4 Prima 451 – User Manual
Warnings and Cautions
22. The use of
antistatic
or
electrically
c
ondu
c
t
i
v
e
breathing hoses is not
recommended
when
u
s
i
ng
high frequency
electrical
surgery equipment
(
e.
g
.
Diathermy). Burns may be
caused.
23. To avoid the risk of electric shock, this equipment must
only be connected to a mains supply with a protective
earth.
Before any
electrically
powered machine is
u
s
e
d
clinically
for the first time, check that
t
h
e
hospital
engineering
department has carried
out
an earth
continuity
t
e
s
t
.
24. Portable RF communcatons equpment (ncludng
perpherals such as antenna cables and external
antennas) should be used no closer than 30 cm (12
nches) to any part of ths devce, ncludng cables
specfed by the manufacturer Otherwse, degradaton
of the performance of ths equpment could result
25 Before usng any
addtonal electrcal equ
p
m
e
n
t
powered by the
auxlary
sockets on the
m
a
c
h
n
e,
check that the
addtonal
equpment s
c
o
rr
e
c
t
l
y
wred
and s earthed through ts
p
l
ug
26 A
missing
or defective
protective
earth
c
ondu
c
t
o
r
may increase earth leakage
currents
to
t
h
e patient
to values exceeding the allowable
li
m
i
t
s
,
resulting
in
ventricular fibrillation,
or
interference
with the
pumping action of the
h
ea
r
t
.
27. Additional
equipment placed on the top
s
h
e
l
f
must be
securely a
tt
a
c
h
e
d
. See also Warnings 1 and 3.
Take care when moving a fully loaded
m
a
c
h
i
n
e,
particularly
when
negotiating
r
a
m
p
s
.
Check that hoses or power leads are not
t
r
a
ili
ng
on
the
f
l
oo
r
.
28. Accessories
must be removed before
t
h
e machine is
t
r
a
n
s
po
r
t
e
d
.
29. To prevent patient injury in the event of
t
o
t
a
l
anaesthesia system failure, an
alternative
m
ea
n
s
of
ventilation
must be available whenever
t
h
e device is
in
u
s
e.
C
A
UT
IO
NS
1. Flowmeter needle valves are designed to seal with light
torque and may be damaged if tightened excessively.
Do not force the control knob past either the fully open
or fully closed positions.
2. Open cylinder valves slowly to avoid damage to pressure
reducing valves.
Ensure that cylinder valves are at least one full turn
open when in use.
3. Under no circumstances should anaesthetic agents be
used for cleaning purposes.
4. After use, always disconnect the machine from the piped
gas supply and/or close the gas cylinder valves.
5. Mechanical AHD system:
a) The oxygen flow control is restricted to prevent
the needle valve from fully closing. This ensures a
minimum basal flow of oxygen.
b) DO NOT attempt to close the flow to zero.
Do not overtighten.
6. Compressed gas supplies must be clean and dry.
7. When the auxiliary gas outlets are in use on a machine
with cylinder supply only, or if the pipeline supply is not
in use, check flow rate requirements, and ensure that
adequate back-up cylinders are available.
8. The requirements of IEC 60601-1-1 apply to any device
connected to the auxiliary sockets. Users must be
aware of the risks of increased leakage currents when
equipment is connected to the auxiliary power sockets
9. In the event of malfunction of any device powered by
the auxiliary sockets, check if the circuit breaker has
tripped.
10. On machines with pipeline connections, note that a
malfunction of the central gas supply within your facility
may cause immediate cessation of gas delivery and total
anaesthesia system failure.
11. Do not apply excessive pressure to the display screen.
12. Vaporizers: Read the instruction manual supplied with
the vaporizer before clinical use.
13. Use a gauss meter to measure the magnetic field when
the system is positioned for use in the MR facility. Refer
to section 5.11.2 when using a Prima 451 with an AV-S
MRI Ventilator.
14. Switch the gauss meter OFF before any clinical
procedures are started in the MR facility.
15. Remove the gauss meter from the MR facility before
changing the batteries
NOTES
1. Refer to Appendix 3 for labelling and symbols.