Dräger Evita 4 Supplement

© Drägerwerk AG & Co. KGaA, 2019
© Drägerwerk AG & Co. KGaA, 2019
March 2020, Lübeck
Evita 4/4edition –
Short guide
The Evita 4 edition is identical to the Evita 4. Both devices have identical components,
options and functionalities. This refers to all electrical, electronic and pneumatic
components as well as to the trolley, the installed software and the available options.
The terms "Evita 4" and "Evita 4 edition " are used synonymously.
Evita 4 edition

© Drägerwerk AG & Co. KGaA, 2019© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –
System overview
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01

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Short guide
4
This Evita 4/4edition short guide is intended for informational purposes
only. It is not a replacement or substitute for the Instructions for Use.
The completion of this guide does not relieve you from reading and
understanding the current versions of the instructions for use associated
with the relevant device.
It is also not a replacement for mandatory instructions or training courses.

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –System overview
Control panel
5
Routine functions:
−Nebuliser
−O2 suction
−Insp. Hold/manual Inspiration
−Exp. Hold
−
−Day/Night
−Print
Fixed function keys:
−Mode settings
−Alarm limits
−Measured values
−Special procedure
−
−Calibration
−Configuration
Rotary knob
Inspiratory port
Protective cover
for O2sensor and
ambient air filter
Expiration valve /
expiration port
Flow sensor
(behind Flow
sensor cover)
Screen
Fixed function keys:
−Alarm silence
−Alarm Reset
−Standby

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –System overview
Back panel
6
Rating plate
(not visible) on the
left-hand side panel
Power switch ON/OFF
with protective flap
H:
Fan
DC socet
Connector for power cable
AC fuses
COM 2, COM 3 ports for
RS 232, 2 CAN interfaces
and analog interface (optional)
Connection for nurse call
(optional)
Cooling-air filter
Connection for neonatal flow
sensor (optional)
Connection for O2
Connection for medical air (Air)
Temp socket for temperature
sensor
CO2 socket for CO2 sensor
(optional)
COM 1 RS 232C port for
RS 232 interface, e.g., for printer

© Drägerwerk AG & Co. KGaA, 2019© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4edition –
Operating concept
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02

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Operating concept
8
On-screen controls
The lower half of the screen contains touch-sensitive coloured screen keys.
Touching these controls with the fingertip is equivalent to pressing key.
The colour displays the status of the "control" and "LEDs":
green = usable
white = not usable
yellow = adjust/confirm
black = effective function/display
BIPAP: trademark used under license
In the USA BIPAP is called SIMV+

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Operating concept
9
Screen keys for selecting functions without confirmation
e. g. for:
−paging through the system on-screen
−for changing the menu
−for switching over displays
Example:
Press the Table key = select display.
The key goes black to show that the function is active.

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Operating concept
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Screen keys for function selection, adjustment and confirmation
1. Touch the relevant screen key for the alarm limits, e. g.: MV
The colour changes from green to yellow = setting function is set
2. Turn the rotary knob = adjust the alarm limit
The value is displayed in the screen key
3. Confirm by pressing the rotary knob = the colour changes from yellow to
green, and the set alarm limit is confirmed and effective.
To cancel the setting:
−Touch the screen key again
or
−touch another screen key
1
2
3

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Operating concept
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Screen knobs for setting parameters
e. g. »PEEP« screen knob
1. Touch the »PEEP« screen key:
It changes the colour from green to yellow = setting function selected
2. Turn the rotary knob to adjust the setting
The value is displayed in the key
3. Confirm by pressing the rotary knob. The key changes the colour from
yellow to green, and the setting is validated and takes effect
While pressure values, such as Pmax, are being set, they are displayed in the
Paw (t) curve as a dashed black line.
To cancel the setting:
−Touch the screen key again
or
−touch another screen key
1
2
3

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Operating concept
Screen pages
All the screen pages have the same structure:
1. The active ventilation mode is displayed on the left-hand side of the top
line (indicated by its abbreviation, e. g. SIMV);
The patient mode is indicated by a symbol, e.g.: adults;
In the case of spontaneous breathing activity by the patient, a lung
symbol is briefly displayed as indicator.
2. Curves are displayed in the upper left-hand quarter of the screen.
3. The lower half of the screen shows curves and measured values or screen
keys –depending which screen page is selected.
4. Alarms are displayed on the right of the top line.
5. Measured values are displayed in the upper right-hand quarter of the
screen.
6. Help functions appear in the bottom line of the screen. On the right,
Evita 4/4 edition provides setting instructions. On the left, Evita 4/4
edition provides information on the current status –this information
can be accessed by pressing key »i«.
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© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Operating concept
For displaying the ventilation status press the key
To select other measured value combinations touch the screen key
repeatedly
To select other curves, touch the key and touch the screen key
corresponding to the desired curve
To select another ventilation mode press Mode settings
To set the alarm limit press Alarm limits
The Values measured screen page displays the measured values in table
format, the trend curve, loops, logbook.
Tables, trend, loop and logbook are selected by the right-hand block of
screen keys.
The Special procedure screen page displays and performs the special
measuring procedures Intrinsic PEEP, Occlusion pressure P 0.1
The desired special procedure is selected by the appropriate screen key
on the right.

© Drägerwerk AG & Co. KGaA, 2019© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –
Preparation
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03

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Preparation
Language
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Before using for the first time set the language of
the screen texts
To switch on the machine press power switch on the back panel
until it clicks into position.
Evita 4/4 edition runs through its self-test procedure, wait until the
10-second test phase is complete.
After the self-test:
1. Switch Evita 4/4 edition to Standby: press the key for about
3 seconds
2. Switch off the standby alarm tone with the Alarm Reset key
3. Press the Configuration key.
−Touch the System Defaults screen key.
−Touch the Language/Units screen key.
▪Touch the Language key and select the desired language
and confirm. The selected language is now active. 1
2
3

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Preparation
Device check
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Perform the Device check
Evita 4/4 edition supports this device check by means of a built-in
checklist that guides the user through the test in a dialogue
mode.
For testing the adult breathing circuit, the adult test lungs
8403201 or MP02400 can be used. The adult test lung must not
be plugged into the patient connection of the Y-piece until
requested by Evita 4/4 edition.
Performing the device check:
1. Switch on the machine: press power switch on the back panel
until it clicks into position. Evita 4/4 edition runs through its self-
test procedure. Wait until the 10-second test phase has been
completed.
2. Switch off the standby alarm tone with the Alarm Reset key.
3. After the self-test press the Configuration key and touch the
System Defaults screen key. 2
2
3
The device check must be carried
out before each use on a patient
in order to confirm that the
ventilator is operating correctly.
1

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Preparation
Device check
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Perform the Device check
3. Touch the System Device check key.
4. Before starting the check, touch the Humid. key to enter the type
of humidifier selected (Active humidifier or HME/Filter) and
confirm the selection by pressing the rotary knob
5. To start the check procedure press the Check screen key.
Evita 4/4 edition starts running through the dialogue-oriented
check. The check procedure is semi-automatic. During the device
check, the user is instructed by Evita 4/4 edition to perform
specific actions on the device.
After successful completion of the device check, and checking the
optional DC power supply unit, Evita 4/4 edition is ready for
operation.
3
4
5

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Preparation
Check hose system
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Checking the hose system for leaks
The hose system is tested for leaks during the device check
but must also be monitored independently of the device check, e. g.
after changing the hose system.
1. Touch the Airtight check screen key
When changing the patient mode, hose system or type of
humidifier always perform the leak test! 1

© Drägerwerk AG & Co. KGaA, 2019© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –
Starting up
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04

© Drägerwerk AG & Co. KGaA, 2019
Evita 4/4 edition –Starting up
20
Start ventilation
1. To select a patient mode touch the key for:
–Adults = adult patients or
–Paed. = children or
–Neo. = neonates (when using the NeoFlow option) or
–prev. patient = previous patient
With this information, Evita 4 defines the adjustment ranges
and the start-up values of the ventilation parameters.
2. Touch the Ideal Body Weight key to enter the patient weight [kg]
3. Turn the rotary knob to adjust the setting and confirm by pressing
the rotary knob
To start ventilation press the rotary knob again.
Evita 4/4 edition starts ventilation with the ventilation mode configured
by the user. The machine is factory-set to IPPV (Intermittent Positive
Pressure Ventilation). Evita 4/4 edition displays the Mode settings screen
page. The user can check and correct the settings on the screen.
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