Dräger Primus Infinity Empowered Скачать руководство пользователя страница 30 | Manualshive

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Dräger Primus Infinity Empowered Скачать руководство пользователя страница 30

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Quick Reference Guide Primus

Infinity Empowered

SW 4.5n

Principles of Operation

Pressure Mode ventilation mode

Pressure

is a pressure-controlled ventilation mode

with

fixed pressure limitation

P

INSP

and frequency

freq.

(former PCV), as well as with optional synchronization
(former SIMV(PC)) and variable pressure support for
spontaneous breathing efforts (former SIMV(PC)+PS,
optional).

A continuous pressure is applied to the patient during
the inspiratory time

T

INSP

. The rate at which the pres-

sure curve rises is pre-set via the rise time

T

SLOPE

. Syn-

chronization and pressure support are controlled by the
sensitivity of the flow trigger and the level of

Δ

P

PS

. The

maximum time interval for controlled ventilation is set
via the frequency. To maintain a constant frequency, a
time interval triggered prematurely is compensated in
the next cycle.

Changes in lung compliance and ventilation parameters
influence the tidal volume.

098

25%

Pressure

Trigger indicator

P

INSP

Δ

P

PS

T

INSP

T

SLOPE

T

EXP

1/

Freq.

Trigger indicator

Trigger

on

Δ

P

PS

on

Time [s]

Flow trigger

Flow-trigger window

Time [s]

Flow

«
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Содержание Primus Infinity Empowered

Страница 1: ... not a replacement or substitute for the Instructions for Use Any use of the medical device requires fullunderstan ding and strict observation of the Instruction for Use Quick Reference Guide Primus Infinity Empowered Software 4 5n ...

Страница 2: ...sorb D Vapor Infinity Spirolog SpiroLife Vapor WaterLock are registered trademarks of Dräger VacuSmartTM is a pending trademark application of Dräger Durasensor OxiMax are registered trademarks of Nellcor Neodisher Medizym is a registered trademark of Chemische Fabrik DR WEIGERT GmbH Co KG ...

Страница 3: ...ecting the patient system 14 Connecting the electrical connections 15 Getting Started 17 Device check 17 Self test 18 Emergency start 19 Alarms 20 Alarm displays 20 Alarm priorities and alarm signals 21 Suppressing alarms 22 Displaying and setting alarm limits 23 Monitoring 25 Selecting the standard screen 25 Monitoring mode 25 Screen layout 26 Principles of Operation 27 Man Spont ventilation mode...

Страница 4: ...r module K Disposable absorber Drägersorb CLIC or reusable absorber L Drawer M Central brake N Footrest O Castors P Water trap with sample line connection Q Auxiliary oxygen flowmeter optional R Mechanical pressure gauge optional S Vapor units with Interlock system NOTE The Primus Infinity Empowered Quick Reference Guide is not a replacement or substitute for the Instructions for Use Any use of th...

Страница 5: ...asure ment C Filter for fan D Auxiliary outlets E Type plate F Pins for grounding cables of auxiliary units G Scavenging nozzle H Anesthetic gas scavenging system AGS I Power cord J Pin for grounding cable K Gas inlets L Connection for optional halogen lamp remove cap before use Use the lamp specified in the list of accessories only M Interface panel 066 A B C D E F G M L K J I H ...

Страница 6: ...tion for central gas supply O2 B Connection for O2 cylinder C O2 outlet for oxygen flow tube optional D Connection for central gas supply AIR E AIR outlet for endotracheal aspiration system op tional F Connection for N2O cylinder G Connection for central gas supply N2O 065 A B E D C F G ...

Страница 7: ...imus Infinity Empowered SW 4 5n 7 Overview Interface Panel 074 A D C B A SpO2 Socket for SpO2 sensor optional B COM 1 MEDIBUS MEDIBUS X interface C COM 2 MEDIBUS MEDIBUS X interface D IV System Connection for Dräger IV System ...

Страница 8: ...n all setting operations Select set turn B Clockwise rotation increases a value counter clockwise rotation decreases a value Confirm push C If the selection is not confirmed the value or pa rameter will not change For example confirm the selected carrier gas or a ventilation mode set and confirm the parameters for fresh gas and ventilation modes set and confirm the monitoring functions NOTE The Pr...

Страница 9: ...ntary keys have variable functions They are used to set monitoring functions configura tions fresh gas delivery and ventilation parameters A Keys for monitoring configuration The keys for the various monitoring functions and configurations have different functions depending on the monitoring screen selected B Keys for fresh gas delivery The keys for setting the O2 concentration and the fresh gas f...

Страница 10: ...to yellow In addition a flashing help text is displayed in the prompt field 2 Set the PEEP value turn the rotary knob B Confirm the PEEP value push the rotary knob The color changes from yellow to dark green Selecting setting monitoring functions Example Change the lower alarm limit of the endexpi ratory CO2 concentration 1 Press the alarm limits soft key A The alarm lim its menu is displayed on t...

Страница 11: ... Confirm the selection with the rotary knob 3 Turn the rotary knob and select the new time interval E Confirm the selection with the rotary knob 373 343 C D Standby Conf logbook entries triggered by time interval 1 2 5 10 B yes no warning alarms yes no caution alarms C COM 1 MEDIBUS COM 2 MEDIBUS Select MEDIBUS baud rate k 1 2 9 6 baud rate k 1 2 9 6 MEDIBUS X MEDIBUS V4 interfaces logbook A 371 3...

Страница 12: ...ve parameter can be operat ed current selection configuration menu Gray type cannot be operated Standby Conf logbook entries triggered by time interval F yes warning alarms yes no caution alarms no 1 5 10 2 COM 1 MEDIBUS COM 2 MEDIBUS Select MEDIBUS baud rate k 1 2 9 6 baud rate k 1 2 9 6 interfaces logbook MEDIBUS X MEDIBUS V4 370 LED lights up green CS line is connected and the pressu re is with...

Страница 13: ...to the mains sock et The mains voltage must correspond to that specified on the rating plate on the back of the machine The green LED A lights up Leave Primus Infinity Empowered connected to the electrical power supply for 10 hours It does not need to be switched on Connecting the gas supply 1 Screw on the compressed gas hoses of the central gas supply CS for O2 AIR N2O to the front con nections o...

Страница 14: ...er to the shortest breathing hose in the breathing circuit set Attach the breathing hose to the angled connector and hang the breathing bag on the hook 4 Connect the breathing hoses C to the inspiratory and expiratory ports or to the optional microbial fil ters and then connect them to the Y piece or the op tional filter on the Y piece 5 Fit the water trap D at the front 6 Screw the sample line E ...

Страница 15: ... mount and connect it to the outlet at the side of the machine Make sure the maximum power consumption of the auxiliary systems does not exceed permissible values See the corresponding Instructions for Use Connecting to ground e g for intracardiac or intracranial surgery 1 Connect one end of the grounding cable to one of the connecting pins A located at the back of the an esthesia machine 2 Connec...

Страница 16: ... Primus Infinity Empowered SW 4 5n Assembly Fuses for auxiliary outlets If a fuse is tripped position 0 z Remedy the fault then press the switch at the auto matic fuse to the position I The fuse is active again 102 0 0 I I 0 I ...

Страница 17: ...to be performed are grouped in five cat egories A Gas Supply pipeline pressure cylinder pressure O2 flush functional Safety O2 control functional B Vaporizers Correctly locked in positon Set to zero Fill level OK Safety filler locked C Breathing Circuit Fully assembled Correctly connected Gas scavenger connected and flow adjust ed Soda lime OK D Miscellaneous Water trap fill level OK Suction OK Em...

Страница 18: ...atically and takes approx 5 minutes After the self test has been started a double tone speaker test passed and a single tone speaker test in the power supply unit passed sound one after the other with the set alarm tone volume The progress made in the self test is indicated by the bar graph C Primus Infinity Empowered carries out the automatic tests and actions indicated on the screen The clock sy...

Страница 19: ... ue Primus Infinity Empowered is ready for operation about 1 minute after initiating The O2 sensor is completely calibrated after about 2 minutes The leak and compliance test is not performed The ac curacy levels specified in the Technical Data cannot be guaranteed After ten cancellations the self test cannot be canceled the next time that Primus Infinity Empowered is started and a complete self t...

Страница 20: ... side of the screen When this soft key is pressed the upper curve display D is replaced by up to six additional alarm fields for 15 seconds If more than nine alarm messages are simultaneously active the lowest priority alarms will not be displayed until the total number of active alarm messages falls be low nine The alarm tone sequence accompanying a displayed alarm message with the highest priori...

Страница 21: ...D flashes A accompanied by a repetitive 3 tone sequence Tone sequence Standard G G G Tone sequence Dräger G G B Advisory technical message Message with lowest priority Text displayed on cyan background Advisory Yellow LED A illuminates continuously accompa nied by a single 2 tone sequence Tone sequence Standard E E Tone sequence Dräger B Technical message Yellow LED A illuminates continuously with...

Страница 22: ...ndby Conf in Stand by or permanently via the alarm menu If all the alarms connected to a measurement function have been disabled the measured value will be marked with the symbol A If only certain alarm limits have been disabled for a monitoring parameter one symbol or appears next to the parameter B If the upper and lower alarm limits of a monitoring pa rameter have been disabled but the respecti...

Страница 23: ...mode If the settings for freq FreqMIN are 6 1 min the apnea alarms will be suppressed for 30 seconds otherwise the timeout is 15 seconds Displaying and setting alarm limits Alarms can be displayed and set from all three basic screens standard data and trend screens during op eration There are standard alarm limits configured for the ven tilation modes which may be used as is Configuring the dafaul...

Страница 24: ...W are adapted and high lighted by dark green background B To quit the alarm limits menu z Push the rotary knob or the key The new alarm limits for MV are calculated by Primus Infinity Empowered from the measured value for the minute volume MV in Volume Mode Volume AF Pres sure Mode and Pressure Support optional Setting the alarm tone The volume of the alarm tone can be set in the configu ration me...

Страница 25: ...sides of the screen The three curves are displayed in the middle D Monitoring mode Monitoring can be activated in Standby for instance for exclusive measurement of the SpO2 value Fresh gas is not delivered To start the monitoring mode 1 Press the soft key monitor mode A or 2 Press the key B To return to Standby 3 Press the key B again and confirm via the ro tary knob NOTE The Primus Infinity Empow...

Страница 26: ...ted via the screen layout key A The currently selected screen layout B is highlighted by a dark green background The active screen layout can be changed via the menu item config screen C Select edit and confirm the curve or module to be changed and confirm with the rotary knob All three screen layouts with three curves and individual modules can only be configured in the menu Standby Conf 321 322 ...

Страница 27: ...n the pressure control valve APL you can select be tween manual ventilation Man and spontaneous breathing Spont NOTE The Primus Infinity Empowered Quick Reference 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 031 ...

Страница 28: ...hrough the frequency freq the inspiratory time TINSP the inspiratory pause time TIP TINSP and the tidal volume VT Synchronization and pressure support are controlled by the sensitivity of the flow trigger and the level of Δ PPS The maximum time interval for controlled ventilation is set via the fre quency In order to maintain a constant frequency a time interval triggered prematurely is compensate...

Страница 29: ...cal ly adapts to the set tidal volume limited by a maximum pressure PMAX When starting the ventilation with Vol ume AF the first mandatory breath is volume controlled in order to identify the necessary pressure level if not known from a previous ventilation mode Primus Infinity Empowered automatically adapts the in spiratory pressure to the changing lung condition in steps of max 3 mbar per breath...

Страница 30: ...nspiratory time TINSP The rate at which the pres sure curve rises is pre set via the rise time TSLOPE Syn chronization and pressure support are controlled by the sensitivity of the flow trigger and the level of Δ PPS The maximum time interval for controlled ventilation is set via the frequency To maintain a constant frequency a time interval triggered prematurely is compensated in the next cycle C...

Страница 31: ...hich the pressure curve rises is pre set by the rise time TSLOPE B The maximum inspiratory time for a spontaneous breathing stroke varies according to age 1 5 seconds for patients aged 4 years and younger and 4 seconds for patients over 4 years Inspiration is ended as soon as the current inspiration flow drops below 25 of the inspiratory peak flow Any leakage is compensated simultaneously by means...

Страница 32: ...at an increased pressure level to increase the functional residual capacity Continuous positive airway pressure is activated in Press Support when the value for the pressure support Δ PPS is set 2 hPa cmH2O At the same time the minimum frequency FreqMIN is set to OFF and the rise time TSLOPE is set to 0 0 Apnea ventilation with minimum frequency is not appicable in the CPAP mode ...

Страница 33: ...This page intentionally left blank Quick Reference Guide Primus Infinity Empowered SW 4 5n 33 ...

Страница 34: ...buted by REGION EUROPE CENTRAL AND EUROPE NORTH Dräger Medical GmbH Moislinger Allee 53 55 23558 Lübeck Germany Tel 49 451 882 0 Fax 49 451 882 2080 info draeger com 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 dlmfr contact draeger com REGION MIDDLE EAST AFRICA Dräger Medical ...

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