Dräger PM 8030 User manual

~ PM 8030
Airway Monitor
Instructions for Use
- Software 6.n -

Contents
Page
3
,. 4
5
6
Page
Order List ............................................................. 46
Preparation.. ........................................................
Attaching PM 8030 ............................................ 6
Connecting sensor and pressure measuring line. 6
Connecting sensors to anaesthetic machine ........ 7
Connecting 02 sensor capsule.. ......................... 7
Connecting 02 sensor ........................................ 7
Connecting flow sensor and pressure
measuring line ..................................................... 0
Connecting temperature sensor.. ........................ 8
Connecting other machines ................................ 8
Additional earth connection ................................. 9
Connecting to power supply ............................... 9
Checking mains failure alarm, carrying out
self-test ............................................................... 10
Appendix ............................................................. .48
Flow measurement measuring principle
and signal processing ........................................ 48
Definition of PEEP and plateau pressure ........... .48
02 measurement. measuring principle
and signal processing ........................................ 49
Anaesthetic agent measurement
measuring principle.. ........................................... 49
Explanation of terms used ................................. .50
For Your Safety and That of Your Patients ....
Intended Use ........ ........ ........... .......... ...... .
Brief description ................... .......~............... ......
.....
Calibration ............................................................ 11
Calibrating 02 sensor ......................................... 11
02 sensor . checking linearity ............................. 13
Calibrating flow sensor ............................ .......... .13
Cleaning flow sensor .......................................... 14
Calibrating anaesthetic agent sensor.. ................ .15
Operation .............................................................. 16
Carrying out function check ............................... .76
Selecting anaesthetic agent ............................... .18
Setting limit values .............................................. 18
Displaying measured values ............................... .23
Alarms ................................................................ 26
Communication by PM 8030 with other
Driger machines ................................................. 27
Independent documentation ............................... 28
Shut-down .......................................................... 28
Fault - Cause - Remedy ...................................... 29
Care ....................................................................... 33
Stripping down ...................................................... 33
Disinfecting/cleaoing/sterilizing .............................. 34
Checking Function .............................................. 36
Maintenance Intervals ........................................ 37
Configuration.. ..................................................... 38
Setting language of display texts ........................... 38
Interface protocol for PM 8010 or PM 8020 ......... .39
interface protocol for printer .................................. 40
Switching on/off A-VaplAW.Temp. sensors ........... 41
What’s What ................... ..................................... 42
Technical Data ..................................................... 44
Index ...................................................................... 51
2
Al

For Your Safety and That of Your
Patients
,For correci and eifec:I/e use of the apparaius and io avoid
,?arards it is essemiai :o :ead the foNow;ng zcommenda-
:ions and i0 Xf aCCOrC~~~&~‘:
Strict/y follow the instructions for use
Any use oi the apparas xquires full undersanding and
srr;cr observation of ;i;ese ~nstruclions. The aoosraius is
only to be used for purooses specified here.
Maintenance
The apparatus must 5e inspected and serviced by experts at
regular 6 month interals (and a record kept).
We recommend obtaii;ing a service contrac: with
Lwgerservice.
Repairs and general werhaul of the apparaius may only be
carried out by DrtigerSer/ice.
Only original Drager s&we parts may be used for mainte-
nance.
Observe chapter “Mainrenance intervals”.
Power connectfon
The apparatus is on/y :o be used in rooms w;th mains /mwer
supply installations complying with national safety standards
(such as in F. Ft. of Germany: VDE 0107). The requirements
laid down in /EC 60 1,i “Safety of Medical Eiectrical
Equipment” are applicable for electrically po wered
‘equipment.
Not for “se in areas of explosion hazard
This apparatus is neither approved nor certified for use in
areas where combusiible or explosive gas mixtures are
likely to occur.
Connection with other electrical equipment
Nectrical connections io equipment which is not listed in
these instructions for use should only be made following
consultations with the respective manufacturers or an
e.Xpert.
Liability for proper function or damage
The liability for the proper function of Theapparatus is
irrevocably transferred to the owner zi operator to the extent
that the apparatus Is serviced or re.oared by personnel not
employedor authorized by DriigerSa,vice or if the apparatus
is used in a manner not conforming :o !!s intended use.
Dragenverk Akt;engesellschaft cannci be held responsible
for damage caused by non-compliafice with the
recommendations given above. The warranty and /iability
provis;ons of the terms of sake and ce!ivery of DrBgerwerk
Aktiengesellschaft are likewise noi nodified by the
recommendations given above.
Dragenverk Aktiengesellschaft
3
44

Intended Use
Measuring and rxziioring ventilation parameters and the
concentration of xaesthetic agents during anaesthesia.
Measuring:
Airway pressure Zzw Peak, Plateau. PEEP, Pmean
expiratory minute :oiume i/E, tidal volume VT, breathing
frequency,
inspiratory oxygen concentration FiO2
inspiratory airway :emperature
Concentration in i:ash gas of halothane, enflurane.
isoflurane
Monitoring:
Airway pressure paw
lnspiratory oxygen concentration FiO2
Expiratory minute ,volume i/E
lnspiratory airr+ remperature
Concentration oi anaesthetic agent in fresh gas
RS 232 C-lnteriace:
For exchanging dara with the PM 8010 Patient Monitor
(software 3.2) or :he PM 8020 Data Manager or for
transferring data IOa PC or a printer.
Monitorbus-lntetiace:
To start measurir; operations by PM 8030 or other
monitors centrally irom the Ventilog 2 anaesthetic
ventilator.
Do not use with flammable gases or flammable
anaesthetic agents.

Brief description
- -- --,
,,,s*.,
r,-,
.3
7
(J
.--
- -.__ _.~__
The display fields for measured values are on the left:
02 concentration
Lower limit value 02
Anaesthetic agent concentration
Minute volume or tidal volume, can be selected with button m
Airway pressure or tidal volume as strip display, can be selected with button z
The right-hand display field shows the values:
PEEP, Plateau, Peak
or these can be selected with button ,@j
Pmean, aiway temperature, breathing frequency
The menu guide and the alarm displays are shown in the right-hand display field.
The menu content can be recalled using the menu buttons:
Q select limit values
@ calibrate sensors
(ZJ select anaesthetic agent
With selector knob:
to select or to adjust = turn; confirm = press
menu contents are selected, limit values set and special warning messages confirmed.
Other function buttons:
‘-3 Change operating mode: measuring or standby mode
CJ
A
:& suppress warning tone for 2 minutes
‘-3
n.
,: display stored warning messages

Preparation
Attaching PM 8030
by lxhing mechanism to base for Drager medical
equipment
0
1
2
or
l
l
Remove the two feet.
Tilt PM 8030 forward at an angle of 45’, insert front
latches into the slots on the base.
Cower PM 8030. inserting the rear latches into the
reamdots and secure at the back with knurled screwy.
Place on an even surface such as a monitor rack,
Fix PM 8030 securely.
Connecting sensor and pressure
measuring line
0 Use sterile or disinfected sensors.
At the back
1 Connect 02 sensor plug.
2 Connect temperature sensor plug.
3 Push hose of pressure measuring line firmly onto
spigot.
4 connect flow sen?.or plug.
5 Connect anaesthetic agent sensor plug.
6
-@0043
0 0

Preparation
Connecting sensors to anaesthetic
machine
In brief:
02 sensor
Coupling for pressure measuring line
Flow sensor
Temperature sensor
The anaesthetic agenr sensor is permanently mounted in
the fresh gas supply of the anaesthetic machine. which
must only be done by IXgerService.
Connecting 02 sensor capsule
1 Unscrew cap from sensor housing.
l Remove new sensor capsule from packaging, or use
disinfected sensor capsule.
2 Place capsule in housing - ring-shaped conductor
track onto contacts in housing.
1 Tighten screw cap by hand.
Connecting 02 sensor
with cap M 21 462
plug adapter M 27 964
condenser, if a great deal of
condensation is expected M 27 666
Unscrew the nut on the inspiratory valve.
Replace the sight giass with cap. Re-fit the nut.
Firmly screw the lower part of plqadapter into cap
by hand.
Push 02 sensor onto cap as far as it will go,

Preparation
Connecting flow sensor and pressure
measuring line
with measuring connection M 28 833
0
1
2
1
3
Screw flow sensor into housing.
Unscrew expiratory valve.
Screw the measuring connection on with the flow
sensor in place.
Screw expiratory valve back.
Push plug of pressure measuring line into coupling -
as far as it will go. Tilt hose upwards so that
condensate can flow downwards.
Connecting temperature sensor
Adapter and accessories:
Y-piece M 30 543
Hose clip (set of 10) 84 04 047
Push temperature sensor into hole on the Y-piece as
far as it will go.
After replacing the Y-piece, align sensor vertically so
that condensate will not be able to get into it.
Attach sensor cable to inspiratoty hose with hose
clips.
A3
Connecting other machines
via RS 232 C-Interface
. PM 8010 Patient Monitor
with data cable “PM 8010” 85 00 337
. PM 8020 Data Manager
with data cable “PM 8020”
Printer e.g.:
Desk Jet Printer (Hewlett Packard)
Think Jet Printer (Hewlett Packard)
PA 565 (NEC)
with data cable
0 Connect and secure plug to both machines.

E.g. for remote switching on of PM 8030 from
Standby or switching on anaesthetic ventilator
or
for muting Drsger equipment.
with Monitorbus cable 0.45 m M 30893
Preparation
via Monitorbwlnterface
1
1 Connect plug to both machines and secure with
screwdriver.
2 Another machine can be connected with the second
connection.
Additional earth connection
e.g.for cardiac operations
l Attach one end of the earth cable to the potential
equalisation, pin at the back of the machine.
l Connect the other end to a potential equalisation poinr
in the room.
Connecting to power supply
PM 8030 can be operated on mains voltages from 100 V
to 240 V.
l Connect monitor to mains power supply.
r
9
Alo

Preparation
Checking mains failure alarm, carrying
out self-test
before first operation and after long periods of storage.
1 Switch on mains power supply at the back.
After about 10 seconds:
2
1
0
2
1
0
Press >Standby< button; green LED goes out =
measuring mode.
Switch off mains:
A continuous tone commences, volume remains
constant for at least 10 seconds = mains failure alarm
is functional.
Otherwise: charge NiCd battery.
Press >Standby< button; the continuous tone
ceases.
Switch mains power back on:
The monitor now carries out a self-test.
All LEDs and display elements are lit; a single tone
sounds. Software and language versions are
displayed.
The internal program memories are tested.
The alarms for monitoring are checked.
The self-test is completed in about 30 seconds.
Charging NiCd battery
If, when the mains failure alarm is being checked, the
volume decreases after 10 seconds:
Leave machine connected to the mains power supply and
switched on for 24 hours.
0 Check mains failure alarm again.
10

Calibration
On request by PM 8030
after switching on
message >sensor not ready to measure<
or
when calibrating during operation:
1 Press calibration button
2 Display:
Sensor calibration
02 flow A-Vap
3 Select desired ?.ens.or = turn knob
and confirm = press knob.
For further information, refer to:
Calibrating 02 sensor, see below
Calibrating flow sensor. page 13.
Calibrating anaesthetic agent sensor, page 15
Calibrating 02 sensor
aftersensorhas been replaced (15 minutes
warming-up time).
after 24 hours.
after 1 month carry out linearity check.
For use mainly with 02 concentrations up to 60% by vol.:
calibrate with air
For use with 02 concentrations up to 100% by vol. and
for linearity checks: calibrate with 02
Calibration with air
l Remove 02 sensorand expose to ambient air for 2
minutes.
When requested by machine after switch on
Or
1 Press calibration button and select 02 sensor.
2 Display:
Calib. 02 sensor?
21% 100% no
Withthe 02 semorin ambient air
3 Select >21%< in menu and confirm.

Calibration
1 Display:
Oz calibration
at 21 vol. %
2 Display for 02 concentration:
CAL
After about 30 seconds, but no longer than 3 1/2minutes
1 Display:
02 sensor
calib. completed
0 Replace 02 sensor on cap
Calibration with Oz
0 Remove 02 sensor and fit test adapter 68 01 349 to
sensor.
0 Flush the 02 sensor with a flow of about 1 L/min for
about 2 minutes.
When requested by the machine after switching on
or
Press calibration button and select 02 sensor.
Display:
Calib. Oz sensor?
m 100% no
Continue flushing with OZ.
Select >lOO%< in menu and confirm.
Display:
02 calibration
at 100 vol. %
Display for 02 concentration
CAL
After about 30 seconds but no longer than 3 l/2 minutes:
2 Display:
02 sensor
calib. completed
Calibration has been completed.
0 Switch off 02 flow, removk test adapter and replace
02 sensor on cap.
12
=
F
F
t
02
ca. 1 Llmin 1 I
A 13

Calibration
Checking linearity
to be carried out monthly
First calibration with OZ. page 12, then:
l Expose sensor to ambienr air for about 2 minutes.
1 02 concentration display:
21 vol. % 02 2 3% by vci.
l Replace 02 sensor on cap
If the display is outside the range 18 to 24% 02 by vol.,
the sensor capsule is faulty.
0 Replace capsule. page 7 and calibrate, page 11.
Calibrating flow sensor
when sensor has been replaced
- after 24 hours of operation
0 Unscrew measuring connection and remove flow
sensor.
l With flow sensor in horizontal position - connector
pointing downwards seal both openings in the
ambient air preferably using thumb and middle finger.
.After a request by the monitor when switching on
Or
1 Press calibration button and select flow sensor.
2 Display:
Calib. flow sensor?
yes no cleaning
With sealed Sensor
3 Select >yes< and confirm
2 Display:
Flow sensor
calibration

Calibration
1 Display for VENT:
CAL
Calibration will be completed in about 8 seccnds.
2 Disolav:
Fldw kensor
Calib. completed
Re-insert the flow sensor in the anaesthetic ;nachine,
Cleaning flow sensor
During profonged.anaesthesia, when there is a danger of
contamination.
Only sensors which are ready for measurement can be
cleaned by this method; the sensor remains connected.
During calibration, the sensor is automatically cleaned
Press calibration button and select flow ~enspr
Display
Callb. flow sensor?
yes no cleaniw
Select xleaning< and confirm.
Display:
Flow sensor
cleaning
After about 4 seconds:
2 Display:
Flow sensor
cleaning completed
14

Calibration
Calibrating anaesthetic agent sensor
when sensor has been replaced
every 24 hours
Allow 3minutes warming-up time after switching on the
machine.
On anaesthetic machine
l Set anaesthetic vaporiser to 0 (zero point stop
button engaged), otherwise faulty calibration
will occur.
Set 02 flow of about 10 Llmin on flowmeter block or
on blender.
l Flush anaesthetic agent seneor for at least 10
seconds.
Do not use 02 flush for flushing.
After switching on and after request by machine
Or
1
2
3
2
Press calibration button and select A-Vap sensor.
Display:
Calib. A-Vap sensor?
Ye II0
Select >yes< and confirm.
Display:
A-Vap sensor
flushed with Oz/air?
Continue with anaesthetic vaporiser at 0 and 02 flow of
about 10 Umin.
3 Confirm = press knob.
2 Display:
A-Vap sensor
calib.
4 A-Vap display
CAL
Calibration is completed in about 0 seconds
2 Display:
A-Vap sensor
calib. completed
If there is a faulty sensor or cable:
2 Display:
A-Vap sensor
not ready to measure
15
32

Operation
Carrying out function check
Immediately before daily use as described in the checklist
on the anaesthetic machine
Monitor self-test
Switch on mains power supply at the back.
The monitor carries out a self-test:
The internal programme memories are tested.
The software and language versions are displayed.
All LEDs and display elements are lit; a single tone
sounds.
Display:
Drtiger PM 8030
The alarms for monitoring are tested.
The self-test is completed after about 30 seconds.
For operation with Monitorbus
0 Switch ventilator to IPPV:
1 The green LED goes out, PM 8030 is in measuring
mode.
Checking 02 measurement
2
0
3
l
Press >Standby< button, green LED goes out =
measuring mode
Remove 02 sensor from cap and expose to ambient
air for at least 2 minutes.
Display:
21 vol. % 02
Replace 02 sensor on cap.
16

Operation
Checking pressure measurement
1 Kink pressure measurement hose near the coupling
and
2 Squeeze hose :o close it:
3 A value greater than 0 mbar is displayed.
0 Release hose:
3 Value 0 mbar is displayed
Checking flow measurement
On anaesthetic machine:
. Switch to spontaneous breathing/manual ventilation,
keep Y-piece sealed and fill breathing bag with the 02
flush.
On PM 8030:
4 Select VT with >\idvT< button.
l Squeeze out breathing bag with Y-piece closed
5 A value greater than 0 L is displayed.
PM 8030 is ready for use.
17
3+

Operation
Selecting anaesthetic agent
After switching on and after request by machine
Display:
Select A-Vap
w Enf. Iso. none
Select = turn knob and
confirm = press knob.
Selecting another anaesthetic agent:
3 Press >A-Vap< button:
1 Menu selection is indicated.
2 Select anaesthetic agent and confirm
Setting limit values
for monitoring parameters
4
5
or
lnspiratory 02 concentration FiO:, % by vol.
Airway pressure Paw mbar
Expiratory minute volume OE Llmin
Anaesthetic agent concentration A-Vap % by vol.
Press >limit values< button.
The menu selection for limit values is displayed:
Limit values <IPPV>
MODE 02 VE Paw A-Vap
Limit values cMANISP>
MODE 02 VE Paw A-Vap
<IPPV> is the display for complete limit value monitoring
<MAN/SP> is the display for reduced limit value
monitoring, page 22.

Operation
Continue menu selection:
I To select monitoring parameters = turn knob
and confirm = press knob.
Display. e.g.:
FiOz I vol. %
21 Exit ---
Lower l$value is on the left; upper limit value is on the
right
1 Select limit value and confirm,
Example given:
lower limit value: 21% by vol.
upper limit value: --. = off
The dashes under limit value flash = request to set
limit value.
then
1 Set limit value and confirm, the dashes under limit
value cease flashing.
I Exit menu: Select >Exit< and confirm.
The next parameter can now be selected
l Press another button =
Complete setiing of limit values.
Or
l Wait for about 15 seconds = time out.
Factory Setting
= Standard limit values
lower limit upper limit
value value
Fi02 20 ..
P&V 0 40
Min. vol. (OE) 3 12
A-VaplHal 0 2
A-VaplEnf 0 2
A-Vapllso 0 2
AW-Temp -- 40
Setting range
18 to 100
oto 98
0 to 40
oto 9
oto 9
oto 9
fixed setting
The lower and upper limit values cannot overlap
The upper limit value for FiOz and the lower limit value for
Paw can be switched off (-- to adjust).
For Paw the minimum separation between lower and
upper limit value is 5 mbar.

Operation
Setting 02 limit value
Recommendation:
For 02 concentrations lower than 50% by vol.:
lower limit value 5% by vol. lower than the actual 02
concentration.
Where air is applied post-operatively:
set lower limit value to 20% by vol.
For 02 concentrations greater than 50% by vol.:
lower limit value 10 % by vol. lower than the actual 02
concentration.
~Depending on clinical indications, set or switch off upper
limit value.
Setting Paw limit value
Set lower limit value about 8 mbar below plateau
pressure.
Where there is no pleateau pressure, set at about 8 mbar
below peak pressure.
The lower limit value may be switched off.
Set the upper limit value about 10 mbarabove peak
pfeSWie.
Setting minute volume (GE) limit values
Recommendation:
Set lower limit value 20% lower than minute volume
Set upper limit value about 20% higher than minute
volume
20