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Self tests 3 3
3.1 Introduction
This chapter describes the 840 Ventilator System built-in self tests, including how to run
them. For a listing of ventilator diagnostic codes and messages generated during these self
tests, refer to Chapter 6.
NOTE:
EST must always be performed with an ADULT exhalation filter installed.
Attempting to run EST with a NeoMode filter can cause some EST tests to fail.
SST A short sequence of tests intended to be run • Before patient is connected to ventilator
primarily by the operator. Checks pneumatics • After patient circuit or humidifier is changed
and electronics. SST also characterizes system • When ventilator is serviced
leaks and system/tubing compliance to • Every 15 days
compensate during breath delivery. POST is run
as part of SST, both at the start and end.
NOTE: NOTE:
• SST is not run as part of EST. To EST must always be performed with an
determine patient circuit resistance and adult-sized exhalation filter installed.
compliance, run SST. Attempting to run EST with a NeoMode
• The performance verification, filter can cause some EST tests to fail.
described in Chapter 5 of this manual,
is a more thorough test of the
ventilator to verify specifications are
met.
Ongoing Includes these checks: memory, power supply, Automatically and continually during ventilation
background checks DC voltages, pressure transducers, analog input
validity, and more. These checks do not disrupt
normal operation.
1. POST will run only if there is no BPS installed, or if the BPS battery is discharged. Otherwise, during a temporary loss of AC power, the vent
will automatically switch to BPS power, and POST will not run.
AC monitor voltage X
BPS model X X
Patient system
Pneumatics
System leak X
Pneumatics (continued)
Electronics
ADC/DAC functionality X X
Electronics (continued)
Keyboard X partially X
Knob X
Ethernet controller X X
Safety system
NOTE:
A fault identified in POST indicates that the ventilator or an associated component
is defective. A defective ventilator or associated component should be repaired
before the ventilator is returned to service, unless it can be determined with
certainty that the defect cannot create a hazard for the patient, or add to the risks
which may arise from other hazards.
There are two versions of POST: long POST, which is run when the user cycles power, and
short POST, which is run following an unintended hardware reset.
NOTE:
The graphic user interface (GUI) indicates a POST is in progress but does not
indicate a long or short POST.
The graphic user interface (GUI) and the breath delivery unit (BDU) subsystems each has its own
POST that tests the major hardware electronics systems. POST does not check the ventilator’s
pneumatics, options, or accessories that are not directly related to ventilation. POST is designed to
detect major problems before proceeding to normal ventilation, and to provide a confidence
check before a patient is connected to the ventilator.
POST routines are ordered so that each routine requires successively more operational
hardware than the last. This sequence allows POST to systematically exclude electronic
components as causes of system malfunctions.
NOTE:
When a compressor is installed and wall air is not present, there may be a short
interval following a successful POST before the compressor achieves operational
pressures. If so, the ventilator annunciates a NO AIR SUPPLY alarm, which resets as
soon as the compressor charges the system to operational pressure.
To ensure that there is an alarm if the central processing unit (CPU) fails, audio, visual, and
remote alarms are normally on, and turn off once system initialization (that is, the process
that occurs between POST completion and the start of ventilation) is completed and
communication is established.
An alarm turns on if POST lasts more than 10 seconds or if POST restarts three times without
completion. The 10-second timer is a redundant check in case POST fails to alarm upon
detecting a fault. The check for three restarts can detect a continuous loop, and prevents
POST from running for more than 10 seconds.
NOTE:
Puritan Bennett recommends that a BPS is always installed on the ventilator. If
there is a loss of AC power with a charged BPS installed, the ventilator will switch
to the DC source and will not run POST upon restoration of AC power.
GUI CPU POST • Initializes processor • Tests GUI on-board • Tests GUI CPU • Updates NOVRAM
• Tests power, GUI electronics, GUI 5V memory manage- • Initializes hardware
CPU, time of day sentry, GUI 12V ment and floating
clock, kernel sentry, POST point units, down-
DRAM/NOVRAM, NOVRAM, bus load OS boot,
boot PROM, timer, DRAM, application boot
interrupt timer, SAAS, Ethernet
watchdog timer, controller,
flash memory unexpected reset
checksum, umpire test
EEPROM checksum
No communication occurs between GUI and • GUI and BDU CPUs • Ventilator begins
BDU CPU boards during Phases 1 and 2 establish flowing air at
communication 10 L/min to check
for patient
connection
BDU CPU POST • Initializes processor • Tests BDU on- • Tests BDU CPU • Initializes hardware
• Tests power, BDU board electronics, memory manage-
CPU, time of day VH 5V, VH 12V, ment and floating
clock, kernel POST NOVRAM, point units, down-
DRAM/NOVRAM, bus timer, DRAM, load OS boot,
boot PROM, vent INOP, application boot
interrupt timer, Ethernet controller,
watchdog timer, service mode
flash memory switch, unexpected
checksum, reset umpire test,
EEPROM • AI PCB test
checksum, rolling • Analog devices
thunder test test:
PS1/PS2
Q1/Q2/Q3
PSOL1/PSOL2
PA/PI/PE
O2 sensor
safety valve
exhalation valve
exh. valve heater
• ADC and DAC tests
• AC voltage test
Visual and • GUI LEDs: SVO LED • GUI LEDs: all LEDs • GUI LEDs: all OFF • GUI: start-up
audible indicators ON ON except green screen displays if
• BDU LEDs: SVO • BDU LEDs: all LEDs “normal” indicator POST passes
LED ON, loss of UI ON • BDU LEDs: all OFF • BDU: all LEDs off if
LED ON • BDU continuous • GUI audible alarm POST passes
• BDU continuous tone alarm OFF turned on then off • No audible alarms/
tone alarm ON (2 beeps if OK) LEDs active1
NOTE: Prior to the • BDU continuous
beginning of Phase 1, tone alarm turned
all of the LEDs on the on and off twice
Trending-enabled GUI
turn on for 200 to
350 ms.
AI PCB LEDs Red LED ON • Red LED ON Green LED ON Green LED flashing
(checks BD CPU
PCBA)
• Red & Green LED
ON (checks AI
PCBA)
• Red & Green LED
ON (checks 32
Analog Devices)
• Green LED ON
(checks
communication
between BD CPU
PCBA and AI PCBA)
1. This is true only if both air and O2 supplies are connected and have adequate pressure, and the patient circuit is not connected, and no
failures or fault conditions are detected by ongoing diagnostics (including POST 10 second timer).
Symptoms
How to respond
What you see and hear What is happening
• POST continues to end. • Previous run of POST failed • Run EST/service ventilator.
• Ventilator inoperative alarm and was not corrected,
(audible and visible). although POST passed
• Ventilation disallowed. subsequent run.
• Ventilator inoperative
condition declared.
• POST continues to end. • Minor fault detected. • Check System Diagnostic Log
• Ventilation proceeds. for any associated error codes.
• A DEVICE ALERT is • Rerun POST/EST.
annunciated.
NOTE:
• If the ventilator has not reached operating temperature from recent usage, allow it to
warm up for at least 10 minutes in service mode before running SST, to ensure accurate
testing.
• Puritan Bennett recommends that you run SST every 15 days, between patients, after a
major service or repair (refer to Table 5-2 on page 6), and when you change the patient
circuit. Puritan Bennett recognizes that the protocol for running SST varies widely among
health care institutions. It is not possible for Puritan Bennett to specify or require specific
practices that will meet all needs, or to be responsible for the effectiveness of those
practices.
•
Table 3-6 lists the tests that comprise SST. For more details about these tests and associated
diagnostic codes, see Chapter 6 of this manual. For a theory of operation of SST, consult the
840 Ventilator System Operator’s and Technical Reference Manual.
NOTE:
To ensure that compliance compensation
functions correctly, the user must run SST
with the circuit configured as intended for
use on the patient.
NOTE:
Due to the excessive restriction of Air Liquide,
Dräger, and SIS air/oxygen hose assemblies,
certain SST tests may fail when supply
pressures < 50 psi (345 kPa) are used in
conjunction with these hoses.
NOTE:
Due to the excessive restriction of Air Liquide,
Dräger, and SIS air/oxygen hose assemblies,
certain SST tests may fail when supply
pressures < 50 psi (345 kPa) are used in
conjunction with these hoses.
1. If necessary, the compressor can be used as the only gas source. However, only the gas pathway, flow sensor, and PSOL
of the single gas (air or O2) will be verified during SST.
NOTE:
To ensure accurate circuit resistance measurement, check that the circuit is not
obstructed and is properly connected to the ventilator.
2 Ensure that patient is not connected to circuit and that patient wye is unblocked.
3 Turn on power switch to start normal ventilation.
4 Verify that the ventilator is operating on full AC power before running SST. If full AC
power is not present, test failures may result.
5 At Ventilator Startup screen (lower GUI screen), touch SST, then press TEST button (on
side of ventilator) within 5 seconds. Waiting longer than 5 seconds cancels the SST
prompt.
Tubing configured
for use on patient
NOTE:
During ventilation, the humidification type can be changed by touching the
OTHER SCREENS button, then the More Settings button. However, the preferred
operation in this case is to rerun SST after making such a change.
Warning
• To ensure ventilation that correctly compensates for circuit resistance and compliance, do
not exit SST and begin normal ventilation until the entire SST has been successfully
completed with the circuit to be used on the patient installed.
• To ensure reliable SST results, do not repeat an individual test with a different patient
circuit if the test result is FAILURE or ALERT. If you suspect a defective patient circuit,
restart SST from the beginning with a different patient circuit.
NOTE:
• If SST is interrupted, you can restart normal ventilation as long as no errors have occurred
that would otherwise prevent it.
• Tests that result in an alert or failure and are successfully rerun are not written into the
EST/SST Diagnostic Log if they are successfully rerun during the same SST test sequence.
10 When all of the tests in SST are complete, the SST Status screen displays all individual test
results and SST outcome. Table 3-8 summarizes overall SST outcomes and how to
proceed in each case.
11 To begin normal ventilation (if SST has not detected an ALERT or FAILURE), touch EXIT
SST, then press ACCEPT. The ventilator reruns POST, then displays the Ventilator Startup
screen.
SST Flow Sensor Test 1. Verifies that at least one gas is con- When prompted, do the following:
nected. (If only one gas is connected • Make sure inspiratory filter is installed.
then only that gas pathway (flow sen- • Connect patient circuit with inspiratory
sor and PSOL) is verified during SST.) filter, but without the humidifier.
2. Cross-checks air and oxygen flow sen- • Block wye.
sors against exhalation flow sensor at • When later prompted, and If applicable,
four different gas flows. install the humidifier with jar filled with
3. Verifies that proportional solenoid water.
(PSOL) command current is in range
for each test flow.
NOTE:
To ensure proper compliance
compensation when using a
humidifier, make sure the jar is full of
water.
Circuit Pressure Test 1. Verifies that system is running on AC. FAILURE if not passed (cannot be
2. Exercises air and oxygen PSOLs. overridden).
3. Checks inspiration and exhalation
autozero solenoids.
4. Cross-checks inspiration and exhala-
tion pressure transducers at various
pressures.
Circuit leak Displays drop in circuit pressure in 10 s. Overriding an ALERT could cause improper
(Determines ability of circuit to hold compliance compensation, inaccurate tidal
pressure.) volume delivery, or autotriggering.
FAILURE reported if test detects excessive
leak.
Expiratory filter Displays pressure drop across expiratory Connect and disconnect tubing when
filter. prompted.
Overriding an ALERT could cause inaccurate
patient pressure estimation.
FAILURE if test detects exhalation
compartment occlusion, expiratory filter
occlusion or damage, or you did not follow
prompts to detach and reattach tubing
correctly.
Circuit Resistance Displays pressure drop across inspiratory Unblock wye when prompted.
and expiratory limbs, including effect of all Overriding an ALERT could cause inaccurate
devices on each limb (filters, humidifier, patient pressure estimation.
water traps). FAILURE if test detects excessive or low limb
resistance, or if you did not follow the
prompt to unblock the wye.
Compliance calibration Displays patient circuit compliance. Block and unblock wye when prompted.
Overriding an ALERT could cause improper
compliance compensation or inaccurate
tidal volume delivery. FAILURE if test detects
out of range compliance.
ALERT Test results not ideal, but not Repeat test by touching REPEAT.
critical. SST halts. Skip to next test by touching NEXT.
Repeat SST from the beginning by touching RESTART SST.
Exit SST in order to service ventilator by touching EXIT SST.
FAILURE A critical problem has been Repeat failed test by touching REPEAT.
detected, and SST cannot complete Repeat SST from the beginning by touching RESTART SST.
until the ventilator passes the failed Exit SST in order to service ventilator by touching EXIT SST.
test.
If the SST
It means: Do this:
outcome is:
ALERT One or more faults were detected. Repeat SST from the beginning by touching RESTART SST.
If it can be determined with Override ALERT, as allowed by your institution’s protocol, by
certainty that this cannot create a touching OVERRIDE, followed by EXIT SST.
hazard for the patient, or add to
the risks which may arise from
other hazards, the user can choose
to override the ALERT status and
authorize ventilation.
FAILURE One or more critical faults were Repeat SST from the beginning by pressing RESTART SST.
detected. A ventilator inoperative Exit SST in order to service ventilator or review error codes by
condition is declared. pressing EXIT SST.
NOTE:
• If the ventilator has not reached operating temperature from recent usage, allow it to
warm up for at least 10 minutes in service mode before running EST to ensure accurate
testing.
• Be aware that each time EST is performed, the patient alarm log is cleared.
Manufacturer or model or
Description
Puritan Bennett part number
Compressed air source, 241 to 690 kPa (35 to 100 Local supplier
psi) or compressor option
NOTE:
Due to excessive restriction of Air Liquide,
Dräger, and SIS air/oxygen hose assemblies,
certain EST tests may fail when supply
pressures < 50 psi (345 kPa) are used in
conjunction with these hoses.
Oxygen source, 241 to 690 kPa (35 to 100 psi) Local supplier
NOTE:
Due to excessive restriction of Air Liquide,
Dräger, and SIS air/oxygen hose assemblies,
certain EST tests may fail when supply
pressures < 50 psi (345 kPa) are used in
conjunction with these hoses.
d. Install the gold standard circuit between To patient and From patient ports (Figure 3-2).
The gold standard circuit connects to an ADULT expiratory filter installed at the From
patient port. The other end of the gold standard circuit connects directly to the To
patient port: Do not install an inspiratory filter.
Adult
expiratory
filter
Gold
standard
tube
8-01211
7 When all of the tests in EST are complete, the Extended Self Test screen displays all
individual test results and EST outcome. Refer to Tables Table 3-10, Table 3-11, and
Table 3-12 for additional information.
18 Jul
18 Jul 03
03
Circuit Pressure Test Checks that the system is running on AC power, • Leaks or occlusions in the
prompts user to set up the vent for EST, and exercises expiratory filter or elsewhere will
the PSOLs. cause this test to fail.
Calibrates inspiratory and exhalation transducers to • Connect AC power if ventilator is
atmospheric pressure. running on battery power and AC
is not connected.
Cross-checks inspiration and exhalation pressure
• Make sure green BPS ready
transducers at various pressures. indicator is lit on GUI LED panel.
Checks inspiration and exhalation autozero solenoids. • Make sure air and oxygen are
connected.
• Remove inspiratory filter and
connect gold standard circuit as
directed.
Flow Sensors Cross Cross-checks air and oxygen flow sensors against • Leaks or occlusions in the
Check Test exhalation flow sensor at five different gas flows. Verifies expiratory filter or elsewhere will
that proportional solenoid (PSOL) command current is cause this test to fail.
in range for each test flow. Performs air/O2 PSOL lift-off • Low source gas pressures may also
current calibration. cause this test to fail.
• Exhalation flow sensor has
separate air and O2 calibration
tables. During EST, the system
uses the calibration table(s)
appropriate for the source gas(es)
used during EST.
Gas Supply/SV Test Tests air and oxygen pressure switch gross functionality, • Leaks or occlusions will cause this
tests PSOL forward leak, tests safety valve cracking test to fail.
pressure, and tests flow sensor zero offsets. • Block and unblock To patient port
as directed.
• Disconnect and reconnect air and
oxygen as directed.
SM Leak Test Checks for system leaks by pressurizing the system and • Leaks or occlusions in the
verifying that pressure drops by no more than 5 cmH2O expiratory filter or elsewhere will
in 10 s. cause this test to fail.
GUI Keyboard Test Verifies that GUI keys are functioning by prompting the Press keys within 15 s when
operator to press a key. prompted.
GUI Knob Test Verifies GUI knob rotation direction by prompting the Turn GUI knob as prompted, within
operator to rotate the knob in one direction, then the 15 s.
other.
GUI Lamp Test Verifies that GUI LEDs are functioning by prompting the Observe GUI indicators and press
operator to acknowledge that the LEDs are turned on. ACCEPT (if on) or CLEAR (if not on).
BDU Lamp Test Verifies that BDU lights are functioning. Observe BDU indicators and press
ACCEPT (if on) or CLEAR (if not on).
NOTE:
The ventilator inoperative and safety valve open
LEDs on the GUI are hard-wired to the BDU and
are considered BDU LEDs.
GUI Audio Test Verifies that GUI audio is functioning by prompting the Listen for GUI audio. Press ACCEPT (if
operator to listen for the alarm sound. on) or CLEAR (if not on).
GUI Nurse Call Verifies that nurse’s call relay is functioning. If not testing nurse’s call, press
CLEAR. If testing nurse’s call, press
ACCEPT, then verify nurse’s call
operation as prompted.
BDU Audio Test Verifies that BDU audio is functioning. Also verifies that Listen for BDU audio alarm.
power fail capacitor can operate loss-of-power alarm for
at least 2 minutes.
PSOL Loopback Test Checks PSOL loopback and command currents at three
different points by comparing the difference between
the two currents with the maximum allowable
difference.
Safety System Test Tests safety valve and inspiratory check valve operation
by checking for occlusions when the safety valve is open,
checking safety valve loopback current, and checking
inspiratory check valve reverse flow.
Exp Valve Loopback Test Checks exhalation valve loopback and command current
at three different points by comparing the difference
between the two currents with the maximum allowable
difference.
Exp Valve Pressure Verifies that exhalation valve seal and poppet friction are
Accuracy Test acceptable.
Exp Valve Test Verifies that current versus pressure values in flash
memory correspond with actual installed exhalation
valve.
Exp Heater Test Verifies that gas flow temperature increases and
decreases in response to commanding the heater on and
off.
Compressor Test Tests compressor operation. This test checks the timer, • If wall air is connected, disconnect
compressor pressure switch, and compressor operating wall air as directed.
states (run, standby, and disabled). • If AC is not connected, connect
AC power as directed.
Compressor Load Test Tests compressor operation. This test checks the
compressor’s ability to maintain sufficient air pressure
during worst-case breath delivery (200 lpm).
Compressor Leak Test Verifies that a fully charged compressor (if installed) does • Disconnect and connect wall air as
not leak enough to cause the compressor to turn on directed.
within 1 minute while in standby mode with wall air
connected.
NOTE: If you are using
the compressor
as the air source,
press the CLEAR
key when
prompted to
connect wall air.
Analog Data Display Reads and displays analog data channels in engineering O2 sensor data is displayed in DAC
units. counts.
GUI Serial Port Test Verifies that GUI serial port can send and receive data.
Battery Test With AC disconnected, tests BPS under discharging and Test takes 5 minutes to complete.
charging conditions.
ALERT Test results not ideal, but not Repeat test by touching REPEAT.
critical. EST halts. Skip to next test by touching NEXT.
Repeat EST from the beginning by touching RESTART EST.
Exit EST in order to service ventilator or review error codes by
touching EXIT EST.
FAILURE A critical problem has been Repeat failed test by touching REPEAT.
detected, and EST cannot Skip to next test by touching NEXT.
complete until the ventilator passes Repeat EST from the beginning by touching RESTART EST.
the failed test.
Exit EST in order to service ventilator or review error codes by
touching EXIT EST.
If the EST
It means: Do this:
outcome is:
ALERT One or more faults were detected. Repeat EST from the beginning by touching RESTART EST.
Override the alert in order to service ventilator or review error
codes by touching OVERRIDE, followed by EXIT EST.
NOTE:
Although you can override an alert in EST, normal
ventilation is not allowed until the problem is corrected
and all EST tests passed.
FAILURE One or more critical faults were Repeat EST from the beginning by touching RESTART EST.
detected. A ventilator inoperative Exit EST in order to service ventilator or review error codes by
condition is declared. touching EXIT EST.