NORTH AMERICAN DRÄGER Drager Narkomed GS User manual
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Setup and
Installation
Manual
Part Number: 4113852-006
Date: 25 February 2004
© 2004 Draeger Medical, Inc.
Rev: J
Narkomed GS
Anesthesia System
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Contents
Section 1. Introduction
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Section 2. Moving the Narkomed GS
Moving the Narkomed GS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Section 3. Setup and Installation
Setup Checklist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Installing the Absorber Swivel Arm Stop Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Installing the Vaporizers (Fixed Mount) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Installing the Vaporizers (Removeable Mount). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Filling the Vaporizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Handling the Vaporizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Installing the Absorber System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Installing the Breathing Pressure Pilot Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Installing the Auto-Bag Sensor Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
Installing the Oxygen Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
Installing the Ultrasonic Flow Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Installing the Bain Circuit Adapter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-15
Installing the Fresh Gas Oxygen Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-18
Connecting the Open Reservoir Scavenger System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-19
Connecting the Scavenger Interface for Passive Systems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-20
Installing the Patient Line Boom Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-22
Installing the Manual Sphygmomanometer Gauge. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23
Installing the Second Shelf . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-25
Installing the Shelf Extender. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-27
Installing the Outlet Strip. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-29
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Section 4. Gas Supply Connections
Gas Supply Connections. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Connecting the Cylinders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Connecting the Pipelines. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
Section 5. Power-Up and System Configuration
Connecting the Narkomed GS to Electrical Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2
Power-Up Diagnostics Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3
Section 6. Testing and PMC
6.0 PMC Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1
6.1 Self-Diagnostics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
6.2 Electrical Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
6.3 Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
6.4 Service Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
6.5 Calibrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14
6.6 Absorber Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14
6.7 High Pressure Leak . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
6.8 Breathing System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
6.9 Oxygen Analyzer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20
6.10 Flowmeters Concentrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
6.11 High Pressure Regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-23
6.12 Low O2 Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
6.13 Oxygen Supply Failure Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
6.14 Pressure Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
6.15 Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-27
6.16 Bellows Adult . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28
6.17 Bellows Pediatric External . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-29
6.18 Bellows Pediatric Internal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-30
6.19 Open Reservoir Scavenger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-31
6.20 A/C Scavenger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-33
6.21 Bag Scavenger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-34
6.22 Suction Regulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36
6.23 Manual Sphygmomanometer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36
6.24 Final Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-36
ii Narkomed GS Setup and Installation Manual Draeger Medical, Inc.
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1
Introduction
Section contents:
Introduction.......................................................................... 1-2
Warnings ............................................................................. 1-2
Cautions .............................................................................. 1-2
Notes ................................................................................... 1-2
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1
Introduction
Introduction This manual provides instructions for moving, setting up, testing, and
maintaining a Narkomed GS anesthesia machine.
• Moving the Machine—Section 2 shows how to move the
machine safely.
• Setup and Installation—The following sections explain how
to set up and install the anesthesia machine. The setup and
installation must be performed by, or under the supervision of,
an authorized representative of DrägerService.
– Section 3 outlines installation of the breathing circuit components,
sensors, and optional equipment such as vaporizers, scavenger
systems, and second shelf.
– Section 4 explains how to connect the gas supplies to the machine
and notes the precautions to be observed when making those
connections.
Warnings,
Cautions,
and Notes
– Section 5 provides instructions for connecting the anesthesia
machine to electrical power and verifying correct power-up.
• Tes t P ro ced u re—Section 6 contains instructions for testing
the machine, using the Periodic Manufacturer's Certification
(PMC) procedure. The machine must be tested following setup
and installation. The test procedure must be performed by, or
under the direct supervision of, an authorized representative of
DrägerService.
NOTE: The PMC procedure must also be performed periodically to
ensure that the machine is ready for service.
Refer to the Operator's Manual for cleaning and routine maintenance
procedures.
This manual contains warning, caution, and note statements. Each type of
statement has a specific interpretation.
• Warnings—Give important information that, if ignored, could
result in personal injury.
• Cautions—Give important information that, if ignored could
lead directly to equipment damage and, indirectly, to a patient's
injury.
• Notes—Clarify information that may not be readily obvious,
such as a secondary cause and effect.
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2
Moving the Narkomed GS
Section contents:
Getting the Machine Ready to Move ................................... 2-2
Moving the Machine ............................................................ 2-2
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Moving the Narkomed GS
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Getting the
Machine
Ready to
Move
Moving the
Machine
Prepare the machine so that it can be moved safely:
• unplug the power cord
• retract the boom arm
• disconnect all external hoses
• remove all external monitors and equipment
• remove the absorber system
Perform the following steps to move the anesthesia machine.
WARNING: The anesthesia machine should only be moved by people who
are physically capable of handling its weight. Draeger
Medical recommends that two people move the anesthesia
machine to aid in maneuverability. Exercise special care so
that the machine does not tip when moving up or down
inclines, around corners, and across thresholds (for example,
in door frames and elevators). Do not attempt to pull the
machine over any hoses, cords, or other obstacles on the floor.
1. Unlock the front casters by stepping on their locking levers. Do not
attempt to move the machine while the casters are locked.
2. Using only the handle or push/pull bar shown in the illustration, move
the machine.
Do not push or pull the anesthesia machine using the absorber system,
vaporizers, ventilator bellows, cord wrap, or boom arm.
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Moving the Narkomed GS
2
HANDLE
CASTER
LOCKING
LEVERS
PUSH/PULL
BAR (OPTIONAL)
SU87026
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3
Setup and Installation
Section contents:
Setup Checklist.................................................................... 3-2
Installing the Absorber Swivel Arm Stop Pin ....................... 3-3
Installing the Vaporizers (Fixed Mount) ............................... 3-4
Installing the Vaporizers (Removeable Mount) .................... 3-5
Filling the Vaporizer ............................................................. 3-7
Handling the Vaporizer ........................................................ 3-7
Installing the Absorber System ............................................ 3-7
Installing the Breathing Pressure Pilot Line ....................... 3-10
Installing the Auto-Bag Sensor Cord ................................. 3-12
Installing the Oxygen Sensor............................................. 3-13
Installing the Ultrasonic Flow Sensor................................. 3-14
Installing the Bain Circuit Adapter ..................................... 3-15
Installing the Fresh Gas Oxygen Sensor ........................... 3-18
Connecting the Open Reservoir Scavenger System ......... 3-19
Connecting the Scavenger Interface for Passive Systems 3-20
Installing the Patient Line Boom Arm ................................ 3-22
Installing the Manual Sphygmomanometer Gauge............ 3-23
Installing the Second Shelf................................................ 3-25
Installing the Shelf Extender .............................................. 3-27
Installing the Outlet Strip ................................................... 3-29
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Setup and Installation
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Setup
Checklist
Following is a checklist for the initial setup of a Narkomed GS Anesthesia
Machine. This setup must be performed by or under the direct supervision
of an authorized representative of DrägerService. Items 1 through 16 are
described in this section; items 17 through 19 are outlined in subsequent
sections.
1. Install the absorber swivel arm stop pin
2. Install the vaporizers (optional)
3. Install the absorber system (optional)
4. Install the breathing pressure pilot line
5. Install the AUTO/BAG sensor cord
6. Install the oxygen sensor
7. Install the ultrasonic flow sensor
8. Install the Bain Circuit adapter (optional)
9. Install the fresh gas oxygen sensor adapter (optional)
10. Connect the open reservoir scavenger system (optional)
11. Connect the passive scavenger system (optional)
12. Install the patient line boom arm (optional)
13. Install the manual sphygmomanometer gauge (optional)
14. Install the second shelf (optional)
15. Install the shelf extender (optional)
16. Install the outlet strip (optional)
17. Connect the gas supplies
18. Connect the machine to electrical power
19. Perform a Periodic Manufacturer's Certification (PMC) procedure. This
procedure must be performed by an authorized representative of
DrägerService as part of the initial setup.
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Installing the
Absorber
Swivel Arm
Stop Pin
Setup and Installation
3
Install the stop pin as follows:
1. Locate the roll pin supplied in the drawer of the machine.
2. Rotate the swivel arm so that the hole near the bottom of the arm faces
the back of the machine.
3. Hammer the pin into the hole until it is flush with the swivel arm.
SWIVEL ARM
Selecting the
Vaporizer
Order
(Fixed Vapor
Mount
System)
PIN
SU00606
You must install the vaporizers in the following order, as viewed from the
front of the machine, unless otherwise specified by the customer:
Left position: Halothane
Center position: Enflurane
Right position: Isoflurane (or desflurane)
NOTE: To install a TEC 6 desflurane vaporizer, see Service Procedure
SP00091.
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Setup and Installation
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Installing the
Vaporizers
(Fixed Vapor
Mount
System)
The following procedure applies to the fixed vapor mount system used on
2-vaporizer and 3-vaporizer machines, for Dräger 19.1 vaporizers.
If your machine is equipped with a removable vaporizer system, skip to the
next procedure.
Install each vaporizer as follows:
1. Remove the back cover from the vaporizer exclusion system.
2. Remove the vaporizer from its shipping container.
3. Remove the tape from the back of the vaporizer. Verify that the
vaporizer's O-rings are present at the inlet and outlet ports.
4. Unscrew the plastic plates that are mounted over the vapor ports. Save
the screws that you remove.
5. Using the saved screws from the previous step, secure the vaporizer to
the appropriate location on the manifold (see “Selecting the Vaporizer
Order” above), and tighten the screws.
WARNING: Use only the screws from the plastic plates.
6. When all vaporizers are installed, test the exclusion system for proper
operation. If adjustment is needed, refer to the Narkomed GS Service
Manual. Reinstall the back cover.
COVER SCREWS
AND
WASHERS (4X)
BACK
COVER
VAPORIZER
MOUNTING SCREWS (2X)
MANIFOLD
O-RINGS
SU00109
VAPORIZER
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Installing the
Vaporizers
(Removable
Vapor Mount
System)
Setup and Installation
3
The removable vapor mount system will accommodate Dräger 19.3 and
Dräger 2000 vaporizers.
If the customer does not specify the vaporizer positions, install the
vaporizers in the following order, as viewed from the front of the machine:
Left position: Halothane
Right position: Isoflurane
Install the vaporizers as follows:
1. Examine the ports on the vaporizer manifold and verify that each port
has an O-ring.
2. Move the selector lever to the right.
3. Place the vaporizer down over the left manifold ports, and turn its
locking lever 90
° clockwise to secure the vaporizer to the manifold.
4. Move the selector lever to the left.
5. Place the second vaporizer down over the right manifold ports, and
turn its locking lever 90
° clockwise to secure the vaporizer to the
manifold.
6. Test the interlock for proper operation. Verify that only one vaporizer
at a time can be turned on. Return all vaporizers to their Zero position
at completion of the test.
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R
G
D
Setup and Installation
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LOCKING
LEVER
O-RINGS
VAPORIZE
MOUNTIN
MANIFOL
REMOVABLE VAPORIZER
MOUNTING ARRANGEMENT
(TOP VIEW)
SU00114
SELECTOR LEVER
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Filling a
Vaporizer
Handling the
Vaporizer
Installing the
Absorber
System
Setup and Installation
3
See the appropriate separate manual, supplied with vaporizers available
for use with the Narkomed 6000.
If a vaporizer is dropped during handling, or if its handwheel exhibits a
lack of resistance (spins freely), or if a gas analyzer maintains a zero
reading after the handwheel has been turned to a labeled concentration,
do not use the vaporizer. Return the vaporizer to DrägerService.
Install the absorber system as described below. This installation procedure
presumes the use of an appropriate scavenger system.
WARNING:The Narkomed GS's patient breathing system must not be
used in conjunction with any additional components that
establish a flow direction.
WARNING:Hoses and bags attached to the 22 mm hose terminals of the
inspiratory valve, expiratory valve, ventilator hose
connection, and breathing bag mount must comply with
current ANSI standards.
1. Place the absorber mounting stud into the top of the absorber pole.
2. Tighten the set screw on the absorber pole to lock the absorber in place.
WARNING:Do not pinch or kink the fresh gas hose leading from the fresh
gas common outlet to the absorber.
3. Pull out the fresh gas locking bar, located on the front of the Narkomed
GS, to its extended position. Insert the 15 mm male fitting on the fresh
gas hose axially into the 15 mm female terminal. Release the springloaded locking bar over the fitting, allowing it to “lock” the fitting into
place.
WARNING:To prevent leaks and misdirection of gas pathways, all hoses
should be correctly and tightly fitted, as shown in the
illustrations. Take special care to attach all 19 mm hoses to
the proper 19 mm connectors. Possible machine malfunction
and harm to the patient could occur if the scavenger hoses are
attached to any 22 mm connection.
4. Attach a 22 mm breathing hose between the ventilator bellows 22 mm
terminal marked VENTILATOR HOSE, and the 22 mm terminal on
the rear of the manual/automatic selector valve marked VENTILATOR
HOSE.
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Setup and Installation
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5. Attach a 22 mm breathing hose betwen the 22 mm hose terminal on
the inspiratory valve marked INSPIRATION, and one side of the
Y-piece.
WARNING:To ensure proper gas flow direction during inspiration and
expiration, the disks in the inspiratory and expiratory valves
must move freely, without sticking.
6. Attach a 22 mm breathing hose between the other side of the Y-piece
and the expiratory hose terminal on the ultrasonic flow sensor.
7. Attach the breathing bag to the swivel bag mount 22 mm terminal
marked BREATHING BAG.
ULTRASONIC
FLOW SENSOR
W/22MM BREATHING
HOSE TERMINAL
INSPIRATORY
VALVE W/22MM
BREATHING
HOSE TERMINAL
22MM
BREATHING
HOSES
(P/N 9995132)
ABSORBER
ABSORBER
MOUNTING
STUD
EXPIRATORY
VALVE
APL VALVE W/19MM
SCAVENGER HOSE
TERMINAL
19MM SCAVENGER
HOSE
MANUAL/AUTOMATIC
SELECTOR VALVE
W/22MM HOSE TERMINAL
LOCKING DEVICE
W/15MM FEMALE
FRESHGAS HOSE
(P/N 9995230)
TO SCAVENGER
SET SCREW
(P/N HW10002)
FRESHGAS
FITTING
W/15MM MALE
FITTING
Y-PIECE
SWIVEL BAG MOUNT W/22MM
BREATHING BAG TERMINAL
SU14718B
3-8 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.
BREATHING BAG
ABSORBER POLE
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Setup and Installation
WARNING:The breathing bag acts as a pressure limiting device during
manually assisted and spontaneous ventilation. Therefore,
breathing bags used with the Absorber system must comply
with the pressure/volume requirements of current ANSI
standards. A bag that has been stretched may have
drastically altered compliance characteristics, and altered
conductivity in the case of conductive bags.
8. Connect the 19 mm scavenger hose between the 19 mm terminal
marked SCAVENGER HOSE on the rear of the APL valve and the
19 mm terminal marked SCAVENGER HOSE on the scavenger.
VENTILATOR BELLOWS
W/22MM VENTILATOR
HOSE TERMINAL
SU98101B
APL
VALVE
PRESSURE
SENSING PORT
QUICK-CONNECT
FITTING
OXYGEN
SENSOR
3
VENTILATOR
22MM
BREATHING
HOSE
19MM
SCAVENGER
HOSE
TO SCAVENGER
ULTRASONIC
FLOW SENSOR
ABSORBER POLE
Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-9
3
Setup and Installation
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Installing the
Breathing
Pressure
Pilot Line
For Absorber
Monitoring
Draeger Medical anesthesia systems are supplied with two breathing
pressure pilot lines:
• A short line for breathing pressure monitoring at the absorber
• A long line for breathing pressure monitoring at the Y-piece
For breathing pressure monitoring at the absorber, install the short pilot
line (which has quick-connect fittings on both ends) as follows:
1. Connect one end of the pilot line to the fitting mounted on the rear of
the pipe extending from the absorber top assembly.
2. Connect the other end of the pilot line to the BREATHING PRESSURE
interface underneath the rear panel of the ventilator box.
REAR PANEL OF
VENTILATOR BOX
VOLUME
SENSOR
2
OXYGEN
SENSOR
BREATHING
PRESSURE
AUTO/BAG
SELECTOR
QUICK-CONNECT
FITTINGS
SHORT
PILOT LINE
(P/N 4109368)
SU00603A
ABSORBER
TOP ASSEMBLY
3-10 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.
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For Y-piece
Monitoring
Setup and Installation
3
For breathing pressure monitoring at the patient Y-piece, install the long
pilot line (which has a quick-connect fitting on one end and a Luer type
fitting on the other end) as follows:
1. Connect the quick-connect fitting on the pilot line to the BREATHING
PRESSURE interface underneath the rear panel of the ventilator box.
NOTE: The quick-connect fitting on the absorber is self-closing. You can
leave it unused when installing the long pilot line for
Y-piece monitoring.
2. Connect the Luer fitting on the other end of the pilot line to a Luer
fitting on either the patient Y-piece or a 15 mm adapter on the patient
side of the Y-piece.
3. Using the four plastic hose clips attached to the pilot line, mount the
pilot line on either of the breathing hoses leading to the Y-piece.
PILOT LINE
(P/N 4108528)
REAR PANEL OF
VENTILATOR BOX
LONG
VOLUME
SENSOR
MALE
LUER-LOCK
FITTING
2
OXYGEN
BREATHING
SENSOR
PRESSURE
PLASTIC
HOSE CLIPS
AUTO/BAG
SELECTOR
QUICK-CONNECT
FITTING
SU00604A
Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-11
3
Setup and Installation
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Installing the
AUTO/BAG
Sensor Cord
1. Push the manual/automatic selector sensor into the underside of the
manual/automatic selector valve housing until it snaps into place. Note
that the sensor is keyed and only fits into the housing one way.
2. Align the key on the sensor cord connector with the keyway on the
AUTO/BAG SELECTOR interface underneath the ventilator box. Then
push the connector in until it snaps into place.
REAR PANEL OF
VENTILATOR BOX
SU00602
VOLUME
SENSOR
SENSOR CORD
CONNECTOR
2
OXYGEN
SENSOR
BREATHING
PRESSURE
AUTO/BAG
SELECTOR
INTERFACE
CABLE
MANUAL/
AUTOMATIC
SELECTOR
VALVE
MANUAL/
AUTOMATIC
SELECTOR
SENSOR
3-12 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.
Y
Y
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Installing the
Oxygen
Sensor
Setup and Installation
3
1. Remove the inspiratory valve dome plug from the inspiratory valve
dome.
2. Insert the sensor cord connector into the OXYGEN SENSOR interface
underneath the rear panel of the ventilator box.
3. Remove any protective covering from the sensor housing.
4. Perform an oxygen sensor calibration as described in “Operation Oxygen Monitoring” in the
Narkomed GS Operator's Manual.
5. Insert the sensor assembly into the inspiratory valve dome by pressing
it into place.
SENSOR
REAR PANEL OF
VENTILATOR BOX
HOUSING
VOLUME
SENSOR
2
OXYGEN
SENSOR
BREATHING
AUTO/BAG
PRESSURE
SELECTOR
SENSOR
CORD
CONNECTOR
INSPIRATOR
VALVE DOME
INSPIRATOR
VALVE DOME
PLUG
(P/N 4106387)
SU00601
Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-13
3
Setup and Installation
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Installing the
Ultrasonic
Flow Sensor
1. Slide the flow sensor down onto the bracket attached to the expiratory
valve mount.
2. Install the connector hose on the threaded port of the flow sensor, and
join the other end of the hose to the expiratory valve. Ensure that the
expiratory valve is oriented as shown in the illustration below.
3. Connect the sensor plug to the VOLUME SENSOR interface on the
rear panel of the ventilator box.
2
SENSOR
PLUG
ULTRASONIC
FLOW SENSOR
CONNECTOR
HOSE
EXPIRATORY
HOSE TERMINAL
FLOW SENSOR
BRACKET
EXPIRATORY VALVE
ABSORBER
ASSEMBLY
SU00009A
3-14 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.
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Installing the
Bain Circuit
Adapter
(Optional)
Absorber
Mount
Setup and Installation
3
Two types of Bain circuit adapters are available. One mounts to the
absorber; the other mounts to the pole.
To install the absorber-mounted Bain Circuit Adapter, slip the mounting
bracket of the Bain Circuit Adapter down over the slide mount on the
absorber assembly (on the block below the APL valve).
WARNING:To avoid confusion between hose terminals on the absorber
system and the Bain Circuit Adapter, always remove the Bain
Circuit Adapter from the absorber mount when the Bain
Circuit Adapter is not in use.
TO BREATHING
PRESSURE MONITOR
INTERFACE PANEL
APL VALVE
TO 19MM HOSE TERMINAL
ON SCAVENGER
OXYGEN
SENSOR
22MM
M/15MM F
EXPIRATION
TERMINAL
BAIN
CIRCUIT
BAIN CIRCUIT
HOSE BARB FOR
FRESH GAS HOSE
ABSORBER
APL VALVE
BAIN CIRCUIT
ADAPTER
BREATHING
BAG
SU14730A
Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-15
FRESH GAS
OUTLET
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3
Setup and Installation
Pole Mount The Bain Circuit Adapter that mounts on the absorber pole may be
supplied with an optional positive end-expiratory pressure (PEEP) valve.
To install a pole-mounted Bain Circuit Adapter, with or without a PEEP
valve:
1. Loosen the set screw on the absorber pole and remove the absorber
system (if the machine is so equipped).
2. Slip the Bain Circuit Adapter mounting stud into the absorber pole.
3. Tighten the set screw on the absorber pole to lock the Bain Circuit
Adapter in place.
BREATHING
PRESSURE
PILOT LINE
BAIN
CIRCUIT
BAIN
CIRCUIT
HOSE BARB
FOR FRESH
GAS HOSE
MOUNTING
STUD
OXYGEN
SENSOR
19 MM SCAVENGER HOSE
(P/N 9995230)
(CONNECTS TO 19MM
TERMINAL ON SCAVENGER)
22MM HOSE
(P/N 9995123)
(CONNECTS TO
VENTILATOR HOSE
TERMINAL ON
VENTILATOR
BELLOWS ASSEMBLY)
SET SCREW
FRESH GAS
COMMON
OUTLET
BREATHING
FRESH GAS
HOSE
SU14719A
3-16 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.
BAG MOUNT
BREATHING BAG
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Bain Circuit
Oxygen
Sensor
Installation
Setup and Installation
3
1. Insert the oxygen sensor into the port adjacent to the expiratory
terminal. When the port is not in use, close it with the provided plug.
Insert the sensor cable into the OXYGEN SENSOR interface as
described earlier in this section.
WARNING:A functioning oxygen analyzer must always be used with the
Bain Circuit Adapter.
2. Connect the breathing pressure pilot line to the quick-connect fitting
on the bain circuit adapter. Insert the other end of the pilot line into
the BREATHING PRESSURE interface as described earlier in this
section.
WARNING:A functioning breathing pressure monitor must always be
used with the Bain Circuit Adapter.
3. Bain Circuit ConnectionsInstall the breathing bag onto the terminal
labeled BREATHING BAG.
WARNING:Breathing bags attached to the Bain Circuit Adapter's 22 mm
terminals must comply with current ANSI standards.
4. Connect the 19 mm scavenger hose between the 19 mm terminal at the
rear of the APL valve marked SCAVENGER HOSE and the 19 mm
terminal on scavenger.
5. If applicable, connect a 22 mm hose between the terminal on the rear of
the manual/automatic selector valve, and the VENTILATOR HOSE
terminal on the bottom of the ventilator bellows assembly.
WARNING:Hoses connected to the Bain Circuit Adapter terminals must
comply with current ANSI standards.
6. Connect the Bain Circuit to the 22 mm male/15 mm female terminal on
the Bain Circuit Adapter marked EXPIRATION.
7. Connect the fresh gas hose between the fresh gas outlet on the
Narkomed GS, and the hose barb fitting on the Bain Circuit (inner
tube connection).
8. Set the APL valve fully open, set the PEEP valve (if supplied) at
minimum, and set the Man/Auto selector to BAG.
WARNING:The fresh gas hose must not be pinched or kinked.
Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-17
3
Setup and Installation
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Installing the
Fresh Gas
Oxygen
Sensor
Adapter
(Optional)
1. Hold the locking bar on the anesthesia machine's fresh gas outlet in
the extended position.
2. With the oxygen sensor port facing up, slide the notched portion of the
adapter stem into the retaining slot of the locking bar, so that the
adapter's 15 mm male fitting faces the anesthesia machine's fresh gas
outlet.
3. Release the locking bar, guiding the adapter's 15 mm male fitting into
the fresh gas outlet of the anesthesia machine.
4. Insert the oxygen sensor into the port on top of the adapter.
WARNING:If the oxygen sensor is removed, the oxygen sensor port must
be closed with the oxygen sensor port plug.
5. Attach the non-rebreathing circuit fresh gas hose to the adapter's
barbed fitting. (For non-rebreathing circuits equipped with a 15 mm
fresh gas connector, cut off the connector and press the hose onto the
barbed fitting of the adapter.)
FRESH GAS
OUTLET
OXYGEN
SENSOR
15MM MALE
FITTING
ADAPTER
STEM
OXYGEN
SENSOR PLUG
SU20997
FRESH GAS
LOCKING BAR
(EXTENDED POSITION)
OXYGEN SENSOR PORT
FRESH GAS HOSE
BARBED FITTING FOR
NON-REBREATHING
GAS CIRCUIT
3-18 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.
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