Drager medical ‘ADraiger and Siemens Company Fabius®- CE ( a : a Inhalation Anesthesia Machine Software 4.n Instructions for Use Se Emergency Care: Perioperative Care Critical Caro-Perinatal Care Home Gare. Because you careContents Contents For Your Safety and that of Your Patients ... Intended Use REPrEeeny Safety Featuros Copytioht, radamerk, and Disclaimer Noticos ‘Typical Fabius Configurations .. Components Fabius Inhalation Anesthesia Machine Configurations Anesthesia Ventilator i Compact Breathing System ......sc..s0. ‘SemiOpon Adapt ‘Magill Breathing Circuit ‘A-Cone Switeh Serre Driiger-Vapor® Anesthetic Agent Vaporizer \Vapor interlock Syatern : Drager Vapor® Selectatec® Airway Monitor with Control Units Ventilation and Monitor: oF Operating Concept User interlace Rotary Control . Displays. 7 Warning Tones... : ‘Screen Display Configuration Mode Selection Buttons ....., Ventilation Parameter Button Funciion Buttone . ‘Setting Alacm Limits Calibrating the Oxygon Senaor .. Calibrating The Flow Sensor Menu Display Button ‘Configuration Menu sais Language Selection Menu «2... 0. sso. Gas Compensation Setting Menu -...- Preparation ‘Caution During Transpor .. Gas supply alinders with Thraaded Connectors Cylinders with Pin.indox Mounting Elecitical Supply Equipotential Bonding... ‘Attaching Manvel Ventilation Bag Proparing the Ventilator .. Fitting the COz Absorber on the ompet Breathing System . Fitting the ingpiratory Valve Fitting the Expiratory Valve Fitting the Prassuretimiting Valve Inserting the Flow Sensor Fitting the Waste Gas Outlet Port. 21 10 16 7 19 19 20 20 a a 22 +22 22 23 23 24 22h +25 + 26 - 26 Connecting the Compact Breathing System Fitting Microbial Filters ....... Connecting the Breathing Hoses Connecting tho O2 Sensor Capsule Connecting the Pressure Sensor Connecting the Flow Sensor Connect the Magill Inhalation Device Connecting the O2 Sensor Instaling Anesthetic Gas Scavenging Hove to the ‘Compact Breathing System a Anesthetic Gas Scavenging System AGS - ‘Scavenger System Connections forthe ‘Semiopen Compact Breathing System ‘ACone Switch i Instalaton of tho SemiOpen Adapter... Removing the Semi Open Adaptor and Instaling the CO2 Absorber. ‘Additional Equipment . Operation Nitrogen Wash out (when Required) ‘Adjusting the Frosh Gas Composition Setting the Vapor Ventilation Modes with the Compact and ‘Semiopen Compact Breathing Ste Spontaneous Breathing ..... : Manual Ventilation . Automatic Ventilation... Prossure limited ventilation Using the Magil Breathing System... ‘ACone Lover Selection 7 2 Flush .. Roplacing CO2 Absorbent Replacing Used Absorbent (Compact System) - Shutdown Switch Off the Anesthetic Agent Vaporizer (DrdgerVapor®) Close the Motoring Valvee Switch off anesthesia ventilator Disconnect the Freeh-gaa Supply . De-pressurizing the Anesthesia Machine ‘Switch Off the Control Unit Romove the O2 Sensor . Fault ~ Cause ~ Remedy Dismantling Down ....... 7 Dismanting the Compact Breathing Systom for Cleaning y Dismanting the inspiratory Vaive Dismantling the Expiratory Valve . Dismanting the Flow Sensor Dismantling the Pressureslimiting Vave. Dismantling the Absorbent Canister ve 82 233 - 83 33 34 35 36 ar : 37 37 37 45 45 245 245 + 46 46 46 46 4 49 49 . 49 49 49 49 49Minimum Flow of Anesthesia. 50 Magil Breathing Device ... 60 Dismantling Pans ofthe Vonilatr ....seeessveseseesees 50 Disinfecting/Cleaning ....--.:-+eceeeesesseseeeeees OF Wipe Disinfecting Se we 1 jainfecting and Cieaning . 281 ‘oma Coaring/Disinecting Machin 52 Storiizing - 62 ‘Checking Readiness for Operation 52 Maintenance Intervals . Disposal . What's what... Compact Breathing System, From « ‘Compact Breathing System, Back Technical Data Diagrams: - 62 Compact Breathing System 162 SemiOpen Compact Breathing Syslom -..eesceess+++ 88 Gas Delivery Unit (2-Gas version)... ..--.+s e+e 64 Abbreviations Used 65 Dally Pre-Use Check for Fabius «...0.0+0+2+--se0s011 68 Index. "1 ContentsFor Your Safety and that of Your Pationts For Your Safety and that of Your Patients ‘Strictly follow the Instructions for Use ‘Any use ofthe apparatus requires full understanding and strict observation ofthese instructions, ‘The apparatus is only o be used for purposes specified here. Observe the Instructions for Use of the supplementary ‘equipment used! Maintenance ‘The apperatus must be inspected and serviced by trained ‘sonvice personnel at six month intervals. Repair and general overhaul of the apparatus may only be carried out by trained service personnel, We recommend that a senice contract be obtained with DrdigerService and that all repairs also be carried out by them, Only authentic Drigor epare parts may be used for ‘maintenance, ‘Obsonve chapter "Maintenance Intervals’ Accessories Do not use accessory parts other than those in the order list (66 06 304, revision index 00). Een reusable accessories (e.g. parte which can be cleaned ‘and/or sterilized) have a limited useful fe. Wear and tear may 9 increased and the senice life reduced considerably as a result of various factors when handling and conditioning such Parts (e.g. disinfectant resides lolt behind after autoclaving ‘ay corrode the material). Such parts must be replaced ‘immediately i external signs of waar becomo evident, such as ‘racks, deformation, discoloration, pesling, eto, Not for Use in Areas of Explosion Hazard ‘This apparatue ie neither approved nor certified for use in {reas where combustible or explosive gas mixtures are likely to Safe connection with other electrical equipment Electrical connections to equipment which is not listed in these instructions for Use should only bo made following consultations with the respective manufacturers or an exper, Liability for proper function or damage ‘Tho liability for the proper function ofthe apparatus is 'rrevocably transferred to the owner or operator to the eatent that the epparatus is serviced or repaired by porsonnel not ‘employed or authorized by DriigerService orf the apparatus is Used in a manner not conforming to its intended use Diliger cannot be held responsible for damage caused by ‘non-compliance with the recommendations given above, ‘The warranty and liability provisions ofthe terme of sale and delivery of Dragar are ikowiee not modified by the recommendations given above. Drager Madical AG & Co. KGIntended Use Fablus is an inhalation anesthesia mechine with ‘continuous fresh gas flow for patients with @ body weight of at least 5 ke. Fabius is intended for use in operating, induction and recovery It may be used with O2, NzO, and AIR supplied by a medical {ges pipeline eyster or by oxternally mounted ges cylinders Fabius can bo equipped with a compact breathing system, providing fresh gas decoupling, PEEP, and pressure limitation. ‘The following ventilation options aro available: © Automatic Ventilation (PPV), ‘© Procure limited ventilation (IPPV/PLV}, (© Manual Ventilation (MAN), © Sponteneous Breathing (SPONT). ‘The Fabius can be equipped with an electrically operated and cleotronically controlled ventilator, which monitors the ainvay pressure (Paw), the volume (V) and the inspiratory oxygen con- ccontration (FiO2). ‘According to EN 740 (Anaesthesia Workstations and Their Modiules- Particular Requirements) the airway pressure (Pav), the volume (V) and the oxygen concentration FiO2) must be additionally monitored in the caso of a Fabius not equipped with the ventilator. ‘As per EN 740 (Anasthetic Workstations and their Modulos ~ Spocial Requirements), additional monitoring of the conzentations of COzand anesthetic agent is required. EN 740 requires that a manusl ventilation bag must bo available for emergency use. Fresh gas enrichment is provided by the DragerVapor® anosthotio vaporizer. Do not use readily flammable an ‘ether, cyclopropane, etc. thetlc agents such as Intended Use Safety Features © Monitoring of P, V, FIO2 ‘© Automatic O2shortage alarm and N2O cutoff © Integrated SORC = Sensitive Oxygen Ratio Controller (contro device to ensure minimum O2 concentration of 21 vol), Burns may occur if anistatic or electrically conductive ventilation tubes are used in combination with high-requency Y) 6 10 60 L/min Inep/Exp. time ratio TT) | 1:8t02:4 Inopiratory pause (Ti: Ti) 510 50% Positive ond expiratory pressure | Oto 16 hPa (PEEP) 18Ventilation and Monitor Operating Concept Ventilation and Monitor Operating Concept User Interface Both the monitor and the ventilator provide a user interface by way of = buttons. tary controls = displays, and = warning tones. Rotary Control ‘The rotary control ie usad to eelect functions by: turning ‘Turning the rotary control moves the cursor (on the screen) oF ‘changes the value displayed on the screen, pressing By prossing the rotary contol, the selected value is confirmed, ‘oF a selection process is staried or ended. Displays Allrnecessary information is displayed on the screen, ‘Adgitional LED indicatore within buttone dieplay the operating mode or status. LED lamps in the upper right comer of the control panel indicate the highest degree of urgency of currently active alarms, — Warning — Red Blinking — Caution — Yellow Blinking = Advisory — Yellow Stoady Warning Tones “The warning tones provid an auclble alert to the message displays. Each message is assigned a tone or sequence of ‘tones to indicate ite degree of urgency. )--~~---- ~~. warning (continuous) © ~ caution (every 80 seconds) sto ~ advisory (single signal) “4 Sor] o So0dd8 a0 = =~ 8 Bo<@s aaiaa Oo lIVentiation and Monitor Operating Concept Screen Display Configuration 1 2 3 1 Mode: STANDBY Mode 2 Wossages PPV MAN/SPONT 4 ‘SELFTEST 2 Power source: = mains battery 3 Messages: — Warning Caution Advisory 4 Specific soreen manus Mode Selection Buttons The mode is selected by one of these buttons and confirmed by pressing the rotary control. 5 (2EFor switehing 1o manual ventilation or spontancous. breathing. 6 (2 JButton for PPV. | When the user selects the IPPV mode, by pressing the IPPV button on the front panel, an additional screen appears after the mode change bas been confirmed. It questions the user if the APL valvo is in the IPPY position. The APL valve must be switched to the IPPY position and this question must be ‘confirmed before the ventilator bogins running. I the user fails to confirm that the APL valve is in the IPP position, the modo remains ac it was before the user pushed the IPPY button on the front panel. This action to select the IPPV mode ie treated as a CAUTION, tharefore yellow LEDs ‘are momentarily lit and an audible caution is heard 7 © standdy buton 16Veniation and Monitor Operating Concept Ventilation Parameter Buttons Buttons located below the display window. 1 ©) Button for setting the maximum pressure {fr ventilation IPPV), 2 (5) Button for seting the tidal votume. Button for sotting the ventilation frequency. inspiration and expiration phases, oO 4 E39) Button for setting the time ratio between 2 Button for setting the relative inspiratory pause. © uiton for setting « positive end exiatry pressure (PEEP) during automatic ventilation in the IPPV. { modeFunction Buttons 1 38 ‘Alarm Silence Button For muting the alerm beep for two minutos. ‘The yellow LEO in tis button lighis up while the audible alarms are cuspendad, ‘Any new messages are signalled by the appropriate tone sequence. ‘Standard Screen Button Solects the standard screen, The ventilation preseure is graphically indicated in a bar graph format, ccomplote with alarm limit, ‘Additional Screene Button Selects additional screens. Paw curve and measured values ecroon Ventilator eettings screen Currently active alarms screen Ventilation and Monitor Operating Concept 02 21 voix w 3.9 wnin|, Peak 20 tea if TPPU Faw | Ur | frpey [Ta:Te [Trp: Tx] PEEP thPal | tnt | tint ta) | theal 25 | GOO] 12 1:20 10| oO |, Ventilator Settings ig 23 _ WOH BATTERY POWERED e 339 Mag | Fide Lin? Bie Paeas 2 APA a PEE 3 ha a ”Ventiltion and Monitor Operating Concept Example: Setting Ventilator Paramotor Values ‘an Example. 1. Press (J button. ‘The current sotting inthis example is »25 ‘This unchanged value is displayed in the bottom line. 2. Set the new value by turning the rotary control. In this example, the new value is »80s, The unchanged original value of 25 is sil displayed in the bottom tine. 3. Confirm the new setting by prossing tho rotary contro. ‘The previous value cisappears from tho bottom line and the now value in the Pmax box immediately becomes valid. IF the rotary contro is neither pressed nor turned within 10 seconds, the device quits the setting mode and the original settings remain unchanged, 8 Hi freey PEEP U/min) thPal 12 o. Ventilator Settings i IPPU 1 Uy | Faery PEEP Coll | i/miad (4) | [hPal 600) 12 (1:20) 10 a |, Jentilator Settings Prax = 25 EB IPPU Fra Ur | freey [Trt Te [Trp :Tx] PEEP thPal | (m1] | U/mind Ua) | thPal 30 | 600) 12 f1:20) 10] © |, Tentiistar Bettina iSVentilation and Monitor Operating Concept Setting Alarm Limits aren Limit button. 2. Select the roquited limit by turning the rotary control. 3. Contirm by pressing the rotary control, Example: {Lower alacm limit fr inspiratory O2 concentration. 2. To modify the setting, turn the rotary control. 3. To.confirm the new setting, press the rotary contol Calibrating the Oxygen Sensor ‘The oxygen sensor can be calibrated with 24% Oz or with 100 % O2. 4 Switch the control unit to standby. 5 Pross [©] Sensor Calibration Button and select the roquited calioration. 6 Confirm the selected made by pressing the rotary contro. ‘To calibrate tho Oz sensor, expose it tothe appropriate calibration gas. Calibrating at 21 vol%~ expose the consor tothe ambient [STANDBY eae eee = Calibrating at 100 vol%%~ expose the sensor foratleast | O2-Sensor 21% O 2 minutes to 100 vol oxygen igpcaeeette oes i Note: Sensor calibration takes approximately 2 minutes. eh Leeemeer, ¥ is 19Ventilation and Monitor Operating Cencept Calibrating The Flow Sensor (onlyin Standby) ‘When calibrating the flow sensor, make sure that no flow is present at the sensor. Flow sonsor calibration takes 1 second, Symbols for Status of Calibration: “STaNDBY Spear eee -v calibrated 3 -o ‘calibration running O2-Sensor 21% @ -o calibration failed, no measurement 02-Sensor 100% = nosymbol_ measurement uses old calibration Flow-Sensor v Note: ifthe optional PM 8050 gas monitor (SW 2.05) is attached to the Fabius, the buttons for setting the alarm limits and for calibrating the O2 and flow sensor are no longer used, ‘These functions are now control by the PM 8050 gas, ‘monitor. For more information on the PM 8050 gas monitor, please refer to the specific Instructions for Uso. Menu Display Button 1 © Menu Bution Battery Status Indications: FULL: Battory i fully charged, CHARGING: — Battery is charging from maine power. POWERING: Fabius is operating on battery TESTING: Battery eat in progress. Low: Battory is discharged, ‘Tha Monu Display seroon shows the last warning. TPFU soe Porfiaustien ———ea Fu Configuration Lendusde ; Configures machine (select and confirm by turning and | S85 comPens. settind [> 1 3ct Ganning pressing tho rotary control). Wo entry lg Language ‘Select language (select and confirm by turning and pressing tho rotary control), Gas Compensation Setting ‘Select nearest fresh.gas mixture ranges. 20Configuration Menu ee Key Code: For DrigorSenice only Display timeout: After this timo, the standard screen is automatically set. ices ope Bee Power on setting: LAST (last setting used) or Invert Cisplay ‘STRO (standard defaults) In standard modo (STRO), the following parameter setings are active when the machine is evitched c Pmax= 25 hPa vr=600mL, fev = 12/min Tees 4:2 TT = 10% PEEP = 0 hPa FiO2 high = ~~ FiO2 low = 21 % MV high = 12 L/min MV low = 8 L/min Paw high = 40 hPa Paw low= 8 hPa Curve IPPV; The pressure curve may be free running (FREE) or synchronized (SYNC) vith the breathing oyole Display invert: togglas tho scroen background botwoen light and derk (activation in standby mode), Language Selection Menu TEPU, Main language: Alphabetic languages for displaying messages and on-screen information. ‘Add, language: Messages in non alphabetic Languatle B35 comPens, languages (alarm messages) feet eet Ee reine teeeeee ep Gas Compensation Setting Menu © To adapt flow measurement to the gas miture currently in vse, select »Ges compens, settings and confirm. © With »Ges mix. 02/Na2O., select the gas composition that comes closest to the fresh gas setting. ‘© Confirm the selected mixture, Ifthe selected gas composition ig nat close to the actual gas composition, ‘low measurement data will be inaccurate. Ventilation and Monitor Operating Concept = Tortrageacrer "es FULL setting q 2 FULL J Last Warning APNEA VOLUME > Last warning No entry ie) FULL > Last warning No entre atPreparation Preparation ‘Caution During Transport Prior to moving the Fabius, romove monitors and extraneous ‘equiprnent from the top of the unt that is not permanently fastened to tho unit. Take care when rolling the machine over door thresholds and similar obstacles. Gas supply Modical gases must be dry and free from dust and oi, = Rear view of a 8.gas CE trolley version with five gas SON connections. 102 2 N20 Medical Gas Pipeline Supply of Oz, N2O, and AIR sae oe 1 Connect O2hos0 te connector on Fabius and 4 to wall terminal uit of medics! gas pipeline system, 4 2 Connect N20 hose to connector on Fabius and r 4 to wall terminal unit of medical gas pipeline system, 3. Connect AIR hose to connector on the Fabius and 4 towall terminal unt of modical gas pipeline system, Caution When Handling O2 Cylinders © Do not oil or grease the 02 cylinder valves and O2 Pressure regulator. Do not touch these areas with ‘greasy fingers. There Is a risk of explosion. © IF cylinder valves are leaky or dificult to open or close, they ‘must be ropaired in accordance with the manufacturer's specifications. Even if the gas supply is connected to a medical gas pipelino, the cylinders should remain on tho device in reserve. 22Cylinders with Threaded Connectors (On the back ofthe unit ‘© Place the ful oyindors inthe cylinder holdere and secure ‘them in position. © Screw the pressure regulators onto the eylinder valves © Screw the compressed gas hoses to the pressure regulators and to the lower connections ofthe gae inlet block. © Open the cylinder valves. The cylinder valves must only be opened or closed manually. Never use tools. Cylinders with Pinindex Mounting ‘When attaching a cylinder, onsure that only one washer is installed between the cylinder and the yoke gas inlet, The use of multiple washers will inhibit the pin-index safety system, Be sure to verity the presence of the index pins ‘each time a cylinder is installed. Never attempt to override the pin-index safety system. 1. To connect a gas oylindor to ite yoke: Remove the old washer and install anew washer on tho seat ‘of the yoke gas inlet connection. Verity thatthe two index pins below the {gas inlot are present. Insortthe head ofthe ges cylinder into the yoke from below. Ensure that the gas outlet and indoxing holes on the ‘ojlinder head align with the gas inlet and index pins of the yoke assembly. © Engage the indexing holes with the index pins. 7 Tum the yoke handle clockwise egainst the oyinder head, 0 that the point of the yoke handlo bolt is aligned with tho indent on the back of the cylinder head. (© Verify thatthe washer is in place, the index pins are ‘engaged, and the cylinder hangs vertically. Tighten the yoke firmly. 8 When required, the cylinder valve 9 is opened using the cylinder wrench that is provided. 10 Whon a oyiinder is removed, place the yoke plug in the yoke assembly and tighten, Preparation 23Preperation Electrical Supply Fabius can be operated at mains vollages from 100 V to 4127 V. Obsarve the label beside the mains voltage input socket! © Push power plug into main supply socket. 1. Suitch on the machine. The on/off switch ison tl the machine. Equipotential Bonding For intracranial and intracardiac operations ‘Trolley mounted anesthesia machines: 2 Use cable ref, 88 01 349 cable © Connect the terminal on tho back of the trolley to an equipotential bonding point in the operating room. in Indox version 24Preparation stacking Man Vonltion Bag 01 Roavalor 2000 fr emergons onkaon | eo Kang ly proparedan teed bag ont atthe fF vn GLP Preparing the Ventilator Use only disinfected storiized components. 1 Swing out the ventilator door. © Unlock the clasps to 2. remove the cover, Insert the diaphragm, Fitthe cover and lock both locking screws, ‘Swing tho ventilator unit back into position. aawe Ventilator Safety Feature A Over prossure valve B Additional ai valve 25Preparation Fitting the CO2 Absorber on the Compact Breathing System © Fillthe absorber with fresh CO2 absorbent. Driger recommends the use of Driggetsorb® 800 Plus, © Tighten the absorber by turning ito the right into tho compact breathing system, (© Ensure that no CO? absorbent dust/ particles have been deposited between the gaskets and the sealing surfaces, ‘Such dust and particles can cause leaks in the system. Fitting the Inspiratory Valve 1. Place tho vate dige in the vale gest. 2 Fittho inspection cap (with por). 3 Tighton tho retaining rut securely. Fitting the Expiratory Valve 4. Place the vaivo diac in the valve seat. 5 Fittho inepoction cap. 6 Tighton the retaining nut securely. Fitting the Pressuredimiting Valve 7. Tighten the preesurotimiting valve securely into place with the retaining aut Only use a valve marked with "SPONT/IPPV" and "MAN". 26Inserting the Flow Sensor 1. Uncorew and remove the expiration port. 2 Insert the flow eeneor, observing the indicated direction of flow. Fitting the Waste Gas Outlet Port 3. Scraw the waste gas port into the compact breathing ‘system from underneath, Connecting the Compact Breathing System © Tho sealing rings on tho threaded and conical connectors must be undamaged and clean, © Only handsighten the threaded connectors, Do not use tools © Slightly loosen the knurled screw on the compact breathing ‘aystern. 4. Fitthe compact breathing systom to the pin on tho anesthesia machine, © Tighten the knurled screw. 5. Screw the fresh gas hose to the Fabius and tothe compact breathing system. Scrow the ventilation hose tothe ventilator and fo the ‘compact breathing system, 7 Plug the control hose to the connection port on the. ‘expiration valve and the connection port on the ventilator. Preparation 27Preparation Fitting Microbial Fiters © Push the microbial fiters into the inspiratory port and ‘xpiratory port, unl they noticeably click into place. Dismantling instructions: ‘© Squeeze at the points marked "PRESS' and simultaneously pull the filler offtho port. ‘Condensation may increase the flow resistance of the filters, making breathing more difficult. Carefully monitor the airway pressure. Observe the specific Instructions for Use for the microbial fier Connecting the Breathing Hoses Note: © Take care not to damage the breathing hoses, ‘© When connecting and disconnecting, alwaye hold the breathing hoses by the end sleeve, not by the spiral reinforcement. Otherwise, the spiral reinforcement may be torn loose, 0g. at the ond-leeve. = Breathing hoses with damaged spiral reinforcoment oan kink, thereby interrupting breathing, © Before each use, check the breathing hoses for damage. 1. Push a patient breathing hose on to both the inspiratory ‘cone and the expiratory cone or on to the microbial iter. 2. Connect both pationt breathing hoses to the Y-piece, 3. Connect the manual broathing bag to the bag breathing hhoee via the double port. 4 Connect the bag hose to the elbow port on the compact breathing system 28Connecting the 02 Sensor Capsule 1 Push the O2 sensor into the port of the inspiratory valve, and 2 plugin the connector on the back of the control unit. Connecting the Pressure Sensor 3. Prose the probe of the pressure moasuring lino into the ‘socket on the underside of the compact breathing system until it engages. 4 Connect the hose of the pressure measuring line to the bacterial iter and plug it firmly into the port on the back of the control unit, Proparation of [ae 5 a 29Preparation Connecting the Flow Sensor 1. Push the measuring hoses on to the connection ports on the flow sensor and at the back ofthe unit. Pleaso note the connections are different 30Connect the Magill Inhalation Device For use with mask: 1. Screw Magill connector onto the freshgas outlet. 2 Connect breathing bag. 3 Connect broathing hose E (110 em). 4 Plug ISO mask connector inte breathing hose. & Connect mask to ISO mask connector. 6 Connect sampling hose for monitoring tothe Magill ‘connector. For use with tube: {© Remove ISO mask connector. © Use ISO connector. ‘© Plug connector for tracheal tube inte ISO connector. Caution; The Magil Circuit shall not be connected to the Fabius ventator. Preparation atPreparation Connecting the O2 Sensor Inserting a new O2 sensor capeuio: 1. Unscrew the screw cap from the sensor housing, ‘© Romove the new sensor capsule from ils packaging, or use a disinfected sensor eapeuie. 2_ Insert the capsule in tho housing, with the ring-shaped ‘conductor against the contacts in the housing, 1. Sorew the screw cap on firmly by hand, Installing Anesthetic Gas Scavenging Hose to the ‘Compact Breathing System © Conncct the transfer hose to the waste gas port of the ‘Compact Breathing System and to the anesthetic gas, ‘scavenging ine or an anesthetic agent fier © Acocond transfer hose is required for the Semiopen ‘compact breathing system. 32Anesthetic Gas Scavenging System AGS 1. Output connection from the scavenging system. 2 Connection to scavenger system from Fabius waste gas outlet port. 3. Flow indicator. During use, the flow indicator must be between the upper and lower marks on the tubs. 4. Connection for Somiopen broathing system. For more dotailed information on the scavenging system, refer to the specific Instructions for Ust Scavenger System Connections for the ‘Semi-open Compact Breathing System Both exhaust ports 5 ona.on the semi-open adapter and 6 the other on the Compact Breathing System housing must be connected to the AGS scavenger. Remove the existing scavenger plug if necessary. ACone Suiten 7. The ACone ewitch is connacted to the fresh gas outlet via the conical fiting. It must be mounted parallelto the front of tho Fabius. 8 Thehhorizontal portofthe A Cone switchis connected to the alternate broathing system. 9 The loworvertcal port ofthe AGone switch is connected to the Compact of Semiopen Compact breathing system on tho Fabiue, — 8 beoredss OYE Oo Preparation jo Oj 33Preparation Installation of the Sem-Open Adapter ° ° ° 34 Disconnect the Fabius from the mains power supply. Disconnect the Fabius from the central pipeline gas supply. Close all gas cylinders (if applicable}. Remove all hoses, sensors, and control lings from the Compact Breathing Syetem, Remove the APL valvo, Remove the absorbent canister and store properly Loosen the locking screw that secures the Compact Breathing System to the mounting stud. Gontly It the breathing system and place upside down on firm surface. itis recommended tha tbe placed on a soft surface such as a towel to provent marting ofthe unit Remove the three mounting sorews (M 5 x 16 mm) end ‘washers that hold the canister mount to the compact breathing system housing Ensure that all"O" rings are removed with the canister mount Store this mount assembly, hardware, and rings with the absorbent canister.© Propare the semiopen adapt 1. Ensure thatthe "O" rings are in the proper position, ‘These ’O" rings are provided with the adapter. Do not use the "0" rings from the compact canister mount, as they aro net interchangeabl. © Place the adapter onto the compact breathing assembly and 2 secture with the thrae ecrawe provided (M 6 x 80 mm) with the adapter, 4. Theso screws each come with a flat washer and 2 and four bellavlle washers. The belleville washers go on firt followed by the flat washer. Please note that the belleville style washer ie a curved spring washer and must be installed by opposing each other. Do not over tighten these sorowe. ‘© Place the semiopen adapter back on the mounting pole of the Fabius and secure the lacking screw. © Connect ll hoves, sensors, and control lines. © Install the APL valve. © Connect Fabius to the mains powers supply, and central pipeline gas supply ‘Removing the Sem/-Open Adaptor and Installing the CO2 Absorb {© Disconnect the Fabius from the mains power supply. © Disconnect he Fabius from the central pipeline gas supply. Close all gas cylinders (if applicable). © Remove ail hoses, sensors, and control lines from the Compact Breathing System. © Remove the APL valve. © Loosen the locking screw that secures the Compact Broathing System to the mounting stud. © Gently lit the breathing system and place upside down on a firm suriace. Itis recommended that itbe placed on a soft surface such 1 @ towel o provent marring of tho unit. 5 Remove the three mounting screws (M 5 x 80 mm) and washers that hold the semi-open breathing sysiom adapter to the compact breathing system housing, Preparation 35Preperation 1. Ensure thatalfive"O" rings are in the proper position of he canister mount. 2 Install the three mounting screws (M 8 x 16 mm) and ‘washers that hold the canister mount fo the compact breathing system housing 9. There are three belleville washers and 4 ailat washer for each mounting screw. Please note that the belleville styl washer is a curved epring washr and muct be installed by opposing each other. The flat washer is installed next. Do not over tighten these screw, 5 Gently tthe breathing system and placeiton the mounting, stud. Tighten the mounting sorew. © Connect al hoses, sensors, and contro ines, 6 Install tho APL vale. © Connect Fabius to the mains powers supply, and central pipeline gas supply 7. Install the absorbent canistor. Ensure its filed with fresh (C02 absorbont, Additional Equipment Prepare additional equipment as specified in the specific. Instructions for Use, Caution: If monitors and other equipment are placed on top. ‘of Fabius, tho risk of tipping over the unit ie increased, especially when rolling over thresholds tc. Remove all monitors and other equipment from the top of the Fabius before moving the unit. Caution: Remove all monitors and other equipment from the. top of the Fabius bafore meving the unt. 38 :Operation Operation Nitrogen Washout (when Required) During anesthesia induction, air containing about 79 % nitrogen (Na) remains in the compact breathing system (and in the patient's lungs). When the next intended use of the unit may be for alow-low anesthesia case, tho nitrogen content should first be flushed with atimedimited high flow of frosh gas (2/N20) in order to eneure correct denitrogenization. ‘Adjusting the Fresh Gas Composition 1. With the metering valves: Set fresh ges flow for O2, N2O and AIR. tr Setng the Varor 2 Leck nied Vapor by psig tha love 2 far a6 fointvodrecton ftv unvesdvoper(athe sap et ; hana Vapo eke x 3. Onth Vaortobe vod pees and hold down he @ ton ee ng sndtthe sane tine 4 Tunthotandhol costerlocie tothe dosed 3 snes gor concentration Foul checking lvl on hgh ls, When techie minimum mailto Vapor vith nest toon 1 raze elertothe spot Intron fo Ut for DrdigerVapor®. 37Operation Ventilation Modes with the Compact and ‘Somi-open Compact Breathing System There are three ventilation modos availabe inthe Fabius: = Spontaneous = Manual and = Automatic Spontaneous Bre (On the contrat unit thing 1 Press the button. 2. Confirm by pressing the rotary conte 701 ead 3 Setthe lever on the pressuretimiting valve to SPONT/IPPV, [——_— 7 ‘The valva is nov open, regardiese ofthe set pressure limi Pressure cannot build up in the compact breathing system. 4 Administer enough fresh gas to fll the manuel ventilation ‘bag on the compact breathing eystom, To prevent false alarms, the monitoring function during ‘spontaneous breathing can be reduced to the following paremeters = Lower alarm limit for 02 = Upper alarm limit for Paw other alarm limits are required, see ‘Setting Alarm Limite” on page 19. 38‘Manuel Ventilation ‘On the control unit 1 Press the (3881) button. 2. Confirm by prossing the rotery control. 8. Set the lever on the pressuretimiting valve to MAN. 4. Sot the desired praseure lini by rotating the lever until the desired value ie indicated on the seal. © Administer euficiont fresh gas. 5 Ventilate manually with the manual ventilation bag, “To provent false alarms, the monitoring function during manuel ventilation can be reduced to the following parameters: = Lower alarm limit for 02 = Upper alarm limit for Paw If other alarm limits are required, see "Setting Alarm Limits" on page 19. Operation 39Operation ‘Automatic Ventilation ‘On the control unit s01 the folowing controls fo the desired values: 1. Prax; Vif; THT; Tie Then 2. Press the (==)] button. 3. Confirm by pressing the rotary contol ~ The IPPV Confirmation Request soreen appears. (STANDBY 4 Sot the pressuresimiting valve to SPONT/IPPV. 3. Gontitm by pressing the rotary control Note: {tthe user fails to contirm that the APL valve is in the [PPV Position, the mode remains as it was before the user pushed the IPPV button on the front panel. This action to select the IPPV mode is treated as a CAUTION, therfore yellow LEDs {are momentarily lt and an audible cation is hoard, © Administer suticiont fresh gas. 40Operation Prossure limited ventilation (PLV ~ Pressure Limited Ventilation) Pressure ‘The Fabius CE features an adjustable prassure limit. The Pref adjustable prossure limit Pmax applies forthe expiration valve. Ecc [At Pmax, pressure limited ventilation is possible in IPPV mode, seer Ventilation is thon volume inconstant. IPeV Volume constant Pmax> Peak ‘AL Pmax, pressure limited ventilation is possible (PLY), © SotPmaxtothe requiredinspiration pressure, e.g. 1Smbar, [Proseure, © Sot tho tidal volume VF toa value higher than the VT oorre- ‘sponding tothe patient's weight Recommendation: Set the VT to e.g, double the value of the tidal volume actualy applia, ‘As soon as Pmax is reached in the activ flow phase (Ti~ TP), the pressure remains constant and loaks, eg. due to an unblocked tube are compensated, At the same time, volume stil present in the ventilator is directed into the ventilation bag. IPPV pressure im ited Volume inconstant ‘When making the settings, ensure thatthe inspiration flow is, a ae ! not excessively high, resulting in a dynamic overshoot of Pmax Toa amen ‘The inspiration flow is influenced by the parameters VT f ! oo is TeTe; TM, i Only one setting for Ti:T Is allowed in the range from 5 to 10% Recommended parameter settings Compliance | fev | Tee | Tet |SetPmax| PEEP | SetvT | Eifecive | Exp. volume patient | 8) | (mbey | pay | (yy Prax (mt) (olymbar) (bar) 50 [42 [0] 16 5 7000 8 440 50, 10 1:2 5 15 5 1000 19 440 a) 10 at 10 18 6 1000 17 390 60 10 a 6 15 5 1000 | 17 390 i 5 28 1:2 10 18 5 100 to 150 15 40 5 % [ia | s 6 5 | ois | 16 0 5 2% {| | 10 [16 5 | tooiotso | 76 7 EC 5 26 cal 6 15 5 100 to 160 15 40 4Operation Depending on the ventilator settings (VT; f; T:TE) and patient ‘compliance, a significant overshoot ofthe eet Pmax imi possible atthe expiration valve. © Set the alarm limit "Paw High” to Pmax + § mbar { Using the Magill Breathing System Not With the Magill system, anesthetic gases escape via 1. the relief valve, This can be a health hazard © Enaure adequate ventilation. {© Set the 2/N20 fresh gas flow on the metering valves on the Fabius. The fresh gas flow must be equal to at least 2.5 to 3 times the minute volume inorderto exclude the risk of rebreathing and the associated accumulation of C02 inthe inspiratory gas. A lower fresh gas flow could result in a pati rebreathing or shortage of breathing gas. 2. The breathing bag could doflato and suffocate the patient. {© Switch on the vaporizer. Press and hold down the releast button and select the desired concentration on the handwheel, Refer to the Instructions for Uso of the Drager Vapor®. For Spontaneous Breathing 1. Turn the relief valve counterclockwise (fully open). Tho will result in minimum ventilation pressure. 2. Observe movement of the breathing bag to check for ‘epontaneous breathing. For Manual Ventilation 1. Sot the relief val © Sot a correspondingly high fresh gas flow in order to ‘minimize the amount af rabraathed expiratory gas. 2. Ventlate via the breathing bag. Caution: The Magill Breathing Systom shall nol bo ‘connected to the Fabius ventilator. 42‘A.Cone Lever Selection = Facing the ACone switch, when the lever (located on the top of the A’Cone ewitch) ia tothe right, the fresh-gas flow is towards the lowor vertical pon. — When the lever is moved to the left position, the freshvgas flow ie towards the horizontal pot = The selector lever forthe A-Cone is spring loadod and ensures that tho switch is either inthe right or left postion thoreby encuring the flow of frosh gas to only one port at atime. 02 Flush 1. Press the O2 Flush button. = About 80 L/min O2 flows into the compact breathing system and tothe patient. The flowmeter block and the anesthetic agent vaporizer (Vapor) aro bypassed. © Make sure that the alway pressure dovs not rise unacceptably high. Operation 43Operation Replacing CO2 Absorbent '@ The CO2 absorbent on the compact broathing system must be replaced before tworthirds of the CO2 absorbent has changed color. —_ Driger recommends the use of Drigersorb® 800 Plus. The ‘color change indicates thal the CO2 absorbent can no. longer absorb CO? (Drigersorb® 800 Plus changes from white to violet). = Do not flush CO2 absorbent for ong period with dry gas bbocause the CO2 absorbent wil dry out, When the moisture content falls bolow a specified minimum level, the following undesirable reactions can ocour, rogardless of the type of CO? absorbent and the anesthetic agent used, e.g, Halothane, Entlurane, Isoflurane, Sevoflurane or Destlurane: = reduced CO2 absorption = formation of CO = absorption and/or decomposition of the inhalation anesthetic agent — increased heat generation in the absorber, leading to higher breathing gae temperatures. ‘These reactions can result in danger to the pationt in the form ‘of CO intoxication, insufficient depth of anesthesia and airway burns Please reter to the specific Instructions for Use for Drdgersord® 800 Plus Replacing Used Absorbent (Compact System) ‘© Empty the spent CO2 absorbent in the absorber, Dispose ‘of spent sod ime (C02) in accordance with the local waste disposal regu © Fillthe absorber with fresh CO2 absorbent, © Ensure that no CO2 absorbent dust/particlas have been deposited between the gaskets and sealing surfaces. Such ddust and particles can cause leaks in the system. = Diiiger recommands the use of Driigersorb® 800 Plus, 44Shut-down ‘Switch Off the Anesthetic Agent Vaporizer (Drdger-Vapor®) 4. Turn the handwhee! to 0. ‘The button engages. Close the Metering Valv © Close the N20 valve, © Close the O2 valve and AIR valve. N20 Pollutes the Environment Day fresh gas reduces the moisture content of he CO abeorbent, Therefore, avoid unnecessary fresh gas flow. ‘Switch off anesthesia ventilator 1. Switch the anesthesia ventilator to stancby by pressing the button, 2. Confirm by pressing tho rotary control. Fabius is now in standby mode. ‘Shutdown TT Pofegt Tm —_| Po Foil 46Shutfown Disconnect the Fresh-gas Supply (© Remove al plugin couplings from the wall terminal units. © Close gas eylinders, De-pressurizing the Anosthesia Machine Open the metering valves in the order listed below and hold them open unt the floats in the flowmeter tubes have dropped. to zero. Proceed ae follows: © open N20 valve © open O2 valve © open AIR valve © close all the metering valves, ‘Switch Off the Control Unit © Switch off tho unit using the evitch atthe back and disconnect the power plug, Remove the O2 Sensor © Remove the O2 sensor from the inspiratory valve and leave ‘oxposed to air This precaution prolongs the service lite of the O2 sensor. 48Fault - Cause - Remedy Fault ~ Cause — Remedy Display Cause Remedy ‘APNEA PRESSURE ~ Tnadequale fresh-gas supply. Ensure adequate fresh-gas supply. Breathing/ventilation stops. Check ventilator. Leak in hose aystem. ‘Check hose system. Permanent high pressure. Push lever on APLvalve to release the gas. "APNEA VOLUME Broathing/ventilation stops ~ no expired Check ventilator. volume for 15 seconds. Inadequate fresh-gas supply. Ensure adequate fresh-gas supply. Blocked/kinked hose. ‘Check hose system. LLoak in hose system. Check hose system. JAPNEA PRESS OFF Lower limit Paw off in IPPV. ‘Sot adequate lower limit. BATTERY LOW Battery fat Conneot mains. BATTERY POWERED Mains not connected. Connect mains. [CHECK BATTERY Backup Battery not functional Replace fuse. Inform Drigor Service. [CHECK VENTILATOR Ventilator not assembled correctly. ‘Check diaphragin and close cover. Select Standby Mode and ewitch back to PPV. CONT HIGH PRESS ‘APLValve in Position MAN during IPPV, Set APL.vaive to IPPV/SPONT, DEVICE TEMP HIGH ‘Temperature of electronic circuit too Check for external heat sources. high. Check fan, Inform Driiger Service. EXVALVE LEAKAGE Expiratory valve does not correctly close. Check tubing of expiration control line. Calibrate Flow sensor. Inform Drager Service. |FiO2 HIGH ‘O2 flush in use. ‘Check O2 eoliing on flowmeter. Inspiratory O2 concentration exceeds the upper alarm limit. FiO2 INOP, ‘Oz sensor has not been correctly Calibrate O2 sensor. calibrated, (02 sensor replaced and/or not Calibrate O2 sensor. calibrated. (02 sensor used up. Replace sensor capsule and calibrate. (02 sensor disconnected. Replace O2 sensor housing assembly. Faulty sensor cable, Roplace sensor cable. FiO2 LIMIT < 29% Tower limit FiO2 between 18 vol% and Set adequate lower limit 20 vol. Fi02 LOW, Inspiratory 2 concentration is below Check O2 supply. Check setting on lower alarm limit. flowmeter. FLOW INOP ‘Sensor has not been calibrated. Calibrate sonsor, ‘Sensor faulty Roplace sensor and calibrate, Inform Drager Service. MEMORY ERROR Internal data loss. ‘Switch machine off and on. Inform DrigerSonvice, 47Fault ~ Cause - Remedy Display Cause Remedy MV HIGH Upper alarm init for minute volume hee been exceaded. Flow sensor not calibrated or faulty. Calibrate flow sansor. Replace if necessary. MV LOW ‘inate volume has fallen below lower alae iit Blocked/kinked hose. ‘Check hose system, Leak in breathing system. ‘Make breathing system loak proof. Reduced volume due to pressure Correct the breathing pattern Hiitation, Reduced lung compliance. Flow sensor not calibrated or faulty, Calibrate flow sensor. Replace it necessary, } Paw HIGH Upper alarm limit for alway pressure has Check hose system on anesthesia { been exceeded, ventilation hose is machine. kinked, stenosis, Pressure limithas been set oo high. Correct Pmax or alarm limit value. Paw NEGATIVE Insufficient fresh gaa eupply. Tncrease fresh gas flow. POWER SUPPLY INOP Machine fault Taform DrigerService, PRESSURE INOP Faull sensor Taform DrigerService, [PRESSURE LIMIT Set tidal volume is not completely Tnorease Prax, applied. [SETAPLTO PPV IPPV modo has boon selected. ‘Set APLwvalve to SPONT/IPPV. SETTINGS LOST Seiting values and calbralion values lost. Check sensor calibrations and ventilator settings. [VENTILATOR INOP Intornal machine Faulk, ‘Switch machine offend on, IPPV mode not operational Inform DragerSenvie VOL ALARM OFF Lower fimit MV off in PPV. ‘Sat adequate lower limit Only continual audible alarm without Maine not connected, ‘Connect mains display Battery flat Recharge Battory. Machine fault Inform DrigerSenieo. 48Dismantling Down Dismantiing the Compact Breathing System for Cleaning © Leave the DrtigerVapor® on the machine. (© Romove all broathing hoses. © Romove the broathing bag and hose, © Remove both microbial ters and prepare in accordance with the specific Instuctions for Use. ‘© Remove the ventilation hose. © Romove the fresh gas hose from the breathing eystor. “The fresh gas hose can remain on the machine. © Romove the anesthetic scavenging hose. © Detach the prossure measuring hose from the breathing system, Pull back the coupling sleeve and remove the hose and filer from the back of the control unit. ‘© Romove the flow measuring hoses from the back of tho control unit. The measuring hoses remain on the flow © Remove the O2 sensor lead. ‘© Remove the compact breathing system. Dismantling the Inspiratory Valve © Unscrew the retaining nut ‘© Remove the inspection cap. © Extract the valve disc. Dismantling the Expiratory Valve © Unscrew the retaining nut. ‘© Remove the inspection cap. © Extract the valve dies. Dismantling the Flow Sensor © Loosen fiting on the expiration port © Extract the flow sensor. Dismantling the Pressuresimiting Valve © Unscrew the retaining nut (© Remove the pressurelimiting valve. © Unscrew the waste ges outlet por. Dismantling the Absorbent Canister © Tumthe absorber counter-clockurise and rameve by pulling down, © Remove spent CO2 absorbent. Dispose of spent soda ime (C02) in accordance with the local waste disposal regulatione, Dismantling Down 49Diemanting Down Minimum Flow of Anesthesia ‘When longterm flow of anesthesia is below 0.6 L/min, increased humidity in the freshgas hose is a natural ‘occurrence. Disconnect the freshgae hose and clean before and after long term procedures, Megill Breathing Device ‘Stiipping Dowa the Magil Inhalation Device Remove mask from 180 mask connector. Disconnect ISO mask connector from the breatl Dieconnect breathing hose from ISO connector. Romove sampling hose. Unscrew ISO connector from fresh gas outlet of the anesthesia machine, Wg hose. eases Dismantling Perts of the Ventilator 7 Swing out the ventilater door, 8 Unlock the clasps to remove the cover, 8 Remove the diephragm, b bere te Ot a 9 7 feeDisinfecting/Cleaning Disinfect and clean the unit daily fusing microbial fitere: © Daily disinfecting/eleaning is required forthe following ‘components: breathing hoses, breathing bag, Y-piece. © Weekly disinfecting/cleaning is required forthe following components: compact breathing system and its componente, and vantiltor components. Wipe off impuritios with a disposable cloth Wipe Disinfecting “The following components should be wipedisinfected: = Fabius basic unit and trolley = DrdigerVapor® = Prescure hoses = Fresh gas hose Disinfecting and Cl Use surface disinfectants for disinfecting, For reasons of ‘material compatibility, preparations based on the following active agents are suitable: = aldehydes = alcohols = quaternary ammonium compounds. ‘Duo to possible material damage, preparations basod on the following active agonts are not suitable: — compounds containing alylamine phenols = compounds that release halogen = rong organic acids — compounds that release oxygen. For users in the Federal Republic of Gormary we recommend that only cisinfoctants on the current DGHM list are used {DGHM: Gerinan Society for Hygione and Microbiology). The DGHM list (published by mph Verlag GmbH, Wiesbaden) also classifies each dieinfectant by is active agents. Note the ‘anutacturers' directions for use. For countries in which the DGHM list is not availble, we recommend the types of disinfectant given above, ‘Allemovablo parts can also be disinfected with steam (93°C/10 minutes). © Donot disinfect microbial filters. © Do not disinfect or sterilize the O2 sensor. Disinfecting/Oleaning 64Disintocting/Cleaning Automatic Cleaning/Disinfecting Machine Only with detergent (93 °C/10 minutos). The following components may be disinfected with moist heat: ventilation hose — allparts of the compact, semtopen compact breathing systems, excepl for the O2 sensor ventilator cover ~ diaphragm — flow sensor with measuring hoses fresh gas hoses ~ Magill System Components (Preseure gauge must be removed) Do not add disinfectant, because these parts may conade, Sterilizing The following components can be sterlized at 184 °C in hot steam: — ventilation hose ~ allparts ofthe compact breathing systoms excopttor the 2 = ventilator cover = diaphragm — flow sensor with measuring hoses. Checking Readiness for Operation Refer to Preparation’ on page 22 and "Daily Pre-Uise Check for Fabius’ on page 66 for reassemble and pre-use checkout prior to operating the Fabius, 52Maintenance Intervals Ciean and disinfoct the machine and components before each service (and also when returning for repair. When Required: © Replace the Oz sensor as soon as calibration is no longer possible © Ropiace the pressure-mesuring line (elicone rubber hose ‘and sleeve), flow sensor or flow sensor plugin probe if damaged. Every 6 Months: Inepection and service by trained service personnel. Drliger recommends DrigerSenice, — Fabius = Breathing systems DriigerVapor® with report, in connection with Fabius, Annually (© Replace the bacterial iter on the pressure-measuring lino, (© Replace the measuring line for pressure and flow. © Replace the diaphragm in the ventilator Inepect and verity proper working order: = Magill Circuit Alter 3 Years: By trained sorvice personnel: ‘© Replace the lead gol rechargeable battery for the backup power supply ‘© Replace the Ovings and diaphragm of the vantilator. ‘After 6 Years: Fabius anesthosie machin: © Gonoral overhaul ofthe pressure regulator (proseure, reducer) by trained service personnel. Maintenance Intervals Disposal Disposal ‘This devico ie eubjoct to EU Directive 2002/98/EC (WEEE) It isnot registered for use in private households, and may not be disposed of at municipal collection pointe for wasto clectricaland electronic equipment. Driger Medical has authorized a firm to dispose of this device in the proper manner: for more detsiled information, please ‘contact your local Driiger Medical organization. Batteries and O2 sensors © Batteries must be disposed of in conformity with the local ‘waste disposal regulations, © Spont O2 sensors can be returned to Drdiger Medical AG & Co. KG Moielingor Alloo 63-55 28542 Libeck © Donot open forcibly: danger of chemical bus. © Donot incinerate: dangor of explosion. Bacterial fiters © Must bo disposed of as infectious spacial waste. Can be incinerated at temperatures above 800 °C with minimal cervironmantl pollution, 63What's what What's what Compact Breathing System, Front 1. Or-sonsor on inspiratory vale 2 Inspiratory valve ‘Switching lever MAN and SPONT/IPPV on pressure limiting valve 4 Connector for breathing bag 5 Fresh ges outlet 6 DriigerVapor® anesthetic agent vaporizer 7 Obygen flush 8 ° 1 Flowmeter tube biock (2-ga9 or 3.gas) Anesthosia ventilator (0 Control box (settings for ventilation parameters and airway monitoring) 11 Ventilator hoes 64Compact Breathing System, Back Power cable On/off switch Internal interface 1 2 3 4 Connectors for medical gas pipeline supply 5 Connectors for gas cylinder supply 6 Oxygen outlet port (for secretion aspirator) 7 Flowsensor 8 Ventilator hose Connector for pressure measuring hose 10 Prossure-measuring hose 41 Control line PEEP/Pmax 12 COM Medibus intorfaco/RS 292 13 Connection for PEEP/Pmax control fins 14 Expiratory valve Whats what 88Technical Data Technical Data ‘Ambient Conditions During operation Temperature 1510 35°C (machina should be at ambient temporature) ‘Atmosphorio pressure 700 to 1060 hPa Relative hum 20 t0 80% During storage Temperature ~10 10 60°C ‘Atmospherio pressure 500 to 1060 hPa Relative humidity 010 80% Machine data ¢ Gas iniet from medical gas pipeline system Prossure at machine connector 2, N20, Ai 270 10 660 kPa Gas supply connectors NIST or DISS (where required) Gas quality Dow point >5°C below ambiant temperature Oil content <0. mg/m? Partiole content Dustiree air (itered with pore size <1 ym) Gas supply from supplementary O2 and N2O cylinders (with threaded connections) Pressure at machine connector 02, Nao 500 kPa Each inietis fitted with @ nonroturn valve Ges supply from supplementary O2 and N20 cylinders (with pinindex connections) Gyinder Connections Pinindoxod hanger yokes (CGA V1-1994) Gyinder Gas Prossure 02, AIR 1900 PSI (13100 Ke) (ypical full loads at 21 °C) N2O 746 PSI(5190 kPa) Froshgas outlet Male cone 22180, Fernale cone 16 80, (with tread to secure) Equipment Class A Class 1,7ypo 8, KPO Dimensions and weight Weight without vapriors) pp. 90 kg (depending on trolley vrsion) Dimensions app. 860 x 1320870 mm (WxFxD\Goponding on trolley version) Power supply 230 to 240 V (410%), 50/60 He, 0.7 Aor Rating Nom-configurable 100 10 127 V(+10 %, ~15 %), 60/60 He, 1.4.8 Rechargeable battery 24V;9.6 Ah Operation time with fly charged battery 15 houre Recharging imo atleast 4 hours on the mains (power ewitch ON) for full operation timo. Never allow the battery io completely discharge. If the baltery dovs discharge completely, recharge immeciately In case of power failure, the machine will continua without interruption A"BATTERY POWERED’ caution message is signalled every five minutes, 66( Fuses 11 Mains fuse atthe rear: For 230 to 240 V supply voltage: 2x TIAL 260 V IEC 1271 For 100 10127 V supply voltage: 2x T2AL 250 VIEC 127/1N Fuses located on circuit board: 1 x TAAL 260 V IEC 127/II 4x 78.15AL 250 VIEC 127/11 4x T2.5AL 250 VIEC 127/IIh 4.xT1.6AL 260 VIEC 127/II Internal battery fuss 1x T3.18AL 250 VIEC 197/11 Electromagnetic Compatibility (EMC) ‘Conforming to EN 60801-1:2 (1993) The operation ofthis anesthetic workstation or module may be advorsoly affected by electromagnetic interference exceeding the levels specified in EN 60801-1-2 (1993), Technical Data T Noe [ea] J | 87