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Dräger Apollo User Manual
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T
roubleshooting
266
Instructions for Use
Apollo
SW
4.5n
Part Number: 9053586, 3rd edition
W
ARNING!
Risk of patient injury
If the breat
hing bag does n
ot fill with fr
esh gas,
the p
atient cannot be adequately ventilated.
Check the oxygen supply
,
open cylinder va
lves
if necessary
.
If fresh gas is still not deliver
ed or manual
ventilation is not possible
, close all flow
controls.
Disconnect the anes
thesia machine from the
pa
tient and use an alternative method of
ventilation.
265
267
Table of Contents
This Page Intentionally Left Blank.
3
Default Chapter
3
Table of Contents
3
Introduction
7
Contents
7
Working with These Instructions for Use
9
Use of Terms
10
Screen Layouts and Illustrations of the Device
10
Trademarks
10
Safety Information Definitions
10
Definition of Target Groups
10
Abbreviations and Symbols
11
General Safety Information
11
Strictly Follow These Instructions for Use
11
Maintenance
11
Accessories
11
Not for Use in Areas of Explosion Hazard
12
Safe Connection with Other Electrical Equipment
12
Information on Electromagnetic Compatibility
13
Patient Safety
13
Patient Monitoring
13
Product-Specific Safety Information
14
Sterile Accessories
14
Installing Accessories
14
Storing the Instructions for Use
14
Training
14
Functional Safety
15
Indications and Contraindications
16
Intended Use
16
Indications
16
Contraindications
16
Ventilation Modes
16
The Following Measured Values Are Displayed
16
The Following Parameters Can be Displayed as Mini Trends
16
The Following Parameters Are Displayed as Curves
17
Environment of Use
18
The Following Parameters Are Displayed as Bar Graphs
18
Monitoring
18
Additional Functions
19
MEDIBUS/MEDIBUS.X Protocol
19
Accessory Weight Limits
20
Symbols
21
Abbreviations
23
List of Abbreviations Used in the Software and on the Device
23
List of General Abbreviations
24
Units
25
System Components
27
Contents
27
Machine Front View
29
Overview
29
Machine Rear View
30
Gas Supply Block
31
Interface Panel
32
Vaporizers (Optional)
33
Vaporizer Exclusion Systems
34
Dräger Vapor Interlock 2 System (Optional)
34
Selectatec (Optional)
34
Dräger Auto Exclusion 2-Vaporizer Mount (Optional)
35
Dräger Auto Exclusion 3-Vaporizer Mount (Optional)
35
APL Valve
36
Auxiliary Oxygen Flow Meter
37
O2 Flush
37
Gas Flow Diagram
39
Writing Table
39
User Interface
41
Default Chapter
41
Contents
41
Main Screen Display
43
Overview
43
User Controls
45
Standard Function Keys
45
Rotary Knob
45
Standby Key
46
Flow Control Knobs
46
Ventilation Control Keys
47
Monitoring/Configuration Control Keys
48
LED Indicators
49
Screen Colors
49
Menu Structure Overview
51
System Setup
57
Default Chapter
57
Contents
57
Preparation before First Use
59
Charging the Battery for Emergency Operation
59
Overview
59
Installing the Breathing System and Flow Sensors
61
Filling and Installing the Absorber
63
Reusable Absorber
63
Disposable CLIC Absorber (Optional)
64
Connecting the Gas Supply
65
Connecting Pipeline Supply of N2O, Air, and O2
66
Connecting the Backup Gas Cylinders
68
Caution When Handling O 2 Cylinders
70
Connecting the Scavenger System
71
Connecting the Anesthetic Gas Receiving System AGS (Optional)
71
Connecting the Passive Scavenger System (Optional)
73
Connecting the Endotracheal Aspiration System (Optional)
74
Installing Vaporizers
74
Installing the Flexible Arm for the Breathing Bag
75
Connecting the Patient System
76
Connecting the Patient Circuit
77
Connecting AC Power
84
Connecting Auxiliary Devices
84
Fuses for Auxiliary Outlets
85
Establishing Potential Equalization
85
Information about Transport Within the Clinic
86
Connecting the Power Supply
86
Pre-Use Checkout
89
Default Chapter
89
Contents
89
Overview
91
Checking the Workstation According to the Check List
91
Prerequisites
91
Power on
93
Check List
93
Self Test
100
Self Test Results
102
System Compliance
103
Leak Tests
103
Leak System
103
Leak Man/Spont
104
Locating and Eliminating Leaks
105
Additional Suggestions to Isolate Components of the Breathing System for Leaks
106
Emergency Start
107
Operation Summary
109
Default Chapter
109
Contents
109
Overview
111
Safety Information
111
Typical Operation
111
Loading Default Settings
111
Entering the Patient's Age
111
Entering the Patient's Ideal Body Weight (Optional)
112
Setting the Fresh-Gas Flow
113
Setting Vaporizer Concentration
114
Changing Patients
115
Setting Ventilation Mode
115
Switch to Standby Mode
115
Changing Soda Lime
116
Reusable Absorber
116
Disposable CLIC Absorber (Optional)
117
Leak Test
118
Activating the CO2 Bypass Function (Optional)
119
End of Operation
120
When Apollo Is Not in Use
122
Ventilation
123
Default Chapter
123
Contents
123
Overview
125
Manual/Spontaneous Ventilation
126
Setting the APL Valve
126
For Manual Ventilation
126
For Spontaneous Breathing
126
Starting Manual/Spontaneous Ventilation
127
Presetting the Manual/Spontaneous Mode
127
Starting the Manual/Spontaneous Mode
127
O 2 Flush
128
Volume-Controlled Ventilation
129
Compliance Compensation
129
Starting Volume-Controlled Ventilation
129
Presetting the Volume-Controlled Ventilation Mode
129
Starting the Volume-Controlled Ventilation Mode
130
Synchronized Volume-Controlled Ventilation
131
Synchronized Volume-Controlled Ventilation with Pressure Support (Optional)
132
Volume Mode Autoflow - Volume AF (Optional)
133
Starting Volume Mode Autoflow
134
Presetting the Volume Autoflow Ventilation Mode
134
Starting the Volume Autoflow Ventilation Mode
135
Synchronized Volume-Guaranteed Ventilation
136
Synchronized Volume-Guaranteed Ventilation with Pressure Support (Optional)
137
Pressure-Controlled Ventilation
138
Starting Pressure-Controlled Ventilation
138
Presetting the Pressure-Controlled Ventilation Mode
138
Starting the Pressure-Controlled Ventilation Mode
139
Synchronized Pressure-Controlled Ventilation
140
Synchronized Pressure-Controlled Ventilation with Pressure Support (Optional)
141
Pressure Support Ventilation (Optional)
142
Starting Pressure Support Ventilation
143
Presetting the Pressure Support Ventilation Mode
143
Starting the Pressure Support Ventilation Mode
143
Continuous Positive Airway Pressure CPAP - in Pressure Support Mode (Optional)
145
Changing between Ventilation Modes
146
Automatic Parameter Changes
147
TINSP Changes
147
Frequency Changes
147
Auxiliary Common Gas Outlet (Aux CGO) Ventilation (Optional)
148
PEEP Changes
148
Diverting Fresh Gas to the Auxiliary CGO
149
Presetting the Auxiliary CGO Monitoring
149
Starting the Auxiliary CGO Monitoring
150
Ending the Auxiliary CGO Ventilation
151
Monitoring
153
Default Chapter
153
Contents
153
Overview
155
Standard Screen
155
Screen Layout
156
Selecting a Default Layout
156
Modifying Current Layout
156
Displayed Parameters
157
Adjusting Display Brightness
157
CO2 Concentration
157
O2 Concentration
158
Anesthetic Gas
158
Airway Pressure
158
Respiratory Flow and Volume
158
Spo2 Concentration (Optional)
159
Loops (Optional)
159
Mini Trends (Optional)
160
Virtual Flow Tubes
160
Gas Supply Module
160
Ventilation Source Module
160
VT/PAW Module
161
ΔVT Module
161
The Low Flow Wizard
161
Volumeter Module
162
Gas Measurement
163
Calibration
164
Mixture Detection
165
MAC Definition
166
Age-Dependent MAC Values
166
Xmac Display (MAC Multiple)
167
Automatic Agent Alarm Activation
167
Loops (Optional)
168
Mini Trends (Optional)
170
Mini Trend for MV*CO2
170
Mini Trend for O2 Uptake
171
Mini Trend for CPAT/PEEP
171
Datalog
172
Screen Timer
173
Data Screen
174
Trend Screen
175
Selecting Other Display Combinations
175
Zoom Function
175
Deleting the Trend Memory
176
Monitoring Mode
177
Start Monitoring Mode from Standby
177
Exit Monitoring Mode and Return to Standby
177
Exit Monitoring Mode and Begin Ventilation
177
Spo2 Measurement (Optional)
178
Selecting a Sensor
178
Connecting the Spo2 Sensor to the Apollo
179
Safety-Relevant Information
180
Applying the Durasensor DS-100 a
181
Test Considerations and Oximeter Accuracy
182
Alarms
183
Default Chapter
183
Contents
183
Alarm Priorities and Alarm Signals
185
Warning
185
Caution
185
Advisory/Technical Message
185
Downgrading Alarm Priorities
186
Setting the Alarm Volume
186
Alarms in Standby Mode
186
Alarm Displays
187
Suppressing Alarms
188
Silencing Audible Alarms
188
Disabling Alarms
188
Alarm Behaviour When Changing Ventilation Modes
189
Limit-Based Alarms Activated in Respective Ventilation Modes
190
Enabling/Disabling Alarms Globally During Operation
191
Enabling/Disabling CO2 Alarms
191
Enabling/Disabling Spo2 Alarms (Optional)
193
Bypass Mode
194
Displaying and Setting Alarm Limits
195
To Set an Alarm Limit
196
Auto-Set of Alarm Limits
197
Configuration
199
Default Chapter
199
Contents
199
Configuring the Default Settings in Standby
201
Overview
201
System Settings
202
Alarm Volume
202
Breathing Sound
203
Parameters
204
Pulse Volume
204
Date/Time/Language
204
Units
205
Gas Monitoring
205
Optional Parameters
205
Interfaces Datalog
206
Datalog Entries Triggered by
206
Com Port 1 Medibus, Com Port 2 Medibus
206
Screen Layout
207
MEDIBUS Default Configuration
207
Setting Alarm Limits
209
Default Alarm Limits
209
Default Agent Limits
210
Alarms in Man/Spont
210
Therapy Related
211
Device Related
212
Other
213
Ventilator and Gas Supply
214
Parameter Default Values
214
Gas Supply Checks
215
Ventilator Default Settings
215
Body Weight Related Ventilator Settings
217
System Information
218
General Information
218
Activate Option
218
Trace 1, Trace 2, Trace 3
218
Remote Service
219
Exiting Standby Configuration
219
Configuration During Operation
220
Volumes/Alarms
221
Alarm Volume
221
Scaling
222
Pulse Volume
222
Alarms On/Off
222
Param Settings
222
Units
222
Agent Monitoring
223
Datalog Entries
223
Datalog Entries Triggered by
223
System Information
223
General Information
223
Trace 1, Trace 2, Trace 3
223
Exit Sysinfo
224
Exiting Configuration During Operation
224
Setting the Patient's Age and Weight During Operation
224
Cleaning and Maintenance
225
Default Chapter
225
Contents
225
Disassembling Components
227
Observe before Disassembly
227
Removing the Sample Line
227
Removing the Water Trap
228
Removing the Patient System Hoses
228
Removing the Absorber
230
Reusable Absorber
230
Disposable CLIC Absorber (Optional)
230
Removing the Breathing System
230
Removing the Ventilator Diaphragm
231
Removing the Flow Sensors
231
Opening the Breathing System
232
Removing the Anesthetic Gas Receiving System AGS (Optional)
233
Removing the Passive Scavenger System (Optional)
234
Removing the Endotracheal Aspiration System (Optional)
234
Overview
227
Proper Cleaning/Disinfection Sequence
235
Cleaning and Disinfection Guidelines
235
Cleaning/Disinfection Objective and Methods
236
Disinfecting/Cleaning/Sterilizing
237
Choice of Disinfectant
237
Surfaces
237
Breathing System and Absorber
238
Care List for Apollo Components
239
Reassembling Components
240
Visual Inspection
240
Assembling the Breathing System
241
Inserting the Flow Sensors
241
Installing the Ventilator Diaphragm
242
Installing the Breathing System
242
Filling and Installing the Absorber
243
Installing the Breathing Bag and Arm
245
Connecting the Breathing Hoses
246
Installing the Water Trap and Sample Line
246
Reassembling the Anesthetic Gas Receiving System AGS (Optional)
247
Connecting the Anesthetic Gas Receiving System AGS (Optional)
248
Connecting the Passive Scavenger System (Optional)
249
Connecting the Endotracheal Aspiration System (Optional)
250
Maintenance
251
Overview
251
Definition Ot Maintenance Concepts
251
Inspection
252
Emptying or Replacing the Water Trap
254
Emptying the Water Trap
254
Disposing of the Medical Device
255
Replacing the Water Trap
255
Troubleshooting
257
Contents
257
Overview
259
Power Failure
259
Gas Failure
260
Ventilator Failure
262
Fresh-Gas Delivery Failure
263
Gas Measurement Failure
264
Ventilator and Fresh-Gas Delivery Failure
264
Display Failure
265
System Failure
265
User Interface Failure
265
Alarm - Cause - Remedy
267
Specifications
281
Default Chapter
281
Contents
281
Specifications
283
Ambient Conditions
283
Dimensions
284
Weight
284
Monitor Screen
284
Life Span
284
Operating Data
285
Protection Class
286
Electromagnetic Compatibility (EMC)
287
Classification
287
UMDNS Code
287
GMDN Code
287
Fresh-Gas Delivery
287
Auxiliary O2 Flow Meter
288
Breathing System
288
Auxiliary Common Gas Outlet (CGO) (Optional)
290
Ventilator
291
Measuring Systems
292
Frequency Measurement
295
Gas Measurement
296
Interfaces
300
Latex Use
301
Schematic Diagram of Alarm Tones
302
EMC Declaration
303
General Information
303
Electromagnetic Emissions
303
Electromagnetic Immunity
304
Recommended Separation Distances to Portable and Mobile Radio Frequency Communication Devices
305
Device Combinations
306
Connections to IT-Networks
306
Relevant Standards
308
Other manuals for Dräger Apollo
Operating Instructions
232 pages
Manual
13 pages
Quick Reference Guide
2 pages
Supplement Paper
12 pages
5
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Dräger Apollo Specifications
General
Brand
Dräger
Model
Apollo
Category
Medical Equipment
Language
English
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