Dräger Carina User manual

Instructions for use
Carina
Subacute Care Ventilator
Software 3.2n
WARNING
To properly use this medical device,
read and comply with these
instructions for use.

2 Instructions for use Carina SW 3.2n
Typographical conventions
Any text shown on the screen and any labeling on
the device are printed in bold and italics, for
example, PEEP, Air.
Screen reproductions
The reproductions of screen content in the
instructions for use can differ from the content
actually shown on the screen.
Trademarks
– AutoFlow®
–Carina
®
– SyncPlus®
– VentStar®
are trademarks owned by Dräger.
–Virex
®
is a trademark owned by Johnson Diversery.
– Korsolex®
is a trademark owned by Bode Chemie.
– BIPAP*
1Consecutive numbers indicate steps of action,
with the numbering restarting with "1" for each
new sequence of actions.
zBullet points indicate individual actions or
different options for action.
– Dashes indicate the listing of data, options, or
objects.
(A) Letters in parentheses refer to elements in the
related illustration.
ALetters in illustrations denote elements referred
to in the text.
* Trademark used under license

Instructions for use Carina SW 3.2n 3
Safety information definitions
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.
Dräger states that the product must be used,
installed, reprocessed, maintained, or repaired
exclusively by the 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.
Experts
Experts are persons who perform repair or complex
maintenance work on 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 medical device or other property.
NOTE
A NOTE provides additional information intended
to avoid inconvenience during operation.

4 Instructions for use Carina SW 3.2n
Abbreviations and symbols
For explanations refer to sections "Abbreviations"
and "Symbols" in chapter "Overview".

Instructions for use Carina SW 3.2n 5
Contents
Contents
For your safety and that of your patients. . . 7
General safety information . . . . . . . . . . . . . . . . 8
Product-specific safety information. . . . . . . . . . 12
Application . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Definition of sub-acute care . . . . . . . . . . . . . . . 16
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Carina basic device . . . . . . . . . . . . . . . . . . . . . 18
Trolley. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Range of functions . . . . . . . . . . . . . . . . . . . . . . 21
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Operating concept . . . . . . . . . . . . . . . . . . . . . 27
Operating and display unit . . . . . . . . . . . . . . . . 28
Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Assembly and preparation . . . . . . . . . . . . . . 33
Safety information for preparation . . . . . . . . . . 34
Preparing Carina . . . . . . . . . . . . . . . . . . . . . . . 34
Carina with trolley . . . . . . . . . . . . . . . . . . . . . . . 36
Safety information on breathing circuits and
additional components . . . . . . . . . . . . . . . . . . . 39
Using bacterial filters . . . . . . . . . . . . . . . . . . . . 40
Connecting breathing circuits . . . . . . . . . . . . . . 41
Connecting the breathing gas humidifier . . . . . 43
Preparing Aeroneb Pro medication nebulizer. . 45
Connecting the power supply . . . . . . . . . . . . . . 46
Connecting the gas supply . . . . . . . . . . . . . . . . 48
Connecting the nurse call . . . . . . . . . . . . . . . . . 50
Using the MEDIBUS or MEDIBUS.X
protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Intrahospital patient transport . . . . . . . . . . . . . . 52
Getting started . . . . . . . . . . . . . . . . . . . . . . . . 55
Safety information on getting started . . . . . . . . 56
Powering on the device . . . . . . . . . . . . . . . . . . 56
Checking readiness for operation. . . . . . . . . . . 57
Selecting the application mode. . . . . . . . . . . . . 59
Setting the O2supply . . . . . . . . . . . . . . . . . . . . 59
Starting ventilation . . . . . . . . . . . . . . . . . . . . . . 60
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Safety information on ventilation . . . . . . . . . . . 62
Setting ventilation . . . . . . . . . . . . . . . . . . . . . . 63
Non-invasive ventilation (NIV) . . . . . . . . . . . . . 65
Using apnea ventilation . . . . . . . . . . . . . . . . . . 66
Using the AutoAdapt function . . . . . . . . . . . . . 67
Displaying setting and measured values . . . . . 68
Locking keys . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Low Pressure Oxygen (LPO) . . . . . . . . . . . . . 69
Standby mode . . . . . . . . . . . . . . . . . . . . . . . . . 74
Ending operation . . . . . . . . . . . . . . . . . . . . . . . 75
Taking the device out of service for an
extended period. . . . . . . . . . . . . . . . . . . . . . . . 75
Improving the display accuracy of the
charging capacity of the internal battery . . . . . 76
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Display of alarms. . . . . . . . . . . . . . . . . . . . . . . 78
Setting the alarm limits . . . . . . . . . . . . . . . . . . 79
Suppressing the alarm tone . . . . . . . . . . . . . . 80
Configuration. . . . . . . . . . . . . . . . . . . . . . . . . 81
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Opening the configuration menu . . . . . . . . . . . 83
Service menu . . . . . . . . . . . . . . . . . . . . . . . . . 84
Setting the volume of the alarm tone. . . . . . . . 85
Setting the alarm tone sequence. . . . . . . . . . . 85
Selecting the screen display . . . . . . . . . . . . . . 86
Selecting the application mode . . . . . . . . . . . . 87
Selecting the O2supply. . . . . . . . . . . . . . . . . . 87
Selecting Ti or I:E . . . . . . . . . . . . . . . . . . . . . . 88
Setting the night mode . . . . . . . . . . . . . . . . . . 88
Problem solving . . . . . . . . . . . . . . . . . . . . . . 89
Failure of the power supply . . . . . . . . . . . . . . . 90
Failure of the gas supply . . . . . . . . . . . . . . . . . 90
Alarm – Cause – Remedy . . . . . . . . . . . . . . . . 91
Rescue ventilation . . . . . . . . . . . . . . . . . . . . . . 98
Cleaning, disinfection and sterilization. . . . 99
Safety information on reprocessing. . . . . . . . . 100
Dismantling . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Reprocessing methods . . . . . . . . . . . . . . . . . . 101

Contents
6 Instructions for use Carina SW 3.2n
Reprocessing List. . . . . . . . . . . . . . . . . . . . . . . 104
Before reusing on patient . . . . . . . . . . . . . . . . . 104
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Preventive maintenance. . . . . . . . . . . . . . . . . . 108
Repair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Replacing the inlet filter . . . . . . . . . . . . . . . . . . 109
Charging the internal battery . . . . . . . . . . . . . . 109
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Safety information for disposal . . . . . . . . . . . . . 112
Disposal of packaging material . . . . . . . . . . . . 112
Disposal of batteries. . . . . . . . . . . . . . . . . . . . . 112
Disposal of inlet filters . . . . . . . . . . . . . . . . . . . 113
Disposal of the medical device. . . . . . . . . . . . . 113
Technical data. . . . . . . . . . . . . . . . . . . . . . . . . 115
Ambient conditions . . . . . . . . . . . . . . . . . . . . . . 116
Setting values. . . . . . . . . . . . . . . . . . . . . . . . . . 116
Performance characteristics. . . . . . . . . . . . . . . 118
Displayed measured values . . . . . . . . . . . . . . . 120
Monitoring functions . . . . . . . . . . . . . . . . . . . . . 121
Operating data characteristics . . . . . . . . . . . . . 122
Factory-set ventilation parameters . . . . . . . . . . 125
Trolley. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Breathing circuits and valves . . . . . . . . . . . . . . 126
Alarm delays. . . . . . . . . . . . . . . . . . . . . . . . . . . 128
EMC Declaration . . . . . . . . . . . . . . . . . . . . . . . 128
Principles of operation . . . . . . . . . . . . . . . . . 133
Pneumatic function description . . . . . . . . . . . . 134
Description of the ventilation modes . . . . . . . . 137
Additional settings for ventilation . . . . . . . . . . . 146
Therapy types. . . . . . . . . . . . . . . . . . . . . . . . . . 150
Additional functions . . . . . . . . . . . . . . . . . . . . . 151
Volume measurement . . . . . . . . . . . . . . . . . . . 153
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Instructions for use Carina SW 3.2n 7
For your safety and that of your patients
For your safety and that of your patients
General safety information . . . . . . . . . . . . . . 8
Strictly follow these instructions for use . . . . . . 8
Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Connected devices. . . . . . . . . . . . . . . . . . . . . . 9
Not for use in areas of explosion hazard . . . . . 9
Safe connection with other electrical
equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Connection to other devices. . . . . . . . . . . . . . . 9
Patient safety . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Patient monitoring. . . . . . . . . . . . . . . . . . . . . . . 10
Functional safety . . . . . . . . . . . . . . . . . . . . . . . 11
Information on electromagnetic compatibility . . 11
Disposable products. . . . . . . . . . . . . . . . . . . . . 11
Sterile accessories . . . . . . . . . . . . . . . . . . . . . . 12
Installing accessories . . . . . . . . . . . . . . . . . . . . 12
Storing the instructions for use . . . . . . . . . . . . . 12
Product-specific safety information . . . . . . . 12
Monitoring ventilation . . . . . . . . . . . . . . . . . . . . 14
Backup ventilation with an independent
manual ventilation device . . . . . . . . . . . . . . . . . 14

For your safety and that of your patients
8 Instructions for use Carina SW 3.2n
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
any other product being used with this medical
device.
Strictly follow these instructions for use
s
Maintenance
Accessories
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 "Intended use"
on page 16 and in conjunction with
appropriate patient monitoring (see page 10).
Strictly observe all WARNING and CAUTION
statements throughout these instructions for
use and all statements 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 "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.

Instructions for use Carina SW 3.2n 9
For your safety and that of your patients
Connected devices
Not for use in areas of explosion hazard
Safe connection with other electrical
equipment
Connection to other devices
Device combinations (Dräger devices + Dräger
devices or Dräger devices + third-party devices)
approved by Dräger (see instructions for use of
individual devices) meet the requirements of the
following standards:
– IEC 60601-1 (2nd edition)
Medical electrical equipment
Part 1: General requirements for safety
– IEC 60601-1-1
Medical electrical equipment
Part 1-1: General requirements for safety
Collateral standard: Safety requirements for
medical electrical systems
– IEC 60601-1-2
Medical electrical equipment
Part 1-2: General requirements for safety
Collateral standard: Electromagnetic
compatibility; Requirements and tests
– IEC 60601-1-4 (EN 60601-1-4)
Medical electrical equipment
Part 1-4: General requirements for safety
Collateral standard: Programmable
electrical medical systems
– IEC 60601-1-8
Medical electrical equipment
Part 1-8: General requirements for basic
safety and essential performance
Collateral standard: General requirements,
tests and guidance for alarm systems in
medical electrical equipment and medical
electrical systems
WARNING
Risk of electric shock and of 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. Before operating the
medical device, strictly comply with the
instructions for use of all connected devices
or device combinations.
WARNING
Risk of fire
The medical device is not approved for use in
areas where oxygen concentrations above
25 Vol% or combustible or explosive gas
mixtures are likely to occur.
WARNING
Risk of patient injury
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.

For your safety and that of your patients
10 Instructions for use Carina SW 3.2n
The following standards must also be observed
after expiration of the national transitional periods:
– IEC 60601-1 (3rd edition)
Medical electrical equipment
Part 1: General requirements for safety and
essential performance
– IEC 60601-1-2
Medical electrical equipment
Part 1-2: General requirements for safety
and essential performance
Collateral standard: Electromagnetic
compatibility; Requirements and tests
– IEC 60601-1-8
Medical electrical equipment
Part 1-8: General requirements for basic
safety and essential performance
Collateral standard: General requirements,
tests and guidance for alarm systems in
medical electrical equipment and medical
electrical systems
If a device combination is not approved by Dräger,
proper operation of the devices can be
compromised.
The operator must ensure that the device
combination meets the applicable standards.
Stricly follow assembly instructions and instructions
for use for each networked device.
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 simple, direct observation of clinical signs.
The responsibility for selecting the best level of
patient monitoring lies solely with the user of the
medical device.
CAUTION
Risk of patient injury
Do not make therapeutic decisions based solely
on individual measured values and monitoring
parameters.

Instructions for use Carina SW 3.2n 11
For your safety and that of your patients
Functional safety
The essential performance consists in controlled
and monitored patient ventilation. The user defines
settings for the following monitoring functions:
– Minimum inspiratory ventilation flow
– Maximum airway pressure
If a set limit is exceeded, the device generates a
corresponding alarm.
The medical device is equipped with basic safety
features to reduce the possibility of patient injury
while the cause of an alarm is remedied.
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 on see page 128.
Portable and mobile radio frequency
communication equipment can affect medical
electrical equipment.
Disposable products
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 equilization 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 patient injury due to device
malfunction
Electromagnetic fields can compromise
proper operation of the device.
Electromagnetic fields are generated by, e.g.,
radio frequency communication equipment
such as:
– Mobile phones
– High-frequency electrosurgical equipment
– Defibrillators
– Shortwave therapy equipment
Use radio frequency devices at an adequate
safety distance only, see "EMC Declaration"
on page 128.
WARNING
Risk of device accessory failure and of patient
injury
Disposable products were developed, tested
and manufactured for single use only.
Do not reuse, reprocess or sterilize
disposable products.

For your safety and that of your patients
12 Instructions for use Carina SW 3.2n
Sterile accessories
Installing accessories
Strictly observe instructions for use and assembly
instructions.
Storing the instructions for use
Product-specific safety information
CAUTION
Risk of failure of the medical device 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.
CAUTION
Risk of device failure
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.
CAUTION
Risk of incorrect use
The instructions for use must be kept in an
accessible location for users.
WARNING
Risk of incorrect use
This medical device is only intended to be
used by the target group "users".
WARNING
Risk of malfunctions
Prohibited modifications to the medical
device lead to malfunctions.
This medical device must not be modified
without permission from the manufacturer.
WARNING
Risk of patient injury
Penetrating liquid may cause malfunction of
or damage to the device.
Do not place any containers with liquid on or
above the device.
WARNING
Risk of fire
Do not use the medical device in conjunction
with flammable gases or flammable solutions
that can mix with air, oxygen or nitrous oxide,
or other sources of ignition since the medical
device could ignite.
Do not allow the medical device to come into
contact with sources of ignition.

Instructions for use Carina SW 3.2n 13
For your safety and that of your patients
WARNING
Risk of fire
If medications or other substances based on
flammable solvents, such as alcohol, reach
the breathing system, there is a risk of fire.
If highly flammable substances are used for
disinfection, adequate airing must be
ensured.
WARNING
Risk of fire
Due to oxygen enrichment in the ambient air,
the medical device can ignite. Medical device
malfunctions can increase the O2
concentration in the ambient air.
Only use the medical device in adequately
ventilated rooms.
WARNING
Risk of fire
Do not use a defibrillator at the same time as
additional oxygen is administered.
WARNING
Risk of patient injury and of user injury
Magnetic fields may affect the correct
operation of the medical device.
Do not use the medical device in the vicinity of
nuclear magnetic resonance imaging systems
(MRI, NMR, NMI).
WARNING
Risk of patient injury
Hyperbaric chambers may impair correct
functioning of the medical device.
Do not use the medical device in hyperbaric
chambers.
WARNING
Risk of patient injury
If patients are dependent on ventilation, one of
the following parameters must be monitored:
– Expiratory tidal volume
– Expiratory minute volume
– Endtidal expiratory CO2concentration
Otherwise no alarm will be generated in case
of insufficient patient ventilation.
Use suitable external monitoring.
WARNING
Risk of increased CO2rebreathing
If a breathing circuit with a leakage valve is
used, the expulsion of CO2can be reduced,
e.g., by the accumulation of secretion in the
leakage valve.
Check the leakage valve regularly and replace
if necessary.
Use suitable patient monitoring
(capnography) to detect increased CO2
rebreathing.
WARNING
Risk of patient injury
Because of the restricted monitoring
functions (no internal monitoring of the
expiratory minute volume), the device may not
detect a disconnection of the breathing hose
or the pilot line. This can occur particularly
with low PEEP values and the use of filters
with high resistance.
Only use the filters listed in the current list of
accessories.

For your safety and that of your patients
14 Instructions for use Carina SW 3.2n
Monitoring ventilation
The built-in monitoring facilities monitor the
following parameters:
– Airway pressure
– Inspiratory minute volume
– Applied minute volume (without leakage
compensation)
– Apnea alarm time
– Disconnection time
– Mean airway pressure
– Respiratory rate
– Leakage minute volume
Changes in these parameters may be caused by:
– Acute changes in the patient's condition
– Incorrect settings and faulty handling
– Device malfunctions
– Failure of power and gas supplies
If the built-in monitoring fails, use substitute
monitoring.
Backup ventilation with an independent
manual ventilation device
CAUTION
Risk of patient injury
The device can apply a maximum of 120 L/min of
pure oxygen. If a high O2concentration with a
ventilation flow above 120 L/min is set, this O2
concentration may not be reached.
Use external O2monitoring or reduce leakage.
CAUTION
Risk of overheating of the medical device
Sources of heat such as direct sunlight, radiant
heaters, or spotlights may cause the medical
device to overheat.
Avoid sources of heat. Only use the medical
device in adequately ventilated rooms.
CAUTION
Risk of toppling over
Do not tilt the device more than 15° while in use to
ensure that it cannot topple over. When the device
is on the trolley, do not tilt the trolley more than
10°.
CAUTION
Risk of electric shock
If a faulty device without safety extra-low voltage
(SELV) is connected to the medical device, there
is a risk of electric shock from the housing of the
medical device.
Only connect devices with safety extra-low
voltage (SELV) to the connections for the serial
port and the nurse call.
WARNING
Risk of patient injury
If a fault is detected in the medical device, its
life-support functions may no longer be
assured.
Ventilation of the patient using an
independent ventilation system must be
started without delay, if necessary with PEEP
and/or an increased inspiratory O2
concentration (for example, with the MR-100
manual breathing bag).

Instructions for use Carina SW 3.2n 15
Application
Application
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Definition of sub-acute care . . . . . . . . . . . . . 16

Application
16 Instructions for use Carina SW 3.2n
Intended use
Carina – long-term ventilator for ventilator-
dependent patients or ventilator-assisted patients.
– For treatment of sub-acute care patients in
hospital or medical rooms.
– For non-invasive ventilation or invasive
ventilation.
– For patients with a tidal volume of at least
100 mL.
– For use by qualified medical personnel.
Definition of sub-acute care*
Sub-acute care is comprehensive, inpatient care
for patients who:
– Have had an acute event resulting from injury,
illness or exacerbation of a disease process;
– Have a determined course of treatment;
– Though stable, require diagnostics or invasive
procedures, but not intensive procedures
requiring an acute level of care.
The severity of the patient’s condition requires:
– Active physician direction with frequent on-site
visits;
– Professional nurse care;
– Complex medical and/or rehabilitative care.
Typically sub-acute care is designed to return
patients to the community or transition them to a
lower level of care.
WARNING
Risk of patient injury
Not intended for acute inpatient care of
nonstabilized patients who require ventilation
with comprehensive continuous monitoring in
accordance with IEC 60601-2-12 or EN 794-1.
* References:
National Association of Subacute and Post Acute Care (NASPAC)
The American Health Care Association (AHCA)The Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
FDA Consumer magazine September-October 1999

Instructions for use Carina SW 3.2n 17
Overview
Overview
Carina basic device . . . . . . . . . . . . . . . . . . . . 18
Top . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Bottom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Patient connection panel . . . . . . . . . . . . . . . . . 19
Rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Trolley . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Bed and wall mountings . . . . . . . . . . . . . . . . . . 20
Range of functions . . . . . . . . . . . . . . . . . . . . . 21
Ventilation functions . . . . . . . . . . . . . . . . . . . . . 21
Breathing circuits . . . . . . . . . . . . . . . . . . . . . . . 21
Monitoring functions . . . . . . . . . . . . . . . . . . . . . 21
Gas supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Power supply . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Data transfer. . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Medication nebulization . . . . . . . . . . . . . . . . . . 22
Trolley. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Bed and wall mountings . . . . . . . . . . . . . . . . . . 22
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . 23
Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Overview
18 Instructions for use Carina SW 3.2n
Carina basic device
Top
AHandle
BScreen for displaying application-specific
information for ventilation
CKeys for selecting functions and ventilation
parameters
DRotary knob for setting and confirming functions
and parameters
EAudio paused 2 min. key for suppressing the
alarm tone for 2 minutes and visual display of
alarm status
–Red:Warning
– Yellow: Caution
FLED for displaying the power supply
GStart/Standby key for switching between
standby and ventilation
HSelect Menu key for opening the menus:
– Ventilation settings
– Alarms
– Measured values
– Configuration
– Locking
Bottom
000
A
B
C
D
E
F
G
H
LED is
green
External power supply (mains or
external battery)
The internal battery is charged.
LED
flashes
green
External power supply (mains or
external battery)
The internal battery is being
charged.
LED off Internal battery
001
I
K
L
J

Instructions for use Carina SW 3.2n 19
Overview
ISwitch for selecting breathing circuit with
leakage valve or breathing circuit with
expiratory valve, protected by sliding cover
JRating plate
KNo function
L4 holes for positioning the device on the trolley
Patient connection panel
AInspiratory port (connection for breathing hose)
BEmergency air inlet and oxygen overflow
CConnection for pilot line (for breathing circuit
with expiratory valve)
Rear
DVentilation slots
ECOM port, RS232 serial port for data transfer
(MEDIBUS, MEDIBUS.X)
FNo function
GInlet filter (HEPA filter)
HHPO port for O2compressed gas hose
ILPO port for low pressure for connecting an
oxygen source, e.g. O2concentrator
JPower switch for switching on or off
KVentilation slots
LConnection for external battery
MConnection for power cable
NNo function
OConnection for nurse call
CAUTION
Risk of malfunctions
Only service personnel may perform the change
between a breathing circuit with leakage valve
and a breathing circuit with expiratory valve.
002
A
B
C
003
D
E
F
G
H
I
J
K
L
M
N
O

Overview
20 Instructions for use Carina SW 3.2n
Trolley
ACarina holder
BStandard rail handle
CTrolley column
DBattery holder, optional
EUniversal holder with standard rail, optional
FBase
GRed locking lever for column holder (under
base)
HDouble castors with locking brake, set of 4
IGas cylinder holder, optional
Bed and wall mountings
The bed and wall mountings are optional
accessories.
AClamp with threaded handle
BSpacer with 2 buffers
CCarina holder
077
A
B
C
E
G
F
D
H
098117
I
Wall mounting Bed mounting
A
B
C