Dräger Fabius plus

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228 Instructions for use Fabius plus SW 3.n

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Table of Contents5
For Your Safety and that of Your Patients8
General Safety Information8
Strictly Follow These Instructions for Use8
Maintenance8
Safety Checks8
Accessories9
Connected Devices9
No Operation in Potentially Explosive Areas9
Safe Coupling with Electrical Equipment10
Patient Safety10
Patient Monitoring10
Information on Electromagnetic Compatibility11
Installing Accessories11
Keeping the Instructions for Use11
Training11
Product-Specific Safety Information12
Application15
Intended Use16
Indications/Contraindications17
Indications17
Contraindications17
Further Information on Application18
Environment of Use18
The MEDIBUS and Vitalink Protocols19
Overview20
Fabius Plus as Trolley Version (Front View)21
Compact Breathing System COSY (Top View)22
Power Supply Unit for COSY Heating (Front View)23
Power Supply Unit for COSY Heating (Rear View)24
Rear View25
Pin-Index Connection25
Screw Connections26
Interface Panel27
Vaporizer28
Ceiling-Mounted Version (Optional)29
Wall-Mounted Version (Optional)30
Supplemental O31
Functional Check of the Supplemental O 2 Delivery31
APL Valve32
Interfaces33
Recommended Device Configuration33
External Fresh-Gas Outlet34
Using the External Fresh-Gas Outlet as a Common Gas Outlet35
Use of the External Fresh-Gas Outlet with an Additional Switch35
Abbreviations36
Symbols38
Product Labels40
Operating Concept41
Control Panel42
Softkeys43
Screen Display44
Selecting and Setting45
Monitoring Settings and System Settings45
Changing the Ventilation Mode45
Selecting and Setting the Ventilation Parameters46
Fresh-Gas Delivery (Version for 3 Gases)47
LED Indicators48
Leds for Operating Status48
Leds for Alarm Status48
Color Coding for Anesthetic Agents and Medical Gases49
Screen Colors (Optional)49
Assembly and Preparation50
Before First Operation51
Activating the Battery51
Connecting the Mains Power Supply52
Auxiliary Power Sockets53
Establishing Potential Equalization53
Connecting the Gas Supply54
Central Gas Supply55
Gas Cylinders with Pin-Index System (Optional)56
Gas Cylinders with Screw Connections (Optional)58
Mounting the Anesthetic Vaporizers59
Ensuring the Gas Supply60
Connecting the Anesthetic Gas Receiving System (Optional)60
Assembling the Breathing System61
Preparing the Ventilator61
Mounting the CO 2 Absorber to the Compact Breathing System62
Mounting the COSY Heating and the Power Supply Unit (Optional)65
Connecting the Compact Breathing System66
Inserting the Flow Sensor67
Connecting the Exhaust Port67
Connecting the Breathing Bag68
Connecting the Endotracheal Suction System (Optional)70
Connecting the Breathing Hoses and the Filters72
Inserting a New O 2 Sensor Capsule78
Connecting the Sensors and Measurement Lines79
Connecting the O 2 Sensor79
Connecting the Pressure Sensor79
Connection of the Pressure Gauge for Measurement of the Airway Pressure (Optional)80
Connecting the Flow Sensor80
Connecting the APL Bypass Hose and PEEP/PMAX Hose81
Fastening the Manual Resuscitator82
Instructions for Mounting the Accessories82
Getting Started85
Daily Checkout and Pre-Use Checkout86
Switching on86
Checking the Readiness for Operation88
Operation89
Standby Page after Start-Up90
Setting the Fresh-Gas Flow90
S-ORC (Sensitive Oxygen Ratio Controller)90
Setting the Anesthetic Gas Concentration92
O 2 Flush93
Low-Flow Anesthesia94
Nitrogen Rinsing (as Needed)94
Replacing the Soda Lime95
Ventilation96
Ventilation Mode Manspont96
Ventilation Mode Volume Control99
Ventilation Mode Pressure Control (Optional)101
Ventilation Mode Pressure Support (Optional)103
Ventilation Mode SIMV/PS (Optional)105
Adopting Ventilation Settings During Mode Change107
Safety Functions of the Ventilator108
Behavior with too Low Fresh-Gas Supply108
Behavior of Fabius if the User Does Not Take any Action108
Patient Change109
Using the External Fresh-Gas Outlet as a Common Gas Outlet (Optional)110
Preparation110
Operation111
Ending Operation111
Using the External Fresh-Gas Outlet with an Auxiliary Switch (Optional)112
Preparation112
Operation with Non-Rebreathing System113
Operation with the Compact Breathing System (COSY)113
Ending Operation113
Ending Operation114
Preparing for Storage or Transport115
Alarms117
Alarm Signaling118
Display of Alarms118
Acoustic Signal118
Alarm Priorities119
Suppressing the Alarm Tone120
Adjusting the Alarm Limits120
Monitoring121
Main Screen122
O 2 Monitoring122
Parameter Field for O 2 Monitoring123
Setting the O 2 Alarm Limits123
Calibrating the O 2 Sensor124
Consequences of Incorrect O Calibration124
Deactivating the O 2 Monitoring125
Breathing Volume Monitoring126
Parameter Field for Breathing Volume126
Volume Alarms127
Setting the Minute Volume Alarm Limits127
Deactivating the Volume Alarms127
Airway Pressure Monitoring128
Parameter Field and Waveform Window for Airway Pressure128
Setting the Upper Alarm Limit and the Pressure Threshold129
Configuration130
Configuration in Standby Mode131
Power-Saving Mode132
Performing the System Test132
Calibrating the Flow Sensor133
Calibrating the O 2 Sensor134
Leakage Test135
Accessing the Alarm Logbook137
Restoring the Default Settings138
Page Standby Set-Up139
Changing the Default Settings139
Changing the Configurations143
Configuration During Operation147
Switching the Volume Alarms on and off148
Automatic Setting of the Pressure Threshold148
Calibrating the O Sensor149
Switching the Desflurane Compensation on and off150
Automatic Desflurane Compensation150
Accessing the Alarm Logbook151
Clearing the Alarm Logbook151
Closing the Alarm Logbook151
Changing the Alarm Volume152
Troubleshooting153
Locating and Remedying Leakages154
Possible Causes of Leakage154
Systematic Localization of Leakages155
Power Supply Failure156
Mains Power Supply Failure156
Ventilator Failure158
Alarm VENTILATOR FAIL158
Failure of the O 2 Sensor159
Low O 2 Supply159
Causes for Faulty Calibration159
Alarm - Cause - Remedy160
Cleaning, Disinfection and Sterilization169
Disassembly170
Observe before Disassembling170
Sequence of Disassembly170
Information Concerning Dismounted Accessory Parts and Attached Devices171
Removing the Compact Breathing System172
Removing the Inspiratory Valve172
Removing the Expiratory Valve172
Removing the Exhaust Port172
Removing the Flow Sensor173
Removing the APL Valve173
Removing the Ventilator Parts173
Removing the Anesthetic Gas Receiving System173
Reprocessing Procedures174
Removing the Endotracheal Suction System174
Classification of Medical Devices174
Testing of Procedures and Agents174
Non-Critical Medical Devices175
Semi-Critical Medical Devices175
Visual Inspection176
Sterilization177
Reprocessing List178
Uncritical Medical Devices178
Semicritical Medical Devices180
Before Using on Patients Again181
Maintenance182
Overview183
Inspection184
Safety Checks184
Preventive Maintenance185
Repair186
Disposal187
Disposing of the Medical Device188
Disposal of Accessories188
Disposal of Non-Rechargeable Batteries189
Technical Data190
General Information191
Ambient Conditions191
Device Data192
Fuses195
External Fresh-Gas Outlet195
Electrical Safety195
General Safety Standards for Anesthesia Workstations196
Ventilator198
Anesthetic Gas Supply Module200
Vaporizer Interface201
Breathing System203
Alarm for Low Oxygen Supply Pressure206
Alarm Tone Sequence IEC206
Characteristics of Additional Acoustic Signals206
S-ORC (Sensitive Oxygen Ratio Controller)207
Device Outlets207
Essential Performance Characteristics208
EMC Declaration209
General Information209
Electromagnetic Emissions209
Electromagnetic Environment210
Electromagnetic Immunity211
Recommended Safety Clearance for Portable and Mobile High-Frequency Communication Equipment213
Reduced Safety Clearance for Portable and Mobile High-Frequency Communication Equipment213
Device Combinations214
Connections to IT Networks215
Information for Connecting to an IT Network215
Illustrations216
Gas Flow Plan of the Breathing System216
Gas Delivery Unit (3-Gas Version)217
Annex218
Form for Daily Checkout and Pre-Use Checkout219

Dräger Fabius plus - Page 228

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