Dräger Fabius GS premium User manual

Instructions for use
Fabius GS premium
WARNING
To properly use this medical device,
read and comply with these
instructions for use.
Anesthesia workstation
Software 3.n

2 Instructions for use Fabius GS premium SW 3.n
Typographical conventions
Any text shown on the screen and any labeling on
the device are printed in bold and italics, e.g.,
PEEP or Man/Spon.
Use of terms
– The product Fabius GS premium is also
referred to as Fabius.
– 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
The actual screen layout or the device may differ in
appearance or in configuration from the
illustrations.
Trademarks
1Consecutive numbers indicate steps of action,
with the numbering restarting with "1" for each
new sequence of actions.
Bullet points indicate individual actions or dif-
ferent 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 Trademark owner
Fabius®GS premium
Dräger
DrägerService®
Spirolog®
SpiroLife®
D-Vapor®
Drägersorb®
MEDIBUS®
Vitalink®
Vapor®
Selectatec®Datex-Ohmeda
Korsolex®BODE Chemie
Neodisher Medi-
clean®Dr. Weigert
Gigasept FF®Schülke & Mayr
Incidin®Ecolab
Incidur®
Trademark Trademark owner

Instructions for use Fabius GS premium SW 3.n 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.
The target groups must understand the language
of the present document.
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.
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.
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 Fabius GS premium SW 3.n
Abbreviations and symbols
Explanations can be found in the sections
''Abbreviations'' and ''Symbols'' in chapter
''Symbols''.

Instructions for use Fabius GS premium SW 3.n 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
Indications/Contraindications........................... 17
Further information on application ................... 18
The MEDIBUS and Vitalink protocols.............. 19
Overview......................................................... 20
Fabius GS premium (front view)...................... 21
Compact breathing system COSY (top view) .. 22
Power supply unit for COSY heating (front
view) ................................................................ 23
Power supply unit for COSY heating (rear
view) ................................................................ 24
Rear view......................................................... 25
Interface panel................................................. 27
Vaporizer ......................................................... 28
Supplemental O2delivery (optional)................ 29
APL valve ........................................................ 30
Interfaces......................................................... 31
External fresh-gas outlet.................................. 34
Abbreviations................................................... 36
Symbols........................................................... 38
Product labels.................................................. 40
Operating concept......................................... 41
Control panel ................................................... 42
Screen display................................................. 44
Selecting and setting ....................................... 46
Fresh-gas delivery (version for 3 gases) ......... 48
LED indicators ................................................. 50
Color coding for anesthetic agents and medical
gases............................................................... 51
Screen colors (optional)................................... 51
Assembly and preparation ........................... 52
Before first operation ....................................... 53
Connecting the gas supply .............................. 56
Ensuring the gas supply .................................. 61
Assembling the breathing system.................... 62
Connecting the sensors and measurement
lines ................................................................. 78
Fastening the manual resuscitator .................. 81
Fitting the COSY cover.................................... 82
Instructions for mounting the accessories ....... 83
Getting started............................................... 84
Daily checkout and pre-use checkout ............. 85
Switching on .................................................... 86
Checking the readiness for operation.............. 87
Operation ....................................................... 88
Standby page after start-up............................. 89
Setting the fresh-gas flow................................ 89
Setting the anesthetic gas concentration ........ 91
O2flush ........................................................... 92
Low-flow anesthesia........................................ 93
Nitrogen rinsing (as needed) ........................... 93
Replacing the soda lime .................................. 94
Ventilation........................................................ 95
Safety functions of the ventilator ..................... 107
Patient change ................................................ 108
Using the external fresh-gas outlet as a
common gas outlet (optional) .......................... 109
Using the external fresh-gas outlet with an
auxiliary switch (optional) ................................ 111
Ending operation ............................................. 113
Preparing for storage or transport ................... 114
Alarms ............................................................ 115
Alarm signaling................................................ 116
Monitoring...................................................... 119
Main screen..................................................... 120
O2monitoring .................................................. 120
Breathing volume monitoring........................... 123
Airway pressure monitoring............................. 125
Configuration................................................. 127
Configuration in standby mode........................ 128
Page Standby Set-up ...................................... 136
Configuration during operation ........................ 144
Troubleshooting ............................................ 150
Locating and remedying leakages................... 151
Power supply failure ........................................ 153
Ventilator failure .............................................. 155

Contents
6 Instructions for use Fabius GS premium SW 3.n
Failure of the O2sensor .................................. 156
Alarm – Cause – Remedy ............................... 157
Cleaning, disinfection and sterilization....... 166
Disassembly .................................................... 167
Removing the compact breathing system ....... 169
Reprocessing procedures ............................... 171
Reprocessing list ............................................. 175
Before using on patients again........................ 178
Maintenance................................................... 179
Overview ......................................................... 180
Inspection ........................................................ 181
Preventive maintenance.................................. 182
Repair.............................................................. 182
Disposal ......................................................... 183
Disposing of the medical device...................... 184
Disposal of accessories................................... 184
Disposal of non-rechargeable batteries........... 185
Technical data ............................................... 186
General information......................................... 187
Ambient conditions .......................................... 187
Device data ..................................................... 188
Fuses............................................................... 190
External fresh-gas outlet ................................. 190
Electrical safety ............................................... 190
General safety standards for anesthesia
workstations .................................................... 191
Ventilator ......................................................... 193
Anesthetic gas supply module......................... 195
Vaporizer interface .......................................... 196
Breathing system............................................. 198
Alarm for low oxygen supply pressure ............ 201
Alarm tone sequence IEC ............................... 201
Characteristics of additional acoustic signals.. 201
S-ORC (Sensitive Oxygen Ratio Controller) ... 202
Device outlets.................................................. 202
Essential performance characteristics............. 203
EMC declaration.............................................. 204
Device combinations ....................................... 208
Connections to IT networks............................. 209
Illustrations ...................................................... 210
Annex ............................................................. 211
Form for daily checkout and pre-use checkout 212
Password ....................................................... 220
Configuration password for
Fabius GS premium Software 3.n ................... 220

Instructions for use Fabius GS premium SW 3.n 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
Safety checks .................................................. 8
Accessories ..................................................... 8
Connected devices.......................................... 9
No operation in potentially explosive areas ..... 9
Safe coupling with electrical equipment .......... 10
Patient safety................................................... 10
Patient monitoring............................................ 10
Information on electromagnetic compatibility .. 11
Installing accessories ...................................... 11
Keeping the instructions for use ...................... 11
Training............................................................ 11
Product-specific safety information ............ 12

For your safety and that of your patients
8 Instructions for use Fabius GS premium SW 3.n
General safety information
The following WARNING and CAUTION
statements apply to general operation of the
medical device.
WARNING and CAUTION statements specific to
its subsystems or particular features appear in the
respective sections of these instructions for use or
in the instructions for use of any other product
being used with this device.
Strictly follow these instructions for use
Maintenance
Safety checks
The medical device must be subject to regular
safety checks. See chapter ''Maintenance''.
Accessories
WARNING
Risk of incorrect operation and 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 an
appropriate patient monitoring system (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 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 DrägerService for a
service contract and for repairs. Dräger also
recommends using original Dräger parts for
maintenance.
WARNING
Risk due to incompatible accessories
Dräger has only tested the compatibility of
accessories that appear in the current list of
accessories or in separate declarations by
Dräger. If other, incompatible accessories are
used, there is a risk of patient injury due to
medical device failure.
Dräger recommends using the medical device
only with accessories from the current list of
accessories.

Instructions for use Fabius GS premium SW 3.n 9
For your safety and that of your patients
Connected devices
No operation in potentially explosive
areas
WARNING
Risk of operating errors and incorrect use
Strictly observe the instructions for use of all
accessory parts, e.g.,:
– Water traps
– Flow sensors
–CLICadapter
– CLIC absorber
– Soda lime
– Breathing hoses
– Masks
–Filter
– Endotracheal suction
–Vaporizer
– Manual resuscitator
– AGSS terminal unit
WARNING
Risk of electric shock and device malfunction
Any connected devices or device
combinations not complying with the
requirements in these instructions for use
may compromise correct functioning of the
medical device.
Before using the medical device, refer to and
strictly comply with the instructions for use
of all connected devices and device
combinations.
WARNING
Risk of device malfunction
This medical device can be operated in
combination with other Dräger devices or
with devices from other manufacturers. If a
device combination is not approved by
Dräger, the safety and the functional state of
the individual devices can be compromised.
– The operating organization must ensure
that the device combination complies with
the applicable editions of the relevant
standards for medical devices.
– Strictly observe the assembly instructions
and instructions for use of each
connected device.
WARNING
Risk of explosion and fire
This medical device is neither approved nor
certified for use in areas where oxygen
concentrations greater than 25 Vol%,
combustible or explosive gas mixtures are
likely to occur.

For your safety and that of your patients
10 Instructions for use Fabius GS premium SW 3.n
Safe coupling with 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 users, and that certain
inherent characteristics of the medical device are
known to the user. Instructions and WARNING and
CAUTION statements are therefore largely limited
to the specifics of the Dräger medical device.
These instructions for use do not contain
references to various hazards which are obvious to
users who operate this medical device as well as
references to the consequences of medical device
misuse, and to potentially adverse effects in
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 suitable monitoring that provides
appropriate information about medical device
performance and the patient's 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
Coupling with electrical equipment that is not
mentioned in these instructions for use or
assembly instructions may only be done with the
respective device manufacturer.
CAUTION
Risk of patient injury
Do not make therapeutic decisions based solely
on individual measured values and monitoring
parameters.

Instructions for use Fabius GS premium SW 3.n 11
For your safety and that of your patients
Information on electromagnetic
compatibility
General information on electromagnetic
compatibility (EMC) according to the international
EMC standard IEC 60601-1-2:
Medical electric 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 186).
Portable and mobile RF communications
equipment can affect medical electrical equipment.
Installing accessories
Stricly observe the instructions for use and
assembly instructions.
Keeping the instructions for use
Training
User training is offered by the responsible Dräger
organization, see www.draeger.com.
WARNING
Risk of electric shock
Do not connect connectors with an
ESD warning symbol and do not
touch the pins of such connectors
without implementing ESD protective
measures. Such protective measures may
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 relevant users must be instructed in these
ESD protective measures.
WARNING
Risk of device failure
Electromagnetic fields, e.g., those generated
by radio frequency communication
equipment such as mobile phones, high-
frequency electrical surgery equipment,
defibrillators or shortwave therapy devices
can disrupt the function of the medical
device.
Only operate radio frequency devices at a
sufficient safety clearance of at least 20
cm (7.9 in).
WARNING
Risk of electric shock
The connection of devices to auxiliary power
sockets can lead to an increased leakage
current. If the protective ground of one of
these devices fails, the leakage current may
rise above the permissible values.
– Only connect with the approval of the
respective device manufacturer.
– Have the leakage current checked by
service personnel.
– If the permissible value is exceeded, use a
mains power socket on a wall instead of
the auxiliary power socket of the device.
CAUTION
Risk of device failure
Install the accessory on the basic device in
accordance with the instructions of the basic
device.
Check for secure connection to the basic device.
CAUTION
Risk of incorrect use
The instructions for use must be kept in an
accessible location for users.

For your safety and that of your patients
12 Instructions for use Fabius GS premium SW 3.n
Product-specific safety information
WARNING
Risk of misinterpretation
Misinterpretation of measured values or other
parameters or misdiagnosis can endanger
the patient.
Do not make therapeutic decisions based
solely on individual measured values and
monitoring parameters. Therapeutic
decisions must be made solely by the user.
WARNING
Risk of burns
Conductive breathing hoses or face masks
can cause burns during HF surgery.
Do not use this type of hose and mask
combined with HF surgery.
WARNING
Risk of malfunction
Device failure or user error can compromise
the correct functioning of the device. The
medical device does not react automatically
to certain changes in the patient condition,
operating errors, or failure of components.
Continuously monitor the medical device so
that corrective measures can be initiated
immediately.
WARNING
Risk of device failure
The device can fail if the power supply is
interrupted.
Always connect the device on an
uninterruptible power supply.
WARNING
Risk of patient injury
Every user has the obligation to assess
independently which components are
required corresponding to the specific
prerequisites for the anesthesia workstation.
In accordance with the general safety
standards for anesthesia systems, additional
monitoring of the concentrations of CO2and
anesthetic agent is required when operating
the device. To guarantee patient safety,
however, the following components must
always be used:
–O
2monitor
– Pressure monitor
– Volume monitor
WARNING
Risk of malfunction
Unallowed modifications to the medical
device lead to malfunctions.
This medical device may not be changed
without permission from Dräger.
WARNING
Risk of accidental movement of the medical
device
During operation the medical device can
move accidentally.
Activate the castor brakes.

Instructions for use Fabius GS premium SW 3.n 13
For your safety and that of your patients
WARNING
Risk of tipping over during transport
The medical device may tip over if handled
incorrectly. Observe the following points
when transporting medical devices:
– The medical device may only be moved by
people who have the physical ability to do
so.
– To improve the maneuverability, transport
the device with 2 persons.
– When transporting over inclines, around
corners, or over thresholds (e.g., through
doors or in elevators), make sure that the
medical device does not bump against
anything.
– Remove any devices mounted to the
holding arms or the top of the device.
– Clear the writing tray and fold it down
completely or slide it into the device.
– Do not pull the medical device over hoses,
cables, or other obstacles lying on the
floor.
– Do not activate the brake while the
medical device is being moved.
– Always use the handles on the device to
push or pull it.
WARNING
Risk of fire
The flow sensor can ignite medications or
other substances that are easily flammable.
– 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 combustible or explosive
substances to enter the breathing system
or 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 insufficient ventilation
Device failure or operating errors can lead to
ventilation failure.
– To ensure immediate remedial action in
case of device failure, only operate the
device under permanent supervision of
users.
– The general safety standards for
anesthesia systems require that a manual
resuscitator be kept at the ready for
emergency ventilation.
WARNING
Risk of injury to the lungs
Endotracheal suction can cause negative
pressure in the lungs. This pressure can
injure the lungs.
Be careful during suction.
WARNING
Risk of not hearing the alarm tone
Dräger recommends that the user remain in
the vicinity of the anesthesia machine, i.e.,
within a distance of up to four meters (12
feet). This facilitates fast recognition and
response in the event of an alarm.

For your safety and that of your patients
14 Instructions for use Fabius GS premium SW 3.n
WARNING
Risk of crushing
If the writing tray is not correctly locked in
place, objects can fall down or fingers and
breathing hoses, for example, can be
pinched.
Make sure that the writing tray is correctly
locked when folding down or sliding into the
device.
WARNING
Risk of crushing
Movable device parts or attached
components may cause crushing due to
clamping. Pay special attention to edges,
movable parts, and corners when working
with the following components:
– Breathing system cover
–Drawers
– Extensible writing tray
– Swivel arms for mounted devices
– Accessories such as gas cylinders,
vaporizers, CLIC absorber, and CLIC
adapter
WARNING
Risk of electric shock
This device is only intended for use in rooms
in which the power lines correspond to the
national applicable safety standards for
patient's rooms in hospitals. Observe the
following points to avoid electric shock:
– The covers of the components must not
be removed.
– Maintenance work must only be
performed by DrägerService. Use only
grounded electrical connections and
power cables that meet hospital
standards.
– Before connecting the medical device,
make sure that external devices are
grounded to meet the hospital standard (in
accordance with national applicable
regulations).
– Before cleaning work or maintenance
work is performed, disconnect all plugs
for the power supply.
– If the medical device has come in contact
with liquids, let it dry completely before it
is reconnected to the power supply.
– Check that the power cable is securely
clamped to the power inlet.
– Only connect additional devices if they
have been approved by Dräger.
WARNING
Risk of device failures
If the anesthesia workstation is used in a
tipped position, parts can be damaged or
their function can be comprised.
Do not use the anesthesia workstation at an
inclination angle over 5°.
NOTE
The device software of Fabius must be installed
by experts. Dräger recommends having the
software installation performed by
DrägerService.

Instructions for use Fabius GS premium SW 3.n 15
Application
Application
Intended use .................................................. 16
Indications/Contraindications...................... 17
Indications ....................................................... 17
Contraindications............................................. 17
Further information on application.............. 18
Environment of use.......................................... 18
The MEDIBUS and Vitalink protocols.......... 19

Application
16 Instructions for use Fabius GS premium SW 3.n
Intended use
The Fabius anesthesia workstation for inhalational
anesthesia is appropriate for use in operating
rooms, induction rooms, and recovery rooms.
Fabius is equipped with an electrically driven and
electronically controlled ventilator. The following
parameters are monitored:
– Airway pressure (PAW),
– Tidal volume (VT)
– Inspiratory oxygen concentration (FiO2)
Anesthesia is achieved through a mixture of pure
oxygen and Air (medical compressed air) or pure
oxygen and nitrous oxide, with the addition of
volatile anesthetic agents. A Dräger anesthetic
vaporizer is used to enrich the fresh gas with
volatile anesthetic agents. The gas supply is done
via a central gas supply system or via externally
connected gas cylinders.
Fabius is equipped with a compact breathing
system that offers fresh gas decoupling, PEEP,
and pressure limitation.
The following ventilation modes are available:
–Volume Control (volume-controlled
ventilation)
–Pressure Control*(pressure-controlled
ventilation)
–Pressure Support* (pressure-supported
ventilation)
–SIMV/PS* (synchronized intermittent
ventilation with pressure support)
–ManSpont (manual ventilation/spontaneous
breathing)
*optional
WARNING
Risk of patient injury
In accordance with the general safety
standards for anesthesia systems, additional
monitoring of the concentrations of CO2and
anesthetic agent is required.
WARNING
Risk of insufficient ventilation
Device failure or operating errors can lead to
ventilation failure.
– To ensure immediate remedial action in
case of device failure, only operate the
device under permanent supervision of
users.
– The general safety standards for
anesthesia systems require that a manual
resuscitator be kept at the ready for
emergency ventilation.
WARNING
Risk due to malignant hyperthermia
Volatile anesthetic agents may cause
malignant hyperthermia.
For patients suspected of suffering from
malignant hyperthermia: Do not use any
volatile anesthetic agent or Fabius with
residual concentrations of these gases above
5ppm.
WARNING
Risk due to the accumulation of acetone in
the patient
Do not perform low-flow anesthesia on
patients with ketoacidosis or patients under
the influence of alcohol. The risk of
accumulation of acetone in the patient
increases in such cases.

Instructions for use Fabius GS premium SW 3.n 17
Application
Indications/Contraindications
Indications
Fabius is specified for inhalational anesthesia
and/or patient ventilation in accordance with the
intended use during surgical or diagnostic
interventions.
Contraindications
The device has no product-specific
contraindications.
It is the responsibility of the user to select the
appropriate treatment for the patient's underlying
disease.
Patient status must be continuously monitored for
potential changes.
NOTE
CO2values and anesthetic gas values can be
monitored if the Fabius is combined with a gas
monitor (e.g., Vamos) or a gas analyzer (e.g.,
Scio with Dräger patient monitor).
NOTE
O2monitoring can be deactivated on site by an
authorized service partner. More information can
be found in chapter ''Deactivating the O2
monitoring'' on page 122. If O2monitoring is
deactivated, use external O2monitoring.
NOTE
Fabius applies medical gases such as O2, N2O,
or volatile anesthetic agents. For
contraindications to the applied medical gases,
strictly observe the instructions for use of the
medical gas.

Application
18 Instructions for use Fabius GS premium SW 3.n
Further information on application
Environment of use
Fabius is designed for use in rooms in which
therapeutic or diagnostic interventions can be
carried out.
Do not use Fabius in the following environments:
– Outside of massive buildings
– In intensive care units
– During patient transport
– In vehicles, airplanes, or helicopters
WARNING
Risk of explosion
This medical device is neither approved nor
certified for use in areas where oxygen
concentrations greater than 25 Vol%,
combustible or explosive gas mixtures are
likely to occur.
WARNING
Risk of device malfunctions and/or patient
injury and user injury
Magnetic fields can negatively influence the
correct functioning of the medical device and
therefore endanger the patient or user.
Do not use the medical device near magnetic
resonance imagers.
WARNING
Do not use soda lime based on potassium
hydroxide. Otherwise, there is a risk of CO
formation.

Instructions for use Fabius GS premium SW 3.n 19
Application
The MEDIBUS and Vitalink protocols
MEDIBUS and Vitalink are software protocols for
the transfer of data between Fabius and an
external medical or non-medical product (e.g.,
hemodynamic monitors, data management
systems, or Windows-based computers) via an
RS232 interface (see instructions for use 9038530,
3rd edition or higher).
The system must meet the requirements of
standards IEC 60601-1-1 and IEC 60601-1-2, or of
IEC 60601-1:2005 for medical electrical
equipment.
WARNING
Risk of patient injury
All data transferred via the MEDIBUS
interface are for information only and must
not be used as the sole basis for diagnostic
or therapeutic decisions. The data accessible
via this interface are not intended for use with
a distributed alarm system in accordance
with IEC 60601-1-8:2012 (in the sense of
remote monitoring).
WARNING
For the protection of patients and users from
electrical risk, it is required that all systems
that consist of medical devices and other
electrical devices, such as computers,
printers, etc., are assembled exclusively by
trained personnel.

Overview
20 Instructions for use Fabius GS premium SW 3.n
Overview
Fabius GS premium (front view) .................. 21
Compact breathing system COSY (top
view) ............................................................... 22
Power supply unit for COSY heating (front
view) ............................................................... 23
Power supply unit for COSY heating (rear
view) ............................................................... 24
Rear view........................................................ 25
Pin-index connection ....................................... 25
Screw connections .......................................... 26
Interface panel ............................................... 27
Vaporizer ........................................................ 28
Supplemental O2delivery (optional) ........... 29
Functional check of the supplemental O2
delivery ............................................................ 29
APL valve ....................................................... 30
Interfaces ....................................................... 31
Recommended device configuration ............... 32
External fresh-gas outlet .............................. 34
Using the external fresh-gas outlet as a
common gas outlet .......................................... 35
Use of the external fresh-gas outlet with an
additional switch .............................................. 35
Abbreviations ................................................ 36
Symbols ......................................................... 38
Product labels................................................ 40