Oxylog 3000 plus Pocket Guide Software 1.n Edition 2 April 2011

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Pocket Guide Oxylog 3000 plus

Contents

Contents System Overview...

5

Side view, right... Rear view... Adult hose system, reusable... Adult hose system, disposable... Pediatric hose system, disposable...

6 6 7 7 8

Assembly...

9

Power supply... Connecting the gas supply... Assembling the adult reusable hose system... Connecting the adult disposable hose system . . . Connecting the paediatric disposable hose system... Connecting the bacterial filter or HME... Connecting the CO2 sensor and the cuvette...

9 10 12 13 13 14 14

Getting started...

15

Switch the device ON... Switch the device OFF... Perform device check... CO2 zero calibration and filter check before ventilation (optional)... Selecting the ventilation mode... Setting ventilation parameters... Display operating controls... Cardio-pulmonary resuscitation (CPR)...

15 15 16 18 19 19 19 20

Operation...

21

Ventilation functions of the Oxylog 3000 plus... VC-CMV, VC-AC... VC-SIMV, VC-SIMV/PS... PC-BIPAP, PC-BIPAP/PS... SpnCPAP, SpnCPAP/PS... Apnoea ventilation... NIV – Non-invasive ventilation (mask ventilation)... Special functions... Setting HME correction... CO2 measurement (optional)...

21 21 23 25 26 27 27 28 29 29

Alarms...

31

In the event of an alarm... Suppress alarm tones... Setting alarm limits...

31 31 31

Problem solving...

33

Messages in the alarm window...

33

Pocket Guide Oxylog 3000 plus

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Pocket Guide Oxylog 3000 plus

System Overview

System Overview NOTE The Oxylog 3000 plus Pocket Guide is not a replacement or substitute for the Instructions for Use. Any use of the device requires full understanding and strict observation of the Instructions for Use.

A

BC D E FG

H I J K L M

V U T

R

Q

P

A Screen with screen pages for the specific application B Key Alarms to display the alarm settings in the "Settings and Alarms" window and to change screen pages to display ventilation parameters C Key Settings in the "Settings and Alarms" window and to change screen pages

O

N

002

S

L Key Insp. Hold for initiating a manual inspiration or for extending the current inspiration time M Key Start/Standby N Display symbols for the power supply Charge status of the internal battery Mains power supply connected

D Key for setting the ventilation mode SpnCPAP

O Rotary knob for making selections, changing and confirming setting

E Key for setting the ventilation mode VC-CMV/VC-AC

P Control knob for setting the O2 concentration FiO2

F Key for setting the ventilation mode VC-SIMV G Key for setting the ventilation mode PC-BIPAP

Q Control knob for setting the maximum inspiratory pressure Pmax

H Red and yellow alarm indicators

R Control knob for setting the respiratory rate RR

I

for suppressing the audible alarm for Key 2 minutes

J Key Alarm Reset for acknowledging alarm messages K Key O2-Inhalation for O2 inhalation or key 100% O2 for 100% O2 application, depending on the option installed at manufacture

Pocket Guide Oxylog 3000 plus

S Control knob for setting the tidal volume VT T Explanation of color codes for quick pre-setting of RR and VT Curves

to change between the pressure, U Key Curves flow, or CO2 (optional) curve in small and large presentation V Key Values to change screen pages in the "Measured Values" window

5

System Overview

Side view, right

A

C

B

003

G

A B C D E F

004

H

Rear view

A Emergency air intake

A Emergency air intake

B Knob to secure the battery compartment cover

B Fresh-gas intake with filter cartridge

C Connectors for flow measuring hoses

C Protection bracket

D Gas outlet for ventilation hose E Connector for O2 supply F

Connector for power supply

G Connector for CO2 sensor H Connector for data communication cable

6

Pocket Guide Oxylog 3000 plus

System Overview

Adult hose system, reusable

C

Adult hose system, disposable

C

D

D

E

B

B E

006

A 005

A

A Angled connector

A Angled connector

B Flow sensor

B Flow sensor

C Breathing valve

C Breathing valve

D Ventilation hose

D Ventilation hose

E Flow and pressure measuring hoses

E Flow and pressure measuring hoses

Pocket Guide Oxylog 3000 plus

7

System Overview

Pediatric hose system, disposable

C

A B

D

007

E

A Angled connector B Flow sensor C Breathing valve D Ventilation hose E Flow and pressure measuring hoses

8

Pocket Guide Oxylog 3000 plus

Assembly

Assembly NOTE The Oxylog 3000 plus Pocket Guide is not a replacement or substitute for the Instructions for Use. Any use of the device requires full understanding and strict observation of the Instructions for Use.

Power supply The Oxylog 3000 plus is designed to operate on power supplies with different voltages: –

–

DC voltage from the on-board power supply: –

via DC/DC converter

–

with AC/DC power pack

Oxylog 3000 plus

Internal rechargeable battery

Installing the battery

A B 017

C 1

Insert the battery (A) into the battery compartment.

2

Close the battery cover (B).

3

Tighten the knob (C) by turning it.

Checking the charge status of the battery

B

1

The green indicator (A) lights up when an external power source is connected.

2

A three colored indicator (B) lights up to show the current charge status of the internal battery:

018

A

–

Green: the battery is fully charged.

–

Yellow: the battery is being charged.

–

Red: a battery is not inserted or can not be charged.

Indicators (A) and (B) remain off while the ventilator is being operated from the internal battery. Additional alarms can draw attention to the remaining operating time of the battery. The remaining capacity of the battery is indicated by the Oxylog 3000 plus in 25% increments in the lower right section of the information window when power is ON. The capacity indication is overwritten when other messages need to be shown in the information window.

z Press the button on the rechargeable battery. The charge status is indicated as a percentage by an indicator.

Pocket Guide Oxylog 3000 plus

9

Assembly

External power supply from mains power (AC/DC power pack)

A O xylog 3000 plus

1

Plug the large connector (A) of the DC/DC converter into the on-board supply.

2

Plug the small connector (B) into the DC connector (C) of the Oxylog 3000 plus.

3

When the Oxylog 3000 plus is correctly connected to an external supply, the indicator (D) lights up.

Connecting the gas supply Supply from an O2 cylinder 1

C B

500

D 1

Connect the mains plug (A) to the mains outlet.

2

Connect the DC connector (B) to the DC connector (C) of the Oxylog 3000 plus.

3

When the Oxylog 3000 plus is correctly connected to an external supply, the indicator (D) lights up.

External power supply with DC/DC converter

Connect the pressure reducer (270 to 600 kPa delivery pressure, 500 kPa nominal pressure) to the O2 cylinder.

A

The DC/DC converter must be used to connect the Oxylog 3000 plus to onboard DC power supply systems, e. g. in ambulances. It can be used with the following voltages: 12 VDC, 24 VDC or 28 VDC. The onboard power supply shall have a fuse of 10 to 16 A.

C B O2

Oxylog 3000 plus

019

12 VDC 24 VDC 28 VDC

D

10

C

B

2

Connect the O2 hose (A) to the Oxylog 3000 plus.

3

Connect the O2 hose to the pressure reducer (B).

4

Rotate the cylinder valve (C) slowly and open fully.

501

A

Pocket Guide Oxylog 3000 plus

Assembly

Determining the approximate pneumatic operating time

Example:

Example for supply of O2: –

Cylinder pressure measured on the pressure gauge of the pressure reducer: 20000 kPa (200 bar)

–

Liquid capacity of the O2 cylinder: 2.1 L

Supply of O2:

Example for pneumatic operation time: VC-CMV mode, frequency 10 breaths/min, VT = 0.53 L, O2 = 100% Minute volume = 10 breaths/min x 0.53 L = 5.3 L/min

Operation time =

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2.1 L x 20000 kPa = approx. 420 L at environmental pressure level. O2 consumption = 5.3 L/min.

Supply from a piped O2 system

O2 supply [L] (MV + 0.5*) [L/min]

* Calculated with average gas consumption of ventilator: 0.5 L/min 420 Operation time = 5.8 = approx. 72 minutes

A

The pneumatic operation time increases when Oxylog 3000 plus operates with O2 concentration of less than 100% O2, as ambient air is drawn into the device.

B

Pocket Guide Oxylog 3000 plus

020

The amount of gas from the high-pressure supply, which is currently being consumed, is indicated by the Oxylog 3000 plus in the lower left section of the information window in L/min. This display is overwritten when a higher priority message is activated. 1

Connect the O2 hose (A) to the Oxylog 3000 plus.

2

Connect the gas probe (B) to the O2 terminal unit until it has properly engaged and the supply of O2 is assured.

11

Assembly

Assembling the adult reusable hose system

1

Connect the ventilation hose (F) to the breathing valve.

2

Connect the flow measuring hoses (G) to the nozzles on the flow sensor. Note the different diameters of the hoses and the nozzles when connecting the flow measuring hoses and connect to the correct side.

A B C

G F

D

1

Place the diaphragm (B) in the breathing valve housing (C). Ensure that it is inserted correctly.

2

Fit the cover (A) and turn it approximately 60o clockwise to secure into position (a click can be felt).

3

Push the flow sensor (D) onto the breathing valve (C). Note the correct alignment of the parts by the groove in the flow sensor (D) and the notch on the breathing valve (C).

4

Push the angled connector (E) onto the flow sensor (D).

012

009

E

3

Connect the flow measuring hoses (G) to the Oxylog 3000 plus. Correct alignment is indicated by a notch on the connector, which must point away from the ventilation hose. Otherwise, the set will not fit and the measured values will be incorrect.

4

Connect the ventilation hose (F) to the gas outlet on the Oxylog 3000 plus.

When connecting a hose, check that the hose setting in the Settings window corresponds to the connected hose.

Hose connections

F

011

G G

12

Pocket Guide Oxylog 3000 plus

Assembly

Connecting the adult disposable hose system

Connecting the paediatric disposable hose system

A

A

B

B

1

Connect the flow measuring hoses (A) to the Oxylog 3000 plus. Correct alignment is indicated by a notch on the connector, which must point away from the ventilation hose. Otherwise, the set will not fit and the measured values will be incorrect.

2

Connect the ventilation hose (B) to the gas outlet on the Oxylog 3000 plus.

When connecting a hose, check that the hose setting in the Settings window corresponds to the connected hose.

010

013

C

1

Connect the blue flow measuring hose (B) to the blue labeled connector.

2

Connect the transparent flow measuring hose (A) to the other connector.

3

Connect the ventilation hose (C) to the gas outlet on the Oxylog 3000 plus.

When connecting a hose, check that the hose setting in the Settings window corresponds to the connected hose.

Pocket Guide Oxylog 3000 plus

13

Assembly

Connecting the bacterial filter or HME

Connecting the CO2 sensor and the cuvette

It is recommended to use a bacterial filter between ventilator and patient, to reduce the risk of bacteria, viruses, fungi or spores being present in the inspiratory flow. z Connect the bacterial filter or HME to the angled connector as follows.

B A

C

D

008

016

Adult reusable hose:

014

Adult disposable hose:

1

Disconnect the angled connector (A) from the flow sensor (D).

2

Attach the cuvette (C) to the flow sensor (D), with the cuvette windows facing the side.

3

Attach the angled connector (A) to the cuvette (C).

4

Push the CO2 sensor (B) onto the cuvette (C), with the cable towards the device.

5

Plug the CO2 sensor into the connector of the Oxylog 3000 plus. For the connector location, refer to the section "Side view, right" on page 6.

6

Insert the CO2 sensor cable in the cable clips on the hose.

Alternatively, connect the cuvette (C) directly to the patient side of the angled connector (A), without disconnecting the angled connector from the flow sensor (D).

015

Paediatric hose:

14

Pocket Guide Oxylog 3000 plus

Getting started

Getting started NOTE The Oxylog 3000 plus Pocket Guide is not a replacement or substitute for the Instructions for Use. Any use of the device requires full understanding and strict observation of the Instructions for Use.

Switch the device ON

Select the connected hose type as seen in the above graphic by rotating the rotary knob (B) and confirm by pressing the rotary knob (B). The ventilator now automatically begins ventilation with the default settings.

A Switch the device OFF Oxylog 3000 plus

–

After disconnecting the patient:

Switch the device OFF:

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A B z To switch the device ON, briefly press the (A).

Oxylog 3000 plus

key

During the self-test, the system briefly displays the starting page with a bar graph indicating the progress of the self-test, the software version, and a prompt for the operator to activate the device check by pressing the rotary knob (B).

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The Oxylog 3000 plus performs a self-test. The self-test will be completed in approximately 6 seconds.

B 1

If the rotary knob (B) is not pressed during the self-test, the hose selection page is displayed.

To switch the device OFF, press the approximately 3 seconds.

key (A) for

Ventilation is now stopped and a high-priority alarm is issued. This alarm can be silenced with the key. 2

Either: –

Press the rotary knob (B) to confirm switch OFF.

Or key (A) to resume ventilation with Press the the previous settings.

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–

Pocket Guide Oxylog 3000 plus

15

Getting started

Perform device check

The device performs a self-test and the operator is prompted, on the display, to activate the configuration menu or device check: Press rotary knob for device check and configuration

Connect the test lung

2

Press the rotary knob (B) to confirm, before the bar is full. The start-up screen appears:

3

Select Device check in the start-up menu and confirm.

A B

021

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C

1

Make sure that the angled connector (A) is connected to the flow sensor.

The device check can be aborted at any time by pressing the Alarm Reset key.

2

Connect the catheter connector (B) of the test lung, diameter 7 mm, to the angled connector. The catheter connector simulates the resistance of the airways.

Check connections

3

Connect the balloon (C) of the test lung.

Switch the device ON

1

Ensure that the gas supply has been connected.

2

Select and confirm the appropriate hose type.

3

Ensure that the test lung has been connected. The Oxylog 3000 plus automatically checks if a test lung has been connected. The device check is interrupted if a test lung is not detected within one minute. The check is continued when the test lung is detected.

4

The Oxylog 3000 plus automatically checks if the detected hose differs from the selected hose type.

5

Set the controls below the display to the required values.

A Oxylog 3000 plus

The Oxylog 3000 plus successively activates the audible and visual alarm signals and prompts the operator to acknowledge each signal. 00337170

6

B 1

16

To switch the device ON, briefly press the (A).

key

Confirm the audible and visual alarm signals. The device check continues automatically. The bar graph shows the progress made by the device check. The result is displayed on the last page of the device check screens.

Pocket Guide Oxylog 3000 plus

Getting started

Error messages during the device check Message

Cause

Explanation/Remedy

System leakage

Leak in ventilation hose system and/or test lung.

Check hoses, breathin valve, flow sensor, and test lung for leaks and replace if necessary.

Internal leak in system.

Contact your local DrägerService for additional support.

Test lung not connected or major leakage.

Connect test lung.

Breathing valve inop

Breathing valve has malfunctioned.

Check correct condition of breathing valve including diaphragm and rubber disc; fit a new breathing valve if necessary or use a new disposable hose set.

Pressure measurement inop

The ventilation hose system has not been connected correctly.

Connect ventilation system correctly.

Pressure measurement is not possible.

Contact your local DrägerService for additional support.

Internal leak in system.

Check hoses, breathing valve, flow sensor, and test lung for leaks and replace if necessary.

Device defective.

Contact your local DrägerService for additional support.

No test lung

PEEP-valve inop

Patient flow measurement inop

Flow measurement implausible.

Check hoses, breathing valve, flow sensor, and test lung for leaks and replace if necessary.

Replace flow sensor. Contact your local DrägerService for additional support.

Hose detection inop

The device check failed on the hose detection.

Connect a different hose or change hose setting.

Detected hose differs from selected hose

The hose that is detected differs from the selected hose type, or the flow measuring hoses are incorrectly positioned.

Connect a different hose or change hose setting.

Pocket Guide Oxylog 3000 plus

17

Getting started

CO2 zero calibration and filter check before ventilation (optional)

Zero calibration before ventilation The zero calibration is performed with a clean CO2 sensor that has been removed from the cuvette.

The CO2 zero calibration and filter check only work if the CO2 option has been installed and if the CO2 sensor is present.

A B

A

022

Oxylog 3000 plus

Remove the CO2 sensor (A) from the cuvette (B).

The device performs a self-test and the operator is prompted, on the display, to activate the configuration menu or device check: Press rotary knob for device check and configuration

2

Select and activate Zero Calibration. The screen displays the text Remove sensor from cuvette. Confirm with rotary knob.

2

3

Confirm. The zero calibration starts and the line displays Zero calibration in progress. After a successful zero calibration, the line briefly displays Zero calibration OK.

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1

B key

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To switch the device ON briefly press the (A).

Press the rotary knob (B) to confirm, before the bar is full.

4

Press Alarm Reset to exit.

5

Attach the CO2 sensor back to the cuvette.

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1

3

Select CO2 Zero Calibration and Filter Check in the start-up menu and confirm.

NOTE The CO2 zero calibration and filter check can be discontinued at any time by pressing the Alarm Reset key.

18

Pocket Guide Oxylog 3000 plus

Getting started

CO2 filter check before ventilation NOTE Before the CO2 filter check, you need to have finished a successful CO2 zero calibration. Otherwise the CO2 filter check may be outside of the tolerance range. 1

1

Press the appropriate ventilation mode key (A).

2

Press the rotary knob (B) to confirm.

The selected ventilation mode will be activated. The active ventilation mode is displayed in the upper left corner of the display (C).

Remove the CO2 sensor from the cuvette.

Setting ventilation parameters

A

z Set the required control knob below the display. Or z Select, set and confirm a parameter on the display with the rotary knob. 023

B 2

Attach the CO2 sensor (A) to the test filter (B).

3

Select Filter check.

4

Confirm. The filter check starts and the screen displays Filter check in progress. After a successful filter check, the line briefly displays Filter check OK.

5

Press Alarm Reset to exit.

6

Attach the CO2 sensor back to the cuvette.

If the changed settings are not confirmed after 5 seconds, the alarm ! Confirm settings appears. If the settings are still not confirmed after 10 seconds, the alarm ! Settings not confirmed appears. After that the former settings are restored. When the PEEP setting is increased above 10 mbar, a message Confirm PEEP above 10 mbar? will appear to request confirmation of the change. The PEEP setting can be increased to the desired setting after the message is confirmed with the rotary knob. The device can be configured to show Ti or I:E as a primary parameter that can be set. If Ti is configured as the primary parameter, I:E will be shown in the information window when Ti is selected, and vice versa.

Selecting the ventilation mode

Display operating controls

B

Oxylog 3000 plus

C

A Oxylog 3000 plus

D

B

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C

z Press the appropriate ventilation mode key (A) for approximately 3 seconds.

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E

A

Or

Pocket Guide Oxylog 3000 plus

19

Getting started

A Rotary knob for making selections, changing and confirming settings. to change screen pages in the B Key Values "Measured Values" window.

Measured values window

A

B C

D

Curves

to change between the pressure, C Key Curves flow or CO2 (optional) curve in small and large presentation.

E Key Alarms to display the alarm settings in the "Settings and Alarms" window and to change screen pages.

The curves window can display the airway pressure curve Paw, the flow curve or the CO2 curve (optional). To display a different curve: z Press Curves

E A Parameter measured.

Displaying curves

Curves

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to display ventilation parameD Key Settings ters (ventilation screen) in the "Settings and Alarms" window and to change screen pages.

key.

Displaying measured values Measured values are displayed in the measured values window. To switch between the values: z Press the Values key: the next value pair is displayed on the screen.

B Measured value. C Unit of measure. D Measured values 1/7: 1st page of 7 available pages. If CO2 option is not installed: 1/6 available pages. E Trigger indicator.

Cardio-pulmonary resuscitation (CPR) During CPR, the airway pressure Paw is increased because of chest compressions. The Oxylog 3000 plus will try to limit the airway pressure Paw to the set Pmax, without ending the inspiration prematurely. However, if due to compressions the airway pressure Paw exceeds the set Pmax by 5 mbar, the Oxylog 3000 plus cycles to the expiration phase. Therefore in general, if Pmax is set to a higher value, a higher minute volume is possible. However, this increases the intra-thoracic pressure and may reduce coronary perfusion.

20

Pocket Guide Oxylog 3000 plus