Siemens Drager medical Carina Instruction Manual

The Carina Guidelines are not a replacement or
substitute for the Instructions for Use.
Any use of the device requires full understanding
and strict observation of the Instructions for Use.
The user must be familiar with the device according
to the national and local laws and recommendations.
Carina Guidelines

Page
1 Table of contents 2
2 Intended Use Carina 3
3 What is what 4
3.1 Control panel, top 4
3.2 Carina underside 4
3.3 Front connection block 5
3.4 Rear connection block 5
3.5 Trolley 1-78 cm 6
3.6 Screen Layout 6
3.7 Status line for displaying current device settings 6
4 Preparation 7
4.1 Connecting electrical power 7
4.2 Connecting the oxygen supply 7
4.3 Setting up the ventilator breathing circuit 8
4.4 Powering up the ventilator 9
4.5 Ventilator setting 10
4.6 Setting alarm limit 11
4.7 Displaying set value and measured value 11
4.8 Configuration 12
4.9 Locking bottons 12
5 Alarm handling 13
5.1 In the event of alarm 13
5.2 Suppressing the alarm tone 13
6 Standby and switch OFF 14
6.1 Switching Carina to Standby 14
6.2 Switching OFF the device 14
7 Cleaning and maintenance 15
7.1 Cleaning intervals 15
7.2 Maintenance intervals 15
8 Alarm message Cause & Remedy 16
9 Accessories 18
9.1 Accessories for Carina 18
9.2 Mask cleaning 19
10 Preparation procedure 20
Table of contents

Intended Use
Carina – long-term ventilator for ventilator-
dependent patients or ventilator-assisted patients.
• For treatment of sub-acute care patients in
hospital or medical rooms.
• For invasive ventilation or non-invasive
ventilation.
• For patients with a tidal volume of at least 100 mL.
• For use by qualified medical personnel.
WARNING!
Not intended for acute inpatient care of
nonstabilized patients who require ventilation
with comprehensive continuous monitoring
according to IEC 60601-2-12 or EN 794-1.
Sub-acute care definition
Sub-acute care is comprehensive, inpatient care for
patients who:
• Have had an acute event resulting from injury,
illness or exacerbation of a decease process;
• Have a determined course of treatment;
• Though stable, require diagnostics or invasive
procedures, but not intensive procedures
requiring an acute level of care.
• The severity of the patient’s condition requires:
• Active physician direction with frequent
on-site visits;
• Professional nurse care;
• Complex medical and/or rehabilitative care.
Typically sub-acute care is designed to return
patients to the community or transition them to a
lower level of care.
3
2 Intended Use

3 What is what
4
3.1 Control panel, top
Carrying handle
Screen
Buttons for functions and parameters
Rotary knob
Audio paused 2 min. button
LED for indicating power supply:
• LED lit = External power supply (mains/external
battery), internal battery is charged
• LED flashes = External power supply
(mains/external battery), internal battery
is being charged
• LED off = battery operation
»Start/Standby« button
»Select Menu« button
3.2 Carina underside
Switch for hose system with leak valve or hose
system with expiration valve masked by sliding cover
(not illustrated)
Future functions
Holes for positioning on the trolley (4 off)
3.3 Front connection block
Ventilation hose connection
Emergency air inlet and oxygen overflow
Connection for control hose
(for hose system with expiration valve)
3
2
1
3
2
1
8
7
6
5
4
3
2
1
1
2
3
8
4
7
65
1
2
3
1
2
3

5
3 What is what
3.4 Rear connection block
Not assigned
Connection for nurse call system
RS 232 serial port (MEDIBUS)
Not assigned
Inlet filter (HEPA filter)
Connection for HPO oxygen supply
Connection for LPO oxygen supply
Mains switch
Connection for external battery
Power cable connection
3.5 Trolly
Carina bracket
Standard rail grip
Universal bracket
with standard rail, optional
Trolley column
Pedestal
Red locking lever of the
column mount closed
(under pedestal)
Dual rollers with locking
brakes, 4 each
7
6
5
4
3
2
1
10
9
8
7
6
5
4
3
2
1
1
2
3
4
5
67
5
6
7
1 2 3 4
8
9
10

6
3 What is what
3.6 Screen layout
Alarm line for alarm message
Status line for current device settings
Display for real-time waveforms of flow and pressure
Display for 2 measured values, configurable
Information line
Display of ventilation parameters
3.7 Status line for displaying current device settings
LPO oxygen supply
Power supply
Charge of internal battery
Hose system – expiration valve or leak valve
Ventilation method – tube or mask
Set ventilation mode
Patient effort detection
7
6
5
4
3
2
1
6
5
4
3
2
1
1
2
3
4
5
6
int Internal battery
ext External battery
Mains
1 2 3 4 5 6 7

7
4 Preparation
4.1 Connecting electrical power
• Plug the ventilator power cable into device
AC power
• Secure with the wire clip.
• Insert the mains plug into a power socket.
• The LED flashes or lights up according to the
charge of the internal battery.
• If you are using an External battery or heated
humidifier, plug their power cord to AC power
as well.
4.2 Connecting the oxygen supply
• Screw the O2compressed gas hose onto the
HPO nozzle or tube from O2gas cylinder
onto the LPO nozzle of Carina.
• Supply with oxygen from the central supply
or from the O2gas cylinder/concentrator .
C
B
A
A
B
C

4.3 Setting up the ventilator breathing circuit
Select hose system Leak valve system or expiration
valve system
Open the sliding cover on the underside of Carina.
Using a coin, turn the switch to your hose system
Close the sliding cover.
Leak valve hose system:
Connect the filter to socket.
Connect the ventilation hose: VentStar Carina LV
(MP00312) to filter.
The hose system is displayed on the status line of the
screen as follows: »LeakV«.
or:
Expiration valve hose system:
Connect the filter to socket.
Connect the ventilation hose: VentStar Carina EV
(MP00313) to filter
Connect the pilot line of the expiration valve to
pilot hose socket.
The hose system is displayed on the status line of the
screen as follows: »ExpV«.
6
5
4
5
4
3
2
1
8
4 Preparation
1
2
3
5
4
4
5
6

9
4 Preparation
4.4 Powering up the ventilator
Carina switching on
Set the mains switch to
Carina conducts a self-test.
During the self-test the screen indicates the
progress of the self-test.
That is followed by the screen showing the
ventilation mode and parameters last set.
The device is in standby mode.
Starting ventilation
Press the »Start/Standby« key.
Carina ventilates at the ventilation parameters set.
The screen shows the current ventilation waveforms
and values. For configuration of the screen display,
see page 86 Instruction for Use.
2
11
2

10
4 Preparation
VC-SIMV AF Volume Control – Synchronized Intermittent Mandatory
Ventilation
AF - AutoFlow
Trigger can be switched OFF VC-CMV
PC-BIPAP*Pressure Control – Biphasic Positive Airway Pressure
Trigger can be switched OFF PC-CMV
PC-AC Pressure-controlled, assisted ventilation
SPN-PS Spontaneous - Pressure Support
For patients with sufficient spontaneous breathing.
Volume guarantee VG can be switched on in ventilation mode SPN-PS.
Tidal volume guarantee
SPN-CPAP Spontaneous - Continuous Positive Airway Pressure
Apnoea ventilation For automatically switching to volume-controlled,
mandatory ventilation (VC-SIMV AF) in the event
of apnoea.
Only on SPN-PS and SPN-CPAP
* Trademark used under license
4.5 Ventilator settings
Vent.
Settings Alarms Values Config. Un
locked
Push „Menu“ key