Dräger Fabius plus 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 (only master for IfU zh)
Fabius plus
Anesthesia Workstation
Software 3.n

2Instructions for Use Fabius plus 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 plus 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
112
Instructions for Use Fabius plus 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 plus SW 3.n 3
Trademarks
DrägerService®, Spirolog®, SpiroLife®,
Drägersorb®, D-Vapor®, Fabius®plus, Vapor®, and
Vitalink®are registered trademarks of Dräger.
Selectatec®is a registered trademark of
Datex-Ohmeda.
All other products or brand names are trademarks
of their respective owners.
Definitions
Abbreviations and Symbols
Please refer to "Abbreviations" on page 30 and
"Symbols" on page 31 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 plus SW 3.n
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Instructions for Use Fabius plus 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
Threaded Connectors. . . . . . . . . . . . . . . . . . . . . 19
Interface Panel . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Vaporizers (Optional) . . . . . . . . . . . . . . . . . . . . . 21
Vaporizer Exclusion Systems . . . . . . . . . . . . . . . 21
Fabius plus as a Wall Device . . . . . . . . . . . . . . . 23
Auxiliary Oxygen Flow Meter . . . . . . . . . . . . . . . 24
APL Valve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Communication Ports . . . . . . . . . . . . . . . . . . . . . 26
Auxiliary Fresh-Gas Outlet . . . . . . . . . . . . . . . . . 27
Accessory Weight Limits . . . . . . . . . . . . . . . . . . 29
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Operation Concept . . . . . . . . . . . . . . . . . . . . . . 33
Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
The Screen Display . . . . . . . . . . . . . . . . . . . . . . 35
Rotary Knob . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Fixed Function Keys. . . . . . . . . . . . . . . . . . . . . . 36
Soft Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Fresh-Gas Control . . . . . . . . . . . . . . . . . . . . . . . 41
LED Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Gas System Color Coding . . . . . . . . . . . . . . . . . 42
Screen Color Concept . . . . . . . . . . . . . . . . . . . . 42
Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Activating the Battery . . . . . . . . . . . . . . . . . . . . . 44
Fitting the CO2Absorber on the Compact
Breathing System . . . . . . . . . . . . . . . . . . . . . . . . 44
Installing the Drägersorb CLIC Absorber . . . . . 45
Connecting the Compact Breathing System . . . 46
Inserting the Flow Sensor . . . . . . . . . . . . . . . . . 47
Connecting the Waste-Gas Outlet Port . . . . . . . 48
Installing the Flexible Bag Arm or Breathing
Bag Extension*and Bag . . . . . . . . . . . . . . . . . . 48
Connecting Pipeline Supply of N2O, AIR and
O2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Connecting the Reserve Gas Cylinders (for Pin-
Index Mounting). . . . . . . . . . . . . . . . . . . . . . . . . 50
Connecting the Reserve Gas Cylinders for
N2O, AIR and O2(for Cylinders with Threaded
Connectors). . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Connecting the AGS Anesthetic Gas
Receiving System . . . . . . . . . . . . . . . . . . . . . . . 55
Connecting the Suction System . . . . . . . . . . . . 57
Connecting the Breathing Hoses. . . . . . . . . . . . 58
Inserting a new O2Sensor Capsule . . . . . . . . . 60
Connecting the O2Sensor . . . . . . . . . . . . . . . . 60
Connecting the Pressure Sensor . . . . . . . . . . . 61
Connecting the Pressure Breathing Gauge. . . . 61
Connecting the Flow Sensor . . . . . . . . . . . . . . . 62
Connecting the APL Bypass and PEEP/PMAX
Hoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Attaching the Manual Ventilation Bag . . . . . . . . 63
Preparing the Ventilator. . . . . . . . . . . . . . . . . . . 63
Ventilator Safety Features . . . . . . . . . . . . . . . . . 63
Installing Vaporizers . . . . . . . . . . . . . . . . . . . . . 64
Additional Equipment . . . . . . . . . . . . . . . . . . . . 64
Potential Equalization . . . . . . . . . . . . . . . . . . . . 65
Connecting AC Power . . . . . . . . . . . . . . . . . . . . 65
Auxiliary power outlets . . . . . . . . . . . . . . . . . . . 66
Daily and Pre-use Checkout . . . . . . . . . . . . . . . 66
Getting Started. . . . . . . . . . . . . . . . . . . . . . . . . 67
Powering-Up the Machine . . . . . . . . . . . . . . . . . 68
Power-Up Standby Screen . . . . . . . . . . . . . . . . 69
Checking Readiness for Operation . . . . . . . . . . 69
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Power-Up Standby Screen . . . . . . . . . . . . . . . . 72
Setting Fresh-Gas Flow. . . . . . . . . . . . . . . . . . . 72
Setting Vaporizer Concentration . . . . . . . . . . . . 74
O2Flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Low Flow Anesthesia . . . . . . . . . . . . . . . . . . . . 76

6Instructions for Use Fabius plus SW 3.n
Contents
Nitrogen Wash-Out (If Required) . . . . . . . . . . . . 76
Replacing CO2Absorbent . . . . . . . . . . . . . . . . . 76
Ventilation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Ventilator Safety Features . . . . . . . . . . . . . . . . . 95
Changing Patients . . . . . . . . . . . . . . . . . . . . . . . 96
Ending Operation . . . . . . . . . . . . . . . . . . . . . . . . 97
Using the external fresh-gas outlet as a
common gas outlet . . . . . . . . . . . . . . . . . . . . . . . 98
Using the external fresh-gas outlet with an
additional switch . . . . . . . . . . . . . . . . . . . . . . . . 101
Preparing for Storage or Transport. . . . . . . . . . 104
Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Main Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Oxygen Monitoring . . . . . . . . . . . . . . . . . . . . . . 112
O2Monitoring Disabled . . . . . . . . . . . . . . . . . . 116
O2Low Supply Alarm . . . . . . . . . . . . . . . . . . . . 116
Respiratory Volume Monitoring . . . . . . . . . . . . 117
Breathing Pressure Monitoring. . . . . . . . . . . . . 119
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . 121
Configuration Functions in Standby Mode . . . . 122
Configuration during Operation . . . . . . . . . . . . 143
Fault-Cause-Remedy . . . . . . . . . . . . . . . . . . . 151
Power Failure Backup . . . . . . . . . . . . . . . . . . . 152
Ventilator Fail State . . . . . . . . . . . . . . . . . . . . . 154
Overriding the Ventilator. . . . . . . . . . . . . . . . . . 154
Fault-Cause-Remedy . . . . . . . . . . . . . . . . . . . . 156
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Safety information on reprocessing . . . . . . . . . 164
Pre-cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
Reprocessing methods. . . . . . . . . . . . . . . . . . . 164
Removing the Compact Breathing System. . . . 167
Dismantling Parts of the Ventilator . . . . . . . . . . 169
Removing anesthetic gas scavenging system
(AGSS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Removing the Suction System . . . . . . . . . . . . . 170
Reprocessing Breathing system. . . . . . . . . . . . 170
Care List for Fabius plus Components . . . . . . . 172
Reassembling the Breathing System . . . . . . . . 174
Reinstalling the Ventilator . . . . . . . . . . . . . . . . . 176
Reinstalling the Scavenger System . . . . . . . . . 177
Reinstalling the Suction System. . . . . . . . . . . . 179
Checking Readiness for Operation . . . . . . . . . 180
Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . 181
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182
Routine Maintenance . . . . . . . . . . . . . . . . . . . 185
Checking Readiness for Operation . . . . . . . . . 187
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189
Disposal of the Medical Device . . . . . . . . . . . . 190
Technical Data . . . . . . . . . . . . . . . . . . . . . . . . 191
Ambient Conditions . . . . . . . . . . . . . . . . . . . . . 192
Machine Data . . . . . . . . . . . . . . . . . . . . . . . . . 192
Fuses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194
EMC declaration . . . . . . . . . . . . . . . . . . . . . . . 195
Electrical Safety Conformance . . . . . . . . . . . . 200
General Safety Standards for Anesthesia . . . . 200
Freedom from latex . . . . . . . . . . . . . . . . . . . . . 200
Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200
Anesthesia Gas Supply Module . . . . . . . . . . . 203
Anesthetic Agent Vaporizer Interface . . . . . . . 204
Breathing System . . . . . . . . . . . . . . . . . . . . . . 206
Low Oxygen Supply Pressure Alarm. . . . . . . . 208
S-ORC (Sensitive Oxygen Ratio Controller) . . 208
Serial Interface . . . . . . . . . . . . . . . . . . . . . . . . 209
Diagrams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Appendix – Daily and Pre-use Checkout
Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221

Instructions for Use Fabius plus 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
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 plus 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 9052267 (1. 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 plus 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 plus 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 the manual.
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 195.
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 plus: 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 decisi-
ons on individual measured values or monitoring
parameters.

Instructions for Use Fabius plus 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 plus 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 workstation. Howe-
ver, Dräger, in the interest of patient safety,
strongly recommends the use of an oxygen
analyzer, pressure monitor, volume monitor,
and end-tidal CO2monitor in the breathing cir-
cuit at all times.
WARNING
Risk of unintentional movement of the anes-
thesia workstation
Apply the caster brakes when the anesthesia
workstation is in use.
WARNING
Remove any equipment mounted on 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 plus SW 3.n
For Your Safety and that of Your Patients
WARNING
Do not apply unregulated suction to the pati-
ent circuit when using the device.
WARNING
To avoid electrical shock hazard: Due to the
risk of electrical shock, do not remove any
component cover. Refer any servicing to
DrägerService. 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 (regarding natio-
nal regulations) grounded 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 plus during magnetic reso-
nance (MRI, 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 may be damaged or may func-
tion improperly.
Do not operate the anesthesia workstation if it is
tilted more than 1°.
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 device is doubtful,
the device must be operated using the internal
power supply (battery).

Instructions for Use Fabius plus SW 3.n 13
Intended Use
Intended Use
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . 14
MEDIBUS and Vitalink Protocols . . . . . . . . . . . 14

14 Instructions for Use Fabius plus SW 3.n
Intended Use
Intended Use
Fabius plus is an inhalation anesthesia workstation
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 plus 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 (Optional)
– Pressure Support (Optional)
– SIMV/PS (Optional)
– Manual Ventilation
– Spontaneous Breathing
Fabius plus 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 CO2and
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 plus
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.
NOTE
"O2Monitoring Disabled" is a local authorized ser-
vice organization-configurable option. See "O2
Monitoring Disabled" on page 116 for more infor-
mation. In this case, external FiO2monitoring must
be available.
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.

Instructions for Use Fabius plus SW 3.n 15
System Overview
System Overview
Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Compact Breathing System (Top View) . . . . 17
Rear View (Pin-Index Connector) . . . . . . . . . 18
Threaded Connectors . . . . . . . . . . . . . . . . . . 19
Interface Panel . . . . . . . . . . . . . . . . . . . . . . . . 20
Vaporizers (Optional) . . . . . . . . . . . . . . . . . . 21
Vaporizer Exclusion Systems . . . . . . . . . . . . 21
Dräger Vapor Interlock 2 System (Optional) . . 21
Selectatec (Optional) . . . . . . . . . . . . . . . . . . . . 22
Dräger Auto Exclusion 2 Vaporizer Mount (Optio-
nal) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Fabius plus as a Wall Device . . . . . . . . . . . . 23
Auxiliary Oxygen Flow Meter . . . . . . . . . . . . 24
APL Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Communication Ports . . . . . . . . . . . . . . . . . . 26
Recommended Device Configuration . . . . . . . 26
Auxiliary Fresh-Gas Outlet . . . . . . . . . . . . . . 27
Using the external fresh-gas outlet as a
common gas outlet . . . . . . . . . . . . . . . . . . . . . 28
Using the external fresh-gas outlet with an
additional switch . . . . . . . . . . . . . . . . . . . . . . . 28
Accessory Weight Limits . . . . . . . . . . . . . . . 29
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . 30
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

16 Instructions for Use Fabius plus SW 3.n
System Overview
Front View
1Ventilator control panel (settings for ventilation
parameters and airway monitoring)
2Display screen
3Gauges for Pin index O2and N2O cylinders*
4Gauges for central gas supplier
5Flow meters tube block
6Fresh-gas control valves
7Writing table
8Storage drawers
9Brake
10 Absorber
11 Compact Breathing System (COSY)
12 Ventilator
13 Auxiliary oxygen flowmeter*
14 Vapor mount
15 Oxygen Flush
073
O
2
plus
12
3
4
5
6
11
14
12
10
8
15
7
13
9
*optional

Instructions for Use Fabius plus SW 3.n 17
System Overview
Compact Breathing System (Top View)
1Auxiliary fresh-gas outlet*
2PEEP/PMAX valve connection port
3Bag holder
4Expiratory valve
5Flow-sensor guard (flow-sensor protection) or
COSY shielding (not pictured)
6Expiratory port
7Connector for breathing bag
8Inspiratory port
9Inspiratory valve
10 Fresh-gas decoupling valve
11 APL bypass valve connection port
12 Breathing system mount with locking bolt
13 Selecting knob for »MAN« and »SPONT« on
pressure limiting (APL) valve
14 Sample gas return port
064
12 4
6
7
8
9
11
13
14
5
3
10
12
*optional
NOTE
Graphic depicted without COSY shielding.

18 Instructions for Use Fabius plus SW 3.n
System Overview
Rear View (Pin-Index Connector)
1Connector for cylinders (threaded connectors)*
2Connectors for medical gas pipeline supply
(central supply)
3Pin index connector for O2*
4Pin index connector for N2O or AIR*
5Compact Breathing System (COSY)
066
1
34
2
5
*optional

Instructions for Use Fabius plus SW 3.n 19
System Overview
Threaded Connectors
1Connector for medical gas pipeline supply
(central supply)
2Connector for cylinders O2, O2and N2O or O2
and AIR (threaded connectors)*
3Cylinders
*optional
065
1
2
3

20 Instructions for Use Fabius plus SW 3.n
System Overview
Interface Panel
1Potential equalization pin
2COM 1
3PEEP
4APL
5Oxygen Sensor
6Pressure Breathing
7Volume Sensor
8Power cable connection
9ON/OFF switch
10 Fuse
074
6
1
4
5
8
2
3
9
10
7