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Dräger Apollo Operating Instructions
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If the mean of the last (up to four) measur
ed breaths
cannot be calcul
ated, the measured value of the last
breath is
used instead.
V
olume mode,
pressure mode,
pressure support mode
P
AW
high alarm limit
[cmH
2
O]
PEAK + 5 cmH
2
O
or
PLA
T + 10 cmH
2
O,
whichev
er is greater
P
AW
low alarm limit
[cmH
2
O]
(PLA
T – PEEP) x 0.6
+ PEEP – 1,
but at least
3 cmH
2
O in
vol. mode/press. mode/
press. supp. mode
151
153
Table of Contents
Table of Contents
3
Introduction
9
Contents
9
Chapter 1. Introduction
11
Working with These Operating Instructions
11
Header Line
11
Page Body
11
Left-Hand Column - the Text
11
Right-Hand Column - the Illustrations
11
Typing Conventions
11
Trademarks
12
Definitions
12
Symbols and Abbreviations
12
Notice
12
Important Safety Information
13
Operator's Responsibility for Patient Safety
13
Safe Connection with Other Electrical Equipment
14
Indications for Use
14
Intended Use
14
Medibus Protocol
14
General Warnings and Cautions
15
Accessory Weight Limits
19
Symbol Definition
21
Abbreviations
22
System Components
25
Contents
25
Chapter 2. System Components
27
Machine Front View
27
Overview
27
Machine Rear View
28
Gas Supply Block
29
Interface Panel
30
Vaporizer Exclusion Systems
31
Dräger Vapor Interlock 2 System (Optional)
31
Selectatec (Optional)
31
Dräger Auto Exclusion 2-Vaporizer Mount (Optional)
32
Dräger Auto Exclusion 3-Vaporizer Mount (Optional)
32
Vaporizers (Optional)
31
APL Valve
33
Auxiliary Oxygen Flowmeter
34
O2 Flush
34
Writing Table
34
Gas Flow Diagram
35
User Interface
37
Chapter 3 . User Interface
37
Contents
37
Main Screen Display
39
Overview
39
User Controls
39
Standard Function Keys
40
Main Confirm Knob
40
Standby Key
40
Flow Control Knobs
41
Ventilation Control Keys
41
Selecting Ventilation Mode or Aux. Gas Outlet (Optional)
41
Setting/Selecting Ventilation Parameters
42
Monitoring/Configuration Control Keys
42
Setting/Selecting Monitoring Functions
42
Screen Colors
43
Colors of Parameter Settings/Values in Menus
44
System Setup
45
System LED Indicators
43
Chapter 4 . System Setup
45
Contents
45
Charging the Battery for Emergency Operation
47
When Apollo Is Not in Use
48
Overview
47
Installing the Breathing System and Flow Sensors
48
Filling and Installing the Absorber
50
Installing the Drägersorb CLIC Adapter (Optional)
51
Connecting the Gas Supply
52
Connecting Pipeline Supply of N2O, Air, and O2
52
Connecting the Backup Gas Cylinders for N2O, Air, and O2
53
Connecting the Scavenger System
56
Connecting the AGS Scavenger System (Optional)
56
Connecting the Passive Scavenger System (Optional)
57
Connecting the Suction System (Optional)
57
Connecting the Breathing Hoses
58
Installing the Manual Breathing Bag Arm
58
Installing Vaporizers
58
Installing the Water Trap and Sample Line
59
Connecting AC Power
61
Connecting Auxiliary Devices
61
Connecting the Apollo to Mains Power
62
Preuse Checkout
63
Chapter 5 . Preuse Checkout
63
Contents
63
Checking the Workstation According to the Check List
65
Overview
65
System Compliance Test
73
Leak Tests
74
Emergency Start
76
Operation Summary
79
Chapter 6 . Operation Summary
79
Contents
79
Overview
81
Typical Operation
81
Loading Default Settings
81
Entering the Patient's Age
81
Entering the Patient's Ideal Body Weight (Optional)
82
Setting Fresh-Gas Flow
82
Setting Vaporizer Concentration
83
Setting Ventilation Mode
83
Changing Patients
84
Switch to Standby Mode
84
Change the Absorbent
84
Replace the CLIC Adapter Absorber (Optional)
85
Perform the Leak Test
87
Activating the CO2 Bypass Function (Optional)
88
Ending Operation
89
Ventilation
91
Chapter 7 . Ventilation
91
Contents
91
Overview
93
Manual/Spontaneous Ventilation
94
Setting the APL Valve
94
Starting Manual/Spontaneous Ventilation
95
Presetting the Manual/Spontaneous Mode
95
Starting the Manual/Spontaneous Ventilation Mode
95
Volume-Controlled Ventilation
97
Starting Volume-Controlled Ventilation
97
Presetting the Volume Ventilation Mode
97
Starting the Volume Ventilation Mode
98
Synchronized Volume-Controlled Ventilation
99
Synchronized Volume-Controlled Ventilation with Pressure Support (Optional)
100
Pressure-Controlled Ventilation
101
Starting Pressure-Controlled Ventilation
101
Presetting the Pressure Ventilation Mode
101
Starting the Pressure Ventilation Mode
102
Synchronized Pressure-Controlled Ventilation
103
Synchronized Pressure-Controlled Ventilation with Pressure Support (Optional)
104
Pressure Support Ventilation (Optional)
105
Starting Pressure Support Ventilation
106
Presetting the Pressure Support Ventilation Mode
106
Starting the Pressure Support Ventilation Mode
106
Automatic Parameter Changes
108
TINSP Changes
108
Frequency Changes
109
PEEP Changes
109
When Changing between Ventilation Modes
108
Auxiliary Common Gas Outlet (CGO) Ventilation (Optional)
110
To Divert Fresh Gas to the Auxiliary CGO
111
Presetting the Auxiliary CGO Monitoring
111
Ventilating Children
113
Monitoring
115
Chapter 8 . Monitoring
115
Contents
115
Overview
117
Standard Screen
117
Customizing the Standard Screen Display
118
Selecting a Default Layout
118
Modifying Current Layout
118
Displayed Parameters
119
Adjusting Display Brightness
119
CO2 Concentration
119
O2 Concentration
119
Anesthetic Gas
120
Airway Pressure
120
Respiratory Flow and Volume
120
Spo2 Concentration (Optional)
120
Loops (Optional)
120
Virtual Flow Tubes
121
Gas Supply Module
121
Ventilation Source Module
121
VT/PAW Module
122
Delta VT Module
122
The Low Flow Wizard
123
Volumeter Module
124
Gas Measurement
125
Calibration
125
CO2 and O2
125
Anesthetic Agents
125
Minimum Alveolar Concentration (MAC) Definition
126
Calculating the MAC Factors
126
Loops (Optional)
128
Datalog
129
Screen Timer
130
The Data Screen
131
The Trend Screen
132
Monitoring Mode
134
Spo2 Measurement (Optional)
135
Tips to Prevent Artifacts
137
Alarms
139
Chapter 9 . Alarms
139
Contents
139
Alarm Priorities
141
Alarm Indications
141
Downgrading Alarm Priorities
142
Setting the Alarm Tone and Volume
142
Alarm Display
143
Suppressing Alarms
144
Silencing Audible Alarms
144
Disabling Alarms
144
Limit-Based Alarms Activated in Respective Ventilation Modes
146
Disabling/Enabling Alarms Globally During Operation
147
CO2 Alarms ON->Off
147
Spo2 Alarms On/Off (Optional)
148
Bypass Mode
148
Displaying and Setting Alarm Limits
149
Auto-Set of Alarm Limits
151
Configuration
153
Chapter 10 - Configuration
155
Configuring the Default Settings in Standby
155
System Settings
157
Alarm Volume
157
Breathing Sound
157
Pulse Volume (for Spo2, Optional)
157
Alarm Tone Sequence
157
Date/Time
157
Time Format
157
Language
157
Parameters
158
Scaling
158
Units
158
Gas Monitoring
158
Optional Parameters
158
Interfaces Logbook
159
Datalog Entry
159
COM PORT 1 MEDIBUS and COM PORT 2 MEDIBUS
159
Screen Layout
160
To Configure Layout 1, Layout 2, or Layout 3
160
Alarm Limits
161
Default Alarm Limits
161
Default Agent Limits
161
Alarms in Man/Spont
161
Other Alarm Settings
162
Adjustment Ranges for Default Alarm Limits
163
Ventilator and Gas Supply
164
Parameter Default Values
164
Gas Supply Checks
164
Body Weight Related Ventilator Settings
164
Ventilator Default Settings
165
Overview
155
Exiting Standby Configuration
167
System Information
167
General Information
167
Activate Option
167
Trace 1, Trace 2, Trace 3
167
Remote Service
167
Configuration During Operation
168
Volumes/Alarms
169
Alarm Volume
169
Pulse Volume (for Spo2, Optional)
169
Alarms On/Off
169
Param Settings
170
Scaling
170
Units
170
Agent Monitoring
170
Datalog Entries
171
Logbook Entries Triggered by
171
Exiting Configuration
172
Cleaning and Maintenance
173
System Info
172
General Info
172
Trace 1, Trace 2, Trace 3
172
Apollo Cleaning and Disinfection
175
Disassembling Components
175
Removing the Sample Line
175
Removing the Water Trap
175
Removing the Patient System Hoses
176
Removing the Absorber
177
Removing the Breathing System
177
Removing the Ventilator Diaphragm
177
Removing the Flow Sensors
178
Opening the Breathing System
178
Removing the AGS Scavenger System (Optional)
179
Removing the Passive Scavenger System (Optional)
180
Removing the Suction System (Optional)
180
Chapter 11 - Cleaning and Maintenance
175
Cleaning and Disinfection Guidelines
181
Proper Cleaning/Disinfection Sequence
181
Cleaning/Disinfection Objective and Methods
181
Disinfecting/Cleaning/Sterilizing
183
Care List for Apollo Components
186
Reassembling Components
187
Assembling the Breathing System
187
Inserting the Flow Sensors
187
Installing the Ventilator Diaphragm
187
Installing the Breathing System
188
Filling and Installing the Absorber
188
Installing the Manual Breathing Bag and Arm
189
Connecting the Breathing Hoses
190
Installing the Water Trap and Sample Line
190
Reassembling the AGS Scavenger System (Optional)
191
Connecting the AGS Scavenger System (Optional)
191
Connecting the Passive Scavenger System (Optional)
192
Connecting the Suction System (Optional)
192
Apollo Maintenance
193
Definitions
193
Maintenance Intervals
193
Routine Maintenance
194
Draining the Water Trap
194
Replacing the Water Trap
194
Troubleshooting
197
Chapter 12 - Troubleshooting
199
Overview
199
Power Failure
199
Gas Failure
200
Ventilator Failure
201
Fresh Gas Delivery Failure
202
Ventilator and Fresh Gas Delivery Failure
203
Display Failure
204
System Failure
204
User Interface Failure
204
Alarm - Cause - Remedy
205
Specifications
215
Ambient Conditions
217
Chapter 13 - Specifications
217
Monitor Screen
217
Physical Dimensions
217
Specifications
217
Electrical Data
218
Operating Data
218
Auxiliary O2 Flowmeter
219
Fresh Gas Data
219
Auxiliary Common Gas Outlet (CGO) (Optional)
220
Breathing System
220
Ventilator
221
Measuring Systems
222
Frequency Measurement
223
O2, CO2, and Anesthetic Gas Measurement
224
CLIC Adapter Technical Data
227
Interfaces
227
AGS Scavenger
228
Electromagnetic Interference Resistance
229
Latex Use
229
Relevant Standards
229
Other manuals for Dräger Apollo
Instructions For Use
310 pages
Manual
13 pages
Quick Reference Guide
2 pages
Supplement Paper
12 pages
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Dräger Apollo Specifications
General
Brand
Dräger
Model
Apollo
Category
Medical Equipment
Language
English
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