Page 1 Apollo Inhalation Anesthesia Machine WARNING: For a full understanding of the performance Software 3.2n characteristics of this equipment, the user should carefully read this manual before Operating Instructions operating. Because you care Emergency Care · Perioperative Care · Critical Care · Perinatal Care...
Page 3: Table Of Contents
Setting/Selecting Ventilation Parameters ......... . . 34 Apollo Operator’s Manual...
Page 4 Connecting the Apollo to Mains Power ........
Page 5 CO2 Alarms ON->off............. 139 Apollo Operator’s Manual...
Page 6 Apollo Cleaning and Disinfection........
Page 7 Relevant Standards............. . 221 Apollo Operator’s Manual...
Page 9: Contents
Operator’s Responsibility for Patient Safety ............5 Safe Connection with Other Electrical Equipment ..........6 Indications for Use ....................6 Intended Use ....................... 6 General Warnings and Cautions ................7 Accessory Weight Limits ..................11 Symbol Definition ....................13 Abbreviations ......................14 Apollo Operator’s Manual...
Page 11: Chapter 1. Introduction
Chapter 10 - Configuration Overview The header line on each page contains the title of the The user can configure settings on the Apollo in chapter and the title of the subsection that begins on Standby mode as well as during operation. Standby...
Page 12: Trademarks
Symbols and Abbreviations Please refer to “Symbol Definition” on page 13 “Abbreviations” on page 14 for explanations. Notice This document is provided for customer information only, and will not be updated or exchanged without customer request. Apollo Operator’s Manual...
Page 13: Important Safety Information
The responsibility for the selection of the best level of patient monitoring lies solely with the equipment operator. Dräger Medical GmbH Apollo Operator’s Manual...
Page 14: Safe Connection With Other Electrical Equipment
Important Safety Information Safe Connection with Other Electrical Intended Use Equipment The Apollo is an inhalation anesthesia machine for use in operating, induction, and recovery rooms. It can be WARNING ! used with rebreathing systems, semi-closed to virtually closed systems with low flow and minimal flow...
Page 15: General Warnings And Cautions
WARNING ! The system must meet the requirements about medical electrical equipment in accordance to IEC/EN Apollo must not be used with nuclear spin 60601-1-1 and IEC/EN 60601-1-2. tomography (MRT, NMR, NMI). Operation of the workstation may be impaired and the patient may be endangered.
Page 16 (for example, in before use if the Apollo is interfaced with other door frames and elevators). Do not attempt to pull equipment. the machine over any hoses, cords, or other obstacles on the floor.
Page 17 WARNING ! If it is suspected that fluids were spilled into the To ensure patient safety: device, remove the Apollo from service as soon • This device must be used by, or on the as is practical. Turn the power switch off, unplug order of, a physician.
Page 18 DrägerService. CAUTION ! Do not place more than 100 pounds on top of the Apollo top shelf. CAUTION ! Do not place more than 44 pounds on the tabletop. CAUTION ! Device for use in health care facilities only and exclusively by persons with specific training and experience in its use.
Page 19: Accessory Weight Limits
Apollo. top shelf. In addition to the arm-mounted accessory weight limits, the following mounted accessory weights may not be exceeded: Figure 2. Accessory Weight Limits - Apollo Left Side Option Weight Apollo Left Side 30 lb. / 13.6 kg Accessory Option 25 lb.
Page 20 Chapter 1 - Introduction Important Safety Information Figure 3. Accessory Weight Limits - Apollo Right Side Option Weight OP00694 30 lb. / 13.6 kg Apollo Right Side Accessory Option 25 lb. / 11.4 kg 20 lb. / 9.1 kg Approved 15 lb.
Page 21: Symbol Definition
Symbol Definition Chapter 1 - Introduction Symbol Definition Symbol Meaning The following symbols appear on the Apollo and are defined below. Protection class type BF (body floating) Connection for equipotential bonding Symbol Meaning Attention: consult accompanying documents. Suppress alarm tone for 2 minutes; change...
Page 22: Abbreviations
Enf. Enflurane NiBP Non-invasive blood pressure ex./exp. Expiratory NTPD Normal temperature pressure dry Fresh gas (20°C, 1013 hPa, dry) FiCO Inspiratory CO concentration Oxygen Inspiratory O concentration Pascal (1 mbar = Pa x 100) FLOW Expiratory flow Apollo Operator’s Manual...
Page 23 Ratio of inspiratory pause time to INSP inspiration time Inspiration time INSP Rise time SLOPE Uninterruptible power supply Vacuum (e.g., for secretion suction) Vent. Ventilation symbols Vol. Volumeter Vol Mode Volume mode Volume-controlled ventilation Tidal volume Measured inspiratory tidal volume INSP Apollo Operator’s Manual...
Page 25: Contents
Selectatec (Optional) ..................23 Dräger Auto Exclusion 2-Vaporizer Mount (Optional) ........24 Dräger Auto Exclusion 3-Vaporizer Mount (Optional) ........24 APL Valve ........................ 25 O2 Flush ........................26 Writing Table ......................26 Gas Flow Diagram ....................27 Apollo Operator’s Manual...
Page 27: Chapter 2. System Components
Overview Chapter 2 - System Components Overview This section identifies the major physical components of the Apollo anesthesia machine and provides a brief description of specific parts. Machine Front View Lighting control (dimmer) location Central brake Screen with user interface...
Page 28: Machine Rear View
Cylinder tank yoke bar Gas supply block Cooling air filter Connector for optional halogen lamp Type plate Connectors (3) for cylinder pressure sensors (covered; access from behind gas supply block) Cylinder support bar Interface panel Scavenger connector Apollo Operator’s Manual...
Page 29: Gas Supply Block
Gas Supply Block Chapter 2 - System Components Gas Supply Block O cylinder connection Air cylinder connection cylinder connection pipeline connection Air pipeline connection O pipeline connection Apollo Operator’s Manual...
Page 30: Interface Panel
Chapter 2 - System Components Interface Panel Interface Panel Dräger Base IV system* COM 2, MEDIBUS interface COM 1, MEDIBUS interface sensor connection (optional) *not for sale in the U.S. Apollo Operator’s Manual...
Page 31: Vaporizers (Optional)
Instructions for Use provided with the vaporizer. Note: Do not mount the vaporizer park holder close to the operable vaporizer. Vaporizer Exclusion Systems The exclusion systems available for the Apollo are described below. ® Dräger Vapor Interlock 2 System Figure 4. Dräger Vapor Interlock 2 System (Optional) The Dräger Interlock 2 system is used to ensure that...
Page 32: Dräger Auto Exclusion 2-Vaporizer Mount (Optional)
Note: The Desflurane vaporizer should be installed in the far left position (1 in Figure 5) with the Dräger Auto Exclusion 3-Vaporizer Mount in order to have optimum viewing area of the display screen. Apollo Operator’s Manual...
Page 33: Apl Valve
WARNING ! Route all lines/cables away from the APL valve to prevent interference with the APL adjustment knob. Lines/cables caught underneath the APL adjustment knob could interfere with the proper functioning of this valve. Apollo Operator’s Manual...
Page 34: O2 Flush
Standby, or even if the machine is switched off. Writing Table The Apollo is equipped with a writing table (1 in Figure 9. Writing Table Figure 9) which can be moved left or right or folded down completely for convenient positioning.
Page 35: Gas Flow Diagram
Gas Flow Diagram Chapter 2 - System Components Gas Flow Diagram Apollo Operator’s Manual...
Page 37: Contents
Standard Function Keys ................... 32 Main Confirm Knob ................... 32 Standby Key ..................... 32 Flow Control Knobs ..................33 Ventilation Control Keys ................... 33 Monitoring/Configuration Control Keys ............. 34 System LED Indicators .................... 35 Screen Colors ......................35 Apollo Operator’s Manual...
Page 39: Overview
Overview Chapter 3 - User Interface Overview This chapter provides a description of the Apollo user interface, which enables you to view and change monitoring, ventilation, and status information using keys and rotary knobs. Figure 10. Standard Monitor Screen Layout...
Page 40: Standard Function Keys
> <. Then push the confirm knob to confirm. The standby key is also used to enter monitoring mode while in standby (see “Monitoring Mode” on page 126 for more information). Apollo Operator’s Manual...
Page 41: Flow Control Knobs
2. Press the confirm knob to confirm the selection. The ventilation soft keys (2 in Figure 14), located above the hard keys, are used to set ventilation parameters. These keys have variable functions, depending on the operating status or ventilation mode. Apollo Operator’s Manual...
Page 42: Setting/Selecting Ventilation Parameters
5. Push the confirm knob to confirm the new alarm limit value. 6. Exit the alarm limits menu by either: • confirming the close symbol > < with the confirm knob, or • pressing the > < key. Apollo Operator’s Manual...
Page 43: System Led Indicators
Gray type not available for selection Ventilation Soft Keys The ventilation soft keys appear green when operable and turn yellow when selected. Once the value is changed and confirmed, the soft key turns back to green. Apollo Operator’s Manual...
Page 44: Colors Of Parameter Settings/Values In Menus
Colors of Parameter Settings/Values in Menus Currently selected parameters and values in menu screens appear on an orange background. Currently selected submenus are framed in a blue border. Parameters in gray type are inactive and cannot be selected. Apollo Operator’s Manual...
Page 45: Contents
Contents Overview ......................... 39 Charging the Battery for Emergency Operation ............39 When Apollo Is Not in Use ................. 40 Installing the Breathing System and Flow Sensors ..........40 Filling and Installing the Absorber ................42 Installing the Drägersorb CLIC Adapter (Optional) ..........43 Connecting the Gas Supply ..................
Page 47: Overview
The green LED labeled > AC Power< lights up (1 in Figure 18). 2. Leave the Apollo connected to the mains for 10 hours. The workstation does not have to be switched on. Caution ! The devices connected to auxiliary power sockets will not be powered by the UPS in the event of a power failure.
Page 48: When Apollo Is Not In Use
Allowing it to run low can lead to damage. When Apollo Is Not in Use Observe the following if the Apollo is not used for an extended period of time: • Unplug the gas pipeline hoses from the wall central gas supply.
Page 49 19) so that the key on each port lines up with the slot. Install the ports and tighten by turning clockwise.Carefully seat the breathing system onto the ventilator module, and tighten the three sealing screws (1 in Figure 20) on the ventilator cover. Apollo Operator’s Manual...
Page 50: Filling And Installing The Absorber
It is recommended that Drägersorb 800 Plus or Drägersorb FREE be used. Do not use powdered soda lime, as a higher dust load may impair functionality of the Apollo workstation. 3. Fit the canister into position below the breathing system, and turn counterclockwise as far as possible..
Page 51: Installing The Drägersorb Clic Adapter (Optional)
DrägerService. WARNING ! The disposable absorber must be clicked into place before switching on the Apollo.This ensures that the absorber is included in the leak and compliance test for the machine. Figure 22. Mounting the CLIC Adapter To click the absorber into place: 1.
Page 52: Connecting The Gas Supply
LEDs on the front machine panel (1 in Figure are illuminated green. If the pipeline pressure LEDs remain dark, it Figure 24. Location of Pipeline Pressure LEDs means that the pressure is below 39 psi or that the hoses are not connected properly. Apollo Operator’s Manual...
Page 53: Connecting The Backup Gas Cylinders For N2O, Air, And O2
Chapter 4 - System Setup Connecting the Backup Gas Cylinders for N O, Air, and O The Apollo is equipped with ANSI standard Figure 25. Cylinder Yoke Locations pin-indexed hanger yokes for E-size cylinders (O yoke standard, N O and air yokes optional). The...
Page 54 2. Connect the hose from each cylinder to the corresponding fitting on the gas supply block on the back of the machine (see Figure 27). 3. Open the cylinder valves. Cylinder Cylinder Connection Connection Apollo Operator’s Manual...
Page 55 2. (Indicated pressures are for E-size cylinders at (typical full load) 70°F/21°C.) Cylinders measuring less than the minimum recommended pressure (PSI - MIN) should 1900/131 1000/69 be replaced with new, full cylinders. Nitrous Oxide 745/51 600/42 Oxygen 1900/131 1000/69 Apollo Operator’s Manual...
Page 56: Connecting The Scavenger System
Chapter 4 - System Setup Connecting the Scavenger System Connecting the Scavenger System The Apollo can be equipped with one of two kinds of scavenger systems to provide the best match with the hospital’s waste gas disposal system. Connecting the AGS Scavenger System...
Page 57: Connecting The Passive Scavenger System (Optional)
Connecting the Suction System (Optional) Figure 31. Suction System Bracket and Regulator The optional suction system for the Apollo consists of a suction regulator and a bracket that attaches to the side of the anesthesia machine. The bracket is used to hold the regulator and a suction bottle assembly of the customer’s choice.
Page 58: Installing Vaporizers
Apollo. Installing the Manual Breathing Bag Arm WARNING ! Breathing bags used on the Apollo must comply with current ANSI standards. Figure 32. Breathing Bag Arm Connection 1. Slide the bag arm assembly onto the breathing...
Page 59: Installing The Water Trap And Sample Line
Use only original sample line. Other lines may change the technical data of the device. Note: For sample lines available for use with the Apollo, see the Accessories List, P/N 8603528. CAUTION ! Sample gas lines are single-use articles and must not be disinfected.
Page 60 Silicone can get into the measuring cuvette and distort the gas measurement. WARNING ! Avoid the use of aerosols in the breathing system. Do not use the water trap in conjunction with drug nebulization. These substances can damage the diaphragm and the measurement system. Apollo Operator’s Manual...
Page 61: Connecting Ac Power
Connecting AC Power Figure 34. Location of Auxiliary Outlets on Back of Machine Connecting Auxiliary Devices The Apollo has two auxiliary outlets on the back of the machine (1 in Figure 34). Each outlet is rated 4 amps and is protected by circuit breakers.
Page 62: Connecting The Apollo To Mains Power
Figure 36. Location of AC Power LED on the rating plate on the back of the machine. • Plug the mains power plug of the Apollo workstation into the mains outlet. The green LED labeled > AC Power< lights up (1 in Figure 36).
Page 63: Contents
Chapter 5 - Preuse Checkout Contents Preuse Checkout Contents Overview ......................... 57 Checking the Workstation According to the Check List ........... 57 System Compliance Test ..................65 Leak Tests ....................... 66 Emergency Start ...................... 68 Apollo Operator’s Manual...
Page 65: Overview
Chapter 5 - Preuse Checkout Overview The preuse checkout procedure must be performed to ensure that the Apollo is ready for use. This is a recommended procedure. Follow the institution’s policies for specific procedures. If the Apollo fails any checkout routine, do not use the machine until corrective action is taken.
Page 66 37). An acoustic tone sounds. All LEDs and the loudspeakers are tested. After about 20 seconds, the initial screen is displayed. Apollo then loads its software and tests internal memory. After about 35 seconds, a check list for manual tests to be performed by the user is displayed (Figure 38).
Page 67 6. Test the function of the fresh-gas flow control knobs (3 in Figure 40). Adjust the flow control knob for each available gas and verify that the float moves freely over the full range of the total flow flowmeter (4 in Figure 40). Apollo Operator’s Manual...
Page 68 Use for the vaporizer being used. Vapor Vaporizers 2000 is shown and described below. Note: The Apollo automated self test does not check for internal vaporizer leakage. Therefore, after filling or changing vaporizers, the standby leak test should be performed on each respective vaporizer (see page 79).
Page 69 165 for diaphragm location and disassembly instructions). WARNING ! Correct operation of the workstation may be impaired by condensation flowing back into the breathing system and ventilator diaphragm. To help prevent condensation, install water traps in patient hoses. Apollo Operator’s Manual...
Page 70 Figure 43. Preparing for the Self Test 11. Prepare the Apollo for the self test as follows: a. Ensure all flow controls are closed. b. Occlude the Y-piece by inserting it onto the...
Page 71 >Start Self Test< key on the check list screen (1 Figure 44) to begin the Apollo automated self test. The automatic self test lasts approximately three minutes. The bar graph at the top of the Self Test...
Page 72 The label of the key then changes to >Undo Change<, and can be pushed again to undo the absorbent change information. The absorbent change information will be logged in the system when the Self Test Results screen is exited. Apollo Operator’s Manual...
Page 73: System Compliance Test
The clinician should perform a complete power-up self test as soon as is practical. System Compliance Test The Apollo determines the current compliance of the patient system with any filters, hoses, and a Y-piece. The system compliance test result is indicated on the Self Test Results screen by the red/yellow/green indicator and by posting the compliance value.
Page 74: Leak Tests
Chapter 5 - Preuse Checkout Leak Tests Leak Tests The Apollo tests for leaks in the mechanical Figure 50. Mechanical Ventilation Leak Test subsystem and in the Man/Spont system. Figure 50 shows the components tested in the mechanical ventilation branch. This branch is tested with positive pressure.
Page 75 Remove the vaporizers from the vaporizer mount. • Perform leak test. Note: The Apollo automated self test does not check for internal vaporizer leakage. Therefore, after filling or changing vaporizers, perform the leak test on each respective vaporizer. Apollo Operator’s Manual...
Page 76: Emergency Start
Emergency Start Emergency Start The emergency start procedure shortens the self test when the Apollo must be operational immediately. The emergency start procedure can be performed up to ten times in succession. After ten cancellations, the system will not allow another cancellation and a complete self test must be performed.
Page 77 Cancelling the self test may lead to limited functionality. Greater clinical attention is required during operation if the self test has been interrupted. The clinician should perform a complete power-up self test as soon as is practical. Apollo Operator’s Manual...
Page 79: Contents
Switch to Standby Mode ..................76 Change the Absorbent ..................76 Replace the CLIC Adapter Absorber (Optional) ..........77 Perform the Leak Test ..................79 Activating the CO2 Bypass Function (Optional) ............80 Ending Operation ....................81 Apollo Operator’s Manual...
Page 81: Overview
“Configuring the Default Settings in Standby” on page 147 for complete instructions). They are valid whenever the Apollo is switched on and are restored in the Standby screen as described below. 1. Press the >Restore Default Settings< key on the Standby screen (1 in Figure 54).
Page 82: Entering The Patient's Ideal Body Weight (Optional)
SORC (Sensitive Oxygen Ratio Controller) The Apollo is equipped with an O minimum delivery system to avoid hypoxic gas mixtures when N O is selected as the carrier gas. At flow rates of 200 mL/...
Page 83: Setting Vaporizer Concentration
Typical Operation Chapter 6 - Operation Summary Fresh Gas Failure Detection During operation, the Apollo checks that the piston cylinder unit has a sufficient level of fresh gas. If the message "FGAS LOW OR LEAK" appears, increase the fresh-gas flow; identify and repair leak.
Page 84: Changing Patients
4. Empty the used soda lime and dispose of it. 5. Fill the absorber canister to upper mark with fresh soda lime. 6. Fit the canister into position below the breathing system, and turn it counterclockwise as far as possible. Apollo Operator’s Manual...
Page 85: Replace The Clic Adapter Absorber (Optional)
CO absorption in the breathing system. 1. Press the button: the absorber swings open on its mounting. At the same time, the breathing system is sealed, and ventilation continues. 2. Remove the disposable absorber from the mounting. Apollo Operator’s Manual...
Page 86 4. Push the absorber into the machine until it engages. 5. After ending the case, perform a leak test to determine leak and compliance data. 6. Reset the absorbent change log to actual date (see page 64). Apollo Operator’s Manual...
Page 87: Perform The Leak Test
4. When the results of the test are posted, press the >Exit< key (1 in Figure 57) to return to the Standby screen. 5. Turn the handwheel of the vaporizer being tested to the “0” position. 6. Repeat leak test for each additional installed vaporizer, if present. Apollo Operator’s Manual...
Page 88: Activating The Co2 Bypass Function (Optional)
• To deactivate the CO bypass function, swing Figure 59. Pushing CLIC Adapter Back into Place the disposable absorber (2 in Figure 59) back into the system until it engages. Apollo Operator’s Manual...
Page 89: Ending Operation
The workstation is now in standby. The fresh-gas flow should be turned off. To turn the Apollo off completely (from standby): Figure 60. Apollo Shut Down Screen 1. Press the main power switch on the front of the machine.
Page 90 Chapter 6 - Operation Summary Ending Operation WARNING ! The flow control valves should be closed when the machine is in the standby mode or when it is switched off. Apollo Operator’s Manual...
Page 91: Contents
Frequency Changes ..................101 PEEP Changes ....................101 TINSP Changes ....................100 Auxiliary Common Gas Outlet (CGO) Ventilation (Optional) ......... 102 To divert fresh gas to the auxiliary CGO: ............103 Presetting the auxiliary CGO monitoring ........... 103 Apollo Operator’s Manual...
Page 92 Chapter 7 - Ventilation Contents Starting auxiliary CGO monitoring .............. 103 Ending Auxiliary CGO Ventilation ............... 105 Ventilating Children ....................105 Apollo Operator’s Manual...
Page 93: Overview
Overview Chapter 7 - Ventilation Overview The Apollo supports the following ventilation modes: • manual/spontaneous ventilation • volume-controlled ventilation (with or without synchronization and optional pressure support) • pressure-controlled ventilation (with or without synchronization and optional pressure support) • pressure support ventilation (optional)
Page 94: Manual/Spontaneous Ventilation
Rotate the APL valve adjustment knob fully counterclockwise, until the index mark on the knob lines up with the index mark on the bottom of the valve (1 in Figure 61). The valve is now open for spontaneous patient breathing. Apollo Operator’s Manual...
Page 95: Starting Manual/Spontaneous Ventilation
1 to 120 kg, displayed continuously. Manual/spontaneous >Weight< [kg/lb] 1 to 240 lb ventilation begins. 1. Site defaults can be set instead. 5. Set an appropriate fresh-gas flow. Verify 2. Optional adequate flow by checking the total flow meter. Apollo Operator’s Manual...
Page 96 There is 15-second timeout period for making ventilation mode changes, with a 5-second audible tone sequence after the first 10 seconds. If the new setting is not confirmed within the timeout period, the current ventilation setting remains in effect. Apollo Operator’s Manual...
Page 97: Volume-Controlled Ventilation
Volume-Controlled Ventilation Chapter 7 - Ventilation Volume-Controlled Ventilation The Apollo has a volume-controlled ventilation mode Figure 63. Respiratory Cycle - Volume Mode with fixed mandatory tidal volume (V and frequency Pressure (Freq). Synchronization can be activated, as well as Trigger indicator...
Page 98: Starting The Volume Ventilation Mode
5-second audible tone sequence after the 5. Optional. first 10 seconds. If the new setting is not confirmed within the timeout period, the current ventilation setting remains in effect. Apollo Operator’s Manual...
Page 99: Synchronized Volume-Controlled Ventilation
(trigger indicator). The active window for the stroke triggered by the patient corresponds to the last 25% of the applicable expiratory time. The actual trigger status is shown above the ventilation parameter soft keys. Apollo Operator’s Manual...
Page 100: Synchronized Volume-Controlled Ventilation With Pressure Support (Optional)
(set to “OFF”). Pressure support (∆P ) is automatically deactivated when the trigger is deactivated (set to “OFF”). Trigger status is shown above the ventilation parameter soft keys (2 in Figure 66). Apollo Operator’s Manual...
Page 101: Pressure-Controlled Ventilation
Pressure-Controlled Ventilation Chapter 7 - Ventilation Pressure-Controlled Ventilation The Apollo has a pressure-controlled ventilation Figure 67. Respiratory Cycle - Pressure Mode mode with fixed pressure limitation (P ) and INSP Pressure Trigger indicator Trigger indicator frequency (Freq). Synchronization can be activated, as well as variable pressure support for spontaneous breathing efforts (optional).
Page 102: Starting The Pressure Ventilation Mode
3. The resultant ratio of inspiration to expiration (I : E) is also displayed in parallel. 4. Depending on the configuration, the pressure limit ( can be INSP) changed automatically together with adjustment of the PEEP value. See the “Configuration” chapter. 5. Optional. Apollo Operator’s Manual...
Page 103: Synchronized Pressure-Controlled Ventilation
(trigger indicator). The active window for the stroke triggered by the patient corresponds to the last 25% of the applicable expiratory time. The actual trigger status is shown above the ventilation parameter soft keys. Apollo Operator’s Manual...
Page 104: Synchronized Pressure-Controlled Ventilation With Pressure Support (Optional)
(set to “OFF”). Pressure support (∆P ) is automatically deactivated when the trigger is deactivated (set to “OFF”). Trigger status is shown above the ventilation parameter soft keys (2 in Figure 70). Apollo Operator’s Manual...
Page 105: Pressure Support Ventilation (Optional)
Pressure Support Ventilation (Optional) Chapter 7 - Ventilation Pressure Support Ventilation (Optional) The Apollo has an optional pressure-assisted Figure 71. Respiratory Cycle - Pressure Support Mode ventilation mode. It is intended to reduce the work of Trigger indicator Trigger indicator...
Page 106: Starting Pressure Support Ventilation
(4 in Figure 72). The parameter soft keys turn green and display the preset parameter values. The “Press. Support” indication in the status field stops flashing and is displayed continuously. Pressure support ventilation begins. Apollo Operator’s Manual...
Page 107 1. Site defaults can be set instead. 2. The inspiratory time is limited by adjustment of Freq. to yield a maximum ratio of 1:1 for (I : E), thus ensuring an adequate expiratory time. 3. Optional Apollo Operator’s Manual...
Page 108: When Changing Between Ventilation Modes
With the proper configuration setting in the Standby Configuration screen, certain ventilation parameters change automatically when a related parameter is changed. See the “Configuration” chapter for complete information. TINSP Changes may be reduced simultaneously if T SLOPE INSP reduced. Apollo Operator’s Manual...
Page 109: Frequency Changes
Both the PEEP and the P keys turn green. INSP In addition, if so configured, the PAW low alarm limit will be automatically changed when the PEEP value is changed. Apollo Operator’s Manual...
Page 110: Auxiliary Common Gas Outlet (Cgo) Ventilation (Optional)
, air, and anesthetic gases: 1. Connect the sample line to the Luer lock connection on the mask manifold and to the water trap connection on the front of the Apollo (1 in Figure 75). For mask manifolds without a sample line connector: •...
Page 111: To Divert Fresh Gas To The Auxiliary Cgo
1 to 240 lb monitoring begins. 1. Site defaults can be set instead. 6. Set an appropriate fresh-gas flow. The fresh gas 2. Optional supply must be equal to at least twice the minute volume in order to exclude rebreathing. Apollo Operator’s Manual...
Page 112 Y-piece of the breathing hoses connected to the breathing system. WARNING ! If the bag does not inflate, switch to the Apollo internal breathing system. CAUTION ! Ambient air may become contaminated with anesthetic agent when using non-rebreathing systems.
Page 113: Ventilating Children
>Aux CGO<. The LED of the selected ventilation mode key and the status field flash on and off. 2. Press the confirm knob. The ventilation is switched to the Apollo internal rebreathing system. Note: When changing back to the Apollo rebreathing system, reconnect the sample line to the Y-piece.
Page 115: Contents
Gas Measurement ....................117 Calibration ....................117 CO2 and O2 ....................117 Anesthetic agents ..................117 Minimum alveolar concentration (MAC) definition ........118 Calculating the MAC factors ..............118 Loops (Optional) ....................120 Datalog ........................121 Screen Timer ......................122 Apollo Operator’s Manual...
Page 116 Chapter 8 - Monitoring Contents The Data Screen ....................123 The Trend Screen ....................124 Monitoring Mode ....................126 SpO2 Measurement (Optional) ................127 Apollo Operator’s Manual...
Page 117: Overview
Overview Chapter 8 - Monitoring Overview The Apollo has three basic screens for the display of monitoring information: standard, data, and trend. The gas measurement and gas delivery windows remain displayed in all three screens, but the information presented in the graphical/numerical window will change, depending on the selected screen and user configuration.
Page 118: Customizing The Standard Screen Display
Continue to select other curves/modules. 5. Exit the config window by either: • confirming the exit symbol > < with the confirm knob, or • pressing the > < key. Apollo Operator’s Manual...
Page 119: Displayed Parameters
DrägerService representative. Concentration • Curve display • Numerical display: - FiO (fractional inspiratory O concentration) - exO (expiratory O concentration) - ∆O (difference between inspiratory and expiratory O concentration) • Trend curve for O Apollo Operator’s Manual...
Page 120: Anesthetic Gas
Loops (Optional) Shows two pairs of measured values that are plotted against each other. Each pair appears as a loop: the Pressure/Volume loop and the Flow/Volume loop. “Loops (Optional)” on page 120 for more detailed information. Apollo Operator’s Manual...
Page 121: Virtual Flow Tubes
Shows pipeline and cylinder gas supply pressures in tabular form. Ventilation Source Module Shows the indicators for the ventilation sources (with the active source highlighted) and displays the P real-time signal. Manual ventilation (Man/Spont) Non-rebreathing system at the common gas outlet Automatic ventilation Apollo Operator’s Manual...
Page 122: Vt/Paw Module
) as bar graphs, as well as a numerical value for inspiratory tidal volume (V ), expiratory tidal INSP volume (V ), and the difference between inspiratory and expiratory tidal volume (∆V ). See “Volumeter Module” on page 116 for more information on the tidal volume graph. Apollo Operator’s Manual...
Page 123: The Low Flow Wizard
(leak + uptake) Gas consumption depends on patient uptake, leakage, and the CO volume converted in the absorber. If fresh gas data is unavailable, the bar graph will be inactive and the text will appear grayed out. Apollo Operator’s Manual...
Page 124: Volumeter Module
The measurement begins and stops automatically after 60 seconds. The volumeter is stopped if the confirm knob is pushed again within 60 seconds; the values are deleted and the confirm knob must be pushed again to restart. Apollo Operator’s Manual...
Page 125: Gas Measurement
N O, halothane, enflurane, isoflurane, desflurane, and sevoflurane is measured. Apollo automatically identifies the anesthetic agent used and adjusts the measurement and monitoring of the anesthetic gas concentration to suit the gas identified. When no anesthetic agent is applied, the message “No agent”...
Page 126: Minimum Alveolar Concentration (Mac) Definition
Calculating the MAC factors The MAC value is a simple navigation aid for determining the dosage of anesthetic agent. Apollo takes into account age correction, altitude correction and mixture calculation. The influence of other medication (opiates or intravenous hypnotics) is not taken into account when calculating MAC factors.
Page 127 MAC for 1 year shall apply. Note: The user can configure whether or not the MAC factor shall be displayed AND whether or not the MAC factor shall be corrected for patient age (see page 150 and page 162). Apollo Operator’s Manual...
Page 128: Loops (Optional)
Standby mode. To remove the loops from the screen: • Press the >Exit Loops< soft key while in the loops screen (2 in Figure 84). The loops are removed and the two lower curves are displayed again. Apollo Operator’s Manual...
Page 129: Datalog
< key on the side of the monitor screen To delete datalog data: The datalog can be cleared only when the Apollo is in Standby. Datalog and trend data are cleared simultaneously. Complete instructions are provided “Deleting Trend Data” on page 125.
Page 130: Screen Timer
To reset the timer to zero after it’s stopped: • Press the >Reset timer< soft key (1 in Figure Figure 89. Reset Timer Soft Key 89). The time is reset and the key label changes back to >Start timer<. Apollo Operator’s Manual...
Page 131: The Data Screen
The modules displayed below the numerical values are the same as those configured for the standard screen (see “Customizing the Standard Screen Display” on page 110). Apollo Operator’s Manual...
Page 132: The Trend Screen
To select the area for magnification: • Turn the confirm knob to move the zoom rectangle to the desired area To enlarge the selected area: • With the zoom rectangle positioned where desired, push the confirm knob. The area Apollo Operator’s Manual...
Page 133 30 minutes of trend data. Deleting Trend Data Trend data can be cleared only when the Apollo is in Figure 94. Delete Trend Key on Standby Screen Standby. Trend data and datalog data are cleared simultaneously.
Page 134: Monitoring Mode
Figure 97). To exit monitoring mode and begin ventilation: • Press any of the ventilation keys at bottom of the display panel (3 in Figure 97), and confirm by pressing the confirm knob (2 in Figure 97). Apollo Operator’s Manual...
Page 135: Spo2 Measurement (Optional)
Only Nellcor sensors may be used (see the Accessories List, P/N 8603528) for list of available sensors). The new Oximax modules implemented in the Apollo are only compatible with the new Oximax sensors (purple probe or white probe for MAX FAST).
Page 136 • duration of use Figure 98. Location of SpO Sensor Connection Connecting the SpO Sensor to the Apollo Connect the SpO sensor to the SpO sensor connection on the back of the machine (see Figure 98).
Page 137: Tips To Prevent Artifacts
The sensor must be protected from exposure to bright light (e.g., surgical lamps and direct sunlight), otherwise the pulse signal may fail or the results may be inaccurate. CAUTION ! Intravascular dyes, such as methylene blue, may impair measurement accuracy. Apollo Operator’s Manual...
Page 139: Contents
Limit-Based Alarms Activated in Respective Ventilation Modes ......138 Disabling/Enabling Alarms Globally During Operation .......... 139 CO2 Alarms ON->off ..................139 SpO2 Alarms On/Off (optional) ................ 140 Bypass Mode ....................140 Displaying and Setting Alarm Limits ..............141 Auto-Set of Alarm Limits .................. 143 Apollo Operator’s Manual...
Page 141: Alarm Priorities
- yellow LED alarm indicator lights continuously - a single tone sounds (some lower priority advisories have no acoustic tone) For a complete list of Apollo alarm messages, see “Alarm – Cause – Remedy” on page 197 of this manual.
Page 142: Downgrading Alarm Priorities
Setting the Alarm Tone and Volume The alarm tone sequence and volume can be set by the user in the Standby configuration screen. See page 149 for complete instructions. The alarm volume can also be set during operation (see page 161). Apollo Operator’s Manual...
Page 143: Alarm Display
15 seconds (see Figure 102). The curve reappears when the soft key >Show All Alarms< is pressed again or when the 15 seconds have expired. Figure 102. Additional Alarm Fields Apollo Operator’s Manual...
Page 144: Suppressing Alarms
During Operation” on page 139) or individually in the alarm limits menu (see “Displaying and Setting Alarm Limits” on page 141). Globally disabled alarms are identified by the symbol “ “ alongside the corresponding parameter (3 in Figure 103). Apollo Operator’s Manual...
Page 145 Suppressing Alarms Chapter 9 - Alarms If only individual high or low alarm limits have been > < disabled, the corresponding symbol “ “ or “ “ will appear alongside certain parameters instead. Apollo Operator’s Manual...
Page 146: Limit-Based Alarms Activated In Respective Ventilation Modes
Limit-Based Alarms Activated in Respective Ventilation Modes When a ventilation mode is changed, the Apollo sets the alarms ON or OFF as indicated in the table below. Some alarms can be then be enabled or disabled manually by the user.
Page 147: Disabling/Enabling Alarms Globally During Operation
Figure 106). 2. Select and confirm the “Alarms On/Off” column using the confirm knob. 3. Select and confirm the “CO ” option using the confirm knob. 4. Select and confirm “On” or “Off” using the confirm knob. Apollo Operator’s Manual...
Page 148: Spo2 Alarms On/Off (Optional)
Bypass mode remains activated when changing ventilation modes; it is deactivated when the machine is set to Standby. Deactivating bypass mode immediately enables all and pressure apnea alarms, but SpO measurement and alarms are enabled only when a pulse signal is detected. Apollo Operator’s Manual...
Page 149: Displaying And Setting Alarm Limits
The alarm limit becomes highlighted in yellow. 2. Turn the confirm knob until the desired value is displayed, and push to confirm. The new alarm limit is now active. The cursor returns to the exit “ “ symbol. Apollo Operator’s Manual...
Page 150 0 to 9.8, -- 5 to 99 > [cmH < 0 to 35 To exit the alarm limits menu: • confirm the exit symbol “ “ with the confirm knob, or • press the > < key. Apollo Operator’s Manual...
Page 151: Auto-Set Of Alarm Limits
The new alarm limits for P are calculated on the basis of the mean values for PEAK, PLAT, and PEEP over the last four ventilation strokes. Spontaneous breaths by the patient and triggered pressure support strokes are not taken into account. Apollo Operator’s Manual...
Page 152 If the mean of the last (up to four) measured breaths cannot be calculated, the measured value of the last breath is used instead. Volume mode, pressure mode, pressure support mode PEAK + 5 cmH high alarm limit [cmH PLAT + 10 cmH whichever is greater (PLAT –...
Page 153 Alarms in Man/Spont ................. 153 Other Alarm Settings ................. 154 Adjustment Ranges for Default Alarm Limits ..........155 Ventilator and Gas Supply ................156 Parameter Default Values ................156 Gas Supply Checks ................... 156 Body Weight Related Ventilator Settings ........... 156 Apollo Operator’s Manual...
Page 154 Units ......................162 Agent Monitoring ..................162 Datalog Entries ....................163 Logbook entries triggered by ..............163 System Info ...................... 164 General info ....................164 Trace 1, Trace 2, Trace 3 ................164 Exiting Configuration ..................164 Apollo Operator’s Manual...
Page 155: Overview
Overview Chapter 10 - Configuration Overview The user can configure settings on the Apollo in Standby mode as well as during operation. Standby configuration allows the user to save a complete set of defaults that are invoked automatically when the machine is switched on (see “Configuring the Default...
Page 156 • Ventilator and gas supply • System Info A black soft key indicates which screen is currently active. Green soft keys indicate which screens are available for selection. Each configuration screen is described in the following paragraphs. Apollo Operator’s Manual...
Page 157: System Settings
- 9 is maximum volume Alarm Tone Sequence - European Standard - Dräger Date/Time - day, month, year - hh:mm Time Format - 12 hrs. - 24 hrs. Language This selects the language of the display text. - English (US) Apollo Operator’s Manual...
Page 158: Parameters
“auto” option. If the “auto” option is selected for CO , Flow, or , the Apollo will automatically adjust the scale to the next higher or lower scale if the current scale is exceeded.
Page 159: Interfaces Logbook
This is the data transmission rate (settings variable; refer to the Instructions for Use for the devices to be connected). The Parity, Data bits, and Stop bits cannot be configured. They are shown for information purposes only. Apollo Operator’s Manual...
Page 160: Screen Layout
118). Any of the curves or modules can be configured as “blank”. Each curve or module can only be selected once; if the same curve or module is selected a second time, the previous one is automatically set to “blank”. Apollo Operator’s Manual...
Page 161: Alarm Limits
, MV, and Agent (I) low settings are set to “Yes”, the alarm value is adopted from the automatic ventilation mode. When they are set to “No”, the alarms are disabled in Man/ Spont, Aux. CGO, or Monitoring mode. Apollo Operator’s Manual...
Page 162: Other Alarm Settings
“O CYLINDER LOW” is displayed. This setting appears only if the O cylinder has been configured as a gas supply (see “Gas Supply Checks” on page 156). Apollo Operator’s Manual...
Page 163: Adjustment Ranges For Default Alarm Limits
6 bpm and in pressure support mode with a minimum frequency (Freq ) of less than 6 bpm or when set to OFF. Certain alarms can be disabled automatically in Man/ Spont, Monitoring mode, and Aux. CGO mode (optional) (see page 153). Apollo Operator’s Manual...
Page 164: Ventilator And Gas Supply
1. Using the confirm knob, select and confirm “Yes” or “No”. If “Yes” is selected, a table appears with predetermined weight classes and Vt and Freq settings (1 in Figure 122). Apollo Operator’s Manual...
Page 165: Ventilator Default Settings
(I:E) remains constant. If this setting is set to “No”, T will be independent INSP of the change in frequency, and the I:E ratio will change accordingly. Apollo Operator’s Manual...
Page 166 In the Pressure Mode, the PAW low alarm limit will not exceed the PINSP - 2. This is also true for changes to PINSP. In the Pressure Support Mode, PEEP + ∆P - 2 will not be exceeded. This is also true for changes to ∆P Apollo Operator’s Manual...
Page 167: System Information
United States. Exiting Standby Configuration • Press the >Exit< soft key on the main configuration menu. The default settings are effective immediately upon exiting Standby configuration and remain in effect over a power cycle. Apollo Operator’s Manual...
Page 168: Configuration During Operation
These settings are a subset of the defaults the user can configure in Standby configuration. However, unlike the defaults, these settings remain in effect only until the Apollo is switched off. To configure settings during operation: •...
Page 169: Volumes/Alarms
Pulse Volume (for SpO , optional) - 0 is off - 9 is maximum volume Alarms On/Off This setting is used to enable/disable CO alarms, optional SpO alarms, and bypass mode (see page 139 and page 140 for complete information). Apollo Operator’s Manual...
Page 170: Param Settings
“auto” option. If the “auto” option is selected for CO , Flow, or , the Apollo will automatically adjust the scale to the next higher or lower scale if the current scale is exceeded.
Page 171: Datalog Entries
- Warning Alarms: Yes or No Entries will be made with every occurrence of a warning alarm (if set to Yes). - Caution Alarms: Yes or No Entries will be made with every occurrence of a caution alarm (if set to Yes). Apollo Operator’s Manual...
Page 172: System Info
Trace 1, Trace 2, Trace 3 These selections display internal equipment states and parameters. Exiting Configuration • Press the >Exit Config< soft key on the configuration menu. The settings are effective immediately and remain in effect until the machine is switched off. Apollo Operator’s Manual...
Page 173 Cleaning and Disinfection Guidelines ..............173 Proper Cleaning/Disinfection Sequence ............173 Cleaning/Disinfection Objective and Methods ..........173 Disinfecting/Cleaning/Sterilizing ..............175 Care List for Apollo Components ................178 Reassembling Components .................. 179 Assembling the breathing system .............. 179 Inserting the flow sensors ................179 Installing the ventilator diaphragm .............
Page 174 Chapter 11 - Cleaning and Maintenance Contents Connecting the Suction System (optional) ..........184 Apollo Maintenance ....................185 Definitions ......................185 Maintenance intervals ..................185 Routine Maintenance ..................186 Draining the Water Trap ................186 Replacing the Water Trap ................186...
Page 175: Apollo Cleaning And Disinfection
Apollo Cleaning and Disinfection This section of the manual provides complete instructions for the disassembly and cleaning of the Apollo anesthesia machine. Note: Set the Apollo to Standby before disassembly. Figure 132. Removing the Sample Line Disassembling Components Removing the sample line •...
Page 176: Removing The Patient System Hoses
Chapter 11 - Cleaning and Maintenance Apollo Cleaning and Disinfection Removing the patient system hoses • Disconnect the breathing hoses from the Figure 134. Patient System Hoses breathing system (1 in Figure 134). • Disconnect the various parts of the hose system, including breathing hoses, Y-piece, connector, and optional Y-piece filter.
Page 177: Removing The Absorber
Apollo Cleaning and Disinfection Chapter 11 - Cleaning and Maintenance Removing the absorber Figure 136. Removing Absorber and Breathing System 1. Swing the writing table out of the way. 2. Press the release button on the ventilator unit and pull it out.
Page 178: Removing The Flow Sensors
Chapter 11 - Cleaning and Maintenance Apollo Cleaning and Disinfection Removing the flow sensors 1. Remove the inspiratory and expiratory ports (1 in Figure 138. Removing the Flow Sensors Figure 138) by turning counterclockwise. 2. Remove the flow sensors (2 in Figure 138).
Page 179: Removing The Ags Scavenger System (Optional)
Apollo Cleaning and Disinfection Chapter 11 - Cleaning and Maintenance Removing the AGS scavenger system (optional) 1. Remove the waste gas vacuum hose connected Figure 141. AGS Scavenger System between the hospital waste gas disposal system and the output connection (3 in...
Page 180: Removing The Passive Scavenger System (Optional)
Chapter 11 - Cleaning and Maintenance Apollo Cleaning and Disinfection Removing the passive scavenger system (optional): 1. Remove the waste gas hose connected between Figure 143. Passive Scavenger System the hospital waste gas disposal system and the bottom connection on the scavenger (1 in Figure 143).
Page 181: Cleaning And Disinfection Guidelines
Sterility is required only for the intubation tube and bronchial aspiration catheter. The following disinfection methods may be used: • Disinfection by wiping the surface of the device (see “Choice of disinfectant” on page 175) Apollo Operator’s Manual...
Page 182 • Mechanical cleaning with high-temperature F) , ≥10 min). This is disinfection (≥93 C (199 the preferred method for many Apollo components; a suitable cleaning agent must be added. • Manual disinfection in a bath. Extensive personal protection is required due to inhalation of vapors.
Page 183: Disinfecting/Cleaning/Sterilizing
The supplier/manufacturer of the cleaning agent/disinfectant should be contacted if there is any doubt as to the suitability of a product. Surfaces Surfaces of Apollo, compressed gas hoses, and cables: • Wipe off impurities with a damp disposable cloth.
Page 184 Leave the sensor to dry in air for at least 30 minutes, otherwise the sensor may be damaged by remaining alcohol when calibrated. • The SpiroLife flow sensor may be sterilized at C (273 F) in hot steam. Apollo Operator’s Manual...
Page 185 24 hours of operation. This will ensure that the adapter is cleaned, disinfected, and dried. WARNING ! If condensation flows back from the breathing tubes into the adapter (tubes routed upwards), the breathing tubes must be regularly drained at short intervals. Apollo Operator’s Manual...
Page 186: Care List For Apollo Components
CAUTION ! The table is intended as a guide. Follow the institution’s Apollo and its components must not be treated with policies regarding specific methods and agents for formaldehyde vapors or ethylene oxide. cleaning and sterilization.
Page 187: Reassembling Components
Flow sensors must be recalibrated after replacement by performing the power-on self test (see Chapter 5). Figure 147. Inserting the Ventilator Diaphragm Installing the ventilator diaphragm • Insert the ventilator diaphragm so that the Dräger legend is visible (1 in Figure 147). Apollo Operator’s Manual...
Page 188: Installing The Breathing System
It is recommended that Drägersorb 800 Plus or Drägersorb FREE be used. Do not use powdered soda lime, as a higher dust load may impair functionality of the Apollo workstation. 3. Fit the canister into position below the breathing system, and turn counterclockwise as far as possible.
Page 189: Installing The Manual Breathing Bag And Arm
Installing the Manual Breathing Bag and Arm Figure 150. Breathing Bag Arm Connection WARNING ! Breathing bags used on the Apollo must comply with current ANSI standards. 1. Slide the bag arm assembly onto the breathing bag port on the side of the breathing system (1 in Figure 150).
Page 190: Connecting The Breathing Hoses
Reassembling Components Connecting the Breathing Hoses Figure 151. Breathing Hose and Water Trap Connections WARNING ! Breathing hoses used on the Apollo must comply with current ANSI standards. WARNING ! Do not use antistatic or conductive breathing hoses. There is a risk of burns when using high frequency electrosurgical equipment.
Page 191: Reassembling The Ags Scavenger System (Optional)
If necessary, regulate flow using the flow adjustment valve (4 in Figure 153). WARNING ! Do not block the openings in the AGS scavenger system. Blocking the openings could result in a shortage of fresh gas in the breathing system. Apollo Operator’s Manual...
Page 192: Connecting The Passive Scavenger System (Optional)
Connecting the Suction System (optional) Figure 155. Suction System Bracket and Regulator The optional suction system for the Apollo consists of a suction regulator and a bracket that attaches to the side of the anesthesia machine. The bracket is used to hold the regulator and a suction bottle assembly of the customer’s choice.
Page 193: Apollo Maintenance
BATTERY LOW is displayed or every three years. Must be disposed of in accordance with local waste disposal regulations. Inspection and maintenance Must be carried out once per every 6 months by authorized representative of DrägerService. Apollo Operator’s Manual...
Page 194: Routine Maintenance
Figure 156, and pull it out of its holder. Dispose of it in an appropriate manner. 2. Mark the new water trap with the current date. 3. Push the new water trap into the holder until it clicks into place. Apollo Operator’s Manual...
Page 195 Do not allow any alcohol or cleaning agents/ disinfectants to come into contact with the inside of the water trap. Do not wash, flush or sterilize the water trap. These substances can damage the diaphragm and the measurement system. Apollo Operator’s Manual...
Page 197 Ventilator Failure ....................193 Fresh Gas Delivery Failure ..................194 Ventilator and Fresh Gas Delivery Failure ............. 195 Display Failure ....................... 196 User Interface Failure .................... 196 System Failure ...................... 196 Alarm – Cause – Remedy ..................197 Apollo Operator’s Manual...
Page 199: Overview
Chapter 12 - Troubleshooting Overview This section discusses several types of failure that may occur on the Apollo and provides courses of action following the failure. An alphabetical list of all Apollo alarms and their causes and remedies is provided on page 197.
Page 200: Gas Failure
Chapter 12 - Troubleshooting Gas Failure Gas Failure If the gas supply fails, the Apollo displays a message Figure 159. NO O2 SUPPLY Alarm Message in the status field at the top of the screen, corresponding to the failed gas: “NO AIR SUPPLY”, “NO N2O SUPPLY”, or “NO O2 SUPPLY”...
Page 201: Ventilator Failure
If pressure or volume monitoring fails, adequate substitute monitoring must be ensured. WARNING ! If the ventilator fails, the Apollo will automatically switch to the Man/Spont mode. The patient must be manually ventilated!. WARNING ! If pressure or volume monitoring fails, make sure adequate substitution monitoring is implemented!.
Page 202: Fresh Gas Delivery Failure
• Check vaporizer setting • Set O2 flow to the desired level using the total flow meter • Note: Refer to the total flow meter for approximate flow (see the Specifications section of the manual for accuracy). Apollo Operator’s Manual...
Page 203: Ventilator And Fresh Gas Delivery Failure
“Ventilator failure! Only manual ventilation possible.” The machine automatically switches to Monitoring mode. • Ventilate the patient manually Note: Refer to the total flow meter for approximate flow (see the Specifications section of the manual for accuracy). Apollo Operator’s Manual...
Page 204: Display Failure
If fresh gas is still not delivered: • close all flow controls • disconnect the patient from the workstation and use another device • turn the workstation off Apollo Operator’s Manual...
Page 205: Alarm - Cause - Remedy
The list is intended to help identify the cause of an alarm message and to remedy the fault rapidly. Apollo divides alarm messages into three categories based on Machine-related alarms identified by an asterisk (*) can be priority and identified by different colors:...
Page 206 Caution = Apnea flow for 0 to 30 seconds. Warning = Apnea flow for > 30 seconds. 3. Apnea alarms are categorized based on time: Caution = Apnea pressure for 0 to 30 seconds. Warning = Apnea pressure for > 30 seconds. Apollo Operator’s Manual...
Page 207 CO2 gas measurement system has failed. Use external gas measuring system. Call DrägerService. Advisory COM PORT 1 FAIL Communication via the corresponding Check the plug connection on Apollo and COM PORT 2 FAIL COM port has been interrupted. the on-line equipment.
Page 208 4. Displayed in Standby mode only. 5. At high ventilation frequencies, the measured value cannot keep up completely with the gas concentration for reasons due to the system. Alarm can be downgraded to specified lower priority or canceled. Apollo Operator’s Manual...
Page 209 Warning = insp. gas concentration > high alarm limit for > 180 seconds. or Warning = MAC value > high alarm limit. 3. Alarms can be activated and deactivated in the default configuration for Man.Spont. Alarm can be downgraded to specified lower priority or canceled. Apollo Operator’s Manual...
Page 210 Connect a full N O cylinder or open the cylinder valve. 1. Alarms can be activated and deactivated in the default configuration for Man.Spont. 2. Displayed in Standby mode only. Alarm can be downgraded to specified lower priority or canceled. Apollo Operator’s Manual...
Page 211 1. Disconnect the connector from the wall supply in the event of a prolonged gas failure. Otherwise the central gas supply may become contaminated! Alarm can be downgraded to specified lower priority or canceled. 2. This alarm can be deactivated by trained service personnel at customer request. Apollo Operator’s Manual...
Page 212 Advisory PRESSURE RELIEF Internal pressure relief valve opened due Check APL valve settings. to high system pressure. Check fresh gas settings. 1. Displayed in Standby mode only. Alarm can be downgraded to specified lower priority or canceled. Apollo Operator’s Manual...
Page 213 2. Displayed in Standby mode only. 3. Anesthetic gas scavenging is not active when the ventilator unit is pulled out. The ambient air may become contaminated with anesthetic agents! Alarm can be downgraded to specified lower priority or canceled. Apollo Operator’s Manual...
Page 214 Grayed out measured values The set value differs from the delivered value. The specified accuracy cannot be maintained. “- -” (dashes) displayed Alarm limit is disabled. Set alarm limits (see page 141). instead of measured values 1. Applies for all CO and SpO alarms. Apollo Operator’s Manual...
Page 215 Frequency Measurement ................215 O2, CO2, and Anesthetic Gas Measurement ..........216 Interfaces ......................219 CLIC Adapter Technical Data ................. 219 AGS Scavenger ....................220 Latex Use ....................... 221 Electromagnetic Interference Resistance ............221 Relevant Standards ..................221 Apollo Operator’s Manual...
Page 217: Specifications
Machine weight (ready for operation, without approx. 363 lbs. (165 kg) vaporizers and gas cylinders) Weight of breathing system without soda lime approx. 9.7 lbs. (4.4 kg) Monitor Screen Flat screen, color, TFT, 12.1” diagonal, 800 x 600 pixels Apollo Operator’s Manual...
Page 218: Operating Data
Noise emission in normal operation with <50 dB(A) ventilation (breathing sound set to OFF) Electrical Data Protection class Workstation I, in accordance with IEC 601-1 sensor Type BF electrically isolated from protective conductor Electromagnetic compatibility (EMC) Tested to IEC 601-1-2 Apollo Operator’s Manual...
Page 219: Fresh Gas Data
1.0 L/min (from 2 to 10 L/min) flush >35 L/min Auxiliary O Flowmeter Connection Staged connector for use with different hose diameters Fresh-gas flow 0 to 10 L/min Accuracy ± 5% of full scale Resolution 0.5 L/min Apollo Operator’s Manual...
Page 220: Breathing System
(Optional) Connection Dia 22mm ISO cone (male) with dia. 15mm ISO cone (female) Pressure limitation max. 80 cmH O at 18 L/min Fresh-gas flow 0 to 18 L/min (tolerances as in “Fresh Gas Data”, see page 211) Apollo Operator’s Manual...
Page 221: Ventilator
PEEP settings and long expiratory phases. ** Due to gas measurement sampling and leaks (both at the patient and in the device), the end-expiratory PEEP value may be lower than specified at the end of long expiratory phases. Apollo Operator’s Manual...
Page 222: Measuring Systems
0 to 3600 psi Resolution of the indication 14.5 psi Accuracy ±4% or ±87 psi Breathing pressure gauge Range –20 to 80 cmH Resolution 5 cmH Accuracy ±5% of the measured value or ±2 cmH O, whichever is greater Apollo Operator’s Manual...
Page 223: Frequency Measurement
) or ±0.01 L/min, whichever is greater LEAK Frequency Measurement Frequency Freq./spont. Freq. Range 1 to 100 bpm Resolution of the indication 1 bpm Accuracy ±10% or ±1 bpm, whichever is lower (6 to 100 bpm); ±0.3 bpm (<6 bpm) Apollo Operator’s Manual...
Page 224: O2, Co2, And Anesthetic Gas Measurement
Resolution of the measurement 0.1 Vol.% Resolution of the indication 0.1 Vol.% (for insp. and exp. anesthetic agent) Accuracy (at respiration rates of up to ±(0.15 Vol.% + 15% rel.) 60 bpm and I:E ratio of 1:1) Apollo Operator’s Manual...
Page 225 Exception: If a measured desflurane concentration of at least 4 Vol.% is present, a mixed agent identification is available as soon as the measured concentration of the secondary agent reaches at least 10% of the desflurane concentration. Apollo Operator’s Manual...
Page 226 A tone is generated for each detected pulse beat; pitch of the tone proportional to the oxygen saturation. The displayed plethysmogram is a relative indicator of the pulse amplitude. Its scale is not absolute and it is only used to judge the quality of the SpO measurement. Apollo Operator’s Manual...
Page 227: Interfaces
CLIC Adapter Technical Data Resistance Reduced by approx. 1 mbar in the bypass mode, depending on the breathing system of the anesthetic workstation Compliance Normal mode: typically 1.3 mL/mbar Bypass mode: typically 0.4 mL/mbar Leakage: <5 mL/min Apollo Operator’s Manual...
Page 228: Ags Scavenger
20 cmH min. 25 L/min suction f across a flow resistance of 10 cmH max. 50 L/min suction Dimensions (W x H x D) 4.7 in. x 13.8 in. x 7.9 in. Weight, without hoses approx. 2.1 lbs. Apollo Operator’s Manual...
Page 229: Latex Use
Specifications Chapter 13 - Specifications Latex Use The Apollo is latex-free. Latex-free breathing bags and breathing hoses must be used for latex-free use. Electromagnetic Interference Resistance Safety distances (example) to portable and mobile radio communication equipment: 3 V/m 1 V/m Max.
Page 230 Vaporizer units and the anesthetic agents used may restrict the area of use of the workstation as regards its temperature range and fresh-gas flow. The corresponding Instructions for Use of the supplementary equipment must be noted. Apollo Operator’s Manual...
Page 232 These Operating Instructions apply only to Apollo with Serial No.: If no Serial No. has been filled in by Draeger, these Instructions for Use are provided for general information only and are not intended for use with any specific machine or device.

Dräger Apollo Operating Instructions Manual

Table of Contents

Introduction

System Components

User Interface

System Setup

Preuse Checkout

Operation Summary

Ventilation

Monitoring

Alarms

Configuration

Cleaning and Maintenance

Troubleshooting

Quick Links

Chapters

Related Manuals for Dräger Apollo

Summary of Contents for Dräger Apollo