Oxylog 2000
Emergency Ventilator
Operating InstructionsSoftware Version 3.n
MT 307-98
Страница 1: ...Oxylog 2000 Emergency Ventilator Operating Instructions Software Version 3 n MT 307 98 ...
Страница 2: ...e obtained from Dräger or Authorized Dealers Dräger Inc will not be responsible for injury to persons or damage to property arising directly or indirectly out of unauthorized repairs or modifications to this device Furthermore any unauthorized repairs or modifications void any warranty extended by Dräger This document is provided for your information only It will not be exchanged or updated withou...
Страница 3: ...6 General WARNINGS and CAUTIONS 7 Precautions During Preparation 8 Precautions During Operation 9 Precautions During Care 10 Precautions During Maintenance 11 Intended Use 12 Overview 13 Preparation 14 Assembly 14 Pneumatic Connections 15 Electrical Supply 15 Positioning the Oxylog 2000 20 Connecting Gas Supply 20 Checks of Readiness for Operation 23 Connecting a Test Lung 23 Checking Ventilation ...
Страница 4: ...he equipment are restricted to trained professionals and that certain inherent characteristics of the equipment are known to the trained operator Instructions warnings and caution statements are limited therefore largely to the specifics of the Dräger design This publication excludes references to various hazards which are obvious to a medical professional and operator of respiratory care equipmen...
Страница 5: ...warranty provided by Dräger Inc No other warranty expressed or implied is intended Representatives of Dräger are not authorized to modify the terms of this warranty Dräger Inc Telford PA Warranty All Dräger products are guaranteed to be free of defects for a period of one year from date of delivery The following are exceptions to this warranty 1 The defect shall be a result of workmanship or mater...
Страница 6: ...ance measures at regular Maintenance intervals Typing conventions in this manual Controls knobs membrane switches are designated as Control Name e g PEEP Screen messages are printed in a window e g Self test O K CAUTION A CAUTION statement designates the possibility of damage to equipment if disregarded WARNING A WARNING statement refers to conditions with a possibility of personal injury if dis r...
Страница 7: ...i lator constant attention by qualified medical staff is required in order to provide immediate corrective action in case of a malfunction The operator shall not rely on the built in monitoring of the ventilator and must always assume full responsibility for proper ventilation and patient safety in all situations WARNING DANGER risk of explosion if used in the presence of flammable anesthetics The...
Страница 8: ...vide adequate ventilation in order to maintain ambient O2 concentrations 24 Use only officially approved gas cylinders that comply with federal and local regulations Always secure gas cylinders against tipping do not expose to extreme heat Do not use oil or grease on O2 equipment such as tank valves or pressure regulators Do not touch with oily hands Risk of fire Open and close valves slowly with ...
Страница 9: ... WARNING The automatic Paw low alarm for detecting a disconnection is not functional during CPAP Verify tightness of all connections WARNING Only use CPAP mode for patients with sufficient spontaneous breathing WARNING If blender is not set to No Air Mix toxic am bient air may be drawn from the environment Relocate patient immediately to an environ ment of breathable air so that toxic air is not i...
Страница 10: ... oxide EtO is also not recommended CAUTION Do not allow any foreign objects to enter the patient valve Do not damage the silicone diaphragm or other parts CAUTION Do not allow any foreign objects to enter the flow sensor Do not use pressurized air for cleaning The orifice membrane inside the flow sensor may become damaged CAUTION When removing patient circuits always handle at end fittings Otherwi...
Страница 11: ...D screen is broken a liquid chemical may escape which must not be allowed to come into contact with the human body Immediately wash affected skin areas with soap WARNING Never operate a ventilator if it has suffered physical damage or does not seem to operate properly In this case always refer servicing to factory trained and authorized personnel WARNING Treatment of batteries Do not throw into fi...
Страница 12: ...t safety in all situations Intended Use Oxylog 2000 a time cycled volume constant transport and emergency ventilator for patients with tidal volumes starting at 100 mL Available ventilation modes Controlled Mandatory Ventilation CMV with variable I E ratio and switch selectable O2 concen tration of 100 or approximately 60 by vol Assist Control ventilation A C Synchronized Intermittent Mandatory Ve...
Страница 13: ...l rechargeable NiCd battery pack and external power supply if necessary or Non rechargeable alkaline battery pack and external power supply if necessary Overview Controls The most important dial knobs namely those for ventilator rate Rate and tidal volume VT are located in the center of the front panel They are larger in diameter than the other dial knobs Ranges for each patient group are color ma...
Страница 14: ...pples on flow sensor note different diameters WARNING Do not use electrically conductive patient circuits They can pose a hazard to personnel and lead to ventilator damage during the use of a defibrillator CAUTION Always use elbow connector for accurate flow measurement WARNING Always verify that valve membrane is installed in correct orientation Ventilator malfunction will occur if silicone membr...
Страница 15: ...r rechargeable NiCd or non rechargeable alkaline batteries External supply To recharge the NiCd battery pack and as auxiliary supply to extend operation when using alkaline or NiCd battery packs DC from an on board supply system using a DC DC converter part no 84 12 071 or AC adapter part no 84 12 709 from 115 V AC line voltage WARNING A fully charged NiCd battery pack or fresh alkaline batteries ...
Страница 16: ...harge It takes about 2 years for batteries to discharge com pletely under those circumstances NOTE Always charge at ambient temperatures of 0ºC to 35ºC 32ºF to 95ºF Alternatively charge battery pack with on board DC supply Always use DC DC converter 84 12 071 or AC adapter Always use AC adapter 84 12 709 for connecting device to 115 V AC line voltage WARNING Treatment of batteries Do not throw int...
Страница 17: ...erature the ventilator can be operated for approximately 6 hours with a fully charged NiCd battery pack Near the end of battery capacity the following display will appear Approximately 10 minutes of operation remain at the time of this message NOTE Low ambient temperatures and the actual condition of the rechargeable batteries may reduce operating times see Technical Data page 54 Operation with al...
Страница 18: ...to extend the electrical operation time Use a DC DC converter part no 84 12 071 or use an AC adapter part no 84 12 709 For display messages related to batteries see table Troubleshooting on pages 45 and 46 External power supply from AC adapter Only use AC power supply 84 12 709 Connect power plug to 115 V outlet and DC plug to DC socket on Oxylog 2000 WARNING Treatment of batteries Do not throw in...
Страница 19: ...ator mount bracket Plug angled connector into Oxylog external DC input jack Attach cigarette lighter adapter plug to an on board socket Connecting DC DC converter to on board supply without cigarette lighter adapter NOTE The following procedure to be performed by a qualified technician only Cut the on board cable to required length Remove ca pacitor from the cigarette lighter adapter plug and rein...
Страница 20: ...n using oxygen Oxygen intensely supports any burning No smoking no open fire in areas where oxygen is in use Always provide adequate ventilation in order to maintain ambient O2 concentrations 24 Use only officially approved gas cylinders that comply with federal and local regulations Always secure gas cylinders against tipping do not expose to extreme heat Do not use oil or grease on O2 equipment ...
Страница 21: ...etermining gas supply in O2 cylinder Example Cylinder pressure measured on the pressure gauge of the pressure regulator 2400 psi Supply of pressurized O2 E cylinder 622 L WARNING Do not install flow control valves or flow meters into the high pressure gas supply Equipment malfunction might result WARNING Always use medical grade oxygen or air that is dry and free from dust and oil Contaminated gas...
Страница 22: ...Oxylog 2000 and connect to wall terminal with appropriate quick connect probe Supply from O2 air blender Note supply pressures for O2 and medical gas input 40 to 88 psi 4 0 to 6 0 bar Carrying system 2000 The carrying system 2000 is recommended for quick mobile use of the Oxylog 2000 Accommodates the Oxylog 2000 ventilator O2 cylinder with pressure regulator accessory bag and circuit holder for im...
Страница 23: ...ion purposes Connecting a Test Lung part no 84 03 201 The test lung consists of an elbow for attaching the wye an ET tube adapter size 7 mm for simulation of airway resistance and a 2 L ventilation bag for simulation of compliance Remove elbow from flow sensor Insert test lung elbow to patient connector at flow sensor Connect gas supply Open gas cylinder valve slowly and completely or engage gas s...
Страница 24: ...und twice NOTE For safety reasons the audible alarm output uses two channels which are both tested during the self test Therefore two audible alarms of the same duration will be heard The green DC power status light DC power ok will be lit continuously as long as an external pow er source of 11 to 13 V DC is connected The self test will be completed after no more than 6 seconds Display Oxylog 2000...
Страница 25: ... approximately 25 seconds together with an intermittent audible alarm Reconnect test lung The intermittent audible alarm tone should stop after approximately 25 seconds 1 Press g Reset to clear the display If values are outside tolerance Replace flow sensor Checking End Expiratory Pressure PEEP 2 Set PEEP knob to 0 cmH2O 3 Reading on pressure gauge at end of expiration 0 cmH2O 2 cmH2O tolerance 2 ...
Страница 26: ...e alarm will stop 6 Press g Reset to clear the display Checking Paw low Alarm Using the previous settings Disconnect test lung from patient valve 5 After approximately 25 seconds the red alarm status light starts flashing and the following message will appear on the display together with an intermittent audible alarm Reconnect test lung The intermittent audible alarm will stop after approximately ...
Страница 27: ...EP knob to 0 Checking Power Failure Alarm Use the above settings 4 Connect external power supply power supply unit or DC DC converter The green LED lights up Interrupt external power supply 5 The red alarm status light will start blinking the green LED goes out The following message appears on the display together with an intermittent audible alarm The ventilator continues operation with the inter...
Страница 28: ...or to on board power supply 0 All tubing connected 0 Function check Connect test lung to patient valve 0 Dial knobs VT to 0 5 L Rate to 12 bpm I E to 1 2 Pmax to 60 cmH2O PEEP to 5 cmH2O Switch for ventilation modes set to CMV ON OFF switch to I Display Red alarm status lights up briefly Alarm tone sounds twice Green LED lights up with external power supply After approx 6 seconds Display 0 Oxylog ...
Страница 29: ...s to CMV NOTE For quick pre setting you may set knobs Rate and VT to matching colors on dial scale This will adjust ventilation parameters to settings for infant pediatric and adult patients respectively 2 Set Rate and VT knobs Body weight Rate VT kg bpm L Green range 30 to 40 0 1 to 0 3 infants 7 5 to 20 Blue range 20 to 30 0 3 to 0 8 children 20 to 40 Brown range 5 to 20 0 8 to 1 5 adults over 4...
Страница 30: ...it the patient The following display appears if expiratory minute ventilation is less than 1 L min 6 Read maximum airway pressure Paw on the pressure gauge 2 Set Pmax knob to approx 10 cmH2O higher than the maximum airway pressure If the airway pressure in the range of settings between 20 and 60 cmH2O exceeds the maximum airway pressure Pmax the ventilator immediately switches to expiration to pro...
Страница 31: ...pointer over the pin Perform the same when returning to PEEP values below 10 cmH2O For cardiopulmonary resuscitation When applying cardiac massage for adult patients with the aid of an assistant 4 Set Rate knob to ª 12 breaths per minute 5 Set Pmax knob to ª pressure limited to 80 cmH2O Display 6 Press g Reset to clear display The airway pressure is limited to max 80 cmH2O without interrupting ins...
Страница 32: ...atically applied at the set rate if there is no patient inspiratory effort Set ventilation initially as described for CMV mode pages 29 30 Then 1 Press MInfo key to obtain the display CMV A C 2 Press g Reset to confirm and Assist Control mode is applied by the ventilator The maximum inspiratory time is always limited to 1 3 seconds The following alarm message appears if the measured rate exceeds t...
Страница 33: ...This will guarantee a minimum expiratory time of 0 5 seconds The duration of the trigger window decreases as the frequency of mechanical breaths increases With synchronization mechanical breaths are applied during a trigger time window that is calculated to coincide with the patient s inspiratory effort The frequency of the mechanical breaths remains constant Synchronization is briefly indicated b...
Страница 34: ...ss g Reset The following message appears if the expiratory minute ventilation is less than 1 L min NOTE Pure oxygen is supplied during spontaneous breathing even when the ventilator is set to Air Mix 1 Reduce the ventilation frequency via the Rate knob when spontaneous breathing resumes NOTE At rate settings lower than 5 bpm the ventilator will switch to CPAP 2 Use PEEP knob to set the positive ai...
Страница 35: ...ng CPAP The setting of the Air Mix No Air Mix switch has no effect in this mode of operation When spontaneous breathing is insufficient change to SIMV or CMV A C WARNING The automatic Paw low alarm for detecting a disconnection is not functional during CPAP Verify tightness of all connections WARNING Only use CPAP mode for patients with sufficient spontaneous breathing WARNING If blender is not se...
Страница 36: ...W 30 0 L min Mean pressure MEAN 15 0 cmH2O Endexpiratory pressure PEEP 5 0 cmH2O Peak pressure PEAK 20 0 cmH2O Respiratory rate Frequency 10 bpm Tidal volume VTexp 450 mL For CPAP Positive airway pressure CPAP 8 0 cmH2O Respiratory rate Frequency 10 bpm Tidal volume VTexp 450 mL In the event of an alarm the parameters displayed in the bottom line will be overwritten by the alarm messages Displayin...
Страница 37: ...ooting on pages 45 46 NOTE The audible alarm may be silenced for 2 minutes during an alarm 2 Press g Reset key If the alarm situation persists the audible alarm will resume after 2 minutes or immediately if a new higher priority alarm occurs WARNING Continuous or intermittent audible alarms require immediate operator attention to avert or to prevent development of situations with the possibility o...
Страница 38: ...hen loss of battery capacity has occurred over time Oxylog 2000 can be operated for approximately 4 hours with new alkaline batteries See pages 21 22 for calculating pneumatic operating time capacities for different gas cylinders When batteries near the end of capacity the display will show respectively or Approximately 10 minutes of operation remain at the time of these messages NOTE The display ...
Страница 39: ...Completely close cylinder valve With oxygen supply from wall oxygen system Disconnect high pressure hose quick connect probe from wall terminal Storage of ventilator for an extended period of time When Oxylog is not going to be used for more than 3 months Remove alkaline battery pack where applicable NOTE Rechargeable batteries may remain in the ventilator Oxylog 2000 D 1 01429033 ...
Страница 40: ...nt circuit from nozzle 2 Remove connector for pressure sensing hoses flow measurement from ventilator 3 Unscrew DISS high pressure oxygen hose from Oxylog 2000 CAUTION When removing patient circuits always handle at end fittings Otherwise support helix may be torn at end fitting or hose and fitting could come apart WARNING Always follow accepted hospital EMC proce dures for handling equipment cont...
Страница 41: ...rom patient circuit Disassembling the patient valve 1 Turn cover 90 º counterclockwise disengage and remove 2 Remove silicone diaphragm Do not further disassemble the patient valve CAUTION Do not allow any foreign objects to enter the patient valve Do not damage the silicone diaphragm or other parts CAUTION Do not allow any foreign objects to enter the flow sensor Do not use pressurized air for cl...
Страница 42: ...d that only deter gents and disinfectants are used that are compatible with the materials used in the ventilator and its accessories e g surface disinfectants on the basis of aldehydes alcohol or quarternary ammonia compounds for disinfection of the main unit Ensure that all disinfectants are registered with the U S Environmental Protection Agency for use as intended Always follow the instruction ...
Страница 43: ...ars Pressure regulator overhaul every 6 years WARNING Preventive Maintenance work on the Oxylog 2000 ventilator may be performed by factory trained and authorized personnel only WARNING To avoid any risk of infection clean and disin fect ventilator and accessories before any maintenance according to established hospital procedures this applies also when returning ventilators or parts for repair CA...
Страница 44: ...on WARNING Damage to the LCD If in case of damage to the ventilator the glass of the LCD screen is broken a liquid chemical may escape which must not be allowed to come into contact with the human body Immediately wash affected skin areas with soap WARNING Never operate a ventilator if it has suffered physical damage or does not seem to operate properly In this case always refer servicing to facto...
Страница 45: ...or display cannot be switched on NiCd battery pack will be completely discharged within a few minutes no external power supply connected Replace NiCd battery pack or connect power supply Check settings Alarm status light blinking intermittent audible alarm Ventilator performance parameters have been exceeded Effective flow is less than 4 L min or greater than 60 L min Correct the appropriate setti...
Страница 46: ...pack at ambient temperatures between 0 and 35 C No NiCd or bat Ventilator connected to external power supply internal power supply not available Install fully charged NiCd or new alkaline battery pack Paw high Alarm status light blinking intermittent audible alarm The minute ventilation cannot be fully applied Single beep Airway stenosis Ventilator circuit kinked Reduced lung compliance Inspirator...
Страница 47: ...ow measuring hoses Straighten out kink Drain water from flow measuring hoses When switching on no alarm tones of the same length to be heard Internal machine fault Switch ventilator off and on again If fault recurs use alternative machine and call DrägerService No message External power supply connected green LED does not light up Output voltage of power supply unit or DC DC converter outside the ...
Страница 48: ...y adjustable from 1 3 to 2 1 3 Dial knob for limiting the airway pressure Pmax infinitely adjustable from 20 to 60 cmH2O can also be set to 80 cmH2O 4 Dial knob for PEEP infinitely adjustable from 0 to 15 cmH2O with lock for PEEP greater than 10 cmH2O 5 Switch for ventilation modes CMV Assist Control and SIMV CPAP 6 ON OFF switch 0 I 7 Selector switch for inspiratory oxygen concentration during CM...
Страница 49: ...Identification plate 5 Compartment for internal power source either rechargeable NiCd battery pack or battery pack with 6 AA alkaline batteries WARNING Do not block air intake Ventilator malfunction will result What s What Rear View Operating Instructions Oxylog 2000 SW 3 n 49 MT 309 98 1 2 3 4 5 ...
Страница 50: ... diameter 2 Connector for external power supply AC adapter unit or on board supply with DC DC converter 3 Connector for O2 40 to 88 psi 2 7 to 6 0 bar 4 Connectors for flow measuring hoses 5 Inspiratory port 22 mm ISO taper 6 Beeper 7 Ventilator air intake and exhaust 8 Ventilator feet may also be used to secure the carrying strap WARNING Do not block air intake Ventilator malfunction will result ...
Страница 51: ...d valve also at elevated PEEP levels Ventilation modes CMV A C SIMV CPAP Ventilator rate 5 to 40 bpm 1 bpm infinitely adjustable Tidal volume VT 0 1 to 1 5 L infinitely adjustable Setting tolerance at 10 of set value 10 cmH2O airway pressure 50 mL minimum I E ratio 1 3 to 2 1 5 infinitely adjustable Inspiratory pressure 20 to 60 cmH2O 10 limitation Pmax infinitely adjustable can also be set to 80 ...
Страница 52: ...H2O Flow measurement range 2 to 120 L min bidirectional Max permissible differential pressure for flow measurement 4 cmH2O Resistance of flow sensor 3 cmH2O at 100 L min Measurement of minute ventilation Range 1 to 40 L min Accuracy with 100 O2 by vol 1013 hPa 20ºC 50 relative humidity for 1 to 5 L min 1 L min for 5 to 40 L min greater of 12 of measured value or 1 L min Patient connector 22 mm mal...
Страница 53: ...ry breathing phase was detected Check settings Alarm is activated when the inspiratory flow is above or below the range of 4 to 60 L min due to the combination of parameters VT Rate I E This alarm is important for the performance range of the flow valve It does indicate an operator error does not need to be reset after corrections are made Alarms Are indicated visually and acoustically The audible...
Страница 54: ... Mix selected Approximately 50 of the effective minute ventilation with No Air Mix selected Approximately 100 of the effective minute ventilation Typical time of operation at a minute ventilation of 10 L min D type O2 cylinder Approximately 32 minutes without mixing No Air Mix Approximately 64 minutes with mixing Air Mix E type O2 cylinder Approximately 56 minutes without mixing No Air Mix Approxi...
Страница 55: ...dy floating Type of protection IP 54 splash proof Protection class of AC adapter II in accordance with IEC 601 1 DC DC converter Input voltage 10 5 V DC to 30 0 V DC Output voltage 12 5 V DC 0 05 V 1 0 V Current consumption 700 mA to 1600 mA Protected by an internal micro fuse DIN 41 571 Part 2 0 Temperature range 20 to 50 C Humidity 0 to 95 relative humidity without condensation Immunity to inter...
Страница 56: ...U Flow sensor orifice membrane stainless steel Patient valve housing polysulphone PSU Patient valve diaphragms silicone rubber Membrane keypad on front panel polyester membrane Certificates The Oxylog 2000 ventilator has been tested for electromagnetic compatibility according to the following standards and guidelines Electromagnetic emissions and IEC 601 1 2 immunity ISO 10794 3 prEN 794 3 MIL STD...
Страница 57: ...ed by pressure sensor 9 Theory of Operation Symbols for Pneumatic Components Filter Non return check valve Pressure regulator Pressure limiting valve adjustable Pressure limiting valve non adjustable 2 2 way valve pneum controlled 3 2 way valve electrically controlled Injector Pressure gauge Pressure sensor Differential pressure sensor Theory of Operation Functional Description of Pneumatics Opera...
Страница 58: ...t Gas delive ry is stopped when the patient wants to exhale The demand valve maintains CPAP pressure in the brea thing circuit using the PEEP CPAP set with PEEP valve 8 CMV SIMV A C Inspiration 3 2 way magnetic valve Insp Exp 3 releases gas flow Gas flow is controlled via electrically operated flow valve 10 and reaches the patient circuit either via 2 2 way val ve 11 or via injector 12 From there ...
Страница 59: ...tory ventilator breaths in SIMV mode Pressure Dependent Tidal Volume With Air Mix Mixing of air and oxygen is performed using an injector which draws additional air and creates a mixture of oxy gen and air with a concentration of approximately 60 Due to the physics involved the performance of an injector decreases with increasing back pressure With high airway pressures and Air Mix on the set tida...
Страница 60: ...limit for airway pressure Paw low Lower alarm limit for airway pressure PEEP Positive End Expiratory Pressure Pmax Setting for airway pressure upper alarm limit Paw high SIMV Synchronized Intermittent Mandatory Ventilation I E ratio Ratio of inspiratory time versus expiratory time Symbol for synchronized ventilator breath during SIMV g Key to silence audible alarms for 2 minutes and for resetting ...
Страница 61: ...erter for mobile on board supplies 12 24 28 V 84 12 071 or AC adapter for stationary operation 84 12 709 For functional tests Test lung 84 03 201 Optional Accessories Ventilator mounting bracket for use in ambulances 84 12 069 Corrugated breathing circuit reusable 84 02 041 Set of ET tube adapters adult sizes 84 03 685 Reusable patient circuit 3 m 10 ft 84 12 913 Battery holder for 6 AA alkaline b...
Страница 62: ...om 22 Warnings 6 Warranty 5 What s what 48 Wipe disinfection 42 Alarm situations 39 Alarm Paw high 28 53 Alarm Paw low 28 53 Alkaline batteries 15 17 38 39 55 Alkaline batteries installing 17 Ambient conditions 51 Accessories 7 61 Assembly patient valve 14 Assist Control ventilation 32 Bacteria filter 14 Batteries disposal of 18 Batteries installation 17 Battery pack alkaline 17 Battery pack AA 17...
Страница 63: ...Notes Operating Instructions Oxylog 2000 SW 3 n 63 ...
Страница 64: ...use with any specific machine or device Dräger Medizintechnik GmbH Germany H Moislinger Allee 53 55 D 23542 Lübeck T 4 51 8 82 0 X 26 80 70 FAX 4 51 8 82 20 80 http www draeger com 90 29 043 GA 5503 300 us Dräger Medizintechnik GmbH 1st edition March 1998 Subject to alteration Dräger Inc Critical Care Systems H 3136 Quarry Road Telford PA 18969 T 215 721 6910 FAX215 721 6915 Manufactured by Distri...
