Pm Certification Procedure For Narkomed 2B Anesthesia System - Dräger Narkomed 2B Service Manual

PMC PROCEDURE (continued)

PM Certification Procedure for Narkomed 2B Anesthesia System

1. Use the PM Certification form for Narkomed 2B/ 2C/ GS (P/N S010211) Anesthesia Systems (P/N S010211).
2. Completely fill in the header information.
3. Determine if the ventilator has an MJV-2 square Clippard valve. If ventilator has an MJV-2, perform the
lubrication procedure in accordance with SP00062. Write in the date of lubrication next to the "MJV-2
LUBRICATION" line on the Periodic Manufacturer's Certification form. If the ventilator has a Humphrey
valve, indicate so with a (H) next to the "MJV-2 LUBRICATION" line on the Periodic Manufacturer's
Certification form.
4. Replace the VENTILATOR RELIEF VALVE DIAPHRAGM in accordance with SP00075. Place a check mark
and the replacement date at "VENT RELIEF VALVE REPLACEMENT" line on the Periodic Manufacturer's
Certification form.
5. If a TEC 6 DESFLURANE vaporizer is mounted to the machine, a label stating: "WARNING THE
ADMINISTRATION OF DESFLURANE ANESTHESIA MAY REQUIRE FRESH GAS CONCENTRATIONS
HIGHER THAN COMMONLY USED WITH OTHER VOLATILE ANESTHETIC AGENTS. O2 FRESH GAS
CONCENTRATION OF LESS THAN 21% MAY BE OBTAINED WITH HIGH VAPORIZER SETTINGS.
CONTINUOUS MONITORING OF THE O2 CONCENTRATION IN THE BREATHING SYSTEM IS
THEREFORE REQUIRED. NORTH AMERICAN DRÄGER RECOMMENDS THE CONTINUOUS
MONITORING OF THE CONCENTRATION OF ANESTHETIC VAPORS IN THE BREATHING SYSTEM
DURING THE ADMINISTRATION OF INHALATION ANESTHESIA."(part # 4112737-001) Shall be
attached to the vapor box immediately above the TEC 6 vaporizer.
6. Check all vapor 19 and 19.1 vaporizers for correct labeling. All vaporizers must have a label stating "THE
CONCENTRATION OUTPUT OF THIS VAPORIZER SHALL BE VERIFIED AFTER IT HAS BEEN
ATTACHED TO THE ANESTHESIA MACHINE" (part # S010015). This label shall be attached to the rear
of the vaporizer directly below the mount.
7. All Key Index Safety Systems vaporizers, (K.I.S.S.) must have a label stating "CAUTION: AFTER FILLING
HAS BEEN COMPLETED, REINSERT PLUG INTO UPPER FILLER PORT AND TIGHTEN LOCKING
SCREW" (part # 4112520-001). This label shall be attached to the vaporizer directly above the keyed filler.
Place a check mark at "K.I.S.S. LABEL" on the PM Certification form.
8. If machine is equipped with a HALOTHANE Dräger Vapor 19 or 19.1 vaporizer, determine if vaporizer
must be inspected for soil condition one. Check the serial number plate located on the rear of the vaporizer
for a plus (+) preceding the serial number. A HALOTHANE vaporizer serial number not preceded with a
(+) must be tested for soil in accordance with SP00073. If vaporizer does not need to be inspected, indicate
so with a plus (+) next to the "Vapor Inspection (H)" line on the Vigilance Audit form. If vaporizer is soil
condition 0, indicate so with "SOIL 0" written next to the "Vapor Inspection (H)" line on the Vigilance Audit
form. If vaporizer is soil one, indicate so with "SOIL 1" written next to the "Vapor Inspection (H)" line on
the Vigilance Audit form. Place a "CAUTION DO NOT USE" label (part # 4114327) on the vaporizer, and
issue a departmental alert. The TSR shall also seek permission from the equipment operator to remove the
failed vaporizer from the machine and apply a replacement vaporizer or an adapter block onto the mount.
All "SOIL 1" vaporizers must be removed from service for machine to receive certification.
9. Perform the vapor concentration test on all Dräger vapor vaporizers in accordance with SP00073 at a six
month maximum interval. Perform the vaporizer concentration test on all Desflurane vaporizers in
accordance with SP00091 for fixed mount vaporizers and SP00189 for user removable D-tec vaporizers at
a six month maximum interval. For every vaporizer tested, fill out a "VAPOR VAPORIZER CALIBRATION
CHECK" label (part # S010016). Information on this label shall include your signature, type of agent, date
tested, test results @ 1%, 2.5%, 4% for H, E, I, or S vaporizers, or @ 4%, 10%, 12%, 16% for Desflurane
vaporizers, and a PASS or FAIL indication. This label shall be attached to the upper right side of the
vaporizer. If vaporizer fails the concentration verification, internal leak, or exclusion system tests, check
"NO" in the "RECOMMENDED FOR USE" section on the PM Certification form.
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NM2B
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