Dräger Medical Fabius GS premium User manual

WARNING!
For a full understanding of the
performance characteristics of this
medical device, the user should care-
fully read these Instructions for use
before use of the medical device.
Instructions for Use
Fabius®GS premium
Anesthesia Workstation
Software 3.n

2Instructions for Use Fabius GS premium SW 3.n
Working with these
Instructions for Use
Header Line
The header line on each page contains the title of
the chapter.
Page Body
The page body in these Instructions for Use com-
bines text and illustrations. The information is pre-
sented as sequential steps of action, giving the user
hands-on experience in learning how to use the
Fabius GS premium machine.
Left-Hand Column – the Text
The text in the left-hand column provides explana-
tions and step-by-step instructions on the practical
use of the machine.
zBullet points indicate separate actions.
1Where several actions are described, numbers
are used to refer to relevant details in the illus-
trations. On each page the numbering restart
with “1”.
– Dashes indicate the listing of data, options or
objects.
Right-Hand Column – the Illustrations
The illustrations provide visual reference for the
text and for locating the various parts of the equip-
ment. Elements mentioned in the text are high-
lighted. Renderings of screen displays guide the
user and provide a way to reconfirm actions per-
formed.
Typing Conventions in this Manual
– User controls, such as hard keys and soft keys,
and screen pages are printed in bold within quo-
tation marks, e.g., »PEEP« or »Volume Set-
tings«
– Screen messages are printed in bold within
quotation marks, e.g., »Flow Calibration in
progress«
– Alarm messages are printed in bold within quo-
tation marks, including the exclamation marks
that indicate their alarm urgency level, e.g.,
»APNEA PRESSURE!!!«
305
Configuration
104
Instructions for Use Fabius GS premium SW 3.n
Configuration Functions in Standby
Mode
The configuration functions available in Standby
include calibrations, system tests, and the manage-
ment of default settings.
To access Standby mode:
1Press the »Standby« key.
zThe waveform window is replaced by a confir-
mation message and the instruction to shut off
flow.
The LED on the Standby key starts blinking and will
remain blinking until Standby is confirmed.
zConfirm the mode change. The ventilator enters
Standby mode, the Standby screen replaces the
previous screen, and the Standby LED stops
blinking and remains on.
The following soft key labels appear at the bot-
tom of the Standby screen:
–»Run System Test«
–»Calibrate Flow Sensor«
–»Calibrate O2 Sensor«
–»Leak / Compl Test«
–»Access Alarm Log«
–»Restore Site Defaults«
NOTE:
If confirmation does not occur within 15 seconds,
the ventilator remains in the previous mode and the
waveform window is restored.
300
1
522501

Instructions for Use Fabius GS premium SW 3.n 3
Trademarks
DrägerService®, Spirolog®, SpiroLife®,
Drägersorb®, D-Vapor®, Fabius®GS premium,
Vapor®, and Vitalink®are registered trademarks of
Dräger.
Selectatec®is a registered trademark of Datex-
Ohmeda.
All other products or brand names are trademarks
of their respective owners.
Definitions
Abbreviations and Symbols
Please refer to "Abbreviations" on page 32 and
"Symbols" on page 33 for explanations.
Notice
This document is provided for customer information
only, and will not be updated or exchanged without
customer request.
WARNING!
A WARNING statement provides important
information about a potentially hazardous sit-
uation which, if not avoided, could result in
death or serious injury.
CAUTION!
A CAUTION statement provides important infor-
mation about a potentially hazardous situation
which, if not avoided, may result in minor or mod-
erate injury to the user or patient or in damage to
the equipment or other property.
NOTE:
A NOTE provides additional information intended to
avoid inconvenience during operation.

4Instructions for Use Fabius GS premium SW 3.n

Instructions for Use Fabius GS premium SW 3.n 5
Contents
Contents
Working with these Instructions for Use . . . . . 2
Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Abbreviations and Symbols . . . . . . . . . . . . . . . . . 3
Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
For Your Safety and that of Your Patients . . . . 7
Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
System Overview . . . . . . . . . . . . . . . . . . . . . . . 15
Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Compact Breathing System (Top View) . . . . . . . 17
Rear View (Pin-Index Connector). . . . . . . . . . . . 18
Rear View (Threaded Connectors). . . . . . . . . . . 19
Interface Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Vaporizers (Optional) . . . . . . . . . . . . . . . . . . . . . 21
Vaporizer Exclusion Systems . . . . . . . . . . . . . . . 21
Auxiliary Oxygen Flowmeter. . . . . . . . . . . . . . . . 23
APL Valve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Communication Ports . . . . . . . . . . . . . . . . . . . . . 25
Auxiliary Fresh Gas Outlet (Optional). . . . . . . . . 27
Auxiliary Fresh Gas Outlet Switch (Optional) . . . 28
Magill Breathing Circuit. . . . . . . . . . . . . . . . . . . . 30
Accessory Weight Limits . . . . . . . . . . . . . . . . . . 31
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Operation Concept . . . . . . . . . . . . . . . . . . . . . . 35
Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
The Screen Display . . . . . . . . . . . . . . . . . . . . . . 37
Rotary Knob . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Fixed Function Keys. . . . . . . . . . . . . . . . . . . . . . 38
Soft Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Fresh Gas Control . . . . . . . . . . . . . . . . . . . . . . . 43
LED Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Gas System Color Coding . . . . . . . . . . . . . . . . . 46
Screen Color Concept . . . . . . . . . . . . . . . . . . . . 46
Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Activating the Battery . . . . . . . . . . . . . . . . . . . . . 48
Fitting the CO2Absorber on the Compact
Breathing System . . . . . . . . . . . . . . . . . . . . . . . . 48
Installing the Drägersorb CLIC Adapter
(Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Connecting the Compact Breathing System . . . 50
Inserting the Flow Sensor . . . . . . . . . . . . . . . . . 51
Connecting the Waste Gas Outlet Port . . . . . . . 52
Installing the Flexible Bag Arm and Bag
(optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Connecting Pipeline Supply of N2O, AIR and
O2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Connecting the Reserve Gas Cylinders for
N2O, AIR and O2(for Pin-Index Mounting) . . . . 54
Connecting the Reserve Gas Cylinders for
N2O, AIR and O2(for Cylinders with Threaded
Connectors). . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Connecting the AGS Scavenger System
(Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Connecting the Suction System (Optional) . . . . 59
Connecting the Breathing Hoses. . . . . . . . . . . . 60
Inserting a New O2Sensor Capsule . . . . . . . . . 62
Connecting the O2Sensor . . . . . . . . . . . . . . . . 62
Connecting the Pressure Sensor . . . . . . . . . . . 63
Connecting the Pressure Breathing Gauge
(Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Connecting the Flow Sensor . . . . . . . . . . . . . . . 64
Connecting the APL Bypass and PEEP/PMAX
Hoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Installing the COSY Shielding . . . . . . . . . . . . . . 65
Attaching the Manual (Ambu) Ventilation Bag . . 65
Preparing the Ventilator . . . . . . . . . . . . . . . . . . . 66
Ventilator Safety Features . . . . . . . . . . . . . . . . . 66
Installing Vaporizers . . . . . . . . . . . . . . . . . . . . . 67
Additional Equipment . . . . . . . . . . . . . . . . . . . . 67
Equipotential Bonding . . . . . . . . . . . . . . . . . . . . 68
Connecting AC Power . . . . . . . . . . . . . . . . . . . . 68
Daily and Pre-use Checkout . . . . . . . . . . . . . . . 69
Getting Started. . . . . . . . . . . . . . . . . . . . . . . . . 71
Powering-Up the Machine . . . . . . . . . . . . . . . . . 72
Power-Up Standby Screen . . . . . . . . . . . . . . . . 73
Checking Readiness for Operation . . . . . . . . . . 73
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Power-Up Standby Screen . . . . . . . . . . . . . . . . 76
Setting Fresh Gas Flow. . . . . . . . . . . . . . . . . . . 76
Setting Vaporizer Concentration . . . . . . . . . . . . 78

6Instructions for Use Fabius GS premium SW 3.n
Contents
O2Flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Low Flow Anesthesia . . . . . . . . . . . . . . . . . . . . . 80
Nitrogen Wash-Out (If Required) . . . . . . . . . . . . 80
Replacing CO2Absorbent . . . . . . . . . . . . . . . . . 80
Ventilation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Ventilator Safety Features . . . . . . . . . . . . . . . . . 96
Changing Patients . . . . . . . . . . . . . . . . . . . . . . . 97
Ending Operation . . . . . . . . . . . . . . . . . . . . . . . . 98
Preparing for Storage or Transport. . . . . . . . . . . 99
Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Oxygen Monitoring . . . . . . . . . . . . . . . . . . . . . . 106
O2Monitoring Disabled . . . . . . . . . . . . . . . . . . 110
O2Low Supply Alarm . . . . . . . . . . . . . . . . . . . . 110
Respiratory Volume Monitoring . . . . . . . . . . . . 111
Breathing Pressure Monitoring. . . . . . . . . . . . . 113
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . 115
Configuration Functions in Standby Mode . . . . 116
Configuration during Operation . . . . . . . . . . . . 137
Fault-Cause-Remedy . . . . . . . . . . . . . . . . . . . 145
Power Failure Backup . . . . . . . . . . . . . . . . . . . 146
Ventilator Fail State . . . . . . . . . . . . . . . . . . . . . 148
Overriding the Ventilator. . . . . . . . . . . . . . . . . . 148
Fault-Cause-Remedy . . . . . . . . . . . . . . . . . . . . 150
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Cleaning and Disinfection. . . . . . . . . . . . . . . . . 158
Dismantling the Compact Breathing System . . 158
Dismantling Parts of the Ventilator . . . . . . . . . . 159
Removing the Scavenger System . . . . . . . . . . 160
Removing the Suction System . . . . . . . . . . . . . 160
What is meant by cleaning? . . . . . . . . . . . . . . . 161
Disinfecting/Cleaning/Sterilizing . . . . . . . . . . . . 163
Care List for Fabius GS premium
Components . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
Reassembling the Breathing System . . . . . . . . 169
Reinstalling the Ventilator . . . . . . . . . . . . . . . . . 170
Reinstalling the Scavenger System . . . . . . . . . 171
Reinstalling the Suction System. . . . . . . . . . . . 171
Checking Readiness for Operation . . . . . . . . . 171
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Maintenance Intervals . . . . . . . . . . . . . . . . . . . 175
Routine Maintenance . . . . . . . . . . . . . . . . . . . 177
Checking Readiness for Operation . . . . . . . . . 179
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 181
Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
Technical Data . . . . . . . . . . . . . . . . . . . . . . . . 183
Ambient Conditions . . . . . . . . . . . . . . . . . . . . . 184
Machine Data . . . . . . . . . . . . . . . . . . . . . . . . . 184
Fuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
Electromagnetic Compatibility (EMC)
Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Electrical Safety Conformance . . . . . . . . . . . . 192
General Safety Standards for Anesthesia . . . . 192
Freedom from Latex . . . . . . . . . . . . . . . . . . . . 192
Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192
Anesthesia Gas Supply Module . . . . . . . . . . . 195
Anesthetic Agent Vaporizer Interface . . . . . . . 196
Breathing System . . . . . . . . . . . . . . . . . . . . . . 197
Low Oxygen Supply Pressure Alarm. . . . . . . . 198
S-ORC (Sensitive Oxygen Ratio Controller) . . 198
Serial Interface . . . . . . . . . . . . . . . . . . . . . . . . 199
Diagram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
Appendix – Daily and Pre-use Checkout
Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209

Instructions for Use Fabius GS premium SW 3.n 7
For Your Safety and that of Your Patients
For Your Safety and that of Your Patients
Strictly follow these Instructions for Use . . . . . . 8
Not for use in areas of explosion hazard . . . . . . 8
Safe connection with other electrical
equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Safe networking of computers . . . . . . . . . . . . . . 8
Patient safety . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Patient monitoring . . . . . . . . . . . . . . . . . . . . . . . 9
General WARNINGS and CAUTIONS . . . . . . 10
Note on EMC/ESD risk for the device function 10
Accessories in sterile packaging . . . . . . . . . . . 10
Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

8Instructions for Use Fabius GS premium SW 3.n
For Your Safety and that of Your Patients
Strictly follow these Instructions for Use
Maintenance
Accessories
Not for use in areas of explosion hazard
Safe connection with other electrical equipment
Safe networking of computers
When networking with electrical devices, the oper-
ator is responsible for ensuring that the resulting
system meets the requirements set forth by the fol-
lowing standards:
– EN 60601-1 (IEC 60601-1)
Medical electrical equipment
Part 1: General requirements for safety
– EN 60601-1-1 (IEC 60601-1-1)
Medical electrical equipment
Part 1-1: General requirements for safety
Collateral standard: Safety requirements for
medical electrical systems
– EN 60601-1-2 (IEC 60601-1-2)
Medical electrical equipment
Part 1-2: General requirements for safety
Collateral standard: Electromagnetic compati-
bility; Requirements and tests
– EN 60601-1-4 (IEC 60601-1-4)
Medical electrical equipment
Part 1-4: General requirements for safety
Collateral standard: Programmable electrical
medical systems
Follow Assembly Instructions and Instructions for
Use.
WARNING!
Strictly follow these Instructions for Use.
Any use of the medical device requires full
understanding and strict observation of all
portions of these instructions. The medical
device is only to be used for the purpose spec-
ified under "Intended Use" on page 14 and in
conjunction with appropriate patient monitor-
ing (see page 9). Strictly observe all WARNING
and CAUTION statements throughout these
Instructions for Use and all statements on
medical device labels.
WARNING!
The medical device must be inspected and
serviced regularly by trained service person-
nel.
Repair of the medical device may also only be
carried out by trained service personnel.
Dräger Medical recommends that a service
contract be obtained with DrägerService and
that all repairs also be carried out by them.
Dräger Medical recommends that only authen-
tic Dräger Medical repair parts be used for
maintenance. Otherwise the correct function-
ing of the medical device may be compro-
mised.
See chapter "Maintenance".
WARNING!
Only the accessories indicated on the list of
accessories 86 04 723 (1st edition or higher)
have been tested and approved to be used
with the medical device. Accordingly it is
strongly recommended that only these acces-
sories be used in conjunction with the specific
medical device. Otherwise the correct func-
tioning of the medical device may be compro-
mised.
WARNING!
This medical device is neither approved nor
certified for use in areas where combustible or
explosive gas mixtures are likely to occur.
WARNING!
Electrical connections to equipment which is
not listed in these Instructions for Use should
only be made following consultation with the
respective manufacturers.

Instructions for Use Fabius GS premium SW 3.n 9
For Your Safety and that of Your Patients
Patient safety
The design of the medical device, the accompany-
ing literature, and the labeling on the medical
device take into consideration that the purchase
and use of the medical device are restricted to
trained professionals, and that certain inherent
characteristics of the medical device are known to
the trained operator. Instructions, warnings, and
caution statements are limited, therefore, largely to
the specifics of the Dräger design.
This publication excludes references to various
hazards which are obvious to a medical profes-
sional and operator of this medical device, to the
consequences of medical device misuse, and to
potentially adverse effects in patients with abnor-
mal conditions. Medical device modification or mis-
use can be dangerous.
Patient monitoring
The operators of the medical device must recog-
nize their responsibility for choosing appropriate
safety monitoring that supplies adequate informa-
tion on medical device performance and patient
condition.
Patient safety may be achieved through a wide
variety of different means ranging from electronic
surveillance of medical device performance and
patient condition to simple, direct observation of
clinical signs.
The responsibility for the selection of the best level
of patient monitoring lies solely with the medical
device operator.
Dräger Medical AG & Co. KG

10 Instructions for Use Fabius GS premium SW 3.n
For Your Safety and that of Your Patients
General WARNINGS and CAUTIONS
The following WARNINGS and CAUTIONS apply to
general operation of the device. WARNINGS and
CAUTIONS specific to subsystems or particular
features appear with those topics in later sections
of these Instructions for Use or in the device-spe-
cific Instructions for Use.
Note on EMC/ESD risk for the device function
General information on electromagnetic compatibil-
ity (EMC) pursuant to international EMC standard
IEC 60601-1-2: 2001
Electromedical devices are subject to special pre-
cautionary measures concerning electromagnetic
compatibility (EMC) and must be installed and put
into operation in accordance with the EMC informa-
tion included, see page 187.
Portable and mobile RF communications equip-
ment can affect medical electrical equipment.
Accessories in sterile packaging
Do not use accessories in sterile packaging if the
packaging has been opened, damaged or if there
are other signs that the accessories are not sterile.
Reprocessing and resterilization of single-use
accessories is not permitted.
Software
The device's software has been developed and
tested carefully in accordance with Dräger's high
quality standards. It is therefore highly improbable
that software errors can become a hazard to the
patient.
Additionally, independent protective functions are
extensively implemented in the software, as well as
in electronics and mechanics, for all safety-related
functions of the device.
Through this, the probability that an error in the soft-
ware or other functions can be detected before it
affects the patient's safety is very high. Regular
automated or manual tests ensure the effective-
ness of all protective measures.
WARNING
Connector pins with an ESD warn-
ing sign should not be touched
and no connections should be
made between these connectors
without implementing ESD protec-
tive measures. Such precautionary proce-
dures may include antistatic clothing and
shoes, the touch of a ground stud before and
during connecting the pins or the use of elec-
trically isolating and antistatic gloves. All staff
involved in the above shall receive instruction
in these ESD precautionary procedures.
CAUTION!
Risk of patient injury:
An incorrect diagnosis or misinterpretation of
measured values, or other parameters, may
endanger the patient.
Do not base therapy decision on individual mea-
sured values or monitoring parameters.
WARNING!
Do not use conductive breathing hoses or
face masks.
They may cause burns during HF surgery.
WARNING!
Any person involved with the setup, opera-
tion, or maintenance of the
Fabius GS premium anesthesia system must
be thoroughly familiar with this instruction
manual.
WARNING!
This anesthesia system will not respond auto-
matically to certain changes in patient condi-
tion, operator error, or failure of components.
The system has to be operated under the con-
stant supervision and control of a qualified
operator in order to provide immediate correc-
tive action.
WARNING!
No third-party components shall be attached
to the anesthesia machine, ventilator, or
breathing system (except for certain approved
components), otherwise the correct function-
ing of the device may be compromised. For
more information, contact DrägerService or
your local authorized service organization.

Instructions for Use Fabius GS premium SW 3.n 11
For Your Safety and that of Your Patients
WARNING!
Each institution and user has a duty to inde-
pendently assess, based on its, his, or her
unique circumstances, what components to
include in an anesthesia system. However,
Dräger, in the interest of patient safety,
strongly recommends the use of an oxygen
analyzer, pressure monitor, volume monitor,
and end-tidal CO2monitor in the breathing cir-
cuit at all times.
WARNING!
Risk of unintentional movement of the anes-
thesia machine.
Apply the caster brakes when the anesthesia
machine is in use.
WARNING!
Remove any equipment mounted to the
machine before transport. The writing table
should also be free of all objects and pushed
back in the locked position.
If these precautions are not followed, the
device may tip over and pose a risk to safety.
WARNING!
Risk of fire.
Drugs or other substances based on inflam-
mable solvents, such as alcohol, must not be
introduced into the patient system.
Adequate ventilation must be ensured if
highly inflammable substances are used for
disinfection.
WARNING!
Explosive anesthetics, such as ether or cyclo-
propane, must not be used due to the risk of
fire.
WARNING!
Do not use Fabius GS premium in areas of
explosion hazard.
This anesthesia system is neither approved
nor certified for use in areas where combusti-
ble or explosive ambient gas mixtures (e.g. O2
or agent-enriched atmospheres) are likely to
occur.
CAUTION!
Communications with external equipment may be
temporarily affected by electromagnetic interfer-
ence due to the use of electrosurgical equipment.
CAUTION!
Do not use Fabius GS premium during magnetic
resonance (MRI, NMR, NMI)!
Device operation may be affected, thus placing
the patient at risk.
NOTE:
Software must be installed by qualified personnel.
We recommend to contact DrägerService for soft-
ware installation.
NOTE:
If the error-free state of the protective earthing con-
ductor or its connection to the medical device is
doubtful, the device must be operated using the
internal power supply (battery).

12 Instructions for Use Fabius GS premium SW 3.n

Instructions for Use Fabius GS premium SW 3.n 13
Intended Use
Intended Use
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . 14
MEDIBUS and Vitalink Protocols . . . . . . . . . . . 14

14 Instructions for Use Fabius GS premium SW 3.n
Intended Use
Intended Use
Fabius GS premium is an inhalation anesthesia
machine for use in operating, induction and recov-
ery rooms.
It may be used with O2, N2O, and AIR supplied by
a medical gas pipeline system or by externally
mounted gas cylinders.
Fabius GS premium is equipped with a compact
breathing system, providing fresh gas decoupling,
PEEP, and pressure limitation.
The following ventilation options are available:
– Volume Controlled Ventilation
– Pressure Controlled Ventilation
– Pressure Support (Optional)
– SIMV/PS (Optional)
– Manual Ventilation
– Spontaneous Breathing
Fabius GS premium is equipped with an electrically
driven and electronically controlled ventilator and
monitors for airway pressure (P), volume (V), and
inspiratory oxygen concentration (FiO2).
As per IEC 60601-2-13 (Anesthetic Workstations
and their Modules-Particular Requirements), addi-
tional monitoring of the concentrations of CO2and
anesthetic agent is required when the machine is in
use.
IEC 60601-2-13 :2003 requires that a manual ven-
tilation bag must be available for emergency use.
Fresh gas enrichment is provided by the Dräger
Vapor anesthetic vaporizer.
MEDIBUS and Vitalink Protocols
MEDIBUS and Vitalink are software protocols for
use in transferring data between the
Fabius GS premium and an external medical or
non-medical device (e.g., hemodynamic monitors,
data management systems, or a Windows-based
computer) via the RS-232 interface (see 9038530,
3rd edition or higher).
The system must meet the requirements about
medical electrical equipment in accordance to
IEC/EN 60601-1-1 and IEC/EN 60601-1-2.
WARNING!
Explosive anesthetics, such as ether or cyclo-
propane, must not be used due to the risk of
fire.
NOTE:
“O2Monitoring Disabled” is a local authorized ser-
vice organization-configurable option. See "O2
Monitoring Disabled" on page 110 for more infor-
mation. In this case, external FiO2monitoring must
be available.
WARNING!
Data transferred via MEDIBUS and Vitalink
interfaces are for information only and are not
intended as a basis for diagnosis or therapy
decisions.
WARNING!
In order to protect patients and users from
electrical hazards, is it imperative that all sys-
tems consisting of electrical medical devices
and other electrical devices, such as but not
limited to PCs, printers, etc., be mounted
exclusively by trained personnel.

Instructions for Use Fabius GS premium SW 3.n 15
System Overview
System Overview
Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Compact Breathing System (Top View) . . . . 17
Rear View (Pin-Index Connector) . . . . . . . . . 18
Rear View (Threaded Connectors) . . . . . . . . 19
Interface Panel . . . . . . . . . . . . . . . . . . . . . . . . 20
Vaporizers (Optional) . . . . . . . . . . . . . . . . . . 21
Vaporizer Exclusion Systems . . . . . . . . . . . . 21
Dräger Vapor Interlock 2 System (Optional) . . 21
Selectatec (Optional) . . . . . . . . . . . . . . . . . . . . 22
Dräger Auto Exclusion 2 Vaporizer Mount
(Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Auxiliary Oxygen Flowmeter . . . . . . . . . . . . 23
APL Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Communication Ports . . . . . . . . . . . . . . . . . . 25
Recommended Device Configuration . . . . . . . 25
Auxiliary Fresh Gas Outlet (Optional) . . . . . 27
Using the fresh gas outlet as common gas
outlet (CGO) . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Auxiliary Fresh Gas Outlet Switch
(Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Fresh gas flow to external non-rebreathing
system: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Fresh gas flow to COSY: . . . . . . . . . . . . . . . . . 29
Magill Breathing Circuit . . . . . . . . . . . . . . . . 30
Accessory Weight Limits . . . . . . . . . . . . . . . 31
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . 32
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

16 Instructions for Use Fabius GS premium SW 3.n
System Overview
Front View
1Ventilator control panel (settings for ventilation
parameters and airway monitoring)
2Total fresh gas flowmeter
3Display screen
4Interlock Vapor mount
5Lamp
6Fresh gas control
7Gauges for Pin index O2, AIR and N2O cylinders
(optional)
8Writing table (optional)
9Storage drawers
10 Central brake
11 Absorber
12 Oxygen Flush
13 Breathing system
14 Ventilator
15 Auxiliary Oxygen Flowmeter
073
12 5
6
7
8
11
13
9
14
15
10
12
34

Instructions for Use Fabius GS premium SW 3.n 17
System Overview
Compact Breathing System (Top View)
1Auxiliary Fresh gas outlet with switch (optional)
2PEEP/PMAX valve connection port
3Bag holder
4Expiratory valve
5Expiratory port
6Connector for breathing bag
7Inspiratory port
8Inspiratory valve
9Fresh gas decoupling valve
10 APL bypass valve connection port
11 Breathing system mount
12 Selecting knob for »MAN« and »SPONT« on
pressure limiting (APL) valve
13 Sample gas return port
064
12 4
5
6
7
8
10
12
13
3
9
11

18 Instructions for Use Fabius GS premium SW 3.n
System Overview
Rear View (Pin-Index Connector)
1Sealed connector
2Connector for medical gas pipeline supply (cen-
tral supply)
3Type plate
4Power cable connection
5Interface panel
6Ventilator hose connection
7ON/OFF switch
8Fuse
9Breathing system
10 Pin-Index system
066
12 45
6
7
9
10
8
3

Instructions for Use Fabius GS premium SW 3.n 19
System Overview
Rear View (Threaded Connectors)
1Connector for cylinders (threaded connectors)
2Connector for medical gas pipeline supply
(central supply)
3Type plate
4Power cable connection
5Interface panel
6Ventilator hose connection
7ON/OFF switch
8Fuse
9Breathing System
10 Cylinders
065
12 45
6
7
9
10
3
8

System Overview
20 Instructions for Use Fabius GS premium SW 3.n
Interface Panel
1COM 1
2COM 2
3APL
4Oxygen Sensor
5Pressure Breathing
6Volume Sensor
7ON/OFF switch
8Fuse
9Power cable connection
10 PEEP
074
10
9
5
3
4
1
2
6
7
8