Dräger Medical Narkomed Mobile Assembly instructions

Narkomed Mobile
Anesthesia System
Date: 30 January 2004
© 2004 Draeger Medical, Inc.
Instruction
Manual
Operator’s
Part Number: 4115139-001
Rev: F
WARNING: For a full understanding of the performance characteristics of this anesthesia
machine, the user should carefully read this manual before operating.
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Part Number: 4115139-001 Rev: FNarkomed Mobile Operator’s Manual
Contents
Section 1. Safety Summary
Operator's Responsibility for Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Limitation of Liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Restriction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Copyright. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Trademark Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Disclaimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
Recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
Purpose of This Manual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
Symbol Definition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5
Warnings and Cautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5
Section 2. General Description
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3
Gas Delivery System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5
Anesthetic Vaporizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14
Absorber System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15
Scavenger System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19
Anesthesia Ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-20
Power Supply System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22
System Interface Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-24
Remote Display and Support Arm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-24
Monitoring System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-25
Alarm System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-26
Section 3. Specifications
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Environmental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Electrical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Gas Delivery System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3
Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4
Absorber System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4
Oxygen Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4
Breathing Pressure Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Respiratory Volume Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5
Serial Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6
Section 4. Daily and Preuse Checkout Procedures
Daily Checkout Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Preuse Checkout Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11
Section 5. Operating the Anesthesia Machine
Gas Delivery System Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3
Anesthetic Vaporizer Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4
Absorber System Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7
Scavenger Interface Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Anesthesia Ventilator Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12
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ii Part Number: 4115139-001
Narkomed Mobile Operator’s Manual Rev: F
Section 6. Using the Monitoring System
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3
Power-On Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3
Monitor Screen and Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4
Using the Alarm Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-10
Oxygen Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-12
Respiratory Volume Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-18
Breathing Pressure Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-23
Section 7. Routine Maintenance and Cleaning
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
Routine Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
Removing Parts for Cleaning and Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-9
Disassembling Parts for Cleaning and Disinfection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-14
General Guidelines for Cleaning and Disinfection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-16
Reassembly Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-24
Section 8. Troubleshooting
Absorber System Problem Resolution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2
Ventilator Problem Resolution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4
Oxygen Monitoring Problem Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5
Respiratory Volume Monitoring Problem Resolution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6
Breathing Pressure Monitoring Problem Resolution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6
Appendix: Spare and Replacement Parts
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Narkomed Mobile Operator’s ManualPart Number: 4115139-001 Rev: F
1Safety Summary
Table of Contents
Operator's Responsibility for Patient Safety ....................... 1-2
Limitation of Liability .......................................................... 1-3
Restriction .......................................................................... 1-3
Copyright ........................................................................... 1-3
Trademark Notices ............................................................. 1-3
Disclaimer .......................................................................... 1-4
Recommendations ............................................................. 1-4
Purpose of This Manual ..................................................... 1-4
Symbol Definition ............................................................... 1-5
Warnings and Cautions ..................................................... 1-5
Warnings ...................................................................... 1-6
Moving the Unit ............................................................ 1-6
Cautions ....................................................................... 1-8
Vaporizer Storage ........................................................ 1-9
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1-2 Narkomed Mobile Operator’s Manual Part Number: 4115139-001 Rev: F
Operator's Responsibility for Patient Safety
Draeger Medical anesthesia products are designed to provide the greatest
degree of patient safety that is practically and technologically feasible. The
design of the equipment, the accompanying literature, and the labeling on
the equipment take into consideration that the purchase and use of the
equipment are restricted to trained professionals, and that certain inherent
characteristics of the equipment are known to the trained operator.
Instructions, warnings, and caution statements are limited, therefore, to
the specifics of the Draeger Medical design. This publication excludes
references to hazards that are obvious to a medical professional, to the
consequences of product misuse, and to potentially adverse effects in
patients with abnormal conditions. Product modification or misuse can be
dangerous. Draeger Medical disclaims all liability for the consequences of
product alterations or modifications, as well as for the consequences that
might result from the combination of Draeger Medical products with
products supplied by other manufacturers if such a combination is not
endorsed by Draeger Medical.
The operator of the anesthesia system must recognize that the means of
monitoring and discovering hazardous conditions are specific to the
composition of the system and the various components of the system. It is
the operator, and not the various manufacturers or suppliers of components,
who has control over the final composition and arrangement of the
anesthesia system used in the operating room. Therefore, the responsibility
for choosing the appropriate safety monitoring devices rests with the
operator and user of the equipment.
Patient safety may be achieved through a variety of different means
depending on the institutional procedures, the preference of the operator,
and the application of the system. These means range from electronic
surveillance of equipment performance and patient condition to simple,
direct contact between operator and patient (direct observation of clinical
signs). The responsibility for the selection of the best level of patient
monitoring belongs solely to the equipment operator. To this extent, the
manufacturer, Draeger Medical, disclaims responsibility for the adequacy of
the monitoring package selected for use with the anesthesia system.
However, Draeger Medical is available for consultation to discuss
monitoring options for different applications.
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Narkomed Mobile Operator’s ManualPart Number: 4115139-001 Rev: F
Limitation of Liability
Draeger Medical's liability, whether arising from or related to the
manufacture and sale of the products, their installation, demonstration,
sales representation, use, performance, or otherwise, including any liability
based upon Draeger Medical's product warranty, is subject to and limited to
the exclusive terms of Draeger Medical's limited warranty, whether based
upon breach of warranty or any other cause of action whatsoever, regardless
of any fault attributable to Draeger Medical and regardless of the form of
action (including, without limitation, breach of warranty, negligence, strict
liability, or otherwise).
Draeger Medical shall in no event be liable for any special,
incidental, or consequential damages (including loss of profits)
whether or not foreseeable and even if Draeger Medical has been
advised of the possibility of such loss or damage. Draeger Medical
disclaims any liability arising from a combination of its product
with products from another manufacturer if the combination has
not been endorsed by Draeger Medical. Buyer understands that the
remedies noted in Draeger Medical's limited warranty are its sole
and exclusive remedies.
Furthermore, buyer acknowledges that the consideration for the
products, equipment, and parts sold reflects the allocation of risk
and the limitations of liability referenced herein.
Restriction
Federal law restricts this device to sale by, or on the order of, a physician.
Copyright
Copyright 2004 by Draeger Medical, Inc. All rights reserved. No part of this
publication may be reproduced, transmitted, transcribed, or stored in a
retrieval system in any form or by any means, electronic or mechanical,
including photocopying and recording, without written permission of
Draeger Medical, Inc.
Trademark Notices
Datagrip, DrägerService, Narkomed, Narkomed GS, ORM,
Quality Service For Life, Vigilance Audit, Vitalert, and Vitalink are
registered trademarks of Draeger Medical, Inc. All other products or name
brands are trademarks of their respective owners.
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1-4 Narkomed Mobile Operator’s Manual Part Number: 4115139-001 Rev: F
Disclaimer
The content of this manual is furnished for informational use only and is
subject to change without notice. Draeger Medical, Inc. assumes no
responsibility or liability for any errors or inaccuracies that may appear in
this manual.
Recommendations
In the interest of patient safety, Draeger Medical strongly advocates the use
of an oxygen analyzer, pressure monitor, and either a volume monitor or an
end-tidal CO2monitor in the breathing circuit at all times.
Because of the sophisticated nature of Draeger Medical anesthesia
equipment and its critical importance in the operating room setting, it is
highly recommended that only appropriately trained and experienced
professionals be permitted to service and maintain this equipment. Contact
an authorized representative of DrägerService for service of this equipment.
Draeger Medical also recommends that its anesthesia equipment be
serviced at three-month intervals. Periodic Manufacturer's Service
Agreements are available for equipment manufactured by Draeger Medical.
For further information concerning these agreements, contact
DrägerService at [phone].
Purpose of This Manual
This manual provides operating instructions for the Narkomed Mobile
Anesthesia System. It is intended for use by trained clinical professionals
familiar with accepted medical procedures, practices, and terminology used
in delivery of anesthesia and patient monitoring.
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Narkomed Mobile Operator’s ManualPart Number: 4115139-001 Rev: F
Symbol Definition
The following symbols appear on the label on the back of the
Narkomed Mobile unit.
Warnings and Cautions
This manual contains warning and caution statements about the Narkomed
Mobile unit.
•Warning statements provide important information that, if
ignored, could lead directly to personal injury.
•Caution statements provide important information that, if
ignored, could lead directly to equipment damage and indirectly
to personal injury.
CAUTION: Refer to accompanying documents before
operating equipment.
CAUTION: Risk of electric shock, do not remove cover.
Refer servicing to a qualified technical
service representative.
Degree of protection against electric shock:
Type B.
The following symbols appear on the shipping container of the
Narkomed Mobile unit.
WARNING: This end up.
WARNING: Handle with care.
WARNING: Keep dry.
WARNING: Minimum and maximum storage
temperatures.
!
-20ºC
60ºC
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1-6 Narkomed Mobile Operator’s Manual Part Number: 4115139-001 Rev: F
Warnings The instruction manual provides important information about patient and
operator safety. Anyone involved with the setup, operation, or maintenance
of the Narkomed Mobile anesthesia system must be thoroughly familiar
with this instruction manual.
This anesthesia system will not respond automatically to certain changes in
patient condition, operator error, or failure of components. The system is
designed to be operated under the constant surveillance and control of a
qualified operator. Constant surveillance is necessary to ensure patient
safety.
Do not attach third-party components to the anesthesia machine, ventilator,
or breathing system (except for certain approved exceptions). These devices
may affect the safe operation of the anesthesia machine. Contact
DrägerService at [phone] for further information.
Moving the
Unit Prior to moving the Narkomed Mobile unit, the following functions must be
performed:
1. Disconnect the power cord from the mains and store properly.
2. Disconnect all gas supply lines from the wall supply. Ensure that these
supply lines are not in a position to interfere with the movement of the
machine.
3. Make sure the Vaporizer has been placed in the “0” position. Remove
and store the Vaporizer in the vaporizer holding area located on the base
of the unit. For more detailed information on storing the Vaporizer refer
to “Vaporizer Storage” on page 1-9. Move the monitor to its parked
position.
4. Move the absorber system to its parked position.
5. Unlock the caster brakes located on the two front wheels of the unit.
Before moving the assembled anesthesia machine, remove all monitors from
the top shelf of the machine, and use only the machine handles to push or
pull the unit. The anesthesia machine should only be moved by people who
are physically capable of handling the weight. Take special care that the
machine does not tip when moving up or down ramps and across thresholds
(i. e., door thresholds, elevator entrances etc.).
The Narkomed Mobile patient breathing system must not be used in
conjunction with any additional components that establish a flow direction.
Hoses and bags attached to the 22 mm hose terminals of the inspiratory
valve, expiratory valve, ventilator hose connect, and breathing bag mount
must comply with current ANSI standards.
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