Fabius GS Operating Instructions Sw 3.n

Contents Chapter 1. Introduction Contents... 1 Overview... 3 Operator’s Responsibility... 3 Intended Use... 4 Medibus and Vitalink Protocols... 4 Safety Features... 4 Copyright, Trademark, and Limitation of Liability... 5 Symbol Definition... 6 Abbreviations... 10 General Warnings and Cautions... 11

Chapter 2. Configurations and Components Contents... 15 Typical Fabius GS Configuration... 17 Components... 17

Chapter 3. Operating Concept Contents... 23 Overview... 25 Standard Function Controls... 25 Cross-Functional Controls and Displays... 26 Monitoring... 28 Ventilation... 32 Fresh Gas Control... 46 Fresh Gas Flow Monitoring Resolutions... 47 APL Valve... 48

Chapter 4. Preparation Contents... 49 Activating the Battery... 51 Gas Supply... 51 Medical Gas Pipeline Supply of O2, N2O, and AIR... 51 Cylinders with Pin-index Mounting... 52 Electrical Supply... 53 Attaching Manual (Ambu) Ventilation Bag... 53 Preparing the Ventilator... 54 Ventilator Safety Features... 54 Attaching the CO2 Absorber onto the Compact Breathing System... 54 Attaching the Inspiratory Valve... 55 Attaching the Expiratory Valve... 55 Attaching the Adjustable Pressure Limiting (APL) Valve... 55 Inserting the Flow Sensor... 56 Attaching the Waste Gas Outlet Port... 56 Connecting the Compact Breathing System... 56 Installation of HBSPS (Optional)... 57 Connecting the Breathing Hoses... 58 Inserting A New O2 Sensor Capsule... 59 Connecting the O2 Sensor... 60 Connecting the Pressure Sensor... 60

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Contents Connecting the Breathing Pressure Gauge... 61 Connecting the APL Bypass and Peep/PMAX Hoses... 61 Connecting the Flow Sensor... 62 Installing Anesthetic Gas Scavenging Hose to the Compact Breathing System... 62 Scavenger System for Fabius GS... 63 Additional Equipment... 63 Daily and Preuse Checkout Form... 63

Chapter 5. Operation and Shut-down Contents... 65 Operation... 67 Preparation for Transport or Storage... 76

Chapter 6. Monitoring Contents... 79 Overview... 81 Alarms... 81 Oxygen Monitoring... 82 Respiratory Volume Monitoring... 88 Breathing Pressure Monitoring... 93

Chapter 7. Setup Window (Used During Operation) Contents... 99 Overview... 101 Setup Window Access... 101 Volume Alarms On/Off... 102 Auto Set... 102 Calibrate O2 Sensor... 102 Activate Desflurane Compensation... 103 Automatic Desflurane Compensation... 104 Access Alarm Log... 104 Access Alarm Volume... 105 Window Deactivation... 105

Chapter 8. Standby Mode Functions Contents... 107 Overview... 109 Standby Screen... 109 Standby Setup Screen... 113

Chapter 9. Routine Maintenance and Cleaning Contents... 125 Routine Maintenance... 127 Disassembling... 127 Disinfecting/Cleaning/Autoclaving... 129 Maintenance Intervals... 131 Checking Readiness for Operation... 131

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Contents Chapter 10. Troubleshooting Contents... 133

Chapter 11. Components Contents... 139 Front View... 141 Compact Breathing System (Top View)... 142 Rear View (3-Gas Supply Connections)... 143

Chapter 12. Technical Data Contents... 145 Technical Data... 147 Diagrams... 155

Appendix. Daily and Preuse Checkout Form

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Chapter 1 - Introduction

Contents

Introduction Contents Overview ... 3 Recommendations ... 3 Not for Use in Areas of Explosion Hazard ... 3 Safe Connection with Other Electrical Equipment ... 3 Operator’s Responsibility ... 3 Intended Use ... 4 Medibus and Vitalink Protocols ... 4 Safety Features ... 4 Copyright, Trademark, and Limitation of Liability ... 5 Copyright ... 5 Trademark Notices ... 5 Limitation of Liability ... 5 Symbol Definition ... 6 Abbreviations ... 10

Part Number: 4117102-009

Rev. -

General Warnings and Cautions ... 11

Fabius GS Operator’s Manual

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Overview

Chapter 1 - Introduction

Overview Caution: For your safety and that of your patients, strictly follow this instruction manual. Any use of the Fabius GS® requires full understanding and strict observation of these instructions. The unit is only to be used for purposes specified here.

Recommendations Because of the sophisticated nature of Draeger Medical anesthesia equipment and its critical importance in the operating room setting, it is highly recommended that only appropriately trained and experienced professionals, using authentic Draeger Medical spare parts, be permitted to service and maintain this equipment. Please contact DrägerService at (800) 543-5047 or (215) 721-5402 for service of this equipment. Draeger Medical also recommends that its anesthesia equipment be serviced at six-month intervals. Periodic Manufacturer's Certification Agreements are available for equipment manufactured by Draeger Medical. For further information concerning these agreements, contact DrägerService at (800) 543-5047 or (215) 7215402.

Part Number: 4117102-009

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Not for Use in Areas of Explosion Hazard The Fabius GS is neither approved nor certified for use in areas where combustible or explosive gas mixtures are likely to occur. To avoid explosion hazards, flammable anaesthetic agents such as ether and cyclopropane or other flammable substances must not be used in this machine. Only anaesthetic agents that comply with the requirements on non-flammable anaesthetic agents in the IEC Standard, Particular requirements for the safety of anaesthetic machine, are suitable for use in this machine.

Safe Connection with Other Electrical Equipment Electrical connections to equipment which are not listed in these Instructions for Use should only be made following consultations with the respective manufacturers or an expert and shall be in compliance with national medical device regulations.

Note: Systems must meet the requirements in accordance with IEC/EN 60601-1-1 and IEC/EN 60601-1-2.

Fabius GS Operator’s Manual

General information on electromagnetic compatibility (EMC) according to the international EMC standard IEC 60601-1-2: 2001 Medical electrical equipment needs special precautions regarding electromagnetic compatibility (EMC) and needs to be installed and put into service according to the EMC information provided in the technical documentation available from DrägerService upon request. Portable and mobile RF communications equipment can affect medical electrical equipment. Pins of connectors identified with the ESD warning symbol shall not be touched and not be connected unless ESD precautionary procedures are used. Such precautionary procedures may include anti-static clothing and shoes, the touch of a ground stud before and during connecting the pins, or the use of electrically isolating and anti-static gloves. All staff involved in the above shall receive instruction in these procedures.

Operator’s Responsibility The equipment design, the accompanying literature, and the labeling on the equipment take into consideration that the purchase and use of the equipment are restricted to trained professionals, and that certain inherent characteristics of the equipment are known to the trained operator. Instructions, warnings, and caution statements are limited, therefore, to the specifics of the Draeger Medical, Inc. design. This publication excludes references to hazards which are obvious to a medical professional, to the consequences of product misuse, and to potentially adverse effects in patients with abnormal conditions. Product modification or misuse can be dangerous. Draeger Medical, Inc. disclaims all liability for the consequences of product alterations or modifications, as well as for the consequences which might result from the combination of Draeger Medical, Inc. products with products supplied by other manufacturers if such a combination is not endorsed by Draeger Medical, Inc. The operator of the anesthesia system must recognize that the means of monitoring and discovering hazardous conditions are specific to the composition of the system and the various components of the system. It is the operator, and not the various manufacturers or suppliers of components, who has control over the final composition and arrangement of the anesthesia system used in the operating room. Therefore, the responsibility for choosing the appropriate safety 3

Chapter 1 - Introduction monitoring devices rests with the operator and user of the equipment. The Fabius GS is equipped to monitor breathing circuit pressure, exhaled volume and inspired oxygen, and to sound an alarm when any of these parameters violates a preset limit. The Fabius GS should not be used if any of these monitors are not functioning properly. Draeger Medical, Inc. also recommends that the Fabius GS only be used to deliver anesthesia and/or mechanical ventilation in accordance with the guidelines for patient monitoring published by the American Society of Anesthesiologists. In addition to volume, pressure, and oxygen monitoring, these guidelines require the use of a capnometer to monitor inspired and expired carbon dioxide as well as other patient monitors including continuous electrocardiography, pulse oximetry, and arterial blood pressure monitoring. Anesthetic agent monitoring and temperature monitoring are also strongly recommended. The responsibility for the selection of the best level of patient monitoring belongs solely to the equipment operator. To this extent, the manufacturer, Draeger Medical, Inc., disclaims responsibility for the adequacy of the monitoring package selected for use with the anesthesia system. However, Draeger Medical, Inc. is available for consultation to discuss monitoring options for different applications.

Restriction Caution: Federal law and regulations in the United States restrict this device to sale by, or on the order of, a physician.

Intended Use

It may be used with O2, N2O, and AIR supplied by a medical gas pipeline system or by externally mounted gas cylinders. Fabius GS is equipped with a compact breathing system, providing fresh gas decoupling, PEEP, and pressure limitation.

• • • • • •

4

Volume Controlled Ventilation Pressure Controlled Ventilation (Optional) Pressure Support (Optional) SIMV/PS (Optional) Manual Ventilation Spontaneous Breathing

As per EN740 (Anesthetic Workstations and their Modules- Particular Requirements), additional monitoring of the concentrations of CO2 and anesthetic agent is required when the machine is in use. Do not use readily flammable anesthetic agents such as ether, cyclopropane, etc.

Medibus and Vitalink Protocols Medibus and Vitalink are software protocols for use in transferring data between the Fabius GS and an external medical or non-medical device (e.g., hemodynamic monitors, data management systems, or a Windows-based computer) via the RS-232 interface .

WARNING ! Data transferred via Medibus and Vitalink interfaces are for information only and are not intended as a basis for diagnosis or therapy decisions.

WARNING ! In order to protect patients and users from electrical hazards, is it imperative that all systems consisting of electrical medical devices and other electrical devices, such as but not limited to PCs, printers, etc., be mounted exclusively by trained personnel. The system must meet the requirements about medical electrical equipment in accordance to IEC/EN 60601-1-1 and IEC/EN 60601-1-2.

Safety Features • Monitoring of P, V, FiO2 • O2 SUPPLY LOW alarm • Integrated S-ORC = Sensitive Oxygen Ratio Controller (control device to ensure minimum O2 concentration of 23 Vol.%). Per EN740, burns may occur if antistatic or electrically conductive ventilation tubes are used in combination with high-frequency electrical surgery equipment. Therefore, per EN740, these types of breathing tubes are not recommended.

Fabius GS Operator’s Manual

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The following ventilation options are available:

Fabius GS is equipped with an electrically driven and electronically controlled ventilator and monitors for airway pressure (P), volume (V), and inspiratory oxygen concentration (FiO2).

Part Number: 4117102-009

Fabius GS is an inhalation anesthesia machine for use in operating, induction and recovery rooms.

Intended Use

Copyright, Trademark, and Limitation of Liability Caution: Do not use Fabius GS in the environment of NMR tomography equipment. Malfunctions may result, thereby endangering the patient.

Caution: Do not use mobile phones within a distance of 10 meters from the machine. Mobile phones can cause malfunctions in electrical medical equipment, thereby endangering the patient and the operator.

Copyright, Trademark, and Limitation of Liability

Chapter 1 - Introduction

Draeger Medical, Inc. shall in no event be liable for any special, incidental, or consequential damages (including loss of profits) whether or not foreseeable and even if Draeger Medical, Inc. has been advised of the possibility of such loss or damage. Draeger Medical, Inc. disclaims any liability arising from a combination of its product with products from another manufacturer if the combination has not been endorsed by Draeger Medical, Inc. Buyer understands that the remedies noted in Draeger Medical Inc.'s limited warranty are its sole and exclusive remedies. Furthermore, buyer acknowledges that the consideration for the products, equipment, and parts sold reflects the allocation of risk and the limitations of liability referenced herein.

Copyright Copyright 2005 by Draeger Medical, Inc. All rights reserved. No part of this publication may be reproduced, transmitted, transcribed, or stored in a retrieval system in any form or by any means, electronic or mechanical, including photocopying and recording, without written permission of Draeger Medical, Inc. The exceptions to this are “Recommendations for Typical Cleaning and Disinfection After Use” on page 130 and “Daily and Preuse Checkout Form” in Appendix A.

Part Number: 4117102-009

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Trademark Notices DrägerService, Fabius GS, and Vitalink are registered trademarks of Draeger Medical, Inc. Drägersorb, D-Vapor, Vamos, and Vapor are registered trademarks of Dräger. Selectatec is a registered trademark of Datex-Ohmeda. All other products or brand names are trademarks of their respective owners.

Limitation of Liability Draeger Medical, Inc.'s liability, whether arising from or related to the manufacture and sale of the products, their installation, demonstration, sales representation, use, performance, or otherwise, including any liability based upon Draeger Medical, Inc.'s product warranty, is subject to and limited to the exclusive terms of Draeger Medical, Inc.'s limited warranty, whether based upon breach of warranty or any other cause of action whatsoever, regardless of any fault attributable to Draeger Medical, Inc. and regardless of the form of action (including, without limitation, breach of warranty, negligence, strict liability, or otherwise).

Fabius GS Operator’s Manual

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Chapter 1 - Introduction

Symbol Definition

Symbol Definition The following symbols appear on the labels on the back of the Fabius GS and are defined below.

Caution: Refer to accompanying documents before operating equipment.

!

Caution: Risk of electric shock, do not remove cover. Refer servicing to a DrägerService representative. Degree of protection against electric shock: Type B.

Registration Mark C

US

Year Manufactured

The following symbols appear on the shipping container of the Fabius GS. This end up.

Part Number: 4117102-009

Handle with care. REV

_

DESCRIPTION

DATE

APPROVED

Keep dry.

BY

ECN/DCN

00-0922

Rev. -

Minimum and maximum storage temperatures.

APVD

11-28-00 SAG DLB

60°c -10°c

DRAGER MEDICAL, INC

Quarry Road Telford, PA 18969

TITLE

AW - LOGO - PACKAG DRAWN BY

SAG

6

Fabius GS Operator’s Manual

APPROVED BY ARTWORK NO

DLB

DATE 11-28-00 DATE 12-05-00

AW41150

Symbol Definition

Chapter 1 - Introduction

The following symbols are used on other locations of the Fabius GS to provide quick and easy recognition of product functions. Oxygen Concentration Sensor Port

Breathing Pressure Sensor Port

Breathing Volume Sensor Port

Ventilator Port

Pipeline, Gauge, Pipeline Inlet

Breathing Bag

Part Number: 4117102-009

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Flowmeter Level Indicator

Indicates Direction

Total Power Applied

Partial Power Applied

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Chapter 1 - Introduction

Symbol Definition

Cylinder Gauge, Remote Cylinder Inlet

Do Not Oil

The following symbols are used on the Fabius GS monitoring user interface. Table Top Light

Upper and Lower Alarm Limits

Return to Home Screen

Suppress Alarm Tone for Two Minutes

Standby Mode

Part Number: 4117102-009

Available Operating Capacity of UPS

Close Menu, Back to Previous Menu

Rev. -

Upper Alarm Limit Lower Alarm Limit Mains Applied/Mains Power

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Fabius GS Operator’s Manual

Symbol Definition

Chapter 1 - Introduction

Alarm Off

Setup Screen

In addition to symbols already described, the following symbols appear on the optional Heated Breathing System Power Supply (HBSPS). Fuse

Heater Power

DC Voltage

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AC Voltage

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Chapter 1 - Introduction

Abbreviations

Abbreviations Meaning

COSY

Compact Breathing System

FLOW

Expiratory flow

FiO2

Inspiratory O2 concentration

Freq

Ventilation frequency

Freq Min

Minimum ventilation frequency setting for Pressure Support Apnea Ventilation

MAN

Manual ventilation

MEAN

Mean (airway) pressure

N2O

Nitrous Oxide

O2

Oxygen

PAW

Airway pressure

PEAK

Peak (airway) pressure

PEEP

Positive end-expiratory pressure

PINSP

Pressure setting in Pressure Control mode or the sum of ∆ PPS and PEEP settings in Pressure Support mode

PLAT

Plateau airway pressure

Pmax

Maximum (airway) pressure setting

∆ PPS

Pressure support setting in Pressure Support mode or SIMV/PS mode

SIMV

Synchronized Intermittent Mandatory Ventilation

SPONT

Spontaneous breathing

TI : TE

Ratio of inspiratory to expiratory time

Tip : Ti

Ratio of inspiratory pause time to inspiratory time

UPS

Uninterruptible power supply

VAC

Vacuum (e.g., for secretion aspiration)

VT

Tidal volume

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Abbreviation

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Fabius GS Operator’s Manual

General Warnings and Cautions

General Warnings and Cautions The following list of warnings and cautions apply to general operation and maintenance of the Fabius GS. Warnings and cautions about installing and operating specific parts appear with those topics. •

•

A Warning statement gives important information that, if ignored, could lead directly to personal injury. A Caution statement gives important information that, if ignored, could lead directly to equipment damage and indirectly to personal injury.

Warning: Any person involved with the setup, operation, or maintenance of the Fabius GS anesthesia system must be thoroughly familiar with this instruction manual.

Warning: This anesthesia system will not respond automatically to certain changes in patient condition, operator error, or failure of components. The system is designed to be operated under the constant surveillance and control of a qualified operator.

Part Number: 4117102-009

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Warning: No third-party components shall be attached to the anesthesia machine, ventilator, or breathing system (except for certain approved exceptions). For more information, contact your local Authorized Service Organization or DrägerService at: DrägerService Draeger Medical, Inc. 3122 Commerce Drive Telford, PA 18969 Tel: (215) 721-5402 (800) 543-5047 Fax: (215) 721-5784

Warning: Each institution and user has a duty to independently assess, based on its, his, or her unique circumstances, what components to include in an anesthesia system. However, Draeger Medical, in the interest of patient safety, strongly recommends the use of an oxygen analyzer, pressure monitor, volume monitor, and end-tidal CO2 monitor in the breathing circuit at all times.

Warning: Apply the caster brakes when the anesthesia machine is in use.

Fabius GS Operator’s Manual

Chapter 1 - Introduction Warning: When moving the anesthesia machine, remove all monitors and equipment from the top shelf and use only the machine handles or push/pull bars. 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.

Warning: Pressure Support ventilation is triggered by the patient's spontaneous effort to breathe. Most anesthetic agents will cause patients to have reduced ventilatory responses to carbon dioxide and to hypoxemia. Therefore, patient triggered modes of ventilation may not produce adequate ventilation. Additionally, the use of neuromuscular blocking agents will interfere with patient triggering.

Warning: When the moisture content falls below a specified minimum level, the following undesirable reactions can occur, regardless of the type of CO2 absorbent and the anesthetic agent used, e.g. Halothane, Enflurane, Isoflurane, Sevoflurane or Desflurane: • reduced CO2 absorption, • formation of CO, • absorption and/or decomposition of the inhalation anesthetic agent, • increased heat generation in the absorber, leading to higher breathing gas temperatures. Additionally, the breakdown products of anesthetic agents exposed to dry absorbent are both flammable and toxic, and fires have been reported in association with the use of desiccated absorbent and volatile anesthetics. These reactions can result in danger to the patient in the form of CO intoxication, insufficient depth of anesthesia and airway burns.

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Chapter 1 - Introduction

General Warnings and Cautions

Warning: Route all lines/cables away from the APL valve to prevent interference with the APL valve adjustment knob. Lines/cables caught underneath the APL valve adjustment knob could interfere with proper functioning of this valve.

Caution: Although the Fabius GS is designed to minimize the effects of ambient radiofrequency interference, machine functions may be adversely affected by the operation of electrosurgical equipment or short wave or microwave diathermy equipment in the vicinity.

Caution: Communications with external equipment may be temporarily affected by electromagnetic interference due to the use of electrosurgical equipment.

Caution: Do not place more than 40 pounds on top of the Fabius GS monitor housing.

Caution: Never allow the battery to completely discharge. If the battery does discharge completely, recharge immediately.

Caution: Front GCX rails have a maximum accessories weight load of 5 lb./2.3 kg, extended out at 3 in./7.6 cm from the rail, at any position on the rail.

Part Number: 4117102-009 Rev. -

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Fabius GS Operator’s Manual

General Warnings and Cautions

Chapter 1 - Introduction

Option Weight

Fabius GS Back Left Side Accessory Option with Breathing System Mounted on Left Side

30 lb. / 13.6 kg 28 lb. / 12.7 kg 26 lb. / 11.8 kg 24 lb. / 10.9 kg 22 lb. / 10.0 kg 20 lb. / 9.1 kg

Caution: Possible Tip Over Hazard If Mounting Accessories Exceed Approved Limits.

18 lb. / 8.2 kg

Approved Mounting Limits

Option 16 lb. / 7.3 kg Weight 14 lb. / 6.4 kg 12 lb. / 5.4 kg 10 lb. / 4.5 kg

15.0 in. 38.1 cm

10.0 in. 25.4 cm

5.0 in. 12.7 cm

Mount Arm Length

Option Weight

Fabius GS Back Right Side Accessory Option with Breathing System Mounted on Left Side

60 lb. / 27.2 kg

Part Number: 4117102-009

Rev. -

55 lb. / 24.9 kg 50 lb. / 22.7 kg 45 lb. / 20.4 kg 40 lb. / 18.1 kg 35 lb. / 15.9 kg 30 lb. / 13.6 kg 25 lb. / 11.3 kg 20 lb. / 9.1 kg

Approved Mounting Limits

Caution: Possible Tip Over Hazard If Mounting Accessories Exceed Approved Limits.

MAXIMUM WEIGHT PER ARM 30 lb. COMBINED MULTIPLE ARM WEIGHTS NOT TO EXCEED 60 lb. MAX.

15 lb. / 6.8 kg 10 lb. / 4.5 kg

5.0 in. 12.7 cm

10.0 in. 25.4 cm

15.0 in. 38.1 cm

Mount Arm Length

Fabius GS Operator’s Manual

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General Warnings and Cautions

Chapter 1 - Introduction

Option Weight

Fabius GS Back Left Side Accessory Option with Breathing System Mounted on Right Side

60 lb. / 27.2 kg 55 lb. / 24.9 kg 50 lb. / 22.6 kg 45 lb. / 20.4 kg 40 lb. / 18.1 kg 35 lb. / 15.8 kg

Caution: Possible Tip Over Hazard If Mounting Accessories Exceed Approved Limits.

30 lb. / 13.6 kg

Approved Mounting Limits

Option 25 lb. / 11.3 kg Weight 20 lb. / 9 kg 15 lb. / 6.8 kg 10 lb. / 4.5 kg

15.0 in. 38.1 cm

10.0 in. 25.4 cm

5.0 in. 12.7 cm

Mount Arm Length

Option Weight

Fabius GS Back Right Side Accessory Option with Breathing System Mounted on Right Side

30 lb. / 13.6 kg

Part Number: 4117102-009

Rev. -

28 lb. / 12.7 kg 26 lb. / 11.7 kg 24 lb. / 10.8 kg 22 lb. / 9.9 kg 20 lb. / 9.0 kg 18 lb. / 8.1 kg 16 lb. / 7.2 kg 14 lb. / 6.3 kg

Approved Mounting Limits

Caution: Possible Tip Over Hazard If Mounting Accessories Exceed Approved Limits.

MAXIMUM WEIGHT PER ARM 30 lb. COMBINED MULTIPLE ARM WEIGHTS NOT TO EXCEED 60 lb. MAX.

12 lb. / 5.4 kg 10 lb. / 4.5 kg

5.0 in. 12.7 cm

10.0 in. 25.4 cm

15.0 in. 38.1 cm

Mount Arm Length

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Chapter 2 - Configurations and Components

Contents

Configurations and Components Contents Typical Fabius GS Configuration ... 17 Components ... 17 Vaporizers (Optional) ... 17 Dräger Vapor Interlock System (Optional) ... 18 Selectatec® (Optional) ... 18 Heated Breathing System (Optional) ... 18 Auxiliary Oxygen Flowmeter (Optional) ... 18

Part Number: 4117102-009

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Second Communications Port (Optional) ... 19

Fabius GS Operator’s Manual

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Typical Fabius GS Configuration

Chapter 2 - Configurations and Components

Typical Fabius GS Configuration The Fabius GS Inhalation Anesthesia Machine is a modular system consisting of a basic gas-delivery module with a variety of components and configuration designs to meet the requirements of various anesthesia delivery applications. • • •

Figure 1. Fabius GS Anesthesia Machine

2-gas version (O2 and Air) 3-gas version (O2, N2O, and Air) pin index cylinder yokes and pressure gauges

Components Vaporizers (Optional)

Figure 2. Dräger Vapor System

®

The Dräger Vapor anesthetic agent vaporizers (1 in Figure 2) are used to enrich the fresh gas with a precisely metered quantity of vapor from the liquid anesthetic agent being used, i.e. Isoflurane, Halothane, Enflurane, or Sevoflurane. When using a Desflurane vaporizer: 220 V Mains

Devapor*

110 V Mains

D-Tec*

230 V Mains

D-Vapor

1

1

Part Number: 4117102-009

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* Devapor and D-Tec are available through your local Desflurane representative.

Note: The Fabius GS may be equipped with the Vapor Park option which provides a place to store a spare vaporizer on the side or back of the machine. Do not attempt to use the parked vaporizer for clinical use; it is not connected to the gas flow and is not functional in the parked position.

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Chapter 2 - Configurations and Components

Dräger Vapor Interlock System (Optional)

Components

Figure 3. Dräger Vapor Interlock System

The Fabius GS is configured for two vaporizers. An interlock system is used to ensure only one vaporizer can be used at a time. OP00520

Note that the selector lever (1 in Figure 3) is shown in the center position. This ensures that both vaporizers are in the locked position. Also, this is the recommended position for the selector lever when moving the Fabius GS. 1

Moving the selector lever away from the desired vaporizer allows that vaporizer to be utilized and the other to be locked out of use.

Selectatec® (Optional) The interlock system for the Selectatec is built into the vaporizers. When a vaporizer is selected for use, the interlocking index pins will protrude from the sides of the vaporizer thereby not allowing the neighboring vaporizer to be opened. For more specific information on the Selectatec, refer to the Selectatec Vaporizer’s instruction manual.

Heated Breathing System (Optional) The Fabius GS can be configured with an optional heated breathing system to reduce condensation of moisture in the system. See “Installation of HBSPS (Optional)” on page 57 for installation instructions.

For the delivery of a metered flow of pure oxygen (for example, delivery of oxygen through a nasal cannula), an optional auxiliary oxygen flowmeter (1 in Figure 4) can be mounted on the left side of the flowmeter bank. This flowmeter can be used when the machine is turned off. A zero stop prevents damage to the flow control valve seat.

Figure 4. Auxiliary Oxygen Flowmeter

1

Part Number: 4117102-009

Auxiliary Oxygen Flowmeter (Optional)

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Fabius GS Operator’s Manual