Dräger Oxylog 2000 plus Скачать руководство пользователя страница 52

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HE ADQUARTERS

Drägerwerk AG & Co. KGaA

Moislinger Allee 53–55

23558 Lübeck, Germany

www.draeger.com

REGION EUROPE CENTR AL

AND EUROPE NORTH

Dräger Medical GmbH

Moislinger Allee 53–55

23558 Lübeck, Germany

Tel +49 451 882 0

Fax +49 451 882 2080

[email protected]

REGION EUROPE SOUTH

Dräger Médical S.A.S.

Parc de Haute Technologie d’Antony 2

25, rue Georges Besse

92182 Antony Cedex, France

Tel +33 1 46 11 56 00

Fax +33 1 40 96 97 20

[email protected]

REGION MIDDLE EAST, AFRICA,

CENTRAL AND SOUTH AMERICA

Dräger Medical GmbH

Branch Office Dubai

Dubai Healthcare City P.O. Box 505108

Dubai, United Arab Emirates

Tel + 971 436 24 762

Fax + 971 436 24 761

[email protected]

REGION ASIA / PACIFIC

Draeger Medical South East Asia Pte Ltd

25 International Business Park

#04-27/29 German Centre

Singapore 609916, Singapore

Tel +65 6572 4388

Fax +65 6572 4399

[email protected]

Manufacturer:

Dräger Medical GmbH

23542 Lübeck, Germany

The quality management system at

Dräger Medical GmbH is certified

according to ISO 13485, ISO 9001

and Annex II.3 of Directive

93/42/EEC (Medical devices).

Содержание Oxylog 2000 plus

Страница 1: ...ce requires full understanding and strict observation of the Instructions for Use The user must be familiar with the device according to the national and local laws and recommendations There will be no exchange of the Pocket Guide when the product is updated upgraded Oxylog 2000 plus Pocket Guide Software version 1 n ...

Страница 2: ......

Страница 3: ...ble hose system 12 Connect the disposable hose system 13 When using a bacterial filter or HME 14 Connecting the power supply 15 Internal supply with rechargeable battery 15 Charging the battery 16 Indication of battery capacity battery operation 17 External power supply 18 19 Connecting the gas supply 20 Supply from a piped medical gas system 21 Index ...

Страница 4: ...ration 24 Shutdown 25 Perform device check 26 Ventilation controls 27 Preparing ventilation mode 28 Available ventilation modes 29 VC CMV VC AC 30 Trigger VC AC 31 VC SIMV optional PS 32 33 SpnCPAP optional PS optional NIV 34 SpnCPAP Apnea Ventilation 35 NIV Non Invasive Ventilation optional 36 Display operating controls 37 ...

Страница 5: ...of an alarm 38 Setting alarm limits 39 Displaying other measured values 40 Trouble Shooting Alarm Cause Remedy 41 Messages in the alarm window 42 48 Error messages during the device check 49 Messages in the information window 50 Notes 51 Index ...

Страница 6: ...000 plus Pocket Guide is not a replacement or substitute for the Instructions for Use Any use of the device requires full understanding and strict observation of the Instructions for Use Front panel with all options ...

Страница 7: ...s J Start Standby key Pressure Support and Non Invasive Ventilation are optional features K Display symbols for the power supply Charge status of the internal battery Mains power supply connected L Central rotary knob for making selections settings and for confirming these M Control knob for setting O2 AirMix or 100 O2 FiO2 N Control knob for setting the maximum inspiratory pressure Pmax O Control...

Страница 8: ... air intake B Screw to secure the battery compartment cover C Connectors for flow measuring hoses D Connectors for ventilation hose E Connector for medical gas hose F Socket for DC supply G Window for Infrared Data Association IrDA interface 8 ...

Страница 9: ...9 A Filter cartridge for intake of ambient air B Rating plate A B Rear view ...

Страница 10: ...sensor Disposable hose system A Breathing valve B Ventilation hose C Flow and pressure measuring hoses D Flow sensor E Angled connector A B E C D A B C D E The Oxylog 2000 plus Pocket Guide is not a replacement or substitute for the Instructions for Use Any use of the device requires full understanding and strict observation of the Instructions for Use ...

Страница 11: ...er A and turn it approximately 90 clockwise to secure into position 3 Push the flow sensor C into breathing valve Note the preferred position as indicated by the groove 4 Connect the angled connector D to the flow sensor A B C D Assemble the reusable hose system Please do not touch the rubber disk in the housing ...

Страница 12: ...hose A to the breathing valve 2 Connect the flow measuring hoses B to the nozzles on the flow sensor Note the different diameters 3 Connect the flow measuring C hoses to the Oxylog 2000 plus 4 Connect the ventilation hose D to the gas outlet on the Oxylog 2000 plus A B B D C ...

Страница 13: ...ect the ventilation hose C to the gas outlet on the Oxylog 2000 plus When changing the ventilation hose system If the reusable ventilation hose system is to be used instead of a disposable hose system or vice versa 1 Have the nozzles on the device changed by trained service specialists 2 Reconfigure the device accordingly A B C Connect the disposable hose system ...

Страница 14: ...14 Preparation Connect the bacterial filter or HME to the angled connector When using a bacterial filter or HME Bacterial filter or HME ...

Страница 15: ...pack With rechargeable battery specified Smart Battery Internal supply with rechargeable battery Installing the battery 1 Insert a fully charged battery into the battery compartment A 2 Attach the connector at the bottom 3 Turn the cover upwards B 4 Tighten the screw C Checking the charge of the battery Press the button on the rechargeable battery The charge status is indicated as a percentage by ...

Страница 16: ...t been inserted or a technical failure occurred Indicators A and B remain off while the ventilator is being operated from the internal battery Additional alarms can draw attention to the remaining operating time of the battery When operated via the rechargeable battery the brightness of the ventilator screen is reduced in order to save power The screen brightness is automatically increased to maxi...

Страница 17: ...tion The remaining capacity of the battery is indicated by Oxylog 2000 plus in 25 increments in the lower right section of the information window when power is ON The capacity indication is overwritten if higher priority messages are activated Example 75 charge ...

Страница 18: ... power pack 1 Connect the mains plug A to the mains outlet 2 Connect the DC plug B to the DC connector on the Oxylog 2000 plus 3 When the Oxylog 2000 plus is connected to an external supply the indicator C lights up Oxylog 2000 plus A B C External power supply ...

Страница 19: ...2000 plus to permanently installed onboard battery systems of different voltages 12 V 24 V 28 V DC 1 Plug the large connector A of the DC DC converter into the on board supply 2 Plug the small connector B into the DC connector of the Oxylog 2000 plus 3 When the Oxylog 2000 plus is connected to an external supply the indicator C lights up External power supply ...

Страница 20: ... 1 Use a full O2 cylinder 2 Connect the pressure reducer 270 to 600 kPa delivery pressure 500 kPa nominal pressure to the O2 cylinder 3 Connect the O2 medical gas hose A to the Oxylog 2000 plus 4 Connect the O2 medical gas hose to the pressure reducer B 5 Rotate the cylinder valve C slowly and open fully O2 A B C ...

Страница 21: ...21 Preparation 1 Connect the O2 medical gas hose A to the Oxylog 2000 plus 2 Connect the gas hose B to the O2 terminal unit until the supply of O2 is confirmed A B Supply from a piped medical gas system ...

Страница 22: ...time increases when Oxylog 2000 plus operates with O2 AirMix as ambient air is drawn into the device The amount of gas from the high pressure supply which is currently being consumed is indicated by the Oxylog 2000 plus in the lower left section of the information window in L min This display is overwritten when a higher priority message is activated ...

Страница 23: ... kPa 200 bar Liquid capacity of the O2 cylinder 2 1 L Supply of medical gas 2 1 L x 20 000 kPa approximately 420 L Example for pneumatic operation time VC CMV mode respiratory rate 10 breaths min VT 1 L O2 100 Minute volume 10 breaths min x 1 L 10L min Operation time Medical gas supply L MV 0 5 L min Operation time 420 approx 40 minutes 10 5 Calculated with average gas consumption of ventilator 0 ...

Страница 24: ...he opening display with configured settings is displayed if the central rotary knob is not pressed The manufacturer s default settings are Ventilation mode VC CMV Ventilation time ratio I E 1 1 5 Positive end expiratory pressure PEEP 5 mbar Plateau time Tplat 0 Trigger OFF Operation Settings The Oxylog 2000 plus Pocket Guide is not a replacement or substitute for the Instructions for Use Any use o...

Страница 25: ...witch the ventilator OFF 1 Press the key A for approximately 3 seconds The yellow lamp flashes and ventilation is terminated by the device 2 Press the rotary knob B to acknowledge the alarm Confirm device OFF with rotary knob Ox ylo g 2000 plus A B Shutdown ...

Страница 26: ...ect the test lung C Switch ON 1 To switch ON briefly press the key B The device performs a self test and the operator is prompted on the display to activate the configuration menu or device check 2 Press the rotary knob A to confirm before the bar is full 3 Select Device check in the main menu and confirm A C B Perform device check Oxylog 2000 plus A B NOTE The device check can be discontinued at ...

Страница 27: ...ey A for approximately 3 seconds Or 1 Press the appropriate ventilation mode key A 2 Press the rotary knob B to confirm The selected ventilation mode will be activated 3 The active ventilation mode is displayed in the upper left corner of the display C Ventilation controls Oxylog 2000 plus A B C ...

Страница 28: ...ormer settings are retained if confirmation is not received within 15 seconds Attention is drawn to this fact by the advisory message Settings not confirmed When the PEEP setting is increased above 10 mbar a message Confirm PEEP above 10 mbar will appear to request confirmation of the change The PEEP setting can be increased to the desired setting after the message is acknowledged with the rotary ...

Страница 29: ... PEEP SpnCpap Continuous Positive Airway Pressure Optionally with Pressure Support Spontaneous breathing with positive airway pressure For heart lung resuscitation During heart lung resuscitation the airway pressure Paw is limited to the set Pmax value by the Oxylog 2000 plus without ending inspiration prematurely pressure limited nonconstant volume ventilation when Pmax is reached If Pmax is set ...

Страница 30: ...ume MV set with tidal volume VT and respiratory rate RR Set the ventilation pattern with the controls below the display Tidal volume VT Ventilation respiratory rate RR minimum possible respiratory rate 5 per min Maximum airway pressure Pmax O2 setting O2 AirMix or 100 O2 FiO2 The following can be set on the display Positive end expiratory pressure PEEP Ventilation time ratio I E Plateau time Tplat...

Страница 31: ...entilation mode VC AC is shown on the display Deactivate trigger 1 Set a value less than 3 L min or greater than 15 L min off is displayed instead of a value 2 Press the rotary knob to confirm The last effective trigger value is adopted by the ventilator when changing from VC AC to SpnCPAP Successful patient triggering is briefly indicated by an asterisk in the middle of the status and alarm messa...

Страница 32: ...tween the mandatory ventilation strokes and thus contribute to the total minute volume Spontaneous breathing can be assisted with PS Set the ventilation pattern with the controls below the display Tidal volume VT Respiratory Rate RR minimum possible respiratory rate 2 per min Maximum airway pressure Pmax O2 setting FiO2 Inspiration time Ti Plateau time Tplat in of the inspiration time Positive end...

Страница 33: ... also be set on the display for VC SIMV PS Setting on page 1 Pressure support ΔPsupp above PEEP Setting on page 2 Pressure rise time Slope flat ramp long pressure rise time medium ramp medium pressure rise time steep ramp short pressure rise time VC SIMV optional PS ...

Страница 34: ...etting FiO2 Pressure support optional The following can additionally be set on the display for SpnCPAP PS Pressure support ΔPsupp above PEEP Sensitivity Trigger for synchronization with the patient s spontaneous breathing efforts Successful patient triggering is briefly indicated by an asterisk in the middle of the status alarm messages window Pressure rise time Slope for pressure support ΔPsupp ...

Страница 35: ... E 1 1 5 and the plateau time Tplat 0 are preset during apnea ventilation To switch apnea ventilation OFF Set Tapn to OFF see setting apnea ventilation above To end apnea ventilation Press the Alarm Reset key 2 3 SpnCPAP Apnea Ventilation Apnea back up ventilation is only applicable when using the SpnCPAP mode In the event of an apnea the ventilator will automatically activate volume controlled ma...

Страница 36: ...tilation modes SpnCPAP and SpnCPAP PS Mask leakages are detected by the device compensated and included in the measured values for VTe and MVe The leakage alarm is inactive The supplement NIV appears in the upper section of the display Please refer to the NIV section of the Instructions for Use for a clear understanding of risks associated with NIV use ...

Страница 37: ...values window to display the measured values C Settings key to change screen pages in the Setting window to set other ventilation parameters D Alarms key to change screen pages in the Alarms window to set and display the alarm limits E Central rotary knob for selecting and confirming options on the display Ox ylo g 2000 plus E A C B D Display operating controls ...

Страница 38: ...key B The alarm message is removed from the display Every alarm which has been remedied but not acknowledged will be overwritten by a new alarm or advisory message A key for suppressing the audible alarm for 2 minutes B Alarm Reset key for acknowledging alarm messages Ox ylo g 2000 plus C A B In the event of an alarm The Oxylog 2000 plus Pocket Guide is not a replacement or substitute for the Inst...

Страница 39: ...en Pmax is reached inspiration will not be terminated prematurely Setting alarm limits automatically Autoset The function Auto alarm limits sets the alarm limits on the basis of the following actual measured values at the time of activation MV Measured value MV 2 L min MV Measured value MV 2 L min RRsp Measured value RRsp 5 min with a minimum of 10 min Alarm Range MV 2 to 41 L min MV 0 5 to 40 L m...

Страница 40: ... Page number Values window In the values window five different values can be displayed To switch between the values Press the lower Values key the next value is displayed on the screen A Parameter measured B Measured value C Page number D Unit of measure A B D C Displaying other measured values C D A B ...

Страница 41: ... alarm messages in alphabetical order If an alarm occurs the table helps to identify causes and remedies Warning High priority alarm message Caution Medium priority alarm message Advisory Low priority alarm message The Oxylog 2000 plus Pocket Guide is not a replacement or substitute for the Instructions for Use Any use of the device requires full understanding and strict observation of the Instruc...

Страница 42: ...rm Reset key only in SpnCPAP mode Charge int battery Oxylog 2000 plus draws its power from The ventilator must immediately the internal battery due to the absence be reconnected to the mains supply of an external DC supply Only a few an onboard DC supply or a fully minutes of operating time remain charged battery approximately 10 minutes Check settings flow The flow resulting from the settings for...

Страница 43: ... Contact your local DrägerService for additional support Flow measurement inop Measurement hoses for flow measurement Ensure flow measurement hoses hoses kinked disconnected or leaking are connected correctly Flow sensor defective Replace flow sensor Technical defect Contact your local DrägerService for additional support restricted operation is now possible Gas delivery failure Technical defect C...

Страница 44: ...ossible Int battery discharged The operating time for operation with the The ventilator must immediately be reconnected internal battery has expired and an to a mains supply an on board DC supply external DC supply has not been connected or a fully charged battery Int battery in use Oxylog 2000 plus draws its power from Press the Alarm Reset key to the internal battery due to the absence of confir...

Страница 45: ...our local DrägerService for additional support Loss of data Technical defect Contact your local DrägerService for additional support Loudspeaker inop Technical defect Contact your local DrägerService for additional support restricted operation is now possible MV high The upper alarm limit for the minute Check patient s condition check volume MV has been exceeded ventilation pattern adjust alarm li...

Страница 46: ...sensor The ventilator may not function properly Contact your local DrägerService for additional support No int battery Internal battery not installed faulty Fit battery or confirm alarm or change or wrong battery installed internal battery No int battery Internal battery not installed faulty Advisory message is displayed continuously or wrong battery installed when confirmed Change internal batter...

Страница 47: ...ust alarm ventilator coughing limits if necessary Ventilation hose kinked or obstructed Check hose system breathing valve and tube Paw low No pressure difference 5 mbar between Inflate cuff and check for leaks inspiration and expiration or set pressure level is not achieved Leak in cuff Leakage or disconnection Check hose system for leaking connections Ensure that the breathing valve has been inst...

Страница 48: ... OK The device has been switched on and The message can be confirmed or it will be the selftest completed successfully cancelled automatically with the next message Set correct FiO2 The control knob for setting O2 AirMix Set the control knob in the right or 100 O2 is set in a middle position or left position Settings not confirmed Parameters have been changed on the Press the rotary knob to confir...

Страница 49: ...essary Breathing valve inop Breathing valve has malfunctioned Check correct condition of breathing valve including diaphragm and rubber disc fit a new breathing valve if necessary or use a new disposable hose set Pressure The ventilation hose system has not been Connect ventilation system correctly measurement inop connected correctly Pressure measurement is not possible Contact your local DrägerS...

Страница 50: ...low 35 L min I E 1 1 5 Change in Ti Te 2 s Confirm PEEP PEEP 10 mbar has been set but not confirmed The required setting of PEEP 10 mbar is only above 10 mbar possible when confirmed via the rotary knob Gas Standard display in information window consumption 10 L min for the current gas consumption Standard display in information window for the Battery capacity current battery capacity Psupp 22mbar...

Страница 51: ...51 Notes ...

Страница 52: ...bH Branch Office Dubai Dubai Healthcare City P O Box 505108 Dubai United Arab Emirates Tel 971 436 24 762 Fax 971 436 24 761 contactuae draeger com REGION ASIA PACIFIC Draeger Medical South East Asia Pte Ltd 25 International Business Park 04 27 29 German Centre Singapore 609916 Singapore Tel 65 6572 4388 Fax 65 6572 4399 asia pacific draeger com Manufacturer Dräger Medical GmbH 23542 Lübeck German...

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