Handbook
36 Pages
Preview
Page 1
D-46343-2012
D-9107-2011
D-7323-2011
Handbook on the preparation of devices and accessories Version 3.0
e r websit Visit ou ic of hygiene: p ne on the to ger.com/hygie e ra www.d
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HANDBOOK ON THE PREPARATION OF DEVICES AND ACCESSORIES
Publisher: Drägerwerk AG & Co. KGaA Moislinger Allee 53–55 23558 Lübeck, Germany www.draeger.com Important information Thanks to research and clinical experience, specialist medical knowledge is subject to constant change. The author of this book wanted to be sure that the opinions, viewpoints and assumptions represented here, especially those referring to applications and effects, correspond to the current state of knowledge. However, this does not absolve readers from their obligation to take responsibility for clinical measures. Status: September 2018
All rights to this book, especially the right to reproduction and copying, lie with Drägerwerk AG & Co. KGaA. No part of this book may be mechanically, electronically or photographically reproduced without the prior written consent of Drägerwerk AG & Co. KGaA.
|3
Table of contents 1
Laws, standards and guidelines
5
2
Our contribution to hospital hygiene
5
3
Preparation process for reusable medical devices
6
3.2 Surface disinfection (for non-critical medical devices)
8
3.1 Classification of medical devices 3.3 Manual preparation
3.4 Mechanical cleaning and thermal disinfection
3.5 Sterilisation using a validated sterilisation process
4
5
6 7 8 9 10 11 12
6 8 8 8
Workplace anaesthesia 4.1 Fabius family 4.2 Perseus 4.3 Primus & Pallas 4.4 Zeus / Zeus IE
10
Workplace intensive-care 5.1 Evita family / Savina 300 5.2 Carina
18
Workplace neonatology Accident & Emergency department Patient monitoring Workplace infrastructure Further ward equipment Lists of accessories Notes
10
12 14
16
18
20 22
24
26 28
30
32
33
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HANDBOOK ON PREPARATION OF DEVICES AND ACCESSORIES |
PREFACE
Preface The importance of hygiene in hospitals has continuously grown in recent years. Dräger as a manufacturer in the field of medical technology makes its contribution with regard to the German Infection Protection Act. In order to be able to prevent nosocomial infections it is vital that the chain of infection be broken. Alongside other measures, this can be achieved through the correct preparation of medical devices. The federal government has also recognised the importance of hygiene standards, and with the change in the German Infection Protection Act in 2011, they have tightened up on the regulations regarding nosocomial infections.
Studies such as ‘Bakterielle Kontamination manuell aufbereiteter EKG-Anschlussklemmen auf Intensivtherapiestationen’ [Bacterial contamination of manually prepared ECG electrodes on intensive care wards] by Lestari, Ryll and Kramer (GMS Hygiene and Infection Control 2013, Vol. 8) have, however, shown that even supposedly clean medical devices can be laden with germs. The handbook provides orientation regarding the relevant preparation of Dräger medical devices. It gives users at every workplace an overview of preparation of the individual components.
New in! Further documents on the subject of hygiene, e.g. the handbook on preparation of anaesthesia devices or preparation posters for Dräger devices, are to be found in our hygiene library at: WWW.DRAEGER.COM/HYGIENE
|5
1 Laws, standards and guidelines In the preparation of medical devices, the following laws, standards and guidelines should be observed: – Council directive 93/42EEC (06/1993) concerning medical devices – DIN EN ISO 17664 Sterilisation of medical devices – Information to be provided by the manufacturer on the preparation of reusable medical devices (07/2004) – German Commission for Hospital Hygiene and Prevention of Infection (KRINKO) and Robert Koch Institute (RKI) recommendation on preparation of medical devices (10/2012)
– DIN EN ISO 15883 Cleaning/disinfecting devices (04/2014) – DIN EN 285 Sterilisation (08/2009) – German Society for Sterile Supply (DGSV) recommendation on classification of medical devices (in accordance with manufacturer’s specifications) (01/2013) – Joint recommendation by the German Society of Anaesthesiology and Intensive Care Medicine (DGAI) and the German Society of Hospital Hygiene (DGKH) on prevention of infection in anaesthesia ventilation through use of respiratory-system filters (10/2010) – Medical Devices Operator Ordinance (MPBetreibV) (2017)
2 Our contribution to hospital hygiene Dräger sees itself as a system provider for medical devices and thus also as a partner in everyday hospital operation. The ultimate goal is to create maximum patient safety and user safety – on the one hand through products and solutions and on the other through services and our expertise in the field of hygiene. On the basis of the German Infection Protection Act, each German land has prepared and issued an ‘Ordinance on Hygiene and Prevention of Infection in Medical Facilities’ (MedHygVO). An emphasis of MedHygVO is the formation of a hygiene commission with clearly defined members, duties and obligations. One of the duties of the hygiene commissions is the creation of hygiene plans. An important component here is the creation of a workplace-related hygiene plan.
Dräger supports you in the creation of hygiene plans and preparation concepts concerning Dräger workplaces. The basis for this is advice, taking into consideration current legal specifications, principles, guidelines and recommendations. The aim is to create a preparation standard with defined disinfection measures and change intervals with regard to the workplace, taking into consideration device-specific accessories, patient-specific accessories, compatibility, biocompatibility and material compatibility. Dräger accompanies its work group in the optimisation of in-house preparation processes through analysis of the individual requirements and conditions, and supports you in the creation and validation of new processes. Please get in touch with us: www.draeger.com/hygiene.
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HANDBOOK ON PREPARATION OF DEVICES AND ACCESSORIES |
PREPARATION PROCESS FOR REUSABLE MEDICAL DEVICES
3 Preparation process for reusable medical devices Information regarding cleaning, disinfection and sterilisation of reusable medical devices and accessories 3.1 CLASSIFICATION OF MEDICAL DEVICES
For preparation, the medical devices and their components are divided up in accordance with the type of application and the resultant risk: 1. Non-critical medical devices: Surfaces accessible to the user and the patient, e.g. Equipment surfaces, cables 2. Semi-critical medical device: Parts conveying respiratory gas, e.g. Breathing tubes, masks 3. Critical medical devices: Penetrating skin or mucosa
NB Adhere to national legal provisions, national and international standards, guidelines and the applicable hygiene regulations (Chap. 1) on preparation.
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German Society for Sterile Supply (DGSV) flow diagram for classification of medical devices 2013
Medical device
Preparation taking into account the manufacturer’s specifications (*1) by expert staff (*2)
Avoid contact with broken skin?
Contact with mucosa or pathologically changed skin?
Skin or mucosa penetration? (*3)
Yes
Yes
Yes
Non-critical medical device
Semicritical medical device
Critical medical device Group A, B or C
Cleaning/disinfection
See p. 2
Are cavities or hard-to-reach parts available? (*6) and/or Are the function and safety of the medical-device-influencing effects of preparation available? and/or Is the number of preparation cycles restricted?
Semicritical A
Without special preparation requirements
Semicritical B
Yes
No
With more stringent preparation requirements Non-fixing preliminary cleaning after use (*4)
Non-fixing preliminary cleaning as necessary (*4) Preferably mechanical cleaning (preferably alkaline) and thermal disinfection
Preferably mechanical cleaning (preferably alkaline) and thermal disinfection
Chemical disinfectants/ processes must be bactericidal, fungicidal and virucidal (DVV/RKI guideline)
Testing for cleanliness, reliability, care
Testing for cleanliness, reliability, care
Testing of technical/ functional safety (functional inspection)
Testing of technical/ functional safety (functional inspection)
Is the medical device to be used sterilised?
Is the medical device to be used sterilised or in sterile areas of the body?
No
Packaging (protection against contamination/ dust protection [*5])
Yes
No
Packaging (sterile-barrier system and where necessary protective packaging)
Packaging (protection against contamination/ dust protection [*5])
Sterilisation always with humid heat Labelling ‘Disinfected’
Labelling ‘Sterile’
Yes
Packaging (sterile-barrier system and where necessary protective packaging) Sterilisation always with humid heat
Labelling ‘Disinfected’
Labelling ‘Sterile’
D-19662-2015
Release document for use Created on the basis of the Commission for Hospital Hygiene and Infection Protection (KRINKO)/Federal Institute for Drugs and Medical Devices (BfArM) recommendation regarding ‘Hygiene requirements in the preparation of medical devices’ Federal Health Bulletin 2012; 55:1244–1310
© Copyright by FA Qualität January 2013
Fig. 1: German Society for Sterile Supply’s (DGSV) flow diagram on classification of medical devices; Central sterilisation 1/2013, p. 67
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HANDBOOK ON PREPARATION OF DEVICES AND ACCESSORIES |
PREPARATION PROCESS FOR REUSABLE MEDICAL DEVICES
3.2 SURFACE DISINFECTION
(FOR NON-CRITICAL MEDICAL DEVICES)
Manual cleaning with simultaneous disinfection of surfaces. The processes and disinfectants for individual Dräger devices are listed and described in the instructions for use. Beyond this, the independent and ISO 17025-accredited Dräger TestCenter has carried out over 20,000 tests on the tolerability of all the common groups of disinfectants involving the groups of materials used worldwide in medical technology. Based on these test standards, for its devices Dräger can recommend various disinfectants for preparation: – Dismozon® pur/Dismozon® plus (Bode Chemie) – Descogen® liquid/Descogen® liquid r.f.u. combined with A-Wipes® (Antiseptic) – Descogen® OxyWipes (Antiseptic) – Perform® (Schülke & Mayr) – Mikrozid® sensitive liquid combined with Mikrozid® sensitive Wipes (Schülke & Mayr), (partially virucidal) – Incidin® OxyWipe (Ecolab), (partially virucidal) – Cleanisept® Wipes Maxi (Dr. Schumacher), (partially virucidal) At the time of validation (September 2018) these surface disinfectants displayed material compatibility. Their range of effects (as tested by the manufacturer) include: bacteria (bactericidal), yeast fungi (levurocidal) and viruses (virucidal or partially virucidal). With appropriate use of these agents on surfaces of Dräger devices, material compatibility is ensured and the requisite range of germs is covered. Use of tested agents that are suitable for the entire workplace for your Dräger devices increases patient and workplace safety and protects your investments in medical technology.
3.3 MANUAL PREPARATION
Cleaning/disinfecting of reusable semi-critical medical devices. Carry out manual preparation in accordance with the applicable instructions for use of the individual product.
3.4 MECHANICAL CLEANING AND THERMAL DISINFECTION
Please carry out mechanical cleaning and thermal disinfection on the (cleaning-disinfecting) devices in accordance with the relevant instructions for use up to the requisite A0 value. Hold time Minutes 100 10 1 50 5
Seconds 6,000 600 60 3,000 300
Temperature °C 70 80 90 80 90
A0 value 600 600 600 3,000 3,000
3.5 STERILISATION USING A VALIDATED STERILISATION PROCESS
Carry out sterilisation in accordance with the relevant instructions for use. According to RKI and DGSV recommendations, the sterilisation of semi-critical medical devices is optional – see DGSV flow diagram on p. 7.
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Table of examples DEVICES
Zeus family
Clarification
Surface disinfection ✓
Manual preparation /
CDD /
Device cannot be prepared in the CDD
Sterilisation
Disposable accessories
Device cannot be sterilised
If available, disposable accessories are specified
Disposable accessories
/
Device can be surface-disinfected
Device cannot be manually prepared
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
✓
✓
✓
DEVICE COMPONENTS
Respiratory system (APL valve) Clarification
Respiratory system Clarification
APL valve can be surface-disinfected ✓ Respiratory system can be surfacedisinfected
APL valve can be manually prepared
APL valve can be prepared in the CDD
Respiratory system cannot be manually prepared
Respiratory system can be prepared in the CDD
/
The table provides information on whether a device/device component/accessory can be surface-disinfected, manually prepared, prepared in the cleaning and disinfection device (CDD) or sterilised (green tick) or not (red bar). The applicable instructions for use remain unrestrictedly valid. The handbook does not replace them.
✓
APL valve can be sterilised
If available, disposable accessories are specified
✓ Respiratory system can be sterilised
If available, disposable accessories are specified
This overview can be used to check and/or establish in-house hospital hygiene guidelines and standards. In-house hospital hygiene guidelines and standards remain valid and are to take precedence.
10 |
HANDBOOK ON PREPARATION OF DEVICES AND ACCESSORIES |
WORKPLACE ANAESTHESIA
4 Workplace anaesthesia
D-75695-2013
4.1 FABIUS FAMILY
This handbook does not replace the current instructions for use. They remain fully valid.
| 11
DEVICES Manual preparation
CDD
Sterilisation
✓
/
/
/
✓
/
/
/
✓
/
/
/
✓
/
/
/
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
✓
✓
✓
✓
✓
✓
✓
/
✓
✓
✓
/
✓
✓
✓
✓
✓
/
/
AGS particle filter, list of accessories No. see p. 32
✓
✓
✓
/
AGS particle filter, list of accessories No. see p. 32
✓
✓
/
/
Suction container, lid and silicone connecting tube (no lid when using VacuSmart/VacuSmart GEL)
Filter for suction list of accessories No. see p. 32
✓
✓
✓
✓
/
✓
/
/
✓
Flow sensor: Spirolog
/
/
Fabius family
Infinity C500/C700
Infinity Delta/Delta XL/Kappa/ Gamma/GammaXL Infinity M540/M500/PS250
Vamos gas monitor and Scio gas module
Surface disinfection ✓
/
/
/
Disposable accessories
DEVICE COMPONENTS COSY Compact respiratory system (APL-valve)
Compact respiratory system (COSY) Ventilator membrane (roller membrane) Ventilator lid
Anaesthetic gas suction AGS (flow tubes)
Anaesthetic gas suction (AGS) incl. Transfer tubes, without flow tubes and filters Bronchial suction vacuum regulator/suction ejector
Flow sensor: SpiroLife Vapor 2000
✓
✓
/
Surface disinfection
Manual preparation
/
/
CDD
Sterilisation
✓
✓
Disposable accessories
VacuSmart/VacuSmart GEL; Suction tube with finger tap, list of accessories No. see p. 32
DEVICE OPTIONS
✓
/
✓
/
/
/
✓
✓
✓
✓
/
✓
✓
✓
✓
✓
✓
✓
✓
/
/
/
✓
/
/
/
ECG cable/MultiMed master cable
✓
/
/
/
Temperature sensor
✓
✓
/
/
SpO2 Sensor
✓
/
/
/
Connecting cable sensor system
✓
/
/
/
Self Test Lung (MP02400) (blue plastic cover)
✓
/
/
/
✓
✓
✓
✓
O2 Flowmeter
✓
/
/
/
CLIC adapter
CLIC soda lime cartridge (contact surfaces) Absorber pot with insert (contact surfaces) Silicone masks
Tube systems with breathing bag and connectors (contact surfaces)
Water trap, WaterLock2/WaterLock ID (contact surfaces)
Blood-pressure cuff and blood-pressure tube
Self Test Lung (MP02400)
This handbook does not replace the current instructions for use. They remain fully valid.
Disposable accessories List of accessories No. see p. 32
List of accessories No. see p. 32 List of accessories No. see p. 32
List of accessories No. see p. 32
available – see current lists of accessories available – see current lists of accessories available – see current lists of accessories
available – see current lists of accessories available – see current lists of accessories
12 |
HANDBOOK ON PREPARATION OF DEVICES AND ACCESSORIES |
WORKPLACE ANAESTHESIA
D-6833-2011
4.2 PERSEUS
This handbook does not replace the current instructions for use. They remain fully valid.
| 13
DEVICES
Perseus
Infinity C500/C700
Infinity Delta/Delta XL/ Kappa/Gamma/GammaXL
Infinity M540/M500/PS250
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
/
/
/
✓
/
/
/
✓
/
/
/
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
✓
✓
✓
✓
/
/
/
Disposable accessories
DEVICE COMPONENTS
Respiratory system (APL valve) Respiratory system
✓
✓
✓
✓
only outside
✓
/
✓
✓
/
/
/
Suction container, lid and silicone connecting tube (no lid when using VacuSmart/VacuSmart GEL)
✓
✓
✓
✓
/
✓
/
/
✓
Flow sensor: Spirolog
/
/
TurboVent 2 ventilator unit Bronchial suction Suction ejector
Flow sensor: SpiroLife Vapor 2000/3000
✓
✓
/
Surface disinfection
Manual preparation
/
/
CDD
Sterilisation
✓
✓
Disposable accessories
Filter for suction – see list of accessories No. 9052629 VacuSmart/VacuSmart GEL; Suction tube with finger tap, see list of accessories No. 9052629
DEVICE OPTIONS Disposable accessories
✓
/
✓
/
/
/
✓
✓
✓
✓
/
✓
✓
✓
see list of accessories No. 9052629
✓
✓
✓
✓
see list of accessories No. 9052629
✓
/
/
/
see list of accessories No. 9052629
✓
/
/
/
✓
/
/
/
Temperature sensor
✓
✓
/
/
SpO2 Sensor
✓
/
/
/
✓
/
/
/
✓
/
/
/
✓
✓
✓
✓
CLIC adapter
CLIC soda lime cartridge (contact surfaces) Absorber pot with insert (contact surfaces) Silicone masks Tube systems with breathing bag and connectors (contact surfaces)
Water trap, WaterLock2/ WaterLock ID (contact surfaces) Blood-pressure cuff and blood-pressure tube ECG cable/MultiMed master cable
Connecting cable sensor system
Self Test Lung (MP02400) (blue plastic cover)
Self Test Lung (MP02400)
This handbook does not replace the current instructions for use. They remain fully valid.
see list of accessories No. 9052629
available – see current list of accessories
available – see current list of accessories
available – see current list of accessories
available – see current list of accessories
available – see current list of accessories
14 |
HANDBOOK ON PREPARATION OF DEVICES AND ACCESSORIES |
WORKPLACE ANAESTHESIA
D-18862-2010
4.3 PRIMUS & PALLAS
This handbook does not replace the current instructions for use. They remain fully valid.
| 15
DEVICES Manual preparation
CDD
Sterilisation
✓
/
/
/
✓
/
/
/
✓
/
/
/
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
✓
✓
✓
✓
✓
✓
✓
/
✓
✓
✓
✓
✓
/
/
✓
✓
✓
✓
✓
/
/
/
Suction container, lid and silicone connecting tube (no lid when using VacuSmart/VacuSmart GEL)
/
✓
✓
✓
/
✓
/
/
✓
Flow sensor: Spirolog
/
/
Primus family
Infinity C500/C700
Infinity Delta/Delta XL/ Kappa/Gamma/GammaXL
Infinity M540/M500/PS250
Surface disinfection ✓
/
/
/
Disposable accessories
DEVICE COMPONENTS
Respiratory system (APL valve) Respiratory system
Ventilator membrane (roller membrane)
Anaesthetic gas suction AGS (flow tubes) Anaesthetic gas suction AGS incl. Transfer tubes, without flow tubes and filters Bronchial suction Suction ejector
Flow sensor: SpiroLife Vapor 2000
✓
✓
/
Surface disinfection
Manual preparation
/
/
CDD
Sterilisation
✓
✓
Disposable accessories
AGS particle filter – see list of accessories No. 9039406
AGS particle filter – see list of accessories No. 9039406
Filter for suction – see list of accessories No. 9039406
VacuSmart/VacuSmart GEL; Suction tube with finger tap, see list of accessories No. 9039406
DEVICE OPTIONS Disposable accessories
✓
/
✓
/
/
/
✓
✓
✓
✓
/
✓
✓
✓
see list of accessories No. 9039406
✓
✓
✓
✓
see list of accessories No. 9039406
✓
/
/
/
see list of accessories No. 9039406
✓
/
/
/
available – see current list of accessories
✓
/
/
/
Temperature sensor
✓
✓
/
/
SpO2 Sensor
✓
/
/
/
✓
/
/
/
✓
✓
✓
✓
✓
/
/
/
CLIC adapter
CLIC soda lime cartridge (contact surfaces)
Absorber pot with insert (contact surfaces) Silicone masks
Tube systems with breathing bag and connectors (contact surfaces) Water trap, WaterLock2/ WaterLock ID (contact surfaces) Blood-pressure cuff and blood-pressure tube ECG cable/MultiMed master cable
Connecting cable sensor system
Self Test Lung (MP02400) (blue plastic cover) O2 Flowmeter
This handbook does not replace the current instructions for use. They remain fully valid.
see list of accessories No. 9039406
available – see current list of accessories
available – see current list of accessories
available – see current list of accessories
available – see current list of accessories
16 |
HANDBOOK ON PREPARATION OF DEVICES AND ACCESSORIES |
WORKPLACE ANAESTHESIA
D-64716-2012
4.4 ZEUS / ZEUS IE
This handbook does not replace the current instructions for use. They remain fully valid.
| 17
DEVICES
Zeus family
Infinity C500/C700
Infinity Delta/Delta XL/ Kappa/Gamma/GammaXL
Infinity M540/M500/PS250
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
/
/
/
✓
/
/
/
✓
/
/
/
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
✓
✓
✓
✓
✓
✓
✓
only outside
✓
/
✓
/
/
✓
/
/
/
Disposable accessories
DEVICE COMPONENTS
Respiratory system (APL valve) Respiratory system
TurboVent 2 ventilator unit DIVA dosage module
Anaesthetic gas suction AGS(flow tubes)
Anaesthetic gas suction AGS incl. Transfer tubes, without flow tubes and filters Bronchial suction Vacuum regulator/Suction ejector
Suction container, lid and silicone connecting tube (no lid when using VacuSmart/VacuSmart GEL)
Flow sensor: SpiroLife
✓
/
✓
✓
/
/
✓
✓
✓
/
✓
✓
/
/
/
✓
✓
✓
/
✓
/
✓
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
✓
Disposable accessories
see list of accessories No. 9052018 Filter for suction – see list of accessories No. 9052018
VacuSmart/VacuSmart GEL; Suction tube with finger tap, see list of accessories No. 9052018
DEVICE OPTIONS Disposable accessories
✓
/
✓
/
/
/
✓
✓
✓
✓
/
✓
✓
✓
✓
✓
✓
✓
see list of accessories No. 9052018
✓
/
/
/
see list of accessories No. 9052018
✓
/
/
/
✓
/
/
/
Temperature sensor
✓
✓
/
/
SpO2 Sensor
✓
/
/
/
✓
/
/
/
✓
/
/
/
✓
/
/
/
CLIC adapter
CLIC soda lime cartridge (contact surfaces) Absorber pot with insert (contact surfaces) Silicone masks
Tube systems with breathing bag and connectors (contact surfaces) Water trap, WaterLock2/ WaterLock ID (contact surfaces) Blood-pressure cuff and blood-pressure tube ECG cable/MultiMed master cable
Connecting cable sensor system
Self Test Lung (MP02400) (blue plastic cover) O2 Flowmeter
This handbook does not replace the current instructions for use. They remain fully valid.
see list of accessories No. 9052018
see list of accessories No. 9052018
available – see current list of accessories
available – see current list of accessories
available – see current list of accessories
available – see current list of accessories
available – see current list of accessories
18 |
HANDBOOK ON PREPARATION OF DEVICES AND ACCESSORIES |
WORKPLACE INTENSIVE-CARE
5 Workplace intensive-care
MT-1899-2008
D-64714-2012
5.1 EVITA FAMILY/SAVINA 300
This handbook does not replace the current instructions for use. They remain fully valid.
| 19
DEVICES
Evita 2dura/4/XL
Savina 300/300 Select Evita V300/V500
Surface disinfection ✓ ✓ ✓
Manual preparation
CDD
Sterilisation
/
/
/
/ /
/
/
/
/
✓
/
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
✓
✓
✓
Expiratory valve
✓
✓
✓
✓
Flow sensor: SpiroLife
/
✓
Infinity C300/500
Disposable accessories
/
/
DEVICE COMPONENTS
Inspiratory valve
/
✓
/
✓
/
/
Surface disinfection
Manual preparation
CDD
Sterilisation
✓
/
/
/
/
✓
✓
✓
MR 850 humidifier
✓
/
/
/
Tube system simple
✓
✓
✓
✓
Tube system heated
✓
✓
✓
✓
Temperature sensor
✓
/
/
/
Tube-heater adapter
✓
/
/
/
/
✓
✓
✓
/
✓
✓
/
✓
/
/
/
/
✓
✓
✓
✓
✓
✓
✓
✓
/
/
/
✓
/
/
/
Self Test Lung (MP02400)
✓
✓
✓
✓
Closed catheter basket
✓
/
/
/
Flow sensor: Spirolog
Disposable accessories List of accessories No. see p. 32
DEVICE OPTIONS
CO2 sensor CO2 cuvette
Silicone masks NovaStarTS
Nebuliser: Aeroneb basic device Nebuliser: Aeroneb chamber
Evita pneumat. nebuliser PulmoVista 500
Self Test Lung (MP02400) (blue plastic cover)
This handbook does not replace the current instructions for use. They remain fully valid.
Disposable accessories
List of accessories No. see p. 32
List of accessories No. see p. 32 List of accessories No. see p. 32 List of accessories No. see p. 32 List of accessories No. see p. 32 List of accessories No. see p. 32
List of accessories No. see p. 32
20 |
HANDBOOK ON PREPARATION OF DEVICES AND ACCESSORIES |
WORKPLACE INTENSIVE-CARE
MT-8202-2005
5.2 CARINA
This handbook does not replace the current instructions for use. They remain fully valid.