Dräger Atlan Quick Reference Manual
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Dräger Atlan Quick Reference Manual

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Atlan
Anesthesia workstation
Software 2.0n
Quick reference guide
The quick reference guide does not replace the
instructions for use.
Any use of the medical device requires full understanding
and strict observation of the instructions for use.
Atlan

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Summary of Contents for Dräger Atlan

  • Page 1 Atlan Anesthesia workstation Software 2.0n Quick reference guide The quick reference guide does not replace the instructions for use. Any use of the medical device requires full understanding and strict observation of the instructions for use. Atlan...
  • Page 2 Trademark ® Atlan ® AutoFlow ® Infinity ® D-Vapor ® Drägersorb ® MEDIBUS ® ServiceConnect ® WaterLock The following web page provides a list of the countries in which the trademarks are registered: www.draeger.com/trademarks Quick reference guide Atlan SW 2.0n...

  • Page 3: Table Of Contents

    Response to alarms ..................30 Troubleshooting ...................... 32 Leakage ......................32 Principles of operation ................... 33 Description of the ventilation modes ............. 33 measurement with pediatric patients and neonates......39 10 Annex ........................42 10.1 Symbols ......................42 Quick reference guide Atlan SW 2.0n...

  • Page 4: Overview

    Lockable drawer Provides additional storage space. Trolley with castors and cable Used for moving the device. The central brake deflectors (option) locks the two front castors. absorber Absorbs CO from the patient’s expiratory gas. Quick reference guide Atlan SW 2.0n...
  • Page 5 Used for scavenging excess anesthetic gas and breathing gas. Used to reduce the anesthetic gas concentration released into the environment by the anesthesia machine and to scavenge the sample gases from an external anesthetic gas monitor. Quick reference guide Atlan SW 2.0n...
  • Page 6 Lights up in color in certain situations. Working light Illuminates the work surface. Turns the working light on or off. Dims the illumi- nance in 3 steps (dark, medium, and bright). Turns the device on or off. Quick reference guide Atlan SW 2.0n...
  • Page 7 Used for scavenging excess anesthetic gas and breathing gas, to reduce the anesthetic gas con- centration released into the environment by the anesthesia machine, and to scavenge the sam- ple gases from an external anesthetic gas moni- tor. Quick reference guide Atlan SW 2.0n...
  • Page 8 Discharges warmed air from the device into the environment. Ventilation slot Feeds ambient air to the device for ventilation. Connectors Provides connectors for power cable, potential equalization, and interfaces. Used for data exchange between external devices, additional components, and networks. Quick reference guide Atlan SW 2.0n...
  • Page 9 Allow other devices to be connected. Ventilation slot Feeds ambient air to the device for ventilation. Connectors Provides connectors for power cable, potential equalization, and interfaces. Used for data exchange between external devices, additional components, and networks. Quick reference guide Atlan SW 2.0n...
  • Page 10 Used for connecting a potential equalization cable. This will minimize differences in electrical potential. Network port Enables data transfer within an IT network. USB port Used to transfer data to a USB mass storage device. Quick reference guide Atlan SW 2.0n...
  • Page 11 (option) from the gas cylinders. Advanced Cylinder Support label On devices that are equipped with Advanced (option) Cylinder Support, the gas cylinder valves can also remain open during operation with the cen- tral supply. Quick reference guide Atlan SW 2.0n...
  • Page 12 Symbol for programmed Auto On Display of airway pressure in the internal breathing system, see page 7 + key (O flush) The explanation of the symbols can be found on page 42. Quick reference guide Atlan SW 2.0n...
  • Page 13 Total flow tube Display of the set fresh-gas flows Display of airway pressure in the internal breathing system, see page 7 + key (O flush) The explanation of the symbols can be found on page 42. Quick reference guide Atlan SW 2.0n...

  • Page 14: Functional Scope

    Manual ventilation or spontaneous breathing possible operation or has – Emergency O delivery (electronically controlled gas mixer) failed) or fresh-gas delivery (mechanically controlled gas mixer) available – Anesthetic agent delivery from connected vaporizers possi- Quick reference guide Atlan SW 2.0n...

  • Page 15: Assembly And Preparation

    Breathing cir- Adults Pediatric Neonates cuit (or pediatric) Filter Filter or HMEF Use an HME or a filter with low resistance and compliance. Observe the fol- lowing informa- tion: "Permissible hose configura- tions", page 16. Quick reference guide Atlan SW 2.0n...
  • Page 16 If no filter can be used at the expiratory port (e.g., if there is intrinsic PEEP due to Air trapping), reprocess the breathing system after every patient. Perform the reprocessing in accordance with the reprocessing instructions sup- plied with the product. Quick reference guide Atlan SW 2.0n...
  • Page 17 40. When using fine-pored filters between the Y- piece and the patient – Do not connect the sample line between the tube and the filter. Instead, connect it to the filter or the Y-piece. Quick reference guide Atlan SW 2.0n...

  • Page 18: Operating Concept

    These buttons are assigned to various groups. Monitoring area The following information is displayed in the monitoring area: – Gas measurement – Waveforms – Parameter fields – Loops (Pressure-Volume and Flow-Volume) – Mini-trends – Virtual flow tubes Quick reference guide Atlan SW 2.0n...
  • Page 19 Dialogs consist of one or more pages which are displayed by touching the corresponding horizontal or vertical tab. Designation Title of the dialog Button for closing the dialog Vertical tab to open subordinate structures Horizontal tab to open a page Quick reference guide Atlan SW 2.0n...

  • Page 20: Color Concept

    Colors denote the availability of functions and settings. 3.2.1.1 Therapy controls and buttons Color Example Meaning Dark green Available element: function activated Yellow Selected element: not yet confirmed with rotary knob Light green Available element: function not activated Quick reference guide Atlan SW 2.0n...

  • Page 21: Selecting And Setting

    Press the rotary knob. The color of the control element changes to green. In the subsequent chapters of this document, these steps will be written in simplified form as follows: – "Set the value." – "Touch the button." Quick reference guide Atlan SW 2.0n...

  • Page 22: Getting Started

    If there is sufficient battery charge, the device will also start without the power plug being plugged in. 4. If necessary, define the required passwords for users and service personnel in the displayed password dialog. Quick reference guide Atlan SW 2.0n...

  • Page 23: Password Dialog

    The password can be used to open certain dialogs to configure settings. The password can only be reset by service personnel. Service password The service dialog can be opened with the password. The password can only be reset by specialized service personnel. Quick reference guide Atlan SW 2.0n...

  • Page 24: Checking The Operational Readiness

    To view details regarding the status of the device, touch the Details... button (2) or the Tests... button (4), see page 26. Dräger recommends performing the system test every 24 hours. Otherwise, it will not be possible to ensure that the device is functional. Quick reference guide Atlan SW 2.0n...

  • Page 25: Emergency Start-Up

    3. Monitor the flow on the total flow tube (2). 4. Set the anesthetic gas concentration on the vaporizer. 5. Ventilate the patient manually. 6. Turn on the device. 7. As soon as the Standby page is displayed, start the therapy. Quick reference guide Atlan SW 2.0n...

  • Page 26: Tests

    – Checking the correct connection of the AGS – Checking the alarm system and the associated loud- speakers – Checking the breathing system warmer – Performance of leakage test – Flushing the breathing system Quick reference guide Atlan SW 2.0n...
  • Page 27 Changes are imme- diately visible. – Leakage test of a connected vaporizer – Leakage test of the inner hose of a connected Dräger coaxial breathing circuit. Use the coaxial test adapter for this. Quick reference guide Atlan SW 2.0n...

  • Page 28: Ending Operation

    When the device is disconnected from the mains power supply, the internal battery takes over the function of supplying power. The status display remains active. Follow the instructions for storing the device. ● Disconnect the power plug. Quick reference guide Atlan SW 2.0n...

  • Page 29: Alarms

    In situations where several alarms occur at the same time, alarms with higher priority may only be signaled with a 5-tone sequence instead of a 10-tone sequence. Regardless of the set alarm volume, the No O delivery alarm is issued at maximum volume. Quick reference guide Atlan SW 2.0n...

  • Page 30: Response To Alarms

    Open the Alarms dialog and touch the Current alarms tab (1). Alarms 2. In the list (2), touch the corresponding alarm or select it with the rotary knob. 3. Refer to the information under Cause (4) and Remedy (3) to remedy the error. Quick reference guide Atlan SW 2.0n...
  • Page 31 Reset all button (3) and confirm. All the alarms displayed in the alarm mes- All alarms will be downgraded or reset. sage field will be downgraded or reset. Quick reference guide Atlan SW 2.0n...

  • Page 32: Troubleshooting

    On devices with integrated patient-gas measurement module: – The water trap is not connected. – The sample line is not connected, is kinked, or is leaking. – The connections for the sample line are damaged. Quick reference guide Atlan SW 2.0n...

  • Page 33: Principles Of Operation

    Period of time during which a pressure rise from the PEEP or CPAP pressure to the inspi- ratory pressure or PSV pressure takes place. This time determines the steepness of the rise in pressure from the lower to the upper level. Tidal volume Quick reference guide Atlan SW 2.0n...
  • Page 34 Degree of breathing support Breathing sup- Ventilation mode port None Standby, Pause, Monitoring Man/Spon, CPAP, CPAP / PSV with ∆Psupp <5 hPa (cmH Medium CPAP / PSV with ∆Psupp ≥5 hPa (cmH High Volume-controlled modes Pressure-controlled modes Quick reference guide Atlan SW 2.0n...
  • Page 35 PC - SIMV / PS This mode is similar to PC - SIMV, except that the patient's spontaneous breathing at the PEEP level during the expiratory phase is pressure-supported with ∆Psupp when outside the trigger window. Quick reference guide Atlan SW 2.0n...
  • Page 36 In this volume-controlled ventilation mode, the patient receives the set tidal volume VT with each mandatory breath. 9.1.4.4 VC - SIMV – Volume-controlled – Pressure-limited – Time-controlled – Machine-triggered or patient-triggered – Constant inspiratory flow – Synchronized inspiration Quick reference guide Atlan SW 2.0n...
  • Page 37 - PEEP) is at least 5 hPa (cmH O) and the upper inspiratory pressure limit is set by Pmax. If the set value for VT is reduced, the inspiratory pressure will be reduced by a greater amount if necessary. Quick reference guide Atlan SW 2.0n...
  • Page 38 This mode is similar to VC - SIMV / AutoFlow, except that the patient's spontaneous breathing at the PEEP level during the expiratory phase is pressure-supported with ∆Psupp when outside the trigger window. 9.1.5 Assisted ventilation with pressure support 9.1.5.1 ∆Psupp PEEP Slope 1/RRmin Flow Trigger Insp term Quick reference guide Atlan SW 2.0n...

  • Page 39: Co 2 Measurement With Pediatric Patients And Neonates

    CO waveform. In the case of stronger influences, the measured etCO values may be distorted. Quick reference guide Atlan SW 2.0n...
  • Page 40 – Increase of the HME resistance – Negative pressure in the patient’s lungs – Increasing air trapping (detectable in the flow waveform as an incomplete expiration before the start of the next inspiration) Quick reference guide Atlan SW 2.0n...
  • Page 41 If the HME is clear, set the expiratory MV low alarm limit closely below the measured MV. If the HME becomes clogged or soiled, its resistance increases. As a consequence, the applied and measured expiratory tidal volume VT is reduced and the Minute volume low alarm is triggered. Quick reference guide Atlan SW 2.0n...

  • Page 42: Annex

    Central supply connected and pressure within specified range Central supply not connected or pressure not within specified range Gas cylinder full Gas cylinder empty or gas cylinder valve turned off Gas cylinder pressure sensor not connected Symbol for programmed Auto On Quick reference guide Atlan SW 2.0n...
  • Page 43 This page has been left blank intentionally. Quick reference guide Atlan SW 2.0n...
  • Page 44 Distributed in the USA by Draeger, Inc. 3135 Quarry Road Telford, PA 18969-1042, USA Tel. +1 215 721 5400 Toll-free +1 800 437 2437 Fax +1 215 723 5935 info.usa@draeger.com Manufacturer: Drägerwerk AG & Co. KGaA Moislinger Allee 53 – 55 D-23542 Lübeck Germany Tel.

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