Professional Documents
Culture Documents
Perseus A500
Trademarks
MEDIBUS.X®
Trademark
WaterLock®
BIPAP1)
Selectatec® Datex-Ohmeda
1) Trademark used under license
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.
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
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
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
WARNING
Training
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
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
Application
Indications/Contraindications...................... 13
Indications ....................................................... 13
Contraindications............................................. 13
Further information on application.............. 14
Environment of use ......................................... 14
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
Environment of use
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).
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
Hardware
Front
M B
L C
K
D
J
I E
H
F
G
10335
Screen
E D
C B
10340
B
10397
A Sensor unit
B Illumination unit
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.
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)
Device column
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
Rear
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
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
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
Gas inlets
C B
10338
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)
A B
C 10368
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.
J K L
A
I
H B
L L L
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.
Functional scope
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
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.
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
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
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)
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
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
Screen
– 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.
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.
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
Color concept
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
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.
Mounting of accessories
Mounting on the sides of the device The maximum tilting moment is calculated based
column on the following equation:
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.
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)
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.
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.
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.
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.
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
CAUTION
Risk of damage to the device
When connecting the pressure reducers, ensure
that they do not protrude beyond the device.
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.
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.
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
I
D
10395
10357
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
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
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.
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.
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.
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.
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.
10345
1 Attach the breathing bag (A) to the elbow.
10346
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.
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.
B C
10389
10388
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.
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
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.
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
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.
WARNING
Risk due to leakage from improperly
connected or damaged sample line
Connect the sample line correctly, otherwise
faulty gas measurements may result.
10344
NOTE
Only use an original sample line, as other lines
can change the technical data of the device.
Getting started
Switching on Perseus
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).
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.
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).
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.
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).
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).
A
10462
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.
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
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
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
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.
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!
Activating
1 Start Pause operating mode.
2 Adjust the therapy control Timer if necessary.
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
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.
C D FiO2 prediction
D
A B
C
A B
10452
The following is displayed:
10453
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
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.
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
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.
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
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
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
10477
1 Open the Views dialog window.
C 2 Touch the Mini-trends button.
B D Larger and more detailed graphic and numeric
10476
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).
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.
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).
B
10497
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).
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.
10482
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
Quick setup
D
A
E
B F F F F G
10483
Manual setting
1 Set the upper alarm limits (D).
10402
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.
[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.
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
Exporting 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.
2 Touch the Export tab (A). The data will be saved as a ".txt" file.
Trends/Data
A
B
B
B
10496
Other settings
Switching the breathing system heating 2 Touch the Therapy tab (A).
on or off
System setup
10513
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.
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
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.
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.
System test
WARNING
System test - do not connect patient.
Risk due to faulty sensors
10411
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.
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
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.
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.
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.
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).
E B
20369
A A A
C C
D D
10385
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.
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
NOTE
Only perform leakage tests with CLIC absorber
locked into place because this affects the system
compliance values.
Miscellaneous
Ending operation
To store Perseus
1 Set device switch to position 0.
2 Disconnect from mains power supply if
necessary.
Alarms
Display of alarms
Alarm priorities
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
A 10362
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
10491
Quick setup
B
10492
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.
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.
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
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
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"
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.
Combined alarms
Suppressed alarms
Configuration
Device 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
Vertical tab"Waveforms"
MV high Yes; No
inAgent low Yes; No
[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
Vertical tab "Start sett. fresh gas" (only with electronically controlled gas mixer)
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.
System setup
The following settings are neither imported nor
A exported:
– System name
C A
– Date and time
D
B – IP address
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 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).
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
Paw
CO2 in/et, RR
10505
CO2
10503
Volume
10456
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
10416
Compliance trend Paw
Cdyn PEEP
Paw
PIP
10419
20035
RR
Paw
10418
PIP Pmean
MV×CO2 trend
PEEP
WARNING
10417
MVmand, spon
MV
Mand Spon
20033
∆VT
10499
∆VT VTi
VT
Paw
20036
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
Total flow
Efficient
10451
20152
Countdown
Gases in/et
in et
O2
N2O
Iso A B
20070
10424
O2 Air N2O
10428
10426
FiO2 prediction
Volumeter Start
VT
Volume
13718
10452
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
Iso prediction
Efficient
Deficit
O2 N2O Econometer
10511
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.
O2 Air N2O
20367
O2 Air N2O
20788
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.
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.
Mains power supply failure and empty Using the emergency O2 delivery
batteries (electronically controlled gas mixer)
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.
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.
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.
Ventilator failure
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.
Complete failure
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!
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
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.
Disassembly
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
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
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.
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.
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.
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).
Reprocessing list
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.
Maintenance
Overview......................................................... 196
Inspection....................................................... 196
Remote Service ............................................... 197
Safety checks .................................................. 197
Preventive maintenance ............................... 198
Table of maintenance intervals........................ 198
Repairs ........................................................... 199
Overview
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
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.
Repairs
Disposal
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
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
General information
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)
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
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)
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)
Ventilator (continued)
Breathing 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)
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)
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
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)
Device outlets
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)
Relevant standards
Diagrams
3UHVVXUH>K3DFP+2@
ದ
ದ
ದ
ದ
ದ
ದ
ದ
ದ
ದ
ದ
)ORZ>/PLQ@
10574
>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)
>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
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.
Electromagnetic immunity
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
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
Connections to IT networks
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
– 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.
Principles of operation
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
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
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
Pressure-supported ventilation
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.
Pressure-controlled ventilation
Pressure Control
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.
Paw Phigh
Plow
Slope 7LPH
Thigh Tlow
Flow
7LPH
10561
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
Paw 7ULJJHUZLQGRZ
LQVS
PEEP
Pmax
∆Psupp
7LPH
Slope Slope
Ti
1/RR
Flow
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
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
– 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.
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
When Signal
Therapy start or change of venti-
lation mode
Timeout
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.
20427
The combination lock is opened. The digit wheels
return automatically to 0000.
Alternatively, the combination lock can be opened
20425
20428
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.
Annex
Abbreviations................................................. 254
Symbols.......................................................... 256
Abbreviations
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
Symbols
Group Views...
Battery completely charged
Device switch On
Gas cylinder empty or gas cylin-
der valve turned off
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
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.
Gas inlet
Product labels
Group
Group
views.
View 1)
1 2 3
Group
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
Group
Password
0000
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
Manufacturer
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