Dräger Primus User manual

Drager medical
A Drager and Siemens Company
Primus
Anaesthetic Workstation
Software 2.n
instructions for Use
Emergency Care - OR/Anesthesia - Critical Care - Perinatal Care - Home Care Because you care

How to use these Instructions for Use
In the header is the subject...
of the main chapter.
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 for using of the product.
Bullets indicate the steps to be followed, and if there are
several steps, numbers refer to the illustration and indicate the
sequence.
Right-hand column...
the illustration
provides a link with the text and serves as a guide to the
workstation. Points mentioned in the text are emphasized and
non-essential information is omitted.
Screen displays guide the user and confirm the steps to be
followed.
Conhgunng the default settings
Configuring the default
settings
Default settings describe those
parameters lor vonldalion, gas delivery
and monitoring, as well a6 the screen
settings with which the workstation
starts when switched on and which are
activated vía tho sofl koy «restore
detautt settings. in standby.
Changes in default settings become
active immediately.
The default sefiings can bo configured
1 standby as follows:
& Switch Primus to standby
1. Press the soft key «default config...
The operator is roquesied to enter a
fourdigt password in order to prevent
unauthorized changes to tha basic
functions. This password is allocated
whon commissioning tha workstation,
H denied, the functian can be disabled
by DrägorService or an individual
password scl
2. Seloci the succossive digits from the
line displayed using the ratary knob
and push the rotary knob to confirm
them. The password is represented
by asterisks (* * * *} below the line of
numbers.
The menu for selecting the defauk
values is displayed whon the
password has been entered
correct
The default vatucs are adoptod
automatically when the menu ts
displayed
Dispiay (example);
106 Insituctone for Use Primus SW 2.n
Instructions for Use Primus SW 2.n
0001

instructions for Use Primus SW 2.n
Table of Contents
Table of Contents
119

Table of Contents
Instructions for Use Primus SW 2.n

Instructions for Use Primus SW 2.n
Abbreviations and symbols
Abbreviations and symbols
Abbreviations
Symbols ....

Abbreviations
Abbreviations
Abbreviations
Agent
AGS
Air
APL
ATPS
BTPS
CAL
Compl.
CPAT
AO2
APPS
Des.
etCO2
Ent.
ex./exp.
FG
FLOW
Freq.
Freg.MIN
Hal.
HLM
in./insp.
in Des
in Enf
in Hal
in Iso
in Sev
Meaning
Anaesthetic gas
Anaesthesia Gas Scavenging System
Compressed air for medical use
Adjustable Pressure Limitation
Measuring conditions at ambient
temperature, current atmospheric
pressure and with saturated gas
Measuring conditions at body
temperature, current atmospheric
pressure and with saturated gas
Calibration
Compliance
Patient compliance
Difference between inspiratory and
expiratory 02
Pressure difference for pressure support
in pressure support mode
Desflurane
End-expiratory CO2 concentration
Enflurane
Expiratory
Fresh-gas
Expiratory flow
Frequency
Mandatory minimum frequency in pressure
support mode
Halothane
Mode with modified alarm response when
using a heart lung machine
Ratio of
inspiration time to expiration time
Inspiratory
Inspiratory desflurane concentration
Inspiratory enflurane concentration
Inspiratory halothane concentration
Inspiratory isoflurane concentration
Inspiratory sevoflurane concentration
Abbreviations
in CO2
in O2
INOP
Iso.
MAC
Man. Spont.
MEAN
MV
MVLEAK
MVMEAS
N20
NiBP
NTPD
O2
Pa
PAW
PEAK
PEEP
PINSP
PLAT
Pleth
PMAX
Press. Mode
Press. Supp.
PS
Sev.
SORC
SpO2
sync
TG
Meaning
Inspiratory CO2 concentration
Inspiratory O2 concentration
Inoperable
Isoflurane
Minimum Alveolar Concentration
Manual ventilation/
spontaneous breathing
Mean pressure
Expiratory minute volume
Difference between inspiratory and
expiratory minute volume
Measured minute volume
Nitrous oxide (laughing gas)
Non-invasive blood pressure
Normal temperature pressure dry
(20 °C, 1013 hPa, dry)
Oxygen
Pascal (1 mbar = Pax 100)
Airway pressure
Peak pressure
Positive end-expiratory pressure
Pressure limitation in pressure mode
Plateau pressure
Plethysmogram
Maximum pressure
Pressure mode
Pressure-controlled ventilation
Pressure support mode
Pressure-assisted ventilation
Pressure support
Sevoflurane
Sensitive Oxygen Ratio Controller
Functional O2 saturation
Synchronization
Carrier gas
Instructions for Use Primus SW 2.n

Abbreviations
TIP : TINSP
TINSP
TSLOPE
UPS
VAC
Vent.
Vol.
Vol. Mode
VT
ZV
Meaning
Ratio of
inspiratory pause time
to inspiration time
Inspiration time
Rise
time
Uninterruptible power supply
Vacuum (e.g. for secretion aspiration)
Ventilation symbols
Volumeter
Volume mode
Volume-controlled ventilation
Tidai volume
Piped medical gas supply for O2, N20,
AIR and vacuum
Instructions tor Use Primus SW 2.n
Abbreviations

Symbols
Symbols
Symbol
CE È
回
KAKS
KA
Seg
eda
Meaning Symbol
Conformité Européenne Fa
Directive 93/42/EC
on Medical Products >
Suppress alarm tone for 2 minutes, a
change priority of technical alarms and 3
acknowledge them ©
Call up standard screen È
P MX us
Call up basic screens in succession €
Standby/operation switch
Pulse rate
Fresh-gas flowing
Action in progress
Upper and lower alarm limits
Upper alarm limit only
Lower alarm limit only
Alarm tone suppressed for 2 minutes
Alarm monitoring inactive
Alarm limits disabled
Upper alarm limit disabled
Lower alarm limit disabled
Alarm limit disabled
4-digit password entered
Protection class type B (body)
Protection class type BF (body floating)
Connection for equipotential bonding
Note
Close menu,
return to preceding menu
Non-rebreathing system
at external gas outlet
Available operating time with
uninterruptible power supply UPS
Manual ventilation
Meaning
Automatic ventilation
Connector for piped medical gas supply
(ZV)
Backup gas cylinder
Rotary knob
UL test mark
Plug system for Vapor units
Instructions for Use Primus SW 2.n

Instructions for Use Primus SW 2.n
For your safety and that of your patients
For your safety and that of your patients
For your safety and that of your patients .................................
Safety precautions

For your safety and that of your patients
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 may only be used for the purposes specified
here.
Maintenance
The apparatus must be inspected and serviced every
6 months by trained service personnel.
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
DragerService and that all repairs also be carried out by them.
Only authentic Drager spare parts may be used for
maintenance.
Observe chapter "Maintenance intervals”.
Accessories
Only the accessories listed in the enclosed list of accessories
("Primus" equipment series 86 03 522, Rev. 09 or higher) may
be used.
Note: Even accessories designed to be reused after cleaning
have a limited life. Due to a number of factors connected with
handling and preparation, disinfectant residues can attack the
material more intensely during autoclaving; increased wear
can occur and service life can be markedly shortened. Such
parts should be replaced when external signs of wear become
apparent, such as cracks, deformation, discoloration, peeling,
etc.
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.
10
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 DragerService or if the apparatus is
used in a manner not conforming to its intended use.
Drager 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 Drager are likewise not modified by the
recommendations given above.
Drager Medical AG & Co. KGaA
Instructions for Use Primus SW 2.n