Aisys CS² Et Control Option

User's Reference Manual

Software Revision 10.X
User responsibility
Datex-Ohmeda, Inc. a General Electric Company, doing business as
GE Healthcare.
This product will perform in conformity with the description thereof
contained in this User’s Reference manual and accompanying labels
and/or inserts, when assembled, operated, maintained, and repaired
in accordance with the instruction provided. This Product must be
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that are broken, missing, plainly worn, distorted, or contaminated
should be replaced immediately. Should repair or replacement
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 Table of Contents

Et Control option

Et Control setup and connections . . . . . . . . . . . . . . . . . . . . . . 2

Symbols used in Et Control mode . . . . . . . . . . . . . . . . . . . . . . 5
Et Control display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Using Et Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Starting Et Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Stopping Et Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Changing Et Control settings using quick keys . . . . . . . . . 7
Washing agent out of the system . . . . . . . . . . . . . . . . . . . . . . . 8
Turning agent off during Et Control . . . . . . . . . . . . . . . . . . 8
Purging agent during Et Control . . . . . . . . . . . . . . . . . . . . . 8
Et Control log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Viewing Et Control log . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Et Control alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Et Control troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Et Control parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
E, M-series airway modules . . . . . . . . . . . . . . . . . . . . . . . 13
CARESCAPE airway module . . . . . . . . . . . . . . . . . . . . . . 14
Et Control theory of operation . . . . . . . . . . . . . . . . . . . . . . . . 15
Et Control mode examples . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Fresh gas control example . . . . . . . . . . . . . . . . . . . . . . . . 16
Entering Et Control mode example . . . . . . . . . . . . . . . . . 17
Target values change example . . . . . . . . . . . . . . . . . . . . 17
Target values achieved example . . . . . . . . . . . . . . . . . . . 18
Safety mechanisms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Et Control system check . . . . . . . . . . . . . . . . . . . . . . . . . .20
Et Control leak check . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Et Control fresh gas sample check . . . . . . . . . . . . . . . . . .20
Et Control supervisor . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Et Control increased flow . . . . . . . . . . . . . . . . . . . . . . . . . 21

2070086-001 i
Et Control Option

Et Control performance data . . . . . . . . . . . . . . . . . . . . . . . . . 22

Et Control factory default settings . . . . . . . . . . . . . . . . . . . . . 23
System pneumatic circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Super user . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Index

ii 2070086-001
Et Control option
Et Control option

This addendum deescribes the function of Et Control mode. Use this

addendum along with the product User’s Reference manual.
Et Control is an optional gas delivery mode. The clinician sets the
target end tidal O2 (EtO2) and target anesthetic agent (EtAA) values.
The system monitors the EtO2 and EtAA values and adjusts the gas
composition and total flow to maintain the set target values.
A patient airway (for example, endotracheal tube or laryngeal mask
airway) must be in place and controlled while using Et Control mode.
Et Control mode cannot be used with a mask airway.
The system must have a supply of O2 and balance gas to enter Et
Control mode. Safety checks run on the system while in Et Control
mode. See "Et Control theory of operation" for specific check
information.
Et Control cannot be used with halothane, enflurane, non-circle
circuit, cardiac bypass, Alternate O2, and Air only modes. It is
recommended that Et Control mode not be used during cases that
have disturbances to the lungs such as chest surgery.

WARNING The system may deliver 100% O2 while in Et Control

mode. Do not use Et Control if delivery of 100% O2 could
injure the patient.
• Fire hazard. Do not use electrosurgical equipment that
cannot be used in the presence of oxygen while in Et
Control mode.
• Et Control mode stops if an anesthetic agent type change
is made while Et Control mode is active. Exit Et Control
mode before changing an agent type.

2070086-001 1
Et Control Option

Et Control setup and connections

WARNING Anesthetic agent can enter the room air due to a patient
circuit leak or disconnection while Et Control mode is in
use.
The system requirements to use Et Control mode include:

• Et Control option must be installed and enabled on the system.

• For E and M-series airway modules, the fresh gas module must
be properly installed.
• For E and M-series airway modules, a Mini D-fend must be
installed in the fresh gas module.
• For CARESCAPE airway modules, a D-fend Pro must be
installed in the airway module.
• Either no agent cassette installed in the system or an agent
cassette properly installed in the system. Agent cassette type
must be desflurane, sevoflurane, or isoflurane.
• Measured CO2 respiratory rate (RR) must be 35 breaths per
minute or less. The system must be registering a minute
volume.
• The specified airway module requirements must be met.

Airway module requirements for Et Control mode:

• Module type must be E-CAiO, E-CAiOV, E-CAiOVX, M-CAiO,

M-CAiOV, M-CAiOVX, E-sCAiOE, or E-sCAiOVE.
• E and M-series modules must be software version 4.5 or higher.
• Module must be installed and warmed up.
• Module must be properly calibrated.

Note For E and M-series airway modules, proper installation of the fresh
gas module is verified during the Vent and Gas test. For
CARESCAPE airway modules, proper connection of the fresh gas
sample line is verified during the Full Test. A message shows in the
test window if the test fails.

Note The CARESCAPE airway modules may not be available in all

markets. Consult your GE Healthcare representative for availability.

2 2070086-001
 1

6
5

AB.75.216
1. Fresh gas module 5. Sample gas return port
2. Airway module 6. Fresh gas module electrical connection
3. Gas sampling line 7. Fresh gas module sample port
4. Airway adapter with sampling line connector 8. Mini D-fend

Figure 1 • E, M-series airway module setup with Et Control mode

2070086-001 3
Et Control Option

AB.75.259
1. Airway module 4. Sample gas return port
2. Gas sampling line 5. Fresh gas sample port
3. Airway adapter with sampling line connector 6. D-fend Pro

Figure 2 • CARESCAPE airway module setup with Et Control mode

4 2070086-001
Symbols used in Et Control mode
Symbols replace words on the equipment, on the display, or in
product manuals.
Warnings and Cautions tell you about dangerous conditions that can
occur if you do not follow all instructions in this manual.
Cautions tell about a condition that can cause damage to the
equipment. Read and follow all warnings and cautions.
.

O2% indicator on left and balance gas Gas indicator when in Et Control mode.
indicator on right when in Et Control Color associated with gas settings.
mode. Colors associated with gas
settings.
Enhanced temperature sensing when
in Et Control mode.

2070086-001 5
Et Control Option

Et Control display

20:55

15

3
500
6
Et Control 1
2
5 50
1
15.0

0.50 14 3.3 5.1 50 55

2
0.6
Et Control: O2 + Air + AA

Min Flow Et Des Et Control

AB.75.260
50 Min 3.0

4 3
1. Waveform fields Displays waveforms of measured values. For example, when in Et
Control mode, this displays measured CO2 with Et Control.
2. Measured value field Displays measured values. For example: Gases.
3. Measured value field Displays measured values. For example: Agent.
4. Et Control settings Displays the buttons used for Et Control mode. For example: Et O2,
Min Flow, EtDes, Et Control, and Gas Setup.
5. Vaporizer output Displays the measured value of agent output.
6. Electronic gas flow indicator Displays the measured value of total gas flow.

Figure 3 • Et Control view

6 2070086-001
Using Et Control
Use the Et Control menu to start, stop, and resume Et Control
mode. Use the gas quick keys to adjust the Et Control settings.
Return to fresh gas delivery at any time.

Starting Et Control

1. Select Et Control.
2. Select Start.
The target EtO2 and target EtAA are set to the current
measured Et values.
Gas flows and agent delivery adjusts as needed to meet target
EtO2 and target EtAA.
The target EtAA quick key is highlighted.
3. Confirm or adjust and confirm the target EtAA setting.

Note If the conditions to enter Et Control are not met, instructions

show in the window to help correct conditions to allow Et Control
mode.

Stopping Et Control

1. Select Et Control.
2. Select Stop.
Fresh gas control mode resumes at values based on the target
Et O2 and target EtAA settings.
The agent quick key is highlighted.

3. Confirm or adjust and confirm the agent setting.

Changing Et Control settings using quick keys

Gas quick keys while in Et Control mode show the target EtO2%,
minimum flow l/min, and target EtAA%. Adjust these settings by
pushing the corresponding quick key.

1. Select the quick key to select the corresponding setting.

2. Turn the ComWheel to the desired value.
3. Push the ComWheel or select the quick key to confirm the
change.

2070086-001 7
Et Control Option

Washing agent out of the system

Turning agent off during Et Control

Use the Off setting in the target EtAA quick key to shut agent Off.

1. Select the target EtAA quick key.

2. Select Off.
Agent delivery stops. No additional agent is added to the
breathing system.
Flows are controlled based on oxygen and balance gas
concentrations.

Purging agent during Et Control

Use the Purge setting in the target EtAA quick key to drive agent out
of the system as fast as possible.

WARNING Do not remove the agent cassette while the target EtAA
is set to Purge. Removing the agent cassette causes the
target EtAA to set to Off, resulting in slower removal of
agent out of the system.

1. Select the target EtAA quick key.

2. Select Purge.
Agent delivery stops.
Fresh gas flow is set at 10 l/min.

8 2070086-001
Et Control log
Use the System Setup menu to access the Et Control log.
A record of the Et Control mode actions during a case can be viewed
in the Et Control log. The log records date, event, target EtAA%, AA
flow ml/h, EtAA%, target EtO2%, mixer O2%, EtO2%, minimum flow,
total flow, Air or N2O, and Des, Sev, or Iso.
Entries are saved at event change. The log is capable of displaying
up to 19 entries at a time with at least 2500 entries total. The log is
cleared at the start of a case. When system power is shut off or lost,
data from the most recent case is saved.

Viewing Et Control log

1. Select System Setup.

2. Select Et Control Log.
3. Select Scroll, Next Page, First Entry, Last Entry, or the cursor
to scroll through the current log page.
4. Select Close to exit the Et Control Log.

2070086-001 9
Et Control Option

Et Control alarms

Message Priority Cause Action

Et Control stopped. Medium Multiple possible causes. Safeguard the patient. Verify that the gas
Adjust settings. delivery settings are appropriate. Go to the
Et Control menu to view the actions
needed to resolve the alarm.
Push Et Control. Flow is Medium Multiple possible causes. Safeguard the patient. Go to the Et Control
6 l/min. menu to view the actions needed to
resolve the alarm.
Sample line leak. Check Medium Leak detected in the Check the airway module sample line
sample line airway module sample connections. Replace the sample line if
line. condition continues. Go to the Et Control
menu. Select Resume Flow Control to
restart Et Control.

10 2070086-001
Et Control troubleshooting
Use the help information shown in the Et Control help window to
resolve Et Control alarms. Select Et Control to access the Et Control
help window.
.

Help message Symptom Problem Solution

Several possible Unable to enter Et Blocked from entering Et Review the alarm conditions of any active
messages Control. Control. alarms to resolve the alarm.
Go to the Et Control menu to see the Et
Control specific help information. Correct
the conditions blocking Et Control. Try to
enter Et Control again.
Several possible Et Control has stopped. The alarm conditions Review the alarm conditions to resolve the
messages Additional system prevent Et Control. alarm. Go to the Et Control menu to see
alarm occurs at the the Et Control specific help information.
same time.
Use Fresh Gas Et Control has stopped Et Control does not During an agent change, use fresh gas
Control. Start Et during an agent function during an agent control mode until the previous agent is
Control when change. change. cleared out of the system before restarting
previous agent is Et Control mode. Use fresh gas control
removed from the until previous agent registers less than
circuit. 0.35 MAC. Re-enter Et Control.
Et Control requires Et Control has stopped. The O2 and/or the balance The O2 and balance gas pipeline
sufficient gas Gas supply pressure gas supply pressures are pressures must be more than 252 kPa (36
supply pressure. alarms occur. out of the allowable range psi). The O2 and balance gas cylinder
for Et Control. pressures must be more than 2633 kPa
(381 psi).
Check that the pipelines and cylinders are
properly connected.
Use fresh gas control until the gas supply
pressures are within the allowable range.
Re-enter Et Control.
Et Control requires Et Control has stopped. The fresh gas module Check that the fresh gas module is
a Fresh Gas Help information shows used with E and M-series properly connected. See "Et Control setup
Module. Check gas fresh gas module is airway modules has and connections".
module required. become disconnected. If the condition continues, contact an
connections. authorized service representative.
Use Fresh Gas Et Control has stopped. The fresh gas sample Check the airway module sample line for
Control. Calibrate Help information check failed. kinks. After the case, calibrate the airway
gas module when indicates Fresh Gas module.
possible. Sample Check failure. If multiple failures occur following an
airway module calibration, contact an
authorized service representative.
Target settings not Et Control has stopped. Target EtO2 and/or target The case conditions may not allow the use
achieved. Use Help information EtAA was not achieved. of Et Control. If multiple failures occur
Fresh Gas Control. indicates Et Control under different case conditions, contact an
supervisor failure. authorized service representative.

2070086-001 11
Et Control Option

Help message Symptom Problem Solution

Enter Et Control Et Control has stopped. Multiple possible causes. Re-enter Et Control. If issue continues,
again. Help information finish the case using fresh gas control.
indicates enter Et Contact an authorized service
Control again. representative.
Sample line leak. Flow is 6 l/min during Leak detected in the Check the airway module sample line
Check sample line. Et Control. Help airway module sample line. connections. Replace the sample line if
Then select information indicates a condition continues. Select Resume Flow
Resume Flow sample line leak. Control to restart Et Control.
Control to continue
with low flows.
Several possible Flow is 6 l/min during Airway module condition Review the alarm condition to resolve the
messages. Et Control. An airway prevents Et Control. alarm. The system check runs after the
module alarm occurs at alarm is resolved.
the same time.
Flow is 6 l/min until Flow is 6 l/min during No breath detected Safeguard the patient. Check the airway
CO2 breaths are Et Control. No breath prevents Et Control. module sample line connections. Check
detected. Check detected. breathing circuit connections.
gas module
connections.
FiCO2 detected. Flow is 6 l/min during FiCO2 high issue is Determine if the FiCO2 level is
Try replacing the Et Control. FiCO2 high. detected. appropriate.
CO2 absorber. Absorbent OK? alarm If the FiCO2 level is not appropriate or
already exists or occurs CO2 bypass is activated, replace the
at the same time. absorbent.
If the FiCO2 level is appropriate, adjust
the FiCO2 High alarm limit.
Et Control enters increased flow mode if
FiCO2 is greater than 1% or the alarm
limit (whichever is higher) or greater than
2% if the alarm limit is set to Off.
Gas module valve Unable to enter Et The CARESCAPE airway Contact an authorized service
malfunction. Control or Et Control module fresh gas sampling representative to fix the valve malfunction.
EtControl will not be has stopped. Help valve failed to function. Install a different gas module to use Et
available. Install a information indicates Control.
different gas gas module valve
module to use malfunction.
EtControl.

12 2070086-001
Et Control parts

E, M-series airway modules

2
AB.75.200

Item Description Stock Number

1 Fresh Gas Module M1153179
2 Mini D-fend water trap (pack of 10) 8002174

2070086-001 13
Et Control Option

CARESCAPE airway module

2 AB.75.266

Item Description Stock Number

1 Airway module model Es-CAiOE M1221474
Airway module model Es-CAiOVE M1199131
2 Fresh gas sample tubing and connector 2063483-001
3 D-fend Pro water trap (pack of 10) M1182629

14 2070086-001
Et Control theory of operation

Et Control is an optional gas delivery mode. The clinician sets the

target end tidal O2 (EtO2) and anesthetic agent (EtAA) values. The
system monitors the EtO2 and EtAA values and adjusts the gas
composition and total flow to maintain the set target values.
The minimum flow setting for Et Control mode safeguards the patient
by maintaining at least the minimum set flow delivered to the patient.
Increasing the minimum flow does not affect the speed of change to
achieve target concentrations.
Safety mechanisms protect the patient during Et Control mode.
Safety mechanisms include the delivery of increased flows when
temporary issues arise. For example, a leak detected in the patient
sampling system. Automatic return to active Et Control resumes
when the issue is resolved.
Automatic exit from Et Control occurs for issues that require clinician
interaction to resolve or cannot be resolved during a case. For
example, airway module calibration required. Manual re-entry into Et
Control is required.
Checks occur before active Et Control is allowed and continue to run
while in Et Control. The Et Control fresh gas sample check guards
against incorrect delivery due to faulty airway module readings. The
Et Control system check and Et Control leak check guard against
incorrect delivery due to sample line issues such as leaks. The Et
Control supervisor is an additional safeguard to ensure that the
system is able to control gas and agent delivery to meet the targets.
See "Safety mechanisms" for more information.

2070086-001 15
Et Control Option

Et Control mode examples

The display changes through a cycle of fresh gas control to Et
Control mode and during a setting change in Et Control mode are
shown in the following examples. The electronic flow tube, numerics,
and quick key areas on the display are important areas to focus on
during Et Control mode.

Fresh gas control example

During fresh gas control before entering Et Control mode, the total
flow is set to 2.0 l/min with 50% O2 and agent is set at 3.0 of Des as
shown in the quick keys.
The actual gas flow matches the set total flow. Notice that the patient
inspired and expired desflurane (Fi Des and Et Des) and the inspired
and expired oxygen (Fi O2 and Et O2) are different than what is set.
The flowing gas and agent mixes with the existing gas in the
breathing system, enriching the mixture inspired by the patient (Fi
Des and FiO2). Patient gas exchange affects the mixture expired by
the patient (Et Des and Et O2).

15

10

1
1

0.5
Et Fi Et Fi

Air O2
Des 1.0 1.9 O2 40 45
2
1.3 0.75

Fresh Gas: O2 + Air

O2 Total Flow Des Et Control

3
AB.75.261

50 2.00 3.0
1. Electronic flow tubes showing Air and O2. 3. Quick keys showing Fresh Gas, O2, Air, Total Flow,
Des, Et Control, and Gas Setup.
2. Measured values showing Agent, Et Des, Fi Des,
Gases, Et O2, and Fi O2.

Figure 4 • Display during fresh gas control

16 2070086-001
 Entering Et Control mode example

On entering Et Control mode, the display changes. The system

begins to adjust the delivery of gas and agent to reach the target
settings. The Agent output shows next to the Total Flow tube. The
quick keys show Et Control settings. The target EtO2 is 50%, the
minimum flow is Min, and the target Et Des is 3.0.
Notice that after the system reaches the target gas concentration
settings, the gas flow has changed to low flow. The patient expired
desflurane (Et Des %) and expired O2 % (Et O2) are at the target
settings.

Total Flow Agent

15

3
9 500 1

2 2
50
15.0
1
8 Et Fi Et Fi

Total Flow Des

Des 3.0 4.1 O2 50 55
0.50 14
7 Et Control: O2 + Air + AA

Min Flow Et Des Et Control

AB.75.262

50 Min 3.0
Target % Target %

6 5 4 3
1. Expired agent measurements showing Agent, Et 6. Target oxygen setting showing Et O2 and Target %.
Des, and Fi Des.
2. Expired oxygen measurements showing Gases, Et 7. Mode indicator showing Et Control, O2, Air, and
O2, and Fi O2. agent.
3. Et Control quick key. 8. Vaporizer output showing Agent and Des.
4. Target agent setting showing Et Des and Target %. 9. Total gas flow tube showing Total Flow.
5. Min Flow quick key showing Min.

Figure 5 • Display at entry into Et Control mode

Target values change example

The user makes a change to the Et Control settings. The target Et

Des % is changed to 1.2 and the target Et O2 remains at 50%.

2070086-001 17
Et Control Option

Notice that the vaporizer has shut off. Gas flows have increased to
get to an Et Des of 1.2% quickly.

Total Flow Agent

15

3
9 500 1

2 2
50
15.0
1
8 Et Fi Et Fi

Total Flow Des

Des 1.6 0.7 O2 50 55
4.8 0

7 Et Control: O2 + Air + AA

Min Flow Et Des Et Control

AB.75.263
50 Min 1.2
Target % Target %

6 5 4 3
1. Expired agent measurements showing Agent, Et 6. Target oxygen setting showing Et O2 and Target %.
Des, and Fi Des.
2. Expired oxygen measurements showing Gases, Et 7. Mode indicator showing Et Control, O2, Air, and
O2, and Fi O2. agent.
3. Et Control quick key. 8. Vaporizer output showing Agent and Des.
4. Target agent setting showing Et Des and Target %. 9. Total gas flow tube showing Total Flow.
5. Min Flow quick key showing Min.

Figure 6 • Display when target values are changed

Target values achieved example

The Et Control settings are achieved. Notice that the vaporizer is

now on. The gas flows are low. The Et Des% shows 1.2 and the Et
O2 shows 50%. Notice now that the target settings are achieved.
The gas flows are low for optimal delivery.

18 2070086-001
 Total Flow Agent

15

3
9 500 1

2 2
50
15.0
1
8 Et Fi Et Fi

Total Flow Des

Des 1.2 1.2 O2 50 58
1.0 4

7 Et Control: O2 + Air + AA

Min Flow Et Des Et Control

AB.75.264
50 Min 1.2
Target % Target %

6 5 4 3
1. Expired agent measurements showing Agent, Et 6. Target oxygen setting showing Et O2 and Target %.
Des, and Fi Des.
2. Expired oxygen measurements showing Gases, Et 7. Mode indicator showing Et Control, O2, Air, and
O2, and Fi O2. agent.
3. Et Control quick key. 8. Vaporizer output showing Agent and Des.
4. Target agent setting showing Et Des and Target %. 9. Total gas flow tube showing Total Flow.
5. Min Flow quick key showing Min.

Figure 7 • Display when target values are reached during Et control mode

2070086-001 19
Et Control Option

Safety mechanisms
Safety mechanisms include Et Control system check, Et Control leak
check, Et Control fresh gas sample check, and Et Control supervisor.
The safety mechanisms function automatically when entering Et
Control mode. These checks are run during Et Control mode
independent of the tests performed during the preoperative
checkout.

Et Control system check

The Et Control system check verifies that there are no leaks in the
patient sampling system. If the patient is pre-oxygenated prior to
entering Et Control and there are no leaks detected, this check does
not run. Otherwise, the check is run automatically when Et Control
mode is entered. During the check, the system delivers a high flow of
O2 with agent for up to 95 seconds to check for sample line leaks.
When the Et Control system check passes, the Et Control leak check
starts and active Et Control begins.
The system enters Et Control increased flow if the check does not
pass. An Et Control system check may be needed to re-enter Et
Control mode.

Et Control leak check

The Et Control leak check runs after the Et Control system check
passes. The CO2 and O2 are tracked for movement toward ambient.
(Ambient CO2 is 0% and ambient O2 is 21%.) If a leak is detected,
the check fails and the system enters Et Control increased flow.

Et Control fresh gas sample check

The Et Control fresh gas sample check verifies the calibration of the
airway module. This check runs approximately every 3 minutes while
in Et Control mode. Using the fresh gas sample port, a fresh gas
sample is taken from the anesthesia system instead of from the
sample line at the breathing circuit. The fresh gas reading is
compared to the expected fresh gas output. If the reading is out of
limit, the check fails. The airway module may need calibration.
Automatic exit of Et Control occurs if the check does not pass.

20 2070086-001
 Et Control supervisor

Et Control supervisor is a safety measure to prevent incorrect

delivery of O2 and agent. The system enters fresh gas control in the
event of an Et Control supervisor failure. Automatic exit of Et Control
occurs if the target agent and target O2 are not achieved.

Et Control increased flow

Certain issues during Et Control cause the fresh gas flow to

automatically be set to 6 l/min. Et Control remains active during this
increased flow state. The fresh gas concentrations are delivered to
maintain a steady state; therefore, changes to new Et target settings
may be slower. Most of the issues are temporary and the normal flow
control is resumed automatically when the issue is resolved. When
an increased flow condition is caused by a sample line leak, resume
flow control through the Et Control menu. For all increased flow
conditions, help information is available in the Et Control menu.

2070086-001 21
Et Control Option

Et Control performance data

.

Typical performance after setting change

Average Standard deviation
EtAA response time 68 seconds +/- 28 seconds
EtAA setting time 126 seconds +/- 100 seconds
EtAA steady state deviation 0.2 vol% +/- 0.1 vol%
EtAA overshoot 8.1% of setting +/- 4.8% of setting
EtO2 response time 130 seconds on an increase, 228 +/- 38 seconds on an increase, +/- 41
seconds on a decrease seconds on a decrease
EtO2 settling time 136 seconds on an increase, 335 +/- 30 seconds on an increase, +/- 146
seconds on a decrease seconds on a decrease
EtO2 steady state deviation 1.3 vol% +/- 0.8 vol%
EtO2 overshoot 1.2 vol% +/- 0.4 vol%
Note: Data derived from performance testing. Depending on patient type, situation, and external disturbances the
performance of the system may differ from the values given above. For example:
Patient dynamics could limit performance during wash out from high to low levels of agent.
Problem conditions during Et Control mode could limit performance.
Disconnects during Et Control mode could limit performance.

7 3

90%

6
AB.75.217

5
2
1. Concentration % 5. Settling time
2. Time 6. Response time
3. Target setting 7. Steady state deviation
4. Measured end-tidal concentration 8. Overshoot

Figure 8 • Et Control accuracy graph

22 2070086-001
Et Control factory default settings
.

Setting Range Default

Target EtO2 25 - 80%, Max Measured value upon entry *
Minimum flow Min, 0.55 - 6 l/min Min (Des, Iso, and no agent) 2.0 (Sev) **
Target EtDes Off, Purge, 1.0 - 12.0% Measured value upon entry. ***
Target EtIso Off, Purge, 0.2 - 2.5% Measured value upon entry. ***
Target EtSev Off, Purge, 0.2 - 4.0% Measured value upon entry. ***
Notes:
*If the measured EtO2 is less than 25%, the default is 25%. If the measured EtO2 is more than 80%, the default is
Max.
**Minimum flow default is the Super user setting. See “Super user” for more information.
***If the EtDes, EtIso, or EtSev is less than the lowest %, the default is the setting value nearest to the measured
EtAA value. If the EtDes, EtIso, or EtSev is more than the highest %, the default is the highest %.

2070086-001 23
Et Control Option

System pneumatic circuit

1. Auxiliary O2, 0-10 l/min (optional) 46. Patient wye (patient connection)
2. 241 kPa (35 psi) secondary O2 regulator 47. Airway transducer
3. Pipeline: O2, Air, N2O 48. Inspiratory flow transducer
4. Cylinder: O1, Air, N2O 49. Expiratory flow transducer
5. 758 kPa (110 psi) relief 50. Manifold pressure transducer
6. Venturi drive gas connection 51. Passive gas scavenging interface
7. Selector valve, O2, Air, N2O 52. 30 mm male to disposal system
8. O2 flush 53. 0.3 cmH2O entrainment

24 2070086-001
9. 0-120 l/min flow 54. Reservoir
10. Alternate O2 55. Adjustable gas scavenging interface
11. System switch 56. DISS EVAC connector
12. Alternate O2 disable valve 57. Active gas scavenging interface
13. ACGO/non-circle port 58. Room air
14. Vent drive gas select 59. Filter
15. O2 flow controller 60. High or low flow restrictor
16. Balance flow controller 61. Flow indicator
17. Gas inlet valve 62. To disposal system
18. Vent drive gas regulator 172 kPa (25 psi) at 15 63. ACGO variant
l/min
19. Inspiratory flow control valve 64. Circle or ACGO mode switch
20. Drive gas check valve (3.5 cmH2O bias) 65. 22 mm ACGO port
21. Mechanical over pressure valve (110 cmH2O) 66. O2 cell
22. Free breathing check valve 67. Non-circle variant
23. Atmosphere 68. Circle or non-circle mode switch
24. Pressure relief valve 69. Non-circle circuit pressure limiting valve
25. Exhalation valve (2 cmH2O bias) 70. Bag/Vent switch
26. Relief valve 10 cmH2O 71. Bag
27. 0-10 l/min drive gas, 0-10 l/min patient and fresh 72. APL valve 0-70 cmH2O
gas, 0-10 l/min total typical flow
28. 200 ml reservoir 73. Default factory connection
29. Control bleed to ambient approximately 1 l/min at 3 74. Gas monitor
cmH2O if continuous (rate dependent)
30. Vent to ambient 75. Negative pressure relief valve
31. Flush switch 37.2 kPa (5.4 psi) 76. Absorber
32. Electronic vaporizer 77. Drain
33. ACGO port relief valve 78. EZchange canister
34. Cassette inflow measure 79. Condenser
35. Cassette inflow valve 80. Bypass back-pressure valve
36. Cassette identification 81. Inflow check valve
37. Cassette outflow measure 82. Cassette pressure sensor
38. Cassette flow control valve 83. Cassette connection valve
39. Liquid flow prevention valve 84. Aladin cassette
40. Cassette outflow valve 85. Pneumatic power outlet
41. Scavenging valve 86. Embedded temperature sensor (not available on all
cassettes)
42. Cassette temperature sensor 87. Fresh gas sample relief valve
43. Liquid level indicator (not available on all cassettes) 88. E or M-series airway module
44. Expiratory flow sensor 89. CARESCAPE airway module
45. Inspiratory flow sensor

2070086-001 25
Et Control Option

Super user
The initial minimum flow value can be set for Des, Iso, and Sev for Et
Control mode. See “Configuring case defaults” in the “Super user
mode” section of the User’s Reference manual for additional
information on setting the case defaults.

Note The Min value is 0.5 l/min.

Default settings for default case types

Settings ADULT PEDIATRIC LOCAL CUSTOM 1
Minimum flow (None) Min Min Min Min
Minimum flow (Des) Min Min Min Min
Minimum flow (Iso) Min Min Min Min
Minimum flow (Sev) 2.0 2.0 2.0 2.0

26 2070086-001
 Index

E
Et Control
alarms 10
factory default settings 23
parts 13
performance data 22
Super user 26
Et Control log
viewing 9
Et Control mode
examples 16
theory of operation 15

P
Purging agent 8

S
Safety mechanisms
fresh gas sample check 20
increased flow 21
leak check 20
supervisor 21
system check 20

U
Using Et Control
changing Et Control settings 7
starting Et Control 7
stopping Et Control 7

2070086-001 I-1
Et Control Option

I-2 2070086-001
Aisys CS²
Et Control Option
User's Reference Manual
English
2070086-001
03 13 B 01 04 23
Printed in USA