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.
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.n5
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.n7
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.
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
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.n13
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.n15
System Overview
Abbreviations
Abbreviation Explanation
bpmBreaths per minute
BTPSBody 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
CLung compliance
EN 794-3European standard for medical
ventilators, Part 3 "Emergency and
transport ventilators"
ESDElectrostatic discharge
∆PsuppPositive pressure above PEEP
FiO2Fraction of inspiratory oxygen
FRCFunctional Residual Capacity
HMEHeat Moisture Exchange
I:ERelation inspiratory time to
expiratory time
IrDAInfrared Data Association
MVeTotal expiratory minute volume
MViTotal inspiratory minute volume
sponSpontaneous minute volume
MV
NIVNon-invasive ventilation – mask ven-
tilation
2 AirMixInspiratory gas mixture of O2 and
O
ambient air.
PawAirway pressure
PEEPPositive end expiratory pressure
PIPPeak inspiratory pressure
PinspInspiratory pressure
PmaxMaximum allowed inspiratory
pressure
PmeanMean airway pressure
PplatPlateau pressure
Abbreviation Explanation
PSPressure Support, pressure assisted
spontaneous breathing
RFRadio Frequency
RRRespiratory Rate (frequency)
RRapnRespiratory Rate during apnea
ventilation
RRspSpontaneous Respiratory Rate
SlopeSpeed of which inspiratory flow is
reached
SpnCPAPContinuous Positive Airway
Pressure
Spontaneous breathing with
continuous positive pressure
TapnTime for apnea alarm
TeExpiratory time
TiInspiratory time
Tplat %Plateau time in % of inspiratory time
TawAirway temperature
VC-ACVolume Controlled
Assist Control with PEEP
VC-CMVVolume Controlled
Controlled Mandatory Ventilation
VC-SIMVVolume Controlled
Synchronized Intermittent
Mandatory Ventilation
VTapnTidal volume during apnea
ventilation
VTTidal volume
VTeExpiratory tidal volume
VTiInspiratory tidal volume
16
Instructions for Use Oxylog 2000 plus SW 1.n
Symbols
System Overview
SymbolExplanation
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)
SymbolExplanation
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.
IPX4Device 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.
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.n21
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.n23
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
CD
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 Alarmskey.
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.n25
Operating Concept
Battery capacity indicator
A Battery capacity indicator (example: three quar-
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.n29
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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