Drager Apollo User manual [gb]

Operating Instructions

Apollo

WARNING! For a full understanding of the performance characteristics of this medical device, the user should carefully read this manual before use of the device.

Inhalation Anesthesia Machine Software 4.n

This page intentionally left blank.

Contents

Chapter 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Working with these Operating Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Symbols and Abbreviations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

For Your Safety and that of Your Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

General Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

MEDIBUS Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Accessory weight limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Chapter 2. System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Machine Front view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Machine Rear view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Gas supply block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Interface panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Vaporizers (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Vaporizer exclusion systems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

APL valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

O2 flush. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Auxiliary oxygen flow meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Writing table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Gas flow diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Part Number: 9039994, 2nd edition

Chapter 3. User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

User controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

System LED indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Screen colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Chapter 4. System Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Preparation before first use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Charging the battery for emergency operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Installing the breathing system and flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Filling and installing the absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Connecting the gas supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Connecting the scavenger system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Connecting the endotracheal aspiration system (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Installing vaporizers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Installing the flexible arm for the manual breathing bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Installing the patient system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Connecting AC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Information about transport within the clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Operating Instructions Apollo SW 4.n 1

Contents

Chapter 5. Pre-use Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Checking the Workstation according to the Check List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Self test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

System compliance test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Leak tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Emergency start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Chapter 6. Operation Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Typical operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Changing patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Changing soda lime . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Leak test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Activating the CO2 bypass function (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

End of operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

When Apollo is not in use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Chapter 7. Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Manual/Spontaneous ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Volume-Controlled Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Volume Mode AutoFlow - Volume AF (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Pressure-Controlled Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118

Pressure Support Ventilation (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

Continuous Positive Airway Pressure CPAP - in Pressure Support Mode (Optional) . . . . . . . . . . . . . . . . . . . . . 125

Changing between ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

Automatic parameter changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Auxiliary common gas outlet (Aux CGO) ventilation (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

Chapter 8. Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Standard screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Screen layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

Displayed parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Gas measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Loops (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

Datalog. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148

Screen timer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149

Data screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150

Trend screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Monitoring mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

SpO2 measurement (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Chapter 9. Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

Contents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

Alarm priorities and alarm signals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163

Alarm displays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165

Suppressing alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166

2 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

Contents

Limit-based alarms activated in respective ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 168

Enabling/disabling alarms globally during operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169

Displaying and setting alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173

Chapter 10. Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179

Configuring the default settings in Standby. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179

System settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 180

Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182

Interfaces datalog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 184

Screen layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185

Setting alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186

Ventilator and gas supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190

System information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193

Configuration during operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195

Chapter 11. Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

Disassembling components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203

Cleaning and Disinfection Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

Proper Cleaning/Disinfection Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210

Cleaning/Disinfection Objective and Methods. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211

Disinfecting/Cleaning/Sterilizing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212

Care list for Apollo components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216

Reassembling components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217

Apollo maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 225

Disposing of the used device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228

Part Number: 9039994, 2nd edition

Chapter 12. Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231

Power failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231

Gas failure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232

Ventilator failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 234

Fresh-gas delivery failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235

Ventilator and fresh-gas delivery failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236

Gas measurement failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236

Display failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237

User interface failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237

System failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237

Alarm - Cause - Remedy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239

Chapter 13. Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253

Latex use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266

EMC declaration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267

Relevant standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 269

Operating Instructions Apollo SW 4.n 3

Contents

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Part Number: 9039994, 2nd edition

4 Operating Instructions Apollo SW 4.n

Introduction

Contents

Working with these Operating Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Trademarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Symbols and Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

For Your Safety and that of Your Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Strictly follow these Operating Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Not for use in areas of explosion hazard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Safe connection with other electrical equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Note on EMC/ESD risk for the device function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Safe networking of computers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Patient safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Patient monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Part Number: 9039994, 2nd edition

General Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Accessories in sterile packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

The following measured values are displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

The following parameters are displayed as curves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

The following are displayed as bar graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

MEDIBUS Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Accessory weight limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

List of abbreviations used in the software and on the device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

List of general abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Operating Instructions Apollo SW 4.n 5

Introduction

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Part Number: 9039994, 2nd edition

6 Operating Instructions Apollo SW 4.n

Working with these Operating Instructions

Introduction

Figure 1. Example of a Body Page

Header Line

The header line on each page contains the title of the chapter. This helps you find your way quickly from subject to subject.

Page Body

The page body in these Operating Instructions combines text and illustrations. The information is presented as sequential steps of action, giving the user hands-on experience in learning how to use the Apollo inhalation anesthesia machine.

Left-Hand Column - the Text

The text in the left-hand column provides explanations and step-by-step instructions on the practical use of the machine.

Bullet points indicate separate actions. Numbers are used both to refer to relevant details in the illustrations and to specify the sequence of actions where several actions are described.

Right-Hand Column - the Illustrations

The illustrations provide visual reference for the text and for locating the various parts of the equipment. Elements mentioned in the text are highlighted. Renderings of screen displays guide the user and provide a way to reconfirm actions performed.

Overview

The user can configure settings on the Apollo in Standby mode as well as during operation. Standby configuration allows the user to save a complete set of defaults that are invoked automatically when the machine is switched on (see “Configuring the default

settings in Standby” below). The configuration

settings that can be made during operation are more limited and are valid only until the machine is switched off (see “Configuration during operation” on

page 191).

Configuring the default settings in Standby

anesthesia machine starts with when it is switched on.

The default settings for ventilation, fresh-gas delivery, and monitoring can be activated while in

Standby by pressing the >Restore Default Settings< button (1 in Figure 124) on the standby

screen.

The default settings can be configured in Standby as follows:

1. Press the standby key > <, and confirm by

pushing the rotary knob.

2. Press the >Default Config< button (2 in Figure 124).

The user is requested to enter a four-digit password in order to prevent unauthorized changes to the basic functions (see Figure 125). The four-digit password is assigned at the factory. If desired, the password can be changed or the password function can be disabled altogether by DrägerService.

3. Select and confirm the figures successively from

Part Number: 9039994, 1st edition

the line displayed using the rotary knob. The password is represented by asterisks (****) below the line of numbers

The menu Standby Conf. for selecting the default values is displayed when the password has been entered correctly, see Figure 126.

Operating Instructions Apollo SW 4.n 175

Figure 124. Location of Standby Config KeyDefault settings describe settings which the

Figure 125. Password Screen

Configuration

Part Number: 9039994, 2nd edition

Typing Conventions

User controls are designated as >Control Name<, e.g.:

>PEEP<

Screen messages and screen options are printed in bold, e.g.:

Default Alarm Limits

Operating Instructions Apollo SW 4.n 7

Introduction

Trademarks

– Apollo®

– The Dräger® name and logo

– DrägerService®

– Drägersorb®

– Vapor®

– Spirolog®

–SpiroLife®

– WaterLock®

are registered trademarks of Dräger.

– Durasensor®

– OxiMax®

are registered trademarks of Nellcor.

–Selectatec®

is a registered trademark of Datex-Ohmeda.

All other products or brand names are trademarks of their respective owners.

Definitions

Symbols and Abbreviations

Please refer to “Symbols” on page 17 and

“Abbreviations” on page 19 for explanations.

Notice

This document is provided for customer information only, and will not be updated or exchanged without customer request.

WARNING!

A WARNING statement provides important information about a potentially hazardous situation which, if not avoided, could result in death or serious injury.

CAUTION!

A CAUTION statement provides important information about a potentially hazardous situation which, if not avoided, may result in minor or moderate injury to the user or patient or in damage to the equipment or other property.

Note: A NOTE provides additional information

intended to avoid inconvenience during operation.

Part Number: 9039994, 2nd edition

8 Operating Instructions Apollo SW 4.n

Introduction

For Your Safety and that of Your Patients

Strictly follow these Operating Instructions

WARNING!

Strictly follow these Operating Instructions.

Any use of the medical device requires full understanding and strict observation of all portions of these instructions. The medical device is only to be used for the purpose specified under

“Indications for Use” on page 13 and “Intended Use” on page 13, and in conjunction with

appropriate patient monitoring (see page 14). Strictly observe all WARNING and CAUTION statements throughout these Operating Instructions and all statements on medical device labels. Non-compliance with these WARNING and CAUTION statements constitutes a use of the medical device which is not in accordance with its Intended Use.

Maintenance

WARNING!

The device must be inspected and serviced regularly by properly trained service personnel. Repair of the device may also only be carried out by properly trained service personnel. We recommend that a service contract be obtained with DrägerService and that all repairs also be carried out by them. We recommend that only authentic Dräger repair parts be used for maintenance. Otherwise, the correct functioning of the device may be compromised.

Accessories

Not for use in areas of explosion hazard

WARNING!

This medical device is neither approved nor certified for use in areas where combustible or explosive gas mixtures (e.g. O environments) are likely to occur.

Safe connection with other electrical equipment

WARNING!

Risk of electric shock.

Electrical connections to equipment not listed in these Operating Instructions should only be made following consultations with the respective manufacturers of the equipment involved.

WARNING!

Risk of electric shock.

A test for leakage current must be performed by qualified biomedical engineering personnel before use if the Apollo is interfaced with other equipment.

WARNING!

Risk of explosion, fire.

If an oxygen leak is suspected within or near the anesthesia machine, do not initiate operation.

Disconnect all oxygen supplies and contact a trained service technician.

2 or agent-enriched

Part Number: 9039994, 2nd edition

WARNING!

Only the accessories indicated on the list of accessories (8603528) have been tested and approved for use with the medical device. Accordingly it is strongly recommended that only these accessories be used in conjunction with the specific medical device. Otherwise the correct functioning of the medical device may be compromised.

Operating Instructions Apollo SW 4.n 9

Risk of use error.

Various potentially dangerous situations may occur which demand the attention of properly trained personnel.

The anesthesia machine may only be used under the supervision of qualified medical personnel so that assistance can be provided immediately in the event of any malfunctions.

WARNING!

Introduction

WARNING!

Risk of fire.

In order to reduce a fire hazard, explosive anesthetics, such as ether or cyclopropane, must not be used.

WARNING!

Risk of device failure and/or danger to patient.

Magnetic fields may negatively influence the proper function of the anesthesia machine, thus endangering the patient.

Apollo must not be used with magnetic resonance imaging (MRT, NMR, NMI)!

WARNING!

Risk of fire.

To prevent a fire hazard, drugs or other substances based on flammable solvents, such as alcohol, must not be introduced into the patient system. In addition oxygen must be vented away from the surgical site when using electrosurgical equipment.

Adequate ventilation must be ensured if highly inflammable substances are used for disinfection.

Note on EMC/ESD risk for the device function

General information on electromagnetic compatibility (EMC) pursuant to the international EMC standard IEC 60601-1-2: 2001

WARNING!

Pins of connectors identified with the ESD warning symbol shall not be touched and not be connected unless

ESD precautionary procedures are used. Such precautionary procedures may include antistatic clothing and shoes, the touch of a ground stud before and during connecting the pins, or the use of electrically isolating and anti-static gloves. All staff involved in the above shall receive instruction in these procedures.

WARNING!

Risk of electric shock.

Connecting devices to the auxiliary outlets of the anesthesia machine can cause an increase in leakage current beyond permissible values if the

protective conductor of a device fails.

Check the leakage current when connecting devices to the auxiliary outlets. If connecting a device (or devices) increases the leakage current to a value which exceeds the permissible value, do not use the auxiliary outlets of the anesthesia machine: use a separate wall socket.

The system must meet the requirements for medical equipment in accordance with IEC/EN 60601-1-1 and IEC/EN 60601-1-2.

Part Number: 9039994, 2nd edition

Electromedical devices are subject to special precautionary measures concerning electromagnetic compatibility (EMC) and must be installed and put into operation in accordance with the EMC information included, see page 267.

WARNING!

Portable and mobile radio communication equipment such as cellular radio telephones can interfere with electromedical devices (see “EMC

declaration” on page 267).

10 Operating Instructions Apollo SW 4.n

Introduction

Part Number: 9039994, 2nd edition

Safe networking of computers

When networking with electrical devices, the operator is responsible for ensuring that the resulting system meets the requirements set forth by the following standards:

– EN 60601-1 (IEC 60601-1)

Medical electrical equipment Part 1: General requirements for safety

– EN 60601-1-1 (IEC 60601-1-1)

Medical electrical equipment Part 1-1: General requirements for safety Collateral standard: Safety requirements for medical electrical systems

– EN 60601-1-2 (IEC 60601-1-2)

Medical electrical equipment Part 1-2: General requirements for safety Collateral standard: Electromagnetic compatibility; Requirements and tests

– EN 60601-1-4 (IEC 60601-1-4)

Medical electrical equipment Part 1-4: General requirements for safety Collateral standard: Programmable electrical medical devices

Follow Assembly Instructions and Instructions for Use.

Patient safety

The design of the medical device, the accompanying literature, and the labeling on the medical device take into consideration that the purchase and use of the medical device are restricted to trained professionals, and that certain inherent characteristics of the medical device are known to the trained operator. Instructions, warnings, and caution statements are limited, therefore, largely to the specifics of the Dräger design.

This publication excludes references to various hazards which are obvious to a medical professional and operator of this medical device, to the consequences of medical device misuse, and to potentially adverse effects in patients with abnormal conditions. Medical device modification or misuse can be dangerous.

Patient monitoring

The operators of the medical device must recognize their responsibility for choosing appropriate safety monitoring that supplies adequate information on medical device performance and patient condition.

of medical device performance and patient condition to simple, direct observation of clinical signs.

The responsibility for the selection of the best level of patient monitoring lies solely with the medical device operator.

General Warnings and Cautions

The following WARNINGS and CAUTIONS apply to general operation of the Apollo. WARNINGS and CAUTIONS specific to subsystems or particular features appear with those topics in later chapters of these Operating Instructions or in the device-specific Instructions for Use.

Accessories in sterile packaging

Do not use accessories in sterile packaging if the packaging has been opened, damaged or if there are other signs that the accessories are not sterile. Reprocessing and resterilization of single-use accessories is not permitted.

WARNING!

Each institution and user has a duty to independently assess, based on its, his or her unique circumstances, what components to include in an anesthesia system. However, Dräger, in the interest of the patient safety, strongly recommends the use of an oxygen analyzer, pressure monitor, volume monitor, and end-tidal CO

2 monitor in the breathing circuit at all times.

CAUTION!

Risk of patient injury.

An incorrect diagnosis or misinterpretation of measured values, or other parameters, may endanger the patient.

Do not base therapy decisions on individual measured values or monitoring parameters only.

Patient safety may be achieved through a wide variety of different means, ranging from electronic surveillance

Operating Instructions Apollo SW 4.n 11

Introduction

WARNING!

Risk of patient injury.

If ventilation of the patient is no longer assured due to an obvious fault in the equipment, the patient must immediately be ventilated with a separate emergency ventilator.

Always keep a manual ventilator at hand.

WARNING!

Risk of burns.

Conductive breathing hoses or face masks may cause burns during HF surgery.

Do not use these types of hoses and masks in combination with HF surgery.

CAUTION!

Risk of mechanical failure.

The shock and vibrations caused by transportation may lead to a mechanical failure. The application of a wall or ceiling mounting is designated for buildings.

CAUTION!

Risk of device failure.

Compressed gas supply (pipeline supply or cylinder): To avoid damaging the device(s) attached to a gas supply, use only medical gases. Pay particular attention to national and international standards regulating the use of medical gases.

Do not use the anesthesia machine for mobile facilities such as ambulances, helicopters, or ships.

CAUTION!

Risk of physical injury.

To avoid physical injury, e.g. pinching, pay special attention to edges, moving parts, and corners when working with – drawers,

– the ventilator module, – doors, – the writing tray, – swivel arms for mounted devices, – gas cylinders, – vaporizer units, – CLIC absorbers and CLIC adapters, as well as other accessories.

Part Number: 9039994, 2nd edition

12 Operating Instructions Apollo SW 4.n

Introduction

Part Number: 9039994, 2nd edition

Indications for Use

The Apollo is indicated as a continuous flow anesthesia system. The Apollo may be used for manually assisted or automatic ventilation, delivery of gases and anesthetic vapor, and monitoring of oxygen and CO

2 concentration, breathing pressure, respiratory

volume, and anesthetic agent concentration and identification.

For USA: Rx only. Caution: Federal Law restricts this device to sale by or on the order of a physician.

Intended Use

WARNING!

Risk of device failure and/or danger to patient.

If the intended use of this anesthesia machine is not adhered to, it may fail and/or the patient may be endangered.

Use the anesthesia machine only as specified in the intended use of these Operating Instructions.

The Apollo is an inhalation anesthesia machine for use in operating, induction, and recovery rooms. It can be used with rebreathing systems, semi-closed to virtually closed systems with low flow and minimal flow techniques, and non-rebreathing systems (with the Auxiliary Common Gas Outlet).

It may be used with O medical gas pipeline system or by externally mounted gas cylinders. Anesthetic agent can be delivered via vaporizers mounted on the machine.

The Apollo is equipped with a compact breathing system, providing fresh-gas decoupling, PEEP, and pressure limitation. It has an electrically driven and electronically controlled ventilator.

Ventilation modes

– Volume-controlled ventilation in Vol u me Mo de.

With activation of:

– Sync. (Synchronization)

– Press. Support (Pressure Support) (optional)

– Pressure-controlled ventilation in Pressure Mode.

With activation of:

– Sync. (Synchronization)

– Press. Support (Pressure Support) (optional)

2, N2O, and Air supplied by a

– Manual Ventilation Man.

– Spontaneous Breathing Spont.

– Pressure-Assisted Spontaneous Breathing in

Pressure Support CPAP (optional)

– Volum e AF (Volume Mode AutoFlow) (optional).

With activation of:

– Sync. (Synchronization)

– Press. Support (Pressure Support) (optional).

The following measured values are displayed

– Peak pressure PEAK,

Mean pressure P

MEAN,

Plateau pressure PLAT, Positive end-expiratory pressure PEEP

– Expiratory minute volume MV,

Difference between insp. and exp. minute volume

LEAK,

– Patient compliance C

Tidal volume V

PAT,

Breathing rate Freq.

– Inspiratory and expiratory concentration of O

2O, anesthetic gas, and CO2

– Difference between insp. and exp. O2

concentration Δ

Optional:

– Functional oxygen saturation SpO

Pulse rate Pulse

The following parameters are displayed as curves

– Airway pressure P

– Inspiratory and expiratory flow

– Inspiratory and expiratory concentration of O

2, and anesthetic gas

Optional:

– Plethysmogram

– PAW-V loops and V-Flow loops

The following are displayed as bar graphs

– Inspiratory, expiratory, and leakage tidal volume

– Volumeter

– Pressure

– Low-flow wizard for indicating fresh-gas utilization

(optional)

Trends showing the measured values over time and a logbook are also available.

Operating Instructions Apollo SW 4.n 13

Introduction

Monitoring

By means of adjustable alarm limits which can automatically be adapted to the momentary ventilation situation.

With monitoring for

– Airway pressure P

– Expiratory minute volume MV

– Apnea

– Inspiratory and expiratory anesthetic gas

concentration

– Detection of anesthetic gas mixtures

(simultaneous detection of up to two anesthetic agents)

– Inspiratory O

– Inspiratory and expiratory CO

2 and N2O concentrations

2 concentrations

– Special alarm response in Bypass Mode

– Automatic agent alarm activation for multiples of

MAC (xMAC)

Optional:

– Oxygen saturation

– Pulse rate Pulse

WARNING!

Risk of electric shock.

Connecting devices to the auxiliary outlets of the anesthesia machine can cause an increase in leakage current beyond permissible values if the protective conductor of a device fails.

The system must meet the requirements for medical equipment in accordance with IEC/EN 60601-1-1 and IEC/EN 60601-1-2.

The system must meet the requirements about medical electrical equipment in accordance to IEC/EN 60601-1-1 and IEC/EN 60601-1-2.

MEDIBUS Protocol

MEDIBUS is a software protocol for use in transferring data between the Apollo and an external medical or non-medical device (e.g. hemodynamic monitors, data management systems, or a Windows-based computer) via the RS-232 interface (see MEDIBUS Instructions for Use of the Apollo, part number 9037426, 6th edition or higher).

WARNING!

Risk of patient injury.

Data transferred via MEDIBUS interfaces is for information only and is not intended as a basis for diagnosis or therapy decisions.

Part Number: 9039994, 2nd edition

14 Operating Instructions Apollo SW 4.n

Accessory weight limits

The following figures specify the maximum safe weight limits for accessories mounted to the Apollo.

In addition to the arm-mounted accessory weight limits, the following mounted accessory weights may not be exceeded:

– 30 lbs. maximum on either side of machine for

accessories mounted close to the machine side.

– 100 lbs. maximum for accessories mounted to the

top shelf.

Figure 2. Accessory Weight Limits - Apollo Left Side

Apollo Left Side Accessory Option

Introduction

Option Weight

30 lb. / 13.6 kg

Part Number: 9039994, 2nd edition

CAUTION: POSSIBLE TIP OVER HAZARD IF MOUNTING ACCESSORIES EXCEED APPROVED LIMITS

CAUTION: Maximum weight per arm 30 lb./ 13.6 kg.

20.0 in.

50.8 cm

pproved

Mounting Limits

8.0 in.

12.0 in.

16.0 in.

40.6 cm

30.5 cm

20.3 cm

Mount Arm Length

4.0 in.

10.2 cm

25 lb. / 11.4 kg

20 lb. / 9.1 kg

15 lb. / 6.8 kg

Option

Wei

10 lb. / 4.5 kg

5lb./2.3kg

0lb./0kg

OP00695

Operating Instructions Apollo SW 4.n 15

Introduction

Figure 3. Accessory Weight Limits - Apollo Right Side

Option Weight

30 lb. / 13.6 kg

Apollo Right Side Accessory Option

25 lb. / 11.4 kg

20 lb. / 9.1 kg

OP00694

CAUTION: POSSIBLE TIP

15 lb. / 6.8 kg

OVER HAZARD IF MOUNTING ACCESSORIES EXCEED APPROVED LIMITS

CAUTION: Maximum weight per arm 30 lb./ 13.6 kg.

10 lb. / 4.5 kg

5 lb. / 2.3 kg

CAUTION!

Risk of device failure.

If the anesthesia machine is operated when tilted, components may be damaged or may function improperly.

Do not operate the anesthesia machine if it is tilted more than 5°.

0lb./0kg

pproved

Mounting Limits

8.0 in.

12.0 in.

16.0 in.

4.0 in.

10.2 cm

20.3 cm

30.5 cm

40.6 cm

20.0 in.

50.8 cm

Mount Arm Length

CAUTION!

Risk of inadvertent movement.

If not properly secured, the device may move inadvertently during operation.

Apply the brakes on the device to ensure it cannot be moved accidentally during operation.

Part Number: 9039994, 2nd edition

CAUTION!

Risk of injury.

If mounting accessories exceed the approved limits, the anesthesia machine may tip over.

Maximum weight per arm = 30 lbs.

16 Operating Instructions Apollo SW 4.n

Symbols

The following symbols appear on the Apollo and are defined below.

Introduction

Symbol Explanation

Suppress alarm tone for 2 minutes; change priority of technical alarms and acknowledge them

Display standard screen

Display the three basic screens in succession

Standby/operation switch



Access more user options/screens

Pulse rate

Action in progress

Upper and lower alarm limits

Upper alarm limit only

Lower alarm limit only

Upper and lower alarm limits disabled

Consult accompanying documents.

Exit menu, return to preceding menu

Non-rebreathing system at common gas outlet

Remaining battery capacity (uninterruptible power supply UPS)

Manual ventilation

Automatic ventilation

Connector for pipeline gas supply

Backup gas cylinder

UL test mark

Plug system for vapor units

Connection for halogen lamp

Surface hot; do not touch.

Part Number: 9039994, 2nd edition

Upper alarm limit disabled

Lower alarm limit disabled

Alarm limit or measuring function disabled

4-digit password entered

Protection class type BF (body floating)

Connection for potential equalization

ESD warning label

Leakage current label

Warning: Do not connect the mains of external display(s) to AC outlets. Use external power outlets.

Interference

Battery supply

Alarm tone suppressed for 2 minutes

Operating Instructions Apollo SW 4.n 17

Introduction

Symbol Explanation

Alarm monitoring inactive

Alarm monitoring temporarily inactive

Apnea alarm disabled

Caution!

Rotary knob

System power switch

Physical injury

Mains voltage

18 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

Abbreviations

Introduction

Part Number: 9039994, 2nd edition

List of abbreviations used in the software and on the device

Abbreviation Explanation

Agent/agent Anesthetic gas

Air/AIR Compressed air for medical use

APL Adjustable Pressure Limitation

Aux CGO Auxiliary Common Gas Outlet

BW Body weight

CAL Calibration

2 Carbon dioxide

COM1 COM2

CPAP Continuous Positive Airway Pressure

PAT Patient compliance

SYS System compliance

ΔO

2 Difference between inspiratory and

ΔPPS Difference in pressure to PEEP in

ΔVT Difference between inspiratory and

Des. Desflurane

etCO

2 End-expiratory CO2 concentration

Enf. Enflurane

exp. Expiratory

FG Fresh gas

FiCO

2 Fractional inspiratory CO2

FiO

2 Fractional inspiratory O2 concentration

Freq./freq. Frequency

Freq

MIN Mandatory minimum frequency in

Hal. Halothane

HF High frequency

I:E Ratio of inspiration time to expiration

Interfaces used as MEDIBUS interfaces

expiratory O

Pressure Support mode

expiratory tidal volume

concentration

Pressure Support mode

time

Abbreviation Explanation

insp. Inspiratory

inDes Inspiratory desflurane concentration

inEnf Inspiratory enflurane concentration

inHal Inspiratory halothane concentration

inIso Inspiratory isoflurane concentration

inSev Inspiratory sevoflurane concentration

INOP Inoperable

Iso. Isoflurane

Leak

SYS System leakage

MAC Minimum Alveolar Concentration

Man.Spont.,

Manual/Spontaneous breathing

MAN/SPONT

MV Expiratory minute volume

LEAK Difference between inspiratory and

expiratory minute volume

2O Nitrous oxide

2 Oxygen

2+ O2 flush

PAW Airway pressure

PAW-V loop Pressure-Volume Loop

PEAK Peak pressure

PEEP Positive end-expiratory pressure

INSP Inspiratory pressure in Pressure Mode

PLAT Plateau pressure

pleth Plethysmogram

MAX Pressure limitation in Volume Mode

MEAN Mean pressure

Pressure/ Press. Mode

Press. Support/

Pressure Mode Pressure-controlled ventilation

Pressure Support mode Pressure-assisted ventilation

Press. Supp.

Sev. Sevoflurane

SpO

2 Functional O2 saturation

Operating Instructions Apollo SW 4.n 19

Introduction

Abbreviation Explanation

Standby Conf.

Standby configuration for default values and settings

Sync./sync. Synchronization

TIP : TINSP Ratio of inspiratory pause time to

inspiration time

TINSP Inspiration time

Tri gger Trigger level

TSLOPE Rise time

Vent. mode Ventilation mode

V-Flow loop Volume flow loop

Volu me/ Vol. Mode

Volume Mode Volume-controlled ventilation

Volu me AF Volume Mode AutoFlow

VT Tidal volume

INSP Measured inspiratory tidal volume

List of general abbreviations

Abbreviation Explanation

kg Kilogram

kPa Kilopascal

lbs. Pounds

MAN/AUTO Manual/mechanical ventilation

mbar Millibar

mmHg Millimeter of Mercury

mL Milliliter

NiBP Non-invasive blood pressure

NTPD Normal temperature pressure dry

(68 °F [20 °C], 1013 hPa [760 mmHg], dry)

EIRP “Equivalent isotropic radiated power” of

the adjacent RF transmitter

ppm Parts per million

PS Pressure Support

psi Pounds per square inch

RF Radio frequency

Abbreviation Explanation

AC Alternating current

AGS Anesthetic gas receiving system

ATPS Measuring conditions at ambient

temperature, current atmospheric pressure and with saturated gas

BTPS Measuring conditions at body

temperature, current atmospheric pressure and with saturated gas

cmH

2O Centimeter of water

CS Pipeline gas supply / Piped medical

gas supply for O

2, N2O, Air, and

vacuum

EMC Electromagnetic compatibility

ESD Electrostatic discharge

HF surgery High-frequency surgery

HME Heat and moisture exchanger

hPa Hectopascal

SORC Sensitive oxygen ratio controller

EXP Expiratory time

UPS Uninterruptible power supply

VAC Vacuum (e.g. for secretion aspiration)

Vol.% Percentage gas rate in relation to total

gas volume

V Volt

xMAC Multiple of MAC

Units

Note: Throughout these Operating Instructions:

Ventilation pressures: cmH Supply pressures: bar = kPa x 100

2O = mbar = hPa

Part Number: 9039994, 2nd edition

in Inches

IV Intravenous

20 Operating Instructions Apollo SW 4.n

System Components

Contents

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Machine Front view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Machine Rear view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Gas supply block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Interface panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Vaporizers (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Vaporizer exclusion systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Dräger Vapor Interlock 2 System (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Selectatec

Dräger Auto Exclusion 2-Vaporizer Mount (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Dräger Auto Exclusion 3-Vaporizer Mount (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

(Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Part Number: 9039994, 2nd edition

APL valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

O2 flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Auxiliary oxygen flow meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Writing table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Gas flow diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Operating Instructions Apollo SW 4.n 21

System Components

Overview

This chapter identifies the major physical components of the Apollo anesthesia machine and provides a brief description of specific parts.

Machine Front view

22 21

5 6

Part Number: 9039994, 2nd edition

1 Lighting control (dimmer) location 12 Central brake

2 Screen with user interface 13 Footrest

3 Rotary knob 14 Drawers (2) (for storage)

4 Fresh-gas flow controls: O

5 Mains power switch 16 Endotracheal aspiration system (optional)

6 Total flow meter 17 Flexible breathing bag arm

8 Writing table 19 Water trap with sample line connection

9 Breathing system 20 Vaporizer units with interlock system (optional)

10 Release button for ventilator module 21 Auxiliary AC outlet (for Desflurane vaporizer)

11 Absorber (optional: disposable CLIC absorber) 22 Top shelf (for external monitors)

22 Operating Instructions Apollo SW 4.n

2 flush button O2+ 18 Auxiliary oxygen flow meter

2, Air, N2O 15 Anesthetic gas receiving system AGS (optional)

Machine Rear view

System Components

Part Number: 9039994, 2nd edition

1 Auxiliary outlet panel

2 Cylinder tank yoke bar

3 Filter for fan

4 Type plate

5 Cylinder support bar

6 Scavenging nozzle

7 AC power connector

8 Gas supply block

9 Connector for optional halogen lamp (remove cap

before use). Use the lamp specified in the list of accessories only.

10 Connectors (3) for backup gas cylinder pressure

sensors (covered; access from behind gas supply block)

11 Interface panel

Operating Instructions Apollo SW 4.n 23

System Components

Gas supply block

564

1 Connection for N2O cylinder

2 Connection for Air cylinder

3 Connection for O

4 Connection for pipeline O

5 Connection for pipeline Air

6 Connection for pipeline N

2 cylinder

Part Number: 9039994, 2nd edition

24 Operating Instructions Apollo SW 4.n

Interface panel

System Components

ESD

Sensitivity

Caution!

Consult

Accompanying

Documents

1 IV System Connection for Dräger IV System*

2 COM2 MEDIBUS interface

3 COM1 MEDIBUS interface

4 SpO

*not for sale in the U.S.

2 Socket for SpO2 sensor (optional)

IV System

COM 2

COM 1

SpO

Part Number: 9039994, 2nd edition

Operating Instructions Apollo SW 4.n 25

System Components

Vaporizers (Optional)

Note: Before operating the vaporizer, pay special

attention to the Instructions for Use of the vaporizer being used. Note especially the vaporizer flow limits.

The Dräger Vapor anesthetic agent vaporizers are used to enrich the fresh gas with a precisely metered quantity of vapor from the liquid anesthetic agent being used, i.e. Isoflurane, Halothane, Enflurane, Sevoflurane, or Desflurane.

When using a Desflurane vaporizer, it must be connected to mains power. The auxiliary power outlet (IEC/EN 60320-2-2/F) near the vaporizer exclusion system is provided for that purpose.

The vaporizers being used must comply with standard ISO 8835-4. If the internal gas measurement system fails, an independent measurement system complying with ISO 21647 must be used.

CAUTION!

Risk of patient injury.

If the vaporizer is not correctly mounted, the freshgas flow will not be supplied with anesthetic agent and the patient will not receive the correct anesthesia.

Always double-check the position of the vaporizer, make sure it is correctly mounted and do not mount the vaporizer park holder close to the operable vaporizer.

Vaporizer exclusion systems

The exclusion systems available for the Apollo are described below.

(Optional)

The Dräger Interlock 2 system is used to ensure that only one of two vaporizers can be used at a time. It has a selector lever used to select which vaporizer is enabled.

Part Number: 9039994, 2nd edition

Figure 4. Dräger Vapor Interlock 2 SystemDräger Vapor Interlock 2 System

OP00520

Moving the selector lever away from the desired vaporizer allows that vaporizer to be used and the other to be locked out of use.

26 Operating Instructions Apollo SW 4.n

Note that the selector lever (1 in Figure 4) is shown in the center position. This ensures that both vaporizers are in the locked position. Also, this is the recommended position for the selector lever when moving the Apollo.

Selectatec (Optional)

The interlock system for the Selectatec is built into the vaporizers. When a vaporizer is selected for use, the interlocking index pins will protrude from the sides of the vaporizer thereby not allowing the adjacent vaporizer to be opened. For more specific information on the Selectatec, refer to the Selectatec Vaporizer’s instruction manual.

Dräger Auto Exclusion 2-Vaporizer Mount (Optional)

This system has an automatic interlock system that ensures only one vaporizer can be used at a time. When one of the two vaporizers is selected for use (opened), the interlock mechanism within that vaporizer’s mounting system is activated automatically, preventing the other vaporizer from being used.

System Components

Part Number: 9039994, 2nd edition

EXCLUSION” vaporizers are compatible with the Dräger Auto Exclusion 2-Vaporizer Mount. See Ta b le 1 for the Auto Exclusion Vaporizer technical data.

When using a Desflurane vaporizer, it must be plugged into the auxiliary power outlet located on the side of the machine above the vaporizer mount.

Table 1. Dräger Auto Exclusion Vaporizer Technical DataNote: Only vaporizers labeled as “AUTO

Normal Operating Range

Extended Operating Range

≤ 10 L/min Dräger Vapor 2000

Instruction for Use Manual’s delivered concentration accuracy values apply.

>10 ≤ 15 L/min Dräger auto exclusion

vaporizer concentration output accuracy may be reduced.

Operating Instructions Apollo SW 4.n 27

System Components

Mount (Optional)

This system has an automatic interlock system that ensures only one vaporizer can be used at a time. When any one of the three vaporizers is selected for use (opened), the interlock mechanism within that vaporizer’s mounting system is activated automatically, preventing the other two vaporizers from being used.

Note: Only vaporizers labeled as “AUTO

EXCLUSION” vaporizers are compatible with the Dräger Auto Exclusion 3-Vaporizer Mount. See Ta b le 1 for the Auto Exclusion Vaporizer technical data.

When using a Desflurane vaporizer, it must be plugged into the auxiliary power outlet located on the side of the machine above the vaporizer mount.

Note: The Desflurane vaporizer should be installed

in the far left position (1 in Figure 5) with the Dräger Auto Exclusion 3-Vaporizer Mount in order to have optimum viewing area of the display screen.

Figure 5. Dräger Auto Exclusion 3-Vaporizer MountDräger Auto Exclusion 3-Vaporizer

APL valve

The APL valve has two functions. It limits the maximum pressure during manual ventilation and exhausts excess gas into the scavenger system during manual and spontaneous ventilation.

The APL valve is connected to the patient airway through the ventilator. It functions only when the ventilator is in Manual/Spontaneous mode.

The adjustment knob (1 in Figure 6) is used to select between spontaneous and manual modes of ventilation. It’s labeled to indicated approximate pressure settings.

Part Number: 9039994, 2nd edition

28 Operating Instructions Apollo SW 4.n

Pressure is released for spontaneous ventilation when the adjustment knob is rotated fully counterclockwise, when the index mark on the knob lines up with the index mark on the bottom of the APL valve (2 in Figure 6). Spontaneous ventilation eliminates both resistance to patient exhalation and the need to readjust back pressure.

For manual ventilation:

In manual mode, the APL valve adjustment knob can be rotated to change the approximate pressure at which gas will flow through the valve and into the scavenging system. Clockwise rotation of the adjustment knob increases the pressure, and counterclockwise rotation of the adjustment knob decreases the pressure. Pulling up on the APL valve knob will temporarily relieve pressure.

Note: The APL valve is automatically excluded

from the breathing circuit whenever an automatic ventilation mode is selected. It is suggested that even in automatic ventilation, the APL valve is adjusted to a pressure that is safe for the patient.

System Components

Figure 6. APL ValveFor spontaneous ventilation:

Part Number: 9039994, 2nd edition

WARNING!

Risk of patient injury.

If the APL valve becomes blocked due to e.g. lines or cables being caught under the knob, the patient may be endangered.

Route all cables away from the APL valve; do not hang lines, hoses or cables, e.g. the sample line, on or near the APL valve.

A manually operated O2 flush valve is located on the front of the machine (1 in Figure 7). When actuated, the valve delivers an unmetered flow of at least 35 L/min to the breathing system and breathing bag while bypassing the ventilator. The Apollo does not have to be switched on to use the O

1. To operate the O

2 flush, press the O2+ button.

2 flush.

Oxygen flows into the breathing system without anesthetic gas as long as the button is pressed in.

Figure 7. Location of O2 FlushO2 flush

Operating Instructions Apollo SW 4.n 29

System Components

Auxiliary oxygen flow meter

flow of pure oxygen, used, for example in the delivery of oxygen through a nasal cannula. Auxiliary oxygen can be used in any ventilation mode, in Standby, or even if the machine is switched off.

CAUTION!

Risk of inadequate pressure monitoring.

The optional auxiliary outlets are not pressure monitored.

Pressure monitoring must be ensured by the connected device.

Figure 8. Auxiliary Oxygen flow meterThe auxiliary oxygen flow meter delivers a metered

Writing table

(1 in Figure 9) which can be moved left or right or folded down completely for convenient positioning.

To fold down the writing table, support the table with one hand, then pull up on the release knob (2 in Figure 9) and fold down. To bring the table up again, swing it upward until it clicks into place.

Figure 9. Writing TableThe Apollo is equipped with a writing table

Part Number: 9039994, 2nd edition

30 Operating Instructions Apollo SW 4.n

Gas flow diagram

System Components

Part Number: 9039994, 2nd edition

Operating Instructions Apollo SW 4.n 31

System Components

This page intentionally left blank.

Part Number: 9039994, 2nd edition

32 Operating Instructions Apollo SW 4.n

User Interface

Contents

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Main screen display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

User controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Standard function keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Rotary knob . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Standby key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Flow control knobs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Ventilation control keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Monitoring/Configuration control keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

System LED indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Screen colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Part Number: 9039994, 2nd edition

Operating Instructions Apollo SW 4.n 33

User Interface

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Part Number: 9039994, 2nd edition

34 Operating Instructions Apollo SW 4.n

Overview

This chapter provides a description of the Apollo user interface, which enables you to view and change monitoring, ventilation, and status information using keys and the rotary knob.

Main screen display

The screen display is organized into four functional areas:

– Gas measurement

– Monitoring

– Fresh-gas delivery

– Ventilation

Figure 10 illustrates the general functional areas and

identifies the following smaller screen elements:

User Interface

Part Number: 9039994, 2nd edition

Operating Instructions Apollo SW 4.n 35

User Interface

Figure 10. Standard Monitor Screen Layout

Measurement

Gas

Monitoring

Man

Spont

Vol

Mode

Vol . AF

Mode

Press Mode

deliveryFresh-gas

Status field; displays information about the current operating mode

Numeric field for gas and agent measurement values

Alarm message field; displays alarm messages

User-configurable graphics field for curves and bar graphs

Numeric field for monitored parameter values

Monitoring/configuration buttons

Standard function keys; for selecting monitoring screens and silencing alarms

Prompt field; displays messages for the user

Ventilation parameter buttons

Ventilation mode keys

User-configurable monitoring area

Press. Supp.

Aux

CGO

Part Number: 9039994, 2nd edition

Ventilation

Fresh-gas bar graphs (virtual flow tubes)

36 Operating Instructions Apollo SW 4.n

User controls

Changes to system settings and screen displays are made using the rotary knob, “keys” (keys with permanently defined functions), and “buttons” (keys with variable functions). All controls are described in the following paragraphs.

Standard function keys

Three keys for standard functions are located on the right side of the display screen (1 in Figure 11):

Press this key to suppress audible alarms for 2 minutes; or to change the priority of technical alarms and acknowledge them.

Press this key to display in succession the three available monitoring screens: standard, data, and trend.

User Interface

Figure 11. Standard Function Keys

Part Number: 9039994, 2nd edition

Press this key to display the standard monitoring screen.

Rotary knob

(1 in Figure 12). It is the main control used to select and confirm all monitoring and system settings:

– turn the rotary knob to change or select a value

or parameter (clockwise rotation increases a value; counterclockwise rotation decreases a value).

– press the rotary knob to set a value or confirm a

selection. If the selection is not confirmed, the value or parameter will not change.

Vol. AF Mode

Figure 12. Location of Rotary Knob & Standby KeyThe rotary knob is located on the bottom right side

Vol. AF Mode

Operating Instructions Apollo SW 4.n 37

User Interface

Standby key

The standby key (2 in Figure 12) is used to switch between operating modes and Standby.

1. to set the machine to Standby mode, press the

standby key > <. Then press the rotary knob to confirm.

The standby key is also used to enter monitoring mode while in Standby (see “Monitoring mode” on

page 153 for more information).

Flow control knobs

and O

2 flow are located below their respective virtual

flow meters in the bottom left of the display (1 in Figure 13). They are labeled and color-coded. The oxygen flow control is also touch-coded with a fluted knob.

– to increase flow, turn the appropriate flow control

knob counterclockwise

– to decrease flow, turn the appropriate flow

control knob clockwise

Figure 13. Flow Control KnobsThree control knobs for the adjustment of N2O, Air,

N 2 O

Air

Vol. AF Mode

Part Number: 9039994, 2nd edition

38 Operating Instructions Apollo SW 4.n

Ventilation control keys

keys located at the bottom of the screen.

The ventilation keys (1 in Figure 14) are used primarily to select the ventilation mode: >Man Spont<, >Vol Mode<, >Vol. AF Mode<, >Press Mode<, and >Press. Supp.< (optional). The key >Aux CGO< is used to select the optional auxiliary common gas outlet.

Selecting Ventilation Mode or Aux CGO (optional)

1. Press the appropriate ventilation key. The key’s LED and the status field will flash.

2. Press the rotary knob to confirm the selection.

The ventilation buttons (2 in Figure 14), located above the keys, are used to set ventilation parameters. These keys have variable functions, depending on the operating status or ventilation mode.

User Interface

Figure 14. Location of Ventilation Control KeysVentilation functions are controlled using two sets of

Vol. AF Mode

Part Number: 9039994, 2nd edition

Setting/Selecting Ventilation Parameters

Example: setting PEEP

1. Press the button >PEEP<.

2. Turn the rotary knob until the desired value is displayed.

3. Press the rotary knob to confirm the new value. If the new value is not confirmed within 15 seconds, it automatically reverts to the original value.

Operating Instructions Apollo SW 4.n 39

User Interface

The majority of monitoring and configuration functions are performed using the vertical column of buttons along the right side of the screen (1 in Figure 15). These keys have variable functions and their labels change according to which monitoring screen is selected (standard, data, or trend). An arrow () on the button label indicates that pressing that key will bring up a second set of buttons with further user options.

Setting/Selecting Monitoring Functions

Figure 15. Location of Monitoring/Configuration KeysMonitoring/Configuration control keys

Example: change lower alarm limit for etCO

1. Press the button >Alarm Limits< (2 in Figure 15). The alarm limits menu is displayed on the screen.

2. Turn the rotary knob to select the low alarm limit value for etCO

2 (see Figure 16).

4. Turn the rotary knob until the desired alarm value is displayed.

5. Press the rotary knob to confirm the new alarm limit value.

6. Exit the alarm limits menu by either:

– confirming the close symbol > < with the

rotary knob, or

– pressing the > < key.

Vol. AF Mode

Figure 16. Alarm Limits Menu3. Press the rotary knob to confirm the selection.

Alarm Limits Menu

Part Number: 9039994, 2nd edition

Vol. AF

Mode

40 Operating Instructions Apollo SW 4.n

System LED indicators

A number of LED indicators are located at the bottom of the front panel. They can light up green or red, or can remain extinguished, to indicate gas supply and machine power status.

The pipeline supply LEDs (1 in Figure 17 ) can be either green, which indicates that the pipeline supply is connected and pressure is adequate, or off (extinguished). If the pipeline pressure transducer is inoperable, the corresponding LED will flash green.

If the backup gas cylinder is connected and pressure is adequate, the corresponding LED (2 in Figure 17) will be green. If the backup gas cylinder is connected, but the pressure is inadequate and the pipeline supply is not available, the LED will flash red. If the backup cylinder is not connected, the LED will be dark (extinguished).

The Battery and AC Power LEDs (3 in Figure 17) have two states: green or off (extinguished). The LED that is green indicates the active power source.

Figure 17. LED Indicators

132

Vol. AF

Mode

User Interface

Part Number: 9039994, 2nd edition

Screen colors

Colors are used on the screen to indicate the status of buttons and to highlight operating sequences.

Color Meaning

Light green

Yellow

Dark green

Gray type

Ventilation Buttons

The ventilation buttons appear dark green when operable and turn yellow when selected. Once the value is changed and confirmed, the button turns back to dark green.

– can be operated, leads to another

menu or operating function

– not yet active, presettings

– selected, can be changed or set,

not yet confirmed

– active parameter, can be

operated

– current selection (configuration

menu)

– cannot be operated

Operating Instructions Apollo SW 4.n 41

User Interface

Some values change automatically when another parameter button is selected, and those values will be displayed in yellow in addition to the selected parameter.

Values shown in gray indicate that:

– there is a discrepancy between set and actual

values, or

– specified accuracy is not being maintained.

Monitoring/Configuration Buttons

The monitoring buttons along the right side of the screen appear light green when operable. When selected, their color changes to dark green. They also change to dark green when another submenu or function is displayed.

Colors of Parameter Settings/Values in Menus

When the user selects a menu the parameters and values will appear on a dark green background. Currently selected submenus are framed in an orange border. Parameters in gray type are inactive and cannot be selected.

42 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

System Setup

Contents

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Preparation before first use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Charging the battery for emergency operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Installing the breathing system and flow sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Filling and installing the absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Reusable absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

Disposable CLIC absorber (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Connecting the gas supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Connecting pipeline supply of N2O, Air, and O2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Connecting the backup gas cylinders for O2, N2O, and Air . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Caution when handling O2 cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Connecting the scavenger system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Connecting the anesthetic gas receiving system AGS (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Connecting the passive scavenger system (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Connecting the endotracheal aspiration system (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Part Number: 9039994, 2nd edition

Installing vaporizers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Installing the flexible arm for the manual breathing bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Installing the patient system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Connecting the patient circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Ventilating neonates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Ventilating children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Connecting AC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Connecting auxiliary devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Fuses for auxiliary outlets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Connecting the Apollo to ground . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Connecting the Apollo to mains power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Information about transport within the clinic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Operating Instructions Apollo SW 4.n 43

System Setup

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Part Number: 9039994, 2nd edition

44 Operating Instructions Apollo SW 4.n

Overview

This chapter of the Operating Instructions provides information on how to set up and install all system components needed to prepare the Apollo for use. The setup procedure shall be followed by the performance of the periodic manufacturer’s procedure.

WARNING!

Risk of patient injury.

Correct preparation of the anesthesia machine is required to minimize the general risks associated with the anesthesia machine.

Use only clean and disinfected parts and always strictly follow the cleaning and assembly instructions contained in these Operating Instructions to prevent infection of patient or user.

System Setup

Part Number: 9039994, 2nd edition

Preparation before first use

The Apollo has to be prepared before first use according to the cleaning and disinfection guidelines in the chapter “Disinfecting/Cleaning/Sterilizing” on

page 212.

Charging the battery for emergency operation

Apollo has a built-in uninterruptible power supply UPS which maintains the power supply for at least 30 minutes (up to 90 minutes, depending on the ventilation parameters) in the event of a mains power failure, provided that the battery is fully charged.

Switching to battery power (UPS) takes place automatically and is indicated on the screen by the message: POWER FAIL.

The battery recharges automatically when the anesthesia machine is plugged into the mains, but only up to a maximum ambient temperature of 95° F/ 35° C.

Operating Instructions Apollo SW 4.n 45

System Setup

using the anesthesia machine for the first time:

Figure 18. Location of AC Power LEDThe battery must be charged for 10 hours before

1. Plug the mains power plug of the Apollo anesthesia machine into the mains outlet.

The mains voltage must correspond to that specified on the rating plate on the back of the machine.

The green LED labeled > (1 in Figure 18).

2. Leave the Apollo connected to the mains for 10 hours. The anesthesia machine does not have to be switched on.

Risk of device failure.

In the event of a power failure, any devices connected to auxiliary power outlets will not be powered by the UPS.

Pay special attention to all power indicators of connected devices.

Risk of battery failure.

Allowing the battery to run low can damage it.

It must be charged at least every four weeks.

N AC Power< lights up

CAUTION!

WARNING!

Vol. AF

Mode

Installing the breathing system and flow sensors

Figure 19. Installing the Flow Sensors1. Press the release button on the ventilator unit

and pull it out.

2. Loosen the three sealing screws on the ventilator (1 in Figure 19) a quarter turn counterclockwise with the wrench supplied.

3. Pull the breathing system up and out by the handle (2 in Figure 19).

4. Unscrew the inspiratory and expiratory ports (4 in

Figure 19) by turning them counterclockwise.

5. Insert the flow sensors (3 in Figure 19) into the two port connections on the breathing system,

46 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

with the electric connection on each sensor facing down in the slot.

Note: Flow sensors must be recalibrated after

replacement by performing the power-on self test (see chapter “Pre-use Checkout”).

(4 in Figure 19) so that the key on each port lines up with the slot. Install the ports and tighten by turning clockwise. Carefully seat the breathing system onto the ventilator module, and tighten the three sealing screws (1 in Figure 20) on the ventilator cover.

System Setup

Figure 20. Installing the Breathing System6. Orient the inspiratory and expiratory ports

Filling and installing the absorber

A reusable absorber or the disposable CLIC absorber can be used.

Reusable absorber

(1 in Figure 21).

2. Fill the absorber canister with fresh soda lime up to the MAX mark.

WARNING!

Risk of injury.

Absorbent is caustic and is a strong eye, skin, and respiratory tract irritant.

Use care when handling the absorbent to avoid spills.

➡

Figure 21. Installing the Absorber Canister1. Push the insert fully into the absorber canister

➡

➥

➡

Part Number: 9039994, 2nd edition

CAUTION!

Risk of device failure.

It is recommended that Drägersorb 800 + or Drägersorb FREE are used.

Do not use powdered soda lime, as a higher dust load may impair functionality of the Apollo anesthesia machine.

Operating Instructions Apollo SW 4.n 47

System Setup

3. Fit the canister into position below the breathing system, and turn counterclockwise as far as possible (2 in Figure 21).

4. Slowly push in the ventilator module until it engages.

5. Reset the soda lime change log to current date by pressing the >soda lime changed< button, see page 77.

If the breathing system is not to be used within the next 24 hours:

– Only fill with soda lime immediately before use.

48 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

Disposable CLIC absorber (optional)

personnel, e.g. DrägerService.

System Setup

Figure 22. Installing the CLIC absorberThe appropriate adapter must be installed by trained

WARNING!

The disposable absorber must be clicked into place before switching on the Apollo. This ensures that the absorber is included in the leak and compliance test for the anesthesia machine.

To click the absorber into place:

1. Press the button (1 in Figure 22); the mounting swings open.

2. Before fitting, shake the disposable absorber, e.g. by turning it upside down several times in order to loosen the soda lime.

3. Remove the seal from the new disposable absorber.

4. Slide the new disposable absorber onto the mounting (2 in Figure 22).

5. Push the absorber into the anesthesia machine until it engages.

6. Reset the soda lime change log to current date by pressing the >soda lime changed< button, see page 77.

Part Number: 9039994, 2nd edition

WARNING!

Risk of patient injury.

The soda lime loses humidity. Generally, if the humidity falls below a minimum set point, the following undesirable reactions can occur, independent of the type of lime and the inhalation anesthetic being used:

– reduced CO2 absorption;

– increased heat build-up in the absorber and

thus, an increased breathing gas temperature;

– formation of CO;

– absorption and/or decomposition of the

inhalation anesthetic.

These reactions could pose a danger to the patient.

If using dry gases, only briefly flush the anesthesia system and only if necessary.

Operating Instructions Apollo SW 4.n 49

System Setup

Connecting the gas supply

WARNING!

Risk of explosion, fire.

Oil and grease may combine explosively with oxygen or nitrous oxide. For this reason, oil and grease must never come in contact with pipelines, cylinders, cylinder valves, gauges, fittings, etc., which conduct oxygen or nitrous oxide within the machine.

CAUTION!

Risk of gas supply failure.

If all gas supplies (pipeline or cylinder) are not connected correctly, the reserve system will not be available in the event of a gas supply failure.

Make sure that all supplies are connected according to the engraving on the gas supply block and the illustrations at the back of the machine. After connecting the supplies, ensure proper functionality.

CAUTION!

Risk of device failure.

Compressed gas supply (pipeline or cylinder): To avoid damaging the device(s) attached to a gas supply, use only medical gases. Pay particular attention to national and international standards regulating the use of medical gases.

Part Number: 9039994, 2nd edition

50 Operating Instructions Apollo SW 4.n

Connecting pipeline supply of N2O, Air, and O2

System Setup

Figure 23. Pipeline supply connections

WARNING!

Risk of patient injury.

Pipeline delivery hoses used between wall outlets and anesthesia machines have caused accidents when, during assembly, an oxygen fitting was placed on one end of the hose and a nitrous oxide fitting on the other end.

Carefully check hoses each time you connect a machine to a wall outlet to ensure that both ends of the hose are indexed for the same gas.

CAUTION!

Risk of device failure.

In order for the inhalation anesthesia machine to operate as specified, the supply pressures at the machine inlet must be within a range of 2.7 and

6.9 kPa x 100.

Make sure this is the case before initiating operation.

1. Connect the gas fitting on each pipeline supply hose to the corresponding fitting on the gas supply block on the rear of the machine (see

Figure 23).

2. Connect the other end of the pressure hoses to the terminal unit.

3. Make sure that all supplies are connected correctly and functioning properly.

N2O pipeline supply connection

Air pipeline supply connection

O pipeline supply connection

Part Number: 9039994, 2nd edition

4. Ensure that the pipeline pressures are between 50 psi and 55 psi (see “Operating data” on

page 254 for ranges) by checking that the three

pipeline supply LEDs on the front machine panel (1 in Figure 24) are illuminated green.

Figure 24. Location of pipeline supply pressure LEDsIf the pipeline supply pressure LEDs remain

dark, it means that the pressure is below 39 psi or that the hoses are not connected properly.

Vol. AF

Mode

Operating Instructions Apollo SW 4.n 51

System Setup

Connecting the backup gas cylinders for O2, N2O, and Air

CAUTION!

Risk of gas supply failure.

Should the pipeline gas supply fail, the backup gas cylinders on the anesthesia machine will provide a reserve gas supply.

To prevent a complete gas failure, the backup gas cylinders should remain on the device, valves closed, in reserve even if the anesthesia machine is connected to pipeline gas supply.

The Apollo is equipped with ANSI standard pinindexed hanger yokes for E-size cylinders to connect backup gas cylinders to the anesthesia machine. The yoke for O are optional. All cylinder yokes are located on the back of the machine as shown in Figure 25.

2 is standard, the yokes for N2O and Air

Figure 25. Cylinder Yoke Locations

WARNING!

Risk of gas supply failure.

When attaching a cylinder, ensure that only one washer is installed between the cylinder and the yoke gas inlet. The use of multiple washers will inhibit the pin-index safety system. Be sure to verify the presence of the index pins each time a cylinder is installed. Never attempt to override the pin-index safety system.

WARNING!

Risk of supply failure.

If pressure reducers not having the required sensors and measurement features are used instead of Dräger pressure reducers, backup gas cylinders and their fill levels will not be subject to alarm and monitoring functionalities during the power-on self test and operation.

Without this monitoring, in the event of a loss of the pipeline gas supply, the backup functionality of the backup gas cylinders may not be available. If monitoring for the remaining capacity of the backup gas cylinders is not available, the user must take other equivalent measures.

Part Number: 9039994, 2nd edition

52 Operating Instructions Apollo SW 4.n

The numbers in boldface in Step 1 below refer to

Figure 26.

System Setup

1. Connect a gas cylinder (1) to its yoke as specified below:

– Remove the old washer (2) and install a new

washer on the seat of the yoke gas inlet connection.

– Verify that the two index pins (3) below the gas

inlet (4) are present.

– Insert the head (5) of the gas cylinder into the

yoke from below. Ensure that the gas outlet and indexing holes on the cylinder head align with the gas inlet and index pins of the yoke assembly (6). Engage the indexing holes with the index pins.

– Turn the yoke handle (7) clockwise against the

cylinder head, so that the point of the yoke handle bolt is aligned with the indent on the back of the cylinder head. Verify that the washer is in place, the index pins are engaged, and the cylinder hangs vertically.

– Tighten the yoke firmly.

Note: When required, the cylinder valve (8) is

opened using the cylinder wrench (9) that is provided.

Figure 26. Pin-Index Cylinder Mounting

OP00347A

Figure 27. Cylinder Connections

Air Cylinder Connection

Part Number: 9039994, 2nd edition

2. Connect the hose from each cylinder to the corresponding ports of the gas supply block on the back of the machine (see Figure 27).

3. Open the cylinder valves.

4. To ensure that the cylinder pressures are adequate, check that the gauges above the cylinder yokes indicate pressures recommended in Table 2 on the next page. Also, if the cylinder pressures are adequate, the cylinder pressure LEDs on the front machine panel (1 in Figure 28) are illuminated green.

that the cylinder pressure is inadequate or that the cylinders are not connected properly.

5. Close the cylinder valves.

N2O Cylinder Connection

Figure 28. Location of Cylinder Pressure LEDsIf the cylinder pressure LEDs remain dark, it means

Vol. AF

Mode

O Cylinder Connection

Operating Instructions Apollo SW 4.n 53

System Setup

WARNING!

Risk of gas supply failure.

If the valves remain open when connected to the pipeline gas supply, gas may be withdrawn from the backup gas cylinders.

Close backup gas cylinder valves whenever pipeline gas supply is sufficient.

gas at the recommended pressures shown in

Table 2. (Indicated pressures are for E-size cylinders

at 70°F/21°C.) Cylinders measuring less than the minimum recommended pressure (PSI - MIN) should be replaced with new, full cylinders.

Table 2. Recommended Cylinder Gas PressuresCylinders attached to the hanger yokes must contain

GAS

Air 1900/131 1000/69

2O 745/51 600/42

2 1900/131 1000/69

PSI/bar - FULL (typical full load)

PSI/bar - MIN

Caution when handling O2 cylinders

WARNING!

Risk of explosion.

Oil and grease may combine explosively with oxygen.

For this reason, oil and grease must never come in contact with pipelines, cylinders, cylinder valves, gauges, fittings, etc., which conduct oxygen.

Note: Follow the Instructions for Use included with

the pressure regulator.

Part Number: 9039994, 2nd edition

54 Operating Instructions Apollo SW 4.n

Connecting the scavenger system

The Apollo can be equipped with one of two kinds of scavenger systems to provide the best match with the hospital’s waste-gas disposal system. These scavenger systems must comply with ISO 8835-3.

Connecting the anesthetic gas receiving system AGS (Optional)

The anesthetic gas receiving system AGS is used with vacuum waste-gas disposal systems.

CAUTION!

Risk of increased ambient gas concentration.

Ambient air may become contaminated with anesthetic agent if the scavenger hoses are functionally inhibited.

The scavenger hoses must not be pinched, kinked, or blocked in any manner.

System Setup

Part Number: 9039994, 2nd edition

sliding its bracket onto the two shoulder screws on the side of the machine.

2. Connect one end of the transfer hose to the fitting on the receiving system (1 in Figure 29).

3. Connect the other end of the transfer hose to the scavenger connection on the back of the anesthesia machine (2 in Figure 29).

4. Connect the waste-gas vacuum hose to the output connection on the receiving system (3 in Figure 29).

5. Connect the other end of the vacuum hose to the hospital waste-gas disposal system.

Note: Activate hospital vacuum system before

using the receiving system.

Note: During use, the float indicator in the flow

indicator should stay between the upper and lower marks. If necessary, regulate flow using the flow adjustment valve (4 in Figure 29).

Figure 29. Anesthetic gas receiving system AGS1. Install the receiving system on the machine by

Operating Instructions Apollo SW 4.n 55

System Setup

WARNING!

Risk of patient injury.

If the AGS manifold is blocked, negative pressure may result in the breathing system and the patient’s lungs.

Always make sure the manifold is not blocked.

Note the Instructions for Use of the anesthetic gas receiving system AGS.

Connecting the passive scavenger system (Optional)

recirculating exhaust systems. It is not meant to be used with vacuum disposal systems.

CAUTION!

Figure 30. Passive Scavenger SystemThe passive scavenger system is used only with non-

Risk of increased ambient gas concentration.

Ambient air may become contaminated with anesthetic agent if the scavenger hoses are functionally inhibited.

The scavenger hoses must not be pinched, kinked, or blocked in any manner.

1. Install the passive scavenger on the machine by sliding its bracket onto the two shoulder screws on the side of the machine.

Note: Remove the socket from the scavenger hose

before connecting.

2. Connect one end of the transfer hose to the side fitting on the scavenger (1 in Figure 30).

3. Connect the other end of the transfer hose to the scavenger connection on the back of the anesthesia machine (2 in Figure 30).

4. Connect the waste-gas hose to the bottom connection on the scavenger (3 in Figure 30).

5. Connect the other end of the hose to the hospital waste-gas disposal system.

Part Number: 9039994, 2nd edition

For detailed information on the passive scavenger system, refer to separate Instructions for Use.

56 Operating Instructions Apollo SW 4.n

Connecting the endotracheal aspiration system (Optional)

The optional endotracheal aspiration system for the Apollo consists of a suction regulator and a bracket that attaches to the side of the anesthesia machine. The bracket is used to hold the regulator and a suction bottle assembly of the customer’s choice.

1. Attach the endotracheal aspiration system bracket to the side rail on the left side of the anesthesia machine.

2. Mount the suction regulator (1 in Figure 31) onto the bracket.

3. Prepare the suction bottle assembly according the Instructions for Use provided with the bottle.

4. Install the bottle assembly in the slide mount (2 in Figure 31) on the bracket.

5. Make all necessary connections between the suction bottle, suction regulator, and piped vacuum system as specified in the Instructions for Use provided with the endotracheal aspiration

system.

System Setup

Figure 31. Endotracheal aspiration system Bracket

and Regulator

Part Number: 9039994, 2nd edition

WARNING!

Risk of patient injury.

Do not apply unregulated suction to the patient circuit when using this device.

Installing vaporizers

Install vaporizers as directed in the appropriate Instructions for Use supplied with the vaporizers available for use with the Apollo.

Operating Instructions Apollo SW 4.n 57

System Setup

Installing the flexible arm for the manual breathing bag

WARNING!

Risk of patient injury.

If incompatible materials are used in the patient circuit, metabolic products may build up.

Breathing bags used on the Apollo must comply with current ANSI standards.

1. Slide the bag arm assembly onto the breathing bag port on the side of the breathing system (1 in Figure 32).

2. Tighten the two thumb screws (2 in Figure 32) to secure.

3. Attach the 90° fitting to the end of the bag arm (3 in Figure 32), and attach the breathing bag to the other end of the fitting.

Installing the patient system

WARNING!

Risk of burns.

Conductive breathing hoses or face masks may cause burns during HF surgery.

Do not use these types of hoses and masks in combination with HF surgery.

Figure 32. Breathing Bag Arm Connection

Part Number: 9039994, 2nd edition

CAUTION!

Risk of inadequate gas concentrations.

If the patient system components are not tightly connected, ambient air will be added to the gas mixture.

Make sure that all patient system components are tightly connected.

58 Operating Instructions Apollo SW 4.n

Note: Apollo (without accessories) has no

components containing latex. For latex-free use: Use latex-free breathing bag and breathing hoses

Note: Only use original sample line - other lines

may change the technical data for the device.

Note: For sample lines available for use with the

Apollo, see the Accessories List, P/N

8603528.

Advisory when using accessories for ventilating adults, children, and neonates

particular patient group, use a smaller breathing bag and a smaller breathing hose set.

When ventilating, in particular neonates and children, it is important to set the patient age properly.

Depending on the patients’ age setting, the MAC and xMAC algorithms, the trigger sensitivity, and the sensitivity of the flow measurement adapt automatically.

System Setup

Table 1. Advisory when using accessoriesWhen applying the lower tidal volume limits of a

Tidal

volume

<50 mL 0.5 L neonatal

50 mL to 200 mL 1 L pediatric

201 mL to700 mL 2 L adult

>700 mL 3 L adult

Manual breathing

bag

Hose set

(or pediatric)

Part Number: 9039994, 2nd edition

Operating Instructions Apollo SW 4.n 59

System Setup

Connecting the patient circuit

not use microbial filters in the inspiratory and expiratory ports of the breathing system.

WARNING!

Risk of patient injury.

To protect the patient from particles and dust, a filter must be used between the inspiratory limb of the breathing circuit and the patient, i.e. Ypiece filter or filter on inspiratory limb.

1. Connect 22 mm (0.87 in) breathing hoses to the inspiratory and expiratory ports or to the optional microbial filters or filters on the breathing system (1 in Figure 33).

2. Connect the other end of the breathing hoses to the Y-piece (2 in Figure 33), or to the optional filter on the Y-piece.

3. Make sure the breathing bag is attached.

4. Fit the new or empty water trap into its holder on the front of the machine (3 in Figure 33) until it clicks into place.

5. Connect one end of the sample line to the Luer Lock on the water trap (4 in Figure 33).

6. Connect the other end of the sample line to the Luer Lock on the Y-piece (2 in Figure 33). Ensure that all Luer fittings are securely connected.

7. Make sure that the sample line is guided correctly by using the sample line clip. This clip should be attached to the expiratory port of the breathing system.

Figure 33. Breathing Hose and Water Trap ConnectionsNote: If you use a microbial filter on the Y-piece, do

Part Number: 9039994, 2nd edition

CAUTION!

Risk of gas measurement failure and device failure.

Disinfectants can damage the sample gas line and the diaphragm of the water trap.

Sample gas lines are single-use articles and must not be disinfected.

60 Operating Instructions Apollo SW 4.n

WARNING!

Risk of gas measurement failure.

If the water trap is used longer than intended, the diaphragm may become brittle and allow water and bacteria to enter the measurement system. Such contamination affects the gas measurement which may fail as a result.

The water trap must be replaced at least every four weeks.

WARNING!

Risk of gas measurement failure and device failure.

If alcohol or cleaning agents/disinfectants come in contact with the inside of the water trap, they can damage the diaphragm and the measurement system may fail as a result.

Do not use these substances and do not wash, flush, or sterilize the water trap.

System Setup

Part Number: 9039994, 2nd edition

WARNING!

Risk of patient injury.

If the APL valve becomes blocked due to e.g. lines or cables being caught under the knob, the patient may be endangered.

Route all cables away from the APL valve; do not hang lines, hoses or cables, e.g. the sample line, on or near the APL valve.

CAUTION!

Risk of contamination of the device.

Do not put the device into operation without a water trap.

CAUTION!

Risk of inaccurate data.

Silicone can enter the measuring cuvette and distort the gas measurement and it may fail as a result.

Do not spray the O-rings of the water trap holder with silicone spray.

Operating Instructions Apollo SW 4.n 61

System Setup

CAUTION!

Risk of inaccurate data.

Aerosols can damage the diaphragm and the measurement system may fail as a result.

Do not use aerosols in the breathing system. The water trap must not be used in combination with a medical nebulizer.

Ventilating neonates

use pediatric hoses.

2. Use a microbial filter with a low resistance and a low compliance. At this location in the breathing circuit (1 in Figure 34), the resistance of a microbial filter remains constant due to less humidity in the inspiratory gas mixture. In the expiratory hose, no filter should be used to avoid the possibility of building up an intrinsic PEEP in the patient’s circuit.

3. Slip the breathing hoses with the large sleeves onto the inspiratory and expiratory sockets and connect the small sleeves (2 in Figure 34) to the Y-piece.

4. Use a tube adapter (3 in Figure 34) with connection for the sample line (4 in Figure 34). Tube adapters with a side port for connecting a sample line support the CO help flush the dead space in the Y-piece and tube adapter.

5. Connect a 0.5 L breathing bag with socket to the large connection sleeves. Slip the breathing hose over the angled connector.

6. Connect the sample line to the side port of the tube adapter.

To determine the system compliance and leakage, firmly connect the Y-piece to the cone. When doing so, use the patient circuit which will be used for the next case.

2 measurement and

Figure 34. Ventilating neonates1. For tidal volumes VT of less than 50 mL:

insp.

exp.

Part Number: 9039994, 2nd edition

62 Operating Instructions Apollo SW 4.n

WARNING!

Risk of patient injury.

If filters are blocked, sample gas taken from the patient’s lungs could quickly lead to a negative lung pressure.

When ventilating children and neonates, do not use HME filters or other filters at the Y-piece in connection with a tube adapter having a connection for a sample line in the patient circuit.

For measurement purposes, a permanent side stream flow of 200 mL/min runs through the sample line to the gas measurement system. In case of a blocked HME filter or filter in this position at the Y-piece, the measurement system would produce negative pressure situations in the patient’s lungs.

System Setup

Figure 35. Ventilating neonates

Part Number: 9039994, 2nd edition

Ventilating children

200 mL: use pediatric hoses.

2. Slip the breathing hoses with the large sleeves onto the inspiratory and expiratory sockets and connect the small sleeves to the Y-piece (1 in Figure 36).

3. Use an HME filter (2 in Figure 36) or filter with connection for the sample line.

4. Connect the breathing bag with socket to the large connection sleeves. Slip the breathing hose over the angled connector.

5. Connect the sample line (3 in Figure 36) to the HME filter or filter and water trap.

Figure 36. Ventilating children1. For tidal volumes VT between 50 mL and

insp.

exp.

Operating Instructions Apollo SW 4.n 63

System Setup

WARNING!

Risk of patient injury.

If filters are blocked, sample gas taken from the patient’s lungs could quickly lead to a negative lung pressure.

When ventilating children and neonates, do not use HME filters or other filters at the Y-piece in connection with a tube adapter having a connection for a sample line in the patient circuit.

Figure 37. Ventilating neonates

64 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

Connecting AC power

System Setup

Connecting auxiliary devices

The Apollo has two auxiliary outlets on the back of the machine (1 in Figure 38). Each outlet is rated 4 amps and is protected by circuit breakers.

1. Connect the external device to an outlet on the back of the machine

CAUTION!

Risk of device failure.

In the event of a power failure, any devices connected to auxiliary outlets will not be powered by the UPS.

Pay special attention to all power indicators of connected devices.

CAUTION!

Risk of device failure.

If HF surgical devices are connected to the auxiliary outlets, the leakage current may influence the electronics of the anesthesia machine causing it to fail.

Figure 38. Location of Auxiliary Outlets on Back of

Machine

ESD

Seneltivity

Caution!

Consult

Accompanying

Documents

IV System

SpO

COM 2

COM 1

Part Number: 9039994, 2nd edition

Do not connect HF surgical equipment to the anesthesia machine’s auxiliary outlets.

There is also a dedicated (2 amp) outlet for a Desflurane vaporizer on the side of the machine, above the vaporizer mount (1 in Figure 39). This outlet is protected by safety fuses.

1. Install the Desflurane vaporizer in its mount and connect it to the outlet on the side of the machine.

WARNING!

Risk of device failure.

If additional power extension sockets are connected to the auxiliary outlets, device internal electronics may be overloaded.

Do not connect additional power adapter sockets to the auxiliary outlets.

Figure 39. Location of Desflurane Outlet

Operating Instructions Apollo SW 4.n 65

System Setup

WARNING!

Risk of electric shock.

Connecting devices to the auxiliary outlets of the anesthesia machine can cause an increase in leakage current beyond permissible values if

the protective conductor of a device fails.

The system must meet the requirements for medical equipment in accordance with IEC/EN 60601-1-1 and IEC/EN 60601-1-2.

Fuses for auxiliary outlets

If a circuit breaker is tripped (position 0):

1. Remedy the fault.

2. Press the switch on the circuit breaker into position 1.

The circuit breaker is active again.

In cases of a blown safety fuse:

1. Remedy the fault.

2. Have the safety fuse replaced by an electrician.

Connecting the Apollo to ground

For e.g. intracardiac or intracranial surgery.

1. Connect one end of the grounding cable to one of the connecting pins located at the back of the anesthesia machine.

2. Connect the other end of the grounding cable to the specified grounding point, e.g. on the operating table or ceiling lamp.

3. Connect potential equalization point to the auxiliary systems.

Part Number: 9039994, 2nd edition

66 Operating Instructions Apollo SW 4.n

Connecting the Apollo to mains power

on the rating plate on the back of the machine.

System Setup

Figure 40. Location of AC Power LEDThe mains voltage must correspond to that specified

1. Plug the mains power plug of the Apollo anesthesia machine into the mains outlet. The

green LED labeled >

N AC Power< lights up

(1 in Figure 40).

Note: The main circuit breaker for the machine is

located on the back of the machine below the pipeline supply connections and behind the cylinder mounts (2 in Figure 38).

Information about transport within the clinic

Transport is defined as:

– Moving the device, other than for pure calibration

purposes.

– Removing the ceiling/wall-mounted variant from

the corresponding holder.

When transporting the anesthesia device:

– Only move the device using the handles

provided for this purpose.

– The anesthesia device should only be moved by

persons who are physically able.

– Dräger recommends that the anesthesia device

should be moved by two persons. This also helps to improve maneuverability.

– Take special care not to bump or knock the

device when moving it over uneven surfaces, around corners or at thresholds (e.g. in doors or elevators).

– Do not attempt to drag the device over hoses,

cables, or other obstructions on the floor.

Vol. AF

Mode

Part Number: 9039994, 2nd edition

WARNING!

Risk of injury.

If handled incorrectly, the anesthesia machine may become top-heavy and tip over causing injury to patients and/or operators.

Observe the following points to prevent this hazard.

Operating Instructions Apollo SW 4.n 67

System Setup

To increase toppling stability:

– Remove all monitors and devices from the upper

storage area.

– Dismantle any additional mounted devices on

swivel arms or on the upper side of the device (e.g. patient monitoring, data management systems, syringe pumps, etc.)

– Clear the writing table and fold it down

completely.

– Position the breathing bag arm close to the

device.

– Push in the ventilator module and drawers.

CAUTION!

Risk of physical injury.

To avoid physical injury, e.g. pinching, pay special attention to edges, moving parts and corners when working with – drawers,

68 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

Pre-use Checkout

Contents

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Checking the Workstation according to the Check List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Prerequisites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Power on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Check list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Self test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

System compliance test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Leak tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Leak system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Leak Man/Spont . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Locating and eliminating leaks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Additional suggestions to isolate components of the breathing system for leaks: . . . . . . . . . . . . . . . . . . . . . . . . 86

Part Number: 9039994, 2nd edition

Emergency start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Operating Instructions Apollo SW 4.n 69

Pre-use Checkout

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Part Number: 9039994, 2nd edition

70 Operating Instructions Apollo SW 4.n

Overview

The pre-use checkout procedure must be performed to ensure that the Apollo is ready for use. This is a recommended procedure. Follow the institution’s policies for specific procedures.

If the Apollo fails any checkout routine, do not use the machine until corrective action is taken. If indicated, contact an authorized representative of DrägerService for inspection of the unit.

WARNING!

Risk of device failure and/or patient injury.

Do not insert any additional components into or modify the Apollo after the checkout procedure has been started.

The anesthesia machine will not meet the specified technical data.

Pre-use Checkout

Part Number: 9039994, 2nd edition

WARNING!

Risk of patient injury.

Inappropriate hose length affects compliance and can result in incorrect tidal volume delivery to the patient.

Patient hoses must be adjusted to the appropriate lengths prior to performing the leak and compliance tests.

Checking the Workstation according to the Check List

The pre-use checkout procedure consists of a manual procedure performed by the user, followed by an automated self test. The manual procedure is summarized in the check list that is displayed after the machine is powered on.

Prerequisites

The device has been prepared (see “Cleaning and Maintenance” on page 201) and assembled ready for operation.

The pipeline supply and the power supply must be connected.

Operating Instructions Apollo SW 4.n 71

Pre-use Checkout

WARNING!

Risk of explosion, fire.

If an oxygen leak is suspected within or near the inhalation anesthesia machine, do not initiate operation.

Disconnect all oxygen supplies and contact a trained service technician.

CAUTION!

Risk of inadvertent movement.

If not properly secured, the device may move inadvertently during operation.

Apply the brakes on the device to ensure it cannot be moved accidentally.

WARNING!

Risk of electric shock.

Connect the electrical power cable to a hospitalgrade live AC receptacle that accepts and properly grounds the power cable. Do not use “cheater plugs”. The term “cheater plug” implies any and all electrical plugs or other devices that can inhibit or prohibit the proper grounding of the anesthesia machine.

Part Number: 9039994, 2nd edition

72 Operating Instructions Apollo SW 4.n

1. Power on the machine by pressing the main power switch on the front of the machine (1 in Figure 41). An acoustic tone sounds.

All LEDs and the loudspeakers are tested.

Note: If all LEDs do not light up upon initialization,

contact DrägerService.

The initial screen appears after about 20 seconds. Apollo now loads its software and tests its internal memory.

Check list

After about 35 seconds, a check list for manual tests to be performed by the user is displayed (see Figure 42).

Pre-use Checkout

Figure 41. Location of Main Power SwitchPower on

Part Number: 9039994, 2nd edition

list on the screen and as described in this procedure.

If the self test has to be interrupted, e.g. for a quick start in an emergency:

2. Press the button >Cancel Test< (1 in Figure 42), and proceed as specified in “Emergency start” on

page 87.

The self test can be canceled up to ten consecutive times.

WARNING!

Risk of device failure and/or patient injury.

Canceling the self test may lead to malfunctions; greater attention is required during operation.

Always perform a complete self test, unless acting in an emergency situation. If canceled for an emergency, carry out a complete self test as soon as practicable.

Figure 42. Check List Screen1. Check the components as instructed in the check

Operating Instructions Apollo SW 4.n 73

Pre-use Checkout

Check the pipeline gas supply:

1. Verify that the pipeline supply LEDs on the front panel light up green (1 in Figure 43). The LEDs light up green when all pipeline supplies are available and the pressures are between 39 psi and 100 psi.

If the LEDs remain dark, it means that the pipeline supply pressure is less than 39 psi or that the hoses are not connected.

Note: If accessories are connected to the optional

2 or Air outlets on the gas supply block,

make sure they work correctly.

Check the cylinder gas supply

CAUTION!

Risk of gas supply failure.

If the valves are open when connected to the pipeline gas supply, gas may be withdrawn from the backup gas cylinders.

Close cylinder valves whenever the pipeline gas supply is sufficient.

Figure 43. Location of pipeline supply and cylinder pressure LEDs

Vol. AF

Mode

1. Using the provided cylinder wrench, slowly open the cylinder valves.

2. Verify that the cylinder pressure LEDs light up green (2 in Figure 43).

The LEDs light up green when the cylinder pressure for O

2 and Air is over 290 psi and the pressure for

2O is over 145 psi.

The cylinder pressures are shown in the Check List screen (see Figure 42).

3. Close the cylinder valves.

Note: A flashing cylinder pressure LED indicates

that the cylinder pressure transducer on the back of the machine is disconnected.

The gas supplies available can be selected in the menu Standby Conf., see page 179. Only these gas supplies will then be checked during the self test and an alarm issued in the event of a fault during normal operation. The external oxygen supply and the O cylinder cannot both be configured as not present at the same time.

Open the backup gas cylinders which have been configured as present for the self test and then close them.

Part Number: 9039994, 2nd edition

74 Operating Instructions Apollo SW 4.n

Test the O 2 flush:

2 must be connected for the following self test.

2. Press the >O

2+< button on the front of the

machine (1 in Figure 44).

3. Verify that the breathing bag inflates with an audible flow.

Test the auxiliary O

2 flow meter:

1. Adjust the flow knob (2 in Figure 44) and make sure the float moves freely over the full range of the flow meter.

Test the function of the fresh-gas flow control knobs:

1. Adjust the flow control knob for each available gas (3 in Figure 44) and verify that the float moves freely over the full range of the total flow meter (4 in Figure 44).

Breathing bag:

Pre-use Checkout

Figure 44. Component Locations1. Occlude the Y-piece firmly onto the cone.

21345

Part Number: 9039994, 2nd edition

1. Verify that the breathing bag is properly installed and ready for operation (5 in Figure 44).

Verify that the vaporizers are installed and ready for use:

WARNING!

Risk of patient injury.

Before operating the vaporizer, pay special attention to the Instructions for Use of the vaporizer being used. Note especially the vaporizer flow limits. For example, for the Vapor 2000, flow is 0.25 to 15 L/min, or 0.25 to 10 L/min at concentrations higher than 5%.

If incorrect vaporizer settings are used, the patient may be injured.

The vaporizers being used must comply with standard ISO 8835-4. If the internal gas measurement system fails, an independent measurement system complying with ISO 21647 must be used.

Note: The self test does not check for internal

vaporizer leakage; after filling or changing vaporizers, perform the Standby leak test on each vaporizer (see page 98).

Vapor 2000 is shown and described below.

Operating Instructions Apollo SW 4.n 75

Pre-use Checkout

For the Dräger Interlock 2 System:

1. Vaporizers are mounted straight and seated securely on the mounts.

2. Locking levers point to the left = locked position (1 in Figure 45).

3. Check the sight glass (2 in Figure 45) and ensure an adequate filling level.

4. Handwheel set to >0< and button is engaged (3 in Figure 45).

5. Check the interlock mechanism. Move the selector lever (4 in Figure 45) to the left to lock the left vaporizer. Turn the handwheel on the right vaporizer to a position other than >0<, and make sure that the left vaporizer remains locked in its >0< position.

6. Repeat test for other vaporizer.

7. Turn both handwheels to >0< positions.

For the Dräger Auto Exclusion System:

1. Vaporizers are mounted straight and seated securely on the mounts.

2. Locking levers point to the left = locked position.

Figure 45. Dräger Interlock 2 System with Vapor 2000

Vaporizers

3. Check that the sight glass and ensure an adequate filling level.

4. Handwheel set to >0< and the button is engaged.

5. Check the interlock mechanism. Turn the handwheel on one vaporizer to a position other than >0<, and make sure that the other vaporizer remains locked in its >0< position.

6. Repeat test for other vaporizer.

7. Turn both handwheels to >0< positions.

Note: For three-vaporizer mounts, perform this test

for all three vaporizers.

Note: The self test does not check for internal

vaporizer leakage; after filling or changing vaporizers, perform the Standby leak test on each vaporizer (see page 98).

Part Number: 9039994, 2nd edition

76 Operating Instructions Apollo SW 4.n

Check the breathing system:

1. Make sure patient hoses are securely connected, with optional filters inserted.

2. Make sure fresh absorbent is in the canister, without violet discoloration.

procedure, the date and time can be logged by pressing the >Absorb. changed< key on the Check List screen (1 in Figure 46). The label of the key then changes to >Undo Change<, and can be pushed again to undo the absorbent change information. The absorbent change information will be logged in the system when the automatic test is started.

Note: Drain any water that may have collected in

the ventilator diaphragm.

For diaphragm location and disassembly instructions see page 165.

Pre-use Checkout

Figure 46. Location of Absorb. Changed KeyNote: If the absorbent is changed during this

Part Number: 9039994, 2nd edition

WARNING!

Risk of device failure.

The correct operation of the anesthesia machine will be impaired if condensation enters the breathing system and/or the ventilator diaphragm.

If condensation is a frequent problem, install water traps in the breathing hoses.

WARNING!

Risk of strangulation.

If not positioned with care, hoses, cables, and similar machine components may endanger the patient.

Take special care when connecting the patient.

Operating Instructions Apollo SW 4.n 77

Pre-use Checkout

WARNING!

Risk of patient injury.

– reduced CO

2 absorption,

– increased heat build-up in the absorber and

thus an increased breathing gas

temperature, – formation of CO, – absorption and/or decomposition of the

inhalation anesthetic. These reactions could pose a danger to the

patient.

If using dry gases, only flush the anesthesia system briefly, and only if necessary.

WARNING!

Risk of patient injury.

If the flow controls are left open, the ensuing flow of gas may dry out the soda lime, endangering the patient.

The flow control valves should be closed when the machine is in the standby mode or when it is switched off.

Note the Instructions for Use of the Drägersorb 800 + or Drägersorb Free soda lime.

Verify that the scavenging system is ready for use:

1. Check that the scavenger hose between the AGS and the scavenger connection on back of the machine is securely connected.

2. Check that the hose between the output connector on the scavenger and the hospital waste-gas disposal system is securely connected.

3. On the AGS, make sure that the float is in between the two marks in the sight glass on the AGS.

Part Number: 9039994, 2nd edition

78 Operating Instructions Apollo SW 4.n

Emptying the water trap

If the water trap needs to be drained or replaced, see

“Emptying the water trap” on page 227 and “Replacing the water trap” on page 228.

Prepare the Apollo for the self test as follows:

Pre-use Checkout

1. Ensure that all flow controls are closed.

2. Occlude the Y-piece by inserting it onto the plug on the bag arm assembly (1 in Figure 47).

3. Ensure that the sample line is connected between the water trap and the Y-piece (2 in Figure 47).

Check the function of the APL valve:

1. Set the APL valve to 30 (3 in Figure 47).

2. Press the O

2 flush button until system pressure

stabilizes; it should not exceed 45.

3. Release the O

2 flush button.

4. Verify that pressure does not fall below 15.

Notes on the use of bacterial/viral filters, endotracheal tubes, Y-pieces, breathing hoses, soda lime and other accessories for breathing systems

Figure 47. Preparing for the Self Test

Part Number: 9039994, 2nd edition

WARNING!

Risk of patient injury.

When using additional components in the breathing system or configurations which deviate from the standard hose system, the inspiratory and expiratory breathing resistances can be increased to values which exceed the standard requirements.

If configurations of this kind are used, the user must pay special attention to the measured values.

With spontaneous breathing, higher breathing resistances mean that the patient must do more breathing work.

Operating Instructions Apollo SW 4.n 79

Pre-use Checkout

During volume-controlled ventilation, an increase in breathing resistance has a slight effect on the applied volume during inspiration. However, the peak pressure PEAK is increased with the plateau pressure PLAT remaining constant. The time constant (RC) is increased in the expiration phase as a result. If the expiration times are too short, the lung might not be emptied completely, resulting in a dynamic overfilling of the lungs (air trapping).

During pressure-controlled ventilation, an increase in the airway resistance can reduce the inspiratory or expiratory volume.

Before the self test is performed, the accessories which are to be used for the application must be connected. The expansion hoses must be drawn out to the intended user length. This is the only way of ensuring that the compliance is determined correctly and a correct tidal volume is applied during volumecontrolled ventilation.

If coaxial hoses are used, leaks between the inner and outer hose are not detected during the self test/ leak test.

Self test

If all checks in the Check List are completed successfully:

1. Press the rotary knob or the >Start Self Test< key on the check list screen (1 in Figure 48) to begin the Apollo automated self test.

Figure 48. Check List Screen

Part Number: 9039994, 2nd edition

80 Operating Instructions Apollo SW 4.n

Pre-use Checkout

The automatic self test lasts approximately 3 minutes. The bar graph at the top of the Self Test screen shows the progress of the test (see Figure

49).

After the self test has been started, a double tone (speaker test ”passed”) and a single tone (speaker test in the power supply unit “passed”) sound one after the other with the set alarm tone volume.

Note: If no tone is sounded, contact

DrägerService.

The tests that are performed are listed on the screen. A clock symbol > < is displayed in the small circle next to the component that is currently being tested. As each component test is finished, the clock symbol is replaced by a color code that indicates the result of the test.

Errors discovered during the self test are marked with yellow or red behind the respective test result. An advisory window with information on how to remedy the problem is displayed on the screen.

Test results are color-coded:

Figure 49. Self Test Screen

Part Number: 9039994, 2nd edition

Green Test completed successfully.

Yellow A non-critical fault was detected. The

anesthesia machine can be used with restrictions.

Functions highlighted in yellow can be confirmed with the >Accept< button which is then displayed (Figure 50), e.g. speaker failure. The anesthesia machine starts operation without this function.

Red Operation of the anesthesia machine is

impossible or not permitted. The error must be remedied and the test must be repeated.

The self-test can no longer be canceled at this point.

Operating Instructions Apollo SW 4.n 81

Pre-use Checkout

Interruption of the test is symbolized by an exclamation mark.

WARNING!

Risk of device failure or patient injury.

Functions coded yellow do not meet with the specified technical data.

The error should be remedied as soon as possible.

WARNING!

Risk of device failure or patient injury.

Functions coded red must be remedied before starting, e.g. if there is no O

2 supply.

The device cannot be operated in this state.

WARNING!

Risk of inadequate monitoring.

If the flow sensor, oxygen sensor, or gas sensor is not operational, adequate substitute monitoring must be ensured before starting the anesthesia machine!

Special attention is required if operation is initiated.

Figure 50. Non-Critical Error During Self Test

When the self test is completed, the system switches

Figure 51. Standby Screen Following Self-Test

to Standby. The results of the self test are indicated on the screen by a color-coded circle (1 in Figure 51).

Green FUNCTIONAL

Every component of the system is in satis-

factory operational order.

Yellow CONDITIONALLY FUNCTIONAL

A non-critical fault was detected. Apollo may be used, but call DrägerService or your local authorized service organization.

Empty The self test was canceled.

In addition, a message containing instructions for further procedures, if any, appears in the middle of the screen (2 in Figure 51).

82 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

Pre-use Checkout

More specific results can be displayed by pressing the >Self Test Results< button on the standby screen (3 in Figure 51). The Self Test Results screen is displayed (Figure 52).

The Self Test Results screen contains the >Absorb. changed< key (1 in Figure 52). If the absorbent is changed between cases, this key can be pressed to log the date and time. The label of the key then changes to >Undo Change<, and can be pushed again to undo the absorbent change information. The absorbent change information will be logged in the system when the Self Test Results screen is exited.

Cancelling the self test:

To cancel the self test before completion, for example, for a quick start in an emergency:

1. Press the >Cancel Test< key (2 in Figure 48), and proceed as specified in “Emergency start” on

page 87. The self test can be canceled up to ten

consecutive times.

Figure 52. Self Test Results Screen

Part Number: 9039994, 2nd edition

WARNING!

Risk of device failure and/or patient injury.

Canceling the self test may lead to malfunctions. Special attention is required during operation.

Always perform a complete self test, unless acting in an emergency situation. If canceled for an emergency situation, perform a complete self test as soon as practicable.

System compliance test

The Apollo determines the current compliance of the patient system with any filters, hoses, and a Y-piece.

The system compliance test result is indicated on the Self Test result screen by the red/yellow/green indicator and by posting the compliance value.

For data of the system compliance see

“Specifications” on page 253 and the Instructions for

Use of the devices specified in the accessories list.

The compliance value is used during volumecontrolled ventilation to correct for the reduction of tidal volume due to system compliance. For more information, see “Compliance compensation” on

page 109.

Operating Instructions Apollo SW 4.n 83

Pre-use Checkout

Leak tests

The Apollo tests for leaks in the mechanical subsystem and in the Man/Spont system.

Leak system

– Figure 53 shows the components tested in the

mechanical ventilation branch.

– This branch is tested with positive pressure.

– Leaks are indicated on the Self Test Results

screen by the yellow/green test result indicator and by posting the leak value in mL/min (Leak

(system) test result in Figure 52).

Leak Man/Spont

– Figure 54 shows the components tested in the

Man/Spont leak test.

– This test is performed with sub-atmospheric

pressure.

– Leaks are indicated on the Self Test Results

screen by the red/yellow/green test result indicator and by posting the leak value if it is over 150 mL/min (Leak (Man/Spont) result in Figure

52).

The Apollo determines the current leakage of the breathing system and breathing hoses. The system tolerates leaks of up to 150 mL/min.

Figure 53. Mechanical Ventilation Leak Test

Figure 54. Man/Spont Ventilation Leak Test

Part Number: 9039994, 2nd edition

Note: For leaks of more than 150 mL/min:

Check the components of the breathing system and the breathing hoses. Repair any leaks and repeat the leak test.

84 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

Locating and eliminating leaks

The self test incorporates a leak test. If this test is not passed, the leaks must be remedied before continuing the test by pressing the rotary knob. A leak test can also be carried out later in Standby with the >Leak Test< key.

Possible causes of leaks include:

– Absorber not firmly screwed to the breathing

system.

– APL valve is not firmly fixed to the breathing

system cover (damage) or not set to 30 hPa (cmH

– Manual breathing bag, breathing hoses, Y-piece,

or microbial filter are not connected correctly or damaged.

– Flexible arm for manual breathing bag not fitted

correctly on the breathing system, sealing ring soiled or damaged.

– Water trap not connected.

– Sample line for gas measurement not connected

or leaky (there may be a kinked bend in the connections).

– Connections for the sample line for gas

measurement cracked or defective.

– O-ring of the inspiratory and expiratory ports

missing, soiled, or damaged.

– Flow sensors not fitted correctly or damaged,

rear O-ring missing.

– Breathing system cover not mounted correctly,

not all five sealing screws closed.

– Visible damage on valves or seals of the

breathing system metal valve plate.

– Breathing system not mounted correctly, not all

three sealing screws closed.

– Ventilator diaphragm defective or not fitted

correctly (Dräger legend must be visible from above).

– 15 mm (0.59 in) cone for connecting the Y-piece

scratched or damaged.

– Vaporizer fill or drain connections leaky or

opened, vaporizer not mounted correctly, O-ring missing or handwheel not set to >0<.

2O).

Pre-use Checkout

Operating Instructions Apollo SW 4.n 85

Pre-use Checkout

Additional suggestions to isolate components of the breathing system for leaks:

Carry out the described measures:

Patient Sample Line Isolation:

1. Remove the sample line for gas measurement and seal the Luer Lock connection on the Y-piece.

2. Perform leak test.

Exclude the breathing hoses from the leak test

1. Remove the patient circuit from the breathing system.

2. Install a knwn tight 22 mm (0.87 in) hose between the inspiration and expiration ports. The breathing bag must be on the bag arm.

3. Perform leak test.

Isolation of Vaporizers:

1. Remove the vaporizers from the anesthesia machine.

2. Perform leak test.

Note: The self test does not check for internal

vaporizer leakage; after filling or changing vaporizers, perform the Standby leak test on each vaporizer (see page 98).

Part Number: 9039994, 2nd edition

86 Operating Instructions Apollo SW 4.n

Emergency start

WARNING!

Risk of incorrect delivery.

The leak and compliance tests are not performed if the self test is cancelled, and no leak and compliance information is available. The accuracy levels specified in the chapter

“Specifications” of this operating instructions

cannot be guaranteed.

Pre-use Checkout

The emergency start procedure shortens the self test when the Apollo must be operational immediately.

Note: To prevent abuse of this feature, the

emergency start procedure can be performed up to ten times in succession. After ten cancellations, the system will not allow another cancellation and a complete self test must be performed.

1. Power on the anesthesia machine by pressing the main power switch on the front of the machine (1 in Figure 55).

2. Check that all vaporizers are closed.

3. Set an appropriate fresh-gas flow using the oxygen flow control knob (2 in Figure 55). Verify adequate flow by checking the total flow meter (3 in Figure 55).

4. Start manual ventilation.

5. Continue manual ventilation while the software is internally loaded and the electronics are tested. After about 35 seconds, the Check List screen appears.

Figure 55. Apollo Front Panel

Part Number: 9039994, 2nd edition

Operating Instructions Apollo SW 4.n 87

Pre-use Checkout

screen (1 in Figure 56). The machine runs through a minimal self test that lasts about 10 seconds. Manual ventilation is interrupted during this time, but spontaneous breathing can continue.

Figure 56. Check List Screen6. Press the >Cancel Test< key on the Check List

Apollo is ready for operation about 1 minute after initiating. The O

2 sensor is completely calibrated after

about 2 minutes.

WARNING!

Risk of device failure and/or patient injury.

Canceling the self test may lead to malfunctions; greater attention is required during operation.

Always perform a complete self test, unless acting in an emergency situation. If canceled for an emergency situation, carry out a complete self test as soon as practicable.

After the minimal self test, the anesthesia machine switches to Standby.

Note: The >Cancel Test< key is also available in

the self test screen.

88 Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

Operation Summary

Contents

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Typical operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Loading default settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Entering the patient’s age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Entering the patient’s ideal body weight (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92

Setting the fresh-gas flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Setting vaporizer concentration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Setting ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Changing patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Switch to standby mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Changing soda lime . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Reusable absorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Disposable CLIC absorber (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Part Number: 9039994, 2nd edition

Activating the CO2 bypass function (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

End of operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

When Apollo is not in use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Operating Instructions Apollo SW 4.n 89

Operation Summary

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90 Operating Instructions Apollo SW 4.n

Overview

This chapter of the Operating Instructions summarizes basic operation of the Apollo, including starting operation, changing patients, and ending operation. Specific information on setting ventilation and monitoring parameters is provided in later chapters of the Operating Instructions.

Typical operation

Operation of the Apollo begins with the standby screen which is displayed after the initial self tests. This screen allows the user to restore default settings and enter the patient parameters needed to begin a case.

Loading default settings

Operation Summary

Part Number: 9039994, 2nd edition

The default settings for fresh-gas delivery, ventilation, and alarms are loaded in the standby screen and can be modified in the standard configuration if necessary.

These default settings are valid whenever the Apollo is switched on. They can be changed and set as required for the specific hospital concerned, see

“Configuring the default settings in Standby” on page 179 for complete instructions.

1. Press the >Restore Default Settings< key on the standby screen (1 in Figure 57).

2. Press the rotary knob to confirm the restore.

Entering the patient’s age

The set age influences the calculation of the MAC value, the volumeter scale, the vertical axis of the loops and ventilation monitoring graphs as well as the alarm limits for (optional) SpO the automatic volume adjustment of the Breathing Sound Emulator (BSE) module during operation.

2 monitoring, and

Figure 57. Standby screen

123

In addition, the trigger sensitivities and software algorithms for suppressing artifacts are also modified, thus influencing the quality of ventilation in modes supporting spontaneous breathing.

1. Press the >Age< key on the standby screen (2 in Figure 57).

Operating Instructions Apollo SW 4.n 91

Operation Summary

2. Turn the rotary knob until the correct patient age is displayed, and press the rotary knob to confirm.

The patient age parameter is available in the standby screen as well as in all ventilation modes. Changing the patient’s age during operation immediately impacts the parameters described above.

Entering the patient’s ideal body weight (Optional)

The patient’s ideal body weight describes that portion of the body relevant to setting the ventilation parameters (the patient’s body weight minus the assumed excess fat).

The set ideal body weight influences the ventilator default settings for tidal volume V freq, as well as the alarm limits for expiratory minute volume MV during operation.

T and frequency

1. Press the >Weight< button on the standby screen (3 in Figure 57).

2. Turn the rotary knob until the correct weight is displayed, and press the knob to confirm.

The patient weight parameter is available in the standby screen as well as inall ventilation modes. Changing the patient’s weight during Volume , Volume AF, Pressure, and Press. Support has no influence on current ventilation settings.

Adjustment ranges and default values upon delivery

Parameter Adjustment

range

Age <1 - 120 years 40

Weight 1lbto240lbs.

(1 kg to 120 kg)

Defalut value upon delivery

Part Number: 9039994, 2nd edition

92 Operating Instructions Apollo SW 4.n

Setting the fresh-gas flow

Operation Summary

1. Set the fresh-gas flow to desired levels using the flow control knobs on the front panel of the machine (1 in Figure 58).

CAUTION!

Risk of patient injury.

The use of minimum flow or low flow settings may lead to the accumulation of metabolic products in the breathing system.

To avoid this risk, use appropriate soda lime, or set higher fresh-gas flows, and always use the gas measurement module provided by the anesthesia machine.

SORC (Sensitive Oxygen Ratio Controller)

The Apollo is equipped with an O system to avoid hypoxic gas mixtures when N

2 minimum delivery

2O is

selected as the carrier gas.

Figure 58. Flow Control Knobs

Vol. AF Mode

N 2 O

Air

Part Number: 9039994, 2nd edition

At flow rates of 200 mL/min and above, the N

concentration can be freely set between 0 and 79%.

During an O concentration in the fresh gas, so that the O

2 shortage, the SORC limits the N2O

concentration does not fall below 21%. When the N

2O flow control is open and the O2 flow control is

closed (or O SORC prevents N

2 flow is less than 200 mL/min), the

2O flow. During N2O failure, O2 can

still be administered.

The SORC is not active when Air is selected as the carrier gas and 100% Air can be metered throughout the entire flow range.

Fresh-gas Failure Detection

During operation, the Apollo checks that the piston cylinder unit has a sufficient level of fresh gas.

If a sufficient level of fresh gas is not possible, the system first displays the message "FGAS LOW OR LEAK".

Operating Instructions Apollo SW 4.n 93

Operation Summary

In addition the alarm “PINSP. NOT ACHIEVED” or “VT NOT ACHIEVED” is displayed if the system is unable

to maintain the defined ventilation.

To ensure continued ventilation, the anesthesia machine will use ambient air to supplement the gas volume if it is too low. This may change the gas composition. Carefully check the gas composition.

WARNING!

Risk of patient awareness.

If a complete gas supply failure occurs, the anesthesia machine will continue to function with ambient air. However, anesthestic agents will no longer be delivered and the inspiratory gas composition will be diluted.

Carefully monitor the gas mixture and, if necessary, use IV anesthetics.

DrägerService can change the behavior of the device so that it does not use ambient air for supplementing the gas volume. The device will then ventilate with limited V

T or PINSP. if possible.

1. Increase the fresh-gas flow.

2. Seal any possible leaks.

Setting vaporizer concentration

Note: Refer to the appropriate Instructions for Use

for the vaporizer being used. Vapor 2000 is shown and described below.

For the Dräger Interlock 2 exclusion system:

1. Lock the unused vaporizer by moving the selector lever completely towards it. For example, to lock the left vaporizer, move the lever to the left (1 in Figure 59.).

2. With the handwheel set to >T< position on the unlocked vaporizer, press the button and engage the handwheel at >0< (2 in Figure 59.) Wait 5 seconds for the pressure to balance.

3. Press the button and turn the handwheel counterclockwise to set the required anesthetic gas concentration (3 in Figure 59.).

Figure 59. Setting Vaporizer Concentration - Dräger

Interlock 2 Exclusion System

0 0

Part Number: 9039994, 2nd edition

94 Operating Instructions Apollo SW 4.n

For the Dräger Auto Exclusion system:

1. Close any open vaporizers.

2. With the handwheel set to >T< position, press the button and engage the handwheel at >0<. Wait 5 seconds for the pressure to balance.

3. Press the button and turn the handwheel counterclockwise to set the required anesthetic gas concentration.

Setting ventilation mode

Set the ventilation mode as described in the chapter

“Ventilation” of this Operating Instructions.

Changing patients

Follow the steps below for successive patient cases.

Switch to standby mode

Operation Summary

Part Number: 9039994, 2nd edition

1. Press the standby key > <, and confirm with

the rotary knob.

The functions of the anesthesia machine are switched off. All the current settings from the previous case are retained, including fresh-gas delivery and ventilation parameters, alarm limits, and patient age and weight.

To activate the default settings instead of using the current settings:

1. Press the >Restore Default Settings< key on the standby screen, and press the rotary knob.

The default settings for gas delivery, ventilation, and alarm limits are restored.

Enter the new patient’s age and ideal body weight (optional) as instructed on page 92, and proceed.

WARNING!

Risk of patient injury.

Restored default settings may contain settings inappropriate for a new patient.

After default settings have been restored, make sure the ventilation monitoring settings are appropriate to the patient connected.

Operating Instructions Apollo SW 4.n 95

Operation Summary

Changing soda lime

A reusable absorber or the disposable CLIC absorber can be used with the Apollo. The soda lime must be exchanged, if:

– the soda lime in the absorber has turned violet.

The color indicator can regenerate slowly and the soda lime may revert to white, but its absorption capacity is nevertheless spent. You should therefore dispose of used absorbers immediately.

– the fractional inspiratory CO

FiCO

2 exceeds 5 mmHg.

Reusable absorber

1. Press the standby key > <, and confirm with

the rotary knob.

2. Swing the writing tray out of the way.

3. Press the release button on the ventilator unit, and pull out the unit.

4. Turn the absorber canister counterclockwise and pull it down and off.

2 concentration

5. Empty the used soda lime and refer to the Instructions for Use of the soda lime for waste removal and refilling.

6. Fill the absorber canister to upper mark with fresh soda lime.

7. Fit the canister into position below the breathing system, and turn it clockwise as far as possible.

8. Push the breathing system inwards until it clicks into place.

9. Reset the absorbent change log to current date by pressing the >soda lime changed< button.

Part Number: 9039994, 2nd edition

96 Operating Instructions Apollo SW 4.n

Disposable CLIC absorber (Optional)

Operation Summary

The disposable absorber can be replaced during operation. The valve in the mounting ensures that the breathing system remains tightly sealed when the absorber is removed.

Note: Since a leak test cannot be performed during

operation, no leak and compliance information on the changed absorber is available. Greater attention is required during operation.

Replace the disposable absorber to ensure continuous CO

Remove the spent absorber

1. Press the button (1 in Figure 60): the absorber swings open sealing the breathing system so that the ventilation can continue.

2. Slide the disposable absorber off the mount (2 in Figure 60).

3. Dispose of the spent absorber.

Refer to the Instructions for Use of the CLIC absorber for information on disposal.

2 absorption in the breathing system.

Figure 60. CLIC absorber

Part Number: 9039994, 2nd edition

Install the new absorber

1. Before fitting, shake the disposable absorber, e.g. by turning it upside down several times in order to loosen the soda lime.

2. Remove seal from new disposable absorber.

3. Slide the new disposable absorber onto the mount (2 in Figure 60)

4. Push the absorber into the machine until it engages.

5. Reset the absorbent change log to current date by pressing the >soda lime changed< button (only available in Standby mode).

Operating Instructions Apollo SW 4.n 97

Operation Summary

Leak test

WARNING!

Risk of patient injury.

The system will be pressurized during the leak test.

To prevent patient injury, do not perform the leak test with a patient connected to the anesthesia machine.

WARNING!

Risk of misleading data.

Changing the breathing hoses, vaporizers, or soda lime can modify the calculated leak and compliance values of the anesthesia machine and influence the therapy settings.

Perform a leak test after the breathing hoses, vaporizers, or soda lime have been replaced.

1. Set the handwheel of the vaporizer being tested to a concentration of at least 0.2 Vol.%.

2. Press the >Leak Test< button on the standby screen (1 in Figure 61).

The following prompt is displayed:

Before starting leak test, close the Y-piece, connect the sample line and make sure that all flow controls are closed. If vaporizer leaks need to be tested, open respective vaporizer to at least 0.2 Vol.%. Press rotary knob to start the leak test.

3. Perform the actions as instructed.

Apollo performs the leak test for Volume Mode/ Pressure Mode in about 90 seconds, then system compliance is determined for volume correction and the overall system is checked for leaks in the breathing system.

Note: The breathing bag and its hose are also

tested for leaks at the same time.

Leakage is tested in the automatic (mechanical) ventilation line (leak (system)) and in the overall system (leak (Man/Spont)).

Figure 61. Standby screenWith the system in Standby mode:

Part Number: 9039994, 2nd edition

98 Operating Instructions Apollo SW 4.n

Drager Apollo User manual [gb]

Specifications and Main Features

Frequently Asked Questions

User Manual