Professional Documents
Culture Documents
Drager Julian 1
Drager Julian 1
Anaesthetic Workstation
Instructions for Use
Software 2.n
96
-
36
-
1
How to use these Instructions for Use
On each page…
the instructions for use
combining text with illustrations. The information is
translated directly into actions to enable the user to 2
1
learn „hands-on“ how to use the workstation.
SpO2 98 67
ergonomically with brief directions on the use of the
Grenzen
et Freq CO2-Al.
38 aus/ein
product.
CO 2
CO 2
40
AMV 5.2 8 Alarm
Info
VT
Fi
O 40 36 2
Fet Liste
Kurven
0.35 0.5
0.8 0.6
where there are several steps, numbers refer to the
0 1
Hal.
Volumeter --s Konfig.
-- 58 56
N2O
Frischgas O 2 + N2 O
Frischgas
O2 % L/min intern
30 4.00 extern
Screen displays guide the user and confirm the steps 3 Press the »O2 +« button.
O2 flows into the breathing system without
to be followed. anaesthetic gas as long as the button is held
down.
2
Contents
Contents
For Your Safety and that of Your Patients 5
Intended Use 7
Operating Concept 11
Preparation 21
Starting Up 25
Operation 35
Monitoring 55
Care 95
Index 142
3
4
For Your Safety and that of Your Patients
Maintenance
The apparatus must be inspected and serviced regularly
by trained service personnel at six monthly intervals
(and a record kept).
Repair and general overhaul of the apparatus may only
be carried out by trained service personnel.
We recommend that a service contract be obtained with
DrägerService and that all repairs also be carried out by
them. Only authentic Dräger spare parts may be used for
maintenance.
Observe chapter "Maintenance Intervals".
Accessories
Do not use accessory parts other than those in the
order list.
5
Intended Use
Contents
Intended Use
Contents
7
8
Intended Use IntendedUse
Intended Use
Ventilation modes:
– Automatic ventilation (IPPV)
and Explosive anaesthetics, such as ether or cyclo-
pressure-controlled ventilation (PCV). propane, must not be used due to the risk of fire.
– Manual ventilation (MAN).
Mobile radio telephones must not be used within
– Spontaneous ventilation (SPONT).
10 metres of the workstation!
Mobile telephones may interfere with the operation of
electrical and electronic medical equipment.
The following measured values are displayed:
– Peak pressure, mean pressure, plateau pressure and
PEEP Julian must not be used with nuclear spin
tomography (MRT, NMR, NMI)!
– Expiratory minute ventilation
Operation of the apparatus may be impaired.
Tidal volume VT
Breathing rate
Patient compliance
– Inspiratory and expiratory concentration of O2, N2O,
anaesthetic gas and CO2
optional:
– Functional oxygen saturation (SpO2) and pulse rate.
9
10
Operating Concept
Contents
Operating Concept
Contents
11
Operating Concept
Screen ergonomics
Operating Concept
Screen ergonomics
Monitoring
All the settings required for
IPPV
– Fresh gas delivery Pleth
SpO2 98 67 alarm
limits
– Ventilation CO2
auto set
CO2
etCO 2 38 _ freq limits
Ve
– Monitoring 40
MV 6.0 10 alarm
info
Fi Fet list 1.2....
are entered on the system screen using the appropriate 0
PAW O2 40 36
20 curves
keys and the rotary knob. Hal. 0.8 0.6 config.
The keys are grouped in function fields: 0
N O 58
2 56
Left-hand field Freshgas O2+N2O
Fresh gas delivery O2 % L/min
Pmax
mbar
VT
mL
Freq.
1/min
TI:TE TIP:TI
%
PEEP
mbar
These function keys are located in the bottom row on the 30 4.00 25 600 10 1:2 10 0
control panel.
Left-hand block for fresh gas setting
Right-hand block for ventilation N 2O AIR
MAN
IPPV PCV
SPONT
1 2
12
Operating Concept
Screen ergonomics
group of hardkeys. These softkeys are used to set the SpO2 98 67 alarm
limits
CO2
fresh gas delivery parameters and ventilation parameters. etCO 2 38 _ freq
auto set
limits
CO2
Ve
40
MV 6.0 10 alarm
1 Left-hand block: info
Fi Fet list
The keys for setting the O2 concentration and fresh 0
1.2....
PAW O2 40 36
gas flow. 20 curves
Hal. 0.8 0.6
0
config.
2 Right-hand block: N O 58
2 56
The keys for setting the parameters for the relevant
Freshgas O2+N2O
ventilation mode. The example shows the parameters Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
field.
20
PAW O2 40 36 curves
– to set and confirm the parameters for fresh gas and 30 4.00 25 600 10 1:2 10 0
ventilation modes,
– to set and confirm the monitoring functions.
MAN
3
N 2O AIR IPPV PCV
SPONT
13
Operating Concept
Screen ergonomics
1
2
20
PAW O2 40 36 curves
Hal. 0.8 0.6
0
config.
N O 58
2 56
Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
MAN
N 2O AIR IPPV PCV
SPONT
14
Operating Concept
Screen ergonomics
IPPV
Pleth
-- alarm
SpO2 98 95 limits
67 120
50
auto set
limits
CO2 42
40 etCO 238 30
alarm
info
--
MV 6.0 3.0 list
0 --
20 PAW FiO 2 29 20 curves
FiHal. 0.8
1.0
0.0
config.
0
40
PAW 8
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
20
PAW FiO 229 20 curves
FiHal. 0.8
1.0
0.0 config.
0 40
PAW 8
Adjust limit value: Turn and confirm !
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
15
Operating Concept
Screen ergonomics
Screen layout
20 PAW O2 40 36 curves
Hal. 0.8 0.6
0
config.
N O 58
2 56
Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
MAN
N 2O AIR IPPV PCV
SPONT
Screen layout
Status field:
Displays information on the current operating mode IPPV
Pleth
Graphics field: SpO2 98 67 alarm
For curves and bargraphs CO2
limits
auto set
20 PAW O2 40 36 curves
Numerical value field:
Hal. 0.8 0.6
For numerical values 0 config.
N O 58
2 56
Lower softkeys – for fresh gas parameters
Prompt field: Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
mbar mL 1/min % mbar
For user guidance O2 % L/min
16
Operating Concept
Screen layout
2
1
Back to the standard screen:
2 Press the Q key.
CO2
etCO2 38 _ freq limits
alarm
40
MV 6.0 Ve 10 info
Fi Fet list
0
20 PAW O2 40 36 curves
Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
15 mmHg 0 36 limits
mean alarm
O2
compliance 65 mL/mbar % 40 33 info
20 Hal. list
MV 6.0 L/min % 0.8 0.6
VT 0.60 L N2O
% 58 56
0
freq 10 1/min 01. Nov. 98 12 : 00 config.
sys. comp. 6.40 mL/mbar 01-10
AW-temp. 34 C leckage 10 mL/min 8 : 00
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
17
Operating Concept
Screen layout
10
O2 40 36 SpO2
pulse
5
Iso. 0.8 0.6 full
0 trend
0
N 2O 58 56
Select zoom area: Turn ! Zoom in: Press !
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
18
Before Using for the First Time
Contents
Contents
Charging the battery for emergency operation ................................................. 20
19
Before Using for the First Time
Charging the battery for emergency operation
When Julian is not in use
1
The battery must be charged for 10 hours before using
the Workstation for the first time.
Plug the mains plug of the Julian workstation into the
mains socket. The mains voltage must correspond to
the voltage specified on the nameplate.
1 The green LED N lights up.
Leave Julian connected to the mains for 10 hours.
The workstation does not have to be switched on.
The devices connected to auxiliary power sockets will
not be powered by the UPS in the event of a power
failure.
20
Preparation
Contents
Preparation
Contents
Connecting the gas supply ....................................................................................................22
Connecting the backup gas cylinders for O2 and N2O .............................. 23
Caution when handling O2 cylinders. ......................................................... 23
21
Preparation
Connecting the gas supply
Preparation
22
Preparation
Connecting the gas supply
Connecting the anaesthetic gas scavenging system
N2O O2
Caution when handling O2 cylinders
Do not oil or grease the O2 cylinder valves or O2
pressure reducing adapters, and do not handle with
greasy fingers.
Danger of explosion!
The cylinder valves must be opened / closed by hand.
Do not use tools.
If a cylinder valve is leaky or difficult to operate, it
must be repaired by an expert.
23
Preparation
Connecting the power supply
Equipotential bonding
e.g. for intracardial or intracranial operations.
2 Connect one end of the earth cable to one of the
connecting pins on the back of the workstation.
Connect the other end of the earth cable to the
specified equipotential bonding point, e.g. on the
operating table or ceiling lamp.
24
Starting Up
Contents
Starting Up
Contents
Checking the workstation against the checklis.t.............................................. 26
Switching on ................................................................................................. 26
Gas pressures.......................................................................................................29
Central gas supply........................................................................................ 29
Backup gas cylinders. ............................................................................... 29
Suction system ................................................................................................. 30
O2 flush ............................................................................................................. 30
O2 emergency metering....................................................................................30
Preparing Julian for the self-test. ............................................................ 31
Self-test ....................................................................................................... 31
Electronics. ........................................................................................... 31
Fresh gas mixer. .................................................................................................... 31
Ventilator and breathing system ....................................................................... 31
25
Starting Up
Checking the workstation against the checklist
Starting Up
1
Version without rotary knob for O2emergency
metering:
After switching on, Julian delivers an O2 flow of 4 L/min
for manual ventilation.
This O2 flow is switched off automatically by Julian as
soon as the »cancel test« key appears after
acknowledging the checklist.
The opening screen appears with the current software
version after about 10 seconds. Julian now loads its
software and tests its internal memory.
Please wait !
After a few seconds, the »cancel test« softkey Gas scavenging system
Breathing system
connected and ready fir use
complete and fixed in place
Soda lime no colour change
appears on the right-hand edge of the screen. Emergency breathing bag present and functional
Press the »cancel test« key. See "Emergency start" Central gas supply O 2 pressure, AIR, N2O pressure, 2,7 bar
Back up cylinders O 2 pressure > 50 bar, N2O pressure > 30 bar
on page 33 to continue. Suction unit functional
O 2-Flush audible flow, breathing bag fills
26
Starting Up
Checking the workstation against the checklist
Water trap
Remove water trap container by pulling downwards
and empty if necessary.
Observe the hygiene regulations of the hospital.
Replace container from below.
27
Starting Up
Checking the workstation against the checklist
Breathing system
Complete and engaged, with both valve discs
inserted, bellows fitted and hoses securely
connected.
Soda lime renewed, no violet discoloration.
28
Starting Up
Checking the workstation against the checklist
29
Starting Up
Checking the workstation against the checklist
1 Switch to I.
2 Set suction pressure with rotary knob »Vac.«.
3 Block the secretion viewing window or kink the
suction hose.
4 Measure the suction pressure on the pressure gauge.
1 Switch to 0. 4
1
3 2
O2 flush
D Julian
30
Starting Up
Checking the workstation against the checklist
Self-test
If all points on the checklist are OK:
Confirm = press the rotary knob.
The self-test is started.
The self-test is run automatically
and takes 3 to 4 minutes.
Julian carries out the following automatic tests and
actions:
Electronics
– Testing and calibration of gas metering bench
– Testing and calibration of O2 sensor
– Testing of pressure sensor for airway pressure
measurement
– Testing the flow sensor
– Testing the battery
– Activating the default settings for alarm limits,
monitoring parameters and the default settings of
the ventilator and fresh gas settings
Fresh gas mixer
– Testing of gas supply O2, N2O, AIR
– Testing of gas inlet valves
– Calibration of pressures sensors in the compressed
air supply
– Testing of O2 emergency metering
– Testing of fresh gas failure monitoring (optional)
Ventilator and breathing system
– Testing and calibration of PEEP/Pmax valves
– Testing of safety valve
– Testing of MAN/AUTO switch-over valve
– Calibration of flow monitoring valve
– Testing of time monitoring valve
– Testing of bellows
31
Starting Up
Checking the workstation against the checklist
System compliance
Julian determines the current system compliance.
Depending on the breathing hoses used, the system
compliance is 5 to 6 mL/bar.
Leakage
Julian determines the current leakage of the breathing
system and breathing hoses.
The system tolerates leaks of up to 150 mL/min.
For leaks of more than 150 mL/min:
Check the breathing system and repeat the leak test.
Display (example):
Julian leakage
test
SW-version 2.0
delete
01. Nov. 98
trend
config.
MAN
Operation with SPONT,
IPPV or PCV
Freshgas O2+N2O
O2 % L/min
30 4.00
32
Starting Up
Emergency start
Emergency start
This procedure should only be used when there is no
D Julian
time for the self-test!
1 Switch on the workstation.
Display:
Self-test
39
33
Starting Up
Emergency start
Julian leakage
test
SW version 2.0
delete
01. Nov. 98
trend
config.
MAN
Operation with SPONT,
IPPV or PCV
Freshgas O2
the standby screen is switched off and a screen saver 100 2.00
with the Dräger logo is displayed instead.
To start Julian:
Version with rotary knob for O2 emergency metering:
Turn rotary knob for O2 emergency metering to 0.
34
Operation
Contents
Operation
Contents
Setting the fresh gas concentrations ................................................................. 36
Adjustment ranges ........................................................................................... 36
Selecting the carrier gas. ...............................................................................36
Setting the O2 concentration ........................................................................ 36
Setting the fresh gas flow. ........................................................................... 37
Changing patients..................................................................................................... 47
35
Operation
Setting the fresh gas concentrations
Operation
O2 % 25 to 100 100
36
Operatio n
Setting the fresh gas flow
Selecting the ventilation mo
de
MAN / SPON T
Manual ventilation
2 Set the lever of the APL pressure-limiting valve to 2
MAN.
MAN
MAN
Spontaneous breathing
4
4 Set the lever of the APL pressure-limiting valve to
SPONT.
SPONT
SPONT
37
Operation
Selecting the ventilation mode
MAN / SPONT
2
1
Fi Fet list
0
VT O2 40 36 curves
0.35 0 0.5
Volumeter --s
1
Hal. 0.8 0.6 config.
-- 0 5 10 N O
2 58 56
Start volumeter: Confirm !
Freshgas O2 + N2O
fresh gas
O2 % L/min internal
30 4.00 external
O2 flush
D Julian
– For flushing and rapidly filling the breathing system
and breathing bag with O2 while bypassing the
Vapor unit.
3 Press the »O2 +« button.
O2 flows into the breathing system without
anaesthetic gas as long as the button is held down.
38
Operatio n
Selecting the ventilation mode
MAN / SPONT
SpO2 ON ––
_ ON 92
Pulse H _ ON 120
ON 50
etCO2 _ ON 50 (mmHg)
ON ––
FiCO2 > OFF
MV _ OFF ––
OFF ––
FiO2 _ OFF ––
ON 20
Fi Hal. _ ON 1.5
OFF ––
Fi Iso. _ ON 2.3
OFF ––
Fi Enf. _ ON 3.4
OFF ––
Fi Des. _ ON 12.0
OFF ––
Fi Sev. _ ON 3.4
OFF ––
PAW _ ON 40
OFF ––
Apnoea pressure OFF
Apnoea flow OFF
Apnoea CO2 ON activated after
60 seconds
39
Operation
Selecting the ventilation mode
IPPV
Display (example):
Standby
[mL]
30 4.00 25 600 12 1:2 10 0
Frequency Freq. 6 to 60 12
[1/min]
Insp/Exp ratio 2 : 1, 1 : 1, 1:2
TI : T E 1 : 2, 1 : 3,
1:4
Insp. pause time : 0 to 50 10
Insp. time TIP : TI [%]
PEEP [mbar] 0 to 20 0
40
Operatio n
Selecting the ventilation mode
I PPV
Starting IPPV
Julian
1 Press the »IPPV« hardkey
2 and confirm with the rotary knob.
1 2
Display (example):
IPPV
Pleth
SpO2 98 67 alarm
limits
CO2 auto set
Fi Fet list
The symbol rotates in the softkey »L/min« to indicate 0
41
Operation
Selecting the ventilation mode
IPPV
SpO2 ON ––
_ ON 92
Pulse H _ ON 120
ON 50
etCO2 _ ON 50 (mmHg)
ON ––
FiCO2 > ON Fixed upper alarm
limit 5 mmHg
MV _ ON ––
ON 3.0
FiO2 _ ON ––
ON 20
Fi Hal. _ ON 1.5
ON ––
Fi Iso. _ ON 2.3
ON ––
Fi Enf. _ ON 3.4
ON ––
Fi Des. _ ON 12.0
ON ––
Fi Sev. _ ON 3.4
ON ––
PAW _ ON 40
ON 8
Apnoea pressure ON Active after
15 seconds
Apnoea flow ON Active after
15 seconds
Apnoea CO2 ON Active after
30 seconds
42
Operatio n
Selecting the ventilation mode
PCV
config.
30 4.00 15 12 1:2 30 0
–––––––––––
* The default settings can be set specifically for each hospital,
see page 82.
** Can be set by DrägerService.
43
Operation
Selecting the ventilation mode
PCV
Starting PCV
Julian
1 Press »PCV«.
2 Confirm by pressing the rotary knob.
1 2
Fi Fet list
If a change in ventilation parameters is required: 0
20 PAW O2 40 36 curves
Press the relevant softkey. Set and confirm the Hal. 0.8 0.6 config.
ventilation parameter with the rotary knob. 0
N 2O 58 56
Freshgas O2 + N2O
Pmax Freq. TI:TE Insp. flow PEEP
O2 % L/min mbar 1/min L/min mbar
30 4.00 18 10 1:2 30 0
44
Operatio n
Selecting the ventilation mode
PCV
SpO2 ON ––
_ ON 92
Pulse H _ ON 120
ON 50
etCO2 _ ON 50 (mmHg)
ON ––
FiCO2 > ON Fixed upper alarm
limit 5 mmHg
MV _ ON ––
ON 3.0
FiO2 _ ON ––
ON 20
Fi Hal. _ ON 1.5
ON ––
Fi Iso. ON 2.3
_ ON ––
Fi Enf. ON 3.4
_ ON ––
Fi Des. _ ON 12.0
ON ––
Fi Sev. _ ON 3.4
ON ––
PAW _ ON 40
ON 8
Apnoea pressure ON Active after
15 seconds
Apnoea flow ON Active after
15 seconds
Apnoea CO2 ON Active after
30 seconds
45
Operation
Setting the Vapor unit
Aspirating secretion
Aspirating secretion
Swing the bottles forwards.
D Julian
1 Set the switch to I.
2 Seal the "fingertip" or kink the suction hose and
3 Set the appropriate suction pressure for the patient
with the rotary knob »Vac.«and
4 check on the pressure gauge.
4
Observe the hygiene regulations of the hospital!
1
2 3
After aspirating
Rinse the suction hose with the water purifier.
1 Set the switch to 0.
46
Operation
Changing patients
Changing soda lime
Changing patients
To switch Julian to standby:
Press the Standby key E and confirm with the
rotary knob.
Standby
The functions of the workstation are switched off.
The set alarm limits are cancelled and the default alarm
settings are valid again. Julian leakage
test
SW-version 2.0
The default settings are loaded for dosing anaesthetic 01. Nov. 98
delete
trend
gas and for the ventilation parameters.
config.
Freshgas O2+N2O
O2 % L/min
30 4.00
47
Operation
Leakage test
Leakage test
Must not be performed when a patient is connected to
the workstation!
– When the soda lime has been changed
or
– when the breathing hoses have been changed.
Display:
After the test has been successfully completed, the clock
symbol disappears and Julian displays the values for Leakage test
leakage and system compliance for a few seconds.
The results of the leakage test are continually displayed
on the data screen.
System-
compliance
To return to the standby screen:
Leakage
Please wait.
48
Operation
Ventilatingchildren
Ventilating children
For tidal volumes VT of less than 200 mL:
Use paediatric hoses.
Volumeter function:
Select »Child« scale, page 67.
49
Operation
Using non-rebreathing systems
VT O2 40 36 curves
0.35 0
Volumeter --s
0.5 1
Hal. 0.8 0.6 config.
-- 0 5 10 N O
2 58 56
Start volumeter: Confirm !
Freshgas O2 + N2O
fresh gas
O2 % L/min internal
30 4.00 external
50
Operation
Using non-rebreathing systems
-- 38 freq on/off
CO2 etCO2
MV
_
alarm
Set the fresh gas flow. The fresh gas supply must be
40 Ve
-- info
Freshgas O2 + N2O
fresh gas
O2 % L/min internal
30 6.00 external
Certain alarms are automatically switched off in order to
avoid artefacts.
The inactive alarm limits are highlighted by the grey
background in the following table.
SpO2 ON ––
_ ON 92
Pulse H _ ON 120
ON 50
etCO2 ON 50 (mmHg)
_ ON ––
FiCO2 > ON Fixed upper alarm
limit 5 mmHg
MV OFF ––
_ OFF ––
FiO2 OFF ––
_ ON 20
Fi Hal. ON 1.5
OFF ––
Fi Iso. ON 2.3
OFF ––
Fi Enf. ON 3.4
OFF ––
Fi Des. ON 12.0
OFF ––
Fi Sev. ON 3.4
AUS ––
PAW ON 40
_ OFF ––
Apnoea pressure OFF
Apnoea flow OFF
Apnoea CO2 ON
51
Operation
Using non-rebreathing systems
In the event of a power failure
together with the remaining available battery capacity in Hal. 0.8 0.6 config.
0
percent. N2 O 58 56
Example:
J Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
95 % O2 % L/min mbar mL 1/min % mbar
52
Operation
In the event of a gas failure
In the Event of a Major Hardware Fault
53
End of Operation
End of Operation
54
Monitoring
Contents
Monitoring
Contents
Selecting the standard screen.................................................................................. 56
Alarms.....................................................................................................................60
Displaying and setting alarm limits. ............................................................... 60
Adapting limits – AutoSet. ...................................................................... 62
If an alarm occurs..................................................................................................... 63
Alarm info......................................................................................................... 64
Selecting curves.............................................................................................................. 66
Configuring in operation.............................................................................................. 68
Setting the monitoring functions. ............................................................ 69
Setting the pulse tone ................................................................................... 69
Setting the alarm sound............................................................................. 69
Selecting the scale. ................................................................................... 69
Setting the measuring parameters. ..................................................................70
Record. .........................................................................................................71
Time .........................................................................................................................71
Activating monitor defaults. ........................................................................... 71
Manual calibration................................................................................................75
55
Monitoring
Selecting the standard screen
Monitoring
Fi Fet list
0
data is still reduced in comparison with the "Technical 30 4.00 25 600 10 1:2 10 0
data".
For maximum accuracy the sensors can be calibrated
manually – see page 75.
When measuring CO2, anaesthetic agent and N2O, their
numerical values are shown in grey during the warm-up
phase whenever the workstation is switched on.
The display CAL appears instead of the numerical value
during automatic calibration of the O2 sensor (every
24 hours).
The flow sensor is automatically calibrated as soon as a
CO2 signal is detected by the gas measuring system.
Julian takes account of the relevant gas mixture when
calculating the volumetric concentrations.
56
Monitoring
Selecting the data screen
57
Monitoring
Selecting the trend screen
58
Monitoring
Selecting the trend screen
Zoom function
IPPV
PAW CO2
The trend display can be magnified with the zoom 60
config.
MAN
Operation with SPONT,
IPPV or PCV
Freshgas O2+N2O
O2 % L/min
30 4.00
The system asks you to confirm that the trend is really to
be deleted.
To delete:
Standby
Press the softkey »delete«.
The stored trend for the anaesthetic gas concentration is
deleted automatically when a new anaesthetic gas is Julian delete
SW-version 2.0
selected. 01. Nov. 98
do not
delete
config.
MAN IPPV
Operation with , or PCV
SPONT
Freshgas O2+N2O
O2 % L/min
30 4.00
59
Monitoring
Alarms
Alarms
Displaying and setting alarm limits
Alarms can be displayed and set from all three basic
screens (standard, data and trend screen) during
operation.
The default alarm limits for the ventilation mode are
activated automatically when changing from standby to a
ventilation mode.
These default alarm limits can be used unchanged or they
can be set individually for the patient.
The individual settings are deleted on changing from
ventilation mode to standby and the default alarm limits
are reactivated.
20
PAW FiO 2 29 20 curves
FiHal. 0.8
1.0
0.0 config.
0 40
PAW 8
Adjust limit value: Turn and confirm !
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
42
Example etCO2:
The upper alarm limit (42 mmHg) and the lower alarm etCO2 38 30
limit (30 mmHg) are shown alongside the measured value
(38 mmHg).
A deactivated alarm limit is indicated by two dashes (– –).
60
Monitoring
Alarms
Pulse H 21 to 250
[1/min]
_ 20 to 249
etCO2 1 to 75
[mmHg]
_ 0 to 74
MV 0.1 to 39
[L/min] _ 0 to 38.9
FiO2 _ 19 to 100
[Vol.%] 18 to 99
Fi Hal. 0.1 to 7
[Vol.%]
_ 0 to 6.9
Fi Iso. 0.1 to 7
[Vol.%] _ 0 to 6.9
Fi Enf. 0.1 to 7
[Vol.%] _ 0 to 6.9
Fi Des. 0.1 to 21.9
[Vol.%]
_ 0 to 21.8
Fi Sev. _ 0.1 to 9.9
[Vol.%] 0 to 9.8
PAW 5 to 98
[mbar] _ 0 to 35
61
Monitoring
Alarms
MV VT x f x 1.4 VT x f x 0.6
[L/min] At least 2.0 At least 0.5
62
Monitoring
If an alarm occurs
If an alarm occurs
Alarm messages are assigned to three priority classes
by Julian, depending on their urgency, and identified by
exclamation marks:
Warning:
1 Red lamp flashes, accompanied by a continuous tone. Julian
Caution: 1
1 Yellow lamp flashes, accompanied by an intermittent 2
tone every 30 seconds.
Advisory:
1 Yellow lamp lights up continuously, accompanied by a
single tone.
63
Monitoring
CO2 alarms on/off
Alarm info
20 PAW curves
FIO2 < !!!
config.
Active warning: 0
ETCO2 < !!
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
The display only remains visible as long as the softkey is 50 1.00 25 600 10 1:2 10 0
pressed.
64
Monitoring
List display
List display
Record of measured values, alarms and ventilation
modes to facilitate compilation of the anaesthetic record.
The control criteria for entries can be configured, see
"Record" on page 71.
Press the softkey »list«.
Display (example): IPPV
PAW next page previous page
Delete list
The list and trend memory are deleted together!
Only possible in standby!
Standby
In standby:
Julian leakage
test
Press the softkey »delete trend«. SW-version 2.0
delete
01. Nov. 98
trend
config.
Freshgas O2+N2O
O2 % L/min
30 4.00
65
Monitoring
Selecting curves
Selecting curves
Only possible from the standard screen!
Three curves can be selected and positioned for the
momentary ventilation mode in this menu.
The following curves can be selected:
AGas Curve of anaesthetic agent concentration at
the Y-piece
CO2 Curve of CO2 concentration at the Y-piece
Flow Expiration flow
O2 Curve of O2 concentration at the Y-piece
PAW Airway pressure
Pleth The plethysmogram derived from SpO2
measurement (optional)
Volumeter A display mode showing the minute volume
and tidal volume VT as bar graphs
Pressures Digital indication of the measured value for
PPEAK, PPLAT, PMEAN and PEEP
blank Blank field
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
66
Monitoring
Using the volumeter function
CO2
etCO2 38 _ freq
Ve
MV 5.2
40
Upper bar: 8
Current tidal volume VT, preceded by the numerical Fi Fet
0
value. VT O2 40 36
Lower bar: 0.35 Volumeter 46 s
0 0.5 1
Hal.0.8 0.6
Volumeter (minute volume measurement), preceded 4.1 N O 58
by the numerical value. 0 5 10 2 56
The scale of the bar display depends on the default
setting, see "Configuring in operation, selecting the
scale" on page 69
and "Configuring in standby mode, selecting the scale"
on page 83.
VT
Setting Tidal volume VT Minute 0.35 Volumeter 46 s
0 0.5 1
in L volume MV
in L/min 4.1 0 5 10
Scale 0.2 2
for children
Scale 1.0 10
for adults
67
Monitoring
Configuring in operation
Configuring in operation
The configuration menus are used to select or modify
individual monitoring functions for the measurements in
progress.
The settings entered here are only valid while measu-
rement is in progress and are deleted on switching to
standby mode.
In the standard screen (example) or data screen: IPPV
Pleth
Press the softkey »config.«. SpO2 98 67 alarm
limits
CO2 auto set
CO2
etCO2 38 _ freq limits
alarm
40
MV 6.0 Ve 10 info
Fi Fet list
0
20 PAW O2 40 36 curves
Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
68
Monitoring
Configuring in operation
Setting the monitoring function
s
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
69
Monitoring
Configuring in operation
Setting the monitoring functions
40 puls tone 0 1 2 3 4 5 6 7 8 9
alarm sound 1 2 3 4 5 6 7 8 9
SpO2-measure. on off Scale adult child
parameter
sample rate 60 200 mL/min
record
20 activate monitor defaults
CO2 unit mmHg kPa vol%
Select »on« or »off« with the rotary knob and press to 50 1.00 25 600 10 1:2 10 0
confirm.
70
Monitori ng
Configuring in operation
Setting the monitoring function
s
Record
This function is used to determine the type of event that
triggers an entry in the record list or a printout on the
connected logging printer.
Select the line »record« with the rotary knob and
press to confirm.
The »record« menu appears on the left-hand side.
Display (example): IPPV
PAW anesth. agent alarms calibration settings
71
Monitoring
Configuring in operation
Selecting alarms
Selecting alarms
Turn the rotary knob to select the column »alarms«
and press to confirm.
Default
This function is used to activate the default alarm limits
set in the standby configuration which are effective
whenever the apparatus is switched to standby.
Setting default alarm limits:
Select the »default settings« menu by turning the
rotary knob and press to confirm.
See page 86 for the further procedure. IPPV
PAW anesth. agent alarms calibration settings
72
Monitori ng
Configuring in operation
Selecting alarms
0
Fi Fet list
O2 30 30 curves
73
Monitoring
Configuring in operation
Selecting the anaesthetic agent
CO2
etCO2 38 _ freq limits
alarm
Fi display Fet display Situation 40
MV 6.0 Ve 10 info
Fi Fet list
grey light AGAS mixture 0
inspiratory only 20 PAW O2 40 36 curves
press to confirm.
Turn the rotary knob until the required gas appears in
0
the display window.
Press the rotary knob to confirm the selection. Confirm to select Isoflurane.
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
74
Monitoring
Configuring in ope
ration
Manual calibration
Manual calibration
Julian calibrates its sensors automatically during IPPV
operation. The message CAL appears instead of the PAW anesth. agent alarms calibration settings
current measured value during a calibration process.
Calibration of the O2 sensor and zero calibration of the 40 selection default O2-Sensor pulse tone 0 1 2 3 4 5 6 7 8 9
21 Vol.% alarm sound 1 2 3 4 5 6 7 8 9
other gas sensors can be repeated manually, for instance auto man
CO2 on off adult child
scale
gas sensor
if automatic calibration was unsuccessful. SpO2 on off parameters
Isoflurane record
20 activate monitor defaults
The anesthetic HLM on off
agent is automati-
Turn the rotary knob to select the »calibration« cally selected by
gas identification
column and press to confirm.
0
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
75
Monitoring
SpO2 Measurement
Duration Short and long-term Short and long-term Short-term Short and long-term Short and long-ter m
of use monitoring monitoring monitoring zeitüberwachung monitoring
–––––––––––––
1) in unopened, undamaged packaging
76
Monitoring
SpO2 Measuremen t
C-lock-ECG synchronization(optional)
If the patient is highly agitated or the arterial flow is very
low, the measurement signals of the SpO2 measurement
can be improved with the C-Lock-ECG synchronization.
In this case, Julian receives two separate signals that
transmit the heart activity:
– An optical signal from the SpO2 sensor
and 2
– An electrical signal from the separate ECG monitor. EKG
Monitor
77
Monitoring
SpO2 Measurement
78
Monitoring
SpO2 Measuremen t
79
Monitoring
Airway temperature measurement
2
3
80
Configuring in Standby Mode
Contents
Contents
Setting default values ................................................................................................... 82
Setting the pulse tone ................................................................................... 83
Setting the alarm sound............................................................................. 83
Selecting the scale. ................................................................................... 83
Setting the measuring parameters. ..................................................................84
Record. .........................................................................................................85
Time .........................................................................................................................85
Configuring the interfaces ................................................................................85
Interface........................................................................................................ 86
Setting default alarm limits. ............................................................................ 86
Setting default alarm limits for anaesthetic agents. ...................................... 86
Adjustment range for default alarm limits.......................................................87
Configuring curves. ...................................................................................... 88
Setting basic configurations ......................................................................... 88
IPPV default settings. .............................................................................90
PCV default settings. ............................................................................. 90
Setting the fresh gas default settings. ..................................................... 91
Manual calibration................................................................................................92
100 Vol.% O2 calibration ................................................................................. 92
O2 linearity test. ............................................................................................ 93
81
Configuring in Standby Mode
Setting default values
The following settings can be made in the menu: selection O2-sensor pulse tone 0 1 2 3 4 5 6 7 8 9
auto man 21 vol.% alarm sound 1 2 3 4 5 6 7 8 9
– Default settings gas sensor
scale adult child
parameters
– Calibration Isoflurane
more
record
interfaces
The anesthetic
agent is automati- alarm limits
– Anaesth. agent cally selected by curves
gas identification
basic configurations
Fields highlighted by a grey background contain the IPPV default settings
PCV default settings
currently valid settings. fresh gas delivery
***
82
Configuring in Standby Mod e
Setting default values
pulse tone 0 1 2 3 4 5 6 7 8 9
alarm sound 12345678 9
scale adult child
parameters
Setting the pulse tone (optional) record
interfaces
alarm limits
0 = OFF curves
9 = Maximum volume basic configurations
IPPV default settings
Select the line »pulse tone« by turning the rotary knob PCV default settings
fresh gas delivery
and press to confirm. The cursor automatically jumps
to the last value selected (example 5).
Set the value with the rotary knob and press to
confirm.
83
Configuring in Standby Mode
Setting default values
pulse tone 0 1 2 3 4 5 6 7 8 9
SpO 2-measure. on off
alarm sound 1 2 3 4 5 6 7 8 9
sample rate 60 200 mL/min scale adult child
parameters
CO2 unit mmHg kPa vol% record
interfaces
alarm limits
curves
basic configurations
IPPV default settings
PCV default settings
Switch SpO2 measurement (optional) on/off: fresh gas delivery
84
Configuring in Standby Mod e
Setting default values
Record
This function is used to determine the type of event that
triggers an entry in the record list or a printout on the
connected record printer.
Select the line »record« with the rotary knob and
press to confirm.
The »record« menu appears on the left-hand side.
Display (example):
anesth. agent calibration default settings
Warning-started
An entry is made whenever an alarm is triggered.
Caution-started
An entry is made whenever a caution message is
triggered.
85
Configuring in Standby Mode
Setting default values
Interface
Choice between configuration of COM2 or COM3.
Baud rate
Transmission speed (variable, see Instructions for Use of
the equipment to be connected).
Parity
This display is invariable for MEDIBUS and is shown only
for information.
Data bits
This display is invariable for MEDIBUS and is shown only
for information.
Stop bits
This display is invariable for MEDIBUS and is shown only
for information.
86
Configuring in Standby Mode
Setting default values
FiO2 19 to 100 ––
[Vol.%] _ 18 to 99 20
Fi Hal. 0.1 to 7 1.5
[Vol.%]
_ 0 to 6.9 ––
Fi Iso. 0.1 to 7 2.3
[Vol.%]
_ 0 to 6.9 ––
Fi Enf. 0.1 to 7 3.4
[Vol.%] _ 0 to 6.9 ––
PAW 5 to 98 40
[mbar]
_ 0 to 35 8
87
Configuring in Standby Mode
Setting default values
Configuring curves
Three standard curves can be configured for each of the
ventilation modes: MAN/SPONT, IPPV, PCV and Fresh
gas external.
Turn the rotary knob to select the line »curves« and
press to confirm.
The selection menu appears in the left-hand field.
Display (example): Standby / Configuration
anesth. agent calibration default settings
Select the required ventilation mode with the rotary pulse tone 0 1 2 3 4 5 6 7 8 9
alarm sound 12345678 9
knob: default curves Man./Spont. scale adult child
parameters
default curves IPPV
record
default curves PCV interfaces
default curves freshgas external alarm limits
curves
basic configurations
IPPV default settings
PCV default settings
fresh gas delivery
The »Standard IPPV screen« has been selected in the Standby / Configuration
example: anesth. agent calibration default settings
The corresponding position remains unused if »blank« To select curve position: turn and confirm .
is selected.
88
Configuring in Standby Mode
Setting default values
89
Configuring in Standby Mode
Setting default values
25 600 12 1:2 10 0
15 12 1:2 10 0
Press the rotary knob.
90
Configuring in Standby Mod e
Setting default values
O2 % L/min
100 2.00
91
Configuring in Standby Mode
Manual calibration
Manual calibration
Julian calibrates its sensors automatically during opera- Standby / Configuration
tion. The message CAL appears instead of the current anesth. agent calibration default settings
measured value during a calibration process.
Calibration of the O2 sensor and zero calibration of the selection O2-sensor pulse tone 0 1 2 3 4 5 6 7 8 9
auto man 21 vol.% alarm sound 1 2 3 4 5 6 7 8 9
other gas sensors can be repeated manually, for instance scale adult child
if automatic calibration was unsuccessful. gas sensor parameters
Isoflurane record
more interfaces
In standby / configuration mode: The anesthetic
agent is automati- alarm limits
cally selected by curves
Turn the rotary knob to select the »calibration« gas identification
basic configurations
column and press to confirm. IPPV default settings
PCV default settings
Select and confirm the appropriate line with the rotary fresh gas delivery
Other settings can already be made during the calibration gas sensor
process.
more
O2-sensor
100 Vol.%
linearity
100 Vol.% O2 calibration test O2
92
Configuring in Standby Mod e
Manual calibration
Selecting anaesthetic agen t
O2 21 vol.%
A display in the range between 18 and 24 vol.% is
correct.
If the display is outside this range, the O2 sensor is
defective or spent
(replace O2 sensor, see page 117).
confirm.
Turn the rotary knob to select the line »gas« and press
to confirm.
Turn the rotary knob until the required gas appears in
the display window.
Press the rotary knob to confirm the selection.
Check that the manually selected anaesthetic agent is
compatible with the Vapor unit.
93
94
Care
Contents
Care
Contents
95
Care
Dismantling components
Care
Dismantling components
Dismantling sample line
Unscrew the sample line from the Y-piece and water
trap on the back of the unit.
The sample line is not reusable and can be disposed
of with ordinary domestic waste.
96
Care
Dismantling components
97
Care
Dismantling components
3 3
98
Care
Dismantling components
99
Care
Dismantling components
1
1 1
4 3
100
Car e
Dismantling component s
101
Care
Disinfecting / cleaning / sterilizing
102
Care
Disinfecting / cleaning / sterilizing
All the components are listed in the care list for Juian on
pages 104 and 105, together with the corresponding
intervals and appropriate means.
103
Care
Care list
104
Care
Care list
The parts should preferably be cleaned and disinfected in a washing machine, otherwise by
immersion.
Julian and its components must not be treated with formaldehyde vapours or ethylene oxide!
How
Disinfection and cleaning4) Sterilization
Washing machine2) Wiping3) Immersion3) Steam, 134 C,
93 C 10 minutes 10 minutes
no outside no no
no outside no no
no yes no no
yes no possible yes
no outside possible 5) no
yes no possible no
no yes no no
yes no possible yes
yes no possible no
yes no possible no
yes no possible no
yes no possible yes
105
Care
Assembling
Assembling
Installing the breathing system
1 Place the bottom section on a flat surface.
2 Fit the valve plate on the bottom section. 5
3 Insert both valve discs.
4 Tightly fit the cover. 5 5
5 Tighten all five sealing screws a quarter-turn. 4
5 5
3
2
3
106
Care
Assembling
5
5
107
Care
Assembling
108
Care
Assembling
51
42
109
Care
Assembling
110
Care
Assembling
3 4
111
112
Julian as Wall-mounted Unit
Content s
Contents
Features ......................................................................................................... 114
Preparation ..................................................................................................... 114
Anaesthetic gas aspiration............................................................................. 114
113
Julian as Wall-mounted Unit
Preparation
Julian can be swung clear of the wall on its hinges to gain
access to the back panel.
1 Pull the handle to swing the unit about 30 clear of the
wall. D Julian
114
Maintenance Intervals
Contents
Maintenance Intervals
Contents
115
Maintenance Intervals
Maintenance Intervals
The workstation and its components must be cleaned and disinfected before every maintenance operation -
even when returning for repair!
116
Maintenance Intervals
Cleaning the cooling air filter
s
Replacing the water separator
Replacing the O2 nsorse
117
Maintenance Intervals
Disposing of batteries and O2sensors
Disposing of the used device
118
Fault – Cause – Remedy
Contents
Contents
119
Fault – Cause – Remedy
Julian divides the alarm messages into three priority The messages are listed below in alphabetical order.
classes identified by exclamation marks: The list is intended to help identify the cause of an alarm
!!! Warning = Message with top priority message and to remedy the fault rapidly.
!! Caution = Message with middle priority
! Advisory = Message with least priority
120
Fault – Cause – Remedy
121
Fault – Cause – Remedy
JULIAN COM 2 ! Communication via the RS 232 inter- Check the plug connection on Julian and
face COM 2 has been interrupted. the connected device.
MV < !! Minute volume below the lower alarm Check breathing system.
limit. Check setting of ventilator.
Tube blocked/kinked. Check tube.
Leak in breathing system. Seal breathing system.
Ventilation volume reduced by pressure Correct ventilation pattern.
limitation.
Inadequate fresh gas flow. Increase fresh gas flow.
MV > !! Minute volume exceeds upper alarm Correct tidal volume or respiration rate.
limit.
MIXED AGENT ! The anaesthetic gas has been Check fresh gas setting. Wait a while.
confused. Mixture of two anaesthetic
agent present.
MIXER INOP !!! Fault in the fresh gas mixer system. Patient must immediately be
Automatic switchover to MAN/SPONT. ventilated by hand!
A constant flow of 4 L/min O2 is Call DrägerService.
maintained.
N2O INOP ! N2O gas measurement faulty. Call DrägerService.
N2O SUPPLY !!! N2O supply has failed. Open the N2O backup cylinder.
The central supply connector is not Check connection to central supply.
plugged in or the N2O hose is kinked. Restore N2O supply.
N2O cylinder empty. Connect a full N2O cylinder.
NO FRESHGAS !!! Fault on switching over to the external Call Dräger Service.
fresh gas outlet.
O2 INOP ! O2 sensor worn or defective Replace O2 sensor, page 117
O2 SUPPLY !!! The oxygen supply has failed. Open the O2 backup cylinder.
The central supply connector is not Check connection to central supply.
plugged in or the O2 hose is kinked. Restore O2 supply.
O2 cylinder empty. Connect a full O2 cylinder.
PAW > !!! Airway pressure exceeds upper alarm Check hose system.
limit.
Ventilation hose kinked.
Stenosis.
Pressure limit set too high. Correct pressure limit.
PAW NEGATIVE !!! Inadequate supply of fresh gas. Set adequate fresh gas flow on the
anaesthetic unit.
Mean pressure pmean less than –2 mbar.
Airway pressure PAW less than
–7 mbar.
P MAX? ! PCV pressure limit not reached. Check stroke volume.
Correct pressure limit, inspiratory flow
or inspiration time if necessary.
POWER FAIL ! Power supply failure. Check battery capacity.
Prepare manual ventilation.
Short-circuit in one of the devices Remove the device plug from the
connected to the auxiliary sockets. auxiliary socket. Press the switch on the
back panel.
122
Fault – Cause – Remedy
123
124
What's what
Contents
What's what
Contents
125
What's what
What's what
Front view
14
13 1
12
2
3
11
10 5
9
8
1-36-96
126
What's what
O2 Air N2O
5
Safety-O2
642
8
Vac. 10 0 O2
12 +
L/ min
4 3 2 1
1 O2 flush
2 O2 emergency metering
3 Secretion aspiration on/off switch
4 Rotary knob for secretion aspiration suction
5 Secretion aspiration pressure gauge
6 Central gas supply O2 pressure gauge
7 Central gas supply AIR pressure gauge
8 Central gas supply N2O pressure gauge
127
What's what
1 2 3 4 5
11
IPPV 12
Pleth
SpO2 98 67 alarm 13
limits
CO2 auto set
CO2
etCO2 38 _ freq limits
Ve
40
MV 6.0 10 alarm
info
0
Fi Fet list 1.2.... 14
20 PAW O2 40 36 curves
Hal. 0.8 0.6
0
config. 15
N O 58
2 56
16
Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
MAN
N2O AIR SPONT
IPPV PCV 17
18
6 78 9 10
1 Status field showing the current ventilation mode 10 Softkeys for setting ventilation
2 Curve field for curves and bar graphs 11 Power supply indicator
3 Alarm field for alarm messages and their priority 12 Alarm indication LEDs
4 Measurement field for numerical values 13 Key for suppressing the acoustic alarm for 2 minutes
5 Softkeys for monitoring functions 14 Key for changing monitoring screen pages
6 Keys for selecting the carrier gas (N2O or AIR) 15 Key for calling up the standard screen
7 Softkeys for setting the fresh gas flow 16 User advisory field
8 Status line for fresh gas 17 Rotary knob for selection, setting and confirmation
9 Keys for selecting the ventilation mode 18 Key for switching to standby mode
128
What's what
Rear view
11 12 13
1
2
3
4
5
10 6
7
9
MT-490-98
129
What's what
Interface panel
Analog 1
Sync.
[
CAN 2 COM 3 2
SpO2
m
CAN 1 COM 2 3
Temp.
COM 1 4
SA-Bus 5
6 7 8 9 10
130
Technical Data
Contents
Technical Data
Contents
Operating data.........................................................................................................137
131
Technical Data
Technical Data
Ambient conditions
In operation:
Temperature 10 to 35 C
Air pressure 700 to 1060 hPa
Rel. humidity 20 to 80 % (no condensation)
CO2 concentration of ambient air 300 to 800 ppm
In storage:
Temperature –20 to 60 C
O2 sensor max. 50 C
Air pressure 500 to 1100 hPa
Rel. humidity <98 % (no condensation)
Fresh gas
(electronic mixer)
Settings:
O2 concentration 25 to 100% by vol., at least 25% by vol., 250 mL/min.
5% of set value
Fresh gas flow 0 and 0.5 to 12 L/min
10% of set value or max. 100 mL
O2 flush >35 L/min
Ventilator
(electronically controlled, pneumatically
driven bellows in bottle ventilator)
Settings:
Pressure limit Pmax
for IPPV 10 to 70 mbar
10 % of setting or at least 2 mbar
for PCV (PEEP+1) to 70 mbar
10 % of setting or at least 2 mbar
Tidal volume 50 to 1400 mL
15% of the setting for inspiration flows 10 L/min.
Ventilation frequency 6 to 60 per minute
Tinsp 0.2 to 6.7 seconds
Texp 0.33 to 8 seconds
Insp/Exp. time ratio TI : TE 1 : 4 to 2 : 1 with automatic ventilation
132
Technical Data
Breathing system
Total gas volume Approx. 4.5 L enclosed gas volume
Compliance with filled absorber container,
without breathing hoses Approx. 4.5 mL/mbar
Absorber volume 1.5 L
Leakage (EN 740) <150 mL/30 mbar
Pressure limiting valve APL
Adjustment range 5 to 70 mbar
15 % of setting
Exp. resistance (EN 740) 4.87 hPa at 60 L/min
Insp. resistance (EN 740) 4.65 hPa at 60 L/min
absorber container filled with DrägerSorb 800
Measuring systems
Pressure measurement
(piezoresistive)
Airway pressure –10 to 99 mbar
Resolution 1 mbar
Accuracy Better than 4 % of measured value or at least 1 mbar,
the larger value applies.
O2 measurement
(fuel cell in sidestream)
Sample rate 60 mL/min or 200 mL/min
Delay time for sampling Less than 1 second
Measuring range 5 to 100 vol%
Resolution 1 vol%
Accuracy Calibration in air:
3 vol% in the range from 5 to 50 vol%
5 vol% in the range from 50 to 100 vol%
Calibration with 100 % O2:
3 vol% in the range from 5 to 100 vol%
Drift Within the ranges specified above
Response time t10...90
at 200 mL/min 500 ms
at 60 mL/min 1s
133
Technical Data
Flow measurement
(hot wire anemometry)
Tidal volume VT
Range 0.02 to 9.99 L
Resolution 0.01 L
Accuracy (under calibration conditions Better than8 % of the measured value or 0.01 L, the larger value
and 1013 hPa) applies
Minute volume MV
Range 0 to 99.9 L/min
Resolution 0.1 L/min
Accuracy Better than 8 % of the measured value
(under calibration conditions and BTPS*)
Respiration rate
Range 0 to 60 per minute
Resolution 1 per minute
Accuracy 1 per minute
CO2 measurement
(infrared spectrometry)
Sample rate 60 mL/min or
(selectable) 200 mL/min
Delay time for sampling Less than 1 s
Measuring range 0 to 9.9 kPa (0 to 80 mmHg)
Resolution 0.1 kPa
Accuracy 0.2 vol% or 5 % of measured value
Response time t10...90
at 200 mL/min 300 ms
at 60 mL/min 1s
Warm-up phase 4 min (accuracy as specified by DIN EN 864)
2 min for first measured values
Zero drift Within the ranges specified above
134
Technical Data
135
Technical Data
Sensors
Type Compatible with Nellcor sensors
Oxisensor, Oxiband and Durasensor
Wavelengths 660 nm (red)
920 nm (infrared)
Acoustic pulse signal A tone is produced for each detected pulse,
tone pitch proportional to oxygen saturation
C-Lock-ECG synchronization(optional)
Requirements for ECG
synchronization signal Pos. pulse with voltage >4.5 V,
>10 ms duration for driving 2 mA
Max. permissible signal delay
with reference to current
QRS complex 40 ms
Socket for 2-pin jack-plug, Ground
dia. 3.5
Jack layout
Signal isolation from other Signal
electronic components
Dielectric strength 4 kV
Interfaces
Analog output
Plug connector 9-pin sub-D, electrical isolation 1.5 kV
PAW 0 to 100 mbar; 0 to 5 V =; PIN 3
Flow 0 to 150 L/min; 0 to 5 V=; PIN 6
CO2 0 to 10 kPa; 0 to 5 V=; PIN 9
Earth PIN 1, 4, 7
COM1 record (printer)
Connector 9-pin sub-D, electrical isolation 1.5 kV
Pin assignment 1 shield
2 TxD
3 RxD
5 GND
COM2 (MEDIBUS 1)
Connector 9-pin sub-D, electrical isolation 1.5 kV
Pin assignment 1 shield
2 TxD
3 RxD
5 GND
COM3 (MEDIBUS 2)
Connector 9-pin sub-D, electrical isolation 1.5 kV
Pin assignment 1 shield
2 TxD
3 RxD
5 GND
136
Technical Data
Operating data
Operating voltage 90 – 265 V~
Power input 400 W typically, max. 2.3 kW
Uninterruptible power supply with fully charged battery: typically 30 min
(auxiliary sockets are not powered!)
Classification II b
according to Directive 93/42/EC
Appendix IX
137
138
Abbreviations / Symbols
Content s
Abbreviations / Symbols
Contents
Abbreviations............................................................................................................140
139
Abbreviations
Abbreviations
140
Symbols
Symbols
Symbol Meaning
ª Pulse rate
u Action in progress
? Repeat calibration
! Advisory message
!! Caution message
141
Index
Index
Abbreviations................................................................. 140 COM3 ....................................................................... 85
Absorber, dismantling...................................................... 99 Compliance ...................................................... 32, 133
Absorber, filling and installing....................................... 107 Configuring in operation ..................................................68
Accessories..................................................................... 5 Configuring in standby ....................................................82
Advisory ........................................................... 63, 120 Connection ................................................................... 5
Airway temperature measurement ..................................80 Cooling air filter, cleaning ............................... 116, 117
Alarm ................................................................. 63, 75 Curves ............................................................... 66, 88
Alarm info ........................................................... 64, 52
Alarm limits ....................................................................... 61 Data page .......................................................... 17, 57
Alarm sound, setting ........................................... 69, 83 Date .................................................................................. 89
Alarm tone sequence ................................................. 64 Default alarm limits, setting ................................. 86, 87
Alarms............................................................................... 63 Default setting, fresh gas ................................................ 91
Alarms, FRESH GAS EXTERNAL ................................... 51 Default setting, IPPV .....................................................90
Alarms, IPPV ................................................................. 42 Default setting, PCV ................................................... 90
Alarms, MAN/SPONT ................................................ 39 Default values ...................................................................82
Alarms, PCV............................................................... 45 Disinfecting.................................................................. 102
Alarms, selecting ................................................ 60, 72 Disposal.......................................................................118
Ambient conditions ..................................................... 132 Disposing of the used device ......................................118
Anaesthetic agent ....................................... 74, 93, 114
Anaesthetic agent scavenging ECG signal ...................................................................... 77
system AGS ....................................... 23, 28, 100, 111 Emergency ......................................................... 33, 52
AutoSet ............................................................................. 62 Emergency metering ....................................................... 30
Auxiliary devices .............................................................. 24 Emergency mode ............................................................ 52
Auxiliary power socket .................................................. 24 Emergency ventilation bag ........................ 29, 101, 111
End of operation .............................................................. 54
Backup gas cylinders ...................................................... 29 Equipotential bonding ....................................................24
Basic configurations...................................................... 88 Explosion hazard areas ...................................................... 5
Basic pages ..................................................................... 17
Batteries ......................................................................... 118 First-time operation ..........................................................20
Battery .............................................................................. 19 Flow sensor, installation ................................................106
Bellows, installation ....................................................... 107 Flow sensor, removal ...................................................... 99
Bellows, removal ............................................................. 99 For your safety and that of your patients......................... 5
Breathing bag ................................................................ 108 Fresh gas flow, setting.................................................... 36
Breathing hoses............................................................. 108 Fresh gas metering ........................................... 91, 132
Breathing hoses, installing ............................................ 108 Fresh gas, setting ............................................................ 36
Breathing system .............................................. 28, 133
Breathing system, dismantling ........................................ 98 Gas cylinders ................................................................... 23
Breathing system, installing .......................................... 106 Gas cylinders ................................................................... 23
Breathing system, opening ........................................... 100 Gas failure........................................................................ 53
Gas supply ....................................................... 22, 127
C-Lock ECG synchronization ........................... 77, 136
Calibration ......................................................... 75, 92 HLM alarm mode ............................................................ 73
Care .............................................................................. 96 HLM mode ....................................................................... 73
Care list .......................................................................... 104
Carrier gas, selecting .................................................... 36 Intended use .......................................................................9
Caution ............................................................ 63, 120 Intended use ....................................................................... 9
Checking against checklist.............................................. 26 Interfaces ....................................................................... 130
Checklist .......................................................................26 Interfaces, configuring ........................................ 85, 86
Children, ventilating ......................................................... 49 IPPV ..............................................................................40
Classification ............................................................... 137
Cleaning ......................................................................... 102 Language ............................................................................. 89
CO2 alarms on/off .............................................. 64, 72 Leakage test ..................................................................48
CO2 unit, setting ................................................ 70, 84 Liability............................................................................. 5
CO2, setting ..................................................................... 84 Limits ................................................................................ 60
COM1 ........................................................................ 85 Limits, adjusting ............................................................ 62
COM2 ........................................................................ 85 List ............................................................................ 65
142
Index
143
These Instructions for Use apply only to
Julian
with Serial No.:
If no Serial No. has been filled in by
Dräger these Instructions for Use are
provided for general information only and
are not intended for use with any specific
machine or device.
ç
Directive 93/42/EEC
concerning Medical Devices
90 29 439 - GA 5132.005 en
Dräger Medizintechnik GmbH
1st edition - December 1998
Subject to alteration