NORTH AMERICAN DRÄGER Drager Narkomed GS User manual

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Setup and

Installation

Manual

Part Number: 4113852-006

Date: 25 February 2004

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

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Introduction

Section contents:

Introduction.......................................................................... 1-2

Warnings ............................................................................. 1-2

Cautions .............................................................................. 1-2

Notes ................................................................................... 1-2

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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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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

HANDLE

CASTER LOCKING LEVERS

PUSH/PULL

BAR (OPTIONAL)

SU87026

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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

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)

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

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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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

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

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

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

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

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

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

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

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.

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Installing the Oxygen Sensor

Setup and Installation

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

OXYGEN SENSOR

BREATHING

AUTO/BAG

PRESSURE

SELECTOR

SENSOR

CORD

CONNECTOR

INSPIRATOR VALVE DOME

PLUG

(P/N 4106387)

SU00601

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-13

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.

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

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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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

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

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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Connecting the Open Reservoir Scavenger System (Optional)

Setup and Installation

The Open Reservoir Scavenger is installed on the Narkomed GS before shipping. The scavenger hose connections are described below.

CAUTION: Take special care not to accidentally force 19 mm scavenger

hoses over 22 mm breathing hose terminals. Carefully follow the hose connection instructions for installing the scavenger and the absorber.

1. Connect a 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 right side of the scavenger.

WARNING:The 19 mm scavenger hose leading from the absorber must

not be pinched, kinked, or blocked in any manner.

VENTILATOR RELIEF VALVE 19MM SCAVENGER HOSE TERMINAL

APL VALVE

19MM SCAVENGER HOSE

(P/N 9995230)

19MM SCAVENGER HOSE TERMINAL

OPEN RESERVOIR SCAVENGER

ABSORBER

POLE

SU14716B

19MM SCAVENGER

HOSE

(P/N 9995230)

VACUUM TERMINAL

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-19

Setup and Installation

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2. Connect another 19 mm scavenger hose between the 19 mm terminal (marked SCAVENGER HOSE) on the ventilator relief valve and the 19 mm terminal (marked SCAVENGER HOSE) on the left side of the scavenger.

WARNING:The 19 mm scavenger hose leading from the ventilator relief

valve must not be pinched, kinked, or blocked in any manner.

3. Connect a wall suction hose between the wall suction outlet and the suction terminal (DISS fitting or hose barb with adapter) on the scavenger.

Connecting the Scavenger Interface for Passive Systems (Optional)

The Scavenger Interface for Passive Systems is installed on the Narkomed GS before shipping. The scavenger hose connections are described below.

CAUTION: Take special care not to accidentally force 19 mm scavenger

hoses over 22 mm breathing hose terminals. Carefully follow the hose connection instructions for installing the scavenger and the absorber.

1. Connect a 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 right side of the scavenger.

WARNING:The 19 mm scavenger hose leading from the absorber must

not be pinched, kinked, or blocked in any manner.

WARNING:The 19 mm scavenger hose leading from the ventilator relief

valve must not be pinched, kinked, or blocked in any manner.

3-20 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.

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VENTILATOR RELIEF VALVE 19MM SCAVENGER HOSE TERMINAL

APL VALVE

19MM SCAVENGER

HOSE

(P/N 9995230)

Setup and Installation

ABSORBER POLE

SCAVENGER INTERFACE FOR NON-ACTIVE SYSTEMS

19MM SCAVENGER

HOSE

(P/N 9995230)

SU14717B

TO HOSPITAL

EXHAUST SYSTEM

NOTE: If only one of the 19 mm hose terminals will be used, the unused

terminal should be capped with the provided input port cap.

3. Connect another 19 mm scavenger hose between the 19 mm terminal labeled EXHAUST (on the bottom of the scavenger) and the hospital exhaust system grill adapter.

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-21

Setup and Installation

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Installing the Patient Line Boom Arm (Optional)

1. 1.Assemble the patient line boom arm and support plate as illustrated, with two

d-24 x 2¾ in. flat head socket screws.

2. 2.Position the assembly at the left side of the machine, and attach the support plate to the machine with four ¼-20 x

f in. button head socket

screws and lock washers. If the machine was ordered with a manual sphygmomanometer, use a ¼-20 x

d in. button head socket screw

through the gauge mount at the lower front corner of the support plate.

3. 3.Install two ¼-20 x 1¾ in socket head cap screws through the patient line boom arm block and support plate into the machine.

PATIENT LINE BOOM ARM

3/8-24 X 2 3/4 IN.

FLAT HEAD

SOCKET SCREW (2X) 1/4 - 20 X 3/4 IN. SOCKET HEAD CAP SCREW (2X)

SU87030

AND LOCK WASHER (4X)

3-22 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.

SUPPORT PLATE

1/4-20 X 7/8 IN. BUTTON

HEAD SOCKET SCREW

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Installing the Manual Sphygmomanometer Gauge (optional)

Setup and Installation

1. Remove the protective cap covering the threads of the gauge mount, located at the boom arm support plate on the left side of the anesthesia machine.

2. Screw the manual sphygmomanometer gauge mounting ring tightly onto the gauge mount, oriented with the gauge facing forward.

GAUGE MOUNT

THREADED

MOUNTING

RING

MANUAL

SPHYGMOMANOMETER

GAUGE

SU87032

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-23

Setup and Installation

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3. Connect the gauge hose to the BP GAUGE fitting on the interface panel.

4. Connect the cuff extension hose to the BP CUFF fitting on the interface panel. Connect the other end of the cuff extension hose to a blood pressure cuff. Refer to the Narkomed GS Operator's Instruction Manual for selecting the correct size blood pressure cuff.

5. Connect an inflation bulb to the female luer fitting labeled BP BULB on the front of the machine.

THREADED HOSE FITTINGS

FOR GAUGE AND CUFF

SU00605

BP CUFF

INTERNAL PIPING CONNECTS BULB FITTING TO GAUGE AND CUFF FITTING

O2 FLUSH

SPHYGMOMANOMETER

GAUGE

FEMALE LUER FITTING

(SLIP-FIT) FOR CUFF

INFLATION BULB

FRONT OF FRAMEHANDLE

3-24 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.

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Installing the Second Shelf (Optional)

Setup and Installation

Several height configurations (distance between the top of the ventilator box and the second shelf) are possible.

1. Select the desired height configuration and install the second shelf assembly as illustrated.

For the 3 ½ in. and 6 ¼ in. configurations, the second shelf assembly is installed directly to the machine.

For the 9 in., 11 ¾ in., and 14 ½ in. configurations, two extender brackets must be used.

SHELF ASSEMBLY

(4) 1" LG BUTTON HEAD

CAP SCREW

3 1/2"

6 1/4"

3 1/2" HEIGHT CONFIGURATION

(4) 1" LG BUTTON HEAD

CAP SCREW

SU87029

6 1/4" HEIGHT CONFIGURATION

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-25

Setup and Installation

(4) ACORN NUT

(4) SPLIT LOCK WASHER

(4) FLAT WASHER

(4) HEX HEAD SCREW

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(4) ACORN NUT

(4) SPLIT LOCK WASHER

(4) FLAT WASHER

(4) HEX HEAD SCREW

9 "

(2) EXTENDER BRACKET

(4) 1" LG BUTTON HEAD CAP SCREW

9" HEIGHT CONFIGURATION

(4) HEX HEAD SCREW

11 3/4"

(2) EXTENDER BRACKET

(4) 1" LG BUTTON HEAD CAP SCREW

11 3/4" HEIGHT CONFIGURATION

(4) FLAT WASHER

(4) SPLIT LOCK

WASHER

14 1/2"

(4) ACORN NUT

(2) EXTENDER BRACKET

(4) 1" LG BUTTON HEAD CAP SCREW

SU87028

3-26 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.

14 1/2" HEIGHT CONFIGURATION

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Installing the Shelf Extender (Optional)

Setup and Installation

The shelf extender can be installed with several machine configurations, as shown in the accompanying illustrations.

1. Remove the clip board hook from the right side of the vapor box, and remove the vapor box push/pull bar if the machine is so equipped.

2. Position the shelf extender at the right side of the machine and attach the extender to the ventilator box with two 8-32 x screws, and one 5/16-24 x

e in. button head screw.

d in. button head

3. Reinstall the clip board hook with two 10-32 x ½ in. button head screws.

4. If the machine is equipped with a vapor box push/pull bar, reinstall the bar with four 10-32 x

f in. socket head cap screws.

If the machine is not equipped with a vapor box push/pull bar, install 10-32 x ½ in. button head screws at these four locations.

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-27

Setup and Installation

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SU87027

SHELF EXTENDER

CLIP BOARD HOOK

(2)SCREW-BUTTON

HD SKT

8-32 X 3/8 SS BO

(1)SCREW-BUTTON

HD SKT

5/16-24 X 5/8 SS BO

(6)SCREW-BUTTON

HD SKT

10-32 X 1/2 SS BO

CONFIGURATION WITHOUT PUSH/PULL BAR

(2)SCREW-BUTTON HD SKT

8-32 X 3/8 SS BO

SHELF EXTENDER

CLIP BOARD HOOK

PUSH/ PULL BAR

(1)SCREW-BUTTON

HD SKT

5/16-24 X 5/8 SS BO

(2)SCREW-BUTTON

HD SKT

10-32 X 1/2 SS BO

(4)SCREW-CAP

SKT HD

10-32 X 7/8 SS

CONFIGURATION WITH PUSH/PULL BAR

3-28 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.

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Installing the Outlet Strip (Optional)

Setup and Installation

1. Fasten the two outlet strip mounting clips to the vapor box bottom access plate with 8-32 x ¼ in. pan head screws.

2. Slide the outlet strip onto the mounting clips. Be sure that the clips engage both mounting rails on the outlet strip housing.

3. Connect the outlet strip power cord to a hospital grade outlet only. DO NOT connect the power cord to the convenience receptacles on the anesthesia machine.

REAR VIEW OF

ANESTHESIA MACHINE

WHEN USING THIS OUTLET STRIP....

SU87031

MOUNTING

CLIP (2X)

MOUNTING

SCREW (2X)

(P/N HW02014)

OUTLET

STRIP

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 3-29

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Gas Supply Connections

Section contents:

Gas Supply Connections ..................................................... 4-2

Connecting the Cylinders .................................................... 4-3

Connecting the Pipelines..................................................... 4-4

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual

Gas Supply Connections

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Gas Supply Connections

The gas supply connections on the anesthesia machine are shown in the following illustration. Details of the cylinder yokes and pipeline connections are given in the following pages.

SU87024

PIPELINE

SUPPLY

GAS FITTINGS

N2O YOKES

YOKE

3RD GAS YOKE

Color Coding Each connection, valve, gauge, and flowmeter is labeled and color-coded for

the appropriate gas. Color codes for the USA, ISO, and Germany are shown in the following table.

GAS SYSTEM COLOR CODING

GAS MARKING USA ISO GERMANY

Air AIR Yellow

Carbon Dioxide CO

Nitrous Oxide N

Oxygen O

O Blue Blue Gray

Gray Gray Black

Green White Blue

Black/White Checkered

Yello w

4-2 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.

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Connecting the Cylinders

Gas Supply Connections

The Narkomed GS is equipped with ANSI standard pin-indexed hanger yokes for E-size gas cylinders.

WARNING:Oil and grease may combine explosively with oxygen or

nitrous oxide. For this reason, oil and grease must never come in contact with pipelines, cylinders, cylinder valves, gauges, fittings, etc., which conduct oxygen or nitrous oxide within the machine. For further information regarding safety precautions in the use of medical gases, consult Compressed Gas Association pamphlet P-2 and appropriate sections of National Fire Protection Association Standard 99.

Attach cylinders as follows:

1. Place a new washer on the seat of the yoke gas inlet connection.

WARNING:Use only one cylinder washer per yoke. Using more than one

washer could cause leakage of the cylinder gas and compromise the pin indexing system.

2. Verify the presence and integrity of the two index pins below the gas inlet.

WARNING:Check cylinder yokes for the presence of two index pins each

time a cylinder is attached to the machine.

3. Insert the head of a gas cylinder with matching gas into the yoke from below, so that the gas outlet and indexing holes on the cylinder head are facing the gas inlet and indexing pins on the yoke. (See the “Gas System Color Coding” table at the beginning of this section.)

4. Engage the indexing holes with the index pins. Screw the yoke handle clockwise against the cylinder head, so that the point of the yoke handle bolt is aligned with the countersunk recess on the back of the cylinder head.

5. Verify that the sealing washer is in place, that the index pins are engaged, and that the cylinder hangs vertically. Tighten the handle securely.

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 4-3

Gas Supply Connections

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Connecting the Pipelines

YOKE HANDLE BOLT

YOKE PLUG

YOKE HANDLE

CYLINDER WRENCH

SU20035A

YOKE

ASSEMBLY

INDEX

PINS

GAS CYLINDER

(COLOR CODED)

GAS

INLET

CYLINDER

VALVE

SEALING WASHER

CYLINDER

HEAD

Pipeline connections for oxygen, nitrous oxide and an optional third gas are located on the side of the flowmeter housing. The pipeline inlets are marked with color-coded labels for each gas. (See the “Gas System Color Coding” table at the beginning of this section.)

WARNING:Oil and grease may combine explosively with oxygen or

4-4 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.

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Connect the pipeline supply hoses as follows:

Gas Supply Connections

1. Verify that the hoses have the correct gas fittings. Connect the gas fitting on each supply hose to the corresponding gas fitting on the side of the flowmeter housing. Use a wrench to tighten the hex nut.

WARNING:Both ends of each gas supply hose must be indexed for the

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

2. Connect the other end of each supply hose to the appropriate functioning hospital pipeline outlet.

3. Check the pipeline pressure gauge on the front of the Narkomed GS for sufficient pipeline pressure (50-55 psi).

DISS BODY OPTIONNIST OPTION

DISS NUT

OPTION

O2 NIST

GAS FITTING

AIR NIST

GAS FITTING

N2O NIST

GAS FITTING

O2 DISS BODY

GAS FITTING

AIR DISS BODY

GAS FITTING

N2O DISS BODY

GAS FITTING

O2 DISS NUT GAS FITTING

AIR DISS NUT GAS FITTING

N2O DISS NUT GAS FITTING

SU14700

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 4-5

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Power-up and System Configuration

Section contents:

Connecting the Narkomed GS to Electrical Power .............. 5-2

Power-Up Diagnostics Test.................................................. 5-3

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual

Electrical Connections and Power-Up

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Connecting the

Narkomed GS

to Electrical Power

Narkomed GS machines wired for 120 VAC primary electrical power are equipped with a power cord and a hospital grade plug. Machines wired for 220 - 240 VAC primary electrical power are supplied without a cord connector; a 2-pole, 3-wire, grounding connector, approved by national and/or local authorities to be compliant with electrical code for this usage must be installed on the cord by a qualified electrician.

Connect the Narkomed GS to electrical power as follows:

1. Verify that the Narkomed GS's SYSTEM POWER switch is set to STANDBY.

2. Enable all circuit breakers by placing them in the "set" (pushed in) position.

3. Unwrap the power cord and connect its female end to the power inlet connector.

4. Plug the power cord into an active AC hospital grade outlet.

BATTERY CIRCUIT

BREAKER

SU87025

(ON UNDERSIDE

OF PANEL)

SYSTEM POWER SWITCH

CIRCUIT BREAKERS (MAIN AND CONVENIENCE OUTLETS)

5-2 Narkomed GS Setup and Installation Manual Draeger Medical, Inc.

AC POWER

CORD

POWER

INLET

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Power-Up Diagnostics Test

Electrical Connections and Power-Up

1. Power-Up Diagnostics TestTurn the Narkomed GS's System Power switch to ON. The self-diagnostic screen is displayed. A typical powerup diagnostic screen is shown in the illustration.

2. Verify that the battery-in-use (AC POWER FAIL) indicator on the main switch panel remains unlit.

3. Verify that all circuit breakers remain in the "set" (pushed in) position.

DIAGNOSTIC TESTS

FIRMWARE PASS RAM PASS VIDEO PASS A/D CONVERTER PASS AUDIO -PRIMARY PASS

-BACKUP PASS SERIAL I/O PASS CLOCK PASS NON-VOLATILE MEMORY PASS

PREVENTIVE MAINTENANCE DUE FUNCTIONAL

Draeger Medical, Inc. Narkomed GS Setup and Installation Manual 5-3

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Testing and PMC

NOTE:

The following pages in this section comprise an excerpt from the PMC

section of the corresponding service manual. Therefore any revision notices on these pages will reflect the revision level at which they occurred in the service manual, and are not related to the revision level of this setup and installation manual.

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PMC PROCEDURE

6.0 PMC PROCEDURE, NARKOMED GS

The procedures in this section shall be performed in their entirety each time a component is removed, replaced, calibrated, adjusted and during all scheduled Periodic Manufacturer’s Certification (PMC) visits. A PMC Checklist form, P/N S010211 is available from Draeger Medical, Inc. and shall be completed by the Technical Service Representative each time a PMC is performed. Steps in the procedure marked with

(9) require a response at the corresponding line on the

checklist form.

Space is also provided on the PMC checklist form to record the results of a vapor concentration test. Refer to the current Anesthesia Equipment & Monitoring System Service Information CD-ROM Service Procedures section for vapor concentration verification procedures.

NOTE: Test equipment listed below with an asterisk (*) requires calibration

at a maximum interval of one year. Verify the dates on test equipment calibration labels. DO NOT USE any test equipment having an expired calibration date. Notify your supervisor immediately if any equipment is found to be out of calibration. In the space provided at the bottom of the PMC checklist form, record the Model and ID number of all calibrated test equipment used.

In the space provided at the bottom of the PMC checklist form, record the Model and ID number of all calibrated test equipment used. Also record the calibration due dates. Examples are: multimeter, digital pressure meter, Riken gas analyzer, safety analyzer, volumeter, trace gas analyzer, simulators.

Test Equipment Required:

-- *Electrical Safety Analyzer (Biotek 501 Pro or equivalent)

-- *Pressure Gauge with DISS Adapters (P/N 4114807 or equivalent)

-- *Flowmeter 0-250 ml min. (P/N S000081 or equivalent)

-- *Volume Meter (P/N 2212300 or equivalent)

-- *Digital Pressure Manometer (SenSym PDM 200CD or Equivalent)

-- *Riken Gas Indicator (Model 18H, or 1802D or equivalent)

-- Stop Watch

-- Test Lung (P/N 8401892)

-- AC Receptacle Circuit Tester

Materials Required:

-- Spiromed Lubrication Kit (P/N 2218180)

-- Breathing Bag 3 liter (P/N 9995330 or equivalent)

-- Patient Circuit: Y-piece, elbow, 2x 32” x 22mm hoses

-- Hose 22 mm x 32” (P/N 9995132)

-- Fresh Gas Outlet Volume Test Device (P/N S010158 or equivalent)

6-1

PMC PROCEDURE (continued)

Materials Required (continued):

-- Fresh Gas Leak Test Adapter (P/N 4115041 or equivalent)

-- Volumeter/Fresh Gas Adapter (P/N 4115042)

-- Test Terminal 2x (P/N 4104389 or equivalent)

-- Breathing System Leak Test Device (P/N S010159 or equivalent)

-- PDM/Suction Adapter (P/N 4115038)

-- Scavenger Adapter (P/N 4108114)

-- NIBP w/Luer Test Adapter (P/N 4116111-001)

-- Pressure Monitor Test Adapter (P/N 4115043 or equivalent)

Key test equipment and materials illustrations are shown on following pages.

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6-2

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PMC PROCEDURE (continued)

4114807 PRESSURE TEST ASSEMBLY , WITH ADAPTERS

4114830-002 4114830-001

4114830-004 4114830-003

4114830-006 4114830-005

SP15001

6-3

PMC PROCEDURE (continued)

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900

Liter

100

S000081

FLOW METER

TEST STAND

800

700

vol/min

600

500

200

300

400

4104389

TEST TERMINAL

ADAPTER

2212300

MINUTE

VOLUMETER

8401892

SIEMENS TEST LUNG

TEST TERMINAL

SP15002

6-4

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PMC PROCEDURE (continued)

TEST TERMINAL

S010158

FRESH GAS OUTLET VOLUME TEST DEVICE

4115041

FRESH GAS

LEAK TEST DEVICE

TEST TERMINAL

S010159

BREATHING SYSTEM LEAK TEST DEVICE

4115042

VOLUMETER/

FRESH GAS HOSE

ADAPTER

SP15003

6-5

PMC PROCEDURE (continued)

AVENGER

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4115038

PDM TO PATIENT SUCTION ADAPTER

4108114

SCAVENGER ADAPTER

4110709

LUER (F) 1/8 MPT

ADAPTER FOR TOP PORT

ON CAPNOMED FLOW METER

4116111-001

NIBP W/LUER

TEST ADAPTER

4115043 PDM TO

MONITOR ADAPTER

6-6

SP15004

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PMC PROCEDURE (continued)

Periodic Manufacturer's Certification General Instructions

The purpose of this manual is to provide detailed instructions for performing a Periodic Manufacturer’s Certification (PMC) inspection on a Narkomed GS Anesthesia machine.

A PMC consists of a complete Periodic Manufacturer’s Service procedure and a certification level inspection based on Draeger Medical, Inc. Recommendations and equipment performance. Additional inspections are also performed to insure proper product labeling.

Several additional documents have been created to ensure the success of this new program. Following is a brief description of the purpose of each document.

Field Service Procedure:

Periodic Manufacturer’s Certification Forms - Part Number SP00175. This procedure illustrates sample checklists with typical periodic maintenance items filled in, including vapor concentrations verification tests, parts replaced, general comments and certification levels. Also included are sample PMC labels marked to show several levels of certifications. An excerpt from DMI’s Anesthesia System Risk Analysis and Risk Reduction is included, and also a sample of an Executive Summary to be furnished to the hospital’s Risk Manager or Chief of Anesthesia.

Field Service Procedure:

DMI Recommendations Guidelines Index Anesthesia Systems - Part Number S010250. This Guideline was created to provide an assessment of each machine’s certification. It contains various comprehensive overviews of possible equipment conditions and their associated certification levels.

The first list in the Recommendation Guidelines is a reference chart for machine certification based on equipment status. The second is an abbreviated summary of all DMI Recommendations and Failure Codes including the Condition Number, Equipment Condition, Recommended Corrections, Certification Code, and Tests Affected when applicable.

There is also a matrix classified as “Failure Codes” which identifies the correct manner in which to document equipment tests that fail, or were unable to be performed due to circumstances beyond the control of the service technician performing the inspection. (Ex: Air cylinder supply is unavailable to perform Air High Pressure Leak test.) The Failure Codes section also indicates suggested resolution of the situation. Failure Code numbers begin at 34 and use the same certification levels strategy, and carry the same weight as DMI Recommendation equipment condition codes.

The final matrix is the most comprehensive index sorted by machine model and includes Equipment Condition, Certification Code, and DMI Recommendations. It also specifies any suggested upgrade path including ordering information that should be taken such as installing a Bellows with Pressure Limit Control 4109664-S01 Kit, after market modification kit to a machine not equipped with pressure limit control.

The letters A, B, C, D and the Roman Numerals I, II are used as codes in the individual matrix for each model of anesthesia machine. The letters A, B, C, and D are used in descending order to indicate the certification level of the equipment. They are as follows:

A = Certified

B = Certified with Recommendations

C = Conditionally Certified

D = No Certification

6-7

PMC PROCEDURE (continued)

Roman Numerals I and II do not affect the certification level but rather are provided to give further instructions to the end user as follows:

I = The system in its present configuration shall only be used with a CO2 monitor incorporating an apnea warning. The operator of the system is advised to frequently scan the CO2 readings and alarm thresholds.

II =The present configuration of equipment requires that the unit operate at all times with an oxygen analyzer that includes a low oxygen warning. The operator of the system is advised to frequently scan the oxygen readings and alarm limits.

Following is an explanation of machine certification levels:

Certified- No DMI Recommendations or Failure Codes apply to machine being inspected. (Only item number 33 - “No Recommendations” shall apply for this certification level.)

Certified with Recommendations- A numbered DMI Recommendation or Failure Code with a code of B applies to the machine being examined.

Conditionally Certified- A numbered DMI Recommendation or Failure Code with a code of BCI or BCII applies to the machine being examined.

No Certification- A numbered DMI Recommendation or Failure Code with a code of D applies to the machine being examined.

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When multiple recommendations apply, “No Certification” would take precedence over “Conditionally Certified” and “Certified with Recommendations”. “Conditionally Certified” would take precedence over “Certified with Recommendations”.

For example:

A Narkomed 2B could have DMI Recommendation number 21 and Failure Code 61.1 that apply. 21 - No ventilator pressure limit control. Code is B. 61.1 - Enflurane agent is unavailable to test. Code is BC. Correct certification for this machine is BC, which means CONDITIONALLY CERTIFIED WITH RECOMMENDATIONS.

A Narkomed 4 could have DMI Recommendation numbers 14 and 21 apply. 14 - CO2/Agent monitor exhaust port is not properly connected to the waste gas scavenger. Code B. 21 - No ventilator pressure limit control. Code B. The correct certification for this machine is B, which means “CERTIFIED WITH RECOMMENDATIONS”.

A Narkomed 2B, 2C or GS could have DMI Recommendation 30 apply. 30 - Anesthesia machine is equipped with inhalation anesthesia vaporizers without an agent analyzer in the breathing system. Code B. The correct certification for this machine is B, which means “CERTIFIED WITH RECOMMENDATIONS”.

A Narkomed 6000 could have no DMI Recommendations or Failure Codes apply. The correct certification level for this machine is Code A, “CERTIFIED”. The correct certification for this machine is A, which means “CERTIFIED”.

Code, D also means “NO CERTIFICATION”, also means the machine shall not receive a Periodic Manufacturer’s Certification label. The machine shall receive a “WARNING This System Is Not Certified” label, P/N 4114857. This label shall be placed at a prominent location on the right side of the machine after all other previous PM and “Vigilance Audit(r) Validation” labels have been removed.

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PMC PROCEDURE (continued)

PM Certification Procedure for Narkomed GS Anesthesia System

1. Use the PM Certification form for Narkomed 2B/ 2C/ GS Anesthesia Systems (P/N S010211).

2. Completely fill in the header information.

1. All Narkomed GS are equipped with Humphrey valves and do not require lubrication. Indicate so with a (H) next to the “Vent Valve Lube Due” line on the Periodic Manufacturer’s Certification form.

2. Replace the VENTILATOR RELIEF VALVE DIAPHRAGM every 12 months in accordance with SP00075. Place a check mark and indicate the next replacement date at “Relief Valve Diaphragm Due” line on the Periodic Manufacturer’s Certification form.

5. If machine is equipped with a HALOTHANE Dräger Vapor 19 or 19.1 vaporizer, determine if vaporizer must be inspected for soil condition one. Check the serial number plate located on the rear of the vaporizer for a plus (+) preceding the serial number. A HALOTHANE vaporizer serial number not preceded with a (+) must be tested for soil in accordance with SP00073. If vaporizer does not need to be inspected, indicate so with a plus (+) next to the “Vapor Inspection (H)” line on the Vigilance Audit form. If vaporizer is soil condition 0, indicate so with “SOIL 0” written next to the “Vapor Inspection (H)” line on the Vigilance Audit form. If vaporizer is soil condition one, indicate so with “SOIL 1” written next to the “Vapor Inspection (H)” line on the Vigilance Audit form. Place a “CAUTION DO NOT USE” label (part #

4114327) on the vaporizer, and issue a departmental alert. The TSR shall also seek permission from the equipment operator to remove the failed vaporizer from the machine and apply a replacement vaporizer or an adapter block onto the mount. All “SOIL 1” vaporizers must be removed from service for machine to receive certification.

6. Perform the vapor concentration test on all Dräger vapor vaporizers in accordance with SP00073 at a six month maximum interval. Perform the vaporizer concentration test on all Desflurane vaporizers in accordance with SP00091 for fixed mount vaporizers and SP00189 for user removable D-tec vaporizers at a six month maximum interval. For every vaporizer tested, fill out a “VAPOR VAPORIZER CALIBRATION CHECK” label (part # S010016). Information on this label shall include your signature, type of agent, date tested, a No Agent To Test or the test results @ 1%, 2.5%, 4% for H, E, I, or S vaporizers, or @ 4%, 10%, 12%, 16% for Desflurane vaporizers, and a PASS or FAIL indication. This label shall be attached to the upper right side of the vaporizer. If vaporizer fails the concentration verification, internal leak, or exclusion system tests, check “NO” in the “RECOMMENDED FOR USE” section on the PM Certification form. Place a “CAUTION DO NOT USE” label (part # 4114327) on the vaporizer, and issue a departmental alert. The TSR shall also seek permission from the customer to remove the failed vaporizer from the machine and install a replacement vaporizer or an adapter block onto the mount. All nonfunctional vaporizers must be removed from service for machine to receive certification.

6-9

PMC PROCEDURE (continued)

7. Proceed with PM Certification procedure. If any tests fail refer to the “Failure Codes” listing in DMI Recommendations Guidelines Index (P/N S010250) to determine correct certification level starting point. Failure codes shall be documented on the “RECOMMENDATIONS / GENERAL COMMENTS” section of the PM Certification form and on the Executive Summary. If a test fails that has not been identified by the “Failure Codes” list, consult with Draeger Medical, Inc. to assess the proper certification level.

8. Based on the “EQUIPMENT CONDITION” inspect the machine for any “DMI RECOMMENDATIONS” that would apply. Use the Narkomed GS section of the “RECOMMENDATION GUIDELINES INDEX” (P/N S010250). Note all applicable DMI recommendations on the Executive Summary.

NOTE: If using a carbon form, indicate the Equipment Condition number and to see

reverse side under the “RECOMMENDATIONS / GENERAL COMMENTS” section of the form.

9. Determine the correct certification level of the machine based on the combined lowest common denominator of “Equipment Conditions” and “Failure Codes”. If the machine is at least conditionally certified fill out the “PM CERTIFICATION” label. Check the box(s) on the validation label where appropriate. Write the month and year, (three months from date of PM Certification) next to “NEXT VISIT DUE:”. If certification level is “D”, machine shall not receive a “PM CERTIFICATION” label. Any machine not receiving a PM Certification label shall receive a “WARNING NOT CERTIFIED” label, P/N 4114857. This label shall be placed at a prominent location on the left side of the machine after all other previous PMC and Vigilance Audit Validation labels have been removed.

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10. In the “CERTIFICATION LEVEL” section of the PM Certification form, record the last visit certification level, the current certification level and the next visit due month and year, (three months from date of PM Certification) in the spaces provided.

11. If applicable, remove the previous PM CERTIFICATION VALIDATION label and attach the new label (P/N S010006 w/phone #, or S010007 w/o phone #) in a prominent location on the rear of the anesthesia machine.

12. Check the appropriate boxes on the “PM CERTIFICATION NOTICE” label, (part # S010011). If the machine is not certified, the last box of this notice label shall be marked. Attach this notice near the flowmeter shield of the anesthesia machine.

13. Have the customer sign each PM Certification form or the Executive Summary, and review any Failure Codes equipment conditions and DMI Recommendations with the customer.

14. Return top copy to Draeger Medical, Inc. Service Department, keep middle copy for service organization records, give bottom copy to customer.

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PMC PROCEDURE (continued)

6.1 SELF-DIAGNOSTICS

6.1.1 Turn the System Power switch to ON and verify the “ON” LED is lighted?

6.1.2 Verify all LED’s on the keypad and ventilator displays are lit if applicable.

6.1.3 Verify that the following is displayed on the alarm CRT:

FIRMWARE PASS RAM PASS VIDEO PASS A/D CONVERTER PASS AUDIO - PRIMARY PASS

- BACKUP PASS SERIAL I/O PASS CLOCK PASS NON-VOLATILE MEMORY PASS

FUNCTIONAL

6.1.4 Record the machine software version on the header of the checklist form.

6.2 ELECTRICAL SAFETY- One Year Service Interval; Due Date _____

6.2.1 Ground Continuity

6.2.1.1 Unplug the AC power cord for all devices mounted to the machine that may provide an alternate path to earth ground, such as a Desflurane vaporizer.

6.2.1.2 Unplug the machine’s AC power cord and plug the power cord of the safety analyzer into this AC receptacle.

NOTE: Do not plug the safety analyzer power cord into a line

isolation monitor circuit, as inaccurate readings may occur.

NOTE: The BIOTECH 501 PRO will automatically test the

source outlet for open ground (or ground resistance of 31 Ohms or higher), reverse polarity, open neutral and open line. (The latter two conditions will prevent the analyzer from powering up.)

6.2.1.3 Turn on the safety analyzer and set it’s function switch to the GROUND WIRE RESISTANCE position. Attach the test lead to the red SINGLE LEAD connector of the analyzer. Connect the other end of the red test lead to the AC receptacle ground socket on the safety analyzer. Verify a displayed resistance of

0.00 ohms or, if necessary, press the CALIBRATE key on the front panel of the analyzer to zero the device.

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PMC PROCEDURE (continued)

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SPIROMED

(9)

6.2.1.4 Set the safety analyzer GROUND switch to NORMAL. Set

6.2.1.5 Plug the machine’s AC power cord into the safety analyzer.

6.2.1.6 Apply the analyzer’s test lead to a cylinder yoke bolt.

6.2.1.7 What is the value displayed on the safety analyzer? ___ ohm

6.2.2 Circuit Isolation

6.2.2.1 Disconnect the respiratory volume sensor cord from the

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the POLARITY switch to OFF.

(0-0.1)

interface panel.

6.2.2.2 Using a multimeter set to its highest resistance range apply the test leads between the yoke bolt and circuit common at the volume interface test pin. Refer to the corresponding illustrations for the proper test pin location. There shall be no continuity between these points.

6.2.2.3 Reconnect the respiratory volume sensor cord to the interface panel.

6.2.3 Chassis Leakage Current

6.2.3.1 Apply the analyzer test lead to a cylinder yoke bolt.

6.2.3.2 Set the safety analyzer to the CHASSIS LEAKAGE CURRENT position.

6.2.3.3 Record the total leakage current with the Polarity and Ground switches set as follows:

Ground Normal Normal Open Normal Open Reversed Normal Reversed

Polarity

KEY

SP15005

P15005A

ULTRASONIC

TEST

TES

6.2.3.4 Verify that the leakage current is 100* microamps or less in each of the switch positions (110 microamps or less for the 220/240 volt power supply option).

6.2.3.5 300 microamps if external monitors are plugged into convenience receptacles.

6.2.3.6 Shut off and unplug the safety analyzer. Remove the anesthesia machine plug from the analyzer and plug it back into the original AC receptacle.

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PMC PROCEDURE (continued)

6.2.4 Convenience Receptacle and Auxiliary Outlet Strip

NOTE: This test will check the convenience receptacle and the auxiliary

strip outlets for fault conditions such as open ground, reverse polarity, open line and open neutral.

6.2.4.1 Unplug all power cords from the convenience receptacles and auxiliary outlet strip.

6.2.4.2 Plug the Receptacle Tester into the first outlet to be tested. Verify no wiring fault is indicated then remove test plug and move it to the next convenience outlet. Repeat this process until all convenience outlets and auxiliary strip outlets are tested.

6.2.4.3 Plug-in all power cords previously removed from the convenience receptacles and auxiliary outlet strip.

6.3 CONFIGURATION

6.3.1 Press the CONFIG key.

6.3.2 The CONFIGURE screen is displayed.

6.3.3 Verify the correct Time and Date.

6.3.4 Press the exit key to exit the function.

6.4 SERVICE DATA

6.4.1 Press and hold the Oxygen High Limit key and the Volume Low Limit key, and then press the arrow up key.

6.4.2 The Main Service Screen shall appear.

6.4.3 Select and enter the Service Log.

6.4.4 Verify any pertinent information from the Service Log. Contact the Draeger Medical, Inc. Technical Service Department if necessary.

6.4.5 Press EXIT to return to the Main Service screen.

6.4.6 Select the SRVC Service Code.

6.4.7 Select and enter your Technical Service Rep. I.D. number.

6.4.8 Press the RESET key. This resets the last service date to the current date and resets the hours run since last service to zero.

6.4.9 Press the PMS SCHED key.

6.4.10 Select and enter the month of the next service due date and record this information on the report. The internal clock of the machine limits the amount of date advance to a maximum of six months from the current service date.

6.4.11 Press the exit key to return the main service screen, If not performing monitor calibrations press the exit key again to return to normal operation mode.

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PMC PROCEDURE (continued)

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6.5 CALIBRATIONS - One Year Service Interval; Due Date _____

6.5.1 To bring up the Oxygen Monitor Service Screen, press the Mon Cal key.

6.5.2 Remove the Oxygen sensor from the valve dome adapter, and remove the Oxygen sensor capsule from the Oxygen sensor housing.

6.5.3 When the CURRENT CELL A and CURRENT CELL B readings have stabilized, press the ZERO key and verify that the new offset values are stored.

NOTE: The higher the offset, the higher the calculated O2 concentration

appears at high concentrations.

6.5.4 Put the Oxygen sensor capsule into the Oxygen sensor housing.

6.5.5 Press the PRESS MON key.

6.5.6 Disconnect the Pressure monitor’s sensor line from the absorber and expose it to ambient air.

6.5.7 Let the Current Pressure Value stabilize and press the ZERO key to store the value.

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6.5.8 Connect a Pressure monitor adapter, (P/N 4115043) and calibrated digital pressure manometer to the breathing pressure sensor line.

6.5.9 Pressurize the circuit to 50 cm H

2O and allow the Current Value to

stabilize.

6.5.10 Press the SPAN key and verify that the new span values are stored.

6.5.11 Release the pressure, disconnect the manometer and test fixture, and reconnect the breathing pressure sensor line to the absorber.

6.5.12 Press EXIT to return to the Main Service screen.

6.5.13 Press EXIT to return to normal operation.

6.6 ABSORBER MAINTENANCE

6.6.1 Remove the O

2 sensor or the plug from the inspiratory valve dome

adapter and examine the O-rings on each assembly. Replace O-rings as necessary.

6.6.2 Remove the inspiratory and the expiratory valve domes.

6.6.3 Are all pins on the valve crater undamaged? Inspiratory ___ (Y) Expiratory ___ (Y)

6.6.4 Are all pins on the valve domes undamaged? Inspiratory ___ (Y) Expiratory ___ (Y)

6.6.5 Is the valve disc in good condition? Inspiratory ___ (Y) Expiratory ___ (Y)

6.6.6 Are the valve dome washers in good condition? ___ (Y)

6.6.7 Reinstall the inspiratory and expiratory valve domes.

6.6.8 Ultrasonic Flow Sensor - If applicable

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PMC PROCEDURE (continued)

6.6.8.1 Remove the Ultrasonic Flow Sensor connector hose.

6.6.8.2 Is the connector hose, connector, and O-ring in good condition? ___ (Y)

6.6.8.3 Remove the expiratory valve.

6.6.8.4 Is the washer under the valve in good condition? ___ (Y)

6.6.8.5 Reattach the expiratory valve.

6.6.8.6 Remove the ultrasonic flow sensor from the mounting bracket.

6.6.8.7 Remove the flow housing/transducer assembly from the electronics housing.

6.6.8.8 Remove both transducers from the flow housing; examine each O-ring and condition of all components, then reassemble the ultrasonic flow sensor.

6.6.8.9 Reattach the ultrasonic flow sensor to the mounting bracket.

6.6.8.10 Reattach the connector hose between the sensor and expiratory valve.

6.6.9. Lubrication, Spiromed Sensor - If applicable

6.6.9.1 Remove the expiratory valve.

6.6.9.2 Is the washer under the valve in good condition? ___ (Y)

6.6.9.3 Remove the Spiromed sensor.

6.6.9.4 Is the washer under the sensor in good condition? ___ (Y)

6.6.9.5 Locate the four lateral holes at the sides of the Spiromed sensor marked by arrows.

CAUTION: Use only Sensor Lubrication Kit P/N 2218180 for the

following procedure.

6.6.9.6 Dip the tip of the pipette into the lubricant and draw lubricant into the pipette by pulling the pin backwards.

6.6.9.7 Insert the pipette into one of the four holes as far as it will go. Push the pin forward to its stop and inject lubricant into the hole.

6.6.9.8 Repeat the previous 2 steps for the lubricating three remaining holes.

6.6.9.9 Wipe any lubricant residue from the exterior of the sensor.

6.6.9.10 Reattach the sensor to the absorber top dome.

6.6.9.11 Reattach the expiratory valve to spiromed sensor.

6.6.10. Remove the inspiratory valve assembly.

6.6.11. Is the washer under the valve in good condition? ___ (Y)

6.6.12 Reinstall the inspiratory valve.

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PMC PROCEDURE (continued)

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6.6.13 Are there two (2) spring clips on the absorber rods? ___ (Y)

6.6.14 Inspect the following: canisters, canister gaskets, dust cup and O-ring, and soda lime.

6.6.15 Are the canisters, canister gaskets, dust cup and O-ring, and soda lime in good condition? ___ (Y)

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6.6.16 Verify the cm H

2O gauge at zero (0) and readjust if necessary.

NOTE: The small slotted screw is the zero adjust.

6.6.17 Reinstall the O

2 sensor plug into the inspiratory valve dome adapter.

6.6.18 Remove the 15-mm connector from the FRESHGAS OUTLET.

6.6.19 Is the Freshgas Outlet assembly in good condition? ___ (Y)

6.6.20 Reconnect the 15-mm connector to the FRESHGAS OUTLET.

6.7 HIGH PRESSURE LEAK

NOTE: Minimum cylinder pressures required for High Pressure Leak tests are:

2, Air, O2-HE, N2, HE: 1000 psi / N2O, CO2: 600 psi;

6.7.1 Turn the machine main switch to Standby.

6.7.2 Verify the Auxiliary Oxygen flow control valve is closed.

6.7.3 Disconnect all pipeline supply hoses at the wall outlets.

6.7.4 Open then close and remove each cylinder and if applicable remove the yoke plug from each additional yoke assembly.

6.7.5 Note the reading on each the cylinder pressure gauge and start a stop watch.

6.7.6 Are the two (2) yoke index pins installed securely in each yoke? ___(Y)

6.7.7 Is the proper gas I.D. label affixed to each yoke? ___ (Y)

6.7.8 After two (2) minutes, is the pressure loss for each gas equal or less than 50 psi? ___(Y)

6.7.9 Verify the presence of only one (1) cylinder washer, then reattach and secure the cylinders to each yoke assembly, then open each cylinder valve.

6.8 BREATHING SYSTEM

6.8.1 Breathing System Leak/Exclusion

6.8.1.1 Close all flow control valves.

6.8.1.2 Set the AUTO/MAN selector to BAG.

6.8.1.3 Close the APL valve.

6.8.1.4 Interconnect a 22 mm hose (P/N 9995132) between the

inspiratory valve and expiratory valve or expiratory port on the ultrasonic flow sensor, if applicable.

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PMC PROCEDURE (continued)

6.8.1.5 Attach a test terminal (P/N 4104389) to the Fresh Gas Leak Test Adapter (P/N 4115041) then attach the test terminal to the bag mount.

6.8.1.6 Apply 50 cm H

2O test pressure to the absorber system and

start a stop watch.

6.8.1.7 Is the pressure on the absorber pressure gauge within 47 to 53

2O? ___(Y)

cm H

6.8.1.8 After thirty (30) seconds, is the breathing system test pressure equal or greater than 40 cm H

2O? ___ (Y)

6.8.1.9 If applicable, turn on the left mounted vaporizer to the first graduated marking. Reapply 50 cm H

2O of pressure to the

system and start a stopwatch. Is it possible to turn on either the center or right vapors? ___ (N)

6.8.1.10 After thirty (30) seconds, is the left vaporizer test pressure equal or greater than 40 cm H

2O? ___(Y) Turn off the left

vaporizer.

6.8.1.11 If applicable, turn on the center mounted vaporizer to the first graduated marking. Reapply 50 cm H

2O of pressure to the

system and start a stopwatch. Is it possible to turn on either the left or right vapors? ___ (N)

6.8.1.12 After thirty (30) seconds, is the center vaporizer test pressure equal or greater than 40 cm H

2O? ___(Y) Turn off the center

mounted vaporizer.

6.8.1.13 If applicable, turn on the right mounted vaporizer to the first

6.8.1.14 After thirty (30) seconds, is the right vaporizer test pressure

6.8.1.15 Did all vaporizer exclusion verifications test positive? ___ (Y)

6.8.2 APL Valve

6.8.2.1 Open the APL valve to its stop.

6.8.2.2 Turn the System Power switch to ON.

6.8.2.3 Set the Oxygen flow to 8 l/min.

6.8.2.4 Is the pressure within 0 to 3 cm H

6.8.3 O

2 Flush

6.8.3.1 Attach a 33 mm x 22 Female Adapter (P/N 4115087) to the top

graduated marking. Reapply 50 cm H

2O of pressure to the

system and start a stopwatch. Is it possible to turn on either the left or center vapors? ___ (N)

equal or greater than 40 cm H

2O? ___ (Y) Turn off the right

mounted vaporizer.

2O? ___ (Y)

port of the test volumeter.

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6.8.3.2 Disconnect the hose from the expiratory valve or expiratory

6.8.3.3 Close the APL valve.

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hose terminal on the ultrasonic flow sensor, if applicable and attach it to the test volumeter adapter.

6.8.3.4 Press and hold the O the value obtained by 10.

6.8.3.5 Is the calculated O

6.8.3.6 After releasing the flush, does the flow of Oxygen stop immediately? __ (Y)

6.8.3.7 Remove the test equipment.

6.8.4 Expiratory Valve Leak

6.8.4.1 Connect a 22 mm hose (P/N 9995132) between the inspiration valve and the bag mount.

6.8.4.2 Connect a test terminal (P/N 4104389) to the expiration valve or expiratory hose terminal on the ultrasonic flow sensor, if applicable.

6.8.4.3 Connect a 0-250 ml/min. flowmeter (S000081) to the test terminal.

6.8.4.4 Turn up the Oxygen flow until the system pressurizes to 30 cm H

2O. Adjust the APL valve as necessary to maintain 30

2O.

cm H

6.8.4.5 Is the value indicated on the flowmeter within 0 to 60 ml/ min.? ___ (Y)

2 FLUSH button for 6 seconds; multiply

2 flush flow rate 45 to 65 l/min.? ___ (Y)

6.8.4.6 Close APL valve.

6.8.4.7 Remove all test equipment.

6.8.5 Inspiration Valve Leak

6.8.5.1 Turn the System Power switch to Standby.

6.8.5.2 Connect a test terminal (P/N 4104389) to the inspiratory valve.

6.8.5.3 Connect a Fresh Gas Leak Adapter (P/N 4115041) and calibrated pressure meter to the test terminal on the inspiratory valve.

6.8.5.4 Connect another test terminal to the bag connector.

6.8.5.5 Connect a 0-250 ml/min. flowmeter (S000081) to the test terminal on the bag mount.

6.8.5.6 Pressurize the test circuit to 30 cm H

6.8.5.7 Is the value indicated on the flowmeter within 0 to 60 ml/ min.? ___ (Y)

6.8.5.8 Turn the system power switch to ON.

2O.

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PMC PROCEDURE (continued)

6.8.5.9 Remove all test equipment.

6.8.6 PEEP Valve w/Bypass - If applicable

6.8.6.1 Open the APL valve.

6.8.6.2 Interconnect the inspiratory valve and expiratory valve or expiratory port on the ultrasonic flow sensor, if applicable with a 22 mm hose (P/N 9995132).

6.8.6.3 Attach a Breathing System Leak Test Adapter (P/N S010159) to the bag mount.

6.8.6.4 Disconnect the pressure pilot line from the absorber and replace it with a PDM To Monitor Adapter (P/N 4115041).

6.8.6.5 Connect a test gauge to the adapter.

6.8.6.6 Set the O

2 flow to 5 l/min.

6.8.6.7 * Place the PEEP bypass in the ON position.

6.8.6.8 Adjust the absorber PEEP valve clockwise to the maximum position.

6.8.6.9 Does the PEEP valve adjust smoothly? ___ (Y)

6.8.6.10 Is the maximum PEEP indicated on the test gauge within 15 to 22 cm H

2O? ___ (Y)

6.8.6.11 * Place the PEEP bypass in the OFF position.

6.8.6.12 * Does the PEEP return to <

6.8.6.13 Adjust the absorber PEEP valve counterclockwise to its minimum position.

6.8.6.14 Does the PEEP return to <

6.8.6.15 Close the O

2 flow control valve.

6.8.6.16 Remove the test equipment and reconnect the pilot line to the absorber.

* These items apply only to machines with a PEEP by-pass.

6.8.7 Bain Circuit Adapter - If applicable

3 cm H2O? ___(Y)

6.8.7.1 Close the Bain Circuit APL valve by turning the knob fully clockwise.

6.8.7.2 Verify the cm H

2O gauge at zero (0) and readjust if necessary.

NOTE: The small slotted screw is the zero adjust.

6.8.7.3 Insert the O

2 sensor plug into the O2 sensor inlet on the Bain

Circuit.

6.8.7.4 Attach a Breathing System Leak Device (P/N S010159) to the Breathing Bag port on the Bain Circuit.

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6.8.7.5 Disconnect the pressure pilot line from the Bain Circuit and

6.8.7.6 Connect a test gauge to the adapter.

6.8.7.7 Occlude the expiration port on the Bain Circuit.

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replace it with a PDM To Monitor Adapter (P/N 4115041).

6.8.7.8 Apply 50cm H

6.8.7.9 Is the pressure indicated on the cm H

2O of the digital pressure meter reading? ___ (Y)

2O test pressure to the Bain Circuit.

2O gauge within 3 cm

6.8.7.10 After 30 seconds, is the test pressure 45 to 50 cm H ___ (Y)

6.8.7.11 Open the APL valve by turning the knob fully counterclockwise.

6.8.7.12 Connect a Fresh Gas Outlet Volume Adapter (P/N S010158) between the fresh gas outlet and the Expiration port of the Bain Circuit.

6.8.7.13 Set the O

6.8.7.14 Is the test pressure within 0 to 3 cm H

2 flow to 8 l/min.

2O? ___ (Y)

6.8.7.15 Remove the test equipment and reconnect the pilot line to the Bain Circuit.

6.9 OXYGEN ANALYZER

6.9.1 Press the CAL key.

NOTE: Make sure that the sensor has stabilized in ambient air for

several minutes.

2O?

6.9.2 After calibration is completed, is the O

6.9.3 The warning message INSP O

2 LOW shall appear on the central alarm

2 concentration 21 %? ___(Y)

display, and a continuous alarm shall sound.

6.9.4 Press the Alarm Silence key and verify the audio alarm is silenced.

6.9.5 Place the Oxygen sensor into the inspiratory valve dome adapter.

6.9.6 Set the AUTO/MAN selector to BAG.

6.9.7 Close the APL valve.

6.9.8 Attach a 22 mm hose (P/N 9995132) to the inspiratory valve.

6.9.9 Attach a Breathing System Leak Test Device (P/N S010159) to the bag mount.

6.9.10 Press the O

6.9.11 After 10 seconds, is the O

6.9.12 Release the O

2 Flush.

2 concentration 90 to 100 % O2? ___ (Y)

2 Flush, does the flow cease immediately? ___ (Y)

6.9.13 Set the Oxygen flow to 10 l/min.

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PMC PROCEDURE (continued)

6.9.14 After 1 minute, is the O

2 concentration 97 to 100%? ___ (Y)

6.10 FLOWMETERS CONCENTRATIONS

6.10.1 Oxygen Flowmeter

6.10.1.1 Is it possible to adjust the flow of Oxygen over the full range of the flowmeters? ___ (Y)

6.10.1.2 Set the Oxygen flow to 4 l/min.

6.10.1.3 Is the correct flow control knob and label attached to the Oxygen flow control valve? ___ (Y)

6.10.2 Oxygen-Helium Flowmeter - If applicable

6.10.2.1 Is it possible to adjust the flow of the Oxygen-Helium over the full range of the flowmeter? ___ (Y)

6.10.2.2 Set the Oxygen-Helium flow to 2 l/min.

6.10.2.3 *After the value stabilizes, is the O ___ (Y)

6.10.2.4 Close the Oxygen-Helium flow valve.

6.10.2.5 Is the correct flow control knob and label attached to the Oxygen-Helium flow control valve? ___ (Y)

2 concentration 72 to 78%?

*Oxygen-Helium specifications are given @ 25% O

deviations will affect this value. The expected concentration values can be obtained by replacing the ‘25’ % O

2 value given for O2-HE with the actual

cylinder content as follows:

(2 l/min O

2-HE x ‘25’) + (4 l/min. O2 x 100 )

6 l/min - Total Flow =% O2

6.10.3 This Section Intentionally Left Blank

6.10.4 This Section Intentionally Left Blank

6.10.5 Carbon Dioxide Flowmeter - If applicable

6.10.5.1 Is it possible to adjust the flow of the Carbon Dioxide over its range of 550 ml/min.? ___ (Y)

6.10.5.2 Set the Oxygen flow to 1000 ml/min.

6.10.5.3 Set the Carbon Dioxide flow to 500 ml/min.

6.10.5.4 After the value stabilizes, is the O ___ (Y)

6.10.5.5 Close the Carbon Dioxide flow valve.

6.10.5.6 Readjust the Oxygen flow to 4 l/min.

6.10.5.7 Is the correct flow control knob and label attached to the Carbon Dioxide flow control valve? ___ (Y)

2. Cylinder content

2 concentration 64 to 70%?

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6.10.6 Air Flowmeter - If applicable

6.10.6.1 If not configured with an Air Cylinder yoke, attach the Air

6.10.6.2 Is it possible to adjust the flow of the Air over the full range

6.10.6.3 Set the Air flow to 2 l/min.

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Pipeline hose.

of the flowmeter? ___ (Y)

6.10.6.4 After the value stabilizes, is the O ___ (Y)

6.10.6.5 Close the Air flow control valve.

6.10.6.6 Is the correct flow control knob and label attached to the Air flow control valve? ___ (Y)

6.10.7 Nitrous Oxide Flowmeter

6.10.7.1 Set the Nitrous Oxide flow to 2 l/min.

6.10.7.2 After the value stabilizes, is the O ___ (Y)

6.10.7.3 Is the correct flow control knob and label attached to the Nitrous Oxide flow control valve? ___ (Y)

6.10.7.4 Is it possible to adjust the flow of Nitrous Oxide over the full range of the flowmeter? ___ (Y)

6.10.8 Oxygen Ratio Control

6.10.8.1 Open the Nitrous Oxide flow control valve to the stop position.

6.10.8.2 After the value stabilizes, is the O ___(Y)

2 concentration 71 to 77%?

2 concentration 64 to 70%

2 concentration 21 to 29%?

6.10.8.3 Set the Oxygen flow to 2 l/min.

6.10.8.4 After the value stabilizes, is the O ___ (Y)

6.10.8.5 Set the Oxygen flow to 1000 ml/min.

6.10.8.6 After the value stabilizes, is the O ___ (Y)

6.10.8.7 Reduce the O

2 flow to 500 ml/min. Verify that the N2O flow

is greater than or equal to 600 ml/min.

6.10.8.8 Close the Oxygen flow control valve.

6.10.8.9 Close the Nitrous Oxide flow control valve.

6.10.9 This Section Intentionally Left Blank

6.10.10 Auxiliary Oxygen Flowmeter - If applicable

6.10.10.1 Connect a test pressure monitor to the Auxiliary Oxygen outlet using a PDM/Suction adapter (P/N 4115038).

6-22

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6.10.10.2 Increase the pressure to 50 cm H

2O.

6.10.10.3 After 10 seconds, is the pressure within 40 to 60 cm H ___ (Y)

6.10.10.4 Remove the test gauge and adapter.

6.10.10.5 Is it possible to adjust the Auxiliary Oxygen flowmeter over the full range of the flowmeter? ___(Y)

6.10.10.6 Set the flow rate to 5 l/min.

6.10.10.7 Hold the Oxygen sensor at the flowmeter outlet.

6.10.10.8 After the value stabilizes, is the O

2 concentration within 80 to

100% ___ (Y)

6.10.10.9 Replace the Oxygen sensor into the Inspiratory valve dome.

6.10.10.10 Close the Auxiliary Oxygen flow control valve.

6.11 HIGH PRESSURE REGULATOR - Six Month Service Interval; Due Date ______

6.11.1 N

NOTE: Minimum cylinder pressure for N

2O Regulator

2O regulator test is 600 psi.

6.11.1.1 Configure the test gauge (P/N 4114807) using a N

2O nut/stem

DISS connector (P/N 4114830-004) on the hose, and N body connector (P/N 4114830-003) on the valve body side. If the machine is configured with CSA style fittings reverse the position of the connectors.

2O?

2O DISS

6.11.1.2 Connect the test fixture hose to the machine’s Nitrous Oxide pipeline inlet.

6.11.1.3 Connect the Nitrous Oxide pipeline supply hose to the test fixture.

6.11.1.4 Open the Nitrous Oxide and the Oxygen cylinder valves.

6.11.1.5 Set the Oxygen and Nitrous Oxide flows to 4 l/min.

6.11.1.6 Depress the push button on the test device.

6.11.1.7 Release the push button. After the pressure decay stabilizes, is the regulator output pressure 40 to 49 psi? ___(Y)

6.11.1.8 Remove the test fixture.

NOTE: If a pressure decrease does not occur, either the

hospital’s supply pressure is too low or the regulator pressure is set too high.

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6.11.2 Air Regulator - If applicable

NOTE: Minimum cylinder pressure for Air regulator test is 1000 psi.

6.11.2.1 Configure the test gauge (P/N 4114807) using an Air nut/

6.11.2.2 Connect the test fixture hose to the machine’s air pipeline

6.11.2.3 Connect the Air pipeline supply hose to the test fixture.

6.11.2.4 Set the Air flow to 4 l/min.

6.11.2.5 Depress the push button on the test device.

6.11.2.6 Release the push button. After the pressure decay stabilizes,

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stem DISS connector (P/N 4114830-002) on the hose and a DISS body connector (P/N 4114830-001) on the valve body side. If the machine is configured with CSA style fittings reverse the position of the connectors.

inlet.

is the regulator output pressure within tolerance given in the following table? ___ (Y)

NOTE: If a pressure decrease does not occur, either the

hospital’s supply pressure is too low or the regulator pressure is set too high.

Cylinder

Pressure psi

USA Compensated

Regulator output

tolerances

ISO Compensated

Regulator output

tolerances

2000 38 to 44 41 to 47

1800 39 to 45 42 to 48

1600 40 to 46 43 to 49

1400 41 to 47 44 to 50

1200 42 to 48 45 to 51

1000 43 to 49 46 to 52

6.11.2.7 Remove the test fixture.

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6.11.3 O

2 Regulator

NOTE: Minimum cylinder pressure for O

6.11.3.1 Configure a test gauge (P/N 4114807) using an O DISS connector (P/N 4114830-006) on the hose and an O DISS body connector (P/N 4114830-005) on the valve body side. If the machine is configured with CSA style fittings reverse the position of the connectors.

6.11.3.2 Connect the test fixture hose to the machine’s Oxygen pipeline inlet.

6.11.3.3 Connect the Oxygen pipeline supply hose to the test fixture.

6.11.3.4 Set the Oxygen flow to 4 l/min.

6.11.3.5 Depress the push button on the test device.

6.11.3.6 Release the push button. After the pressure decay stabilizes, is the regulator output pressure within the tolerance given in the following table? ___ (Y)

NOTE: If a pressure decrease does not occur, either the

hospital’s supply pressure is too low or the regulator pressure is set too high.

2 regulator test is 1000 psi.

2 nut/stem

Cylinder

Pressure psi

USA Compensated

Regulator output

ISO Compensated

Regulator output

tolerances

2000 38 to 44 41 to 47

1800 39 to 45 42 to 48

1600 40 to 46 43 to 49

1400 41 to 47 44 to 50

1200 42 to 48 45 to 51

1000 43 to 49 46 to 52

6.12 LOW O

2 SUPPLY - Six Month Service Interval; Due Date _____

6.12.1 Close the Oxygen cylinder valve and drain all Oxygen pressure.

6.12.2 Depress the push button on the test device.

6.12.3 Adjust the Oxygen flow to 500 ml/min.

6.12.4 Release the test device push button.

tolerances

6.12.5 Is the pressure on the test gauge when the LO O appears within 34 to 40 psi? ___ (Y)

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6.12.6 Remove the test equipment.

6.13 OXYGEN SUPPLY FAILURE PROTECTION

6.13.1 Connect all pipeline supplies.

6.13.2 Close the Oxygen flow control valve if applicable.

6.13.3 *Is the flow of Oxygen 150 to 200ml/min.? ___ (Y)

6.13.4 Open the Nitrous Oxide flow control valve.

6.13.5 *Is the flow of Nitrous Oxide 375 to 750 ml/min.? ___ (Y)

6.13.6 Adjust the Oxygen, Nitrous Oxide and additional gas flow to 4 l/min. Set Carbon Dioxide Flow to 500 ml/min., if applicable.

6.13.7 Disconnect the Oxygen pipeline supply and close the Oxygen cylinder valve.

6.13.8 Do all fresh gas flows cease when the Oxygen pressure is depleted? ___(Y)

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6.13.9 Reconnect the Oxygen pipeline supply.

6.13.10 Close all cylinder valves and then disconnect the Nitrous Oxide pipeline supply, and air pipeline if applicable.

6.13.11 Drain the cylinder contents then reconnect the pipeline supplies.

6.13.12 Close all flow control valves.

* Nitrous Oxide Bypass flow and Minimum Oxygen flow specifications are given @ 50 psi. Pipeline pressure deviations may affect these tests.

6.14 PRESSURE MONITOR

6.14.1 Disconnect the breathing pressure sensor line from the absorber.

6.14.2 Connect a PDM Adapter (P/N 4115043) and test pressure gauge to the breathing pressure sensor line.

6.14.3 Adjust the test pressure to 0 cm H

2O.

6.14.4 Simultaneously set AUTO/BAG valve to AUTO, (Vent ON) and start a stopwatch.

6.14.5 Does the APNEA PRESSURE appear on the alarm display as a CAUTION within 13 to 17 seconds? ___ (Y)

6.14.6 Increase the test pressure slowly. Does the APNEA PRRESSURE alarm deactivate within 10 to 14 cm H

2O? ___ (Y)

6.14.7 First decrease the pressure then increase the test pressure above the threshold line shown on the display, and begin timing with a stopwatch.

6.14.8 Does the CONTINUOUS PRES appear as a warning within 13 to 17 seconds? ___ (Y)

6.14.9 Decrease the pressure slowly. Does the CONTINUOUS PRES alarm deactivate within 10 to 14 cm H

2O? ___ (Y)

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6.14.10 Increase the test pressure slowly. Does a VENT PRESS HI activate as a warning alarm within 47 to 53 cm H

2O? ___ (Y)

6.14.11 Create a sub-atmospheric test pressure slowly. Does the SUB ATM PRES warning alarm activate within -7 to -13 cm H

2O? ___ (Y)

6.14.12 Set the AUTO/BAG valve to BAG, (Vent off).

6.14.13 Open APL valve.

6.14.14 Remove the test equipment and reconnect the breathing pressure sensor line to the absorber.

6.15 VENTILATOR

NOTE: Readjustment of inspiratory flow to limit the inspiratory plateau may be

required to reduce erratic tidal volumes and breath rates caused by artifact volumes.

6.15.1 Remove the bellows hose and the scavenger hose at the ventilator relief valve. Remove the bellows sub-assembly and remove bellows.

6.15.2 Visually inspect the bellows for deterioration particularly at its seams and corrugations.

6.15.3 Verify the presence of it’s sealing O-ring and reassemble the components.

6.15.4 Turn on the ventilator on using the ON/OFF knob.

6.15.5 If applicable, does the FAULT indicator turn on? (Y)

6.15.6 Set the AUTO/MAN selector switch to AUTO.

6.15.7 Does the FAULT indicator turn off? (Y)

6.15.8 Set the FREQUENCY to 10 BPM.

6.15.9 Press and hold the EXTENDED RANGE switch and set the I:E ratio to 2:1. Using a stopwatch, time the extended I:E ratio. Is the inspiratory time within 3.6 to 4.4 seconds and the expiratory time between 1.8 to 2.2 seconds? ___ (Y)

6.15.10 Set the I:E RATIO to 1:2. Using a stopwatch, time the I:E ratio. Is the inspiratory time between 1.8 to 2.2 seconds and the expiratory time within

3.6 to 4.4 seconds? ___ (Y)

6.15.11 Adjust the Oxygen flow to 500 ml/min.

6.15.12 Set the Tidal Volume to 1200, or if testing an external pediatric bellows set the tidal volume to approximately 300 ml.

6.15.13 Attach a patient circuit to the absorber system.

6.15.14 Set the pressure limit control to MAX.

6.15.15 Adjust the Inspiratory Flow to the bottom of the LOW zone.

6.15.16 Occlude the Y-piece.

6.15.17 Press the O

2 Flush momentarily to inflate the bellows.

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6.15.18 Adjust the Inspiratory Flow until a peak pressure of 80 cm H2O is achieved.

6.15.19 If applicable, set the Pressure Limit Control to within the 30 range. Readjust within the band as necessary to achieve proper value. Is the peak pressure at the 30 range within 27 to 33 cm H

6.15.20 Set the Pressure Limit Control to the MIN position. Is the peak pressure at the MIN range 0 to 15 cm H control to MAX.

6.15.21 Loosen the expiratory valve dome, or if equipped with an ultrasonic flow sensor, open the Y-piece and disconnect the hose attached to the exhalation valve and blow into it.

6.15.22 Does the Reverse Flow message appear on the display? ___ (Y)

6.15.23 Tighten the expiratory valve dome if applicable, or if equipped with an ultrasonic flow sensor reconnect the hose between the expiratory valve and the flow sensor.

6.15.24 Insert a test minute volumeter in between absorber dome and Spiromed, or exhalation valve and absorber dome if equipped with an ultrasonic flow sensor.

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2O? ___ (Y)

2O? ___ (Y) Return the Pressure Limit

6.15.25 Open the Y-piece.

6.15.26 Turn the ventilator off and press the ALL STBY key to clear alarms.

6.15.27 Turn the ventilator on and start a stop watch.

6.15.28 Does APNEA-VOLUME appear as a Caution within 13 to 17 seconds? ___ (Y)

6.15.29 Attach a 3 liter breathing bag to the Y-piece.

NOTE: Bag should be placed on a flat horizontal surface to reduce

artifact volume.

6.15.30 Press the O

2 Flush momentarily to inflate the bellows.

6.15.31 Set the Inspiratory Flow to the MED and readjust as necessary to fully collapse the bellows.

6.15.32 Observe the operation of each unidirectional valve disc at eye level. Does the inspiratory valve disc raise only during the inspiration phase, and the expiratory valve raise only during the exhalation phase? ___(Y)

6.15.33 Is the tidal volume on the volume monitor and on the test volumeter within 20 % of each other? ___ (Y)

6.15.34 Does the volume monitor display 10 BPM? ___ (Y)

6.15.35 Does the display correctly track the Breathing Pressure waveform? ___ (Y)

6.16 BELLOWS ADULT - If applicable

6.16.1 Is the tidal volume indicated on the test volumeter 960 to1440 ml? ___(Y)

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6.16.2 Does the bellows remain fully inflated during the expiratory pause phase? ___ (Y)

6.16.3 Remove the ventilator hose from the VENTILATOR HOSE terminal.

6.16.4 Attach a test terminal to the bellows assembly ventilator hose terminal.

6.16.5 Connect a 0-250 ml/min. flowmeter (P/N S000081) to the test terminal.

6.16.6 Set the FREQUENCY to 1 BPM.

6.16.7 Is the drive gas leakage indicated during the inspiratory phase 0 to 50 ml? ___(Y)

6.16.8 Remove the test equipment from the ventilator hose terminal and reconnect the ventilator hose to the VENTILATOR HOSE terminal.

6.16.9 Set the FREQUENCY to 10 BPM.

6.16.10 Adjust the O

2 flow to 10 l/min.

6.16.11 Adjust the Tidal Volume to maximum.

6.16.12 Press the O

2 Flush momentarily to inflate the bellows.

6.16.13 Adjust the INSPIRATORY FLOW to fully compress the bellows.

6.16.14 Is the Tidal Volume on the test volumeter greater than 1400 ml? ___(Y)

6.16.15 Is the PEEP value displayed on the monitor 0 to 3 cm H

2O? ___(Y)

6.16.16 Remove the breathing bag from the Y-piece and replace it with a test lung.

6.16.17 Adjust the Oxygen flow to 300 ml/min.

6.16.18 Adjust the Tidal Volume to 200 ml.

6.16.19 Does the bellows stop adjust smoothly and engage properly? ___ (Y)

6.16.20 Adjust the INSPIRATORY FLOW to fully compress the bellows.

6.16.21 Is the Tidal Volume on the test volumeter 125 to 250 ml? ___(Y)

6.16.22 Close the Oxygen flow control valve.

6.16.23 Remove the test lung, set the AUTO/BAG selector valve to BAG.

6.16.24 Press the Alarms All Standby key.

6.17 BELLOWS PEDIATRIC EXTERNAL - If applicable

6.17.1 Adjust the fine flow control of the pediatric bellows attachment fully clockwise.

6.17.2 Remove the breathing bag from the Y-piece and replace it with a test lung (P/N 4115128).

6.17.3 Press the O

2 Flush momentarily to inflate the bellows.

6.17.4 Does the bellows remain fully inflated during the expiratory pause phase? ___ (Y)

6.17.5 Set the ventilator frequency to 20 BPM.

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6.17.6 Adjust the O2 flow to 3 l/min.

6.17.7 Is the tidal volume on the test volumeter greater than 250 ml? ___(Y)

6.17.8 Adjust the tidal volume to the 100 ml mark on the pediatric bellows assembly.

6.17.9 Is the tidal volume on the test volumeter within 65 to 135 ml? ___ (Y)

6.17.10 Verify that with the Pediatric Bellows Fine Flow Control turned fully counter-clockwise the bellows does not collapse during inspiration. Readjust the knob to the fully clockwise position.

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6.17.11 Adjust the O

6.17.12 Is the PEEP displayed on the monitor 0 to 3 cm H

2 flow to 10 l/min.

2O? ___ (Y)

6.17.13 Close the Oxygen flow control valve.

6.17.14 Remove the ventilator hose from the VENTILATOR HOSE terminal.

6.17.15 Attach a test terminal (P/N 4104389) to the bellows assembly ventilator hose terminal.

6.17.16 Connect a 0-250 ml/min. flowmeter (P/N S000081) to the test terminal.

6.17.17 Set the FREQUENCY to 1 BPM.

6.17.18 Set the I:E RATIO to 1:1.

6.17.19 Set the Inspiratory Flow to MAX.

6.17.20 Is the drive gas leakage indicated during the inspiratory phase 0 to 50 ml/min? ___ (Y)

6.17.21 Remove the test equipment and reattach the ventilator hose to the VENTILATOR HOSE terminal.

6.17.22 Set AUTO/BAG valve to BAG.

6.17.23 Press the Alarms All Standby key.

6.18 BELLOWS PEDIATRIC INTERNAL - If applicable

6.18.1 Remove the breathing bag from the Y-piece and replace it with a test lung (P/N 4115128).

6.18.2 Press the O

2 Flush momentarily to inflate the bellows.

6.18.3 Does the bellows remain fully inflated during the expiratory pause phase? ___ (Y)

6.18.4 Set the ventilator frequency to 20 BPM.

6.18.5 Set the Oxygen flow to 3 liters.

6.18.6 Is the tidal volume on the test volumeter greater than 250 ml? ___ (Y)

6.18.7 Adjust the inspiratory flow and Pressure limit control if applicable control until the bellows collapses to the 100 ml mark on the pediatric bellows assembly.

6.18.8 Is the tidal volume on the test volumeter 65 to 35 ml? ___ (Y)

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PMC PROCEDURE (continued)

6.18.9 Adjust the Oxygen flow to 10 l/min.

6.18.10 Is the PEEP displayed on the monitor within 0 to 3 cm H

2O? ___ (Y)

6.18.11 Close the Oxygen flow control valve.

6.18.12 Remove the ventilator hose from the ventilator hose terminal.

6.18.13 Attach a test terminal to the bellows assembly ventilator hose terminal.

6.18.14 Connect a flowmeter test stand (P/N S000081) to the test terminal.

6.18.15 Set the frequency to 1 BPM.

6.18.16 Set the I:E RATIO to 1:1.

6.18.17 Is the flow indicated during the inspiratory phase less than 50 ml? ___ (Y)

6.18.18 Remove the test equipment and reattach the ventilator hose to the VENTILATOR HOSE terminal.

6.18.19 Return pressure limit control to MAX.

6.18.20 Set AUTO/BAG valve to BAG.

6.18.21 Press the Alarms All Standby key.

6.19 OPEN RESERVOIR SCAVENGER 6-Month Service Interval; Due Date _____, If applicable

NOTE: If the ambient air in the local environment contains a significant amount

of dust and lint, the cleaning frequency must be increased to compensate for these conditions.

6.19.1 OPEN RESERVOIR SCAVENGER CLEANING

6.19.1.1 Remove the scavenger hoses and drain all accumulated moisture. Inspect all scavenger hoses for deterioration and replace as needed.

6.19.1.2 Disconnect the hospital vacuum source from the scavenger.

6.19.1.3 Cleaning procedure for assemblies with 2 large relief ports. If configured with many small vent ports skip to step.

1. Remove the four screws securing the reservoir tube to

the main block. Examine the two sealing O-rings and replace as necessary.

2. Remove the screws securing the access panel at the

bottom of the scavenger canister.

3. Remove and inspect the silencer; replace if needed.

4. Clean the reservoir tube with compressed air if

necessary.

5. Remove the flowmeter from its housing by turning it

counterclockwise.

6. Inspect the tube and clean with compressed air if

needed.

7. Apply vacuum to the port at top of the flowmeter

housing.

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6.19.1.4 Cleaning procedure for assemblies with many small vent

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8. Go to step 6.19.2.5.

ports.

1. Remove the scavenger mounting screws.

2. Remove the scavenger flow control needle valve assembly. Inspect the needle valve and seat for lint or dust accumulation. Clean with compressed air if necessary.

3. Remove the hardware securing the flowmeter. Remove the brass retainer at the bottom of the assembly. Inspect the for lint or dust accumulation. Clean with compressed air if necessary.

4. Unthread the reservoir canister from the body.

5. Remove the hardware securing the tube assembly to the block. Inspect for lint or dust accumulation. Clean with compressed air if necessary and replace O-rings if necessary.

6. Probe all gas passages of the block to ensure there are no occlusions. Clean with compressed air if necessary.

6.19.1.5 Reassemble the scavenger assembly, attach the scavenger hose and reactivate the vacuum source.

6.19.2 OPEN RESERVOIR PRESSURE TESTING

6.19.2.1 Activate the Scavenger vacuum supply.

6.19.2.2 Turn the scavenger needle valve fully clockwise (closed).

6.19.2.3 Uncap the hose barb adapter at the rear of the scavenger and connect a test pressure monitor to the hose barb on the adapter using a PDM/Suction Adapter (P/N 4115038). If the scavenger does not contain a hose barb adapter install a scavenger adapter (P/N 4108114) between the 19-mm hose terminal on the scavenger and the scavenger hose.

6.19.2.4 Interconnect the inspiratory and expiratory valves or expiratory port on the ultrasonic flow sensor, if applicable with a 22-mm hose.

6.19.2.5 Attach a Breathing System Leak Test Device (P/N S010159) to the bag mount.

6.19.2.6 Set the AUTO/BAG valve to the BAG position.

6.19.2.7 Open the APL valve.

6.19.2.8 Set the Oxygen flow on the anesthesia machine to 8 l/min.

6.19.2.9 The test pressure gauge shall indicate a pressure of less than 1.0 cm H

2O.

6.19.2.10 Close all flow control valves on the anesthesia machine.

6.19.2.11 Adjust the scavenger needle valve until the flowmeter indicates between the white lines.

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PMC PROCEDURE (continued)

6.19.2.12 What is the pressure on the test gauge? ___ cm H

2O (0 to -0.5)

6.19.2.13 Remove the test equipment, re-cap the scavenger adapter port or remove the scavenger adapter and reconnect the scavenger hose.

6.20 A/C SCAVENGER - 6 Month Service Interval; Due Date ______, If applicable

NOTE: If the ambient air in the local environment contains a significant amount

of dust and lint, the cleaning frequency must be increased to compensate for these conditions.

6.20.1 A/C SCAVENGER CLEANING

6.20.1.1 Remove the scavenger hoses and drain any accumulated moisture. Inspect the hoses for deterioration, then reinstall or replace it if needed.

6.20.1.2 Remove the safety relief valve housing by unscrewing it in a counter-clockwise direction.

6.20.1.3 Inspect the O-ring and replace it if needed.

6.20.1.4 Remove the safety relief valve from its housing by twisting it out in a counter-clockwise direction. The tips of needle nose pliers can be used to turn the valve. Be careful not to damage the valve’s fragile disk.

6.20.1.5 Remove any accumulated lint or dust from the valve with a soft brush. The valve may be further cleaned with a low flow of Air or Oxygen. The scavenger body can be cleaned with a moist cloth.

6.20.1.6 Reinstall the valve into the housing, making sure that it is threaded all the way into the housing and that the plastic washer is properly seated on its upper surface.

6.20.1.7 Reinstall the valve housing onto the scavenger body, making sure that the O-ring is properly seated.

6.20.2 AC SCAVENGER TESTING

6.20.2.1 Set the AUTO/BAG valve to the BAG position.

6.20.2.2 Open the APL valve.

6.20.2.3 Occlude the bag mount connector with a Breathing System Leak Test Device (P/N S010159).

6.20.2.4 Interconnect the inspiratory and expiratory valves or expiratory port on the ultrasonic flow sensor, if applicable with a 22-mm hose.

6.20.2.5 Set the Oxygen flow on the anesthesia machine to 8 l/min.

6.20.2.6 Install a scavenger adapter (P/N 4108114) between the 19-mm hose terminal on the scavenger and the scavenger hose.

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6.20.2.7 Connect a test pressure monitor to the hose barb on the

6.20.2.8 Remove the transfer hose from the bottom of the scavenger

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adapter using a PDM/Suction Adapter (P/N 4115038).

and occlude this port.

6.20.2.9 What is the pressure on the test gauge? ___ cm H

2O (5 to 10)

6.20.2.10 Remove the test equipment and reconnect the scavenger hose and the transfer hose.

6.20.2.11 Close the Oxygen flow control valve.

6.21 BAG SCAVENGER - Six Month Service Interval; Due Date _____, If applicable

NOTE: If the ambient air in the local environment contains a significant amount

of dust and lint, the cleaning frequency must be increased to compensate for these conditions.

6.21.1 BAG SCAVENGER CLEANING

6.21.1.1 Remove the scavenger hoses and drain any accumulated moisture. Inspect the hoses for deterioration, then reinstall or replace as needed.

6.21.1.2 Remove the reservoir bag and drain any accumulated moisture and inspect it for deterioration, then reinstall or replace as needed. All under sized or single use bags must be replaced with 5-liter reusable style reservoir bag.

6.21.1.3 Remove the plastic valve cover on the front surface of the scavenger body by turning it in a counter-clockwise direction.

6.21.1.4 Remove the valve and washer from the scavenger body by turning it counter-clockwise. A needle-nose pliers may be used to turn the valve, but use care not to damage the valve’s fragile disk.

6.21.1.5 Brush any accumulated lint or dust off the valve with a soft brush. The valve may be further cleaned with a low flow of clean Air or Oxygen.

6.21.1.6 Reinstall the plastic washer and valve into the scavenger body. Replace the valve cover.

6.21.1.7 Unscrew the valve housing on the left side of the scavenger body by turning its fitting counter-clockwise with a wrench.

6.21.1.8 Unscrew the valve from the housing by turning it in a counterclockwise direction.

6.21.1.9 Brush any accumulated lint or dust off the valve with a soft brush. The valve may be further cleaned with a low flow of clean Air or Oxygen.

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PMC PROCEDURE (continued)

6.21.1.10 Reinstall the valve in the housing, and then reinstall the housing into the scavenger body.

NOTE: This valve does not require washers or O-rings.

6.21.1.11 Remove the valve housing on the right side of the scavenger body by turning it counter-clockwise.

6.21.1.12 Inspect the rubber O-ring and replace if worn.

6.21.1.13 Remove the valve from the housing by turning it counterclockwise. A needle-nose pliers may be used to turn the valve, but use care not to damage the valve’s fragile disk.

6.21.1.14 Brush any accumulated lint or dust off the valve with a soft brush. The valve may be further cleaned with a low flow of clean Air or Oxygen.

6.21.1.15 Reinstall the valve and plastic washer into the housing.

6.21.1.16 Reinstall the valve housing onto the scavenger body, making sure that the O-ring is properly seated.

6.21.2 BAG SCAVENGER TESTING

6.21.2.1 Activate the Scavenger vacuum supply.

6.21.2.2 Turn the scavenger needle valve fully clockwise (closed).

6.21.2.3 Install a scavenger adapter (P/N 4108114) between the 19-mm hose terminal on the scavenger and the scavenger hose.

6.21.2.4 Connect a test pressure monitor to the hose barb on the adapter using a PDM/Suction Adapter (P/N 4115038).

6.21.2.5 Set the AUTO/MAN valve to the BAG position.

6.21.2.6 Connect a 22mm breathing hose between the absorber’s inspiratory valve and expiratory valve or expiratory hose terminal on the ultrasonic flow sensor, if applicable.

6.21.2.7 Open the APL valve.

6.21.2.8 Occlude the bag mount connector.

6.21.2.9 Press the O

2 Flush button to inflate the scavenger reservoir

bag.

6.21.2.10 Open the Oxygen flow control valve to 8 l/min.

6.21.2.11 Does the reading on the test gauge indicate a pressure less than or equal to 10.0 cm H

2O? ___(Y)

6.21.2.12 Adjust the scavenger needle valve to allow typical suction through the scavenger.

6.21.2.13 Close all flow control valves on the machine.

6.21.2.14 Does the gauge indicate a pressure of less than or equal to -1.0 cm H

2O? ___(Y)

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6.21.2.15 Remove the test equipment and reconnect the scavenger

6.21.2.16 Close the Oxygen flow control valve.

6.22 SUCTION REGULATOR - 6-month Service Interval; Due Date _____, If applicable

6.22.1 Set the vacuum on/off valve to the ON position.

6.22.2 Set the regulator to indicate 250 mm Hg.

6.22.3 Connect a digital pressure meter to the collecting inlet stem of the suction bottle.

6.22.4 Set the digital pressure meter to the mm Hg scale.

6.22.5 Is the vacuum indicated on the digital pressure meter within 200 to 300 mm Hg? ___ (Y)

6.22.6 Set the vacuum on/off valve to the OFF (vertical) position.

6.22.7 Turn the vacuum control knob fully counter-clockwise.

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hose.

6.23 MANUAL SPHYGMOMANOMETER - 6-month Service Interval; Due Date _____, If applicable

6.23.1 Insert the male Luer fitting of the Sphygmomanometer squeeze bulb

hose assembly into the female Luer fitting labeled BP BULB on the front of the machine.

6.23.2 Insert an NIBP-Luer Test Adapter (P/N 4116111-001) inline between the

blood pressure cuff and the extension hose.

6.23.3 Wrap the blood pressure cuff around an “E” cylinder.

6.23.4 Hand-pump the squeeze bulb until pressure of 200 mm Hg is indicated

on the test gauge and start a stop watch.

6.23.5 Does the Sphygmomanometer indicate within 180 to 220 mm Hg? ___

(Y).

6.23.6 After thirty (30) seconds, is the pressure on the Sphygmomanometer

gauge within 190 to 200 mm Hg? ___ (Y)

6.23.7 Remove test equipment.

6.23.8 Remove the blood pressure cuff from the “E” cylinder.

6.23.9 Does the Sphygmomanometer indicate within the band? ___ (Y)

6.24 FINAL TESTS

6.24.1 Is the machine’s Operator’s Instruction manual in close proximity of the

machine? ___ (Y)

6.24.2 Does the table lamp work properly if fitted? ___ (Y)

6.24.3 Verify all cylinder pressure gauges indicate zero.

6.24.4 Verify the pipeline hoses are connected to the hospital pipeline.

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PMC PROCEDURE (continued)

6.24.5 Verify the APL valve knob is turned completely counterclockwise (fully open).

6.24.6 Place the AUTO/BAG selector in the BAG position.

6.24.7 Verify the ventilator hose is connected between the Auto/Man valve and Ventilator hose terminal.

6.24.8 Verify the pressure pilot line is connected between the machine interface and absorber.

6.24.9 Verify the Oxygen sensor is removed from the inspriatory valve dome adapter.

6.24.10 Verify the inspriatory valve dome is plugged.

6.24.11 Unplug the machine’s AC power cord. Is the “AC PWR FAIL” LED lighted? ___(Y) Press and hold the “BATTERY TEST” button. Is green Battery Test LED lighted? ___ (Y)

6.24.12 Plug the power cord back into the original AC receptacle.

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Draeger Medical, Inc. 3135 Quarry Road Telford, PA 18969 Tel: (215) 721-5404 (800) 462-7566 Fax:(215) 721-9561 Web: www.draegermedical.com

Printed in the U.S.A.

NORTH AMERICAN DRÄGER Drager Narkomed GS User manual

Specifications and Main Features

Frequently Asked Questions

User Manual