Drager Julian User Manual
Julian
Anaesthetic Workstation
Instructions for Use
Software 2.n
1-36-96
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
all-guides.com
How to use these Instructions for Use
In the header is the subject…
of the main chapter.
Underneath is the title of the subchapter, to help you
find your way around quickly.
On each page…
the instructions for use
combining text with illustrations. The information is
translated directly into actions to enable the user to
learn „hands-on“ how to use the workstation.
Left-hand column: the text…
provides explanations and guides the user clearly and
ergonomically with brief directions on the use of the
product.
Bullet points indicate the steps to be followed, and
where there are several steps, numbers refer to the
illustration and indicate the sequence.
Right-hand column: the illustration…
provides the link with the text and serves as a guide
to the workstation. Points mentioned in the text are
emphasised and non-essential information is omitted.
Screen displays guide the user and confirm the steps
to be followed.
How to use these Instructions for Use
2
1 Press the »MAN/SPONT« key,
2 and confirm with the rotary knob.
Display (example):
O2 flush
– For flushing and rapidly filling the breathing
system and breathing bag with O2 while
bypassing the Vapor unit.
3 Press the »O2 +« button.
O2 flows into the breathing system without
anaesthetic gas as long as the button is held
down.
Julian
1
2
Operation
Selecting the ventilation mode
MAN/SPONT
Julian
D
3
MAN/SPONT
Pleth
40
0
CO
2
40 36
0.8 0.6
58 56
38
98 67
5.2 8
4.0030
Volumeter starten: Bestätigen!
O
2
SpO
2
N2O
Hal.
Fi
Fet
et
CO
2
AMV
Freq
Grenzen
CO
2
-Al.
aus/ein
Alarm
Info
Liste
Kurven
Konfig.
Frischgas O
2
+ N2O
O
2
%
L/min
VT
0.35
0
Volumeter
--s
--
05
10
0.5
1
Frischgas
intern
extern
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Contents
3
Contents
Index 142
For Your Safety and that of Your Patients 5
Intended Use 7
Operating Concept 11
Before Using for the First Time 19
Preparation 21
Starting Up 25
Operation 35
Monitoring 55
Configuring in Standby Mode 81
Care 95
Julian as Wall-mounted Unit 113
Maintenance Intervals 115
What's what 125
Technical Data 131
Fault – Cause – Remedy 119
Abbreviations / Symbols 139
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
4
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
For Your Safety and that of Your
Patients
Strictly follow the Instructions for Use
Any use of the apparatus requires full understanding and
strict observation of these instructions.
The apparatus is only to be used for purposes specified
here.
Maintenance
The apparatus must be inspected and serviced regularly
by trained service personnel at six monthly intervals
(and a record kept).
Repair and general overhaul of the apparatus may only
be carried out by trained service personnel.
We recommend that a service contract be obtained with
DrägerService and that all repairs also be carried out by
them. Only authentic Dräger spare parts may be used for
maintenance.
Observe chapter "Maintenance Intervals".
Accessories
Do not use accessory parts other than those in the
order list.
Not for use in areas of explosion hazard
This apparatus 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
Electrical connections to equipment which is not listed in
these Instructions for Use should only be made following
consultations with the respective manufacturers or an
expert.
Liability for proper function or damage
The liability for the proper function of the apparatus is
irrevocably transferred to the owner or operator to the
extent that the apparatus is serviced or repaired by
personnel not employed or authorized by DrägerService
or if the apparatus is used in a manner not conforming to
its intended use.
Dräger cannot be held responsible for damage caused
by non-compliance with the recommendations given
above. The warranty and liability provisions of the terms
of sale and delivery of Dräger are likewise not modified
by the recommendations given above.
Dräger Medizintechnik GmbH
For Your Safety and that of Your Patients
5
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
all-guides.com
Contents
Intended Use............................................................................................. 9
7
Intended Use
Contents
Intended Use
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
8
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Intended Use
Julian Anaesthetic Workstation for patients with a body
weight of 5 kg and over with the use of IPPV ventilation.
For the use of:
– Inhalation anaesthesia in rebreathing systems
– Inhalation anaesthesia in semi-closed to virtually
closed systems with "low flow" and "minimal flow"
techniques (for minimal gas and anaesthetic agent
consumption).
– Inhalation anaesthesia in non-rebreathing systems,
with separate fresh gas outlet for the connection of
e.g. the Bain system or Magill system
with a fresh gas flow of 0.5 to 12 L/min.
Ventilation modes:
– Automatic ventilation (IPPV)
and
pressure-controlled ventilation (PCV).
– Manual ventilation (MAN).
– Spontaneous ventilation (SPONT).
The following measured values are displayed:
– Peak pressure, mean pressure, plateau pressure and
PEEP
– Expiratory minute ventilation
Tidal volume VT
Breathing rate
Patient compliance
– Inspiratory and expiratory concentration of O2, N2O,
anaesthetic gas and CO2
optional:
– Functional oxygen saturation (SpO2) and pulse rate.
The following parameters are displayed as curves:
– Airway pressure
– Expiratory flow
– Inspiratory and expiratory concentration of O2, CO2
and anaesthetic gas
optional:
– Plethysmogram
Trend curves and measured value lists are also available.
Monitoring
by means of adjustable alarm limits that are automatically
adapted to the ventilation mode.
The workstation may only be used under the
supervision of qualified medical personnel, so that
assistance can be provided immediately in the event
of any malfunctions.
Explosive anaesthetics, such as ether or cyclo-
propane, must not be used due to the risk of fire.
Mobile radio telephones must not be used within
10 metres of the workstation!
Mobile telephones may interfere with the operation of
electrical and electronic medical equipment.
Julian must not be used with nuclear spin
tomography (MRT, NMR, NMI)!
Operation of the apparatus may be impaired.
Intended Use
9
Intended Use
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
10
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Contents
Screen ergonomics.................................................................................12
Selecting / setting ventilation parameters..................................................14
Selecting / setting monitoring functions.....................................................15
Screen layout..........................................................................................16
Three basic screens for monitoring...........................................................17
The standard screen.................................................................................17
The data screen....................................................................................... 17
The trend screen......................................................................................18
Operating Concept
Contents
11
Operating Concept
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
all-guides.com
Operating Concept
Screen ergonomics
All the settings required for
– Fresh gas delivery
– Ventilation
– Monitoring
are entered on the system screen using the appropriate
keys and the rotary knob.
The keys are grouped in function fields:
Left-hand field
Fresh gas delivery
Right-hand field
Ventilation
Middle field
Monitoring
The main functions for anaesthesia, e.g. selection of
N2O or AIR, or selection of ventilation modes, can be
selected directly by keys with permanently defined
functions ("hardkeys"):
1 Left-hand block
The »N2O« or »AIR« keys are used to select the gas
to be mixed with O2 for the fresh gas mix.
2 Right-hand block
The »MAN SPONT«, »IPPV« oder »PCV«
keys select the ventilation mode.
These function keys are located in the bottom row on the
control panel.
Left-hand block for fresh gas setting
Right-hand block for ventilation
Operating Concept
Screen ergonomics
12
.
12...
.
NO
2
AIR
MAN
SPONT
IPPV PCV
Monitoring
Ventilation
Fresh gas
delivery
Pleth
IPPV
alarm
limits
auto set
limits
alarm
info
list
curves
CO
2
40
0
PAW
0
20
config.
O
2
SpO
2
N2O
Hal.
40 36
0.8 0.6
58 56
Fi
Fet
etCO
2
38
98 67
6.0 10
MV
freq
600
V
T
mL
10
1:2
10 0
PEEP
mbar
Freq.
1/min
TI:TETIP:TI
%
25
Pmax
mbar
Freshgas O2+N2O
4.00
O
2
%
L/min
30
_
CO
2
Ve
.
12...
.
NO
2
AIR
MAN
SPONT
IPPV PCV
Pleth
IPPV
alarm
limits
auto set
limits
alarm
info
list
curves
CO
2
40
0
PAW
0
20
config.
O
2
SpO
2
N2O
Hal.
40 36
0.8 0.6
58 56
Fi
Fet
etCO
2
38
98 67
6.0 10
MV
freq
600
V
T
mL
10
1:2
10 0
PEEP
mbar
Freq.
1/min
TI:TETIP:TI
%
25
Pmax
mbar
Freshgas O2+N2O
4.00
O
2
%
L/min
30
1
2
_
CO
2
Ve
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Complementary "softkeys" with variable functions are
provided at the bottom edge of the screen, above each
group of hardkeys. These softkeys are used to set the
fresh gas delivery parameters and ventilation parameters.
1 Left-hand block:
The keys for setting the O2 concentration and fresh
gas flow.
2 Right-hand block:
The keys for setting the parameters for the relevant
ventilation mode. The example shows the parameters
for IPPV controlled ventilation.
These softkeys have different functions, depending on
the operating status or ventilation mode.
The current parameter values are displayed in the softkey
field.
In a prominent position at the bottom right-hand side:
The "turn-and-push" rotary knob
is the main operating control of the apparatus and has the
following functions in all setting operations:
3 select = turn
4 confirm = press
– to confirm the selected carrier gas or a ventilation
mode,
– to set and confirm the parameters for fresh gas and
ventilation modes,
– to set and confirm the monitoring functions.
Beside the rotary knob:
The standby key E for switching over to standby mode.
5 Press standby key E and confirm by pressing the
rotary knob.
13
Operating Concept
Screen ergonomics
.
12...
.
NO
2
AIR
MAN
SPONT
IPPV PCV
Pleth
IPPV
alarm
limits
auto set
limits
alarm
info
list
curves
CO
2
40
0
PAW
0
20
config.
O
2
SpO
2
N2O
Hal.
40 36
0.8 0.6
58 56
Fi
Fet
etCO
2
38
98 67
6.0 10
MV
freq
600
V
T
mL
10
1:2
10 0
PEEP
mbar
Freq.
1/min
TI:TETIP:TI
%
25
Pmax
mbar
Freshgas O2+N2O
4.00
O
2
%
L/min
30
1 2
_
CO
2
Ve
.
12...
.
NO
2
AIR
MAN
SPONT
IPPV PCV
Pleth
IPPV
alarm
limits
auto set
limits
alarm
info
list
curves
CO
2
40
0
PAW
0
20
config.
O
2
SpO
2
N2O
Hal.
40 36
0.8 0.6
58 56
Fi
Fet
etCO
2
38
98 67
6.0 10
MV
freq
600
V
T
mL
10
1:2
10 0
PEEP
mbar
Freq.
1/min
TI:TETIP:TI
%
25
Pmax
mbar
Freshgas O2+N2O
4.00
O
2
%
L/min
30
3
5
4
_
CO
2
Ve
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Operating Concept
Screen ergonomics
14
Selecting / setting ventilation parameters
Example: PEEP ventilation parameter
1 Press the softkey »PEEP«.
2 Select the PEEP value = turn the rotary knob.
3 Confirm the PEEP value = press the rotary knob.
The keys for the various monitoring functions are located
on the right-hand side of the screen.
These keys also have different functions = softkeys,
depending on the monitoring screen required.
Julian
1
2
3
.
12...
.
NO
2
AIR
MAN
SPONT
IPPV PCV
Pleth
IPPV
alarm
limits
auto set
limits
alarm
info
list
curves
CO
2
40
0
PAW
0
20
config.
O
2
SpO
2
N2O
Hal.
40 36
0.8 0.6
58 56
Fi
Fet
etCO
2
38
98 67
6.0 10
MV
freq
600
V
T
mL
10
1:2
10 0
PEEP
mbar
Freq.
1/min
TI:TETIP:TI
%
25
Pmax
mbar
Freshgas O2+N2O
4.00
O
2
%
L/min
30
_
CO
2
Ve
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
15
Operating Concept
Screen ergonomics
Selecting / setting monitoring functions
For example, to change the lower alarm limit of the end-
tidal CO2 concentration.
1 Press the »alarm limits« softkey. The alarm limits
menu is displayed on the screen.
● Select the alarm limit value = turn the rotary knob.
Confirm the selection = press the rotary knob.
The limit value is highlighted.
Example: lower alarm limit etCO2: <30
● Set the alarm limit value = turn the rotary knob.
● Confirm the new alarm limit = press the rotary knob.
The cursor returns to the zsymbol.
Julian
1
Pleth
IPPV
CO2
40
0
PAW
600 10
1:2
10 0251.0050
98
67
38
6.0
29
0.8
--
95
3.0
--
20
1.0
0.0
40
8
120
50
--
Select limit: Turn and confirm ! !
42
30
0
20
FiO
2
FiHal.
PAW
SpO
2
etCO
2
MV
alarm
limits
auto set
limits
alarm
info
list
curves
config.
O
2
%
L/min
PEEP
mbar
Freq.
1/min
V
T
mL
TI:TETIP:T
I
%
Pmax
mbar
Freshgas O
2
+ N2O
Pleth
IPPV
CO
2
40
0
600 10
1:2
10 0251.0050
98
67
38
6.0
29
0.8
--
95
3.0
--
20
1.0
0.0
40
8
120
50
--
Adjust limit value: Turn and confirm !
42
30
PAW
0
20
FiO
2
FiHal.
PAW
SpO
2
etCO
2
MV
alarm
limits
auto set
limits
alarm
info
list
curves
config.
O
2
%
L/min
PEEP
mbar
Freq.
1/min
V
T
mL
TI:TETIP:T
I
%
Pmax
mbar
Freshgas O2 + N2O
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Operating Concept
Screen ergonomics
Screen layout
16
Pleth
IPPV
alarm
limits
auto set
limits
alarm
info
list
curves
CO
2
40
0
PAW
0
20
config.
O
2
SpO
2
N2O
Hal.
40 36
0.8 0.6
58 56
Fi
Fet
etCO
2
38
98 67
6.0 10
MV
freq
600
V
T
mL
10
1:2
10 0
PEEP
mbar
Freq.
1/min
TI:TETIP:TI
%
25
Pmax
mbar
Freshgas O2+N2O
4.00
O
2
%
L/min
30
_
CO
2
Ve
➀ ➁ ➂ ➃
➄ ➅ ➆ ➇
Exit the alarm limits menu:
1 Press the rotary knob
or
2 Press the Q key.
The function keys for standard functions are located on
the right-hand side of the control panel.
G Suppress the acoustic alarm for 2 minutes.
S Select the screen page.
Q Back to standard page.
Screen layout
➀ Status field:
Displays information on the current operating mode
➁ Graphics field:
For curves and bargraphs
➂ Alarm field:
Displays information on the alarms, warnings, etc.
and their priority
➃ Numerical value field:
For numerical values
➄ Lower softkeys – for fresh gas parameters
➅ Prompt field:
For user guidance
➆ Lower softkeys – for ventilation parameters
➇ Right-hand softkeys – for monitoring:
For rapid selection of the desired monitoring function
.
12...
.
NO
2
AIR
MAN
SPONT
IPPV PCV
Pleth
IPPV
alarm
limits
auto set
limits
alarm
info
list
curves
CO
2
40
0
PAW
0
20
config.
O
2
SpO
2
N2O
Hal.
40 36
0.8 0.6
58 56
Fi
Fet
etCO
2
38
98 67
6.0 10
MV
freq
600
V
T
mL
10
1:2
10 0
PEEP
mbar
Freq.
1/min
TI:TETIP:TI
%
25
Pmax
mbar
Freshgas O2+N2O
4.00
O
2
%
L/min
30
_
CO
2
Ve
Julian
2
1
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
all-guides.com
17
Operating Concept
Screen layout
Three basic screens for monitoring
To call up the standard screen, data screen and trend
screen in succession:
1 Briefly press the S key until the desired screen is
displayed.
Back to the standard screen:
2 Press the Q key.
The fresh gas and ventilation parameters can be set by
means of the softkeys in each of the three basic screens.
The standard screen
with three selectable curves.
The most important numerical values are displayed in
groups on the right-hand side of the screen.
The data screen
contains all the numerical values with their units of
measure.
Julian
2
1
Pleth
IPPV
alarm
limits
auto set
limits
alarm
info
list
curves
CO
2
40
0
PAW
0
20
config.
O
2
SpO
2
N2O
Hal.
40 36
0.8 0.6
58 56
Fi
Fet
etCO
2
38
98 67
6.0 10
MV
freq
600
V
T
mL
10
1:2
10 0
PEEP
mbar
Freq.
1/min
TI:TETIP:TI
%
25
Pmax
mbar
Freshgas O2+N2O
4.00
O
2
%
L/min
30
_
CO
2
Ve
IPPV
PAW
40
20
0
600 10
1:2
10 0251.0050
O
2
%
N
2
O
%
Hal.
%
036
40 33
0.8 0.6
58 56
Fi
Fet
CO
2
mmHg
98 67
6.0
0.60
10
27
20
5
15
65
MV
V
T
freq
peak
plat.
PEEP
mean
compliance
mbar
mL/mbar
L/min
L
34
AW-temp.
°C
1/min
01. Nov. 98
sys. comp. 6.40 mL/mbar
leckage 10 mL/min
01-10
8 : 00
12 : 00
SpO
2
%
1/min
alarm
limits
auto se
t
limits
alarm
info
list
config.
Freshgas O
2
+ N2O
O
2
%
L/min
PEEP
mbar
Freq.
1/min
V
T
mL
TI:TETIP:T
I
%
Pmax
mbar
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Operating Concept
Screen layout
18
The trend screen
displays the recorded progress of the numerical values
over time since measurement started. The current
measured values are displayed on the right-hand side.
Display (example):
Trends for CO2 and minute ventilation MV
IPPV
40 36
0.8 0.6
58 56
38
98 67
6.0 10
600 10
1:2
10 0251.0050
PAW
40
20
0
11:00 12:00 13:00
60
30
0
15
10
5
0
Select zoom area:
Turn !
Zoom in: Press !
CO
2
MV
O
2
SpO
2
N2O
Iso.
Fi
Fet
etCO
2
MV
freq
alarm
limits
AGas
N
2
O
CO
2
MV
O
2
compl.
SpO
2
pulse
full
trend
O
2
%
L/min
PEEP
mbar
Freq.
1/min
V
T
mL
TI:TETIP:T
I
%
Pmax
mbar
Freshgas O
2
+ N2O
_
CO
2
Ve
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Contents
Charging the battery for emergency operation......................................20
When Julian is not in use........................................................................ 20
19
Before Using for the First Time
Contents
Before Using for the First Time
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Before Using for the First Time
Fit the enclosed O2 sensor,
page 117 "Replacing O2 sensor"
Fit the flow sensor, page 106
Charging the battery for emergency
operation
Julian has a built-in uninterruptible power supply UPS
which maintains the power supply for 30 minutes in the
event of a mains failure, provided that the battery is
charged.
The switch-over to the battery-powered UPS is automatic
and is indicated on the screen by the message:
POWER FAIL!
The battery recharges automatically when the workstation
is plugged into the mains.
The battery must be charged for 10 hours before using
the Workstation for the first time.
● Plug the mains plug of the Julian workstation into the
mains socket. The mains voltage must correspond to
the voltage specified on the nameplate.
1 The green LED
NN
NN
lights up.
● Leave Julian connected to the mains for 10 hours.
The workstation does not have to be switched on.
The devices connected to auxiliary power sockets will
not be powered by the UPS in the event of a power
failure.
When Julian is not in use
● Charge battery at least every 4 weeks.
Allowing it to run down can lead to damage.
If Julian is out of use for an extended period:
● Leave the workstation connected to the mains at all
times.
1 The green LED
NN
NN
is lit.
20
Before Using for the First Time
Charging the battery for emergency operation
When Julian is not in use
1
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Contents
Connecting the gas supply.....................................................................22
Connecting the backup gas cylinders for O2 and N2O .............................23
Caution when handling O2 cylinders.........................................................23
Connecting the anaesthetic gas scavenging system.............................23
Connecting the power supply.................................................................24
Connecting auxiliary systems....................................................................24
Equipotential bonding...............................................................................24
Connecting the power supply...................................................................24
21
Preparation
Contents
Preparation
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
all-guides.com
Preparation
Use only cleaned and disinfected parts!
Connecting the gas supply
1 Screw the central gas supply pressure hoses for O2,
AIR and N2O into the ports on the back of the gas
supply block.
The two ports at the front are reserved for the backup
gas cylinders.
2 The vacuum supply block (VAC) is available as option
for secretion aspiration.
Plug the other end of the pressure hoses into the wall
supply points.
● Make sure the gas pressures of the central gas
supply are between 2.7 and 5.5 bar:
3 All three pressure gauges in the green zone.
22
Preparation
Connecting the gas supply
N2O AIR O2 VAC
12
Julian
D
3
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Connecting the backup gas cylinders for O2 and N2O
Even if the workstation is connected to a central gas
supply, the cylinders must remain on the apparatus as
backup supply.
● On the back of the workstation:
place full cylinders in the cylinder holders and secure
in position.
1 Screw the pressure reducing adapters onto the
cylinder valves.
2 Screw the gas hoses into the ports on the front of the
gas supply block.
Switch over immediately to cylinder supply if the central
gas supply fails:
● Open the cylinder valves.
Caution when handling O2 cylinders
● Do not oil or grease the O2 cylinder valves or O2
pressure reducing adapters, and do not handle with
greasy fingers.
Danger of explosion!
● The cylinder valves must be opened / closed by hand.
Do not use tools.
● If a cylinder valve is leaky or difficult to operate, it
must be repaired by an expert.
Connecting the anaesthetic gas scavenging
system
3 Connect the transfer hose to the waste gas port and
to the port of the scavenging system.
4 Connect the scavenging hose to the port of the
scavenging system.
5 Connect the anaesthetic waste gas probe to the
aspirating hose.
6 Ensure that the second connection to the scavenging
system is sealed by a screw plug.
● Follow the Instructions for Use of the anaesthetic gas
scavenging system.
23
Preparation
Connecting the gas supply
Connecting the anaesthetic gas scavenging system
N2O
1
1
O2
22
6
3
3
5
4
3
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Connecting the power supply
Connecting auxiliary systems
1 connect to auxiliary sockets on the back of the
workstation.
The auxiliary sockets are not powered by the
uninterruptible power supply UPS in the event of a
power failure!
Do not connect HF surgical devices to the auxiliary
sockets!
Connecting equipment to the auxiliary sockets may cause
the patient leakage current to rise above the permitted
values in the event of failure of a protective earth
conductor.
The risk of electric shock cannot be excluded in such
cases.
Additional power adapter sockets must not be connected
to the auxiliary sockets.
Equipotential bonding
e.g. for intracardial or intracranial operations.
2 Connect one end of the earth cable to one of the
connecting pins on the back of the workstation.
● Connect the other end of the earth cable to the
specified equipotential bonding point, e.g. on the
operating table or ceiling lamp.
Connecting the power supply
The mains voltage must be the same as specified on the
nameplate on the back of the workstation.
Voltage range: 90 to 265 V
● Plug the mains plug into the wall socket.
24
Preparation
Connecting the power supply
1
2
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Contents
Checking the workstation against the checklist.................................... 26
Switching on............................................................................................26
Gas pressures.........................................................................................29
Central gas supply................................................................................... 29
Backup gas cylinders............................................................................... 29
Suction system.........................................................................................30
O2 flush .................................................................................................. 30
O2 emergency metering........................................................................... 30
Preparing Julian for the self-test................................................................31
Self-test...................................................................................................31
Electronics...............................................................................................31
Fresh gas mixer........................................................................................31
Ventilator and breathing system ...............................................................31
System compliance................................................................................ 32
Leakage...................................................................................................32
Emergency start......................................................................................33
25
Starting Up
Contents
Starting Up
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Starting Up
Checking the workstation against the
checklist
Preconditions:
The workstation must be prepared as described on
pages 95 to 105 and assembled ready for operation as
described on pages 106 to 111.
The gas supply and power supply must be connected.
Switching on
1 Switch on Julian: press the power switch » «.
Version without rotary knob for O2 emergency
metering:
After switching on, Julian delivers an O2 flow of 4 L/min
for manual ventilation.
This O2 flow is switched off automatically by Julian as
soon as the »cancel test« key appears after
acknowledging the checklist.
The opening screen appears with the current software
version after about 10 seconds. Julian now loads its
software and tests its internal memory.
The checklist is displayed after about 40 seconds.
● Check the components as instructed in the checklist
on the screen.
If the self-test has to be interrupted, e.g. for a quick start
in an emergency:
● Acknowledge the checklist:
Press the rotary knob.
After a few seconds, the »cancel test« softkey
appears on the right-hand edge of the screen.
● Press the »cancel test« key. See "Emergency start"
on page 33 to continue.
Starting Up
Checking the workstation against the checklist
26
Julian
D
1
Technology for life
SW-version 2.0
01. Nov. 98
Please wait !
Julian
Check-list Julian
Vapor
Safety fill
Vapor Mont
Interlock system
Handwheel set to zero,
fill level o.k.
Stopper inserted and locked
into position
Vaporiser present and locked
into position
non used vapor blocked
Watertrap
Gas scavenging system
Breathing system
Soda lime
Emergency breathing bag
level ok ?
connected and ready fir use
complete and fixed in place
no colour change
present and functional
Central gas supply
Back up cylinders
Suction unit
O
2
-Flush
O
2
pressure, AIR, N2O pressure, 2,7 bar
O
2
pressure > 50 bar, N2O pressure > 30 bar
functional
audible flow, breathing bag fills
Julian o.k. according to check-list? Please confirm !
Examine machine according to check-list prior to operation
Before commencing test, close y-piece, connect gas sample-line
and set APL valve to 30 mbar and "Man"
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
all-guides.com
"Vapor" anaesthetic vaporizer (example: Vapor 19.3)
Only use Vapor 19.3, Vapor 2000 or Devapor.
Follow the Instructions for Use for the particular
vaporizer used.
1 Handwheel to "0" and engaged.
2 Filled to sufficient level.
3 Sealing slide valve inserted and screwed tight.
● The plug-in adapter must fit evenly on the connection
block.
4 The locking lever must point to the left = locked.
5 The unused Vapor unit must be locked by the
interlock slider (example: left-hand Vapor locked).
Water trap
● Remove water trap container by pulling downwards
and empty if necessary.
● Observe the hygiene regulations of the hospital.
● Replace container from below.
When using the "Waterlock" water trap
● See separate Instructions for Use
27
Starting Up
Checking the workstation against the checklist
33
4
5
4
1
2 2
1
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
AGS anaesthetic gas scavenging system
1 The transfer hose from the waste gas port must be
connected.
2 The scavenging hose must be connected;
the anaesthetic waste gas probe must be plugged
into the Dräger wall socket and the indicator must be
green.
3 The float must be between the two marks.
Breathing system
● Complete and engaged, with both valve discs
inserted, bellows fitted and hoses securely
connected.
● Soda lime renewed, no violet discoloration.
28
Starting Up
Checking the workstation against the checklist
3
21
2
1
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Emergency ventilating bag
Example: Dräger Resutator 2000
● Ready for operation.
Central gas supply
Gas pressures:
1 All pressure gauges in the green zone.
Backup gas cylinders
2 Slowly open the cylinder valves.
Check the cylinder pressure gauges:
3 O2 pressure greater than 50 bar,
4 N2O pressure greater than 30 bar.
2 Reclose the cylinder valves.
29
Starting Up
Checking the workstation against the checklist
2
2
4
3
N2O O2
Julian
D
3
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Suction system
1 Switch to I.
2 Set suction pressure with rotary knob »Vac.«.
3 Block the secretion viewing window or kink the
suction hose.
4 Measure the suction pressure on the pressure gauge.
1 Switch to 0.
O2 flush
5 Press »O2 +« button.
6 The breathing bag inflates.
7 O2 flows from the Y-piece.
Version with rotary knob for O2 emergency metering
8 Turn on rotary knob »Safety O2« for O2 emergency
metering.
6 The breathing bag inflates.
7 O2 flows from the Y-piece.
8 Turn off rotary knob »Safety O2« for O2 emergency
metering again.
30
Starting Up
Checking the workstation against the checklist
7
Julian
D
6
5
8
Julian
D
4
1
3
2
"Only for internal use by Draeger. Not applicable as Instructions for Use!"
All manuals and user guides at all-guides.com
Loading...