Dräger Fabius OS User manual

WARNING
For a full understanding of the
performance characteristics of this
medical device, the user should care-
fully read these Instructions for Use
before use of the medical device.
Instructions for Use
Fabius OS
Anesthesia Workstation
Software 3.n

2Instructions for Use Fabius OS SW 3.n
Working with these
Instructions for Use
Header Line
The header line on each page contains the title of
the chapter.
Page Body
The page body in these Instructions for Use combi-
nes text and illustrations. The information is pre-
sented as sequential steps of action, giving the user
hands-on experience in learning how to use the
Fabius OS machine.
Left-Hand Column – the Text
The text in the left-hand column provides explana-
tions and step-by-step instructions on the practical
use of the machine.
zBullet points indicate separate actions.
1Where several actions are described, numbers
are used to refer to relevant details in the illust-
rations. On each page the numbering restart
with “1”.
– Dashes indicate the listing of data, options or
objects.
Right-Hand Column – the Illustrations
The illustrations provide visual reference for the
text and for locating the various parts of the equip-
ment. Elements mentioned in the text are highligh-
ted. Renderings of screen displays guide the user
and provide a way to reconfirm actions performed.
Typing Conventions in this Manual
– User controls, such as hard keys and soft keys,
and screen pages are printed in bold within quo-
tation marks, e.g., »PEEP« or »Volume Set-
tings«.
– Screen messages are printed in bold within
quotation marks, e.g., »Flow Calibration in
progress«.
– Alarm messages are printed in bold within quo-
tation marks, including the exclamation marks
that indicate their alarm urgency level, e.g.,
»APNEA PRESSURE!!!«.
305
Configuration
118
Instructions for Use Fabius OS SW 3.n
Configuration Functions in Standby
Mode
The configuration functions available in Standby
include calibrations, system tests, and the manage-
ment of default settings.
To access Standby mode:
1Press the » « key (Standby).
The waveform window is replaced by a confirma-
tion message and the instruction to shut off flow.
The LED on the Standby key starts blinking and will
remain blinking until Standby is confirmed.
zConfirm the mode change. The ventilator enters
Standby mode, the Standby screen replaces the
previous screen, and the Standby LED stops
blinking and remains on.
The following soft key labels appear at the bot-
tom of the Standby screen:
–»Run System Test«
–»Calibrate Flow Sensor«
–»Calibrate O
2 Sensor«
–»Leak/Compl Test«
–»Access Alarm Log«
–»Restore Site Defaults«
zTurn off fresh gas flow.
NOTE:
If confirmation does not occur within 15 seconds,
the ventilator remains in the previous mode and
the waveform window is restored.
566
1
522501

Instructions for Use Fabius OS SW 3.n 3
Trademarks
DrägerService®, Spirolog®, SpiroLife®,
Drägersorb®, D-Vapor®, Fabius® OS, Vapor® are
registered trademarks of Dräger Medical.
All other products or brand names are trademarks
of their respective owners.
Definitions
Abbreviations and Symbols
Please refer to "Abbreviations" on page 26 and
"Symbols" on page 27 for explanations.
Notice
This document is provided for customer information
only, and will not be updated or exchanged without
customer request.
Depending on the configuration of the individual
medical device, the images in the Instructions for
Use may differ.
Definition of the Target Group
The following group of users is defined with respect
to the use of the medical device:
Professionals
These users are persons
– who have been instructed on the medical
device, and
– who are medical professionals, or have recei-
ved technical training, and
– who are authorized to use and reprocess or to
instal and maintain the medical device in accor-
dance with the intended use.
Dräger recommends that the medical device is
used exclusively by professionals.
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 infor-
mation about a potentially hazardous situation
which, if not avoided, may result in minor or mode-
rate injury to the user or patient or in damage to
the equipment or other property.
NOTE
A NOTE provides additional information intended
to avoid inconvenience during operation.

4Instructions for Use Fabius OS SW 3.n
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Instructions for Use Fabius OS SW 3.n 5
Contents
Contents
Working with these Instructions for Use . . . . . 2
Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Abbreviations and Symbols . . . . . . . . . . . . . . . . . 3
Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Definition of the Target Group. . . . . . . . . . . . . . . . 3
For Your Safety and that of Your Patients . . . . 7
Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
System Overview . . . . . . . . . . . . . . . . . . . . . . . 15
Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Compact Breathing System (Top View) . . . . . . . 17
Rear View (Pin-Index Connector). . . . . . . . . . . . 18
Interface Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Vaporizers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Vaporizer Exclusion Systems . . . . . . . . . . . . . . . 20
Auxiliary Oxygen Flowmeter. . . . . . . . . . . . . . . . 21
APL Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Communication Ports . . . . . . . . . . . . . . . . . . . . . 23
Accessory Weight Limits . . . . . . . . . . . . . . . . . . 25
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Operation Concept . . . . . . . . . . . . . . . . . . . . . . 29
Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
The Screen Display . . . . . . . . . . . . . . . . . . . . . . 31
Rotary Knob . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Fixed Function Keys. . . . . . . . . . . . . . . . . . . . . . 32
Soft Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Fresh Gas Control . . . . . . . . . . . . . . . . . . . . . . . 37
LED Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Gas System Color Coding . . . . . . . . . . . . . . . . . 40
Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Activating the Battery . . . . . . . . . . . . . . . . . . . . . 42
Fitting the CO2 Absorber on the Compact
Breathing System . . . . . . . . . . . . . . . . . . . . . . . . 42
Installing the Drägersorb CLIC Adapter . . . . . . . 43
Connecting the Compact Breathing System. . . . 44
Inserting the Flow Sensor. . . . . . . . . . . . . . . . . . 45
Connecting the Waste-Gas Outlet Port . . . . . . . 46
Installing the Flexible Bag Arm or Breathing
Bag Extension* and Bag . . . . . . . . . . . . . . . . . . 46
Connecting Pipeline Supply of N2O, AIR and
O2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Connecting the Reserve Gas Cylinders for
N2O, AIR and O2 (for Pin-Index Mounting) . . . . 48
Connecting the AGS Anesthetic Gas
Receiving System . . . . . . . . . . . . . . . . . . . . . . . 51
Connecting the Passive Scavenger . . . . . . . . . 53
Connecting the Suction System . . . . . . . . . . . . 54
Connecting the Breathing Hoses. . . . . . . . . . . . 55
Inserting a new O2 Sensor Capsule . . . . . . . . . 57
Connecting the O2 Sensor . . . . . . . . . . . . . . . . 57
Connecting the Pressure Sensor . . . . . . . . . . . 58
Connecting the Pressure Breathing Gauge. . . . 58
Connecting the Flow Sensor . . . . . . . . . . . . . . . 59
Connecting the APL Bypass and PEEP/PMAX
Hoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Attaching the Manual Ventilation Bag . . . . . . . . 60
Preparing the Ventilator. . . . . . . . . . . . . . . . . . . 61
Ventilator Safety Features . . . . . . . . . . . . . . . . . 61
Installing Vaporizers . . . . . . . . . . . . . . . . . . . . . 62
Additional Equipment . . . . . . . . . . . . . . . . . . . . 62
Equipotential Bonding . . . . . . . . . . . . . . . . . . . . 63
Connecting AC Power . . . . . . . . . . . . . . . . . . . . 63
Auxiliary power outlets . . . . . . . . . . . . . . . . . . . 64
Daily and Pre-use Checkout . . . . . . . . . . . . . . . 64
Getting Started. . . . . . . . . . . . . . . . . . . . . . . . . 65
Powering-Up the Machine . . . . . . . . . . . . . . . . . 66
Power-Up Standby Screen . . . . . . . . . . . . . . . . 67
Checking Readiness for Operation . . . . . . . . . . 67
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Power-Up Standby Screen . . . . . . . . . . . . . . . . 70
Setting Fresh Gas Flow. . . . . . . . . . . . . . . . . . . 70
Setting Vaporizer Concentration . . . . . . . . . . . . 72
O2 Flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Low Flow Anesthesia . . . . . . . . . . . . . . . . . . . . 73
Nitrogen Wash-Out (If Required). . . . . . . . . . . . 73
Replacing CO2 Absorbent . . . . . . . . . . . . . . . . . 73
Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Ventilator Safety Features . . . . . . . . . . . . . . . . . 88
Changing Patients . . . . . . . . . . . . . . . . . . . . . . . 89
Ending Operation . . . . . . . . . . . . . . . . . . . . . . . 90

6Instructions for Use Fabius OS SW 3.n
Contents
Preparing for Storage or Transport. . . . . . . . . . . 91
Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Oxygen Monitoring . . . . . . . . . . . . . . . . . . . . . . . 98
O2 Low Supply Alarm . . . . . . . . . . . . . . . . . . . . 102
Respiratory Volume Monitoring . . . . . . . . . . . . 103
Breathing Pressure Monitoring. . . . . . . . . . . . . 105
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . 107
Configuration Functions in Standby Mode . . . . 108
Configuration during Operation . . . . . . . . . . . . 127
Fault-Cause-Remedy . . . . . . . . . . . . . . . . . . . 135
Power Failure Backup . . . . . . . . . . . . . . . . . . . 136
Ventilator Fail State . . . . . . . . . . . . . . . . . . . . . 138
Overriding the Ventilator. . . . . . . . . . . . . . . . . . 138
Fault-Cause-Remedy . . . . . . . . . . . . . . . . . . . . 140
Cleaning, Disinfection and Sterilization . . . . 147
Safety information on reprocessing . . . . . . . . . 148
Pre-cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Reprocessing methods. . . . . . . . . . . . . . . . . . . 148
Removing the Compact Breathing System. . . . 151
Removing Parts of the Ventilator . . . . . . . . . . . 153
Removing anesthetic gas scavenging system
(AGSS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Removing the Suction System . . . . . . . . . . . . . 154
Reprocessing Breathing system. . . . . . . . . . . . 154
Care List for Fabius OS Components . . . . . . . 156
Reassembling the Breathing System . . . . . . . . 158
Reinstalling the Ventilator. . . . . . . . . . . . . . . . . 160
Reinstalling the Scavenger System . . . . . . . . . 161
Reinstalling the Suction System . . . . . . . . . . . . 163
Checking Readiness for Operation . . . . . . . . . 164
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166
Routine Maintenance . . . . . . . . . . . . . . . . . . . . 169
Checking Readiness for Operation . . . . . . . . . 171
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Disposing of the medical device. . . . . . . . . . . . 174
Technical Data . . . . . . . . . . . . . . . . . . . . . . . . 175
Ambient Conditions . . . . . . . . . . . . . . . . . . . . . 176
Machine Data . . . . . . . . . . . . . . . . . . . . . . . . . 176
Fuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178
Electromagnetic Compatibility (EMC)
Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
Electrical Safety Conformance . . . . . . . . . . . . 184
General Safety Standards for Anesthesia . . . . 184
Freedom from Latex . . . . . . . . . . . . . . . . . . . . 184
Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184
Anesthesia Gas Supply Module . . . . . . . . . . . 187
Anesthetic Agent Vaporizer Interface . . . . . . . 188
Breathing System . . . . . . . . . . . . . . . . . . . . . . 190
Low Oxygen Supply Pressure Alarm. . . . . . . . 192
S-ORC (Sensitive Oxygen Ratio Controller) . . 192
Serial Interface . . . . . . . . . . . . . . . . . . . . . . . . 193
Diagram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194
Appendix – Daily and Pre-use Checkout
Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

Instructions for Use Fabius OS SW 3.n 7
For Your Safety and that of Your Patients
For Your Safety and that of Your Patients
Strictly follow these Instructions for Use . . . . . . 8
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Not for use in areas of explosion hazard . . . . . . 8
Safe connection with other electrical
equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Safe networking of computers . . . . . . . . . . . . . . 8
Patient safety . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Patient monitoring . . . . . . . . . . . . . . . . . . . . . . . 9
General WARNINGS and CAUTIONS . . . . . . 10
Note on EMC/ESD risk for the device function 10
Accessories in sterile packaging . . . . . . . . . . . 10
Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

8Instructions for Use Fabius OS SW 3.n
For Your Safety and that of Your Patients
Strictly follow these Instructions for Use
Maintenance
Accessories
Not for use in areas of explosion hazard
Safe connection with other electrical equipment
Safe networking of computers
When networking with electrical devices, the opera-
tor is responsible for ensuring that the resulting sys-
tem meets the requirements set forth by the
following standards:
– EN 60601-1 (IEC 60601-1)
Medical electrical equipment
Part 1: General requirements for safety
– EN 60601-1-1 (IEC 60601-1-1)
Medical electrical equipment
Part 1-1: General requirements for safety
Collateral standard: Safety requirements for
medical electrical systems
– EN 60601-1-2 (IEC 60601-1-2)
Medical electrical equipment
Part 1-2: General requirements for safety
Collateral standard: Electromagnetic compatibi-
lity; Requirements and tests
– EN 60601-1-4 (IEC 60601-1-4)
Medical electrical equipment
Part 1-4: General requirements for safety
Collateral standard: Programmable electrical
medical systems
Follow Assembly Instructions and Instructions for
Use.
WARNING
Strictly follow these Instructions for Use.
Any use of the medical device requires full
understanding and strict observation of all
portions of these instructions. The medical
device is only to be used for the purpose spe-
cified under "Intended Use" on page 14 and in
conjunction with appropriate patient monito-
ring (see page 9). Strictly observe all WAR-
NING and CAUTION statements throughout
these Instructions for Use and all statements
on medical device labels.
WARNING
The medical device must be inspected and
serviced regularly by trained service person-
nel.
Repair of the medical device may also only be
carried out by trained service personnel.
Dräger recommends that a service contract be
obtained with DrägerService and that all
repairs also be carried out by them. Dräger
recommends that only authentic Dräger repair
parts be used for maintenance. Otherwise the
correct functioning of the medical device may
be compromised.
See chapter “Maintenance” .
WARNING
Only the accessories indicated on the list of
accessories 90 52 154 (1st edition or higher)
have been tested and approved to be used
with the medical device. Accordingly it is
strongly recommended that only these acces-
sories be used in conjunction with the specific
medical device. Otherwise the correct functio-
ning of the medical device may be compro-
mised.
WARNING
This medical device is neither approved nor
certified for use in areas where combustible or
explosive gas mixtures are likely to occur.
WARNING
Electrical connections to equipment which is
not listed in these Instructions for Use should
only be made following consultation with the
respective manufacturers.

Instructions for Use Fabius OS SW 3.n 9
For Your Safety and that of Your Patients
Patient safety
The design of the medical device, the accompa-
nying literature, and the labeling on the medical
device take into consideration that the purchase
and use of the medical device are restricted to trai-
ned professionals, and that certain inherent charac-
teristics of the medical device are known to the
trained operator. Instructions, warnings, and cau-
tion statements are limited, therefore, largely to the
specifics of the Dräger design.
This publication excludes references to various
hazards which are obvious to a medical professio-
nal and operator of this medical device, to the con-
sequences of medical device misuse, and to
potentially adverse effects in patients with abnor-
mal conditions. Medical device modification or
misuse can be dangerous.
Patient monitoring
The operators of the medical device must recog-
nize their responsibility for choosing appropriate
safety monitoring that supplies adequate informa-
tion on medical device performance and patient
condition.
Patient safety may be achieved through a wide
variety of different means ranging from electronic
surveillance of medical device performance and
patient condition to simple, direct observation of cli-
nical signs.
The responsibility for the selection of the best level
of patient monitoring lies solely with the medical
device operator.

10 Instructions for Use Fabius OS SW 3.n
For Your Safety and that of Your Patients
General WARNINGS and CAUTIONS
The following WARNINGS and CAUTIONS apply to
general operation of the device. WARNINGS and
CAUTIONS specific to subsystems or particular
features appear with those topics in later sections
of these Instructions for Use or in the device-speci-
fic Instructions for Use.
Note on EMC/ESD risk for the device function
General information on electromagnetic compatibi-
lity (EMC) pursuant to international EMC standard
IEC 60601-1-2: 2001
Electromedical devices are subject to special pre-
cautionary measures concerning electromagnetic
compatibility (EMC) and must be installed and put
into operation in accordance with the EMC informa-
tion included, see page 179.
Portable and mobile RF communications equip-
ment can affect medical electrical equipment.
Accessories in sterile packaging
Do not use accessories in sterile packaging if the
packaging has been opened, damaged or if there
are other signs that the accessories are not sterile.
Reprocessing and resterilization of single-use
accessories is not permitted.
WARNING
Connector pins with an ESD war-
ning sign should not be touched
and no connections should be
made between these connectors
without implementing ESD protec-
tive measures. Such precautionary procedu-
res may include antistatic clothing and shoes,
the touch of a ground stud before and during
connecting the pins or the use of electrically
isolating and antistatic gloves. All staff invol-
ved in the above shall receive instruction in
these ESD precautionary procedures.
WARNING
Risk of electric shock
Connecting devices to the
Medical Power Outlet Strip can
cause an increase in leakage
current beyond permissible
values if the protective conduc-
tor of a device fails. Check the leakage current
when connecting devices to the Medical
Power Outlet Strip. If connecting a device (or
devices) increases the leakage current to a
value which exceeds the permissible value, do
not use the auxiliary outlets of the Fabius OS:
use a separate wall socket.
The system must meet the requirements for
medical equipment in accordance with
IEC/EN 60601-1-1 and IEC/EN 60601-1-2 and
the particular standards of the connected
devices.
CAUTION
Risk of patient injury
An incorrect diagnosis or misinterpretation of
measured values, or other parameters, may
endanger the patient.
Do not base therapy decision on individual mea-
sured values or monitoring parameters

Instructions for Use Fabius OS SW 3.n 11
For Your Safety and that of Your Patients
Software
The device's software has been developed and
tested carefully in accordance with Dräger's high
quality standards. It is therefore highly improbable
that software errors can become a hazard to the
patient.
Additionally, independent protective functions are
extensively implemented in the software, as well as
in electronics and mechanics, for all safety-related
functions of the device.
Through this, the probability that an error in the soft-
ware or other functions can be detected before it
affects the patient's safety is very high. Regular
automated or manual tests ensure the effective-
ness of all protective measures.
WARNING
Do not use conductive breathing hoses or
face masks.
They may cause burns during HF surgery.
WARNING
Any person involved with the setup, opera-
tion, or maintenance of the Fabius OS anes-
thesia workstation must be thoroughly
familiar with this instruction manual.
WARNING
This anesthesia workstation will not respond
automatically to certain changes in patient
condition, operator error, or failure of compo-
nents. The anesthesia workstation has to be
operated under the constant supervision and
control of a qualified operator in order to pro-
vide immediate corrective action.
WARNING
No third-party components shall be attached
to the anesthesia workstation, ventilator, or
breathing system (except for certain approved
components), otherwise the correct functio-
ning of the medical device may be compro-
mised. For more information, contact
DrägerService or your local authorized ser-
vice organization.
WARNING
Each institution and user has a duty to inde-
pendently assess, based on its, his, or her uni-
que circumstances, what components to
include in an anesthesia system. However,
Dräger, in the interest of patient safety, stron-
gly recommends the use of an oxygen analy-
zer, pressure monitor, volume monitor, and
end-tidal CO2 monitor in the breathing circuit
at all times.
WARNING
Risk of unintentional movement of the anes-
thesia machine
Apply the caster brakes when the anesthesia
machine is in use.
WARNING
Remove any equipment mounted to the
machine before transport. The writing table
should also be free of all objects and pushed
back in the locked position.
If these precautions are not followed, the
device may tip over and pose a risk to safety.
WARNING
Risk of fire
Drugs or other substances based on inflam-
mable solvents, such as alcohol, must not be
introduced into the patient system.
Adequate ventilation must be ensured if
highly inflammable substances are used for
disinfection.
WARNING
Explosive anesthetics, such as ether or cyclo-
propane, must not be used due to the risk of
fire.
WARNING
Always keep a breathing bag at hand. If venti-
lation of the patient is compromised, the pati-
ent must be immediately ventilated with a
separate emergency ventilator.

12 Instructions for Use Fabius OS SW 3.n
For Your Safety and that of Your Patients
WARNING
Do not apply unregulated suction to the pati-
ent circuit when using this device.
WARNING
To avoid electrical shock hazard: Due to the
risk of electrical shock, do not remove any
component cover. Refer any servicing to Drä-
gerService. Use only hospital-grade grounded
electric outlets and power cord.
This device is to be used only in rooms with
line power installations complying with natio-
nal safety standards for hospital patient
rooms (e.g. IEC 60601-1 "Safety of Medical
Electrical Equipment"). Make sure the external
equipment is hospital-grade grounded (regar-
ding national regulations) before connecting
the equipment. Disconnect the power supply
from the electrical outlet before cleaning or
servicing. Let it dry completely before recon-
necting it to the electrical outlet. Always
ensure that the clamp for the power cord at the
power supply end is tight, thus preventing an
accidental disconnect from the unit. Do not
connect additional external equipment other
than equipment specified by Dräger.
CAUTION
Communications with external equipment may be
temporarily affected by electromagnetic interfe-
rence due to the use of electrosurgical equipment.
CAUTION
Do not use Fabius OS during magnetic reso-
nance (MRT, NMR, NMI).
Device operation may be affected, thus placing
the patient at risk.
CAUTION
Risk of physical injury
To avoid physical injury, pay special attention to
edges, moving parts and corners when working
with
– drawers,
– the ventilator module,
– the writing tray,
– swivel arms for mounted devices,
– gas cylinders,
– vaporizer units,
– CLIC absorbers and CLIC adapters,
as well as other accessories.
CAUTION
Risk of pinching fingers or breathing hoses and
objects falling down
If the writing table is not engaged correctly,
objects can fall down and fingers or breathing
hoses can be pinched.
CAUTION
Risk of device failure
If the anesthesia workstation is operated when til-
ted, components maybe damaged or may func-
tion improperly.
Do not operate the anesthesia workstation if it is
tilted more than 5°.
NOTE:
Software must be installed by qualified personnel.
We recommend to contact DrägerService for soft-
ware installation.
NOTE:
If the error-free state of the protective earthing con-
ductor or its connection to the medical device is
doubtful, the device must be operated using the
internal power supply (battery).

Instructions for Use Fabius OS SW 3.n 13
Intended Use
Intended Use
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . 14
MEDIBUS and Vitalink Protocols . . . . . . . . . . . 14
Restriction of Distribution . . . . . . . . . . . . . . . . . 14

14 Instructions for Use Fabius OS SW 3.n
Intended Use
Intended Use
Fabius OS is an inhalation anesthesia machine for
use in operating, induction and recovery rooms.
It may be used with O2, N2O, and AIR supplied by
a medical gas pipeline system or by externally
mounted gas cylinders.
Fabius OS is equipped with a compact breathing
system, providing fresh gas decoupling, PEEP, and
pressure limitation.
The following ventilation options are available:
– Volume Controlled Ventilation
– Pressure Controlled Ventilation
– Pressure Support (Optional)
– Manual Ventilation
– Spontaneous Breathing
Fabius OS is equipped with an electrically driven
and electronically controlled ventilator and monitors
for airway pressure (P), volume (V), and inspiratory
oxygen concentration (FiO2).
As per IEC 60601-2-13 (Anesthetic Workstations
and their Modules-Particular Requirements), additi-
onal monitoring of the concentrations of CO2 and
anesthetic agent is required when the machine is in
use.
IEC 60601-2-13: 2003 requires that a manual ven-
tilation bag must be available for emergency use.
Fresh gas enrichment is provided by the Dräger
Vapor anesthetic vaporizer.
MEDIBUS and Vitalink Protocols
MEDIBUS and Vitalink are software protocols for
use in transferring data between the Fabius OS
and an external medical or non-medical device
(e.g., hemodynamic monitors, data management
systems, or a Windows-based computer) via the
RS-232 interface (see 9038530, 3rd edition or hig-
her).
The system must meet the requirements about
medical electrical equipment in accordance to
IEC/EN 60601-1-1 and IEC/EN 60601-1-2.
Restriction of Distribution
WARNING
Data transferred via MEDIBUS and Vitalink
interfaces are for information only and are not
intended as a basis for diagnosis or therapy
decisions.
WARNING
In order to protect patients and users from
electrical hazards, is it imperative that all sys-
tems consisting of electrical medical devices
and other electrical devices, such as but not
limited to PCs, printers, etc., be mounted
exclusively by trained personnel.
CAUTION
Device for use in health care facilities only and
exclusively by persons with specific training and
experience in its use.

Instructions for Use Fabius OS SW 3.n 15
System Overview
System Overview
Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Compact Breathing System (Top View) . . . . 17
Rear View (Pin-Index Connector) . . . . . . . . . 18
Interface Panel . . . . . . . . . . . . . . . . . . . . . . . . 19
Vaporizers . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Vaporizer Exclusion Systems . . . . . . . . . . . . 20
Dräger Auto Exclusion 2 Vaporizer Mount* . . . 20
Auxiliary Oxygen Flowmeter . . . . . . . . . . . . 21
APL Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Communication Ports . . . . . . . . . . . . . . . . . . 23
Recommended Device Configuration . . . . . . . 23
Accessory Weight Limits . . . . . . . . . . . . . . . 25
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . 26
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

16 Instructions for Use Fabius OS SW 3.n
System Overview
Front View
1Ventilator control panel (settings for ventilation
parameters and airway monitoring)
2Total fresh gas flowmeter
3Display screen
4Vapor mount
5Fresh gas control
6Gauges for Pin index O2, AIR and N2O cylin-
ders
7Writing table*
8Storage drawers
9Brake
10 Absorber
11 Oxygen Flush
12 Compact Breathing System (COSY)
13 Ventilator
14 Auxiliary oxygen flowmeter
073
O
12
5
6
7
10
12
8
13
14
9
11
34
*optional

Instructions for Use Fabius OS SW 3.n 17
System Overview
Compact Breathing System (Top View)
1PEEP/PMAX valve connection port
2Bag holder
3Expiratory valve
4Flow-sensor guard (flow sensor protection)
5Expiratory port
6Connector for breathing bag
7Inspiratory port
8Inspiratory valve
9Fresh gas decoupling valve
10 APL bypass valve connection port
11 Breathing system mount with locking bolt
12 Selecting knob for »MAN« and »SPONT« on
pressure limiting (APL) valve
13 Sample gas return port
090
13
5
6
7
8
10
12
13
2
9
11
4

18 Instructions for Use Fabius OS SW 3.n
System Overview
Rear View (Pin-Index Connector)
1Sealed connector
2Connector for medical gas pipeline supply (cen-
tral supply)
3Power cable connection
4Interface panel
5Ventilator hose connection
6ON/OFF switch
7Fuse
8Compact Breathing System (COSY)
9Potential equalization pin
10 Pin-Index system
066
12 34
5
6
8
10
7
9

Instructions for Use Fabius OS SW 3.n 19
System Overview
Interface Panel
1COM 1
2COM 2*
3APL
4Oxygen Sensor
5Breathing Pressure
6Volume Sensor
7ON/OFF switch
8Fuse
9Power cable connection
10 PEEP
002
5
3
4
1
2
9
10
6
7
8
*optional

20 Instructions for Use Fabius OS SW 3.n
System Overview
Vaporizers*
The Dräger Vapor anesthetic agent vaporizers are
used to enrich the fresh gas with a precisely mete-
red quantity of vapor from the liquid anesthetic
agent being used, i.e., Isoflurane, Halothane, Enflu-
rane, Sevoflurane, or Desflurane.
When using a Desflurane vaporizer, it must be con-
nected to mains power.
For complete information, consult the appropriate
Instruction for Use provided with the vaporizer.
Vaporizer Exclusion Systems
The exclusion systems available for the Fabius OS
are described below.
Dräger Auto Exclusion 2 Vaporizer Mount*
This system has an automatic interlock system that
ensures only one vaporizer can be used at a time.
When one of the two vaporizers is selected for use
(opened), the interlock mechanism within that
vaporizer’s mounting system is activated automati-
cally, preventing the other vaporizer from being
used.
When using a Desflurane vaporizer, it must be con-
nected to mains power.
*optional
NOTE
Only Dräger vaporizers labeled as
"AUTO EXCLUSION" vaporizers are compatible
with the Dräger Auto Exclusion 2-Vaporizer Mount.
See table for the Auto Exclusion Vaporizer techni-
cal data.
Normal
Operating
Range
≤10 L/min Dräger Vapor 2000
Instruction for Use
Manual’s delivered
concentration accu-
racy values apply.
Extended
Operating
Range
>10 to
≤15 L/min
Dräger auto exclusion
vaporizer concentration
output accuracy may
be reduced.