Dräger Julian User manual

Julian
Anaesthetic Workstation
Instructions for Use
Software 2.n
1-36-96
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

How to use these Instructions for Use
In the header is the subject…
of the main chapter.
Underneath is the title of the subchapter, to help you
find your way around quickly.
On each page…
the instructions for use
combining text with illustrations. The information is
translated directly into actions to enable the user to
learn „hands-on“ how to use the workstation.
Left-hand column: the text…
provides explanations and guides the user clearly and
ergonomically with brief directions on the use of the
product.
Bullet points indicate the steps to be followed, and
where there are several steps, numbers refer to the
illustration and indicate the sequence.
Right-hand column: the illustration…
provides the link with the text and serves as a guide
to the workstation. Points mentioned in the text are
emphasised and non-essential information is omitted.
Screen displays guide the user and confirm the steps
to be followed.
How to use these Instructions for Use
2
1Press the »MAN/SPONT« key,
2and confirm with the rotary knob.
Display (example):
O2flush
– For flushing and rapidly filling the breathing
system and breathing bag with O2while
bypassing the Vapor unit.
3Press the »O2+« button.
O2flows into the breathing system without
anaesthetic gas as long as the button is held
down.
Julian
12
Operation
Selecting the ventilation mode
MAN/SPONT
Julian
D
3
MAN/SPONT
Pleth
40
0
CO2
40 36
0.8 0.6
58 56
38
98 67
5.2 8
4.0030
Volumeter starten: Bestätigen!
O2
SpO2
N2O
Hal.
Fi Fet
et
CO2
AMV
Freq
Grenzen
CO2-Al.
aus/ein
Alarm
Info
Liste
Kurven
Konfig.
Frischgas O2+ N2O
O2
%L/min
VT
0.35
0
Volumeter --s
--
0510
0.5 1
Frischgas
intern
extern
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Contents
3
Contents
Index 142
For Your Safety and that of Your Patients 5
Intended Use 7
Operating Concept 11
Before Using for the First Time 19
Preparation 21
Starting Up 25
Operation 35
Monitoring 55
Configuring in Standby Mode 81
Care 95
Julian as Wall-mounted Unit 113
Maintenance Intervals 115
What's what 125
Technical Data 131
Fault – Cause – Remedy 119
Abbreviations / Symbols 139
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

4
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

For Your Safety and that of Your
Patients
Strictly follow the Instructions for Use
Any use of the apparatus requires full understanding and
strict observation of these instructions.
The apparatus is only to be used for purposes specified
here.
Maintenance
The apparatus must be inspected and serviced regularly
by trained service personnel at six monthly intervals
(and a record kept).
Repair and general overhaul of the apparatus may only
be carried out by trained service personnel.
We recommend that a service contract be obtained with
DrägerService and that all repairs also be carried out by
them. Only authentic Dräger spare parts may be used for
maintenance.
Observe chapter "Maintenance Intervals".
Accessories
Do not use accessory parts other than those in the
order list.
Not for use in areas of explosion hazard
This apparatus is neither approved nor certified for use in
areas where combustible or explosive gas mixtures are
likely to occur.
Safe connection with other electrical equipment
Electrical connections to equipment which is not listed in
these Instructions for Use should only be made following
consultations with the respective manufacturers or an
expert.
Liability for proper function or damage
The liability for the proper function of the apparatus is
irrevocably transferred to the owner or operator to the
extent that the apparatus is serviced or repaired by
personnel not employed or authorized by DrägerService
or if the apparatus is used in a manner not conforming to
its intended use.
Dräger cannot be held responsible for damage caused
by non-compliance with the recommendations given
above. The warranty and liability provisions of the terms
of sale and delivery of Dräger are likewise not modified
by the recommendations given above.
Dräger Medizintechnik GmbH
For Your Safety and that of Your Patients
5
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Contents
Intended Use............................................................................................. 9
7
Intended Use
Contents
Intended Use
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

8
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Intended Use
Julian Anaesthetic Workstation for patients with a body
weight of 5 kg and over with the use of IPPV ventilation.
For the use of:
– Inhalation anaesthesia in rebreathing systems
– Inhalation anaesthesia in semi-closed to virtually
closed systems with "low flow" and "minimal flow"
techniques (for minimal gas and anaesthetic agent
consumption).
– Inhalation anaesthesia in non-rebreathing systems,
with separate fresh gas outlet for the connection of
e.g. the Bain system or Magill system
with a fresh gas flow of 0.5 to 12 L/min.
Ventilation modes:
– Automatic ventilation (IPPV)
and
pressure-controlled ventilation (PCV).
– Manual ventilation (MAN).
– Spontaneous ventilation (SPONT).
The following measured values are displayed:
– Peak pressure, mean pressure, plateau pressure and
PEEP
– Expiratory minute ventilation
Tidal volume VT
Breathing rate
Patient compliance
– Inspiratory and expiratory concentration of O2, N2O,
anaesthetic gas and CO2
optional:
– Functional oxygen saturation (SpO2) and pulse rate.
The following parameters are displayed as curves:
– Airway pressure
– Expiratory flow
– Inspiratory and expiratory concentration of O2, CO2
and anaesthetic gas
optional:
– Plethysmogram
Trend curves and measured value lists are also available.
Monitoring
by means of adjustable alarm limits that are automatically
adapted to the ventilation mode.
The workstation may only be used under the
supervision of qualified medical personnel, so that
assistance can be provided immediately in the event
of any malfunctions.
Explosive anaesthetics, such as ether or cyclo-
propane, must not be used due to the risk of fire.
Mobile radio telephones must not be used within
10 metres of the workstation!
Mobile telephones may interfere with the operation of
electrical and electronic medical equipment.
Julian must not be used with nuclear spin
tomography (MRT, NMR, NMI)!
Operation of the apparatus may be impaired.
Intended Use
9
Intended Use
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

10
"Only for internal use by Draeger. Not applicable as Instructions for Use!"