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Instructions for use

Fabius Tiro

WARNING

To properly use this medical device,
read and comply with these
instructions for use.

Anesthesia workstation
Software 3.n

Содержание Fabius Tiro

Страница 1: ...Instructions for use Fabius Tiro WARNING To properly use this medical device read and comply with these instructions for use Anesthesia workstation Software 3 n ...

Страница 2: ...or in configuration from the illustrations Trademarks 1 Consecutive numbers indicate steps of action with the numbering restarting with 1 for each new sequence of actions Bullet points indicate individual actions or dif ferent options for action Dashes indicate the listing of data options or objects A Letters in parentheses refer to elements in the related illustration A Letters in illustrations d...

Страница 3: ...re persons who are responsible for the maintenance of the product Service personnel must be trained in the maintenance of medical devices and install reprocess and maintain the product Experts Experts are persons who perform repair or complex maintenance work on the product Experts must have the necessary knowledge and experience with complex maintenance work on the product WARNING A WARNING state...

Страница 4: ...4 Instructions for use Fabius Tiro SW 3 n Abbreviations and symbols Explanations can be found in the sections Abbreviations and Symbols in chapter Symbols ...

Страница 5: ...reen colors optional 51 Assembly and preparation 52 Before first operation 53 Connecting the gas supply 55 Ensuring the gas supply 61 Assembling the breathing system 62 Connecting the sensors and measurement lines 76 Fastening the manual resuscitator 79 Instructions for mounting the accessories 79 Getting started 82 Daily checkout and pre use checkout 83 Switching on 83 Checking the readiness for ...

Страница 6: ...cal data 182 General information 183 Ambient conditions 183 Device data 184 Fuses 186 External fresh gas outlet 187 Electrical safety 187 General safety standards for anesthesia workstations 187 Ventilator 189 Anesthetic gas supply module 191 Vaporizer interface 192 Breathing system 194 Alarm for low oxygen supply pressure 197 Alarm tone sequence IEC 197 Characteristics of additional acoustic sign...

Страница 7: ...e instructions for use 8 Maintenance 8 Safety checks 8 Accessories 8 Connected devices 9 No operation in potentially explosive areas 9 Safe coupling with electrical equipment 9 Patient safety 10 Patient monitoring 10 Information on electromagnetic compatibility 10 Installing accessories 11 Keeping the instructions for use 11 Training 11 Product specific safety information 12 ...

Страница 8: ...rictly observe all WARNING and CAUTION statements throughout these instructions for use and all statements on medical device labels Failure to observe these safety information statements constitutes a use of the medical device that is inconsistent with its intended use WARNING Risk of medical device failure and patient injury The medical device must be inspected and serviced regularly by service p...

Страница 9: ...all connected devices and device combinations WARNING Risk of device malfunction This medical device can be operated in combination with other Dräger devices or with devices from other manufacturers If a device combination is not approved by Dräger the safety and the functional state of the individual devices can be compromised The operating organization must ensure that the device combination com...

Страница 10: ...l of patient monitoring lies solely with the user of the medical device Information on electromagnetic compatibility General information on electromagnetic compatibility EMC according to the international EMC standard IEC 60601 1 2 Medical electric equipment is subject to special precautionary measures concerning electromagnetic compatibility EMC and must be installed and put into operation in acc...

Страница 11: ... protective ground of one of these devices fails the leakage current may rise above the permissible values Only connect with the approval of the respective device manufacturer Have the leakage current checked by service personnel If the permissible value is exceeded use a mains power socket on a wall instead of the auxiliary power socket of the device CAUTION Risk of device failure Install the acc...

Страница 12: ...ly monitor the medical device so that corrective measures can be initiated immediately WARNING Risk of device failure The device can fail if the power supply is interrupted Always connect the device on an uninterruptible power supply WARNING Risk of patient injury Every user has the obligation to assess independently which components are required corresponding to the specific prerequisites for the...

Страница 13: ... use substances containing alcohol Do not allow combustible or explosive substances to enter the breathing system or breathing circuit Do not use cyclopropane or ether WARNING Risk due to failure of flow measurement Deposits that were not removed during reprocessing can damage the measuring wires in the flow sensor or cause a fire Before inserting the flow sensor check for visible damage soiling a...

Страница 14: ...e following points to avoid electric shock The covers of the components must not be removed Maintenance work must only be performed by DrägerService Use only grounded electrical connections and power cables that meet hospital standards Before connecting the medical device make sure that external devices are grounded to meet the hospital standard in accordance with national applicable regulations B...

Страница 15: ...ius Tiro SW 3 n 15 Application Application Intended use 16 Indications Contraindications 17 Indications 17 Contraindications 17 Further information on application 17 Environment of use 17 The MEDIBUS and Vitalink protocols 18 ...

Страница 16: ...port pressure supported ventilation SIMV PS synchronized intermittent ventilation with pressure support ManSpont manual ventilation spontaneous breathing optional WARNING Risk of patient injury In accordance with the general safety standards for anesthesia systems additional monitoring of the concentrations of CO2 and anesthetic agent is required WARNING Risk of insufficient ventilation Device fai...

Страница 17: ...stic interventions can be carried out NOTE CO2 values and anesthetic gas values can be monitored if the Fabius is combined with a gas monitor e g Vamos or a gas analyzer e g Scio with Dräger patient monitor NOTE O2 monitoring can be deactivated on site by an authorized service partner More information can be found in chapter Deactivating the O2 monitoring on page 119 If O2 monitoring is deactivate...

Страница 18: ... or patient injury and user injury Magnetic fields can negatively influence the correct functioning of the medical device and therefore endanger the patient or user Do not use the medical device near magnetic resonance imagers WARNING Do not use soda lime based on potassium hydroxide Otherwise there is a risk of CO formation WARNING Risk of patient injury All data transferred via the MEDIBUS inter...

Страница 19: ...s connections side view 25 Interface panel 26 Vaporizer 27 Ceiling mounted version optional 28 Wall mounted version optional 29 Supplemental O2 delivery optional 30 Functional check of the supplemental O2 delivery 30 APL valve 31 Interfaces 32 Recommended device configuration 33 External fresh gas outlet 35 Using the external fresh gas outlet as a common gas outlet 36 Use of the external fresh gas...

Страница 20: ...ing B Total flow tube C Screen D Vaporizer mount E Fresh gas delivery F Pressure gauge for gas cylinders O2 Air or N2O G Writing tray H Drawers I Locking brake J Power supply unit for COSY breathing system heating K CO2 absorber L Compact breathing system COSY M O2 flush N Ventilator O Supplemental O2 delivery for O2 insufflation 20990 A B C D E F G H I J K L M N O optional ...

Страница 21: ...r guard or COSY guard not illustrated F Expiratory port G Connection for breathing bag H Inspiratory port I Inspiratory valve J Fresh gas decoupling valve K Connection for APL bypass valve L Mount with locking pin M APL valve with selection for manual ventilation Man and spontaneous breathing Spont N Connection for sample line O Holder for sample line optional 20983 A B C D E F G H I J K L M N O o...

Страница 22: ...Overview 22 Instructions for use Fabius Tiro SW 3 n Power supply unit for COSY heating front view A LED indicator for COSY heating B On Off switch C Fuse 21014 A B C ...

Страница 23: ...Instructions for use Fabius Tiro SW 3 n 23 Overview Power supply unit for COSY heating rear view A Power inlet B LED indicator for power supply C Cable clamp 21015 A B C ...

Страница 24: ...on for ventilator hose D On Off switch E Fuse F Fresh gas outlet G Potential equalization pin H Compact breathing system COSY I Pin index connection J Connection for compressed gas hoses of the gas cylinders K 2 open connections for central supply hoses 1 sealed connection without function 20985 A B C D E F G H I J K optional ...

Страница 25: ...connections side view A Vaporizer mount B Connections for central supply hoses C Connections for gas cylinders with O2 O2 and N2O or O2 and Air screw connections D Gas cylinders 20984 O2 280 600 kPa 280 600 kPa AIR 280 600 kPa N2O O2 AIR N2O A B C D optional ...

Страница 26: ...n Interface panel A COM 1 port B COM 2 port C Connection for APL hose D Socket for O2 sensor E Socket for airway pressure sensor F Socket for flow sensor G On Off switch H Fuse I Power inlet J Connection for PEEP hose 20991 A B C D E F G H I J optional ...

Страница 27: ...por D Vapor 3000 is a heated calibrated vaporizer for enriching dry medical fresh gas of an anesthesia workstation with the anesthetic agent desflurane There are various connector systems with which vaporizes can be connected to an anesthesia workstation Dräger recommends using only vaporizers that are listed in the list of accessories More information can be found in the respective instructions f...

Страница 28: ... space CAUTION Risk of crushing When the medical device is set on the floor body parts can be crushed Make sure there is sufficient free space CAUTION Risk of injury or risk of damage to the medical device If the medical device is let down to the floor obstructions can damage the medical device If the medical device is lifted or lowered protruding parts can be damaged Remove all obstructions from ...

Страница 29: ...there is sufficient free space CAUTION Risk of injury or risk of damage to the medical device If the maximum weight is exceeded the holder can release from the wall mount The total weight of the anesthesia workstation including all accessories must not be exceeded see Instructions for mounting the accessories and Technical data CAUTION Risk of injury or risk of damage to the medical device When th...

Страница 30: ...heck of the supplemental O2 delivery Turn the flow control valve A counterclockwise Check if the float can freely move in the flow tube After the O2 insufflation is ended the flow control valve of the supplementary O2 delivery must be completely closed Turn the flow control valve A clockwise to the final position stop WARNING Risk due to overpressure When the patient s connection to the supplement...

Страница 31: ...nt Setting of the maximum airway pressure for manual ventilation WARNING Risk of patient injury Wires and cables can get caught under the APL valve adjustment knob and block the APL valve Lay all cables and wires e g sample line so that they do not get caught 20956 NOTE The APL valve is automatically separated from the breathing system as soon as an automatic ventilation mode is selected WARNING R...

Страница 32: ... with the approval of the respective device manufacturer Have the leakage current checked by service personnel If the permissible value is exceeded disconnect the devices from the MEDIBUS interface A CAUTION Risk of electrical safety To ensure electrical safety only connect devices to the serial ports COM 1 and COM 2 with a maximum nominal voltage of 24 Vdc that meet one of the following standards...

Страница 33: ...athing gas monitor either to COM 1 or COM 2 A Configuration 2 Fabius Multiparameter monitor with a COM connection 1 Connect monitor to COM 1 B Configuration 3 Fabius Gas analyzer SCIO Vamos Multiparameter monitor with a COM connection 1 Connect monitor to COM 1 C 2 Connect the gas analyzer to connection COM 2 D 20958 optional 20958 A A B B 21915 C C D D ...

Страница 34: ...tem 1 Connect monitor G to the anesthesia protocol system 2 Connect the anesthesia protocol system to COM 1 H or COM 2 Configuration 6 Fabius Multiparameter monitor with 2 COM interfaces Automatic anesthesia protocol system 1 Connect monitor I to the anesthesia protocol system 2 Connect the anesthesia protocol system to COM 1 J 3 Connect monitor to COM 2 K 20959 NOTE The data transmission of the g...

Страница 35: ...ected to the external fresh gas outlet When using a non rebreathing system ensure an adequate gas monitoring WARNING Risk of misinterpretation of measured values The values for O2 pressure and volume displayed on Fabius do not correspond to the values for the patient connected to external fresh gas outlet as they are based on measurements taken at the compact breathing system When using the extern...

Страница 36: ...on rebreathing system e g Bain Use of the external fresh gas outlet with an additional switch The switch enables the simple switching of the fresh gas supply from the compact breathing system to the non rebreathing system Overview A External fresh gas outlet with an additional switch B Long fresh gas hose on Fabius C Short fresh gas hose on compact breathing system D Compact breathing system E Sam...

Страница 37: ...charge FiO2 Inspiratory oxygen fraction Freq Respiratory rate Freq Min Mandatory minimal respiratory rate in Pressure Support mode HF High frequency hPa Hectopascal Insp Flow Inspiratory flow kPa Kilopascal L min Liters per minute lbs Pound unit of mass LED Light emitting diode ManSpont Manual ventilation Spontaneous breathing mbar Millibar MEAN Mean airway pressure MEDIBUS X Dräger communications...

Страница 38: ... TI TINSP Inspiratory time TE Expiratory time TI TE Ratio of inspiratory time to expi ratory time TIP TI Ratio of inspiratory pause to inspiratory time Trigger Trigger UMDNS Universal Medical Device Nomenclature System nomen clature for medical devices USB Universal Serial Bus computer interface VT Tidal volume PPS Differential pressure of the pres sure support in Pressure Sup port mode Abbreviati...

Страница 39: ...ation on electromagnetic com patibility on page 10 Risk of crushing Label on device surfaces where the risk of tipping is increased by e g leaning on or against the surface or pushing Serial number Order number XXXX REF Batch designation Keep away from sunlight Storage temperature Relative humidity Atmospheric pressure Do not use if package damaged Do not reuse Alarm inactive The alarm tone is sup...

Страница 40: ...per and lower alarm limits Lower alarm limit Upper alarm limit Socket for O2 sensor Socket for flow sensor Socket for airway pressure sen sor Ventilator connection Fuse Do not oil Close menu Key for access to alarm limits Key to call up main screen Symbol Explanation Key for switching the workstation light on and off Key to call up the configuration menu Key for suppressing the acoustic alarm sign...

Страница 41: ...t instructions see Preparing for storage or transport on page 111 Trolley version Observe the weight of the nominal configuration and the permissible total weight see Technical data Wall mounted version ceiling mounted version Observe the weight of the nominal configuration and the permissible total weight see Technical data nom 116 kg max 235 kg nom 48 kg max 105 kg ...

Страница 42: ...gs and system settings 46 Changing the ventilation mode 46 Selecting and setting the ventilation parameters 47 Fresh gas delivery version for 3 gases 48 Total flow tube 49 Monitoring resolutions for fresh gas flow 49 LED indicators 50 LEDs for operating status 50 LEDs for alarm status 50 Color coding for anesthetic agents and medical gases 51 Screen colors optional 51 ...

Страница 43: ... illumination on and off Opens the window with alarm limits In the mode Standby Opens a menu for configuration of the system settings and default settings see chapter Configuration in standby mode on page 125 In a ventilation mode Opens a menu for displaying and chang ing the monitoring settings see chapter Configuration during operation on page 139 Changes from displayed screen to the main screen...

Страница 44: ...cators Softkeys The labeling on the softkeys depends on the active ventilation mode In all ventilation modes the softkeys only display those ventilation parameters and ventilation functions that are available in the respective ventilation mode Example for Volume Control mode PMAX VT Freq TI TE TIP TI PEEP More information can be found in chapter Configuration in standby mode on page 125 ...

Страница 45: ...n the status bar Current ventilation mode Remaining time of alarm tone suppression Status of the desflurane compensation Remaining battery charge Current time B Alarm message field Display of maximum 4 alarm messages with highest priority C O2 monitoring Display of the inspiratory oxygen concentration in percent as well as the upper and lower alarm limits 21572 A B C D E F G H for Japan and China ...

Страница 46: ... of these settings requires a selection and confirmation by pressing the rotary knob To change a value or parameter or to navigate in the menus turn the rotary knob In this document these procedural steps are simply called select To confirm a value or a selection press the rotary knob Without confirmation with the rotary knob the value or parameter is not changed In this document these procedural ...

Страница 47: ...ation settings C The key D is highlighted 2 Select new value and confirm The pressure waveform is displayed again 21577 21579 Volume Control A B Volume Control C D NOTE The time limit for changes of ventilation parameters is 15 seconds After 10 seconds an acoustic signal consisting of 3 tones is sounded If the new setting is not confirmed within the time limit the current ventilation settings rema...

Страница 48: ...s flow display C Electronic Air fresh gas flow display D Electronic O2 fresh gas flow display E N2O flow control valve F Air flow control valve G O2 flow control valve H Pressure gauge for the central N2O supply I Pressure gauge for the central Air supply J Pressure gauge for the central O2 supply K Pressure gauges for gas cylinders only for devices on trolley L LED warning indicator for low O2 pr...

Страница 49: ...open the N2O flow control valve until the total flow tube displays 3 L min Monitoring resolutions for fresh gas flow Fabius can be configured for the following resolutions of fresh gas flow by DrägerService or the authorized local service partner Standard resolution A High resolution B If a flow is higher than 9 99 L min the standard resolution is activated If the standard resolution is configured...

Страница 50: ... lit In addition the standby key B and all keys of the ventilation modes C have small LEDs that light up when the respective mode is active LEDs for alarm status Fabius has alarm LEDs that signal alarms and indicate the alarm priority For additional information see chapter Alarms Alarm LEDs Red LED A flashing signals a warning Yellow LED B flashing signals caution Yellow LED B is lighted continuou...

Страница 51: ...s for O2 Air and N2O are adapted according to locally applicable standards Screen colors optional For improved visibility Fabius displays the following screen elements in different colors Softkeys default Alarm messages see chapter Alarm priorities Virtual flow tubes setting according to country specific gas color codes Screen background bright dark The screen elements are only displayed in color ...

Страница 52: ...er to the compact breathing system 62 Mounting the COSY heating and the power supply unit optional 65 Connecting the compact breathing system 66 Inserting the flow sensor 67 Connecting the exhaust port 68 Connecting the breathing bag 68 Connecting the endotracheal suction system optional 70 Connecting the breathing hoses and the filters 71 Inserting a new O2 sensor capsule 75 Connecting the sensor...

Страница 53: ... Risk of device malfunction If the battery is not sufficiently charged and the mains power supply fails operation cannot be maintained long enough Before first operation or after storage charge the battery for at least 8 hours WARNING Risk due to reduced power supply from the internal battery Batteries are wear parts The capacity of the battery diminishes with the period of use Check the functiona...

Страница 54: ...y power sockets can lead to an increased leakage current If the protective ground of one of these devices fails the leakage current may rise above the permissible values Only connect with the approval of the respective device manufacturer Have the leakage current checked by service personnel If the permissible value is exceeded use a mains power socket on a wall instead of the auxiliary power sock...

Страница 55: ...supply battery WARNING Risk due to gas supply failure All gas supplies central gas supply gas cylinders must be correctly connected since otherwise the backup system gas cylinders will not be available if gas supply fails Make sure that all compressed gas hoses are correctly connected to the rear side of the device After connecting the gas supply check for correct function Even when the anesthesia...

Страница 56: ...central gas supply hoses between the central gas supply and Fabius are interchanged serious accidents can occur If Fabius is connected to the central gas supply it must be checked whether the marks on the hoses agree with the connections of the central gas supply 20952 O2 280 600 kPa 280 600 kPa AIR 280 600 kPa N2O A B CAUTION Risk of insufficient gas pressure If the supply pressure of the central...

Страница 57: ...ten the handle I of the cylinder holder J If required the gas cylinder valve C can be opened with the supplied wrench G If the gas cylinder is removed insert the plug H in the mounted gas cylinder holder and tighten WARNING Risk due to incorrect mounting of the gas cylinder When using several sealing washers between the gas cylinder and the gas inlet of the cylinder holder the pin index safety sys...

Страница 58: ...ing The gas cylinder must be mounted again 2 Close the cylinder valves again Maximum permissible dimensions of the gas cylinders Observe the following points Do not exceed the maximum length of the gas cylinder including the pressure reducer pin index connection The gas cylinders must not protrude over the lower edge of the trolley observe maximum length of the gas cylinders The O2 cylinder must n...

Страница 59: ...alve or the pressure reducer of the O2 cylinder Do not touch with oily or greasy fingers WARNING Risk of explosion If the gas cylinder valves are opened too quickly a sudden increase in pressure may occur Open and close the gas cylinders valve slowly by hand Do not use tools CAUTION Risk due to gas supply failure Leave gas cylinders as a backup at the anesthesia workstation even if there is a conn...

Страница 60: ... anesthetic agent delivery If the vaporizer is filled with the wrong anesthetic agent or if it is not filled sufficiently incorrect anesthetic gas concentrations or concentrations that are too low can occur as a result Strictly observe the instructions for use of the vaporizer Compare the color coding on the vaporizer with the anesthetic agent bottle WARNING Risk due to improperly mounted vaporize...

Страница 61: ...transfer hose B to the provided port 4 Connect the other end of the transfer hose to the exhaust port on the bottom of the COSY 5 Connect the scavenging hose C to the corresponding port of the receiving system 6 Connect the probe of the scavenging hose C to the terminal unit of the anesthetic gas scavenging system Observe the associated instructions for use of the AGSS terminal unit The top edge o...

Страница 62: ...e attached ventilator unit Safety functions of the ventilator Overpressure safety valve F Underpressure safety valve G Pressure sensor in the ventilator chamber Mounting the CO2 absorber to the compact breathing system WARNING Risk of insufficient anesthetic gas concentrations If the component connections of the breathing system are not leak tight enough ambient air may get into the breathing gas ...

Страница 63: ...used Decreased CO2 absorption increased generation of heat in the CO2 absorber resulting in increased breathing gas temperature formation of CO absorption and or degradation of the inhalational anesthetics Do not use unnecessarily high fresh gas flows Only use the supplemental O2 delivery if necessary Do not leave the flow control valves open unnecessarily long WARNING Do not use soda lime based o...

Страница 64: ...r decreases protection 4 Place the CO2 absorber F below the compact breathing system in position and turn counterclockwise to the final position stop 21021 WARNING Risk of hypoventilation Reuse of the soda lime dust filter can increase filter resistance and impair the ventilation function of Fabius Replace the soda lime dust filter each time the soda lime is replaced NOTE Make sure that no soda li...

Страница 65: ...er in the Clic adapter 4 Push the disposable CO2 absorber H upwards into the CLIC adapter until the CLIC adapter engages Mounting the COSY heating and the power supply unit optional The compact breathing system can be operated heated This reduces the condensation of moisture in the breathing system during low flow operation fresh gas flow less than 1 L min Before installation of the COSY heating t...

Страница 66: ... that position 2 Insert the assembled compact breathing system in the provided holder B 3 Release the locking pin again and turn the compact breathing system until the locking pin engages 21016 WARNING Risk due to soda lime drying out The soda lime loses moisture If the moisture falls below the minimum moisture the following adverse reactions occur independent of the type of soda lime and inhalati...

Страница 67: ...e tools Inserting the flow sensor 1 Screw out the expiratory port A 2 Remove the flow sensor guard B 3 Insert the flow sensor C 4 Replace the flow sensor guard B 5 Screw the expiratory port C back on 20943 D E WARNING Risk of fire Residual vapors of easily flammable disinfectants e g alcohols and deposits that were not removed during reprocessing can ignite when the flow sensor is in use Ensure pa...

Страница 68: ...xic or incompatible materials The breathing bag used must comply with the current standards WARNING Risk of too high airway pressure or insufficient fresh gas If the breathing bag is pinched excessive airway pressures or a lack of fresh gas can occur Attach and position the breathing bag so that it is not pinched and can inflate freely CAUTION Risk of patient recovering consciousness A blocked or ...

Страница 69: ... B Check that the arm is fixed securely 3 Fasten the elbow D at the end of the flexible arm 4 Fasten the breathing bag C on the other end of the elbow Mounting the rigid arm Prerequisite Before mounting the rigid breathing bag holder the bag elbow on the compact breathing system must be removed 1 Position and align the connection adapter A of the rigid arm on the connection of the compact breathin...

Страница 70: ...astened on the side GCX rail C on Fabius 2 The suction bottle D is attached to a separate holder Suction systems used When using an ejector suction with drive gas Connect the Air connection hose of the suction system via a 3 way adapter to the gas supply block or the central gas supply For vacuum suction Connect the vacuum hose of the suction system directly to the central gas supply Prepare the s...

Страница 71: ...cement of hoses cables and similar device components can endanger the patient Use particular caution when establishing connections to the patient WARNING Risk of use of toxic or incompatible materials The breathing hoses must comply with the current standards WARNING Risk due to particles and dust In order to protect the patient from particles and dust a filter must be used between the inspiratory...

Страница 72: ...the breathing bag hose C with the breathing bag to the corresponding connector NOTE Fabius contains no components made of natural rubber latex For latex free use use a latex free breathing bag and breathing hoses Adults Pediatric patients Neonates Tidal volume 700 mL 201 to 700 mL 50 to 200 mL 50 mL Breathing bag 3 L 2 L 1 L 0 5 L Breathing circuit Adults Pediatric Neonates or pediatric Filter Fil...

Страница 73: ...at Y piece Filter at inspiratory port connec tion for sample line as close to patient as possible Lateral connections for the sam ple line support CO2 measure ment and help to flush the dead space between Y piece and hose adapter LQVS H S LQVS H S LQVS H S 21458 WARNING Risk of underpressure in the lungs If filters are blocked the sample gas flow can immediately cause underpressure in the lungs Wh...

Страница 74: ... and with volume controlled ventilation a correct tidal volume applied WARNING Risk due to accessory components in breathing circuit When using additional components or hose configurations which deviate from the standard breathing circuit the inspiratory and expiratory resistance values may be increased beyond standard requirements When using such configurations the user must pay special attention...

Страница 75: ...t RExsp Y piece Make sure that for the calculation of the resistance only the accessories resistance values and the peak flows are used for the respective accessory category and patient category e g resistance values for adults at 60 L min for children at 30 L min and for neonates at 5 L min Inserting a new O2 sensor capsule 1 Remove the O2 sensor housing from the inspiratory valve 2 Unscrew the s...

Страница 76: ...sor cable with the connection marked with on the rear of the device Connecting the pressure sensor 1 Connect the pressure measurement hose to the corresponding connector A on the bottom of the compact breathing system Make sure that the pressure measurement hose is not pinched 2 Connect the other end of the pressure measurement hose to the bacterial filter B 3 Plug in the bacterial filter into the...

Страница 77: ...the pressure measurement hose and the pressure gauge 3 Connect the other end of the pressure measurement hose to the bacterial filter C 4 Plug in the bacterial filter into the connection D marked with on the rear of the device Connecting the flow sensor 1 Connect the flow sensor cable to the corresponding connection A on the bottom of the compact breathing system 2 Plug in the other end of the flo...

Страница 78: ... compact breathing system 2 Connect the other end of the hose to the connection marked with APL C on the rear of the device 3 Connect the PEEP PMAX hose to the corresponding connection port of the PEEP PMAX valve D on the compact breathing system 4 Connect the other end of the hose on the connection marked with PEEP B to the rear of the device 20986 NOTE The APL bypass hose is thicker than the PEE...

Страница 79: ...d on the holder Instructions for mounting the accessories 20978 A CAUTION Observe the assembly instructions of the accessory WARNING Risk of tipping and risk of injury If the maximum permissible weight is exceeded or if monitors and other auxiliary devices are placed on the medical device the device can fall Especially if the medical device is rolled over door thresholds and similar obstacles Befo...

Страница 80: ...l may be loaded with max 5 kg 11 lbs The individual drawers in the trolley may be loaded with maximum 6 8 kg 15 lbs On the rear of the device a maximum of 35 kg 77 lbs gas cylinders including holder and acces sories can be attached Left side Top of device Right side Maximum permissi ble weight of the accessories is 15 kg 33 lbs A max of 10 kg 22 lbs may be attached in the rear top GCX rail at a di...

Страница 81: ...shelf Dismount any additional devices mounted to the swivel arms or the top of the device e g patient monitors data management systems syringe pumps Clear the writing tray and slide it completely into the device Position the optional flexible arm for breathing bag close to the device Prepare additional components as described in the respective instructions for use ...

Страница 82: ...d 82 Instructions for use Fabius Tiro SW 3 n Getting started Daily checkout and pre use checkout 83 Switching on 83 Checking the readiness for operation 85 FUNCTIONAL 85 CONDITIONALLY FUNCTIONAL 85 NON FUNCTIONAL 85 ...

Страница 83: ... resulting failures of electrical components do not switch on the device after abrupt temperature changes for 1 to 2 hours e g after storage in unheated rooms Set On Off switch A to the position WARNING Risk of device malfunction Some safety systems are only checked during start up A selftest should be performed once daily Switch the Fabius on and off or press the softkey Run System Test WARNING R...

Страница 84: ...peakers To hear these tones do not stand any further than 4 meters 13 feet from the device After completion of the system test the default settings for ventilation are loaded CAUTION Malfunction of the device function The user must check whether the test tones were actually sounded The device only checks whether the speakers are connected A complete loss of the ventilation function and monitoring ...

Страница 85: ...e Standby is displayed CONDITIONALLY FUNCTIONAL A non critical malfunction was found The anesthesia workstation can be used To open the page Standby press the rotary knob Check if an alarm message is displayed Contact DrägerService or the authorized local service partner NON FUNCTIONAL A serious malfunction was found and the operation of the monitoring functions and ventilation functions are block...

Страница 86: ...pport optional 99 Ventilation mode SIMV PS optional 101 Adopting ventilation settings during mode change 103 Safety functions of the ventilator 104 Behavior with too low fresh gas supply 104 Behavior of Fabius if the user does not take any action 104 Patient change 105 Using the external fresh gas outlet as a common gas outlet optional 106 Preparation 106 Operation 107 Ending operation 107 Using t...

Страница 87: ... gas mixtures if N2O is selected as the carrier gas Starting at a flow of approx 200 mL min the N2O concentration in the fresh gas can be set to a value between 0 and 75 When a lack of O2 is present the S ORC limits the N2O concentration in the fresh gas so that the O2 concentration will not fall below 23 Vol S ORC inhibits the N2O flow under the following conditions N2O flow control valve is open...

Страница 88: ... time that require O2 for example O2 flush O2 fresh gas flow Endotracheal suction WARNING Risk of material damage and risk to health A vaporizer must never remain in operation without a fresh gas flow High concentrations of the anesthetic gas flow into the ventilation circuit and the ambient air This can lead to material damage and contamination of the ambient air with anesthetic gases Never cut o...

Страница 89: ...mal anesthetic agent bottle can be refilled 5 Fill the vaporizer at the latest when the minimum mark E is reached refer to instructions for use of the respective vaporizer O2 flush The O2 flush is used for flushing and quickly filling the breathing system and breathing bag with O2 while bypassing the vaporizer During this an unmetered flow of at least 35 L min is given to the breathing system and ...

Страница 90: ... contains a fraction of approx 77 nitrogen If the device is used for a low flow anesthesia press the key This removes the nitrogen WARNING Risk due to the accumulation of acetone in the patient Do not perform low flow anesthesia on patients with ketoacidosis or patients under the influence of alcohol The risk of accumulation of acetone in the patient increases in such cases CAUTION Risk of patient...

Страница 91: ...l anesthetic used Decreased CO2 absorption increased generation of heat in the CO2 absorber resulting in increased breathing gas temperature formation of CO absorption and or degradation of the inhalational anesthetics Do not use unnecessarily high fresh gas flows Only use the supplemental O2 delivery if necessary Do not leave the flow control valves open unnecessarily long CAUTION Risk of chemica...

Страница 92: ... described Changing to spontaneous breathing 1 Turn the APL valve head counterclockwise to its final position stop The label Spont and both points are vertical to each other The valve head lifts The pressure limitation is disabled and the valve is open for free spontaneous breathing 2 Set suitable fresh gas flow 3 Press the ManSpont A key 4 Confirm the new mode WARNING Risk of strangulation Neglig...

Страница 93: ...r Volume alarms on page 121 Changing to manual ventilation 1 Set the APL valve head to the desired maximum airway pressure Settings between the grid marks are also possible 2 Press the ManSpont A key 3 Confirm the new mode 21711 NOTE In ManSpont mode the apnea alarm time for triggering apnea volume alarms is extended from 15 seconds to 30 seconds Caution category and from 30 seconds to 60 seconds ...

Страница 94: ...tilation modes on page 122 Volume Alarms see chapter Volume alarms on page 121 4 To refill the breathing bag press the key 5 Set suitable fresh gas flow 6 Start manual ventilation with the breathing bag The pressure is limited to the value that is set on the APL valve Pressure release In the ManSpont mode lifting the valve head relieves pressure from the breathing system 21711 20947 ManSpont B B 2...

Страница 95: ...olume Control mode is described 1 Press the Volume Control A key 2 Adjust ventilation settings B 3 Confirm the new mode In the following table all parameters B in Volume Control mode together with the corresponding setting ranges and factory settings are listed NOTE If the ventilator works at its performance limit due to the volume control settings Fabius cannot make the compliance compensation If...

Страница 96: ...idal volume VT is supplied with the lowest inspiratory flow Insp Flow that is possible at the corresponding respiratory rate Freq In addition a positive end expiratory pressure PEEP can be set To prevent too high pressure the alarm limit PMAX can be set corresponding to the physiological condition of the patient The lower alarm limit of the airway pressure PAW low is used for the airway pressure m...

Страница 97: ...compliance and resistance the set value for Freq Min in Pressure Control mode might not exactly be applied In the following table all parameters B in Pressure Control mode together with the corresponding setting ranges and factory settings are listed 21725 21727 Volume Control A B Pressure Control Parameter Setting range Factory set ting Inspiratory pressure PINSP cmH2O hPa 5 to 65 min PEEP 5 15 R...

Страница 98: ...ent compliance The parameter Insp Flow is used to set the increase of the slope of the pressure waveform In addition a positive end expiratory pressure PEEP can be set The lower alarm limit of the airway pressure PAW low is used for the airway pressure monitoring to detect apnea disconnection and continuous pressure If the pressure waveform does not cross the pressure threshold either from above o...

Страница 99: ...on is available which can ensure a minimum ventilation To activate apnea ventilation for the setting Freq Min another setting must be selected than OFF If the detected spontaneous respiratory rate of the patient drops under the set value for Freq Min a mechanical breath is applied Apnea ventilation is not intended to be a primary ventilation mode For apnea ventilation Fabius uses the settings for ...

Страница 100: ... Min e g 20 seconds If no inspiratory effort is detected and the safety period has elapsed the device generates a pressure controlled breath with PINSP PPS The lower alarm limit of the airway pressure PAW low is used for the airway pressure monitoring to detect apnea disconnection and continuous pressure If the pressure waveform does not cross the pressure threshold either from above or below an a...

Страница 101: ...Freq TINSP TIP TI PEEP To support the inspiratory effort of the patient in ventilation SIMV mode pressure support PPS can be switched on The setting of PPS to another value than OFF activates the mode Pressure Support see chapter Ventilation mode Pressure Support optional on page 99 Changing to SIMV mode In the following examples and illustrations the change from Volume Control mode to SIMV PS mod...

Страница 102: ...reaths of the patient These spontaneous breaths can be supported with PPS The lower alarm limit of the airway pressure PAW low is used for the airway pressure monitoring to detect apnea disconnection and continuous pressure If the pressure waveform does not cross the pressure threshold either from above or below an alarm is sounded Parameter Setting range Factory set ting Pressure limita tion PMAX...

Страница 103: ...ue that lies 10 cmH2O hPa above the plateau pressure PLAT that occurred in Pressure Control When changing from Volume Control to Pressure Support Insp Flow is set to the last used value or the factory setting PPS is set to the last used value or the factory setting Trigger is set to the last used value or the factory setting When changing from Pressure Control to Pressure Support Insp Flow is set ...

Страница 104: ...ce the ventilator does not contain sufficient fresh gas the reserve volume is absorbed As long as there is insufficient fresh gas the safety valve B for ambient air remains open during expiration This allows for emergency ventilation with limited VT even with extremely low fresh gas supply There will be no sudden switch off of the ventilator 20979 NOTE To remedy this the user must take actions e g...

Страница 105: ...est in the following cases When the soda lime is replaced When the breathing hoses are replaced When a vaporizer is replaced or filled 5 Set the ventilation mode and continue see chapter Ventilation on page 92 WARNING Risk due to incorrect settings For anesthesia machines within the same care area different standard alarm limits or ventilation settings might be configured The user must observe the...

Страница 106: ...ntilation or spontaneous breathing and must only be connected to the external fresh gas outlet When using a non rebreathing system ensure an adequate gas monitoring WARNING Risk of misinterpretation of measured values The values for O2 pressure and volume displayed on Fabius do not correspond to the values for the patient connected to external fresh gas outlet as they are based on measurements tak...

Страница 107: ...ation 1 Change to Standby mode 2 Set the fresh gas flow To prevent rebreathing the fresh gas supply must be at least double the minute volume 3 Operate the non rebreathing system according to the corresponding instructions for use Ending operation 1 Close all flow control valves on the device 2 Disconnect the non rebreathing system from the external fresh gas outlet 3 Connect the fresh gas hose to...

Страница 108: ... supply to the patient Non rebreathing systems are only intended for manual ventilation or spontaneous breathing and must only be connected to the external fresh gas outlet When using a non rebreathing system ensure an adequate gas monitoring WARNING Risk of misinterpretation of measured values The values for O2 pressure and volume displayed on Fabius do not correspond to the values for the patien...

Страница 109: ...gas supply must be at least double the minute volume 3 Operate the non rebreathing system according to the corresponding instructions for use Operation with the compact breathing system COSY Diverting the fresh gas flow to the compact breathing system 1 Place the switch lever to COSY The lever points in the direction of the fresh gas inlet Ending operation 1 Close all flow control valves on the de...

Страница 110: ...5 minutes 4 Close the cylinder valves 21590 20965 A B WARNING Risk of material damage and risk to health A vaporizer must never remain in operation without a fresh gas flow High concentrations of the anesthetic gas flow into the ventilation circuit and the ambient air This can lead to material damage and contamination of the ambient air with anesthetic gases Never cut off the fresh gas flow before...

Страница 111: ...g transport The medical device may tip over if handled incorrectly Observe the following points when transporting medical devices The medical device may only be moved by people who have the physical ability to do so To improve the maneuverability transport the device with 2 persons When transporting over inclines around corners or over thresholds e g through doors or in elevators make sure that th...

Страница 112: ...Alarms 112 Instructions for use Fabius Tiro SW 3 n Alarms Alarm signaling 113 Display of alarms 113 Acoustic signal 113 Alarm priorities 114 Suppressing the alarm tone 115 Adjusting the alarm limits 115 ...

Страница 113: ...ssage with 3 excla mation points is displayed in the alarm message field A The red LED B flashes accom panied by a repeating alarm tone sequence E E E E Bb E E E E Bb The alarm tone sequence 2x5 alarm tones sounds every 10 seconds A B Caution A message of caution category with 2 exclamation points is displayed in the alarm message field A The yellow LED B flashes accompanied by a repeating alarm t...

Страница 114: ...mbers are listed in the table in chapter Alarm Cause Remedy on page 152 There can be a maximum of 4 alarm messages displayed at the same time in a list Alarm messages with higher priority are displayed before alarm messages with lower priority Alarm messages with low priority are only displayed if the cause for a high priority alarm is remedied Color Priority of the alarm message Required action R...

Страница 115: ...D in the key A goes out Adjusting the alarm limits If an alarm is triggered due to a value falling below or exceeding the alarm limit it might be necessary to adjust the standard alarm limits More information for setting the alarm limits can be found in chapter Changing the alarm limits on page 134 Setting the alarm limits in current ventilation mode Press the key More information can be found in ...

Страница 116: ... Consequences of incorrect O2 calibration 119 Deactivating the O2 monitoring 119 Breathing volume monitoring 120 Parameter field for breathing volume 120 Volume alarms 121 Setting the minute volume alarm limits 121 Deactivating the volume alarms 121 Airway pressure monitoring 122 Parameter field and waveform window for airway pressure 122 Setting the upper alarm limit and the pressure threshold 12...

Страница 117: ...stem COSY top view on page 21 Parameter field for O2 monitoring The following information is displayed in the parameter field for O2 monitoring A Numerical value for the inspiratory O2 concentration in percent in the range from 10 to 100 B Upper alarm limit for the O2 concentration in C Lower alarm limit for the O2 concentration in 21590 A CAUTION Risk of inaccurate measured values If the O2 senso...

Страница 118: ...entration C see setting ranges of alarm parameters in chapter Changing the alarm limits on page 134 3 Confirm new values Calibrating the O2 sensor The O2 sensor must be exposed to the ambient air during the entire calibration The calibration of the O2 sensor is done in the scope of the daily checkout of the readiness for operation of Fabius The O2 sensor can be calibrated in the following ventilat...

Страница 119: ...ration the sensor was exposed to ambient air with 21 O2 Therefore the displayed O2 percentage is higher than the actual O2 percentage D Correct calibration with ambient air 21 O2 during the entire calibration time period Displayed O2 percentage actual O2 percentage E During calibration the sensor was exposed to ambient air with 21 O2 Therefore the displayed O2 percentage is lower than the actual O...

Страница 120: ...ume VT indicates the expiratory volume for every breath in milliliters mL The display range is between 0 mL and 1400 mL C The measured value for the minute volume MV continually indicates the volume of the gas breathed out in the past minute in liters per minute L min The display range is between 0 0 L min and 99 9 L min D Upper alarm limit of the minute volume in L min E Lower alarm limit of the ...

Страница 121: ...G The volume alarm messages are automatically activated when changing from Standby mode in a ventilation mode Setting the minute volume alarm limits The standard alarm limits configured for the ventilation mode can be used unchanged see chapter Changing the alarm limits on page 134 or the alarm limits can be set individually for the current case 1 Press the A key The dialog window B with the alarm...

Страница 122: ...Pa D Upper alarm limit E Pressure threshold F Pressure waveform G Pressure threshold as a line The pressure threshold is used for the detection of apnea disconnection and continuous pressure If the pressure waveform does not cross the pressure threshold either from above or below an alarm is sounded H Scale of the pressure waveform with display range from 0 to 20 0 to 50 or 0 to 100 cmH2O 0 to 20 ...

Страница 123: ...134 or The alarm limits can be set individually for the current case 1 Press the A key The dialog window B with the alarm limits opens 2 Adjust upper alarm limit and pressure threshold of the peak pressure PEAK C see chapter Changing the alarm limits on page 134 3 Confirm new values 21590 21782 A B C C Volume Control NOTE The pressure threshold is preferably to be set so that the value lies approx...

Страница 124: ...he default settings 131 Page Standby Set up 132 Changing the default settings 132 Changing the configurations 136 Configuration during operation 139 Switching the volume alarms on and off 140 Automatic setting of the pressure threshold 140 Calibrating the O2 sensor 141 Switching the desflurane compensation on and off 142 Automatic desflurane compensation 142 Accessing the alarm logbook 143 Clearin...

Страница 125: ... mode The ventilator changes to Standby mode The previous screen is replaced by the start screen Standby and the standby LED is continually lit The following softkeys C are displayed on the start screen If the flow control valves are not closed before accessing Standby mode the following message D is shown on the start screen 21590 21971 NOTE If the confirmation is not done within 15 seconds the v...

Страница 126: ...responds to the test that is performed automatically after switching on the anesthesia workstation More information can be found in chapter Switching on on page 83 1 Press the Run System Test softkey A Electrical system components are tested Default settings are restored The test results B are displayed on the screen After completion of the system test the total test results C are displayed see ch...

Страница 127: ...inues to fail contact DrägerService or the authorized local service partner Calibrating the O2 sensor In order for the O2 sensor to be correctly calibrated it must be exposed to the ambient air during the entire calibration To avoid leakage remove the O2 sensor from the cover of the inspiratory valve Seal the cover of the inspiratory valve with the valve cover plug 1 Press the Calibrate O2 Sensor ...

Страница 128: ...es Test 1 Press the Leak ComplTest softkey A 2 Follow the instructions on the screen After completion of the tests the results B are displayed on the screen 3 To return to the start screen press the rotary knob Results of the compliance test This test determines the system compliance including breathing system breathing hoses filter and Y piece The system compliance is required to ensure in Volume...

Страница 129: ...test results B Ventilator leakage mL min Displayed result mL min 150 Measured value and PASSED 151 to 250 Measured value and FAILED 250 250 and FAILED 21465 SLHFH RFFOXGHG XHU RFN FRQQHFWRU FORVHG 6HWWLQJ 30 3 3 3 E SDVV 3 YDOYH UHDWKLQJ EDJ 6FDYHQJLQJ 2 DEVRUEHU 9HQWLODWRU 9DSRUL HU UHVK JDV GHFRXSOLQJ 2 IOXVK ORZ WXEHV 2 System leakage mL min Displayed result mL min 250 Measured value and PASSED...

Страница 130: ...00 entries can be saved When the storage limit is reached the oldest entries are overwritten 1 Press the Access Alarm Log softkey A 2 To scroll through the alarm logbook B turn the rotary knob Clearing the alarm logbook Select Clear Alarm Log C and confirm WARNING Risk of unexpected occurring overpressure A soiled or non functioning overpressure safety valve is not able to compensate for suddenly ...

Страница 131: ...e restored The following message is displayed using the standby softkeys B Site Default settings restored The default settings can be adjusted on the Standby Set up screen Adjustment of the default settings is password protected CAUTION Risk of losing data All data in the alarm logbook are cleared in the following cases Fabius is switched off The system test is started in standby mode The power su...

Страница 132: ...ault settings and configurations 1 Press the A key The Standby Set up screen opens 2 Select Default Settings B or Configuration C with the cursor By selecting and confirming with the input arrow D the screen changes back to the Standby screen Changing the default settings 1 On the Standby Set up screen select Default Settings A and confirm The screen with the password query opens 2 In the displaye...

Страница 133: ...nd confirm Default settings for Volume Control 1 Select Volume Settings E and confirm 2 Press softkey F of the parameter to be changed 3 Select new value and confirm 4 If necessary repeat steps 2 and 3 for other parameters 5 Finally confirm all changes once again The window is closed the cursor is on the input arrow D Default settings for Pressure Control Pressure Support and SIMV PS Change the pa...

Страница 134: ...ng ranges and factory settings are listed for all alarm limits of Fabius Changing the minimum alarm volume 1 Select Minimum Alarm Volume K and confirm The current minimum alarm volume L is displayed on the screen 2 Set the new minimum alarm volume to a value between 1 minimum and 10 maximum and confirm The window is closed the cursor is on the input arrow J 22109 Alarm parame ter Setting range Fac...

Страница 135: ...Parameter Factory setting Volume Control PMAX 40 VT 600 Freq 12 TI TE 1 2 0 TIP TI 10 PEEP 0 Pressure Control PINSP 15 Freq 12 TI TE 1 2 0 Insp Flow 30 PEEP 0 M N Standby Set up Pressure Support PPS 10 Freq Min 3 Trigger 2 Insp Flow 30 PEEP 0 SIMV PS PMAX 40 VT 600 Freq 12 PPS 10 PEEP 0 Trigger 2 Insp Flow 30 TINSP 1 7 TIP TI 10 Alarm limits for O2 Upper value 100 Lower value 20 Alarm limits for M...

Страница 136: ...c Confirmation Waveform Display Display Background To return to the Standby Set up screen select the input arrow A and confirm Changing the time 1 Select Time Set B and confirm The cursor is in the hour field 2 Select new value and confirm The cursor moves to the minute field 3 Select new value and confirm The window is closed Changing the time format 1 Select Time Format C and confirm 2 Select ne...

Страница 137: ... 2 Select new format and confirm The window is closed Changing the language 1 Select Language F and confirm 2 Select language and confirm The window is closed Changing the pressure unit 1 Select Pressure Unit G and confirm The following units can be selected hPa cmH2O mbar kPa 2 Select new unit and confirm The window is closed 22131 22133 Standby Set up D Standby Set up E 22135 22136 Standby Set u...

Страница 138: ...veform display 1 Select Waveform Display I and confirm 2 Select Normal or Filled curve display and confirm The window is closed When the setting Normal is selected the pressure waveform J is not shown as a filled area but as a line Changing the screen brightness 1 Select Display Background K and confirm 2 Select Light or Dark screen brightness and confirm The window is closed 22137 22139 Standby S...

Страница 139: ...Changing configurations 1 Press the A key The pressure waveform is no longer displayed The following softkeys C are displayed on the screen e g in Volume Control mode Volume Alarms ON OFF Auto Set Calibrate O2 Sensor Des Comp ON OFF Access Alarm Log Access Alarm Volume If no change is made within 15 seconds the pressure waveform is displayed again Pressing the key B will also cause the pressure wa...

Страница 140: ...ure threshold for the peak pressure PEAK is set to 4 cmH2O hPa below the current plateau pressure PLAT 22155 NOTE The function Volume Alarms ON OFF is available in the standard view of the ManSpont mode If the key is pressed in ManSpont mode the softkey Volume Alarms ON OFF is not displayed Volume Control A 22155 NOTE The pressure threshold must not be below 5 cmH2O 5 hPa or above 30 cmH2O 30 hPa ...

Страница 141: ... the O2 value in the window B of the O2 monitoring is replaced by the word CAL The calibration time is approx 15 seconds After successful calibration the O2 measured value is again displayed If the calibration was not successful replace the O2 sensor capsule in the O2 sensor housing see chapter Inserting a new O2 sensor capsule on page 75 If the calibration continues to fail contact DrägerService ...

Страница 142: ...h desflurane is not being used the accuracy of the volume measurement can be influenced Only switch on desflurane compensation if desflurane is used CAUTION Risk of inaccurate measured values If an anesthetic gas monitor is used the automatic desflurane compensation is activated Faulty anesthetic gas monitors can influence the accuracy of the measured volume Make sure that the anesthetic gas monit...

Страница 143: ...ssage Des auto in the status bar A is no longer displayed The softkey DesComp OFF B is displayed To switch the desflurane compensation back on Press the DesComp OFF softkey B The label of the softkey changes to DesComp ON Accessing the alarm logbook 1 Press the AccessAlarm Log softkey A 2 To scroll through the alarm logbook D turn the rotary knob Clearing the alarm logbook Select Clear Alarm Log C...

Страница 144: ...firm The lower value is limited by the setting in the standby configuration see chapter Changing the minimum alarm volume on page 134 The pressure waveform and softkeys are displayed again WARNING Risk of not hearing the alarm tone When operating in a loud environment the acoustic alarm signals may not be heard Always set the alarm tone to a sufficient volume 22155 22163 Volume Control A Volume Co...

Страница 145: ...nd remedying leakages 146 Possible causes of leakage 146 Systematic localization of leakages 147 Power supply failure 148 Mains power supply failure 148 Ventilator failure 150 Alarm VENTILATOR FAIL 150 Failure of the O2 sensor 151 Causes for faulty calibration 151 Alarm Cause Remedy 152 ...

Страница 146: ...or missing The flow sensor is incorrectly installed or damaged The rear O ring is missing The valves or seals of the breathing system are damaged The cone for occluding the Y piece is scratched or damaged The filling or emptying connections on the vaporizer are leaking or are open The vaporizer is incorrectly fitted The O ring is missing or damaged The control dial is not in the 0 position CAUTION...

Страница 147: ...e test on page 128 2 Contact service personnel if the leakages cannot be localized Component Measure Sample line Remove the sample line Occlude the Luer Lock con nector on the Y piece Breathing hoses Disconnect the breathing hoses Connect the inspiratory port and expiratory port with a hose that is known to be with out leakages Connect the breathing bag directly to the breathing system Vaporizers ...

Страница 148: ...is replaced by the alarm BATTERY LOW Shortly before the battery is empty the ventilator is switched off and the alarm VENTILATOR FAIL is displayed in the alarm window If no manual ventilation follows the following alarm messages are displayed APNOEA PRESSURE APNOEA FLOW MINUTE VOLUME LOW The monitoring functions remain in operation until the battery is completely discharged and all electronic comp...

Страница 149: ...ible Manual ventilation Spontaneous breathing All pneumatic functions of Fabius are still available APL valve Pressure gauge for the airway pressure Pressure gauge for gas cylinders and central gas supply Fresh gas supply and anesthetic agent delivery S ORC Flow control valves for O2 Air and N2O WARNING Incorrect patient settings When the power supply is restored and Fabius is restarted all ventil...

Страница 150: ...or must be bypassed so that the ventilation can be continued The ventilator does not return to its initial state after a malfunction and The spontaneous breathing mode cannot be activated To bypass the ventilator proceed as follows 1 Set the On Off switch on the rear of Fabius to off 2 Set the On Off switch back to on Fabius restarts and performs a selftest More information on the selftest can be ...

Страница 151: ...nt air during the entire calibration During the calibration the O2 sensor was exposed to an air mixture with fluctuating oxygen concentra tion Make sure that the O2 sensor is exposed to ambi ent air during the entire calibration The O2 sensor was not exposed to ambient air long enough before the calibration Expose the O2 sensor to ambient air for 2 minutes When a new O2 sensor is connected expose ...

Страница 152: ...r 31 The lower the priority the lower the number The table lists possible causes and the corresponding remedial measures of an alarm Causes and remedial measures must be processed in the sequence they are listed until the alarm no longer occurs The alarm messages are listed in alphabetical order Some alarms appear in this table several times with different alarm priorities because their priority c...

Страница 153: ...q 6 or in Pressure Support mode with apnea ventilation deacti vated Caution VT 20 mL for 15 seconds In the ManSpont SIMV PS modes with Freq 6 or in Pressure Support mode with apnea ventilation acti vated Caution VT 20 mL for 30 seconds Breathing ventilation stopped Check ventilator Leakage or disconnection in the breathing system Check breathing system Alarm priority Alarm Cause Remedy ...

Страница 154: ...q 6 or in Pressure Support mode with apnea ventilation deacti vated Warning VT 20 mL for 30 seconds In the ManSpont SIMV PS modes with Freq 6 or in Pressure Support mode with apnea ventilation acti vated Warning VT 20 mL for 60 seconds Breathing ventilation stopped Check ventilator Leakage or disconnection in the breathing system Check breathing system Alarm priority Alarm Cause Remedy ...

Страница 155: ...lation deacti vated Caution PAW did not exceed the pressure thresh old value for a duration of 15 seconds In the ManSpont SIMV PS modes with Freq 6 or in Pressure Support mode with apnea ventilation acti vated Caution PAW did not exceed the pressure thresh old value for a duration of 30 seconds Breathing ventilation stopped Check ventilator Leakage or disconnection in the breathing system Check br...

Страница 156: ...old value for a duration of 60 seconds Breathing ventilation stopped Check ventilator Leakage or disconnection in the breathing system Check breathing system 20 APNOEA VENTILATION Breathing ventilation stopped Check ventilator Leakage or disconnection in the breathing system Check breathing system If two or more successive breaths of the apnea ventila tion are automatically trig gered the settings...

Страница 157: ...e for the pressure threshold value 5 EXP PORT LEAKAGE In mode Volume Control Pressure Control or Pres sure Support an expiratory flow of more than 15 mL was measured during the inspira tion Check expiratory valve and valve disk Check hose line of the expiratory control line Check flow sensor Perform the procedure for calibration of the flow sen sor see page 127 Con tact DrägerService or the author...

Страница 158: ...tem 13 INSP O2 HIGH Inspiratory O2 concentration is above the upper alarm limit Check the setting of the flow control valve and upper O2 alarm limit 31 INSP O2 LOW Inspiratory O2 concentration is below the lower alarm limit Check O2 supply Check the setting of the flow con trol valve and lower O2 alarm limit 11 INSP PRES NOT REACH The plateau pressure during ventilation in Pressure Con trol Pressu...

Страница 159: ...ed Open valve for fresh gas delivery 6 O2 SENSOR CAL DUE More than 18 hours have passed since the last O2 sen sor calibration Perform the procedure for calibration of the O2 sensor see page 127 8 O2 SENSOR FAIL The O2 sensor was not cor rectly calibrated Perform the procedure for calibration of the O2 sensor see page 127 O2 sensor replaced and or not calibrated Perform the procedure for calibratio...

Страница 160: ...H2O hPa Check the breathing sys tem and ventilator settings 8 PRESSURE SENSOR FAIL Sensor faulty or pressure not calibrated Contact DrägerService or the authorized local service partner 1 RS232 COM1 FAIL External monitor cable not connected with external com munication connector 1 Check connection cable of the monitor 1 RS232 COM2 FAIL External monitor cable not connected with external com municat...

Страница 161: ...expiratory valve 164 Removing the exhaust port 164 Removing the flow sensor 165 Removing the APL valve 165 Removing the ventilator parts 165 Removing the anesthetic gas receiving system 165 Removing the endotracheal suction system 166 Reprocessing procedures 166 Classification of medical devices 166 Testing of procedures and agents 166 Non critical medical devices 167 Semi critical medical devices...

Страница 162: ...Disassemble the breathing circuit and the filters 10 Unscrew the holder for the breathing bag 11 Remove the compact breathing system Remove the breathing system cover optional Remove the inspiratory valve Remove the expiratory valve Unscrew the exhaust port Unscrew the inspiratory port and the expiratory port Remove the flow sensor Unscrew the APL valve 12 Remove the ventilator parts WARNING Risk ...

Страница 163: ...ables IT systems AGS workstation illumination Single use articles without instructions for use Soda lime dust filter optional Sample line WARNING Risk of infection Used sample lines may be infectious due to the breathing gases that passed through them Replace the sample lines regularly see table Semi critical medical devices CAUTION Material damage due to disinfectants When the sample line is disi...

Страница 164: ...ose PEEP PMAX hose Removing the inspiratory valve 1 Remove the valve cover plug B or the O2 sensor from the dome C of the inspiratory valve 2 Screw off the cap nut A 3 Remove the dome C 4 Take out the valve plate D 5 Remove the sealing ring E from the socket F Removing the expiratory valve 1 Screw off the cap nut G 2 Remove the sight glass H 3 Take out the valve plate I 4 Remove the sealing ring J...

Страница 165: ...emove the valve Removing the ventilator parts 1 Open the ventilator door 2 Remove the pressure sensor line B of the ventilator chamber from the corresponding connection 3 Release the 3 clamps D 4 Remove the cover A 5 Remove the ventilator membrane C Removing the anesthetic gas receiving system To disassemble follow the steps in reverse order as listed in chapter Connecting the anesthetic gas recei...

Страница 166: ...sing the following procedures and agents The following agents showed good material compatibility and effectiveness at the time of the test Non critical medical devices Manual disinfection with simultaneous cleaning Incidin Extra N from Ecolab Incidur from Ecolab Semi critical medical devices Manual cleaning Neodisher FA Neodisher Medizym from Dr Weigert Manual disinfection Korsolex extra from Bode...

Страница 167: ...e cleaned can be reached Use suitable brushes if necessary 3 Thoroughly rinse components under running water until cleaning agent residues are no longer discernible 4 Inspect components for visible soiling and damage Repeat manual cleaning if necessary Manual disinfection When selecting a suitable disinfectant adhere to the country specific lists of disinfectants The list of the German Association...

Страница 168: ...thoroughly Visual inspection Check all parts for damage and external wear such as cracking brittleness or severe hardening and remnants of contamination WARNING Risk of device failure If the control areas located in the valve plate are not sufficiently dried this may compromise the device function or may lead to failure of the medical device After cleaning the breathing system must be sterilized w...

Страница 169: ... accordance with DIN EN 285 preferably with fractional vacuum WARNING Risk of fire Residual vapors of easily flammable disinfectants e g alcohols and deposits that were not removed during reprocessing can ignite when the flow sensor is in use Ensure particle free cleaning and disinfection After disinfection allow the flow sensor to air for at least 30 minutes Before inserting the flow sensor check...

Страница 170: ...nfection control officer take precedence Non critical medical devices Components which can be reprocessed Recommended repro cessing intervals Manual Cleaning Disinfection Control elements and device sur faces including Screen Softkeys Rotary knob O2 flush key Flow control valves APL valve Writing tray Grip bar on trolley Drawer handles Standard rails on both sides Clic adapter Clic absorber After ...

Страница 171: ...lug Gas cylinder valves Transfer hose of the anes thetic gas receiving system Cables and hoses that lie on floor Brake Daily Outside Outside Surfaces which are touched less frequently Network cables and data cables Compressed gas hoses Pressure reducers Gas cylinders Drawer surfaces outside and inside Anesthetic gas receiving sys tem Lamp Holder for sample line Weekly Outside Outside Components wh...

Страница 172: ...m for breathing bag optional Weekly Yes Yes Possible Possible Possible Breathing hoses After each patient Observe the associated instructions for use Absorber container and absorber insert Weekly Yes Yes Possible Possible Possible Soda lime dust filter optional Replace each time soda lime is changed No No No No No Sample line Replacement only No No No No No When the sample line is fitted to the fi...

Страница 173: ...isassembly see Disassembly on page 162 3 Check readiness for operation see Checking the readiness for operation on page 85 Ventilator hose After each patient Observe the associated instructions for use Flow sensor Weekly Observe the associated instructions for use Components which can be reprocessed Recommended reprocessing intervals Prelimi nary cleaning Machine cleaning and disinfection Manual S...

Страница 174: ...Maintenance 174 Instructions for use Fabius Tiro SW 3 n Maintenance Overview 175 Inspection 176 Safety checks 176 Service 177 Repair 178 ...

Страница 175: ... remove the housing cover Maintenance measures must be performed by the personnel responsible Dräger recommends DrägerService for repairs and complex maintenance tasks WARNING Risk of fire When replacing the battery short circuits or excessive temperatures can occur resulting in fire or explosion The battery must only be replaced by experts Term Definition Maintenance All measures inspection preve...

Страница 176: ...ed gas cylinder 3 Check if the product is in good condition Labels are complete and legible No visible damage Fuses which are accessible from the outside are in compliance with the specified values Country specific labeling of gas types 4 Check components and accessories for completeness according to the instructions for use 5 Check for electrical safety in compliance with IEC 62353 6 Check safety...

Страница 177: ...re Responsible personnel CO2 absorber If colored violet Replace Users Water trap As needed or if soiled Replace Users Flow sensor As needed or if calibration is no longer possible Clean replace Users Internal lithium battery Every 36 months Replace Experts Fabius Tiro Every 6 months Inspection and service Experts Breathing system Every 6 months Inspection and service Service personnel Vaporizers E...

Страница 178: ...Maintenance 178 Instructions for use Fabius Tiro SW 3 n Repair For repairs Dräger recommends DrägerService and the use of original Dräger parts ...

Страница 179: ... for use Fabius Tiro SW 3 n 179 Disposal Disposal Disposing of the medical device 180 For countries subject to the EU Directive 2002 96 EC 180 Disposal of accessories 180 Disposal of non rechargeable batteries 181 ...

Страница 180: ...nitiate collection or for further information visit Dräger on the Internet at www draeger com Use the search function with the keyword WEEE to find the relevant information If access to the Dräger website is not possible contact the local Dräger organization Disposal of accessories When disposing of the following accessory parts observe the hospital hygiene regulations and the respective instructi...

Страница 181: ...ining toxic material to the distributor or the public waste management organization The battery used in this device must therefore be removed by experts prior to disposal of the device In countries other than Germany the respective national regulations must be complied with WARNING Risk of explosion and chemical burns Improper handling of batteries can result in explosions and chemical burns Do no...

Страница 182: ...tics of additional acoustic signals 197 S ORC Sensitive Oxygen Ratio Controller 198 Device outlets 199 Essential performance characteristics 200 EMC declaration 200 General information 200 Electromagnetic emissions 201 Electromagnetic environment 202 Electromagnetic immunity 203 Recommended safety clearance for portable and mobile high frequency communication equipment 205 Reduced safety clearance...

Страница 183: ... ment value 4 at standard conditions At 10 C the accuracy changes to 6 at 10 C and 20 relative humidity to 8 All patient related volumes and flow values are nor malized to the conditions in the lungs BTPS During operation Temperature 10 to 35 C 50 to 95 Air pressure 700 to 1060 cmH2O hPa Relative humidity 20 to 80 without condensation Height Up to 3000 m 9843 ft During storage and transport Temper...

Страница 184: ...ctions Pressure at the device connection O2 N2O 73 psi 5 kPa x 100 Every gas inlet is equipped with a non return valve Medical gas supply from O2 O2 and N2O or O2 and Air cylinders with pin index connections Cylinder connection Pin index hanger yokes CGA V 1 1994 Gas cylinder pressure O2 Air 1900 psi 131 kPa x 100 normal full load at 21 C 70 F N2O 745 psi 51 3 kPa x 100 Pressure gauge for gas cyli...

Страница 185: ...devices 10 134 GMDN Code Global Medical Device Nomencla ture worldwide nomenclature for medical devices 37710 Use of latex Not made with natural rubber latex Penetration of liquids IP20 in accordance with IEC 60529 Power supply The power rating cannot be configured with optional Dräger power socket strip see instructions for use of power socket strip for medical devices 9038776 100 to 240 VAC 50 6...

Страница 186: ... x H x D Trolley version without compact breathing system 57 9 x 136 1 x 62 7 cm 22 8 x 53 6 x 24 7 in Trolley version with compact breathing system1 77 2 x 136 1 x 83 8 cm 30 4 x 53 6 x 33 0 in Wall mounted version without compact breathing system 52 8 x 55 6 x 44 2 cm 20 8 x 21 9 x 17 4 in Wall mounted version with compact breathing sys tem1 72 1 x 55 6 x 77 5 cm 28 4 x 21 9 x 30 5 in 1 Width va...

Страница 187: ...s other standards e g stan dards concerning special national requirements IEC 60601 1 2nd ed Medical electrical equipment Part 1 General requirements for safety IEC 60601 1 2 Medical electrical equipment Part 1 2 General requirements for safety collateral stan dard Electromagnetic compatibility Requirements and tests IEC 60601 1 4 Medical electrical equipment Part 1 4 General requirements for safe...

Страница 188: ...for the basic safety and essential performance of respiratory gas monitors The following also apply for devices manufactured from July 2014 on IEC 60601 1 3rd ed Medical electrical equipment Part 1 General requirements for basic safety and essential performance IEC 60601 1 2 Medical electrical equipment Part 1 2 General requirements for safety collateral stan dard Electromagnetic compatibility Req...

Страница 189: ...olution 1 bpm 4 to 60 1 min resolution 1 min Ratio of inspiratory time to expiratory time TI TE 4 1 to 1 4 Inspiratory pause TIP TI 0 to 50 resolution 1 Positive end expiratory pressure PEEP 0 to 20 cmH2O resolution 1 cmH2O 0 to 20 hPa resolution 1 hPa Inspiratory pressure PINSP 5 to 65 cmH2O resolution 1 cmH2O 5 to 65 hPa resolution 1 hPa setting must be at least 5 cmH2O 5 hPa above PEEP Inspirat...

Страница 190: ... 1 1 min of the setting or 5 depend ing on which value is higher Ratio of inspiratory time to expiratory time TI TE 5 of the setting Inspiratory pause TIP TI 25 of the setting Positive end expiratory pressure PEEP 2 cmH2O 2 hPa or 20 of the setting depending on which value is higher Inspiratory pressure PINSP 2 cmH2O 2 hPa or 20 of the setting depending on which value is higher Overpressure safety...

Страница 191: ...100 the Air flow varies proportionally to the supply pressures Total flow tube Range and accuracy 0 to 10 L min 10 of the measurement range at standard temperature and standard pressure cal ibrated with a gas mixture of 50 O2 and 50 N2O 0 to 10 L min 15 of the measurement range at standard temperature and standard pressure for all other gas mixtures Resolution 0 5 L min at 0 5 to 2 L min 1 0 L min...

Страница 192: ...lurane Dräger D Vapor Technical data of the vaporizers are contained in the corresponding instructions for use Measured value or waveform Range Resolution Accuracy Condition PAW Airway pressure numeric 20 to 99 cmH2O hPa 1 cmH2O hPa 4 1 Airway pressure waveform 0 to 99 cmH2O hPa Pressure gauge mechanical 20 to 80 cmH2O hPa 2 cmH2O hPa 1 28 cmH2O hPa MVe Expiratory minute volume 0 to 32 0 L min 0 1...

Страница 193: ...2 hPa depending on which value is higher 2 With standard test conditions in accordance with ISO 80601 2 13 O2 sensor Response time T90 Less than 16 seconds Measured values are not pressure compensated Heat up time after 5 minutes Error with 3 of the measured value Drift sensitivity 1 of the measured value 8 h Cross sensitivity 1 Vol O2 at 70 Vol N2O and 5 Vol CO2 With 4 Vol halothane or with 5 Vol...

Страница 194: ... absorber CLIC absorber Free 1200 mL Disposable CO2 absorber CLIC Absorber 800 Free 1200 mL Compliance including ventilator hose without breathing hoses 0 8 mL cmH2O 0 8 mL hPa Flexible arm for breathing bag optional Volume 0 13 L Compliance 0 13 mL cmH2O 0 13 mL hPa Rigid arm for breathing bag optional Volume 0 11 L Compliance 0 11 mL cmH2O 0 11 mL hPa Resistance In accordance with ISO 80601 2 13...

Страница 195: ...mode 5 to 70 cmH2O hPa Spontaneous breathing mode 1 5 cmH2O hPa Accuracy from 5 to 15 L min 15 of the set value or 3 cmH2O hPa the higher value applies Pressure drop at 30 L min 3 4 cmH2O hPa wet and dry 1 Depending on the current ventilation settings the indicated values may deviate by 0 3 cmH2O 0 3 hPa ...

Страница 196: ...96 Instructions for use Fabius Tiro SW 3 n 22229 62 3UHVVXUH IORZ FKDUDFWHULVWLFV RI WKH FRPSDFW EUHDWKLQJ V VWHP 26 DYHUDJH UHVLVWDQFHV ZLWKRXW EUHDWKLQJ KRVHV 3UHVVXUH K3D ORZ PLQ QVSLUDWRU SUHVVXUH SLUDWRU SUHVVXUH ...

Страница 197: ...n measured in accordance with IEC 60601 1 8 Alarm tone volume high priority Settable from approximately 60 dB A to 73 dB A Alarm tone volume medium priority Settable from approximately 50 dB A to 63 dB A Alarm tone volume low priority Settable from approximately 50 dB A to 60 dB A Alarm in the event of failure of power supply and battery supply Continuous tone approx 30 s at approx 61 dB A Confirm...

Страница 198: ...sh gas between 0 and 75 In case of insufficient O2 S ORC limits the N2O concentration in the fresh gas so that the O2 concentration does not drop below 23 Vol N2O flow control valve is open and at the same time the O2 flow control valve is closed or set at less than 0 2 L min S ORC prevents N2O flow In case of N2O failure O2 can continue to be supplied No alarm ...

Страница 199: ...as of the 2nd edition for exposed secondary circuits with maximum 24 Vdc nominal voltage Protocol Vitalink MEDIBUS Connector 9 pole Sub D galvanically isolated with 1 5 kV against internal electronics 0 5 kV against housing Baud rate 1200 2400 4800 9600 19200 38400 baud Data bits 7 or 8 Parity Uneven even none Startbit 1 Stopbit 1 or 2 Pin assignment Pin 1 n c Pin 2 TXD Pin 3 RXD Pin 4 n c Pin 5 G...

Страница 200: ...he EMC compliance of the product has been evaluated with the external cables transducers and accessories specified in the list of accessories Other accessories which do not affect EMC compliance may be used if no other reasons forbid their use see other sections of the instructions for use The use of noncompliant accessories can result in increased emissions or decreased immunity of the medical de...

Страница 201: ...he networking components Low level signals such as ECG signals are particular susceptible to interference from electromagnetic energy Even if the equipment meets the test requirements described below smooth operation cannot be guaranteed the quieter the electrical environment the better In general increasing the distance between electrical devices decreases the likelihood of interference Detailed ...

Страница 202: ...ical device uses radio frequency energy only for its internal function Therefore its radio frequency emissions are very low and are not likely to cause any interference in nearby electronic equipment Class A The medical device is suitable for use in all establishments other than domestic establishments and those directly connected without transformer to the public low voltage power supply net work...

Страница 203: ...r hospital environment Longer input lines out put lines 1 kV 1 kV Surges IEC 61000 4 5 Common mode 2 kV 2 kV Mains voltage quality should be that of a typical commer cial or hospital environment Differential mode 1 kV 1 kV Magnetic field with sup ply frequency 50 60 Hz IEC 61000 4 8 3 A m 3 A m Power frequency magnetic fields should be at levels characteristic of a typical commercial or hospital e...

Страница 204: ...50 kHz to 80 MHz 3 V outside ISM bands2 3 V 1 For PEIRP insert the highest possible equivalent isotropic radiated power of the adjacent radio frequency transmitter In the vicinity of equipment marked with the symbol interference can occur Field strengths from fixed portable or mobile radio frequency transmitters at the location of the medical device should be less than 3 V m in the frequency range...

Страница 205: ...r frequen cies Examples 0 03 0 32 m 1 1 ft 0 96 m 3 2 ft WLAN 5250 5775 Europe 0 10 0 58 m 1 9 ft 1 8 m 5 9 ft WLAN 2440 Europe 0 17 0 76 m 2 5 ft 2 3 m 7 6 ft Bluetooth RFID 2 5 GHz 0 20 0 82 m 2 7 ft 2 5 m 8 2 ft WLAN 5250 not in Europe 0 25 0 92 m 3 0 ft 2 8 m 9 2 ft UMTS mobiles 0 41 1 2 m 3 9 ft 3 5 m 12 ft Cordless DECT devices 0 82 1 7 m 5 6 ft 5 0 m 16 ft RFID 13 56 MHz 1 00 1 8 m 5 9 ft 5...

Страница 206: ...ystems Or IEC 60601 1 2nd edition general requirements for safety IEC 60601 1 1 device combinations IEC 60601 1 2 electromagnetic compatibility IEC 60601 1 4 software controlled functions IEC 60601 1 8 alarm systems Connections to IT networks Data can be exchanged in an IT network using hard wired and wireless technologies An IT network can be any data interface e g RS232 that is described in stan...

Страница 207: ...V 28 for the following applications MEDIBUS MEDIBUS X Connections to medical devices from other manufacturers Electrical requirements of connected devices and networks The serial port is only appropriate for connecting devices or networks that have a nominal voltage on the network side of max 24 V DC and meet the requirements of one of the following standards IEC 60950 1 Ungrounded SELV circuits I...

Страница 208: ...8 Instructions for use Fabius Tiro SW 3 n Illustrations Gas flow plan of the breathing system 22234 6HWWLQJ 30 3 3 9HQWLODWRU UHVK JDV UHVK JDV GHFRXSOLQJ 2 DEVRUEHU UHDWKLQJ EDJ 3 E SDVV 3 YDOYH UHDWKLQJ JDV VFDYHQJLQJ ...

Страница 209: ...Instructions for use Fabius Tiro SW 3 n 209 Annex Annex Form for daily checkout and pre use checkout 210 Checklist 211 ...

Страница 210: ...rting the check no additional components may be added and and no changes may be made to the anesthesia workstation This is a recommendation The checking guidelines of the respective healthcare facility must be followed CAUTION If one of the checks does not pass the device must not be used Contact DrägerService or the responsible service partner NOTE The following applies to this section cmH2O mbar...

Страница 211: ...unction ing The system test for Fabius has been per formed P The sample line for gas monitoring if present is connected to the Luer Lock connection on the Y piece P An appropriate anesthetic agent was selected P D Vapor if present is switched on Battery P Make sure that the battery is completely charged Battery operation of 45 minutes is only guaranteed with a completely charged battery Gas supply...

Страница 212: ... minutes Start the calibration Reinsert the O2 sensor housing to the cover of the inspiratory valve Calibrate the flow sensor Check type of gas Set the O2 flow control valve to 3 L min Check whether the measured O2 concen tration is at approx 90 to 100 Vol Close the O2 flow control valve Vapor 19 n Vapor 2000 3000 Tec 5 P Vaporizer is securely connected locked and is hanging vertically P Control d...

Страница 213: ...Follow the instructions on the screen If the system has leakage the pressure drops Check all plug connections and screw con nections for a tight seat Replace missing or damaged seals If nec essary contact DrägerService or the authorized local service partner Inspiratory valve and expiratory valve Press the ManSpont key and confirm Set the APL valve to position Man and to 30 cmH2O hPa Press O2 flus...

Страница 214: ...stem so that the float is located between the Min and Max marks P Occlude the Y piece Close all flow control valves P Change to the Standby screen Set the APL valve for spontaneous breathing Turn the APL valve head counterclockwise until the Spont mark is reached Press the O2 flush key and hold it pressed The airway pressure with an occluded Y piece is less than 10 cmH2O hPa Release the O2 flush k...

Страница 215: ...cheal suction is present The breathing system is ready for opera tion the breathing bag is correctly posi tioned and all hoses are correctly connected CO2 absorber is attached to the device and sufficiently filled Signature for the daily checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre us...

Страница 216: ...te Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date ...

Страница 217: ...ex Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date Signature for pre use checkout Name Date ...

Страница 218: ...218 Instructions for use Fabius Tiro SW 3 n This page intentionally left blank ...

Страница 219: ...tion password Information for the configuration password To prevent unauthorized alteration the default settings for Fabius Tiro are protected by a 4 digit password For information on the start settings see page 132 The configuration password appears on this page of the instructions for use Cut out the area with the password and keep in a place which is safe from access by unauthorized persons Upo...

Страница 220: ...220 Instructions for use Fabius Tiro SW 3 n This page intentionally left blank ...

Страница 221: ...70 Flexible arm 69 Rigid arm 69 Breathing hose configurations 73 Breathing hoses and filters 71 Breathing system 194 Assembling 62 Breathing volume monitoring 120 C Central gas supply 56 Checklist 210 CO2 absorber Mounting 62 Reusable 63 CO2 absorber Disposable with CLIC adapter 65 Compact breathing system Connecting 66 Removing 164 Compact breathing system COSY 21 Compliance 74 Configuration Auto...

Страница 222: ... 36 106 F Flow sensor Calibrating 127 Connecting 77 Inserting 67 Removing 165 Fresh gas delivery 48 Fresh gas flow Monitoring resolutions 49 Setting 87 Fuses 186 G Gas cylinders screw connections 59 Gas flow plan 208 Gas supply 55 I Indications 17 Intended use 16 Interfaces 32 IT networks 206 L Leakages 146 LED indicators 50 Low flow anesthesia 90 M Mains power supply Connecting 53 Manual resuscit...

Страница 223: ...sors and measurement lines 76 Service 177 Setting the anesthetic gas concentration 88 Soda lime Replacing 91 Softkeys 44 Spontaneous breathing 92 Sterilization 169 Storage 111 Suction system Connecting 70 Removal 166 Symbols 39 S ORC 87 198 T Total flow tube 49 Transport 111 V Vaporizer 27 Vaporizer interface 192 Ventilation 92 Ventilation mode Changing 46 Man Spont 92 Ventilation mode Pressure Co...

Страница 224: ...ctions for use are provided for customer information only and will only be updated or exchanged upon customer request Directive 93 42 EEC concerning medical devices Manufacturer Dräger Medical GmbH Moislinger Allee 53 55 D 23542 Lübeck Germany 49 451 8 82 0 FAX 49 451 8 82 2080 http www draeger com As of 2015 08 Dräger Medical GmbH changes to Drägerwerk AG Co KGaA 9054601 GA 6020 002 en Dräger Med...

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