Dräger Oxylog 2000 plu Instructions For Use Manual

Instructions for Use
Oxylog 2000 plus
WARNING For a full understanding of the perfor­mance characteristics of this device, the user should carefully read this man­ual before use of the device.
Title
Emergency and Transport Ventilator Software 1.n

Working with these Instructions for Use

Working with these Instructions for Use
The title of the main chapter in the header line helps with orientation and navigation.
The Instructions for Use combine text and illustra­tions, providing a comprehensive overview of the system. The information is presented as sequential steps of action, allowing the user to systematically learn how to use the device.
The text provides explanations and instructs the user step-by-step in the practical use of the product, with short, clear instructions in easy-to-follow sequences.
1 Consecutive numbers indicate the steps of
action, with the numbering restarting with "1" for each new sequence of actions.
z Bullet points indicate individual actions or
different options for action.
– Dashes indicate the listing of data, options or
objects.
(A) Letters in parentheses refer to elements in the
relevant illustration.
The illustrations show the relationship between the text and the device. Elements mentioned in the text are highlighted. Unnecessary details are omitted.
Schematic renderings of screen images guide the user and allow to reconfirm actions performed. The actual screen images differ in lock or in configura­tion.
A Letters denote elements referred to the text.

Trademarks

The Dräger Oxylog mark of Dräger.

Definitions

WARNI NG 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.

Abbreviations and Symbols

Please refer to "Abbreviations" on page 16 and "Symbols" on page 17 for additional information.
®
name is a registered trade-

Typing conventions

Any text shown on the screen and any labeling on the device are printed in bold and italics, for exam­ple PEEP, Air or Alarm Settings.
2
Instructions for Use Oxylog 2000 plus SW 1.n

Contents

Contents
For Your Safety and that of Your Patients .5
General WARNINGS and CAUTIONS . . . . . . 7
Application . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . 10
Indications/Contraindications . . . . . . . . . . . . . 10
Environment of use. . . . . . . . . . . . . . . . . . . . . 10
System Overview . . . . . . . . . . . . . . . . . . . . . 11
Front panel with all options. . . . . . . . . . . . . . . 12
Available ventilation modes . . . . . . . . . . . . . . 14
Special modes . . . . . . . . . . . . . . . . . . . . . . . . 15
With monitoring. . . . . . . . . . . . . . . . . . . . . . . . 15
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . 16
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Operating Concept . . . . . . . . . . . . . . . . . . . . 19
Switch ON or OFF . . . . . . . . . . . . . . . . . . . . . 20
Ventilation controls . . . . . . . . . . . . . . . . . . . . . 21
Display operating controls . . . . . . . . . . . . . . . 22
Screen window structure . . . . . . . . . . . . . . . . 23
Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Dead space . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Assemble the reusable hose system . . . . . . . 29
Connect the disposable hose system. . . . . . . 31
Connecting the power supply . . . . . . . . . . . . . 32
Internal supply with rechargeable battery. . . . 32
Connecting the gas supply . . . . . . . . . . . . . . . 34
Hanging the Oxylog 2000 plus on standard rail sys-
tems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Getting Started . . . . . . . . . . . . . . . . . . . . . . . 37
Charging the battery. . . . . . . . . . . . . . . . . . . . 38
Determining the approximate pneumatic operating
time for the Oxylog 2000 plus. . . . . . . . . . . . . 39
Checking readiness for operation. . . . . . . . . . 40
Perform device check. . . . . . . . . . . . . . . . . . . 41
Preparation for use after system check . . . . . 43
Preparing ventilation mode . . . . . . . . . . . . . . 47
VC-CMV / VC-AC . . . . . . . . . . . . . . . . . . . . . 48
VC-SIMV (optional PS) . . . . . . . . . . . . . . . . . 50
SpnCPAP (optional PS). . . . . . . . . . . . . . . . . 52
O2 AirMix or 100% O2 . . . . . . . . . . . . . . . . . 55
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Screen brightness . . . . . . . . . . . . . . . . . . . . . 56
Volume loudness. . . . . . . . . . . . . . . . . . . . . . 56
Shutdown . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Types of alarms. . . . . . . . . . . . . . . . . . . . . . . 60
In the event of an alarm. . . . . . . . . . . . . . . . . 61
Setting alarm limits . . . . . . . . . . . . . . . . . . . . 63
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Displaying the airway pressure . . . . . . . . . . . 66
Displaying MVe and VTe . . . . . . . . . . . . . . . . 66
Displaying O2 values. . . . . . . . . . . . . . . . . . . 66
Displaying other measured values . . . . . . . . 67
Configuration. . . . . . . . . . . . . . . . . . . . . . . . 69
Set configuration parameters / display information 70 Displaying configuration and information . . . 71
Customer Service Mode . . . . . . . . . . . . . . . . 72
Problem Solving . . . . . . . . . . . . . . . . . . . . . 79
Alarm - Cause - Remedy. . . . . . . . . . . . . . . . 80
Messages in the alarm window . . . . . . . . . . . 80
Messages in the information window . . . . . . 84
Error messages during the device check . . . 85
Cleaning, Disinfection and Sterilization . . 87
Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . 88
Reprocessing procedure . . . . . . . . . . . . . . . . 91
Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . 95
Maintenance intervals . . . . . . . . . . . . . . . . . . 96
Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Starting operation . . . . . . . . . . . . . . . . . . . . . . 46
Instructions for Use Oxylog 2000 plus SW 1.n 3
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Safety information . . . . . . . . . . . . . . . . . . . . . 100
Disposal of batteries . . . . . . . . . . . . . . . . . . . 100
Contents
Disposal of the medical device. . . . . . . . . . . . 100
Disposal of the disposable hose system . . . . 101
Technical Data . . . . . . . . . . . . . . . . . . . . . . . 103
Ambient conditions . . . . . . . . . . . . . . . . . . . . . 104
Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Performance data. . . . . . . . . . . . . . . . . . . . . . 106
Measured value display . . . . . . . . . . . . . . . . . 107
Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Operating data . . . . . . . . . . . . . . . . . . . . . . . . 109
Device specifications . . . . . . . . . . . . . . . . . . . 111
Materials used . . . . . . . . . . . . . . . . . . . . . . . . 112
Technical Documentation for the Oxylog 2000 plus according to EMC standard IEC/EN 60601-1-2 113
Principles of Operation . . . . . . . . . . . . . . . . 117
Ventilation modes. . . . . . . . . . . . . . . . . . . . . . 118
Functional description . . . . . . . . . . . . . . . . . . 121
List of Accessories . . . . . . . . . . . . . . . . . . . 123
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
4
Instructions for Use Oxylog 2000 plus SW 1.n

For Your Safety and that of Your Patients

For Your Safety and that of Your Patients

Strictly follow these Instructions for Use

WARNING Any use of the medical device requires full
understanding and strict observation of all portions of these Instructions for Use. The medical device is only to be used for the pur­pose specified under "Intended use" on page 10 and in conjunction with appropri­ate patient monitoring.
Strictly observe all WARNING and CAUTION statements throughout these Instructions for Use and all statements on medical device labels.

Maintenance

WARNING The medical 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.
Dräger Medical recommends that a service contract be obtained with DrägerService and that all repairs also be carried out by them. Dräger Medical recommends that only authen­tic Dräger Medical repair parts be used for maintenance. Otherwise, the proper function­ing of the medical device may be compromised.
Refer to the chapter "Maintenance" on page 95 for additional information.

Accessories

WARNING Only the accessories indicated on the list of
accessories have been tested and approved to be used 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.
WARNING Any connected devices, or combination of
devices, not complying with the requirements mentioned in these Instructions for Use may compromise the correct functioning of the medical device. Prior to operating the medical device, consult the respective documentation and Instructions for Use of all connected devices or combination of devices.

Not for use in explosion hazard areas

WARNING This medical device is neither approved nor
certified for use in areas where combustible or explosive gas mixtures are likely to occur.

Safe connection with other electrical equipment

WARNING Electrical connections to equipment, which
are not listed in these Instructions for Use, should only be made following consultation with the respective manufacturers. Equipment malfunction may result as well as risk of patient injury.
Instructions for Use Oxylog 2000 plus SW 1.n 5
For Your Safety and that of Your Patients

Patient safety

The design of the medical device, the accompany­ing literature, and the labeling on the medical device are based on the assumption that the pur­chase and use of the equipment 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.
CAUTION
Have a supply of extra batteries available.

Patient monitoring

Functional safety

The essential performance of the Oxylog 2000 plus is defined as: Accuracy of the delivery of ventilation to the patient or generation of a technical alarm condition.
The operators of the medical device are responsi­ble for choosing appropriate safety monitoring that supplies adequate information on medical device performance and patient condition.
Patient safety may be achieved through a wide variety of means ranging from electronic surveil­lance 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.
6
Instructions for Use Oxylog 2000 plus SW 1.n

General WARNINGS and CAUTIONS

For Your Safety and that of Your Patients
The following WARNINGS and CAUTIONS apply to general operation of the device. WARNINGS and CAUTIONS specific to subsystems or particular features appear with those topics in later sections of the manual.

Note on EMC/ESD risk for the device function

General information on electromagnetic compatibil­ity (EMC) pursuant to international EMC standard IEC 60601-1-2:
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. Refer to section "Technical Documentation for the Oxylog 2000 plus according to EMC standard IEC/EN 60601-1-2" on page 113.
Portable and mobile RF communications equip­ment can affect medical electrical equipment.
WARNING Ventilation monitoring is mandatory at all
times! Whenever a patient is connected to the ventilator, constant attention by qualified medical staff is required in order to provide immediate corrective action in case of a malfunction.
The operator shall not rely on the built-in monitoring of the ventilator only and must always assume full responsibility for proper ventilation and patient safety in all situations.
WARNING Keep a manual resuscitation bag available!
If a failure is detected in the ventilator and its life-support functions can no longer be guar­anteed (e.g. in case of a power failure or inter­ruption in the medical gas supply), ventilation must be started without delay with an inde­pendent ventilation device (resuscitation bag) – using PEEP and/or increased inspired O concentration as necessary.
WARNING Always use officially approved gas cylinders
and pressure regulators that comply with all applicable regulations.
WARNING For proper ventilation, always consider the
dead space of the total ventilation circuit when setting ventilation parameters, especially when applying small tidal volumes.
WARNING Ventilation with increased oxygen concentra-
tions may be harmful to the patient. Oxygen must be administered by medical profession­als only.
2

Installing accessories

CAUTION
Installations to the basic device must be done in accordance with the Instructions for Use of the basic device. Make sure that the connection is securely fitted onto the basic device system.
Strictly follow the Assembly Instructions and Instructions for Use.
Instructions for Use Oxylog 2000 plus SW 1.n 7
For Your Safety and that of Your Patients

Instructions for Use only available once

CAUTION
Only one copy of the Instructions for Use is included in the clinical package and should there­fore be kept in an accessible location for users.
8
Instructions for Use Oxylog 2000 plus SW 1.n

Application

Intended use . . . . . . . . . . . . . . . . . . . . . . . . . 10
Indications/Contraindications. . . . . . . . . . . 10
Environment of use . . . . . . . . . . . . . . . . . . . 10
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . 10
Indications/Contraindications. . . . . . . . . . . 10
Environment of use . . . . . . . . . . . . . . . . . . . 10
Application
Instructions for Use Oxylog 2000 plus SW 1.n 9
Application

Intended use

The Oxylog® 2000 plus is a time-cycled, volume controlled emergency and transport ventilator with pressure support for patients requiring mandatory or assisted ventilation with a tidal volume of 100 mL upwards.
For use by and under the supervision of trained health care professionals.

Indications/Contraindications

For patients requiring a tidal volume of 100 mL upwards.
WARNING The Oxylog 2000 plus ventilator may only be
used under the supervision of qualified medi­cal personnel in order to be able to provide immediate corrective action in case of a mal­function.

Environment of use

For use in the following environments:
– Mobile use for emergency patients, for outdoor
and indoor environments.
– During transport in ambulances or aircraft,
including helicopters.
– In accident and emergency departments.
– When moving ventilated patients around the
hospital.
– In the recovery room.
10
WARNI NG Do not use the equipment in hyperbaric
chambers!
The device may malfunction, causing danger to the patient.
WARNI NG Do not use the equipment in conjunction with
magnetic resonance imaging (MRI, NMR, NMI).
The device may malfunction, causing danger to the patient.
Instructions for Use Oxylog 2000 plus SW 1.n

System Overview

Front panel with all options. . . . . . . . . . . . . 12
Side view, right . . . . . . . . . . . . . . . . . . . . . . . . 13
Rear view . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Reusable hose system . . . . . . . . . . . . . . . . . . 14
Disposable hose system. . . . . . . . . . . . . . . . . 14
Available ventilation modes . . . . . . . . . . . . 14
Special modes . . . . . . . . . . . . . . . . . . . . . . . 15
With monitoring . . . . . . . . . . . . . . . . . . . . . . 15
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . 16
Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
System Overview
Instructions for Use Oxylog 2000 plus SW 1.n 11
System Overview

Front panel with all options

A Screen with screen pages for the specific
application
B Key Alarms for setting and displaying
alarm limits
C Key Settings for setting other
ventilation parameters on the screen
D Key for ventilation modes VC-CMV / VC-AC
E Key for ventilation modes VC-SIMV (PS)*
F Key for ventilation modes SpnCPAP (PS)*
G Red and yellow lights (LEDs) as alarm
indicators
H Key to suppress the audible alarm for
2 minutes
I Key Alarm Reset for acknowledging alarm
messages
J Start / Standby key
* VC-SIMV/PS and SpnCPAP/PS are optional features.
O
12
K Display symbols for the power supply
Charge status of the internal battery
N Mains power supply connected
L Central rotary knob for making selections /
settings and for confirming these
M Control knob for setting O
2
FiO
N Control knob for setting the maximum
inspiratory pressure Pmax
O Control knob for setting the ventilation respira-
tory rate RR
P Control knob for setting the tidal volume VT
Q Key Values to select the displayed mea-
sured values
R Key Values to select the displayed mea-
sured MVe or VTe values
Instructions for Use Oxylog 2000 plus SW 1.n
2 AirMix or 100% O2
043
System Overview

Side view, right

A Emergency air intake
WARNING Do not block the emergency air intake. This
may result in ventilator malfunction.
B Screw to secure the battery compartment cover
C Gas outlet for flow measuring hoses
D Gas outlet for ventilation hose
E Connector for medical gas hose
F Socket for DC supply
G Window for Infrared Data Association (IrDA)
interface

Rear view

041
A Filter cartridge for intake of ambient air
CAUTION
Do not block the air intake. This may result in ventilator malfunction.
B Rating plate
042
Instructions for Use Oxylog 2000 plus SW 1.n 13
System Overview

Reusable hose system

A
B
E
D
A Breathing valve
B Ventilation hose
C Flow and pressure measuring hoses
D Angled connector
E Flow sensor
C

Disposable hose system

A
D
E
001
A Breathing valve
B Ventilation hose
C Flow and pressure measuring hoses
D Flow sensor
E Angled connector
C
B
002

Available ventilation modes

VC-CMV / VC-AC
Volume Controlled - Controlled Mechanical Ventilation with PEEP.
Volume Controlled - Assist Control with PEEP.
VC-SIMV (PS)
Volume Controlled - Synchronized Intermittent Mandatory Ventilation with PEEP (Optionally with Pressure Support). Procedure for weaning patients off the ventilator after they have started spontaneous breathing.
14
SpnCPAP (PS)
Continuous Positive Airway Pressure (Optionally with Pressure Support) Spontaneous breathing with positive airway pressure.
Instructions for Use Oxylog 2000 plus SW 1.n

Special modes

In the ventilation mode SpnCPAP, two special modes are available.
Apnea Ventilation
To switch over automatically to volume-con­trolled mandatory ventilation if spontaneous breathing stops.
NIV
For mask ventilation to support non-invasive ventilation of spontaneously breathing patients with leakage compensation.

With monitoring

– Airway pressure Paw.
– Expiratory minute volume MVe.
– Apnea.
– Respiratory rate: High respiratory rate alarm.
System Overview
Instructions for Use Oxylog 2000 plus SW 1.n 15
System Overview

Abbreviations

Abbreviation Explanation
bpm Breaths per minute
BTPS Body Temperature, Pressure
Saturated Measured values referred to the con­ditions of the patient's lung, body temperature 37
o
C, airway pressure,
water-vapor-saturated gas
C Lung compliance
EN 794-3 European standard for medical
ventilators, Part 3 "Emergency and transport ventilators"
ESD Electrostatic discharge
Psupp Positive pressure above PEEP
FiO2 Fraction of inspiratory oxygen
FRC Functional Residual Capacity
HME Heat Moisture Exchange
I:E Relation inspiratory time to
expiratory time
IrDA Infrared Data Association
MVe Total expiratory minute volume
MVi Total inspiratory minute volume
spon Spontaneous minute volume
MV
NIV Non-invasive ventilation – mask ven-
tilation
2 AirMix Inspiratory gas mixture of O2 and
O
ambient air.
Paw Airway pressure
PEEP Positive end expiratory pressure
PIP Peak inspiratory pressure
Pinsp Inspiratory pressure
Pmax Maximum allowed inspiratory
pressure
Pmean Mean airway pressure
Pplat Plateau pressure
Abbreviation Explanation
PS Pressure Support, pressure assisted
spontaneous breathing
RF Radio Frequency
RR Respiratory Rate (frequency)
RRapn Respiratory Rate during apnea
ventilation
RRsp Spontaneous Respiratory Rate
Slope Speed of which inspiratory flow is
reached
SpnCPAP Continuous Positive Airway
Pressure Spontaneous breathing with continuous positive pressure
Tapn Time for apnea alarm
Te Expiratory time
Ti Inspiratory time
Tplat % Plateau time in % of inspiratory time
Taw Airway temperature
VC-AC Volume Controlled
Assist Control with PEEP
VC-CMV Volume Controlled
Controlled Mandatory Ventilation
VC-SIMV Volume Controlled
Synchronized Intermittent Mandatory Ventilation
VTapn Tidal volume during apnea
ventilation
VT Tidal volume
VTe Expiratory tidal volume
VTi Inspiratory tidal volume
16
Instructions for Use Oxylog 2000 plus SW 1.n

Symbols

System Overview
Symbol Explanation
Settings
Display screen window "Settings"
Alarms
Display screen window "Alarms"
Values
Display screen window measured
"Values"
Suppress audible alarm for
2 minutes
Alarm
Acknowledge alarms
Reset
Start / Standby key
Upper alarm limit only
Lower alarm limit only
! Advisory message
!! Caution message
!!! Warning message
!
Type BF applied part (body
Strictly follow the Instructions for Use!
floating)
Charge status of the internal
battery
N Mains power supply connected
Battery charge (example: three quarters full)
Symbol Explanation
E 4 10 R-02 XXXX
The device complies with UN Regulation no. 10, revision 2 with respect to EMC for use in motor vehicles.
IPX4 Device protected from water
sprayed from all directions, limited entrance allowed.
Class II equipment, device pro­tected against electric shock with additional safety precautions such as double or reinforced insulations, without protective earthing.
Do not dispose of the device as municipal waste.
Manufacturing date
Manufacturer
DC input
Consult the instructions for use.
Indoor use only
Caution, hot surface!
Warning, dangerous voltage!
Do not open!
Temperature limitations
Instructions for Use Oxylog 2000 plus SW 1.n 17
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18 Instructions for Use Oxylog 2000 plus SW 1.n

Operating Concept

Switch ON or OFF. . . . . . . . . . . . . . . . . . . . . 20
Switch ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Switch OFF. . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Ventilation controls . . . . . . . . . . . . . . . . . . . 21
Display operating controls . . . . . . . . . . . . . 22
Changing screen pages in the windows . . . . . 23
Screen window structure. . . . . . . . . . . . . . . 23
Switch ON or OFF. . . . . . . . . . . . . . . . . . . . . 20
Switch ON. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Switch OFF. . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Ventilation controls . . . . . . . . . . . . . . . . . . . 21
Display operating controls . . . . . . . . . . . . . 22
Changing screen pages in the windows . . . . . 23
Operating Concept
Screen window structure. . . . . . . . . . . . . . . 23
Instructions for Use Oxylog 2000 plus SW 1.n 19
Operating Concept

Switch ON or OFF

Oxylog 2000 plus
B
A

Switch ON

z To switch ON, briefly press the O key (A).

Switch OFF

1 To switch OFF, hold down the O key (A) for
approximately 3 seconds.
2 Press the rotary knob (B) to confirm the switch
OFF process.
003
20
Instructions for Use Oxylog 2000 plus SW 1.n

Ventilation controls

Operating Concept

Selecting the ventilation mode

Oxylog 2000 plus
A
C
A Keys for selecting the ventilation modes:
VC-CMV / VC-ACVC-SIMV (optional PS) – SpnCPAP (optional PS).
B Rotary knob.
C Ventilation parameter controls
– Inspiratory tidal volume VT – Ventilation respiratory rate RR [/min], – Maximum inspiratory pressure Pmax [mbar],
2 AirMix or 100% O2 FiO2.
– O
NOTE
Different ventilation modes and their parameters can be set in the display window via the rotary knob (e.g. Ti, PEEP, Psupp, Pinsp). – To select the parameter: turn rotary knob. – To activate the parameter: press rotary knob. – To set the value: turn rotary knob. – To confirm the value: press rotary knob.
B
[mL],
Oxylog 2000 plus
C
A
B
004
z Press the appropriate ventilation mode key (A)
for approximately 3 seconds.
Or
1 Press the appropriate ventilation mode key (A).
2 Press the rotary knob (B) to confirm. The
selected ventilation mode will be activated.
3 The active ventilation mode is displayed in the
upper left corner of the display (C).
Refer to the section "Operation" on page 45 for additional information on ventilation mode setting.
005
Instructions for Use Oxylog 2000 plus SW 1.n 21
Operating Concept

Routine and additional functions keys

Frequently used keys are positioned on the upper right corner of the front panel:
Oxylog 2000 plus
A B

Display operating controls

Oxylog 2000 plus
A
B
C D
E
A key for suppressing the audible alarm for
2 minutes.
B Alarm Reset key for acknowledging alarm
messages.
006
A Values key; to change screen pages in
the "Measured Values" window, to display MVe or VTe.
B Values key; to change screen pages in
the "Measured values" window, to display the measured values.
C Settings key; to change screen pages in
the "Setting" window, to set other ventilation parameters.
D Alarms key; to change screen pages in
the "Alarms" window, to set and display the alarm limits.
007
E Central rotary knob for selecting and confirming
options on the display.
22
Instructions for Use Oxylog 2000 plus SW 1.n

Changing screen pages in the windows

To advance to the next page in a screen window:
Settings and Alarms window:
1 Press the Settings key to display the
settings pages.
2 Press the Alarms key to display the
alarms pages.

Screen window structure

Operating Concept

Status and alarm messages window

A Ventilation mode.
A Measured MVe / VTe window.
B Status and alarm message window.
C Measured values window.
D Airway pressure bar graph.
E Settings and alarms window.
F Information window.
Instructions for Use Oxylog 2000 plus SW 1.n 23
B Trigger indicator.
C Alarm window.
Operating Concept

MVe / VTe window

A Parameter measured.
B Measured value.
C Unit of measure.
D Page number.
To advance to the next page:
z Press the upper Values key.

Values window

To advance to the next page:
z Press the lower Values key.

Airway pressure bar graph

AB
C D
A Pmax alarm setting.
B Unit of measure scale.
C Pressure measurement of the previous breath.
D Pressure measurement of the current breath.

Alarms window

A Parameter measured.
B Measured value.
C Page number.
D Unit of measure.
24
A Menu for alarm limits and alarm parameters.
For detailed operating instructions, see "Setting alarm limits" on page 63.
B Page number.
1st page of 2 available pages.
Instructions for Use Oxylog 2000 plus SW 1.n
Operating Concept
To advance to the next page:
z Press the Alarms key.

Settings window

A Menu for setting supplementary ventilation
parameters in accordance with the desired ven­tilation mode: –I:E –Ti –PEEP – Psupp – Tapn – Trigger – Tplat % – Slope –NIV – Brightness – RRapn –VTapn
1st page of 2 available pages.
B Page number.

Messages window

A Numeric values displayed when a control knob
is turned.
Instructions for Use Oxylog 2000 plus SW 1.n 25
Operating Concept

Battery capacity indicator

A Battery capacity indicator (example: three quar-
ters full).

O2 consumption

A Actual gas consumption based on current
settings.
26
Instructions for Use Oxylog 2000 plus SW 1.n

Assembly

Dead space . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Assemble the reusable hose system . . . . . 29
Breathing valve assembly. . . . . . . . . . . . . . . . 29
When using a bacterial filter or HME . . . . . . . 30
Hose connections. . . . . . . . . . . . . . . . . . . . . . 30
Connect the disposable hose system . . . . 31
When using a bacterial filter or HME . . . . . . . 31
When changing the ventilation hose system . 31
Connecting the power supply . . . . . . . . . . . 32
Internal supply . . . . . . . . . . . . . . . . . . . . . . . . 32
Additional external power supply . . . . . . . . . . 32
Internal supply with rechargeable battery . 32
Replacing the battery . . . . . . . . . . . . . . . . . . . 32
Checking the charge of the battery. . . . . . . . . 32
Installing the battery . . . . . . . . . . . . . . . . . . . . 33
External power supply with DC/DC converter 33 External power supply from mains power (AC/DC
Power pack) . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Assembly
Connecting the gas supply . . . . . . . . . . . . . 34
Supply from an O2 cylinder . . . . . . . . . . . . . . 35
Supply from a piped medical gas system . . . . 35
Hanging the Oxylog 2000 plus on standard rail
systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Instructions for Use Oxylog 2000 plus SW 1.n 27
Assembly
Reusable or disposable hose systems can be used with Oxylog 2000 plus. Please refer to the "List of Accessories" section for ordering information.
NOTE
If the type of the hose system used is changed, the device must be reconfigured. Refer to the "Configuration" section for additional information.

Dead space

Dead space is an important aspect of ventilation management: Dead space ventilation is the portion of the respira­tory system, in which no significant gas exchange occurs. An increase of the proportion of dead space to alveolar ventilation may lead to an increase of the retention of carbon dioxide by the patient.
Dead space is present as a component of the patient’s artificial airway and hose system. If the volume of the mechanical dead space equals or exceeds the volume of alveolar ventilation, the patient may not be able to adequately evacuate carbon dioxide. Therefore, it is important to prop­erly manage the ventilation perfusion ratio to ensure effective elimination of carbon dioxide gases.
28
Instructions for Use Oxylog 2000 plus SW 1.n

Assemble the reusable hose system

– Parts must always be sterilized before use!
Assembly

Breathing valve assembly

A
WARNING The rubber disc (A) in the housing may not be
removed, damaged or bent, otherwise the valve will not work properly and will endanger the patient.
Risk of CO2 rebreathing.
A
B
008
C
D
1 Place the diaphragm (B) in the breathing valve.
Ensure that it is inserted correctly.
2 Fit the cover (A) and turn it approximately 90
clockwise to secure into position.
3 Push the flow sensor (C) into breathing valve.
Note the preferred position as indicated by the groove.
4 Connect the angled adaptor (D) to the flow sen-
sor.
WARNING Always use an angled adaptor. If the angled
adaptor is not used, the minute volume may be measured incorrectly.
009
o
Instructions for Use Oxylog 2000 plus SW 1.n 29
Assembly

When using a bacterial filter or HME

NOTE
When using a bacterial filter or HME, measured flows may deviate from the expiratory flows, as temperature and humidity of the gas are reduced.
z Connect the bacterial filter or HME to the angled
connector.
WARNING Bacterial filters increase the exhalation resis-
tance and dead space volume of the ventila­tion system.
CAUTION
Do not use electrically conductive hoses!
Risk of electric shock.
This can endanger the patient.
A
B
010

Hose connections

A
B B
1 Connect the ventilation hose (A) to the
breathing valve.
2 Connect the flow measuring hoses (B) to the
nozzles on the flow sensor. Note the different diameters.
30
012
3 Connect the flow measuring (A) hoses to the
Oxylog 2000 plus.
4 Connect the ventilation hose (B) to the gas out-
put on the Oxylog 2000 plus.
011
Instructions for Use Oxylog 2000 plus SW 1.n
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