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Dräger Vapor 19.n, Инструкция по эксплуатации

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Filling Vapor

Anaesthetic agent vapour must not be inhaled –
danger to health.

Observe information on use and use-by date of
anaesthetic agent.

Only fill Halothane Vapors with Halothane.
Only fill Enflurane Vapors with Enflurane.
Only fill Isoflurane Vapors with Isoflurane.
Only fill Sevoflurane Vapors with Sevoflurane.

Note colour-coding of anaesthetic agent bottle and
Vapor:

If the wrong agent is used, the concentration
delivered may be significantly higher or lower than the
one set at the handwheel.

A Vapor which has been filled incorrectly must not be
used again.
Call DrägerService to re-instate Vapor.

Keep Vapor vertical while it is being filled.
If it is at an angle it can be overfilled. The concentration
delivered might then be significantly higher or lower than
the one set at the handwheel.

Use of anaesthetic agent generic products

The same anaesthetic agents from different manufactu-
rers with different trade names which are identical with
respect to composition and physical and chemical
properties and which have been approved as drugs may,
from the technical point of view, be metered, individually
or as a mixture, in Dräger Vapors 19.n and monitored by
Dräger anaesthetic agent monitors.
Information on the physical and chemical properties of
anaesthetic agents can be obtained from the manufac-
turer of anaesthetic agents only.

Dräger Medizintechnik GmbH cannot give informations
on the pharmacologic reaction of an anaesthetic mixture
composed of the same anaesthetic agents produced by
different manufacturers.

If, in case of changing from one generic product to an
other one, mixtures of different generic products are to
be avoided deliberately:

●

Empty the Vapor, page 19.

●

Set the handwheel at maximum concentration.

●

Rinse the Vapor with air and/or O

2

 at a flow of 

12 L/min for 30 minutes; connect the anaesthetic gas 
scavenging system; 
by this, the anaesthetic agent, which has been used 
before and has remained in the Vapor after 
emptying, vaporizes.

●

Fill the Vapor with the new anaesthetic agent.

Preparation

Filling Vapor

Anaesthetic 

Letter on handwheel

Colour strip

agent

Halothane

h

red

Enflurane

e

orange

Isoflurane

i

purple

Sevoflurane

s

yellow

9

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Содержание Vapor 19.n

Страница 1: ...Dräger Vapor 19 n Anaesthetic Vaporiser Instructions for Use 1 144 94 ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ WWW ELM FAN IR ﺳﺎﯾت ﺑﮫ ﺑﯾﺷﺗر ﻣوارد داﻧﻠود ﺑرای To download more items go to ELM FAN IR ...

Страница 2: ...ning Vapor 19 Vapor with key indexed filling system 19 Vapor with filling spout 21 Storage 21 Care 22 Cleaning 22 Disinfecting 23 Checking concentration 24 Maintenance Intervals 26 Technical Data 27 What s What 30 These Instructions for Use apply to Dräger Vapors 19 1 19 2 and 19 3 known collectively as Dräger Vapor 19 n When the term Vapor is used in this document it applies to all Dräger Vapor 1...

Страница 3: ...ve chapter Maintenance Intervals Accessories Do not use accessory parts other than those in the order list Liability for proper function or damage The liability for the proper function of the apparatus is irrevocably transferred to the owner or operator to the extent that the apparatus is serviced or repaired by personnel not employed or authorized by DrägerService or if the apparatus is used in a...

Страница 4: ...connecting a Vapor 19 n to other manufacturers anaesthetic machines or operating it outside the range of uses specified in the Technical Data it is essential to consult Dräger Medizintechnik GmbH to check whether the connection parameters required for it to function properly for instance geometry pressure and flow will be met Any deviations from the connection parameters required may result in an ...

Страница 5: ...ect and exchange the Vapor quickly and safely The Vapor has a permanently fixed plug in adaptor with holes which fit over the pins on the plug in system on the anaesthetic machine The adaptor is secured with a locking lever 3 The sealing rings become leak tight when they are pressed down on the pin by the weight of the Vapor Vapor 19 3 and Vapor 19 1 require different plug in adaptors 1 2 5 Method...

Страница 6: ... system conforms to DIN 13 252 ISO 5360 and prEN 1280 Key indexed filling system for filling Vapor with liquid anaesthetic agent and for draining it consisting of an agent specific coded filling device on the Vapor and an agent specific coded filling adaptor Dräger Vapor 19 3 with filling spout Method of Operation Filling system 6 0 Vol 0 Vol ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ WWW ELM FAN IR ﺳﺎﯾت ﺑﮫ ﺑﯾﺷﺗر ﻣوارد داﻧﻠو...

Страница 7: ...Interlock 1 For two permanently fixed Vapors 19 2 Illustration right Vapor blocked left Vapor operational _____________ Vapor 19 1 is not suitable for Interlock systems 1 or 2 However see Model Summary page 42 for connection options Vapor 19 1 can be modified by DrägerService so that it can be connected to Interlock 1 or 2 e i 0 Vol Vol 7 Method of Operation Interlock system i e 0 Vol Vol ﻓرﻣﺎﯾﯾد ...

Страница 8: ... vaporiser as shown If the direction of flow is reversed the concentration delivered will not be correct For ISO cone and conical hose connections Check that the male cone is connected to the Vapor inlet because the flow through the Vapor would be in the wrong direction otherwise For coded plug in adaptors Check that the correct plug in adaptor for the anaes thetic agent concerned has been fitted ...

Страница 9: ...n approved as drugs may from the technical point of view be metered individually or as a mixture in Dräger Vapors 19 n and monitored by Dräger anaesthetic agent monitors Information on the physical and chemical properties of anaesthetic agents can be obtained from the manufac turer of anaesthetic agents only Dräger Medizintechnik GmbH cannot give informations on the pharmacologic reaction of an an...

Страница 10: ...able adaptor firmly onto bottle 2 Turn fill drain valve to 0 position 3 Undo locking screw to the stop as the seal might otherwise be damaged when the adaptor is inserted 4 Pull out sealing block ______________ The overfill safety mechanism of the key indexed filling system requires a flexible seal which however is sensitive to mechanical stress Its service life can be extended if the locking scre...

Страница 11: ...ing adaptor is completely full of liquid anaesthetic agent 4 Turn fill drain valve to During filling bubbles will rise in the bottle If this does not occur Swing bottle down and allow anaesthetic agent to flow back Turn fill drain valve to 0 and repeat filling process from step 3 2 1 0 D R A I N 11 Preparation FillingVapor 3 0 D R A I N 0 4 D R A I N ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ WWW ELM FAN IR ﺳﺎﯾت ﺑﮫ ﺑﯾﺷﺗر ﻣوا...

Страница 12: ...e back of the key indexed filling system Then Swing bottle down Set fill drain valve to DRAIN and drain anaesthetic agent into the bottle until maximum mark is reached 2 Turn fill drain valve back to 0 3 Unscrew locking screw to the stop 4 Pull adaptor out 5 Push sealing block in fully 6 Tighten locking screw If this is not done fresh gas and anaesthetic agent vapour may escape when Vapor is next ...

Страница 13: ...ing chamber is pressurised when the Vapor is switched on and in operation Use the correct anaesthetic agent bottle 2 Open inlet valve by about 3 turns 3 Outlet valve must be closed Pour anaesthetic agent into the filling spout note filling level on sight glass fill to maximum mark only 2 Close inlet valve completely Close anaesthetic agent bottle If filling has exceeded maximum mark Drain off exce...

Страница 14: ...ds and lower gently towards the plug in system The holes of the plug in adaptor must fit on the pins on the plug in system to avoid any damage to the sealing surfaces The Vapor must be level and stable on the plug in system otherwise a loss of fresh gas leaks or excessively low output concentrations may result If this is not the case Disconnect Vapor as described on page 18 and then re connect 3 T...

Страница 15: ...hetic agents will mix the mixture of anaesthetic agents cannot be controlled Make sure that only one Vapor can be used at any one time Dräger recommends that an Interlock system or a Vapor switch is used without fail so that there is two way locking if two Vapors are connected When using two Vapors with ISO cones or hose connections Never connect Vapors in series 0 0 0 0 0 0 15 Preparation Connect...

Страница 16: ...cking screw is tightened Filling spout inlet and outlet valve are closed Handwheel is engaged at 0 Vapor is connected to anaesthetic machine properly and sealed Seals on plug in system are perfect Vapor plug in adaptor is in a level position Locking lever turned to left It is only possible to operate one Vapor at a time Anaesthetic machine has been prepared in accordance with the relevant Instruct...

Страница 17: ...e of scanner room When removing Vapor do so outside of scanner room The Vapor contains ferro magnetic parts and will be attracted by the magnetic force of the scanner Vapor may only be used with an anaesthesia machine suitable for NMR tomography such as Titus NMR Only use monitors which are suitable for use with scanners Use when at an angle e g with emergency equipment Fixed Vapors may be operate...

Страница 18: ... until it engages 2 Turn locking lever 90 anti clockwise to unlock The Vapor can now be carefully lifted off the plug in system with both hands The fresh gas will flow to the fresh gas outlet through an internal line in the plug in system Operation Shut down Disconnecting Vapor from plug in system 18 3 Vol 2 0 1 0 Vol ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ WWW ELM FAN IR ﺳﺎﯾت ﺑﮫ ﺑﯾﺷﺗر ﻣوارد داﻧﻠود ﺑرای To download more i...

Страница 19: ...1 Switch off Vapor turn handwheel to 0 0 button engaged Use correct bottle of specific anaesthetic agent Screw suitable adaptor firmly onto bottle 1 Switch fill drain valve to 0 2 Unscrew locking screw to the stop as the seal may be damaged otherwise when inserting the adaptor 3 Pull out sealing block 19 Operation Draining Vapor 0 1 Vol 2 3 1 0 D R A I N ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ WWW ELM FAN IR ﺳﺎﯾت ﺑﮫ ﺑﯾﺷﺗر...

Страница 20: ... Vapor is now drained except for anaesthetic agent in the wick 4 Turn fill drain valve back to 0 5 Unscrew locking screw to the stop 6 Pull adaptor out 7 Insert sealing block fully 8 Tighten locking screw Allow residue of anaesthetic agent to evaporate under an extractor fan Close anaesthetic agent bottle Mark bottle Used anaesthetic agent Operation Draining Vapor 20 2 1 0 D R A I N 3 D R A I N 0 ...

Страница 21: ...naesthetic agent Then 3 Close outlet valve again Mark bottle Used anaesthetic agent Storage See Technical Data page 27 for ambient conditions Set handwheel to 0 0 button is engaged Drain Vapor page 19 or 21 For storage periods of more than 6 months blow off anaesthetic agent in wick To do so set at 4 vol and flush for about 4 hours with 4 L min Air Make sure gas flows into the scavenging system Be...

Страница 22: ... the Vapor Thymol and other reaction products may gradually affect the functioning of the wick inside the vaporising chamber and colour the Halothane yellow When dirt particles are present in the sight glass or when the Halothane has turned yellow Drain off discoloured Halothane see page 19 and 21 Re fill to the maximum mark with fresh Halothane see page 9 allow to interact for about 6 hours and t...

Страница 23: ...apor and filling adaptor in liquid and do not sterilize Do not allow disinfectants and cleaning agents to get into the gas inlet or gas outlet or the filling system Wipe off any residues Wipe disinfecting e g with Buraton 10 F Messrs Schülke Mayr Norderstedt Germany or Cidex Messrs Johnson Johnson Norderstedt Germany Follow manufacturer s instructions Disinfecting in Aseptor disinfecting machine t...

Страница 24: ...easured value Make sure that the concentration is not affected by absorption or leaks in the connecting line Note whether measured values are in partial pressure or vol Check at least 3 concentration settings including 1 and 4 vol Adjust handwheel then take concentration reading on measuring device after about 2 minutes The concentration delivered as partial pressure must be within the following t...

Страница 25: ...sure Example Measured value 4 5 vol and atmospheric pressure 900 hPa Concentration partial pressure After test Switch off Vapor turn to 0 0 button engaged Switch off Air and O2 flow Do not use Vapor if the concentration is not within the tolerances given Vapor must be checked by trained service personnel 25 Care Checking concentration 4 5 900 1013 Measured value vol atmospheric pressure hPa 1013 4...

Страница 26: ...when possible If original packing is not available use strong packing with at least 5 cm bubble wrap or impact resistant material Fasten package securely Taking back of Vapors When repair is not economical DrägerService offer to take back Vapors for proper disposal ___________ According to DIN 31 051 the following definitions apply Inspection determining actual condition Service measures to mainta...

Страница 27: ...r special design 7 8 vol 0 2 vol at 1013 hPa or 20 of set value whichever is the greater under the following conditions variation of Air flow in flow range given at 22 C and 1013 hPa measured according to ISO 5358 or variation of temperature in range given at an Air flow of 4 L min and 1013 hPa or variation of atmospheric pressure in range given at an Air flow of 4 L min and 22 C Fresh gas flow ra...

Страница 28: ...ion on anaesthetic machine Weight filled 6 5 kg to 8 5 kg depending on design Dimensions Vapor 19 n with key indexed filling system measured in mm Measurements in brackets apply to Vapor 19 n with filling spout Vapor conforms to relevant Standards DIN 13252 ISO 5358 BS 4272 SN 057600 CSA Z168 3 ASTM F1161 prEN 740 draft Key indexed filling system ISO 5360 prEN 1280 CSA Z168 4 ________________ Stan...

Страница 29: ...naesthetic machine and displayed on the monitor Faulty assembly using the wrong anaesthetic agent specific plug in adaptors will result in a faulty display As the coding does not analyse the anaesthetic agent delivered by the Vapor it cannot guarantee that the display is correct when the Vapor has not been correctly filled 29 Technical Data Halothane Enflurane Isoflurane Sevoflurane ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ...

Страница 30: ...l indicator 5 Key indexed filling system Rear view 6 Locking lever for plug in system 7 Opening for Interlock locking 8 Coding for plug in adaptor What s What 30 2 1109 93 1 143 94 6 7 8 1 2 3 4 5 ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ WWW ELM FAN IR ﺳﺎﯾت ﺑﮫ ﺑﯾﺷﺗر ﻣوارد داﻧﻠود ﺑرای To download more items go to ELM FAN IR ...

Страница 31: ...oportioning of the two gas streams is also influenced by the temperature compensator 8 which makes use of the thermal expansion characteristics of two different materials to expand or contract the bypass 7 depending on the temperature This process compen sates for the effect of temperature on the saturation concentration of the anaesthetic agent The pressure compensation labyrinth 9 effectively re...

Страница 32: ... mg L are absolute values Output given in partial pressure is proportional to the quantity of anaesthetic agent delivered in mg per litre of fresh gas Data output in units of mg L is unusual because this varies for different anaesthetic agents at identical partial pressures due to differences in molecular weights Some measuring devices used for monitoring concentration are designed to measure in p...

Страница 33: ...sistant to ageing and hysteresis but is affected by a certain inertia differences in temperature between Vapor and the room within the 15 to 35 C range are compensated within the concentration accuracy specified However if the temperature of the Vapor before use was outside 15 to 35 C a time of 15 min C has to be allowed for temperature adjustment if the concentration is to remain within the accur...

Страница 34: ...rane 0 1 2 3 4 5 6 7 9 8 10 11 12 13 14 15 0 5 2 3 1 0 6 0 8 0 4 0 2 Enflurane 1 2 3 4 5 0 1 2 3 4 5 6 7 9 8 10 11 12 13 14 15 0 5 2 3 1 0 6 0 8 0 4 0 2 1 2 3 4 5 Sevoflurane 0 0 5 1 2 3 4 5 Eingestellte Konzentration Vol Abgegebene Konzentration Vol Eingestellte Konzentration Vol Abgegebene Konzentration Vol Eingestellte Konzentration Vol Abgegebene Konzentration Vol Eingestellte Konzentration Vo...

Страница 35: ...deviation in concentration until the earlier fresh gas is flushed out of the vaporising chamber These deviations and their duration are all the greater the lower the volume of anaesthetic agent in the Vapor the higher the concentration set and the more extreme the change of gas type The extent of this dynamic deviation increases as gas flow increases though the duration of the deviation decreases ...

Страница 36: ...ume percent e g with Dräger PM 8020 or PM 8050 the measured values do however change with atmospheric pressure and measured values rise when atmospheric pressure falls below 1013 hPa The following formula for conversion applies Concentration partial pressure Example A concentration output of 4 partial pressure when measured in units of vol at an altitude of 1000 m 900 hPa is 4 5 vol and at 2000 m ...

Страница 37: ...us supply of fresh gas to the breathing system without a buffer for fresh gas de coupling and ventilation pressures are greater than 20 mbar and concentration set at 1 vol and or a fresh gas flow at 1 L min the Vapor should be filled completely so that deviations due to fluctuations in pressure can be kept as low as possible Influence of positive negative pressure relative to ambient and dynamic p...

Страница 38: ...13252 which stipulates that after 20 minutes and at 8 L min and 22 C no concentration may deviate from the set value by more than 20 or 0 2 vol The diagrams show typical concentration curves taken at 22 C and 4 L min Air Halothane 5 4 3 2 1 0 20 40 60 Zeit min Enflurane 5 4 3 2 1 0 20 40 60 Zeit min Isoflurane 5 4 3 2 1 0 20 40 60 Zeit min Sevoflurane 5 4 3 2 1 8 7 6 0 20 40 60 Zeit min 5 3 1 Abge...

Страница 39: ...wait for a further 2 to 3 hours before checking the concentration delivered If the specified accuracy for concentration is not reached after the Vapor has been flushed a second time the Vapor must not be used Vapor must be checked by DrägerService For transportation where the angle of inclination may be greater than 45 drain the anaesthetic agent see page 19 and 21 Mechanical stress The Dräger Vap...

Страница 40: ...ll with anaesthetic agent first After switching to the anaesthetic agent flows into the Vapor via hole 1 At the same time the saturated vapour displaced by the inflowing anaesthetic agent is routed out of the Vapor via hole 2 and the inner tube into the bottle Overflow safety mechanism When the filling level reaches the bleed hole and covers it the supply ceases as gas can no longer be exchanged b...

Страница 41: ...the bottle Saturated vapour from the bottle is routed into the Vapor through hole 1 Operation The valve is switched to 0 and the sealing block on the filling device is replaced to seal the three holes 1 2 and 3 when Vapor is to operate 1 2 3 0 D R A I N 41 Description Key indexed filling system 1 2 3 0 D R A I N ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ WWW ELM FAN IR ﺳﺎﯾت ﺑﮫ ﺑﯾﺷﺗر ﻣوارد داﻧﻠود ﺑرای To download more items g...

Страница 42: ... 19 1 with M 25 140 plug in adaptor without milled corners For Vapor 19 3 with M 27 070 plug in adaptor with milled corners or M 25 140 plug in adaptor without milled corners Plug in adaptor Interlock 2 Plug in system with Interlock 2 for Vapor 19 3 only Vapor 19 1 can be modified to Interlock 2 by DrägerService Permanent connection 23 mm ISO cones Vapor ISO connector connecting a Vapor 19 3 or 19...

Страница 43: ... DrägerService Plug in adaptor 23 mm ISO cones Vapor ISO connector plug in system for connecting Vapor 19 3 or 19 1 to plug in adaptor Basic model plug in adaptor M 27730 Hose systems for Vapor 19 3 19 1 43 Description List of models options for connection 0 Vol 0 Vol ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ WWW ELM FAN IR ﺳﺎﯾت ﺑﮫ ﺑﯾﺷﺗر ﻣوارد داﻧﻠود ﺑرای To download more items go to ELM FAN IR ...

Страница 44: ...stem with pin M 26 588 for connecting one Vapor 19 3 or 19 1 with plug in adaptor Vapor plug in system rail M 26 848 for connecting one Vapor 19 3 or 19 1 with plug in adaptors mounting for wall rail Hose connector M 23 805 160 mm 120 mm inlet outlet for one Vapor 19 3 or 19 1 Hose connector M 22 407 600 mm 600 mm inlet outlet for one Vapor 19 3 or 19 1 Vapor ISO connector M 27 425 for permanently...

Страница 45: ...il to hold 2 Vapors with plug in adaptors Holder for parking position wall M 26 374 for permanent attachment to wall to hold 2 Vapors with plug in adaptors For all Vapor 19 n models O ring M 21 929 For filling spout Sealing screw M 26 420 For plug in system O ring U 04 314 Instructions for Use German DB 01050 English DB 01171 French DB 01172 Spanish DB 01173 Italien DB 01182 Dutch DB 01183 Swedish...

Страница 46: ...filling system 6 Liability 3 Locking lever plug in system 5 Mechanical stress 39 Method of operation 5 Models list of 42 Monitoring 16 On off switch 31 Operating principle 31 Operation 17 Order list 45 Overfilling 9 Packaging 26 Partial pressure 32 36 Plug in adaptor coded 29 41 Plug in system 5 Positive negative pressure influence of 37 Preparation 8 Pressure changes influence of 37 Pressure rang...

Страница 47: ... ﻓرﻣﺎﯾﯾد ﻣراﺟﻌﮫ WWW ELM FAN IR ﺳﺎﯾت ﺑﮫ ﺑﯾﺷﺗر ﻣوارد داﻧﻠود ﺑرای To download more items go to ELM FAN IR ...

Страница 48: ...ject to alteration ç Directive 93 42 EEC concerning Medical Devices The CE symbol in these Instructions for Use is only valid in combination with the CE symbol on the equipment These Instructions for Use also describe a variant with filling spout which does not bear the CE symbol Dräger Medizintechnik GmbH Germany H Moislinger Allee 53 55 D 23542 Lübeck T 4 51 8 82 0 X 26 80 70 FAX 4 51 8 82 20 80...

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