Dräger Medical Vapor 2000 User manual

Emergency Care · Perioperative Care · Critical Care · Perinatal Care · Home Care
Because you care
Anaesthetic Vaporiser
Instructions for Use
Dräger Vapor®2000

Contents
2
In order to make it very clear which Instructions for Use is to be
used with each Vapor, the serial number of the Vapor assigned
is specified on the back of these Instructions for Use.
Instructions for Use without such a number are issued purely
for information purposes and not for actual use with a Vapor.
The serial number is specified on the nameplate of the Vapor.
Contents
For Your Safety and that of Your Patients ........................... 3
Intended Use ................................................................................. 4
Registered trademarks ................................................................. 4
Method of Operation .................................................................. 5
Control dial ..................................................................................... 5
Connecting and Interlock systems ............................................ 6
Filling systems ................................................................................ 9
Preparation .................................................................................. 11
Fitting connectors ....................................................................... 11
Before using for the first time ................................................... 12
Filling Vapor .................................................................................13
Vapor with keyed filling system .......................................... 14
Vapor with Dräger Fill filling system.................................. 17
Vapor with Quik Fil filling system....................................... 19
Vapor with filling spout ........................................................ 21
Connecting Vapor .......................................................................22
Vapor with plug-in adapter .................................................. 22
Vapor with conical connectors without
Interlock system .................................................................... 23
Operation .....................................................................................24
Checklist – checks before each use ....................................... 24
Adjusting concentration of anaesthetic agent ......................26
Changing anaesthetic agent .....................................................26
Ending administration of anaesthetic agent ..........................27
End of use .....................................................................................27
Disconnecting Vapor ..................................................................28
Plug-in connector.................................................................. 28
For Auto Exclusion plug-in connector............................... 28
For conical connectors........................................................ 29
Permanent connection......................................................... 29
Transport when filled ..................................................................29
Fault – Cause – Remedy .........................................................30
Care ...............................................................................................35
Cleaning ........................................................................................35
Disinfecting ...................................................................................35
Checking Readiness for Operation ...................................... 36
Checking concentration ............................................................ 39
Shut-down .................................................................................... 41
Draining Vapor ............................................................................. 41
Vapor with keyed filling system.......................................... 41
Vapor with Dräger Fill filling system ................................. 42
Vapor with Quik Fil filling system ...................................... 43
Vapor with filling spout ........................................................ 45
Blowing off Vapor ........................................................................ 46
Storage ..........................................................................................46
Despatch .......................................................................................46
Return, disposal ........................................................................... 46
Maintenance Intervals .............................................................. 47
Inspection and service ............................................................... 47
Technical Data ............................................................................48
What's What ................................................................................. 51
Description ..................................................................................52
Operating principle .....................................................................52
Calibration ....................................................................................53
Influence of temperature ........................................................... 54
Influence of flow .......................................................................... 55
Influence of gas composition ................................................... 56
Influence of atmospheric pressure .......................................... 57
Influence of positive/negative pressure ................................. 57
Influence of fluctuations in pressure ....................................... 58
Influence of running time ...........................................................59
Order List .....................................................................................60
Abbreviations and Symbols .................................................... 61
Index ..............................................................................................62
Quality Inspection Certificate ................................................ 65

For Your Safety and that of Your Patients
3
For Your Safety and that of Your
Patients
Strictly follow the Instructions for Use
Any use of the apparatus requires full understanding and strict
observation of these instructions. The apparatus is only to be
used for purposes specified here.
Maintenance
The apparatus must be inspected and serviced regularly by
trained service personnel at yearly 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 accessories other than those in the order list.
Reusable accessories (e.g. after they have been prepared)
have a limited life span. A number of factors during preparation
and operation (e.g. disinfectant residues can damage the
material during autoclaving) can increase the wear and
decrease the life span considerably. Materials with external
signs of wear such as cracks, deformation, discolouration,
disbonding or similar must be replaced.
Liability for proper function or damage
The liability for the proper function of the apparatus is
irrevocably transferred to the owner or operator to the extent
that the apparatus is serviced or repaired by personnel not
employed or authorized by DrägerService or if the apparatus is
used in a manner not conforming to its intended use.
Dräger cannot be held responsible for damage caused by non-
compliance with the recommendations given above. The
warranty and liability provisions of the terms of sale and
delivery of Dräger are likewise not modified by the
recommendations given above.
Dräger Medical AG & Co. KGaA

Intended Use
4
Intended Use
Dräger Vapor®2000 is an unheated, calibrated anaesthetic
vaporiser for the enrichment of dry, fresh medical gas in
anaesthesia delivery systems with accurately-controlled
concentrations of vapour from liquid anaesthetic agents.
The concentration delivered is, for the most part, not
influenced by operating and ambient conditions, such as
temperature, gas flow and ventilation pressure.
The Vapor 2000 is suitable for use in strong magnetic fields
(MRI equipment) when used in accordance with the operating
instructions on page 24.
Each Vapor is calibrated for a specified anaesthetic agent and
is only suitable for that anaesthetic agent.
Different models of Vapor are specified for different
anaesthetic agents and are marked accordingly.
The Vapor is inserted in the fresh-gas line of the anaesthesia
delivery system which typically delivers a continuous fresh-gas
flow. The Vapor is connected between the fresh-gas flow-
control unit and the fresh-gas outlet.
The Vapor is not suitable for use with a breathing system due
to high pneumatic resistance.
Proper functioning of the Vapor is dependent on the direction
of flow. It must be connected and operated in accordance with
the direction of flow specified on the machine.
The use of the Vapor with different anaesthesia delivery
systems is, therefore, only permissible and safe when it is used
with the appropriate special adapters.
Simultaneous operation of several Vapors switched in series is
not permissible, particularly for different anaesthetic agents.
Dräger recommend that the output concentration is monitored
to detect any hazardous output values, using a monitor which
has continuous measurement and upper and lower alarm
limits.
Installation and/or operation with anaesthesia delivery systems
in mobile vehicles, aeroplanes, helicopters and ships is only
permissible after consultation with Dräger and their
agreement.
According to US and Canadian law these machines must only
be used by or on the instructions of a fully qualified medical
practitioner.
The Vapor must only be used by qualified medical
personnel to ensure that any malfunction can be
remedied without delay.
Registered trademarks
— Dräger Vapor
— Dräger Fill
are Dräger registered trademarks.
—QuikFil
is a registered trademark of Abbott Laboratories.
— Selectatec
is a registered trademark of Datex-Ohmeda.

Method of Operation
5
Method of Operation
Control dial
For switching on and off and adjusting the concentration of
anaesthetic agent. In the »0« setting and in the »T« transport
setting, the control dial is locked but it can be freed by
pressing »0« button.
All illustrations of a Vapor on an anaesthesia delivery system
show a stylised anaesthesia delivery system in the
background. All illustrations of the transport setting show only
the disconnected Vapor by itself.
»ON« – Switching on and adjusting concentration:
Only adjust concentration when the Vapor is connected to an
anaesthesia delivery system.
1Press»0« button and
2turn control dial anti-clockwise to required concentration of
anaesthetic agent.
Concentration values greater than 5 vol.% are shown in
inverted form in order to draw attention to the danger of a high
output concentration and restricted flow range.
»0« – switching off:
When Vapor is connected to an anaesthesia delivery system
only set to »0« when anaesthetic agent is not being
administered.
3Turn control dial clockwise to »0« –»0« button engages.
Handle Vapor with care.
Be careful not to tilt or drop.
Do not carry by the control dial, control dial caps or
locking lever for the plug-in adapter.
Risk of injury.
Do not use Vapor if it has been dropped.
Damage may result in incorrect output concentration.
When control dial is set at »0« or above »0«, do not use
Vapor at an angle of more than 30°.
Risk of incorrect output concentration or anaesthetic
agent escaping otherwise.
uni
_
0001
1
2
ON
uni
_
0002
3
ON
T

Method of Operation
6
»T« – Transport:
Only set to »T« when Vapor is being disconnected from the
anaesthesia delivery system or is connected to the parking
holder.
1Press»0« button and
2turn control dial clockwise to »T« transport setting –
»0« button engages.
3For plug-in adapter: engage locking lever in control dial.
Connecting and Interlock systems
When the Vapor is used with different anaesthesia delivery
systems, different connecting systems have to be used.
When anaesthesia delivery systems have several Vapor
connectors, the different Interlock systems1ensure that only
one Vapor can be used at any one time, while the others are
switched off and blocked.
The interlock system on the vaporiser and anaesthesia delivery
system must be functional. Especially with Interlock 2, the
nibs must be engaged and undamaged in both openings of
the interlock disc. See also "Checking Readiness for
Operation" Page 36.
A malfunctioning Interlock may endanger the patient by
causing overdosing or a mixture of anaesthetic agents.
Plug-in adapter/plug-in connector
to connect Vapor safely and change over quickly.
Most plug-in connectors have valves to allow fresh gas to flow
through, whether the Vapor is, or is not, connected. These
plug-in connectors can be identified by the moveable valve
inserts in the inner holes on the connector pins.
Many Vapors with plug-in adapters carry an anaesthetic agent
code on the back, which can be read and displayed by
anaesthesia delivery systems designed for the purpose.
4To connect/disconnect, control dial must be at the »T«
setting and the locking lever must be engaged in the control
dial.
5The holes in the plug-in adapter on the Vapor fit onto the
pins on the plug-in connector on the anaesthesia delivery
system.
6To secure/release, swing locking lever into position and
engage/disengage the pin in the cover plate on the Vapor.
7The locking lever and pin help to ensure that the Vapor is
handled correctly and that it can only be fitted and
disconnected when the control dial is at the »T« setting.
At »T« setting Vapor may be moved in any position.
If not at »T« setting, risk of incorrect output concentration,
or of anaesthetic agent escaping otherwise.
1 The different Interlock systems are not compatible with each other.
However, the Vapor can be modified from one system to another.
uni
_
0095.
3
T
2
ON
1
uni
_
0096.
5
6
T
4
ON
7

Method of Operation
7
Plug-in DW-2000 adapter with Interlock 2
For connecting to Dräger plug-in connectors.
DW-2000 is not compatible with the Dräger Auto Exclusion
System.
For anaesthesia delivery systems with two plug-in connectors
combined with Interlock 2.
The locking bar, which can only be engaged in the control dial
when at »0« setting, allows only one Vapor to be in use at any
one time.
Illustration: left Vapor blocked, right Vapor operational.
Dräger Auto Exclusion plug-in adapter
for connecting to Dräger Auto Exclusion plug-in connectors
and Dräger plug-in connectors.
For anaesthesia delivery systems with Auto Exclusion plug-in
connectors.
When a Vapor is switched on, a pin on the underside of the
plug-in adapter is pushed out. This prevent other Vapors on
adjacent plug-in connectors being switched on via an internal
mechanism.
Illustration: left Vapor blocked, right Vapor operational.
uni
_
0004uni
_
0006uni
_
0081
AUTO
EXCLUSION
uni
_
0081
AUTO
EXCLUSION
AUTO
EXCLUSION

Method of Operation
8
Plug-in S-2000 adapter with Interlock S
For connecting to Selectatec®-compatible plug-in connectors.
For anaesthesia delivery systems with several plug-in
connectors combined with Interlock S.
When a vaporiser is switched on, two pins on the side of the
relevant plug-in adapter are pushed out. These prevent other
vaporisers on adjacent plug-in connectors being switched on.
Illustration: left vaporiser blocked, right Vapor operational.
Permanent connection
a permanent installation in fresh-gas line for anaesthesia
delivery systems, with the appropriate connector options.
For anaesthesia delivery systems with several plug-in
connectors combined with Interlock NMD.
When a Vapor is switched on, a lever is activated which
prevents other Vapors on adjacent connectors being switched
on.
Illustration: central Vapor operational, right and left Vapor
blocked.
Other Interlock systems are also used, such as Interlock 1,
which are very similar to Interlock NMD, but which need not fit
a Vapor with Interlock NMD.
uni
_
0076uni
_
0008
uni
_
0077
uni
_
0081

Method of Operation
9
Conical connector, 23 mm
for anaesthesia delivery systems with 23 mm conical
connectors conforming to ISO 5356-1 on the fresh-gas line.
1Conical connector on Vapor.
Filling systems
For filling Vapor with the specified anaesthetic agent and
draining.
With a display of filling level with minimum and maximum levels
marked and a third (middle) mark which shows when a whole
bottle (250 mL) can be used.
Dräger recommend the use of anaesthetic-agent-specific
filling systems to prevent incorrect filling and to reduce the
volume of anaesthetic agent vapour released during the
filling process.
Keyed filling system
consisting of
1the anaesthetic-agent-specific filling system on Vapor
2an anaesthetic-agent-specific filling adapter
3the anaesthetic-agent specific collar and threads on the
neck of the bottle.
uni
_
0078
1
1
uni
_
0009
T
1
2
3
ON

Method of Operation
10
Dräger Fill filling system
consisting of
1the anaesthetic-agent-specific filling system on the Vapor,
2the anaesthetic-agent-specific Dräger filling adapter on the
bottle.
Quik Fil filling system
consisting of
3the anaesthetic-agent-specific filling system on the Vapor
4the anaesthetic-agent-specific adapter firmly mounted on
the bottle.
Quik Fil filling system with screw-on adapter (not shown)
consisting of
●the anaesthetic-agent-specific filling system on the Vapor,
●the anaesthetic-agent-specific Quik Fil filling adapter on the
bottle.
Vapor with filling spout
consisting of
5a non-specific filling system on the Vapor
6the anaesthetic agent bottle.
uni
_
0113
T
ON
12
uni
_
0010
T
ON
34
uni
_
0109
T
ON
5
6