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Manuals and User Guides for Dräger Cicero EM. We have
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Dräger Cicero EM manual available for free PDF download: Instructions For Use Manual
Dräger Cicero EM Instructions For Use Manual (196 pages)
Integrated Anaesthetic Workstation
Brand:
Dräger
| Category:
Desktop
| Size: 1.79 MB
Table of Contents
Section 1
15
Table of Contents
15
Electrical Power Supply
16
Equipotential Bonding
16
Uninterruptible Power Supply
17
Compressed Gas Supply
17
Anaesthetic Gas Scavenging System
18
Anaesthetic Vaporizer
19
Connecting External Equipment
19
Parameter Box
20
Checking Workstation with Checklist
21
Manual Tests
21
Check Vapor
22
Check Anaesthetic Gas Scavenging
22
Check Breathing System
23
Check Soda Lime
23
Check Emergency Ventilation Bag
23
Check Piped Medical Gas Supply
24
Check Reserve Cylinders (Optional)
24
Checking the Secretion Aspiration System
24
Check Gas Delivery
25
Check Oxygen Ratio Control (ORC)
25
Check O 2 Flush
25
End of Manual Test According to Checklist
25
Self-Test
26
Semi-Automatic Part of the Self-Test
26
Automatic Self Test
27
Fresh Gas Outlet (Option)
29
Section 2
31
Manual / Spontaneous
32
Manual Ventilation
32
Spontaneous Breathing
32
Adjusting Ventilation Parameters
33
Selecting IPPV Mode
33
Automatic Compliance Correction
34
Limit Settings
34
Ventilation with Pressure Limitation
34
Selecting SIMV Mode
35
Selecting PCV Mode (PCV Ventilator)
36
Special Features of Mode Changes
37
Paediatric Use
38
Anaesthesia Ventilation with the Kuhn System
39
Checking Water Separators and Water Traps
40
Anaesthetic Vaporizer
41
Checking Soda Lime
41
Secretion Aspirator
42
Changing Patients
43
After Use
44
Section 3
45
Standby" Screen
46
Running the Leakage Test
46
Delete Trend
46
Basic Screen Configuration
47
Access to Configuration
47
Default Values
47
Operating Description
48
Operating Modes for Adults and Neonates
49
Alarm Limits
49
Parameters
50
(ECG, Nibp, Ibp, Spo 2 /Pleth, CO 2 /O 2 , Peeg)
50
Configuring Screen Pages with Modules
53
Configuring the Screen Colours
60
Curve Speed
60
General Settings
61
Acoustic
61
List Entry
61
Transport Function
62
External Interfaces (MEDIBUS / Printer)
63
Basic Configuration
64
Calibration, O 2 , Flow
65
Testing (O 2 Linearity, Gas Sensor Zero Point)
66
Anaesthetic Agent
67
System Screen Functions During Operation
68
Switching on the System Screen
68
Standard Screens
69
Data Screen
69
List Screen
70
Trend Screen
71
Softkeys
72
Alarm Concept
78
Priority of Alarms
78
Show All Alarms
79
Suppress Alarm Tone
79
Alarm Modes
80
CO 2 Alarm
80
Adjusting to the Ventilation Mode
80
Special Features of Alarm Signalling
82
Section 4
85
Function Keys and Displays
86
Transport Function
87
Measurement Functions
89
ECG / Heart Rate
89
ECG Display
89
Adjusting Settings
89
Electrosurgery and ECG
90
Non-Invasive Blood Pressure (Nibp)
91
Start Monitoring
91
Interrupt Measurement
91
Adjusting Settings
92
Measuring the Blood Pressure of Neonates
93
Invasive Blood Pressure (Ibp)
94
Start Monitoring
94
Calibrating Transducers
94
Adjusting Settings
95
Setting Functions
95
Ibp Display
96
Functional O 2 Saturation (Spo 2 )
97
Spo 2 Display
97
Adjusting Settings
97
Setting Functions
97
Coupling with Non-Invasive Pressure Measurement
97
Temperature Measurement
98
Start Measurement
98
Display
98
Section 5
99
Where Messages Are Displayed
100
Location of Valves and Subsystems
101
Messages on the System Screen
102
Warning Messages
102
Caution Messages
104
Advisory Messages
106
Messages on the Ventilator
109
Message in the Ventilation System
110
Message During the Self-Test
111
Message During Operation
114
Section 6
117
Stripping down Machine
118
Dismantling Parts
119
Agents and Methods
121
Care Schematic
122
Care Intervals for Individual Components
122
Disinfection - Cleaning - Sterilization
121
Disinfectant Cleaning in Machines
123
Disinfection with Formaldehyde Vapour
123
Disposing of Throw-Away Articles
123
Wipe-Cleaning
123
Steam Sterilization (121 / 134 °C)
124
Tabular Summary
125
Reassembling Machine
126
Section 7
131
Check O 2 Shortage Signal
132
Check Power Failure Alarm
132
Run the Self-Test
132
Check Automatic Ventilation Function
133
Check Manual Ventilation Function
133
Testing Display Errors
135
Testing the Pneumatic Circuit for Leaks
135
Disposal of Bacterial Filters
136
Disposal of the Apparatus
136
Disposal of Used Batteries and O
136
Maintenance Intervals
137
Sensors
137
Section 8
139
Overall View of the Machine
140
Operating Elements and Displays on Ventilator
141
Operating Elements and Displays on Monitor
142
Operating Elements and Displays on Gas Control Panel
143
Operating Elements and Displays on Flowmeter Bank
144
Operating Elements and Displays on Parameter Box
145
Elements on the Rear of the Machine
146
Elements on Breathing System
147
Connections on the Rear of the Monitor
148
Basic Screen Settings
149
Dimensions
150
Section 9
151
Identification / Approval
152
Power Supply
152
Breathing System
153
Medical Gas Supply
153
Vacuum Pressure
153
Ambient Conditions
153
Ventilator
154
Gas Delivery
154
System Monitor
155
Pressure Measurement
155
O 2 Measurement, Sampling
155
Flow Measurement
155
CO 2 Measurement
155
Anaesthetic Agent Measurement
156
Breathing Gas Temperature Measurement
156
Data Communication
156
Parameter Box
157
Electrocardiogram (ECG)
157
Heart Rate
157
Non-Invasive Blood Pressure (Nibp)
158
Invasive Blood Pressure (Ibp)
158
Oxygen Saturation (Spo 2 )
159
Body Temperature Measurement
159
Transport Function, Transferable Data
160
Section 10
163
Flow Chart of Self-Test
164
Ventilation with Automatic Adjustment of Rebreathing to Match Fresh Gas Flow
166
Rebreathing to Match Fresh Gas Flow
167
Automatic Leakage Tests IPPV / man
167
Automatic Compliance Correction
167
Gas Concentration in the Breathing System
168
Notes on Setting Fresh Gas Flow
168
Relationship between Fresh Gas and Gas Concentration in the Breathing System
168
Relationship between Fresh Gas and Time Constants in the Breathing System
168
Constants in the Breathing System
169
Tips for Reducing Condensation
169
Tips for ECG and Heart-Rate Measurement
170
Tips for Nibp Measurement
171
Tips for Spo 2 Measurement
172
Measuring Principle of Spo 2 Measurement
174
Measuring Principle of Temperature
175
Measurement
175
Measuring Principle of Pressure Measurement
175
Measuring Principle of O 2 Measurement
175
Measuring Principle of Flow Measurement
177
Measuring Principle of CO2 and Anaesthetic Agent Measurement
177
Anaesthetic Agent Measurement
178
Definition of Low-Flow and Minimal-Flow
178
Anaesthesia
178
Econometer Module
179
SIMV Ventilation
180
Oxygen Ratio Control - S-ORC
182
Safety Features of Gas Supply
183
Principles of the Processed EEG (Peeg)
183
Operation of the Ceiling Version
184
Abbreviations and Symbols
189
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