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Drager medical Carina
Siemens Drager medical Carina User Manual
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W
ARNING
For a full unde
rstanding of
the per-
formance characteristics of this
medical device,
the user sho
uld
carefully read these
Instructions for
Use before use of the medi
cal
device.
Instructions for Use
Carina
Sub-Acute Care V
entilator
Sof
tware 3.n
2
Table of Contents
Table of Contents
5
Working with These Instructions for Use
2
Trademarks
3
Definitions
3
Table of Contents
5
Patients
7
Strictly Follow These Instructions for Use
8
Maintenance
8
Accessories
8
Safe Connection with Other Electrical
8
Equipment
8
Patient Monitoring
8
Functional Safety
9
General WARNINGS and CAUTIONS
10
Note on EMC/ESD Risk for the Device
11
Function
11
Adequate Monitoring of Ventilation
11
Back-Up Ventilation with an Independent Manual Ventilation Device
12
Intended Use
13
System Overview
15
Main Functions
16
Ventilation Modes
16
Supplements
16
Hose Systems
16
Monitoring
16
Gas Supply
17
Power Supply
17
Interfaces
17
Medibus
17
Trolley
17
Carina Underside
18
Control Panel, Top
18
Front Connection Block
19
Rear Connection Block
19
Trolley 1-63 CM, Trolley 1-78 CM
20
Symbols
21
Abbreviations
22
Operating Concept
25
Control Panel
26
Centre Rotary Knob
26
Buttons with a Fixed Function
26
Buttons for Calling up Functions and Ventilation Parameters
26
Power Supply Display
26
Dwell Time Without Inputs
26
Screen
27
Layout
27
Setting Ventilation Mode
28
Setting Ventilation Parameters
28
Colour Concept
28
Calling up Menus
29
Expanding Menus
29
The Following Menus Can be Selected
29
Preparation
31
Fitting the Inlet Filter
32
Positioning Carina
32
Information on Preparation
32
Carina with Trolley
33
Stability
33
Position Carina on the Trolley
34
Attach Universal Bracket with Standard Rail
35
Attaching Accessories to the Standard Rail
35
Attaching Battery Holder
36
External Battery Pack
36
Use in the Hospital
37
HME Systems and Hose Systems
39
Information on Using Bacterial Filters, HME Systems and Hose Systems
39
Fitting the Bacterial Filter
39
Observe When Using Heat and Moisture
39
Exchangers (Hmes)
39
Hose Systems
39
Connecting a Hose System
40
Hose System with Leak Valve
41
Hose System with Expiratory Valve
41
Attaching the Hinged Arm
42
Connecting a Respiratory Gas Humidifier
43
Respiratory Gas Humidifier Without
44
Inspiratory Heater
44
Respiratory Gas Humidifier with Inspiratory
44
Heater
45
Preparing the Aeroneb Pro Nebuliser
46
Connecting to the Power Supply
47
For Mains Operation
47
External Battery Connection
48
External Battery for 3Rd Party Connection
48
Internal Battery
49
O 2 Supply, Connect
50
HPO - High Pressure Oxygen Mode
51
LPO - Low Pressure Oxygen Mode
51
Connecting to the Nurse Call System
52
Position of the User
53
MEDIBUS Interface
53
Start-Up
55
Information on Start-Up
56
Switching on Carina
56
Checking Readiness for Operation
57
Connecting Test Lung
57
Checklist
58
Selecting an Application Method
59
Switching Carina to Standby
59
Selecting a Mask
59
Selecting a Tube
59
Setting the O 2 Supply
60
Placing the Oxygen Sensor
60
Operation
61
Setting Ventilation Modes
62
Calling up the Ventilation Settings Menu
62
Changing the Ventilation Mode
62
Starting Ventilation
63
Values Set on Delivery
63
Setting Ventilation Parameters
63
VC-Simv Af
64
Setting Ranges
65
Pc-Bipap
66
Setting Ranges
67
Pc-Ac
68
Setting Ranges
69
Spn-Ps
70
Setting Ranges
71
Spn-Cpap
72
Setting Ranges
72
Apnoea Ventilation
73
Switching on Apnoea Ventilation
73
Volume Guarantee
74
Switching on VG
74
NIV - Non-Invasive Ventilation
75
Using Mask Ventilation
75
Selecting the "Mask" Application Method
76
Setting Ventilation Parameters
76
Automatic Leak Compensation of the Triggers
76
Selecting the "Tube" Application Method
76
LPO - Low Pressure Oxygen Mode
77
Setting LPO Mode
78
Setting O 2 Concentration
78
Switching off LPO Mode
78
Chart for Operation with Expiratory Valve
79
Chart for Operation with Leak Valve (MP 00 312)
79
Locking Buttons
80
Switching off the Device
81
Terminating Ventilation
81
Improve Displayed Accuracy of the Charging Capacity of the Internal Battery
82
Monitoring
83
Setting Alarm Limits
84
In the Event of an Alarm
85
Troubleshooting
86
Suppressing the Alarm Tone
86
Alarm after Battery Discharge
86
Configuration
87
Default Chapter
88
Carina Configuration
88
Calling up the "Config." Menu
88
Service Menu
89
Opening the Service Menu
89
Displaying System Information
90
Setting System Time
90
Setting the Alarm Tone
91
Setting the Language
91
Displaying Contact Information
91
Displaying the Log Book
91
Setting Volume of the Alarm Tone
91
Selecting Screen Display
92
Selecting an Application Method
93
Selecting Display for 2 Measured Values
93
Switching LPO Mode On/Off
93
Selecting Ti or I:E
94
Setting the Night Screen
94
Fault - Cause - Remedy
95
Fault - Cause - Remedy
96
Displaying Technical Alarm Causes
101
Rescue Ventilation
101
Cleaning, Disinfection and Sterilisation
103
General Information on Cleaning, Disinfection and Sterilisation
104
Care List
105
Dismantling the Components
105
Cleaning
106
Wipe Disinfection
106
Wipe Disinfection with Virex Tb
106
Damp Heat Disinfection
106
Autoclave Sterilisation at 134 °C
106
Reprocessing of Accessories
106
Before Reusing on Patient
106
Maintenance
107
Maintenance Intervals
108
Replacing the Inlet Filter
109
Taking the Device out of Operation for a Lengthy Period
109
Visual Inspection of Accessories
110
Disposal
111
Disposing of the Internal Battery
112
Disposing of the Inlet Filter
112
Disposing of the Device
112
Technical Data
113
Ambient Conditions
114
Settings
114
Measurement Displays
115
Performance Data
115
Monitoring
116
Operating Data
117
Power Supply
117
Gas Supply
117
Classification
118
Connections
118
Trolley
118
Screen
118
Relevant Standards
118
Hose Systems
119
EMC Declaration
120
General Information
120
Electromagnetic Emissions
121
Electromagnetic Immunity
121
Recommended Separation Distances
123
Description
125
Mode of Operation
126
Functional Units
126
Adding Oxygen HPO
127
Adding Oxygen LPO
127
Unidirectional Valves
127
Safety
127
Protective Valves
127
Losses
128
VC-Simv
129
Autoflow
130
Patient-Oriented Settings
131
Pc-Bipap
132
Pc-Ac
133
Spn-Ps
134
Spn-Cpap
135
Tube (Invasive Ventilation)
135
Mask Ventilation (Non-Invasive Ventilation)
136
Mask Ventilation
136
Ventilation)
136
Information Concerning CO 2 Re-Breathing
137
Syncplus
138
Volume Guarantee (VG)
138
Multi-Sence Trigger
138
Automatic Leakage Compensation
138
System with Leak Valve)
138
Cycle Learning
138
Volume Measurement
139
Vti (Hose System with Leak Valve)
139
VT (Hose System with Expiratory Valve)
139
MVI (Hose System with Leak Valve)
139
MV (Hose System with Expiratory Valve)
139
MV Leak (Hose System with Leak Valve)
139
Volume Accuracy in Case of Leakages
139
Autoramp
140
Index
141
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Siemens Drager medical Carina Specifications
General
Brand
Siemens
Model
Drager medical Carina
Category
Medical Equipment
Language
English
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