Page 1 Atlan A100 (XL), A300 (XL), A350 (XL) Anesthesia workstation Software 2.1n Instructions for use WARNING To properly use this medical device, read and comply with these instructions for use. Atlan A100 (XL), A300 (XL), A350 (XL)
Page 2 This page has been left blank intentionally. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 3: Table Of Contents
Getting started..................Safety instructions ................Turning on the device ..............Password dialog ................Checking the device configuration..........Checking the operational readiness ..........Checking the backup manual switch ..........Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 4 Device settings ................11.4 Setting the date and time..............11.5 Specifying the start settings............11.6 Transferring device configurations..........11.7 Activating software options ............. 11.8 Overview of configurable screen contents........Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 5 (SORC)............16.7 Influence of patient category, weight, and age on device behavior 16.8 Support of Infinity ID accessories ........... 16.9 Schematic illustration of the acoustic signals ......... Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 6 Contents 17 Annex ......................17.1 Abbreviations .................. 17.2 Symbols ..................17.3 Product labels ................. 17.4 Overview of the menu structure............Index ......................Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 7: Information About This Document
All available main devices and options are described in this document. Observe the equipment that is applicable for the present device. For further information see: "Main devices and options", page 37. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 8: Trademarks
The following web page provides a list of the countries in which the trademarks are registered: www.draeger.com/trademarks 1.5.2 Trademarks owned by third-party manufacturers Trademark Trademark owner ® Datex-Ohmeda Selectatec Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 9: Safety-Related Information
(halothane, enflurane, isoflurane, sevoflurane, desflurane). For contraindications to the applied medical gases, strictly follow the instructions for use of the medical gases. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 10: Application-Specific Safety Aspects In General Anesthesia
(central gas supply or gas cylinder) fails, an alarm is issued. – Supply of the patient with adequately oxygenated breathing gas: If the breathing gas contains insufficient levels of O , an alarm is issued. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 11: User Group Requirements
This user group installs the product and performs the service activities. Service personnel has specialist knowledge in electrical and mechanical engineering and experience in the servicing of medical devices. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 12: Information On Safety Instructions And Precautionary Statements
These instructions for use do not provide any information on the following: – Risks that are obvious to the user – Consequences of foreseeable misuse of the product – Possible negative effects on patients with one or more diseases Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 13 ► Use only compatible accessories. The accessories that are compatible with this product are listed in the list of accessories supplied with the product. ► Use only accessories that are in good working order. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 14 ► If the device was exposed to moisture or liquids during transport, wipe it/them off after transport. Before connecting the device to the power supply, ensure sufficient drying time. ► Only use the device on level surfaces without inclination. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 15 Electromagnetic compatibility (EMC) Medical electrical equipment is subject to special precautionary measures concerning electromagnetic compatibility. During installation and before initial operation, follow the information in section: "EMC declaration" (page 299). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 16 Unauthorized access to the device can impair the device function. ► The LAN interface may only be used by specialized service personnel. Authentication and a secure connection protocol are required. The data is transmitted in encrypted form. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 17 – Software installation events – Configuration events – Network anomalies ► Inform the health-care facility’s IT representatives or the device owner. ► Observe the following information: "Security events", page 307. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 18: Further Information
Serious incidents with this product must be reported to Dräger and the responsible authorities. 2.10.3 Training Training for users is available via the Dräger organization responsible (see www.draeger.com). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 19: Overview
Lockable drawer Provides additional storage space. Trolley with castors and cable Used for moving the device. The central deflectors brake locks the two front castors. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 20 Lockable drawer Provides additional storage space. Trolley with castors and cable Used for moving the device. The central deflectors brake locks the two front castors. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 21 Working light Illuminates the work surface. Turns the working light on or off. Dims the illuminance in 3 steps (dark, medium, and bright). Turns the device on or off. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 22 Holder Used for parking the breathing bag hose. Handles Used for positioning the device and for stowing used breathing hoses. absorber Absorbs CO from the patient's expiratory gas. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 23 (O , CO module O, and anesthetic gases). Guide clip Used to securely lay the O insufflation hose. 1) Only for devices with integrated PGM. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 24 O sensor. Designation Description sensor Measures the inspiratory O concentration in the breathing gas. Sealing cap Seals the O sensor port during calibration of the O sensor. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 25 Gas cylinder holder Secures the gas cylinders. Rail Used for fastening additional components. Hanger yoke system Enables the connection of gas cylinders with a pin-index connector. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 26 Overview 3.1.5 Side view from right Designation Description Standard rail with handle Allows the device to be maneuvered during intrahospital transport and also the attach- ment of accessories. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 27 Holder for hoses and cables Used for storing and winding up central sup- ply hoses and cables. Cable holder with cable chan- For passing hoses and cables through. nels Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 28 Feeds ambient air to the device for ventila- tion. Connectors Provides connectors for power cable, potential equalization, and interfaces. Used for data exchange between external devices, additional components, and net- works. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 29 Feeds ambient air to the device for ventila- tion. Connectors Provides connectors for power cable, potential equalization, and interfaces. Used for data exchange between external devices, additional components, and net- works. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 30 This will minimize differences in elec- trical potential. Network port Enables data transfer within an IT network. USB port Used to transfer data to a USB mass stor- age device. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 31 Enable the device to be supplied with gases supply system from the central supply. Connectors for gas cylinders Enable the device to be supplied with gases from the gas cylinders. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 32 Enables the connection of gas cylinders pin-index connectors with a pin-index connector. Wrench For opening and closing the gas cylinder valves. Connecting cable Enables electronic gas pressure measure- ment. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 33 Overview 3.1.11 Auxiliary power sockets Designation Fuses, 2 each per power socket Auxiliary power sockets, 4 pcs. Main fuse Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 34 LED for Mains voltage is The device is discon- mains volt- present. nected from the mains voltage or the power supply unit is faulty. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 35 Display of the set fresh-gas flows Display of airway pressure in the internal breathing system, see page 22 + key (O flush) The explanation of the symbols can be found on page 330. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 36 Symbol for programmed Auto On Display of airway pressure in the internal breathing system, see page 22 + key (O flush) The explanation of the symbols can be found on page 330. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 37: Functional Scope
– Mechanically controlled gas mixer with status display with status display – Electronic fresh gas flow measure- – Electronic fresh gas flow measure- ment ment – Compact trolley – Large trolley Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 38 – The individual fresh-gas flows are mea- sured and displayed by means of the integrated conventional flow tubes. – Available as a 2-gas version (O /Air) or 3-gas version (O /Air/N Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 39 – Version with large trolley – 1 large and 2 small drawers – Plug-in connector for up to 2 vaporizers – Plug-in connector for up to 3 vaporizers Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 40 – All castors are equipped with a cable deflector. Trolley with individual – All four castors are equipped with a castor brake. wheel brake 1) Not available for A100 (XL) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 41 Workplace light Description of hardware options Name Description External O flowmeter for Supplies oxygen for O insufflation insufflation Integrated O flowmeter Supplies oxygen for O insufflation for O insufflation Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 42 – On correspondingly equipped devices, an alarm is issued when gas cylinders are empty. Auxiliary power sockets Allow other devices to be connected. Workplace light Used for additional illumination of the work surface. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 43 (PC) mode. Can be extended by the following ventilation modes with software options for spontaneous breath- ing support: – PC - SIMV – PC - SIMV / PS Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 44 Advanced trends Includes the following functions: – Graphical trend of measured values – Mini-trends next to the waveforms – Export of trend data to USB mass storage device Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 45 Auto On Allows the device to automatically switch on and the system test to be performed automatically so that the device is ready for operation at a defined time. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 46 – PC - SIMV – PC - SIMV / PS – CPAP / PSV For a detailed description of the ventilation modes and the additional settings, see page 308. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 47 – Respiratory rate, apnea (derived from pressure, flow, and CO – Occurrence of anesthetic gas mixtures (only available with the integrated patient-gas measurement module) – Lack of fresh gas in the breathing system and the breathing circuit Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 48 The gas can be scavenged by means of the following procedures: – Active anesthetic gas scavenging – Passive anesthetic gas scavenging Further information can be found on page 81. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 49 For further information see: "IT networks and cybersecurity", page 301. 3.2.11.4 Support of Infinity ID accessories – Replacement interval monitoring – Anti-interchange security for breathing hoses For further information see: "Support of Infinity ID accessories", page 326. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 50 The alarm is automatically downgraded to low priority after 20 seconds (see "Alarm delay, alarm escalation, and alarm deescalation", page 198). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 51 Ventilate manually with the breathing bag. b. When using the external fresh-gas outlet: Ventilate manually with the breathing bag on the non-rebreathing system. 4. Set the fresh-gas flow. 5. Check the vaporizer setting. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 52 Ventilate manually with the breathing bag. b. When using the external fresh-gas outlet: Ventilate manually with the breathing bag on the non-rebreathing system. 4. Set the fresh-gas flow. 5. Check the vaporizer setting. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 53 Ventilate manually with the breathing bag. b. When using the external fresh-gas outlet: Ventilate manually with the breathing bag on the non-rebreathing system. 6. Check the vaporizer setting. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 54 – Backup manual mode Ventilator failure – Manual ventilation or spontaneous breathing possible – Fresh-gas delivery available – Anesthetic agent delivery from connected vaporizers possible Alternatively: – Backup manual mode Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 55 – Manual ventilation or spontaneous breathing possible – Emergency O delivery (electronically controlled gas mixer) or fresh-gas delivery (mechanically controlled gas mixers) available – Anesthetic agent delivery from connected vaporizers possible Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 56: Gas Flow Diagram
PEEP/Pmax valve Patient-gas measurement module Expiratory valve Expiratory pressure measurement Airway pressure gauge Patient Expiratory flow sensor Inspiratory flow sensor Inspiratory valve Inspiratory pressure measurement Inspiratory O sensor Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 57 Gas supply (central supply or gas cylinders) Flow control valves Minimum O delivery Vaporizer Ejector flush Breathing system Switch-over valve External fresh-gas outlet flowmeter 1) Only with 3-gas gas mixers Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 58 Gas supply (central supply or gas cylinders) Flow control valves Minimum O delivery Total flow tube Vaporizer Ejector flush Breathing system Switch-over valve External fresh-gas outlet flowmeter 1) Only with 3-gas gas mixers Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 59 Some of the components shown are available as an option or only with certain device equipment. Designation Gas supply (central supply or gas cylinders) Gas mixer flowmeter switch Vaporizer Ejector flush Breathing system Switch-over valve External fresh-gas outlet Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 60: Assembly And Preparation
Next, perform a leakage test on the entire breathing circuit. Observe the following information: "Checking a coaxial breathing circuit for leaks with the leakage assistant", page 117. ► Monitor the measured gas concentrations during ventilation. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 61 ► Follow the instructions for use of the water trap. ► A device equipped with an integrated patient-gas measurement module must always be operated with a water trap fitted to the patient-gas measurement module. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 62 ► Do not connect high-frequency surgery equipment to the auxiliary power sockets. ► When making a connection, follow the manufacturer's instructions for all connected devices. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 63 ► Check the flow sensor before insertion and at regular intervals afterwards for visible damage, soiling, and particles. ► Replace flow sensors when damaged, soiled, or not particlefree. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 64 An unbraked device may accidentally move during operation. As a result, user and patient could be put at risk. ► To prevent this, actuate the castor brakes. Check the functional integrity of the brakes. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 65 ► Compare the color code and labeling on the vaporizer used with the anesthetic agent bottle and the anesthetic agent indicated on the screen. ► Observe the vaporizer filling level. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 66 – Inaccurate measured values for volume, anesthetic agent consumption, econometer, and low-flow wizard – Accumulation of argon in low-flow operation and minimal-flow operation ► Do not use any O concentrators. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 67: Mounting Of Accessories
Other components Component Maximum weight Writing tray 20 kg (44 lb) Standard rail 10 kg (22 lb) Large drawer 3 kg (6.6 lb) Small drawer 2 kg (4.4 lb) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 68 The rear may be loaded with a maximum of 40 kg (88 lb). In addition to the accessories, this must also take account of the weight of gas cylinders including the pressure reducers and the hanger yoke system. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 69: Before First Operation
If the device is equipped with an O sensor, an O sensor cell must be inserted into the O sensor. 1. Remove the breathing system cover (1). 2. Turn the O sensor (2) counterclockwise. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 70 Assembly and preparation 3. Take out the O sensor (3). 4. Turn the knurled nut (4) approximately 90° counterclockwise. 5. Remove the sensor cap (5). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 71 2. Turn the knurled nut (2) about 90° clockwise. Turn it until the palpable resistance is overcome and a click is heard. The sensor cap is now fitted. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 72 3. Insert the O sensor (3) into the sensor port. 4. Turn the O sensor (4) clockwise. 5. Put the breathing system cover (5) in place and click it into position. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 73 ► Do not keep electrical items in the drawers or in the storage compartment at the rear of the device. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 74 To use the flow correction (see page 149), connect an anesthetic gas monitor to the COM 2 port. Only use the cables from the list of accessories. For further information on configuring the particular interface, see page 220. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 75: Intrahospital Transport
Wipe off the moisture. Ensure sufficient drying time. 4. Before operating the device, make sure it is on a level surface without inclination. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 76: Gas Supply
► Do not position oxygen sources in the vicinity of ignition sources, e.g., electrical connectors. ► Always fit the oxygen cylinder in the right-hand fixing position on the rear. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 77 5. If no gas cylinders are connected, secure the pressure reducers (4) with the hook-and-loop straps (3) so they do not bang against the rear of the device. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 78 6. Turn the handle (6) clockwise until the threaded stud is slightly screwed into the visible recess on the head of the cylinder. Align the gas cylinder (4) so that it is hanging vertically. 7. Tighten the handle (6). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 79 Interlock or Selectatec plug-in adapter. Dräger recommends using only vaporizers that are listed in the list of accessories and have been tested. The vaporizers used must conform to the ISO 8835-4 or ISO 80601-2-13 standard. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 80 The vaporizers have an interlock system which by means of a metering interlock prevents the simultaneous opening of 2 vaporizers. 1. Turn the control dial on one of the vaporizers to a position other than 0. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 81: Connecting To The Gas Scavenging System
(2) using the supplied hose connector. 2. Secure the scavenging hose with the clip (3). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 82 "Anesthetic gas receiving system" in chapter "Technical data". The integrated anesthetic gas receiving system can also be equipped with an ejector instead of the suctioning disposal system. Follow the relevant assembly instructions. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 83 1. Connect the scavenging hose (1) to the nozzle on the receiving system. If an external anesthetic gas monitor is used, connect the sample gas outlet of the monitor with port (2) using the supplied hose connector. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 84: Preparation After Reprocessing
4. Fasten the end of the hose. Preparation after reprocessing ● Assemble the device and prepare it ready for operation. Observe the reprocessing instructions supplied with the device. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 85: Selecting And Connecting Patient-Specific Accessories
In order to protect the patient from particles and dust, a filter must be used between the inspiratory limb of the breathing system and the patient. ► Use a filter at the Y-piece or at the inspiratory port. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 86 Observe the following information: "Permissible hose configurations", page 87. When attaching or removing the breathing hoses, always hold them by the connection sleeve and not by the hose itself. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 87 (e.g., if there is intrinsic PEEP due to Air trapping), reprocess the breathing system after every patient. Perform the reprocessing in accor- dance with the reprocessing instruc- tions supplied with the product. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 88 As a result, the patient could be put at risk. ► Do not use an adapter to connect the breathing bag hose. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 89 Accessories such as filters influence the dead space, compliance, and resistance of the breathing circuit. In addition, changes in resistance and compliance arise over time as a result of moisture in the breathing gas or residues of secretions. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 90 –4.0 Inspiration Expiration Since R is greater than –6 hPa (cmH O) and R is less than 6 hPa Inspiration Expiration (cmH O), this configuration may be used. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 91 ► The sample line must be connected to the mask and the water trap on the anesthesia machine. ► Provide for suitable gas monitoring conforming to ISO 80601-2-55. ► Provide suitable O monitoring for devices with inspiratory O measurement. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 92 ► To prevent contamination of the ambient air with anesthetic gases, press the sealing plug back into the inlet nozzle after using a non-rebreathing system. 2. Seal the inlet nozzle (4) on the AGS again with a sealing plug. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 93: Connecting And Replacing Consumables
4. Remove the absorber insert (3) from the absorber container. The sealing ring (4) remains on the absorber insert. Perform the further reprocessing of the individual components in accordance with the reprocessing instructions supplied with the product. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 94 Only use undamaged filters. 4. Attach the CO absorber (8) to the breathing system from below. Rotate it in the direction of the arrow until it reaches the stop. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 95 Risk of incorrect measured gas values Blocked water traps or blocked sample lines prevent correct gas measurement. As a result, incorrect measured gas values could be displayed. ► Only use Dräger sample lines. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 96 321. – Particularly when ventilating pediatric patients and neonates, ensure a small volume (dead space) (e.g., for HMEs or for tube adapters for connecting the sample line). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 97: Operating Concept
The main menu bar contains buttons to open dialogs and activate functions. These buttons are assigned to various groups. For fur- ther information, see the following chapter: "Overview of the menu structure", page 337 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 98 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 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 99 Setting ranges Some settable parameters may be limited or mutually restricted, so that certain combinations of therapy settings are not possible, e.g., Ti 6.9 s at RR 100 /min. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 100 The screen saver can be activated or deactivated in the system setup (see "Vertical tab "General"", page 204). Dräger recommends leaving the screen saver activated in order to prevent possible damage to the screen due to permanent still images. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 101: Color Concept
In the flow waveform, spontaneous breathing and pressure support are displayed in a light brown color. In Manual / Spontaneous ventilation mode, the flow waveform for manual ventilation is also displayed in a light brown color. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 102: 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." Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 103 ● Turn the flow control valve clockwise to the end stop. In the subsequent chapters of this document, the following is represented by simplified explanations: – "Open the flow control valve." – "Close the flow control valve." Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 104: 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. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 105: Password Dialog
With mechanically controlled gas mixers with flow tubes, a one-time adjustment for the height above sea level is required. For further information about the configuration, see page 203. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 106: Checking The Operational Readiness
To ensure that operation remains possible, the system test must be performed at the latest 28 days after the last system test. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 107: Checking The Backup Manual Switch
An optical alarm signal (3) with high priority is issued. A dialog (4) is also displayed. Exit backup manual mode If the alarm and dialog are not displayed, contact specialized service personnel. 3. Deactivate the backup manual switch again. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 108: Emergency Start-Up
7. As soon as the Standby page is displayed, start the therapy, see page 143. 6.7.2 Mechanically controlled gas mixer with electronic flow measurement 1. Adjust the APL valve. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 109 7. Turn on the device. 8. As soon as the Standby page is displayed, start the therapy, see page 143. 9. Set the O switch (3) to Aux. O Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 110: Tests
72 hours. The device can be operated with restricted function. A serious fault has been detected or the last test result is older than 28 days. Operation is not possible. Gray Not tested Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 111: Available Test Types
– Flushing the breathing system with ambient air 1) Only for devices with integrated PGM. This test must be activated in the system setup (see "Vertical tab "System test"", page 219). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 112: Performing The Tests
The checklist can be presented in tabular form or as a walk-through mode. In the system setup, tests can be specified to always start in walk-through mode, see page 219. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 113 125. System test - checklist 3. If the O sensor is to be calibrated despite a valid calibration, touch the Calibrate button (3). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 114 The buttons (7) are used to document whether the check passed. Button Meaning Check passed Check failed The automatic test starts after all the checks in the walk-through mode are complete. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 115 If there is leakage, the leakage assistant (1) can be used to aid in troubleshooting. 2. Touch the Repeat button (2) and repeat the test of the component. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 116 – All flow control valves of the gas mixer are closed. – The vaporizers are closed. – The breathing circuit is correctly connected. – The APL valve is set to 30. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 117 Connect the coaxial test adapter (3) to the expiratory port (4). c. Remove the elbow (5) from the hose (6). Connect the hose (6) to the coaxial test adapter (3). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 118 5. Touch the Leakage test or System test button to start an automatic test. The determined leakage value is displayed as Leakage (mech. vent.). Note down the value as the leakage of the expiratory hose. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 119 3. Press the O + key and keep it pressed until the displayed breathing system pressure no longer rises. 4. Release the O + key. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 120 – Quick tightness check: Checks whether there is leakage. – Complete leakage test: Determines the leakage value. For both checks, first the inner inspiratory hose and then the outer expiratory hose is tested. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 121 5. Release the O + key. 6. Wait until the pressure stabilizes between 15 and 30 hPa. If the pressure drops further, the hose is leaking. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 122 7. Exit the system test again. To do this, touch the Cancel button. For leaking hoses, the complete leakage test can be used to determine how large the leakage value is and whether the hose can continue to be used. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 123 2. Touch the Tests... button. 3. Touch the Leakage test button. The determined leakage value is displayed as Leakage (mech. vent.). Note down the value as the leakage of the inspiratory hose. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 124 Do not use the breathing circuit. >150 mL >150 mL The leakage is possibly caused by other components and not by the breathing circuit. Repeat the test with a different coaxial breathing circuit. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 125: Checklist In The Walk-Through Mode
The instructions on the screen take precedence. Prerequisites 1. Connect the hoses (1). 2. Seal the Y-piece (2). 3. Set the APL valve to 30. 4. Close the flow control valve. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 126 5. Set the O switch to Aux. O 7.5.1 Vaporizers For each vaporizer, check: 1. The locking lever points left, indicating the vaporizer is locked. 2. The filling inlet is closed. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 127 3. The control dial is set to position 0 and the key is locked in placed. 4. Check the filling level in the sight glass. Refill anesthetic agent if required. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 128 7.5.2.2 Checking the emergency O delivery (with electronically controlled gas mixer) Prerequisite: Y-piece is sealed. 1. Set the O switch (2) to the Add. O position. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 129 3. Close the flow control valve (3). 4. Set the O switch (4) back to the Aux. O position. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 130 2. Extendable hoses (3) are extended to the length intended for use. Do not change the length of the hoses after the test is done. 3. Remove the water from the hoses (4). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 131 5. Pull off the Y-piece and plug it on again. The pressure drops. 7.5.4 Valves 7.5.4.1 Checking the O flush 1. Press the O + key until the pressure exceeds 15 hPa (cmH Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 132 ● Touch the button and wait for 2 different acoustic signals. If the acoustic signals are not emitted, contact service personnel. 7.5.5.2 Bronchial suction ● Check the functional integrity of the bronchial suction. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 133 "Anesthetic gas receiving system" in chapter "Technical data". Contamination of the ambient air can be prevented by limiting the fresh-gas flow. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 134 ● Make sure that the soda lime does not need to be exchanged. Change the soda lime if it is discolored or when its maximum period of use has been reached, see page 93. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 135 CLIC absorber affects the system compliance values. 7.5.6.2 Sample line port Prerequisite: The device is equipped with "Integrated O monitoring". ● Seal the port for the sample line at the Y-piece. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 136 Without Infinity ID function: – Water traps will not be detected. ● Update the replacement date manually: Touch the Reset button after a new water trap has been installed. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 137 4. Take the sealing cap (2) from the holder (3). Seal the sensor port with the sealing cap. 5. Follow the instructions on the screen. The device will perform the calibration. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 138 (operational with limitations) can be achieved at best. Replace the sensor cell when the O sensor can no longer be calibrated, see page 69. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 139: Operation
Man/Spon mode. ► Take care that this does not happen unintentionally. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 140 ► Therapeutic decisions must be made solely by the user. For further information see: "User group requirements", page 11. ► Do not use the virtual flow tubes of the electronically controlled gas mixer alone when making therapeutic decisions. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 141 ► Do not plug already used hoses with attached filters or Y-pieces onto the circuit plug but instead hang them over the handles on the left-hand side of the device. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 142 ► Do not use the device's working light for examinations. ► For examinations, use an examination light conforming to IEC 60601-2-41. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 143: Starting The Therapy
Prerequisite: The device is in Standby mode. Quick start Mechanically controlled gas mixers: ● Touch the Quick start Man/Spon button (1) and open the flow control valves. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 144 – Starting a new case (1) – Continuing a case (2) Depending on the selected patient category, different patient data (e.g., weight, age) are displayed in area (3). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 145 ● Adjust the patient data (1). The device will suggest appropriate therapy settings for these data, e.g., for tidal volume, respiratory rate, and alarm limits. For more information, see page 325. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 146 ► Follow the recommendations of professional societies. 1) Pause must be activated in the system setup. 2) Only for devices with integrated PGM. Pause must be deactivated in the system setup. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 147: Adjusting The Therapy
If the ventilator fails, ventilate the patient manually. ● The selection between manual ventilation (Man) and spontaneous breathing (Spont) is made at the APL valve, see page 22. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 148 ● Press the O + key. continues to flow for as long as the key is pressed. The gas concentration can change abruptly when the O flush is used. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 149 If the flow is not set correctly, the resulting incorrect measured flow values can lead to incorrect measured values for the tidal volume. ► Make the settings for the flow correction carefully. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 150 2. Adjust the therapy controls (3) or the buttons (2). 3. Activate the ventilation mode with the rotary knob. A signal tone is emitted when the mode is changed. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 151 PSV), adverse settings or sensor failure can lead to insufficient ventilation. ► To maintain a minimal ventilation of the patient, set the respiratory rate to a suitable value. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 152 8.3.8 Ventilating pediatric patients and neonates For tidal volumes below 300 mL: ● Use suitable ventilation accessories, see chapter "Selecting and connecting patient-specific accessories" starting on page 85. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 153: Special Forms Of Therapy
The CBM mode can be used in all active ventilation modes. 1) Pause must be activated in the system setup. 2) Only for devices with integrated PGM. Pause must be deactivated in the system setup. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 154 – Switching to the standby mode For further information see: "Degree of breathing support", page 310. Deactivating the CBM mode activates the apnea monitoring. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 155 Prerequisite: The device is in standby or Manual / Spontaneous mode. ● Start the Monitoring operation mode (1). 8.4.3.2 Ending monitoring ● After standby or switching to a ventilation mode. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 156 Danger due to hypoxic gas mixture If the patient breathes spontaneously while in Pause operating mode, there is a risk of inhalation of a hypoxic gas mixture. ► Monitor the patient’s breathing. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 157: Maneuvers
Available maneuvers – Insp./Exp. hold – One-step recruitment – Multi-step recruitment 1. Open the Procedures dialog window. 2. Touch the tab for the required maneuver. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 158 The ventilation pattern of the manually triggered breath corresponds to the ventilation pattern for the active ventilation mode. – A mandatory breath can be extended. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 159 The rise in pressure from the PEEP level to the set pressure level and the decrease in pressure at the end of the maneuver take place at 20 hPa/s. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 160 PEEP max and Pinsp max can be achieved. 21 Breaths@Max Number of breaths at the Pinsp max pressure level Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 161 (11) and move the cursor with the rotary knob. To facilitate reading the data, screen area (11) will temporarily not be updated. To show the current measured values again, touch area (12). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 162 Apnea (no CO Stopped 1) Existing alarms are preserved. No new alarms will be issued. Some technical alarms stop the maneuver automatically, e.g., alarms caused by a sensor failure. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 163: Using Fields With Special Functions
1 MAC corresponds to the following concen- tration: (In 100 % O Halothane 0.77 Vol% Enflurane 1.7 Vol% Isoflurane 1.15 Vol% Desflurane 6.0 Vol% Sevoflurane 2.1 Vol% 105 Vol% Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 164 ● Use the MAC display as an orientation for anesthetic agent delivery. 1) 40 years 2) 32 years Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 165 An insufficiently filled breathing bag can trigger the Fresh gas low or leakage or Ambient air inlet activated alarms, for example. 8.6.3 Stopwatch Stopwatch Using the stopwatch 1. Touch the Start button (1) to start. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 166 1. Touch the Start button (2) to start. The bar graph displays the individual measured spontaneous breaths in segments (5). The summed volume (4) is displayed next to the bar graph. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 167 O flush. An insufficient fresh-gas flow may trigger the Fresh gas low or leakage or Ambient air inlet activated alarms, for example. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 168 The Compliance trend parameter field displays the current measured values for the dynamic patient compliance (Cdyn and PEEP) as well as the trend of the mean dynamic patient compliance (Cdyn mean). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 169: Customizing The Screen Display
Up to three waveforms (1), (2), and (3) are displayed along with their associated parameter fields. Expert view In addition to the standard view, an additional waveform or 4 additional parameter fields (4), (5), (6), and (7) are displayed. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 170 View button. 1 2 3 The screen displays the third view 1 2 3 ● Touch the View button. 1 2 3 The screen displays the first view Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 171 8.7.4 Using loops Prerequisite: The device has the "advanced ventilation monitoring" or "loops and trends" software option. The following loops are available: – Pressure-Volume loop – Flow-Volume loop Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 172 – The current loop (1) and 5 previous loops – The Cdyn, R, and TC parameters (2) Alternatively, the Pressure-Volume loop can also be displayed in area (3). Saving or deleting reference loops Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 173 The alarm limits and the units of measurement can also be displayed in the waveform and parameter fields. 1. Open the Views dialog. 2. Touch the Limits & units button. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 174 1. Open the System setup dialog. 2. Touch the Screen > General tab (1). System setup 3. Set the color scheme (2). 4. Set the screen brightness (3). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 175: Displaying Additional Data
Use the rotary knob or the arrow buttons (3) to scroll the cursor (2) up or down in the logbook. To scroll quickly, touch the gray area (4). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 176 (6). To view the values, move the cursor to the corresponding position. The following options are available for moving the cursor: ● Use the rotary knob to move the cursor (7). ● Touch the corresponding area on the screen. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 177: Setting The Volume
Risk of an operating error During operation in louder environments, the acoustic alarm signals might not be heard. ► Always set the alarm tone to be sufficiently loud. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 178: Adjusting The Alarms
Setting using the Quick setup dialog 1. Touch the respective waveform or the parameter field. 2. Set the upper alarm limit (1). Quick setup 3. Set the lower alarm limit (2). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 179 Prerequisite: The device is equipped with the "integrated patient-gas measurement module". monitoring (alarms for inCO , etCO , and CO apnea) can be activated or deactivated. 1. Open the Alarms dialog. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 180 – The expiratory xMAC value reaches approximately 0.3. 1) Pause must be activated in the system setup. 2) Only for devices with integrated PGM. Pause must be deactivated in the system setup. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 181 In CBM mode, the lower alarm limit is adjusted so that no alarm is issued during this time. Similarly, the value is not limited to 1.0 during this time. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 182: Changing The Patient Data
The screen contents can be exported to a USB mass storage device as a screenshot. ● Touch the Export screenshot button in the main menu bar. The screenshot will be saved as a ".png" file. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 183: Other Settings
The breathing system warmer can be switched off in special situations (e.g., for intentional reduction of the body temperature of the patient). 1. Open the System setup dialog. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 184 , MV, Pmean, PIP, Pplat, PEEP, FiO , expiratory concentration of the primary anesthetic gas, and etN – Settable interval – Alarms with high or medium priorities 1. Open the System setup dialog. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 185: Ending The Therapy
– Absorption and/or degradation of the inhalational anesthetic agent ► With mechanically controlled gas mixers: Do not leave the flow control valves open for an unnecessarily long period of time. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 186 Aux. O position (3). Mechanically controlled gas mixer with electronic flow measurement: Prerequisite: The device is equipped with the "integrated O flowmeter" hardware option. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 187 ► Only connect the patient in a way that allows excess gas to escape (e.g., through a relief valve). 2. Connect the patient using a mask or nasal cannula. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 188: Change Of Patient
2. Check the water trap of the patient-gas measurement module (PGM) for leakage. If necessary, empty or replace the water trap. Vaporizer filling level ● Check the vaporizer filling level in the sight glass. Fill the vaporizer if required. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 189: Ending Operation
4. Set the desired day and time for the device to be ready for operation. 5. Select whether the device should remain in Standby mode or be shut down. 6. Touch the Start button. 7. If necessary, observe any messages that occur. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 190: Storing The Device
Impaired Infinity ID functions Electromagnetic disturbances or faults in Infinity ID components can cause permanent alarms. ► Contact service personnel to deactivate the Infinity ID alarms. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 191: Alarm Signaling
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. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 192: Response To Alarms
3. Refer to the information under Cause (4) and Remedy (3) to remedy the error. A list of all possible alarms can be found in chapter "Alarm – Cause – Remedy", see page 245. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 193 245 by the following remedial messages: Remedial message Effect Use "ALARM RESET" to downgrade Alarm priority is changed to low. alarm priority. Use "ALARM RESET" to reset alarm. Alarm is cleared. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 194 (2), touch the Reset all button (3) and confirm. All the alarms displayed in the alarm All alarms will be downgraded or reset. message field will be downgraded or reset. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 195 To do this, either set the alarm limits, see page 178, or change the alarm limits using the Quick setup dialog. 1. Touch the parameter field (1). Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 196: Adopting Alarm Settings When Changing The Ventilation Mode
For some modes, it can be configured whether or not the settings are adopted. Observe the information in the following section: "Vertical tab "Config. 2"", page 209 However, the settings can be adjusted during operation at any time. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 197 When changing to a ventilation mode with higher breathing support, the Apnea (no ) alarm is reset. If the apnea situation persists, an alarm appears after the time specified in table "Alarm delay, alarm escalation, and alarm deescalation". Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 198: Alarm Delay, Alarm Escalation, And Alarm Deescalation
(for RR ≥6) At the latest after 35 s 30 s later (for RR <6) (for RR <6) At the latest after 65 s No CO detected >60 s Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 199 (for RR <6) (for RR <6) Apnea Ventilation At the latest after 40 s in CPAP / PSV mode with active RRmin. (configurable alarm priority, see page 208) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 200: Activation Of Alarms After Breath Detection
Waiting for respiratory phases is displayed in the waveform. Once 2 breaths have been detected, the message disappears and only then are the , CO O, and anesthetic gas alarms active. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 201: Intelligent Alarm Behavior
After a specified interval, a new password must be assigned. This interval can be configured in the service dialog. If the password needs to be reset, contact service personnel. Give the password only to authorized persons. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 202: Device Settings
● Set the date and time in the system setup. The source for the time synchronization can also be set in the system setup. For further information, see the following chapter: "Vertical tab "General"", page 217. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 203: Specifying The Start Settings
The following tables show all the setting possibilities in the System setup dialog. Some setting options are available only for certain equipment or only with certain software options. The respective factory defaults are marked in bold format. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 204 1 Standard; 2 Expert; 3 Expert Specifies the standard view. Save as system Current view Saves the current screen layout. defaults (only available during operation) All views Saves all screen layouts. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 205 Vertical tab "Colors" Setting range Headline/ Description Parameter Default color; color palette with 7 addi- Specifies the parameter colors. Paw; tional colors Flow, volume Default color; ISO color Agent Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 206 0.10 to 9.95 0.10 to 9.95 Enflurane inEnf 3.60 4.10 5.40 [%]; [kPa] Off; Off; Off; inEnf 0.00 to 9.85 0.00 to 9.85 0.00 to 9.85 [%]; [kPa] Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 207 In modes with low or no breathing sup- port (Man/Spon, Ext. FGO, CPAP / PSV, Pause, and Monitoring), a further 20 percentage points are added to the configured value. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 208 0:30 to 2:00 0:30 to 2:00 Specifies the default duration for "Timer" [mm:ss] 2:00 1:00 0:30 Pause. Is only applicable when switching to Pause from a ventilation mode. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 209 [psi]: Off; 218 to 725 [bar]; [kPax100]: Off; 15 to 50 [psi]: Off; 218 to 725 [bar]; [kPax100]: Off; 15 to 40 [psi]: Off; 218 to 580 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 210 The "offset" value can be set in System setup > Alarms > vertical Autoset tab. If "Offset" is set to Off, the factory default value of 40 % is used for the automatic calculation of the alarm limits. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 211 Defines the time after which a reminder for a further maneuver is issued after the end of a One-step recruitment or Multi-step recruitment maneuver. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 212 2 to 10 For PEEP >15: Specifies the pressure decrease per step by which PEEP and Pinsp will be when PEEP > 15 reduced in steps. [mbar]; [hPa]; [cmH Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 213 Do not set this value too small; recom- mended is, e.g., 200 for adults, 100 for pediatric patients, and 50 for neonates. Carrier gas Air; N Air; N Air; N Sets the carrier gas. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 214 I:E ratio remains constant. Applies to the following ventilation modes: – PC - CMV – VC - CMV – VC - CMV / AutoFlow Prerequisite: Inspiratory-time control is set to Ti. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 215 Carrier gas for Auto; Air; N Corrects the accuracy of the flow mea- flow correction surement on devices with inspiratory measurement and mechanically controlled gas mixer with flow tubes. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 216 – Nitrous oxide is not connected or available. Restart the device if necessary to implement the settings. On: Nitrous oxide cannot be delivered. Off: Nitrous oxide can be delivered. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 217 Change password Changes the user password. Reset all pages to Factory defaults Resets all the settings on all pages in the System setup dialog to the factory defaults. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 218 189. Pay attention to the correct setting of the gas supplies to be tested, see page 219. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 219 1 min; 2 min; 5 min; 10 min; 15 min Generates periodic entries. For all high- On; Off Generates entries in the event of an priority alarms alarm. For all medium- On; Off priority alarms Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 220 Baud rate 1200; 2400; 4800; 9600; 19200; 38400 data, e.g., for waveforms. COM 2 Protocol MEDIBUS.X; None Baud rate 1200; 2400; 4800; 9600; 19200; 38400 Activates or deactivates the USB port. USB interface On; Off Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 221 Certain pages in the System setup dialog have a button for resetting the respective start settings to the factory defaults. 11.5.7.1 Resetting the changes on a page 1. Open the appropriate tab. 2. Touch the Factory defaults button and confirm. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 222 – Service options ● Scan the QR code with suitable equipment. The QR code is decoded into an internet address which enables access to the stated information in a browser. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 223: Transferring Device Configurations
USB mass storage device that are not needed or move them to a subdirectory on the USB mass storage device. The following settings are neither imported nor exported: – Device name – Date and time – IP address – Passwords Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 224: Activating Software Options
The activation codes can either be loaded from a USB mass storage device or entered manually. ● Open the System setup > Licenses/Options > Licenses/Options page (1). 1) Only for devices with integrated PGM Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 225: Overview Of Configurable Screen Contents
All available waveforms and parameter fields are listed below. The actually available waveforms and parameter fields depend on the main device and the device equipment. 11.8.1 Waveforms and associated parameter fields etCO Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 226 Parameters PIP, Pmean, PEEP Paw (4) Parameters PIP, Pplat, Pmean, PEEP: Volume MV, VT, RR Volume Volume MV, VT Volume Volume VT, MV, RR Volume Volume VT, MV Volume Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 227 Pmean PEEP PEEP Volume-controlled modes: PIP, Pplat, PEEP parame- ters All other modes: PIP, Pmean, PEEP parameters MVmand, spon MV, VT, RR MV, VT Volume Volume Mand Spon Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 228 Stopwatch Start Start Volume Timer ΔVT Compliance trend Timer ΔVT Cdyn PEEP Start MV×CO trend uptake trend Econometer trend MV×CO2 O2 uptake Econometer trend Compliance Compliance Cdyn mean Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 229 Configuration PV loop Volume Flow tubes (electronically controlled gas mixer with econometer) Surplus Efficient Deficit Econometer Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 230 Configuration Flow tubes (mechanically controlled gas mixer with electronic flow measurement) When the PV loop parameter field is displayed, the flow tubes will be displayed at reduced size: Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 231: Troubleshooting
– The sample line is not connected, is kinked, or is leaking. – The connections for the sample line are damaged. 1) Applies only to devices with removable pneumatic connection nozzles. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 232: Power Supply Failure
– Device monitoring and patient monitoring WARNING Risk of patient injury If all power sources fail, the screen goes dark and mechanical ventilation ends. ► Ventilate the patient manually. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 233: Failure Of The Gas Supply
On devices that are equipped with Advanced Cylinder Support, this takes place automatically when the gas cylinders are open. Otherwise, proceed as follows: ● Open the corresponding gas cylinder valve. ● Re-establish the central supply. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 234 4. Replace the gas cylinder with a full gas cylinder. 5. Connect the pressure reducer to the new filled gas cylinder, see page 76. 6. Open the valve of the filled gas cylinder slowly. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 235 2. Close the gas cylinder valve on the corresponding gas cylinder again. On devices that are equipped with Advanced Cylinder Support, the gas cylinder valves can remain open. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 236: Failure Of Fresh-Gas Delivery (Electronically Controlled Gas Mixture)
Take the following measures if necessary: ● Perform the ventilation with ambient air. For further information see: "Complete failure of the gas supply", page 235. ● Ventilate the patient with the manual resuscitator. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 237: Failure Of The Piston Ventilator
– Calibrate the sensor cell again. An initialization phase of up to 30 minutes is required after a new sensor cell is inserted. Only then is O measurement and calibration possible once more. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 238: Failure Of The Integrated Patient-Gas Measurement Module (Pgm)
► Have the PGM replaced by service personnel. 1. At the left-hand side of the device, take hold of the cover (1) at the top and bottom and pull it off directly to the front. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 239: Flow Measurement Failure
The flow sensors can be replaced as soon as the device is in standby mode. 1. Replace the flow sensors. 2. Perform the leakage test, see page 112. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 240 ► Allow the breathing system to cool off before removing. 2. Remove the breathing system (2) vertically upwards from the breathing system mount. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 241 2. Push in the expiratory port (2). Tighten the knurled nut. 3. Insert the inspiratory flow sensor (3). 4. Push in the inspiratory port (4). Tighten the knurled nut. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 242: Screen Fault Or Failure Of The Graphical User Interface
1. Activate the backup manual switch, see page 50. 2. Use the emergency O delivery, see page 50. 3. Check the vaporizer setting. 4. Ventilate the patient manually. 5. Ensure appropriate substitute monitoring. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 243: Complete Failure
If soiling can be seen in the transparent housing of the AGS or on the flow indicator, have the AGS replaced by specialized service personnel. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 244: Cylinder Pressure Reducer
Have the item outlet of the pressure repaired by service per- reducer. sonnel. Leakage in the housing The diaphragm is faulty. Have the item repaired by area service personnel. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 245: Support Request
Some alarms are listed several times because their priority may change under certain conditions, see page 198. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 246: High
Replace the cylinder. Use the closed. central supply. Air cylinder sensor? Cylinder pressure sensor is Check if cylinder pressure not connected. sensor is connected. Use "ALARM RESET" to reset alarm. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 247 An external anesthetic gas Disconnect the sample line. monitor is extracting gas Seal the sample line port. from the breathing system via a sample line. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 248 Check fresh-gas settings and cient, breathing bag is position of breathing bag. blocked or positioned incor- rectly. The breathing hoses are Check breathing circuit and blocked or leaking. tube. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 249 !! 100 Backup speaker failure The backup speaker for Call Dräger. alarm tones is faulty. Use "ALARM RESET" to reset alarm. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 250 Use "ALARM RESET" to reset alarm. Breathing circuit expired Accessory has been used Replace the accessory if nec- too long. essary. Use "ALARM RESET" to reset alarm. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 251 Breathing system warmer The breathing system Check breathing circuit for failure warmer is faulty. condensation. Increase fresh-gas flow if necessary. Call Dräger. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 252: Low
Increased risk of fire. Call Dräger. !! 135 etCO high etCO has exceeded the Check ventilation. upper alarm limit. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 253: Etco 2 Low
2 con- fresh-gas settings. secutive breaths and for Check the breathing system more than 15 seconds. for high leakage. Check O supply. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 254 Make sure that sufficient differs from the set fresh-gas fresh-gas and anesthetic flow. agent are delivered. Check the measured gas concentrations. Use "ALARM RESET" to downgrade alarm priority. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 255 Use "ALARM RESET" to reset alarm. !!! 255 Inspiratory desflurane high Inspiratory anesthetic gas Check vaporizer and fresh- concentration has exceeded gas settings. the upper alarm limit. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 256 !! 255 Inspiratory isoflurane high Inspiratory anesthetic gas Check vaporizer and fresh- concentration has exceeded gas settings. the upper alarm limit. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 257 5 xMAC. !! 255 Inspiratory xMAC high The inspiratory anesthetic Check vaporizer and fresh- gas concentration has gas settings. exceeded 3 xMAC for more than 180 seconds. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 258 License will expire soon A trial license will expire Use "ALARM RESET" to within the next 14 days. reset alarm. To order a permanent license, call Dräger. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 259 (e.g., VT, Pinsp, RR). In PSV mode, correct the trig- ger threshold if necessary. Check alarm limit. Flow measurement is inaccu- Replace the expiratory flow rate. sensor. Perform the leakage test. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 260: Minute Volume Low
The ambient air used for cali- Position the device in an brating the sensor was environment with clean ambi- impure. ent air. Wait for the automatic cali- bration. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 261 Check the upper alarm limit for the airway pressure. If the problem persists, call Dräger. Use "ALARM RESET" to downgrade alarm priority. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 262: O 2 Cylinder Almost Empty
The O sensor in the patient- Use substitute O monitoring. gas measurement module is Use "ALARM RESET" to faulty. downgrade alarm priority. Perform the system test. Call Dräger. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 263 Leakage or disconnection. Check the breathing circuit for tight connections and leakages. Failure of the anesthetic gas Check anesthetic gas scav- scavenging system. enging system. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 264 "Aux. O ". the desired flow. !! 0 Speaker failure The loudspeaker is faulty. Call Dräger. Use "ALARM RESET" to downgrade alarm priority. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 265 Perform the system test. If the problem persists, call Dräger. Water trap disconnected? Infinity ID water trap is not Check water trap. correctly connected. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 266 Check vaporizer setting. Check the breathing system and the breathing bag for leakages. If the current xMAC is accept- able, use "ALARM RESET" to reset the alarm. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 267: Service
Maintenance Regular specified measures intended to maintain the functional integrity of a product Repair Measures intended to restore the functional integrity of a prod- uct after a failure Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 268: Inspection
– Check that the country-specific labeling of the gas type matches the screen display. – Check the end stops of the support arms for patient monitors. 4. Check the electrical safety in accordance with the IEC 62353 standard. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 269 12.Check the accuracy of the airway pressure gauge: – Accuracy 30 hPa (cmH O) ±10 hPa (cmH 13.Perform a visual inspection of both safety valves of the passive AGS for damage and soiling. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 270: Maintenance
Repairs may be performed only by specialized service personnel. It is recommended that only original parts from Dräger are used and that the parts are replaced by DrägerService. A service contract with DrägerService is recommended. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 271: Disposal
Due to potential contamination, dispose of other disposable products with patient gas contact in accordance with the infection prevention policy of the health-care facility. Observe the reprocessing instructions supplied with the device. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 272: Technical Data
During storage and transport Temperature Device without battery –20 °C to 60 °C (–4 °F to 140 °F) Battery –15 °C to 40 °C (5 °F to 104 °F) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 273 10 L/min. Accuracy ±10 % of the set value Resolution of displayed value 1 L/min (below 10 L/min) 5 L/min (above 10 L/min) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 274 0.01 L/min (from 0.00 to 0.20 L/min) screen 0.02 L/min (from 0.20 to 0.50 L/min) 0.05 L/min (from 0.50 to 1.00 L/min) 0.10 L/min (from 1.00 to 15.00 L/min) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 275 ±10 % of the set value or ±1 /min (the greater value applies) Minimum respiratory rate RRmin in PSV mode Setting range Off, 3 to 60 /min Increment value 1 /min Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 276 Inflation time (Duration) including rising and falling slopes in the One-step recruitment maneuver Setting range 3 to 40 s Increment value Accuracy ±10 % of the set value Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 277 0.1 L/min in the range from 0.3 to 2.0 L/min 1 L/min in the range from 2.0 to 15.0 L/min Accuracy ±20 % of the set value or ±1 L/min (the greater value applies) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 278 Setting range Off, 2 to 35 hPa (cmH Increment value 1 hPa (cmH Accuracy ±10 % of the set value or ±2 hPa (cmH O) (the greater value applies) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 279 Drägersorb 800+ Information The total volume of the breathing system is typically smaller and is calculated based on the set tidal volume plus a reserve volume for compliance compensation. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 280 ±20 % of the set value or ±3 hPa (the greater value applies), but not more than +10 hPa (cmH Pressure drop at 30 L/min (ATPD), fully Dry: 2.1 ±0.3 hPa (cmH opened Wet: 2.2 ±0.3 hPa (cmH Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 281 30 to 50 L/min At lower end of restricted range ≥10 L/min Maximum fresh-gas flow to prevent con- taminating ambient air For external breathing systems (normal 9 L/min range) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 282 –20 to 80 hPa (cmH Accuracy ±5 % of the measured value or ±2 hPa (cmH O) (the greater value applies) Resolution of displayed value 5 hPa (cmH Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 283 Resolution of displayed value 0.01 L/min (for MV <1 L/min) or 0.1 L/min (for MV ≥1 L/min) <45 s (for RR ≥6 /min) 10...90 <105 s (for RR <6 /min) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 284 0.5 kPa x 100 [bar] 20 psi 0.05 MPa Gas cylinders (electronic measurement) Range 0 to 285 kPa x 100 [bar] 0 to 4140 psi 0.0 to 28.5 MPa Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 285 –120 to 120 L/min Volume 0 to 2000 mL 0 to 100 Vol% 0 to 100 mmHg (0 to 12 Vol%, 0 to 12 kPa) Halothane 0 to 5 Vol% (kPa) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 286 ∆VT Range 0 to 2500 mL Accuracy ±20 % of the displayed value or ±30 mL (the greater value applies) Resolution of displayed value 1 mL Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 287 ±15 % of the displayed value or ±2 L/min (the greater value applies) Resolution of displayed value Information Gas consumption related to O flush and O therapy is not included in this calculation. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 288 Range 0 to 100 Vol% Accuracy ±(2.5 Vol% + 2.5 % of the measured value) Resolution of displayed value 1 Vol% time of the sensor <500 ms 10...90 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 289 10 % of the desflurane concentration. The secondary gas becomes the primary gas when the expiratory xMAC value is more than 0.2 xMAC above that of the primary gas. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 290 2 to max. 4 Vol% (kPa) halothane, or from 2 to max. 5 Vol% (kPa) isoflurane, enflurane, or sevoflurane, or from over 8 to max. 15 Vol% (kPa) desflurane Resolution of displayed value 1 Vol% Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 291 Maximum 400 W Peak inrush current Approx. 8 to 14 A Approx. 6 to 10 A quasi-RMS Internal battery Type Lead battery Sealed, maintenance-free Nominal capacity 7.2 Ah Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 292 40 L/min Distribution piece for central O supply Maximum permissible flow 20 L/min Distribution piece for central Air supply Maximum permissible flow 70 L/min Drive gas Not needed Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 293 A tolerance of ±10 mm (0.39 in) applies to all specified dimensions. Compact version with plug-in connector for 1 vaporizer (may deviate with accessory equipment) Width 745 mm (29.3 in) Height 1403 mm (55.2 in) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 294 330 kg (727 lb) Touchscreen color screen Screen diagonal Approx. 39 cm (15.3 in) Background illumination Resolution 1280 x 768 pixels RFID system Operating frequency 13.56 MHz ± 50 ppm (wideband) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 295 Not used Pin 2 Pin 3 Pins 4, 6 Pins 4 and 6 are connected internally Pin 5 SHLD-GND Pins 7, 8 Pins 7 and 8 are connected internally Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 296 ISO 80601-2-13 Part 2-13: Medical electrical equipment Particular requirements for basic safety and essential performance of an anaesthetic workstation Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 297: Diagrams
O)] with neonatal breathing hose Pinsp [hPa (cmH O)] with pediatric breathing hose Pinsp [hPa (cmH O)] with adult breathing hose Pinsp [hPa (cmH O)] without breathing hoses Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 298: Gas Exchange Times For Concentration Changes
I:E = 1:1.5, PEEP = Off Neonates 2:08 1:44 1:37 0:32 Test lungs 8409742 (3x), breathing circuit MP00333, VT = 30 mL, RR = 30 /min, I:E = 1:1, PEEP = Off Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 299: Declaration Of Hazardous Substances In Accordance With Regulation Clp 1272/2008 Appendix Vi Part
(for which CISPR 11 class B is normally required), this equipment might not offer adequate protection to radio-frequency communication services. The user might need to take mitigation measures, such as relocating or re-orienting the equipment. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 300: Device Combinations
– IEC 60601-1-2: 3rd edition (electromagnetic compatibility) or 4th edition (electromagnetic interference) – IEC 60601-1-8 (alarm systems) – IEC 60601-1, 2n edition (general requirements for safety) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 301: Networks And Cybersecurity
IT-networks incorporating medical devices) and creation of the following documents: – Description of the network of the health-care facility – Description of the network-based alarm systems Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 302 17 ServiceConnect Server Procedure in case of a cybersecurity attack If a cybersecurity attack on the device is suspected, disconnect the affected interfaces from the device and inform IT personnel. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 303 – Use a network firewall with appropriate settings (e.g., known and fewest possible open ports). – Introduce patch management for devices in the network. – Apply the ISO/IEC 27033 standard or the IEC 62443 series of standards. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 304 This device supports the interface in accordance with EIA RS-232 (CCITT V.24/V.28) for the following applications: – MEDIBUS.X – Connections with medical devices, other devices, or accessories if Dräger has approved the device combinations. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 305 – All device interfaces must be protected against malware and computer viruses. – If commercially available RS-232-to-Ethernet converters are used, the operating organization is responsible for the use and correctness of the data. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 306 Dräger hereby declares that this medical device, including the radio devices, complies with Directive 2014/53/EU. The full EU declaration of conformity can be found at the following website: http://www.draeger.com/doc-radio Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 307 The list of software components for this device can be requested from Dräger. Dräger will notify the customer with an adequate lead time when the cybersecurity support for the device ends and security patches are no longer provided. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 308: Open-Source Software
Plateau time as a percentage of the inspiratory time Ti in volume-controlled modes Respiratory rate RRmin Minimum respiratory rate at which supported breaths are applied in CPAP / PSV mode. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 309 Carrier gas Air or N O (only with electronically controlled gas mixer) 1) Whether the ventilation settings are based on Ti or the I:E ratio can be defined in the system setup. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 310 Ventilation modes and effective parameters Additional parame- Basic parameter ters Group Tabs Ventilation mode (normal therapy (expanded therapy bar) bar) Manual ventila- Man/Spon Manual / Sponta- tion/spontaneous neous breathing Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 311 VC - SIMV Pmax Trigger ∆Psupp = Off % Tplat PEEP SIMV VC - SIMV / PS Pmax Trigger ∆Psupp >0 Insp term PEEP Slope % Tplat SIMV Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 312 Trigger Insp term tion ∆Psupp RRmin PEEP Slope 1) Whether the ventilation settings are based on Ti or the I:E ratio can be defined in the system setup. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 313 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. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 314 – Volume-controlled – Pressure-limited – Time-controlled – Machine-triggered – Constant inspiratory flow In this volume-controlled ventilation mode, the patient receives the set tidal volume VT with each mandatory breath. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 315 For volume-controlled mandatory breaths with AutoFlow, the set tidal volume VT is applied with the lowest required pressure. The pressure patterns and flow patterns of the mechanical inspiratory breaths correspond to those of pressure-controlled ventilation. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 316 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. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 317 Purely spontaneous breathing at CPAP level can be achieved by setting ∆Psupp to Off. In this case, the patient does not receive any more pressure-supported breaths and RRmin does not trigger any more mandatory breaths. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 318: Description Of The Ventilation Drive
The user can check through a viewing window whether the piston is moving. During inspiration, the ventilator applies the tidal volume with the required pressure and at a defined respiratory rate. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 319 3. Start a ventilation mode. Observe the measured waveforms on the screen. 4. Press the O flush for at least 5 seconds. Observe the effect on the applied tidal volume and ventilation pressures. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 320 The dynamic adjustment of the piston position reduces the dead space for the ventilation to the minimum. This increases the ventilation precision and minimizes the gas exchange times. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 321: Co Measurement With Pediatric Patients And Neonates
In the case of stronger influences, the measured etCO values may be distorted. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 322 – 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) Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 323 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. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 324: Breathing Gas Climate Control When Using The Internal Breathing System
FG O therapy con- trol is selected in addition to the selected therapy control. When the active set value is changed, FG O automatically changes with it. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 325: Influence Of Patient Category, Weight, And Age On Device Behavior
VT and RR are only dependent on the ideal body weight when the Ideal body weight function has been selected in System setup > Therapy, see page 210. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 326: Support Of Infinity Id Accessories
Depending on the overall alarm situation, this acoustic alarm signal may also be played as only a 5-tone sequence due to the timing of the individual alarms. Medium Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 327: Annex
Cardiac bypass mode Cdyn Dynamic compliance (patient) CISPR Comité International Spécial des Perturbations Radioélectriques International special committee on radio interference Centimeters of water Controlled Mandatory Ventilation Carbon monoxide Carbon dioxide Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 328 Inspiration termination criterion in % based on peak inspiratory flow Isoflurane Kilogram Kilopascal Liter Local Area Network Pound, unit of mass Light-emitting diode LGPL Lesser General Public Licence Minimum Alveolar Concentration Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 329 Simple Network Management Protocol SNTP Simple Network Time Protocol SORC Sensitive Oxygen Ratio Controller, minimum O delivery STAPD Standard Temperature, Ambient Pressure, Dry 20 °C (68 °F), ambient pressure, dry gas Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 330: Symbols
Follow the instructions for use Caution General warning Risk of tipping over! Do not grasp the device above this sign to push it or pull it. Group Views... Group Trends/Data... Group Alarms... Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 331 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 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 332 Observe the information on electromagnetic compatibility. Locked Unlocked Inspiration Labeling on breathing system and breathing system cover Expiration Labeling on breathing system and breathing system cover Breathing bag Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 333 Indicates a changed view which has not yet been saved Identifies the tabs that lead to the page with the language settings. Read the flow at the center of the float. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 334 "Technical data". Weight: Main device Weight: Load Do not place or attach any weight. Activate backup manual mode. Switch to "Add. O ". Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 335 Explanation Set fresh gas on O flowmeter. Set fresh-gas flow. Set fresh-gas flow. Ventilate manually. Check vaporizer setting. Backup manual mode Direct connection from mains supply to device Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 336: Product Labels
If a non-rebreathing system is con- nected, make sure that the operation mode Ext. FGO is used. For more infor- mation, see "Special forms of therapy" in the chapter "Operation". Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 337: Overview Of The Menu Structure
View views. 1 2 3 View 1 2 3 View Export screenshot Export screenshot to a USB mass storage device. 1) Only during operation, not in Standby mode Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 338 Horizontal tab Vertical tab Description System setup... Configure device functions and start set- tings, see page 203. Display test results. Tests... Test the system. 1) Only in Standby mode Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 339 Horizontal tab Vertical tab Description Begin or continue a case. Start... End the case. Standby... 1) Only in Standby mode 2) Only during operation, not in Standby mode Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 340: Index
Auto On ......189, 218 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 341 Fitting ......85 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 342 ..... . . 168 Potential equalization pin ....30 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 343 Start dialog......144 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 344 ......163, 180 Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 345 This page has been left blank intentionally. Instructions for use Atlan A100 (XL), A300 (XL), A350 (XL) SW 2.1n...
Page 346 Manufacturer Drägerwerk AG & Co. KGaA Moislinger Allee 53 – 55 23542 Lübeck Germany +49 451 8 82-0 Directive 2014/53/EU concerning radio equipment 9511481 – 6500.350 en © Drägerwerk AG & Co. KGaA Edition: 1 – 2022-08 Dräger reserves the right to make modifications to the medical device without prior notice.

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