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Lowenstein Medical
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leon plus
Lowenstein Medical leon plus User Manual
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leon
plus
User manual
Rev.
3.11.1
3
from so
ftware v
ersio
n 3.11.
x
As at
03.11.
2022
Please rea
d this ins
truction
manual c
arefully
before us
ing the d
evice an
d keep it to h
and at all
times!
2
Table of Contents
Table of Contents
3
List of Abbreviations
11
About this User Manual
15
Validity of this Instruction Manual
15
Essential Information Covered by the Instruction Manual
15
Structure and Purpose of the User Manual
16
Description of Options
16
Retention of Documentation
16
Further Information
16
Safety for You and the Patient
17
User Manual Compliance
17
Warnings
17
Residual Hazards
18
Messages to the Manufacturer and Authorities
19
Liability and Guarantee
20
Classification of the Device
21
Maintenance Instructions
21
Device Overview
22
Intended Use
22
Operating Requirements
22
Forms of Ventilation
22
Anaesthesia Systems
23
Contraindications
23
Guidelines and Manufacturer's Declaration - Electromagnetic Emissions
24
Guidelines and Manufacturer's Declaration - Electromagnetic Immunity
25
Device Description
29
Overview
29
Patient Module
31
Anaesthetic Vaporiser Mounting
31
Ventilator
31
Railing System
32
Writing Shelf, Drawers, Storage Compartment
33
Tube and Cable Guides
34
Delivery Contents
35
Operating Instructions
36
Operating Concept
37
Function Levels
37
Icons
39
User Interface
47
Concepts
47
Keypad
48
Touchscreen
49
Rotary Switch
51
Tab System
52
Title Bar
52
HLM Form of Ventilation
53
MON Form of Ventilation
53
Monitoring of Muting of Alarm
54
Screensaver
54
Control Elements and Displays
55
Front
55
Options Board
57
Device Connections
59
Description of Device Connections
59
Operation of the Device Connections
60
Rear Wall
63
Patient Module
64
Removing the Patient Module
64
Connection for Ventilation Tubes, Anaesthesia Gas Scavenging System and Ventilation Bag
65
Connection of the AGSS on the Rear of the Device
65
Connection for Respiratory Bellows, Dome and CO
66
Flow Sensors
66
Absorber, PEEP Valve Diaphragm Cover
66
APL Valve
67
Bronchial Aspiration
67
Preparations
68
First Installation
68
Adaptation to Ambient Conditions
68
Customer Requirements at the Application Site (Leon Plus - Standard Configuration)
69
Emergency Power Supply
70
Charging Batteries
70
Out-Of-Operation for a Longer Period
70
Preparation for Start-Up
71
Gas Connections
71
Electrical Connections
77
Connection of the Respiratory Bellows and the Dome
79
Removing and Installing the CO
79
Absorber
79
Changing, Emptying, Filling the CO
80
Absorber
80
Connection of the Ventilation Tubes
82
Gas Measurement
83
Connection of the Ventilation Bag
86
Connection to the Anaesthesia Gas Scavenging System
87
Suspension Bracket of the Intake System on the Rear of the Device
89
APL Valve
90
Setting up the Anaesthetic Vaporiser
90
Connection of the Bronchial Aspiration
91
Connection of Auxiliary Devices
92
Connection of Data Communication
93
Start-Up
94
Short Check (Recommended by DGAI)
95
Configuration (in Standby)
96
Config Tab
96
Volume Tab
98
System Time Tab
99
Option Tab
100
Configuration (During Ventilation)
100
Config Tab
100
Volume Tab
101
Option Tab
101
System Configuration of the User Interface
101
Service
106
Login
107
Service Tab
108
Configuration Tab
111
Configuration Tab
115
Procedure for Saving the System Configuration
116
Device Check
118
Selftest
118
System Test
119
Short Checklist before Start-Up
119
Limited Start-Up Option
120
Turn on
120
System Test
122
General Information
122
Operating States of the System Test Block
123
Results of the Selftest
124
Emergency Dosing During the System Test
124
External Fresh Gas Outlet before the System Test
125
Start of the System Test
125
Skip/Cancel System Test (Quick Start)
126
Back to the System Test from Standby
127
Execution of the System Test
127
Passed System Test and Display of Values for Compliance and Leakage Rate
128
System Test Not Passed and Detailed Error Display
128
Display of Values for Compliance and Leakage Rate
129
Repeating Individual System Test Blocks
129
Tightness of Tube System and Full System
130
System Test Procedure
131
Fio Calibration
132
Start of Fio Calibration
132
Execution of the Fio Calibration
132
Passed Fio Calibration
132
Fio 2 Calibration Not Passed
133
Alarm Test
133
General Information
133
Test of Alarm Functions
134
Power off
138
O 2 Emergency Dosing During Shutdown of the Device
139
Ventilation
140
General Information
140
Compliance Compensation
140
Patient Categories
140
Weight (IBW)
141
Load Default Settings
143
Behaviour of the P
143
Insp. Setting Upon Change to the PEEP Settings
143
Moisture in the Ventilation System
144
Low Flow and Minimal Flow
144
Fresh Gas Setting
145
Fresh Gas Ecometer
147
Borderline Fresh Gas Settings
148
Setting of the Anaesthetic Vaporiser
148
Quick Start
149
Manual Operation During the Boot Process and the Selftest
149
Execute Quick Start
150
Forms of Ventilation
151
Manual Ventilation
151
Mechanical Ventilation
157
Description of the Forms of Ventilation
162
Monitoring
175
General Information
175
Data
176
Alarm Muting (Mute)
178
Limit Values
178
Alarm Messages
178
Batteries
178
Device Functions
178
Monitored Data
179
Measured Values as Graphical Display
179
Tabular Trend
182
Event Log
183
Measured Values in a Numerical Display
184
Entry of Age for MAC Calculation
189
Manual Selection of the Narcotic Gas
190
Detection of Triggered Breaths
190
Loops (Monitoring of Lung Function)
191
10. Monitoring of Device Functions
192
Fresh Gas Blender
193
Intact Fresh Gas Blender
193
Fresh Gas Blender in the Event of Failure of a Carrier Gas
193
Display of Damaged Fresh Gas Blender
194
Gas Supply Pressures
194
Central Gas Supply Pressures
195
Pressure Display When Supply from 10 L Bottles
196
Drive Gas Generator
197
Gas Measurement
197
Fresh Gas Shortage
198
Docking Station with Patient Module
198
CO 2 Absorber
198
Fans
198
Batteries
199
Stopwatch
199
11. Alarms
200
General Information
200
Display of Current Alarms
200
Factory Settings of the Alarms
202
Alarm Muting
204
Alarm Muting 2 Minutes
204
10 Minute Alarm Muting
205
Alarm Log
206
Limit Values (Patient Alarm Limits)
207
Setting Patient Alarm Limits Manually
207
Adjustable Alarm Limits
208
Display of Apnoea Duration
208
Application Area and Increment of Alarm
209
Adjusting Alarm Limits to Current Measured Value (Autoset)
211
Alarm Limits that Are Automatically Followed
212
Active Alarms
212
List of Alarm Messages
214
12. Errors and Measures
233
General Information
233
Patient Monitoring
233
Pressure Relief Valve
234
Defined Safe State
235
Patientsafe Defined Safe State
235
Failsafe Defined Safe State
236
Inoperability or Failure of the Device
237
Self Check Error Search
239
Gas Supply Error Search
239
Error Search System Test
240
Error Search Gas Type Check
240
Error Search Fresh Gas Blender
241
Error Search Respirator
243
Error Search Flow Sensors
244
Error Search Circulation System
245
Error Search Fio Calibration
248
External Supply Units Failure
249
No Central Gas Supply
249
Mains Supply Failure
252
Failure of the Anaesthesia Gas Scavenging System
254
Failure of Internal Units
255
Touchscreen Failure
255
Fresh Gas Dosing Failure
256
Ventilator Failure
258
Gas Measurement Failed
259
Flow Measurement Failure
260
Pressure Measurement Failure
261
13. Maintenance and Servicing
262
General Information
262
Servicing by Hospital Staff
262
Change CO 2 Absorber
262
Change Bronchial Aspiration Filter
262
Gas Measurement Maintenance (Sidestream Measurement)
263
Flow Sensor Servicing
265
PEEP Valve Diaphragm Servicing
266
Servicing of the Insp./Exp. Valve Diaphragms
267
Servicing of Fans
268
Servicing of Reserve Gas Bottles and 10 L Bottles
269
Disposal
272
Disposal of Gas
272
Disposal of Soda Lime
272
Disposal of Bronchial Aspiration Filter
272
Disposal of Water Trap and Sample Line
272
Disposal of O Sensor
273
Disposal of Flow Sensor
273
Disposal of Valve Diaphragm
273
Disposal of Fan Filter Pad
273
Disposal of Electric and Electronic Components of the Device
273
Disposal of Battery
274
Changing and Filling Reserve Gas Bottles or 10 L Bottles
274
Maintenance by Authorised Service Technicians
274
General Information
274
Servicing Interval
275
Replacing and Calibrating the O 2 Cell
276
Side Power Measurement Servicing
277
Maintenance of the High-Pressure Regulator
279
Technical Safety Controls
279
14. Accessories
285
General Information
285
Replacement Part
286
Accessories
286
15. Product Combinations
287
General Information
287
Auxiliary Devices
287
Mounting Additional Monitors
288
Anaesthetic Vaporiser
288
Bronchial Aspiration
288
Support Arms
289
Pdms
289
His
289
Agss
289
16. Appendix
290
Notes
290
Gas Flow Plans
292
Legend Gas Flow Plans
292
Manual Ventilation (Patient Module 0209100)
294
Mechanical Ventilation (Patient Module 0209100)
296
Manual Ventilation (Patient Module 0209100Hul200)
300
Mechanical Ventilation (Patient Module 0209100Hul200)
302
Manual Ventilation (Patient Module 0209100Lm300)
306
Mechanical Ventilation (Patient Module 0209100Lm300)
308
Calculation Methods
312
Pressure Flow Characteristics
314
Service Life of Replacement Parts
316
Life of Soda Lime
316
Life of Bronchial Aspiration Filter
316
Gas Measurement
316
Life of the Flow Sensors
317
Life of the PEEP Valve Diaphragm
317
Life of the Insp./Exp. Valve Diaphragms
317
Life of the Fan Filter Pad
317
Service Life of Reusable CO 2 Absorber
317
Service Life of Inspection Glasses
318
Lists and Short Instructions
319
Ordering Replacement Parts
319
Ordering Accessories
319
Leon Plus Short Checklist before Start-Up
319
Leon Plus Short Operating Instructions
319
Leon Plus Technical Safety Controls Checklist
319
17. Technical Data
320
18. Index
337
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Lowenstein Medical leon plus Specifications
General
Brand
Lowenstein Medical
Model
leon plus
Category
Medical Equipment
Language
English
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