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Dräger Medical SP00180 Manual

Dräger Medical SP00180 Manual

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RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS
RETURN TO CD-ROM TABLE OF CONTENTS
Field
Service
Procedure
Part Number: SP00180
Rev: E
Date: 23 February 2004
© 2004 Draeger Medical, Inc.
Narkomed MRI
PMC Procedure

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Summary of Contents for Dräger Medical SP00180

  • Page 1 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS Field Service Procedure Part Number: SP00180 Rev: E Date: 23 February 2004 © 2004 Draeger Medical, Inc. Narkomed MRI PMC Procedure...
  • Page 2 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS...
  • Page 3 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE 6.0 PMC Procedure, Narkomed MRI The procedures in this section shall be performed in their entirety each time a component is removed, replaced, calibrated, adjusted and during all scheduled Periodic Manufacturer's Certification (PMC) visits.
  • Page 4 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) WARNING: Always lock the casters after this anesthesia machine has been positioned in the MRI scanner room. Magnetic attractive forces between the magnet and the anesthesia machine may cause unintentional movement of the anesthesia machine if the casters are unlocked.
  • Page 5 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 4113119 FRESH GAS LEAK TEST DEVICE CONNECT TO TEST PRESSURE GAUGE SVOOO22 6-2A...
  • Page 6 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 8401892 SIEMENS TEST LUNG SV00025 6-2B...
  • Page 7 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) S010159 BREATHING SYSTEM LEAK TEST DEVICE SVOOO23 S010158 FRESH GAS OUTLET VOLUME TEST DEVICE 6-2C...
  • Page 8 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) SVOOO27 S000081 S000063 FLOW METER REGULATOR TEST TEST STAND PRESSURE GAUGE 6-2D...
  • Page 9 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) Liter 2212300 vol/min MINUTE VOLUMETER SVOOO24 4104389 TEST TERMINAL ADAPTER 6-2E...
  • Page 10 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) Periodic Manufacturer's Certification General Instructions The purpose of these procedures is to provide detailed instructions for performing a Periodic Manufacturer's Certification (PMC) inspection the Narkomed MRI anesthesia machine. A PMC consists of a complete Periodic Manufacturer's Service procedure and a certification level inspection based on Draeger Medical, Inc.
  • Page 11 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) The letters A, B, C, D and the Roman Numerals I, II are used as codes in the individual matrix for each model of anesthesia machine. The letters A, B, C, and D are used in descending order to indicate the certification level of the equipment.
  • Page 12 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) For example: A Narkomed 3 could have recommendation number 21 and failure code 61.1 apply. 21 - No ventilator pressure limit control. Code is B. 61.1 - Enflurane agent is unavailable to test.
  • Page 13 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) PM Certification Procedure for Narkomed MRI Anesthesia System 1. Use the PM Certification form for Narkomed MRI Anesthesia Systems (P/N 4114551). 2. Completely fill in the header information. 3.
  • Page 14 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) PM Certification Procedure for Narkomed MRI Anesthesia System 8. Proceed with PM Certification procedure. If any tests fail refer to the "Failure Codes" listing in DMI Recommendations Guidelines Index (P/N S010250) to determine correct certification level starting point.
  • Page 15 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.1 Safety Testing 6.1.1 Circuit Isolation Test 6.1.1.1 Turn the System Power switch to STANDBY, remove the AC power cord from the outlet. 6.1.1.2 Set a multimeter to its highest resistance range, and carefully check for continuity between Pin 1 of the machine power connector located at the...
  • Page 16 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.1.3 Chassis Leakage Current Test 6.1.3.1 Press the gray Leakage key. Leave all other selections from the previous test the same. 6.1.3.2 Set the white keys on the Biotec 501 Pro labeled GROUND, NEUTRAL and POLARITY for normal polarity.

  • Page 17: Diagnostic Tests

    RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.2A Self-Diagnostics: VPO Monitor 6.2.A.1 Connect the pipeline supply or open the cylinders. 6.2.A.2 Turn the System Power switch to ON. 6.2.A.3 Verify that the following is displayed: NARKOMED MRI COPYRIGHT 2000 DRAEGER MEDICAL, INC.
  • Page 18 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.2C SERVICE DATA: VPO Monitor 6.2C.1 Press and hold the Oxygen High Limit key and the Volume Low Limit key, and then press the key.
  • Page 19 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.3 Battery Circuit Test 6.3.1 Deleted 6.3.2 If needed, replace the battery as outlined in the Battery Replacement Procedure in Section 4 of this manual/ 6.3.3 Is "ON"...
  • Page 20 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.4 High Pressure Leak Test 6.4.1 Yoke Assemblies 6.4.1.1 Turn the ventilator off. 6.4.1.2 Turn the System Power switch to STANDBY. 6.4.1.3 Disconnect the pipeline supply or close the cylinders.
  • Page 21 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.4.2 Oxygen High Pressure Leak Test 6.4.2.1 Disconnect the pipeline supplies. 6.4.2.2 Turn the System Power switch to STANDBY. 6.4.2.3 Open the oxygen cylinder valve. 6.4.2.4 Let the pressure stabilize.
  • Page 22 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.5 High Pressure Regulator Test 6.5.1 Disconnect all pipeline hoses and set the System Power switch to ON. 6.5.2 Close all cylinder valves except the O valve.
  • Page 23 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.5.17 Set the corresponding flow to 4 l/min. (900 ml/min. for CO 6.5.18 On the second test gauge, what is the regulator output pressure? ___ PSI (42 - 48), (27 - 33 for CO 6.5.19 Depressurize the gas circuit.
  • Page 24 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.7 Oxygen Supply Failure Protection 6.7.1 Nitrous Oxide O.F.P. Device 6.7.1.1 Disconnect the pipeline supplies. 6.7.1.2 Open and close the oxygen cylinder valve. 6.7.1.3 Open the nitrous oxide cylinder valve.
  • Page 25 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.7.3 Oxygen Supply Pressure Alarm 6.7.3.1 If not already connected, connect a dedicated O test gauge to the TEE fitting in the O regulator output line.
  • Page 26 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.8.2.4 Close the nitrous oxide cylinder valve and bleed the pressure. 6.8.2.5 Connect the N O pipeline supply. 6.8.2.6 Is the correct flow control knob and label attached to the N O flow control valve? ___ (Y) 6.8.2.7...
  • Page 27 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.9 Freshgas Leak Test 6.9.1 Turn the System Power switch to STANDBY. 6.9.2 Remove the 15 mm connector from the FRESHGAS OUTLET. 6.9.3 Is the common gas outlet assembly in good condition? ___ (Y) 6.9.4...
  • Page 28 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.10 Absorber System 6.10.1 Absorber System Inspection 6.10.1.1 Remove the inspiratory and the expiratory valve domes. 6.10.1.2 Is there a broken or bent pin on the valve assembly? Inspiratory ___ (N) Expiratory ___ (N) 6.10.1.3 Is there a broken pin on the valve domes?
  • Page 29 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.10.1.14 Verify that the gauge is labeled "Non-Magnetic." 6.10.1.15 Remove the O Med sensor plug from the inspiratory valve dome adapter and examine the two O-rings at the bottom of the plug. 6.10.1.16 Examine the two O-rings at the bottom of the sensor.
  • Page 30 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.10.4 Absorber Flow Direction and Leak Test 6.10.4.1 Expiration Valve Leak Test 6.10.4.1.1 Close the APL valve. 6.10.4.1.2 Connect a 22mm hose between the inspiration valve and the bag mount.
  • Page 31 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.10.4.3 Flow Direction Test 6.10.4.3.1 Attach a breathing circuit with a 3-liter bag at the Y-piece to the inspiration valve and expiration valves or the expiratory hose terminal on the ultrasonic flow sensor, if applicable.
  • Page 32 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.10A Bain Circuit Adapter - if applicble 6.10A.1 Close the APL valve by turning the knob fully clockwise. 6.10A.2 Insert the O sensor plug into the O sensor inlet on the Bain Circuit.
  • Page 33 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.10B Vapor Exclusion System (if applicable) 6.10B.1 Set all vapors to (0). 6.10B.2 Adjust the handwheel on the upper vapor (viewed from the front of the machine) to any concentration above zero (0).
  • Page 34 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.11 Flow and Pressure Calibration: Core-M Monitor NOTE: A "FLOW CAL" message must appear on the display prior to continuing with testing. This message appears after the 15 minute warm up period has completed.
  • Page 35 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.11A Flow and Pressure Calibration: VPO Monitor 6.11A.1 To bring up the Oxygen Monitor Service Screen, press the Mon Cal key. 6.11A.2 Remove the oxygen sensor from the valve dome adapter, and remove the oxygen sensor capsule from the oxygen sensor housing.
  • Page 36 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.12 Oxygen Cal and Alarm Test: Core-M Monitor 6.12.1 Expose the O sensor to room air. 6.12.2 Press the "O " key on the monitor. 6.12.3 Press the "21% O CAL"...
  • Page 37 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.12A O2 MED: VPO Monitor 6.12A.1 Disconnect the oxygen sensor cable from the Oxygen Sensor interface. 6.12A.2 The following message shall appear on the display: O2 SENS DISC. 6.12A.3 Reconnect the O Med sensor.
  • Page 38 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.12A.18 Verify that the high alarm limit has a range from 100 to 19%. 6.12A.19 Set the high alarm limit to 95. 6.12A.20 The message INSP O2 HIGH shall appear as an Advisory.
  • Page 39 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.13 Pressure Accuracy Test: Core-M Monitor 6.13.1 Interconnect the inspiratory and expiratory valves with a 12 inch hose with 22 mm ends (P/N 9995112). 6.13.2 Connect a pressure meter to the breathing pressure pilot line fitting on the absorber.
  • Page 40 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.13A BAROMED: VPO Monitor 6.13A.1 Disconnect the breathing pressure sensor line from the absorber. 6.13A.2 Connect a test pressure gauge and syringe to the breathing pressure sensor line.
  • Page 41 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.13A.18 At what pressure does the APNEA-PRESSURE alarm deactivate? ___ cm O (7-13) 6.13A.19 Adjust the threshold to 18 cm H 6.13A.20 Increase the pressure to 20 cm H O, maintain the pressure, and start a stopwatch.
  • Page 42 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.14 Apnea and Volume Alarm Test: Core-M Monitor 6.14.1 Attach a patient circuit with a 3L breathing bag to the absorber system. 6.14.2 Insert a test minute volumeter between the flow sensor and the expiratory valve.
  • Page 43 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.14.18 Adjust the MIN VOL HI limit below the current displayed value. 6.14.19 Press the MIN VOL key and verify that the "MINUT HI" and "Mid Alert" audible and visual alarms activate within 13 to 17 seconds.
  • Page 44 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.14A Ultrasonic Flow Sensor: VPO Monitor 6.14A.1 Press the Breathing Volume LOW LIMIT key. Does a box appear around the Minute Volume Alarm Limit? ___(Y) 6.14A.2 What is the low minute volume alarm default? ___ (1.0) 6.14A.3...
  • Page 45 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.14A.16 After the first breath is detected, do the APNEA-VOLUME Warning message and the MINUTE VOLUME LO Caution message deactivate? ___ 6.14A.17 Adjust the low alarm limit above the indicated minute volume. 6.14A.18 Does the MINUTE VOLUME LO message appear as a Caution? ___ (Y) 6.14A.19 Adjust the low alarm limit below the indicated minute volume.
  • Page 46 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.15 Ventilator Test 6.15.1 Set the Man/Auto selector to BAG. 6.15.2 Set the FREQUENCY to 10 BPM. 6.15.3 Set the I:E RATIO to 1:2. 6.15.4 Set the Tidal Volume to 1000 ml.
  • Page 47 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.15.21 What is the inspiratory time? ___ seconds (3.6 - 4.4) 6.15.22 Using a stopwatch, time the expiratory phase. 6.15.23 What is the expiratory time? ___ seconds (1.8 - 2.2) 6.15.24 Adjust the FREQUENCY and I:E RATIO through the following settings and verify that the ventilator cycles properly: FREQ.
  • Page 48 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.17 "F" Bellows Test 6.17.1 Set the FREQUENCY to 10 BPM. 6.17.2 Set the I:E RATIO to 1:2. 6.17.3 Adjust the O flow to 300 ml.
  • Page 49 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.18.7 Does the ventilator deliver the full Tidal Volume during the inspiratory time? ___ (Y) 6.18.8 Does the bellows stop adjust smoothly? ___ (Y) 6.19 Inspiratory Pressure Limit Test 6.19.1 Set the Inspiratory Flow to the middle of the medium range.
  • Page 50 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.20.1.4 Connect a 12-inch hose between the inspiratory valve and the expiratory valve. 6.20.1.5 Set the Man/Auto selector to BAG. 6.20.1.6 Occlude the bag mount. 6.20.1.7 Insert the sensor from a calibrated Omicron monitor into the valve dome adapter on the inspiratory valve.
  • Page 51 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.21 Oxygen Ratio Control (ORC) Test 6.21.1 Open the oxygen and nitrous oxide cylinder valves. 6.21.2 Depress the O FLUSH for 15 seconds. 6.21.3 Set the oxygen flow to 1000 ml.
  • Page 52 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.22 Oxygen Flush and 100% O2 Final Test 6.22.1 Close the nitrous oxide cylinder valve. 6.22.2 Turn the SYSTEM POWER switch to ON. 6.22.3 Set the oxygen flow rate to 5 l/min.
  • Page 53 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.23 Scavenger Interface, A/C 6.23.1 Remove all scavenger hoses one at a time, and drain all accumulated moisture. Inspect all scavenger hoses for deterioration and replace any worn hoses.
  • Page 54 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.23.8.5 After the ventilator bellows inflates, the flow of oxygen will exit the system through the positive pressure safety relief valve. At this point, the absorber system breathing pressure gauge shall indicate a pressure of 10.0 cm H O or less.
  • Page 55 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.24.9.4 Adjust the scavenger needle valve until the flowmeter indicates between the white lines. Close all flow control valves on the anesthesia machine. Occlude the absorber breathing bag terminal.
  • Page 56 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS NM MRI PMC PROCEDURE (continued) 6.25 Suction Regulator (if applicable) 6.25.1 Verify that the suction bottle is attached to the suction regulator. 6.25.2 Verify that vacuum is attached to the ¾ in. DISS vacuum connection. 6.25.3 Set the vacuum on/off valve to the OFF (vertical) position.
  • Page 57 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS...
  • Page 58 RETURN TO SERVICE PROCEDURE TABLE OF CONTENTS RETURN TO CD-ROM TABLE OF CONTENTS DrägerService is a division of Draeger Medical, Inc. 3122 Commerce Drive Telford, PA 18969 Tel: (215) 721-5402 (800) 543-5047 Fax: (215) 721-5784 Web: www.draegermedical.com Printed in the U.S.A.