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Dräger Julian, Operating Instructions Manual

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Contents

Selecting the Basic Screen Pages...........................................................66
Selecting the Standard Screen Page......................................................... 66
Selecting the Data Screen Page................................................................ 67
Selecting the Trend Page.......................................................................... 67

The Alarm System....................................................................................69
Displaying and Setting Alarm Limits........................................................... 70
Auto-Set Limits..........................................................................................72
CO

2

 Alarms On/Off.................................................................................. 72

Alarm Info..................................................................................................73

Numerical Trend (List)............................................................................. 74

Selecting Waveforms............................................................................... 75

Using the Volumeter Function................................................................. 76

Configuring During Operation................................................................. 77
Setting Monitoring Functions..................................................................... 78
Configuring Alarms....................................................................................81

MAC configuration................................................................................... 83
Anesthetic agent identification and display................................................. 83
Calculating the MAC values.......................................................................83
Displaying MAC........................................................................................ 83

Manual Calibration................................................................................... 85

SpO

2

 Measurement (Available Option)..................................................... 86

Sensor Selection....................................................................................... 86
C-Lock ECG-Synchronization....................................................................87
Tips to Prevent Artifacts.............................................................................88
Applying the Durasensor DS-100 A........................................................... 89

Airway Temperature Monitoring (Available Option).................................. 90

Monitoring

Contents

Operating Instructions Julian SW 3.n

65

Monitoring

Summary of Contents for Julian

Page 1: ...Julian Anesthesia Workstation Operating Instructions Software 3 n XXXX ...

Page 2: ...thorized Dealers Dräger will not be responsible for injury to persons or damage to property arising directly or indirectly out of unauthorized repairs or modifications to this device Furthermore any unauthorized repairs or modifications void any warranty extended by Dräger This document is provided for your information only It will not be exchanged or updated without request Trademarks The Dräger ...

Page 3: ...XXXXXXX ...

Page 4: ...18 and in conjunction with appropriate patient monitoring Observe all WARNINGS and CAUTIONS as rendered throughout this manual and on labels on the equipment Working with these Operating Instructions Operating Instructions Julian SW 3 n 4 Preparation Tests of Readiness for Operation Self test electronics freshgas mixer ventilator system compliance 5 00 mL mbar leakage 16 mL mbar cancel test 72 2 1...

Page 5: ... n Contents Important Safety Information READ THIS FIRST 7 Intended Use 17 Operating Concept 19 Preparation 27 Operation 45 Monitoring 65 Configuring in Standby Mode 91 Care 105 Troubleshooting 121 What s What 127 Index 146 5 Technical Data 137 ...

Page 6: ...Operating Instructions Julian SW 3 n 6 This page intentionally left blank ...

Page 7: ...f Terms 11 Typing Conventions 11 Summary of WARNINGS and CAUTIONS 12 General Precautions 12 Precautions During Preparation 13 Precautions During Operation 14 Monitoring Precautions 14 Precautions During Care 14 Precautions During Maintenance 15 Important Safety Information Contents Operating Instructions Julian SW 3 n 7 Important Safety Information ...

Page 8: ...the purchase and use of the equipment are restricted to trained professionals and that certain inherent characteristics of the equipment are known to the trained operator Instructions warnings and caution statements are limited therefore largely to the specifics of the Dräger design This publication excludes refe rences to various hazards which are obvious to a medical professional and operator of...

Page 9: ... warranty provided by Dräger No other warranty expressed or implied is intended Representatives of Dräger are not authorized to modify the terms of this warranty Dräger Medical Inc Telford PA Warranty All Dräger products are guaranteed to be free of defects for a period of one year from date of delivery The following are exceptions to this warranty 1 The defect shall be a result of workmanship or ...

Page 10: ... g for secretion aspiration VT Tidal volume Definitions Abbreviations Abbreviation Meaning AGas Anesthetic agent AGS Anesthesia Gas Scavenging System AIR Compressed air for medical use APL Adjustable Pressure Limitation BTPS Measuring condition at body temperature current atmospheric pressure and saturated gas ç Conformité Européenne Julian conforms to the respective EC requirements C Lock The SpO...

Page 11: ...ty of damage to equipment if disregarded WARNING A WARNING statement refers to conditions with a possibility of personal injury if disregarded Symbols Symbol Meaning G Suppress alarm tone for 2 minutes Q Call up standard screen escape S Call up basic screens in succession E Standby operation switch Dial knob for adjusting and confirming settings Fresh gas flowing u Action in progress Action has be...

Page 12: ...uipment Summary of WARNINGS and CAUTIONS General Precautions WARNING DANGER risk of explosion if used in the presence of flammable anesthetics This device is neither approved nor certified for use with combustible or explosive anes thetics e g ether or cyclopropane WARNING To maintain grounding integrity connect only to a hospital grade receptacle Always dis connect supply before servicing WARNING...

Page 13: ...ys disconnect supply before servicing WARNING Restrictions for use of auxiliary power outlets Do not connect HF surgical devices to the auxiliary outlets Connecting equipment to the auxiliary outlets may cause the patient leakage current to rise above the permitted values in the event of failure of a protective ground conductor In such cases the risk of electric shock cannot be excluded Additional...

Page 14: ...or attention to avert or to prevent development of situations with the possibility of patient injury Precautions During Operation WARNING Manual ventilation is not possible when Julian is in standby mode WARNING Devices connected to the auxiliary outlets will not be powered by the uninterruptible power supply in the event of a power failure WARNING Do not perform leak test while a patient is conne...

Page 15: ...al procedures this applies also when returning devices or parts for repair Summary of WARNINGS and CAUTIONS Precautions During Care Precautions During Maintenance Operating Instructions Julian SW 3 n 15 CAUTION Do not clean filter in cleaning and disinfecting equipment Do not immerse filter in disinfectant solution CAUTION Do not treat exterior surfaces of the workstation with disinfecting agents ...

Page 16: ...Operating Instructions Julian SW 3 n 16 This page intentionally left blank ...

Page 17: ...Contents Intended Medical Applications 18 Ventilation Modes and Monitoring 18 Intended Use Contents Operating Instructions Julian SW 3 n 17 Intended Use ...

Page 18: ...ed as a continuous flow anesthesia system The Julian may be used for manually assisted or automatic ventilation and delivery of gases anesthetic vapor and monitoring of oxygen concentration breathing pressure and respiratory volume Federal law restrics this device to sale by or on the order of a physician WARNING The Julian Anesthesia Workstation may only be used under the supervision of qualified...

Page 19: ... the User Interface 20 Screen Menus 22 Screen Layout 22 Ventilation Menus 22 Monitoring Menus 23 Three Basic Screens for Monitoring 25 Operating Concept Contents Operating Instructions Julian SW 3 n 19 Operating Concept ...

Page 20: ...d in the bottom row on the control panel Left hand block for fresh gas settings Right hand block for ventilation settings Operating Concept Design of the User Interface Operating Instructions Julian SW 3 n 20 12 N O 2 AIR MAN SPONT CMV PCV Monitoring Ventilation Fresh gas delivery SpO2 CMV alarm limits alarm info list curves config SpO2 EtCO2 38 98 67 6 0 10 MV Freq 600 VT mL 10 10 0 PEEP cmH2O Fr...

Page 21: ...irm the selected carrier gas or a ventilation mode to set and confirm parameters for fresh gas and ventilation modes to set and confirm monitoring functions Next to the dial knob The E key for switching to standby mode 5 Press E and confirm by pressing dial knob Operating Concept Design of the User Interface Operating Instructions Julian SW 3 n 21 12 N O 2 AIR MAN SPONT CMV PCV SpO2 CMV alarm limi...

Page 22: ... quick selection of desired monitoring function Ventilation Menus Selecting setting ventilation parameters Example PEEP ventilation parameter 1 Press PEEP menu key 2 Select PEEP value turn dial knob 3 Confirm the PEEP value press the dial knob Operating Concept Screen Menus Operating Instructions Julian SW 3 n 22 SpO2 CMV alarm limits alarm info list curves config SpO2 EtCO2 38 98 67 6 0 10 MV 600...

Page 23: ...lian SW 3 n 23 12 N O 2 AIR MAN SPONT CMV PCV SpO2 CMV alarm limits alarm info list curves config SpO2 EtCO2 38 98 67 6 0 10 MV Freq 600 VT mL 10 10 0 PEEP cmH2O Freq bpm TI TE TIP TI 25 Pmax cmH2O Fresh Gas O2 N2O 4 00 O2 L min 50 1 2 0 O2 45 41 2 N O 53 51 Fi Fet Iso 0 8 0 6 Enf 0 6 0 5 MAC age 36 1 3 2 CO 40 0 PAW 0 20 auto set limits Julian 1 Pleth CMV 600 10 10 0 25 1 00 50 98 67 38 6 0 29 0 ...

Page 24: ...meter settings before modifications are confirmed Operating Concept Screen Menus Operating Instructions Julian SW 3 n 24 Pleth CMV 600 10 10 0 25 1 00 50 98 67 38 6 0 29 0 8 3 0 20 1 0 0 0 40 8 To adjust alarm limit turn and confirm FiO2 FiHal PAW SpO2 alarm limits auto set limits alarm info list config O 2 L min PEEP Freq VT mL T T IP I Pmax Fresh Gas O N O 2 2 curves et CO2 MV cmH2O bpm cmH2O 95...

Page 25: ...s Julian SW 3 n 25 Julian 2 1 SpO 2 CMV SpO2 et CO2 38 98 67 6 0 10 MV Freq 600 10 10 0 25 1 00 50 alarm limits auto set limits alarm info list config O 2 L min PEEP Freq VT mL T T IP I Pmax Fresh Gas O N O 2 2 curves cmH2O bpm cmH2O 1 2 0 O2 45 41 2 N O 53 51 Fi Fet Iso 0 8 0 6 Enf 0 6 0 5 MAC age 36 1 3 TI TE CO2 40 0 PAW 0 20 CMV PAW 40 20 0 98 67 6 0 0 60 10 27 20 5 15 65 MV VT Freq PEAK PLAT ...

Page 26: ... Screen Menus Operating Instructions Julian SW 3 n 26 CMV 98 67 600 10 10 0 25 1 00 50 PAW 40 20 0 11 00 12 00 13 00 60 30 0 15 10 5 0 To select zoom area Turn To zoom in Press CO2 MV SpO2 alarm limits agent N O 2 CO2 MV O2 compl SpO2 pulse full trend O 2 L min PEEP cmH O 2 Freq bpm VT mL T T IP I Pmax cmH O 2 Fresh Gas O N O 2 2 et CO2 38 6 0 10 MV Freq TI TE 1 2 0 O2 45 41 2 N O 53 51 Fi Fet Iso...

Page 27: ...uit 29 Preparing the Suction System 30 Preparing Gas Disposal Systems 31 Connecting Supplies 33 Gas Connections 33 Anesthetic Gas Scavenging System 35 Electrical Connections 36 Checks of Readiness for Operation 37 Checking System Against the Checklist 37 Emergency Startup 44 Preparation Contents Operating Instructions Julian SW 3 n 27 Preparation ...

Page 28: ...is connected to line power We therefore suggest to leave Julian connected to line power during extended periods of non use The battery must be charged for 10 hours before using for the first time Connect power plug of the Julian workstation to a live wall outlet The line voltage must correspond to the voltage specified on the rating plate 1 The green LED N N N N lights up 2 The displays for pipeli...

Page 29: ...ing hose onto the angled connector and hang the breathing bag on the hook 3 Fit water trap into its holder 4 Screw the sample line onto the Y piece and water trap WARNING Only use original gas sample line Other lines may change the technical data of the device WARNING Do not use antistatic or conductive patient breathing hoses They present a risk of burn injuries when used in combination with HF e...

Page 30: ...em according to manufacturer s instructions for use for the suction unit 1 Attach vacuum hose to the VAC port of the Julian Workstation WARNING When using a suction system it is the responsibility of the user to ensure com pliance with all regulations governing the handling and disposal of articles contami nated with body fluids infectious waste Preparation Assembly of Components Operating Instruc...

Page 31: ...gas connector 1 Slide the tube into the port and tighten it 2 Connect the small silicone hose to the mixer exhaust gas port and to the connection on the tube Preparation Assembly of Components Operating Instructions Julian SW 3 n 31 1 2 2 ...

Page 32: ...ttach connector with sleeve to the free end of the hose Insert connector into the coupling of the anesthetic gas scavenging system until it clicks into place 3 Install cap to seal the port WARNING Make sure scavenger hoses are not pinched kinked or blocked in any manner Preparation Assembly of Components Operating Instructions Julian SW 3 n 32 1 2 3 ...

Page 33: ...ecified range The pressure displays light up when the Julian workstation is connected to line power USA Canada O2 green white AIR yellow black white checkered N2O blue blue VAC magenta magenta WARNING Each time you connect a machine to a wall or ceiling gas outlet carefully check hoses to ensure that both ends of the hose are indexed for the same gas Pipeline delivery hoses used between wall outle...

Page 34: ...s light up when the Julian workstation is connected to line power WARNING Always use extreme caution when handling O2 cylinders Oxygen intensely supports any burning No smoking no open fire in areas where oxygen is in use Always secure O2 cylinders against tipping Do not expose O2 cylinders to extreme heat Do not use oil or grease on O2 equipment such as tank valves or pressure regulators Do not t...

Page 35: ...t it uses continually open relief ports for positive as well as negative pressure relief 1 Connect transfer hose to the waste gas port and to the port of the scavenging system 2 Connect gas disposal assembly tubing to the port of the scavenging system 3 Connect gas disposal assembly tubing to the wall or ceiling VAC inlet CAUTION Do not use anesthetic gas scavenging sytem in combination with extra...

Page 36: ...to wall outlet WARNING To maintain grounding integrity connect only to a hospital grade receptacle Always disconnect supply before servicing WARNING Restrictions for use of auxiliary power outlets Do not connect HF surgical devices to the auxiliary outlets Connecting equipment to the auxiliary outlets may cause the patient leakage current to rise above the permitted values in the event of failure ...

Page 37: ...n the screen Press cancel test key See Emergency Start on page 44 to continue NOTE Check system against check list and perform automatic self test daily Preparation Checks of Readiness for Operation Operating Instructions Julian SW 3 n 37 Julian D Technology for life 03 00 01 May 00 Please wait Julian Check list Julian Vapor Filling device Vapor Mont Interlock system Handwheel set to zero fill lev...

Page 38: ...ximum fill level of the water trap shall be approximately 3 mm below the mark If the fill level reaches the mark the water trap needs to be replaced AGS anesthetic gas scavenging system 1 The transfer hose from the waste gas port must be connected 2 The gas disposal assembly tubing must be connected the anesthetic waste gas probe must be plugged into the appropriate wall inlet 3 Adjust flow regula...

Page 39: ... installed and hoses securely connected Absorbent charge renewed no purple discoloration Gas pressures of the gas supply pipelines 1 All pressure displays within the specified range Preparation Checks of Readiness for Operation Operating Instructions Julian SW 3 n 39 Julian D 1 ...

Page 40: ...psi 3 N2O pressure greater than 3000 kPa 435 psi Suction system 1 Switch to I 2 Set suction pressure with dial knob 3 Block the secretion probe adapter or kink the suction hose 4 Measure the suction pressure on the pressure gauge 1 Switch to 0 Preparation Checks of Readiness for Operation Operating Instructions Julian SW 3 n 40 Julian D 4 2 3 1 1 1 2 3 ...

Page 41: ...ulian for the self test 1 Close the Y piece plug firmly onto the cone 2 Ensure that the sample line is not connected to the patient circuit 3 If necessary seal the sample line connector with a luer lock cap 4 Set APL valve to MAN and adjust to 30 cmH2O Ensure that Safety O2 flow control is set to 0 Preparation Checks of Readiness for Operation Operating Instructions Julian SW 3 n 41 2 1 3 4 3 2 1 ...

Page 42: ...ration flow control valve calibration pressure release valve test check for closed Safety O2 control valve fresh gas shortage detection check Ventilator Testing and calibration of PEEP Pmax valves Testing of safety valve Testing of MAN AUTO switch over valve Testing of breathing phase valve Testing of internal pressure sensor Determination of compliance and leakage NOTE If during the self test any...

Page 43: ...Julian in the self test Depending on the patient circuit used system compliance is 5 to 6 mL cmH2O The system will tolerate leaks up to 150 mL min at 30 cmH2O For leaks of more than 150 mL min Check patient circuit and repeat leak test After the self test Julian switches to standby Preparation Checks of Readiness for Operation Operating Instructions Julian SW 3 n 43 Self test electronics freshgas ...

Page 44: ...out 2 minutes NOTE Leak test and compliance test are not performed Accuracy levels specified under Technical Data can therefore not be guaranteed NOTE To prevent abuse of this feature the self test can only be cancelled 10 times in succession The self test cannot be cancelled the next time that Julian is started and a complete self test must be performed The system switches to standby mode after c...

Page 45: ...g Secretions 56 At the End of Each Anesthesia Case 57 Changing Absorber Charge 57 Leak Test 58 Ventilating Children 59 Auxiliary Oxygen Flowmeter 60 In the Event of Supply Failures 61 In the Event of a Power Failure 61 In the Event of a Gas Failure 61 In the Event of a Major Hardware Fault 62 End of Operation 63 Operation Contents Operating Instructions Julian SW 3 n 45 Operation ...

Page 46: ...ed key will start flashing Press the dial knob to confirm The yellow LED will be lit continuously The selected fresh gas components are displayed on the screen Setting the O2 concentration 2 Press the menu key O2 The key field will be highlighted inversed Set and confirm O2 concentration with the dial knob Fresh gas parameters Adjustment range Factory default settings Carrier gas AIR or N2O N2O O2...

Page 47: ...ated the O2 value is highlighted in addition to the active menu key L min Julian is able to detect fresh gas deficiency An opti cal system monitors the end expiratory position of the bellows If the bellows is not filled sufficiently during expiration the alarm FRESH GAS appears In this case the fresh gas flow should be increased to an adequate value Selecting Ventilation Modes MAN SPONT Ventilatio...

Page 48: ...em without anesthetic gas as long as the button is pressed Operation Selecting Ventilation Modes Operating Instructions Julian SW 3 n 48 Julian 1 2 MAN SPONT Pleth 38 98 67 5 2 8 4 00 50 Start volumeter Confirm SpO2 etCO2 MV freq alarm limits CO2 al on off alarm info list curves config Freshgas O2 N2O O2 L min VT 0 35 0 Volumeter s 0 5 10 0 5 1 _ FiCO2 O2 45 41 2 N O 53 51 Fi Fet Iso 0 8 0 6 Enf 0...

Page 49: ...et to ON the value is transferred from automatic ventilation mode To set the values of the alarm limits during operation see page 72 To configure the default alarm limits see page 96 Alarm Limits In MAN SPONT mode Factory default setting SpO2 _ ON ON 92 Pulseª _ ON ON 120 50 EtCO2 _ 50 mmHg FiCO2 MV _ FiO2 _ ON 20 Fi Hal _ ON OFF 1 5 Fi Iso _ ON OFF 2 3 Fi Enf _ ON OFF 3 4 Fi Des _ ON OFF 12 0 Fi ...

Page 50: ... volumes VT of less than 200 mL Use a pediatric patient circuit see page 59 Ventilating Children ____ User specific defaults may be selected see page 100 Ventilation parameters Adjustment range Factory default setting Pressure limit Pmax cmH2O 10 to 70 25 Tidal volume VT mL 50 to 1400 600 Frequency Freq 1 min 6 to 60 12 Insp Exp ratio TI TE 2 0 1 to 1 2 0 in increments of 0 1 1 2 0 to 1 4 0 in inc...

Page 51: ...re If the CMV mode is activated and the fresh gas flow set ting is 12 L min the flow will automatically be limited to the maximum possible value corresponding to the inspira tory pause time This limited value has to be confirmed before starting CMV Starting CMV 1 Press CMV key 2 and confirm with dial knob Display example The preset ventilation parameters are displayed on screen The symbol rotates ...

Page 52: ...ault setting SpO2 _ ON ON 92 Pulseª _ ON ON 120 50 EtCO2 _ ON ON 50 mmHg FiCO2 ON 5 mmHg MV _ ON ON 3 0 FiO2 _ ON ON 20 Fi Hal _ ON ON 1 5 Fi Iso _ ON ON 2 3 Fi Enf _ ON ON 3 4 Fi Des _ ON ON 12 0 Fi Sev _ ON ON 3 4 PAW _ ON ON 40 8 Apnea pressure ON Active after 15 seconds Apnea flow ON Active after 15 seconds Apnea CO2 ON Active after 30 seconds Operation Selecting Ventilation Modes Operating In...

Page 53: ...xample Adjustment ranges and factory default settings When ventilating infants and small children weighing less than 20 kg Use pediatric patient circuit see page 59 Ventilating Children User specific defaults may be selected see page 102 See technical data page 140 Ventilation parameter Adjustment range Factory default setting Pressure limit Pmax cmH2O PEEP 1 to 70 15 Breathing rate Freq bpm 6 to ...

Page 54: ...u key Set and confirm the ventilation parameter with the dial knob Operation Selecting Ventilation Modes Operating Instructions Julian SW 3 n 54 Julian 1 2 PCV SpO2 98 67 10 30 0 18 4 00 50 alarm limits alarm info list config PEEP cmH O 2 Freq bpm Insp Flow L min Pmax cmH O 2 Fresh Gas O N O 2 2 O 2 L min curves et CO2 38 6 0 10 MV Freq VT 0 35 0 Volumeter s 0 5 10 0 5 1 auto set limits TI TE 1 2 ...

Page 55: ...ault settings SpO2 _ ON ON 92 Pulseª _ ON ON 120 50 EtCO2 _ ON ON 5 mmHg FiCO2 ON 5 mmHg MV _ ON ON 3 0 FiO2 _ ON ON 20 Fi Hal _ ON ON 1 5 Fi Iso _ ON ON 2 3 Fi Enf _ ON ON 3 4 Fi Des _ ON ON 12 0 Fi Sev _ ON ON 3 4 PAW _ ON ON 40 8 Apnea pressure ON Active after 15 seconds Apnea flow ON Active after 15 seconds Apnea CO2 ON Active after 30 seconds Operation Selecting Ventilation Modes Operating In...

Page 56: ... secretion probe adapter or kink the suction hose 3 Set the appropriate suction pressure for the patient with the rotary knob Vac and 4 check vacuum on the pressure gauge NOTE Graduation indicators are for approximation only After aspirating Rinse the suction hose with the water purifier 1 Set switch to 0 WARNING Always follow accepted hospital procedures for handling body fluids Operation Setting...

Page 57: ...tandby key E and confirm by pressing the dial knob 1 Raise the writing top 2 Pull the catch and slide breathing system out at the same time 3 Turn the absorber counterclockwise and pull it out downwards Drain the used soda lime and dispose of together with domestic waste Fill the absorber with fresh soda lime up to the MAX mark Install the absorber to the breathing system from below and turn it cl...

Page 58: ...kage in standby mode Julian performs the leak test for CMV PCV and determines the volume correction for system compliance duration approx 30 seconds The breathing bag and its hose are not included in the test Display When the test has been completed successfully the clock symbol disappears and the values for leakage and system compliance are displayed The results of the leak test are also displaye...

Page 59: ...mall cuffs to the Y piece 3 Connect the sample line to the Y piece and water trap Set the sample rate to 200 mL min page 96 Increase tidal volume VT to compensate for the sample gas flow Volumeter function Select child scale page 80 Self test and leak test 4 Firmly connect the Y piece to the cone Determine the system compliance and leak test see page 58 When using CMV mode The system compliance wi...

Page 60: ...rough a nasal cannula an optional auxiliary oxygen flowmeter can be mounted on the left side of the Julian workstation see page 130 What s What This flowmeter can also be used when the anesthesia machine is turned off Operation Auxiliary Oxygen Flowmeter Operating Instructions Julian SW 3 n 60 ...

Page 61: ...er on the rear of the workstation if it had been closed Check pressure display for the backup gas cylinder Reestablish supply from pipeline If there is no backup supply of gas available Julian replaces the set gas mixture with AIR or O2 Julian delivers 100 AIR if the O2 supply fails Julian delivers 100 O2 if the N2O supply fails Julian delivers 100 O2 if the AIR supply fails The amount of fresh ga...

Page 62: ...arm is always signalled with the maxi mum alarm volume In the Event of a Major Hardware Fault In this case the message SYSTEM FAULT will be displayed and an audible alarm is generated In the event of a hardware fault including the screen the audible alarm is generated only In these cases Julian automatically switches to MAN SPONT ventilation mode No N2O will be delivered in this mode 1 Adjust safe...

Page 63: ...p the workstation with the power switch on and the UPS discharged leads to emergency dosage Close backup cylinders To switch off the anesthetic gas scavenging system Disconnect gas disposal assembly tubing from wall inlet NOTE Julian features a time delayed switch off The message System can be switched on again without loss of data System is being closed down and switched off appears for 10 second...

Page 64: ...Operating Instructions Julian SW 3 n 64 This page intentionally left blank ...

Page 65: ...olumeter Function 76 Configuring During Operation 77 Setting Monitoring Functions 78 Configuring Alarms 81 MAC configuration 83 Anesthetic agent identification and display 83 Calculating the MAC values 83 Displaying MAC 83 Manual Calibration 85 SpO2 Measurement Available Option 86 Sensor Selection 86 C Lock ECG Synchronization 87 Tips to Prevent Artifacts 88 Applying the Durasensor DS 100 A 89 Air...

Page 66: ...ccuracy see page 85 When measuring CO2 anaesthetic agent and N2O their numerical values are shown in grey during the warm up phase whenever the workstation is switched on Because the gas measuring module switches off internally in standby mode calibration is carried out each time the unit is switched on This is indicated by Cal in the measured value window The display CAL appears instead of the nu...

Page 67: ...s 78 and 93 Selecting the Scale Scale for MV trend 0 3 child 0 15 adult Scale for compliance trend 0 20 child 0 100 adult Display example Trend CO2 and minute volume Selecting other trend data Press the appropriate menu key AGas N2O or O2 compl or SpO2 pulse optional The respective menu key will not show if a measuring function is not available Monitoring Selecting the Basic Screen Pages Operating...

Page 68: ...To delete Press delete menu key NOTE The stored trend for the anesthetic gas concentration is deleted automatically when a new leading anesthetic agent is detected Monitoring Selecting the Basic Screen Pages Operating Instructions Julian SW 3 n 68 delete trend test config Julian Standby 4 00 L min 50 or MAN SPONT CMV PCV O2 Fresh Gas O N O 2 2 leak 03 00 01 May 00 Operate via either do not delete ...

Page 69: ... or will light up continuously accompanied by an alarm tone sequence whenever an alarm is displayed When an alarm threshold has been violated the alarm limits menu is opened automatically The respective alarm limit is highlighted and can be adjusted immedi ately and or be confirmed with the dial knob Warning 1 Red light flashes accompanied by a continuous audible alarm Caution 1 Yellow light flash...

Page 70: ...ndby when default alarm limits are reactivated To call up alarm limits Press the menu key alarm limits Display example Measured values and their alarm limits are shown on the right hand side Waveforms with alarm limits represented by dashed lines are shown on the left WARNING The alarm silence button is intended to provide a way of muting audible alarms while corrective action is taken Failure to ...

Page 71: ...g dial knob press to confirm The alarm limit is highlighted Set a new value by turning dial knob press to confirm The new alarm limit is now effective The cursor bar returns to the z z z z symbol For adjustment range of the alarm limits see table to the right To quit the alarm limits menu Press the dial knob or press the Q key Monitoring The Alarm System Operating Instructions Julian SW 3 n 71 67 ...

Page 72: ... value as the measured value Method 1 The mean of the last 4 measured breaths If fewer measured values are available these are used as the basis of determination Method 2 The measured value of the last breath Julian sets the upper alarm limit for PAW to the absolute higher determined measured value of PEAK 5 mbar or PPlateau 10 mbar but at not less than 10 mbar in CMV PCV Julian sets the lower ala...

Page 73: ...ion from automatic ventilation When the alarm limits are set to ON the value is transfered from automatic ventilation mode Alarm Info This function is used to list all active alarms in order of priority Press and hold alarm info menu key Display example Active WARNING level alarm FIO2 Active CAUTION level alarm ETCO2 Active ADVISORY level alarm MIXED AGENT The display only remains visible as long ...

Page 74: ...her When in standby Press delete trend menu key Delete trends and list Press delete trend menu key The system asks to confirm that the trend is really to be deleted To delete Press delete menu key NOTE The stored trend for the anesthetic gas concentration is deleted automatically when a new leading anesthetic agent is detected Monitoring Numerical Trend List Operating Instructions Julian SW 3 n 74...

Page 75: ... bar display of fresh gas flow in L min for O2 and N2O or AIR virtual flow tubes Press curves menu key Display example The name of the curves or display set in each field is displayed together with the choice of possible parameters The current curves and sets are highlighted by a gray background Example To replace the waveform for PAW by the volumeter set Turn dial knob to select the desired displ...

Page 76: ...e elapsed in seconds is displayed above the bar with the integrated volume on the left Individual breaths are separated by segments in the bar The volumeter stops automatically with an acoustic signal after 60 seconds Measured values are displayed for 4 minutes and then disappear Setting Tidal volume VT in L Minute volume MV L min Scale for infants and small children 0 2 2 Scale for adults 1 0 10 ...

Page 77: ...rent settings Monitoring Configuring During Operation Operating Instructions Julian SW 3 n 77 SpO 2 CMV SpO2 et CO2 38 98 67 6 0 10 MV Freq 600 10 10 0 25 1 00 50 alarm limits auto set limits alarm info list config O 2 L min PEEP Freq VT mL T T IP I Pmax Fresh Gas O N O 2 2 curves cmH2O bpm cmH2O 1 2 0 O2 45 41 2 N O 53 51 Fi Fet Iso 0 8 0 6 Enf 0 6 0 5 MAC age 36 1 3 TI TE CO2 40 0 PAW 0 20 CMV 6...

Page 78: ...ttings 1 through 4 are configured to deliver this audio level Selecting the scale For scaling volumeter function and trend trace Select the line scale with dial knob press to confirm Select adult or child with dial knob press to confirm WARNING Always set audible alarm volume to a level that is sufficiently loud with respect to the general noise level of the surroundings Monitoring Configuring Dur...

Page 79: ...ary knob and press to confirm Select Pa 100 or mbar or cmH2O by turning the rotary knob and press to confirm Setting flow display Select the line Flow display by turning the rotary knob and press to confirm Select MV or Vt by turning the rotary knob and press to confirm The selected parameter is displayed on the standard page Vt alarm limits are not monitored The alarm limits set for MV continue t...

Page 80: ...ng of entries press to confirm Activating monitor defaults This function is used to activate the default monitoring settings configured in standby mode which are active whenever the system is switched on Alarm limits are not affected and remain at their current settings Select the line activate monitor defaults with dial knob press to confirm see page 92 Setting Default Values Monitoring Configuri...

Page 81: ...rms on off To enable disable all SpO2 alarms optional Turn dial knob to select SpO2 on or SpO2 off press to confirm Disabled SpO2 alarms except SPO2 SEN Disc and SPO2 ERR are indicated by the _ symbol in the measurement field Deactivated alarms are indicated by the symbol _ in the measurement field with a corresponding message If all the alarms for this measured value are deactivated this is indic...

Page 82: ...ality of the connected HLM machi ne and is not intended to replace any monitoring or alarms of the HLM machine Selecting HLM alarm mode Press config menu key Turn dial knob to select the column alarms press to confirm Turn dial knob to select the line HLM on press to confirm Display example The lung is kept open with constant airway pressure HLM mode is deactivated automatically when entering Stan...

Page 83: ...1996 pp 179 185 Displaying MAC To activate the MAC display Select column MAC config by turning the rotary knob and press to confirm Select MAC display by turning the rotary knob and press to confirm Select on by turning the rotary knob and press to confirm To select the age correction for the MAC display Select MAC correction by turning the rotary knob and press to confirm Select on by turning rot...

Page 84: ...the nerves The influence of other medication opiates or intrave nous hypnotics is not taken into consideration when calculating MAC values Monitoring MAC configuration Operating Instructions Julian SW 3 n 84 600 10 10 0 25 1 00 50 O 2 L min PEEP cmH O 2 Freq bpm VT mL T T IP I Pmax cmH O 2 Fresh Gas O N O 2 2 PAW 40 20 0 Confirm to select Isoflurane O2 Sensor 21 Vol gas sensor CMV calibration puls...

Page 85: ...te a check mark appears instead of the clock symbol A question mark indicates that calibration must be repeated because the previous calibration attempt was not successful Other settings can already be made during calibration Monitoring Manual Calibration Operating Instructions Julian SW 3 n 85 CMV 600 10 10 0 25 1 00 50 O 2 L min PEEP cmH O 2 Freq bpm VT mL T T IP I Pmax cmH O 2 Fresh Gas O N O 2...

Page 86: ...lts Adults Patient 1 to 20 kg 10 to 50 kg 40 kg 30 kg 50 kg weight Period of Short and long Short and long Short term Short and long Short and long use term monitoring term monitoring monitoring term monitoring term monitoring Patient Limited activity Limited activity Inactive Limited activity Inactive mobility patients only patients only Preferred Toe Finger Finger Finger Nose measuring point Ste...

Page 87: ...pO2 sensor and an electrical signal from the separate ECG monitor Julian uses the R wave of the ECG signal to identify the pulse and to synchronize SpO2 measurement with this signal 2 Route ECG signal from an ECG monitor with cable and plug to the back of the Julian See Technical data on page 143 for compatibility of electrical signal and pin assignment In the event of a delayed ECG signal Synchro...

Page 88: ... must be protected from exposure to bright light e g surgical lamps and direct sunlight otherwise the pulse signal may fail or inaccurate results may be obtained The sensor should not be positioned on limbs together with an arterial catheter blood pressure cuff or intravascular venous infusion otherwise the pulse signal may fail and measurement become inaccurate Measurement accuracy may be reduced...

Page 89: ... Open the clip slightly and slide the sensor onto the finger The tip of the finger must touch the end and the soft padding should rest on the nail and tip of the finger The lead should be on top of the finger Ensure that the finger is not squeezed or hurt by the clip Change the application site at least every 4 hours in order to avoid impairing blood circulation Follow specific Instructions for Us...

Page 90: ...thing circuit 2 Plug T piece into the Y piece 3 Plug filter with luer lock adapter for gas sampling line into the T piece 4 Connect temperature sensor to the Y piece 5 Connect temperature sensor into the temperature socket on the interface panel in the back of the anes thesia workstation Airway temperature is now displayed on the data screen Monitoring Airway Temperature Monitoring Operating Instr...

Page 91: ...Configuring Waveforms Traces 98 Setting Basic Configurations 99 CMV Default Settings 100 PCV Default Settings 100 Setting Fresh Gas Defaults 101 Manual Calibration 102 100 Vol O2 Calibration 102 O2 Linearity Test 103 MAC configuration 103 Anesthetic agent identification and display 103 Calculating the MAC values 103 Displaying MAC 104 Configuring in Standby Mode Contents Operating Instructions Jul...

Page 92: ...ched on Default monitoring settings can be activated during operation with activate monitor defaults see Activating monitor defaults on page 80 Select and confirm default settings with dial knob Display example The menu requests the user to enter a 4 digit password in order to prevent unauthorized tampering with the basic settings This password is given to au thorized personnel during system train...

Page 93: ... always be signaled with maxium volume indepen dent of the current alarm sound setting NOTE Local standards require a volume of at least 45 dB A for audible alarms Therefore settings 1 through 4 are configured to deliver this audio level Selecting the Scale To adapt a default scale for the volumeter function and trend trace Select the line scale with dial knob press to confirm Select adult or infa...

Page 94: ...Select the line CO2 unit with dial knob press to confirm The last value selected is highlighted by a gray background Select the desired units of measurement by turning dial knob press to confirm Configuring in Standby Mode Setting Default Values Operating Instructions Julian SW 3 n 94 Standby Configuration calibration Configuration menu for Measurement Parameters defaults alarm sound scale paramet...

Page 95: ...to confirm The interfaces menu appears in the left hand field Display example COM2 is configured in the upper half of the menu and COM1 and COM3 in the bottom half MEDIBUS Dräger communications protocol for medical equipment Configuring in Standby Mode Setting Default Values Operating Instructions Julian SW 3 n 95 Standby Configuration calibration list entry time interval min NiBP started warning ...

Page 96: ...d confirm the value with the rotary knob The value is then displayed in normal mode The cursor bar jumps to the next default alarm limit Set the next default alarm limit as described above The following alarm limits can be configured The etCO2 _ FiCO2 FiO2 and MV _ alarms can be configured ON or OFF in standby mode for the transition from MAN SPONT When the alarm limits are set to ON the value is ...

Page 97: ...ly in MAN SPONT see tables alarm limits for MAN SPONT page 49 Alarm limits Adjustment range Factory default SpO2 _ 51 to 100 50 to 99 92 Pulseª 1 min _ 31 to 300 30 to 299 120 50 EtCO2 mmHg _ 1 to 75 0 to 74 50 FiCO2 mmHg _ 0 to 10 5 MV L min _ 0 1 to 39 0 to 38 9 12 3 0 FiO2 Vol _ 19 to 100 18 to 99 20 Fi Hal Vol _ 0 1 to 7 0 to 6 9 1 5 Fi Iso Vol _ 0 1 to 7 0 to 6 9 2 3 Fi Enf Vol _ 0 1 to 7 0 t...

Page 98: ...w parameter with dial knob NOTE The corresponding position remains unused if blank is selected Configuring in Standby Mode Setting Default Values Operating Instructions Julian SW 3 n 98 Standby Configuration calibration Configuration Menu for Screen Displays default curves Man Spont default curves CMV default curves PCV defaults alarm sound scale parameter record interface alarm limits curves basi...

Page 99: ...se P Japanese JP Greek GR Hungarian HU Catalan CA Turkish T To change the language setting Turn dial knob to select the line language press to confirm Turn the dial knob until the desired language appears in the display window Press dial knob to confirm selection The texts in the menu now appear in the language selected Setting the alarm tone sequence Turn the dial knob to select the line tone seq...

Page 100: ...0 Standby Configuration Adjust default settings or confirm 600 12 10 0 25 PEEP cmH O 2 Freq bpm VT mL T T IP I Pmax cmH O 2 calibration O sensor 2 21 vol more defaults alarm sound scale parameter record interface alarm limits curves basic configurations CMV default settings PCV default settings Fresh Gas Flow Control 0 1 2 3 4 6 7 8 9 5 1 2 3 5 6 7 8 9 4 gas sensor pls tone adult child 1 2 0 TI TE...

Page 101: ...al knob To return to the Fresh Gas Flow Control menu Press dial knob Configuring in Standby Mode Setting Default Values Operating Instructions Julian SW 3 n 101 Standby Configuration calibration O sensor 2 21 vol more Adjust default settings or confirm Select default carrier gas using hard key defaults alarm sound scale parameter record interface alarm limits curves basic configurations CMV settin...

Page 102: ...n and a linearity test of the O2 sensor can be performed under the more menu option Other settings can already be made while calibration is in progress 100 Vol O2 Calibration Use a separate O2 source e g O2 flowmeter O2 from the Julian breathing system is not suitable as it will still contains traces of anesthetic gas Unscrew sample line from the Y piece and place it in the continuous flow of the ...

Page 103: ...ure of more than 2 volatile anaesthetic agents cannot be reliably detected Calculating the MAC values Julian calculates the MAC value Minimum Alveolar Concentration from the linear total of volatile anesthetic agents measured and N2O The measured values used are the end expiratory concentrations Partial pressures are taken into account Age corrected MAC values are calculated according to W W Maple...

Page 104: ...y dimmed If MAC correction is configured to off the age line is automatically dimmed MAC Definition 1 MAC is equal to the anesthetic gas concentration at which 50 of all patients no longer respond to a stimulation of the nerves The influence of other medication opiates or intrave nous hypnotics is not taken into consideration when calculating MAC values Monitoring MAC configuration Operating Instr...

Page 105: ...eaning Sterilizing 111 Care List for Julian Anesthesia Workstation 114 Assembly 116 Assembling the Breathing System 116 Maintenance 118 Maintenance Intervals 118 Cleaning Replacing Cooling Air Filters 119 Replacing Water Trap 119 Replacing O2 sensor 119 Disposing of Batteries and O2 Sensors 120 Care Contents Operating Instructions Julian SW 3 n 105 Care ...

Page 106: ...d pull it out of its holder It is not reusable and can be disposed of together with ordinary domestic waste Remove breathing hoses and breathing bag Prepare breathing hoses breathing bag and Y piece for cleaning and disinfection in a parts washer disinfection unit WARNING Always follow accepted hospital procedures for handling equipment contaminated with body fluids Care Disassembly Operating Inst...

Page 107: ... When removing and connecting breathing hoses always hold by the connector cuff and not by the spiral reinforcement otherwise the reinforcing spiral may be torn off the cuff Breathing hoses with damaged spirals can easily be kinked and may interrupt ventilation Always check the breathing hoses for damage prior to use Damaged breathing hoses must not be used Care Disassembly Operating Instructions ...

Page 108: ...r 5 Turn container of the bellows counterclockwise and pull downwards 6 Remove bellows Prepare absorber bellows container and the bellows for cleaning and disinfection in a parts washing disin fection unit Removing the breathing system Hold breathing system by its handle and pull it out WARNING Absorbent is caustic and is a strong irritant to the eyes skin and respiratory tract When emptying absor...

Page 109: ...g and disin fection in a parts washing disinfection unit Prepare housing parts for disinfection and cleaning in a parts washing disinfection unit Anesthetic Gas Scavenging System AGS 3 Remove gas disposal assembly tubing 4 Remove the transfer hose 5 Remove the anesthetic gas scavenging system Prepare the individual parts for cleaning and disin fection in a parts washing disinfection unit Care Disa...

Page 110: ...he small silicon hose from the waste gas tube 2 pull the waste gas tube out Prepare the waste gas connector for cleaning and disinfection in a parts washing disinfection unit Care Disassembly Operating Instructions Julian SW 3 n 110 1 2 ...

Page 111: ...commend that only deter gents and disinfectants are used that are compatible with the device e g surface disinfectants on the basis of aldehydes alcohols or quarternary ammonium compounds for disinfection Ensure that all disinfectants are registered with the U S Environmental Protection Agency for use as intended Always follow the instruction labels specifically with respect to prescribed concentr...

Page 112: ...eaning agent no alkaline or chlorine releasing substances risk of corrosion can be sterilized in a steam autoclave at 134 C 273 ºF Surfaces of Julian gas supply hoses cables and Vapor 19 3 Vapor 2000 Wipe off visible soiling with a damp disposable cloth Disinfect with a wipe disinfectant based on the active ingredients outlined Always follow manufacturer s Instructions for Use CAUTION Do not allow...

Page 113: ... incinerated at temperatures of more than 800 C 1472 ºF NOTE All components to be processed are listed in the care list for Julian on pages 114 and 115 together with their appropriate disinfection methods and intervals CAUTION Do not process flow sensor in cleaning and disin fection equipment or steam autoclave flow sensor Do not use compressed air a brush or similar tools to clean flow sensor as ...

Page 114: ...Valve discs Weekly Weekly Daily Bottom part of breathing system Weekly Weekly Daily Container of bellows Weekly Weekly Weekly Valve discs use a cassette Weekly Weekly Daily Expiratory port Weekly Weekly Daily Absorber and insert Weekly Weekly Daily Filter of the sample gas recirculation system Weekly Weekly Weekly Flow sensor Weekly Weekly Daily AGS housing Weekly AGS flow tube without filter Week...

Page 115: ...possible yes yes no possible yes yes no possible yes no outside 4 no yes max 10 times no outside possible 5 no yes no possible no no yes no no yes no possible yes yes no possible no yes no possible no yes no possible no yes no possible yes 2 Only use cleaning agents no alkaline or chlorine releasing substances Risk of corrosion 3 Surface disinfectants based on aldehydes alcohols and quaternary amm...

Page 116: ...sealing screws a quarter turn 6 Hang breathing system into the slide out module Installing the flow sensor 7 Insert flow sensor into receptacle orienting the electric connector socket to fit into the slot 8 Push expiratory port onto sensor with the nose of the port in the receptacle slot Tighten knurled nut by hand Care Assembly Operating Instructions Julian SW 3 n 116 1 2 3 3 5 4 5 5 5 5 5 8 7 6 ...

Page 117: ...4 hours Only fill with soda lime immediately before use Soda lime dries out when exposed to ambient air and sun for a longer period of time This reduces the CO2 absorption capacity and the effectiveness of the indicator 4 Insert absorber into the breathing system from below and turn clockwise as far as possible 5 Slide in breathing system as far as possible 6 Fold down the writing top For installa...

Page 118: ...r possible or when the message FIO2 INOP is displayed Disposal see page 120 Flow sensor Replace when calibration is no longer possible or when the message FLOW INOP is displayed May be incinerated at temperatures of more than 800 C 1472 ºF Sample gas water trap Replace when fill level reaches the mark or when the message CO2 LINE BLK is displayed assuming the sample line was not otherwise blocked ...

Page 119: ...BLK is displayed if the sample line is correctly installed and free of any blockage Hold water trap by its ribbed surface and pull it out of its holder Push a new water trap into the holder until it clicks into place Dispose of old water trap as domestic waste Replacing O2 Sensor When the message FIO2 INOP is displayed or when the sensor can no longer be calibrated 1 Unscrew sensor holder containi...

Page 120: ... throw into fire Risk of explosion Do not force open Danger of bodily injury Follow all local state and federal regulations with respect to environmental protection when disposing of batteries and O2 sensor capsules Care Disposing of Batteries and O2 Sensors Operating Instructions Julian SW 3 n 120 ...

Page 121: ...Contents Troubleshooting 122 Troubleshooting Contents Operating Instructions Julian SW 3 n 121 Troubleshooting ...

Page 122: ...tely be ventilated by hand Check ventilator setting Ensure it is not disconnected No breath detected for 60 seconds in MAN SPONT alarm limits alarm mode WARNING Patient must immediately be ventilated by hand Check patient s spontaneous breathing ability APNEA PRESSURE Ventilation has stopped No change of pressure detected for 15 seconds WARNING Patient must immediately be ventilated by hand Inadeq...

Page 123: ...panel Call DrägerService ET CO2 HIGH Upper alarm limit for end expiratory CO2 concentration has been exceeded for at least two breaths Check ventilation ET CO2 LOW End expiratory CO2 concentration has fallen below lower alarm limit for at least two breaths Check ventilation EXP MAC Upper alarm limit for expiratory MAC value has been exceeded Check Vapor setting Check fresh gas setting HAL HIGH ISO...

Page 124: ...thing system defective Set sample rate to 200 mL min due to high frequency and time constant of CO2 sensor INSP MAC Upper alarm limit for inspiratory MAC value has been exceeded Check Vapor setting Check fresh gas setting JULIAN COM 2 JULIAN COM 3 Communication via RS 232 interface COM 2 COM 3 has been interrupted Check connector plugs on Julian and the connected device MIN VOL HIGH Minute volume ...

Page 125: ...essure pmean less than 2 cmH2O Airway pressure PAW less than 7 cmH2O least 3 seconds P MAX PCV pressure limit not reached Seal the leak Correct pressure limit inspiratory flow or inspiration time if necessary POWER FAIL Electrical supply failure Check battery capacity Prepare manual ventilation PRESS ERR Pressure sensor failed Call DrägerService PRESSURE LIM The ventilator is operating in pressure...

Page 126: ... patient manually Do not operate the system Call DrägerService WATER TRAP The collecting jar of the water trap at the back of the unit is full Exchange the watertrap WaterLock VENT ERR The ventilator control unit is perfor ming an internal restart which takes about 30 seconds Julian is then res tored to its previous operating mode WARNING Ventilate patient manually Do not operate the system VOL AL...

Page 127: ...128 Screen with User Interface 129 Gas Supply Monitoring Panel 130 Rear View 131 Interface Panel 132 Anesthetic Gas Scavenging System 133 Labels 134 What s What Contents Operating Instructions Julian SW 3 n 127 What s What ...

Page 128: ... Auxiliary O2 outlet 16 Hinged arm Front View 1 Screen with user interface 2 Dial knob for selecting setting and confirming 3 Main power switch 4 Writing top 5 Catch to unlock breathing system 6 Bellows 7 Absorber 8 Drawer 9 Holder for suction system What s What Front View Operating Instructions Julian SW 3 n 128 1 2 3 4 5 6 7 8 16 15 14 13 12 11 10 9 MT 488 98 neu ...

Page 129: ... 0 PEEP cmH2O Freq bpm TIP TI 25 Pmax cmH2O Fresh gas O2 N2O 4 00 O2 L min 30 H TI TE 1 2 0 O2 45 41 2 N O 53 51 Fi Fet Iso 0 8 0 6 Enf 0 6 0 5 MAC age 36 1 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 N Screen with User Interface 1 Status field showing the current ventilation mode 2 Graphic field for traces and bar graphs 3 Alarm field for alarm messages and their priority 4 Measurement field f...

Page 130: ...Julian SW 3 n 130 Gas Supply Monitoring Panel 1 Pipeline pressue display 2 Cylinder pressure display 3 O2 flush 4 Safety O2 flow control 5 On Off switch for suction system 6 Vacuum pressue adjustment valve 7 Vacuum pressure gauge for suction 1 2 3 4 7 6 5 MT 489 98 ...

Page 131: ... Power cable 12 Cylinder holders 13 Cooling air filters 14 Connection for sample line and water trap Rear View 1 Vacuum supply port 2 Gas supply ports 3 O2 sensor behind the screw mount sensor holder 4 Connectors for cylinder pressure sensors 5 Interface panel see page 132 6 Waste gas connector 7 Pin for earth cable 8 Auxiliary power outlets 1 2 3 4 5 6 7 8 9 10 14 13 12 11 ...

Page 132: ...32 interface for MEDIBUS 3 COM2 RS232 interface for MEDIBUS 4 COM1 RS232 interface for printer 5 SA Bus For DrägerService only 6 Temp Socket for temperature sensor optional 7 SpO2 Socket for SpO2 sensor optional 8 Sync Socket for C Lock ECG synchronization of the SpO2 option Analog COM 3 Sync SpO2 COM 2 Temp COM 1 SA Bus m 6 7 8 1 2 3 4 5 ...

Page 133: ...GS 1 Receiving system head 2 Socket for Gas Disposal Assembly tubing 3 Flow adjustment valve 4 Flow indicator with float showing scavenging flow 5 Particulate filter 6 Buffer container 7 Socket for transfer hose 8 Socket for second transfer hose closed with screw cap 9 Socket for sample gas scavenging hose 1 2 3 4 5 9 8 7 6 ...

Page 134: ... 1 Label 2 CAUTION DO NOT BLOCK AIR INTAKES ATTENTION NE PAS OBSTRUER LES ENTRÉES D AIR DANGER POSSIBLE EXPLOSION HAZARD IF USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS DANGER RISQUE D EXPLOSION EN CAS D UTILISATION EN PRÉSENCE D ANESTHESIONES INFLAMMABLES Label 1 Label 2 ...

Page 135: ...M WILL NOT AUTOMATICALLY RESPOND TO CERTAIN CHANGES IN PATIENT CONDITION OPERATOR ERROR OR FAILURE OF COMPONENTS THE SYSTEM IS DESIGNED TO BE OPER ATED UNDER THE CONSTANT SURVEILLANCE AND CONTROL OF A QUALIFIED OPERATOR CAUTION USA only FEDERAL LAW AND REGULATIONS IN THE UNITED STATES RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN BEFORE USE CONSULT OPERATOR S INSTRUCTION MANUAL A...

Page 136: ...Operating Instructions Julian SW 3 n 136 This page intentionally left blank ...

Page 137: ... Conditions 138 Performance Data 138 Measuring Functions 139 Interfaces 142 Operating Data 143 APL Valve Characteristics 144 Materials Used 145 Technical Data Contents Operating Instructions Julian SW 3 n 137 Technical Data ...

Page 138: ...x for CMV 10 to 70 cmH2O for PCV PEEP 1 to 70 cmH2O 10 of setting or at least 2 cmH2O Tidal volume for IPPV 50 to 1400 mL 15 of the setting for inspiration flows 10 L min for PCV 20 to 1400 mL result of the ventilation settings Ventilation frequency 6 to 60 per minute 10 or 1 per minute the smaller value applies Insp Exp time ratio TI TE 1 4 to 2 1 10 of setting Plateau time ratio TIP TI 0 to 50 1...

Page 139: ...rement piezoresistive Airway pressure 10 to 99 cmH2O Resolution 1 cmH2O Accuracy Better than 4 of measured value or at least 1 cmH2O the larger value applies O2 measurement fuel cell in sidestream Sample rate 60 mL min or 200 mL min Delay time for sampling Less than 1 second Measuring range 5 to 100 vol Resolution 1 vol Accuracy Calibration in air 3 vol in the range from 5 to 50 vol 5 vol in the r...

Page 140: ...lies Breathing gas temperature measurement NTC resistance Measuring range 20 to 50 C 68 to 122 F Resolution 1 K Accuracy 0 5 K in the range from 30 to 41 C 86 to 106 F CO2 measurement infrared spectrometry CO2 measurement infrared spectrometry Sample rate 60 mL min or selectable 200 mL min Delay time for sampling Less than 1 s for a sample rate of 200 mL min Response time t 10 90 at 200 mL min 300...

Page 141: ...0 1 vol Accuracy for 0 to 5 vol 0 15 vol or 5 of measured value 5 to 8 5 vol 10 of measured value Display range for enflurane 0 to 9 9 vol Resolution 0 1 vol Accuracy for 0 to 54 vol 0 15 vol or 5 of measured value 4 to 9 9 vol 10 of measured value Display range for sevoflurane 0 to 9 9 vol Resolution 0 1 vol Accuracy for 0 to 6 vol 0 15 vol or 5 of measured value 6 to 9 9 vol 10 of measured value...

Page 142: ...0 nm infrared Acoustic pulse signal A tone is produced for each detected pulse tone pitch proportional to oxygen saturation Interfaces Analog output Plug connector 9 pin sub D electrical isolation 1 5 kV PAW 0 to 100 cmH2O 0 to 5 V PIN 3 Flow 0 to 150 L min 0 to 5 V PIN 6 CO2 0 to 10 kPa 0 to 5 V PIN 9 Ground PIN 1 4 7 COM1 record printer Connector 9 pin sub D electrical isolation 1 5 kV Pin assig...

Page 143: ...y O2 270 to 550 kPa 39 to 80 psi N2O 270 to 550 kPa 39 to 80 psi AIR 270 to 550 kPa 39 to 80 psi Max cylinder pressure O2 and N2O 19 000 kPa 2 750 psi Drive gas consumption Operation MV 1 L min AIR or O2 Standby and MAN SPONT 0 L min Dimensions of Julian W x H x D 68 cm x 133 cm x 68 cm Dimensions of the storage tray W x D 43 cm x 29 cm Dimensions of the breathing system W x H x D 31 cm x 35 cm x ...

Page 144: ...Technical Data APL Valve Characteristics 144 APL Valve Characteristics ...

Page 145: ...lMg3 G24 anodized Valve plate seals blue Silicone rubber Insp exp valve disks diaphragm white Rubalit 708 ceramic 708 2 Breathing system cover yellow transparent Polyphenylsulfone PPSO Absorber container yellow transparent Polysulfone PSO Absorber insert black metallic silver Polyetheretherketone PEEK Brass CuZn37 F45 chromium plated Bellows container yellow transparent Polysulfone PSO Bellows bla...

Page 146: ...ex Abbreviations 10 Absorber removing 108 Absorber filling and installing 117 Advisory 69 122 Alarm info 69 73 Alarm limits 70 96 Alarm volume setting 78 93 Alarm tone sequence 99 Alarms 69 81 Alarms CMV 52 Alarms MAN SPONT 49 Alarms PCV 55 Alarms selecting 81 Anesthetic gas scavenging system AGS 31 35 38 109 133 Auxiliary devices 36 Auxiliary power outlets 28 61 Backup gas cylinders 34 Basic conf...

Page 147: ...00 Power failure 36 61 Power supply 36 61 Pulse tone setting 78 93 Record 80 95 Safety 7 8 Sample gas scavenging 32 Sample line 29 106 Sample rate 79 94 Scale selecting 78 93 Screen layout 22 Secretion aspirating 40 56 Self test 41 Soda lime changing 57 SpO2 alarms on off 81 SpO2 measurement 86 94 Spontaneous breathing 47 Standard screen page 25 68 Standard screen configuring 98 Standby 57 65 Ster...

Page 148: ...only and are not intended for use with a specific device 90 37 181 GA 5132 006 enUS Dräger Medizintechnik GmbH 1st edition March 2000 Subject to modifications Dräger Medical Inc H 3136 Quarry Road Telford PA 18969 T 215 721 6910 FAX215 721 6915 Manufactured by Distributed by Dräger Medizintechnik GmbH Germany H Moislinger Allee 53 55 D 23542 Lübeck T 4 51 8 82 0 X 26 80 70 FAX 4 51 8 82 20 80 ...

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