Dräger Fabius plus XL Supplement Manual
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Dräger Fabius plus XL Supplement Manual

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Supplement
Fabius plus XL
WARNING
To properly use this medical device,
read and comply with the
instructions for use and this
supplement.
Anesthesia workstation
Software 3.n

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Summary of Contents for Dräger Fabius plus XL

  • Page 1 Supplement Fabius plus XL Anesthesia workstation WARNING Software 3.n To properly use this medical device, read and comply with the instructions for use and this supplement.
  • Page 2 Trademark owner ® Ecolab Actichlor ® Brulin BruTab 6S ® Buraton ® Schülke & Mayr Mikrozid ® Perform ® Antiseptica Descogen ® Bode Chemie Dismozon ® Medentech Klorsept ® Ecolab USA Oxycide ® DuPont Virkon Supplement Fabius plus XL SW 3.n...
  • Page 3 – Observe the requirements for the electromagnetic environment. Observe the following section: "Electromagnetic environment" (page 42). Supplement Fabius plus XL SW 3.n...

  • Page 4: Product-Specific Safety Information

    The following safety information has been deleted: WARNING Risk of device failure The device can fail if the power supply is interrupted. Always connect the device on an uninterruptible power supply. Supplement Fabius plus XL SW 3.n...
  • Page 5 (LAN, WLAN, PDMS etc.) is the responsibility solely of the system manufacturer or the operating organization. During operation, the alarms and indicators on the anesthesia workstation are binding and must be adhered to. Supplement Fabius plus XL SW 3.n...

  • Page 6: Interface Panel

    F Socket for airway pressure sensor P Circuit breaker for power sockets G Connection for APL hose H Connection for PEEP hose Power inlet with power fuses J Fuse for internal battery K Potential equalization pin Supplement Fabius plus XL SW 3.n...
  • Page 7 – Make sure that there is sufficient clear space. – Remove any devices mounted on attached support arms or on the top of the device. – Fold in the support arms. – Clear the writing tray and push it in completely. Supplement Fabius plus XL SW 3.n...
  • Page 8 – Make sure that there is sufficient clear space. – Remove any devices mounted on attached support arms or on the top of the device. – Fold in the support arms. – Clear the writing tray and push it in completely. Supplement Fabius plus XL SW 3.n...
  • Page 9 B Long fresh-gas hose (on Fabius) C APL bypass hose for the ventilator lock D Short fresh-gas hose (on compact breathing system) E Compact breathing system F Sample line G Non-rebreathing system (e.g., Bain) Supplement Fabius plus XL SW 3.n...
  • Page 10 Keep free of oil and grease DC voltage AC voltage Fragile, handle with care Keep dry Connection for sample gas gas return return line The fiollowing symbol has been deleted: Caution! Risk of electric shock. Do not remove cover. Supplement Fabius plus XL SW 3.n...

  • Page 11: Product Labels

    COSY position. For further information, see "Using the external fresh-gas outlet with an additional switch (optional)" in the "Operation" chapter in the instruc- tions for use. Supplement Fabius plus XL SW 3.n...

  • Page 12: Assembly And Preparation

    If the battery has not been charged for 6 months, check its functional integrity. To do this, charge the battery for 16 hours and ventilate a test lung for at least 45 minutes in battery operation. Supplement Fabius plus XL SW 3.n...
  • Page 13 >700 mL 301 to 700 mL 50 to 300 mL <50 mL Breathing bag 0.5 L Breathing circuit Adults Pediatric Neonates (or pediatric) Filter Filter, HMEF, or HME Use filters with low resistance and compliance. Supplement Fabius plus XL SW 3.n...
  • Page 14 O sensor housing. 5 Screw on the screw cap (C) tightly by hand. 6 Insert the O sensor (A) back in the inspiratory valve. Supplement Fabius plus XL SW 3.n...
  • Page 15 A and B. 2 Connect the short APL bypass hose to connectors E and F. 3 Connect the PEEP/P hose to connectors C and D. NOTE The APL bypass hose is thicker than the PEEP/P hose. Supplement Fabius plus XL SW 3.n...

  • Page 16: Operation

    ], no alarm occurs at the start of the ManSpont ventilation mode. Check that the switch of the external fresh-gas outlet has been set to COSY. Supplement Fabius plus XL SW 3.n...
  • Page 17 Oxygen and anesthetic gas are no longer delivered. Due to the patient’s rebreathing, the inspiratory concentration of anesthetic gases and oxygen in the breathing gas falls. Monitor the gas concentrations carefully and use intravenous anesthetic agents if necessary. Supplement Fabius plus XL SW 3.n...
  • Page 18 3 If necessary, connect the non-rebreathing system scavenging hose to the second connection (D) of the anesthetic gas receiving system. Observe the instructions for use of the non- rebreathing system and the anesthetic gas receiving system. Supplement Fabius plus XL SW 3.n...
  • Page 19 – CHECK APL VALVE !!! Ending operation 1 Close all flow control valves on the device. Before using a controlled ventilation mode (Volume Control, Pressure Control, Pressure Support, SIMV/PS) or the ManSpont ventilation mode: Supplement Fabius plus XL SW 3.n...

  • Page 20: Ending Operation

    – Do not pull the medical device over hoses, cables, or other obstacles lying on the floor. – Do not activate the brake while the medical device is being moved. – Use only the handles provided to push or pull the device. Supplement Fabius plus XL SW 3.n...

  • Page 21: Leakage Test

    Observe the result of the safety valve test.  Repeat leakage test. Do not operate the device if the safety valve test continues to fail. Contact DrägerService or the authorized local service partner Supplement Fabius plus XL SW 3.n...
  • Page 22 3 Select new unit and confirm. The window is closed. 1 Select menu item Pressure Unit (G) and confirm. The screen with the password query opens. Standby Set-up 2 Enter the password (H) and confirm. Supplement Fabius plus XL SW 3.n...

  • Page 23: Troubleshooting

    3 Set the APL valve to the Man position. 4 Set the APL valve to the desired pressure. 5 Fill the breathing bag, if necessary with the aid of the O flush key. 6 Manually ventilate the patient. Supplement Fabius plus XL SW 3.n...
  • Page 24 Check that the O sensor capsule has been cor- rectly inserted into the O sensor housing. Connect the O sensor correctly and recalibrate. Supplement Fabius plus XL SW 3.n...

  • Page 25: Alarm - Cause - Remedy

    Leakage in the breathing sys- Check breathing system. tem. Hose not connected to the breathing system. Incorrect setting of the switch Check the setting of the on the external fresh-gas out- switch on the external let. fresh-gas outlet. Supplement Fabius plus XL SW 3.n...
  • Page 26 Check APL valve setting. Switch of the external fresh- Set the switch of the exter- gas outlet in the wrong posi- nal fresh-gas outlet to the COSY position. tion ( ), instead of the COSY position. Supplement Fabius plus XL SW 3.n...
  • Page 27 Before removing the compact breathing system, the following hoses and cables must be removed: – Flow sensor cable – O sensor cable and O sensor – Pressure measurement hose – APL bypass hose – PEEP/PMAX hose Supplement Fabius plus XL SW 3.n...

  • Page 28: Safety Information

    Check the products for signs of wear and replace residual mucus, medication aerosols, and them if necessary. particles. – Replace flow sensors when damaged, soiled, or not particle-free. Supplement Fabius plus XL SW 3.n...
  • Page 29 Semi-critical Components that carry breathing gas or come into contact with mucous membranes or pathologi- cally altered skin Critical Components that penetrate skin or mucous membranes or come into contact with blood Supplement Fabius plus XL SW 3.n...
  • Page 30 – Gas cylinder valves Critical – Transfer hose of the anesthetic gas The device does not contain any components receiving system classified as critical. – Cables and hoses that lie on floor – Brake Supplement Fabius plus XL SW 3.n...

  • Page 31: Reprocessing List

    Yes (exterior) Inspiratory valve, expiratory valve Bag elbow Rigid arm for breathing bag (optional) Flexible arm for breathing bag (optional) Absorber con- tainer and absorber insert Clic adapter (option) Ventilator lid Ventilator mem- brane Supplement Fabius plus XL SW 3.n...
  • Page 32 "Validated reprocessing procedures". The manufacturers of the surface disinfectants have verified at least the following spectra of activity: – Bactericidal – Yeasticidal – Virucidal or virucidal against enveloped viruses Supplement Fabius plus XL SW 3.n...
  • Page 33 1) Discontinued by the manufacturer 2) Virucidal against enveloped viruses Dräger states that oxygen-releasing agents and chlorine-releasing agents may cause color change in some materials. Color change does not indicate that the product is not functioning correctly. Supplement Fabius plus XL SW 3.n...
  • Page 34 3 Rinse the product with water (at least drinking- water quality) until residual cleaning agent is no longer discernible. 4 Check the product for visible soiling. Repeat steps 1 to 4 if necessary. Supplement Fabius plus XL SW 3.n...

  • Page 35: Steam Sterilization

    – Check the locking device of the anesthetic vaporizer. – Check the function of the power failure alarm and the battery function. – Check the operation of the battery failure alarm. – Check S-ORC functionality. Supplement Fabius plus XL SW 3.n...
  • Page 36 Every 36 months Replace Experts Lead-gel battery Every 3 years Replace Experts Cylinder pressure reducer for After 6 years Basic overhauling Experts high-pressure cylinders Pressure reducer for PIN After 6 years Replace Experts index 1) optional Supplement Fabius plus XL SW 3.n...

  • Page 37: Technical Data

    Vaporizers and anesthetic agents can limit the use of an anesthesia workstation with regard to its temperature range and maximum fresh-gas flow. Therefore when using additional devices, follow the associated instructions for use. Supplement Fabius plus XL SW 3.n...

  • Page 38: Device Data

    The following sentence has been deleted: from July 2014 on: Ventilator The accuracy of the tidal volume has been changed: Accuracy Tidal volume (VT) ±5 % of the set value or 20 mL, whichever value is higher Supplement Fabius plus XL SW 3.n...
  • Page 39 ISO 21647 and ISO 80601-2-55 1) Max. ±4 % of the measured value or ±2 cmH O (±2 hPa), depending on which value is higher. Supplement Fabius plus XL SW 3.n...
  • Page 40 No demonstrable quantitative effect on the gas measurement due to ambient conditions. Maximum period of use of O >12 months at 25 °C (77 °F), 50 % relative humidity, 50 % O in fresh sensor cell gas (or >5000 hours at 100 Vol% O Supplement Fabius plus XL SW 3.n...

  • Page 41: Breathing System

    The alarm limit has changed: Alarm limit Warning signal (continuous tone for 10 seconds, adjustable from approx. 61 dB(A) to 74 dB(A)), as soon as the pressure drops below 20 ±6 psi (1.35 ±0.4 kPa x 100). Supplement Fabius plus XL SW 3.n...

  • Page 42: Emc Declaration

    B is normally required), this equipment might not offer adequate protection to radio- Electromagnetic emissions frequency communication services. The chapter has been deleted. The user might need to take mitigation measures, such as relocating or re-orienting the equipment. Supplement Fabius plus XL SW 3.n...
  • Page 43 Remove the O sensor from the cover of the inspiratory valve. Calibrate the flow sensor. Expose the O sensor to ambient air for 2 minutes. Supplement Fabius plus XL SW 3.n...
  • Page 44 Manufacturer Drägerwerk AG & Co. KGaA Moislinger Allee 53 – 55 D-23542 Lübeck Germany +49 451 8 82-0 +49 451 8 82-2080 http://www.draeger.com 9055595 – en Á9055595|È © Drägerwerk AG & Co. KGaA Edition: 3 – 2018-07 (Edition: 1 – 2017-01) Dräger reserves the right to make modifications to the medical device without prior notice.

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