Apollo Operating Instructions Sw 4.n

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Contents

Chapter 1. Introduction... 5 Contents... 5 Working with these Operating Instructions... 7 Trademarks... 8 Definitions... 8 Symbols and Abbreviations... 8 For Your Safety and that of Your Patients... 9 General Warnings and Cautions... 11 Indications for Use... 13 Intended Use... 13 MEDIBUS Protocol... 14 Accessory weight limits... 15 Symbols... 17 Abbreviations... 19

Chapter 2. System Components... 21 Contents... Overview... Machine Front view... Machine Rear view... Gas supply block... Interface panel... Vaporizers (Optional)... Vaporizer exclusion systems... APL valve... O2 flush... Auxiliary oxygen flow meter... Writing table... Gas flow diagram...

21 22 22 23 24 25 26 26 28 29 30 30 31

Part Number: 9039994, 2nd edition

Chapter 3. User Interface... 33 Contents... Overview... User controls... System LED indicators... Screen colors...

33 35 37 41 41

Chapter 4. System Setup... 43 Contents... Overview... Preparation before first use... Charging the battery for emergency operation... Installing the breathing system and flow sensors... Filling and installing the absorber... Connecting the gas supply... Connecting the scavenger system... Connecting the endotracheal aspiration system (Optional)... Installing vaporizers... Installing the flexible arm for the manual breathing bag... Installing the patient system... Connecting AC power... Information about transport within the clinic...

43 45 45 45 46 47 50 55 57 57 58 58 65 67

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Contents

Chapter 5. Pre-use Checkout... 69 Contents... 69 Overview... 71 Checking the Workstation according to the Check List... 71 Self test... 80 System compliance test... 83 Leak tests... 84 Emergency start... 87

Chapter 6. Operation Summary... 89 Contents... 89 Overview... 91 Typical operation... 91 Changing patients... 95 Changing soda lime... 96 Leak test... 98 Activating the CO2 bypass function (Optional)... 99 End of operation... 100 When Apollo is not in use... 102

Chapter 7. Ventilation... 103 Contents... 103 Overview... 105 Manual/Spontaneous ventilation... 106 Volume-Controlled Ventilation... 109 Volume Mode AutoFlow - Volume AF (Optional)... 113 Pressure-Controlled Ventilation... 118 Pressure Support Ventilation (Optional)... 122 Continuous Positive Airway Pressure CPAP - in Pressure Support Mode (Optional)... 125 Changing between ventilation modes... 126 Automatic parameter changes... 127 Auxiliary common gas outlet (Aux CGO) ventilation (Optional)... 128

Chapter 8. Monitoring... 133

Chapter 9. Alarms... 161 Contents... 161 Alarm priorities and alarm signals... 163 Alarm displays... 165 Suppressing alarms... 166

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Part Number: 9039994, 2nd edition

Contents... 133 Overview... 135 Standard screen... 135 Screen layout... 136 Displayed parameters... 137 Gas measurement... 142 Loops (Optional)... 147 Datalog... 148 Screen timer... 149 Data screen... 150 Trend screen... 151 Monitoring mode... 153 SpO2 measurement (Optional)... 154

Contents

Limit-based alarms activated in respective ventilation modes... 168 Enabling/disabling alarms globally during operation... 169 Displaying and setting alarm limits... 173

Chapter 10. Configuration... 177 Contents... Overview... Configuring the default settings in Standby... System settings... Parameters... Interfaces datalog... Screen layout... Setting alarm limits... Ventilator and gas supply... System information... Configuration during operation...

177 179 179 180 182 184 185 186 190 193 195

Chapter 11. Cleaning and Maintenance... 201 Contents... Overview... Disassembling components... Cleaning and Disinfection Guidelines... Proper Cleaning/Disinfection Sequence... Cleaning/Disinfection Objective and Methods... Disinfecting/Cleaning/Sterilizing... Care list for Apollo components... Reassembling components... Apollo maintenance... Disposing of the used device...

201 203 203 210 210 211 212 216 217 225 228

Part Number: 9039994, 2nd edition

Chapter 12. Troubleshooting... 229 Contents... Overview... Power failure... Gas failure... Ventilator failure... Fresh-gas delivery failure... Ventilator and fresh-gas delivery failure... Gas measurement failure... Display failure... User interface failure... System failure... Alarm - Cause - Remedy...

229 231 231 232 234 235 236 236 237 237 237 239

Chapter 13. Specifications... 251 Contents... Specifications... Latex use... EMC declaration... Relevant standards...

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Operating Instructions Apollo SW 4.n

Introduction

Introduction Contents Working with these Operating Instructions... 7 Trademarks... 8 Definitions... 8 Symbols and Abbreviations... 8 For Your Safety and that of Your Patients... 9 Strictly follow these Operating Instructions... 9 Maintenance... 9 Accessories... 9 Not for use in areas of explosion hazard... 9 Safe connection with other electrical equipment... 9 Note on EMC/ESD risk for the device function... 10 Safe networking of computers... 11 Patient safety... 11 Patient monitoring... 11 General Warnings and Cautions... 11 Accessories in sterile packaging... 11 Indications for Use... 13 Intended Use... 13 Ventilation modes... 13 The following measured values are displayed... 13 Part Number: 9039994, 2nd edition

The following parameters are displayed as curves... 13 The following are displayed as bar graphs... 13 Monitoring... 14 MEDIBUS Protocol... 14 Accessory weight limits... 15 Symbols... 17 Abbreviations... 19 List of abbreviations used in the software and on the device... 19 List of general abbreviations... 20 Units... 20

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Introduction

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Operating Instructions Apollo SW 4.n

Introduction

Working with these Operating Instructions Figure 1. Example of a Body Page

Header Line

Configuration

The header line on each page contains the title of the chapter. This helps you find your way quickly from subject to subject.

Overview The user can configure settings on the Apollo in Standby mode as well as during operation. Standby configuration allows the user to save a complete set of defaults that are invoked automatically when the machine is switched on (see “Configuring the default settings in Standby” below). The configuration settings that can be made during operation are more limited and are valid only until the machine is switched off (see “Configuration during operation” on page 191).

Page Body The page body in these Operating Instructions combines text and illustrations. The information is presented as sequential steps of action, giving the user hands-on experience in learning how to use the Apollo inhalation anesthesia machine.

Configuring the default settings in Standby Default settings describe settings which the anesthesia machine starts with when it is switched on. The default settings for ventilation, fresh-gas delivery, and monitoring can be activated while in Standby by pressing the >Restore Default Settings< button (1 in Figure 124) on the standby screen.

Left-Hand Column - the Text

The default settings can be configured in Standby as follows:

The text in the left-hand column provides explanations and step-by-step instructions on the practical use of the machine.

Right-Hand Column - the Illustrations The illustrations provide visual reference for the text and for locating the various parts of the equipment. Elements mentioned in the text are highlighted. Renderings of screen displays guide the user and provide a way to reconfirm actions performed.

1. Press the standby key >

2

<, and confirm by

pushing the rotary knob. 2. Press the >Default Config< button (2 in Figure 124). Part Number: 9039994, 1st edition

Bullet points indicate separate actions. Numbers are used both to refer to relevant details in the illustrations and to specify the sequence of actions where several actions are described.

Figure 124. Location of Standby Config Key

The user is requested to enter a four-digit password in order to prevent unauthorized changes to the basic functions (see Figure 125). The four-digit password is assigned at the factory. If desired, the password can be changed or the password function can be disabled altogether by DrägerService.

1 Figure 125. Password Screen

3. Select and confirm the figures successively from the line displayed using the rotary knob. The password is represented by asterisks (****) below the line of numbers The menu Standby Conf. for selecting the default values is displayed when the password has been entered correctly, see Figure 126.

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Part Number: 9039994, 2nd edition

Typing Conventions User controls are designated as >Control Name<, e.g.: >PEEP< Screen messages and screen options are printed in bold, e.g.: Default Alarm Limits

Operating Instructions Apollo SW 4.n

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Introduction

Trademarks

Symbols and Abbreviations

–

Apollo®

–

The Dräger® name and logo

Please refer to “Symbols” on page 17 and “Abbreviations” on page 19 for explanations.

–

DrägerService®

Notice

–

Drägersorb®

–

Vapor®

–

Spirolog®

This document is provided for customer information only, and will not be updated or exchanged without customer request.

–

SpiroLife®

–

WaterLock®

are registered trademarks of Dräger. –

Durasensor®

–

OxiMax®

are registered trademarks of Nellcor. –

Selectatec®

is a registered trademark of Datex-Ohmeda. All other products or brand names are trademarks of their respective owners.

Definitions WARNING! A WARNING statement provides important information about a potentially hazardous situation which, if not avoided, could result in death or serious injury.

Part Number: 9039994, 2nd edition

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.

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Operating Instructions Apollo SW 4.n

Introduction

For Your Safety and that of Your Patients

Not for use in areas of explosion hazard WARNING!

Strictly follow these Operating Instructions WARNING! Strictly follow these Operating Instructions. Any use of the medical device requires full understanding and strict observation of all portions of these instructions. The medical device is only to be used for the purpose specified under “Indications for Use” on page 13 and “Intended Use” on page 13, and in conjunction with appropriate patient monitoring (see page 14). Strictly observe all WARNING and CAUTION statements throughout these Operating Instructions and all statements on medical device labels. Non-compliance with these WARNING and CAUTION statements constitutes a use of the medical device which is not in accordance with its Intended Use. Maintenance

Part Number: 9039994, 2nd edition

WARNING! The device must be inspected and serviced regularly by properly trained service personnel. Repair of the device may also only be carried out by properly trained service personnel. We recommend that a service contract be obtained with DrägerService and that all repairs also be carried out by them. We recommend that only authentic Dräger repair parts be used for maintenance. Otherwise, the correct functioning of the device may be compromised.

This medical device is neither approved nor certified for use in areas where combustible or explosive gas mixtures (e.g. O2 or agent-enriched environments) are likely to occur. Safe connection with other electrical equipment WARNING! Risk of electric shock. Electrical connections to equipment not listed in these Operating Instructions should only be made following consultations with the respective manufacturers of the equipment involved.

WARNING! Risk of electric shock. A test for leakage current must be performed by qualified biomedical engineering personnel before use if the Apollo is interfaced with other equipment.

WARNING! Risk of explosion, fire. If an oxygen leak is suspected within or near the anesthesia machine, do not initiate operation. Disconnect all oxygen supplies and contact a trained service technician.

Accessories WARNING! Only the accessories indicated on the list of accessories (8603528) have been tested and approved for use with the medical device. Accordingly it is strongly recommended that only these accessories be used in conjunction with the specific medical device. Otherwise the correct functioning of the medical device may be compromised.

Operating Instructions Apollo SW 4.n

WARNING! Risk of use error. Various potentially dangerous situations may occur which demand the attention of properly trained personnel. The anesthesia machine may only be used under the supervision of qualified medical personnel so that assistance can be provided immediately in the event of any malfunctions.

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Introduction

WARNING! Risk of fire.

WARNING!

Risk of device failure and/or danger to patient.

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 antistatic 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.

Magnetic fields may negatively influence the proper function of the anesthesia machine, thus endangering the patient.

WARNING!

In order to reduce a fire hazard, explosive anesthetics, such as ether or cyclopropane, must not be used.

WARNING!

Apollo must not be used with magnetic resonance imaging (MRT, NMR, NMI)!

WARNING! Risk of fire. To prevent a fire hazard, drugs or other substances based on flammable solvents, such as alcohol, must not be introduced into the patient system. In addition oxygen must be vented away from the surgical site when using electrosurgical equipment. Adequate ventilation must be ensured if highly inflammable substances are used for disinfection. Note on EMC/ESD risk for the device function

Risk of electric shock. Connecting devices to the auxiliary outlets of the anesthesia machine can cause an increase in leakage current beyond permissible values if the protective conductor of a device fails. Check the leakage current when connecting devices to the auxiliary outlets. If connecting a device (or devices) increases the leakage current to a value which exceeds the permissible value, do not use the auxiliary outlets of the anesthesia machine: use a separate wall socket. The system must meet the requirements for medical equipment in accordance with IEC/EN 60601-1-1 and IEC/EN 60601-1-2. Part Number: 9039994, 2nd edition

General information on electromagnetic compatibility (EMC) pursuant to the international EMC standard IEC 60601-1-2: 2001 Electromedical devices are subject to special precautionary measures concerning electromagnetic compatibility (EMC) and must be installed and put into operation in accordance with the EMC information included, see page 267. WARNING! Portable and mobile radio communication equipment such as cellular radio telephones can interfere with electromedical devices (see “EMC declaration” on page 267).

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Operating Instructions Apollo SW 4.n

Introduction

Safe networking of computers When networking with electrical devices, the operator is responsible for ensuring that the resulting system meets the requirements set forth by the following standards: –

EN 60601-1 (IEC 60601-1) Medical electrical equipment Part 1: General requirements for safety

–

EN 60601-1-1 (IEC 60601-1-1) Medical electrical equipment Part 1-1: General requirements for safety Collateral standard: Safety requirements for medical electrical systems

–

EN 60601-1-2 (IEC 60601-1-2) Medical electrical equipment Part 1-2: General requirements for safety Collateral standard: Electromagnetic compatibility; Requirements and tests

–

EN 60601-1-4 (IEC 60601-1-4) Medical electrical equipment Part 1-4: General requirements for safety Collateral standard: Programmable electrical medical devices

Follow Assembly Instructions and Instructions for Use.

Part Number: 9039994, 2nd edition

Patient safety The design of the medical device, the accompanying literature, and the labeling on the medical device take into consideration that the purchase and use of the medical device are restricted to trained professionals, and that certain inherent characteristics of the medical device are known to the trained operator. Instructions, warnings, and caution statements are limited, therefore, largely to the specifics of the Dräger design. This publication excludes references to various hazards which are obvious to a medical professional and operator of this medical device, to the consequences of medical device misuse, and to potentially adverse effects in patients with abnormal conditions. Medical device modification or misuse can be dangerous.

of medical device performance and patient condition to simple, direct observation of clinical signs. The responsibility for the selection of the best level of patient monitoring lies solely with the medical device operator.

General Warnings and Cautions The following WARNINGS and CAUTIONS apply to general operation of the Apollo. WARNINGS and CAUTIONS specific to subsystems or particular features appear with those topics in later chapters of these Operating Instructions or in the device-specific Instructions for Use. Accessories in sterile packaging Do not use accessories in sterile packaging if the packaging has been opened, damaged or if there are other signs that the accessories are not sterile. Reprocessing and resterilization of single-use accessories is not permitted. 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, Dräger, in the interest of the 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.

CAUTION! Risk of patient injury. An incorrect diagnosis or misinterpretation of measured values, or other parameters, may endanger the patient. Do not base therapy decisions on individual measured values or monitoring parameters only.

Patient monitoring The operators of the medical device must recognize their responsibility for choosing appropriate safety monitoring that supplies adequate information on medical device performance and patient condition. Patient safety may be achieved through a wide variety of different means, ranging from electronic surveillance

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Introduction

WARNING!

CAUTION!

Risk of patient injury.

Risk of device failure.

If ventilation of the patient is no longer assured due to an obvious fault in the equipment, the patient must immediately be ventilated with a separate emergency ventilator.

Compressed gas supply (pipeline supply or cylinder): To avoid damaging the device(s) attached to a gas supply, use only medical gases. Pay particular attention to national and international standards regulating the use of medical gases.

Always keep a manual ventilator at hand.

WARNING! Risk of burns. Conductive breathing hoses or face masks may cause burns during HF surgery. Do not use these types of hoses and masks in combination with HF surgery.

CAUTION! Risk of mechanical failure. The shock and vibrations caused by transportation may lead to a mechanical failure. The application of a wall or ceiling mounting is designated for buildings. Do not use the anesthesia machine for mobile facilities such as ambulances, helicopters, or ships.

CAUTION! Part Number: 9039994, 2nd edition

Risk of physical injury. To avoid physical injury, e.g. pinching, pay special attention to edges, moving parts, and corners when working with – drawers, – the ventilator module, – doors, – the writing tray, – swivel arms for mounted devices, – gas cylinders, – vaporizer units, – CLIC absorbers and CLIC adapters, as well as other accessories.

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Operating Instructions Apollo SW 4.n

Introduction

Indications for Use

–

Manual Ventilation Man.

–

Spontaneous Breathing Spont.

The Apollo is indicated as a continuous flow anesthesia system. The Apollo may be used for manually assisted or automatic ventilation, delivery of gases and anesthetic vapor, and monitoring of oxygen and CO2 concentration, breathing pressure, respiratory volume, and anesthetic agent concentration and identification.

–

Pressure-Assisted Spontaneous Breathing in Pressure Support CPAP (optional)

–

Volume AF (Volume Mode AutoFlow) (optional). With activation of:

For USA: Rx only. Caution: Federal Law restricts this device to sale by or on the order of a physician.

The following measured values are displayed

– Sync. (Synchronization) – Press. Support (Pressure Support) (optional).

–

Peak pressure PEAK, Mean pressure PMEAN, Plateau pressure PLAT, Positive end-expiratory pressure PEEP

–

Expiratory minute volume MV, Difference between insp. and exp. minute volume MVLEAK,

If the intended use of this anesthesia machine is not adhered to, it may fail and/or the patient may be endangered.

–

Patient compliance CPAT, Tidal volume VT, Breathing rate Freq.

Use the anesthesia machine only as specified in the intended use of these Operating Instructions.

–

Inspiratory and expiratory concentration of O2, N2O, anesthetic gas, and CO2

–

Difference between insp. and exp. O2 concentration ΔO2

Intended Use WARNING! Risk of device failure and/or danger to patient.

Part Number: 9039994, 2nd edition

The Apollo is an inhalation anesthesia machine for use in operating, induction, and recovery rooms. It can be used with rebreathing systems, semi-closed to virtually closed systems with low flow and minimal flow techniques, and non-rebreathing systems (with the Auxiliary Common Gas Outlet). It may be used with O2, N2O, and Air supplied by a medical gas pipeline system or by externally mounted gas cylinders. Anesthetic agent can be delivered via vaporizers mounted on the machine. The Apollo is equipped with a compact breathing system, providing fresh-gas decoupling, PEEP, and pressure limitation. It has an electrically driven and electronically controlled ventilator. Ventilation modes –

Volume-controlled ventilation in Volume Mode. With activation of: – Sync. (Synchronization) – Press. Support (Pressure Support) (optional)

–

Pressure-controlled ventilation in Pressure Mode. With activation of: – Sync. (Synchronization) – Press. Support (Pressure Support) (optional)

Operating Instructions Apollo SW 4.n

Optional: –

Functional oxygen saturation SpO2, Pulse rate Pulse

The following parameters are displayed as curves –

Airway pressure PAW

–

Inspiratory and expiratory flow

–

Inspiratory and expiratory concentration of O2, CO2, and anesthetic gas

Optional: –

Plethysmogram

–

PAW-V loops and V-Flow loops

The following are displayed as bar graphs –

Inspiratory, expiratory, and leakage tidal volume

–

Volumeter

–

Pressure

–

Low-flow wizard for indicating fresh-gas utilization (optional)

Trends showing the measured values over time and a logbook are also available.

13

Introduction

Monitoring By means of adjustable alarm limits which can automatically be adapted to the momentary ventilation situation. With monitoring for –

Airway pressure PAW

–

Expiratory minute volume MV

–

Apnea

–

Inspiratory and expiratory anesthetic gas concentration

–

Detection of anesthetic gas mixtures (simultaneous detection of up to two anesthetic agents)

–

Inspiratory O2 and N2O concentrations

–

Inspiratory and expiratory CO2 concentrations

–

Special alarm response in Bypass Mode

–

Automatic agent alarm activation for multiples of MAC (xMAC)

Optional: –

Oxygen saturation

–

Pulse rate Pulse

WARNING! Risk of electric shock. Connecting devices to the auxiliary outlets of the anesthesia machine can cause an increase in leakage current beyond permissible values if the protective conductor of a device fails. Check the leakage current when connecting devices to the auxiliary outlets. If connecting a device (or devices) increases the leakage current to a value which exceeds the permissible value, do not use the auxiliary outlets of the anesthesia machine: use a separate wall socket. The system must meet the requirements for medical equipment in accordance with IEC/EN 60601-1-1 and IEC/EN 60601-1-2. The system must meet the requirements about medical electrical equipment in accordance to IEC/EN 60601-1-1 and IEC/EN 60601-1-2.

MEDIBUS Protocol

Part Number: 9039994, 2nd edition

MEDIBUS is a software protocol for use in transferring data between the Apollo 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 (see MEDIBUS Instructions for Use of the Apollo, part number 9037426, 6th edition or higher). WARNING! Risk of patient injury. Data transferred via MEDIBUS interfaces is for information only and is not intended as a basis for diagnosis or therapy decisions.

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Operating Instructions Apollo SW 4.n

Introduction

Accessory weight limits The following figures specify the maximum safe weight limits for accessories mounted to the Apollo. In addition to the arm-mounted accessory weight limits, the following mounted accessory weights may not be exceeded: –

30 lbs. maximum on either side of machine for accessories mounted close to the machine side.

–

100 lbs. maximum for accessories mounted to the top shelf.

Figure 2. Accessory Weight Limits - Apollo Left Side

Option Weight

Apollo Left Side Accessory Option

30 lb. / 13.6 kg

25 lb. / 11.4 kg

20 lb. / 9.1 kg

CAUTION: POSSIBLE TIP OVER HAZARD IF MOUNTING ACCESSORIES EXCEED APPROVED LIMITS

Approved Mounting Limits

15 lb. / 6.8 kg

Option Weight 10 lb. / 4.5 kg

Part Number: 9039994, 2nd edition

5 lb. / 2.3 kg

0 lb. / 0 kg 20.0 in. 16.0 in. 12.0 in. 8.0 in. 4.0 in. 50.8 cm 40.6 cm 30.5 cm 20.3 cm 10.2 cm

Mount Arm Length

OP00695

CAUTION: Maximum weight per arm 30 lb./ 13.6 kg.

Operating Instructions Apollo SW 4.n

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Introduction

Figure 3. Accessory Weight Limits - Apollo Right Side

Option Weight

Apollo Right Side Accessory Option

OP00694

30 lb. / 13.6 kg

25 lb. / 11.4 kg

20 lb. / 9.1 kg

15 lb. / 6.8 kg

CAUTION: POSSIBLE TIP OVER HAZARD IF MOUNTING ACCESSORIES EXCEED 10 lb. / 4.5 kg APPROVED LIMITS

Approved Mounting Limits

5 lb. / 2.3 kg

0 lb. / 0 kg 4.0 in. 8.0 in. 12.0 in. 16.0 in. 20.0 in. 10.2 cm 20.3 cm 30.5 cm 40.6 cm 50.8 cm

Mount Arm Length CAUTION: Maximum weight per arm 30 lb./ 13.6 kg.

CAUTION!

Risk of device failure.

Risk of inadvertent movement.

If the anesthesia machine is operated when tilted, components may be damaged or may function improperly.

If not properly secured, the device may move inadvertently during operation.

Do not operate the anesthesia machine if it is tilted more than 5°.

Apply the brakes on the device to ensure it cannot be moved accidentally during operation.

CAUTION! Risk of injury. If mounting accessories exceed the approved limits, the anesthesia machine may tip over. Maximum weight per arm = 30 lbs.

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Operating Instructions Apollo SW 4.n

Part Number: 9039994, 2nd edition

CAUTION!

Introduction

Symbols The following symbols appear on the Apollo and are defined below. Symbol

Symbol

Explanation

Explanation

Consult accompanying documents.

Suppress alarm tone for 2 minutes; change priority of technical alarms and acknowledge them

Exit menu, return to preceding menu

Display standard screen Display the three basic screens in succession

Non-rebreathing system at common gas outlet Remaining battery capacity (uninterruptible power supply UPS) Manual ventilation

Standby/operation switch Automatic ventilation Access more user options/screens Pulse rate Action in progress Upper and lower alarm limits Upper alarm limit only

Part Number: 9039994, 2nd edition

Lower alarm limit only

_ > <

Upper and lower alarm limits disabled Upper alarm limit disabled

Connector for pipeline gas supply Backup gas cylinder UL test mark Plug system for vapor units Connection for halogen lamp Surface hot; do not touch. ESD warning label

Lower alarm limit disabled

Leakage current label

Alarm limit or measuring function disabled

Warning: Do not connect the mains of external display(s) to AC outlets. Use external power outlets.

4-digit password entered Interference Protection class type BF (body floating) Battery supply Connection for potential equalization Alarm tone suppressed for 2 minutes

Operating Instructions Apollo SW 4.n

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Introduction

Symbol

Explanation Alarm monitoring inactive Alarm monitoring temporarily inactive Apnea alarm disabled Caution! Rotary knob System power switch Physical injury Mains voltage

Part Number: 9039994, 2nd edition

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Operating Instructions Apollo SW 4.n