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What This Guide Helps With
Troubleshooting charging alarms, missing battery indications, rapid battery depletion, or reduced backup runtime caused by AC power, storage, connections, or battery deterioration.
Step-by-Step Troubleshooting
1. Ensure Patient Safety First
Do not test battery runtime or disconnect AC power while the Avance is supporting an active patient.
If a battery or power alarm occurs during a procedure:
- Notify the anesthesia provider immediately.
- Confirm the machine remains connected to a functioning emergency-powered AC outlet.
- Prepare another verified anesthesia machine and an approved backup means of ventilation.
- Transfer the patient when continued power reliability is uncertain.
Expected: Patient ventilation and anesthesia delivery do not depend on a machine with questionable backup power.
Loss of battery power following an AC failure may result in loss of mechanical ventilation. GE has also issued a safety notice concerning certain replacement batteries that could fail earlier than expected.
If the machine is no longer supporting a patient, continue troubleshooting in a controlled Clinical Engineering setting.
2. Confirm the Exact Failure Condition
Review the reported symptoms and displayed messages. Determine whether the complaint involves:
- Battery not charging
- No battery or battery failure indication
- Battery charge level not increasing
- Battery discharging while connected to AC
- Battery reaching a low-charge alarm unusually quickly
- Machine shutting down earlier than the displayed runtime suggests
- Battery problem occurring after prolonged storage
Record the complete message, battery indication, and conditions present when the failure occurred.
Expected: The complaint is clearly identified as a charging, detection, capacity, or AC-input problem.
3. Verify the AC Outlet
Connect an approved electrical safety analyzer or another suitable test device to the outlet.
Confirm:
- Correct line voltage is present.
- The outlet is not controlled by a wall switch.
- The receptacle securely retains the plug.
- The circuit has not tripped.
- Emergency-power operation is available when required by the clinical location.
Do not rely only on other equipment plugged into the same outlet.
Expected: The wall outlet provides stable AC power.
If the outlet is faulty, move the Avance to a verified outlet and notify Facilities. If charging resumes, stop troubleshooting.
4. Inspect the Power Cord and Connection
Examine the power cord from the plug to the machine inlet.
Check for:
- Loose connections
- Damaged insulation
- Bent or discolored plug blades
- Heat damage
- Cuts, crushing, or excessive strain
- A partially seated machine-end connector
- Damage to the cord-retention hardware
Reconnect both ends securely. Replace a removable cord only with an approved equivalent when permitted by facility policy.
Expected: The cord is undamaged and firmly connected.
If reseating or replacing the cord restores AC recognition and charging, verify proper operation and stop.
5. Confirm AC Power Recognition
With the Avance connected to a verified outlet, observe the mains-power indicator and battery display.
The mains indicator should show that AC power is connected. When the battery is not already fully charged, the system should charge it while connected to AC power.
If available on the installed software version, review:
System Setup > System Status
Confirm whether the system reports:
- AC mains connected
- Battery installed
- Battery charging
- Battery fully charged
- Battery failure or abnormal status
Expected: The machine recognizes AC power and displays a valid battery condition.
If AC is present at the outlet but the machine does not recognize it, remove the device from service for bench evaluation.
6. Allow Adequate Charging Time
If the machine was unplugged, stored, transported, or recently discharged, leave it connected to verified AC power with the system positioned according to facility and manufacturer charging practices.
For a formal battery-performance evaluation, GE’s safety-notice procedure specifies connecting the anesthesia machine to mains power for eight hours before testing.
During charging:
- Confirm the AC indicator remains illuminated.
- Check periodically for charging alarms.
- Observe for unusual heat, odor, swelling, or sounds.
- Do not cover ventilation openings.
Expected: The displayed battery level increases or reaches a fully charged condition.
If the charge level does not increase after adequate charging time, continue.
7. Check Storage and Usage History
Review the work-order history and ask the department whether the Avance:
- Was stored unplugged
- Sat unused for several months
- Was routinely disconnected after cases
- Experienced repeated complete discharges
- Recently received replacement batteries
- Has exceeded the facility’s battery-replacement interval
Prolonged discharge and repeated storage without AC power can reduce battery capacity. GE recommends keeping affected anesthesia devices connected to AC power when not in use to prevent battery discharge and degradation.
Expected: Storage or usage history identifies whether battery deterioration is likely.
8. Inspect Accessible Battery-Related Areas
With the device powered down and disconnected according to facility safety procedures, inspect only externally accessible battery areas.
Look for:
- A loose or damaged accessible battery-compartment cover
- Evidence of impact or fluid intrusion
- Corrosion visible without internal disassembly
- Swelling, odor, unusual heat, or deformation
- A battery-service label showing excessive age
Do not open internal power assemblies or bypass battery interlocks.
Expected: No visible evidence of physical battery or enclosure damage is present.
If swelling, heat, odor, leakage, or deformation is found, do not reconnect the machine. Label it Out of Service and escalate immediately.
9. Review Battery Age and Applicable Safety Notices
Check the battery installation date, replacement records, part number, and serial-number history.
GE issued a correction involving certain field-replacement batteries distributed on or after April 1, 2019 for Avance and related anesthesia systems because those batteries could fail earlier than expected. The associated battery kits included part numbers 1009-5682-000-S and 5856787-S.
Confirm whether:
- The installed battery falls within an affected population.
- The facility completed the applicable correction.
- Battery replacement or performance testing is overdue.
- A previously installed replacement battery lacks traceable documentation.
Expected: Battery age, part number, and correction status are known.
Escalate uncertain or affected battery history through the facility’s recall-management process.
10. Perform an Approved Battery Runtime Test
Perform runtime testing only:
- Off patient
- With an approved test lung and breathing circuit
- In a controlled Clinical Engineering environment
- Using the applicable GE procedure and facility policy
- With the machine continuously attended
After a full charge, configure and operate the machine using the approved battery-performance test conditions. Disconnect AC power only after confirming that alternate power and immediate shutdown controls are available.
Observe:
- Whether the machine transfers to battery without interruption
- Battery-status indications
- Alarm behavior
- Actual operating time
- Whether displayed remaining runtime corresponds reasonably with actual performance
- Whether the machine shuts down unexpectedly
GE’s 2022 battery-performance procedure used 60 minutes of continued operation as the acceptance threshold for affected systems and instructed replacement when that duration was not achieved. Follow the procedure applicable to the machine’s configuration and service documentation.
Expected: The Avance remains operational for the required test duration without abnormal shutdown.
If runtime is short, unstable, or inconsistent with the displayed battery status, stop testing and remove the machine from service.
11. Recharge and Complete Functional Verification
After any battery-discharge test:
- Reconnect the machine to verified AC power.
- Allow it to recharge fully before clinical use.
- Run the normal machine checkout.
- Confirm AC recognition and battery indications.
- Verify ventilation using a test lung.
- Confirm alarms, displays, and controls function normally.
- Complete electrical-safety testing when required by facility policy.
GE’s battery-performance instructions specify recharging the system for eight hours after testing before patient use.
Expected: The machine passes its checkout, recognizes AC power, charges normally, and is ready for clinical use.
If the Problem Persists
If the outlet, power cord, AC connection, charging time, storage history, battery age, and approved runtime test have been evaluated, common external causes have been ruled out.
The likely cause may involve:
- A deteriorated battery
- Loose internal battery connections
- Charging-circuit failure
- Power-supply failure
- Battery-monitoring or communication failure
- Internal wiring or control-board problems
The device should be:
- Removed from service
- Labeled Out of Service
- Sent for battery replacement, authorized repair, or qualified bench evaluation
Do not return the Avance to service based only on operation while connected to AC. Backup-power reliability is part of the machine’s safety function. Knowing when to stop and escalate is proper troubleshooting.
Clinical Use Tip
Never test backup runtime by unplugging an anesthesia machine that is supporting a patient. Move the patient to verified equipment first and perform battery testing only with a test lung in a controlled environment.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
"Anesthesia staff reported that the GE Healthcare Avance displayed a battery charging warning and provided only brief backup operation when AC power was disconnected."
Cause
What was observed during troubleshooting.
Example:
"The AC outlet and power cord tested normally, but the fully charged battery failed the approved runtime test and depleted significantly earlier than required."
Resolution
What action was taken.
Example:
"Removed the Avance from service, labeled it Out of Service, and referred it for approved battery replacement and post-repair performance verification."
Helpful Details to Include (If Known)
- Complete displayed alarm or message recorded
- AC outlet tested
- Emergency-power outlet verified
- Power cord and inlet inspected
- Mains indicator illuminated
- Battery status reviewed
- Charging duration documented
- Battery installation date recorded
- Battery part number recorded
- Recall or correction status checked
- Runtime-test duration recorded
- Alarm behavior documented
- Unexpected shutdown noted
- Unusual heat, odor, swelling, or sounds documented
- Post-test recharge completed
- Machine checkout completed
- Final device status documented
Final Thought
Battery troubleshooting on an anesthesia machine requires more than confirming that it works while plugged in. Verify the external power path, charging behavior, battery history, and actual backup performance. Remove unreliable equipment from service and document the complaint, cause, and resolution clearly.
That is successful troubleshooting.