The following WARNINGS and
CAUTIONS must be read and
understood before using this anaesthetic
apparatus.
WARNINGS
1. This apparatus is designed for use only
with non flammable anaesthetic agents.
It must not be used with or in close
proximity to flammable anaesthetic
agents, due to a possible fire or
explosion hazard.
2. Exterior panels must not be removed by
unauthorised personnel and the
apparatus must not be operated with
such panels missing.
On machines with an electrical power
supply, unauthorised personnel must
not attempt to access fuses or other
electrical components. There is a
possible electric shock hazard.
3. No oil, grease or other flammable
lubricant or sealant must be used on any
part of the machine in close
proximity to medical gas distribution
components.
There is a risk of fire or explosion.
4. When attaching cylinders of medical
gases ensure that the machine yoke and
cylinder faces are dust free and clean
and that the sealing washer provided is
in position between the cylinder valve
and the yoke.
Tighten the yoke securely before
opening the cylinder valve. Dust and dirt
presents a fire hazard in the presence of
high pressure gas.
Leakage of high pressure gas can
cause serious injury.
5. Anaesthesia apparatus must be
connected to an anaesthetic gas
scavenging system (AGSS) to dispose of
waste gas and prevent possible health
hazards to operating room staff.
This requirement must be observed
during test procedures as well as
during use with a patient.
6. Prima SP series machines must only be
used with Sigma Delta vaporizers (or
other vaporizers approved by Penlon
Limited) installed by means of the
Cagemount or Selectatec system.
Free-standing vaporizers may be
accidentally tipped, resulting in
excessive and uncalibrated volumes of
anaesthetic drug entering the breathing
system
Do not install or connect any vaporizers
of any description between the Common
Gas Outlet (CGO) and the breathing
system unless they are specifically
designed for such use.
(If this is done, the oxygen flush flow will
pass through the vaporizer and may
result in gross overdosage when the
flush valve is operated.)
7. The breathing system which conveys
gases from the anaesthetic machine to
the patient and disposes of expired
gases is a vital part of the anaesthetic
delivery system.
Because breathing systems require
frequent cleaning and disinfection they
are not a permanent part of the
anaesthetic machine and therefore
cannot be directly under the control of
the anaesthetic machine manufacturer.
However, we strongly recommend that
only breathing systems which have been
approved and authorised by Penlon for
use with the Prima SP range should be
employed.
This is particularly important when
mechanical ventilation is employed.
8. When mechanical ventilation is
employed the patient breathing system
must be connected directly to an over-
pressure relief valve to prevent the
possibility of barotrauma.
9. Always perform a pre-use check of the
machine, including vaporizers,
ventilator, circle absorber and monitors
before clinical use. Follow the pre-use
checklist (see section 5) as a minimum
requirement.
Many clinical incidents occur because of
a failure to check for correct function.
10. The machine must not be used if any of
the alarm, monitoring or protection
system devices are not functioning
correctly.
11. The gas supply failure systems within
the anaesthetic machine will not
necessarily operate as indicated in the
user manual during any procedures that
are outside the scope of the indications
for use of the machine:
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1. WARNINGS AND CAUTIONS
