Evita 4 - kilimed.com

1 Evita 4. Intensive Care Ventilator Instructions for Use Software 1-178-95. Working with these Instructions for Use Working with these Instructions for Use Header line the of the main chapter Operation Calibrating The title of the specific sub-section is printed underneath the main header to help you find your way quickly from subject to subject. Calibrating the CO2 sensor The CO2 sensor must be calibrated: if the check values are not met on checking calibration with filter or calibration gas. Page as part of the half-yearly inspection of Evita 4. the Instructions for Use in combined text/illustrations. The information is Switch on Evita 4. Wait about for 3 minutes for the machine to complete its warm-up phase. expressed in the form of practical actions, giving the user Press the Calibration key.

2 Direct hands-on experience in learning how to use the Display (example): machine. Touch CO2 screen key. Left-hand column the provides explanations and instructs the user step-by-step in the practical use of the product, with short, clear Display (example): instructions in easy-to-follow sequence. Bullet points indicate separate actions. Where several actions are described, numbers are used both to refer to Carry out CO2 zero calibration, page 74. the relevant details in the illustrations and to specify the After the CO2 zero calibration: sequence of actions. Touch the Cal. screen key. Right-hand column the Connect the calibration gas supply. provide the visual reference for the text and make it easier Use the cuvette from the calibration set!

3 1 Connect the calibration gas cylinder and the to locate the various parts of the equipment. Elements cuvette of the calibration set to the hose. 2. mentioned in the text are highlighted. Unnecessary details 2 Remove the CO2 sensor from its park bracket and fit it to the cuvette of the calibration set. 1. are avoided. Read the CO2, O2 and N2O concentrations ( ) of the calibration gas from the test Screen displays prompt the user to proceed and confirm cylinder. Calibration gas : correct actions. 5 CO2. 95 N2. 2. Contents Contents For Your Safety and that of Your Patients 5. Intended Medical Application 7. Operating Concept 11. Preparation 25. Operation 39. Configuration 90. Troubleshooting 109. Maintenance 116. What's What 128. Technical Data 132.

4 Description 140. Parts List/Order List 161. Index 165. 3. For Your Safety and that of Your Patients For Your Safety and that of Your Patients Strictly follow the Instructions for Use Liability for proper function or damage Any use of the apparatus requires full understanding and The liability for the proper function of the apparatus is strict observation of these instructions. The apparatus is irrevocably transferred to the owner or operator to the only to be used for purposes specified here. extent that the apparatus is serviced or repaired by personnel not employed or authorized by Dr gerService or if the apparatus is used in a manner not conforming to Maintenance its intended use. The apparatus must be inspected and serviced regularly Dr ger cannot be held responsible for damage caused by trained service personnel at six monthly intervals by non-compliance with the recommendations given (and a record kept).

5 Above. The warranty and liability provisions of the terms Repair and general overhaul of the apparatus may only be of sale and delivery of Dr ger are likewise not modified carried out by trained service personnel. by the recommendations given above. We recommend that a service contract be obtained with Dr ger Medizintechnik GmbH. Dr gerService and that all repairs also be carried out by them. Only authentic Dr ger spare parts may be used for maintenance. Observe chapter "Maintenance Intervals". Technical safety inspections The apparatus must be submitted to regular technical safety inspections. Accessories Do not use accessory parts other than those in the order list. Not for use in areas of explosion hazard This apparatus is neither approved nor certified for use in areas where combustible or explosive gas mixtures are likely to occur.

6 Safe connection with other electrical equipment Electrical connections to equipment which is not listed in these Instructions for Use should only be made following consultations with the respective manufacturers or an expert. 5. Intended Medical Application Contents Intended Medical Application Contents Intended Medical 8. Monitoring Back-up ventilation with an independent manual ventilation 9. 7. Intended Medical Application Intended Medical Application Long-term ventilator for intensive care. APRV Airway Pressure Release Ventilation, For adults, children and neonates. Spontaneous breathing on two pressure levels with long For premature babies with the "NeoFlow" option. time ranges independently adjustable. With the following ventilation modes: Special modes: IPPV Intermittent Positive Pressure Ventilation, Apnoea Ventilation controlled and assisted constant-volume ventilation.

7 For switching over automatically to With the options: volume-controlled mandatory ventilation, if breathing CPPV (Continuous Positive Pressure Ventilation) stops. PLV (Pressure Limited Ventilation) If apnoea occurs, Evita 4 emits an alarm after the preset AutoFlow alarm period (Tapnoea > ) and starts volume-controlled for automatic regulation of inspiration flow ventilation. IRV (Inversed Ratio Ventilation). ILV Independent Lung Ventilation, SIMV Synchronized Intermittent Mandatory Ventilation, Separate, differentiated, synchronised ventilation with procedure for weaning patients off the ventilator after two Evita units, one for each lung. they have started spontaneous breathing. With the options: Diagnostics: PLV (Pressure Limited Ventilation).

8 AutoFlow Intrinsic PEEP-measurement for automatic regulation of inspiration flow. for determining intrinsic PEEP and measuring trapped volume. MMV Mandatory Minute Volume Ventilation, spontaneous breathing with automatic adjustment of Occlusion pressure measurement mandatory ventilation to the patient's minute volume for evaluating breathing drive during spontaneous requirement. breathing. With the options: PLV (Pressure Limited Ventilation). AutoFlow . for automatic regulation of inspiration flow. With monitoring for: SB Spontaneous Breathing, airway pressure, Paw Spontaneous breathing at ambient pressure. expiratory minute volume, MV. inspiratory O2 concentration, FiO2. CPAP Continuous Positive Airway Pressure, inspiratory breathing gas temperature, T.

9 Spontaneous breathing with positive airway pressure. expiratory CO2 concentration, etCO2. ASB Assisted Spontaneous Breathing, inspiratory breathing volume, VTI. pressure-assisted spontaneous breathing. apnoea time tachypnoea monitoring to detect rapid, shallow BIPAP* Biphasic Positive Airway Pressure, spontaneous breathing Pressure-controlled ventilation combined with free spontaneous breathing during the complete breathing cycle, and adjustable pressure increase to CPAP level.. * Registered trade mark 8. Intended Medical Application Monitoring Ventilation Automatic gas switch-over. Monitoring Ventilation In the event of a gas failure, the change-over to another gas is automatic. Appropriate ventilation monitoring (recommendations by DGAI)*.

10 This equipment must only be used under the The built-in monitoring facilities of the Evita 4 ensure supervision of qualified medical staff, so that if any appropriate monitoring of ventilation therapy and faults or malfunctions occur, help is available therefore detect any undesirable changes in the following immediately. ventilation parameters: airway pressure, Paw This equipment must not be used with flammable expiratory minute volume, MV. gases or anaesthetic agents. Danger of fire! inspiratory O2 concentration, FiO2. inspiratory breathing gas temperature, T. Do not use mobile telephones within 10 metres of expiratory CO2 concentration, etCO2. ventilators! inspiratory breathing volume, VTI. Mobile telephones may impair the functioning of electro- apnoea time medical equipment.