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Related Manuals for Dräger Oxylog 2000
Summary of Contents for Dräger Oxylog 2000
- Page 1 ™ Oxylog 2000 Emergency Ventilator Operating Instructions Software Version 3.n...
- Page 2 Trademarks The Dräger name and logo are registered trademarks of Dräger Medizintechnik GmbH. ™ ™ Oxylog and Oxylog 2000 are registered trademarks of Dräger Medizintechnik GmbH. © Dräger Medizintechnik GmbH,1998 All rights reserved, Subject to modifications...
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Page 3: Table Of Contents
Operating Data............54 Assembly..............14 Physical Characteristics..........55 Pneumatic Connections..........15 Certificates..............55 Electrical Supply............15 Positioning the Oxylog 2000........20 Theory of Operation..........57 Connecting Gas Supply..........20 Symbols for Pneumatic Components......57 Gas Supply..............57 Checks of Readiness for Operation......23 CMV / SIMV / A/C............. 58 Connecting a Test Lung.......... -
Page 4: Important Safety Information Read This First
Important Safety Information Operator's Responsibility for Patient Safety Limitation of Liability Important Safety Information Operator's Responsibility for Patient Safety Limitation of Liability For correct and effective use of the product and in Dräger, Inc.'s liability, whether arising out of or related order to avoid hazards, it is mandatory to carefully to manufacture and sale of the goods, their installation, read and to observe all portions of this manual. -
Page 5: 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 6: Definitions
Important Safety Information Definitions General WARNINGS and CAUTIONS Definitions WARNING ! A WARNING statement refers to conditions with a possibility of personal injury if dis- regarded. CAUTION ! A CAUTION statement designates the possibility of damage to equipment if disregarded. NOTE: A NOTE provides additional information intended to avoid inconveniences during operation. -
Page 7: General Warnings And Cautions
Important Safety Information General WARNINGS and CAUTIONS General WARNINGS and CAUTIONS WARNING ! WARNING ! Strictly follow Operator's Instruction Manual! Electrical connections to equipment which is not listed in these Operating Instructions Any use of the ventilator requires full under- should only be made after consultation with standing and strict observation of all portions the respective manufacturers or a qualified... -
Page 8: Precautions During Preparation
Important Safety Information Precautions During Preparation Precautions During Preparation WARNING ! WARNING ! Always verify that valve membrane is installed Always use a pressure regulator with a vent in correct orientation. Ventilator malfunction valve at the outlet. This shall limit delivery will occur if silicone membrane is reversed. -
Page 9: Precautions During Operation
Important Safety Information Precautions During Operation Precautions During Operation WARNING ! WARNING ! Any use of the ventilator requires full under- Automatic ventilation, volume measurement, standing and strict observation of all portions and alarms do not operate in the event of a of these Operating Instructions. -
Page 10: Precautions During Care
Important Safety Information Precautions During Care Precautions During Care WARNING ! CAUTION ! Always follow accepted hospital / Electro- Follow all accepted hospital procedures for Magnetic Compatibility procedures for han- disinfecting parts contaminated by body fluids dling equipment contaminated with body (protective clothing, eyewear, etc.). -
Page 11: Precautions During Maintenance
Important Safety Information Precautions During Maintenance Precautions During Maintenance CAUTION ! WARNING ! Maintenance To avoid any risk of infection, clean and disin- fect ventilator and accessories before any In case of malfunction of this device, contact maintenance according to established hospital your local Dräger Service or our Factory procedures - this applies also when returning Authorized Technical Service Center. -
Page 12: Intended Use
Intended Use Intended Use WARNING ! Ventilation monitoring is mandatory at all Oxylog 2000 - a time cycled, volume constant transport times! and emergency ventilator for patients with tidal Whenever a patient is connected to the venti- volumes starting at 100 mL. -
Page 13: Overview
Overview Controls Supplies Overview Controls The liquid crystal display is used for indicating The most important dial knobs, namely those for measured MV, PEEP, Peak and Mean pressure, Rate, ventilator rate (Rate) and tidal volume (V ) are and V ., as well as for Advisory and Warning mes- located in the center of the front panel. -
Page 14: Preparation
Preparation Assembly Preparation Assembly Installing the patient valve WARNING ! Always verify that valve membrane is installed in correct orientation. Ventilator malfunction will occur if silicone membrane is reversed. 1 Take care not to damage or bend rubber disc inside patient valve. Ventilator malfunction will occur. -
Page 15: Pneumatic Connections
CAUTION ! Do not pressurize the connector for differential pressure sensing lines, the internal sensor may be destroyed. 3 Connect patient circuit to port on Oxylog 2000. Electrical Supply The Oxylog 2000 ventilator is designed for different types of electrical supply. - Page 16 Preparation Electrical Supply Installing / replacing NiCd battery pack - before first use - when the display message Faulty NiCd appears during charging, - as part of preventive maintenance every 2 years. Undo screw in battery compartment cover (use coin) and remove cover. Take out defective battery pack and disconnect plug.
- Page 17 Preparation Electrical Supply When external voltage is connected: The green DC power status LED lights up regardless of whether the ventilator is switched on or off. The internal battery pack is now being charged. Display while ventilator is switched off: Stand-by NiCd charging It takes approximately 8 hours to fully charge a...
- Page 18 For display messages related to batteries, see table "Troubleshooting" on pages 45 and 46. External power supply from AC adapter Only use AC power supply 84 12 709! Connect power plug to 115 V outlet and DC plug to DC socket on Oxylog 2000.
- Page 19 Voltage fluctuations in on-board supplies can be signifi- cant, e.g. due to varying load conditions. They may exceed the input tolerances specified for Oxylog 2000. The DC/DC converter conditions these types of DC power sources to provide a constant voltage of approximately 12 V DC.
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Page 20: Positioning The Oxylog 2000
For mobile use in ambulances Attach Oxylog 2000 to ventilator mount bracket (accessory 84 12 069). 1 Hang ventilator handle on bar of mounting bracket. 2 Swing rear of ventilator up to engage locking mechanism. - Page 21 Do not install flow control valves or flow meters into the high pressure gas supply. Equipment malfunction might result. Connect Oxylog 2000 to pressure regulator to medical gas supply hose. Turn cylinder valve slowly and open fully. Determining gas supply in O...
- Page 22 = approx. 56 minutes NOTE: Gas consumption is reduced by approximately 50 % and the time for operation increases to approxima- tely 110 minutes when Oxylog 2000 is switched to "Air Mix". Supply with oxygen from wall pipeline Attach high pressure hose with DISS connector to Oxylog 2000 and connect to wall terminal with appropriate quick connect probe.
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Page 23: Checks Of Readiness For Operation
Checking Readiness for Operation Connecting a Test Lung Checking Readiness for Operation - after exchanging the patient valve - after cleaning and reassembly - at least every 6 months. NOTE: Always log checks for documentation purposes. Connecting a Test Lung (part no. -
Page 24: Checking Ventilation
11 to 13 V DC is connected. The self test will be completed after no more than 6 seconds Display: Self test O.K. Oxylog 2000 will now ventilate the test lung with the set ventilation pattern. -
Page 25: Checking End-Expiratory Pressure Peep
Alternating between inspiration and expiration, the pressure gauge should indicate a consistent inspiratory pressure and the preset end-expiratory pressure of approximately 5 cmH Oxylog 2000 The display should now shows a minute ventilation of CMV MV = 6.0 with a tolerance of ±1.0 L/min. -
Page 26: Checking "P Aw High" Alarm
Alarm 1 Set »V « knob to 1.0 L. 2 Set »Rate« knob to 5 bpm. Oxylog 2000 3 Set »I:E« knob to 2 : 1. 4 Set »P « knob to 40 cmH Keep test lung compressed and watch pressure gauge. -
Page 27: Checking Simv Synchronization
Checking SIMV Synchronization 1 Set switch for ventilation modes to SIMV. 2 Set »P « knob to 60 cmH Oxylog 2000 3 Set »PEEP« knob to 10 cmH 4 Compress and release test lung several times to simulate spontaneous breathing. -
Page 28: Operation
Alarm tone sounds twice Green LED lights up with external power supply After approx. 6 seconds Self test OK Display: Oxylog 2000 ventilates the test lung Test "P low" alarm: Remove test lung alarm after approx. 20 seconds Test "P high"... -
Page 29: Using Cmv
Using CMV CMV = Controlled Mandatory Ventilation For ventilator rates of 5 to 40 bpm. NOTE: The Oxylog 2000 ventilator limits the minimum ventilator rate to 5 bpm during CMV. Set switch for ventilator modes to CMV NOTE: For quick pre-setting you may set knobs »Rate«... - Page 30 1 Set »I:E knob to 1 : 1.5. 2 Set »P « knob initially to 60 cmH 3 Set »PEEP« knob initially to 0 cmH O *. Oxylog 2000 4 Use blender switch to set the required concentration: Air Mix ≈ 60 % O by vol.** No Air Mix = 100 % O by vol.
- Page 31 If airway pressures are too high and there is a "P high" alarm: Check tube position. Check patient airways, suction if necessary. Oxylog 2000 Verify that ventilation circuit is not kinked. To clear alarm message from the screen: 1 Press » Reset« key.
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Page 32: Using Assist/Control
29, 30. Then: 1 Press » Info« key to obtain the display: A/C. Oxylog 2000 2 Press » Reset« to confirm and Assist/Control mode is applied by the ventilator. The maximum inspiratory time is always limited to 1.3 seconds. The following alarm message appears if the... -
Page 33: Using Simv
Operation Using SIMV Using SIMV SIMV = Synchronized IntermittentMmandatory Ventilation SIMV is a combination of mechanical ventilation and spontaneous breathing, with spontaneous breathing possible between mandatory ventilator breaths. If the patient does not breathe spontaneously within a certain time period, the ventilator automatically applies a mechanical breath. - Page 34 1 Set switch for ventilation modes to »SIMV/CPAP«. Adjust pattern of mandatory ventilator breaths by setting: 2 knobs »V « and »Rate«. Oxylog 2000 NOTE: Preferred rates are less than 10 bpm. This will allow the patient sufficient time for spontaneous breathing.
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Page 35: Using Cpap
SIMV mode only ! Set blender switch to »No Air Mix«. Oxylog 2000 WARNING ! If blender is not set to »No Air Mix«, toxic am- bient air may be drawn from the environment. -
Page 36: Displaying Settings And Measured Values
In the event of an alarm, the parameters displayed in the bottom line will be "overwritten" by the alarm messages. Displaying measured values: Oxylog 2000 1 Briefly press » Info« key. NOTE: An alarm message cannot be reset until its cause has been corrected. -
Page 37: In The Event Of A Power Failure
Read alarm message in display and correct condition Oxylog 2000 using the guidelines from chapter "Troubleshooting" on pages 45, 46. NOTE: The audible alarm may be silenced for 2 minutes during an alarm: 2 Press »... -
Page 38: Time Limits For Battery Powered Operation
Time Limits for Battery Powered Operation Oxylog 2000 can be operated for approximately six hours with a fully charged NiCd battery pack. NOTE: The 6 hour estimate may have to be reduced when loss of battery capacity has occurred over time. -
Page 39: End Of Operation
End of Operation End of Operation After disconnecting patient: 1 Set »ON/OFF« switch to O. Oxylog 2000 When oxygen is supplied from a cylinder: Completely close cylinder valve. With oxygen supply from wall oxygen system: Disconnect high pressure hose quick connect probe from wall terminal. -
Page 40: Care
WARNING ! Always follow accepted hospital / EMC proce- dures for handling equipment contaminated with body fluids. Remove Oxylog 2000 from ventilator mount bracket (where applicable). 1 Remove patient circuit from nozzle. 2 Remove connector for pressure sensing hoses (flow measurement) from ventilator. - Page 41 Care Disassembling the Patient Valve 4 Remove pressure sensing hoses for flow measurement from flow sensor. 5 Pull flow sensor from ventilator valve - do not twist while removing. 6 Pull elbow connector from flow sensor. CAUTION ! Do not allow any foreign objects to enter the flow sensor.
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Page 42: Cleaning / Disinfecting / Sterilizing
Care Cleaning / Disinfecting / Sterilizing Cleaning / Disinfecting / Sterilizing Bath disinfection: Use for disassembled parts of the patient valve, flow sensor, ventilator circuit (where applicable), pressure CAUTION ! sensing hoses for flow measurement. Certain components of the ventilator consist of Disinfect by immersion in disinfectant solution, materials that are sensitive to certain organic solvents sometimes used for cleaning and... -
Page 43: Maintenance
Maintenance Preventive Maintenance Intervals User Replaceable Parts Maintenance User Replaceable Parts CAUTION ! Batteries Maintenance Internal alkaline battery replace, if message In case of malfunction of this device, contact your local Dräger Service or our Factory pack »Bat. discharged« or Authorized Technical Service Center. -
Page 44: In Case Of Ventilator Malfunction
Maintenance In Case of Ventilator Malfunction Replacing a fuse If operation with NiCd or alkaline batteries is impossible (all ventilator functions have failed). • Undo screw in cover of battery compartment (use coin) and remove cover. Take out defective fuse (use screwdriver to lift) Insert new fuse (1 A fast-acting IEC 127-2) into holder. -
Page 45: Troubleshooting
Troubleshooting Troubleshooting The following table is intended to assist in identifying and correcting conditions triggering an alarm. Messages are listed in alphabetical order. Condition / Message Cause Remedy Spontaneous breathing by patient Switch to CMV or SIMV. Apnea has failed in CPAP mode. Alarm status light blinking, intermittent audible alarm. - Page 46 Troubleshooting Problem / Message Likely Cause Remedy Main power down Check plug connection or replace Plug connection to external power Alarm status light blinking, power supply unit or DC/DC supply does not make contact. converter. intermittent audible alarm. Power supply unit or DC/DC Press »...
- Page 47 Faultt – Cause – Remedy Fault / Message Cause Remedy Supply press. low cylinder empty, cylinder valve Check gas supply in O cylinder, Alarm indicator flashes, closed, probe not plugged into piped connect to full O cylinder. Open intermittent tone sounds. medical gas system.
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Page 48: What's What
What's What Front View What's What Front View 10 9 1 Pressure gauge for airway pressure 12 Liquid crystal display for minute ventilation, alarm and advisory messages 2 Dial knob for ventilation time ratio »I:E« infinitely adjustable from 1 : 3 to 2 : 1 13 Dial knob for ventilation rate »Rate«, infinitely adjustable from 5 to 40 bpm. -
Page 49: Rear View
What's What Rear View Rear View 1 Ventilator air intake and exhaust WARNING ! Do not block air intake. Ventilator malfunction will result. 2 Air intake label 3 Main CAUTION/WARNING label 4 Identification plate 5 Compartment for internal power source, either rechargeable NiCd battery pack or battery pack with 6 AA alkaline batteries. -
Page 50: Right-Hand Side View
What's What Right-Hand Side View Right-Hand Side View 1 Bracket for securing ventilator in vehicles and for hanging unit from wall rails and horizontal tubes up to 38 mm (1.5 inch) diameter 2 Connector for external power supply (AC adapter unit or on-board supply with DC/DC converter) 3 Connector for O , 40 to 88 psi ( = 2.7 to 6.0 bar) -
Page 51: Technical Data
Technical Data Ambient Conditions Performance Data Technical Data Ambient Conditions For operation Temperature - 18 to 50°C (0 to 122ºF) Atmospheric pressure 600 to 1200 hPa Relative humidity 30 to 95% relative humidity For storage Temperature – 18 to 70°C (0 to 158ºF) Atmospheric pressure 600 to 1200 hPa Relative humidity... - Page 52 Technical Data Performance Data Characteristics for support of spontaneous breathing Demand valve pressure trigger level approximately - 1 cmH Max. demand flow (at -4 cmH 100 L/min Sensitivity of synchronization for SIMV 4 L/min for Assist/Control 3 L/min Ventilator compliance with 1.5 m (5 ft) patient circuit <...
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Page 53: Alarms
Technical Data Performance Data Alarms Supply press. low Alarm is activated when supply pressure drops below approx. 2.0 bar (29.4 psi). Paw high Adjusted with P knob. Alarm is activated when set value for Pmax is reached. Paw low Alarm is activated when a pressure buildup >10 cmH O is not achieved over a time of >20 s in CMV or SIMV mode. -
Page 54: Operating Data
Approximately 56 minutes without mixing (No Air Mix) Approximately 112 minutes with mixing (Air Mix) Electrical supply 12 V ±1 V DC Input voltage for Oxylog 2000 Connection for external power supply 12 V / 24 V / 28 V DC... -
Page 55: Physical Characteristics
Technical Data Operating Data Physical Characteristics Fuse Fast-acting 1 A IEC 127-2 (behind the cover of the battery compartment) Current consumption when charging NiCd battery pack Ventilator OFF 300 mA (for 8 hours, then switches automatically to trickle charging) Ventilator ON 530 mA Current for trickle charge 30 mA... -
Page 56: Certificates
Patient valve housing polysulphone (PSU) Patient valve diaphragms silicone rubber Membrane keypad on front panel polyester membrane Certificates The Oxylog 2000 ventilator has been tested for electromagnetic compatibility according to the following standards and guidelines: Electromagnetic emissions and IEC 601-1-2 immunity... -
Page 57: Theory Of Operation
Theory of Operation Functional Description of Pneumatics PEEP Insp./Exsp. 100%O 50%O ∆ Air Mix/ No Air Mix IPPV/ CMV / A/C SIMV/CPAP SIMV / CPAP Flow Theory of Operation Gas Supply Symbols for Pneumatic Components The supply gas (O or Air) is cleaned through filter 1 and Filter reduced to a constant pressure with pressure regulator 2. -
Page 58: Cmv / Simv / A/C
Theory of Operation Functional Description of Pneumatics PEEP Insp./Exsp. Insp./Exp. 100%O 50%O ∆ Air Mix/ No Air Mix IPPV/ CMV / A/C SIMV/CPAP SIMV / CPAP Flow CMV / SIMV / A/C Automatic zeroing of differential pressure sensor 26 is performed with 3/2-way valve 27. -
Page 59: Flow Measurement, Principle Of Operation
The flow creates a pressure drop in the sensor which is measured inside the Oxylog 2000 via two pressure sensing lines. The pressure drop is proportional to flow. Expiratory minute ventilation is calculated from the measurement of expiratory flow and displayed. -
Page 60: Glossary
Glossary Glossary Air Mix Blending of O with ambient air (= approximately 60% O by vol.) Continuous Mandatory Ventilation Ventilation with mandatory ventilator breaths only CPAP Continuous Positive Airway Pressure ventilator supported spontaneous breathing Cardiopulmonary resuscitation Expiratory minute ventilation L/min No Air Mix No blending of O with ambient air... -
Page 61: Ordering Information
Ordering Information Item Order No. Name Order No. Ventilator Kit Oxylog 2000 USA 84 13 965 Carrying system 2000 AB 40 461 consists of: consists of: Oxylog 2000 Ventilator USA 84 13 960 Carrying plate NiCd rechargeable battery pack 84 11 599... -
Page 62: Index
Index larm situations............39 aintenance, preventive..........6,42 Alarm »P high«..........28, 53 Manual ventilating device..........12 Alarm »P low«........... 28, 53 Materials..............56 Alkaline batteries......... 15,17, 38, 39, 55 Medical gas cylinders........... 20, 21 Alkaline batteries, installing......... 17 Medical gas supply, calculating........22 Ambient conditions............. -
Page 63: Notes
Notes... - Page 64 These Instructions for Use apply only to Oxylog 2000 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.