Dräger Fabius GS Owner's manual

Supplement
to the Fabius®GS,Fabius®GS premium,
Fabius®Tiro and Fabius®OS
Operator’s Instruction Manuals
for the Optional Heated Breathing System
Supplement: #9038278, Rev. 07

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Supplement #9038278, Rev. 07 Fabius GS /GS premium/Tiro /OS Supplement

Supplement Contents
Fabius GS/GS premium/Tiro/OS Supplement Supplement #9038278, Rev. 07 1
Supplement
Contents
Purpose of This Document ........................................................................................ 3
Heated Breathing System (Optional) ......................................................................... 3
Symbol Definition ...................................................................................................... 3
General Warnings and Cautions ............................................................................... 4
Installation of HBSPS (Fabius GS/GS premium/OS) ................................................. 5
Installation of HBSPS (Fabius Tiro) ........................................................................... 7
Operation of HBSPS ............................................................................................... 12
Switching Off HBSPS .............................................................................................. 14
Preparing the Compact Breathing System for Maintenance ................................... 14
HBSPS Technical Data ............................................................................................ 15
Daily Checkout ........................................................................................................ 16

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2 Supplement #9038278, Rev. 07 Fabius GS/GS premium/Tiro/OS Supplement

Purpose of This Document Supplement
Fabius GS/GS premium/Tiro/OS Supplement Supplement #9038278, Rev. 07 3
Purpose of This Document
This supplement contains additions to information
contained in your Fabius
Operator’s Instruction Manual. This additional
information pertains to the Fabius
optional heated breathing system.
Heated Breathing System
(Optional)
The Fabius can be configured
with a heated breathing system to reduce
condensation of moisture in the system.
Symbol Definition
The following symbols appear on the Heated
Breathing System Power Supply (HBSPS)
(Optional).
Caution: Refer to accompanying documents
before operating equipment.
Caution: Risk of electric shock, do not remove
cover. Refer servicing to a
DrägerService representative.
Degree of protection against electric shock:
Class 1 Type B.
Registration Mark
Mains Applied/Mains Power
Fuse
Heater Power
DC Voltage
AC Voltage
!
C US

Supplement General Warnings and Cautions
4 Supplement #9038278, Rev. 07 Fabius GS/GS premium/Tiro /OS Supplement
General Warnings and Cautions
The following list of warnings and cautions apply to
general operation and maintenance of the
Fabius. Warnings and cautions
about installing and operating specific parts appear
with those topics.
• A Warning statement gives important
information that, if ignored, could lead directly
to personal injury.
• A Caution statement gives important
information that, if ignored, could lead directly
to equipment damage and indirectly to
personal injury.
Warning: When the moisture content falls below a
specified minimum level, the following
undesirable reactions can occur,
regardless of the type of CO2absorbent
and the anesthetic agent used, e.g.
Halothane, Enflurane, Isoflurane,
Sevoflurane or Desflurane:
• reduced CO2absorption,
• formation of CO,
• absorption and/or decomposition of
the inhalation anesthetic agent,
• increased heat generation in the
absorber, leading to higher breathing
gas temperatures.
Additionally, the breakdown products of
anesthetic agents exposed to dry
absorbent are both flammable and toxic,
and fires have been reported in
association with the use of desiccated
absorbent and volatile anesthetics.
These reactions can result in danger to
the patient in the form of CO intoxication,
insufficient depth of anesthesia and
airway burns.

Installation of HBSPS (Fabius GS/GS premium/OS) Supplement
Fabius GS/GS premium/Tiro/OS Supplement Supplement #9038278, Rev. 07 5
Installation of HBSPS (Fabius GS/GS premium/OS)
The following provides instruction on installation of
the Heated Breathing System Power Supply
(HBSPS).
Figure 1. HBSPS Installation on Machine with Left Mount
COSY
Left Mount COSY HBSPS Installation
The following numbers in boldface refer to Figure 1.
1. Install the power supply onto the left rear GCX
rail of the Fabius by sliding the mounting
plate of the power supply through the opening of
the rail (1) and then sliding it upward. Tighten the
knob (2) against the rail when the power supply
is in the desired position.
2. Route the power cable (3) for the heater below
and behind the power supply and then up to the
rear of the COSY arm. Push the cable into the
cable management cavity (4) on the bottom of
the COSY arm.
3. Plug the connector at the end of the cable into
the mating connector (5) on the rear underside of
the COSY. Orient the connector so that the red
mark on the connector plug aligns with the red
mark on the receptacle.
1
2
3
45

Supplement Installation of HBSPS (Fabius GS/GS premium/OS)
6 Supplement #9038278, Rev. 07 F abius GS/GS premium/Tiro/OS Supplement
Figure 2. HBSPS Installation on Machine with Right Mount
COSY - Step 1
Right Mount COSY HBSPS Installation
1. Install the power supply onto the left rear GCX
rail of the Fabius by sliding the mounting
plate of the power supply through the opening of
the rail (1in Figure 1) and then sliding it upward.
Tighten the knob (1in Figure 2) against the rail
when the power supply is in the desired position.
2. Route the power cable for the heater through the
trough (2in Figure 2) on the rear of the cabinet.
At the right hand end of the trough, route the
cable into the cable management cavity
(1in Figure 3) on the bottom of the COSY arm.
Figure 3. HBSPS Installation on Machine with Right Mount
COSY - Step 2
3. Plug the connector at the end of the cable into
the mating connector (2in Figure 3) on the rear
underside of the COSY. Orient the connector so
that the red mark on the connector plug aligns
with the red mark on the receptacle.
1
2
1
2

Installation of HBSPS (Fabius Tiro) Supplement
Fabius GS/GS premium/Tiro/OS Supplement Supplement #9038278, Rev. 07 7
Installation of HBSPS (Fabius Tiro)
The following provides instruction on installation of
the Heated Breathing System Power Supply
(HBSPS).
Figure 4. HBSPS Installation on Machine with Left Mount
COSY (Trolley)
Left Mount COSY HBSPS Installation
(Trolley)
The following numbers in boldface refer to Figure 4.
1. Install the power supply onto the left rear GCX
rail of the Fabius Tiro by sliding the mounting
plate of the power supply through the opening of
the rail (1) and then sliding it upward. Tighten the
knob (2) against the rail when the power supply
is in the desired position.
2. Route the power cable (3) for the heater below
and behind the power supply and then up to the
rear of the COSY arm. Push the cable into the
cable management cavity (4) on the bottom of
the COSY arm.
3. Plug the connector at the end of the cable into
the mating connector (5) on the rear underside of
the COSY. Orient the connector so that the red
mark on the connector plug aligns with the red
mark on the receptacle.
1
2
3
45

Supplement Installation of HBSPS (Fabius Tiro)
8 Supplement #9038278, Rev. 07 Fabius GS/GS premium/Tiro/OS Supplement
Figure 5. HBSPS Installation on Machine with Right Mount
COSY - Step 1 (Trolley)
Right Mount COSY HBSPS Installation
(Trolley)
1. Install the power supply onto the left rear GCX
rail of the Fabius Tiro by sliding the mounting
plate of the power supply through the opening of
the rail (1in Figure 4) and then sliding it upward.
Tighten the knob (1in Figure 5) against the rail
when the power supply is in the desired position.
2. Route the power cable for the heater through the
trough (2in Figure 5) on the rear of the cabinet.
At the right hand end of the trough, route the
cable into the cable management cavity
(1in Figure 6) on the bottom of the COSY arm.
Figure 6. HBSPS Installation on Machine with Right Mount
COSY - Step 2 (Trolley)
3. Plug the connector at the end of the cable into
the mating connector (2in Figure 6) on the rear
underside of the COSY. Orient the connector so
that the red mark on the connector plug aligns
with the red mark on the receptacle.
1
2
1
2

Installation of HBSPS (Fabius Tiro) Supplement
Fabius GS/GS premium/Tiro/OS Supplement Supplement #9038278, Rev. 07 9
Figure 7. HBSPS Installation on Wall Mounted Machine -
Step 1
Wall Mounted Machine HBSPS
Installation
1. Remove the GCX slide plate (1in Figure 7) from
the side of the power supply by removing the two
screws (2in Figure 7).
Figure 8. HBSPS Installation on Wall Mounted Machine -
Step 2
2. Install the Draeger clamp onto the rear side of
the power supply box using the two screws and
lockwashers included with the clamp assembly
(Figure 8).
Figure 9. HBSPS Installation on Wall Mounted Machine -
Step 3
3. Clamp the power supply onto the rear area of the
left hand Drager rail (1in Figure 9).
1
2
1

Supplement Installation of HBSPS (Fabius Tiro)
10 Supplement #9038278, Rev. 07 Fabius GS/GS premium/Tiro/OS Supplement
Left Mounted COSY HBSPS Wall Mounted
Installation
Figure 10. HBSPS Installation on Wall Mounted Machine
(Left Mount COSY) 1
4. On a left mounted COSY, route the power cable
for the heater below and behind the power
supply and then up to the rear of the COSY arm
(1in Figure 10). Extra cable can be coiled
around the clamp. Push the cable into the cable
management cavity on the bottom of the COSY
arm (1in Figure 11).
5. Plug the connector at the end of the cable into
the mating connector on the rear, underside of
the COSY (2in Figure 11). Orient the connector
so that the red mark on the connector plug aligns
with the red mark on the receptacle.
Figure 11. HBSPS Installation on Wall Mounted Machine
(Left Mount COSY) 2
1
1
2

Installation of HBSPS (Fabius Tiro) Supplement
Fabius GS/GS premium/Tiro /OS Supplement Supplement #9038278, Rev. 07 11
Right Mounted COSY HBSPS Wall Mounted
Installation
Figure 12. HBSPS Installation on Wall Mounted Machine
(Right Mount COSY)
4. On a right mounted COSY machine, route the
power cable for the heater through the trough on
the rear of the cabinet (1in Figure 12). At the
right hand end of the trough, route the cable into
the cable management cavity on the bottom of
the COSY arm (2in Figure 12).
5. Plug the connector at the end of the cable into
the mating connector on the rear underside of
the COSY (3in Figure 12). Orient the connector
so that the red mark on the connector plug aligns
with the red mark on the receptacle. 1
2
3

Supplement Operation of HBSPS
12 Supplement #9038278, Rev. 07 Fabius GS/GS premium/Tiro/OS Supplement
Figure 13. HBSPS Back
Operation of HBSPS
1. Plug the power cord (1in Figure 13) into a mains
power outlet on the wall. The green LED for
MAINS POWER (2in Figure 13) will illuminate
when the plug is connected to power.
2. Switch the HEATER POWER switch
(1in Figure 14) to the ON position (top of the
rocker depressed). The HEATER POWER LED
will illuminate (2in Figure 14).
3. After 15 to 30 minutes, the underside of the
COSY will feel slightly warm.
Figure 14. HBSPS FrontTo avoid the possibility of drying out absorbent, it is
recommended that the heater be turned off when not
in use.
Warning: When the moisture content falls below a
specified minimum level, the following
undesirable reactions can occur,
regardless of the type of CO2absorbent
and the anesthetic agent used, e.g.
Halothane, Enflurane, Isoflurane,
Sevoflurane or Desflurane:
• reduced CO2absorption,
• formation of CO,
• absorption and/or decomposition of
the inhalation anesthetic agent,
• increased heat generation in the
absorber, leading to higher breathing
gas temperatures.
Additionally, the breakdown products of
anesthetic agents exposed to dry
absorbent are both flammable and toxic,
and fires have been reported in
association with the use of desiccated
absorbent and volatile anesthetics.
These reactions can result in danger to
the patient in the form of CO intoxication,
insufficient depth of anesthesia and
airway burns.
1
2
1
2

Operation of HBSPS Supplement
Fabius GS/GS premium/Tiro/OS Supplement Supplement #9038278, Rev. 07 13
Figure 15. HBSPS Front
HBSPS Problem Resolution
Note: Call your local Authorized Service
Organization or DrägerService if the
following steps do not resolve HBSPS
problems.
Bottom of COSY Not Warm After 30 Minutes
1. Ensure that the HEATER POWER switch
(1in Figure 15) is in the ON position.
2. Ensure that the “HEATER POWER ON” LED is
illuminated (2in Figure 15).
3. Check that the connector (1in Figure 1) on the
cable running to the COSY is plugged in
properly.
4. Check that the MAINS POWER LED
(1in Figure 17) is illuminated and that the Mains
Power cord (2in Figure 17) is plugged into a
functioning wall outlet.
Figure 16. HBSPS Connector“HEATER POWER ON LED” Is Not Illuminated
If the “HEATER POWER ON” LED (2in Figure 15) is
not illuminated when the HEATER POWER switch
(1in Figure 15) is in the ON position and the MAINS
POWER LED (1in Figure 17) is illuminated, check
the fuse (3in Figure 15). If it is blown, replace it with
the properly rated fuse.
Figure 17. HBSPS BackMAINS POWER LED Is Not Illuminated
If the MAINS POWER LED (1in Figure 17) is not
illuminated when the mains power cord
(2in Figure 17) is plugged into a wall outlet:
1. Check that the wall outlet is functioning and the
plug is plugged into it properly.
2. Check that the power supply-end cord plug (4in
Figure 17) is plugged into the power supply
properly.
3. Check the two fuses in the power inlet assembly
(3in Figure 17). Replace them if they are blown.
1
2
3
1
2
1
3
4

Supplement Switching Off HBSPS
14 Supplement #9038278, Rev. 07 Fabius GS/GS premium/Tiro/OS Supplement
Figure 18. HBSPS Front
Switching Off HBSPS
1. Switch the HEATER POWER switch
(1in Figure 18) to the OFF position (bottom of
the rocker depressed). The HEATER POWER
LED will darken (2in Figure 18).
2. Unplug the power cord (3in Figure 18) from the
mains power outlet on the wall.
Preparing the Compact Breathing
System for Disinfection and Cleaning
1. Leave the Dräger Vapor(s) on the machine.
2. Remove all breathing hoses.
3. Remove the breathing bag.
4. Remove the ventilation hose.
5. Remove the fresh gas hose from the breathing
system.
6. Remove the anesthetic scavenging hose.
7. Detach the APL-bypass and the Peep/Pmax
lines from the breathing system and from the
side of the machine.
8. Remove the flow sensor cable.
9. Remove the O2sensor cable.
10. Turn off optional Heated Breathing System
Power Supply (HBSPS) power and disconnect
HBSPS power cable from the breathing system.
11. Remove the compact breathing system.
1
2
3

Preparing the Compact Breathing System for Disinfection and Cleaning Supplement
Fabius GS/GS premium/Tiro/OS Supplement Supplement #9038278, Rev. 07 15
Disinfection / Cleaning / Autoclaving
The same information applies to the breathing
system with heater as that for the breathing system
contained in the Fabius Operator's
Instruction Manual.
Cleaning/disinfection of the mains adapter should be
performed as described in the Fabius
Operator's Instruction Manual under
"Machine (exterior)".

HBSPS Technical DataSupplement
HBSPS Technical Data
The Fabius can be configured with a heated breathing system to reduce condensation of
moisture in the system.
Electrical
AC Input Voltage and Current
100-240 VAC, 50-60 Hz nominal, single phase, 0.6 Amps max.
DC Output
15Vdc ± 5%, 1.3 Amps
Fuses
• 2x T2.5AH 250V IEC 60127-2/V
• 1x F1.60AH 250V IEC 60127-2/V
Electromagnetic Compatibility (EMC)
Conforming to EN 60601-1-2, IEC 60601-1-2, and ANSI/AAMI/IEC 60601-1-2
Electrical Safety Conformance
• IEC 60601-1
• CAN/CSA C22.2 No. 601.1-M90
• UL 60601-1
Environmental
Temperature
Operating +10 °C to +35 °C
Storage -10 °C to +70 °C
Humidity
Operating 20% to 80% non-condensing
Storage 10% to 90% non-condensing
Barometric Pressure
Operating 700 to 1060 mbar
Storage 500 to 1060 mbar
16 Supplement #9038278, Rev. 07 Fabius GS/GS premium/Tiro/OS Supplement

SupplementDaily Checkout
Daily Checkout
Heated Breathing System (when present)
Calibrate flow sensor.
Check cable connections.
Check power cord connections.
Ensure that the MAINS POWER LED is
illuminated.
Ensure that the HEATER POWER switch is in
the “ON” position.
Ensure that the “HEATER POWER ON” LED
is illuminated.
Ensure that the underside of the COSY is
warm (approximately 35-40°C) after 30
minutes have elapsed since the “HEATER
POWER ON” LED was illuminated.
Fabius GS/GS premium/Tiro /OS Supplement Supplement #9038278, Rev. 07 17

Manufacturer:
Dräger Medical GmbH
Moislinger Allee 53 – 55
D-23542 Lübeck
Germany
[phone]
FAX [phone]
http://www.draeger.com
Distributed by
Draeger Medical, Inc.
3135 Quarry Road
Telford, PA 18969
U.S.A.
[phone]
(800) 4DRAGER
(800 437-2437)
FAX [phone]
http://www.draeger.com
9038278 – enUS
© Dräger Medical GmbH
Rev. 08
Dräger reserves the right to make modifications
to the medical device without prior notice. As of 2015-08:
Dräger Medical GmbH
changes to
Drägerwerk AG & Co. KGaA