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NOTICE Proprietary Information This document contains information in which Draeger Medical, Inc. claimed proprietary rights. The information may not be reproduced in whole or in part except as authorized in writing by Draeger. This infor- mation is the property of Draeger Medical, Inc., it is provided solely for the use intended.
Contents Contents Important Safety Information READ THIS FIRST..4 Operator's Responsibility for Patient Safety....4 Limitation of Liability............. 4 Warranty..............5 Definitions..............6 General WARNINGS and CAUTIONS......6 Precautions During Preparation........7 Precautions During Operation........7 Precautions During Care..........7 Precautions During Maintenance........
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 Draeger Medical, Inc.'s liability, whether arising out of order to avoid hazards it is mandatory to carefully or related to manufacture and sale of the goods, their read and to observe all portions of this manual.
Important Safety Information Warranty Warranty All Draeger 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.
Important Safety Information Definitions General WARNINGS and CAUTIONS Definitions General WARNINGS and CAUTIONS WARNING ! WARNING ! Strictly follow Operator's Instruction Manuals A WARNING statement refers to conditions with a possibility of personal injury if dis- Any use of the product requires full under- regarded.
Precautions During Preparation Precautions During Maintenance WARNING ! WARNING ! Installation of the Evita 2 dura CapnoPlus Op- To avoid any risk of infection, clean and dis- tion may be performed by factory trained and infect ventilator and accessories before any authorized service personnel only.
Intended Use Intended Use Evita 2 dura CapnoPlus – optional mainstream CO monitoring for Evita 2 dura. – For continuous, real time measurement of CO partial pressure in a patient's breathing gas. – For measuring endexpiratory CO partial pressure etCO –...
Installation Before First Use Preparation Installation WARNING ! Installation of the Evita 2 dura CapnoPlus option may be performed by factory trained and authorized service personnel only. Before First Use Selecting a unit of measurement for CO At the time of delivery, mmHg is preset, kPA or Vol% may alternatively be selected.
Preparation Installing Cuvette and CO Sensor Installing Cuvette and CO Sensor With an adult patient circuit 1 Insert cuvette into the patient connection of the wye, with the cuvette windows facing sideways 2 Push CO2 sensor onto the cuvette, with its cable towards the ventilator.
Preparation Configuring CO Waveform Configuring CO Waveform Press »Calib./Config.« menu key. Press »Display« menu key. The »Waveforms« menu page appears. To replace a waveform display with the CO waveform: Select respective screen field = turn dial knob Confirm = press dial knob. The list of all available waveforms will be displayed on the screen to the right.
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Preparation Calibration Press »Calib./Config.« menu key. The »Sensor« menu page will appear. Select »CO « menu key = turn dial knob. Start calibration = press dial knob. Display (example): Message: Park CO sensor. Confirm with 1 Remove sensor from cuvette 2 Fit sensor on park bracket.
Measuring CO Displaying CO Waveform Setting Alarm Limits for etCO Measuring CO Displaying CO Waveform Press »Waves« key. mmHg Setting Alarm Limits for etCO Set alarm limits are maintained even when the ventilator is switched off. Evita 2 dura will generate an alarm if the value for etCO remains continuously outside the set alarm limits for longer than 15 seconds.
Measuring CO Switching Off Monitoring Functions Switching Off Monitoring Functions if CO2 measurement temporarily is not going to be used. WARNING ! In case of malfunction of any of the built-in monitoring a substitute has to be provided in order to maintain an adequate level of moni- toring.
Testing/Calibrating the CO Sensor Testing CO Calibration With Test Filter Testing/Calibrating the CO Sensor The CO sensor is factory calibrated and can be used without further calibration on any Evita 2 dura ventilator. A CO calibration is performed as part of the ventilator check.
Testing/Calibrating the CO Sensor Testing CO Calibration With Calibration Gas Place test filter into the CO sensor. The screen displays the test value of the CO concen- tration FCO 4,1 Vol% This value must agree with the specification on the test filter within ±...
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Testing/Calibrating the CO Sensor Testing CO Calibration With Calibration Gas Connect calibration gas supply. Use the cuvette from the calibration set! 1 Connect calibration gas cylinder and cuvette of the calibration set to the hose. 2 Remove CO sensor from its park bracket and fit it on cuvette of the calibration set.
Testing/Calibrating the CO Sensor Calibrating CO Sensor Calibrating CO Sensor The CO sensor must be calibrated: – if the specified calibration values are not met when checking calibration with filter or calibration gas. Perform CO calibration, see pages 11,12. After the CO calibration: Press »Calib./Config.«...
Checking/Calibrating the CO Sensor Resetting CO Calibration Select screen field for respective parameter = turn dial knob, activate = press dial knob Set concentration = turn dial knob, confirm = press dial knob NOTE: If the calibration gas consists only of CO , set O and N O concentrations to 0.
Care Disassembly Care Disassembly Clean and process ventilator after each patient. WARNING ! Always follow accepted hospital procedures for handling equipment contaminated with body fluids. For both adult and pediatric sensor configurations: 1 Remove CO sensor from cuvette Unplug sensor connector on the rear panel of Evita 2 dura.
Care Disinfecting/Cleaning Disinfecting/Cleaning CAUTION ! Certain components of the ventilator and its accessories consist of materials that are sensi- tive to certain organic solvents sometimes used for cleaning and disinfec-ting (e.g., phenols, halogen releasing com-pounds, oxygen releasing compounds, strong organic acids, etc.). Expo- sure to such substan-ces may cause damage that is not always immediately recognized.
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Care Disinfecting/Cleaning Cuvette Wipe off any obvious soiling with disposable tissue and cotton swabs, in particular inside and outside the windows. Disinfect in a moisture saturated environment at 93 °C (200 °F) for 10 minutes using a cleaning and disinfecting machine. Use detergent only. Bath disinfect using a disinfectant based on the suggested active substances, e.g.
Troubleshooting Troubleshooting Alarm messages in the alarm display field are displayed In the table below, the messages are listed in alpha- in hierarchical order. betical order. If, for example, two faults are detected at the same time, The table should help you to identify the cause of an the more urgent of the two is displayed.
CAUTION ! service personnel. Maintenance The Evita 2 dura CapnoPlus option is serviced as part of In case of malfunction of this component, the scheduled preventive maintenance of the Evita 2 dura contact your local DraegerService or our Facto- ventilator every six months.
Technical Data Technical Data Environmental conditions During operation 10 to 40 °C (50 to 104 °F) Temperature Atmospheric pressure 670 to 1200 hPa Rel. humidity 10 to 100 % (no condensation) During storage and transport –10 to 60 °C (14 to 140 °F) Temperature Atmospheric pressure 670 to 1200 hPa...
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Technical Data Dead space: including adult size cuvette 16 mL including pediatric size cuvette 6 mL Weight Sensor 30 g (1.1 oz.) Cuvette 8 g (0.3 oz.) Alarm at upper alarm limit for etCO when upper threshold is exceeded Setting range 1 to 100 mmHg 0 to 15 kPa 0 to 15 Vol.%...
Theory of Operation Physiological Capnogram Theory of Operation Physiological Capnogram Waveform segment 1 - 2 Emptying upper airway deadspace concentration during this waveform segment is zero. This is the initial expiratory phase where the analyzed gas comes from the upper airways and the ET- tube and has not participated in alveolar gas exchange.
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Theory of Operation Physiological Capnogram Serial deadspace (V ) is the volume that is expired Expiratory when expiratory CO concentration has reached 50% of concentration FeCO endexpiratory CO concentration. Dead space ventilation in % characterizes the ratio of Endexp. CO concentration serial deadspace to total expiratory tidal volume.
Theory of Operation Abbreviations Explained Bibliography Abbreviations Explained BTPS Body Temperatur, Pressure, Saturated Measured values refer to conditions in a patient's lung, at body temperature of 37 °C, water vapor saturated gas, ambient pressure etCO Endexpiratoy CO concentration height above sea level (m) Standard Temperature (0 °C), STPD Pressure (1013 hPa), Dry (dry gas)
Index Index bbreviations............. 29 Advisory............... 6 Alarm................23 Alarm limits..............13 ibliography............... 29 apnogram..............27 Care................20 Caution................ 6 calibration............11 calibration, checking with test filter..... 15 calibration, checking with test gas...... 16 calibration, reset..........19 waveform, displaying......... 13 waveform, configuring........11 , units of measurement..........
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These Operating Instructions apply only to Evita 2 dura with Serial No.: Without entry of a Serial No. by Draeger these Operating Instructions are provided for general information only and are not intended for use with a specific device. Draeger Medical, Inc. 3136 Quarry Road Telford, PA 18969 215-721-6910...
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