Turn O2 OFFS potentiometer (P5, AVM 3-2) until the values on the screen show 20
c Select MIN on the touch screen.
6 Adjust the maximum range calibration.
a Place the oxygen sensor into 100% O2 by reinstalling it into its mount.
b Apply oxygen flow for one minute. Allow O2 cell to stabilize.
c Turn O2 GAIN potentiometer (P6, AVM 3-2) counter clockwise until the values shows close to
or 80
d Select MAX on the touch screen.
e Remove the source of 100% O2 and vent the O2 cell to room air (21%)
f Verify that the MIN setting has not changed more than ±2 digits.
7 Select SAVE twice on the touch screen to store the minimum and maximum values into memory.
Readjust if necessary.
8 Select QUIT to return to the main menu.
Caution: Pressing QUIT at any time during the procedure will cancel the session’s
settings and reload the previously stored calibration coefficients.
80
4.6.2.2 P1 Pressure sensor calibration

(Skip to Step 5 if already in the Main menu.)
a SET
b OPT.
d OK
4 Select P1 sensor to enter the P1 sensor screen.
Fig. 35 P1 Calibration screen
81
5 Adjust minimum range calibration
a Apply ambient pressure to the system by removing the breathing circuit from the patient
module.
b Turn the P1 OFFS potentiometer (P11, AVM 3-2) until the screen bar graph shows 20.
6 Adjust maximum range calibration
a Attach a Calibration pump (900-4726) to the Pressure sensor P1 on the Module 2, AVM 3-2
board.
b Apply a pressure of 80 cmH2O to the Pressure sensor P1.
c Turn the P1 GAIN potentiometer (P10, AVM 3-2) until the screen bar shows 80.
e Remove the calibration pump and reconnect the original tube to the pressure sensor P1.
f Check both valves alternately for correctness and readjust, if necessary.
7 Select SAVE twice on the touch screen to store minimum and maximum values in memory.
8 Select QUIT to return to the main menu
82
4.6.2.3 P2 Pressure sensor calibration

a SET
b OPT.
d OK
4 Select P2 sensor to enter the P2 sensor screen.
Fig. 36 P2 Calibration screen
83
5 Adjust minimum range calibration
a Apply ambient pressure to the system by removing the breathing circuit from the patient
module.
b Turn the P2 OFFS potentiometer (P8, AVM 3-2) until the screen bar graph shows 20.
6 Adjust maximum range calibration
a Attach a Calibration pump (900-4726) to the Pressure sensor P2 on the Module 2, AVM 3-2
board.
b Apply a pressure of 80 cmH2O to the Pressure sensor P2.
c Turn the P2 GAIN potentiometer (P7, AVM 3-2) until the screen bar shows 80.
e Remove the calibration pump and reconnect the original tube to the pressure sensor P2
f Check both valves alternately for correctness and readjust, if necessary.
8 Select QUIT to return to the main menu
84
4.6.2.4 Temperature Sensor Calibration

a SET
b OPT.
d OK
4 Select TEMP.SENS to enter the Temperature sensor screen.
Fig. 37 Temperature Sensor screen
85
5 Adjust minimum range calibration.
a Connect a Temperature simulator directly to the X7 connector on the Module 2 AVM 3-1
board.
b Apply a simulated temperature of 0 °C (Min)
c Turn the TEMP OFF potentiometer (P1, AVM 3-1) until the screen pointer shows 20.
d Select MIN on the touch screen.
6 Adjust maximum range calibration.
a Apply a simulated temperature of 60 °C (Max)
b Turn the TEMP GAIN potentiometer (P2, AVM 3-1) until the screen pointer shows 80.
c Select MAX on the touch screen.
7 Check both of the valves alternately for correctness and readjust, if necessary.
10 Replace the simulator with the cable originally plugged into X7.
86
4.6.2.5 Proportional Valve Calibration
Caution: The three procedures “Proportional Valve Calibration”, “Internal Flow Sensor
Calibration” and “Characteristic of the Proportional Valve” must always be
performed together in the order as in the manual, never individually.
i) SET
ii) OPT.
iii)
iv) OK
l Select TEST MENU.
87
2 Select PROP.V to enter the Proportional Valve screen.
Fig. 38 Proportional Valve Calibration screen
a Attach an external flow meter to the drive gas outlet of the docking station. Verify zero flow.
Drive Gas Outlet
Fig. 39 Docking Station, drive gas outlet
b Select MIN to close the proportional valve.
c Turn the P.V.OFF potentiometer (P1, AVM 3-2) until screen pointer shows 3.
d Select MIN twice to record the value.
88
4 Adjust the maximum range calibration.
a Select MAX to open the Proportional valve.
b Turn the P.V.GAIN potentiometer (P2, AVM 3-2) until screen pointer shows 97.
c Select MAX twice to record the value.
5 Measure the gas flow at the drive gas outlet of the docking station.
a Verify that the flow is at least 75 (–5) l/min
b Select MIN to close the proportional valve.
c If the gas flow was within specification, skip the steps 14 and 15 and perform step 16. If the
flow rate was out of specification, go to step 14.
6 High-pressure regulator adjustment.
a Remove the Driving gas pressure source (AIR or O2).
b Disconnect the red plug of the test port on top of the pressure regulator for the driving gas.
Test Port
Fig. 40 Pressure Regulator for the Driving Gas with Test Port
c Attach a pressure gauge to the test port.
d Reconnect the Driving gas pressure source (AIR or O2).
e Adjust the high pressure regulator by loosing the locking nut on the regulator and turning the
adjustment screw until 200 ± 0.05 kPa (2 ± 0.05 bar; 29 ± 1 PSI) is displayed on the pressure
gauge. Retighten the locking nut.
f Remove the Driving gas pressure source (AIR or O2).
89
90
7 Reconnect the red plug of the test port on top of the pressure regulator for the driving gas. Adjust
the voltage of the internal flow sensor.
a Connect the measurement tips of a voltmeter to the X 5-1 and ground connector (module 2,
AVM 3-2)
b Select MAX to open the proportional valve.
c Turn the adjustment screw on top of the flow divider until you have a voltage of 4.6 ± 0.1 V at
the measuring points mentioned above
Adjustment Screw
Fig. 41 Adjustment Screw on top of the Flow Divider
d Select MIN to close the proportional valve.
8 Save values in memory
a Select SAVE twice on the touch screen to store minimum and maximum values in memory.
b Select QUIT to return to the main menu.
91
4.6.2.6 Internal Flow Sensor Calibration
1 Select FLOW.INT to enter the Internal flow sensor screen sensor screen.
Fig. 42 Internal Flow Sensor Calibration Screen
a Select MIN to apply a zero flow.
b Select MIN again to record the value.
3 Adjust maximum range calibration.
a Select MAX to apply the maximum flow.
b Select MAX again to record the value.
4 Select MIN again to close the valve.
5 Select SAVE to store the values into the memory.
92
93
4.6.2.7 Characteristic of the Proportional Valve
1 Select CHARAC.PV to enter the Characteristic of the Proportional Valve screen.
2 Attach an external flow sensor to the drive gas outlet of the docking station.
3 To calibrate the proportional valve, select the increment keys (along the bottom edge of the
screen) until the flow meter displays the number that the on screen arrow is pointing to.
Fig. 43 Characteristic of the Proportional Valve screen
4 When each flow is achieved within the limits specified in the table below, select ENTER to step to
the next designated flow rate.
5 Set each flow (from 1 to 75 l/min) to the specified tolerance in the following table. Select ENTER
after each setting to step to the next designated flow rate (on screen arrow).
94
Tolerance rage for the flow values:
Flow Setting Tolerance

1 l/min: +0 / - 0.1
2 l/min: +0 / - 0.1
4 l/min: +0 / - 0.1
6 l/min: +0 / - 0.1
8 l/min: +0 / - 0.1
10 l/min: +0 / - 0.2
12 l/min: +0 / - 0.2
15 l/min: +0 / - 0.2
20 l/min: +0 / - 0.4
25 l/min: +0 / - 0.4
30 l/min: +0 / - 0.4
35 l/min: +0 / - 0.4
40 l/min: +0 / - 0.4
45 l/min: +0 / - 1
50 l/min: +0 / - 1
55 l/min: +0 / - 1
60 l/min: +0 / - 1
65l/min: +0 / - 1
70 l/min: +0 / - 1
75 l/min: +0 / - 5
6 Select ENTER again.
7 Select SAVE twice.
8 Select QUIT to stop the flow of gas and to return to the main menu.
9 Reinstall the patient module.
95
4.6.2.8 External Flow Sensor Calibration

a SET
b OPT.
d OK
4 Advance from this window to the main menu by pressing ENTER.
5 Select TEST MENU.
6 Select MISC.
7 Activate the patient module heater by pressing the HEAT key.
8 Switch to the P, O2, °C screen and monitor the temperature. When a tem perature higher than
30 °C is reached, select QUIT twice to return to th e MAIN menu.
9 Select FLOW EXT to enter the External Flow Sensor Calibration screen.
Fig. 44 External Flow Sensor Calibration screen
96
10 With the Patient Module still warm, disconnect any breathing circuit that may be attached and
verify that there is no gas flow at the Expiratory or Inspiratory ports on the Patient Module.
11 Increase the DAC value using the increment keys until the bar indicator for AVM 3-2 shows
50.0 ± 0.2.
12 Measure the DC voltage between the junction of R35 and R19 on the Module 2 AVM 3-2 board
and the boards ground pin.
13 Record the voltage at the junction of R35 and R19 as U1.
14 Measure the DC voltage between V13 Pin 8 and ground.
15 Record the voltage between Pin 8 of V13 and ground as U2.
16 Adjust P3 on the Module 2 AVM 3-2 board as necessary to obtain a 1:1.4 ratio between
reading #1 and reading #2, as seen in the example below.
Example:
Measure U1 = 1.45 VDC

U2 = 1.91 VDC
Calculate 1.91 / 1.45 = 1.32
Evaluate the ratio is too small. The target ratio is 1.4
Correct Turn P3 clockwise to increase the ratio.
97
Fig. 45 How to measure the voltages U1 and U2
98
5 Preventive Maintenance
The following is a list of activities required for periodic maintenance of the HEYER Modular+
anesthesia system. Physical inspection, replacement of consumables and performance checks should
be periodically performed per the schedule listed below. Certain calibration adjustments are only
required only after replacing one or both of the active devices. HEYER is not responsible for
component failure or loss resulting from the use of stated consumables beyond their recommended
replacement interval. These are noted in the Preventive Maintenance Checklist on the following
pages.
5.1 6 Month Service Interval
Ensure operators manual is present

Ensure preoperative Checkout list is attached
Check unidirectional valves operate by visual inspection
Check low O2 pressure alarm whistle
Check “No driving gas” alarm
Check the function of the N2O cutoff incase of O2 pressure loss
Check the function of the N2O / AIR switch
Check the differentiation of the flow meters knobs
Check the function and correct flow of the O2 flush.
Check that all flow meters work throughout their range
Check the function of the Hypoxic Guard
Check the function of the back light illumination
Perform the compliance test at power up
Perform Leak Test (Options Menu) without vaporizers
Perform Leak Test (Options Menu) with vaporizers
Perform O2 Cell calibration (Options Menu)
Perform Manual tightness test
Check the function and the accuracy of the APL valve in the manual mode
Check the O2 display, 21% in room air, >95 in 100% O2
Check the correct function of the of the individual ventilation alarms
Check the correct function of the Mute button
Check the correct function of the Alarm LEDs
Check that all cylinder and pipeline supply pressure gauges operate
Inspect the line power cord
Inspect/Clean water traps and filters
Verify that the Patient motor works correctly
Verify the gas tank check valves*
Verify the pipeline supply check valves*
Verify line voltage interruption alarm message
Verify battery operation
Verify the 115/230 volts AC at the convenient outlets
Perform ventilation performance check
Replace the O-rings on the vaporizer manifold (4 x 049-3182)
Replace the APL valve membrane (323- 0310)

Replace O-rings on the docking station (4 x 049-3052)
Replace O-rings between tanks and yokes (N2O & AIR: 800-5947; O2: 800-5946)*
Replace the O-ring of the CO2 absorber (323-0147)
Replace the flat seal of the CO2 absorber (980-1170)
Replace the O-ring of the Patient dome (323-0147)
Replace the O-rings of the O2 Cell (609-3021 + 049-3074)
Replace the fan filter (800-5580)
Check the threaded insert for the CO2 absorber
Check the correct function of the brakes
Test of electric safety according to IEC 601-1
*Subject of the configuration
Perform all the points of the 6 Month Service Interval

Inspect and if necessary, replace the spindle nut of the patient module
Examination of the internal hose connection
Replace the o rings gas pipeline inlet block (1 x 980-1170; 2 x 980-1174)
Replace the silicon valve plates (2 x 610-3156)
Replace the O-rings of the in-and expiratory valve seat (2 x 610-3157)
Replace the diaphragm valves (3 x 323-0100)
Replace the diaphragm valve O-rings (3x 323-0292)
Replace the flat rings at the bellows valve screw fitting (3x 980-1170)
Replace the O-rings of the APL valve (3 x 323-0272)
Replace the O-rings of the valve seatings (3 x 2 x 323-0272)
Replace the O-rings for the valve seating screws (4 x 960-1036)
Replace the O-rings of the test adapter (2 x 049-3052)
Enter the service software
Check and if necessary calibrate the O2 sensor
Check and if necessary calibrate the Pressure sensors P1 and P2
Check and if necessary calibrate the temperature sensor
Check the 2 kPa x 100 (2 bar; 30 PSI) pressure reducer for the driving gas
Check the 200 Pa x 100 (200 mbar; 3 PSI) pressure reducers for the solenoid valve block
Check the electrical and pneumatic function of the solenoid valves MV1 to MV4
Perform all the points of the 12 Month Service Interval

Replace the internal battery (340-2020)
Replace the room air valve membrane (323-0099)
100
5.4 Cleaning
5.4.1 Cleaning and disinfecting the apparatus
Before cleaning, switch off apparatus and disconnect from mains

The apparatus housing can be cleaned with a cloth moistened with a liquid cleaning agent. To avoid
abrasion, the cloth must be moist. A surface-disinfecting agent may be used. Use cleaning agent
sparingly. Excess fluid could enter the apparatus causing damage.
5.4.2 Cleaning and sterilizing the Patient Module
The Patient Module can be autoclaved at a temperature of up to 134°C. Always autoclave the patient
module with the protection cover connected to avoid a damage of the diaphragm valves.
Before sterilizing the Patient Module, remove the bellows dome, bellows, CO2 absorber and APL
valve. The patient module requires no further dismantling.
Autoclave the APL upper part and the APL membrane, as separate parts together with the patient
module.
The bellows dome cannot be autoclaved! It does not come in contact with patient gas. If soiled,
they can be cleaned with water and liquid cleaning agent. Do not use alcohol!
The silicon bellows and the CO2 absorber canister can also be autoclaved at 134°C. To enhance the
life of sealing materials, a temperature of 121°C i s recommended.
5.5 Battery Replacement and Maintenance
5.5.1 Battery replacement
1. Open the access door (located at the rear of the Modular+)
2. Remove the old battery
3. Ensure the new battery is electrically connected and secured in the same manner as the original
one.
4. Close battery access door
5. Use only HEYER Battery (340-2020)
5.5.2 Battery Maintenance
Due to the self-discharging characteristics of this battery type, it is imperative that it is charged after
three months of storage (or when not in use). If not charged, a permanent loss of capacity may occur
as a result of sulfation.
The batteries used in the Modular+ are of sealed lead acid construction. This battery type may be
subject to local regulations regarding disposal. At the end of the battery life, dispose of batteries in
accordance with the local regulations.
101
102
Order Information
6 Order Information
Order No. Description
900-4729 6 month service kit
323-0031 Patient module complete
323-0351 Base absorber
323-0095 APL valve
323-0310 APL valve membrane
323-0096 Inspiration valve, cpl.
323-0097 Expiration valve, cpl.
323-0098 Emergency air valve, cpl.
049-3280 O-ring 21.95x1.78
048-3925 Screw M8x25

Order Information
323-0220 Flow sensor
323-0327 Connector heater red
323-0324 Connector flow sensor
323-0326 Connector heater black
323-0334 Spacer ring for diaphragm valve
323-0130 Diaphragm valve seating
750-0065 Spring for insert thread
049-3352 O-ring 30x2
323-0115 Insert thread
323-0034 Valve connection plate
323-0100 Diaphragm valve
323-0292 O-ring 28.30 x 1.78
323-0042 Insert ring diaphragm valve
323-0110 Coupling nut for diaphragm valve
323-0294 Fixing nut diaphragm valve
104
Order Information
800-5616 Screw M4x40 for insert thread
323-0044 Central tube CO2 absorber
980-1170 Gasket air 13x6.5x1.5
323-0333 Sieve bottom
323-0046 CO2 absorber canister
323-0277 Fixing knob absorber canister
323-0045 Patient dome
O-ring 113mm for patient dome and CO2 absorber

323-0147
canister
323-0138 Foam pad for patient dome
323-0158 Ventilation bellow
048-3220 Screw M3x20 for Holders for CO2 absorber
323-0035 Holders for CO2 absorber
323-0036 Connector for the ventilation bellow
323-0337 Insert thread for CO2 absorber tube
105
Order Information
323-0314 Heating blanket
323-0340 Autoclave protector patient module
800-5091 O2 fuel cell, CR 1, incl. diffuser
605-1791 Valve cover for O2 cell CR 1
450-1001 Touch screen
450-1002 Module 1 – 1 board
450-1005 Display Frame
460-1005 Display, LCD
460-1006 Module 1 – 2, Controller for LCD display
460-1007 Display, EL
460-1008 Module 1 – 2, Controller for EL display
460-1150 Module 2
340-0301 Power supply board
450-0505 Pressure supply inlet block
410-0030 Connector (NIST) O2 unit side
106
Order Information
410-0032 Connector (NIST) N2O unit side
410-0031 Connector (NIST) AIR unit side
046-4146 Tube clamp
410-0037 NIST-screwing O2 including tube connector
410-0039 NIST-screwing N2O including tube connector
410-0038 NIST-screwing AIR including tube connector
370-0017 Pipeline inlet filter
410-0034 NIST o-ring 7.6 x 2.4
800-5580 Fan filter
340-0344 Water Trap
450-0370 Solenoid valve block
370-0041 Solenoid valve for the solenoid valve block
340-0296 Cable for the solenoid valves
323-0361 Pressure regulator
323-0194 Fan
340-0141 Proportional valve
107
Order Information
340-0045 Internal flow sensor (not including flow divider)
370-3070 Flow divider
800-4106 Pa tube blue 6 mm per meter
800-4109 Pa tube white 6 mm per meter
800-4376 Pa tube black 6 mm per meter
800-4356 Pa tube green 6 mm per meter
800-4107 Pa tube yellow 6 mm per meter
340-0186 Pa tube green 8 mm per meter
340-0185 Pa tube yellow 8 mm per meter
450-0510 Cable set complete
490-0150 Flow meter block complete, 6 gas version
440-0025 Flow meter block complete, 2 gas version
370-6230 Flow tube O2 0.1 - 1 l
108
Order Information
370-6200 Flow tube O2 1.5 - 10 l
370-6260 Flow tube air
370-6240 Flow tube N2O 0.1 - 1 l
370-6210 Flow tube N2O 1.5 - 10 l
340-0226 Illumination foil
340-2020 Backup battery
800-6300 Wheel with break
800-6310 Wheel without break
450-0251 Vaporizer mount
450-0350 Docking station
323-0085 Over-temperature switch
340-0260 Motor patient module
109
Order Information
Accessories
800-4854 Y-piece, right angled
323-0092 Respiratory tube, silicone, 1.5m
323-0091 Respiratory tube, silicone, 1.2 m
800-5191 Connector for breathing bag
603-3241 Breathing bag 2.3 l Silicone
323-0140 Suction system complete
535-2000 Catheter cup for fixing to wall rail 25*10 mm
370-0010 Injector for suction, Cpl.
323-0106 Holding device
110
Order Information
Anesthesia gas scavenger standard version

Consisting of:
613-3890 - Narcotic exhaust hose set
- Bypass adaptor
- Narcotic exhaust plug
323-0363 Gasket set
370-0050 Common fresh gas outlet
Vaporizer type Vapor for anesthetic agents

key filler, selectatec compatible, with Interlock
System for:
800-7040
Halothane
800-7050
Enflurane
800-7060
Isoflurane
800-7070
Sevoflurane
Filling tube Halothane

605-1750
605-1749 Filling tube Enflurane
605-1748 Filling tube Isoflurane
605-1747 Filling tube Sevoflurane
Suction set universal (includes bacteria filter and

finger tip)
606-2400
016-2410 Finger tip
Plastic adapter, angled, for secretion collecting

022-3645
jar
111
Order Information
034-2950 Silicone tube φ 6 x 2 for suction
323-0362 Tube / cable holder (for holding device)
112
Order Information
113
Order Information
In case of queries or faults please contact

our customer service department:
HEYER MEDICAL AG
Carl-HEYER-Strasse 1-3
56130 Bad Ems
Germany
Tel. + 49-2603 / 791-3
Fax. +49-2603 / 791-209
114

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H E Y E R Modular+

Tel. +49 - 2603 – 791 - 3

Fax. +49 - 2603 – 791 - 209

2.15.4.4 Inspiratory and expiratory valves............................................................................. 38

4.6.2.7 Characteristic of the Proportional Valve ................................................................... 94

0.1 Table of Figures

1.2 Product improvements

1.3 Manufacturer’s Liability

− certifications, readjustments, changes, or repairs have been carried out by authorized

1.4 Manufacturer’s specification

Tel. + 49 2603 / 791-3

Fax. +49 2603 / 791-209

1.5 Updating status

1.6 Warning, Precautions and Notes

Notes are a general information statement concerning the Modular+

Warning: Possible explosion hazard. Do not operate near flammable substances.

Warning: Compressed gasses are considered Dangerous Goods/hazardous Materials per

Caution: Use surgical gloves whenever touching or disassembling valves or other

Caution: The patient should be visually monitored by qualified personnel. In certain

Caution: During transportation of the patient module, transportation should be applied to

Caution: Do not clean the machine while it is on and/or plugged in.

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2.1 Microprocessor-Controlled Ventilator

2.2 Patient Module

2.3 Gas Conditioning Unit

2.4 The Ventilator Unit

2.5 Adjustable Alarms

2.5.1 Pmax limiting on alarm violation

2.6 Fresh Gas Decoupling

2.7 Compliance compensation

2.8 Electrical supply

Convenience The 120 V configuration has

Fig. 1 Line Terminal Block, 120/230VAC Supply

2.8.1 Electrical components

oxygen module 2 ext. flow

Fig. 2 Overview electrical components

2.9 Power supply module

Fig. 3 Power supply module

2.9.1 Connectors on power supply board AVM 2-1

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color wire isolat.

Connector connected to Pin. def. Func. / Signal Color wire isolat.

Connector connected to Pin. def. Func. / Signal Col. wire isolat.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

Connector connected to Pin. def. Func. / Signal Color / No.

2.9.2 Fuses on power supply board AVM 2-1

Fuse No. Fuse value Fuse protects

2.9.3 Charging / discharging control for the battery:

2.9.4 Status Indicators Of Battery Control:

Fig. 4 Module 1 PC board