Dräger Fabius Tiro

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218 Instructions for use Fabius Tiro 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
Accessories8
Connected Devices9
No Operation in Potentially Explosive Areas9
Safe Coupling with Electrical Equipment9
Patient Safety10
Patient Monitoring10
Information on Electromagnetic Compatibility10
Installing Accessories11
Keeping the Instructions for Use11
Training11
Product-Specific Safety Information12
Application15
Intended Use16
Indications/Contraindications17
Further Information on Application17
The MEDIBUS and Vitalink Protocols18
Overview19
Fabius Tiro as Trolley Version (Front View)20
Compact Breathing System COSY (Top View)21
Power Supply Unit for COSY Heating (Front View)22
Power Supply Unit for COSY Heating (Rear View)23
Rear View (Pin-Index Connection)24
Gas Connections (Side View)25
Interface Panel26
Vaporizer27
Ceiling-Mounted Version (Optional)28
Wall-Mounted Version (Optional)29
Supplemental O 2 Delivery (Optional)30
Functional Check of the Supplemental O 2 Delivery30
APL Valve31
Interfaces32
Recommended Device Configuration33
External Fresh-Gas Outlet35
Using the External Fresh-Gas Outlet as a Common Gas Outlet36
Use of the External Fresh-Gas Outlet with an Additional Switch36
Abbreviations37
Symbols39
Product Labels41
Operating Concept42
Control Panel43
Softkeys44
Screen Display45
Selecting and Setting46
Monitoring Settings and System Settings46
Changing the Ventilation Mode46
Selecting and Setting the Ventilation Parameters47
Fresh-Gas Delivery (Version for 3 Gases)48
Total Flow Tube49
Monitoring Resolutions for Fresh-Gas Flow49
LED Indicators50
Leds for Operating Status50
Leds for Alarm Status50
Color Coding for Anesthetic Agents and Medical Gases51
Screen Colors (Optional)51
Assembly and Preparation52
Before First Operation53
Activating the Battery53
Connecting the Mains Power Supply53
Auxiliary Power Sockets54
Establishing Potential Equalization54
Connecting the Gas Supply55
Central Gas Supply56
Gas Cylinders with Pin-Index System (Optional)57
Gas Cylinders with Screw Connections (Optional)59
Mounting the Anesthetic Vaporizers60
Ensuring the Gas Supply61
Connecting the Anesthetic Gas Receiving System (Optional)61
Assembling the Breathing System62
Preparing the Ventilator62
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 Port68
Connecting the Breathing Bag68
Connecting the Endotracheal Suction System (Optional)70
Connecting the Breathing Hoses and the Filters71
Inserting a New O 2 Sensor Capsule75
Connecting the Sensors and Measurement Lines76
Connecting the O 2 Sensor76
Connecting the Pressure Sensor76
Connection of the Pressure Gauge for Measurement of the Airway Pressure (Optional)77
Connecting the Flow Sensor77
Connecting the APL Bypass Hose and PEEP/PMAX Hose78
Fastening the Manual Resuscitator79
Instructions for Mounting the Accessories79
Getting Started82
Daily Checkout and Pre-Use Checkout83
Switching on83
Checking the Readiness for Operation85
Operation86
Standby Page after Start-Up87
Setting the Fresh-Gas Flow87
S-ORC (Sensitive Oxygen Ratio Controller)87
Setting the Anesthetic Gas Concentration88
O 2 Flush89
Low-Flow Anesthesia90
Nitrogen Rinsing (as Needed)90
Replacing the Soda Lime91
Ventilation92
Ventilation Mode Manspont92
Ventilation Mode Volume Control95
Ventilation Mode Pressure Control (Optional)97
Ventilation Mode Pressure Support (Optional)99
Ventilation Mode SIMV/PS (Optional)101
Adopting Ventilation Settings During Mode Change103
Safety Functions of the Ventilator104
Behavior with too Low Fresh-Gas Supply104
Behavior of Fabius if the User Does Not Take any Action104
Patient Change105
Using the External Fresh-Gas Outlet as a Common Gas Outlet (Optional)106
Preparation106
Operation107
Ending Operation107
Using the External Fresh-Gas Outlet with an Auxiliary Switch (Optional)108
Preparation108
Operation with Non-Rebreathing System109
Operation with the Compact Breathing System (COSY)109
Ending Operation109
Ending Operation110
Preparing for Storage or Transport111
Alarms112
Alarm Signaling113
Display of Alarms113
Acoustic Signal113
Alarm Priorities114
Suppressing the Alarm Tone115
Adjusting the Alarm Limits115
Monitoring116
Main Screen117
O 2 Monitoring117
Parameter Field for O 2 Monitoring117
Setting the O 2 Alarm Limits118
Calibrating the O 2 Sensor118
Consequences of Incorrect O Calibration119
Deactivating the O 2 Monitoring119
Breathing Volume Monitoring120
Parameter Field for Breathing Volume120
Volume Alarms121
Setting the Minute Volume Alarm Limits121
Deactivating the Volume Alarms121
Airway Pressure Monitoring122
Parameter Field and Waveform Window for Airway Pressure122
Setting the Upper Alarm Limit and the Pressure Threshold123
Configuration124
Configuration in Standby Mode125
Power-Saving Mode126
Performing the System Test126
Calibrating the Flow Sensor127
Calibrating the O 2 Sensor127
Leakage Test128
Accessing the Alarm Logbook130
Restoring the Default Settings131
Page Standby Set-Up132
Changing the Default Settings132
Changing the Configurations136
Configuration During Operation139
Switching the Volume Alarms on and off140
Automatic Setting of the Pressure Threshold140
Calibrating the O 2 Sensor141
Switching the Desflurane Compensation on and off142
Automatic Desflurane Compensation142
Accessing the Alarm Logbook143
Clearing the Alarm Logbook143
Closing the Alarm Logbook143
Changing the Alarm Volume144
Troubleshooting145
Locating and Remedying Leakages146
Possible Causes of Leakage146
Systematic Localization of Leakages147
Power Supply Failure148
Mains Power Supply Failure148
Ventilator Failure150
Alarm VENTILATOR FAIL150
Failure of the O 2 Sensor151
Causes for Faulty Calibration151
Alarm - Cause - Remedy152
Cleaning, Disinfection and Sterilization161
Disassembly162
Observe before Disassembling162
Sequence of Disassembly162
Information Concerning Dismounted Accessory Parts and Attached Devices163
Removing the Compact Breathing System164
Removing the Inspiratory Valve164
Removing the Expiratory Valve164
Removing the Exhaust Port164
Removing the Flow Sensor165
Removing the APL Valve165
Removing the Ventilator Parts165
Removing the Anesthetic Gas Receiving System165
Reprocessing Procedures166
Removing the Endotracheal Suction System166
Classification of Medical Devices166
Testing of Procedures and Agents166
Non-Critical Medical Devices167
Semi-Critical Medical Devices167
Visual Inspection168
Sterilization169
Reprocessing List170
Non-Critical Medical Devices170
Semi-Critical Medical Devices172
Before Using on Patients Again173
Maintenance174
Overview175
Inspection176
Safety Checks176
Service177
Repair178
Disposal179
Disposing of the Medical Device180
Disposal of Accessories180
Disposal of Non-Rechargeable Batteries181
Technical Data182
General Information183
Ambient Conditions183
Device Data184
Fuses186
External Fresh-Gas Outlet187
Electrical Safety187
General Safety Standards for Anesthesia Workstations187
Ventilator189
Anesthetic Gas Supply Module191
Vaporizer Interface192
Breathing System194
Alarm for Low Oxygen Supply Pressure197
Alarm Tone Sequence IEC197
Characteristics of Additional Acoustic Signals197
S-ORC (Sensitive Oxygen Ratio Controller)198
Device Outlets199
Essential Performance Characteristics200
EMC Declaration200
General Information200
Electromagnetic Emissions201
Electromagnetic Environment202
Electromagnetic Immunity203
Recommended Safety Clearance for Portable and Mobile High-Frequency Communication Equipment205
Reduced Safety Clearance for Portable and Mobile High-Frequency Communication Equipment205
Device Combinations206
Connections to IT Networks206
Information for Connecting to an IT Network206
Illustrations208
Gas Flow Plan of the Breathing System208
Annex209
Form for Daily Checkout and Pre-Use Checkout210

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Dräger Fabius Tiro - Page 218

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