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M E D I C A L
Babylog 8000 plus
Infant Care Ventilator
Operating Instructions
Software 5.n

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   Summary of Contents for Dräger Babylog 8000 plus

  • Page 1 M E D I C A L Babylog 8000 plus Infant Care Ventilator Operating Instructions Software 5.n...
  • Page 2 NOTICE Proprietary Information This document contains information in which Draeger Medical, Inc. claimed proprietary rights. The information may not be reproduced in whole or in part except as authorized in writing by Dräger. This information is the property of Draeger Medical, Inc., it is provided solely for the use intended.
  • Page 4 Page body... the Operating Instructions combine text and illustrations. The information is presented in the form of required steps of action, giving Babylog 8000 plus the user hands-on experience in learning how to use the ventilator. Left-hand column... the text provides explanations and instructs users step-by-step in Press »O2-Cal«...
  • Page 5 Contents Contents Important Safety Information READ THIS FIRST ! Intended Use Operating Concept Preparation Operation Care Troubleshooting What's What Technical Data Theory of Operation Ordering Information Index...
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  • Page 7 Important Safety Information Contents Important Safety Information Contents Operator's Responsibility for Patient Safety..........8 Limitation of Liability..................8 Warranty..................... 9 Definitions....................10 Summary of WARNINGS and CAUTIONS..........10 General Precautions..................10 Precautions During Preparation..............12 Precautions During Operation..............13 Precautions During Care................15 Precautions During Maintenance...............
  • Page 8: Operator's Responsibility For Patient Safety

    Important Safety Information Operator's Responsibility for Patient Safety Limitation of Liability Operator's Responsibility for Patient Safety Limitation of Liability Dräger's liability, whether arising out of or related to manufacture and sale of the goods, their installation, WARNING ! demonstration, sales representation, use, performance, Strictly follow this Operator's Instruction or otherwise, including any liability based upon Dräger's Manual.
  • Page 9: Warranty

    Important Safety Information Warranty Warranty All Dräger products are guaranteed to be free of Application of this warranty is subject to the following defects for a period of one year from date of delivery. conditions: The following are exceptions to this warranty: 1.
  • Page 10: Definitions

    NOTE: A NOTE provides additional information WARNING ! intended to avoid inconveniences during operation. Babylog 8000 plus is solely intended for use by physicians or by allied health care profession- Inspection = examination of actual condition als on the order of a physician.
  • Page 11 Important Safety Information Summary of WARNINGS and CAUTIONS WARNING ! WARNING ! Mobile telephones must not be used within 10 If a fault is detected in the ventilator and its meters (33 feet) of the equipment. Mobile life-support functions are in doubt, ventilation telephones can interfere with the function of must be started without delay with an inde- electromedical equipment and therefore...
  • Page 12: Precautions During Preparation

    WARNING ! Dräger cannot warrant or endorse the safe performance of third party ventilator circuits for use with the Babylog 8000 plus infant WARNING ! ventilator. Increased pneumatic resistance caused by some circuit systems may result in Always provide adequate ventilation! inaccurate airway pressure readings.
  • Page 13: Precautions During Operation

    CAUTION ! Do not place containers of liquids on top of the Babylog 8000 plus ventilator. Liquids penetrating WARNING ! the ventilator can cause equipment malfunction and damage. In case of malfunction of any of the built-in...
  • Page 14 WARNING ! all times. If the oxygen analyzer integrated into the Babylog 8000 plus ventilator is not The wires of the Babylog 8000 plus flow sensor operable, an independent oxygen monitor operate at a high temperature. If the sensor is...
  • Page 15: Precautions During Care

    CAUTION ! Do not place containers of liquids on top of the Babylog 8000 plus ventilator. Liquids penetrating CAUTION ! the ventilator can cause equipment malfunction and damage. Ensure that no liquid remains in the pressure measuring canal of the expiratory valve, as it might cause malfunction.
  • Page 16: Precautions During Maintenance

    DrägerService WARNING ! through your vendor. When servicing the ventilator, always use For repairs of the Babylog 8000 plus infant venti- replacement parts that are qualified to lators, we recommend that you contact Dräger standards.
  • Page 17: Intended Use

    Intended Use Contents Intended Use Contents Intended Medical Applications..............18 Available Ventilation Modes..............18 Mandatory Ventilation Monitoring............19 Backup Ventilation With an Independent Manual Ventilation Device..19...
  • Page 18 Operating Instructions. Babylog 8000 plus is a long term ventilator to be used in WARNING ! the intensive care of premature and newborn babies and of infants up to 10 kg (22 lbs).
  • Page 19 Mandatory Ventilation Monitoring Backup Ventilation With an Independent Manual Ventilation Device (Resuscitation Bag) Mandatory Ventilation Monitoring WARNING ! Babylog 8000 plus includes monitoring for: Sidestream monitors may cause negative – inspiratory O concentration pressures in the event of a blocked inspiratory –...
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  • Page 21: Operating Concept

    Operating Concept Contents Operating Concept Contents Design of the User Interface..............22 Screen Layout ..................23 Screen Menus ..................24 Ventilation Menus..................24 Monitoring Menus..................25 Calibration/Configuration Menus............... 26...
  • Page 22 Operating Concept Design of the User Interface Design of the User Interface The ventilator front end consists of a dial panel and a display/menu key panel. Dial panel The dial panel contains buttons for the main operating modes and dial knobs for the most important ventilator parameters.
  • Page 23 Operating Concept Design of the User Interface Display/menu key panel Main components of this panel are the LCD screen and a number of keys with fixed or variable function assignments. 1 » « key silences audible alarms for 2 minutes. 2 »Confirm«...
  • Page 24 Operating Concept Screen Menus Screen Menus Ventilation Menus...
  • Page 25 Operating Concept Screen Menus Monitoring Menus...
  • Page 26 Operating Concept Screen Menus Calibration/Configuration Menus...
  • Page 27: Preparation

    Preparation Contents Preparation Contents Mounting Babylog 8000 plus on Mobile Stand........28 Mounting the Expiration Valve..............29 Installing an O Sensor Capsule..............30 Connecting Supplies ................31 Gas Supply....................31 Electrical Supply..................31 Connecting a Humidifer ................32 Assembling Components.................33 Connecting a Patient Circuit..............33 Installing an Optional Bacteria Filter............35...
  • Page 28 Preparation Mounting Babylog 8000 plus on Mobile Stand Mounting Babylog 8000 plus on Mobile Stand Turn stand until the two lockable casters are to the right. NOTE: The following mounting instructions for Babylog assume the stand is in this position: 1 Tilt Babylog forward approximately 45°.
  • Page 29 Preparation Mounting the Expiratory Valve Mounting the Expiratory Valve WARNING ! Always install expiratory valve that has been cleaned and disinfected. 1 Flip lever in release position = upwards. Push expiratory valve onto guide rod as far as it will 2 Lock expiratory valve = flip lever down.
  • Page 30 Preparation Installing an O2 Sensor Capsule Installing an O Sensor Capsule – before first use – when calibration can no longer be performed. Unscrew the two screws in cover on the right and remove cover lid. Pull used O sensor capsule. Insert new capsule into opening - circular contacts must point towards cover lid.
  • Page 31 Preparation Connecting Supplies Connecting Supplies Gas Supply WARNING ! Always use medical grade oxygen and air that is dry and free from dust and oil. Contami- nated gas may cause ventilator malfunction. Supply pressures must be between 43.5 and 87 psi (3 to 6 bar) Screw high pressure air and oxygen hoses to sockets on the back panel of Babylog and insert probes into...
  • Page 32 /distributors of heated humidifying devices about compliance of their products with the requested performance characteristics. Humidifiers for use with the Babylog 8000 plus venti- lator: – Humidifiers must conform to ISO 8185. – The total resistance of the patient circuit must be less...
  • Page 33 Connecting a Patient Circuit WARNING ! Dräger cannot warrant or endorse the safe performance of third party ventilator circuits for use with the Babylog 8000 plus infant ventilator. Increased pneumatic resistance caused by some circuit systems may result in inaccurate airway pressure readings.
  • Page 34 Preparation Assembling Components Use with open care beds (outside an incubator) It is recommended to use a hinged circuit support arm with an appropriate circuit holder at the end (part no. 84 09 609). Swivel both nozzles on Babylog downwards or in the direction of the patient.
  • Page 35 Preparation Assembling Components Installing an Optional Bacteria Filter A bacteria filter may be used as a protection against contamination of the inspiratory side of the ventilator. Use installation kit 84 10 230. 1 Push hose segment 0,25 m onto inspiratory port 2 Attach adapter Ø15 mm / Ø22 mm to hose.
  • Page 36 Preparation Assembling Components Plug flow sensor cable connector into the back panel of the ventilator and tighten securing screws. Connect infant size test lung (part no. 84 09 742) to wye. It consists of a small bellow, a 165 mm long endotracheal tube (internal dia 2.5, CH 12), and ET-tube connector.
  • Page 37 Preparation Before Using for the First Time Before Using for the First Time NOTE: The built-in NiCd battery for power failure alarm is recharged automatically during operation. Before first use, or when the ventilator has been out of service for a long time, the ventilator must be run for half an hour to sufficiently charge the NiCd battery.
  • Page 38 Preparation Before Using for the First Time Calibrations 1 Press »Vent. Mode« menu key. 2 Press »CMV« menu key. Press »On« menu key. Press » « key. Display (example): 3 The alarm limit symbol will be flashing as a request to set alarm limits. Calibrations Calibration of the built-in oxygen analyzer: is performed automatically every 24 hours.
  • Page 39 Calibrating the O -Sensor Manually After sensor has been replaced, but possible at all times. 1 Press »Cal. Config.« menu key. Babylog 8000 plus 2 Press »O -Cal« menu key. 3 After approximately 5 minutes, O cal disappears from the display, calibration is now completed.
  • Page 40 1 Press »Cal. Config.« menu key. Babylog 8000 plus For best measurement accuracy: Select type of flow sensor (ISO or Y), to fine-tune measuring circuit to the particular type of sensor used.
  • Page 41 Preparation Calibrations To calibrate: Press keys » « and » «. 1 Disconnect ET-tube and keep the patient connection of the wye sealed, e.g. using a sterile glove. NOTE: Gas flow through the wye must be completely blocked for calibration (zero flow condition). Display: 2 Press »Start«...
  • Page 42 Preparation Calibrations Exchanging a Flow Sensor Element In case of message: Flow measurement disturbed Measurement switched off 1 Pull plug from flow sensor. 2 Pushing buttons on both sides simultaneously, pull flow sensor element from wye. 3 Insert new flow sensor element into the wye until it engages.
  • Page 43 Preparation Checks of Readiness for Operation Checks of Readiness for Operation Perform each time the ventilator has been cleaned and disinfected. Completely reassemble ventilator system with acces- sories, please refer to pages 33 through 36. Calibrate flow sensors after switching ventilator on, see page 40.
  • Page 44 Preparation Checks of Readiness for Operation Testing Gas Supply Failure Alarm Push power switch button in back of ventilator and engage = ON. Switch on CMV, please refer to page 58. Set dial knob »O -Conc.%« to 60 %. Unplug probe of O supply hose from wall terminal.
  • Page 45 Preparation Checks of Readiness for Operation Testing CMV Switch on CMV, please refer to page 58. Adjust dial knobs whose green LEDs are lit: 1 »O -Conc. %« to 21. 2 »Insp. Flow * * * * « to 10. 3 »T «...
  • Page 46 Preparation Checks of Readiness for Operation Testing Alarm Limits Apnea alarm limits 1 Switch on CPAP, please refer to page 64. Make sure that apnea alarm is enabled, please refer to page 68. After 30 seconds (max.): 2 Red alarm will start blinking, audible alarm will sound. Display (example): Apnea MV low...
  • Page 47 Preparation Checks of Readiness for Operation Release circuit again. Remove ET-tube connector from wye: Red alarm will start blinking, audible alarm will sound. Display (example): Airway pressure low Leak in hose system? Check setting ! Reset knob for »PEEP/CPAP« to 0. Reconnect test lung.
  • Page 48 Flow sensor connector connected Connect test lung with tracheal tube CH 12 (2.5 mm ID) and ET-tube connector to wye. 3 Leak Test Switch Babylog 8000 plus ON. Display: Calibrate flow sensor! Press »Confirm« key, Set ventilation mode CPAP: Press keys »Vent. Mode«, »CPAP« and »On«.
  • Page 49 Preparation Checks of Readiness for Operation What Requirement 4 Function Test Flow Calibration Display: Calibrate flow sensor. Flow sensor calibrated Airway Pressure Set ventilation mode CMV, Ventilation in rhythm of set inspiratory and Set dial knobs: expiratory time. »P « to 20, Bar graph pressure display: insp insp.
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  • Page 51: Operation

    Operation Contents Operation Contents Precautions During Operation..............52 Routine Checks During Operation.............. 53 Starting Up....................54 Ventilation Modes Overview..............55 Setting Ventilation Modes and Extensions..........56 Setting Trigger Volume (Trigger Sensitivity)..........57 CMV......................58 A/C......................61 SIMV......................62 PSV......................63 CPAP......................64 Volume Guarantee VG................
  • Page 52 If a fault is detected in the ventilator and its all times. If the oxygen analyzer integrated life support functions are in doubt, ventilation into the Babylog 8000 plus ventilator is not must be started without delay with an inde- operable, an independent oxygen monitor...
  • Page 53 The operator of the ventilator The wires of the Babylog 8000 plus flow sensor must still assume responsibility for proper venti- operate at a high temperature. If the sensor is...
  • Page 54 Operation Starting Up Starting Up Flip protective cap on power switch clockwise Push power switch button until it engages = On Calibrate flow sensor, see page 40. Before connecting a patient, adjust dial knobs to meet anticipated patient needs: 1 »Insp. Flow * * * * «, 2 »P «, insp...
  • Page 55 Operation Ventilation Modes Overview Ventilation Modes Overview Babylog 8000 plus features five main modes of ventila- tion that each may be modified through extensions. Some extensions are mutually exclusive while others may be combined with one another. Ventilation modes Continuous Mandatory Ventilation/...
  • Page 56 Example: To switch from CMV to SIMV with guaran- teed volume VG: 1 Press »Vent. Mode« key. Press »SIMV« menu key. Babylog 8000 plus continues to ventilate with CMV/IMV. Set trigger volume with menu keys » « or » «.
  • Page 57 Operation Setting Ventilation Modes and Extensions Press »On« menu key. Babylog 8000 plus now ventilates with guaranteed tidal volume in SIMV mode. To switch off VG extension: 1 Press »Vent. Options« key. Press menu keys »VG« and »Off«. Leave menu: Press »...
  • Page 58 Operation Setting Ventilation Modes and Extensions CMV / IMV Continuous Mandatory Ventilation Intermittent Mandatory Ventilation Time cycled, pressure limited ventilation for patients without spontaneous breathing, fixed pattern - with or without pressure plateau. Switching on CMV/IMV: Press (menu) keys »Vent. Mode«, »CMV«, »On«. CMV may be combined with: –...
  • Page 59 Operation Setting Ventilation Modes and Extensions Displaying the flow waveform: Press »Graph« and »Flow« menu keys. To leave this menu: Press » « key. Displaying measured pressure values: Press »Meas« and »Paw« menu keys. Set the desired ventilation pattern using dial knobs »P «, »PEEP«, »T «, »T...
  • Page 60 Operation Setting Ventilation Modes and Extensions Displaying the pressure waveform: Press »Graph« and »Paw« menu keys. Press » « key. Set the desired ventilation pattern using dial knobs »PEEP«, »T «, »T « and » * * * * «. insp Displaying the flow waveform: Press »Graph«...
  • Page 61 Operation Setting Ventilation Modes and Extensions Assist Control Ventilation Ventilation with a preset pattern that is synchronous with patient's spontaneous breathing. The patient determines the ventilation rate. If a patient becomes apneic, ventilation will be performed using a rate determined by T and T settings.
  • Page 62 Operation Setting Ventilation Modes and Extensions SIMV Synchronized Intermittent Mandatory Ventilation Ventilation with fixed pattern and rate but synchron- ized with patient's spontaneous breathing. Patients are allowed to breathe spontaneously between ventilator breaths, but will not receive pressure support. Used for weaning patients from ventilator. If a patient becomes apneic, ventilation will be performed using a rate determined by T and T...
  • Page 63 Operation Setting Ventilation Modes and Extensions PSV (available option) Pressure Support Ventilation Pressure supported ventilation synchronous to patient's own spontaneous breathing. Patient determines both rate and duration of inspiration. A ventilator breath is terminated when inspiratory flow has dropped to approximately 15% of peak flow, at the latest after T Used for spontaneously breathing patients with suffi- cient respiratory control, who are to be supported...
  • Page 64 Operation Setting Ventilation Modes and Extensions CPAP Continuous Positive Airway Pressure Babylog 8000 plus applies a continuous flow with an airway pressure at PEEP/CPAP level. Switching on CPAP: Press (menu) keys »Vent. Mode«, »CPAP«, »On«. CPAP may be combined with: –...
  • Page 65 Operation Setting Ventilation Modes and Extensions Nasal CPAP Monitoring of minute ventilation and for apnea is not possible due to leakage through patient's mouth. Therefore, switch off flow measurement: Unplug flow sensor cable at the wye. Display: Press »Confirm« key. Flow measurement is now switched off.
  • Page 66 Operation Setting Ventilation Modes and Extensions Volume Guarantee (Available Option) May be combined with ventilation modes CMV, SIMV, and CPAP. VG controls inspiratory plateau pressure in such a fashion between P and PEEP that the set tidal insp volume V is delivered.
  • Page 67 Operation Setting Ventilation Modes and Extensions Independent Expiratory Flow VIVE VIVE (Variable Inspiratory and Variable Expiratory Flow) Expiratory continuous flow * may be set independently from inspiratory flow * . During insp mandatory breaths, inspiratory flow is applied. During spontaneous breathing and during CPAP, the expiratory flow is in effect.
  • Page 68 Operation Setting Alarm Limits Setting Alarm Limits The alarm limits for the following parameters are adjusted automatically: Airway pressure Upper alarm limit for ventilator breaths: + 5 cmH insp Upper alarm limit for expiration or CPAP: PEEP/CPAP + 4 cmH Lower alarm limit: PEEP/CPAP - 2 cmH Lower alarm threshold...
  • Page 69 Operation Setting Alarm Limits Press menu key » « in the Monitoring menu. Display (example): Select alarm parameter with » « menu key. Adjust alarm threshold with menu keys » « or » «. Repeatedly pressing key briefly: adjustments in increments Keeping key pressed down: rapid changes.
  • Page 70 Operation Special Functions Special Functions Manual Inspiration / Inspiration Hold Applicable to all modes of operation, independent of and T settings. All other parameter settings apply. 1 Limit inspiratory pressure with dial knob »P «. insp 2 Keep button pressed for the duration of desired inspiration time.
  • Page 71 Operation Special Functions Nebulizing Aerosols (Available Option) Applicable in all modes of ventilation. Prerequisites: Nebulizer output port on the back panel of the ventilator and nebulizer kit 84 11 025. WARNING ! Aerosol medications may clog expiratory valves which can impair ventilation. Therefore, exchange expiratory valve immediately after nebulizing aerosols.
  • Page 72 Operation Special Functions WARNING ! The wires of the Babylog 8000 plus flow sensor operate at a high temperature. If the sensor is left in the patient circuit for an extended period of time while nebulizing without cleaning, residue buildup might result from the medicated aerosols that would impair flow measurement.
  • Page 73 Operation Special Functions Place nebulizer output port into one of the U-grom- mets available on most incubators for routing hoses and cables (upper location preferred if several available). Using nebulizer with patients in open beds Place nebulizer output port into circuit holder of hinged circuit support arm.
  • Page 74 Operation Special Functions In order to maintain constant FiO2 : resulting FiO resultierende FiO [Vol.%] Increase O -concentration for the duration of the aerosol treatment with the dial knob »O -Conc. %« using a value from the nomogram. Example: Insp. Flow * = 10 L/min -conc.-% = 80 Vol.%...
  • Page 75 Operation Displaying Waveforms and Measured Values Displaying Waveforms and Measured Values Pressure Waveform P From the Monitoring menu, press menu keys »Graph« and »Paw«. Display (example): 1 pressure scale 2 pressure limit »P « insp 3 time scale 4 end of Tex To leave menu: Press »...
  • Page 76 Operation Displaying Waveforms and Measured Values Freezing Waveforms From the »Graph« sub-menu, press »Freeze« menu key. To cancel the freeze: Press »Freeze« menu key again and the current waveform will be displayed. To leave menu: Press » « menu key. Displaying Measured Pressure Values From the Monitoring menu, press menu keys »Meas.«...
  • Page 77 Operation Displaying Waveforms and Measured Values Displaying Measured Values of Lung Mechanics Babylog 8000 plus calculates a patient's resistance and compliance using linear regression. From the Monitoring menu, press menu keys »Menu« and »RC«. = airway resistance (incl. ET-tube) = dynamic compliance of the...
  • Page 78 Operation Displaying Waveforms and Measured Values Displaying Measured Volume Parameters From the Monitoring menu, press menu keys »Meas.« and »P «. Display (example): = expiratory minute ventilation spont. = percentage spontaneous breathing of total minute ventilation Leak = ET-tube leak (see description on page 138) = expiratory tidal volume of previous breath cycle To leave menu:...
  • Page 79 Operation Displaying Waveforms and Measured Values Displaying All Set Values From the Monitoring menu, press menu key »List«. All set values are displayed. Display (example): For more set values: Press menu key »Set2«. Displaying all Measured Values Press menu keys »Meas1« or »Meas2«. All measured values are displayed.
  • Page 80 Operation Displaying Trends Displaying Trends Trends for some measured values over the previous 24 hours are stored in memory. Inspiratory O concentration Mean Mean airway pressure Minute ventilation Dynamic compliance Resistance RVR* Rate Volume Ratio From the Monitoring menu, press menu key »Trend«. Display (example): The diagram displays a window from the previous 24 hour period (if applicable).
  • Page 81 LED, repetitive three tone sequence. Caution messages require short term action to prevent development of a condition with the possibility Babylog 8000 plus of patient injury. Respond appropriately and complete the action within 2 minutes at the most. WARNING !
  • Page 82 2 Press » « key. NOTE: New messages are displayed without their associated audible alarm tone during the 2-minute silencing period. Babylog 8000 plus To re-arm audible alarm: 2 Press » « key again. WARNING ! The alarm silence button is intended to provide a way of muting audible alarms while corrective action is taken.
  • Page 83 Operation Configuration Configuration Displaying and Setting Date and Time Press »Cal. Config.« key, then menu keys »Config« and »Clock«. Select parameter to adjust with menu keys » « or » «. Selected parameter will be highlighted (inverse). (example: 05) Adjust setting with menu keys » «...
  • Page 84 Operation Configuration Adjusting Screen Contrast NOTE: Applicable only for ventilators equipped with LCD-type screen: Screen contrast can be optimized for the (vertical) viewing angle of the operator. Press »Cal. Config.« key, then menu keys »Config« and »Contr«. Display (example): The display will show a test pattern Set optimum contrast using menu keys »...
  • Page 85 Place connected devices in the same room with the Babylog 8000 plus ventilator, but at a distance of at least 1.5 m (5 ft) from the patient.* The two analog outputs supply each one of the available measured values.
  • Page 86 For use with other printers please consult Dräger first. Analog1 Connect printer with interface cable 83 06 489. Analog2 NOTE: For proper function, configuration of RS 232 interfaces of printer and Babylog 8000 plus must match. Configure RS 232 interface, please refer to page 93.
  • Page 87 Analog and Digital Interface Press »Cal. Config.« key. Press »Print« menu key Display (example): Printing Reports For documenting measured, set, and status values. +--------------------------------------------------------------------------------+ Example: |7:51 2.08.1997 Babylog 8000 plus |Settings: Measurements: |TI: 0,82 s Pinsp: 33,0 cmH2O FiO2: 21 % Mean:...
  • Page 88 Operation Analog and Digital Interface To print a report automatically every 30 minutes: Press »Select« button until »30 min. report« is highlighted. Press »Start« button. The function of the button changes to »Stop«. Printing trend information For graphical printing of trend memory contents. The currently active window (size and position within the 24 hour range) is used.
  • Page 89 Operation Analog and Digital Interface To abort printing: Press »Stop« button. Printing waveforms For graphics printout of the three waveforms: Airway pressure Flow Volume Press »Select« button repeatedly, until »Graphics« is highlighted. Press »Start« button. The function of the button changes to »Stop«.
  • Page 90 Operation Analog and Digital Interface Printing all For printing report, trend information, and waveforms. Press »Select« button repeatedly, until »All« is highlighted. Press »Start« button. The function of the button changes to »Stop«. To abort printing: Press »Stop« button.
  • Page 91 Operation Analog and Digital Interface Transmitting Digital Data For connecting digital data recording devices (patient monitor, PC), using the Dräger "BabyLink" data transmission protocol. Connect device with interface cable 83 06 488. Press »Select« button repeatedly, until »BabyLink« is highlighted. Press »Start«...
  • Page 92 Operation Analog and Digital Interface The following signals and ranges are available: Airway pressure – 10. . .90 cmH O –> 0 . . .10 V Airway pressure – 5. . .45 cmH O –> 0 . . .10 V Mean airway pressure –...
  • Page 93 Operation Analog and Digital Interface To select default settings during operation: Press »* * * * /P« menu key. NOTE: If a measured value exceeds the set range, the output voltage will be clipped. NOTE: The setting will be retained after the ventilator is switched off.
  • Page 94 Configuring the printer  If a HP ThinkJet printer is used, it must be configured as follows (see Owner's Manual for HP ThinkJet): Baud rate: same as Babylog 8000 plus Parity: NONE Data bits: Handshake mode: XON/XOFF Alternate Control Sequence Mode...
  • Page 95 Operation Shut Down Shut-Down After disconnecting patient At the back panel: 1 Flip protective cap on power switch clockwise. 2 Push button in fully and release = OFF. Switch off humidifier. Disconnect all electrical and pneumatic supplies. Empty water traps in gas supply lines.
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  • Page 97: Care

    Care Care Contents Dissasembly..................... 98 Removing Components................98 Disinfecting/Cleaning/Sterilizing............. 99 Reassembly.................... 101 Assembling the Flow Sensor..............101 Maintenance................... 102 Maintenance Intervals................102 In Case of Ventilator Malfunction.............. 103 User Replaceable Parts................103...
  • Page 98 Remove sensor element from flow sensor: Press buttons on both sides of flow sensor element and gently remove insert from wye. Removing the Expiratory Valve 1 Push lever upward (release position). Babylog 8000 plus 2 Pull expiration valve out (forward).
  • Page 99 For a list of materials used in the ventilator, please refer to page 128. WARNING ! Follow all accepted hospital procedures for disinfecting parts contaminated by body fluids (protective clothing, eyewear, etc.). Babylog 8000 plus ventilator, mobile stand, cables Disinfection procedure: Wipe disinfection...
  • Page 100 Care Disinfecting/Cleaning/Sterilizing Flow sensor element Disinfection procedure: Bath disinfection CAUTION ! Do not process flow sensor element in cleaning and disinfection equipment. Do not use compressed air, a brush or similar tools to clean flow sensor element as this would possibly damage the thin wires in the flow sensor.
  • Page 101 Care Reassembly Reassembly Assembling the Flow Sensor 1 Insert flow sensor element into wye or flow sensor until it engages. The oval marks must line up. Connect plug to flow sensor, note orientation (tongue and groove). Assemble equipment as described starting on page 29, "Preparation".
  • Page 102 DrägerService through your vendor. Cooling-air intake filter Clean or replace after 4 weeks, For repairs of the Babylog 8000 plus infant venti- see page 103. lators, we recommend that you contact Replace at least every year.
  • Page 103 Care In Case of Ventilator Malfunction User Replaceable Parts In Case of Ventilator Malfunction WARNING ! Never operate the ventilator if it has suffered physical damage or does not seem to operate properly. In this case always refer servicing to properly trained and factory authorized service personnel.
  • Page 104 Care User Replaceable Parts Disposal of batteries and O sensors WARNING ! Treatment of batteries and O -sensor capsules: Do not throw into fire! Risk of explosion. Do not force open! Danger of bodily injury. Follow all local, state, and federal regulations with respect to environmental protection when disposing of batteries and O -sensor...
  • Page 105: Troubleshooting

    Troubleshooting Contents Troubleshooting Contents Troubleshooting..................106...
  • Page 106 Troubleshooting Troubleshooting Babylog 8000 plus displays alarm messages at 3 levels In the table below, the messages are listed in alpha- of priority: betical order. Warning = Message with top priority The table should help you to identify the cause of an Caution = Message with medium priority alarm and to ensure rapid remedy of the problem.
  • Page 107 Troubleshooting Message Cause Remedy Calibrate O sensor manually, sensor not calibrated. page 39. Blender faulty. Take ventilator out of service. Flow measurement Flow sensor faulty or disconnected. Connect flow sensor or cable, calibrate disturbed flow sensor, page 40. Meas. switched off Flow measurement faulty.
  • Page 108 Troubleshooting Message Cause Remedy MV high Lung compliance has increased. Check ventilation settings and adjust as Resistance has decreased. necessary. Hyperventilation. Ventilator malfunction. Take ventilator out of service. MV low Lung compliance has decreased. Check ventilation settings and adjust as Resistance has increased.
  • Page 109 Troubleshooting Message Cause Remedy Pressure measurement Liquid in patient block. Replace patient block out of range Condensation in patient circuit. Remove condensation. Fault in pressure measurement Take ventilator out of service. function. ID of patient circuit too small Use circuit with less resistance. Printing cancelled Printer switched off.
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  • Page 111: What's What

    What's What Contents What's What Contents Dial Panel....................112 Display and Menu Key Panel..............113 Front Connections................. 114 Back Panel.....................115 Labels....................116 Abbreviations and Symbols..............117 Symbols....................118...
  • Page 112 What'sWhat Dial Panel 1.1 1.2 1.3 1.4 Dial Panel 1.1 Dial knob for inspiratory O -concentration »O -Conc.%« 1.2 Dial knob »Insp. Flow * * * * « 1.3 Dial knob for inspiratory time »T « 1.4 Dial knob for limiting inspiratory pressure »P «...
  • Page 113 What's What Display and Menu Key Panel Display and Menu Key Panel 2.1 Key for selecting »Cal. Config.« menu 2.2 Yellow »Trigger« LED lights when inspiration is started by trigger. 2.3 Screen for numeric and waveform displays 2.4 Bargraph display for airway pressure P 2.5 Red alarm light flashes for "Warning/Caution"...
  • Page 114 What'sWhat Front Connections 3.2 3.3 Front Connections 3.1 Silencer (for ejector) 3.2 Lever for locking expiratory valve (patient block) 3.3 Expiratory port 3.4 Inspiratory port...
  • Page 115 What's What Back Panel Back Panel 4.1 Power switch 4.2 Line power fuses (2x) 4.3 Grounding pin 4.4 DISS O inlet 4.5 DISS Air inlet 4.6 Connector for flow sensor 4.7 Cooling fan air filter 4.8 Communications Interface connections (available option)
  • Page 116 What's What Labels Labels Main CAUTION/WARNING label DANGER ! RISK OF EXPLOSION IF USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS WARNING ! DISCONNECT SUPPLY BEFORE SERVICING REPAIRS ON THIS EQUIPMENT TO BE PERFORMED ONLY BY DrägerService OR ITS AUTHORIZED SERVICE CENTERS CAUTION ! TO MAINTAIN GROUNDING INTEGRITY, CONNECT ONLY TO A "HOSPITAL GRADE"...
  • Page 117 What's What Abbreviations and Symbols Abbreviations and Symbols Abbreviation Explanation Assist Control Peak Inspiratory Pressure Compliance PEEP Positive End-Expiratory Pressure Compliance of the patient circuit Mean airway pressure Mean Compliance of the respiratory system Inspiratory pressure limit insp Controlled Mandatory Ventilation Resistance CPAP Continuous Positive Airway Pressure,...
  • Page 118 What's What Abbreviations and Symbols Symbols Menu for setting of minute volume alarm limits Upper alarm limit Lower alarm limit Event log menu Decrease, page backward Increase, page forward Shrink time window Enlarge time window Move time window, select parameter Move time window, select parameter Silence audible alarm for 2 minutes Enunciator/audible alarm...
  • Page 119: Technical Data

    Technical Data Contents Technical Data Contents Environmental Conditions.................120 Settings - Range, Resolution, and Accuracy..........120 Performance Data..................121 Measuring Functions - Range and Accuracy..........121 Alarm Criteria...................124 Operating Data..................125 Communication Interface (Option)............127 Materials Used..................128...
  • Page 120 Technical Data Environmental Conditions Settings - Range, Resolution, and Accuracy Note: Specifications are given conforming to ISO 5369. Environmental Conditions During operation: 10 to 40 °C Temperature Atmospheric pressure 780 to 1060 hPa Rel. humidity 30 to 90 % (no condensation) For storage: –20 to 60 °C Temperature...
  • Page 121 Technical Data Measuring Functions - Range and Accuracy Performance Data Principle of operation Babylog 8000 plus operates as a continuous flow ventilator, time cycled or volume controlled and pressure limited. An integrated Air/O2 blender dispenses oxygen. Control principle Continuous Flow, expiratory valve pressure limited,...
  • Page 122 Technical Data Measuring Functions - Range and Accuracy Parameter Range Resolution Peak 0 to 99 cmH 0 to 9.9 cmH O: 0.1 cmH 10 to 99 cmH O: 1 cmH PEEP 0 to 99 cmH 0 to 9.9 cmH O: 0.1 cmH 10 to 99 cmH O: 1 cmH Pmean...
  • Page 123 Measuring range 18 to 100 Vol.% ±3 Vol.% of pressurized gases O Measuring acuracy and Air When calibrating, Babylog 8000 plus uses 20.9 Vol.% O 100 Vol.% O respectively, for calculation. The measured value is displayed numerically on screen. Parameter...
  • Page 124 Technical Data Alarm Criteria Alarm Criteria Inspiratory O2 concentration An alarm is generated when the measured inspiratory O concen- tration FiO is more than 4 vol% above or below the set value for more than 25 seconds. Disconnection A disconnection or a considerable leak in the patient circuit will result in inadequate pressure building up.
  • Page 125 Technical Data Operating Data Low tidal volume V In case volume control VG cannot deliver the set tidal volume: An alarm is generated if V remains below either 90% of V Tset - 0.5 mL (whichever is smaller). Tset Reasons for this condition might be: 1.
  • Page 126 DIN IEC 60601-1-2 Performance Standards Babylog 8000 plus is designed to comply with DIN 13254 'Ventilators' and ISO 5369 'International Standard for Medical Ventilation Equipment - Lung Ventilators' as well as ASTM F 1100 'Standard Specification for Ventilators...
  • Page 127 This delay must be taken into account when comparing signals measured with an independent measuring device with the analog output of the Babylog 8000 plus ventilator. ≈ 10 kΩ Output impedance Event marker output Output is short-circuit protected.
  • Page 128 Technical Data Materials Used Materials Used Part Appearance Material Ventilation circuit (reusable) milky, transparent silicone rubber Water traps yellow, transparent polysulphone Wye, flow sensor adapter yellow, transparent polysulphone with seal for flow sensor element milky, transparent silicone rubber Expiratory valve grey aluminum housing, closure...
  • Page 129: Theory Of Operation

    Theory of Operation Contents Theory of Operation Contents Functional Description of Pneumatics ..........130 Gas Supply....................131 Measurement of Ventilation Parameters............131 Ventilation Modes................... 132 Continuous Positive Airway Pressure (CPAP).......... 132 Continuous Mandatory Ventilation (CMV)..........132 Assist Control (A/C)................133 Synchronized Intermittent Mandatory Ventilation (SIMV)......134 Pressure Support Ventilation (PSV)............135 Volume Guarantee (VG)................136 Ventilation Monitoring................
  • Page 130 Theory of Operation Functional Description of Pneumatics Functional Description of Pneumatics (Simplified) Inspiration Expiration Sintered filter Non-return valve Pressure regulator Absolute pressure sensor Solenoid valve of blender and flow unit Flow restrictor for blender and flow unit Solenoid switching valve Solenoid valve Solenoid valve 10 Non-return valve...
  • Page 131 Theory of Operation Functional Description of Pneumatics Gas Supply PEEP Compressed gases Air and O flow through filter 1 and PEEP control valve 18 generates a control pressure on the non-return valves 2 to the pressure regulators 3, the control side of expiratory valve 20, which regulates which produce a constant system pressure for both PEEP in the patient circuit.
  • Page 132 Ventilation Modes Ventilation Modes Continuous Positive Airway Pressure (CPAP) Babylog 8000 plus keeps airway pressure at the PEEP/CPAP level. The patient may breathe sponta- neously at all times. Inspiratory flow should be set significantly higher than what the patient needs for spontaneous breathing in order to avoid fluctuations of airway pressure or increased work of breathing.
  • Page 133 Only half of the set continuous flow, e.g., goes into the patient's lungs with values of C This effect of "co-ventilating" a patient circuit is shared by all ventilators. Babylog 8000 plus therefore features a flow sensor at the wye to measure true inspiratory and expiratory tidal volumes.
  • Page 134 Theory of Operation Ventilation Modes Synchronized Intermittent Mandatory Ventilation (SIMV) SIMV combines synchronized ventilation with spontane- ous breathing. Different from A/C, not each and every spontaneous inspiration is supported, but only as many as needed to ventilate a patient with the set ventilator rate.
  • Page 135 Theory of Operation Ventilation Modes Pressure Support Ventilation (PSV) PSV works essentially the same as A/C. In addition to ventilator rate, the patient will also control the duration of ventilator breaths via flow: A mandatory inspiration is terminated when flow has decreased to 15 % of maxi- mum inspiratory flow, at the latest after the set inspiratory time T In order to allow the flow to decrease during a mandatory...
  • Page 136 T set too short. In both situations, Babylog 8000 plus will display a mes- sage, if delivered V remains below 90% of target volu- The control operates in a breath-to-breath fashion. Expira-...
  • Page 137 Extensive laboratory tests have demonstrated that for all circuits encountered in the field, the inspiratory limb is responsible for approximately 70 % of total circuit resis- tance. With this estimate, Babylog 8000 plus calculates - 0.7 < P > where < P >...
  • Page 138 With an uncuffed ET-tube, breathing gas will frequently escape to ambient between trachea wall and tube. The Babylog 8000 plus flow sensor is located in the wye, i.e. before the leak. During inspiration, breathing gas will be lost after measurement, during expiration, it will be lost before being measured.
  • Page 139 Theory of Operation Ventilation Monitoring Babylog 8000 plus therefore determines the average leak flow from the difference between inspiratory minute venti- lation * and expiratory minute volume * , the latter being displayed as minute volume. Scaled to * he leakage...
  • Page 140 (TC = R . C) /C lung overdistension index according to [1] Babylog 8000 plus first saves all measured values for (t), Flow(t), and V(t) for a breath up to a length of 5 s. 120 data points per second are sampled. The data is evaluated and the results are displayed.
  • Page 141 Theory of Operation Ventilation Monitoring An on-screen warning symbol is used to indicate a possible condition of calculated values being affected in such fashion. This means that r is less than 0.95, the leak rate in the breath just evaluated is more than 20 %, or that considerable spontaneous breathing is detected.
  • Page 142 The ratio of breathing frequency and tidal volume, RVR = f / VT can help assess the outcome of weaning the patient from mechanical ventilation [1]. Therefore the Babylog 8000 plus calculates and displays RVR. In clinical practice, tidal volumes often fluctuate considerably between spontaneous breaths and mechanical ventilation cycles.
  • Page 143: Ordering Information

    45 20 808 High pressure O filter D 800130 Replacement Parts High pressure Air filter D 800132 Expiratory valve (block) Babylog 8000 plus 84 08 950 Y-piece with flow sensor 84 10 185 Circuits (use for reusable circuits) Disposable circuit...
  • Page 144: Index

    Index Index bbreviations............117 anguage, selecting........... 84 Advisory messages............ 81 Limits, values for alarms........68, 124 Alarms............... 82 Log, message............82 Alarm criteria............124 Alarm limits, setting............ 68 ain menus............24, 25 Alarm limits, testing............ 46 Maintenance intervals..........102 Assembly, patient circuit..........33 Manual ventilation device..........19 Assist Control........
  • Page 145 Index echnical data............120 Trigger response times..........121 Trigger sensitivity..........121, 139 Trigger volume..........121, 133 Troubleshooting............105 * * * * (t) display..............25 Ventilator circuit............33 Ventilator checklist............. 48 VIVE...............18, 55, 67 arning, definition............. 10 Warning messages............ 81 Water trap............
  • Page 148 These Instructions for Use apply only to Babylog 8000 plus 5.n with Serial No.: If no Serial No. has been filled in by Dräger these Instructions for Use are provided for general information only and are not intended for use with any specific machine or device.

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