NORTH AMERICAN DRÄGER Oxylog 1000 User manual
Oxylog 1000
WARNING!
For a full understanding of the
performance characteristics of this
equipment, the user should carefully
read this manual before use of the
device.
MT-974-2000
Emergency ventilator
Instructions for Use
Contents
For Your Safety and that of Your Patients . . . . . . . . . . . . . . . . .3
Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
General description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Operating concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Oxylog 1000 Device Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
IPPV controlled ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Ventilation with PEEP (Special accessory). . . . . . . . . . . . . . . . . . 9
End-expiratory volume measurement (Special accessory) . . . . .10
End of operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Dismantling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Disinfecting/Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Sterilising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Contents
Preparation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Mounting the ventilation valve . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Installing the Oxylog 1000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Connecting the O2 supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Checking readiness for operation. . . . . . . . . . . . . . . . . . . . . . .18
Testing ventilation function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Testing the »Paw >« alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Testing the »Paw <« alarm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Checking the »Psupply« alarm . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Maintenance intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
What's what . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Front view. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Side view . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
Technical data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Abbreviations and symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Minute volume and O2 concentration as a function of airway pres-
sure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Block circuit diagram. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Order List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
1
Contents
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2
For Your Safety and that of Your Patients
For Your Safety and that of Your
Patients
Definitions
WARNING!
A WARNING statement provides important
information about a potentially hazardous situation which, if
not avoided, could result in death or serious injury.
CAUTION!
A CAUTION statement provides important information about
a potentially hazardous situation which, if not avoided, may
result in minor or moderate injury to the user or patient or in
damage to the equipment or other property.
NOTE:
A NOTE provides additional information intended to avoid
inconvenience during operation.
Strictly follow these Instructions for Use
WARNING!
Strictly follow these Instructions for Use.
Any use of the product requires full understanding and strict
observation of all portions of these instructions.
The device is only to be used for the purpose specified under
"Intended Use" on page 4 and in conjunction with
appropriate patient monitoring (see page 6). Observe all
WARNING and CAUTION statements throughout this
manual and all statements on device labels.
Liability for proper function or damage
The liability for the proper function of the apparatus is
irrevocably transferred to the owner or operator to the extent
that the apparatus is improperly serviced or repaired by
personnel not employed or authorized by DrägerService or if
the apparatus is used in a manner not conforming to its
intended use.
Dräger cannot be held responsible for damage caused by noncompliance with the recommendations given above. The
warranty and liability provisions of the terms of sale and
delivery of Dräger are likewise not modified by the
recommendations given above.
Dräger Medical b.v., Best, the Netherlands
Maintenance
WARNING!
The device must be inspected and serviced regularly by
trained service personnel.
Repair of the device may also only be carried out by trained
service personnel.
Dräger recommends that a service contract be obtained with
DrägerService and that all repairs also be carried out by
them. Dräger recommends that only authentic Dräger repair
parts be used for maintenance. Otherwise the correct
functioning of the device may be compromised.
See chapter "Maintenance Intervals".
Accessories
Do not use accessory parts other than those in the
order list.
3
Precautions
Precautions
WARNING!
Standby manual ventilation system
If the life-preserving function of the ventilator is no longer
guaranteed due to a fault, the patient must immediately be
ventilated with an alternative independent ventilating device,
e.g. with a self-filling manual breathing bag.
WARNING!
Do not use this apparatus in explosion hazard areas.
Risk of explosion!
WARNING!
Do not use the equipment in conjunction with magnetic
resonance imaging (MRI, NMR, NMI).
The apparatus may malfunction, causing danger to the
patient.
CAUTION!
Ventilation monitoring
During ventilation, the patient must be constantly
monitored by qualified medical personnel.
Intended Use
Oxylog 1000 – a time cycled, volume constant transport and
emergency ventilator for patients requiring a minute volume
ventilation of at least 3 liters per minute.
General description
Oxylog 1000 is a purely pneumatic-powered transport and
emergency ventilator.
With display
— of inspiratory airway pressure P
with audible and visual alarms for:
— airway pressure P
— airway pressure Paw high
2 supply pressure Psupply low
—O
aw low
aw,
with applications in:
— mobile use in EMS and primary care of emergency patients
— patient transports and transfers by land, sea, or air.
— intra-hospital transfers of ventilated patients
— secondary transfers between hospitals
— the emergency room.
4
Operating concept
Operating concept
9 8 7 6 5
3
4 1 1 1 2
1 Three rotary control knobs are located in the middle of the
front panel for setting the upper alarm limit for airway
pressure (»Pmax«), the ventilation rate (»Freq.«) and the
minute volume (»MV«).
Uniform colour codes are used to identify different scale
ranges of the »Freq.« and »MV« knobs to help rapid
presetting: with these colour-coded scales, the initial
parameters are adapted to the relevant patient group:
infants (green) / children (blue) / adults (brown).
2 The main switch 0/I for switching the ventilator on and off is
in the bottom right-hand corner of the front panel.
3 With the »Air Mix/No Air Mix« switch, the user can choose
between approx. 60 Vol.% O
4 The pressure gauge shows the inspiratory airway pressure.
NOTE:
The color coded ranges and patient identifications are offered
solely for the convenience of the user for selecting initial
settings. It is ultimately the responsibility of the user to select
the correct settings for each patient.
2 and 100 Vol.% O2.
The flag indicators for the alarms are located above the rotary
control knobs for »Freq.«, »MV« and »Pmax«:
5 »Psupply« flag indicator.
Green if the supply pressure is sufficient, turns red if the
supply pressure is insufficient.
6 Indicator for the upper alarm limit »Paw
Red if the airway pressure exceeds the maximum limit.
7 Indicator for lower alarm limit »Paw
alarm limit is not reached.
8 »
g«button to mute the audio alarm for up to 2 minutes.
9 Indicator »
g« turns yellow when the alarm tone is muted.
>« .
<« turns red if lower
MT-214-99A
5
Operation
Operation
Oxylog 1000 Device Check
The device check must be carried out before each use.
Any operation of the device requires thorough knowledge of
the Instructions for Use.
Type
Serial No.
Check the following points before starting up the device:
● O2 pressure supply connected
● Cylinder pressure at least 100 bar or ventilator
connected to the central O
● Ventilation valve and ventilation hose connected
2 supply
Testing correct operation
● Fit the test lung to the ventilation valve.
● Set the device when using a reusable hose:
»MV« approx. 10 L/min
»Freq.« approx. 10 bpm
»
Pmax« approx. 55 mbar
Main switch I (ON)
Switch »
● Set the device when using a disposable hose to the settings
No Air Mix«
as described in the accompanying leaflet of the disposable
hose.
Oxylog 1000 must ventilate the test lung
After 5 ventilation strokes ventilation is
constant, no alarms should occur.
● Squeeze the test lung, so that the airway pressure is approx.
60 mbar.
The »Paw >« indicator turns red,
and the audible alarm is sounded.
● Remove the test lung:
The »Paw <« indicator turns red,
and the audible alarm is sounded.
6
Operation
In the event of deviations, see "Troubleshooting", page 21.
Device check completed
Name
Date
Use a prepared, operable and disinfected device.
Care, page 11.
Preparation, page 14.
Checking device ready for operation, page 18.
IPPV controlled ventilation
For ventilation frequencies of 4 to 54 breaths per minute.
For rapid presetting, uniform colour-coded scale ranges can
be used for the rotary control knobs for the ventilation rate
Freq. and minute volume MV.
1 Presetting the »Freq.« and »MV« control knobs:
Patient group Freq.
1/min
Green range
28 to 54 3 to 5
MV
L/min
for infants
Blue range
20 to 28 5 to 9
for children
Brown range
4 to 20 9 to 20
for adults
NOTE:
The color coded ranges and patient identifications are offered
solely for the convenience of the user for selecting initial
settings. It is ultimately the responsibility of the user to select
the correct settings for each patient.
D
Oxylog 1000
1
1
002
7
Operation
NOTE:
The tidal volume will be equal to the minute volume setting
divided by the rate setting:
Minute volume Ventilator Rate (1/min)
(L/min) 5 10 25 35 54 (max
3 0.60 0.30 0.12 0.09 0.06
7 1.40 0.70 0.28 0.20 0.13
10 2.00 1.00 0.40 0.29 0.13
15 3.00 1.50 0.60 0.43 0.28
20 4.00 2.00 0.80 0.57 0.37
Tidal volume VT (L)
The I/E-ratio is fixed to approximately 1:1.5 and changes
slightly depending on the setting. The I/E-ratio is within the
range considered reasonable for most patients during
emergency care and transport.
)
2 Set the desired O2 concentration with the switch:
Air Mix approx. 60 % O
2 by volume
or
No Air Mix = 100 % O
WARNING!
2 by volume
In Air Mix mode, the applied tidal volume VT is reduced at
high airway pressures due to the physical characteristics of
the injector used for the mixing and the O
2 concentration
increases due to the smaller amount of air intake. (See also
page 28 in the appendix).
WARNING!
In toxic surroundings:
— The patient must be ventilated in No Air mix mode in order
to ensure that toxic constituents are not entrained into the
breathing gas.
— The patient must immediately be transferred to a
breathable atmosphere in order to prevent inhalation of
toxic air when spontaneous breathing resumes.
Set »Pmax«
When the patient is connected:
1 Check the »MV« setting and adjust according to the patient.
2 Check the airway pressure on the pressure gauge.
3 Set desired upper alarm limit »Pmax«.
When the desired upper alarm limit set »Pmax« is reached, the
machine limits the airway pressure increase by blowing off part
of the inspiratory flow. Inspiration is continued by the machine.
WARNING!
Watch the pressure gauge and take note of alarm conditions
in order to recognise incorrect ventilation at an early stage
and prevent danger to the patient.
D
D
2
003
Oxylog 1000
2
3
1
004
8
Operation
For heart-lung resuscitation
For resuscitation of adults using the "two helper method":
4 Set the »Freq.« knob to the heart symbol H,
5 Set the »Pmax« knob to the heart symbol
H,
approx. 55 mbar.
NOTE:
Airway pressure limiting is now activated. When the peak
pressure limit is reached, tidal volume may not be fully applied
under certain conditions.
Ventilation with a mask
● Connect mask to patient connection on breathing valve.
● Position mask over the face to cover the bridge of the nose
and the chin, to ensure a tight fit.
D
Oxylog 1000
5
4
006
Ventilation with PEEP (Special accessory)
1 Set the PEEP valve to 0 mbar = turn the knob anti-clockwise
as far as it will go and fit it to the expiration connector of the
ventilation valve.
Set PEEP = turn knob. The end-expiratory pressure is
increased by the set PEEP value.
NOTE:
The PEEP pressure is not displayed on the pressure gauge!
D
028028
Oxylog 1000
1
9
Operation
Only for stationary use!
End-expiratory volume measurement (Special
accessory)
To measure the end-expiratory tidal volume and end-expiratory
minute volume.
Cannot be combined with the PEEP valve.
NOTE:
Strictly follow the Instructions for Use of the Volumeter 3000.
2 Clamp the Volumeter 3000 holder to the wall rail.
3 Screw the Volumeter 3000 to the holder.
4 Screw the elbow connector to the Volumeter 3000.
5 Fit adapter to expiration connector of the ventilation valve.
6 Connect the ventilation valve and Volumeter 3000 with
1.5 m long ventilation hose.
D
Oxylog 1000
5
6
4
3
End of operation
After disconnecting the patient:
1 Switch the main switch to 0.
If the Oxylog is supplied by O
● Fully close the cylinder valve.
If the Oxylog is supplied by the central gas supply:
● Remove the gas supply connector.
2 cylinder:
D
2
009
Oxylog 1000
1
010
10
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