drager_vapor_2000_instructions_for_use.pdf
Page 1
®
Dräger Vapor 2000
Anaesthetic Vaporiser
Instructions for Use
Emergency Care · Perioperative Care · Critical Care · Perinatal Care · Home Care
Because you care
Page 2
Contents
In order to make it very clear which Instructions for Use is to be Instructions for Use without such a number are issued purely
used with each Vapor, the serial number of the Vapor assigned for information purposes and not for actual use with a Vapor.
is specified on the back of these Instructions for Use.
The serial number is specified on the nameplate of the Vapor.
Contents
For Your Safety and that of Your Patients ........................... 3
Checking Readiness for Operation ...................................... 36
Intended Use ................................................................................. 4
Checking concentration ............................................................ 39
Registered trademarks ................................................................. 4
Shut-down .................................................................................... 41
Method of Operation .................................................................. 5
Draining Vapor ............................................................................. 41
Vapor with keyed filling system .......................................... 41
Vapor with Dräger Fill filling system ................................. 42
Vapor with Quik Fil filling system ...................................... 43
Vapor with filling spout ........................................................ 45
Blowing off Vapor ........................................................................ 46
Storage .......................................................................................... 46
Despatch ....................................................................................... 46
Return, disposal ........................................................................... 46
Control dial ..................................................................................... 5
Connecting and Interlock systems ............................................ 6
Filling systems ................................................................................ 9
Preparation .................................................................................. 11
Fitting connectors ....................................................................... 11
Before using for the first time ................................................... 12
Filling Vapor ................................................................................. 13
Vapor with keyed filling system .......................................... 14
Vapor with Dräger Fill filling system.................................. 17
Vapor with Quik Fil filling system....................................... 19
Vapor with filling spout ........................................................ 21
Connecting Vapor .......................................................................22
Vapor with plug-in adapter .................................................. 22
Vapor with conical connectors without
Interlock system .................................................................... 23
Operation ..................................................................................... 24
Checklist – checks before each use ....................................... 24
Adjusting concentration of anaesthetic agent ......................26
Changing anaesthetic agent .....................................................26
Ending administration of anaesthetic agent .......................... 27
End of use ..................................................................................... 27
Disconnecting Vapor ..................................................................28
Plug-in connector.................................................................. 28
For Auto Exclusion plug-in connector............................... 28
For conical connectors........................................................ 29
Permanent connection......................................................... 29
Transport when filled ..................................................................29
Fault – Cause – Remedy .........................................................30
Care ...............................................................................................35
Cleaning ........................................................................................35
Disinfecting ...................................................................................35
2
Maintenance Intervals .............................................................. 47
Inspection and service ............................................................... 47
Technical Data ............................................................................ 48
What's What ................................................................................. 51
Description .................................................................................. 52
Operating principle ..................................................................... 52
Calibration .................................................................................... 53
Influence of temperature ........................................................... 54
Influence of flow .......................................................................... 55
Influence of gas composition ................................................... 56
Influence of atmospheric pressure .......................................... 57
Influence of positive/negative pressure ................................. 57
Influence of fluctuations in pressure ....................................... 58
Influence of running time ........................................................... 59
Order List ..................................................................................... 60
Abbreviations and Symbols .................................................... 61
Index .............................................................................................. 62
Quality Inspection Certificate ................................................ 65
Page 3
For Your Safety and that of Your Patients
For Your Safety and that of Your
Patients
Strictly follow the Instructions for Use
Any use of the apparatus requires full understanding and strict
observation of these instructions. The apparatus is only to be
used for purposes specified here.
Maintenance
The apparatus must be inspected and serviced regularly by
trained service personnel at yearly intervals (and a record
kept).
Repair and general overhaul of the apparatus may only be
carried out by trained service personnel.
We recommend that a service contract be obtained with
DrägerService and that all repairs also be carried out by them.
Only authentic Dräger spare parts may be used for
maintenance.
Observe chapter "Maintenance Intervals".
Accessories
Do not use accessories other than those in the order list.
Reusable accessories (e.g. after they have been prepared)
have a limited life span. A number of factors during preparation
and operation (e.g. disinfectant residues can damage the
material during autoclaving) can increase the wear and
decrease the life span considerably. Materials with external
signs of wear such as cracks, deformation, discolouration,
disbonding or similar must be replaced.
Liability for proper function or damage
The liability for the proper function of the apparatus is
irrevocably transferred to the owner or operator to the extent
that the apparatus is serviced or repaired by personnel not
employed or authorized by DrägerService or if the apparatus is
used in a manner not conforming to its intended use.
Dräger cannot be held responsible for damage caused by 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 AG & Co. KGaA
3
Page 4
Intended Use
Intended Use
Dräger Vapor® 2000 is an unheated, calibrated anaesthetic
vaporiser for the enrichment of dry, fresh medical gas in
anaesthesia delivery systems with accurately-controlled
concentrations of vapour from liquid anaesthetic agents.
The concentration delivered is, for the most part, not
influenced by operating and ambient conditions, such as
temperature, gas flow and ventilation pressure.
The Vapor 2000 is suitable for use in strong magnetic fields
(MRI equipment) when used in accordance with the operating
instructions on page 24.
Each Vapor is calibrated for a specified anaesthetic agent and
is only suitable for that anaesthetic agent.
Different models of Vapor are specified for different
anaesthetic agents and are marked accordingly.
The Vapor is inserted in the fresh-gas line of the anaesthesia
delivery system which typically delivers a continuous fresh-gas
flow. The Vapor is connected between the fresh-gas flowcontrol unit and the fresh-gas outlet.
The Vapor is not suitable for use with a breathing system due
to high pneumatic resistance.
Proper functioning of the Vapor is dependent on the direction
of flow. It must be connected and operated in accordance with
the direction of flow specified on the machine.
The use of the Vapor with different anaesthesia delivery
systems is, therefore, only permissible and safe when it is used
with the appropriate special adapters.
Simultaneous operation of several Vapors switched in series is
not permissible, particularly for different anaesthetic agents.
Dräger recommend that the output concentration is monitored
to detect any hazardous output values, using a monitor which
has continuous measurement and upper and lower alarm
limits.
Installation and/or operation with anaesthesia delivery systems
in mobile vehicles, aeroplanes, helicopters and ships is only
permissible after consultation with Dräger and their
agreement.
The Vapor must only be used by qualified medical
personnel to ensure that any malfunction can be
remedied without delay.
According to US and Canadian law these machines must only
be used by or on the instructions of a fully qualified medical
practitioner.
4
Registered trademarks
— Dräger Vapor
— Dräger Fill
are Dräger registered trademarks.
— Quik Fil
is a registered trademark of Abbott Laboratories.
— Selectatec
is a registered trademark of Datex-Ohmeda.
Page 5
Method of Operation
Method of Operation
Handle Vapor with care.
Be careful not to tilt or drop.
Do not carry by the control dial, control dial caps or
locking lever for the plug-in adapter.
Risk of injury.
Do not use Vapor if it has been dropped.
Damage may result in incorrect output concentration.
Control dial
For switching on and off and adjusting the concentration of
anaesthetic agent. In the »0« setting and in the »T« transport
setting, the control dial is locked but it can be freed by
pressing »0« button.
All illustrations of a Vapor on an anaesthesia delivery system
show a stylised anaesthesia delivery system in the
background. All illustrations of the transport setting show only
the disconnected Vapor by itself.
»ON« – Switching on and adjusting concentration:
Only adjust concentration when the Vapor is connected to an
anaesthesia delivery system.
1 Press »0« button and
2
2 turn control dial anti-clockwise to required concentration of
anaesthetic agent.
1
ON
uni_0001
Concentration values greater than 5 vol.% are shown in
inverted form in order to draw attention to the danger of a high
output concentration and restricted flow range.
»0« – switching off:
When Vapor is connected to an anaesthesia delivery system
only set to »0« when anaesthetic agent is not being
administered.
3
3 Turn control dial clockwise to »0« – »0« button engages.
T
ON
uni_0002
When control dial is set at »0« or above »0«, do not use
Vapor at an angle of more than 30°.
Risk of incorrect output concentration or anaesthetic
agent escaping otherwise.
5
Page 6
Method of Operation
»T« – Transport:
Only set to »T« when Vapor is being disconnected from the
anaesthesia delivery system or is connected to the parking
holder.
3
1 Press »0« button and
1
2 turn control dial clockwise to »T« transport setting –
»0« button engages.
T
ON
2
3 For plug-in adapter: engage locking lever in control dial.
uni_0095.
At »T« setting Vapor may be moved in any position.
If not at »T« setting, risk of incorrect output concentration,
or of anaesthetic agent escaping otherwise.
Connecting and Interlock systems
When the Vapor is used with different anaesthesia delivery
systems, different connecting systems have to be used.
When anaesthesia delivery systems have several Vapor
connectors, the different Interlock systems1 ensure that only
one Vapor can be used at any one time, while the others are
switched off and blocked.
The interlock system on the vaporiser and anaesthesia delivery
system must be functional. Especially with Interlock 2, the
nibs must be engaged and undamaged in both openings of
the interlock disc. See also "Checking Readiness for
Operation" Page 36.
A malfunctioning Interlock may endanger the patient by
causing overdosing or a mixture of anaesthetic agents.
Plug-in adapter/plug-in connector
to connect Vapor safely and change over quickly.
Most plug-in connectors have valves to allow fresh gas to flow
through, whether the Vapor is, or is not, connected. These
plug-in connectors can be identified by the moveable valve
inserts in the inner holes on the connector pins.
7
6
Many Vapors with plug-in adapters carry an anaesthetic agent
code on the back, which can be read and displayed by
anaesthesia delivery systems designed for the purpose.
4 To connect/disconnect, control dial must be at the »T«
setting and the locking lever must be engaged in the control
dial.
ON
T
4
5
6 To secure/release, swing locking lever into position and
engage/disengage the pin in the cover plate on the Vapor.
7 The locking lever and pin help to ensure that the Vapor is
handled correctly and that it can only be fitted and
disconnected when the control dial is at the »T« setting.
1
6
The different Interlock systems are not compatible with each other.
However, the Vapor can be modified from one system to another.
uni_0096.
5 The holes in the plug-in adapter on the Vapor fit onto the
pins on the plug-in connector on the anaesthesia delivery
system.
Page 7
Method of Operation
Plug-in DW-2000 adapter with Interlock 2
For connecting to Dräger plug-in connectors.
uni_0004
DW-2000 is not compatible with the Dräger Auto Exclusion
System.
For anaesthesia delivery systems with two plug-in connectors
combined with Interlock 2.
The locking bar, which can only be engaged in the control dial
when at »0« setting, allows only one Vapor to be in use at any
one time.
uni_0006
Illustration: left Vapor blocked, right Vapor operational.
Dräger Auto Exclusion plug-in adapter
for connecting to Dräger Auto Exclusion plug-in connectors
and Dräger plug-in connectors.
uni_0081
AUTO
EXCLUSION
For anaesthesia delivery systems with Auto Exclusion plug-in
connectors.
When a Vapor is switched on, a pin on the underside of the
plug-in adapter is pushed out. This prevent other Vapors on
adjacent plug-in connectors being switched on via an internal
mechanism.
Illustration: left Vapor blocked, right Vapor operational.
AUTO
EXCLUSION
uni_0081
AUTO
EXCLUSION
7
Page 8
Method of Operation
uni_0076
Plug-in S-2000 adapter with Interlock S
For connecting to Selectatec®-compatible plug-in connectors.
For anaesthesia delivery systems with several plug-in
connectors combined with Interlock S.
When a vaporiser is switched on, two pins on the side of the
relevant plug-in adapter are pushed out. These prevent other
vaporisers on adjacent plug-in connectors being switched on.
uni_0008
Illustration: left vaporiser blocked, right Vapor operational.
uni_0077
Permanent connection
a permanent installation in fresh-gas line for anaesthesia
delivery systems, with the appropriate connector options.
For anaesthesia delivery systems with several plug-in
connectors combined with Interlock NMD.
When a Vapor is switched on, a lever is activated which
prevents other Vapors on adjacent connectors being switched
on.
Illustration: central Vapor operational, right and left Vapor
blocked.
uni_0081
Other Interlock systems are also used, such as Interlock 1,
which are very similar to Interlock NMD, but which need not fit
a Vapor with Interlock NMD.
8
Page 9
Method of Operation
Conical connector, 23 mm
for anaesthesia delivery systems with 23 mm conical
connectors conforming to ISO 5356-1 on the fresh-gas line.
1 Conical connector on Vapor.
1
uni_0078
1
Filling systems
For filling Vapor with the specified anaesthetic agent and
draining.
With a display of filling level with minimum and maximum levels
marked and a third (middle) mark which shows when a whole
bottle (250 mL) can be used.
Dräger recommend the use of anaesthetic-agent-specific
filling systems to prevent incorrect filling and to reduce the
volume of anaesthetic agent vapour released during the
filling process.
Keyed filling system
consisting of
1 the anaesthetic-agent-specific filling system on Vapor
2 an anaesthetic-agent-specific filling adapter
ON
T
2
1
3
uni_0009
3 the anaesthetic-agent specific collar and threads on the
neck of the bottle.
9
Page 10
Method of Operation
Dräger Fill filling system
consisting of
1 the anaesthetic-agent-specific filling system on the Vapor,
2 the anaesthetic-agent-specific Dräger filling adapter on the
bottle.
T
1
2
3
4
uni_0113
ON
Quik Fil filling system
consisting of
3 the anaesthetic-agent-specific filling system on the Vapor
4 the anaesthetic-agent-specific adapter firmly mounted on
the bottle.
T
ON
uni_0010
Quik Fil filling system with screw-on adapter (not shown)
consisting of
● the anaesthetic-agent-specific filling system on the Vapor,
● the anaesthetic-agent-specific Quik Fil filling adapter on the
bottle.
Vapor with filling spout
consisting of
5 a non-specific filling system on the Vapor
6 the anaesthetic agent bottle.
ON
T
5
uni_0109
6
10
Page 11
Preparation
Preparation
Fitting connectors
Use only authentic Dräger parts.
Only selected materials may be used with anaesthetic
agents in breathing gas.
Connectors may only be fitted by trained service personnel,
because they must be dismantled and checked.
Risk of incorrect output concentration or escape of
anaesthetic agent otherwise.
●
Remove protecting cap on gas inlet/gas outlet at the back
– when fitted.
●
Always connect Vapor in such a way that the gas flow
matches the illustration given and the arrow on the back.
If the flow is in the wrong direction an incorrect
concentration may be delivered, often an increased
concentration.
Follow Instructions for Use for Anaesthesia Delivery
System.
●
For conical connectors: the male cone on the connecting
piece is the Vapor inlet; the female cone on the connecting
piece is the Vapor outlet.
Inlet
Outlet
0001
●
1 Two new screws – do not re-use old screws:
— strength class 10.9, surface A2R conforming to
DIN ISO 4042, heat treated.
— dimensions DIN EN ISO 4762-M4 x length depending
on connector.
Screws fitted through the connector must be screwed
into place with a thread length of not less than 5 mm and
not more than 7 mm.
If screws less than 25 mm long are used, additional
centering pins must be fitted.
Do not use fan locking washers, washers or similar.
If these requirements are not met, the Vapor might fall
off. Risk of injury.
Risk of incorrect output concentration.
●
1
uni_0013
●
2
Before fitting, check that the connecting surfaces,
particularly the sealing areas, are clean and undamaged.
2 Place 2 sealing rings, item no. M 21929, on the sealing
areas around the gas passages.
●
Tighten screws to 270 to 300 Ncm once, do not tighten
once more.
●
Check that the connector is secure.
11
Page 12
Preparation
Before using for the first time
●
Check that Vapor is undamaged.
●
Set control dial to »T«.
●
Remove locking device from gas inlet/gas outlet on the
back of the Vapor – if fitted.
●
"Check readiness for operation", see page 36.
●
If Vapor is to be connected to type SA2 or Titus anaesthesia
delivery systems:
these machines must be modified for operation with the
Vapor 2000 (DrägerService) before the connection is
made.
1 SA2:
detail of modification:
extra plate, 1 cm thick, between plug-in
connector and housing of anaesthesia delivery
system.
uni_0014
1
2 Titus:
detail of modification:
rubber buffer of O2 alarm, fitted at the point
where Vapor is hanging, fits flush with surface of
housing.
Risk that fresh gas and anaesthetic agent vapour may
escape otherwise.
●
"Filling Vapor", see page 13.
After filling for the first time wait 15 minutes for the dry
wicks inside to become saturated.
The filling level of the anaesthetic agent may drop; refill if
required.
●
"Checking concentration", see page 39.
●
Use on anaesthesia delivery systems made by other
manufacturers only after a system function check for
geometry, pressure and flow has been carried out by
trained service personnel (on each type of anaesthesia
delivery system).
The technical data for Vapor 2000 and the anaesthesia
delivery system must be adhered to. Any deviations might
result in incorrect concentrations being delivered.
12
2
uni_0015
Check that the Vapor fits flush with the lower installation points
and, when viewed from the side, is suspended from the
machine in a vertical position.
Page 13
Preparation
Filling Vapor
Take care not to spill anaesthetic agent.
Do not inhale anaesthetic agent vapour.
Danger to health.
Recommendation: ensure adequate ventilation when filling
Vapor when not connected to anaesthesia delivery system.
Only fill Vapor with the anaesthetic agent specified on it.1
Observe use-by date for anaesthetic agent.
When using branded products from different manufacturers
make sure that the correct agent is used, for instance,
following the colour coding of the Vapor and the anaesthetic
agent bottle:
Halothane
red
Enflurane
orange
Isoflurane
purple
Sevoflurane
yellow
From a technical viewpoint the same anaesthetic agent from
different manufacturers with different tradenames, which are
identical in composition and physical and chemical properties
and are approved as medicaments, can be administered
separately or in combination in Vapor and monitored with
Dräger anaesthetic agent monitors.
Do not use a Vapor which has been filled or partly filled
with the wrong anaesthetic agent or other substances.
The concentration delivered may be significantly higher or
lower than the concentration set on the control dial.
Risk of explosion from combustible substances.
Many anaesthetic-agent monitors do not identify mixtures
of anaesthetic agents and/or detect that the anaesthetic
agent being measured differs from the agent that was
set. Unusual deviations in the concentration displayed on
a monitor may indicate incorrect filling.
If this has happened, mark Vapor for appropriate substance
and call DrägerService for repair.
Make sure that the drainage valve is closed as significant
quantities of anaesthetic agent may escape if it is not.
Keep Vapor upright, or hanging vertical, while it is being
filled.
If it is at an angle it can be overfilled which may lead to
concentrations which are too high or too low.
1 Only use anaesthetic agents approved in the country of use.
13
Page 14
Preparation
Vapor with keyed filling system
Note warnings on page 13.
If Vapor is connected to anaesthesia delivery system:
control dial remains engaged at »0«.
1
T
When filling during operation:
Fresh-gas flow can remain as set.
uni_0016
●
ON
1 Set control dial to »0«
Wait for 5 seconds for pressure to equalise, as fresh gas
and anaesthetic agent vapour may escape otherwise.
If Vapor is not connected to anaesthesia delivery system:
2 Control dial remains engaged at »T«.
T
2
uni_0017
ON
3 Only use anaesthetic agent bottle with anaesthetic-agentspecific collar on neck of bottle.
Substance-specific filling cannot be assured if bottles
without a collar are used.
●
6
Select filling adapter for relevant anaesthetic agent – colour
coding and designation/symbols on the filling adapter must
correspond to the anaesthetic agent used.
4 Recommendation: only use filling adapter with check valve.
●
5
Do not use filling adapters or bottles which are damaged.
If new, sealed bottles are partly empty there may be a leak.
If connection between filling adapter and anaesthetic
agent bottle is not leak-tight, Vapor can overfill and
anaesthetic agent vapour escape. Danger to health.
6 Rotate square section on filling adapter so that holes are on
the underside.
14
4
3
uni_0018
5 Screw filling adapter firmly into anaesthetic agent bottle.
Page 15
Preparation
1 Swing lever slowly so that pressure in Vapor can escape
slowly.
2 Pull sealing block out completely and fold down.
●
Hold anaesthetic agent bottle below Vapor.
The holes on the adapter must be on the underside.
1
uni_0019
2
3 Push filling adapter into the opening of the filling system
until it engages.
4 Tighten lever – do not use excessive force.
The lever need not be flush with the front of the machine.
4
Excessive force may damage the seal and fresh gas and
anaesthetic agent vapour may escape.
Danger to health.
uni_0102
3
5 Swing anaesthetic agent bottle upside down slowly and
hold in this position.
A bottle which is dropped may release significant
quantities of anaesthetic agent.
6 Watch filling level on sight glass.
When maximum mark is reached, flow stops automatically.
T
ON
If, however, the filling adapter has not been connected to
the anaesthetic agent bottle or to Vapor sufficiently
securely or tightly anaesthetic agent may continue to flow
into the Vapor*.
5
*
6
uni_0103
Fill to maximum mark only.
If the Vapor is filled above the maximum mark by a few
millimetres, the anaesthetic agent will start to overflow
through an overflow hole.
Seals on Vapor and filling adapter are parts subject to wear;
check and replace, when necessary.
15
Page 16
Preparation
To finish filling process:
1 Swing anaesthetic agent bottle down.
2 Check filling level on sight glass – Vapor must be hanging
vertical during this check or standing upright. Filling level
must be visible and must not exceed maximum mark.
●
Swing anaesthetic agent bottle down.
●
Allow anaesthetic agent to flow back into the bottle to
maximum mark.
If necessary, see "Draining Vapor", page 41.
1
2
max.
4
uni_0104
If maximum mark has been exceeded there is a risk of
incorrect output concentration, so
3
3 Swing lever up.
4 Pull filling adapter out.
5 Insert sealing block, push in fully and keep pushed in.
6 Lock lever.
6
If this is not done properly, fresh gas and anaesthetic
agent vapour may escape.
If lever cannot be fully closed, release lever and push sealing
block in fully. If this is not done, sealing block is not leak-tight,
and seal may be damaged.
●
5
Unscrew filling adapter.
●
Close bottle even if it is completely empty, or allow residues
of anaesthetic agent in the filling adapter and on the
anaesthetic agent bottle to evaporate under an extractor
fan.
If this is not done properly, anaesthetic agent vapour will
escape into the ambient atmosphere.
16
uni_0105
Anaesthetic agent bottle must not be stored with the
filling adapter screwed on. Anaesthetic agent will escape.
Page 17
Preparation
Vapor with Dräger Fill filling system
Note warnings on page 13.
If Vapor is connected to anaesthesia delivery system:
control dial remains engaged at »0«.
1
Filling during operation:
T
ON
●
Fresh-gas flow can remain as set.
1 Set control dial to »0«.
uni_0025
Wait for 5 seconds for pressure to equalise, as fresh gas
and anaesthetic agent vapour may escape otherwise.
If Vapor is not connected to anaesthesia delivery system:
2 control dial remains engaged at »T«.
T
2
uni_0026
ON
3 Only use anaesthetic agent bottle with anaesthetic-agentspecific collar on neck of bottle.
Substance-specific filling cannot be assured if bottles
without a collar are used.
5
Select Dräger Fill filling adapter for relevant anaesthetic
agent – colour coding and designation/symbols on the
filling adapter must correspond to the anaesthetic agent
used.
4 Remove screw cap from bottle.
●
Do not use filling adapters or bottles which are damaged.
If new, sealed bottles are partly empty there may be a leak.
5 Screw Dräger Fill filling adapter firmly onto anaesthetic
agent bottle.
4
3
uni_0114
●
If connection between filling adapter and anaesthetic
agent bottle is not leak-tight, Vapor can overfill and
anaesthetic agent vapour escape. Danger to health.
17
Page 18
Preparation
1 Unscrew locking cap on filling system slowly so that any
pressure in Vapor can escape slowly.
2 Insert bottle with filling adapter into filling opening. Turn the
bottle clockwise until the coded area of the filling opening
has engaged.
T
ON
Do not turn the bottle anticlockwise. The filling adapter
could detach from the bottle.
2
3 Press the bottle to the stop in the filling opening and keep
it pressed.
Do not use excessive force and be careful not to twist the
bottle.
4 Note filling level on sight glass.
When maximum mark is reached, flow stops automatically.
uni_0115
1
Fill Vapor to maximum mark only.
If, however, the filling adapter has not been connected to
anaesthetic agent bottle securely and tightly enough,
anaesthetic agent may continue to flow into Vapor.
T
ON
6 Reduce the pressure on bottle and pull bottle out slowly.
4 Check the filling level on sight glass – Vapor must be hanging vertical during this check or standing upright.
Filling level must be visible and not above maximum mark.
If maximum mark has been exceeded there is a risk of
incorrect output concentration, so:
●
Empty Vapor at least to maximum mark, see "Draining
Vapor" page 41.
7 Tighten screw cap firmly.
If this is not done properly fresh gas and anaesthetic
agent may escape when Vapor is next switched on.
●
Unscrew Dräger Fill filling adapter from the bottle and
8 close bottle with the screw cap.
Do not store bottle with Dräger Fill filling adapter screwed
on.
18
6
3
4
5
8
7
uni_0029
5 If Vapor is filled above the maximum mark by a few
millimetres the anaesthetic agent will start to overflow
through an overflow hole.
To finish filling process:
Page 19
Preparation
Vapor with Quik Fil filling system
Note warnings on page 13.
If Vapor is connected to anaesthesia delivery system:
control dial remains engaged at »0«.
1
When filling during operation:
●
T
ON
Fresh-gas flow can remain as set.
1 Set control dial to »0«
uni_0025
Wait for 5 seconds for pressure to equalise, as fresh gas
and anaesthetic agent vapour may escape otherwise.
If Vapor is not connected to anaesthesia delivery system:
2 Control dial remains engaged at »T«.
T
2
uni_0026
ON
3 Unscrew cap from bottle adapter.
4 Bottle adapter must rest securely and tightly on bottle and
must not be damaged.
If new, sealed bottles are partly empty, there may be a leak.
If connection between filling adapter and anaesthetic
agent bottle is not leak-tight, Vapor can overfill and
anaesthetic agent vapour escape. Danger to health.
ON
T
4
For Quik Fil filling system with screw-on filling adapter:
Remove screw cap from bottle and screw Quik Fil filling
adapter firmly onto the anaesthetic agent bottle. See
"Vapor with Dräger Fill filling system" Page 17.
3
uni_0027
●
Only use anaesthetic agent bottle with anaesthetic-agentspecific collar on neck of bottle.
Substance-specific filling cannot be assured if bottles
without a collar are used.
19
Page 20
Preparation
1 Unscrew locking cap on filling system slowly so that any
pressure in Vapor can escape slowly.
2 Insert bottle with the flanges going into the matching slots
on the filling connector.
Only use bottles with correct flanges.
Take care over colour coding on bottle and Vapor.
T
ON
2
3 Push bottle into filling connector to the stop and keep
pushed in.
Do not use excessive force and be careful not to twist the
bottle.
uni_0028
1
4 Note filling level on sight glass.
When maximum mark is reached, flow stops automatically.
Fill Vapor to maximum mark only.
If, however, the filling adapter has not been connected to
anaesthetic agent bottle securely and tightly enough,
anaesthetic agent may continue to flow into Vapor.
5 If Vapor is filled above the maximum mark by a few
millimetres the anaesthetic agent will start to overflow
through an overflow hole.
T
ON
To finish filling process:
6 Reduce pressure on bottle and pull bottle out slowly.
6
4 Check filling level on sight glass – Vapor must be hanging
vertical during this check or standing upright.
Filling level must be visible and not above maximum mark.
3
If maximum mark has been exceeded there is a risk of
incorrect output concentration, so:
Empty Vapor at least to maximum mark,
see "Draining Vapor", page 41.
7 Tighten screw cap firmly. If this is not done properly
fresh gas and anaesthetic agent may escape when
Vapor is next switched on.
8 Screw cap onto bottle adapter.
Always keep bottle closed.
20
4
5
8
7
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●
Page 21
Preparation
Vapor with filling spout
Note warnings on page 13.
If Vapor is connected to anaesthesia delivery system:
Control dial remains engaged at »0«.
1
Filling during operation:
●
Fresh-gas flow can remain as set.
T
ON
1 Set control dial to »0«
uni_0030
Wait for 5 seconds for pressure to equalise as fresh gas
and anaesthetic agent vapour may escape.
If Vapor is not connected to anaesthesia delivery system:
2 Control dial remains engaged at »T«.
●
Use correct anaesthetic agent bottle.
Name of anaesthetic agent and colour coding on Vapor
and anaesthetic agent bottle must correspond.
3 Unscrew cap from anaesthetic agent bottle.
T
ON
2
4 Unscrew locking cap slowly from filling inlet, so that any
pressure in Vapor can escape slowly.
uni_0031
5 Pour anaesthetic agent slowly into the inner filling funnel.
Do not allow anaesthetic agent to overflow. Do not pour
any anaesthetic agent between inner filling funnel and
housing – anaesthetic agent may overflow.
●
Note filling level on sight glass.
If maximum mark has been exceeded:
6 When Vapor is filled above maximum mark by a few
millimetres, the anaesthetic agent will start to overflow
through an overflow hole.
T
ON
7 Check filling level on sight glass – Vapor must be hanging
vertical during this check or standing upright. Filling level
must be visible and must not exceed maximum mark.
If maximum mark has been exceeded there is a risk of
incorrect output concentration, therefore:
Drain Vapor to at least maximum mark, see "Draining
Vapor", page 41.
5
4 Tighten screw cap firmly. If this is not done properly,
fresh gas and anaesthetic agent may escape when
Vapor is next switched on.
3 Close bottle, even if completely empty, allow any residues
of anaesthetic agent to evaporate under extractor fan, if possible.
6
7
3
4
uni_0110
●
If this is not done properly anaesthetic agent may escape
into ambient atmosphere.
21
Page 22
Preparation
Connecting Vapor
Control dial must be engaged at »T«.
If this is not the case: check concentration before
operation, see page 32, "Transport, procedure after
tilting".
If Vapor is going to be used on SA2 or Titus anaesthesia
delivery systems, check that these have been modified for
use with Vapor 2000 (see page 12).
Vapor with plug-in adapter
1
1 Locking lever must be in position over control dial.
2 Sealing rings on both pins must be undamaged. There
should be no foreign bodies on plug-in connector.
T
ON
Anaesthesia delivery systems with several plug-in connectors:
Two plug-in connectors and Interlock 2:
uni_0033
3 Before hooking Vapor on, slide latch on Interlock 2 to
opposite position.
If a Vapor has already been connected and is in operation,
it must first be set to »0«.
0
Several Selectatec-compatible plug-in connectors:
Switch off vaporisers on other plug-in connectors. Control
dial to »0« or »OFF«.
●
When several vaporisers are connected, they must always
be right next to each other.
For Interlock to operate, it is essential that there is direct
contact on the Interlock pin.
For triple plug-in connectors with built-in transmission of
safety locking between the two outer plug-in positions, the
middle plug-in position may remain unoccupied.
T
4
2
uni_0034
●
3
N
4 Hold Vapor in vertical position with both hands and lower
gently onto the pins on the plug-in connector.
Risk of injury by trapping finger.
For multiple Dräger Auto Exclusion plug-in connectors:
● Vapor 2000 with Auto Exclusion plug-in adapter can be
connected to any free Dräger Auto Exclusion slot.
The plug-in adapter must be level and stable on the
sealing rings. If this is not the case, there may be a loss of
fresh gas, leaks, excessively low output concentrations or
the Interlock locking device may jam.
5
ON
6
T
If this is the case: "Disconnecting Vapor" see page 28,
check positions of lever and stop-mechanism, and then reconnect Vapor.
5 Swing locking lever clockwise through 90° until it engages.
The Vapor is then secured and cannot be removed.
uni_0035
6 Press »0« button and set control dial to »0«.
22
Page 23
Preparation
Vapor with conical connectors without Interlock system
●
Insert Vapor in fresh-gas line.
1
1 For anaesthesia delivery systems with rigid conical
connectors, adjustment plates may be used for alignment:
Between connecting piece and connecting plate and/or
connecting plate and anaesthesia delivery system.
Ensure adequate screw length – at least 4 engaged
threads. If necessary, use longer screws, strength at
least 500 N/mm2.
2
1
3
uni_0079
2 Fasten connecting plate to connecting piece using
M6 DIN 912-A4 cap screws, torque (7±0.5) Nm.
3 Tighten Vapor with clamping plate and
two M6 DIN 1587M-A4 cap screws and
two washers A6,4 DIN 125-A4.
The Vapor should not be used in a breathing system. Risk
of incorrect output concentration and high resistance
may affect breathing.
0
4
5
4
T
4 Connect gas inlet line and outlet line to Vapor.
uni_0036
Make sure that the direction of flow is correct and
corresponds with the arrow on the back of the Vapor,
see page 10.
5 Press »0« button and move control dial to »0« until it
engages.
Secure free-standing Vapor against tilting and falling.
Risk of injury.
0
0
T
T
Make sure that only one Vapor is used at any one time
and that only one Vapor is connected at any one time. If
this is not done, mixtures or concentrations which are too
high may be delivered.
On the Vapor which is not being used:
0
0
T
T
press »0« button and move control dial to »T« until it
engages.
uni_0037
●
When using several Vapors with conical connectors:
Never connect Vapors in series.
0
T
0
T
uni_0038
If Vapors are connected in series without an Interlock
system there is a risk that several Vapors will be switched
on and be operational at the same time. If this happens,
gas containing anaesthetic agent would flow from one
Vapor into the vaporising chamber of another Vapor
resulting in uncontrolled mixtures.
23
Page 24
Operation
Operation
Checklist – checks before each use
Conditions:
●
Operating parameters (e.g. temperature) as specified for
the application – otherwise, wait for temperature to
equalise with ambient temperature (see page 30).
High temperatures at low atmospheric pressures (high
altitudes) may result in an uncontrolled excessive
dosage, see page 54.
●
Operation in magnetic field
Vapors must not be changed or left unsecured in magnetic
fields.
Vapor can be moved by magnetic attraction.
Risk of injury.
Only use anaesthesia delivery systems and accessories
designed for use in magnetic fields. Use only suitable adapters
and drain adapters for filling and emptying the Vapor.
●
Operation at an angle, e.g. in portable anaesthesia delivery
systems:
At an angle of more than 10° an unsecured Vapor may tilt.
If a Vapor is operated at an angle of more than 30°
uncontrolled concentrations may occur. (see "Transport,
procedure after being tilted", page 32).
Connections, plug-in connectors/plug-in adapters may leak
when used at greater angles.
The filling level shown in the sight glass will not be correct
when Vapor is used at an angle. This may lead to overfilling.
●
Anaesthesia delivery system prepared in accordance with
Instructions for Use and anaesthetic gas scavenging
system connected.
●
Anaesthetic-agent monitor switched on and correct
anaesthetic agent set. Alarm limits set.
Dräger recommend monitoring with a monitor with
continuous measurement and upper and lower alarm limits
to detect any hazardous output values due to deviations in
concentration, leaks or incorrect filling, particularly for
Vapors with filling spout. For this reason, monitors should
be used which can differentiate between different
anaesthetic agents.
When using Low Flow and Minimal Flow, the concentration
in the breathing system may deviate significantly from the
Vapor setting. For this reason, measurement of inspiratory
and/or expiratory anaesthetic agent concentration is
essential.
●
Oxygen monitor switched on. Alarm limits set.
Dräger recommend monitoring with a monitor with
continuous measurement and at least a lower alarm limit
to detect an insufficient oxygen supply, e.g. due to leaks.
24
Page 25
Operation
Setting/checking:
— Filling level in sight glass between minimum and maximum
mark – must not exceed maximum mark.
— Filling system:
— Keyed filling system: locking lever fully in place and lever
locked.
— Quik Fil® or funnel filling system:
screw cap in place and securely tightened.
— Connector system:
— Plug-in connector: plug-in adapter level on the seals.
Locking lever swung to the left. Vapor secure and
hanging vertical on machine, when viewed from front
and side.
— Other connector: Vapor connected firmly and securely
on anaesthesia delivery system. Vapor is suspended or
stands upright and is secured against tilting or falling.
— Direction of flow corresponds to arrow.
— For several connectors:
— All connectors occupied, if not
— any unoccupied permanent and conical connectors or
plug-in adapters without valve function, must not be
open for operation.
If these are not done, fresh gas and anaesthetic agent
vapour will escape, interrupting the patient's supply.
— Only one vaporiser connected at a time, if not:
●
check that there is an Interlock system on vaporiser and
anaesthesia delivery system, and that it is of same type.
A malfunctioning Interlock may endanger the patient by
causing overdosing or a mixture of anaesthetic agents.
— Fresh-gas flow must be switched off.
●
Check each vaporiser connected as follows:
— Set vaporiser to any concentration.
— All other vaporisers must be switched off, locked off and
impossible to switch on.
— If there is an anaesthetic-agent vaporiser checking
system, check that the correct anaesthetic is indicated
and that it matches the Vapor connected.
If these are not done, an incorrect concentration may be
displayed.
●
Switch off vaporiser – control dial set to »0«.
●
Check that Vapor, connector and fresh-gas lines are leaktight (see Instructions for Use for Anaesthesia Delivery
System):
– control dial setting »0« and »T«
– control dial setting ≥0.2 vol.%.
●
Flush the breathing system with fresh gas before
connecting a patient.
Do not operate Vapor unless all checks have been carried
out satisfactorily. Any repairs must be carried out by
qualified service personnel.
25