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Instructions for use

Perseus A500

WARNING Anesthesia workstation


To properly use this medical device, Software 1.1n
read and comply with these
instructions for use.
Typographical conventions

1 Consecutive numbers indicate steps of action, Use of terms


with the numbering restarting with "1" for each
new sequence of actions. Dräger uses the term "Accessory" not only for
accessories in the sense of IEC 60601-1, but also
 Bullet points indicate individual actions or dif- for consumable parts, removable parts, and
ferent options for action. attached parts.
– Dashes indicate the listing of data, options, or
The product "Perseus A500" is also referred to as
objects.
"Perseus".
(A) Letters in parentheses refer to elements in the
related illustration.
A Letters in illustrations denote elements Screen layouts and illustrations of the
referred to in the text. device
Any text shown on the screen and any labeling on The actual screen layout or the device may differ in
the device are printed in bold and italics, for appearance or in configuration from the
example, PEEP, etCO2, or Screen layout. illustrations.
The "greater than" symbol > indicates the
navigation path in a dialog window, for example,
System setup > Alarms > Alarm limits. In this
example, System setup represents the dialog
window title, Alarms represents a horizontally
aligned tab, and Alarm limits a vertically aligned
tab.

Trademarks

Trademark Trademark owner Trademark Trademark owner


Perseus® Dismozon®
Infinity® Mikrobac® BODE Chemie
DrägerService® Korsolex®
Dräger-Vapor® Neodisher Medi-
Dräger Dr. Weigert
D-Vapor® clean®

Drägersorb® Buraton® Schülke & Mayr

MEDIBUS.X®
Trademark
WaterLock®
BIPAP1)
Selectatec® Datex-Ohmeda
1) Trademark used under license

2 Instructions for use Perseus A500 SW 1.1n


Safety information definitions

WARNING CAUTION
A WARNING statement provides important A CAUTION statement provides important
information about a potentially hazardous information about a potentially hazardous
situation which, if not avoided, could result in situation which, if not avoided, may result in
death or serious injury. minor or moderate injury to the user or patient or
in damage to the medical device or other
property.

NOTE
A NOTE provides additional information intended
to avoid inconvenience during operation.

Definition of target groups

For this product, users, service personnel, and Service personnel


experts are defined as target groups.
These target groups must have received Service personnel are persons who are
instruction in the use of the product and must have responsible for the maintenance of the product.
the necessary training and knowledge to use, Service personnel must be trained in the
install, reprocess, maintain, or repair the product. maintenance of medical devices and install,
The target groups must understand the language reprocess, and maintain the product.
of the present document.
The product must be used, installed, reprocessed,
maintained, or repaired exclusively by defined Experts
target groups.
Experts are persons who perform repair or
complex maintenance work on the product.
Users Experts must have the necessary knowledge and
experience with complex maintenance work on the
Users are persons who use the product in product.
accordance with its intended use.

Instructions for use Perseus A500 SW 1.1n 3


Abbreviations, symbols, and product labels

Explanations are listed in Chapter ''Annex'' in


sections ''Abbreviations'', ''Symbols'', and ''Product
labels''.

4 Instructions for use Perseus A500 SW 1.1n


Contents

Contents

For your safety and that of your patients.... 7 Adjusting the alarms........................................ 93
General safety information .............................. 8 Changing the patient data ............................... 96
Product-specific safety information.................. 10 Exporting data ................................................. 96
Other settings .................................................. 97
Application ..................................................... 12 Ending the therapy .......................................... 99
Intended use.................................................... 13 Patient change ................................................ 100
Indications/Contraindications........................... 13
Further information on application ................... 14 System test .................................................... 102
Information on the availability of individual
Overview......................................................... 15
device functions............................................... 103
Hardware ......................................................... 16 Testing the system .......................................... 103
Functional scope ............................................. 29 Performing the tests ........................................ 105
Gas flow plan................................................... 32 Processing the checklist.................................. 106
Operating concept......................................... 35 Ending operation........................................... 111
Screen ............................................................. 36 Switching off the device................................... 112
Color concept .................................................. 38
Selecting and setting ....................................... 39 Alarms ............................................................ 114
Display of alarms............................................. 115
Assembly and preparation ........................... 41
Response to alarms ........................................ 116
Mounting of accessories.................................. 42 Adopting alarm settings when changing the
Before first operation ....................................... 43 ventilation mode .............................................. 120
Transport within the hospital............................ 47 Alarm delay and alarm escalation ................... 121
Connecting the gas supply .............................. 48 Activation of alarms after breath detection ...... 124
Ensuring the gas supply .................................. 53 Intelligent alarm behavior ................................ 124
Preparation for an operation day / after
cleaning and sterilization ................................. 54 Configuration................................................. 125
Selecting and connecting patient-specific Device settings ................................................ 126
accessories...................................................... 58 Defining start settings...................................... 126
Connecting or exchanging consumables......... 65 Transferring device configurations .................. 144
Activating applications..................................... 145
Getting started ............................................... 68
Overview of the configurable screen contents 146
Switching on Perseus ...................................... 69
Checking for the readiness of operation.......... 70 Troubleshooting ............................................ 153
Operation in case of emergency...................... 71 Leakages......................................................... 154
Power supply failure ........................................ 155
Operation........................................................ 72
Failure of the gas supply ................................. 157
Safety information............................................ 73 Failure of fresh-gas delivery (electronically
Starting the therapy ......................................... 74 controlled gas mixture) .................................... 158
Adjusting the therapy....................................... 77 Ventilator failure .............................................. 159
Special forms of therapy.................................. 80 Failure of the gas measurement...................... 159
Using fields with special functions ................... 82 Failure of flow measurement ........................... 159
Organizing the screen display ......................... 87 Screen fault/user interface failure.................... 160
Displaying additional data................................ 90 Complete failure .............................................. 160
Setting the sound volume ................................ 92

Instructions for use Perseus A500 SW 1.1n 5


Contents

Problems with the anesthetic gas receiving Influence of patient category, weight, and age
system (AGS) .................................................. 161 on device behavior .......................................... 248
Problems with the pressure reducers .............. 162 Infinity ID accessory support ........................... 248
Problems with the Vapor View option.............. 162 Schematic diagram of alarm tones.................. 250
Alarm – Cause – Remedy ............................... 162 Combination lock on the drawer (optional)...... 251

Cleaning, disinfection and sterilization....... 184 Annex ............................................................. 253


Disassembly .................................................... 185 Abbreviations................................................... 254
Reprocessing procedures ............................... 187 Symbols........................................................... 256
Reprocessing list ............................................. 191 Product labels.................................................. 259
Assembling the parts....................................... 194 Overview of the menu structure ...................... 261
Before using on patients again........................ 194
Password ....................................................... 265
Maintenance................................................... 195 Configuration password for Perseus
Overview ......................................................... 196 A500 Software 1.1n......................................... 265
Inspection ........................................................ 196
Preventive maintenance.................................. 198
Repairs ............................................................ 199
Disposal ......................................................... 200
Disposing of the medical device...................... 201
Disposing of accessories................................. 201
Technical data ............................................... 202
General information......................................... 203
Ambient conditions .......................................... 203
Fresh-gas delivery........................................... 204
Fresh-gas delivery (electronically controlled
gas mixer)........................................................ 204
Fresh-gas delivery (mechanically controlled
gas mixer)........................................................ 205
Ventilator ......................................................... 205
Breathing system............................................. 207
External fresh-gas outlet ................................. 209
Anesthetic gas receiving system ..................... 209
Measurement systems and displays ............... 210
Display of calculated values ............................ 215
Operation characteristic values ....................... 217
Device outlets.................................................. 221
Relevant standards ......................................... 223
Diagrams ......................................................... 226
EMC declaration.............................................. 229
Device combinations ....................................... 233
Connections to IT networks............................. 234
Software license compliance (optional) ........... 236
Principles of operation ................................. 237
Description of the ventilation modes ............... 238
Minimum O2 delivery ....................................... 247

6 Instructions for use Perseus A500 SW 1.1n


For your safety and that of your patients

For your safety and that of your patients

General safety information ........................... 8


Strictly follow these instructions for use........... 8
Maintenance .................................................... 8
Safety checks .................................................. 8
Accessories ..................................................... 8
Patient safety................................................... 9
Patient monitoring............................................ 9
Information on electromagnetic compatibility .. 9
Training............................................................ 10
Keeping the instructions for use ...................... 10
Product-specific safety information ............ 10
Functional safety ............................................. 11
Handling Infinity ID components...................... 11

Instructions for use Perseus A500 SW 1.1n 7


For your safety and that of your patients

General safety information

The following WARNING and CAUTION Maintenance


statements apply to general operation of the
medical device.
WARNING and CAUTION statements specific to WARNING
its subsystems or particular features appear in the Risk of medical device failure and of patient
respective sections of these instructions for use or injury
in the instructions for use of any other product
being used with this device. The medical device must be inspected and
serviced regularly by service personnel.
Repair and complex maintenance carried out
Strictly follow these instructions for use on the medical device must be performed by
experts. Dräger recommends DrägerService
for a service contract and for repairs. Dräger
WARNING also recommends using original Dräger parts
for maintenance.
Risk of incorrect operation and incorrect use
If the above is not complied with, medical
Any use of the medical device requires full
device failure and patient injury may occur.
understanding and strict observation of all
Observe chapter ''Maintenance''.
sections of these instructions for use. The
medical device must only be used for the
purpose specified under ''Intended use'' (see
page 13) and in conjunction with appropriate Safety checks
patient monitoring (see page 9). Strictly
observe all WARNING and CAUTION The medical device must be subject to regular
statements throughout these instructions for safety checks. See chapter ''Maintenance''.
use and all statements on medical device
labels.
Accessories
Failure to observe these safety information
statements constitutes a use of the medical
device that is inconsistent with its intended WARNING
use.
Risk due to incompatible accessories
Dräger has only tested the compatibility of
accessories that appear in the current list of
accessories or in separate declarations by
Dräger. If other, incompatible accessories are
used, there is a risk of patient injury due to
medical device failure.
Dräger recommends using the medical device
only with accessories from the current list of
accessories.

8 Instructions for use Perseus A500 SW 1.1n


For your safety and that of your patients

WARNING
Patient monitoring

Risk of operating errors and incorrect use The user of the medical device is responsible for
choosing suitable monitoring that provides
Strictly observe the instructions for use of all
appropriate information about medical device
accessory parts, e.g.:
performance and the patient's condition.
– Water traps
– Flow sensors Patient safety may be achieved by a wide variety
– CLIC adapter of means ranging from electronic surveillance of
– CLIC absorber medical device performance and patient condition
– Soda lime to simple, direct observation of clinical signs.
– Breathing hoses
The responsibility for selecting the best level of
– Masks
patient monitoring lies solely with the user of the
– Filter
medical device.
– Endotracheal suction
– Vaporizer
– Manual resuscitator
– AGSS terminal unit Information on electromagnetic
compatibility

Patient safety General information on electromagnetic


compatibility (EMC) according to the international
The design of the medical device, the EMC standard IEC 60601-1-2:
accompanying documentation, and the labeling on Medical electrical equipment is subject to special
the medical device are based on the assumption precautionary measures concerning
that the purchase and the use of the medical electromagnetic compatibility (EMC) and must be
device are restricted to persons familiar with the installed and put into operation in accordance with
inherent characteristics of the medical device. the EMC information provided (see page 229).
Instructions and WARNING and CAUTION Portable and mobile RF communications
statements are therefore largely limited to the equipment can affect medical electrical equipment.
specifics of the Dräger medical device.
WARNING
These instructions for use do not provide any
information on the following: Risk of electric shock
– Dangers that are obvious to the user Do not connect connectors with an
– Consequences of intentional misuse of the ESD warning symbol and do not
medical device touch the pins of such connectors
without implementing ESD protective
– Possible negative impacts on patients with
measures. Such protective measures may
various underlying diseases
include antistatic clothing and shoes,
Medical device modification or misuse can be touching a potential equalization pin before
dangerous. and during connection of the pins, or using
electrically insulating and antistatic gloves.
All relevant users must be instructed in these
ESD protective measures.

Instructions for use Perseus A500 SW 1.1n 9


For your safety and that of your patients

WARNING
Training

Risk of device failure User training is offered by the responsible Dräger


organization, see www.draeger.com.
Electromagnetic fields, e.g., those generated
by radio frequency communication
equipment such as mobile phones, high-
frequency electrical surgery equipment, Keeping the instructions for use
defibrillators or shortwave therapy devices
can disrupt the function of the medical CAUTION
device.
Risk of incorrect use
Only operate radio frequency devices at a
sufficient safety clearance of at least 20 The instructions for use must be kept in an
cm (7.9 in). accessible location for users.

Product-specific safety information

WARNING WARNING
Risk due to device failure Risk of fire
Device failure can compromise the correct To avoid a fire hazard, do not introduce drugs
therapy functionality of the device. or other substances based on flammable
solvents, such as alcohol, into the breathing
To ensure immediate remedial action in case
system and do not use explosive anesthetic
of device failure, the device may only be
agents such as ether or cyclopropane or
operated under permanent supervision of
spray them into the device.
users. Always have a manual resuscitator
ready. If highly flammable substances are used for
disinfection, adequate ventilation is required.
WARNING
CAUTION
Dräger recommends that the user remains in
the vicinity of the anesthesia machine, i.e. Risk of crushing
within a distance of up to 4 meters (12 feet).
Movable device parts or attached components
This facilitates fast recognition and response
may cause crushing due to clamping. Pay special
in the event of an alarm.
attention to edges, movable parts, and corners
when working with the following components:
WARNING – Column cover
Risk of malfunction – Breathing system cover
– Drawers
Unallowed modifications to the medical – Extensible writing tray
device can lead to malfunctions. – Swivel arms for mounted devices
This medical device must not be modified – Accessories such as gas cylinders,
without permission from Dräger. vaporizers, CLIC absorber, and CLIC adapter

10 Instructions for use Perseus A500 SW 1.1n


For your safety and that of your patients

WARNING
Risk due to electromagnetic fields
Although the medical device does not exceed
the applicable limiting values for
electromagnetic fields, such radiation can
interfere with the functioning of pacemakers.
All wearers of pacemakers should maintain a
distance of at least 25 cm (10 in) between
pacemaker and medical device.

Functional safety

The essential performance features comprise:


– Supplying the anesthesia workstation with O2
If the O2 supply (central gas supply or gas
cylinder) fails, an alarm is issued.
– Supply of the patient with adequately
oxygenated breathing gas
If the breathing gas contains insufficient levels
of O2, an alarm is issued.
– Patients are not supplied with excessively high
anesthetic gas concentrations
If excessively high anesthetic gas
concentrations are delivered, an alarm is
issued.
– Monitoring of the airway pressure and the
expiratory minute volume
Alarms are issued depending on the set alarm
limits.

Handling Infinity ID components

Ownership or purchase of this medical device with


RFID technology only includes the right to use the
medical device and RFID technology in
conjunction with products approved by Dräger and
in strict compliance with these instructions for use.
No intellectual property rights or any rights to the
use of the medical device or RFID technology are
hereby granted, either explicitly or implicitly, which
are contrary to the above-mentioned conditions.

Instructions for use Perseus A500 SW 1.1n 11


Application

Application

Intended use .................................................. 13

Indications/Contraindications...................... 13
Indications ....................................................... 13
Contraindications............................................. 13
Further information on application.............. 14
Environment of use ......................................... 14

12 Instructions for use Perseus A500 SW 1.1n


Application

Intended use

The Perseus anesthesia workstation is intended Ventilation is accomplished on the patient through
for use in anesthetizing adults, children, and a laryngeal mask airway, a full-face mask, or an
neonates and can be used for automatic and endotracheal tube.
manual ventilation, pressure-supported
The integrated breathing system can be used with
spontaneous breathing, and spontaneous
partial rebreathing (low-flow or minimum-flow).
breathing.
A non-rebreathing system such as the Kuhn or
Perseus is equipped with airway monitoring, gas
Medec Water System may be used at the external
measurement and device monitoring, O2
fresh-gas outlet (optional).
insufflation, and an anesthetic gas receiving
system.
Anesthesia is achieved through a mixture of pure
oxygen and Air (medical compressed air) or pure
oxygen and nitrous oxide, with the addition of
volatile anesthetic agents.

Indications/Contraindications

Indications – For patients with suspected malignant


hyperthermia: Do not use any volatile
Perseus is specified for inhalational anesthesia anesthetic agents or Perseus with residual
and/or patient ventilation in accordance with the concentrations of these gases above 5 ppm.
intended use during surgical or diagnostic – Do not perform low-flow anesthesia on patients
interventions. with ketoacidosis or patients under the
influence of alcohol. This will raise the risk of
acetone accumulation in the patient.
Contraindications
The user is responsible for setting the gas delivery
– Perseus applies medications such as oxygen, and ventilation according to the individual patient
status. Patient status must be continually
nitrous oxide, or volatile anesthetic agents,
among others. For contraindications to the monitored for any potential changes.
applied medications, strictly follow the
instructions for use of the medication.
– Do not use soda lime based on potassium
hydroxide. Otherwise, there is a risk of CO
formation.
– Only use pelletized soda lime. Otherwise, there
is a risk of faulty measurement or faulty
delivery as well as progressive damage to the
breathing system due to dust.

Instructions for use Perseus A500 SW 1.1n 13


Application

Further information on application

Environment of use

Perseus is designed for use in rooms in which


therapeutic or diagnostic interventions can be
performed.

WARNING
Risk of explosion and fire
This medical device is neither approved nor
certified for use in areas where oxygen
concentrations greater than 25 Vol%,
combustible or explosive gas mixtures are
likely to occur.

WARNING
Risk of device malfunctions and/or patient
injury and user injury
Magnetic fields can negatively influence the
correct functioning of the medical device and
therefore endanger the patient or user.
Do not use the medical device in rooms
where devices for magnetic field applications
are used (e.g., magnetic resonance imaging).

In addition, do not use Perseus in the following


environments:
– Outside buildings
– On intensive care units
– During patient transport
– In vehicles, airplanes, or helicopters

14 Instructions for use Perseus A500 SW 1.1n


Overview

Overview

Hardware ........................................................ 16
Front ................................................................ 16
Screen ............................................................. 17
Plug-in connection with Vapor View option for
up to 3 vaporizers ............................................ 17
Breathing system............................................. 18
Side view from left ........................................... 19
Device column ................................................. 20
Rear................................................................. 21
Interfaces......................................................... 23
Gas inlets......................................................... 24
Hanger yokes (optional) for gas cylinders with
pin-index connections...................................... 25
Auxiliary power sockets ................................... 26
Gas mixing unit (electronically controlled) ....... 27
Gas mixing unit (mechanically controlled) ....... 28
Functional scope ........................................... 29
Device versions, options, and accessories...... 29
Gas delivery..................................................... 29
Ventilation modes ............................................ 29
Additional operation modes ............................. 29
Monitoring........................................................ 29
Display on the screen ...................................... 30
Protocoling....................................................... 30
Gas supply....................................................... 30
Gas scavenging............................................... 30
Data exchange, interfaces............................... 30
Gas flow plan ................................................. 32
Breathing system............................................. 32
Gas supply (electronically controlled gas
mixer)............................................................... 33
Gas supply (mechanically controlled gas
mixer)............................................................... 34

Instructions for use Perseus A500 SW 1.1n 15


Overview

Hardware

Front

M B
L C
K
D
J

I E
H
F
G
10335

A Screen with integrated workplace illumination L External fresh-gas outlet (optional)


B Gas mixing unit (electronically controlled gas M Plug-in connection with Vapor View option for
mixer shown here) up to 3 vaporizers
C Work surface
D Extensible writing tray with compartment for
instructions for use (optional)
E Central brake
F Castors with central brake
G Footrest
H Trolley
I Anesthetic gas receiving system with flow
indicator
J CO2 absorber
K APL valve

16 Instructions for use Perseus A500 SW 1.1n


Overview

Screen

E D
C B
10340

A Touch screen to call up functions or dialog


windows
B Audio paused key to suppress the alarm
tones of all active alarms for 2 minutes
C Rotary knob with background illumination to
select and confirm settings
D key for switching the workplace illumination
on and off and dimming the illumination intesity
in 3 steps (dark, medium, and bright)
E key for switching the device on or off

Plug-in connection with Vapor View option for up to 3 vaporizers

B
10397

A Sensor unit
B Illumination unit

Instructions for use Perseus A500 SW 1.1n 17


Overview

Breathing system

A B C D E F

I H
10370
A Water trap with connection for sample line F Expiratory port
G Holder, e.g., for breathing bag hose
CAUTION
H CO2 absorber
Pressure gauge indication possibly inaccurate
I Anesthetic gas receiving system
Always compare the pressures indicated on the
pressure gauge with those on the status display.
Only use the pressure gauge as the primary
source of information if the pressure indicator on
the status display has failed.

B Pressure gauge (optional) for indicating the


pressure in the internal breathing system, see
also (G) on page 27 and (H) on page 28
C Inspiratory port
D Bag elbow with circuit plug, e.g., to occlude the
Y-piece during an automatic test
E APL valve

18 Instructions for use Perseus A500 SW 1.1n


Overview

Side view from left

C A

10337
A GCX rail for mounting additional workstation
components
B Strain relief for AGS hose, adjustable height
C External fresh-gas outlet (optional)

Instructions for use Perseus A500 SW 1.1n 19


Overview

Device column

The following illustration shows the left side of the


device:

F B

E
D

C
10369
A Column cover
B GCX rail
C Recesses for cables which lead e.g., into the
device arms
D Screw for closing the cable conduit lid
E Tabs to hold the cable
F Cable conduit

20 Instructions for use Perseus A500 SW 1.1n


Overview

Rear

Version with screw connections for gas


cylinders

A
H

A A
G C
F

D D
E E

10336
A Mounting rail
B Gas inlets
C Strain relief for compressed gas hose
D Connection for optional pole (38 mm)
E Castor with castor brake
F Gas cylinder holders (optional) with hook-and-
loop strap
G Interfaces
H Rating plate

Instructions for use Perseus A500 SW 1.1n 21


Overview

Version with hanger yokes for gas cylinders


with pin-index connections (optional)

A
H
B

A A
C
G

D D

E E

20406
A Mounting rail
B Gas inlets
C Strain relief for compressed gas hose
D Connection for optional pole (38 mm)
E Castor with castor brake
F Gas cylinder holders (optional) with hook-and-
loop strap
2 mounting positions are possible.
G Interfaces
H Rating plate

22 Instructions for use Perseus A500 SW 1.1n


Overview

Interfaces

A B C D E

G F

10367
A Device switch
B Serial interfaces (COM 1 and COM 2)
C USB interface
D Network interface
E Interface for work light (optional)
F IEC connector (socket for power cable)
G Potential equalization pin

Instructions for use Perseus A500 SW 1.1n 23


Overview

Gas inlets

C B
10338

A Connections for gas pressure measurement for


gas cylinders (optional)
B Connections for central gas supply (N2O
optional)
C Connections for external gas cylinders
(optional)
D Label Advanced Cylinder Support (optional)

24 Instructions for use Perseus A500 SW 1.1n


Overview

Hanger yokes (optional) for gas


cylinders with pin-index connections

20405
A Hanger yokes (optional) for gas cylinders with
pin-index connections
B Wrench for opening and closing the gas
cylinder valves
C Label Advanced Cylinder Support (optional)

Instructions for use Perseus A500 SW 1.1n 25


Overview

Auxiliary power sockets

View with column cover removed:

A B

C 10368

A Auxiliary power sockets, depending on


equipment variant
B Isolation transformer switch (optional)
C Circuit breakers or fuses, depending on
equipment variant

26 Instructions for use Perseus A500 SW 1.1n


Overview

Gas mixing unit (electronically


controlled)

I J

A
H

G B
F

E D C

10339
A Status display
WARNING
B O2 flowmeter (for O2 insufflation Aux. O2 and
emergency O2 delivery Add. O2) Risk of mix-up due to deviating arrangement

C Current time or time for Auto On In certain countries, the arrangement of the
gases on the status display may differ from
D O2 switch (for switching between O2
the arrangement of the flow tubes depicted
insufflation Aux. O2 and emergency O2
on the screen.
delivery Add. O2)
E Outlet for O2 insufflation, e.g., for nasal Always pay attention to the respective
cannula labeling.

F Symbol for programmed Auto On Explanation of the symbols which may be


G Display of pressure in the internal breathing displayed, see page 256.
system, see page 18
H O2+ button (O2 flush)
I Symbols for mains power supply and power
supply from internal battery
J Symbols for gas supply (O2, Air, N2O) through
central supply and gas cylinders

Instructions for use Perseus A500 SW 1.1n 27


Overview

Gas mixing unit (mechanically


controlled)

J K L

A
I

H B

L L L

G min min min

E D C

20305
A Status display Explanation of the symbols which may be
B O2 flowmeter (for O2 insufflation Aux. O2) displayed, see page 256.

C Outlet for O2 insufflation, e.g., for nasal


cannula
D Flow control valves for fresh gas (O2, Air, N2O)
E Total flow tube for fresh gas
F Display of the set fresh-gas flows
G Symbols for gas supply (O2, Air, N2O) from
central supply and gas cylinders
H Display of pressure in the internal breathing
system, see page 18
I O2+ button (O2 flush)
J Symbols for mains power supply and power
supply from internal battery
K Symbol for programmed Auto On
L Current time or time for Auto On

28 Instructions for use Perseus A500 SW 1.1n


Overview

Functional scope

Device versions, options, and Ventilation modes


accessories
– Manual / Spontaneous
Some functions are optional and differ from the On selection: CPAP (optional)
individual device configuration. Not all device – CPAP / Pressure Support (optional)
versions or options are available worldwide.
– Pressure Control - CMV
Perseus is intended for use with the options and
– Pressure Control - BIPAP
accessories listed in the list of accessories
9052630. – Pressure Control - BIPAP / PS (optional)
– Pressure Control - APRV (optional)
– Volume Control - CMV
Gas delivery
– Volume Control - CMV / AF
Perseus can deliver mixtures of medical gases to – Volume Control - SIMV / AF
which an anesthetic agent is added by means of a
– Volume Control - SIMV / AF / PS (optional)
vaporizer:
For a detailed description of the ventilation modes
and the additional settings, see page 238.
Usable gas mixtures (electronically controlled
gas mixer)
– O2/Air Additional operation modes
– O2/N2O (optional)
– External fresh-gas outlet (optional)

Usable gas mixtures (mechanically controlled – Pause


gas mixer)
– O2/Air/N2O (N2O optional) Monitoring

Usable anesthetic agents Perseus can monitor the following:

– Halothane – Airway pressure

– Enflurane – Minute volume

– Isoflurane – Inspiratory tidal volume

– Sevoflurane – Inspiratory anesthetic gas concentration

– Desflurane – Inspiratory O2 concentration


– Inspiratory and expiratory CO2 concentrations
– Apnea (pressure, flow, and CO2)
– Occurrence of anesthetic gas mixtures
– Degree of filling of the breathing bag

Instructions for use Perseus A500 SW 1.1n 29


Overview

Display on the screen Gas supply

Perseus can display the following: Gas supply variants


– Waveforms
Central gas Gas cylinder connec-
Gas
– Graphical trends supply tion with
– Numeric trends fixed-mounted Dräger
– Loops pressure reducer
(optional)
– Alarm history
or
– Logbook O2
Yes third-party pressure
– Numeric parameters
reducer (via country-
– Prediction of the FiO2 concentration (optional) specific NIST or DISS
– Prediction of the anesthetic gas concentration connection)
(optional) Air fixed-mounted Dräger
– Pre-configured lists for measured values and pressure reducer
N2O Yes (optional) (optional)
set values

Protocoling Gas scavenging

Perseus can save the following data in a logbook Gas scavenging is conducted through the
(among others): integrated anesthetic gas receiving system (AGS).
– Measured values The particle filter it contains filters the ambient air.
This ensures the display accuracy of the flow
– Set values and their changes indicator.
– Patient data
– Ventilation modes
Data exchange, interfaces
– Events (e.g., alarms, confirmed alarms)
– Test results
Serial ports
– Gas consumption and anesthetic agent
Two serial ports, COM 1 and COM 2, are provided
consumption
for data communication using the Dräger
MEDIBUS data protocol.

USB interface
After connecting a Dräger USB storage medium, a
USB interface allows, e.g., the following actions:
– Saving screen content as screenshot
– Saving and loading device configurations
– Saving system test results or protocols as text
file

30 Instructions for use Perseus A500 SW 1.1n


Overview

Network interface
If a corresponding service contract has been
obtained, the function Remote Service can be
executed via a network connection and the
hospital network.
Perseus can be connected to the Dräger ISG
(Infinity Services Gateway) or a DrägerService
computer.
The following are used:
– SNMP: Device monitoring, device status
queries, support of software installations and
software downloads, configuration support
– FTP (as client): Device status queries, support
of software installations and software
downloads, configuration support
For more information, see ''Connections to IT
networks'' on page 234.

Support of Infinity ID accessories


– Exchange interval monitoring
– Anti-interchange security for breathing hoses
For more information, see page 248.

Instructions for use Perseus A500 SW 1.1n 31


Overview

Gas flow plan

Breathing system

K
H
L

J
M
G
N
E I

F O

C B P

A
20412

A Gas supply from gas mixer M Changeover between automatic ventilation and
B Inspiratory pressure measurement Manual / Spontaneous

C Inspiratory valve N Breathing bag

D Inspiratory flow sensor O CO2 absorber

E Expiratory flow sensor P Blower module TurboVent 2

F Patient
G Expiratory pressure measurement
H Patient gas measurement module
I Expiratory valve
J PEEP/Pmax valve
K APL valve
L Anesthetic gas receiving system

32 Instructions for use Perseus A500 SW 1.1n


Overview

Gas supply (electronically controlled gas mixer)

H I
G

F Add. O2 A
D

C E
Aux. O2
B

20413
A Gas supply (central supply or gas cylinders)
B Gas mixer
C Vaporizer
D O2 flowmeter
E O2 switch
F O2 flush
G Switch-over valve
H Breathing system
I External fresh-gas outlet (optional)

Instructions for use Perseus A500 SW 1.1n 33


Overview

Gas supply (mechanically controlled gas mixer)

Aux. O2
H

F A

E
D
C

B
20414
A Gas supply (central supply or gas cylinders)
B Flow control valves
C Minimum O2 delivery
D Total flow tube
E Vaporizer
F O2 flush
G O2 flowmeter
H Breathing system

34 Instructions for use Perseus A500 SW 1.1n


Operating concept

Operating concept

Screen............................................................. 36
Main screen ..................................................... 36
Therapy bar ..................................................... 36
Dialog windows................................................ 37
Quick setup window......................................... 37
Color concept ................................................ 38
Colors of the control elements......................... 38
Waveforms and parameters ............................ 38
Color coding for anesthetic agents and medical
gases ............................................................... 39
Day and night colors........................................ 39
Selecting and setting .................................... 39
Setting of parameters ...................................... 39
Canceling the setting procedure or the change
procedure ........................................................ 39
Activation of buttons ........................................ 39
Operating the flow control valves .................... 40

Instructions for use Perseus A500 SW 1.1n 35


Operating concept

Screen

Main screen C Main menu bar


The main menu bar contains permanently
The main screen displays the most important assigned buttons to open dialog windows and
information regarding anesthesia and ventilation. activate functions.
These buttons are assigned to various groups.
A 1:35
Touching a button opens the corresponding
dialog window with the same name or activates
the corresponding function.
B For more information, see page 261.
C D Therapy bar
The ventilation settings can be adjusted in the
therapy bar.
Electronically controlled gas mixer:
D
10398

– Tabs for selecting ventilation mode


A Header bar – Therapy controls for ventilation parameters
– Therapy controls for fresh-gas delivery
The header bar contains the following fields:
– Patient category Mechanically controlled gas mixer:
– Patient data – Tabs for selecting ventilation mode
– System information (date, time, device – Therapy controls for ventilation parameters
name)
– Alarms, messages, and instructions for the
user, see page 162
Therapy bar
– Information regarding temporarily The illustration shows the expanded therapy bar
deactivated alarms for the electronically controlled gas mixer:
B Monitoring area
The following information is displayed in the A D E
monitoring area: B
– Gas measurement C
– Waveforms
F E
10404

– Parameter fields
– Loops A Name of active ventilation mode
– Mini-trends
B Tab
– Virtual flow tubes
C Therapy controls
– Prediction for anesthetic agents or FiO2
(optional) D Message field for information
Information regarding configurable fields, E Buttons to expand and shrink the therapy bar.
see page 146.

36 Instructions for use Perseus A500 SW 1.1n


Operating concept

F Field with additional information: Dialog windows


– Additional and calculated setting values
– spontaneous breathing activity of the Dialog windows consist of one or several pages
patient which are displayed by touching the corresponding
horizontal or vertical tab.

Start values A D
Arrows on the scales of the therapy controls B
mark the values resulting from the patient data and C
start settings. The start values can be configured,
see page 126.

Linked therapy controls

10401
Certain parameters can be linked to other
A Dialog window title
parameters. If one parameter is changed, the
linked parameter is also selected and changed. B Horizontal tab to open a page
Among other things, this applies to the adjustment C Vertical tab to open subordinate structures
of ventilation pressures, ventilation times or during
D Button for closing the dialog window
electronically controlled fresh-gas delivery.
Example: The device can be configured so that a
change to the PEEP setting automatically causes Quick setup window
a change to Pinsp; as a result, the difference
between PEEP and Pinsp and therefore the tidal The Quick setup window is a context-sensitive
volume remain constant. dialog window. Depending on the selected
Linking therapy controls, see page 138. parameter field or waveform, it contains various
setting possibilities, e.g., for limits, scale, or
content.
Additional information
Quick setup
Some setting values can be limited or be mutually
restricted so that certain combinations of therapy
settings are not possible, e.g. Ti 6.9 s with RR
100 /min.
If a condition is reached in which a parameter
cannot be changed any more, Perseus displays a
corresponding message in the message field (D).
10402

This window can be opened by touching the


corresponding parameter field in the monitoring
area. In the event of an alarm, the window can be
opened automatically, see page 132.

Instructions for use Perseus A500 SW 1.1n 37


Operating concept

Color concept

Colors of the control elements Rotary knob

The availability of functions and settings is


indicated by certain colors of the therapy controls,
of the therapy bar, and in dialog windows.

Therapy controls and buttons

Color Example Meaning

10342
Dark green Available ele-
ment: The rotary knob lights with different colors.
function acti-
vated Color Meaning
Blue Therapy in progress
Yellow Selected ele- Yellow A selected function or setting
ment: must be confirmed.
not yet con- Blinking yellow Functions or settings, which are
firmed with still not confirmed, will be reset
rotary knob within the next 5 seconds.
Light green Available ele-
ment:
function not
Waveforms and parameters
activated
Waveforms for mechanical breaths are displayed
in the colors specified in the start settings, see
Dark gray Operating ele- page 128.
ment: In the flow waveform, spontaneous breathing and
currently not pressure support are displayed in a light brown
available, func- color.
tion activated
Measured values whose specified accuracy
Gray Unavailable cannot be maintained are displayed in dark gray.
element

38 Instructions for use Perseus A500 SW 1.1n


Operating concept

Color coding for anesthetic agents and Day and night colors
medical gases
Three color modes are available:
Standardized color coding complying with – Day light
ISO 5359 / ISO 32 / ISO 5360 is used to identify
anesthetic agents and medical gases. – Day dark
– Night
The colors for O2, Air, and N2O are adapted to
locally applicable standards. Setting the color modes, see page 90.

Selecting and setting

Setting of parameters Canceling the setting procedure or the


change procedure
Each of these settings requires confirmation by
pressing the rotary knob. If a change to a parameter should be canceled
1 Select (color is still yellow), the following options exist to
Touch the operation element (A). The color retain the previous setting:
turns yellow. For therapy controls, the unit of  Touch the changed parameter again. This
the parameter to be set is displayed. resets the selection of and the change to the
parameter.
 Select another parameter. This selection resets
the change to the other parameter.
A  Do not press the rotary knob. After 15 seconds,
10434

the change is reset and signal tones sound


2 Set during the last 5 seconds (timeout).
Turn the rotary knob to set the value. For some
therapy controls, faster turning raises the
increment width. Activation of buttons
3 Confirm
Some buttons are immediately active without
Press the rotary knob to confirm the value. The
additional confirmation. The color immediately
color of the operating element changes to
turns to dark green.
green.
Examples:
In the following chapters of this document, this
sequence of action is represented by simplified – Selecting a view
explanations: – Deactivating the CO2 alarms.
– "Set the value."
Or
– "Touch the button."

Instructions for use Perseus A500 SW 1.1n 39


Operating concept

Operating the flow control valves

The flow control valves of the mechanically


controlled gas mixer and the O2 flowmeter are
operated as follows:

Opening the flow control valve


 Turn the flow control valve counterclockwise.

Closing the flow control valve


 Turn the flow control valve clockwise to the end
stop.
In the subsequent chapters of this document, the
following is represented by simplified explanations:
– "Open the flow control valve."
– "Close the flow control valve."

40 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Assembly and preparation

Mounting of accessories .............................. 42


Mounting on the sides of the device column ... 42
Mounting on the mounting rails ....................... 43
Before first operation .................................... 43
Connecting the mains power supply................ 43
Charging the battery ........................................ 44
Connecting additional devices......................... 45
Establishing potential equalization .................. 46
Using the MEDIBUS protocol .......................... 46
Transport within the hospital ....................... 47
Increasing the tipping stability during transport 47
Parking the medical device.............................. 47
Visual inspection after transport ...................... 47
Connecting the gas supply........................... 48
Central gas supply........................................... 48
Connecting the gas cylinders .......................... 48
Mounting the vaporizers .................................. 51
Ensuring the gas supply............................... 53

Preparation for an operation day / after


cleaning and sterilization.............................. 54
Assembling the breathing system.................... 54
Inserting the breathing system ........................ 56
Mounting the flexible arm (optional) or the bag
elbow ............................................................... 57
Selecting and connecting patient-specific
accessories .................................................... 58
Safety information............................................ 58
Connecting the breathing circuit and the filters 58
Breathing bag .................................................. 62
Observing resistance and compliance............. 62
Connecting a non-rebreathing system
(optional).......................................................... 63
Connecting or exchanging consumables ... 65
Single-use CO2 absorber ................................ 65
Reusable CO2 absorber .................................. 65
Water trap........................................................ 66
Connecting the sample line ............................. 67

Instructions for use Perseus A500 SW 1.1n 41


Assembly and preparation

Mounting of accessories

Mounting on the sides of the device The maximum tilting moment is calculated based
column on the following equation:

Variants with plug-in connections for 2 vaporizers:


Depending on the arm length, the following
maximum weights are permissible: One attached P= (A * B) <8500 mm*kg
component: (<738 in*lbs)
Maximum weight
Multiple attached P1 + P2 + P... <8500 mm*kg
Arm Version with Version with components: (<738 in*lbs)
length plug-in connec- plug-in connec-
tions for 2 tions for 3 Variants with plug-in connections for 3 vaporizers:
vaporizers vaporizers
One attached P= (A * B) <5000 mm*kg
215 mm 20 kg 13.5 kg component: (<434 in*lbs)
(8.5 in) (44 lbs) (29.8 lbs)
Multiple attached P1 + P2 + P... <5000 mm*kg
300 mm 15 kg 8.5 kg components: (<434 in*lbs)
(11.8 in) (33 lbs) (18.7 lbs)
400 mm 15 kg 8.5 kg Explanation:
(15.7 in) (33 lbs) (18.7 lbs)
A: Distance (including arm length) to outer
570 mm 15 kg 8.5 kg edge of the attached component
(22.4 in) (33 lbs) (18.7 lbs)
B: Arm weight (B1) + weight of attached com-
ponent (B2)
Note the following information in addition:
P: Product of distance and weight
– If more than one arm is installed on a device
side, the weights or arm lengths must be
reduced. Do not exceed the maximum tilting
moment.
– Maximum weight on the right side of the
device: 35 kg (77 lbs) B2
– Maximum weight on the left side of the device:
– Variants with plug-in connections for 2
vaporizers: 25 kg (55 lbs)
– Variants with plug-in connections for 3
vaporizers: 15 kg (33 lbs) B1
– Maximum installation height: 1400 mm (55.1
in)
A
23537

42 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Example of a permissible configuration: Mounting on the mounting rails


Maximum Arm weight Weight of the Depending on the position of the mounting rail, the
length attached com- following weights are permissible:
ponent
400 mm 4 kg 5 kg Position Maximum weight
(15.7 in) (8.8 lbs) (11 lbs) On the side of the work- 10 kg
300 mm 3 kg 12 kg ing surface (22 lbs)
(11.8 in) (6.6 lbs) (26.5 lbs) At the top on the rear of 2.5 kg
the device (5.5 lbs)
P1= 400 mm * (4 kg + 5 kg) = 3600 mm*kg
(P1=15.7 in * (8.8 lbs + 11 lbs) = 310.9 in*lbs) WARNING
P2= 300 mm * (3 kg + 12 kg) = 4500 mm*kg
Risk of tipping over
(P2= 11.8 in * (6.6 lbs + 26.5 lbs) = 390.6 in*lbs)
If the weight of the mounted accessories
3600 mm*kg + 4500 mm*kg = 8100 mm*kg
exceeds the permissible maximum weight,
(310.9 in*lbs + 390.6 in*lbs = 701.5 in*lbs)
the medical device may tip over.
8100 mm*kg < 8500 mm*kg
Observe the maximum weight per arm.
(701.5 in*lbs < 738 in*lbs)
If a combination of arms on one device side WARNING
exceeds the value of 8500 mm*kg (738 in*lbs),
tipping stability as per IEC 60601-1 is no longer Risk of tipping over
given. Check the tilting stability. If the weight of the accessories is unevenly
distributed about the device, the medical
device may tip over.
Distribute the weight evenly.

Before first operation

Connecting the mains power supply WARNING


The mains voltage must correspond to the voltage Risk of electric shock and device malfunction
range indicated by the rating plate on the rear of
If the device is connected to a power socket
the device.
with incorrect mains voltage or without a
protective ground, the user can be injured
and the device damaged.
Only connect the power cable to power
sockets with a protective ground, see
''Technical data''.

Instructions for use Perseus A500 SW 1.1n 43


Assembly and preparation

4 Plug the power cable into the mains power


NOTE
socket on the wall.
The mains plug must be readily accessible so 5 Check the displays for mains voltage and
that the power supply to Perseus can be battery on the status display.
interrupted quickly in the event of a device
failure. 6 Set the device switch to position I, see
page 23.
1 Connect the power cable to the device and
secure it.
Charging the battery
2 Lay the power cable in the cable conduit on the
right side of the device.
The internal batteries are automatically charged by
the mains power supply.

WARNING
Risk of device malfunction
If the batteries are not sufficiently charged, it
may not be possible to maintain operation for
long enough if the mains power supply fails.
Before first operation or after storage, charge
the batteries for at least 8 hours.
A
WARNING
Risk due to reduced power supply from the
20095

internal battery
3 Pass the power cable around the lower lug (A)
Batteries are wear parts. The capacity of the
for strain relief.
battery diminishes with the period of use.
WARNING Check the functional capability of the battery
by performing regular inspections.
Risk of electric shock
If the device is connected to additional power
WARNING
socket strips, this may lead to increased
leakage current. The leakage current may Risk of patient injury
exceed the permissible values.
If Perseus is operated or connected to the
– Do not connect the device to additional
mains power supply at ambient temperatures
power socket strips.
above 35 °C (95 °F), the battery cannot be
– Do not connect additional power socket
charged properly. The power supply out of
strips to the auxiliary power sockets under
the battery may be limited.
the column covering.
Do not expose the device to temperatures
above 35 °C (95 °F) on a permanent basis.

44 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Connecting additional devices WARNING


Perseus is equipped with auxiliary power sockets Risk of electric shock and of device
(with automatic circuit breakers or fuses) under the malfunction
column covering, see page 26.
Any connected devices or device
1 Connect the power cable of the additional combinations not complying with the
device to an auxiliary power socket. requirements in these instructions for use
2 For Perseus with isolation transformer: may compromise correct functioning of the
Switch on the power for the isolation medical device.
transformer and the auxiliary power sockets – Do not connect high-frequency surgery
using the isolation transformer switch. equipment to the auxiliary power sockets
of the anesthesia machine.
Make sure that the maximum power consumption – Before using the medical device, refer to
of additional devices does not exceed permissible and strictly comply with the instructions
values. for use of all connected devices and
device combinations.
WARNING
Risk of fire WARNING
In combination with oxygen or nitrous oxide, Risk of electrical shock due to penetration of
ignition sources such as electrosurgery and fluids
laser surgery can cause fires. Only use the medical device with the column
– Maintain a distance of at least 200 mm cover closed.
(7.9 in) between electrical connections
and components which conduct oxygen
and nitrous oxide. Other interfaces
– Cables and connections must be
Only connect devices to COM 1 or COM 2 that
sufficiently insulated and must not be
comply with the limiting values for safety extra low
damaged. Check cables for damage daily.
voltage (SELV) at the interface, even in case of
malfunction.
WARNING
Risk of electric shock WARNING

The connection of devices to auxiliary power Risk of electric shock


sockets can lead to an increased leakage If a USB storage medium with its own power
current. If the protective ground of one of supply is used, failure of its protective
these devices fails, the leakage current may ground may raise the patient leakage current.
rise above the permissible values. Only
connect with the approval of the respective Only use USB storage media without their
device manufacturer. Have the leakage own power supply as authorized by the list of
current checked by service personnel. accessories.

If the permissible value is exceeded, use a


mains power socket on a wall instead of the
auxiliary power socket of the device.

Instructions for use Perseus A500 SW 1.1n 45


Assembly and preparation

CAUTION
Using the MEDIBUS protocol

To ensure electrical safety, only connect devices MEDIBUS is a software protocol for data transfer
to the serial interfaces (COM 1 and COM 2), or between Perseus and an external medical or non-
devices and networks to the network interface medical device (e.g., hemodynamic monitors, data
(Ethernet connection), with a maximum rated management systems, or computers) via an
voltage of 24 Vdc that meet one of the following RS 232 interface.
standards:
Before transferring data, strictly observe the
– IEC 60950-1: Ungrounded SELV circuits
following:
– IEC 60601-1 (as of 2nd edition): Touchable
secondary circuits – MEDIBUS.X, Rules and Standards for
Implementation (9052607)
– MEDIBUS.X, Profile Definition for Data
Establishing potential equalization Communication V1.n (9052608)

Differences in electrical potential between devices WARNING


can be reduced by potential equalization.
Risk of patient injury
Potential equalization does not replace the
All data transferred over the MEDIBUS
protective ground connection.
interface are for information only and must
During operation, the potential equalization not be used as the sole basis for diagnostic
connectors must be readily accessible and the or therapeutic decisions. Data accessible
connection must be able to be disconnected through this interface are not suitable for a
without the use of tools. decentralized alarm system in accordance
with IEC 60601-1-8:2012 (in the sense of
Connecting the potential equalization cable remote monitoring).

1 Connect the potential equalization cable to the 1 Connect the external device to the COM 1 or
potential equalization pin on the device. COM 2 port, see page 23. Use MEDIBUS
2 Connect the potential equalization cable to a cables as stipulated in the list of accessories.
potential equalization connector of the hospital 2 Configure the corresponding COM interface,
(e.g., wall, ceiling supply unit, operating table). see page 142.

WARNING
Risk of electric shock
Connecting devices to the MEDIBUS
interfaces can lead to an increased leakage
current. If the protective ground of one of
these devices fails, the leakage current may
rise above the permissible values. Only
connect with the approval of the respective
device manufacturer. Have the leakage
current checked by service personnel.
If the permissible value is exceeded,
disconnect the devices from the MEDIBUS
interface.

46 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Transport within the hospital

Transport comprises any movement of a medical Increasing the tipping stability during
device that does not serve solely for positioning. transport
WARNING 1 Carefully fold the holding arm with any
Risk of tipping over during transport mounted equipment against the device, e.g.,
patient monitoring, data management systems,
The medical device may tip over if handled and syringe pumps. When folded in, these
incorrectly. components should not project beyond the
– The medical device may only be moved by mounting rails if possible.
people who have the physical ability to do
so. 2 Remove loose objects from the attached arms
– Dräger recommends that the medical and the shelves.
device always be transported by two 3 Remove the heavy objects of more than 8 kg
people. This improves maneuverability. from the mounting rails, e.g., the vaporizers.
When transporting over inclines, around 4 Clear the writing tray and slide it completely
corners, or over thresholds (e.g., through into the device.
doors or in elevators), make sure that the
medical device does not bump against 5 Position the optional flexible arm for the
anything. Do not pull the medical device breathing bag close to the device.
over hoses, cables, or other obstacles 6 Push the optional drawers in.
lying on the floor.
7 Lock the lockable optional drawers.
– Do not activate the central brake while the
medical device is being moved.
– To push the medical device, hold on to the
Parking the medical device
mounting rails on the work surface.
– Do not lean against the medical device.
When parking, always engage the brakes (central
brake for front castors, individual wheel brakes at
WARNING rear), especially on inclined surfaces.
Risk of injury
The device may tip over when it is
Visual inspection after transport
transported over inclines.
Always move the device using two people. 1 Visually check the medical device for damage,
particularly the hoses and cables.
2 Any damage must be repaired by service
personnel before using the device.

Instructions for use Perseus A500 SW 1.1n 47


Assembly and preparation

Connecting the gas supply

WARNING
Central gas supply

Risk due to gas supply failure 1 Screw the compressed gas hoses for the
central gas supply to the gas inlets on the rear
All gas supplies (central gas supply, gas
of the device by hand, see page 24.
cylinders) must be correctly connected since
otherwise the backup system (gas cylinders) 2 Insert the compressed gas hoses into the strain
will not be available if gas supply fails. relief and screw the strain relief tightly into
– Make sure that all compressed gas hoses place, see page 21.
are correctly connected to the rear side of 3 Connect the compressed gas hoses to the
the device. terminal units.
– After connecting the gas supply, check for
correct function. 4 Check if all gas supplies are correctly
– Even when the anesthesia machine is connected. Check if the gases to be supplied
connected to the central gas supply, the are available by observing the status display
gas cylinders should remain at the device (see page 27).
with valves closed as backup.

Connecting the gas cylinders


CAUTION
Risk of device malfunction Only use gas cylinders and pressure reducers
whose connectors are free from dust, particles,
Gas supply (central gas supply or gas cylinders): and grease. Otherwise, there is risk of fire.
To avoid damage to devices connected to the
gas supply, only use medical gases. In particular, When handling pressure reducers, strictly observe
observe the national and international standards the relevant national laws and regulations.
regarding the use of medical gases.

WARNING
Danger to the patient and user
The device may be damaged if the strain relief
of the compressed gas hoses is not used
correctly.
Use the strain relief of the compressed gas
hoses correctly.

48 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Connecting the gas cylinders on variants with 4 Tightly screw the pressure reducer (D) to the
screw connections gas cylinder valves. The connections must fit
each other directly; do not use transition
pieces.

B
D

C C
10343

1 Insert the compressed gas hoses into the strain


relief (A) and screw the strain relief tightly into
place.
2 Connect the compressed gas measurement
lines to the connections (B) through the gas
inlets.
3 Set the full gas cylinders (C) into the gas
cylinder holders and secure them with the
hook-and-loop straps.

CAUTION
Risk of damage to the device
When connecting the pressure reducers, ensure
that they do not protrude beyond the device.

Instructions for use Perseus A500 SW 1.1n 49


Assembly and preparation

Connecting the gas cylinders on variants with Before first use:


pin-index connections 1 Insert the compressed gas hoses into the strain
Gas cylinder with pin-index connection: relief (L) and screw the strain relief tightly into
place.
2 Connect the pressure measurement lines to
H I A the connections (M).
B
3 If the gas cylinders are large, have the cylinder
holders (K) relocated to the lower position by
C service personnel.
D 4 Remove the protection cap from the head of
the cylinder.
When changing gas cylinders:
E
G 5 Remove the old sealing washer (D).
F 6 Insert a new sealing washer (D) at the cylinder
20421

holder (I).
Rear of device: 7 Make sure that both pin-index pins (A) are
present below the gas inlet (B).
M 8 Align the gas cylinder (F) so that the pin-index
holes on the head of the cylinder (E) are
pointing towards the pin-index pins (A) on the
cylinder holder (I).
9 Insert the cylinder head (E) of the gas cylinder
H J (F) from below into the cylinder holder (I) of the
hanger yoke (J).
10 Allow the pin-index pins (A) to engage in the
pin-index holes.

F F F 11 Turn the handle (H) on the cylinder holder (I)


clockwise. The tip of the threaded retaining pin
will then be turned into the visible recess on the
cylinder head.
L Make sure that the gas cylinder (F) is
suspended vertically.
12 Tighten the handle (H) on the cylinder holder
(I).
13 Secure the gas cylinders (F) with hook-and-
loop straps (K).
If required, the gas cylinder valve (C) can be
K
opened with the supplied wrench (G).
20415

50 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Handling O2 gas cylinders Mounting the vaporizers

WARNING Depending on the configuration, Perseus can be


operated with vaporizers which have a Dräger
Risk of explosion
Auto Exclusion plug-in adapter or a Selectatec
When pressurized, O2 is self-igniting in plug-in adapter. Dräger recommends using only
combination with oil or grease. vaporizers that have been tested and are listed in
the list of accessories.
Do not oil or grease the gas cylinder valve or
the pressure reducer of the O2 cylinder. Do
WARNING
not touch with oily or greasy fingers.
Risk due to incorrect anesthetic agent
Gas cylinder valves must only be opened and delivery
closed slowly. Do not use any tools with the screw
connection variants. If the vaporizer is filled with the wrong
anesthetic agent or if it is not filled
Have service personnel repair any leaky or stiff sufficiently, incorrect anesthetic gas
gas cylinder valves. concentrations or concentrations that are too
low can occur as a result.
WARNING
Strictly observe the instructions for use of the
Risk due to failure of the O2 gas supply vaporizer. Compare the color coding on the
Using a pressure reducer without the vaporizer with the anesthetic agent bottle.
required pressure sensor in place of a Dräger
The vaporizers used must conform to the
pressure reducer or connecting a central
ISO 8835-4 or ISO 80601-2-13 standard. If the
supply hose to the connection for the
internal patient gas measurement module fails, an
external gas cylinders will prevent the
independent gas measurement system complying
availability of the auxiliary supply from being
with ISO/IEC 80601-2-55 must be used.
monitored during the system test and while
the system is in use. The back-up
WARNING
functionality may be compromised.
Risk due to improperly mounted vaporizers
If the O2 gas cylinder monitoring function is
not available, the user must take measures to Incorrectly mounted vaporizers can cause
ensure that the pressure indicator can be leakage. This can cause the fresh-gas flow to
read from the user's operating location. Do be too low or contaminate the ambient air.
not connect central supply hoses to the Patient and user can be endangered.
external gas cylinder connection. – Make sure that the connected vaporizers
are hanging vertically.
– When using D-Vapor vaporizers, make
sure that the power cable is not pinched.
– After mounting the vaporizers, perform a
leakage test.

Instructions for use Perseus A500 SW 1.1n 51


Assembly and preparation

The following illustration shows the Dräger- Vapor View option


Vapor 3000.
When combined with Dräger-Vapor 3000 or
D-Vapor 3000, the Vapor View option provides the
A A following functions:
– Illumination of control dial and sight glass on
C C vaporizer
– Reading the anesthetic agent type
– Reading the control dial position
– Monitoring the filling level
– Prediction of the anesthetic gas concentration
B B
10386

1 Set the vaporizer on the plug-in adapter evenly


and tightly.
2 Turn the locking lever (A) clockwise. The lever
is in the locked position when it is pointing left.
3 Check the vaporizer filling level through the
sight glass (B). If necessary, fill the vaporizer.
4 Turn the control dial to position 0; the button
(C) latches into place.
5 Check the locking:
Set the control dial on the vaporizer into
another position than 0 and make sure the
other vaporizer remains locked in its 0 position.
Repeat the test with the other vaporizer.
6 Set both control dials to position 0.

When connecting D-Vapor 3000 vaporizers


1 Connect the power cable to an auxiliary power
socket under the Perseus column covering.
2 If needed, establish potential equalization.
3 If needed, stow the cable in the cable conduit.

52 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Ensuring the gas supply

Perseus is equipped with an integrated anesthetic As an option, the integrated anesthetic gas
gas receiving system (AGS). receiving system can be operated in combination
with a control valve. Observe the assembly
instructions for the control valve.

CAUTION
Danger of ambient air contamination
A If the anesthetic gas receiving system (AGS) is
not connected to the disposal system,
contamination of the ambient air with anesthetic
gas may result.

B Make sure that the anesthetic gas receiving


system (AGS) and the disposal system are
correctly connected. The anesthetic gas
scavenging system must be functioning properly.
10354

1 Connect the suction hose to the nozzle (A) of


the receiving system.
2 Secure the suction hose (B) with strain
relievers.
10353

3 Connect the probe of the suction hose to the


terminal unit of the scavenging system.

Instructions for use Perseus A500 SW 1.1n 53


Assembly and preparation

Preparation for an operation day / after cleaning and sterilization

Assembling the breathing system Installing the TurboVent 2 blower module

WARNING
Risk of insufficient anesthetic gas
concentrations A
If the component connections of the
breathing system are not leak-tight enough,
ambient air may be added to the anesthetic
gas mixture.
Make sure that all components of the
breathing system are connected tightly.

10540
1 Check all components for damage or wear:
1 Insert the TurboVent 2 blower module (A) into
– Blower module TurboVent 2 the breathing system mount.
– APL valve
– Upper housing of the breathing system
– Lower housing of the breathing system
– Valve cages and valve plates B
– Flow sensors
– Ports
– Incident flow grills in the inspiratory limb of
the lower part of the breathing system and
in the expiratory port B
– Seals and sealing rings
10394

2 Screw in the quick release screws (B) tightly


with a clockwise rotation of 90°, e.g., with a
coin.

54 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Inserting the non-return valves


WARNING
There are recesses in the valve cages of the non-
return valves. These recesses are arranged Risk of an incorrectly set pressure limitation
differently on the red valve cage (inspiratory valve) If the points marked on the APL valve are not
than on the blue valve cage (expiratory valve). aligned toward the user, it may not be
When inserting the valve cages, these recesses possible to make or read out the setting
align with the corresponding lugs on the bottom correctly.
housing of the breathing system.
When mounting, always align the APL valve
so that the marking faces the user.

C Mounting the upper part of the breathing


system housing

I
D
10395

1 Align the red valve cage (C) so that the G


recesses are above the lugs in the bottom I
housing of the breathing system.
I
2 Insert the red valve cage.
3 Repeat steps 1 and 2 for the blue valve
cage (D).
H
Mounting the APL valve

10357

1 Set the upper part of the breathing system (G)


F on the lower part of the breathing system (H).
E 2 Pay attention to the correct alignment of the
three levers (I), see illustration above.
3 Turn the levers (I) about 120° clockwise.
10391

1 Set the valve vertically on the upper housing of


the breathing system.
2 Tightly screw the knurled nut (E) clockwise until
it engages.
Points (F) face the user when the breathing system
is installed.

Instructions for use Perseus A500 SW 1.1n 55


Assembly and preparation

Installing the flow sensors and ports

N
L

K
J

10392
 Attach the CLIC adapter.
Pay attention to the correct orientation of the
M adapter: The two bypass symbols (N) must
align in a vertical line.
10358

1 Insert the inspiratory flow sensor (J) and turn


the knurled nut clockwise to tighten the port Inserting the breathing system
(K).
2 Insert the expiratory flow sensor (L), insert the
port (M) and turn the knurled nut clockwise to
tighten the port. A

Attaching the CLIC adapter (optional)


CLIC adapter allows the following single-use CO2
absorbers to be used:
– Infinity ID CLIC Absorber 800+
– CLIC Absorber 800+
– Infinity ID CLIC Absorber Free
10363

– CLIC Absorber Free 1 Insert the assembled breathing system (A)


vertically into the breathing system mount.

56 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Mounting the flexible arm

B
A
B

D
10366

10347
2 Lock the inserted breathing system: Turn the
middle lever (B) clockwise about 120°. 1 Attach the attachment piece of the arm (B) to
the connection piece (A) on the breathing
system and screw down tightly with the two
knurled screws. Check that the arm is fixed
securely!
C
2 Attach the elbow (C) to the end of the flexible
arm.
3 Align the flexible arm so that collisions with
other mounted assemblies are prevented.
10364

Mounting the bag elbow

3 Set the breathing system cover into place (C)  Attach the bag elbow (D) directly to the
and click it into position. connection piece on the breathing system.

Mounting the flexible arm (optional) or


the bag elbow

The breathing bag can be mounted either on the


flexible arm or, using the bag elbow and a
breathing hose, mounted directly on the breathing
system.

Instructions for use Perseus A500 SW 1.1n 57


Assembly and preparation

Selecting and connecting patient-specific accessories

Safety information

WARNING NOTE
Risk of increased rebreathing Perseus is not made with natural rubber latex.
Leakage between the inner and outer hose To minimize the risk of exposure to latex, use
cannot be detected when coaxial breathing latex-free breathing bags and breathing hoses.
hoses are used.
To prevent insufficient gas exchange or CO2
rebreathing, pay strict attention to the
measured gas concentration.

Connecting the breathing circuit and the filters

WARNING
Risk due to particles and dust
In order to protect the patient from particles
and dust, a filter must be used between the
inspiratory limb of the breathing system and
the patient.
Use a patient-side filter or a filter at the
inspiratory port.

WARNING
Risk of infection
If no microbial filter is used, the breathing
system may become contaminated with
disease-causing germs.
In this case, hygienically reprocess the
breathing system after each patient.

58 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Perseus can be used with Infinity ID breathing


hoses or conventional breathing hoses. If no
leakage test has yet been carried out after
switching on the system, hose compliance and
hose resistance will automatically be adopted
when Infinity ID breathing hoses are connected.

WARNING
Risk of underpressure in the lungs
If filters are blocked, the sample gas flow can
immediately cause underpressure in the
lungs.
When ventilating pediatric patients and
neonates, do not use HMEF or other filters at
the Y-piece in connection with a hose adapter
that have a patient-side connection for a
sample line.

NOTE
When applying tidal volumes in the range of the
maximum or minimum values indicated for each
patient category, use the smaller breathing bag
and the smaller breathing circuit.

NOTE
In order to make use of the functionality of the
Infinity ID breathing circuit, dispense with the
inspiratory and expiratory microbial filters and fit
the Y-piece with a filter instead. In cases which
preclude use of a microbial filter at the Y-piece,
the ID functionality of the Infinity ID breathing
hoses cannot be used.

Instructions for use Perseus A500 SW 1.1n 59


Assembly and preparation

1 Select suitable accessories for the respective


patient category.

Adults Pediatric patients Neonates


Tidal volume >700 mL 201 to 700 mL 50 to 200 mL <50 mL
Breathing bag 3L 2L 1L 0.5 L
Breathing circuit Adults Pediatric Neonates
(or pediatric)
Filter Filter or HMEF Use filters with low
resistance and compli-
ance.

2 Assemble the breathing circuit and connect it


with the Y-piece and the inspiratory and
expiratory ports on the breathing system,
see ''Table with recommended hose
configurations'' on page 61.
10393

When attaching or removing the breathing hoses,


always hold them at the connection sleeve and not
at the spiral ribbing.

60 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Table with recommended hose configurations

Adults Pediatric patients Neonates


Filter or HMEF with connection for sample line between Y-piece and Filter at inspiratory port and expi-
patient: ratory port, connection for sample
line as close to patient as possi-
ble:
LQVS

LQVS

H[S

Or H[S

Filter at inspiratory port and expiratory port, connection for sample Lateral connections for the sam-
line at Y-piece: ple line support CO2 measure-
ment and help to flush the dead-
space between Y-piece and hose
LQVS adapter.
If it is not possible to use an expi-
ratory filter (e.g., due to an intrin-
sic PEEP due to air trapping),
hygienically reprocess the device
after use with this patient, see
H[S page 184.

Instructions for use Perseus A500 SW 1.1n 61


Assembly and preparation

Breathing bag Attaching the breathing bag to the flexible arm


(optional)
Attaching the breathing bag

10345
1 Attach the breathing bag (A) to the elbow.
10346

Observing resistance and compliance


1 Connect the breathing bag to the breathing bag
hose using the connection nozzle. Attach the
breathing bag hose to the bag elbow. CAUTION
Risk due to accessory components in breathing
WARNING circuit
Risk of high airway pressure or lack of fresh When using additional components or hose
gas configurations which deviate from the standard
If the breathing bag is pinched, excessive breathing circuit, the inspiratory and expiratory
airway pressures or a lack of fresh gas may resistance values may be increased beyond
occur. standard requirements.

Attach and align the breathing bag so that it When such configurations are used, the user
is not pinched and may inflate freely. must pay special attention to the measured
values.
2 Hang the breathing bag over the hose holder
so that it hangs vertically downwards. CAUTION
To allow the bag to unfold freely, place it to the
Risk due to misleading data
right over the hose holder so that it is not
obstructed by cables or breathing hoses. Exchanging breathing hoses, filters, vaporizers,
or soda lime can change the determined leakage
values or compliance values of the anesthesia
machine and thus affect therapy.
– Perform a leakage test after replacing
breathing hoses, particularly flex hoses,
vaporizers or soda lime.
– Perform a leakage test after changing the
length of flex hoses.

62 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

CAUTION
Connecting a non-rebreathing system
(optional)
Risk due to changed hose lengths
Changed hose lengths can change resistance This connection is only possible with the option
and compliance. Especially for neonates, this External fresh-gas outlet.
may cause increased or decreased ventilation
volumes. WARNING

For neonates in particular, do not use flex hoses. Insufficient gas supply to the patient
Non-rebreathing systems are only suitable
Accessories or accessory components such as and intended for manual ventilation or
filters may change dead-space, compliance, or spontaneous breathing and may only be
resistance. connected to the external fresh-gas outlet.
When using a non-rebreathing system,
Calculating the resistance of the breathing ensure an adequate gas monitoring.
system and connected accessories
To keep the patients' work of breathing as low as WARNING
possible, according to ISO 8835-2 a total
Risk of excessively high airway pressure
inspiratory and expiratory resistance of 6.0 hPa
(cmH2O) at 60 L/min may not be exceeded. Without a pressure-relief valve or breathing
bag, airway pressure may become too high.
The following formula is used to calculate the
resistance (R): Only connect breathing systems with
breathing bags or pressure-relief valves
RInspiration =
which comply with ISO 8835-2.
RBreathing system_insp + RInsp hose + RBreathing bag
hose + RInsp filter (port) + RInsp filter (Y-piece)
Strictly observe instructions for use of the non-
RExpiration = rebreathing system and transfer hose.
RBreathing system_exp + RExp hose + RExp filter (port) +
To prevent contaminating the ambient air, connect
RExp (Y-piece)
the gas outlet of the breathing system with the inlet
Only include resistance data in calculations that on the AGS. Use transfer hose with overpressure
was taken under the same flow conditions (for valve complying with ISO 8835-3.
adults 60 L/min, for pediatric patients 30 L/min,
and for neonates 5 L/min). WARNING
If necessary, take into consideration additional Risk of faulty gas delivery
parts such as water traps or additional hoses.
O2 and CO2 and any anesthetic gases must
Resistance of the breathing system, see page 226.
also be monitored for non-rebreathing
systems.
The sample line must be connected to the
elbow and the water trap on Perseus.

Instructions for use Perseus A500 SW 1.1n 63


Assembly and preparation

B C

10389
10388

3 Remove the sealing plugs from the inlet nozzle


1 Tightly screw the sample line to the elbow of (C) of the AGS.
the non-rebreathing system and water trap (A).
For elbows without port for sample line: 4 Use the transfer hose to connect the non-
rebreathing system with the inlet nozzle at the
 Place the T-piece with T-piece filter directly
AGS (C).
at the elbow and tightly screw the sample
line to the T-piece filter. The part numbers
CAUTION
for the T-piece and the T-piece filter are
listed in the list of accessories. Risk due to open AGS inlet nozzle
Or After using a non-rebreathing system, reinsert
 If necessary, use the gas sampling port of the sealing plug into the inlet nozzle to prevent
the filter on the Y-piece. contamination of the ambient air with anesthetic
Ensure the correct course of the sample gases.
line. Do not use adapters.
2 Connect the fresh-gas hose of the non-
rebreathing system to the external fresh-gas
outlet (B).

64 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

Connecting or exchanging consumables

Dismounting and emptying


WARNING
Risk of high inspiratory CO2 values
Use of soda lime over prolonged periods can B
increase the inspiratory CO2 values.
Check the color of the soda lime regularly
and exchange as needed, especially if the
inspiratory CO2 value increases
A
unexpectedly.

10348
Single-use CO2 absorber
1 Turn the CO2 absorber (A) clockwise and
 Connect or replace the CLIC absorber or the remove it from below.
Infinity ID CLIC absorber. 2 Remove and dispose of the soda lime dust
Strictly observe the instructions for use of the filter (B).
single-use CO2 absorber. 3 Empty used soda lime and dispose of
according to the instructions for use.
WARNING
Risk of insufficient ventilation
If the CO2 absorber is not correctly locked
into place, system leakage may occur.
C
After mounting and replacing, make sure the
CO2 absorber is firmly locked into place.

Reusable CO2 absorber 10349

As an alternative to single-use CO2 absorbers, the


reusable CO2 absorber may also be used.
4 If it is necessary to clean the absorber insert
(C), remove the absorber insert from the
CAUTION
absorber container. Leave the inner and outer
Risk of chemical burns sealing rings on the absorber insert.
Soda lime is caustic and is a strong irritant for
eyes, skin, and airway.
Handle this absorption material carefully and do
not spill it.

Instructions for use Perseus A500 SW 1.1n 65


Assembly and preparation

Filling and mounting 3 Insert a new soda lime dust filter (E). Only use
soda lime dust filters indicated in the list of
accessories.
Only use undamaged filters, as exterior
damage to the filter decreases protection!
4 Insert CO2 absorber (F) on the breathing
system from below and then rotate it counter-
clockwise as far as it will go.
D
Strictly observe the instructions for use for
Drägersorb 800 Plus or Drägersorb Free soda
lime.
10350

1 After any cleaning, push the absorber insert Water trap


back into the absorber container (D)
completely.  Empty or replace the water trap according to its
instructions for use.
2 Fill CO2 absorber with fresh soda lime to the
upper mark.
WARNING
Recommendation: Only use Drägersorb 800 Plus
or Drägersorb Free. Risk due to full water trap
When the water trap is full, the gas
WARNING measurement can fail and insufficient
Risk of hypoventilation ventilation may occur.

Reuse of the soda lime dust filter can Check the water level in the water trap
increase filter resistance and impair the regularly and empty it as necessary.
ventilation function of Perseus.
CAUTION
Replace the soda lime dust filter each time
the soda lime is replaced. Risk due to gas measurement failure
Contaminants, damage, or overfilling of the water
trap can influence gas measurement.

E Observe the instructions for use of the water trap.

CAUTION
F Risk of misleading data
Silicon can get into the measuring cuvette and
disrupt measurement.
Do not spray the O-rings of the water trap holder
10351

with silicon spray.

66 Instructions for use Perseus A500 SW 1.1n


Assembly and preparation

WARNING
Risk of fire
Silicon or aerosol residues in the water trap
can cause fires.
Do not spray the O-rings of the water trap
holder with silicon spray.

Connecting the sample line

WARNING
Risk due to leakage from improperly
connected or damaged sample line
Connect the sample line correctly, otherwise
faulty gas measurements may result.
10344

 Screw on the sample line at the Y-piece, HME


filter, or hose adapter and at the water trap.
Ensure the correct course of the sample line.
Do not use adapters.

NOTE
Only use an original sample line, as other lines
can change the technical data of the device.

Instructions for use Perseus A500 SW 1.1n 67


Getting started

Getting started

Switching on Perseus ................................... 69

Checking for the readiness of operation .... 70

Operation in case of emergency.................. 71


Electronically controlled gas mixer .................. 71
Mechanically controlled gas mixer .................. 71

68 Instructions for use Perseus A500 SW 1.1n


Getting started

Switching on Perseus

Prerequisite: The device has been reprocessed


(see page 184) and is assembled and ready for
operation (see page 41).
To prevent condensation and resulting failures of
electrical components, do not switch on the device
after abrupt temperature changes for 1 to 2 hours
(e.g., after storage in unheated rooms).

WARNING
Risk of explosion and fire A
Do not set the device into operation if oxygen

10340
leakage is suspected in the medical device or
its vicinity.
1 Connect the mains plug if necessary and set
Stop all oxygen supplies and contact service the device switch to position I.
personnel.
2 Switch Perseus on: Press the button (A).

WARNING If the battery charge is sufficient, Perseus will also


start without the mains plug being connected as
Risk due to unbraked device long as the device switch is not set to position 0.
An unbraked device may accidentally move When the starting procedure is completed, the
during operation. Standby page is displayed.
Prevent this by actuating the central brake or After the device was stored or when it is switched
the castor brakes and check their function. on for the first time, set the time if necessary, see
page 139.
WARNING
Risk of device malfunction
Some safety systems are only checked
during start-up.
Restart Perseus at least once per month to
maintain proper functionality.

Instructions for use Perseus A500 SW 1.1n 69


Getting started

Checking for the readiness of operation

On the Standby page, the readiness for operation


resulting from the system test is indicated by color
(A).

A
B
C
D

Standby
E
10410

Color Meaning
Green System is fully operational.
Yellow System is operational with limita-
tions.
There are functional restrictions.
Take further measures to ensure
patient safety (e.g., external moni-
toring).
Red System is not operational.
Call service personnel.

If the system is not fully operational, the most


important irregularities (C) are displayed and a
specific test (D) is recommended as a remedy.
To view details regarding the status of the system,
touch the Details... button (B) or the Test... button
(E), see page 103.
Dräger recommends performing the system test
every 24 hours.

70 Instructions for use Perseus A500 SW 1.1n


Getting started

Operation in case of emergency

Electronically controlled gas mixer Mechanically controlled gas mixer

1 Adjust the APL valve. 1 Adjust the APL valve.

D C
A
B A
C B 10376

20341
2 Set O2 switch (C) to Add. O2 position. 2 Open the flow control valve (A) and set the
3 Open the flow control valve (B) and set the desired O2 flow. If required, press the O2+ key
desired O2 flow. If required, press the O2+ key (C) to fill the breathing bag quickly.
(D) to fill the breathing bag quickly. 3 Monitor the set flow on the total flow tube (B).
4 Monitor the set flow on the O2 flowmeter (A). 4 Set the anesthetic gas concentration at the
5 Set the anesthetic gas concentration at the vaporizer.
vaporizer. 5 Manually ventilate the patient.
6 Manually ventilate the patient. 6 Switch on the device.
7 Switch on the device. 7 As soon as the Standby page is displayed,
8 As soon as the Standby page is displayed, start the therapy, see page 74.
start the therapy, see page 74.
9 Set O2 switch (A) to Aux. O2 to stop the
increased fresh-gas flow.
10 Close the flow control valve (B).

Instructions for use Perseus A500 SW 1.1n 71


Operation

Operation

Safety information......................................... 73 Displaying additional data............................ 90


Viewing current measured values ................... 90
Starting the therapy ...................................... 74
Logbook........................................................... 91
Loading the patient data.................................. 74 Trends ............................................................. 91
Checking the patient data................................ 75 Displaying installed options ............................. 92
Setting and starting the therapy ...................... 75 Displaying an overview of the accessories and
Useful tips........................................................ 76 consumptions .................................................. 92
Adjusting the therapy ................................... 77 Setting the sound volume ............................ 92
Adjusting the APL valve .................................. 77 Setting alarm tone volume and breathing
Using the O2 flush ........................................... 78 sound volume .................................................. 92
Using the vaporizer ......................................... 78
Changing the ventilation mode........................ 79 Adjusting the alarms..................................... 93
Synchronizing the breaths............................... 79 Setting the alarm limits .................................... 93
Ventilating children and neonates ................... 79 Activating or deactivating CO2 alarms............. 94
Automatic xMAC monitoring............................ 94
Special forms of therapy .............................. 80
Deactivation of automatic xMAC monitoring ... 95
Using non-rebreathing systems....................... 80
Activating or deactivating the CBM mode ....... 80 Changing the patient data ............................ 96
Pausing the therapy / using Pause.................. 81
Exporting data ............................................... 96
Using fields with special functions ............. 82 General information......................................... 96
xMAC display (MAC multiples)........................ 82 Exporting screen contents............................... 96
Prediction of anesthetic gas concentration Exporting trends and data ............................... 96
(optional) ......................................................... 83
Other settings ................................................ 97
Prediction of the inspiratory O2 concentration
(optional) ......................................................... 84 Switching the breathing system heating on or
Econometer (optional) ..................................... 85 off .................................................................... 97
Stopwatch........................................................ 85 Creating additional logbook entries ................. 98
Countdown ...................................................... 85 Resetting user-specific settings....................... 98
Volumeter ........................................................ 86 Ending the therapy........................................ 99
Low-flow wizard (optional) ............................... 86
Switching to the Standby mode....................... 99
Organizing the screen display ..................... 87 Using the O2 insufflation.................................. 99
Available views................................................ 87 Patient change............................................... 100
Changing the current view............................... 87
Using loops...................................................... 88 Cleaning and disinfecting the workstation ....... 100
Displaying mini-trends ..................................... 88 Checking or replacing consumables ............... 100
Displaying alarm limits and units of Checking the system ....................................... 101
measurement .................................................. 88 Flushing the breathing system ........................ 101
Adjusting the current view ............................... 89
Adjusting the sweep speed and the scales ..... 89
Changing the color mode and the screen
brightness........................................................ 90

72 Instructions for use Perseus A500 SW 1.1n


Operation

Safety information

WARNING WARNING
Risk of strangulation Risk of injury
Negligent placement of hoses, cables, and Looking directly into the LEDs of the
similar device components can endanger the workplace illumination and of the illumination
patient. unit on the vaporizer plug-in connection can
cause damage to the retina.
Use particular caution when establishing
connections to the patient. Do not look directly into the LEDs. Make sure
that the patient is not dazzled by the LEDs.
CAUTION
WARNING
Risk due to falsified gas measurement values
and failure of the gas measurement Danger due to inaccurate gas measurement
values
Aerosols can damage the patient gas
measurement module and the membrane of the Due to the technical characteristics of gas
water trap. Propellants can falsify the gas measurement, the gas measurement values
measurement values. might be inaccurate at high respiratory rates.
Do not use medication nebulizers. Observe the technical data.

WARNING WARNING
Risk of faulty gas delivery Risk of infection
O2 and CO2 and anesthetic gases must be Disease-causing germs can be transmitted
monitored every time breathing systems are between patients via the circuit plug. If the
used. circuit plug is fitted to a used Y-piece or filter,
and then later to a reprocessed component
Ensure adequate gas monitoring.
(e.g., during a leakage test), the new
component can become contaminated.
WARNING
Only fit reprocessed components to the
Risk of misinterpretation circuit plug.
Misdiagnosis or misinterpretation of the
measured values or other parameters can
endanger the patient.
Do not make therapeutic decisions based
solely on individual measured values and
monitoring parameters. Therapeutic
decisions must be made solely by the user.

Instructions for use Perseus A500 SW 1.1n 73


Operation

Starting the therapy

Prerequisite: The device is in Standby mode. Loading the patient data

Start
Load a preset
A B
Check patient data

A C
B
Select mode
Standby

C
20411

10461
There are 2 possibilities for starting the therapy:
There are two possibilities for loading patient data:
Quick start with Manual / Spontaneous mode
A Defining a new case
B Continuing a case
 To perform a quick start with the displayed
fresh-gas settings (A), touch the Quick start In the area Check patient data (C), patient data
MAN/SPON button (B). (e.g., age, weight) are filled in depending on the
selection.
Or
Normal start with customized settings
Defining a new case
1 Touch the Start... button (C).
Select to start the therapy for a new patient:
2 Adjust the patient data and ventilation settings.
 Depending on patient category, touch New
adult, New ped, or New neo (A).
The ventilation parameters and alarm limits are set
to the configured start settings, see page 126. The
set value for Ti is automatically set based on RR in
such a way that the resulting I:E ratio is 1:1 for
neonates and 1:2 for all other patient categories.

Continuing a case
Select to start the therapy with the settings of the
last case:
 Touch the Continue case button (B).

74 Instructions for use Perseus A500 SW 1.1n


Operation

The ventilation parameters and alarm limits are Setting and starting the therapy
adopted from the preceding case.
After switching on the device, no previous case is Select mode
available. Perseus then starts with the configured A
start settings.
D C B E

10463
Checking the patient data 1 Select a ventilation mode (A) as needed.
The following ventilation modes are available:
WARNING – MAN / SPON
Risk due to incorrect settings – Pressure Support (optional)
– Pressure Control
Different standard alarm limits or therapy
settings might be configured for medical – Press. Ctrl. APRV (optional)
devices within the same area. The user must – Vol. Ctrl. AutoFlow
observe the following: – Volume Control
– Make sure that the values set for new
patients are appropriate. The following operation modes are also available:
– Make sure that the alarm system is neither – Ext. FG outlet (optional)
rendered useless by setting extreme – Pause
values for the alarm limits nor deactivated
Additional information about the ventilation modes,
by switching off the alarms.
see page 238.
– Check the start settings for alarms and
alarm settings each time the ventilation 2 Set the fresh-gas delivery.
mode is changed. Electronically controlled gas mixer:
 Select the carrier gas (B).
CAUTION Set the O2 concentration (D) and fresh-gas
Risk due to incorrect setting for patient age flow (C).

Incorrectly setting the patient age can lead to


inappropriate xMAC values and therefore to an
inappropriate anesthetic gas delivery.
Always set patient age correctly.

Check patient data

A
10462

 Adjust patient data (A) if necessary.


When these data are adjusted, appropriate therapy
settings are suggested e.g., for tidal volume,
respiratory rate, alarm limits. For more information,
see page 248.

Instructions for use Perseus A500 SW 1.1n 75


Operation

Mechanically controlled gas mixer: 3 Set the ventilation settings (C).


4 To start therapy, press the rotary knob. A signal
WARNING tone is emitted when therapy starts.
Risk of incorrect gas delivery
Use the flow values on the status display as
Useful tips
the primary source of information. Always
compare these values against the values on
the total flow tube. Quick start with MAN / SPON mode
Only use the total flow tube as the primary
source of information in the following Electronically con- Mechanically con-
circumstances: trolled gas mixer trolled gas mixer
– The status display has failed.  In Standby mode,  Open the flow con-
– The values on the status display do not touch Quick start trol valves for fresh
match the values on the total flow tube. MAN/SPON. gas.

 Use the flow control valves to adjust the


fresh-gas flows. Opening the start dialog in Standby mode
Use the total flow tube to check the total  Touch the screen in the monitoring area.
flow set, see page 28.
Or
Perseus is equipped with a minimum O2 delivery,
which ensures that a minimum quantity of oxygen  Squeeze the breathing bag.
is delivered when N2O is used as the carrier gas,
see page 247. To prevent the soda lime from Starting when time is limited
drying out at an increased rate, the electronically
controlled gas mixer reduces the fresh-gas flow When time is limited it is possible to bypass the
FG flow automatically. This reduction takes place adjustment of the patient data and the ventilation
depending on the set tidal volume VT and the set settings. Start the therapy as follows:
respiratory rate RR. 1 Touch the screen.
2 Check the displayed start values.
CAUTION
3 To start therapy, press the rotary knob.
Risk of patient injury
4 Adjust the patient data and ventilation settings
Unsuitable soda lime can result in disintegration as soon as possible.
products from the anesthesia gases.
Use suitable soda lime such as Drägersorb Free.

CAUTION
Risk of patient injury
The use of minimum-flow or low-flow settings can
lead to accumulation of metabolic by-products in
the breathing system.
If minimum-flow or low-flow settings are used,
flush the breathing system regularly.

76 Instructions for use Perseus A500 SW 1.1n


Operation

Adjusting the therapy

Adjusting the APL valve The patient can be manually ventilated with the
breathing bag. The pressure is limited by the set
The pressure limitation set with the APL valve only value.
takes effect during manual ventilation or
spontaneous breathing.

WARNING
Risk of excessively high airway pressures
If the ventilator fails, the device switches into
the MAN / SPON ventilation mode.
The APL valve should also be set to a
pressure limitation value suitable for the

10380
patient when using automatic ventilation
modes. If the ventilator fails, ventilate the
In the Manual / Spontaneous mode, lifting the
patient manually.
valve head relieves pressure from the breathing
system.
 The selection between manual ventilation
(Man) and spontaneous breathing (Spont) is
made at the APL pressure limitation valve, see Spontaneous breathing
page 16.

Manual ventilation

10 20 30
10379

 Turn the APL valve counterclockwise as far as


it will go.
10378

The points are vertically aligned and the valve


 Set the APL valve to the desired maximum head is raised.
airway pressure.
The pressure limitation is canceled and the valve is
open for free spontaneous breathing.

Instructions for use Perseus A500 SW 1.1n 77


Operation

Using the O2 flush When the Vapor View option is installed, the
control dial and sight glass on the
The O2 flush is used for flushing and quickly filling Dräger-Vapor 3000 and D-Vapor 3000 are
the breathing system and breathing bag with O2 illuminated:
while bypassing the vaporizer.
Control dial position Illumination
 Press the O2+ button. O2 flows for as long as
the button is held down. T to <0 Off

Use of the O2 flush can increase airway pressure 0 Medium


very quickly and abruptly change the gas >0 Bright
concentration.
WARNING

Using the vaporizer Risk due to faulty Vapor View option


If the Vapor View option is faulty, the
following information could be displayed
WARNING
incorrectly on the screen: Anesthetic gas
Risk due to incorrect anesthetic agent type, filling level, control dial position,
delivery prediction of anesthetic gas concentration
– Do not rely solely on the display on the
Filling the vaporizer with an incorrect
screen, but always pay attention to the
anesthetic agent results in an incorrect
settings and values at the vaporizer as
anesthetic gas concentration.
well.
Compare the color coding on the vaporizer – Do not make therapy decisions based
used to that of the anesthetic agent indicated solely on a displayed prediction.
on the screen.
WARNING
 Operate the vaporizer according to its
instructions for use. Risk of increased anesthetic agent delivery
Using the emergency O2 delivery (Add. O2)
may cause an increased anesthetic gas
concentration.
Carefully monitor the gas mixture.

78 Instructions for use Perseus A500 SW 1.1n


Operation

Changing the ventilation mode WARNING


Risk of insufficient ventilation
A In ventilation modes in which breaths are to
be triggered only by the patient (e.g.,
B C Pressure Support), adverse settings or

10403
sensor failure can lead to insufficient
1 In the therapy bar, touch the tab (A) of the new ventilation.
ventilation mode. Set the respiratory rate to a suitable value so
When the ventilation mode is changed, the start that a minimum ventilation of the patient is
settings are adopted from the parameters of the maintained.
previous ventilation mode and the patient data, or
they are sensibly derived. WARNING
In addition, the alarm settings are adjusted to Risk of insufficient ventilation
reasonable values, see page 120.
The display of the spontaneous minute
2 Adjust the therapy as needed with the therapy volume MVspon shows the volume that
controls (B) or buttons (C). results from the patient's own breathing and
3 Activate the ventilation mode by pressing the machine support. If machine support is
rotary knob. A signal tone is emitted when the triggered by small tidal volumes of the
mode is changed. patient, a large part of MVspon is achieved by
machine support and not by the patient's own
breathing. In this case, MVspon shows a high
Synchronizing the breaths value although the actual spontaneous
minute volume is very low.
Switching on the synchronization activates the set Do not base therapy decisions solely on the
pressure support, for example, see page 238. value displayed for MVspon.

D
Ventilating children and neonates

For tidal volumes below 200 mL:


A
 Use suitable ventilation accessories, see
B C chapter ''Selecting and connecting patient-
10464

specific accessories'' starting on page 58.

1 Switch the synchronization on or off with the For tidal volumes below 20 mL or when using
buttons Sync. on (A) or Sync. off (B). unblocked tubes:
2 As needed, the expanded therapy bar can be  Use pressure-controlled ventilation, see table
displayed using the buttons More (C) or (D); ''Ventilation modes and effective parameters''
here, additional parameters (Trigger sens., starting on page 239.
∆Psupp, etc.) can be adapted to the patient.

Instructions for use Perseus A500 SW 1.1n 79


Operation

Special forms of therapy

Using non-rebreathing systems The CBM mode can be used in all active
ventilation modes.
Only available with the option External fresh-gas When ventilation modes are changed, the CBM
outlet. mode remains active. Changing to the Standby
Prerequisite: The non-rebreathing system is mode deactivates the CBM mode.
connected, see page 63. Deactivating the CBM mode activates the apnea
alarms.
CAUTION
Risk of gas contamination Activating
The extracted sample gas is also returned to the 1 Open the Alarms dialog window.
internal breathing system during operation with
an external fresh-gas outlet if the Perseus 2 Touch the Settings tab (A).
sample gas measurement is used.
Alarms
Use breathing circuit to close the breathing A
system or set the APL valve to spontaneous
breathing. Flush the breathing system each time
patients or anesthetic gas are changed!

Conducting the fresh gas to the external outlet


B C
1 Start Ext. FG outlet operating mode.
2 Adjust the fresh-gas delivery. Adjust the
vaporizer if necessary. 10465

Strictly observe the instructions for use of the non-


rebreathing system.
3 For Cardiac bypass mode (CBM), touch the
On button (B).

Activating or deactivating the CBM


mode Deactivating
 For Cardiac bypass mode (CBM), touch the
The CBM mode allows patient monitoring without Off button (C).
unnecessary alarms during extracorporeal Or
oxygenation of the patient by a heart-lung
 In the main menu bar, touch the Exit CBM
machine.
button.
Properties of CBM mode:
– All gas concentrations are measured
independent of the respiratory phase.
– The CO2 apnea and pressure apnea alarms
are inactive.

80 Instructions for use Perseus A500 SW 1.1n


Operation

Pausing the therapy / using Pause

In Pause mode, ventilation is stopped. Gas


delivery is also stopped with electronically
controlled gas mixers. The gas concentration
measurement remains active and waiting for
respiratory phases.
This mode is equipped with an adjustable therapy
control (Timer) dependent on the patient category.
When the set time has elapsed, this emits an
alarm as reminder that ventilation should be
resumed. Setting the therapy control Timer to 0:00
deactivates the alarm. The total elapsed time is
also displayed.
Use this operating mode to reduce contamination
of the ambient air with anesthetic gases due to an
open Y-piece, e.g., for short pauses in therapy
such as disconnection or intubation.

Activating
1 Start Pause operating mode.
2 Adjust the therapy control Timer if necessary.

Returning to the previous mode


1 Touch the Resume ventilation button.
2 Confirm the ventilation mode.
For more information, see page 132.

Instructions for use Perseus A500 SW 1.1n 81


Operation

Using fields with special functions

xMAC display (MAC multiples)

1 MAC corresponds to:


in et (in 100 % O2)
O2 Isoflurane 1.15 Vol%
Desflurane 6.0 Vol%
N2O Sevoflurane 2.1 Vol%
N2O 105 Vol%
Iso
The age-corrected MAC values are calculated
using an equation developed by W.W. Mapleson
(British Journal of Anaesthesia 1996, pp. 179-
185).

xMAC Age years


The equation applies to patients older than 1 year.
12203

MACage corrected = MAC* x 10(–0.00269 x (age –40))


The MAC value is a simple navigation aid for
anesthetic agent delivery.
Perseus displays the inspiratory and expiratory
measured values for O2, N2O, and anesthetic
gases and the xMAC in the monitoring area.
The xMAC is the MAC multiple calculated from the
current expiratory measured values and the age-
dependent MAC values. If no respiratory phase is
detected, expiratory values and xMAC cannot be
displayed.
The integrated MAC algorithm is based on the
MAC values shown in the following table. These
values are guiding values only. The binding values
are specified on the package information leaflet of
the anesthetic agent.
The MAC values depend on the age of the patient.
The values specified in the table apply to a patient
age of 40 years.

1 MAC corresponds to:


(in 100 % O2)
Halothane 0.77 Vol%
Enflurane 1.7 Vol%
* 40 years

82 Instructions for use Perseus A500 SW 1.1n


Operation

For gas mixtures, the respective multiples for N2O


and anesthetic agents are added according to the
following equation.
exp. Conc. Anesth.1 exp. Conc. Anesth.2 exp. conc. N2O
xMAC = + +
MACage corrected Anesth1 MACage corrected Anesth2 MACage corrected N2O

Example
exp. Iso. = 0.65 Vol%; exp. N2O = 69 %;
age = 32 years
MACage corrected from Iso.: MAC* = 1.21 Vol%
MACage corrected from N2O: MAC* = 110 Vol%
xMAC = 0.54 + 0.63 = 1.2
The influence of other drugs (opiates or
intravenous hypnotics) is not considered in the
xMAC calculation.

* 32 years

Prediction of anesthetic gas concentration (optional)

Perseus offers the possibility to display predictive These restrictions in the patient data result from
concentrations of anesthetic agent in the breathing the scientific models all calculations are based on.
gas. This requires the Vapor View option and a
Dräger-Vapor 3000 or D-Vapor 3000. WARNING
The anesthetic gas prediction is appropriate for Risk of incorrect therapy settings
patients with the following data only:
The anesthetic gas prediction is based on
Height: 150 to 200 cm mathematical models and does not provide
(59.1 to 78.7 in) individual patient values.

Weight: 40 to 140 kg Do not make therapy decisions based solely


(88 to 308 lbs) on the displayed anesthetic gas prediction.
Age: 18 to 90 years

The anesthetic gas prediction is not suitable for the


following patients:
– Alcohol dependents
– Greatly overweight patients (BMI >35)
– Patients with ASA ≥IV
– Patients with severe circulatory disorders or a
cardiopulmonary bypass

Instructions for use Perseus A500 SW 1.1n 83


Operation

Using the anesthetic gas prediction Prediction of the inspiratory O2


Prerequisite: The Agent prediction parameter concentration (optional)
field must be configured in the monitoring area and
respiratory phases must be detected. Perseus offers the possibility to display the
predicted inspiratory O2 concentration in the
breathing gas. This requires the O2 prediction
Iso prediction option. The FiO2 prediction parameter field must
be configured in the monitoring area.

C D FiO2 prediction
D

A B
C
A B

10452
The following is displayed:
10453

A Section for the trend

The following is displayed: B Section for the prediction

A Section for the trend of inspiratory and C Current O2 fresh-gas concentration


expiratory anesthetic gas concentration D Prediction curve ("what if..." function)
B Section for the prediction The inspiratory O2 concentration is displayed as a
C Current vaporizer setting line.
D Prediction curve ("what if..." function) The previously measured concentration is
displayed in the left-hand section (A) and the
The anesthetic gas concentration of the currently
predicted concentration in the right-hand section
delivered anesthetic agent (or of the measured
(B). The predicted concentration is dependent on
primary anesthetic agent if delivery is switched off)
the set O2 flow and the measured patient values.
is displayed as a color diagram. The
corresponding expiratory concentration is shown Electronically controlled gas mixer only:
by the color coding for the anesthetic agent. A dotted line (D) is displayed during the setting
procedure for the O2 flow (the so-called "what if..."
The previously measured concentrations are
function). When the value is altered with the
displayed in the left-hand section (A) and the
therapy control, the line moves and shows a
predicted concentrations in the right-hand section
preview of the predicted concentration.
(B). The predicted concentrations are dependent
on the vaporizer setting, the set fresh-gas flow,
WARNING
and on various measurements.
Risk due to incorrect O2 prediction
Electronically controlled gas mixer only:
2 dotted lines (D) are displayed during the setting Therapy decisions should not be made solely
procedure for the fresh-gas flow (the so-called on the basis of a displayed O2 prediction.
"what if..." function). When the value is altered with
the therapy control, the lines move and show a
preview of the predicted concentration.

84 Instructions for use Perseus A500 SW 1.1n


Operation

Econometer (optional) Stopwatch

During operation, Perseus monitors the breathing


bag for sufficient filling. Stopwatch
A

Surplus

10451
Using the stopwatch
Efficient 1 Touch the Start button (A) to start.
2 Touch the Stop button (A).
3 To reset the stopwatch to zero, touch the Reset
button (A).
Deficit
Countdown

Econometer
Countdown
10512

The bar graph indicates the qualitative fresh-gas


supply.

Range Color Meaning


A B
Surplus Yellow Indication of a possibility

20070
to save fresh gas and,
therefore, volatile anes-
thetics Setting the countdown
Efficient Green – No action necessary 1 Touch the Set key (B) or the parameter field.
– Breathing bag suffi- 2 Set the countdown time.
ciently filled
– Sufficient reserve Using the countdown
capacity available
The countdown always starts with the last time set.
Deficit Red – Insufficient fresh-gas
1 Touch the Start button (A) to start.
supply
2 Touch the Stop button (A).
– Fill the breathing bag
immediately 3 To reset the countdown to zero, touch the
Reset button (A).
An inadequately filled breathing bag can trigger the
Fresh gas low or leakage or Emergency air inlet
activated alarms, for example.

Instructions for use Perseus A500 SW 1.1n 85


Operation

Volumeter Low-flow wizard (optional)

The volumeter can be used to observe and assess The Low-flow wizard displays bar graphs for the
the ventilation during spontaneous breathing, required fresh-gas flow and the total flow. Both bar
manual ventilation, or mechanical ventilation. graphs are to the same scale. The required fresh-
gas flow is calculated on the basis of balancing the
gas volumes.
Volumeter
B Required FG flow
F VT A
C
Volume

Total flow
E D Efficient

20152
10450

An evaluation of the total flow is displayed below


The bar graph tracks the inspiratory and expiratory
the bar graph:
tidal volume.
At the end of the inspiration, the delivered tidal Evaluation Color Meaning
volume is displayed as a bar (A). Too high Yellow The fresh-gas flow is
At the end of expiration, the difference between possibly too high. If the
inspiratory and expiratory tidal volume (F) is fresh-gas flow can be
displayed. reduced, both fresh gas
and anesthetic agent will
The expiratory tidal volume is displayed next to the be saved.
bar graph (C).
Efficient Green No action is necessary.
Too low Red The fresh-gas flow is too
Using the volumeter (minute volume
low.
measurement)
 Check the fresh-gas
1 Touch the Start button (B) to start. flow.
The bar graph displays the individual
measured breaths in segments (E). The  Check the position of
summed volumes (D) are displayed next to the the breathing bag.
bar graph. Refill bag Red The fresh-gas flow is too
2 Touch the Stop button (B) to stop. low.

3 To reset the volumeter and time display to zero,  Refill the breathing
touch the Reset button (B). bag immediately,
e.g., with O2 flush.
The volumeter stops automatically after
60 seconds. The measured values are displayed An insufficient fresh-gas flow can trigger the Fresh
for 4 minutes and then deleted. gas low or leakage or Emergency air inlet
activated alarms, for example.

86 Instructions for use Perseus A500 SW 1.1n


Operation

Organizing the screen display

Available views Changing the current view

Perseus offers two view settings for the monitoring Two buttons are available for changing the current
area: view:
– Standard view – Views... button
1 2 3

– View button

A Changing with the Views... button

Views

B
A

C B
10474

B
The three waveforms (A), (B), and (C) are
displayed along with their associated parameter
fields.
– Expert view

10475

D E F G 1 Touch the Views... button. The Views dialog


10473

window will be opened.


In addition to the standard view, the four additional 2 Touch the button for the desired view:
parameter fields (D), (E), (F), and (G) are A Opens the standard view
displayed.
B Opens the expert view
The views can be renamed, see page 127.

Instructions for use Perseus A500 SW 1.1n 87


Operation

Changing with the View button Displaying or deleting reference loops


1 2 3

 Touch the View button.  To save a reference loop, touch the Save ref.
The screen displays the second view
1 2 3

. button (C).

 Touch the
1 2 3

View button. Or

The screen displays the third view


1 2 3

.  To delete the reference loop, touch the Delete


1 2 3 ref. button (D).
 Touch the View button.
1 2 3

The screen displays the first view .


Displaying mini-trends

Using loops In an expert view, the appropriate mini-trend (B) for


the displayed waveforms (A) can be displayed.
The following loops can be displayed in the expert
view:
– Volume / airway pressure
– Flow / volume
B A

10477
1 Open the Views dialog window.
C 2 Touch the Mini-trends button.
B D Larger and more detailed graphic and numeric
10476

trend displays, see page 91.


1 Open the Views dialog window.
2 Touch the Loops button.
Displaying alarm limits and units of
The following is displayed:
measurement
A Current loop and the last 5 loops
B Parameters: The alarm limits and the units can also be
displayed in the waveform and parameter fields.
– Cdyn
– R
– TC
The value displayed here for Cdyn is updated
10478

more frequently and thus may differ from the value


displayed in the Trends/Data dialog window. 1 Open the Views dialog window.
2 Touch the Limits & units button.

88 Instructions for use Perseus A500 SW 1.1n


Operation

Adjusting the current view Adjusting the sweep speed and the
scales
The monitoring area can be changed during
operation: 1 Open the System setup dialog window.
1 Touch a waveform or parameter field. The 2 Touch the Screen layout > Waveforms tab
Quick setup window opens. (A).

Quick setup System setup

A
B
C A
C C
B
C C
A
10402

10485
2 For Content (A), select the desired content
from the list.
For a list of the possible screen content, see Setting the sweep speed
page 146.  Touch the button (B). Set the sweep speed.
3 For Scale (B), select the desired scale.
Adjusting the waveform scale
CAUTION
 To change the waveform scale, touch one of
Risk of insufficient monitoring
the buttons (C) and select the value.
National and medical regulations require certain
parameters to be displayed.
Always consider the relevant regulations when
configuring the screen layout.

Restoring the current view


The changes in the current view can be reset to
the saved standard.
1 Open the Views dialog window.
2 Touch the Restore current view button.

Instructions for use Perseus A500 SW 1.1n 89


Operation

Changing the color mode and the 2 Touch the Screen layout > General settings
screen brightness tab (A).

System setup
1 Open the System setup dialog window.
A
B A

10479
3 To change the color mode, touch one of the
buttons for Display mode (B).
4 Set the screen brightness for Display mode,
screen brightness (C).

Displaying additional data

Viewing current measured values 2 Touch the Values tab (A).


The vertical tabs (B) display different combinations
During operation, measured values for ventilation, of parameters.
gases, and the device are available in tabular
overviews. Trends/Data

1 Open the Trends/Data dialog window. A

B
10497

90 Instructions for use Perseus A500 SW 1.1n


Operation

Logbook The following illustration shows the graphical


trend:
The logbook can save up to a maximum of 20000
entries. Logbook data are displayed in table form. Trends/Data

1 Open the Trends/Data dialog window.


A B
2 Touch the Logbook tab (A). C
G F
Trends/Data

A
B C D
E

10481
E The vertical tabs (C) display different combinations
of parameters.
D
10480

Zooming
Use the rotary knob or the arrow buttons to scroll In both trend displays, the displayed time period
the cursor (B) up (C) or down (D) in the logbook. can be enlarged or diminished.
To scroll quickly, touch the gray area (E).
Changing the time period:
The entries in the logbook cannot be deleted and  Touch one of the following buttons (D)
are retained even after the device has been according to choice:
switched off and on again or following a power
supply failure. When the storage limit is reached, – Zoom +
the oldest entries are overwritten. – Zoom -

Creating entries and associated settings, see Displaying the standard time period and the
page 98. current point in time:
 Touch the Reset zoom button (E).

Trends Moving the cursor


Trends are displayed in the form of a graphic or a The exact measured values for a specific point in
table. time can be displayed numerically in area (F). To
do so, move the cursor.
1 Open the Trends/Data dialog window.
 Use the rotary knob to move the cursor (G).
2 Touch the Graphical trends (A) or Tabular
trends tab (B). Or
 Touch the corresponding area on the screen.

Instructions for use Perseus A500 SW 1.1n 91


Operation

Displaying installed options Vertical tab Overview


Supply Status display of the con-
Listing of the additionally installed software
nected gas and power sup-
options.
plies.
1 Open the System setup dialog window.
Consumption Gas consumption
2 Touch the Applications tab.
During operation:
– for the current case
Displaying an overview of the
In Standby:
accessories and consumptions
– for the last case
1 Open the System setup dialog window. – since the last reset
2 Touch the System status tab.
In Standby > System setup > System status >
Vertical tab Overview Consumption, the gas consumption levels can be
reset to zero, see page 144.
Accessories Accessories (when
Dräger Infinity ID accesso-
ries are used) and informa-
tion as to when the
accessory must be
replaced.

Setting the sound volume

Setting alarm tone volume and 1 Open the System setup dialog window.
breathing sound volume 2 Touch the System > Sound volume tab (A).

WARNING
Risk of operation error
The acoustic alarm signals might not be
heard if functions such as "Breathing sound"
are used or when operating in a noisy
environment.
Always set the alarm tone to be sufficiently
loud.

92 Instructions for use Perseus A500 SW 1.1n


Operation

Alarm tone volume


System setup
 Set the desired value for Alarm tone volume
A (B).
B
C A Breathing sound volume (optional)
 Set the desired value for Breathing sound
volume (C).

10482

Adjusting the alarms

Setting the alarm limits Setting via the Alarms dialog window
In the Alarms dialog window, the alarm limits can
For a current case, the alarm limits can be set in be set either manually or automatically.
two ways:
1 Open the Alarms dialog window.
– Setting via the Quick setup window
2 Touch the Limits tab (C).
– Setting via the Alarms dialog window
Alarms

Setting via the Quick setup window C


1 Touch the respective waveform or parameter
field. The Quick setup window opens.

Quick setup

D
A
E
B F F F F G
10483

Manual setting
1 Set the upper alarm limits (D).
10402

2 Set the lower alarm limits (E).


2 Set the upper alarm limit (A).
3 Set the lower alarm limit (B).

Instructions for use Perseus A500 SW 1.1n 93


Operation

Automatic setting 2 Touch the Settings tab (A).


Alarm limits can be adapted to current measured Alarms
or setting values.
A
1 Touch the Autoset limits button in the main
menu bar.
The Autoset all button (G) is selected.
2 Confirm to adapt the alarm limits for all B
parameters.
Or
To adjust the alarm limits for an individual
parameter, touch one of the buttons Autoset
(F) and confirm.

10465
As an alternative, open the dialog window via
Alarms > Limits (B). 3 For CO2 alarms, touch the button (B):
Only use the automatic setting when measured or On: Alarms are activated.
setting values are stable to prevent artifacts of the Off: Alarms are deactivated
adjustment algorithm. Or
The lower alarm limit for the xMAC level is also  Use the CO2 alarms off button in the main
adjusted during automatic setting, see page 94. menu bar to activate or deactivate the alarms.
Configuration and algorithm, see page 131. This button is only visible in the following
ventilation modes:
– Manual / Spontaneous
Activating or deactivating CO2 alarms – External fresh-gas outlet
– Pause
The CO2 monitoring (affects the alarms for inCO2,
etCO2, and CO2 apnea) can be activated or The alarm system is immediately activated when
deactivated. the CO2 monitoring is activated.

Deactivation is indicated in the header bar and in


the parameter field by the symbol. Automatic xMAC monitoring
1 Open the Alarms dialog window.
Perseus provides monitoring of the xMAC level.
The monitoring is automatically activated as soon
as the following conditions are met:
– Anesthetic gas is administered.
– The inspiratory xMAC value is greater than the
expiratory xMAC value.
– The expiratory xMAC value reaches
approximately 0.3.

94 Instructions for use Perseus A500 SW 1.1n


Operation

[0$& LQVS[0$&
H[S[0$&

ORZHUDODUPOLPLW





A BC DE F G H

13941
If the xMAC value rises, the lower alarm limit for
the xMAC level will be automatically adjusted to
the anesthetic gas concentration after
activation (A). The lower alarm limit (B) can thus
reach a maximum value of 1.0.
The lower alarm limit can be recalculated by
touching the Autoset button (C). In special
anesthesia situations, the xMAC low alarm can be
adjusted in this way and consequently also exceed
the value of 1.0 if necessary.
If the expiratory xMAC value falls below the alarm
limit (D or G), Perseus generates the xMAC low
alarm with low priority. If the alarm is not
acknowledged with the ALARM RESET button,
the priority is raised to medium priority after 60
seconds.

Deactivation of automatic xMAC


monitoring

If the xMAC low alarm (D or G) is acknowledged


with the ALARM RESET button (E or H), the
monitoring is deactivated. This prevents renewed
alarms as a result of the anesthetic gas
concentration continuing to fall at the end of
anesthesia (H). If the anesthesia is continued (E),
the monitoring will be automatically reactivated as
soon as the inspiratory xMAC value rises above
the expiratory xMAC value (F).
In CBM mode the lower alarm limit is adjusted both
upwards and downwards so that no alarm is
issued during this time. Similarly, the value is not
limited to 1.0 during this time.

Instructions for use Perseus A500 SW 1.1n 95


Operation

Changing the patient data

Patient data can be changed during operation. Changes influence, e.g., therapy suggestions, as
1 Open the Patient dialog window. is recognizable by the position of the arrow at
the therapy controls.
Patient
The current therapy settings remain unaffected.
When patient category is changed, age, weight,
and height are adapted as needed so they remain
within the described limits, see page 135.
10484

2 Make the desired changes.

Exporting data

General information Exporting trends and data

Prerequisite: The USB flash drive is connected to In Standby mode, the following data can be saved
the USB interface. to a USB flash drive:
During a saving process, the button is displayed as – System test result
activated (dark green). – Alarm history
The data are stored in the "Draeger\ExportData" – Trends
directory.
1 Open the Trends/Data dialog window.

Exporting screen contents

The screen contents can be exported to a USB


flash drive as a screenshot.
 Touch the Export screenshot button in the
main menu bar.
The screen contents are saved to the storage
medium as a ".bmp" file.

96 Instructions for use Perseus A500 SW 1.1n


Operation

2 Touch the Export tab (A). The data will be saved as a ".txt" file.

Trends/Data
A

B
B
B

10496

3 Touch the desired button (B).

Other settings

Switching the breathing system heating 2 Touch the Therapy tab (A).
on or off
System setup

The breathing system heating should only be A


switched off in special situations (e.g., for
intentional reduction of the body temperature of B
the patient).
1 Open the System setup dialog window.

10513

3 To switch the heating on or off, touch the


corresponding button (B).

Instructions for use Perseus A500 SW 1.1n 97


Operation

When switching to Standby mode, the heating is 2 Touch the System > Logbook tab (A).
reset to the value configured in System setup.
System setup

CAUTION
A
Risk due to defective or switched-off breathing A
system heating
Increased condensation or accumulation of water
in the breathing system and the hoses may B
occur.
Increase fresh-gas flow as required. Remove
condensation from hoses, water traps, and
breathing system regularly. Have service

10486
personnel repair the defective breathing system
heating. 3 Touch the corresponding button (B).

CAUTION
Risk of inaccurate measured values Resetting user-specific settings
The accuracy of the flow measurement may be Changes made in the System setup dialog
compromised if the breathing system heating is window during operation can be reset to the start
switched off. settings.
When the breathing system heating is switched 1 Open the System setup dialog window.
off, do not make therapy decisions solely on the
2 Open the corresponding dialog window
basis of the displayed values for flow and
volume. 3 Touch the System defaults button and
confirm.

Creating additional logbook entries

The following events can create logbook entries


with measured values for the parameters etCO2,
MV, Pmean, PIP, Pplat, PEEP, FiO2, exp.
concentration of the primary anesthetic gases, and
etN2O:
– Adjustable time intervals
– Alarms with high or medium priorities
1 Open the System setup dialog window.

98 Instructions for use Perseus A500 SW 1.1n


Operation

Ending the therapy

Switching to the Standby mode WARNING


1 In the main menu bar, touch the Standby... Risk of a device fire
button.
If there is a fire on the patient side, the device
Or
may ignite.
Press the key below the screen.
If there is a fire, disconnect the device from
2 In the Standby dialog window, confirm the
all oxygen-carrying supplies.
automatically selected Standby button.
With mechanically controlled gas mixer: WARNING
3 Close the flow control valves.
Risk due to overpressure
When the patient is connected to the outlet
Using the O2 insufflation for O2 insufflation without a relief valve,
increased pressure may be applied to the
patient.
WARNING
Only connect the patient in a way that allows
Risk of fire excess gas to escape (e.g., through a relief
In combination with oxygen or nitrous oxide, valve).
ignition sources such as electrosurgery and
laser surgery can cause fires.
– Prevent leakages, e.g., at endotracheal
tubes, laryngeal mask airways, face
masks, Y-piece, breathing system
including hoses, filters, and breathing
bag, at the external fresh-gas outlet, and
at the O2 outlet for insufflation.
– Use only intact and leak-free hoses at the
outlet for O2 insufflation.
– Before beginning laser surgery or
electrosurgery, flush with sufficient air
(<25 % O2), and flush beneath the surgical
drapes as well.
– Close the flow control valve of the O2
flowmeter.

Instructions for use Perseus A500 SW 1.1n 99


Operation

Electronically controlled gas mixer: – With electronically controlled gas mixer:


The O2 switch is horizontal in the
Aux. O2 position (C).

Beginning O2 insufflation
 Open the flow control valve (B) of the O2
C B flowmeter.
A
10359 Ending O2 insufflation
 Close the flow control valve (B) of the O2
Mechanically controlled gas mixer: flowmeter.

B
A
20364

Prerequisite:
– The appropriate accessory is connected to the
outlet for O2 insufflation (A).

Patient change

Cleaning and disinfecting the Sample gas measurement


workstation 1 Check the water trap of the sample gas
measurement; empty or replace as needed.
 Clean and disinfect the workstation according
2 When no filter is used, replace the sample line
to hospital hygiene regulations, see
and dispose of used sample lines.
''Reprocessing list'' on page 191.

Vaporizer filling level


Checking or replacing consumables
 Check the vaporizer filling level at the sight
glass. If necessary, fill the vaporizer.
Prerequisite: The device is in Standby mode

100 Instructions for use Perseus A500 SW 1.1n


Operation

CO2 absorber
WARNING
 Check the coloration of the soda lime and
replace if necessary, see page 65. Risk due to residual concentrations of
anesthetic agent

Breathing hoses and filters Even after flushing the breathing system and
breathing circuit, residual concentrations of
1 Replace the hoses and filters according to anesthetic agent might not be sufficiently
hospital hygiene regulations. reduced.
2 Select and connect a suitable breathing circuit For patients suspected of having malignant
and filters, see page 58. hyperthermia, do not rely solely on the
flushing function.

Checking the system CAUTION

1 Perform the leakage test or the breathing Risk of impaired ventilation due to faulty drying
system test, see page 104. function
2 Flush the breathing system if necessary. The breathing system and breathing hoses may
still retain traces of moisture even after the
flushing and drying functions are performed.
Flushing the breathing system Check the breathing system and breathing hoses
for condensate.
With the Flush function, excess moisture and any
residual anesthetic agent present in the breathing
system and breathing circuit can be reduced by
flushing with ambient air.
1 In the main menu bar, touch the Test... button.
2 Touch the Flush button.
3 Prepare the device according to the displayed
checklist.
4 Touch the Start button.
5 After flushing is complete, touch the OK button
to change to the Standby mode, or end the
flushing prematurely with Cancel.

Instructions for use Perseus A500 SW 1.1n 101


System test

System test

Information on the availability of individual


device functions ............................................ 103

Testing the system ........................................ 103


Available test types ......................................... 104
Performing the tests ..................................... 105
Fully automatic tests........................................ 105
Leakage assistant ........................................... 106
Processing the checklist .............................. 106
Checking the gas supply ................................. 106
Checking the vaporizers.................................. 108
Checking the breathing system ....................... 108
Miscellaneous.................................................. 110

102 Instructions for use Perseus A500 SW 1.1n


System test

Information on the availability of individual device functions

 In Standby mode, touch the Details... button Color Meaning


or the Test... button.
Green Successfully tested, fully available
Yellow A non-critical fault has been detected.
Results The device can be operated with
restricted function.
A Red A serious fault has been detected.
Operation is not possible or is forbid-
den.

WARNING
System test - do not connect patient.
Risk due to faulty sensors
10411

If the sensors for flow, O2, N2O, CO2, or


In the Results list (A), the following information is anesthetic agent are not operational, the
displayed in color: patient will not be adequately monitored.
– Influence of the individual device functions on Before using the medical device, ensure a
the availability of the entire device suitable substitute monitoring.
– Latest detected leakage values

Testing the system

CAUTION
Risk due to device malfunction and/or patient
injury
If the system test is canceled, it is possible that
some malfunctions might not be detected. Thus,
more attention is required during operation.
Perform the system test every day. If the system
test is canceled during execution, perform it
again as soon as possible.

Instructions for use Perseus A500 SW 1.1n 103


System test

Available test types

Test Type and Perform the test Description


duration
System test Fully auto- – Daily Preparation:
matic, – Check of components which
about 8 min frequently cause operational
restrictions: e.g., major sys-
tem leakage, incorrectly set
APL valves.
Test:
– Calibration of all valves and
sensors
– Test of all device functions
– Includes the breathing system
test
– The test can be programmed,
see page 112.
Breathing syst. test Fully auto- – After exchange of – Calibration of flow sensors
matic, breathing system – Includes the leakage test
about 5 min – After exchange of flow
sensors
Leakage test Fully auto- – After filling the CO2 – Detection of leakage, system
matic, absorber compliance, and system resis-
about 2 min – After changing the hose tance
configuration (e.g.,
changed hoses, changed
lengths of flex hoses
etc.)
Leakage assistant Manual, as – If leakage suspected in – Continuous display of the test
required breathing system and pressure and the leakage to
(after occurrence of
breathing circuit support the manual check.
problems with leakage
– On suspicion of leakage Changes are immediately visi-
during automatic tests)
at vaporizer ble.
– Leakage test of a connected
vaporizer

104 Instructions for use Perseus A500 SW 1.1n


System test

Performing the tests

5 After the system test, wait for 2 acoustic


WARNING
signals.
Risk of patient injury
NOTE
During the system test, the system is
pressurized. If the acoustic signals are not emitted, contact
service personnel.
To prevent patient injury, do not perform the
system test on the medical device if a patient
is connected. Test interruption due to irregularities
If an irregularity is determined during a fully
automatic test, the test is stopped and information
Fully automatic tests regarding cause and remedy is displayed.

Prerequisites: Test details

– Flex hoses are extended to their maximum


intended use length.
– O2 supply is available.
1 Touch the button for the test. C

Checklist System test A


B

10510
A
B Remedying the cause:
1 Remedy the cause of the interruption.
If there is a leak, the leakage assistant (C) can
C be used to support troubleshooting.
System test - do not connect patient.
2 Touch the Repeat button (A) and repeat the
test of the component.
10414

Accepting the irregularity:


2 Prepare the device according to the screen
display (A) and checklist (B), see page 106.  Touch the Accept button (B) and continue the
test.
3 Start the test with the Start button (C).
Accepted irregularities prevent the total result of
Test progress and test results are indicated by the
the system test from indicating "fully operational"
progress display.
and are protocoled in the logbook.
4 End the test with the OK button.

Instructions for use Perseus A500 SW 1.1n 105


System test

Leakage assistant 2 Follow the instructions on the screen display.


After touching the Start or Leakage assistant
Prerequisite when vaporizers are connected: button, a continuous test pressure is generated.
– Vaporizer is vertically level and securely The resulting leakage values are continuously
mounted on the plug-in adapter. displayed.
– The filling device is closed. Manually changing the system (e.g., loosening or
readjusting hose connections) may change the
1 Touch the button for the test (Leakage
leakage value so the cause of the leak is easier to
assistant).
locate.
The displayed leakage value may differ from the
leakage value that was determined in the
automatic leakage test or the breathing system
test. The reasons for this are the different
measuring methods and different pneumatic
ranges.
3 Touch the Cancel button to end generation of
test pressure.
4 End the test with OK.
10514

Processing the checklist

Checking the gas supply WARNING


Danger when using O2 concentrators
WARNING
The following effects may occur:
Risk due to impermissible gas supply – Differences between the set values and the
pressure actual values of fresh-gas flow and O2
Impermissible gas supply pressures may concentration in the fresh gas
cause incorrect gas composition. – Inaccurate measured values for volume,
anesthetic agent consumption, econometer
Check the supply pressures of the central gas (optional), and low-flow wizard
supply and of the gas cylinders before – Inaccuracy of the FiO2 prediction
operation. – Inaccurate volume delivery in volume-
controlled ventilation modes
WARNING – Accumulation of argon in low-flow
Risk due to impermissible gas supply operation and minimal-flow operation

Using oxygen supplies with less than 100 % Do not use any O2 concentrators.
O2 may cause incorrect gas composition.
When using O2, only use 100 % O2.

106 Instructions for use Perseus A500 SW 1.1n


System test

Central gas supply Checking the O2 flush


 Check that the displayed pressures are within 1 Occlude the Y-piece. To occlude the Y-piece, fit
the permissible range, see ''Technical data''. it firmly to the circuit plug, see page 18.

Gas cylinders

10374
A 2 On the gas mixer unit, press the O2+ key (B).
The breathing bag fills and the inflow of gas is
audible.

Checking the emergency O2 delivery (with


electronically controlled gas mixer)
Prerequisite: The Y-piece is occluded, see
''Checking the O2 flush''.

C D
10381

10375
1 Slowly open the gas cylinder valves (A).
Check that the displayed pressures are within 1 Set O2 switch (C) to Add. O2 position.
the permissible range.
2 Open the flow control valve (D) of the O2
If there is an optional external O2 gas cylinder,
flowmeter and set the desired O2 flow.
read the pressure from its pressure gauge.
The breathing bag fills and the inflow of gas is
2 Close the gas cylinder valves (A) again.
audible.
On devices that are equipped with Advanced
3 Close the flow control valve (D).
Cylinder Support, the gas cylinder valves can
remain open during operation. These devices are 4 Reset O2 switch (C) to Aux. O2 position.
identified by an appropriate label near the gas
inlets, see page 24.

Instructions for use Perseus A500 SW 1.1n 107


System test

Checking the flow control valves of the fresh- 2 Check the filling level at the sight glass (B), add
gas delivery (with mechanically controlled gas anesthetic agent as needed.
mixer) When using a Dräger Vapor 3000 or
D-Vapor 3000 with the Vapor View option, a
Prerequisite: The Y-piece is occluded, see
yellow triangle on the screen indicates that the
''Checking the O2 flush''.
filling level has fallen below the refill mark.
Perform the following steps for each gas: 3 The control dial is set to position 0 and the
button (C) is locked in.
4 The filling device is closed (D).

Checking the breathing system

E B
20369

1 Open the flow control valve (E) and set a C


desired gas flow.
The breathing bag fills and the inflow of gas is
audible.
2 Close the flow control valve (E).

Checking the vaporizers

A A A

C C

D D
10385

Checking the breathing system and the accessory


B B components:
1 Breathing system is complete and locked.
2 Breathing system cover is in place.
10386

3 Hoses (A) and filters, e.g., at the Y-piece (B),


For each vaporizer, check: are connected properly.
1 The locking lever (A) points left, indicating the
vaporizer is locked.

108 Instructions for use Perseus A500 SW 1.1n


System test

4 Flex hoses are extended to the foreseen use 7 Soda lime (G) has not changed color. Change
length. the soda lime if it is discolored or when its
maximum period of use has been reached, see
NOTE page 65.
Do not change the length of flex hoses after the
When Infinity ID functionality is configured:
test is done.
– Absorbers of the type Infinity ID CLIC
5 Sample line (C) is connected. Absorber will automatically be detected,
and the exchange date will automatically be
set.

When Infinity ID functionality is not configured:


– Absorbers will not be detected, e.g.,
reusable CO2 absorbers
G
 Update the exchange date manually: In the
line Last soda lime change:, touch the
Reset button when the soda lime is
changed.

D WARNING
Risk due to soda lime drying out
The soda lime loses moisture. If the moisture
E falls below the minimum moisture, the
following adverse reactions occur
independent of the type of soda lime and the
F inhalational anesthetic used: Decreased CO2
10377

absorption, increased generation of heat in


the CO2 absorber resulting in increased
6 Flow on the anesthetic gas receiving system is
breathing gas temperature, formation of CO,
set.
absorption and/or degradation of the
The red flow indicator (D) hovers in the "normal
inhalational anesthetic.
range" (E).
– Do not use unnecessarily high fresh-gas
To avoid contaminating the environment,
flows.
certain minute volumes should not be
– With electronically controlled gas mixer:
exceeded when the flow indicator is in the
Only use the emergency O2 delivery if
"restricted range" (F), see "Anesthetic gas
necessary.
receiving system", chapter ''Technical data''.
– With mechanically controlled gas mixer:
Do not leave the flow control valves open
for an unnecessarily long period of time.

NOTE
Only perform leakage tests with CLIC absorber
locked into place because this affects the system
compliance values.

Instructions for use Perseus A500 SW 1.1n 109


System test

Miscellaneous

1 Check the functioning of the endotracheal


suction.
2 Check to ensure there is a manual resuscitator
at the device. Check the correct functioning of
the manual resuscitator.
3 Check the water level in the water trap.
4 Pay attention to the period of use of the water
trap, replace if necessary.

When Infinity ID functionality is configured:


– Water traps of type Infinity ID WaterLock 2
will automatically be detected and the
exchange date will automatically be set.

When Infinity ID functionality is not configured:


– Water trap will not be detected.
 Update the exchange date manually: In the
line Last water trap change:, touch the
Reset button when a new water trap is
installed.

110 Instructions for use Perseus A500 SW 1.1n


Ending operation

Ending operation

Switching off the device ............................... 112


End of operation .............................................. 112
Preparing the device for automatic switch-on,
including system test (Auto On option)............ 112
Flushing and drying the breathing system
(Flush & Dry function)...................................... 113
Storing the device............................................ 113
Disconnecting the mains power supply ........... 113

Instructions for use Perseus A500 SW 1.1n 111


Ending operation

Switching off the device

Dräger recommends shutting down Perseus End of operation


during longer periods of non-use, such as
overnight or on weekends. This can lower power 1 Make sure that all flow control valves are
consumption and prolong the life span of the closed.
medical device without negatively influencing
2 Press the button.
device availability.
3 Observe the instructions on the screen.
When shutting down the device, several functions
are available to the user.

Function Preparing the device for automatic


switch-on, including system test (Auto
Auto On Prepares the device for auto-
(optional) matic start-up, including system
On option)
test.
Using the Auto On function, the device can be
Flush & Dry Flushes and dries the breathing programmed so that it switches on on the next
system. operation day, performs a system test, and is
ready for use at a specific time.
To do this, set the day and time when the device
(QGRIRSHUDWLRQ should next be ready for use. Before shutting
down, Auto On runs a preparatory test to check
the components that frequently cause
Prepare Auto On irregularities: e.g., large system leakages,
incorrect setting of the APL valve.
Shut down Auto On
1 Touch the Prepare Auto On button.
Start 2 Prepare the device in accordance with the
instructions on the screen. For details on the
3UHSDUDWRU\WHVW
test steps, see page 106.
3 Set the desired day and time when the device
should next be ready for operation.
Start Flush & Dry 4 Touch the Start button.
5 Take note of any messages that appear.
Flush & Dry
6 Shut down the device when the preparatory
test is complete.
When the automatic start-up is activated, the
2II corresponding symbol appears in the status
display, see page 27.
10676

For more information, see page 140.

112 Instructions for use Perseus A500 SW 1.1n


Ending operation

Flushing and drying the breathing


system (Flush & Dry function)

Dräger recommends always flushing the breathing


system before switching off to prevent damage or
failure due to residual anesthetic agent and
residual humidity.
During this process, first ambient air is used for
flushing because this does not dry out the soda
lime. Then a small amount of Air or O2 from the
central gas supply or the gas cylinders is used to
dissipate residual moisture.
1 Prepare the device in accordance with the
instructions on the screen.
2 Touch the Start Flush & Dry button.
3 If necessary, cancel the flushing with Cancel to
return to standby mode.
After the flushing processes ends, Perseus
switches off automatically.

Storing the device

To store Perseus
1 Set device switch to position 0.
2 Disconnect from mains power supply if
necessary.

Disconnecting the mains power supply

 Pull out the mains plug.

Instructions for use Perseus A500 SW 1.1n 113


Alarms

Alarms

Display of alarms........................................... 115


Optical alarm signals ....................................... 115
Acoustic alarm signals..................................... 115
Alarm priorities ................................................ 116
Response to alarms ...................................... 116
Displaying information on alarms .................... 116
Suppressing the alarm tone ............................ 117
Downgrading and acknowledging alarm
messages ........................................................ 118
Opening the alarm history ............................... 118
Adjusting the alarm limits ................................ 119
Adopting alarm settings when changing the
ventilation mode............................................ 120
Activating the alarms related to volume .......... 121
Resetting the Apnea (no CO2) alarm .............. 121
Alarm delay and alarm escalation ............... 121

Activation of alarms after breath detection 124

Intelligent alarm behavior............................. 124


Combined alarms ............................................ 124
Suppressed alarms ......................................... 124

114 Instructions for use Perseus A500 SW 1.1n


Alarms

Display of alarms

Alarms are signaled optically and acoustically. Acoustic alarm signals

It always is the alarm with the highest priority that


Optical alarm signals is acoustically signaled. The signal is emitted until
either the cause of the alarm is remedied or the
Audio paused key is pressed.
On the screen
Depending on the overall alarm situation, it is
In the event of an alarm, the system displays the
possible that the 10-tone sequence for the alarm
relevant alarm message in the alarm message
priority "Warning" is only emitted as a 5-tone
field (A). The parameter field (B) for the alarm-
sequence due to the coinciding occurrence of
generating parameter flashes.
alarms.

C A Regardless of the set alarm volume, the No O2


delivery alarm is issued at maximum volume.
B B
B
B
B
B
10490

Up to 8 alarms can be displayed simultaneously in


the alarm message field in the header bar (A). If
more alarms occur, the All alarms button (C) is
displayed in the header bar. Touching this button
opens the dialog window Alarms > Current
alarms with information about all active alarms,
see page 116.

On the Dräger Vapor 3000


When the Vapor View option is installed, alarms
concerning the vaporizer are signaled by blinking
illumination on the Dräger Vapor 3000 if their
cause can be remedied by adjusting or refilling the
vaporizer, e.g.:
– Inspiratory xMAC high
– Filling level of vaporizer low
– Vaporizer open

Instructions for use Perseus A500 SW 1.1n 115


Alarms

Alarm priorities

Perseus assigns the appropriate priority to each


alarm message.
The background color of the alarm message field
indicates the alarm priority of the active alarms.
The parameter field of the parameter triggering the
alarm flashes in the color matching the alarm
priority.

Warning Red High-priority alarm Immediate action is necessary in order to avert


message imminent danger.
Caution Yellow Medium-priority Prompt action is necessary in order to avert a dan-
alarm message ger.
Note Cyan Low-priority alarm Attention is necessary, but a delayed response is
message sufficient.

Response to alarms

Displaying information on alarms 3 Refer to the information text below Cause (C)
and Remedy (D) to remedy the error.
1 Touch the alarm in the header bar. A list of all possible alarms can be found in chapter
Or ''Troubleshooting'', see page 162.
Open the Alarms dialog window and touch the
Current alarms tab (A).

Alarms

A
B

C D
10488

2 In the list (B), touch the corresponding alarm or


select it with the rotary knob.

116 Instructions for use Perseus A500 SW 1.1n


Alarms

Suppressing the alarm tone

The alarm tone can be suppressed for a maximum


of 2 minutes.

A 10362

 Press the Audio paused key (A) below the


screen, see page 17.
In the header bar, the symbol and the remaining
time for the suppressed alarm tone are displayed.
After the alarm suppression has expired, the alarm
tone immediately resumes if the cause of the
alarm still exists.
While the alarm tone is suppressed, only new
alarms with a higher alarm priority or a higher
internal priority rating are acoustically signaled,
see page 162.

Switching on the suppressed alarm tone


prematurely
 Press the Audio paused key again.

Instructions for use Perseus A500 SW 1.1n 117


Alarms

Downgrading and acknowledging alarm Option 1 Option 2


messages
Touch the ALARM In the Alarms > Cur-
RESET button (A) in the rent alarms dialog win-
Some alarms can be downgraded to low priority
header bar and confirm. dow (B), touch the
(note) or they can be cleared completely. The
Reset all button (C) and
relevant alarms can be recognized in the table
confirm.
''Alarm – Cause – Remedy'' on page 162 by the
following remedial messages: All the alarms displayed All alarms will be down-
in the alarm message graded or reset.
Remedial message Effect field will be downgraded
Use "ALARM RESET" Alarm priority is or reset.
to downgrade alarm changed to low (note).
After an alarm is downgraded, the respective
priority.
priority rating is maintained, see table ''Alarm –
Use "ALARM RESET" Alarm is reset. Cause – Remedy'' on page 162.
to acknowledge alarm.

There are 2 options for downgrading or resetting Opening the alarm history
the alarms:
Option 1: The alarm history records all alarm messages for
the current case in chronological sequence.
A 1 Open the Alarms dialog window.
2 Touch the Alarm history tab (A).
10495

Alarms

A
Or
Option 2: B
Alarms

C
10489

Use the rotary knob or the arrow buttons to scroll


the cursor up (B) or down (C).
The alarm history is deleted when Perseus is shut
C
10488

down or a new case is started.

118 Instructions for use Perseus A500 SW 1.1n


Alarms

Adjusting the alarm limits

If an alarm is triggered because a lower limit or an


upper limit is transgressed, it might be necessary
to adjust the alarm limits. To do this, either adjust
the alarm limits, see page 93, or change the alarm
limit in the Quick setup window.

10491

1 Touch the parameter field (A).


The Quick setup window opens and the alarm
limit that was violated (B) or the xMAC OK button
is already selected.

Quick setup

B
10492

2 Adjust the value (B) and confirm.


Perseus can be configured so that the Quick
setup window opens automatically in the event of
an alarm, see page 132.

Instructions for use Perseus A500 SW 1.1n 119


Alarms

Adopting alarm settings when changing the ventilation mode

When the ventilation mode is changed, the alarm Some modes can be configured whether or not the
settings are adjusted as well. settings are adopted.
Depending on the mode, alarm settings can either However, the settings can be adjusted at any time
be adopted or set to Off. during operation.

Alarm or alarm Mode


limit Volume Control, Pause, MAN / SPON, Ext. FG out- CBM mode
Vol. Ctrl. AutoFlow, Pressure Support let (optional)
Pressure Control, (optional) with
Pressure Control - ∆Psupp <5 hPa
APRV (optional)
Pressure Support
(optional) with
∆Psupp≥5 hPa
FiO2 low
Alarm settings are adopted
inAgent high
Apnea (no CO2) Alarm settings are adopted
etCO2 high
Off
etCO2 low
inCO2 high
configurable, see page 133
FiO2 high Is restored or remains configurable, see
inAgent low active page 133

xMAC low Not activated


Paw high Alarm settings are Alarm settings are
Paw low adopted adopted
Not mea-
MV high
configurable, see sured configurable, see
MV low
page 133 page 133
Apnea (no flow)1)
Apnea (no pres-
On Off
sure)
1) This alarm is only activated when the MV low alarm limit is also activated.

120 Instructions for use Perseus A500 SW 1.1n


Alarms

Activating the alarms related to volume In volume-controlled ventilation modes, the alarm
limit for the inspiratory tidal volume is automatically
The upper alarm limits for MV and VTi are disabled set to 130 % of the set tidal volume.
by default and can only be set during operation.
The set alarm limits remain active until the next
patient. Resetting the Apnea (no CO2) alarm
The MV low alarm is delayed in certain cases and
When changing to a ventilation mode with higher
is indicated as follows:
respiratory support, the Apnea (no CO2) alarm is
– No sooner than 90 seconds after a case starts, reset. If the apnea situation persists, an alarm
– No sooner than 60 seconds after changing to a appears after the time specified in the table ''Alarm
mode with greater respiratory support, see delay and alarm escalation''.
page 239.
– No sooner than 60 seconds after an Apnea
(no flow) or Apnea (no pressure) alarm.

Alarm delay and alarm escalation

To prevent unnecessary alarms, some alarms are


not displayed immediately after a limit violation, but
after a delay. In addition, certain circumstances
can cause the alarm priority to change.

Priority
Alarm Note Caution Warning
(Low) (Medium) (High)
inCO2 high
etCO2 high
After two successive
etCO2 low
--- respiratory phases ---
FiO2 high
and 15 seconds
Inspiratory N2O high
inAgent low
After two successive
respiratory phases
and 15 seconds
FiO2 low --- --- or
after 30 seconds if no
respiratory phases are
detected

Instructions for use Perseus A500 SW 1.1n 121


Alarms

Priority
Alarm Note Caution Warning
(Low) (Medium) (High)
30 s before the After two successive
medium-priority alarm respiratory phases
(This technical alarm is for and 45 seconds
inAgent high information purposes only or >150 seconds later
and reduces unnecessary
after 60 seconds if no
alarms. It can be caused by
inhomogeneous gas mix- respiratory phases are
tures, for example.) detected
longer than
30 seconds:
insp. MAC ≥3
insp. MAC ≥3
and
Inspiratory xMAC high --- for more than
exp. MAC ≥2.5
180 seconds
or
insp. MAC ≥5
xMAC low 0 to 60 seconds >60 s ---
at the latest after
20 seconds
(for RR ≥6)
or
15 seconds later
at the latest after
Apnea (no CO2) (for RR ≥6)
35 seconds
Apnea (no flow)
--- (for RR <6) or
Apnea (no pressure)
Apnea or 30 seconds later
(for RR <6)
at the latest after
65 seconds for the
Pause, Manual /
Spontaneous and Ext.
FG outlet modes
At the latest after 20 seconds
Apnea Ventilation (15 seconds for RRapn ≥4) ---
(configurable, see page 132)
No CO2 detected >60 s --- ---
Inspiratory tidal volume high After 3 successive
--- ---
Tidal volume not achieved breaths
> 15 seconds above
Airway press. continuously high --- --- the manually or auto-
matically set limit

122 Instructions for use Perseus A500 SW 1.1n


Alarms

Priority
Alarm Note Caution Warning
(Low) (Medium) (High)
Pmean < –2
Airway pressure negative --- --- or
Paw < –10
Airway pressure
>(PEEP +5 hPa)
PEEP/CPAP high --- ---
during more than 10
successive breaths
>15 seconds (for
RR ≥6)
or
Airway pressure not achieved --- ---
>30 s
(for RR <6 or Pres-
sure Support)
If a minute volume of
>50 % of the sug-
Cardiac bypass mode still gested value is mea-
--- ---
active? sured after CBM
mode has been acti-
vated for >60 seconds
after 30 s
or
in case of the addi-
tional alarm "Apnea
(no flow)" or "Apnea
Breathing bag almost
Fresh gas low or leakage Breathing bag empty (no pressure)"
empty
or
in case of the addi-
tional alarm "Emer-
gency air inlet
activated"

Instructions for use Perseus A500 SW 1.1n 123


Alarms

Activation of alarms after breath detection

All O2 alarms, CO2 alarms, N2O alarms, and Once 2 breaths have been detected, the message
anesthetic gas alarms are only active once 2 disappears and only then the O2 alarms, CO2
breaths have already been detected. alarms, N2O alarms, and the anesthetic gas
alarms are active.
If no breaths have yet been detected when leaving
the modes Standby or Pause, the message
Waiting for respiratory phases is displayed in
the CO2 waveform.

Intelligent alarm behavior

Combined alarms

If multiple alarms occurring at the same time are


caused by the same problem, they are combined
into one alarm.

Problem Alarms occurring at the same Combined alarm


time
Apnea (no flow)
Several causes of apnea are
Apnea (no pressure) Apnea
present.
Apnea (no CO2)
Faults in multiple components. Example:
This causes failure of a system Insp. press. sensor failure Ventilator failure
function. Exp. press. sensor failure

Suppressed alarms

Some low-priority alarms indicate a fault in a


measurement function. If this measurement
function monitors physiological parameters, alarms
based on these parameters will not be generated.
Example:

Fault Displayed alarm Non-generated alarm


CO2 measurement is faulty Sample line occluded Apnea (no CO2)

124 Instructions for use Perseus A500 SW 1.1n


Configuration

Configuration

Device settings .............................................. 126


Factory settings ............................................... 126
Start settings.................................................... 126
User-specific settings ...................................... 126
Defining start settings................................... 126
Adjusting the settings ...................................... 126
System setup > Screen layout......................... 126
System setup > Alarms ................................... 128
System setup > Therapy ................................. 135
System setup > System................................... 139
Resetting the start settings .............................. 144
Resetting the consumption .............................. 144
Transferring device configurations ............. 144
Importing the configuration .............................. 145
Exporting the configuration.............................. 145
Activating applications ................................. 145
Loading the license key from a USB flash drive
........................................................................ 145
Manual entry of the license key ....................... 146
Activating the licensed application................... 146
Overview of the configurable screen
contents.......................................................... 146
Waveforms and associated parameter fields .. 146
Miscellaneous parameter fields ....................... 147

Instructions for use Perseus A500 SW 1.1n 125


Configuration

Device settings

Factory settings User-specific settings

Dräger delivers Perseus with factory settings that User-specific settings can be adjusted by the user
are used when starting the device for the first time. without a configuration password. The settings
Service personnel can reset the device to the take effect immediately but are discarded at the
factory settings. latest after a device restart.

Start settings

Start settings take effect after every restart of the


device or when starting a new case (touching the
button New adult, New ped, or New neo). The
start settings can be adjusted and saved by
service personnel after the configuration password
is entered.
If required, Perseus can be delivered with start
settings that may differ from the factory settings.

Defining start settings

Entry of the configuration password is required to Adjusting the settings


access the settings in the System setup dialog
window as soon as a vertical tab is selected. The following tables show all the setting
Information on the configuration password, see possibilities in the System setup dialog window.
page 265. The respective factory settings are entered or
marked in bold format.

System setup > Screen layout

Vertical tab "General settings"

Headline/ Setting range


Description
Parameter
Display mode Day light; Day dark; Night Setting the color mode, see
page 39

126 Instructions for use Perseus A500 SW 1.1n


Configuration

Headline/ Setting range


Description
Parameter
Screen brightness 10 to 100 Set screen brightness.
80

Vertical tab "Views"

Headline/ Setting range


Description
Parameter
Rename views 1 Standard; 2 Expert; 3 Expert Specify names for screen layouts.
Touch the button with the respec-
tive screen layout, enter the new
name on the screen keyboard and
confirm with the button or with
the rotary knob.
Default view 1 Standard; 2 Expert; 3 Expert Specify the standard view.
Save as system Current view Save current screen layout.
defaults (only available during operation)
All views Save all screen layouts.

Vertical tab"Waveforms"

Headline/ Setting range


Description
Parameter
Sweep speed 6.25; 12.5; 25 6.25; 12.5; 25 6.25; 12.5; 25 Specify sweep speed.
[mm/s]
VT scale Auto; Auto; Auto; Specify volumeter scale.
0 to 50; 0 to 50; 0 to 50;
[mL]
0 to 150; 0 to 150; 0 to 150;
0 to 500; 0 to 500; 0 to 500;
0 to 1000; 0 to 1000; 0 to 1000;
0 to 2000 0 to 2000 0 to 2000
Flow scale Auto Auto Auto Specify flow waveform scale.
-10 to 10; -10 to 10; -10 to 10;
[L/min]
-30 to 30; -30 to 30; -30 to 30;
-60 to 60; -60 to 60; -60 to 60;
-120 to 120 -120 to 120 -120 to 120
O2 scale Auto; Specify O2 waveform scale.
0 to 100; 15 to 35; 25 to 45; 35 to 55;
[%]
45 to 65; 55 to 75; 65 to 85; 75 to 95;
85 to 105

Instructions for use Perseus A500 SW 1.1n 127


Configuration

Headline/ Setting range


Description
Parameter
CO2 scale [%]; [kPa]: Auto; 0 to 6; 0 to 12 Specify CO2 waveform scale.
[mmHg]: Auto; 0 to 50; 0 to 100
Paw scale Auto; -5 to 20; -7.5 to 30; -10 to 40; -20 to 80 Specify Paw waveform scale.
[mbar]; [hPa];
[cmH2O]
Agent prediction Full range; 0 to 2 xMAC; 0 to 1 xMAC Specify scale for anesthetic gas
scale prediction.
Flow-volume loop ISO standard; Dräger Specify coordinate axes for
flow/volume loop display.

Vertical tab "Colors"

Headline/ Setting range


Description
Parameter
CO2; Standard color; color palette with 7 additional Specify parameter colors.
Paw; colors
Flow, volume
O2; Standard color; ISO color
Agent

System setup > Alarms

Vertical tab "Alarm limits"

Headline/ Setting range


Description
Parameter
Alarm limits for ventilation and gases for each patient category
FiO2 [%] 19 to 100; 19 to 100; 19 to 100; Inspiratory oxygen fraction
Off Off Off
90
FiO2 [%] 18 to 99 18 to 99 18 to 99
20 20 20

128 Instructions for use Perseus A500 SW 1.1n


Configuration

Headline/ Setting range


Description
Parameter
Alarm limits for ventilation and gases for each patient category
etCO2 Expiratory CO2 concentration
[%]; [kPa] 0.1 to 9.8; 0.1 to 9.8; 0.1 to 9.8;
Off Off Off
7.0 7.0 7.0
[mmHg] 1 to 75; 1 to 75; 1 to 75;
Off Off Off
53 53 53
etCO2
[%]; [kPa] Off; Off; Off;
0.0 to 9.7; 0.0 to 9.7; 0.0 to 9.7;
[mmHg] Off; Off; Off;
0 to 74 0 to 74 0 to 74
inCO2 Inspiratory CO2 concentration
[%]; [kPa] 0.1 to 1.4; 0.1 to 1.4; 0.1 to 1.4;
Off Off Off
1.0 1.0 1.0
[mmHg] 1 to 10; 1 to 10; 1 to 10;
Off Off Off
8 8 8
Paw high 5 to 110 5 to 110 5 to 110 Airway pressure
[mbar]; [hPa]; 40 25 20
[cmH2O]
Paw low Auto; Auto; Auto;
3 to 108 3 to 108 3 to 108
[mbar]; [hPa];
[cmH2O]
inSev 0.10 to 9.95 0.10 to 9.95 0.10 to 9.95 Sevoflurane
[%]; [kPa] 4.00 5.00 6.20
inSev Off; Off; Off;
0.00 to 9.85 0.00 to 9.85 0.00 to 9.85
[%]; [kPa]
inDes 0.1 to 20.0 0.1 to 20.0 0.1 to 20.0 Desflurane
[%]; [kPa] 12.0 17.2 18.8
inDes Off; Off; Off;
0.0 to 19.9 0.0 to 19.9 0.0 to 19.9
[%]; [kPa]

Instructions for use Perseus A500 SW 1.1n 129


Configuration

Headline/ Setting range


Description
Parameter
Alarm limits for ventilation and gases for each patient category
inEnf 0.10 to 8.50 0.10 to 8.50 0.10 to 8.50 Enflurane
[%]; [kPa] 3.20 3.40 3.40
inEnf Off; Off; Off;
0.00 to 8.40 0.00 to 8.40 0.00 to 8.40
[%]; [kPa]
inIso 0.10 to 9.95 0.10 to 9.95 0.10 to 9.95 Isoflurane
[%]; [kPa] 2.3 3.20 3.70
inIso Off; Off; Off;
0.00 to 9.85 0.00 to 9.85 0.00 to 9.85
[%]; [kPa]
inHal 0.10 to 8.50 0.10 to 8.50 0.10 to 8.50 Halothane
[%]; [kPa] 1.50 1.80 2.40
inHal Off; Off; Off;
0.00 to 8.40 0.00 to 8.40 0.00 to 8.40
[%]; [kPa]

Vertical tab "Alarm tone volume"

Headline/ Setting range


Description
Parameter
Alarm tone volume 10 to 100 Set the alarm tone volume.
40

130 Instructions for use Perseus A500 SW 1.1n


Configuration

Vertical tab "Autoset limits"

Headline/ Setting range


Description
Parameter
Offset for "Autoset limits" function
Automatic adjustment of the parameters to current measured values, see
page 94.
By touching the Autoset button, the alarm limits are adjusted so that the upper
alarm limit is above the current measured value by at least the percentage or
value set here and the lower alarm value is correspondingly below it.
Example:
In the mode Pressure Control - CMV:
measured MV: 5 L/min
set offset: ±40 %
new alarm limits: 7 and 3 L/min
etCO2 ± [%] Off; 20 to 80 In modes with low or no respira-
tory support (MAN / SPON, Ext.
20
FG outlet (optional), CPAP / Pres-
sure Support (optional) and
Pause), 20 percentage points are
added to the configured value.
Paw Off; 5 to 20 The following parameters are
taken into account when determin-
+[mbar]; [hPa]; 5
ing the Paw value: PIP, Pplat,
[cmH2O]
Pinsp, PEEP, ∆Psupp, and Phigh.
In the MAN / SPON and Pause
modes, the new alarm limit is at
least 25 hPa.
MV ± [%] Off; 20 to 80 In modes with low or no respira-
tory support (MAN / SPON, CPAP
40
/ Pressure Support (optional) and
Pause), a further 20 percentage
points are added to the configured
value.
VTi +[%] Off; 20 to 80 The setting for this parameter has
no effect in volume-controlled ven-
40
tilation modes.

Instructions for use Perseus A500 SW 1.1n 131


Configuration

Vertical tab "Alarm config. 1"

Headline/ Setting range


Description
Parameter
General alarm behavior
Open "Quick setup" On; Off Automatically open Quick setup
if alarm occurs window in the event of an alarm.
"Second agent On; Off Alarm when an anesthetic gas
detected" alarm mixture is detected.
"xMAC low" alarm On; Off Activate the xMAC low alarm.
"FiO2 too high for Off; 0:10 to 9:50 Set the time until FiO2 too high for
neonates" alarm neonates alarm is sounded.
0:15
after [h:mm]
Priority of "Apnea Medium; Low Specify the alarm priority when the
ventilation" alarm set minimum respiratory rate is not
reached in Pressure Support ven-
tilation mode.
Alarm behavior in "Pause" mode Only available for electronically
controlled gas mixer.
Priority of "Pause Medium; Low Specify the alarm priority when the
time expired" alarm set duration in the Pause mode
has expired.
Default value for 0:00 to 60:00 0:00 to 60:00 0:00 to 60:00 Specify standard duration for
"Timer" [mm:ss] Pause.
2:00 1:00 0:30

132 Instructions for use Perseus A500 SW 1.1n


Configuration

Vertical tab "Alarm config. 2"

Headline/ Setting range


Description
Parameter
Deactivate the alarm limit when activating MAN/SPON, CPAP, or The CPAP and CPAP / Pressure
CPAP/PS with ∆Psupp < 5? Support modes are optional.
FiO2 high Yes; No Yes; No Yes; No Specifies the alarm behavior when
etCO2 low Yes; No changing to a different ventilation
mode.
etCO2 high Yes; No
These settings apply only to a
inCO2 high Yes; No change to a ventilation mode with
MV low Yes; No lower or no respiratory support
MV high Yes; No (see page 239).

inAgent low Yes; No The alarm behavior at the start of


the therapy is defined by the con-
xMAC low Yes; No
figuration in the vertical tab Alarm
limits.
Deactivate the alarm limit in cardiac bypass mode (CBM)?
FiO2 high Yes; No Specify alarm behavior in CBM
MV low Yes; No mode.

MV high Yes; No
inAgent low Yes; No

Instructions for use Perseus A500 SW 1.1n 133


Configuration

Vertical tab "Alarm config. 3"

Headline/ Setting range


Description
Parameter
Alarm limits for "Cylinder almost empty"
O2 [bar]; [kPax100]: Off; 15 to 31 Specify alarm limits for supply
pressure of connected gas cylin-
20
ders.
[psi]: Off; 218 to 450
290
Air [bar]; [kPax100]: Off; 15 to 31
20
[psi]: Off; 218 to 450
290
N2O [bar]; [kPax100]: Off; 15 to 31
20
[psi]: Off; 218 to 450
290

134 Instructions for use Perseus A500 SW 1.1n


Configuration

System setup > Therapy

Vertical tab "Start sett. vent. 1"

Headline/ Setting range


Description
Parameter
Default ventilation Buttons with available ventilation modes Specify the standard ventilation
mode mode at start of therapy.
MAN/ SPON
VT and RR start settings Specify the tidal volume and respi-
Based on Patient category; Ideal body weight ratory rate.

Selected: Specify tidal volume and respira-


[Patient category] tory rate based on patient cate-
VT 20 to 2000 20 to 2000 20 to 2000 gory.
[mL]
500 150 50
RR 3 to 100 3 to 100 3 to 100
[1/min]
12 20 30
Selected:
[Ideal body weight]
VT 20 to 2000 Specify the tidal volume and respi-
[mL] ratory rate based on ideal body
100 kg (220 lbs): 700
weight.
75 kg (165 lbs): 520
Set the tidal volume and the respi-
15 kg (33 lbs): 110 ratory rate for the supporting
points 5; 15; 75; 100 kg (11; 33;
5 kg (11 lbs): 35
165; 220 lbs).
RR 3 to 100
[1/min] For calculated values for ideal
100 kg (220 lbs): 10 body weight values that lie
75 kg (165 lbs): 12 between these four supporting
points, the start settings for tidal
15 kg (33 lbs): 26 volume and respiratory rate are
5 kg (11 lbs): 32 interpolated linearly. For ideal
weight values lying outside these
supporting points, calculation pro-
ceeds with the values of the high-
est or lowest supporting point.

The start settings for VT and RR influence the MV low = VT x RR x (1 – offset);


start values of the alarm limits for MV high, MV minimal: 0.3 L/min
low, and VTi high:
VTi high = VT x (1 + offset)
MV high = VT x RR x (1 + offset);
minimal: 2.0 L/min

Instructions for use Perseus A500 SW 1.1n 135


Configuration

The "Offset" value corresponds to the respective


offset setting for automatic alarm adjustment. The
"Offset" value can be set in System setup >
Alarms > vertical tab Autoset limits.
The following applies in volume-controlled modes:

VTi high = 130 % x VT

Vertical tab "Start sett. vent. 2"

Headline/ Setting range


Description
Parameter
Start settings for ventilation Specify start settings for the venti-
Pmax 7 to 80 7 to 80 7 to 80 lation.

[mbar]; [hPa]; 40 30 25
[cmH2O]
Pinsp 3 to 80 3 to 80 3 to 80
[mbar]; [hPa]; 15 15 15
[cmH2O]
∆Psupp Off; Off; Off;
1 to 80 1 to 80 1 to 80
[mbar]; [hPa];
[cmH2O] 10 10 10
Insp. term. 5 to 80 5 to 80 5 to 80
[%PIF] 25 25 25
PEEP Off; Off; Off;
2 to 35 2 to 35 2 to 35
[mbar]; [hPa];
[cmH2O] 3 3 3
Slope 0 to 2 0 to 2 0 to 2
[s] 0.2 0.2 0.2
RRapn Off; Off; Off;
3 to 25 3 to 25 3 to 25
[1/min]
6 10 15
%Tplat 20 to 60 20 to 60 20 to 60
[%] 20 20 20
Trigger sens. 0.3 to 15 0.3 to 15 0.3 to 15
[L/min] 4.0 2.0 1.0
Sync. On; Off On; Off On; Off

136 Instructions for use Perseus A500 SW 1.1n


Configuration

Headline/ Setting range


Description
Parameter
Start settings for APRV (optional)
Phigh 3 to 80 3 to 80 3 to 80
[mbar]; [hPa]; 15 15 15
[cmH2O]
Plow Off; Off; Off;
2 to 35 2 to 35 2 to 35
[mbar]; [hPa];
[cmH2O] 3 3 3
Tlow 0.2 to 10 0.2 to 10 0.2 to 10
[s] 4.0 2.0 1.0
Thigh 0.2 to 10 0.2 to 10 0.2 to 10
[s] 2.0 1.0 1.0
Slope 0 to 2 0 to 2 0 to 2
[s] 0.0 0.0 0.0

Vertical tab "Start sett. fresh gas" (only with electronically controlled gas mixer)

Headline/ Setting range


Description
Parameter
Start settings for fresh gas Select start settings for the fresh-
gas delivery.
FG O2 21 to 100 21 to 100 21 to 100 Set the O2.
[%] 100 100 100
FG flow 0.2 to 15 0.2 to 15 0.2 to 15 Set flow.
[L/min] 2.0 2.0 2.0
Minimal O2 flow 50 to 300 50 to 300 50 to 300 Set the minimal O2 flow that is
(carrier gas N2O) delivered when N2O is used as
200 200 200
carrier gas.
[mL/min]
Do not set this value too small;
recommended is, e.g., 200 for
adults, 100 for pediatric patients,
and 50 for neonates.
Carrier gas Air; N2O Air; N2O Air; N2O Set the carrier gas.

Instructions for use Perseus A500 SW 1.1n 137


Configuration

Vertical tab "Start sett. patient"

Headline/ Setting range


Description
Parameter
Default selection for Continue case; Load patient data: The button that
"Start" dialog New adult; New ped; New neo is set is preselected the first time
the Start dialog window is opened
or after changes to the system
configuration.
Weight Specify start settings for:
[kg] 30 to 300 5 to 50 0.4 to 10 – Patient weight
80 25.0 5.0 – Patient height
[lbs] 66 to 661 11 to 110 0.9 to 22 – Patient age
176 55 11
Height
[cm] 120 to 300 50 to 300 20 to 80
185 100 55
[in] 48 to 118 20 to 118 8 to 31
73 39 22
Age [years, Neo: 12 to 130 0 to 16 0 to 24
months] 32 8 6

Vertical tab "General settings"

Headline/ Setting range


Description
Parameter
Pinsp changes with On; Off Changing the PEEP automatically
PEEP changes Pinsp, so the difference
between PEEP and Pinsp always
remains constant.
Ti changes with RR On; Off Changing the respiratory rate
(I:E ratio is locked) automatically changes Ti, so the
ratio I:E remains constant.
Breathing system On; Off Switch breathing system heating
heating on or off.
Auto wake-up On; Off The Start dialog window opens
automatically when ventilation
activity is detected (e.g., by
squeezing the breathing bag sev-
eral times).

138 Instructions for use Perseus A500 SW 1.1n


Configuration

System setup > System

Vertical tab "Country"

Headline/ Setting range


Description
Parameter
Language List of available languages Select language.
English (United States) A flag symbol identifies the tabs
that lead to the page with the lan-
guage settings.
Date and time day; month; year Set the date and time. The change
is assigned on leaving the "Coun-
hour; minute
try" tab.
Time source MEDIBUS 1; MEDIBUS 2; None Select source for time synchroni-
zation.
Prerequisite: Connected device
supports this function.
Automatic switch to On; Off Activate or deactivate automatic
daylight savings switching to daylight saving time.
time
OR operating time hour : minute to hour : minute Set the operating time of the oper-
ating room.
6:30 to 18:30
During operating time, the gas
measurement is kept in a pre-
heated and calibrated state so
measured values are available
after only a short waiting period.
However, this decreases the life
span of the patient gas measure-
ment module.
System name Rename Change system name to, e.g.,
enter the installation site.
Device name (up to 16 alphanumeric charac-
ters)
Perseus

Instructions for use Perseus A500 SW 1.1n 139


Configuration

Vertical tab "Units"

Headline/ Setting range


Description
Parameter
Weight kg; lbs Set units.
Height cm; in
Airway pressure mbar; hPa; cmH2O
Supply pressure bar; kPa×100; psi
CO2 %; kPa; mmHg
Volatile agents %; kPa

Vertical tab "Auto On/ Flush & Dry"

Headline/ Setting range


Description
Parameter
Auto On Set Auto On option. Perseus offers
Day and time Monday to Sunday; hour : minute a calendar function which, when
the device is shut down, suggests
Monday to Friday: 6:30 the next time the system should be
Saturday & Sunday: Off automatically ready for use in
dependence on the weekday. To
activate the automatic ready-for-
use time for a desired day, select
the corresponding day and set the
time, see page 112.
Pay attention to the correct setting
of the gas supplies to be tested,
see page 141.
Flush & Dry
Flush duration Off; 1 to 5 Set the flush cycle duration, e.g.,
between cases at patient change.
1
[min]
Off:
Flush function is deactivated.
Flush & Dry dura- Off; 5 to 30 Set the duration of flushing and
tion before shut- drying when the device is shut
10
down [min] down.
Off:
Drying function is deactivated.

140 Instructions for use Perseus A500 SW 1.1n


Configuration

Vertical tab "Gas supply"

Headline/ Setting range


Description
Parameter
Check during system test
Central O2 supply On; Off Select which gas supplies are
tested during the automatic sys-
Central Air supply
tem test.
Central N2O supply
If Auto On is configured, only
O2 cylinder On; Off select the gas supplies whose
Air cylinder actual availability is guaranteed
after the automatic start-up. Set-
N2O cylinder ting both O2 sources to Off - in
order to make the system test suc-
ceed - is not possible.
N2O free system On; Off A device equipped with connec-
tions for nitrous oxide can also be
configured for operation without
nitrous oxide.
Prerequisite:
– Current carrier gas is Air
– Nitrous oxide is not connected
or available
To apply the settings, restart
Perseus if necessary.
On:
– Nitrous oxide cannot be deliv-
ered.
– Measured nitrous oxide con-
centration is only displayed
when not equal to zero.
Off:
– Nitrous oxide can be delivered.
– Measured nitrous oxide con-
centration is continuously dis-
played.

Instructions for use Perseus A500 SW 1.1n 141


Configuration

Vertical tab "Logbook"

Headline/ Setting range


Description
Parameter
A logbook entry with measured values is created Create additional logbook entries
with measured values.
Every 1 min; 2 min; 5 min; 10 min; 15 min Create entries regularly.
For all high-priority On; Off Create entries for alarms.
alarms
For all medium-pri- On; Off
ority alarms

Vertical tab "Sound volume"

Headline/ Setting range


Description
Parameter
Alarm tone volume 10 to 100 Set the alarm tone volume.
40
Minimum alarm tone 10 to 100 Set the minimum volume with
volume which an alarm tone will be sig-
10
naled.
Breathing sound Off; 10 to 100 Set the breathing sound volume.
volume (optional)
50

Vertical tab "Interfaces"

Headline/ Setting range


Description
Parameter
LAN Configure the network.
DHCP On; Off Make network settings.
IP address XXX . XXX . XXX . XXX When using DHCP, consult with IT
Subnet mask XXX . XXX . XXX . XXX personnel to make sure that
Perseus is always assigned the
Default gateway XXX . XXX . XXX . XXX same IP address from the DHCP
server.
Restart the device after each
change to the network settings.
The network settings are not
affected by a reset to factory set-
tings.

142 Instructions for use Perseus A500 SW 1.1n


Configuration

Headline/ Setting range


Description
Parameter
COM 1 Configure the COM interfaces.
Protocol MEDIBUS.X; None A baud rate of 19200 or 38400 is
Baud rate 1200; 2400; 4800; 9600; 19200; 38400 required for transmission of high-
speed data, e.g., for real-time
COM 2 waveforms.
Protocol MEDIBUS.X; None
Baud rate 1200; 2400; 4800; 9600; 19200; 38400
USB Activate or deactivate the USB
USB interface On; Off interface.

Vertical tab "Infinity ID"

Headline/ Setting range


Description
Parameter
Monitoring of Infinity ID accessories
Breathing circuit; On; Off Activate or deactivate the
Infinity ID functionality.
Water trap;
On:
Flow sensors;
– Generates a message when
CO2 absorber the maximum period of use is
exceeded
– Generates a message when
Infinity ID breathing hoses are
incorrectly connected
Off:
– Messages are suppressed.
Exchange interval [days]
Breathing circuit Off; 1 to 9 Set the exchange intervals for
Infinity ID accessories.
2
Water trap Off; 28
Flow sensors Off; 1 to 180
90
CO2 absorber Off; 1 to 28
7

Instructions for use Perseus A500 SW 1.1n 143


Configuration

Vertical tab "Service"

Headline/ Setting range


Description
Parameter
A service password is required for
the following functions:
– To access the service menu
– To change the configuration
password
– To reset all settings for the
System setup dialog window to
the factory settings

Resetting the start settings Resetting the consumption

Certain tabs in the System setup dialog window The gas consumption can be reset in Standby >
have a button for resetting the respective start System setup > System status > Consumption.
settings to the factory settings.  Touch the Reset data button and confirm.

Resetting the changes in a dialog window


1 Open the corresponding tab.
2 Touch the Factory defaults button and
confirm.

Transferring device configurations

Configurations can be exported and imported with


the aid of a USB flash drive. Configurations from
one device version (electronically or mechanically
controlled gas mixer) can be transferred to other
Perseus devices of the same version in this way.
Prerequisite: The USB flash drive is connected to
the USB interface.
 Open System setup > Im/Export config. >
Im/Export config. (A).

144 Instructions for use Perseus A500 SW 1.1n


Configuration

System setup
The following settings are neither imported nor
A exported:
– System name
C A
– Date and time
D
B – IP address

Importing the configuration

1 Touch one of the configurations in the list (B).

10500
2 Touch the Import button (C) and confirm.
The configurations saved on the USB flash drive 3 Restart Perseus.
are displayed in a list (B). If not all of the
configurations can be seen, delete all
configurations from the USB flash drive that are
Exporting the configuration
not needed or move them to a subdirectory on the
flash drive.
 To export configurations, touch the Export
button (D) and confirm.

Activating applications

The following applications are optional and System setup


therefore require entry of a corresponding license A
key and subsequent activation:
– Auto On E A
– Pressure Support
C
– APRV
– FiO2 prediction
– Econometer trend D B
– Low-flow wizard
10501

A license key is linked with the serial number of the


respective device and cannot be transferred. The
license key can either be loaded from a USB flash Loading the license key from a USB
drive or entered manually. flash drive
 Open System setup > Applications >
Applications (A). Prerequisite: A USB flash drive with valid licenses
for this Perseus anesthesia machine is connected
to the USB interface.
 Touch the Load from USB button (B).

Instructions for use Perseus A500 SW 1.1n 145


Configuration

The license keys found on the storage medium are Activating the licensed application
uploaded and displayed in the list (C).
The licensed applications must be activated before
they become available.
Manual entry of the license key 1 Select the corresponding license from the list
(C).
1 Touch the Enter code button (D).
2 Touch the Activate button (E) and confirm.
2 Use the screen keyboard to enter the license
key and confirm with OK. 3 After activating all desired licenses, restart
Perseus.
The license is unlocked and displayed in the list
(C).

Overview of the configurable screen contents

During operation, waveforms and parameter fields Paw


are selected in the Quick setup window, see
page 89. Paw

10455
Waveforms and associated parameter
fields Paw (3)
Volume-controlled modes:
etCO2 Parameters PIP, Pplat, PEEP
All other modes:
CO2
Parameters PIP, Pmean, PEEP
10454

Paw

CO2 in/et
10504

CO2
Paw (4)
10502

Parameters PIP, Pplat, Pmean, PEEP:

Paw
CO2 in/et, RR
10505

CO2
10503

Volume MV, VT, RR

Volume
10456

146 Instructions for use Perseus A500 SW 1.1n


Configuration

Volume VT, MV, RR etCO2

Volume
CO2

10506
et
O2

O2

10420
10457
CO2 in/et
O2, ∆

O2 CO2
et in
10507

Primary agent

10421
Iso
10458

CO2 in/et, RR

"Empty"
CO2
et in
10508

RR

Miscellaneous parameter fields

10416
Compliance trend Paw

Cdyn PEEP
Paw
PIP
10419
20035

The value displayed here for Cdyn is updated


more frequently and thus may differ from the value
displayed in the Trends/Data dialog field.

Instructions for use Perseus A500 SW 1.1n 147


Configuration

Paw (3) MV, VT, RR


Volume-controlled modes:
Parameters PIP, Pplat, PEEP Volume
All other modes: MV VT
Parameters PIP, Pmean, PEEP

RR
Paw

10418
PIP Pmean

MV×CO2 trend
PEEP
WARNING
10417

Risk of incorrect therapy settings


Paw (4) The numerical value displayed for the
Parameters PIP, Pplat, Pmean, PEEP: MV×CO2 parameter is not sufficiently
accurate to enable therapy decisions to be
made.
Paw
Do not make therapy decisions based solely
PIP Pplat on the displayed numerical value. Only the
trend curve can be used for therapeutic
decisions.
Pmean PEEP
MV×CO2
10459

MVmand, spon

MV
Mand Spon
20033

∆VT
10499

∆VT VTi

VT

Paw
20036

148 Instructions for use Perseus A500 SW 1.1n


Configuration

Volume MV, VT, RR


O2 uptake
Volume
VT MV

RR

20034
10498
Primary agent
O2

Iso
O2 in et

10423
10460

RR
O2, ∆

RR
O2
in ∆

10449
10422

Econometer (optional)
O2 uptake trend

WARNING Econometer
Risk of incorrect therapy settings
Deficit Efficient Surplus
The numerical value displayed for the O2
uptake parameter is not sufficiently accurate
to enable therapy decisions to be made.
10427

Do not make therapy decisions based solely


on the displayed numerical value. Only the
trend curve can be used for therapeutic
decisions.

Instructions for use Perseus A500 SW 1.1n 149


Configuration

Low-flow wizard (optional) Stopwatch

Required FG flow Stopwatch


Start

Total flow
Efficient

10451
20152

Gases in/et Countdown timer

Countdown
Gases in/et
in et
O2

N2O

Iso A B

20070
10424

Gas supply Econometer trend (optional)

Gas supply Econometer trend

O2 Air N2O

10428
10426

Volumeter FiO2 prediction (optional)

FiO2 prediction
Volumeter Start
VT

Volume
13718

10452

150 Instructions for use Perseus A500 SW 1.1n


Configuration

Vaporizer setting (optional) Flow tubes (electronically controlled gas


mixer)

Vaporizer sett. WARNING


Iso Sev Des Risk of mix-up
In some countries, the representation and
Refill
order of the virtual flow tubes on the screen
may differ from that illustrated here.

10425
Pay attention to the labeling of the virtual flow
tubes.
Empty

WARNING
Insufficient fresh-gas supply
The indication on the virtual flow tubes is
intended only as additional information.
Do not use the virtual flow tubes alone when
making therapeutic decisions.
10509

Agent prediction (optional)


Surplus

Iso prediction

Efficient

Deficit

O2 N2O Econometer
10511

Flow tubes (mechanically controlled gas mixer)


10453

WARNING
Risk of mix-up
In some countries, the representation and
order of the virtual flow tubes on the screen
may differ from that illustrated here.
Pay attention to the labeling of the virtual flow
tubes.

Instructions for use Perseus A500 SW 1.1n 151


Configuration

O2 Air N2O
20367

When the Agent prediction parameter field is


displayed, the flow tubes will be displayed at
reduced size:

O2 Air N2O
20788

152 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Troubleshooting

Leakages ........................................................ 154


Possible leakage causes ................................. 154
Systematic localization of leakages................. 155
Power supply failure ..................................... 155
Mains power supply failure .............................. 155
Mains power supply failure and empty batteries
........................................................................ 156
After power supply is restored ......................... 156
When fuses of auxiliary power sockets are
blown ............................................................... 156
Failure of the gas supply .............................. 157
Failure of one gas supply ................................ 157
Changing an empty gas cylinder ..................... 157
Complete failure of the gas supply .................. 157
After the central gas supply is restored ........... 158
Failure of fresh-gas delivery (electronically
controlled gas mixture)................................. 158

Ventilator failure ............................................ 159

Failure of the gas measurement .................. 159

Failure of flow measurement........................ 159

Screen fault/user interface failure................ 160

Complete failure ............................................ 160

Problems with the anesthetic gas receiving


system (AGS) ................................................. 161
Replacing the anesthetic gas receiving system
(AGS)............................................................... 161
Problems with the pressure reducers ......... 162

Problems with the Vapor View option ......... 162

Alarm – Cause – Remedy.............................. 162

Instructions for use Perseus A500 SW 1.1n 153


Troubleshooting

Leakages

Leakages may result in the system not being Possible leakage causes
operational or being operational with limitations
only. – The CO2 absorber or the CLIC adapter is not
securely screwed to the breathing system.
CAUTION
– The APL valve is not correctly fitted to the
Risk due to contamination breathing system or is not set to 30 hPa
(cmH2O).
Anesthetic gas can get into the ambient air as a
result of leakages. – The breathing bag, the breathing hoses, the Y-
piece, or the microbial filter is incorrectly fitted
Perform the leakage test before using the device. or damaged.
Remedy all leakages.
– The flexible arm for the breathing bag
(optional) is incorrectly fitted to the breathing
CAUTION
system. The sealing ring is soiled or damaged.
Risk due to leakage at the valves – The water trap is not connected.
Leakages at valves can allow ambient air to enter – The sample line is not connected, is kinked, or
the breathing system and alter the composition of is leaking.
the breathing gas.
– The connections for the sample line are
Before using the device, perform the leakage test damaged.
to check the leak-tightness of all the valves.
– The O-rings on the inspiratory port or
expiratory port are damaged, soiled, or
WARNING missing.
Risk of insufficient ventilation – The flow sensors are incorrectly installed or
damaged. The rear O-ring is missing.
Breathing gas may escape because of
leakages, with the result that the applied – The upper part of the breathing system housing
volume is less than the set volume. is incorrectly fitted or damaged.
Perform the leakage test before using the – The valves or seals of the breathing system are
device. Remedy all leakages. damaged.
– The circuit plug is scratched or damaged.
– The filling or emptying connections on the
vaporizer are leaking or are open. The
vaporizer is incorrectly fitted. The O-ring is
missing or damaged. The control dial is not at
the 0 position.

154 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Systematic localization of leakages

To find causes of leakages, isolate individual


components from the leakage test.

Component Measure
Sample line Remove the sample line and
occlude the Luer-Lock connec-
tion on the Y-piece.
Breathing Disconnect the breathing hoses.
hoses Connect the inspiratory port and
expiratory port with a hose that
is known to be without leakages.
Connect the breathing bag
directly to the breathing system.
Vaporizers Remove the vaporizers.

1 Perform a leakage test, see page 105, and use


the leakage assistant if necessary.
2 Contact service personnel if the leakages
cannot be localized.

Power supply failure

Mains power supply failure CAUTION


If the mains power supply fails, Perseus Risk of device malfunction
automatically switches to the internal battery. A
If mains power fails, devices connected to the
fully charged battery will maintain operation for at
auxiliary power sockets are not supplied from the
least 30 minutes.
internal battery.
Remaining battery charge is displayed on the
Ensure an alternative power supply for
status display.
connected devices.
The breathing system heating is deactivated
during battery operation. The peak inspiratory
pressure PIP may be limited, but it will equal at
least 55 hPa (cmH2O).

Instructions for use Perseus A500 SW 1.1n 155


Troubleshooting

Mains power supply failure and empty Using the emergency O2 delivery
batteries (electronically controlled gas mixer)

If mains power fails and the batteries are empty, a


signal tone is emitted. Manual ventilation and
spontaneous breathing remain available. O2 and
anesthetic agent can still be delivered using the
emergency O2 delivery (with electronically
controlled gas mixer) or the flow control valves A B
(with mechanically controlled gas mixer) and
connected vaporizers.

10375
The following are not available:
– Ventilator 1 Check vaporizer setting.
– Electronically controlled gas mixer 2 Set the O2 switch (A) upwards to position
Add. O2.
– Device monitoring and patient monitoring
3 Open the flow control valve (B) on the O2
WARNING flowmeter and set the desired flow. This O2
flow flows through the vaporizer.
Risk of patient injury
If all power sources fail, the screen goes dark
and automatic ventilation ends. After power supply is restored
Manually ventilate the patient. 1 Restart the device, see page 69.
Further procedures: 2 Charge empty batteries for at least 8 hours.
1 Check vaporizer setting. 3 Check the displays for mains voltage and
battery on the status display.
2 Electronically controlled gas mixer:
Use emergency O2 delivery.
Mechanically controlled gas mixer:
When fuses of auxiliary power sockets
Close the Air flow control valve and the N2O
flow control valve and use only O2 as fresh are blown
gas.
1 Disconnect mains power supply.
3 Monitor the O2 flow on the O2 flowmeter
(electronically controlled gas mixer) or on the 2 Remedy the malfunction.
total flow tube (mechanically controlled gas 3 For devices without isolation transformer:
mixer). Replace the fuses.
4 Manually ventilate the patient. For devices with isolation transformer:
– If necessary, wait at most 2 minutes for the
5 Ensure corresponding substitute monitoring.
circuit breaker to cool.
– Press the key on the circuit breaker back in
or operate the switch on the isolation
transformer.
4 Restore mains power supply.

156 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Failure of the gas supply

A failure of the central gas supply can result in Changing an empty gas cylinder
simultaneous device malfunctions on all systems
connected to it. 1 Close the valve of the empty gas cylinder.
Perseus signals an alarm if the gas supply for the 2 Completely use up or completely vent any gas
gases O2, Air, or N2O (optional) fails. remaining in the pressure reducer and in the
hose between Perseus and the gas cylinder.
WARNING If there is no patient connected, venting can be
performed as follows:
Risk of contaminating the gas supply
– Disconnect the central O2 supply.
When the central gas supply is connected,
– Open the flow control valve of the O2
the smallest internal leakage can cause
flowmeter. Wait until gas is no longer
contamination of the supply gases.
flowing.
If the central gas supply fails during – Close the flow control valve of the O2
operation, disconnect the hoses for the failed flowmeter again.
gas from the central supply.
3 Unscrew the pressure reducer from the gas
 Open the corresponding gas cylinder. cylinder valve.

 Restore central gas supply. 4 Replace the gas cylinder with a full gas
cylinder.
Electronically controlled gas mixer only: If the
5 Connect the pressure reducer to the new filled
central gas supply for a gas fails and there is no
gas cylinder, see page 48.
sufficiently filled gas cylinder connected (see
page 27 "Status display"), a substitute gas is used: 6 Open the valve of the filled gas cylinder.

Failed gas Substitute gas


O2 100 % Air Complete failure of the gas supply
N2O 100 % O2 If the central gas supply for O2 and Air fails at the
Air 100 % O2 same time and there are no sufficiently filled gas
cylinders connected, operation can be continued in
The level of the fresh-gas flow remains constant. automatic ventilation modes. This is possible
because the ventilator does not require a drive
gas.
Failure of one gas supply 1 Remove the breathing bag.
Operation of fresh-gas delivery is still possible 2 Continue automatic ventilation.
when supply of one gas fails. If, e.g., N2O fails,
with the electronically controlled gas mixer, Air or
100 % O2 can be set as carrier gas. With the
mechanically controlled gas mixer, open the
corresponding flow control valve of the substitute
gas.

Instructions for use Perseus A500 SW 1.1n 157


Troubleshooting

When the breathing bag is removed, the missing


CAUTION
fresh-gas volume will automatically be filled by
ambient air. This is likely to cause the alarm Fresh Risk of increased anesthetic gas concentration in
gas low or leakage to be triggered. the ambient air

WARNING If the breathing bag is not connected, expiratory


anesthetic gases may escape from the breathing
Risk of patient recovering consciousness system.
If the gas supply fails completely, further Ensure adequate circulation of the ambient air.
operation takes place through gas supply of
the anesthesia machine with ambient air.
Anesthetic agents are no longer delivered After the central gas supply is restored
and the inspiratory anesthetic gas
concentration in the breathing gas decreases. 1 Connect the compressed gas hoses to the
Monitor the gas mixture carefully and use terminal units.
intravenous anesthetic agents if need be. 2 Close the gas cylinder valve on the
corresponding gas cylinder again.
On devices that are equipped with Advanced
Cylinder Support, the gas cylinder valves can
remain open.

Failure of fresh-gas delivery (electronically controlled gas mixture)

The current ventilation mode remains active in the  If necessary, ventilate the patient with the
event that the fresh-gas delivery fails. manual resuscitator.

WARNING
Risk of patient injury
If the gas mixer fails, no fresh gas is
delivered.
Check vaporizer setting. Supply the patient
with O2. Use emergency O2 delivery.

 Use emergency O2 delivery, see page 156.


 To prevent permanent acoustic alarm signals,
downgrade the priority of the Fresh-gas
delivery failure alarm, if necessary.
 If necessary, perform ventilation with ambient
air, see ''Complete failure of the gas supply'' on
page 157.

158 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Ventilator failure

If the ventilator fails, only manual ventilation or


spontaneous breathing remain possible. No other
ventilation modes can be selected. The fresh-gas
delivery remains ready for operation.
1 Switch to the MAN / SPON ventilation mode.
2 Manually ventilate the patient.

Failure of the gas measurement

CAUTION
Risk due to gas measurement failure
If the gas measurement fails, the patient can no
longer be adequately monitored.
– Ensure corresponding substitute monitoring.
– Check sample line and water trap for damage
or blockage and resolve these as needed.
Observe the exchange intervals.

 Ensure corresponding substitute monitoring.

Failure of flow measurement

If the flow measurement fails, normally the therapy


WARNING
can be continued. Thus, the flow sensors can be
replaced during the next Standby. There may be Risk due to malfunction of the inspiratory
limitations in measured parameters or selection of flow measurement
therapy.
If the inspiratory flow sensor malfunctions,
the device automatically switches to
pressure-controlled ventilation. If there is an
additional malfunction of the inspiratory
pressure sensor, the system automatically
switches to the non-synchronized Pressure
Control - CMV mode.
In either case, check the ventilation settings
and adjust as needed.

Instructions for use Perseus A500 SW 1.1n 159


Troubleshooting

1 Replace the flow sensor:


To remove the flow sensors, follow the steps
described in chapter ''Installing the flow
sensors and ports'' in reverse order, see
page 56. Then install the new flow sensors.
2 Perform the breathing system test, see
page 105.

Screen fault/user interface failure

The screen does not respond to operation. It has


failed or the screen display is faulty.
1 Switch Perseus to Standby mode:
Press the button and confirm with the rotary
knob.
2 Use emergency O2 delivery, see page 156.
3 Check vaporizer setting.
4 Manually ventilate the patient.
5 Ensure corresponding substitute monitoring.

Complete failure

The device no longer responds to operation.


WARNING
1 Switch off the device using the device switch,
see page 23. Risk of device malfunction

2 Manually ventilate the patient. If the breathing bag does not fill with fresh
gas, the patient cannot be sufficiently
3 Perform a start-up for operation in case of
ventilated.
emergency, see page 71.
– Check the oxygen supply and, if
necessary, open the gas cylinder valves.
– If fresh gas still is not delivered or manual
ventilation is not possible, close the flow
control valve of the O2 flowmeter.
– Disconnect the patient from the device
and use a replacement device!

160 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Problems with the anesthetic gas receiving system (AGS)

Fault Cause Remedy


Flow indicator beneath the The suction power of the ejector Have the function of the AGSS
"restricted range" in the terminal unit of anesthetic terminal unit checked. Observe
gas scavenging system (AGSS) related instructions for use.
is insufficient.
Particle filter contaminated or Replace the anesthetic gas
blocked. receiving system (AGS) or have
service personnel replace the
particle filter.
Flow indicator above "normal The suction power of the ejector Have the suction power of the
range" in the AGSS terminal unit is too ejector in the AGSS terminal unit
high. adjusted to the working range of
the AGS.
Particle filter missing. Replace the anesthetic gas
receiving system (AGS) or have
service personnel install the parti-
cle filter.

Replacing the anesthetic gas receiving Disassembling the anesthetic gas receiving
system (AGS) system (AGS)
1 Remove the suction hose.
View from below:
2 If necessary, remove the transfer hose for the
non-rebreathing system.
3 Remove the three screws (A).
4 Dispose of the AGS.
A
Assembling the anesthetic gas receiving
system (AGS)
A
A  Follow the above steps in reverse order to
assemble the new AGS.
10396

Instructions for use Perseus A500 SW 1.1n 161


Troubleshooting

Problems with the pressure reducers

Fault Cause Remedy


The connection between gas cyl- Sealing ring damaged Replace the sealing ring.
inder and pressure reducer leaks.
Output pressure rises, relief valve Valve seat contaminated or dam- Close gas cylinder valve. Repair
relieves the outlet of the pressure aged by service personnel.
reducer.
Leakage in the housing area. Membrane faulty Repair by service personnel.

Problems with the Vapor View option

Fault Cause Remedy


Dräger Vapor 3000/ Vaporizer is not correctly Correctly mount and lock vapor-
D-Vapor 3000 is not detected. mounted and locked. izer.
Sensor unit is faulty. Repair by service personnel.
Control dial setting position or fill- Sensor unit or vaporizer is soiled. Clean sensor unit and remove
ing level of Dräger Vapor 3000/ foreign particles.
D-Vapor 3000 is not detected. Sensor unit or vaporizer is dam- Repair by service personnel.
aged.
Dräger Vapor 3000/ Control dial is in position T. Turn control dial to position 0.
D-Vapor 3000 is not illuminated. Illumination unit is soiled. Clean illumination unit and
remove foreign particles.
Illumination unit is faulty. Repair by service personnel.
Illumination is switched on, even Vapor View option is faulty. Repair by service personnel.
though no Dräger Vapor 3000/
D-Vapor 3000 is fitted.

Alarm – Cause – Remedy

Alarm messages are displayed in hierarchal form indicated by exclamation marks.


in the alarm message field of the header bar, see
page 116. Warning !!! Red

The priority of the alarm messages is indicated by Caution !! Yellow


different background colors. Note ! Cyan
In the Current alarms table and Alarm history
table, the priority of the alarm messages is also

162 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

In order to classify the alarms within an alarm The following table lists the alarm messages in
priority, internal priority numbers are given in the alphabetical order. If an alarm occurs, the table
table below. The most critical alarm is given the helps to quickly identify causes and remedies. The
number 255. Lower numbers indicate a lower possible causes and remedial measures should be
alarm priority. looked through in the order they are listed until the
alarm is resolved.
Some alarms appear in this table several times
with different priorities because their priority may
change under certain conditions, see page 121.

Alarm Alarm Cause Remedy


priority
!! 100 "Add. O2" activated O2 switch is set to "Add. O2". Close the flow control valve of
the O2 flowmeter. Set the O2
switch to "Aux. O2".
Use "ALARM RESET" to
downgrade alarm priority.
! 100 "Audio paused" key stuck Key is stuck or was pressed Ventilation performance is not
for more than 10 seconds. affected.
If the problem persists, call
DrägerService.
! 100 Absorber disconnected? Infinity ID CLIC absorber is Check absorber.
not correctly connected. Use "ALARM RESET" to
acknowledge alarm.
! 220 Air cylinder almost empty The cylinder is almost empty. Replace the cylinder. Use the
central supply.
! 255 Air cylinder empty The cylinder is empty or Replace the cylinder. Use the
closed. central supply.
! 190 Air cylinder sensor? Cylinder pressure sensor is Check if cylinder pressure
not connected. sensor is connected.
Use "ALARM RESET" to
acknowledge alarm.
!! 150 Air FG flow measurement The measurement system for Only use O2 as fresh gas.
failed the Air fresh-gas flow has Use the total flow tube to
failed. check the fresh-gas flow.
Adjust the fresh-gas flow so
that it equals or exceeds the
minute volume.
!!! 110 Air supply low Central supply pressure and Check central Air supply or
cylinder pressure are low. use cylinder.
Use "ALARM RESET" to
downgrade alarm priority.

Instructions for use Perseus A500 SW 1.1n 163


Troubleshooting

Alarm Alarm Cause Remedy


priority
!!! 255 Airway press. continuously Airway pressure has been Check spontaneous breathing
high continuously high. ability of the patient.
Check ventilation settings.
Check breathing hoses,
breathing system, and anes-
thetic gas scavenging system.
In MAN/SPON mode, check
the APL valve setting.
Check lower alarm limit for
airway pressure.
!!! 255 Airway pressure high The upper alarm limit for the Check ventilation settings.
airway pressure has been Check alarm limit.
exceeded. The applied inspi-
ratory pressure is higher than
the set value.
Breathing hoses are blocked Check breathing circuit and
or the tube is kinked. tube.
!!! 255 Airway pressure negative Fresh-gas flow is insufficient, Check fresh-gas settings and
breathing bag is blocked or position of breathing bag.
positioned incorrectly.
Suction maneuver during Check endotracheal suction
ventilation. system.
Failure of the anesthetic gas Check anesthetic gas scav-
scavenging system. enging system.
!! 10 Airway pressure not Fresh-gas flow is insufficient, Check fresh-gas settings and
achieved breathing bag is blocked or position of breathing bag.
positioned incorrectly.
Leakage or disconnection. Check the breathing circuit for
tight connections and leak-
ages.
!!! 220 Apnea No breathing or ventilation. Start manual ventilation!
Check ventilation settings.
Check spontaneous breathing
ability of the patient.
!! 255 Apnea No breathing or ventilation. Start manual ventilation!
Check ventilation settings.
Check spontaneous breathing
ability of the patient.

164 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
!!! 220 Apnea (no CO2) No breathing or ventilation. Start manual ventilation!
Check ventilation settings.
Check spontaneous breathing
ability of the patient.
Sample line is not connected. Connect sample line to
breathing circuit.
!! 255 Apnea (no CO2) No breathing or ventilation. Start manual ventilation!
Check ventilation settings.
Check spontaneous breathing
ability of the patient.
Sample line is not connected. Connect sample line to
breathing circuit.
!!! 220 Apnea (no flow) No breathing or ventilation. Start manual ventilation!
Check ventilation settings.
Check spontaneous breathing
ability of the patient.
Fresh-gas flow is insufficient, Check fresh-gas settings and
breathing bag is blocked or position of breathing bag.
positioned incorrectly.
The breathing hoses are Check breathing circuit and
blocked or leaking. tube.
!! 255 Apnea (no flow) No breathing or ventilation. Start manual ventilation!
Check ventilation settings.
Check spontaneous breathing
ability of the patient.
Fresh-gas flow is insufficient, Check fresh-gas settings and
breathing bag is blocked or position of breathing bag.
positioned incorrectly.
The breathing hoses are Check breathing circuit and
blocked or leaking. tube.
!!! 220 Apnea (no pressure) No breathing or ventilation. Start manual ventilation!
Check ventilation settings.
Check alarm limit.
Fresh-gas flow is insufficient, Check fresh-gas settings and
breathing bag is blocked or position of breathing bag.
positioned incorrectly.
The breathing hoses are Check breathing circuit and
blocked or leaking. tube.

Instructions for use Perseus A500 SW 1.1n 165


Troubleshooting

Alarm Alarm Cause Remedy


priority
!! 255 Apnea (no pressure) No breathing or ventilation. Start manual ventilation!
Check ventilation settings.
Check alarm limit.
Fresh-gas flow is insufficient, Check fresh-gas settings and
breathing bag is blocked or position of breathing bag.
positioned incorrectly.
The breathing hoses are Check breathing circuit and
blocked or leaking. tube.
!! 0 Apnea Ventilation No inspiratory effort of the Check spontaneous breathing
patient detected. ability of the patient.
Adjust the setting for "Trigger
sens.".
Change to pressure-con-
trolled or volume-controlled
ventilation mode.
Use "ALARM RESET" to
downgrade alarm priority.
! 0 Apnea Ventilation No inspiratory effort of the Check spontaneous breathing
patient detected. ability of the patient.
Adjust the setting for "Trigger
sens.".
Change to pressure-con-
trolled or volume-controlled
ventilation mode.
!! 100 Backup speaker failure The backup speaker for alarm Call DrägerService.
tones is faulty. Use "ALARM RESET" to
acknowledge alarm.
! 170 Bag pressure sensor failure Sensor calibration failed. Manually check the filling
level of the breathing bag.
Perform the system test.
! 170 Battery low Battery charge is less than Restore mains power supply.
20 % and mains power sup- Breathing system heating is
ply is not available. switched off. Check breath-
ing circuit for condensation.
Increase fresh-gas flow if nec-
essary.
! 100 Battery temperature high The battery temperature is Ensure that the system is
high. Charging of the battery connected to the mains power
has been suspended to pro- supply.
tect it from damage.

166 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
!! 30 Battery very low Battery charge is less than Make sure that the mains
10 %. power supply is correctly con-
nected.
Breathing system heating
switches off in the event of
mains power failure. Check
breathing circuit for conden-
sation. Increase fresh-gas
flow if necessary.
Prepare manual ventilation
with 100 % O2.
The battery is not connected Call DrägerService.
or the battery fuse is blown. Use "ALARM RESET" to
downgrade alarm priority.
!! 135 Breathing bag too small The breathing bag is too Use correct breathing bag.
small. The tidal volume can-
not be delivered.
Breathing bag hose is too Use correct hose.
long/thin. Use "ALARM RESET" to
acknowledge alarm.
! 100 Breathing circuit expired Accessory has been used too Replace the accessory if nec-
long. essary.
Use "ALARM RESET" to
acknowledge alarm.
! 100 Breathing system heating The breathing system heating Check breathing circuit for
failure has failed. condensation. Increase fresh-
gas flow if necessary.
Call DrägerService.
An internal temperature sen- Call DrägerService.
sor is faulty.

Instructions for use Perseus A500 SW 1.1n 167


Troubleshooting

Alarm Alarm Cause Remedy


priority
!!! 255 Breathing system temp. Failure of the breathing sys- Check inspiratory breathing-
high? tem heating. gas temperature as close to
the Y-piece as possible.
Use longer inspiratory hose.
Remove breathing system
cover.
Switch off breathing system
heating.
Switch off the device with the
device switch. Start manual
ventilation using "Add. O2".
Disconnect the patient and
ventilate with a manual resus-
citator.
! 100 Cardiac bypass mode still A significant minute volume Use "Exit CBM" to deactivate
active? was measured during car- the cardiac bypass mode.
diac bypass mode. Use "ALARM RESET" to
acknowledge alarm.
! 100 Central Air supply high The central supply pressure Check central supply.
is high. The gas delivery
might fail.
! 255 Central Air supply low Central supply pressure is Check central supply.
low.
! 100 Central N2O supply high The central supply pressure Check central supply.
is high. The gas delivery
might fail.
! 255 Central N2O supply low Central supply pressure is Check central supply.
low.
! 100 Central O2 supply high The central supply pressure Check central supply.
is high. The gas delivery
might fail.
!!! 210 Central O2 supply low Central supply pressure is Check central O2 supply or
low. use cylinder.
Use "ALARM RESET" to
downgrade alarm priority.
! 255 Central O2 supply low Central supply pressure is Check central supply.
low.
! 100 CO2 absorber expired Accessory has been used too Replace the accessory if nec-
long. essary.
Use "ALARM RESET" to
acknowledge alarm.

168 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
! 100 CO2 sensor accuracy low Accuracy of the CO2 sensor If the problem persists for
cannot currently be guaran- more than 10 minutes, call
teed. DrägerService.
!! 135 Cooling fan failure An internal fan for evacuating To prevent potential damage,
gases is faulty. switch off system at your ear-
liest convenience. Increased
risk of fire.
Call DrägerService.
!! 140 CPAP changed to "Off" The set CPAP pressure could Check the breathing circuit for
not be achieved due to leak- tight connections and leak-
age. The system has ages.
changed the CPAP setting to Increase fresh-gas flow.
"Off". Reapply the CPAP setting.
Use "ALARM RESET" to
acknowledge alarm.
!! 150 Emergency air inlet acti- Negative pressure in the Refill breathing bag (e.g., with
vated breathing system due to "O2+" or "Add. O2").
insufficient fresh gas in the Increase fresh-gas flow.
breathing bag. The system Check the breathing circuit for
utilizes ambient air to ensure tight connections and leak-
ventilation. ages.
!! 135 etCO2 high etCO2 has exceeded the Check ventilation.
upper alarm limit.
!! 135 etCO2 low etCO2 is below the lower Check ventilation.
alarm limit.
!! 100 Exp. press. sensor failure Sensor calibration failed. Ensure that a suitable substi-
tute monitoring is available.
Perform the system test.
! 100 Expiratory flow sensor Accessory has been used too Replace the accessory if nec-
expired long. essary.
Use "ALARM RESET" to
acknowledge alarm.
! 190 Expiratory flow sensor not The sensor is not calibrated. Perform the breathing sys-
calibrated The breathing system has tem test.
been replaced or discon-
nected since last calibration.
Failure of the flow sensor. Replace the flow sensor and
perform the breathing system
test.

Instructions for use Perseus A500 SW 1.1n 169


Troubleshooting

Alarm Alarm Cause Remedy


priority
!!! 200 External fresh-gas outlet Failure when switching to Use "O2+" button to deter-
failure? external fresh-gas outlet. Fail- mine flow direction of fresh
ure when switching from gas:
external fresh-gas outlet to -If internal breathing system
another ventilation mode. or breathing bag fill, external
fresh-gas outlet is not avail-
able.
-If gas flows out of the exter-
nal fresh-gas outlet, external
fresh-gas outlet can be used.
Internal breathing system can
only be used when the
breathing bag is not con-
nected (ventilation with ambi-
ent air only).
Check fresh-gas settings.
Call DrägerService.
! 100 Filling level of vaporizer low The filling level of an inactive Check filling level. Refill if
vaporizer is low. necessary.
!! 50 Filling level of vaporizer low The filling level of the active Check filling level of vapor-
vaporizer is low. izer.
Use "ALARM RESET" to
downgrade alarm priority.
!! 10 FiO2 high FiO2 has exceeded the upper Check FG O2.
alarm limit.
!!! 255 FiO2 low FiO2 has fallen below the Check O2 concentration and
lower alarm limit for: -at least fresh-gas settings.
15 seconds (with respiratory Check the breathing system
phases) -at least 30 seconds for high leakages.
(without respiratory phases) Check O2 supply.
!! 135 FiO2 too high for neonates FiO2 has exceeded 50 % for Check O2 concentration and
more than the configured fresh-gas settings.
time. Use "ALARM RESET" to
acknowledge alarm.
!! 30 Flow control valve still open At least one flow control valve Close all flow control valves.
is still open.
! 80 Flow sensor calibration The flow sensors have not Perform the breathing sys-
required been calibrated since the tem test.
device was powered on. The
last calibration of the flow
sensors was performed more
than 24 hours ago.

170 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
!!! 150 Fresh-gas delivery failure The fresh-gas delivery sys- Administer O2: 1. Set the O2
tem is not operational until switch to "Add. O2". 2. Set the
the system test is success- O2 flowmeter to the desired
fully performed. flow and check the vaporizer
setting.
Use "ALARM RESET" to
downgrade alarm priority.
Perform the system test after
finishing the case.
If the problem persists, call
DrägerService.
!! 100 Fresh-gas flow high The total fresh-gas flow is Reduce fresh-gas flow.
greater than 12 L/min.
!! 50 Fresh-gas flow inaccurate The accuracy of the fresh-gas Set all fresh-gas flows below
flow measurement of the 12 L/min.
mechanically controlled gas Check the total flow tube.
mixer is reduced. Use "ALARM RESET" to
downgrade alarm priority.
!! 60 Fresh-gas flow inaccurate The fresh-gas flow delivered Make sure that sufficient
by the electronically con- fresh-gas and anesthetic
trolled gas mixer differs from agent are delivered.
the set fresh-gas flow. Use "ALARM RESET" to
downgrade alarm priority.
!!! 100 Fresh gas low or leakage Fresh-gas flow is insufficient, Refill breathing system
breathing bag is blocked or immediately (e.g., with
positioned incorrectly. "O2+").
Check fresh-gas settings and
position of breathing bag.
Leakage or disconnection. Check the breathing circuit for
tight connections and leak-
ages.
Check tube or mask.
!! 150 Fresh gas low or leakage Fresh-gas flow is insufficient, Check fresh-gas settings and
breathing bag is blocked or position of breathing bag.
positioned incorrectly.
Leakage or disconnection. Check the breathing circuit for
tight connections and leak-
ages.
Check tube or mask.
Use "ALARM RESET" to
downgrade alarm priority.

Instructions for use Perseus A500 SW 1.1n 171


Troubleshooting

Alarm Alarm Cause Remedy


priority
! 170 Fresh gas low or leakage Fresh-gas flow is insufficient, Check fresh-gas settings and
breathing bag is blocked or position of breathing bag.
positioned incorrectly.
Leakage or disconnection. Check the breathing circuit for
tight connections and leak-
ages.
Check tube or mask.
!! 100 Gas sensor failure The patient-gas measure- Ventilation performance might
ment module has failed. be reduced (e.g., inaccurate
volume measurement and
volume delivery). Use alterna-
tive gas measurement sys-
tem.
Call DrägerService.
Use "ALARM RESET" to
downgrade alarm priority.
!! 255 Hose connected to wrong A breathing hose is not cor- Connect breathing hoses cor-
port rectly connected. rectly.
! 100 Hose does not fit to pat. The detected breathing hose Use compatible accessory.
category is not suitable for the selected Use "ALARM RESET" to
patient category. acknowledge alarm.
!! 100 Hose does not fit to pat. The detected breathing hose Use compatible accessory.
category is not suitable for the selected Use "ALARM RESET" to
patient category. acknowledge alarm.
!! 150 inCO2 high Soda lime is depleted. Check soda lime.
Increase fresh-gas flow.
Check fresh-gas settings.
Leakage in breathing system. Replace the breathing sys-
tem.
Gas measurement is inaccu- Adjust alarm limits if neces-
rate due to high respiratory sary.
rate.
Large dead space. Check ventilation settings.
! 100 Infinity ID breathing circuit An incompatible accessory is Check accessory.
not compatible connected. Use "ALARM RESET" to
acknowledge alarm.
! 100 Infinity ID CO2 absorber not An incompatible accessory is Check accessory.
compatible connected. Use "ALARM RESET" to
acknowledge alarm.
! 100 Infinity ID water trap not An incompatible accessory is Check accessory.
compatible connected. Use "ALARM RESET" to
acknowledge alarm.

172 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
!! 100 Insp. press. sensor failure Sensor calibration failed. Change to MAN/SPON mode
and ventilate manually.
Perform the system test.
! 255 Inspiratory desflurane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!! 255 Inspiratory desflurane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!!! 255 Inspiratory desflurane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!! 75 Inspiratory desflurane low The inspiratory anesthetic Check vaporizer and fresh-
gas concentration is below gas settings.
the lower alarm limit. Check the breathing system
for high leakages.
The soda lime has dried out. Replace the soda lime.
! 255 Inspiratory enflurane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!! 255 Inspiratory enflurane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!!! 255 Inspiratory enflurane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!! 75 Inspiratory enflurane low The inspiratory anesthetic Check vaporizer and fresh-
gas concentration is below gas settings.
the lower alarm limit. Check the breathing system
for high leakages.
The soda lime has dried out. Replace the soda lime.
! 100 Inspiratory flow sensor Accessory has been used too Replace the accessory if nec-
expired long. essary.
Use "ALARM RESET" to
acknowledge alarm.
! 190 Inspiratory flow sensor not The sensor is not calibrated. Perform the breathing sys-
calibrated The breathing system has tem test.
been replaced or discon-
nected since last calibration.
Failure of the flow sensor. Replace the flow sensor and
perform the breathing system
test.

Instructions for use Perseus A500 SW 1.1n 173


Troubleshooting

Alarm Alarm Cause Remedy


priority
! 255 Inspiratory halothane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!! 255 Inspiratory halothane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!!! 255 Inspiratory halothane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!! 75 Inspiratory halothane low The inspiratory anesthetic Check vaporizer and fresh-
gas concentration is below gas settings.
the lower alarm limit. Check the breathing system
for high leakages.
The soda lime has dried out. Replace the soda lime.
! 255 Inspiratory isoflurane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!! 255 Inspiratory isoflurane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!!! 255 Inspiratory isoflurane high Inspiratory anesthetic gas Check vaporizer and fresh-
concentration has exceeded gas settings.
the upper alarm limit.
!! 75 Inspiratory isoflurane low The inspiratory anesthetic Check vaporizer and fresh-
gas concentration is below gas settings.
the lower alarm limit. Check the breathing system
for high leakages.
The soda lime has dried out. Replace the soda lime.
!! 10 Inspiratory N2O high Inspiratory N2O exceeds Check fresh-gas composition.
82 %. Press "O2+" button.
! 255 Inspiratory sevoflurane Inspiratory anesthetic gas Check vaporizer and fresh-
high concentration has exceeded gas settings.
the upper alarm limit.
!! 255 Inspiratory sevoflurane Inspiratory anesthetic gas Check vaporizer and fresh-
high concentration has exceeded gas settings.
the upper alarm limit.
!!! 255 Inspiratory sevoflurane Inspiratory anesthetic gas Check vaporizer and fresh-
high concentration has exceeded gas settings.
the upper alarm limit.

174 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
!! 75 Inspiratory sevoflurane low The inspiratory anesthetic Check vaporizer and fresh-
gas concentration is below gas settings.
the lower alarm limit. Check the breathing system
for high leakages.
The soda lime has dried out. Replace the soda lime.
!! 255 Inspiratory tidal volume The delivered inspiratory tidal Check ventilation settings.
high volume is higher than the set Check patient compliance.
value. Check if the patient is breath-
ing spontaneously.
!! 255 Inspiratory tidal volume The delivered inspiratory tidal Check ventilation settings.
high volume exceeds the upper Check patient compliance.
alarm limit. Check if the patient is breath-
ing spontaneously.
Check alarm limit.
!! 50 Inspiratory tidal volume The ventilation settings are Change ventilation mode or
high not adequate for AutoFlow. adjust tidal volume.
!! 255 Inspiratory xMAC high The inspiratory anesthetic Check vaporizer and fresh-
gas concentration has gas settings.
exceeded 3 xMAC for more
than 180 seconds.
!!! 255 Inspiratory xMAC high The inspiratory anesthetic Check vaporizer and fresh-
gas concentration has gas settings.
exceeded 3 xMAC for more
than 30 seconds. The expira-
tory anesthetic gas concen-
tration has exceeded
2.5 xMAC for more than
30 seconds.
The inspiratory anesthetic Check vaporizer and fresh-
gas concentration has gas settings.
exceeded 5 xMAC.
!! 100 Internal device temperature A ventilation slot at the rear of Check the ventilation slots.
high the device is blocked. Ensure air flow at the rear of
the device.
Ambient temperature is too Check ambient conditions.
high.
A fan is faulty. Call DrägerService.
Excessive ventilation set- Check ventilation settings.
tings are applied (e.g., high
respiratory rate, high inspira-
tory pressure, short slopes).

Instructions for use Perseus A500 SW 1.1n 175


Troubleshooting

Alarm Alarm Cause Remedy


priority
! 255 Internal device temperature A ventilation slot at the rear of Check the ventilation slots.
high the device is blocked. Ensure air flow at the rear of
the device.
Ambient temperature is too Check ambient conditions.
high.
A fan is faulty. Call DrägerService.
Excessive ventilation set- Check ventilation settings.
tings are applied (e.g., high
respiratory rate, high inspira-
tory pressure, short slopes).
!!! 0 Loss of data An internal memory failure Check current settings and
has occurred. System data default settings.
and system settings are lost. Call DrägerService.
! 0 MEDIBUS COM 1 failure Communication via the corre- Check the cable and the con-
sponding COM port is inter- nection.
rupted. Use "ALARM RESET" to
acknowledge alarm.
The configured baud rate is Increase the baud rate.
not sufficient for the amount Check the configuration of the
of data to be transferred. external device.
! 0 MEDIBUS COM 2 failure Communication via the corre- Check the cable and the con-
sponding COM port is inter- nection.
rupted. Use "ALARM RESET" to
acknowledge alarm.
The configured baud rate is Increase the baud rate.
not sufficient for the amount Check the configuration of the
of data to be transferred. external device.
!! 30 Minute volume high Upper alarm limit for the min- Check spontaneous breath-
ute volume has been ing.
exceeded. Check ventilation settings
(e.g., VT, Pinsp, RR).
In Pressure Support, correct
the trigger threshold if neces-
sary.
Check alarm limit.
Flow measurement is inaccu- Replace the expiratory flow
rate. sensor if necessary and per-
form the breathing system
test.

176 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
!! 10 Minute volume low The minute volume is below Check ventilation settings.
the lower alarm limit. Check alarm limit.
Check tube or mask.
Flow measurement is inaccu- Replace the expiratory flow
rate. sensor if necessary and per-
form the breathing system
test.
Leakage or disconnection. Check the breathing circuit for
tight connections and leak-
ages.
! 220 N2O cylinder almost empty The cylinder is almost empty. Replace the cylinder. Use the
central supply.
! 255 N2O cylinder empty The cylinder is empty or Replace the cylinder. Use the
closed. central supply.
! 190 N2O cylinder sensor? Cylinder pressure sensor is Check if cylinder pressure
not connected. sensor is connected.
Use "ALARM RESET" to
acknowledge alarm.
!! 150 N2O FG flow measurem. The measurement system for Only use O2 as fresh gas.
failed the N2O fresh-gas flow has Use the total flow tube to
failed. check the fresh-gas flow.
Adjust the fresh-gas flow so
that it equals or exceeds the
minute volume.
!!! 110 N2O supply low Central supply pressure and Check central N2O supply or
cylinder pressure are low. use cylinder.
Use "ALARM RESET" to
downgrade alarm priority.
!!! 110 No Air delivery Air is not available. Gas mixer Check central Air supply or
is using 100 % O2 instead. use cylinder.
Use "ALARM RESET" to
downgrade alarm priority.
! 100 No CO2 detected Ventilation was started, but Check sample line, water
no exhaled CO2 was detected trap, and patient-side filter.
for more than 60 seconds. Use "ALARM RESET" to
acknowledge alarm.
!!! 200 No fresh-gas flow No fresh-gas flow is set. Open the flow control valves.
Use "ALARM RESET" to
downgrade alarm priority.

Instructions for use Perseus A500 SW 1.1n 177


Troubleshooting

Alarm Alarm Cause Remedy


priority
!!! 110 No N2O delivery N2O is not available. Gas Check central N2O supply or
mixer is using O2 instead. use cylinder.
Use "ALARM RESET" to
downgrade alarm priority.
!!! 210 No O2 delivery O2 is not available. Gas mixer Check central O2 supply or
is using Air instead. use cylinder.
Use "ALARM RESET" to
downgrade alarm priority.
! 220 O2 cylinder almost empty The cylinder is almost empty. Replace the cylinder. Use the
central supply.
!!! 210 O2 cylinder empty The cylinder is empty or Replace the cylinder. Use the
closed. central supply.
Use "ALARM RESET" to
downgrade alarm priority.
! 255 O2 cylinder empty The cylinder is empty or Replace the cylinder. Use the
closed. central supply.
! 190 O2 cylinder sensor? Cylinder pressure sensor is Check if cylinder pressure
not connected. sensor is connected.
Use "ALARM RESET" to
acknowledge alarm.
!! 150 O2 FG flow measurement The measurement system for Only use O2 as fresh gas.
failed the O2 fresh-gas flow has Use the total flow tube to
failed. check the fresh-gas flow.
Adjust the fresh-gas flow so
that it equals or exceeds the
minute volume.
!! 255 O2 sensor failure The O2 sensor in the patient- Use alternative O2 measur-
gas measurement module is ing system.
faulty. Call DrägerService.
Use "ALARM RESET" to
downgrade alarm priority.
!!! 210 O2 supply low Central supply pressure and Check central O2 supply or
cylinder pressure are low. use cylinder.
Use "ALARM RESET" to
downgrade alarm priority.
! 100 On/Standby key stuck Key is stuck or was pressed Ventilation performance is not
for more than 10 seconds. affected.
If the problem persists, call
DrägerService.

178 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
!! 100 Pause time expired Ventilation and gas delivery Resume ventilation or adjust
have been paused longer timer.
than the set pause time. Use "ALARM RESET" to
acknowledge alarm.
! 100 Pause time expired Ventilation and gas delivery Resume ventilation or adjust
have been paused longer timer.
than the set pause time. Use "ALARM RESET" to
acknowledge alarm.
!! 50 PEEP/CPAP high The expiratory limb is Check expiratory breathing
blocked. hose and breathing system.
Perform the breathing sys-
tem test.
Failure of the anesthetic gas Check anesthetic gas scav-
scavenging system. enging system.
!! 100 PEEP/CPAP low Fresh-gas flow is insufficient, Check fresh-gas settings and
breathing bag is blocked or position of breathing bag.
positioned incorrectly.
Leakage or disconnection. Check the breathing circuit for
tight connections and leak-
ages.
Failure of the anesthetic gas Check anesthetic gas scav-
scavenging system. enging system.
!! 60 PEEP not applied Failure of the PEEP valve. Check the breathing circuit for
tight connections and leak-
ages.
Perform the breathing sys-
tem test.
! 170 Power failure Device is not connected to Restore mains power supply.
mains power supply.
!!! 100 Power supply failure Internal fault in the power Operation of the device can
supply. be continued.
Call DrägerService.
! 255 Pressure-relief valve Pressure in the breathing sys- Check APL valve and fresh-
opened tem is too high. gas settings.
!! 100 Pressure sensor failure There is condensate in the Check the breathing hoses.
breathing hoses.
Sensor calibration failed. Perform the system test.
If the problem persists, call
DrägerService.

Instructions for use Perseus A500 SW 1.1n 179


Troubleshooting

Alarm Alarm Cause Remedy


priority
!!! 200 Rotary knob stuck Key is stuck or was pressed Ventilation performance is not
for more than 10 seconds. affected.
Press and turn rotary knob
repeatedly. If alarm condition
persists, settings cannot be
adjusted anymore.
Disconnect the patient and
ventilate with a manual resus-
citator.
Switch off the device with the
device switch. Start manual
ventilation using "Add. O2".
! 170 Sample line disconnected? Ventilation was started, but Check sample line, water
no exhaled CO2 was trap, and patient-side filter.
detected.
! 170 Sample line occluded Sample line is occluded. Check sample line, water
trap, and patient-side filter.
!! 75 Second agent detected A second anesthetic agent Flush the system if necessary.
has been detected. Check fresh-gas settings.
Wait for transition phase to
end.
! 100 Service date reached Maintenance is due. Call DrägerService.
Use "ALARM RESET" to
acknowledge alarm.
!! 0 Speaker failure The loudspeaker is faulty. Call DrägerService.
Use "ALARM RESET" to
downgrade alarm priority.
!! 100 Synchronized ventilation Inspiratory efforts of the Check ventilation settings.
failure patient cannot be detected Change to a non-synchro-
due to faulty sensors. nized ventilation mode.
Change to MAN/SPON mode
and ventilate manually.

180 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
!!! 100 System failure Failure of internal compo- Start manual ventilation!
nents. System is no longer 1. To avoid excessive agent
operational. concentrations, make sure
that the vaporizer setting is in
accordance with the O2 flow
to be set at the O2 flowmeter.
2. Set the O2 switch from
"Aux. O2" to "Add. O2". 3. Set
the desired O2 flow using the
O2 flowmeter.
When in doubt, switch off the
device with the device switch.
Call DrägerService.
! 255 Temperature of Temperature of TurboVent 2 Reduce airway pressure or
TurboVent 2 blower module blower module is too high. respiratory rate.
high
!!! 0 Therapy settings not The last changes to the ther- Change to MAN/SPON and
applied apy settings were not applied. restart the ventilation mode.
If the problem persists, call
DrägerService.
!! 100 Third agent detected A mixture of more than Flush the system if necessary.
2 anesthetic agents has been Check fresh-gas settings.
detected. Wait for transition phase to
end.
There is electromagnetic Check for electromagnetic
interference. radiation in the vicinity.
!! 30 Tidal volume not achieved The delivered inspiratory tidal Check ventilation settings.
volume is lower than the set Check Pmax setting.
value. Check patient compliance.
Check if the patient is breath-
ing spontaneously.
!!! 100 TurboVent 2 failure The TurboVent 2 blower mod- Start manual ventilation!
ule is not operational or over- Replace TurboVent 2 blower
heated. module.
!!! 100 TurboVent 2 not connected The TurboVent 2 blower mod- Insert the TurboVent 2 blower
ule is not connected. module.
Use "ALARM RESET" to
downgrade alarm priority.
!!! 100 Unknown alarm Error in the internal alarm Check patient condition.
system. Call DrägerService.

Instructions for use Perseus A500 SW 1.1n 181


Troubleshooting

Alarm Alarm Cause Remedy


priority
! 0 USB write error The USB flash drive is full, Check the USB flash drive.
faulty, write-protected, or not Use "ALARM RESET" to
compatible. The USB flash acknowledge alarm.
drive is not correctly con-
nected. The USB flash drive
is not correctly formatted.
!! 100 Vaporizer open Control dial is not in position Close vaporizer to prevent
"0". accumulation of anesthetic
agent in the breathing sys-
tem.
! 100 Vapor View failure (left slot) Failure of Vapor View hard- If the problem persists, call
ware. DrägerService.
Use "ALARM RESET" to
acknowledge alarm.
! 100 Vapor View failure (middle Failure of Vapor View hard- If the problem persists, call
slot) ware. DrägerService.
Use "ALARM RESET" to
acknowledge alarm.
! 100 Vapor View failure (right Failure of Vapor View hard- If the problem persists, call
slot) ware. DrägerService.
Use "ALARM RESET" to
acknowledge alarm.
! 100 Vapor View not operational Failure of Vapor View hard- Call DrägerService.
ware. Use "ALARM RESET" to
acknowledge alarm.
!!! 120 Ventilator failure Failure of the pressure sen- Start manual ventilation!
sors. Perform the system test.
If the problem persists, call
DrägerService.
!! 100 Vol. Ctrl. ventilation failure The inspiratory flow sensor is Change to a pressure-con-
faulty. trolled ventilation mode.
Replace the flow sensor and
perform the breathing system
test.
! 100 Water trap disconnected? Infinity ID water trap is not Check water trap.
correctly connected.
! 100 Water trap expired Accessory has been used too Replace the accessory if nec-
long. essary.
Use "ALARM RESET" to
acknowledge alarm.

182 Instructions for use Perseus A500 SW 1.1n


Troubleshooting

Alarm Alarm Cause Remedy


priority
! 100 Water trap full Water trap is full. Check water trap.
Sample line is occluded. Check sample line, water
trap, and patient-side filter.
! 170 xMAC low Inspiratory and expiratory gas Check patient condition.
concentrations are lower than Check filling level of vapor-
the automatically calculated izer.
limit. Check vaporizer setting.
Check the breathing system
and the breathing bag for
leakages.
Check the current xMAC. If
the current xMAC is accept-
able, use "ALARM RESET" to
acknowledge the alarm and to
recalculate the lower alarm
limit.
!! 80 xMAC low Inspiratory and expiratory gas Check patient condition.
concentrations are lower than Check filling level of vapor-
the automatically calculated izer.
limit. Check vaporizer setting.
Check the breathing system
and the breathing bag for
leakages.
Check the current xMAC. If
the current xMAC is accept-
able, use "ALARM RESET" to
acknowledge the alarm and to
recalculate the lower alarm
limit.
!! 100 Y-piece is open or not con- The Y-piece is open or not Make sure that the Y-piece is
nected connected during flush or occluded.
Flush & Dry procedure.

Instructions for use Perseus A500 SW 1.1n 183


Cleaning, disinfection and sterilization

Cleaning, disinfection and sterilization

Disassembly .................................................. 185


Observe before disassembling........................ 185
Instructions for disassembly ............................ 185
Sequence of disassembly ............................... 185
Note on removable accessories, consumable
parts, and attached parts................................. 186
Reprocessing procedures ............................ 187
Classification of medical devices..................... 187
Tested procedures and agents........................ 187
Non-critical medical devices ............................ 187
Semi-critical medical devices .......................... 188
Visual check .................................................... 190
Sterilization...................................................... 190
Reprocessing list .......................................... 191
Non-critical medical devices ............................ 191
Semi-critical medical devices .......................... 193
Assembling the parts.................................... 194

Before using on patients again .................... 194

184 Instructions for use Perseus A500 SW 1.1n


Cleaning, disinfection and sterilization

Disassembly

Observe before disassembling CAUTION


 Switch off the device and accessory devices Risk of injury due to breathing system heating
and remove their mains plugs.
When the breathing system heating is switched
on, the bottom side of the breathing system and
the heating plate beneath it can become very hot.
Instructions for disassembly
Allow the breathing system to cool off before
To disassemble, follow the steps listed in removing.
''Preparation for an operation day / after cleaning
and sterilization'' in reverse order, see page 54. 7 Remove the breathing system.
– Remove the breathing system cover.
– Turn the middle lever counterclockwise
Sequence of disassembly about 120°.
– Remove the assembled breathing system
1 Unscrew and dispose of sample line. vertically upwards from the breathing
2 Remove water trap. system mount.
3 Disassemble CO2 absorber: 8 Unscrew the CLIC adapter (optional).
 CLIC absorber (single-use) 9 Remove the flow sensors.
or – Loosen and pull out the expiratory port.
 Reusable CO2 absorber: – Loosen and pull out the inspiratory port.
– Remove the CO2 absorber from the – Remove the flow sensors.
breathing system.
– Remove and dispose of the soda lime
dust filter.
– Empty the CO2 absorber.
– Remove the absorber insert from the
absorber container. Leave the inner and
outer sealing rings on the absorber
insert.
4 Remove the breathing bag.
5 Remove the breathing circuit and the filter.
6 Unscrew the flexible arm for the breathing bag
(optional).

Instructions for use Perseus A500 SW 1.1n 185


Cleaning, disinfection and sterilization

10 Remove the upper housing of the breathing Consult the appropriate instructions for use:
system.
– Turn the three levers counterclockwise Accessories and consumable parts
about 120°.
– Flow sensors
– Lift off the upper housing of the breathing
system. – CLIC adapter
– CLIC absorber, Infinity ID CLIC absorber
WARNING
– Breathing hoses
Risk of damage to breathing system
– Filter
If the APL valve is not removed before the – Breathing bag
breathing system is reprocessed, this can
lead to leakages in the breathing system. – Masks
– Water trap
Always remove the APL valve prior to
reprocessing. – Vaporizer

11 Screw off the APL valve.


Attached parts
12 Remove the non-return valves (red and blue).
– Endotracheal suction
13 Remove the TurboVent 2 blower module.
– Hinged arms
NOTE – Monitors
To prevent accidental penetration of soda lime – Sensors and cables
into the breathing system, do not transport the – IT systems
breathing system with a filled reusable CO2
– Vacuum connection adapter
absorber.
– Workstation light

Note on removable accessories, Single-use articles without instructions for use


consumable parts, and attached parts
– Soda lime dust filter
– Sample line
CAUTION
Risk of injury to patients due to failure of WARNING
accessories Risk of infection
Disposable items have been designed, tested, Used sample lines may be infectious due to
and manufactured exclusively for single use. the breathing gases that passed through
Reuse, reprocessing or sterilization can result in them.
failure of the accessory and injury to the patient.
Replace the sample lines regularly, see
Do not reuse, reprocess or sterilize disposable page 193, table ''Semi-critical medical
items. devices''.

186 Instructions for use Perseus A500 SW 1.1n


Cleaning, disinfection and sterilization

Reprocessing procedures

Manual disinfection:
WARNING
– Korsolex extra (3 %, 15 minutes) from Bode
Risk of infection Chemie
Use validated reprocessing procedures when Machine cleaning:
reprocessing the device and accessories.
– Neodisher MediClean from Dr. Weigert
– Neodisher FA from Dr. Weigert
Classification of medical devices Machine disinfection:

For reprocessing, the medical devices and their – Thermal, 93 °C (199.4 °F) for 10 minutes
components are classified according to their type Sterilization:
of application and the resulting risks:
– Hot steam, 134 °C (273.2 °F) for 5 minutes
– Non-critical medical devices: Surfaces
accessible to the user and patient, e.g., device
surfaces, cables Non-critical medical devices
– Semi-critical medical devices: Parts carrying
breathing gas, e.g., breathing hoses, masks Manual disinfection with simultaneous
cleaning

Tested procedures and agents When selecting a suitable disinfectant, adhere to


the country-specific lists of disinfectants. The list of
Cleaning, disinfection and sterilization have been the German Association for Applied Hygiene
tested using the following procedures and agents. (Verbund für Angewandte Hygiene VAH) applies in
The following agents showed good material German-speaking countries.
compatibility and effectiveness at the time of the Strictly observe the manufacturer's information on
test: the disinfectants. Manufacturers may change the
composition of disinfectants over time.

Non-critical medical devices


Manual disinfection with simultaneous cleaning:
– Buraton 10 F from Schülke & Mayr
– Dismozon pur from Bode Chemie
– Mikrobac from Bode Chemie
(for temperature measurement nozzles and
pneumatic connections in the breathing system
mount)

Semi-critical medical devices


Manual cleaning:
– Neodisher LM2 (2 %, 20 minutes) from Dr.
Weigert

Instructions for use Perseus A500 SW 1.1n 187


Cleaning, disinfection and sterilization

Procedure: Procedure:
1 Remove soiling immediately with a cloth 1 Wash off soiling on surface under running
soaked in disinfectant. water.
2 Use cleaning agents in accordance with
WARNING manufacturer’s specifications.
Risk of electric shock or device malfunction 3 Thoroughly swish the components back and
Liquid that enters into the device can cause forth in the solution several times. Make sure
the device to malfunction or may damage the that all surfaces and interior spaces to be
device and endanger the patient. cleaned can be reached effectively. Use
suitable brushes if necessary.
Only scrub-and-wipe-disinfect device
4 Rinse components under running water until
surfaces and cables and make sure no liquids
cleaning agent residues are no longer
penetrate into the device.
discernible.
2 Perform surface disinfection by scrubbing and 5 Inspect components for visible soiling and
wiping. damage. Repeat manual cleaning if necessary.
3 Remove disinfectant residues after the contact
time has elapsed.

Special procedures for inspiratory/expiratory ports,


the bag elbow, and housing openings in the lower
Special procedures for the breathing system part of the breathing system:
mount: 1 Brush the components for 1 minute and wait
1 Soak a disposable cloth in disinfectant or use a briefly.
ready-to-use disposable cloth. 2 Repeat step 1 at least 1 time.
2 Wipe back and forth 3 times around the
temperature measurement nozzles and WARNING
pneumatic connections. Risk of faulty components
3 Repeat steps 1 and 2 4 times each. Manual cleaning and disinfection by brushing
can wear out or destroy the components.

Semi-critical medical devices After manual cleaning and disinfection of the


lower part of the breathing system, check the
silicone parts and incident flow grills (in the
Manual cleaning insp. limb of the lower part of the breathing
Running water and typical cleaning agents based system and in the expiratory port) for
on mildly alkaline compounds are recommended intactness.
for manual cleaning.
Position of the incident flow grills, see chapter
''Manual disinfection''.

188 Instructions for use Perseus A500 SW 1.1n


Cleaning, disinfection and sterilization

Manual disinfection 2 Repeat step 1 at least 1 time.


Observe the applicable country-specific listings for
the disinfectants. The list of the German
Association for Applied Hygiene (Verbund für
A
Angewandte Hygiene VAH) applies in German-
speaking countries.
The composition of the disinfectant is the
responsibility of the manufacturer and can change
over time.
Strictly observe the manufacturer's information on
the disinfectants.
Procedure:
B
1 Disinfect components by immersing.
Thoroughly swish the components back and

16356
forth in the solution several times. Make sure
that all surfaces and interior spaces to be 3 Flush the incident flow grills in the inspiratory
disinfected can be disinfected effectively. Use limb of the lower part of the breathing system
suitable brushes if necessary. (A) and in the expiratory port (B) 3 times with a
2 After the contact time has elapsed, rinse the disposable syringe.
components under running water until
disinfectant residue is no longer discernible. WARNING
3 Inspect components for visible soiling and Risk of faulty components
damage. Repeat manual disinfection if
Manual cleaning and disinfection by brushing
necessary.
can wear out or destroy the components.
4 Shake off all excess water. Allow components
to dry thoroughly. After manual cleaning and disinfection of the
lower part of the breathing system, check the
silicone parts and incident flow grills (in the
insp. limb of the lower part of the breathing
Special procedures for inspiratory/expiratory ports, system and in the expiratory port) for
the bag elbow, and housing openings in the lower intactness.
part of the breathing system:
1 Brush the components for 1 minute and wait Machine cleaning and disinfection
briefly. For machine cleaning and disinfection of
components that conduct breathing-gas, use a
washer-disinfector in accordance with ISO 15883,
preferably with a cart for anesthesia and ventilation
accessories.

Instructions for use Perseus A500 SW 1.1n 189


Cleaning, disinfection and sterilization

Procedure:
WARNING
1 Strictly observe the instructions for use of the
washer-disinfector. Risk due to flow measurement failure

2 Position components so that all interior spaces Deposits which are not removed during
and surfaces are completely flushed and water reprocessing can damage the measuring
can drain off freely. wires in the flow sensor or cause fire.
– Perform regular visual inspections for
3 Use a suitable cleaning agent.
dried mucus residues, drug aerosols and
4 Select a suitable program (preferably lint.
anesthesia program). – Prevent contamination of the flow sensor
– Cleaning is carried out at 40 °C to 60 °C due to particles in the disinfectant.
(104 °F to 140 °F) for at least 5 minutes. – If deposits remain after reprocessing, or if
– Thermal disinfection is carried out at 80 °C the flow sensor is damaged, replace the
to 95 °C (176 °F to 203 °F) with flow sensor.
corresponding contact time.
5 Carry out final rinsing with deionized water.
Sterilization
6 Immediately remove the components from
washer-disinfector. Sterilization eliminates living microorganisms from
7 Inspect components for visible soiling and semicritical medical devices and dries residual
damage. If necessary, repeat the program or water in the interior of components.
perform manual cleaning and disinfection.  Sterilize only components that have been
8 Allow components to dry thoroughly. cleaned or disinfected.
For sterilization, use a vacuum steam sterilizer (in
accordance with EN 285), preferably with
Visual check fractional vacuum.

Check all parts for damage and external wear such


as cracking, brittleness or severe hardening, and
remnants of contamination.

WARNING
Risk of faulty components
Reusable accessory parts (e.g., when
reprocessed) and removable device
components also have a limited life span. Due
to a number of factors associated with
handling and reprocessing, (e.g., corrosive
effects of disinfectant residues are greatly
increased by autoclaving), wear can increase
to distinctly reduce life span.
Exchange any components exhibiting signs
of external wear (e.g., cracks, deformation,
discoloration, delamination).

190 Instructions for use Perseus A500 SW 1.1n


Cleaning, disinfection and sterilization

Reprocessing list

Follow the guidelines of the healthcare facility


concerning special procedures and agents for
reprocessing, subject to the following criteria. The
healthcare facility is responsible for specifying
which individual components need reprocessing
and how often. The following list is only for
guidance.

Non-critical medical devices

Recommended repro- Manual


Items which can be reprocessed
cessing intervals Cleaning Disinfection
Screen and device surfaces includ- After each patient Outside Outside
ing:
– Touch screen
– Rotary knob
– O2+ key
– O2 switch on gas mixing unit
(electronically controlled gas
mixer)
– Flow control valves
– Table surface
– APL valve
– Grip bar under table
– Drawer handles
– Writing tray
– Mounting rails on both sides
– CLIC adapter
– CLIC absorber, Infinity ID CLIC
absorber

Instructions for use Perseus A500 SW 1.1n 191


Cleaning, disinfection and sterilization

Recommended repro- Manual


Items which can be reprocessed
cessing intervals Cleaning Disinfection
Other surfaces which are frequently Daily Outside Outside
touched:
– Front side of device column
– Side parts of the housings of the
screen and of other patient moni-
tors
– Pressure gauge (optional) for the
internal breathing system
– Accessory parts:
– Storage trays
– Hinged arms
– Probes of compressed gas
hoses
– Mains plug
– Gas cylinder valves
– Probe of AGS hose
– Cables and hoses that lie on
floor
– Brake switch
Breathing system mount Weekly Yes Yes
(caution, do not (caution, do not
allow fluid to pene- allow fluid to pene-
trate.) trate.)
Surfaces which are touched less fre- Weekly Outside Outside
quently:
– Top side of trolley
– Network cables and data cables
– Compressed gas hoses
– Pressure reducers
– Gas cylinders
– Outer and inner surfaces of draw-
ers
– AGS
– Sensor unit and illumination when
Vapor View option is installed

192 Instructions for use Perseus A500 SW 1.1n


Cleaning, disinfection and sterilization

Semi-critical medical devices

Items which can be Recommended Prelimi- Machine Manual Steriliza-


reprocessed reprocessing inter- nary cleaning Cleaning Disinfec- tion
vals cleaning and disin- tion
fection
Breathing system: Weekly Yes Yes Possible Possible Possible
– Housing (upper Minimum
and lower housing) of 250
– Inspiratory/expira- steriliza-
tory ports, APL tion
valve cycles
– Non-return valves
(red and blue)
– Bag elbow
Circuit plug (on bag After each patient No No Yes Yes No
elbow)
Absorber container Weekly Yes Yes Possible Possible Possible
and absorber insert
Soda lime dust filter Replace after each No No No No No
refilling of soda lime.
Blower module As needed No No Only out- Only out- Yes
TurboVent 2 side side
Minimum
of 60
steriliza-
tion
cycles
Sample line Replacement only
– When the sample Daily
line is fitted to the
filter on the Y-
piece.
– When the sample After each patient No No No No No
line is fitted directly
to the Y-piece and
the filters are fitted
to the breathing
system.
Breathing system Weekly Yes No Only out- Only out- No
mount side side
Flexible arm for breath- Weekly Yes Yes Only out- No Yes
ing bag (optional) side

Instructions for use Perseus A500 SW 1.1n 193


Cleaning, disinfection and sterilization

CAUTION
Material damage due to disinfectants
Disinfectants can damage the sample line, the
water trap membranes and thus the patient gas
measurement module. This may result in faulty
measurements.
Sample lines are single-use items and may not
be disinfected.

Assembling the parts

Information on assembly, see ''Preparation for an


operation day / after cleaning and sterilization'' on
page 54.

Before using on patients again

1 Assemble the device components, see


''Preparation for an operation day / after
cleaning and sterilization'' on page 54.
2 Check operational readiness, see ''Testing the
system'' on page 103.

194 Instructions for use Perseus A500 SW 1.1n


Maintenance

Maintenance

Overview......................................................... 196

Inspection....................................................... 196
Remote Service ............................................... 197
Safety checks .................................................. 197
Preventive maintenance ............................... 198
Table of maintenance intervals........................ 198
Repairs ........................................................... 199

Instructions for use Perseus A500 SW 1.1n 195


Maintenance

Overview

This chapter describes the maintenance measures


WARNING
required to maintain the proper functioning of the
medical device. Maintenance measures must be Risk of electric shock
performed by the personnel responsible.
There are conducting components under the
housing cover.
WARNING
– Do not remove the housing cover.
Risk of infection – Maintenance measures must be
performed by the personnel responsible.
The responsible personnel may be infected
Dräger recommends DrägerService for
by pathogenic germs.
repairs and complex maintenance tasks.
Disinfect and clean device or device parts
before any maintenance measures and also
before returning the medical device for repair.

Definitions of maintenance terms

Term Definition
Maintenance All measures (inspection, preventive maintenance, repair) intended to maintain
and restore the functional condition of a medical device
Inspection Measures intended to determine and assess the actual state of a medical device
Service Recurrent specified measures intended to maintain the functional condition of a
medical device
Repair Measures intended to restore the functional condition of a medical device after a
device malfunction

Inspection

Inspections must be carried out regularly


according to the following guidelines and within the
specified intervals. Technical documentation is
available on request.

Checks Interval Responsible personnel


1)
Inspection and safety checks Every 12 months Service personnel
1) Designation applies to the Federal Republic of Germany; corresponds to the “Recurring safety inspection” in the Federal
Republic of Austria

196 Instructions for use Perseus A500 SW 1.1n


Maintenance

Remote Service – No visible damage on:


– Trolley and housing parts
Perseus supports the following Remote Service – Brakes
functions:
– Auxiliary power sockets
– Help Ticket – Vaporizer mount
– Remote Device Check – O-rings of the water trap mount
– Proactive call – Screen
Contact the responsible DrägerService – Gas inlets
organization for further information on the Remote – Status display
Service function. – Breathing system
– AGS
Safety checks – Holding arms
– Hoses and cables
The safety checks are no substitute for service – Strain reliefs for AGS, compressed gas
measures indicated by the manufacturer, including hoses, cables
the preventive replacement of wearing parts. – Pressure reducers and their sensor
lines
WARNING
– Fuses which are accessible from the
Perform safety checks at the indicated outside are in compliance with the specified
intervals. Otherwise, operation of the medical values
device may be compromised. – Country-specific labeling of gas types
– Check the end stop of the holding arms for
1 Check the accompanying documents:
patient monitors.
– Latest instructions for use are available
4 Check for electrical safety in compliance with
2 Check the following functions according to the IEC 62353.
instructions for use:
5 Check safety features:
– Emergency O2 delivery
– function of optical and acoustic alarm
3 Verify that the device combination is in good generators
condition:
– O2 switch on gas mixing unit (electronically
– Labels are complete and legible controlled gas mixer)
– Internal battery
6 Check the accuracy of the gas measurement
based on a certified test gas concentration:
– Anesthetic gas measurement:
Isoflurane, 1 Vol%
Sevoflurane, 1 Vol%
Accuracy ±0.35 Vol%
– N2O measurement, 70 Vol%
Accuracy ±7.6 Vol%
– CO2 measurement, 5 Vol%
Accuracy ±0.83 Vol%

Instructions for use Perseus A500 SW 1.1n 197


Maintenance

7 Check the accuracy of the O2 measurement: 10 Check the non-return valve of the central gas
– Ambient air 21 Vol% supply for leakage:
Accuracy ±3 Vol% – Leakage ≤20 mL/min
– 100 Vol% 11 Check the accuracy of the pressure gauge
Accuracy –5 Vol% (optional) for the internal breathing system:
8 Check the sampling rate of the patient gas – Accuracy 30 hPa (cmH2O) ±10 hPa
measurement module: (cmH2O)
– Accuracy 200 ±20 mL/min 12 Check the function of the minimum O2 delivery
9 Check the patient gas measurement module (mechanically controlled gas mixer).
for leakage: 13 Check the external cylinder pressure reducers
– Leakage at –200 hPa (cmH2O) (optional):
– <20 hPa/min (cmH2O/min) – Annually: Relief valve
7.5 to 8 kPa x 100
– Every 6 years: output pressure
5 to 6 kPa x 100

Preventive maintenance

WARNING WARNING
Risk of faulty components Risk of electric shock
Device failure is possible due to wear or Before performing any service work,
material fatigue of the components. disconnect all electrical connections and gas
connections from power and gas supplies.
To maintain the function of all components,
this device must be inspected and serviced at
the intervals specified by the manufacturer.

Table of maintenance intervals

Component Interval Task Responsible personnel


CO2 absorber / soda If colored violet or Replace, see page 65 Users
lime with soda lime dust according to the config-
filter ured Infinity ID exchange
interval
Water trap If required, if soiled, or Replace, see page 66 Users
according to the config-
ured Infinity ID exchange
interval

198 Instructions for use Perseus A500 SW 1.1n


Maintenance

Component Interval Task Responsible personnel


Flow sensors If required, if calibration Replace, see page 159 Users
is no longer possible, or
according to the config-
ured Infinity ID exchange
interval
AGS If required, if filter is Replace, see page 161 Users
soiled, or flow is no lon-
ger achieved
AGS filter If required, if filter is Replace Service personnel
soiled, or flow is no lon-
ger achieved
Sample gas return filter Every 2 years Replace Service personnel
O-rings on the water trap Every 2 years Replace Service personnel
mount
Sealing, sieve insert, Every 3 years Replace Experts
and sintered filter on the
cylinder connection of
the external cylinder
pressure reducer
(optional)
Air filter mat Every 3 years Replace Service personnel
– Patient gas measure-
ment module
– Power supply unit
CLIC adapter (optional) Every 4 years Replace Users
Diaphragm unit, valve Every 6 years Replace Experts
cone, discharge valve,
and safety valve spring
of the external cylinder
pressure reducer
(optional)
Lead-gel battery Every 2 years Replace Service personnel
(2 pieces) Or after determination of Replace Experts
remaining capacity

Repairs

Dräger recommends that all repairs are carried out


by DrägerService and that only authentic Dräger
repair parts are used.

Instructions for use Perseus A500 SW 1.1n 199


Disposal

Disposal

Disposing of the medical device.................. 201


For countries subject to the EU Directive
2002/96/EC ..................................................... 201
Disposing of accessories ............................. 201

200 Instructions for use Perseus A500 SW 1.1n


Disposal

Disposing of the medical device

WARNING
For countries subject to the EU
Directive 2002/96/EC
Risk of infection
The device and its components must be This device is subject to EU Directive 2002/96/EC
disinfected and cleaned before disposal! (WEEE). In order to comply with its registration
according to this directive, this device may not be
At the end of its service life: disposed of at municipal collection points for waste
electrical and electronic equipment. Dräger has
 Have the medical device appropriately
authorized a company to collect and dispose of
disposed of in accordance with applicable laws
this device. To initiate collection or for further
and regulations.
information, visit Dräger on the Internet at
www.draeger.com. Use the search function with
the keyword "WEEE" to find the relevant
information. If access to the Dräger website is not
possible, contact the local Dräger organization.

Disposing of accessories

When disposing of the following accessory parts,


observe the hospital hygiene regulations and the
respective instructions for use:
– Flow sensors
– Breathing hoses
– Filter, HME, HMEF
– Breathing bag
– Masks
– Water trap
– CLIC absorber, Infinity ID CLIC absorber
– Soda lime
Dispose on the following articles according to
hospital hygiene regulations:
– Sample line
– Soda lime dust filter
– AGS

Instructions for use Perseus A500 SW 1.1n 201


Technical data

Technical data

General information ...................................... 203 Reduced safety clearance for portable and
mobile high-frequency communication
Ambient conditions....................................... 203 equipment........................................................ 232
Emission of high-frequency energy ................. 233
Fresh-gas delivery......................................... 204
Device combinations .................................... 233
Fresh-gas delivery (electronically
controlled gas mixer) .................................... 204 Connections to IT networks ......................... 234
Fresh-gas delivery (mechanically Information on connecting to the network ....... 234
controlled gas mixer) .................................... 205 Software license compliance (optional)...... 236
Ventilator........................................................ 205

Breathing system .......................................... 207

External fresh-gas outlet .............................. 209

Anesthetic gas receiving system................. 209

Measurement systems and displays ........... 210

Display of calculated values ........................ 215

Operation characteristic values................... 217

Device outlets ................................................ 221

Relevant standards ....................................... 223

Diagrams ........................................................ 226


Pressure characteristics and flow
characteristics of a breathing system without
breathing hoses and filters (conforming
to ISO 8835-2 and ISO 80601-2-13) ............... 226
Response times in event of concentration
changes........................................................... 227
Flow characteristic curves for pressure
reducers .......................................................... 228
EMC declaration ............................................ 229
General information......................................... 229
Electromagnetic transmission ......................... 230
Electromagnetic immunity ............................... 230
Recommended safety clearance for portable
and mobile high-frequency communication
equipment........................................................ 232

202 Instructions for use Perseus A500 SW 1.1n


Technical data

General information

Units of measurement for pressure 1 hPa = 1 mbar = 1 cmH2O


100 kPa = 0.1 MPa = 1 bar = 1 kPa x 100
User's operating location At the front at a distance of 1 m (39 in) and a
height of 1.5 m (59 in)
All specified tolerances apply for 20 °C (68 °F),
60 % relative humidity, and 1013 hPa
(760 mmHg).
The accuracies indicated below change accord-
ing to ambient pressure, temperature, and rela-
tive humidity. If one of the ambient conditions is
changed up to the permissible limit, the accu-
racy of the corresponding value can change by
up to 50 %. If more than one of the ambient con-
ditions are changed, the accuracy may change
by up to 100 %.
Example: Accuracy of a measured pressure
value: ±4 % under standard conditions. At
10 °C, the accuracy changes to ±6 %; at 10 °C
and 20 % relative humidity, to ±8 %.
All patient-related volumes and flow values are
standardized to the conditions in the lung.
(BTPS)

Ambient conditions

During operation
Temperature 10 to 40 °C
(50 to 104 °F)
Ambient pressure 620 to 1060 hPa
(9.0 to 15.3 psi)
Relative humidity 20 to 95 %, without condensation
CO2 concentration 300 to 1000 ppm
Altitude Up to 4000 m (13123 ft)
During storage and transport
Temperature
Device without battery -20 °C to 60 °C
(-4 °F to 140 °F)

Instructions for use Perseus A500 SW 1.1n 203


Technical data

Ambient conditions (continued)

Battery –15 °C to 40 °C
(5 °F to 104 °F)
For storage longer than 12 months –15 °C to 25 °C
(5 °F to 77 °F)
Maximum storage duration without 180 days
recharging
Ambient pressure 500 to 1060 hPa
(7.3 to 15.3 psi)
Relative humidity 10 to 95 %, without condensation
CO2 concentration Not relevant
The permissible ambient conditions depend
on the accessories used. Observe related
instructions for use.

Fresh-gas delivery

All data are standardized to STPD conditions.


O2 flush 25 to 75 L/min at 2.7 to 6.9 kPa x 100 (39 to
100 psi) supply pressure
O2 flow for Aux. O2 and Add. O2
Range Off; 2 to at least 10 L/min at 2.7 kPa x 100
(39 psi) supply pressure
Accuracy ±10 % of the set value for flows >2.0 L/min
Resolution of displayed value 1.0 L/min (up to 10 L/min)
5.0 L/min (above 10 L/min)

Fresh-gas delivery (electronically controlled gas mixer)

All data are standardized to STAPD conditions.


O2 concentration FG O2 21 to 100 Vol% (carrier gas Air);
25 to 100 Vol% (carrier gas N2O)
±5 % or ±2 Vol% (the larger value applies)
Fresh-gas flow FG flow Off; 0.2 to 15 L/min;
±10 % or ±50 mL/min (the larger value applies)

204 Instructions for use Perseus A500 SW 1.1n


Technical data

Fresh-gas delivery (mechanically controlled gas mixer)

All data are standardized to STAPD conditions.


O2 concentration FG O2 21 to 100 Vol%
Setting range for fresh-gas flow (FG flow) 0 to at least 12 L/min volumetric per gas (O2, Air
and N2O)
Electronic measurement of fresh-gas flow (FG
flow)
Range 0 to 15 L/min (O2, Air and N2O)
Accuracy ±10 % or ±0.12 L/min (the larger value applies)
Resolution of the value displayed on the 0.01 L/min (from 0 to 0.2 L/min)
screen 0.02 L/min (from 0.2 to 0.5 L/min)
0.05 L/min (from 0.5 to 1 L/min)
0.1 L/min (from 1 to 15 L/min)
Resolution of the value displayed in the sta- 0.1 L/min (from 0 to 15 L/min)
tus display
Total flow tube All data are standardized to STPD conditions.
Range 0 to 10 L/min
Accuracy ±10 % of the set value at 100 % O2 and for
flows >1 L/min
Resolution of displayed value 0.5 L/min

Ventilator

Time-based settings
Respiratory rate RR 3 to 100 /min
±10 % of the set value or ±1 /min (the larger
value applies)
Respiratory rate during apnea ventilation Off, 3 to 25 /min
RRapn ±10 % of the set value or ±1 /min (the larger
value applies)
Inspiratory time Ti 0.2 to 10 s
±10 % of the set value or ±100 ms (the larger
value applies)
Maximum inspiratory time for supported
breaths (fixed setting)
Patient category "adult" 4 s or 1 / (2 x RRapn) (the smaller value
applies)

Instructions for use Perseus A500 SW 1.1n 205


Technical data

Ventilator (continued)

Patient categories "pediatric patient" and 1.5 s or 1 / (2 x RRapn) (the smaller value
"neonate" applies)
Pressure rise time (Slope) 0 to 2 s;
±20 % of the set value or ±200 ms (the larger
value applies)
Ratio of inspiratory time to expiratory time 1:50 to 50:1
Time at upper pressure level (Thigh) in 0.2 to 10 s
Pressure Control - APRV mode ±10 % of the set value or ±100 ms (the larger
value applies)
Time at lower pressure level (Tlow) in Pres- 0.2 to 10 s
sure Control - APRV mode ±10 % of the set value or ±100 ms (the larger
value applies)
Inspiration termination criterion (Insp. term.) 5 to 80 %PIF
±20 % of the set value or ±2.5 L/min (the larger
value applies)
Percentage ratio of plateau time to the inspi- 20 to 60 %
ratory time in Volume Control - CMV ±20 % of the set value or ±200 ms (the larger
mode (%Tplat) value applies)
Volume-based and flow-based settings
Tidal volume VT 20 to 2000 mL standardized to BTPS conditions
±10 % of set value or ±15 mL (the larger value
applies)
The applied VT is corrected by the determined
breathing hose compliance. The applied VT is
also corrected by the sampling flow of the built-
in patient-gas measurement module as soon as
CO2 respiratory phases are detected.
Trigger sensitivity Trigger sens. 0.3 to 15 L/min
±20 % of the set value or ±1 L/min (the larger
value applies)
Inspiratory flow Flow for adults Minimum 1 L/min, maximum >180 L/min
Results from the VT / Pinsp and Ti settings
Inspiratory flow Flow for children and neo- Minimum 1 L/min, maximum 60 L/min
nates Results from the VT / Pinsp and Ti settings
Pressure-related settings
Inspiratory pressure Pinsp PEEP +1 to 80 hPa (cmH2O);
±10 % of the set value or ±2 hPa (cmH2O) (the
larger value applies)

206 Instructions for use Perseus A500 SW 1.1n


Technical data

Ventilator (continued)

Pressure limitation Pmax PEEP +5 to 80 hPa (cmH2O);


±10 % of the set value or ±3 hPa (cmH2O) (the
larger value applies)
Lower pressure level Plow in APRV mode Off, 2 to 35 hPa (cmH2O);
±10 % of the set value or ±2 hPa (cmH2O) (the
larger value applies)
Upper pressure level Phigh in APRV mode Plow +1 to 80 hPa (cmH2O);
±10 % of the set value or ±2 hPa (cmH2O) (the
larger value applies)
Pressure amplitude above PEEP: ∆Psupp
In CPAP/Pressure Support and Pres- Off, 1 to (80 - PEEP) hPa (cmH2O),
sure Control - BIPAP / PS mode ±10 % of the set value or ±2 hPa (cmH2O) (the
larger value applies)
In Volume Control - SIMV / AF / PS Off, 1 to (Pmax - PEEP) hPa (cmH2O);
mode ±10 % of the set value or ±2 hPa (cmH2O) (the
larger value applies)
Positive end-expiratory pressure PEEP Off, 2 to 35 hPa (cmH2O);
±10 % of the set value or ±2 hPa (cmH2O) (the
larger value applies)
Continuous positive pressure CPAP Off, 2 to 35 hPa (cmH2O);
±10 % of the set value or ±2 hPa (cmH2O) (the
larger value applies)
Minimum pressure limit as per ISO 8835-5 0 hPa (cmH2O);
and ISO 80601-2-13

Breathing system

Total volume including the disposable CO2


absorber CLIC Absorber Free
In MAN / SPON mode Typically 2.18 L
In automatic ventilation modes Typically 2.18 L
Compliance (without breathing circuit)
In MAN / SPON mode Typically 2.18 mL/hPa (mL/cmH2O)
In automatic ventilation modes Typically 0.28 mL/hPa (mL/cmH2O)
Volume of absorber container
Reusable CO2 absorber, filled 1.5 L

Instructions for use Perseus A500 SW 1.1n 207


Technical data

Breathing system (continued)

Disposable CO2 absorber CLIC absorber 1.3 L


800+
Disposable CO2 absorber CLIC absorber 1.2 L
Free
Flexible arm for breathing bag
Volume 0.13 L
Compliance 0.13 mL/hPa (mL/cmH2O)
Total system leakage <150 mL/min at 30 hPa (cmH2O) standardized
to BTPS conditions
APL valve
Setting range Open, 5 to 70 hPa (cmH2O)
Accuracy (in range from 15 to 30 L/min): ±20 % of the set value or ±3 hPa (the larger
value applies), but not more than +10 hPa
(cmH2O)
Breathing system resistance at 60 L/min (reus-
able CO2 absorber or disposable CO2 absorber,
with or without flexible arm for breathing bag,
normal operation, filled with Drägersorb 800
Plus)
According to ISO 8835-2, dry, with adult Inspiratory: –3.5 hPa (cmH2O)
breathing hose set M30146 Expiratory: 4.1 hPa (cmH2O)
According to ISO 8835-2, dry, without hoses Inspiratory: –1.1 hPa (cmH2O)
Expiratory: 3.4 hPa (cmH2O)
Recommendation for breathing hoses
All compliances, resistances, and volumes
indicated include inspiratory and expiratory
filters
VT= 20 to 100 mL Maximum compliance: 2.0 mL/hPa (mL/cmH2O)
Maximum resistance: 6 hPa (cmH2O) at
15 L/min
VT= 50 to 300 mL Maximum compliance: 4.0 mL/hPa (mL/cmH2O)
Maximum resistance: 6 hPa (cmH2O) at
30 L/min
VT= 200 to 2000 mL Maximum compliance: 6.0 mL/hPa (mL/cmH2O)
Maximum resistance: 6 hPa at 60 L/min
Maximum length 200 cm (78.7 in)
350 cm (137.8 in) (with restrictions for compli-
ance correction and pressure metering accu-
racy)

208 Instructions for use Perseus A500 SW 1.1n


Technical data

Breathing system (continued)

Maximum hose volume 1.6 L


2.7 L (with restrictions for compliance correction
and pressure metering accuracy)
Recommendation for a breathing bag hose if no
flexible arm is in use.
Maximum resistance 1.5 hPa (cmH2O) at 60 L/min
3 hPa (cmH2O) at 60 L/min with increased
fresh-gas consumption
Maximum length 180 cm (70.9 in)
350 cm (137.8 in) with increased fresh-gas con-
sumption
Maximum hose volume 0.7 L
0.9 L with increased fresh-gas consumption
Recommendation for the bag size
Volume 0.5 L to 5 L (should have at least double the
applied tidal volume)

External fresh-gas outlet

Connection 22 mm outer taper / 15 mm inner taper (ISO)


Delivery See "Fresh-gas delivery"
Pressure limitation Not pressure-limited

Anesthetic gas receiving system

Suction flow
Normal range 32 to 50 L/min
At lower end of restricted range 14 L/min
Maximum fresh-gas flow to prevent contaminat-
ing ambient air
For external breathing systems (normal 16 L/min
range)
For external breathing systems (restricted 5 L/min
range)

Instructions for use Perseus A500 SW 1.1n 209


Technical data

Anesthetic gas receiving system (continued)

For internal breathing systems (restricted 7 L/min


range)

Measurement systems and displays

As Perseus uses more accurate values for


alarming and internal calculation, small devia-
tions due to rounding may occur.
Airway pressure
Airway pressure Paw
Plateau pressure Pplat
Positive end-expiratory pressure PEEP
Peak inspiratory pressure PIP
Mean airway pressure Pmean
Range –20 to +120 hPa (cmH2O)
Accuracy ±4 % of the measured value or ±2 hPa (cmH2O)
(the larger value applies)
Resolution of displayed value 1 hPa (cmH2O)
Pressure gauge for indicating the pressure in
the internal
breathing system
Range –20 to +80 hPa (cmH2O)
Accuracy ±5 % of the measured value or ±2 hPa (cmH2O)
(the larger value applies)
Resolution of displayed value 5 hPa (cmH2O)
Volume
Measured volumes are corrected by the
determined breathing hose compliance. The
measured volumes are also corrected by the
sampling flow of the built-in patient-gas mea-
surement module as soon as CO2 respira-
tory phases are detected.
Tidal volume
Inspiratory VTi
Expiratory VT

210 Instructions for use Perseus A500 SW 1.1n


Technical data

Measurement systems and displays (continued)

Range 0 to 2500 mL
Accuracy ±8 % of measured value or ±15 mL (the larger
value applies)
Resolution of displayed value 1 mL
∆VT
Range 0 to 2500 mL
Accuracy ±16 % of measured value or ±30 mL (the larger
value applies)
Resolution of displayed value 1 mL
Minute volume
Total MV
Mandatory MVmand
Spontaneous MVspon
Range 0 to 40 L/min
Accuracy ±8 % of measured value or ±0.2 L (the larger
value applies)
Resolution of displayed value 0.1 L
T0...90 <45 s (RR ≥6/min)
<105 s (RR <6/min)
Low-flow wizard
Range 0 to 8 L/min
Accuracy ±25 % of measured value or ±100 mL/min (the
larger value applies)
Respiratory rate
Total RR
Spontaneous RRspon
Mandatory RRmand
Range 0 to 150/min
Accuracy ±1 /min or 10 % (the larger value applies)
Resolution of displayed value 1/min
T0...90 <45 s (RR ≥6/min)
<105 s (RR <6/min)
Compliance Cdyn
Range 0 to 200 mL/hPa (mL/cmH2O)

Instructions for use Perseus A500 SW 1.1n 211


Technical data

Measurement systems and displays (continued)

Accuracy ±30 % or ±3 mL/hPa (mL/cmH2O) (the larger


value applies)
Resolution of displayed value 0.1 mL/hPa (mL/cmH2O)
Resistance R
Range 0 to 100 hPa / (L/s) (cmH2O / (L/s))
Accuracy ±3 hPa / (L/s) ( cmH2O / (L/s)) or ±30 % of mea-
sured value (the larger value applies)
(With increasing spontaneous breathing activity,
the R values may be greatly distorted. Hence
maintaining measurement accuracy cannot be
guaranteed with spontaneous breathing).
Resolution of displayed value 1 hPa / (L/s) (cmH2O / (L/s))
Elastance E
Range 0.005 to 10 hPa/mL (cmH2O/mL)
Resolution of displayed value 0.001 hPa/mL (cmH2O/mL)
Gas measurement Sidestream gas measurement (The sample gas
is fed back into the breathing system and
included in calculations for measurements and
delivery);
All values are measured under ATPS condi-
tions;
Sample flow standardized to STPD conditions.
The measurement is corrected for ambient pres-
sure.
Due to the T10...90 time and the sampling rate,
the accuracies of the measured values for O2,
N2O, and anesthetic agent may deviate at respi-
ratory rates of 75 /min or higher and an I:E ratio
of 1:2. The influence of respiratory rate and the
I:E ratio on the accuracy has been verified in a
simulated breathing system using a rectangular
waveform for the gas concentration.
Endtidal measured values are calculated for
each breath from the local maxima and minima
of the real-time measurements during expira-
tion.
Sample flow 200 mL/min ±10 %
Maximum time until emptying of the water 41 h (sample gas under BTPS conditions at
trap is necessary 23 °C ambient temperature)

212 Instructions for use Perseus A500 SW 1.1n


Technical data

Measurement systems and displays (continued)

System response time The system response time results from the typi-
cal delay and the gas type specific T10...90 time.
Sensor sampling rate <50 ms
Time after switch-on until the specified accu- <500 s
racy is attained
Time until CO2 measured values are dis- 95 s
played with reduced accuracy
Typical delays <5 s
Cross sensitivity None concerning alcohol (<3000 ppm in blood),
acetone (<1000 ppm), methane, water vapor,
NO, and CO
Drift Compensated by automated cyclic zeroing
Ambient air is fed into the breathing system
during automatic zeroing
O2
Range 0 to 100 Vol%
Accuracy ±(2.5 Vol% + 2.5 % relative)
Resolution of displayed value 1 Vol%
T10...90 <500 ms
CO2
Range 0 to 13.6 Vol%
0 to 13.6 kPa
0 to 102.0 mmHg
Accuracy ±(0.43 Vol% + 8 % relative)
±(3.3 mmHg + 8 % relative)
Resolution of displayed value 0.1 Vol%
0.1 kPa
1 mmHg
T10...90 <350 ms
N2O
Range 0 to 100 Vol%
Accuracy ±(2 Vol% + 8 % relative)
Resolution of displayed value 1 Vol%
T10...90 <500 ms
Anesthetic gases
Range

Instructions for use Perseus A500 SW 1.1n 213


Technical data

Measurement systems and displays (continued)

Halothane 0 to 8.5 Vol%


Isoflurane 0 to 8.5 Vol%
Enflurane 0 to 10 Vol%
Sevoflurane 0 to 10 Vol%
Desflurane 0 to 20 Vol%
Accuracy ±(0.2 Vol% +15 % relative)
Resolution of displayed value 0.1 Vol% for desflurane
0.01 Vol% for all other anesthetic gases
T10...90 <500 ms
Detection Automatic
Primary gas At the latest at 0.3 Vol%
Secondary gas At the latest at 0.4 Vol% or 0.1 xMAC (the larger
value applies)
With a desflurane concentration greater than
4 Vol%, mixture detection occurs at the latest
when the concentration of the second anes-
thetic gas rises above 10 % of the desflurane
concentration.
The secondary gas becomes the primary gas
when the expiratory xMAC value is more than
0.2 xMAC above the primary gas.
Minimum displayed concentration The specified detection thresholds refer to rising
anesthetic gas concentrations (e.g., at the start
of an operation). If the anesthetic gas concen-
tration falls, a concentration of down to
0.05 Vol% will be measured, based on the last
anesthetic agent detected. Below this concen-
tration, a value of 0 Vol% will be displayed.
xMAC Based on patient age, anesthetic agent, and
nitrous oxide concentration
Range 0 to 9.9
Accuracy Corresponds to accuracy of the gas measure-
ment
Resolution of displayed value 0.1
Measurement of gas supply pressures
Central supply
Range 0 to 9.8 kPa x 100 (0 to 140 psi)

214 Instructions for use Perseus A500 SW 1.1n


Technical data

Measurement systems and displays (continued)

Accuracy ±4 % or ±0.2 kPa x 100 (the larger value


applies)
±4 % or ±3 psi (the larger value applies)
Resolution of displayed value 0.1 kPa x 100
1 psi
Gas cylinders
Range 0 to 250 kPa x 100 (0 to 3600 psi)
Accuracy ±4 % or ±6 kPa x 100 (the larger value applies)
or ±4 % or ±87 psi (the larger value applies)
Resolution of displayed value 1 kPa x 100
1 psi
Test results
Total leakage
Range 10 to 5000 mL/min
Resolution of displayed value 1 mL/min
Leakage in automatic ventilation

Range 10 to 5000 mL/min


Resolution of displayed value 1 mL/min
Hose compliance Compliance

Range 0 to 9.9 mL/hPa (mL/cmH2O)

Resolution of displayed value 0.1 mL/hPa (mL/cmH2O)

Display of calculated values

Measurement of consumption and production


CO2 production of the patient
Range 0 to 9999 mL/min
Accuracy ±25 % or 100 mL/min (the larger value applies)
Resolution of displayed value 1 mL/min
O2 uptake of the patient
Range 0 to 9999 mL/min

Instructions for use Perseus A500 SW 1.1n 215


Technical data

Display of calculated values (continued)

Accuracy ±25 % or 100 mL/min (the larger value applies)


Resolution of displayed value 1 mL/min
Fresh-gas consumption
Range 0 to 99999 L, only gas delivered by the gas
mixer is measured
Accuracy ±15 %
Resolution of displayed value 1L
Anesthetic agent
Range 0 to 3000 mL liquid
Accuracy ±25 %
Resolution of displayed value 0.1 mL
Real-time waveforms O2 concentration
Primary anesthetic gas concentration
CO2 concentration
Airway pressure
Volume
Flow
Sweep speed 6.25; 12.5; 25 mm/s
Scale
Airway pressure Paw (t) –20 to 80 hPa (cmH2O)
Flow (t) –120 to 120 L/min
Volume (t) 0 to 2000 mL
O2 (t) 0 to 100 Vol%
CO2 (t) 0 to 100 mmHg (0 to 12 Vol%, 0 to 12 kPa)
Anesthetic agent (t)
Halothane 0 to 5 Vol% (kPa)
Enflurane 0 to 6 Vol% (kPa)
Isoflurane 0 to 5 Vol% (kPa)
Sevoflurane 0 to 10 Vol% (kPa)
Desflurane 0 to 20 Vol% (kPa)
Loops Volume/pressure
Flow/volume

216 Instructions for use Perseus A500 SW 1.1n


Technical data

Operation characteristic values

Mains power supply


Electrical mains connection
Without isolation transformer 100 to 240 V~ 50/60 Hz
With isolation transformer 100 to 127 V~ 50/60 Hz
or
220 to 240 V~ 50/60 Hz
Maximum power consumption 12 A
Power cable
Maximum length 5 m (16.4 ft)
Protective ground resistance Maximum 0.1 ohm
Operating voltage ≥250 V
Operating current ≥16 A
Power consumption
At 230 V~
Standby 0.30 A
Typical (without charging the internal 0.35 A
battery)
Maximum (with auxiliary power sock- 12 A
ets)
At 110 V~
Standby 0.55 A
Typical (without charging the internal 0.65 A
battery)
Maximum (with auxiliary power sock- 12 A
ets)
Power consumption
Standby 55 W
Typical 70 W
Maximum 2.2 kW
Inrush current
With isolation transformer Approximately 26 to 48 A peak
Approximately 18 to 34 A quasi-RMS
Without isolation transformer Approximately 8 to 14 A peak
Approximately 6 to 10 A quasi-RMS

Instructions for use Perseus A500 SW 1.1n 217


Technical data

Operation characteristic values (continued)

Internal battery
Type Lead-gel battery
Sealed, maintenance-free
Capacity 7.2 Ah
Voltage 24 V
Fuse F15A 80V UL248
Current Maximum 15 A
Backup time with new and fully charged bat-
tery
Minimum 30 minutes
Typical 150 minutes
Charging time (to reach full power) At least 8 hours
Charging power Maximum 50 W
Gas supply
Gas quality
Oil content <0.1 mg/m3
Dew point 5 °C (41 °F) at ambient temperature
Particle size Dust-free air (filtered with pore size <1 μm)
Supply pressure for O2, Air, N2O 2.7 to 6.9 kPa x 100 (or 39 to 100 psi)
Maximum short term peak inlet flows at
6.9 kPa x 100 (or 100 psi) supply pressure
O2 135 L/min
Air
Without suction unit 50 L/min
Including a directly connected Dräger 130 L/min
ejector suction unit
N2O 40 L/min
Drive gas Not needed
Gas supply connection Depending on configuration: DIN, NIST, DISS,
Air Liquide, SIS
Gas cylinders (dimensions)
Diameter 100 to 140 mm (3.94 to 5.51 in)

218 Instructions for use Perseus A500 SW 1.1n


Technical data

Operation characteristic values (continued)

Maximum height 830 mm (32.68 in)


750 mm (29.52 in) for versions with hanger
yokes for gas cylinders with pin-index connec-
tion
Pressure reducers
Version Single-stage pressure reducers
Permissible inlet pressure range (PV)
Air, O2 11 to 200 kPa x 100
N2O 11 to 60 kPa x 100
Nominal outlet pressure (PA) Fixed setting
See "Flow characteristics"
Due to design, outlet pressure rises as cylinder
pressure falls.
Air, O2
With pre-pressure PV = 11 kPa x 100 4.75 kPa x 100 ±50 kPa
and nominal flow QN = 80 L/min
With pre-pressure PV = 200 kPa x 4.55 kPa x 100 ±50 kPa
100 and nominal flow QN = 80 L/min
N2O
With pre-pressure PV = 11 kPa x 100 5.2 kPa x 100 ±50 kPa
and nominal flow QN = 65 L/min
With pre-pressure PV = 60 kPa x 100 4.95 kPa x 100 ±50 kPa
and nominal flow QN = 65 L/min
Nominal flow
Air, O2 QN = 80 L/min
N2O QN = 65 L/min
Performance data See "Flow characteristics"
Relief valve
Opening pressure (7.5+0.5) kPa x 100
Minimum flow 220 L/min Air
Input connections Complying with either
EN 850, ISO 407
DIN 477 T1
NF E 29-650
BS 341; Part 1
NBN 226

Instructions for use Perseus A500 SW 1.1n 219


Technical data

Operation characteristic values (continued)

Noise emissions from device Free field measurements complying with


ISO 3744
Average sound pressure level Leq(A) during ≤42 dB(A)
ventilation with typical settings
Sound pressure level L(A) of the alarm tones
at the workstation, measured according to
IEC 60601-1-8 Edition 2.1:
Alarm tone sequence IEC
Alarm tone volume (high priority) Settable from approximately 52 dB(A) to 70
dB(A)
Alarm tone volume (medium priority) Settable from approximately 51 dB(A) to 69
dB(A)
Alarm tone volume (low priority) Settable from approximately 50 dB(A) to 68
dB(A)
Auxiliary alarm ≥55 dB(A) and ≤75 dB(A)
Mains supply failure alarm ≥55 dB(A) and ≤75 dB(A)
Dimensions (can deviate with accessory equip-
ment)
Width 1150 mm (45.23 in)
Altitude 1480 mm (58.27 in)
Depth 790 mm (31.1 in)
Weight
Nominal configuration consisting of trolley approx. 160 kg (353 lbs)
version with isolation transformer, electronic
3-gas gas mixer, screen mounted centrally
on the column, plug-in connections for 2
vaporizers, Vapor View option, breathing
system, CLIC adapter and CLIC absorber,
breathing hoses, central supply hoses (5 m
(16.4 ft)), suction hose (5 m (16.4 ft))
Various attached parts (e.g., baskets, flexi- approx. 10 kg (22 lbs)
ble breathing bag holder, handles, vaporizer
parking holders, cylinder pressure reducers,
cylinder holders)
Hanger yokes with pin-index connection + approximately 3 kg (7 lbs)
Plug-in connection for 3 vaporizers with + approximately 3 kg (7 lbs)
Vapor View option
Mechanically controlled gas mixer + approximately 3 kg (7 lbs)

220 Instructions for use Perseus A500 SW 1.1n


Technical data

Operation characteristic values (continued)

Drawer module (standard) + approximately 12 kg (26 lbs)


Drawer module (large) + approximately 16 kg (35 lbs)
Endotracheal suction with swivel arm and + approximately 6 kg (13 lbs)
accessories
Permissible total weight approx. 330 kg (728 lbs)
Electromagnetic compatibility in compliance Tested in compliance with IEC 60601-1-2
with Directive 89/336/EEC
Protection classes
Device I, in compliance with IEC 60601-1
Applied parts (connections for breathing TYPE BF
hoses)
Penetration of liquids IP20 in compliance with IEC 60529,
fulfills IEC 60601-2-13
Classification in compliance with Directive II b
93/42/EEC, Annex IX
UMDNS Code Universal Medical Device 10-134
Nomenclature System - nomenclature system
for medical devices
GMDN Code Global Medical Device Nomencla- 37710
ture - worldwide nomenclature for medical
devices
Use of latex Perseus is not made with natural rubber latex.

Device outlets

Serial ports COM 1 and COM 2;


Only connect devices that meet the require-
ments of IEC 60950-1 for ungrounded SELV cir-
cuits and the requirements of IEC 60601-1 (as
of the 2nd edition) for touchable secondary cir-
cuits with a maximum nominal voltage of 24
VDC.
Protocol MEDIBUS.X
Alarm delay time Typically <2 s
Connector 9-way Sub-D
Baud rate 1200, 2400, 4800, 9600, 19200, 38400 baud

Instructions for use Perseus A500 SW 1.1n 221


Technical data

Device outlets (continued)

Data bits 8
Parity Even
Stop bits 1
Pin assignment
Pin 1 n/c
Pin 2 RXD
Pin 3 TXD
Pin 4, 6 Pins 4 and 6 are connected internally
Pin 5 SHLD-GND
Pin 7, 8 Pins 7 and 8 are connected internally
Pin 9 n/c
Housing SHLD-GND
USB interface Only connect passive storage media, i.e.
devices that do not have a separate power sup-
ply.
Type USB type A plug; USB 1.1
Supported devices USB flash drive from list of accessories format-
ted with FAT16 and FAT32
LAN interface Only for Dräger Remote Service
Only connect devices and/or networks that meet
the requirements of IEC 60950-1 for
ungrounded SELV circuits and the requirements
of IEC 60601-1 (as of the 2nd edition) for touch-
able secondary circuits with a maximum nomi-
nal voltage of 24 VDC.
Type RJ45 plug
Transfer speed 10BASE-T, IEEE 802.3 Clause 14.
Requires at least a CAT3 cable.
Connection for external workstation light Only for workstation lights approved by Dräger,
(optional) see "List of accessories".
Mains power sockets Observe maximum current per power socket,
total current for all power sockets, and permissi-
ble total leakage current.
Mains power sockets have no battery back-up
and are independent from the device switching
status.
Power sockets (version without isolation
transformer)

222 Instructions for use Perseus A500 SW 1.1n


Technical data

Device outlets (continued)

Power socket type IEC


Power sockets with protective ground 2 (maximum 3.15 A per power socket)
Power sockets without protective ground 2 (maximum 1 A per power socket)
Fuse type Fuses, T3,15AH250V IEC 60127-2/V and
T1AH250V IEC 60127-2/V, size 5 mm * 20 mm
Power sockets
(version with isolation transformer)
Power socket type Country-specific
Fuse type Electronic automatic circuit breakers: 4 x 3 A,
slow-blow fuse, for voltages up to 250 V and
breaking capacity 2000 A.
And 1 x 8 A, slow-blow fuse, for voltages up to
250 V and breaking capacity 2000 A, in each
case conforming to IEC 60934
Power sockets with protective ground 4 (maximum 3 A per power socket)
Total current Maximum 8 A
Main switch for isolation transformer and all
power sockets

Relevant standards

In addition to the standards listed here, this


medical device meets various other standards,
e.g., standards concerning special national
requirements.

IEC 60601-1 2nd ed. Part 1:


Medical electrical equipment General requirements for safety

IEC 60601-1-2 Part 1-2:


Medical electrical equipment General requirements for safety, Collateral stan-
dard: Electromagnetic compatibility; Require-
ments and tests

Instructions for use Perseus A500 SW 1.1n 223


Technical data

Relevant standards (continued)

IEC 60601-1-8 Part 1-8:


Medical electrical equipment General requirements for safety, Collateral stan-
dard: General requirements, tests and guidance
for alarm systems in medical electrical systems

IEC 60601-2-13 Part 2-13:


Medical electrical equipment Particular requirements for the safety of anaes-
thetic systems

ISO 8835-2 Part 2:


Systems for inhalational anaesthesia Anaesthetic breathing systems

ISO 8835-3 Part 3:


Systems for inhalational anaesthesia Transfer and receiving systems of active anaes-
thetic gas scavenging systems

ISO 8835-4 Part 4:


Anaesthetic vapour delivery devices

ISO 8835-5 Part 5:


Systems for inhalational anaesthesia Anaesthetic ventilators

ISO 21647 Particular requirements for the basic safety and


Medical electrical equipment essential performance of respiratory gas moni-
tors

For devices manufactured since July 2014, the


following also apply:
IEC 60601-1 3rd ed. Part 1:
Medical electrical equipment General requirements for basic safety and
essential performance

IEC 80601-2-13 Part 2-13:


Medical electrical equipment Particular requirements for basic safety and
essential performance of an anaesthetic work-
station

224 Instructions for use Perseus A500 SW 1.1n


Technical data

Relevant standards (continued)

ISO 80601-2-55 Part 2-55:


Particular requirements for basic safety and
essential performance of respiratory gas moni-
tors
IEC 60601-1-2 Part 1-2:
Medical electrical equipment General requirements for safety - Collateral
standard: Electromagnetic compatibility -
Requirements and tests

IEC 60601-1-8 Part 1-8:


General requirements for basic safety and
essential performance - Collateral standard:
Alarm systems - General requirements, tests
and guidance for alarm systems in medical elec-
trical equipment and medical electrical systems

Instructions for use Perseus A500 SW 1.1n 225


Technical data

Diagrams

Pressure characteristics and flow characteristics of a breathing system without


breathing hoses and filters (conforming to ISO 8835-2 and ISO 80601-2-13)












3UHVVXUH>K3D FP+2 @





ದ                     

ದ

ದ

ದ

ದ

ದ

ದ

ದ

ದ

ದ

)ORZ>/PLQ@
10574

Pexsp [hPa (cmH2O)], ventilation drive inactive


Pexsp [hPa (cmH2O)] MAN / SPON
Pinsp [hPa (cmH2O)], ventilation drive inactive
Pinsp [hPa (cmH2O)] MAN / SPON

Resistance [hPa (cmH2O)]


Peak flow in
MAN / SPON
use [L/min]
Inspiratory Expiratory
Conforming to ISO 8835-2, dry, (at 60 L/min max- 60 –3.5 4.1
imum ±6.0 hPa (cmH2O)), including M30146
breathing circuit for adults, filled MX50115 reus-
able CO2 absorber and filter and MP01730 inspi- 30 –1.1 2.9
ratory filter

226 Instructions for use Perseus A500 SW 1.1n


Technical data

Resistance [hPa (cmH2O)]


Peak flow in
MAN / SPON
use [L/min]
Inspiratory Expiratory
Conforming to ISO 8835-2, dry, including
M27542 breathing circuit for pediatric patients,
15 –0.7 3.0
filled MX50115 reusable CO2 absorber and filter
and MP01735 inspiratory filter
Conforming to ISO 8835-2, dry, including
MP00333 breathing circuit for neonates, filled
2.5 1.1 1.7
MX50115 reusable CO2 absorber and filter and
MP01735 inspiratory filter
60 –1.1 3.4
Conforming to ISO 8835-2, dry, with filled 30 –0.4 2.6
MX50115 reusable CO2 absorber and filter but
without breathing circuit and inspiratory filter 15 0.6 2.0
2.5 1.0 1.7

Response times in event of concentration changes

Typical response times (T0...90) for an oxygen


concentration change from 21 Vol% to 100 Vol% at
the following fresh-gas flows:

2 L/min 4 L/min 8 L/min O2 flush


Test lung for adults (MP02400), breathing circuit
(MP00300), breathing bag 2 L (MP00222) 712 s 174 s 32 s 9s
VT=500 mL, RR=10 /min, I:E=1:2
Test lung for neonates (8410079), breathing cir-
cuit (MP00333), breathing bag 1 L (MP00383) 91 s 64 s 46 s 7s
VT=30 mL, RR=30 /min, I:E=1:1

Instructions for use Perseus A500 SW 1.1n 227


Technical data

Flow characteristic curves for pressure reducers

Pressure reducers for O2 and Air

>N3D[@

4>/PLQ@

10579
PA Pressure [kPa x 100]
Q Flow [L/min]
P2 Outlet pressure with pre-pressure PV = 200 kPa x 100 (2901 psi)
P3 Outlet pressure with pre-pressure PV = 11 kPa x 100 (160 psi)

228 Instructions for use Perseus A500 SW 1.1n


Technical data

Pressure reducer for N2O

>N3D[@

4>/PLQ@

10581
PA Pressure [kPa x 100]
Q Flow [L/min]
P2 Outlet pressure with pre-pressure PV = 60 kPa x 100 (870 psi)
P3 Outlet pressure with pre-pressure PV = 11 kPa x 100 (160 psi)

EMC declaration

General information The medical device must only be used adjacent to


or stacked with other devices when the
The EMC conformity of the device has been configuration is approved by Dräger. When use
evaluated in conjunction with the external cables, adjacent to or stacked with other devices is
transducers, and accessories specified in the list of absolutely necessary without the configuration
accessories. Other accessories which do not affect being approved by Dräger, the correct operation of
EMC conformity may be used if no other reasons the device in this configuration must be tested
forbid their use (see other sections of these before the product is used. In any case, strictly
instructions for use). The use of non-compliant observe the instructions for use of the other
accessories may result in increased emissions or devices.
decreased immunity of the medical device.

Instructions for use Perseus A500 SW 1.1n 229


Technical data

Electromagnetic transmission

Electromagnetic environment
The medical device is intended for use in an
electromagnetic environment as specified in the
following. The user must ensure that the medical
device is used in such an environment.

Transmissions Complies with Electromagnetic environment


High frequency transmission Group 1 The medical device only uses high fre-
(CISPR 11) quency energy for its internal func-
tions. Therefore its high frequency
transmission is very low and it is
unlikely that adjacent electronic
devices are impaired.
Class A The medical device is not specified for
Harmonic emissions Not applicable operation in residential buildings and
(IEC 61000-3-2) such equipment as is directly (without
transformer) connected to the same
Emissions of voltage fluctuations Not applicable low voltage network as the residential
and flicker (IEC 61000-3-3) building.

Electromagnetic immunity

The medical device is intended for use in an


electromagnetic environment as specified below.
The user must ensure that the medical device is
used in such an environment.

Immunity against IEC 60601-1-2 test Compliance level Electromagnetic environ-


level (medical device) ment
Electrostatic discharge Contact discharge: ±6 kV Floors should be wood, con-
(ESD) ±6 kV crete, or ceramic tiles. If
(IEC 61000-4-2) Air discharge: ±8 kV ±8 kV floors are covered with syn-
thetic material, the relative
humidity should be at least
30 %.
Electrical fast tran- Power supply lines: ±2 kV Mains voltage quality should
sients/bursts ±2 kV be that of a typical commer-
(IEC 61000-4-4) Longer input lines/out- ±1 kV cial or hospital environment.
put lines: ±1 kV
Surges Common mode: ±2 kV ±2 kV Mains voltage quality should
(IEC 61000-4-5) Differential mode: ±1 kV ±1 kV be that of a typical commer-
cial or hospital environment.

230 Instructions for use Perseus A500 SW 1.1n


Technical data

Immunity against IEC 60601-1-2 test Compliance level Electromagnetic environ-


level (medical device) ment
Magnetic field with sup- 3 A/m 3 A/m Power frequency magnetic
ply frequency fields should be at levels
(50/60 Hz) characteristic of a typical
(IEC 61000-4-8) commercial or hospital envi-
ronment.
Voltage dips and short Voltage dip >95 %, >95 %, Mains voltage quality should
interruptions of supply 0.5 periods 0.5 periods be that of a typical commer-
voltage Voltage dip 60 %, 60 %, cial or hospital environment.
(IEC 61000-4-11) 5 periods 5 periods If the user of the medical
device requires continued
Voltage dip 30 %, 30 %, operation during mains
25 periods 25 periods power supply interruptions,
Voltage dip >95 %, >95 %, it is recommended that the
5 seconds 5 seconds medical device is powered
from an uninterruptible
power supply or a battery.
Radiated radio fre- 80 MHz to 2.5 GHz: 10 V/m Recommended minimum
quency disturbance 10 V/m distance to portable and
(IEC 61000-4-3) mobile radio frequency
transmitters with transmis-
sion power PEIRP to the
medical device including its
lines:1)
Pၮ3(,53>ZDWWV@
IWၮ3(,53>ZDWWV@ 
Conducted radio fre- 150 kHz to 80 MHz: 10 V Recommended minimum
quency disturbance 10 V inside ISM distance from portable and
(IEC 61000-4-6) bands2) mobile radio frequency
150 kHz to 80 MHz: 3V transmitters with transmis-
3 V outside ISM sion power PEIRP to the
bands2) medical device including its
lines: 1)
Pၮ3(,53>ZDWWV@
IWၮ3(,53>ZDWWV@ 
1) For PEIRP, insert the highest possible "equivalent isotropic radiated power" of the adjacent radio frequency transmitter. In
the vicinity of equipment marked with the symbol , interference can occur. Field strengths from fixed, portable, or mobile
radio frequency transmitters at the location of the medical device should be less than 3 V/m in the frequency range from
150 kHz to 2.5 GHz and less than 1 V/m above 2.5 GHz.
2) ISM bands in this frequency range are: 6.765 MHz to 6.795 MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to
27.283 MHz; 40.66 MHz to 40.70 MHz.

Instructions for use Perseus A500 SW 1.1n 231


Technical data

Recommended safety clearance for portable and mobile high-frequency


communication equipment

The safety clearances listed in the following


comply with IEC 60601-1-2.

Max. PEIRP 150 kHz to 2.5 GHz All other frequen- Examples
(watts) cies
0.03 0.32 m (1.1 ft) 0.96 m (3.2 ft) WLAN 5250 / 5775 (Europe)
0.10 0.58 m (1.9 ft) 1.8 m (5.9 ft) WLAN 2440 (Europe)
0.17 0.76 m (2.5 ft) 2.3 m (7.6 ft) Bluetooth, RFID 2.5 GHz
0.20 0.82 m (2.7 ft) 2.5 m (8.2 ft) WLAN 5250 (not in Europe)
0.25 0.92 m (3.0 ft) 2.8 m (9.2 ft) UMTS mobiles
0.41 1.2 m (3.9 ft) 3.5 m (12 ft) Cordless DECT devices
0.82 1.7 m (5.6 ft) 5.0 m (16 ft) RFID 13.56 MHz
1.00 1.8 m (5.9 ft) 5.5 m (18 ft) WLAN 5600 (not in Europe)
1.64 2.4 m (7.9 ft) 7.1 m (23 ft) GSM 1800 / GSM 1900
3.3 3.3 m (11 ft) 10 m (33 ft) GSM 900 mobile phones, RFID 868 MHz

Reduced safety clearance for portable


and mobile high-frequency
communication equipment

The safety clearances listed below are the result of


tests that Dräger has performed to determine the
minimum necessary safety clearances. These
reduced safety clearances apply only to mobile
high-frequency communication equipment that
uses the standards specified.

Mobile high-frequency communication equipment with ... Safety clearance


GSM 850, GSM 900, RFID 868 (limited to 2 W ERP) 0.30 m (12 in)
GSM 1800, GSM 1900 (limited to 1 W ERP) 0.30 m (12 in)
UMTS, DECT (limited to 0.25 W ERP) 0.15 m (6 in)
Bluetooth, WLAN 2450, RFID 2450 (limited to 0.1 W ERP) 0.30 m (12 in)

232 Instructions for use Perseus A500 SW 1.1n


Technical data

Emission of high-frequency energy Dräger hereby declares that the RFID components
comply with the basic requirements and the other
This medical device is equipped with an RFID pertinent regulations of Directive 1999/5/EC.
system for wireless communication with Infinity ID A copy of the declaration of compliance can be
accessories. obtained through the local distribution company.
This medical device has been designed and
manufactured so that emission limit values for
high-frequency energy are not exceeded. These
limit values are incorporated in international safety
standards like IEC 60601-1-2 which have been
defined by regulation authorities, such as the
Federal Communications Commission (FCC
Rules), Industry Canada (Radio Standards
Specifications), and the European
Telecommunications Standards Institute (ETSI
standards).
The RFID system of this medical device complies
with Part 15 of the FCC regulations and its
operation is subject to the following conditions:
1 This medical device does not cause any
harmful interference.
2 The medical device will not suffer damage
when receiving interference, including
interference causing undesired operating
conditions.

Device combinations

This device can be operated in combination with controlled functions)


other Dräger devices or with devices from other – IEC 60601-1-2 (electromagnetic
manufacturers. Observe the accompanying compatibility)
documents of the individual devices.
– IEC 60601-1-8 (alarm systems)
If a device combination is not approved by Dräger,
Or:
the safety and the functional state of the individual
devices can be compromised. The operating – IEC 60601-1, 2nd edition (general
organization must ensure that the device requirements for safety)
combination complies with the applicable editions – IEC 60601-1-1 (device combinations)
of the relevant standards for medical devices. – IEC 60601-1-2 (electromagnetic
Device combinations approved by Dräger meet the compatibility)
requirements of the following standards: – IEC 60601-1-4 (software-controlled
– IEC 60601-1, 3rd edition (general requirements functions)
for safety, device combinations, software- – IEC 60601-1-8 (alarm systems)

Instructions for use Perseus A500 SW 1.1n 233


Technical data

Connections to IT networks

Data can be exchanged across an IT network by Information on connecting to the


using hard-wired and wireless technologies. An IT network
network can be any data interface (e.g., RS232,
LAN, USB, printer interface) that is described in
standards and conventions. Prerequisites

During operation, this device can exchange This device must only be connected to the network
information with other devices and support the by service personnel. The IT representative of the
following functions by means of IT networks: hospital must be consulted in advance.
– Display of waveforms and parameter data The following documents must be followed:
– Signaling of alarms – Accompanying documents of this device
– Recording, storing – Description of the network
– Transfer of device settings and patient data – Description of the network-based alarm
systems
– Service mode, access to logbooks
Dräger recommends observing IEC 80001-1 (risk
Connecting this device to a network that
management for IT networks with medical
incorporates other devices or making subsequent
devices).
changes to that network can lead to new risks for
patients, users, and third parties. Before the device
is connected to the network or the network is LAN networks
changed, these risks must be identified, analyzed,
– LAN networks are usually configured in a star
and evaluated, and appropriate measures taken.
topology. Individual devices can be combined
Examples of subsequent changes to the network: into groups by means of layer-n switches.
– Changing the network configuration Other data traffic is decoupled by means of
separate VLAN networks. Configure the
– Removing devices from the network network settings of the device in accordance
– Adding new devices to the network with these instructions for use and the network
specifications.
– Performing upgrades or updates on devices
that are connected to the network – Specifications for LAN connections are
described in the following standards:
– Hard-wired networks: IEEE 802.3
– Wireless networks: IEEE 802.11 (b, g, n)
– If the device is used with a layer-2 switch or a
layer-3 switch, the port settings on the network
switch must be configured. Before the device is
shipped, Dräger can configure the network
settings of the device so that they correspond
with the specifications of the operating
organization.
– The network must support the following – Unicast (static or dynamic addressing with
transmissions and protocols: the ARP or RARP network protocols)
– TCP/IP

234 Instructions for use Perseus A500 SW 1.1n


Technical data

VLAN networks – Without firewall and antivirus software:


If data is exchanged within a single physical – Data are not protected.
network and a clinical information system is being – Device settings are changed.
used, an independent VLAN network must be set – Data are sent incomplete, sent to the wrong
up for the information system. Furthermore, at device, or not sent at all.
least one of the following independent VLAN
networks must be set up: – Patient data are intercepted, falsified, or
damaged.
– Network for medical devices for intrahospital
use – Data have incorrect time stamps.

– Network for portable patient monitors – An overload of the device due to very high
network loading (e.g., caused by denial-of-
service attacks) can lead to deactivation of the
Serial ports interface. The interface will only be available
The following interfaces are supported: again after the device has been restarted. In
rare cases, a warm boot may take place and
– RS232 interfaces conforming to EIA RS-232 may occur repeatedly.
(CCITT V.24/V.28) for the following
applications
– MEDIBUS.X Requirements for the electrical characteristics

– Interfaces based on USB 1.1 (e.g., USB flash The LAN interfaces and the serial interfaces are
drive) only suitable for connection of devices or networks
that have a nominal voltage of at most 24 V DC on
the network side and that meet the requirements of
Consequences of using an unsuitable network one of the following standards:
If the network does not meet the requirements, – IEC 60950-1: Ungrounded SELV circuits
hazardous situations can result. The following
– IEC 60601-1 (as of 2nd edition): Touchable
situations can occur with this device:
secondary circuits
– Due to an insecure decentralized alarm
system:
– Alarms are not transmitted.
– Alarms or data are transmitted with a delay.
– False alarms are triggered.
– During an interruption of the network
connection:
– Alarms are not transmitted.
– Suppressed alarms or alarm tones are not
reactivated, but remain suppressed.

Instructions for use Perseus A500 SW 1.1n 235


Technical data

Software license compliance (optional)

If the medical device was purchased with the


Vapor View option, portions of the device software
use open-source software which is published
under GPL, LGPL, or a proprietary license.
This particularly concerns the operating system
"Linux", the software tool "BusyBox", the libraries
"GNU C Library" and "The Independent JPEG
Group's JPEG software". The source text of the
software used can be obtained on CD/DVD from
Dräger Sales by stating the keyword "Open Source
Software Perseus".
If the Vapor View option was purchased, the
license regulations for this software are enclosed
with the medical device in the original text on a
separate sheet.

236 Instructions for use Perseus A500 SW 1.1n


Principles of operation

Principles of operation

Description of the ventilation modes .......... 238


Meaning and function of the therapy controls.. 238
Degree of respiratory support.......................... 239
Ventilation modes and effective parameters ... 239
Pressure-supported ventilation........................ 242
Pressure-controlled ventilation ........................ 243
Press. Ctrl. APRV (optional) ............................ 244
Volume-controlled ventilation .......................... 245
Minimum O2 delivery..................................... 247

Influence of patient category, weight, and


age on device behavior................................. 248
Influence of patient category ........................... 248
Influence of the ideal patient weight and patient
height............................................................... 248
Influence of the patient age ............................. 248
Infinity ID accessory support ....................... 248
Infinity ID functionality...................................... 248
Schematic diagram of alarm tones .............. 250
Tone sequence for various alarm priorities ..... 250
Tone signals during operation ......................... 250
Combination lock on the drawer (optional) 251
Opening the combination lock ......................... 251
Changing the combination............................... 251
Loss of the combination................................... 252

Instructions for use Perseus A500 SW 1.1n 237


Principles of operation

Description of the ventilation modes

Meaning and function of the therapy controls

Therapy controls Meaning / Function


%Tplat Plateau time as a percentage of the inspiratory time Ti in Volume Control - CMV
mode
Insp. term. When the flow falls below this flow value (in % of the measured peak flow), a
supported breath is interrupted.
PEEP/CPAP Positive end-expiratory pressure / Continuous Positive Airway Pressure
Pressure that is always maintained.
∆Psupp Pressure difference of a pressure-supported breath between PEEP level and
inspiratory pressure.
This pressure support is only available if spontaneous-breathing support (Sync.
on) is switched on. Switching on the pressure support in the Pressure Control -
BIPAP and Volume Control - SIMV / AF controlled ventilation modes adds the "/
PS" extension to the ventilation mode.
Phigh Upper pressure level in APRV
Pinsp Inspiratory pressure
Plow Lower pressure level in APRV
Pmax Upper pressure level at which a breath is interrupted.
RR Respiratory rate
RRapn Minimum respiratory rate of supported breaths that is applied in Pressure Sup-
port mode.
Sync. on/Sync. off Switching spontaneous respiratory support on / off
Switching on the synchronization changes the ventilation mode from CMV to
BIPAP (in pressure-controlled ventilation) or SIMV (in the Vol. Ctrl. AutoFlow
mode).
When synchronization is switched on, mandatory breaths are synchronized with
the patient's breathing effort. The respiratory rate RR is held constant by adapt-
ing the mandatory breaths and the expiratory time. At the end of the expiratory
phase, an inspiratory trigger window is activated so that the mandatory breath
can be initiated prematurely by up to 5 seconds (patient category Adult) or
1.5 seconds (patient categories Ped and Neo). If the spontaneous inspiratory
flow reaches the set value of the flow trigger Trigger sens. during this trigger win-
dow, a premature mandatory breath is triggered.
If no spontaneous breathing is detected within the inspiratory trigger window, a
mandatory breath will be triggered immediately afterwards.

238 Instructions for use Perseus A500 SW 1.1n


Principles of operation

Therapy controls Meaning / Function


Trigger sens. Flow that, when exceeded, triggers a supported breath
Thigh Period of time in APRV during which the upper pressure level is maintained.
Ti Inspiratory time
Tlow Period of time in APRV during which the lower pressure level is maintained.
Slope Period of time during which the PEEP or CPAP pressure increase to the inspira-
tory pressure or Pressure Support pressure. This time determines the steepness
of the rise in pressure from the lower to the upper level.
VT Tidal volume

Degree of respiratory support

Respiratory support Ventilation mode


None Standby, Pause, Ext. FG outlet
Low MAN / SPON , CPAP , CPAP / Pressure Support with ∆Psupp <5 hPa
(cmH2O)
Medium CPAP / Pressure Support with ∆Psupp ≥5 hPa (cmH2O)
High Volume-controlled modes
Pressure-controlled modes

Ventilation modes and effective parameters

Additional parame-
Base parameters ters
Group Tab Ventilation mode
(normal therapy bar) (expanded therapy
bar)
Manual ventila- MAN / SPON Manual / Spontaneous CPAP1)
tion / Sponta-
neous
breathing
Pressure-sup- Pressure CPAP / Pressure Sup- Trigger sens. Insp. term.
ported ventila- Support1) port ∆Psupp
tion RRapn
PEEP
Slope

Instructions for use Perseus A500 SW 1.1n 239


Principles of operation

Additional parame-
Base parameters ters
Group Tab Ventilation mode
(normal therapy bar) (expanded therapy
bar)
Pressure-con- Pressure Pressure Control - CMV Pinsp Slope
trolled ventila- Control RR
tion PEEP
Ti
Sync. off
Pressure Control - Pinsp Trigger sens.
BIPAP ∆Psupp1) = Off Slope
RR
PEEP
Ti
Sync. on
Pressure Control - Pinsp Trigger sens.
BIPAP / PS1) ∆Psupp1) >0 Insp. term.1)
RR Slope
PEEP
Ti
Sync. on
Press. Ctrl. Pressure Control - Phigh
APRV2) APRV Thigh
Slope
Plow
Tlow

240 Instructions for use Perseus A500 SW 1.1n


Principles of operation

Additional parame-
Base parameters ters
Group Tab Ventilation mode
(normal therapy bar) (expanded therapy
bar)
Volume-con- Vol. Ctrl. Aut- Volume Control - CMV / Pmax Slope
trolled ventila- oFlow AF VT
tion RR
PEEP
Ti
Sync. off
Volume Control - SIMV / Pmax Trigger sens.
AF VT ∆Psupp1) = Off
RR Slope
PEEP
Ti
Sync. on
Volume Control - SIMV / Pmax Trigger sens.
AF / PS1) VT ∆Psupp1) >0
RR Insp. term.1)
PEEP Slope
Ti
Sync. on
Volume Con- Volume Control - CMV Pmax %Tplat
trol VT
RR
PEEP
Ti
1) Required software option Pressure Support
2) Required software option APRV

Instructions for use Perseus A500 SW 1.1n 241


Principles of operation

Pressure-supported ventilation

Pressure Support (optional)

Paw ∆Psupp

PEEP

Slope 7LPH
1/RRapn
Flow

Trigger sens.
Insp. term.

7LPH

SDWLHQWWULJJHUHGEUHDWK PDFKLQHWULJJHUHGEUHDWK
10563

CPAP / Pressure Support (optional) Patient-triggered breaths are ended as soon as the
inspiratory flow falls below the flow defined by the
– Spontaneous breathing
Insp. term. setting. The duration of a machine-
– Spontaneous breathing with continuous triggered breath is additionally determined by the
positive pressure level with or without pressure patient category and the set minimum respiratory
support rate RRapn.
Each detected inspiratory effort at CPAP level Purely spontaneous breathing at CPAP level is
induces a patient-triggered, flow-controlled, and achieved by setting ∆Psupp=Off. In this case the
pressure-supported breath. Point in time, number, patient does not receive any more machine-
and duration of pressure-supported breaths are triggered breaths.
determined by the patient. When no inspiratory
effort is detected, mechanical breaths are
delivered at the set minimum respiratory rate
RRapn and pressure support ∆Psupp.

242 Instructions for use Perseus A500 SW 1.1n


Principles of operation

Pressure-controlled ventilation

Pressure Control

Paw Pinsp 7ULJJHUZLQGRZ


LQVS
PEEP
∆Psupp

Slope Slope 7LPH

Ti
1/RR

Flow
Trigger sens. Trigger sens.

Insp. term.

7LPH

PDFKLQHWULJJHUHGEUHDWK SDWLHQWWULJJHUHGEUHDWK

10562
Pressure Control - CMV Pressure Control - BIPAP
– Pressure-controlled – Pressure-controlled
– Time-controlled – Time-controlled
– Machine-triggered – Machine-triggered
The mandatory breaths are machine-triggered and – Synchronized to inspiration
are not triggered by the patient. In Pressure Control - BIPAP, the patient can
breathe spontaneously at any time, while the
number of mandatory breaths is predefined. When
synchronization is switched on, the breaths are
adapted to the spontaneous breathing efforts of
the patient. If spontaneous breathing effort by the
patient is detected during the inspiratory trigger
window, a patient-triggered breath will be initiated.

Instructions for use Perseus A500 SW 1.1n 243


Principles of operation

Pressure Control - BIPAP / PS (optional)


This mode is similar to Pressure Control - BIPAP,
except that the patient's spontaneous breathing at
the PEEP level during the expiratory phase is
pressure-supported with ∆Psupp when outside the
trigger window.

Press. Ctrl. APRV (optional)

Paw Phigh

Plow

Slope 7LPH

Thigh Tlow

Flow

7LPH
10561

Pressure Control - APRV In Pressure Control - APRV, the patient's


spontaneous breathing occurs at the upper
– Pressure-controlled
pressure level Phigh. This pressure level is
– Time-controlled maintained for the duration Thigh.
– Machine-triggered The number of pressure releases is determined by
– Spontaneous breathing at continuous positive the Thigh and Tlow settings. The releases are
airway pressure with short pressure releases time-controlled and are not triggered by the
patient. The duration is determined by Tlow.

244 Instructions for use Perseus A500 SW 1.1n


Principles of operation

Volume-controlled ventilation

Compliance correction
The applied VT is corrected by the determined
breathing hose compliance, i.e., an additional
volume is delivered in order to ensure the
application of the volume to the patient. The
applied VT is also corrected by the sampling flow
of the built-in patient-gas measurement module as
soon as CO2 respiratory phases are detected.

Volume Control

Paw
Pmax

PEEP

%Tplat 7LPH

Ti
1/RR

Flow

7LPH
10558

Volume Control - CMV – Constant inspiratory flow


– Volume-controlled In this volume-controlled ventilation mode, the
– Pressure-limited patient receives the set tidal volume VT with each
mandatory breath.
– Time-controlled
– Machine-triggered

Instructions for use Perseus A500 SW 1.1n 245


Principles of operation

Vol. Ctrl. AutoFlow

Paw 7ULJJHUZLQGRZ
LQVS
PEEP
Pmax
∆Psupp

7LPH
Slope Slope
Ti
1/RR

Flow

Trigger sens. Trigger sens.

Insp. term.

7LPH

PDFKLQHWULJJHUHGEUHDWK SDWLHQWWULJJHUHGEUHDWK
10560

With AutoFlow, the set tidal volume VT is applied starting a ventilation mode with AutoFlow in order
for all mandatory volume-controlled breaths with to estimate the lung parameters. The inspiratory
the lowest required pressure. The patient can pressure required at the start is determined from
breathe spontaneously throughout the entire this test breath. Each additional breath-related
respiratory cycle, during both inspiration and readjustment of the inspiratory pressure is limited
expiration. The pressure patterns and flow patterns to ±3 hPa (cmH2O). The pressure difference
of the mechanical inspiratory breaths correspond (inspiratory pressure - PEEP) is at least 5 hPa
to those of pressure-controlled ventilation. (cmH2O) and the upper inspiratory pressure limit is
set by Pmax. If the setting for VT is reduced, the
Due to the patient's spontaneous breathing efforts
inspiratory pressure will be reduced by a greater
or compliance changes in the lungs, the tidal
amount if necessary.
volume in an individual breath may deviate from
the set tidal volume VT. However, on a time
average a tidal volume corresponding to the set
volume VT is applied.
If no automatic ventilation has previously taken
place, a volume-controlled test breath with
constant inspiratory flow is performed when

246 Instructions for use Perseus A500 SW 1.1n


Principles of operation

Volume Control - CMV / AF In Volume Control - SIMV / AF, the patient can
breathe spontaneously at any time, while the
– Volume-controlled
number of mandatory breaths is predefined. When
– Pressure-limited synchronization is switched on, the breaths are
– Time-controlled adapted to the spontaneous breathing efforts of
the patient. If spontaneous breathing effort by the
– Machine-triggered
patient is detected during the inspiratory trigger
– Decelerating inspiratory flow window, a patient-triggered breath will be initiated.
The mandatory breaths are machine-triggered and
are not triggered by the patient. Volume Control - SIMV / AF / PS
This mode is similar to Volume Control - SIMV /
Volume Control - SIMV / AF AF, except that the patient's spontaneous
breathing at the PEEP level during the expiratory
– Volume-controlled
phase is pressure-supported with ∆Psupp when
– Pressure-limited outside the trigger window.
– Time-controlled
– Machine- or patient-triggered
– Synchronized to inspiration

Minimum O2 delivery

Electronically controlled gas Mechanically controlled gas


Carrier gas O2
mixer mixer
Minimum FG-O2
25 % 21 %
concentration
Configurable for each patient cat- Continuously adjustable with flow
egory, see page 137. control valves.

N2O If the N2O flow control valve is


When the minimum O2 delivery
open and the O2 flow control
Minimum O2 flow switches on, the FG O2 therapy
valve is closed or the O2 flow is
control turns yellow as does the
less than 200 mL/min, the mini-
active set value. If there is further
mum O2 delivery inhibits the N2O
change to the active set value,
flow. O2 will continue to be deliv-
the FG O2 therapy control will
ered in the event of an N2O fail-
then be automatically adjusted.
ure.
Minimum FG O2
Air 21 % 21 %
concentration

Instructions for use Perseus A500 SW 1.1n 247


Principles of operation

Influence of patient category, weight, and age on device behavior

Influence of patient category The calculated ideal patient weight affects:


– Start settings for tidal volume VT
– Alarm limits and start settings for therapy
– Start settings for respiratory rate RR
– Volumeter scale
– Start settings for VT and MV alarm limits
– Flow measurement and software algorithms to
suppress artifacts – Flow trigger

– Maximum duration of a pressure-supported VT and RR are only dependent on the ideal patient
breath weight when the Ideal body weight function is
selected in System setup > Therapy, see
page 135.
Influence of the ideal patient weight and Changing the patient weight during an automatic
patient height ventilation has no effect on the current ventilation
settings.
Ideal patient weight describes the portion of the
body that is relevant to setting the ventilation
parameters (patient body weight minus assumed Influence of the patient age
excess fat).
During operation, the set age influences:
In the Adult and Ped patient categories, the ideal
patient weight is calculated from the entered – Calculation of MAC value
patient height.
In the Neo patient category, the ideal patient
weight is equal to the entered patient weight.

Infinity ID accessory support

Perseus can be operated with accessories with Infinity ID functionality


Infinity ID functionality.
– Infinity ID breathing circuit WARNING
– Infinity ID WaterLock 2 water trap
If no Infinity ID accessories are used, the
– Infinity ID flow sensors additional functions such as exchange
– Infinity ID CLIC absorber interval monitoring and anti-interchange
security are not available.
The Infinity ID functionality can be configured, see
page 143.

248 Instructions for use Perseus A500 SW 1.1n


Principles of operation

This interval must be specified in accordance with


WARNING
the applicable hygiene regulations or the
Risk of incorrect values for resistance and requirements stated in the instructions for use of
compliance the corresponding accessory.
If an unused RFID accessory is in the WARNING
immediate vicinity of the device, values may
be transferred from this accessory. Risk of inappropriate operating life
Do not keep unused RFID accessories in the Exchange monitoring only considers the
vicinity of the device. absolute period of use and not the current
condition of the Infinity ID accessory and
CAUTION therefore does not excuse the user from
periodic checks of the accessory.
Risk of inappropriate compliance values
The exchange interval which can be set for
When accessories are added to an Infinity ID the exchange monitoring does not represent
breathing circuit, the values for compliance and a guarantee for the maximum period of use of
leakage may deviate from those saved on the the accessory.
breathing circuit.
Always perform the leakage and compliance Anti-interchange security
tests before starting therapy in order to determine
the actual values for compliance and resistance. WARNING
If the test cannot be performed because the
patient is already connected, particular attention Risk of interchanged or incorrect breathing
is required during ventilation. hoses
The Infinity ID function to prevent
CAUTION interchanging the breathing hoses does not
Malfunctions of the Infinity ID functionality excuse the user from checking the
accessories.
Particular EMC situations or defects in Infinity ID
components can cause permanent alarms. The Infinity ID function to prevent
interchanging does not represent a guarantee
To prevent distracting the user under these that the hoses are correctly connected.
circumstances, contact service personnel to
deactivate the Infinity ID alarms. When Infinity ID breathing hoses and Infinity ID
breathing bags are used, the incorrect connection
of breathing hoses and the breathing bag is
Exchange monitoring
detected and reported. Hoses that are incorrectly
An automatic monitoring of the period of life is connected with the breathing system trigger an
available for Infinity ID WaterLock 2 water traps, automatic alarm.
Infinity ID CLIC absorbers, Infinity ID breathing
circuits, and Infinity ID flow sensors.
An exceeded period of use is signaled during the
system test.
The exchange interval for the connected Infinity ID
accessories can be adjusted.

Instructions for use Perseus A500 SW 1.1n 249


Principles of operation

Schematic diagram of alarm tones

Tone sequence for various alarm priorities

Alarm priority Standard (according to IEC 60601-1-8) Repetitive

Warning Depending on the overall alarm situation, this tone sequence Yes
may be played as a 5-tone sequence due to the timing of the
individual alarms.

Caution Yes

Note No

The described acoustic alarm signals are handled


by a backup loudspeaker if the primary
loudspeaker fails. It plays the tone sequence of the
alarm priorities "Warning" and "Caution" at a
constant tone frequency and unchanged volume.

Tone signals during operation

When Signal
Therapy start or change of venti-
lation mode

Timeout

250 Instructions for use Perseus A500 SW 1.1n


Principles of operation

Combination lock on the drawer (optional)

The lower drawer on the large drawer module is 2 To open the combination lock, turn the knob to
provided with a combination lock. When delivered, OPEN.
the combination on the lock is set to 3333.

Opening the combination lock

20427
The combination lock is opened. The digit wheels
return automatically to 0000.
Alternatively, the combination lock can be opened
20425

with the supplied key. For information on the


1 Set the combination with the digit wheels. procedure, see ''Loss of the combination'' on
page 252.

Changing the combination


20426

20428

1 While the combination lock is open, set the


current combination.

Instructions for use Perseus A500 SW 1.1n 251


Principles of operation

20432
20429

2 Turn the knob to position C. 2 Turn the key counterclockwise to the final
position stop.
3 Set the new combination.

20433
20430

4 Turn the knob to CLOSE. 3 Turn the knob to OPEN. The digit wheels show
the current combination.
The new combination is stored.

Loss of the combination


20431

1 Insert the key.

252 Instructions for use Perseus A500 SW 1.1n


Annex

Annex

Abbreviations................................................. 254

Symbols.......................................................... 256

Product labels................................................ 259

Overview of the menu structure................... 261

Instructions for use Perseus A500 SW 1.1n 253


Annex

Abbreviations

Abbreviation Explanation Abbreviation Explanation


%, Vol % Percentage gas ratio, related to CISPR Comité International Spécial des
total volume Perturbations Radioélectriques,
A Ampere International Special Committee
on Radio Interference
Add. O2 Emergency O2 delivery
cmH2O Centimeters of water
AGS Anesthetic gas receiving system
CMV Continuous Mandatory Ventila-
AGSS Anesthetic gas scavenging sys- tion, continuous mandatory ven-
tem tilation
Air Medical compressed air CO Carbon monoxide
APL Adjustable Pressure Limitation, CO2 Carbon dioxide
adjustable pressure limitation
COM Serial interface
APRV Airway Pressure Release Venti-
lation CPAP Continuous Positive Airway
Pressure, continuous positive
ASA American Society of Anesthesi- airway pressure
ologists, american society of
anesthesiologists CSA Canadian Standards Agency

ATPS Ambient Temperature and Pres- dB(A) Decibel, rated sound level unit
sure, Saturated Des Desflurane
Ambient temperature and pres- EMC Electromagnetic compatibility
sure, 100 % relative humidity
Enf Enflurane
Aux. O2 O2 insufflation
ERR Display when a measured value
BIPAP Biphasic Positive Airway Pres- cannot be determined.
sure, spontaneous breathing
under continuous positive airway ESD Electrostatic Discharge, electro-
pressure with 2 different pres- static discharge
sure levels FG Fresh gas
BMI Body Mass Index FiO2 Inspiratory oxygen fraction
BTPS Body Temperature and Pres- FTP File Transfer Protocol
sure, Saturated
GPL General Public Licence
37 °C (98.6 °F), ambient pres-
sure, 100 % relative humidity Hal Halothane
CAL Display when a measurement HF High-frequency
value is calibrated. HME Heat and moisture exchanger
CBM mode Cardiac bypass mode HMEF HME filter
Cdyn Dynamic compliance (patient) hPa Hectopascal
Hz Hertz

254 Instructions for use Perseus A500 SW 1.1n


Annex

Abbreviation Explanation Abbreviation Explanation


I:E Ratio of inspiratory time to expi- Pmax Maximum pressure
ratory time Pmean Mean pressure
ID Identification Pplat Plateau pressure
Insp. term. Inspiration termination criterion ppm Parts per million
in % based on peak inspiratory
flow R Resistance
Iso Isoflurane RFID Radio Frequency Identification,
radio frequency identification
JPEG Image format
RR Respiratory rate
kg Kilogram
RRapn Minimum respiratory rate
L Liter
Sev Sevoflurane
LAN Local network
Slope Pressure rise time
lbs Pound; unit of mass
SNMP Simple Network Management
LED Light emitting diode Protocol
LGPL Lesser General Public Licence STAPD Standard Temperature, Ambient
MAC Minimum Alveolar Concentration Pressure, Dry
MAN/ SPON 20 °C (68 °F), ambient pres-
Manual ventilation / Sponta- sure, dry gas
Manual / Spon-
neous breathing
taneous STPD Standard Temperature and Pres-
mbar Millibar sure, Dry
20 °C (68 °F), 1013 hPa, dry gas
MEDIBUS.X Dräger communications proto-
col for medical devices with uni- TC Time constant
form data definition for all Ti Inspiratory time
devices UMDNS Universal Medical Device
min Minute Nomenclature System, nomen-
mL Milliliter clature for medical devices

mmHg Millimeter of mercury USB Universal Serial Bus, computer


interface
MV Minute volume
V Volt
N2O Nitrous oxide, dinitrogen monox-
ide VT Tidal volume

O2 Oxygen xMAC Accumulated multiple of the


MAC values of anesthetic agents
O2+ O2 flush and N2O
Pa Pascal; unit of pressure ∆O2 Difference between inspiratory
Paw Airway pressure and expiratory O2 concentration
PEEP Positive end-expiratory pressure ∆Psupp Pressure support above PEEP
Pinsp Inspiratory pressure
PIP Peak inspiratory pressure

Instructions for use Perseus A500 SW 1.1n 255


Annex

Symbols

Symbol Explanation Symbol Explanation

Manufacturer Patient categoryAdult

XXXX Date of manufacture Temporarily suppress acoustic


alarm signal
Information on disposal
Audio paused
WEEE label, Directive Acoustic alarm signal is tempo-
2002/96/EC rarily suppressed.
Consult instructions for use Alarm inactive
Warning! Strictly follow these
instructions for use Alarm temporarily inactive
Caution! Observe the accompa-
nying documentation! (symbol) Mains power

Attention! (safety sign)


Mains power unavailable

Group Views...
Battery completely charged

Group Trends/Data... Battery empty


Central gas supply connected
Group Alarms... and pressure within specified
range
Group System setup... Central gas supply not con-
nected or pressure not within
Group Start.../Standby... specified range
Device on/Standby
Gas cylinder full

Device switch On
Gas cylinder empty or gas cylin-
der valve turned off

Gas cylinder pressure sensor


Device switch Off not connected

Symbol for programmed


Patient categoryNeo Auto On
Key for switching on and off and
Patient categoryPed dimming the workplace illumina-
tion

256 Instructions for use Perseus A500 SW 1.1n


Annex

Symbol Explanation Symbol Explanation


Emergency O2 delivery Breathing bag
(Add. O2)
Applied part, protection class BF Vaporizer plug-in system, "fixed"
(Body Floating) position

Connection for potential equal- Auto Exclusion Plug-in connec-


ization tion
Closes the dialog window REF Order number

Upper alarm limit Serial number

Lower alarm limit LOT Batch designation

No alarm limit Use by


Spontaneous breathing activity
by the patient Keep away from sunlight
In lists: One line up
Temperature limitation
In lists: One line down
Relative humidity
In lists: One page up

Atmospheric pressure
In lists: One page down
Do not use if package damaged
Risk of crushing
Do not reuse
ESD warning label, observe the
warning statement, see ''Infor-
Spare part
mation on electromagnetic com-
patibility'' on page 9
LAN connection
Locked
USB connection
Unlocked
Identifies the interface for the
Inspiration workstation light
Identification on the breathing
system and the breathing sys- External fresh-gas outlet
tem cover
CO2 absorber bypass
Expiration
Identification on the breathing
Enter key
system and the breathing sys-
tem cover

Instructions for use Perseus A500 SW 1.1n 257


Annex

Symbol Explanation
Connection for Embedded Con-
trol Display
Indicates a changed view which
has not yet been saved
Identifies the tabs that lead to
the page with the language set-
tings.
Read the flow at the center of the
float.

Advanced Cylinder Support

Identifies N2O gas cylinders.


The color coding conforms to the
locally applicable standard.
Identifies O2 gas cylinders.
The color coding conforms to the
locally applicable standard.
Identifies Air gas cylinders.
The color coding conforms to the
locally applicable standard.
Gas outlet

Gas inlet

Display on the total flow tube


indicating the cumulative value
of the individual flows
MR unsafe
Do not use this device in the
vicinity of magnetic resonance
imagers.

258 Instructions for use Perseus A500 SW 1.1n


Annex

Product labels

Product label Explanation


When connecting auxiliary devices, be aware of
the leakage current.
Observe chapters ''Connecting additional devices''
and ''Technical data''.

Transport instructions, ''Transport within the hospi-


tal'' on page 47

Ensure that the control dial of the vaporizer is cor-


rectly positioned. Do not leave the control dial in
the "T" position while the vaporizer is connected to
the medical device.

Maintain the correct minimum distance of 200 mm


(8 in) between the electrical connections and the
gas cylinder.

Observe the weight of the nominal configuration


and the permissible total weight, see ''Technical
data''.

Instructions for use Perseus A500 SW 1.1n 259


Annex

Product label Explanation


Observe the correct flow of the anesthetic gas
receiving system, see 108.

260 Instructions for use Perseus A500 SW 1.1n


Annex

Overview of the menu structure

The following tables list the grouped buttons of the


main menu bar with the resulting dialog windows
of the same name and the tabs. Information on
operating see ''Operating concept'' on page 35.

Group

Button in main menu Horizontal tab Vertical tab Description


bar
Alarms... Limits Displaying or changing alarm limits
Current alarms Displaying information on active
alarms
Alarm history Viewing alarm history
Settings Setting the alarm tone volume
Activating or deactivating CO2 alarms1)
Switching CBM mode on or off1)
CO2 alarms off1),2) Deactivating CO2 alarms
Autoset limits1),3) Automatically adapts alarm limits to
current measured or set values
Exit CBM1),4) Exit CBM mode
1) Only during operation, not in Standby mode
2) Only in the following modes: Manual / Spontaneous, Ext. FG outlet, Pause
3) Only in the following modes: Pressure Support, Pressure Control, Pressure Control - APRV (optional), Volume
Control - CMV / AF, Volume Control - CMV
4) Only in CBM mode

Group

Button in main menu Horizontal tab Vertical tab Description


bar
Views...1) Switching to other configured views
Resetting current view to start settings
Displaying alarm limits, units, mini-
trends, and loops
View 1)
1 2 3

Switching between the 3 configured


View 1)
1 2 3

views.
View 1)
1 2 3

Export screenshot Exporting screenshots to USB flash


drive
1) Only during operation, not in Standby mode

Instructions for use Perseus A500 SW 1.1n 261


Annex

Group

Button in main menu Horizontal tab Vertical tab Description


bar
Trends/Data... Graphical trends Overview Displaying trends of measured values
Vent. 1 in graphic form

Vent. 2
Anesthesia
Tabular trends Overview Displaying trends of measured values
Vent. 1 in table form

Vent. 2
Anesthesia
Values Ventilation1) Displaying overview of current mea-
Gases 1) sured values

System
Logbook Displaying the logbook
Export2) Exporting data to USB flash drive
1) Only during operation, not in Standby mode
2) Only in Standby mode

Group

Button in main menu Horizontal tab Vertical tab Description


bar
System setup... Configuring device functions and start
settings, see page 126
Patient...1) Setting patient data
Test...2) Displaying test results
Testing the system
Flushing the breathing system
1) Only during operation, not in Standby mode
2) Only in Standby mode

262 Instructions for use Perseus A500 SW 1.1n


Annex

Group

Button in main menu Horizontal tab Vertical tab Description


bar
Start...1) Beginning or continuing a case
Standby...2) Ending the case
1) Only in Standby mode
2) Only during operation, not in Standby mode

Instructions for use Perseus A500 SW 1.1n 263


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264 Instructions for use Perseus A500 SW 1.1n


Password

Password

Configuration password for Perseus A500 Software 1.1n

Cut out from the instructions for use Perseus


A500 Software 1.1n
To prevent unauthorized alteration, the start
settings for Perseus A500 are protected by the
following configuration password:

0000

Information for the configuration


password

To prevent unauthorized alteration, the start


settings for Perseus A500 are protected by a
password with 0 to 8 digits. Information on the start
settings, see page 126.
The configuration password appears on this page
of the instructions for use. Cut out the area with the
password and keep in a place which is safe from
access by unauthorized persons.
If it is necessary to reset the configuration
password, contact service personnel.

Instructions for use Perseus A500 SW 1.1n 265


This page intentionally left blank.

266 Instructions for use Perseus A500 SW 1.1n


Index

Index

A Anti-interchange security. . . . . . . . . . . . . . . . . 249


APL valve . . . . . . . . . . . . . . . . . . . . . . . . . . 16, 18
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . 254 Adjusting . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Accessories Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Connecting . . . . . . . . . . . . . . . . . . . . . . . . 8, 58 Applications
Accessories and consumptions . . . . . . . . . . . . . 92 Activating . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Additional devices APRV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Audio paused . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Advanced Cylinder Support . . . . . . . . . . . . . . . 107 Auto On . . . . . . . . . . . . . . . . . . . . . . . . . . 112, 140
Alarm tone volume AutoFlow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Setting. . . . . . . . . . . . . . . . . . . . . . 92, 130, 142 Auxiliary power sockets. . . . . . . . . . . . . . . 26, 156
Alarms
Acknowledging alarm messages . . . . . . . . 118
Adjusting the alarm behavior . . . . . . . . . . . 133 B
Adjusting the alarm limits . . . . . . . . . . . . . . 119 Battery
Alarm settings when ventilation mode is Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
changed . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Blower module
Apnea alarms . . . . . . . . . . . . . . . . . . . . . . . 122 Installing. . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Breath detection . . . . . . . . . . . . . . . . . . . . . 124 Breathing bag
Causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Connecting. . . . . . . . . . . . . . . . . . . . . . . . . . 62
CBM mode . . . . . . . . . . . . . . . . . . . . . . . . . 133 Breathing hoses
Colors . . . . . . . . . . . . . . . . . . . . . . . . . 116, 162 Connecting. . . . . . . . . . . . . . . . . . . . . . . . . . 58
Defining alarm limits . . . . . . . . . . . . . . . . . . 128 Breathing sound
Details . . . . . . . . . . . . . . . . . . . . . . . . . 116, 163 Setting volume . . . . . . . . . . . . . . . . . . . . . . 142
Displaying . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Breathing system. . . . . . . . . . . . . . . . . . . . . . . . 18
Displaying alarm limits . . . . . . . . . . . . . . . . . 88 Assembling . . . . . . . . . . . . . . . . . . . . . . . . . 54
Downgrading alarm messages . . . . . . . . . . 118 Breathing system test . . . . . . . . . . . . . . . . 104
Dräger Vapor 3000 . . . . . . . . . . . . . . . . . . . 115 Checking . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Gas cylinders . . . . . . . . . . . . . . . . . . . . . . . 134 Flushing . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
MV alarms. . . . . . . . . . . . . . . . . . . . . . . . . . 121 Heating . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Priorities . . . . . . . . . . . . . . . . . . . . . . . 116, 162 Inserting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Quick setup. . . . . . . . . . . . . . . . . . . . . 119, 132 Pressure/Flow characteristics . . . . . . . . . . 226
Remedy . . . . . . . . . . . . . . . . . . . . . . . . . . . 163 Removing. . . . . . . . . . . . . . . . . . . . . . . . . . 185
Setting alarm limits automatically . . . . . 94, 131 Breaths
Setting alarm tone volume . . . . . . . . . . . . . . 92 Synchronizing . . . . . . . . . . . . . . . . . . . . . . . 79
Setting limits . . . . . . . . . . . . . . . . . . . . . . . . . 93
Setting volume . . . . . . . . . . . . . . . . . . 130, 142
C
Suppressing alarm tone . . . . . . . . . . . . . . . 117
Viewing the alarm history . . . . . . . . . . . . . . 118 Cable conduit . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Anesthetic gas concentration Cardiac bypass mode . . . . . . . . . . . . . . . . . . . . 80
Prediction . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 CBM mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Anesthetic gas receiving system (AGS) . . . . 16, 18 Central brake. . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Checking. . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Central gas supply
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Checking . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Replacing . . . . . . . . . . . . . . . . . . . . . . . . . . 161 Connecting. . . . . . . . . . . . . . . . . . . . . . . . . . 48

Instructions for use Perseus A500 SW 1.1n 267


Index

Checklist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106 Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . 187


Circuit plug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Display for time and Auto On . . . . . . . . . . . 27, 28
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187 Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
CLIC adapter Drying function . . . . . . . . . . . . . . . . . . . . . . . . 140
Attaching. . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
CO2 absorber. . . . . . . . . . . . . . . . . . . . . 16, 18, 65 E
Filling and mounting . . . . . . . . . . . . . . . . . . . 66
CO2 alarms Econometer (optional) . . . . . . . . . . . . . . . . . . . . 85
Adjusting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94 Electromagnetic compatibility . . . . . . . . . . . . . . . 9
Color mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 Electromagnetic transmission . . . . . . . . . . . . . 230
Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90 EMC declaration . . . . . . . . . . . . . . . . . . . . . . . 229
Colors for parameters Emergency O2 delivery . . . . . . . . . . . . . . . . . . . 27
Specifying . . . . . . . . . . . . . . . . . . . . . . . . . . 128 Checking . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Colors of the control elements . . . . . . . . . . . . . . 38 Using . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
COM 1, COM 2. . . . . . . . . . . . . . . . . . . . . . 23, 142 Emergency operation . . . . . . . . . . . . . . . . . . . . 71
Combination lock . . . . . . . . . . . . . . . . . . . . . . . 251 Environment of use . . . . . . . . . . . . . . . . . . . . . . 14
Changing the combination . . . . . . . . . . . . . 251 Expiratory port . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Loss of the combination . . . . . . . . . . . . . . . 252 Exporting configurations . . . . . . . . . . . . . . . . . 145
Opening . . . . . . . . . . . . . . . . . . . . . . . . . . . 251 External fresh-gas outlet . . . . . . . . . . . . . . . . . . 80
Complete failure . . . . . . . . . . . . . . . . . . . . . . . . 160
Compliance correction . . . . . . . . . . . . . . . . . . . 245 F
Configurable screen contents. . . . . . . . . . . . . . 146
Confirm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Factory settings . . . . . . . . . . . . . . . . . . . . 126, 144
Consumables Resetting to factory settings . . . . . . . . . . . 144
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Failure
Consumption Flow measurement . . . . . . . . . . . . . . . . . . 159
Resetting. . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Fresh-gas delivery . . . . . . . . . . . . . . . . . . . 158
Consumptions Gas measurement . . . . . . . . . . . . . . . . . . . 159
Displaying . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Gas supply. . . . . . . . . . . . . . . . . . . . . . . . . 157
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . 13 Failure of the gas supply . . . . . . . . . . . . . . . . . 157
Filters
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . 58
D FiO2 concentration
Data Prediction. . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Exporting. . . . . . . . . . . . . . . . . . . . . . . . . 96, 96 Flexible arm
Date Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 Flow measurement faulty . . . . . . . . . . . . . . . . 159
Daylight savings time . . . . . . . . . . . . . . . . . . . . 139 Flow sensors
Default ventilation mode Installing. . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Defining. . . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Flow waveform scale
Device combinations . . . . . . . . . . . . . . . . . . . . 233 Specifying . . . . . . . . . . . . . . . . . . . . . . . . . 127
Device configurations Flush & Dry . . . . . . . . . . . . . . . . . . . . . . . 113, 140
Transferring . . . . . . . . . . . . . . . . . . . . . . . . 144 Flush function . . . . . . . . . . . . . . . . . . . . . . . . . 140
Device name Functional scope . . . . . . . . . . . . . . . . . . . . . . . . 29
Changing . . . . . . . . . . . . . . . . . . . . . . . . . . 139 Fuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26, 156
Device switch . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226
Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . 185

268 Instructions for use Perseus A500 SW 1.1n


Index

G Leakage
Causes. . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Gas cylinders Current values . . . . . . . . . . . . . . . . . . . . . . 103
Advanced Cylinder Support . . . . . . . . . . . . 107 Locating . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Changing . . . . . . . . . . . . . . . . . . . . . . . . . . 157 Leakage assistant . . . . . . . . . . . . . . . . . . . . . . 104
Checking. . . . . . . . . . . . . . . . . . . . . . . . . . . 107 Leakage test . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . 48 License key . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Connections . . . . . . . . . . . . . . . . . . . . . . 24, 24 Linked therapy controls . . . . . . . . . . . . . . . . . . . 37
Gas flow plan . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Logbook
Gas inlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Creating entries . . . . . . . . . . . . . . . . . . 98, 142
Gas measurement faulty . . . . . . . . . . . . . . . . . 159 Viewing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Gas mixer (electronically controlled) . . . . . . . . . 27 Loops
Gas mixer (mechanically controlled) . . . . . . . . . 28 Configuring . . . . . . . . . . . . . . . . . . . . . . . . 127
Total flow tube. . . . . . . . . . . . . . . 28, 34, 71, 76 Using . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Gas mixtures for the carrier gas . . . . . . . . . . . . . 29
Gas supply
Checking. . . . . . . . . . . . . . . . . . . . . . . . . . . 106 M
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . 48 MAC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Ensuring . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Main screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Mains power supply
Connecting. . . . . . . . . . . . . . . . . . . . . . . . . . 43
H Mains power supply failure . . . . . . . . . . . . . . . 155
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Maintenance intervals . . . . . . . . . . . . . . . . . . . 198
High-frequency energy . . . . . . . . . . . . . . . . . . . 233 Manual ventilation . . . . . . . . . . . . . . . . . . . 77, 239
Hose configurations . . . . . . . . . . . . . . . . . . . . . . 61 Measured values
Hose set and filters Viewing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . 58 MEDIBUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Menu structure . . . . . . . . . . . . . . . . . . . . . . . . 261
I Minimal O2 flow. . . . . . . . . . . . . . . . . . . . . . . . 137
Minimum O2 delivery. . . . . . . . . . . . . . . . . . . . 247
Illumination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Mini-trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Importing configurations . . . . . . . . . . . . . . . . . . 145
Minute volume measurement . . . . . . . . . . . . . . 86
Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Infinity ID. . . . . . . . . . . . . . . . . . . 31, 143, 233, 248
Accessories exchange monitoring . . . . . . . 249 N
Accessory support . . . . . . . . . . . . . . . . . . . . 31 N2O-free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Activating the functionality . . . . . . . . . . . . . 143 Name
Exchange intervals for accessories . . . . . . 143 Changing . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196 Name for the screen layout . . . . . . . . . . . . . . . 127
Inspiratory port . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Network
Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Configuring . . . . . . . . . . . . . . . . . . . . . . . . 142
IT networks . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234 Network interface . . . . . . . . . . . . . . . . . . . . . . . 23
New case
L Defining . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Language
Selecting . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Latex. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Instructions for use Perseus A500 SW 1.1n 269


Index

Non-critical medical devices . . . . . . . . . . . 187, 191 Pressure-supported ventilation . . . . . . . . 239, 242


Non-rebreathing system Preventive maintenance . . . . . . . . . . . . . . . . . 198
Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Using. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 Q
Quick setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
O
O2 flowmeter . . . . . . . . . . . . . . . . . . . . . . . . 27, 28 R
O2 insufflation
Using. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Rating plate . . . . . . . . . . . . . . . . . . . . . . . . . 21, 22
O2 switch . . . . . . . . . . . . . . . . . . . . . . . . . . . 27, 33 Rear. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
O2 waveform scale Remote Service. . . . . . . . . . . . . . . . . . . . . . . . 197
Specifying . . . . . . . . . . . . . . . . . . . . . . . . . . 127 Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
O2+. . . . . . . . . . . . . . . . . . . . . . . . . . 27, 28, 33, 34 Reprocessing list . . . . . . . . . . . . . . . . . . . . . . . 191
Checking the function . . . . . . . . . . . . . . . . . 107 Reprocessing procedures . . . . . . . . . . . . . . . . 187
Using. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Resistance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Operating time Respiratory support . . . . . . . . . . . . . . . . . . . . . 239
Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 Rotary knob . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Operation
Safety information. . . . . . . . . . . . . . . . . . . . . 73 S
Safety checks . . . . . . . . . . . . . . . . . . . . . . . 8, 197
P Sample line
Parameter fields . . . . . . . . . . . . . . . . . . . . . . . . 146 Connecting . . . . . . . . . . . . . . . . . . . . . . . . . 67
Parameters Scale
Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Adjusting . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265 Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Patient category . . . . . . . . . . . . . . . . . . . . . . . . 248 Adjusting the brightness . . . . . . . . . . . . . . 126
Patient change . . . . . . . . . . . . . . . . . . . . . . . . . 100 Contents . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Patient data Failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160
Changing . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Saving the layout . . . . . . . . . . . . . . . . . . . . 127
Checking. . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Setting brightness . . . . . . . . . . . . . . . . . . . . 90
Influence on device behavior . . . . . . . . . . . 248 Screen brightness
Loading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Pause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Screenshot
Potential equalization Exporting . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Establishing . . . . . . . . . . . . . . . . . . . . . . . . . 46 Semi-critical medical devices . . . . . . . . . 188, 193
Potential equalization pin . . . . . . . . . . . . . . . . . . 23 Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
Power supply failure . . . . . . . . . . . . . . . . . . . . . 155 Setting procedure
Prediction Canceling. . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Anesthetic gas concentration . . . . . . . . . . . . 83 Settings
FiO2 concentration . . . . . . . . . . . . . . . . . . . . 84 Resetting to start settings . . . . . . . . . . . . . . 98
Pressure reducer Sockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . 162 Soda lime
Pressure reducers Checking . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Flow characteristic curves . . . . . . . . . . . . . 228 Software license compliance. . . . . . . . . . . . . . 236
Pressure-controlled ventilation . . . . . . . . . 239, 243 Software options
Displaying . . . . . . . . . . . . . . . . . . . . . . . . . . 92

270 Instructions for use Perseus A500 SW 1.1n


Index

Sound volume USB interface . . . . . . . . . . . . . . . . . . . . . . 23, 142


Setting alarm tones. . . . . . . . . . . . . . . . . . . . 92 User-specific settings . . . . . . . . . . . . . . . . . . . 126
Setting breathing sound . . . . . . . . . . . . . . . . 92
Spontaneous breathing. . . . . . . . . . . . . . . . 77, 239 V
Start dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Opening . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Valves
Start settings. . . . . . . . . . . . . . . . . . . . . . . . . . . 126 Inserting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Gas delivery . . . . . . . . . . . . . . . . . . . . . . . . 137 Vapor View . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Patient category . . . . . . . . . . . . . . . . . . . . . 138 Vaporizer
Resetting. . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Checking . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . 135 Illumination. . . . . . . . . . . . . . . . . . . . . . . . . . 78
Start values. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Mounting . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190 Using . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Stopwatch Ventilation mode
Using. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Changing . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Ventilation modes . . . . . . . . . . . . . . . . . . . 29, 238
Switching off . . . . . . . . . . . . . . . . . . . . . . . . 17, 112 Ventilation parameters
Switching on . . . . . . . . . . . . . . . . . . . . . . . . . 17, 69 Linked setting. . . . . . . . . . . . . . . . . . . . 37, 138
Automatic . . . . . . . . . . . . . . . . . . . . . . . . . . 140 Ventilator failure. . . . . . . . . . . . . . . . . . . . . . . . 159
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 256 View
Synchronized ventilation. . . . . . . . . . . . . . . . . . . 79 Adjusting . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
System test. . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 Available views . . . . . . . . . . . . . . . . . . . . . . 87
System testing . . . . . . . . . . . . . . . . . . . . . . . . . 103 Changing . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Volume
Setting breathing sound. . . . . . . . . . . 130, 142
T
Volumeter
Technical data. . . . . . . . . . . . . . . . . . . . . . . . . . 202 Specifying the scale . . . . . . . . . . . . . . . . . . 127
Test results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Using . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Therapy Volume-controlled ventilation . . . . . . . . . 239, 245
Ending. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Setting and starting. . . . . . . . . . . . . . . . . . . . 75 W
Therapy controls. . . . . . . . . . . . . . . . . . . . . . 36, 38
Time Water trap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139 Checking . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Tipping stability Emptying or exchanging . . . . . . . . . . . . . . . 66
Increasing . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Waveforms
Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Configuring . . . . . . . . . . . . . . . . . . . . . . . . 127
Trends Overview . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Displaying . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Saving the view . . . . . . . . . . . . . . . . . . . . . 127
Exporting. . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Specifying the scale . . . . . . . . . . . . . . . . . . 127
MVxCO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
O2 uptake . . . . . . . . . . . . . . . . . . . . . . . . . . 149 X
xMAC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82, 94
U
Units
Displaying . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

Instructions for use Perseus A500 SW 1.1n 271


These instructions for use only apply to
Perseus A500 SW 1.1n
with the Serial No.:
If no serial number has been filled in by Dräger,
these instructions for use are provided for
general information only and are not intended
for use with any specific medical device.
These instructions for use are provided for
customer information only and will only be
updated or exchanged upon customer request.

Directive 93/42/EEC concerning medical Directive 1999/5/EC on radio and


devices telecommunication equipment

Manufacturer

Dräger Medical GmbH


Moislinger Allee 53 – 55
D-23542 Lübeck
Germany
+49 451 8 82-0
FAX +49 451 8 82-2080
http://www.draeger.com

As of 2015-08:
Dräger Medical GmbH
changes to
Drägerwerk AG & Co. KGaA

9054101 – GA 6500.510 en

Á9054101yÈ
© Dräger Medical GmbH
Edition: 3 – 2015-01
(Edition: 1 – 2013-04)
Dräger reserves the right to make modifications
to the device without prior notice.
ision]_[TIM-ID]_No.1712

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