Dräger Apollo User manual

WARNING!
To properly use this medical device, read
and comply with these Instructions for
Use.
Anesthesia Workstation
Software 4.5n
Instructions for Use
Apollo

This page intentionally left blank.

Contents
Instructions for Use Apollo SW 4.5n 3
Part Number: 9053586, 3rd edition
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Working with these instructions for use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Use of terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Screen layouts and illustrations of the device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Safety information definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Definition of target groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Abbreviations and symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
General safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Product-specific safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Indications and contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Environment of use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Additional functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Accessory weight limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
System Components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Machine Front view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Machine Rear view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Gas supply block. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Interface panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Vaporizers (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Vaporizer exclusion systems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
APL valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
O2 flush. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Auxiliary oxygen flow meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Writing table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Gas flow diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
User Interface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
User controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
LED indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Screen colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Menu structure overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
System Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Preparation before first use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Charging the battery for emergency operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Installing the breathing system and flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Filling and installing the absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Connecting the gas supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Connecting the scavenger system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Connecting the endotracheal aspiration system (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Installing vaporizers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Contents
4Instructions for Use Apollo SW 4.5n
Part Number: 9053586, 3rd edition
Installing the flexible arm for the breathing bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Connecting the patient system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Connecting AC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Information about transport within the clinic. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Pre-use Checkout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Checking the Workstation according to the Check List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Self test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
System compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Leak tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Emergency start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Operation Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Typical operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Changing patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Changing soda lime . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Leak test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Activating the CO2 bypass function (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
End of operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
When Apollo is not in use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Manual/Spontaneous ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Volume-Controlled Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Volume Mode AutoFlow - Volume AF (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Pressure-Controlled Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Pressure Support Ventilation (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Continuous Positive Airway Pressure CPAP - in Pressure Support Mode (Optional) . . . . . . . . . . . . . . . . . . . . . 145
Changing between ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Automatic parameter changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Auxiliary common gas outlet (Aux CGO) ventilation (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Standard screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Screen layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
Displayed parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Gas measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Loops (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168
Mini trends (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Datalog. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 172
Screen timer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Data screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174
Trend screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 175
Monitoring mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Contents
Instructions for Use Apollo SW 4.5n 5
Part Number: 9053586, 3rd edition
SpO2 measurement (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Alarm priorities and alarm signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185
Alarm displays. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
Suppressing alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188
Limit-based alarms activated in respective ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190
Enabling/disabling alarms globally during operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 191
Displaying and setting alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
Configuring the default settings in Standby. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201
System settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202
Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
Interfaces datalog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206
Screen layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207
Setting alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209
Ventilator and gas supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214
System information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
Configuration during operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 220
Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
Disassembling components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
Cleaning and Disinfection Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Proper Cleaning/Disinfection Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Cleaning/Disinfection Objective and Methods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236
Disinfecting/Cleaning/Sterilizing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237
Care list for Apollo components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Reassembling components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 240
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Disposing of the medical device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Power failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
Gas failure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260
Ventilator failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
Fresh-gas delivery failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 263
Ventilator and fresh-gas delivery failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
Gas measurement failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
Display failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265
User interface failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265
System failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265
Alarm - Cause - Remedy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281

Contents
6Instructions for Use Apollo SW 4.5n
Part Number: 9053586, 3rd edition
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 283
Schematic diagram of alarm tones. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 302
EMC declaration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303
Device combinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 306
Connections to IT-networks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 306
Relevant standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 308

Introduction
Instructions for Use Apollo SW 4.5n 7
Part Number: 9053586, 3rd edition
Introduction
Contents
Working with these instructions for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Use of terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Screen layouts and illustrations of the device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Safety information definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Definition of target groups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Abbreviations and symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
General safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Strictly follow these Instructions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Not for use in areas of explosion hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Safe connection with other electrical equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Information on electromagnetic compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Patient safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Patient monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Sterile accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Installing accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Storing the instructions for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Product-specific safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Functional safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Indications and contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
The following measured values are displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
The following parameters can be displayed as mini trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
The following parameters are displayed as curves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
The following parameters are displayed as bar graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Environment of use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Additional functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
MEDIBUS/MEDIBUS.X Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Accessory weight limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Introduction
8Instructions for Use Apollo SW 4.5n
Part Number: 9053586, 3rd edition
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
List of abbreviations used in the software and on the device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
List of general abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Introduction
Instructions for Use Apollo SW 4.5n 9
Part Number: 9053586, 3rd edition
Working with these instructions for
use
Figure 1. Example of a Body Page
Header Line
The header line on each page contains the title of the
chapter. This helps you find your way quickly from
subject to subject.
Page Body
The page body in these instructions for use
combines text and illustrations. The information is
presented as sequential steps of action, giving the
user hands-on experience in learning how to use the
Apollo inhalation anesthesia machine.
Left-Hand Column - the Text
The text in the left-hand column provides
explanations and step-by-step instructions on the
practical use of the machine.
Bullet points indicate separate actions. Numbers are
used both to refer to relevant details in the
illustrations and to specify the sequence of actions
where several actions are described.
Right-Hand Column - the Illustrations
The illustrations provide visual reference for the text
and for locating the various parts of the equipment.
Elements mentioned in the text are highlighted.
Renderings of screen displays guide the user and
provide a way to reconfirm actions performed.
Typing Conventions
User controls are designated as >Control Name<,
e.g.:
>PEEP<
Screen messages and screen options are printed in
bold, e.g.:
Default Alarm Limits
Configuration
Instructions for Use Apollo SW 4.5n 201
Part Number: 9053586, 3rd edition
Overview
The user can configure settings on the Apollo in
Standby mode as well as during operation. Standby
configuration allows the user to save a complete set
of defaults that are invoked automatically when the
machine is switched on (see “Configuring the default
settings in Standby” below). The configuration
settings that can be made during operation are more
limited and are valid only until the machine is
switched off (see “Configuration during operation” on
page 220).
Configuring the default settings in
Standby
Figure 123. Location of Standby Config KeyDefault settings describe settings which the
anesthesia machine starts with when it is switched
on.
The default settings for ventilation, fresh-gas
delivery, and monitoring can be activated while in
Standby by pressing the >Restore Default
Settings< button (1in Figure 123) on the standby
screen.
The default settings can be configured in Standby as
follows:
1. Press the standby key > <, and confirm by
pushing the rotary knob.
2. Press the >Default Config< button
(2in Figure 123).
Figure 124. Password Screen
The user is requested to enter a four-digit
password in order to prevent unauthorized
changes to the basic functions (see Figure 124).
The four-digit password is assigned at the
factory.
If desired, the function can be disabled by
DrägerService or a new password set.
3. Select and confirm the figures successively from
the line displayed using the rotary knob. The
password is represented by asterisks (****)
below the line of numbers
The menu Standby Conf. for selecting the default
values is displayed when the password has been
entered correctly, see Figure 125.
1
2

Introduction
10 Instructions for Use Apollo SW 4.5n
Part Number: 9053586, 3rd edition
Use of terms
Dräger uses the term "Accessory" not only for
accessories in the sense of IEC 60601-1, but also for
consumable parts, removable parts, and attached
parts.
Screen layouts and illustrations of
the device
Schematic renderings of screen layouts and
illustrations of the device are used, which may differ in
appearance or in configuration from the actual screen
images.
Trademarks
– Apollo®
– The Dräger® name and logo
– DrägerService®
– Drägersorb®
– D-Vapor®
– Vapor®
– Spirolog®
–SpiroLife®
– WaterLock®
are registered trademarks of Dräger.
– Durasensor®
is a registered trademark of Nellcor.
– OxiMax®
is a registered trademark of Covidien.
–Selectatec®
is a registered trademark of Datex-Ohmeda.
All other products or brand names are trademarks of
their respective owners.
Safety information definitions
Note: A NOTE provides additional information
intended to avoid inconvenience during
operation.
Definition of target groups
For this product, users, service personnel, and experts
are defined as target groups.
These target groups must have received instruction in
the use of the product and must have the necessary
training and knowledge to use, install, reprocess,
maintain, or repair the product.
The product must be used, installed, reprocessed,
maintained, or repaired exclusively by defined target
groups.
Users
Users are persons who use the product in accordance
with its intended use.
Service personnel
Service personnel are persons who are responsible for
the maintenance of the product.
Service personnel must be trained in the maintenance
of medical devices and install, reprocess, and maintain
the product.
WARNING!
A WARNING statement provides important
information about a potentially hazardous
situation which, if not avoided, could result in
death or serious injury.
CAUTION!
A CAUTION statement provides important information
about a potentially hazardous situation which, if not
avoided, may result in minor or moderate injury to the
user or patient or in damage to the equipment or other
property.

Introduction
Instructions for Use Apollo SW 4.5n 11
Part Number: 9053586, 3rd edition
Experts
Experts are persons who perform repair or complex
maintenance work on the product.
Experts must have the necessary knowledge and
experience with complex maintenance work on the
product.
Abbreviations and symbols
Please refer to “Abbreviations” on page 23 and
“Symbols” on page 21 for explanations.
Notice
This document is provided for customer information
only, and will not be updated or exchanged without
customer request.
General safety information
The following WARNING and CAUTION statements
apply to general operation of the medical device.
WARNING and CAUTION statements specific to
subsystems or particular features of the medical device
appear in the respective sections of these instructions
for use or in the Instructions for Use of another product
being used with this medical device.
Strictly follow these Instructions for Use
Maintenance
Accessories
Note: Strictly observe the instructions for use of all
accessories such as:
– Water traps
– Flow sensors
– CLIC adapter
– CLIC absorber
– Soda lime
– Breathing hoses
–Masks
– Filters
– Endotracheal suction
– Vaporizer
– Manual resuscitator
– AGSS terminal unit
WARNING!
Risk of incorrect operation and of incorrect use
Any use of the medical device requires full
understanding and strict observation of all
sections of these instructions for use. The
medical device must only be used for the purpose
specified under “Indications and
contraindications” on page 16 and “Intended Use”
on page 16 and in conjunction with appropriate
patient monitoring (see page 18).
Strictly observe all WARNING and CAUTION
statements throughout these instructions for use
and the information on medical device labels.
Failure to observe these safety information
statements constitutes a use of the medical
device that is inconsistent with its intended use.
WARNING!
Risk of medical device failure and of patient injury
The medical device must be inspected and
serviced regularly by service personnel. Repair
and complex maintenance carried out on the
medical device must be performed by experts.
If the above is not complied with, medical device
failure and patient injury may occur. Observe
chapter “Cleaning and Maintenance”.
Dräger recommends that a service contract is
obtained with DrägerService and that all repairs
are performed by DrägerService. For maintenance
Dräger recommends the use of authentic Dräger
repair parts.
WARNING!
Risk due to incompatible accessories
Dräger has tested only the compatibility of
accessories listed in the current list of
accessories. If other, incompatible accessories
are used, there is a risk of patient injury due to
medical device failure.
Dräger recommends that the medical device is
only used together with accessories listed in the
current list of accessories.

Introduction
12 Instructions for Use Apollo SW 4.5n
Part Number: 9053586, 3rd edition
Not for use in areas of explosion hazard
Safe connection with other electrical equipment
For further information, see “Device combinations” on
page 306.
WARNING!
Risk of explosion and fire
The medical device is not approved for use in
areas where oxygen concentrations greater than
25 Vol%, or combustible or explosive gas
mixtures are likely to occur.
WARNING!
Risk of electric shock or device malfunction
Any connected devices or device combinations
not complying with the requirements mentioned
in these instructions for use can compromise the
correct functioning of the medical device and lead
to an electric shock.
– Electrical connections to equipment not listed
in these instructions for use or these assembly
instructions must only be made when approved
by each respective manufacturer.
– Before operating the medical device, strictly
comply with the instructions for use of all
connected devices or device combinations.
WARNING!
Risk of electric shock
A test for leakage current must be performed by
qualified biomedical engineering personnel
before use if the Apollo is interfaced with other
equipment.
WARNING!
Risk of explosion, fire
If an oxygen leak is suspected within or near the
anesthesia machine, do not initiate operation.
Disconnect all oxygen supplies and contact a
trained service technician.
WARNING!
Risk of use error
Various potentially dangerous situations may
occur which demand the attention of trained
personnel.
The workstation may only be used under the
permanent supervision of qualified medical
personnel so that assistance can be provided
immediately in the event of any malfunctions.
WARNING!
Risk of fire
The flow sensor can ignite medications or other
substances based on highly flammable
substances.
– Do not nebulize medications or other
substances that are easily flammable or spray
them into the device.
– Do not use substances containing alcohol.
– Do not allow flammable or explosive
substances to enter the breathing system or the
breathing circuit.
– Do not use cyclopropane or ether.
WARNING!
Risk due to failure of flow measurement
Deposits that were not removed during
reprocessing can damage the measuring wires in
the flow sensor or cause a fire.
– Before inserting the flow sensor check for
visible damage, soiling, and particles. Repeat
this check regularly.
– Replace flow sensors when damaged, soiled, or
not particle-free.
WARNING!
Risk of device failure and/or danger to patient
Magnetic fields may negatively influence the
proper function of the medical device, thus
endangering the patient or user.
The medical device must not be used in the
vicinity of magnetic resonance imagers (MRI,
NMR, NMI).

Introduction
Instructions for Use Apollo SW 4.5n 13
Part Number: 9053586, 3rd edition
Information on electromagnetic compatibility
General information on electromagnetic compatibility
(EMC) according to international EMC standard
IEC 60601-1-2:
Medical electrical equipment is subject to special
precautionary measures concerning electromagnetic
compatibility (EMC) and must be installed and put into
operation in accordance with the EMC information
provided (see page 303).
Portable and mobile radio frequency communication
equipment can affect medical electrical equipment.
Patient safety
The design of the medical device, the accompanying
documentation, and the labeling on the medical device
are based on the assumption that the purchase and
the use of the medical device are restricted to persons
familiar with the most important inherent characteristics
of the medical device.
Instructions and WARNING and CAUTION statements
are therefore largely limited to the specifics of the
Dräger medical device.
The instructions for use do not contain any information
on the following points:
– Risks that are obvious to users
– Consequences of obvious improper use of the
medical device
– Potentially negative effects on patients with
different underlying diseases
Medical device modification or misuse can be
dangerous.
Patient monitoring
The user of the medical device is responsible for
choosing a suitable patient monitoring system that
provides appropriate information on medical device
performance and patient condition.
Patient safety may be achieved by a wide variety of
means ranging from electronic surveillance of medical
device performance and patient condition to direct
observation of clinical signs.
The responsibility for selection the best level of patient
monitoring lies solely with the user of the medical
device.
WARNING!
Risk of electric shock
Do not connect connectors with an ESD
warning symbol and do not touch their
pins without implementing ESD
protective measures. Such protective
measures can include antistatic clothing and
shoes, touching a potential equalization pin
before and during connection of the pins, or using
electrically insulating and antistatic gloves.
All users concerned must be instructed in these
ESD protective measures.
WARNING!
Risk of electric shock
Connecting devices to the auxiliary
outlets of the anesthesia machine can
cause an increase in leakage current
beyond permissible values if the
protective conductor of a device fails.
Check the leakage current when connecting
devices to the auxiliary outlets. If connecting a
device (or devices) increases the leakage current
to a value which exceeds the permissible value,
do not use the auxiliary outlets of the anesthesia
machine: use a separate wall socket.
The system must fulfill the requirements for
medical electrical equipment in accordance with
the relevant standards, see page 308.
CAUTION!
Risk of patient injury
Do not make therapeutic decisions based solely on
individual measured values and monitoring
parameters.

Introduction
14 Instructions for Use Apollo SW 4.5n
Part Number: 9053586, 3rd edition
Sterile accessories
Installing accessories
Strictly observe Assembly Instructions and Instructions
for Use.
Storing the instructions for use
Training
Training for users is available from the Dräger
organization responsible, see www.draeger.com.
Product-specific safety information
CAUTION!
Risk of medical device failure and of patient injury
Do not use sterile-packaged accessories if the
packaging has been opened, is damaged, or if there
are other signs of non-sterility.
Disposable articles must not be reprocessed and
resterilized.
CAUTION!
Install accessories to the basic device in accordance
with the Instructions for Use of the basic device. Make
sure that there is a safe connection to the basic
device system.
CAUTION!
Risk of incorrect use
Instructions for use must be kept accessible to the
user.
WARNING!
Risk of malfunctions
Unapproved modifications to the medical device
can cause malfunctions.
No modifications must be made to this medical
device without the permission of Dräger. Dräger
does not accept responsibility for modifications
to the device made without the permission of
Dräger.
CAUTION!
Risk of patient injury
An incorrect diagnosis or misinterpretation of
measured values, or other parameters, may endanger
the patient.
Do not base therapy decisions on individual
measured values or monitoring parameters only.
WARNING!
Risk of patient injury
If ventilation of the patient is no longer ensured
due to an obvious fault in the equipment, the
patient must immediately be ventilated with a
manual resuscitator.
Always keep a manual resucitator at hand.
WARNING!
Risk of burns
Conductive breathing hoses or face masks may
cause burns during HF surgery.
Do not use these types of hoses and masks in
combination with HF surgery.
CAUTION!
Risk of mechanical failure
The shock and vibrations caused by transportation
may lead to a mechanical failure. The application of a
wall or ceiling mounting is designated for buildings.
Do not use the anesthesia machine for mobile
facilities such as ambulances, helicopters, or ships.

Introduction
Instructions for Use Apollo SW 4.5n 15
Part Number: 9053586, 3rd edition
Functional safety
The essential performance consists of:
– Supplying the anesthesia workstation with O2
If the O2supply (central supply or gas cylinder)
fails, an alarm is issued.
– Supply of the patient with adequately oxygenated
breathing gas
If the breathing gas contains insufficient levels of
O2, an alarm is issued.
– Patients are not supplied with excessively high
anesthetic gas concentrations
If excessively high anesthetic gas concentrations
are delivered, an alarm is issued.
– Monitoring the airway pressure and the expiratory
minute volume
Alarms are issued depending on the set alarm
limits.
CAUTION!
Risk of crushing
Movable parts and attached parts can lead to crushing
injuries. Pay special attention to edges, movable
parts, and corners when working with the following
parts:
– Drawers
– Ventilator module
–Doors
– Writing table
– Swivel arms for mounted devices
– Accessories such as gas cylinders, vaporizers,
CLIC absorbers, and CLIC adapters
CAUTION!
Risk of device failure
Compressed gas supply (pipeline supply or cylinder):
To avoid damaging the device(s) attached to a gas
supply, use only medical gases. Pay particular
attention to national and international standards
regulating the use of medical gases.
WARNING!
Risk due to barely audible alarms
The user must remain within the hearing range of
the acoustic alarm signal. This permits quick
recognition and handling of the alarm.
Adjust the volume of the alarm signal to the
distance from the medical device.
WARNING!
Risk due to a noisy environment
When operating in a noisy environment, the
volume of the alarm signals must be adjusted to
suit.
Always set the volume of the alarm signal
sufficiently high.

Introduction
16 Instructions for Use Apollo SW 4.5n
Part Number: 9053586, 3rd edition
Indications and contraindications
Indications
The Apollo is indicated as a continuous flow
anesthesia system. The Apollo may be used for
manually assisted or automatic ventilation, delivery of
gases and anesthetic vapor, and monitoring of oxygen
and CO2concentration, breathing pressure, respiratory
volume, and anesthetic agent concentration and
identification.
Contraindications
This device has no product-specific contraindications.
The user is responsible for selecting a treatment
appropriate to the underlying disease of the patient.
The patient’s condition must be monitored
continuously.
Note: Apollo applies medical gases such as oxygen,
nitrous oxide, or volatile anesthetic agents.
Stricly follow the instructions for use of the
medical gases. Pay particular attention to the
contraindications of the medical gases used.
Intended Use
The Apollo is an inhalation anesthesia machine for use
in operating, induction, and recovery rooms. It can be
used with rebreathing systems, semi-closed to virtually
closed systems with low flow and minimal flow
techniques, and non-rebreathing systems (with the
Auxiliary Common Gas Outlet).
It may be used with O2, N2O, and Air supplied by a
medical gas pipeline system or by externally mounted
gas cylinders. Anesthetic agent can be delivered via
vaporizers mounted on the machine.
The Apollo is equipped with a compact breathing
system, providing fresh-gas decoupling, PEEP, and
pressure limitation. It has an electrically driven and
electronically controlled ventilator.
Optional:
As an option, the device can be configured in a way
that it must be operated with O2and Air instead of
N2O.
Ventilation modes
– Volume-controlled ventilation in Volume Mode.
With activation of:
–Sync. (Synchronization)
–Press. Support (Pressure Support) (optional)
– Pressure-controlled ventilation in Pressure Mode.
With activation of:
–Sync. (Synchronization)
–Press. Support (Pressure Support) (optional)
– Manual Ventilation Man.
– Spontaneous Breathing Spont.
– Pressure-Assisted Spontaneous Breathing in
Pressure Support CPAP (optional)
–Volume AF (Volume Mode AutoFlow) (optional).
With activation of:
–Sync. (Synchronization)
–Press. Support (Pressure Support) (optional).
The following measured values are displayed
– Peak pressure PEAK,
Mean pressure PMEAN,
Plateau pressure PLAT,
Positive end-expiratory pressure PEEP
– Expiratory minute volume MV,
Difference between insp. and exp. minute volume
MVLEAK,
– Patient compliance CPAT,
Tidal volume VT,
Breathing rate Freq.
– Inspiratory and expiratory concentration of O2,
N2O, anesthetic gas, and CO2
– Difference between insp. and exp. O2
concentration ΔO2
Optional:
– Functional oxygen saturation SpO2,
Pulse rate Pulse
The following parameters can be displayed as mini
trends1)
– Minute volume CO2, MV*CO2
WARNING!
Risk of device failure and/or danger to patient
If the intended use of this anesthesia machine is
not adhered to, it may fail and/or the patient may
be endangered.
Use the anesthesia machine only as specified in
the intended use of these Instructions for Use.
1) optional

Introduction
Instructions for Use Apollo SW 4.5n 17
Part Number: 9053586, 3rd edition
–O2Uptake
–PEEP, patient compliance CPAT
The following parameters are displayed as curves
– Airway pressure PAW
– Inspiratory and expiratory flow
– Inspiratory and expiratory concentration of O2,
CO2, and anesthetic gas

Introduction
18 Instructions for Use Apollo SW 4.5n
Part Number: 9053586, 3rd edition
Optional:
– Plethysmogram
–PAW-V loops and V-Flow loops
The following parameters are displayed as bar
graphs
– Inspiratory tidal volume, expiratory tidal volume,
and leakage tidal volume
– Volumeter
– Pressure
– Low-flow wizard for indicating fresh-gas utilization
(optional)
Trends showing the measured values over time and a
logbook are also available.
Monitoring
By means of adjustable alarm limits which can
automatically be adapted to the momentary ventilation
situation.
With monitoring for
– Airway pressure PAW
– Expiratory minute volume MV
– Apnea
– Inspiratory and expiratory anesthetic gas
concentration
– Detection of anesthetic gas mixtures
(simultaneous detection of up to two anesthetic
agents)
– Inspiratory O2and N2O concentrations
– Inspiratory and expiratory CO2concentrations
– Special alarm response in Bypass Mode
– Automatic agent alarm activation for multiples of
MAC (xMAC)
Optional:
– Oxygen saturation
– Pulse rate Pulse
Environment of use
Apollo is designed for use in areas in which therapeutic
or diagnostic procedures can be performed.
Do not use Apollo in the following environments:
– Outside buildings
– On intensive care units
– During patient transport
– In vehicles, airplanes, or helicopters
WARNING!
Risk of explosion and fire
The medical device is not approved for use in
areas where oxygen concentrations greater than
25 Vol%, or combustible or explosive gas
mixtures are likely to occur.
WARNING!
Risk of device failure and/or danger to patient
Magnetic fields may negatively influence the
proper function of the medical device, thus
endangering the patient or user.
The medical device must not be used in the
vicinity of magnetic resonance imagers (MRI,
NMR, NMI).

Introduction
Instructions for Use Apollo SW 4.5n 19
Part Number: 9053586, 3rd edition
Additional functions
MEDIBUS/MEDIBUS.X Protocol
MEDIBUS and MEDIBUS.X are software protocols for
use in transferring data between Apollo 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:
– 9037426, 6th edition or higher
or
– 9052608, third edition or higher.
WARNING!
Risk of patient injury
Data transferred via MEDIBUS/MEDIBUS.X
interfaces are for information only and are not
intended as a basis for diagnosis or therapy
decisions. The data accessible via this interface
are not intended for a decentralized alarm system
in accordance with IEC60601-1-8:2012 (in the
sense of remote monitoring).
WARNING!
Risk of electric shock
Connecting devices to the auxiliary outlets of the
anesthesia machine can cause an increase in
leakage current beyond permissible values if the
protective conductor of a device fails.
Check the leakage current when connecting
devices to the auxiliary outlets. If connecting a
device (or devices) increases the leakage current
to a value which exceeds the permissible value,
do not use the auxiliary outlets of the anesthesia
machine: use a separate wall socket.
The system must fulfill the requirements for
medical electrical equipment in accordance with
the relevant standards, see page 308.

Introduction
20 Instructions for Use Apollo SW 4.5n
Part Number: 9053586, 3rd edition
Accessory weight limits
The following figures specify the maximum safe weight
limits for accessories mounted to the Apollo.
Left side Top, front, and rear of device Right side
The maximum
permissible weight of
accessories is 25 kg
(55 lbs).
The maximum permissible weight of accessories on the top
cover of the device is 20 kg (44 lbs).
The maximum
permissible weight of
accessories is 25 kg
(55 lbs).
A maximum load of
15 kg (33 lbs) may be
applied with a clearance
of max. 40 cm (16 in) in
the upper position on the
lateral mounting rail.
Normal writing tray: The
maximum load is 20 kg
(44 lbs).
Large writing tray: The
maximum load is 15 kg
(28 lbs).
A maximum load of
15 kg (33 lbs) may be
applied with a clearance
of max. 40 cm (16 in) in
the upper position on the
lateral mounting rail.
The maximum load on
the lateral standard rail
is5kg(11lbs).
The remaining weight
must be applied with a
clearance of max. 10 cm
(4 in).
The maximum load on
each drawer is 3 kg
(6.6 lbs).
The remaining weight
must be applied with a
clearance of max. 10 cm
(4 in).
A maximum weight of 35 kg (77 lbs) may be applied to the
rear of the device (gas cylinders, holders and accessories).
CAUTION!
Risk of device failure
If the anesthesia machine is operated when tilted,
components may be damaged or may function
improperly.
Do not operate the anesthesia machine if it is tilted
more than 5°.
CAUTION!
Risk of injury
If mounting accessories exceed the approved limits,
the anesthesia machine may tip over.
Maximum weight per arm = 33 lbs (15 kg).
CAUTION!
Risk of inadvertent movement
If not properly secured, the device may move
inadvertently during operation.
Apply the brakes on the device to ensure it cannot be
moved accidentally during operation.