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WARNINGS
Anesthesia Machine:
Any person involved with the setup,
operation,
or
maintenance
NARKOMED 3 anesthesia machine must be
thoroughly familiar with this instruction
manual.
This anesthesia system will not respond
automatically to certain changes in patient
condition, operator error, or failure of
components. The system is designed to be
operated under the constant surveillance and
control of a qualified operator.
The "PRE-USE CHECKOUT PROCEDURE"
of this manual must be performed prior to
each case and must be performed in the room
in which the anesthesia machine is to be
used.
No third-party components shall be attached
to the NARKOMED 3 anesthesia machine,
ventilator, or breathing system (except for
certain approved exceptions).
Service of this machine shall be by an
authorized representative of North American
Dräger.
The NARKOMED 3 is designed for use with
non-flammable anesthetic agents. Flammable
anesthetic agents shall not be used with this
equipment. Since this machine is not suitable
for use with flammable anesthetic agents
such as ether and cyclopropane, the use of
antistatic breathing tubes and face masks is
not necessary. The use of antistatic or
electrically conductive breathing tubes when
utilizing high frequency electric surgery
equipment may cause burns and is therefore
not recommended in any application of this
machine.
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PRECAUTIONS (MAINTENANCE & USE)
Oil and grease may combine explosively with
oxygen or nitrous oxide. For this reason, oil
and grease shall never be allowed to come in
of
the
contact with reserve cylinders, cylinder valves,
gauges, fittings, etc., which conduct oxygen or
nitrous oxide within the machine. For further
information regarding safety precautions in
the use of medical gases, consult Compressed
Gas Association Pamphlets P-2, and the
appropriate sections of NFPA Standard 99.
Check reserve cylinder yokes for the presence
of two index pins each time a cylinder is
attached to the machine.
Use only one reserve cylinder gasket per
yoke. The use of more than one gasket could
cause leakage of the cylinder gas and could
compromise the pin indexing system.
Yoke check valves may not always provide a
leak-free seal. Always place a yoke plug in
each unused yoke to prevent leakage.
Vaporizers used with this machine must have
an adjustment knob with a safety interlock
cam.
The ORMC maintains a nominal O
fresh gas flow ratio of at least 25 (±4) %.
Hypoxic fresh gas mixtures may be delivered
if CO
2
Delivery hoses used between wall outlets and
anesthesia machines have been the cause of
accidents when, during assembly, an oxygen
fitting has been placed on one end of the hose
and a nitrous oxide fitting on the other end.
Hoses must be carefully checked each time a
machine is connected to a wall or ceiling
outlet to ensure that both ends of the hose are
indexed for the same gas.
is used as an additional gas.
/N
O
2
2
71
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