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Dräger Carina

Dräger Carina
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Instructions for use
Carina
Sub-Acute Care Ventilator
Software 3.2n
WARNING
To properly use this medical device,
read and comply with these instruc-
tions for use.

Table of Contents

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Dräger Carina Specifications

General IconGeneral
Operating PrincipleTurbine
Ventilation ModesCPAP
Respiratory Rate Range5 to 60 breaths per minute
FiO2 Range21% to 100%
AlarmsHigh pressure, Low pressure, High minute volume, Low minute volume, Apnea, High respiratory rate, Low respiratory rate, High FiO2, Low FiO2, Disconnection, Power failure, Battery low
Power Supply100-240 V AC, 50/60 Hz
DisplayColor touchscreen

Summary

Safety Information Definitions

WARNING Statements

Defines WARNING statements providing important information about potentially hazardous situations.

CAUTION Statements

Defines CAUTION statements providing important information about hazardous situations.

NOTE Statements

Defines NOTE statements providing additional operational information.

Target Groups and Roles

Duties of the Operating Organization

Describes responsibilities and requirements for the operating organization.

User Requirements

Specifies requirements for the user group to operate the device.

Reprocessing Personnel Requirements

Specifies requirements for personnel involved in reprocessing.

Service Personnel Requirements

Specifies requirements for service personnel.

Specialized Service Personnel Requirements

Specifies requirements for specialized service personnel.

Abbreviations and Symbols

Lists common abbreviations and symbols used in the manual.

Patient Safety and Device Handling

General Safety Information

Provides broad safety guidelines and warnings for device usage.

Product-Specific Safety Information

Safety precautions and warnings specific to the Carina device.

Strictly Follow Instructions for Use

Emphasizes the critical importance of adhering to the manual's guidelines.

Maintenance and Accessories

Information on device upkeep, servicing, and compatible accessories.

Hazardous Environment Restrictions

Restrictions on device use in explosion-risk areas and with connected devices.

Patient Safety and Monitoring

General patient safety measures and the importance of monitoring.

Functional Safety and EMC

Device safety features and electromagnetic compatibility guidelines.

Accessory and Manual Handling

Guidelines for installing accessories and storing the manual.

Disposable and Sterile Products

Safety precautions for handling disposable and sterile items.

Product-Specific Warnings

Specific warnings regarding patient injury, fire, and malfunctions.

Ventilation and Environmental Safety

Safety related to ventilation parameters, overheating, and toppling.

Electric Shock and Monitoring Safety

Safety for electric connections and importance of monitoring ventilation.

Backup Ventilation Procedure

Steps for performing backup ventilation with an independent device.

Application and Overview

Intended Use Definition

Defines the intended purpose and scope of the Carina ventilator.

Sub-Acute Care Definition

Explains the meaning and characteristics of sub-acute care.

Carina Basic Device Overview

Description of the main unit's components and features.

Trolley and Mounting Options

Information about the device trolley and bed/wall mounting options.

Range of Functions

Overview of the device's operational capabilities and features.

Abbreviations and Symbols Lists

Provides lists of abbreviations and symbols used in the manual.

Operating Concept and Controls

Operating and Display Unit Details

Description of the device's control panel and display interface.

Screen Layout and Information

Details of the screen structure, status lines, and display elements.

Interface Color Coding

Explanation of the color coding used in the device interface.

Menu Navigation

Instructions on how to open and navigate through device menus.

Setting Ventilation Modes

Procedure for selecting and setting ventilation modes.

Setting Ventilation Parameters

How to adjust specific ventilation settings and parameters.

Assembly and Preparation Procedures

Safety Information for Preparation

Safety precautions to be taken before assembling and preparing the device.

Initial Device Preparation

Steps for initial setup, including filter installation and positioning.

Mounting on Trolley

Instructions for attaching the device to the trolley and its accessories.

Breathing Circuit Connections

Detailed steps for connecting breathing circuits with leakage or expiratory valves.

Breathing Gas Humidifier Setup

Procedures for connecting and preparing the breathing gas humidifier.

Power Supply Connection

Instructions for connecting the device to mains and battery power sources.

Gas Supply and O2 Connection

Steps for connecting the device to gas supplies, including oxygen.

Nurse Call and Data Communication

Connecting the nurse call system and using MEDIBUS/MEDIBUS.X protocols.

Intrahospital Patient Transport Safety

Safety guidelines and procedures for transporting patients with the device.

Getting Started with Ventilation

Pre-Operation Safety and Requirements

Safety information and prerequisites before starting the device.

Powering On and Self-Test

Steps for powering on the device and its self-test procedure.

Verifying Operational Readiness

Procedures to check if the device is ready for patient use.

Test Lung Connection

Instructions for connecting a test lung for device verification.

Device Verification Checklist

A checklist to guide the user through device verification steps.

Selecting Application Mode

How to choose between Non-Invasive (NIV) and Invasive (Tube) ventilation.

Configuring Oxygen Supply

Steps to set up the oxygen supply mode (HPO or LPO).

Starting Patient Ventilation

Procedure for initiating ventilation for the patient.

Device Operation and Settings

Ventilation Safety Information

Safety precautions and warnings related to ventilation operations.

Setting Ventilation Modes and Parameters

Instructions for configuring ventilation modes and specific parameters.

Non-Invasive Ventilation (NIV) Usage

Detailed guide on using the device for non-invasive ventilation.

Apnea Ventilation Function

How to activate and use the apnea ventilation feature.

AutoAdapt Functionality

Explanation and activation of the AutoAdapt feature for pressure adjustment.

Viewing Measured and Set Values

How to display and interpret device settings and measured values.

Key Locking Feature

How to lock device keys to prevent accidental activation.

Low Pressure Oxygen (LPO) Operation

Information and safety guidelines for using low-pressure oxygen sources.

Standby Mode Procedures

Steps for activating and managing the device's standby mode.

Ending Device Operation

Procedures for safely ending device operation and shutting it down.

Internal Battery Display Accuracy

How to improve the accuracy of the internal battery charge state display.

Alarm Management and Configuration

Alarm Display and Signals

How alarms are displayed visually and acoustically based on priority.

Setting Alarm Limits

Procedure for adjusting alarm limits to ensure patient safety.

Suppressing Alarm Signals

How to temporarily mute acoustic alarms and nurse call signals.

Device Configuration Options

Configuration Menu Overview

Summary of settings available within the configuration menu.

Accessing Service Menu

Steps to access the service menu for advanced settings and info.

Adjusting Alarm Volume

How to set the audible volume for device alarms.

Screen Display Customization

Options for selecting screen display types (Curves, Measured Values).

Selecting Application Mode

Choosing between NIV and Tube ventilation application modes.

Configuring Oxygen Supply

Setting the oxygen supply source (HPO or LPO).

Setting Night Mode

How to activate and configure the device's night mode.

Problem Solving and Troubleshooting

Power Supply Failure Troubleshooting

Steps to resolve issues related to power supply failure.

Gas Supply Failure Troubleshooting

Steps to resolve issues related to gas supply failure.

Alarm Cause and Remedy Guide

A comprehensive guide to identify alarm causes and apply remedies.

Emergency Ventilation Procedures

Instructions for operating the device in emergency ventilation mode.

Device Reprocessing Guidelines

Dismantling Procedures

Steps for safely dismantling the device and its accessories.

Information on Reprocessing

General information and safety guidelines for reprocessing the device.

Reprocessing Classifications

Classification of devices and components based on reprocessing requirements.

Validated Reprocessing Procedures

Details on tested and validated procedures for component reprocessing.

Reprocessing Non-Critical Components

Specific steps for reprocessing non-critical parts of the device.

Reprocessing Semi-Critical Components

Specific steps for reprocessing semi-critical parts of the device.

Device Maintenance Schedule

Maintenance Overview and Concepts

Introduction to maintenance and definitions of key concepts.

Inspection and Safety Checks

Procedures for regular inspections and safety verification.

Preventive Maintenance Schedule

Information on scheduled preventive maintenance tasks and intervals.

Device Repair Information

Guidelines and recommendations for device repair.

Inlet Filter Replacement Procedure

Step-by-step instructions for replacing the device's inlet filter.

Internal Battery Charging

Instructions on how to charge the device's internal battery.

Device Disposal Procedures

Safety Information for Disposal

Safety precautions required before disposing of the device and its components.

Packaging Material Disposal

Guidelines for the proper disposal of packaging waste.

Battery Disposal Guidelines

Instructions and regulations for the disposal of device batteries.

Medical Device Disposal

Procedures for the final disposal of the medical device.

Technical Data Specifications

Ambient Conditions for Operation

Specifies temperature, pressure, and humidity ranges for operation and storage.

Adjustable Setting Values

Lists all configurable parameters and their ranges.

Performance Characteristics

Data on device performance, resistance, and flow rates.

Displayed Measured Values

Details on the values displayed on the device screen and their accuracy.

Monitoring Functions Parameters

Information on parameters monitored by the device and alarm limits.

Operating Data Characteristics

Electrical, physical, and software specifications of the device.

Factory-Set Ventilation Parameters

Default ventilation settings for different modes.

Trolley Specifications

Dimensions, weight, and load capacity of the device trolley.

Carina Alarm System Details

Description of the alarm system's functionality and compliance.

EMC Declaration and Immunity

Information on electromagnetic compatibility, emissions, and immunity.

IT Network Connectivity

Guidelines and prerequisites for connecting the device to IT networks.

Principles of Operation

Pneumatic Function Description

Explanation of the device's pneumatic system and functional units.

Volume Losses During Ventilation

Factors affecting volume measurement accuracy and manual correction.

Description of Ventilation Modes

Detailed explanations of the different ventilation modes (VC-SIMV, NIV, etc.).

Additional Ventilation Settings

Advanced settings like Apnea ventilation, Trigger, and AutoAdapt.

Therapy Types Explained

Overview of Non-Invasive and Invasive ventilation therapy types.

Additional Device Functions

Description of extra features like Flow Reduction and SyncPlus.

Volume Measurement Process

How the device measures and displays tidal and minute volumes.

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