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Narkomed GS
Dräger Medical Narkomed GS User Manual
204 pages
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Nark
omed GS
Anest
hesia
System
Date: 30 Januar
y 2004
© 2004 Draeger Medical,
Inc.
Instr
uction
Manual
Oper
ator’
s
P
ar
t Num
ber: 4113801-007
Re
v
: G
W
ARNIN
G:
F
or a full
understan
ding of the perf
or
mance ch
aracteristics of this
anesthe
sia
machine
, the use
r should care
fully read
this manua
l bef
ore oper
ating.
RETURN TO THIS MANUAL'S TABLE OF CONTENTS
RETURN TO CD-ROM TABLE OF CONTENTS
2
Table of Contents
Default Chapter
3
Table of Contents
3
Section 1. Introduction
14
Operator's Responsibility for Patient Safety
14
Limitation of Liability
15
Restriction
15
Copyright
15
Trademark Notices
15
Disclaimer
16
Recommendations
16
Symbol Definition
16
Purpose of this Manual
17
How this Manual Is Organized
17
Conventions Used in this Manual
18
General Warnings and Cautions
18
Section 2. General Description
22
Overview
22
Gas Delivery System
22
Section 2. General Description
22
Figure 2-1. Narkomed GS Anesthesia System, Front View
22
Section 2. General Description
23
Table 2-1. Gas System Color Coding
23
Table 2-2. Recommended Cylinder Gas Pressures
25
Figure 2-5. Fresh Gas Oxygen Sensor Adapter
31
Vaporizers
32
Figure 2-6. Filling Systems
32
Absorber
33
Bain Circuit Adapters
36
Figure 2-8. Absorber Mount Bain Circuit Adapter
36
Figure 2-9. Pole Mount Bain Circuit Adapter
37
Scavenger Systems
38
Figure 2-10. Open Reservoir Scavenger
38
Figure 2-11. Scavenger Interface for Passive Systems
39
AV2+ Ventilator
40
Figure 2-12. AV2+ Ventilator
41
Main Switch Panel
42
Figure 2-13. Main Switch Panel
42
Power Supply System
43
Figure 2-14. Power Supply System
44
Sensor Interfaces
46
Figure 2-15. Sensor Interfaces
46
Monitoring System
47
Monitor Screen and Controls
47
Figure 2-16. Monitor Screen and Controls
47
Alarm System
48
Figure 2-17. Alarm Display
48
Manual Sphygmomanometer (Optional)
50
Section 3. Daily Checkout Procedure
51
Daily Checkout Procedure
51
Section 3. Daily Checkout Procedure
52
Table 3-1. Full and Minimum Cylinder Pressures
54
Section 4. Preuse Checkout
63
Preuse Checkout Procedure
64
Section 5. Gas Delivery System
72
Overview
72
Connecting the Pipeline Gas Supply
72
Section 5. Gas Delivery System
73
Connecting the Gas Cylinders
73
Figure 5-1. Pipeline Gas Supply Connections
73
Figure 5-2. Connecting the Gas Cylinders
74
Connecting the Fresh Gas Hose
75
Adjusting the Gas Flow
75
Using the Oxygen Flush
75
Figure 5-3. Oxygen Flush Control
75
Section 6. Vaporizer
78
Overview
78
Filling Systems
78
Section 6. Vaporizer
79
Exclusion Systems
79
Figure 6-1. Vaporizer Filling Systems
79
Removable Vaporizer Exclusion System
79
Figure 6-2. Fixed-Mount Exclusion System
80
Figure 6-3. Removable Vaporizer Exclusion System
80
Installing/Removing the Vapor 19.3 Vaporizer
81
Figure 6-4. Installing/Removing the Vapor 19.3 at the Mounting Block
81
Selecting a Vapor 19.3 Vaporizer
82
Operating the Vaporizers
82
Filling the Vaporizer
83
Filling the Vaporizer During a Case
84
Figure 6-5. Filling the Vaporizer (Open Funnel System)
85
Figure 6-6. Filling the Vaporizer (Key Indexed Safety System)
87
Figure 6-7. Keyed Bottle Adapters
88
Draining the Vaporizer
89
Section 7. Open Reservoir Scavenger
91
Section 7. Open Reservoir Scavenger
92
Overview
92
Figure 7-1 . Open Reservoir Scavenger
92
Connecting the Open Reservoir Scavenger System
93
Operating the Open Reservoir Scavenger System
94
Figure 7-2. Connecting the Open Reservoir Scavenger System
94
Section 8. Scavenger Interface for Passive Systems
97
Overview
98
Section 8. Scavenger Interface for Passive Systems
99
Operating the Scavenger Interface for Passive Systems
99
Figure 8-2. Scavenger Interface for Passive Systems Hose Connections
99
Section 9. Main Switch Panel
101
Overview
102
System Power Switch
103
Testing the Battery
103
Section 10. AV2+ Anesthesia Ventilator
106
Overview
106
Section 10. AV2+ Anesthesia Ventilator
107
Activating the Ventilator
107
Figure 10-1. AV2+ Anesthesia Ventilator (Front View)
107
Section 10. AV2+ Anesthesia Ventilator
107
Figure 10-2. Auto/Bag Selector Interface Cable Connection
108
Adjusting the Tidal Volume
109
Setting the Respiratory Frequency
109
Setting the Inspiratory/Expiratory (I:E) Phase Time Ratio
110
Setting the Inspiratory Flow Rate
110
Setting the Inspiratory Pressure Limit
110
Problem Resolution
111
Table 10-1. Problem Resolution
111
Section 11. Monitoring System
114
Overview
114
Power-On Screen
114
Section 11. Monitoring System
115
Monitor Screen and Controls
115
Figure 11-2. Monitor Screen and System Controls
115
Figure 11-3. Monitor Screen
116
Figure 11-4. Left Keypad
117
Figure 11-5. Right Keypad
118
Configuring the Anesthesia Machine
119
Table 11-1. Control Key Functions in the Configure Screen
120
Setting Alarms to Standby
122
Silencing Alarms
122
Section 12. Oxygen Monitoring
124
Section 12. Oxygen Monitoring
124
Overview
124
Monitor Display
124
Figure 12-1. Monitor Display
124
Monitor Controls
125
Setting Alarm Limits
125
Figure 12-2. Monitor Controls
125
Section 12. Oxygen Monitoring
125
Table 12-1. Alarm Limits
125
Calibrating the Oxygen Sensor
126
Figure 12-3. Calibrating the Oxygen Sensor
127
Unsuccessful Calibration
128
Table 12-2. Unsuccessful Calibration - Causes and Solutions
128
Figure 12-4. Measurement Error Due to Incorrect Calibration
129
Oxygen Alarm Messages
130
Low Oxygen Supply Whistle
131
Problem Resolution
131
Table 12-3. Oxygen Monitoring Problem Resolution
131
Section 13. Respiratory Volume Monitoring
134
Section 13. Respiratory Volume Monitoring
134
Overview
134
Figure 13-1. Respiratory Volume System
134
Monitor Display
135
Figure 13-2. Monitor Display
135
Monitor Controls
136
Figure 13-3. Monitor Controls
136
Setting the Minute Volume Low Alarm Limit
137
Turning Respiratory Volume Alarms off
137
Turning Respiratory Volume Alarms on
137
Respiratory Volume Alarm Messages
138
Problem Resolution
140
Table 13-1. Respiratory Volume Monitoring Problem Resolution
140
Section 14. Breathing Pressure Monitoring
142
Overview
142
Choice of Breathing Pressure Monitoring Location
142
Section 14. Breathing Pressure Monitoring
142
Section 14. Breathing Pressure Monitoring
144
Installing the Breathing Pressure Pilot Line
144
Figure 14-1. Absorber Monitoring
144
Figure 14-2. Y-Piece Monitoring
145
Monitor Displays
146
Figure 14-3. Monitor Displays
146
Figure 14-4. Breathing Pressure Monitor Window
147
Figure 14-5. Breathing Pressure Trace Window
148
Figure 14-6. Breathing Pressure Trace Window with Examples of High Alarm Limit Markers
149
Monitor Controls
150
Setting the Pressure High Alarm Limit
150
Figure 14-7. Monitor Controls
150
Setting the Threshold Pressure Alarm Limit
151
Figure 14-8. Sample Threshold Limit Settings
153
Turning the Apnea Pressure Alarm off
154
Turning the Apnea Pressure Alarm on
154
Breathing Pressure Alarm Messages
154
Problem Resolution
156
Table 14-1. Breathing Pressure Monitoring Problem Resolution
156
Section 15. Manual Sphygmomanometer
158
Section 15. Manual Sphygmomanometer
158
Overview
158
Figure 15-1. Manual Sphygmomanometer
158
Selecting a Blood Pressure Cuff
159
Connecting the Cuff
159
Table 15-1. Selecting a Blood Pressure Cuff
159
Placing the Cuff
160
Figure 15-2. Placing the Cuff
160
Section 16. Routine Maintenance and Cleaning
162
Overview
162
Routine Maintenance
162
Section 16. Routine Maintenance and Cleaning
163
Figure 16-1. Replacing the Absorbent
163
Figure 16-2. Replacing the Oxygen Sensor
164
Figure 16-3. Clearing Condensation in the Ultrasonic Flow Sensor
165
Figure 16-4. Open Reservoir Scavenger Maintenance
167
Scavenger Interface for Passive Systems Maintenance
168
Section 16. Routine Maintenance and Cleaning
165
Figure 16-5. Scavenger Interface for Passive Systems Maintenance
169
Removing Parts for Cleaning and Disinfection
170
Figure 16-6. Removing the Pressure Gauge
171
Figure 16-7. Removing the Bellows Assembly
172
Disassembling Parts for Cleaning and Disinfection
173
Figure 16-8. Disassembling the Inspiratory and Expiratory Valves
174
General Guidelines for Cleaning and Disinfection
175
Figure 2-7 . Absorber
176
Table 16-1. Recommended Disinfection Methods
176
Reassembly Instructions
182
Figure 16-9. Open Reservoir Scavenger Connections
184
Figure 16-10. Passive System Scavenger Connections
185
Section 17. Specifications
188
General
188
Environmental
188
Gas Delivery System
189
Vaporizers (Vapor 19.1 and 19.3)
190
Ventilator
190
Absorber System
191
Oxygen Monitoring
191
Breathing Pressure Monitoring
192
Respiratory Volume Monitoring
192
Serial Interface
192
Appendix - Spare and Replacement Parts
194
Manuals
194
Absorber System
194
Vaporizers (19.1
195
Bellows
195
Oxygen Monitoring Accessories
195
Breathing Pressure Monitoring Accessories
195
Respiratory Volume Monitoring Accessories
195
Index
197
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Dräger Medical Narkomed GS Specifications
General
Brand
Dräger Medical
Model
Narkomed GS
Category
Medical Equipment
Language
English
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