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Narkomed 6400
Dräger Medical Narkomed 6400 User Manual
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Nark
omed 6400
An
esthe
sia System
Date: 7 Februar
y 20
03
© 2003 Draeger Medical,
Inc.
Instr
uction
Manual
Oper
ator’s
P
ar
t Number: 4117965-0
01
Rev: A
RETURN TO CD-ROM TABLE OF CONTENTS
RETURN TO THIS MANUAL'S TABLE OF CONTENTS
2
Table of Contents
Table of Contents
3
Operator's Responsibility for Patient Safety
8
Limitation of Liability
8
Section 1. Introduction
8
Disclaimer
9
Recommendations
9
Trademark Notices
9
Copyright
9
Restriction
9
Purpose of this Manual
10
How this Manual Is Organized
10
Conventions Used in this Manual
11
General Warnings
11
Typefaces
11
Warnings and Cautions
11
Symbols and Abbreviations
14
Equipment Symbols
15
Glossary
16
2 System Description
19
Narkomed 6400 Overview
20
Gas Delivery System
22
Cylinder Gas Supply
23
Flowmeter Bank
24
Electronic Fresh Gas Measurement
25
Fresh Gas Outlet
26
Auxiliary Oxygen Flowmeter
27
Oxygen Flush
27
Oxygen Gas Supply Special Features
27
Minimum Oxygen Flow
28
Oxygen Low Pressure Alarm
28
Oxygen Ratio Controller
28
Oxygen Supply Pressure Failure Protection Device
28
Vaporizer Mounts and Interlock Systems
29
Overview
33
Ventilator
33
Power-Up Diagnostic Tests
37
Respitone (Customer Option)
37
Fresh Gas Decoupling
38
Mechanical Ventilation Modes
38
Tidal Volume Compensation
38
Compact Breathing System
39
Leak Detection
39
Low-Flow Technique
39
Piston Assembly
44
Ventilator Control Panel
45
Ultrasonic Flow Sensor
50
Breathing System Pressure Gauge (CUSTOMER OPTION)
51
Open Reservoir Scavenger
52
Scavenger Systems (CUSTOMER OPTION)
52
Scavenger Interface for Passive Systems
53
Power Supply System
54
System Power Switch
54
Circuit Breakers
55
Convenience Outlet
55
Reserve Power System
55
Machine Functions on Reserve Power
56
Monitoring System
57
Main Screen
58
Alarm Window
64
Auxiliary Video Output (CUSTOMER OPTION)
66
Measurement Subsystems
66
Breathing System Interface Panel
68
Strip Chart Recorder (SCR) (CUSTOMER OPTION)
69
Connections and Switch
70
Patient Suction System
70
Patient Suction System (CUSTOMER OPTION)
71
3 System Configuration
73
Initial Warm-Up
74
Start-Up Screen
74
Ventilator Self-Test
76
Emergency Quick-Start
78
Main Control Buttons
79
System Setup
79
Slider Bar
82
System Setup Notebook
82
System Setup
84
System Alarm Limits
87
Template
91
Traces
99
System Alarm Volume
100
About System
101
Ventilator Information Notebook
102
Low Flow Wizard
106
Calculations
108
Timers
109
Alarm Log
111
Software Pressure Gauge
114
Fresh Gas Information
117
Printing Patient Data
119
Adjustments
125
Alarm Window
125
Canceling Alarm Suspension
126
Controlling Individual Alarms
126
Silencing Audible Alarms
126
Suspending Alarms
126
Setting Alarm Standby Status
127
Turning the Alarm off or on
127
Changing Alarm Limits
128
Effects of Ventilator Modes on Alarm Management
128
4 Configuration and Settings - Gas Analysis
129
Configuring Nitrous Oxide and Agent Displays
130
Default Values
130
Section 4. Configuration and Settings - Gas Analysis
130
Agent Alarm Annunciation
132
Agent/Nitrous Oxide Site-Scale
133
Displayed Trace
133
Nitrous Oxide and Agent Settings
133
Setting up Agent Parameters
133
Agent Setup
134
Agent Alarm Management
136
Agent Alarms
136
Carbon Dioxide Alarm Annunciation
140
Configuring Carbon Dioxide Displays
140
Carbon Dioxide Settings
141
Carbon Dioxide Setup
141
Setting up Carbon Dioxide Parameters
141
Carbon Dioxide Alarm Management
142
Carbon Dioxide Alarms
142
Gas Analysis Pod Zero Calibration and Delay
145
5 Configuration and Settings - Volume, Pressure, and Oxygen
147
Configuring Breathing Pressure Displays
148
Default Values
148
Section 5. Configuration and Settings - Volume, Pressure, and Oxygen
148
Threshold Pressure Limit
151
Pressure Alarm Annunciation
152
Breathing Pressure Settings
153
Pressure Setup
153
Setting up Pressure Parameters
153
Pressure Alarms
155
Pressure Alarm Management
156
Configuring Respiratory Volume Displays
160
Minute Volume
161
Respiratory Rate
161
Tidal Volume
161
Volume Alarm Annunciation
161
Minute Volume Alarms
162
Respiratory Volume Settings
162
Setting up Volume Parameters
162
Volume Alarm Management
163
Calibrating the Oxygen Monitoring System
164
Configuring Oxygen Displays
164
Oxygen Settings
164
Setting up Oxygen Parameters
168
6 Configuration and Settings - Ventilator
171
Default Values
172
Section 6. Configuration and Settings - Ventilator
172
Adjusting Ventilator Parameters
173
Pmax/Pset
174
Tidal Volume (Vt)
174
Breathing Rate (Rate)
175
I:E Ratio
176
Inspiratory Pause/Flow
176
Peep
177
SIMV Rate
177
Manual Ventilation
178
Selecting Operating Mode
178
Spontaneous Breathing
178
Mechanical Ventilation
179
Volume Mode
179
SIMV Mode
180
Pressure Mode
183
Preparation to Ventilate Pediatric Patients
184
7 Checkout Procedures
185
Daily Checkout
186
Section 7. Checkout Procedures
186
Oxygen Cylinder - High Pressure System
187
Oxygen Pipeline - High Pressure System
189
Ventilator Self-Test
189
Component System Diagnostics
190
Calibrating the Oxygen Monitoring System
191
Flow Control - Low Pressure System
192
Nitrous Oxide and Air Pipelines - High Pressure System
192
Oxygen Failure Protection Device - Low Pressure System
192
Vaporizer - Low Pressure System
192
APL Valve
193
Oxygen Ratio Controller - Low Pressure System
193
Open Reservoir Scavenger System
194
Monitors
195
Scavenger Interface for Passive Systems
195
Final Position
196
Breathing System
197
Preuse Checkout
197
APL Valve
199
Open Reservoir Scavenger System
199
8 Operation Summary
205
Before Beginning a New Case
206
Putting the System in Monitor Standby
206
Section 8. Operation Summary
206
Typical Operation
206
Beginning a Case
207
Resuming a Case
209
Using the Oxygen Flush
209
Automatic Data Recording
210
Ending a Case
221
Moving the System in an Emergency
222
Powering down the System for Transport
222
Service Interruptions
222
Putting the System in Ventilator Standby
223
Replacing Absorbent between Cases
224
Ventilator Override
225
Ventilator Safe State
225
Operating During a Power Failure
226
Use of Suction with the Narkomed 6400
226
Operation During Cardiac Bypass
227
9 Messages/Problem Resolution
229
Alarm Structure
230
Warnings
230
Advisories
231
Cautions
231
Pressure Monitoring
231
Summary of Pressure Alarms
231
Pressure Monitoring Problem Resolution
234
Summary of Volume Alarms
235
Volume Monitoring
235
Volume Monitoring Problem Resolution
237
Nitrous Oxide and Agent Monitoring
238
Summary of Agent Alarms
238
Agent Monitoring Problem Resolution
239
Carbon Dioxide Monitoring
239
Oxygen Monitoring
241
Oxygen Monitoring Problem Resolution
243
Machine Input Alarms
244
Miscellaneous Alarms
244
System Communications Alarms
244
Ventilator Messages
246
Hint Messages
256
Negative Pressure Dialog Box
260
Breathing Hose Compliance Limit Dialog Box
261
General Care Instructions
264
Powering down the Narkomed 6400 for Cleaning
264
Inspecting the System
265
Ventilator Cleaning, Disinfection, and Sterilization
265
Ventilator Routine Maintenance
267
Ventilator Disassembly Instructions
268
Ventilator Reassembly Instructions
272
Removing the Piston Assembly
277
Clearing Condensation from the Flow Sensor
279
Replacing the Oxygen Sensor
279
Disassembly Instructions
281
Disinfecting the Flow Sensor
281
Care and Cleaning
282
Disinfection
282
Reassembly Instructions
282
Cleaning and Disinfecting the Breathing System Pressure Gauge
284
Open Reservoir Scavenger Maintenance
284
Maintenance for Passive Systems Scavenger Interface
286
Water Trap Reservoir Maintenance
287
Care of Vaporizer
290
Replacing the Strip Chart Recorder Paper
290
Removing the Footrest (Narkomed 6000 Machines)
291
Replacing the Gas Analysis Pod (GAP-2)
292
11 Specifications
295
Electrical
296
Environmental
296
Operating
296
Physical Dimensions
296
Storage
296
Auxiliary Video Output
297
Gas Delivery System
297
Touch Screen Display
297
Cylinder Gas Pressures (at 70°F, 21°C)
298
Flowmeter Accuracy (at 20°C and 760 Mmhg)
298
Ventilator, Divan
298
Absorber System
299
Absorber Volume
299
APL Valve Adjustment
299
Breathing System Specifications
299
Compliance with Absorber
299
Pressure Relief
299
Ultrasonic Flow Sensor
299
Ventilation System Leakage
299
Halothane
300
Monitoring
300
Nitrous Oxide
300
Respiration (Via CO 2 )
300
Self-Diagnostic Tests
306
Factory Default Settings
307
Alarm Management
310
Alarm Displays
314
Summary of Alarm Messages and Indicators
317
Flow Sensor Failure
321
Summary of Ventilator Control Panel Information
321
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Operator's Instruction Manual
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Dräger Medical Narkomed 6400 Specifications
General
Brand
Dräger Medical
Model
Narkomed 6400
Category
Medical Equipment
Language
English
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