Dräger Primus Series User manual

Warning: For full information concerning the
performance characteristics of the Dräger
Medical devices described in this Quick Guide,
each user must first carefully read and fully
comprehend the Instructions for Use before
operating the device.
Primus Workbook
Workbook
V2.1
Primus Workbook / V2.1 / MR00092 / 25.01.06 / Printed in Germany / Chlorine-free - environmentally compatible / Subject to modifications / © 2006 Dräger Medical AG & Co.KG
The quality management system at Dräger
Medical AG & Co. KG Education and
Training complies with ISO 9001:2000
Draeger Medical UK Ltd
The Willows, Mark Road
Hemel Hempstead
Herts, HP2 7BW
T: 01442 213542
F: 01442 240327
E: [email protected]
W: www.draeger.co.uk
Primus Family Quick Guide

2
A quick guide to provide information
on the basic functions of the Primus.
This guide presupposes a knowledge
of the Primus Instructions for Use
and is not intended to replace them!

3
Preparation for Use 4
• Checking Cylinder Supply and Central Gas Supply 4
• Checking Electrical Supply 4
• Checking Compact Breathing System 5
• In Addition … 5
Start Up 6
• Self Test 7
• Leak Test 8
Operation 10
• Monitoring 10
• Setting Fresh Gas Concentrations 10
• Selecting a Ventilation Mode 12
– Spontaneous Breathing “SPONT” 12
– Manual Ventilation “MAN” 12
– Mechanical Ventilation 13
• Switching to Standby 15
• End of Operation 15
• Switch Off 15
Emergency Scenarios 16
• Emergency Start Ups 16
• Power Failure 17
• Gas Supply Failure 18
• Ventilator Failure 19
• Mixer Failure 20
Cleaning 21
Consumable Items 24
Contents

Checking Cylinder Supply
and Central Gas Supply
(if available)
• Connect hose ttings for O2
Air and N2O to corresponding
ttings on the back of the
machine (1).
• Plug wall ttings for O2, Air
and N2O into central supply
wall outlets.
• Observe LEDs for the supply
pressure, they must be green (2).
• Open back up gas cylinder valves
to check cylinder pressure.
• The LEDs for the O2, Air and
N
2O cylinder pressure must
be green (3).
• Close the cylinder pressure
valves again.
Checking Electrical Supply
• Ensure that main power cord
is plugged in.
• Green LED is illuminated
whenever main power is
available (4).
4
1
2 3 4
Preparation for Use

Checking Compact Breathing
System
• Ensure that the compact
breathing system (1) is connected
and the ventilator is locked in place.
• Check status of CO2
absorbent (2), breathing bag
and patient hoses.
In Addition …
• Test the oxygen ush (3).
• Check oxygen safety control (4).
• Make sure vaporisers are in
position, locked and lled (5).
• Check water trap level and the
sample gas line connection (6).
• Check function of suction
system (7). Your suction system may
differ from the system shown.
• Connect anaesthetic gas
scavenging system.
5
134
2
6
7
5
Preparation for Use

Start Up
• Switch on Primus using the
ON/OFF switch (1).
• Close Y-piece (place rmly
onto the corresponding cone
of the breathing system).
• Set the APL valve to MAN
and 30 mbar (2). There are
two versions of the APL valve.
Your version may differ from
the one shown.
• Close oxygen safety control
valve (3).
• Conrm the checklist,
if all points are OK.
• Primus will run internal
system tests.
Note: During this start up
procedure and up until the
checklist is conrmed, manual
ventilation is always possible. The
oxygen safety ow can be set to
0 -12 L/min and will be channelled
through the vaporiser.
6
2 3 1
Start Up

Self Test
• Follow the self test instructions
on the screen.
Information about system leaks
and compliance will be displayed.
Primus will accept leaks of up to
150 mL/min. The most common
causes of leakage are:
• Faulty breathing hoses or breathing bag
• Sample gas line
• Filter
• Incorrectly connected absorber
• Flow sensors
• Breathing system
• Vaporisers
• Water trap
• Oxygen sensor
Potential Test Results
All test results are colour coded and
are displayed next to each specic
test function. An advisory window
containing information on how to
remedy the problem accompanies
any error detected during the self test.
7
1
Start Up

Leak Test
The leak test should be carried out after the patient hoses, vaporisers or soda lime have
been replaced. In addition, it should be performed following the self test.
To perform the leak test:
• In the standby screen, press the leak test soft key
• Follow the on screen instructions
• Push the rotary control knob to start the leak test
Self test results can be displayed, see page 7
Self Test Colour Result Action Example
Outcome
Green Test completed No action 100% functional
successfully required
Yellow Primus can be Faults must be Loudspeaker failure
used with reported or remedied
restrictions immediately after use
Red The device has If the fault is recognised O2failure
a malfunction immediately and can be
instantly corrected, the
test is repeated.
If operation is not
possible or not permitted
the test cannot be
repeated and the device
is taken out of use
There are three potential outcomes of the self test:
8
Start Up

Standby Screen
Primus activates the standby mode after successful test completion,
and will display the standby screen.
From the standby screen, you can access the following functions:
• Pre set carrier gas, O2 concentration and fresh gas ow
• Set age
• Set ideal body weight
• Restore site default settings
• Set alarm limits
• Self test results display
• Perform the leak test
• Delete trends
• Default conguration
(password protected - held by Key Users and Dräger)
• Access monitoring mode
Monitoring Mode
In monitoring mode, the Primus will measure and display gas measurements.
There is no fresh gas delivery or ventilation capability. If ventilation is required,
set the appropriate gas ow, select the appropriate ventilation mode and
press the rotary control knob to conrm.
9
Operation

• To begin monitoring without
ventilation and fresh gas ow
press the key while in standby.
• To return to standby: press the
key again and conrm using
the rotary knob.
Setting Fresh Gas
Concentrations
These may be preset in standby.
• Carrier gas: press and conrm
either N2O or Air (1).
• Oxygen concentration: press
O
2%, set the concentration
with the rotary knob and
conrm (2).
• Fresh gas ow: press ow
l/min, set desired ow
and conrm (3).
• Fresh gas ow will start as
soon as a ventilation mode
is activated and is indicated
in virtual ow tubes on display screen.
10
3121
Operation