Babylog vn500 руководство

• Page 1
  Instructions for Use Infinity Acute Care System Babylog VN500 WARNING For a full understanding of the Ventilation Unit performance characteristics of this SW 2.n medical device, the user should carefully read these Instructions for Use before use of the medical device.

• Page 2: Working With These Instructions For Use

  Basic settings a vertical tab. Trademarks ® – Infinity ® – Babylog ® – QuickSet ® – ATC – Acute Care System – Medical Cockpit are trademarks owned by Dräger. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 3: Definitions

  A NOTE provides additional information intended to avoid inconvenience during operation. Abbreviations and Symbols Please refer to «Abbreviations» on page 25 and «Symbols» on page 29 for explanations. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 4
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• Page 5: Table Of Contents

  Ending operation ….. . . 103 Babylog VN500……19 Storing Babylog VN500 .

• Page 6
  Disposal of a neonatal flow sensor ..213 Disposal of the medical device … . 213 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 7
  Manual ventilation device ….13 Handling Infinity ID components… . 13 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 8: For Your Safety And That Of Your Patients

  See chapter «Maintenance». Safety inspections The medical device must be subject to regular safe- ty inspections. See chapter «Maintenance». Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 9: Networking

  Instructions, WARNING and CAUTION statements are limited, therefore, largely to the spe- cifics of the Dräger medical device. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 10: General Warnings And Cautions

  WARNING fection. Do not use the medical device in hyperbaric chambers! This may impair correct function- ing of the medical device and endanger the pa- tient. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 11
  MV and disconnection during HFO. CAUTION Do not expose the medical device to strong infra- red radiation. This can disrupt the proper function- ing of the medical device. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 12: Function

  The Instructions for Use must be kept in an acces- tionary procedures. sible location for users. WARNING Do not use portable and mobile HF communi- cations equipment, e.g., mobile phones, in the vicinity of the medical device. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 13: Monitoring Ventilation

  IEC 60601-1-2 (EN 60601-1-2) which have been defined by regulation authorities, such as the Fed- eral Communications Commission (FCC Rules), In- dustry Canada (Radio Standards Specifications) and the European Telecommunications Standards Institute (ETSI standards). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 14
  Dräger hereby declares that the ventilation unit Babylog VN500 is in compliance with the basic re- quirements and the other pertinent regulations of Directive 1999/5/EC. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 15: Application

  Indications for use and contraindications . . 16 Environment of use ….16 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 16: Intended Use

  – In conjunction with flammable gases or flamma- ble solutions that can mix with air, oxygen or nitrous oxide – In areas of explosion hazard – In areas with combustible or explosive substances Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 17: System Overview

  How to use the Workstation Neonatal Care . . . 18 Babylog VN500 ……19 Front ……. . . 19 Rear .

• Page 18: Infinity Acute Care System — Workstation Neonatal Care

  «Infinity Medical Cockpits». B Babylog VN500 – ventilation unit C GS500 – gas supply unit D PS500 – power supply unit E Trolley 2 — 90 cm Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 19: Babylog Vn500

  C Inspiratory unit (safety valve with inspiratory port) Insp. (GAS OUTPUT) D Gas inlet for the safety valve Emergency air intake, non-tapered connection (EMERGENCY AIR INTAKE), do not obstruct E Water trap F Flap Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 20: Rear

  E Ambient air filter with cover F Fuse for mains power supply F1, F2 F Strain relief for cable G Connection for mains power supply G Left device flap Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 21: Trolley 2 — 90 Cm

  C Trolley column D Hose hooks E Alignment aid F Humidifier holder, can be swiveled G Universal holder with standard rail H Double castors with locking brake, set of 4 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 22: Gas Supply Unit Gs500

  E Cable duct B Charge indicator F Toggle switch of the power supply unit G Rating plate C Standby key D LED for display of mains power supply Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 23: Range Of Functions

  – Manual inspiration/hold be switched off. – Medication nebulization Therapy types: – Invasive ventilation (Tube) – O Therapy – Non-invasive ventilation (NIV) Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 24: Connections For The Breathing Hoses

  The accessories can also be connected to the hold- Gas supply ers provided on the trolley. Babylog VN500 features country-specific connec- tions for the gas supply with oxygen and medical air. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 25: Abbreviations

  COPD Chronic Obstructive Pulmonary Frequency of oscillation for HFO Disease (set value) Cycles sigh Number of cycles during a sigh Inspiratory O concentration phase (set value) (set value) Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 26
  Dräger communication protocol for medical devices PC-HFO Pressure Control-High Frequency Oscillation, pressure-controlled mmHg Measuring unit for end-expiratory ventilation with high-frequency concentration oscillation More… Show more alarms Magnetic resonance imaging Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 27
  Pressure Support with continuous positive pressure PS500 Power supply unit level with or without pressure Psigh Inspiratory pressure of sigh for support HFO (set value) Psupp Pressure support absolute Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 28
  Work of Breathing manual inspiration during NIV (Neo. patient category, SPN-CPAP ventilation mode) Tplat Time of inspiratory plateau Trach. Tracheostomy tube Tube Ø Inside diameter of tube (set value) Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 29: Symbols

  (Babylog VN500, PS500) 40 to <60 % (AC voltage) Charge state of internal batteries Power supply from the internal battery of (Babylog VN500, PS500) 20 to <40 % Babylog VN500 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 30
  Serial interface (on Infinity C500) Additional symbols on Infinity C500 (Medical Cockpit) that are not described in these Instructions for Use are described in the Instructions for Use for «Infinity Medical Cockpits». Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 31: Operating Concept

  (QuickSet)……35 Linked setting of ventilation parameters ..35 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 32: Operating Concept For Infinity C500

  Main screen ventilation parameters of the active ventilation mode, see page 34. The main screen displays the most important venti- lation information at a glance. 1 2 3 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 33: Main Menu Bar

  137. D System setup… for configuring the device functions, see page 141. E Start/ Standby… for selecting standby mode or starting the therapy, see page 102. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 34: Dialog Windows

  1 Touch the therapy control. The color turns yel- mode low. The unit of the parameter to be adjusted is D Therapy controls displayed in parentheses. 2 Turn the rotary knob to set the value. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 35: Exceeding The Set Limit Of A Ventilation Parameter

  Pinsp (B); the color turns to yellow. 2 Press and hold the rotary knob for approx. The Link (C) button is displayed. 3 seconds. 2 Touch the Link (C) button. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 36
  If a condition is reached in which a parameter can- not be changed anymore when setting linked pa- rameters, Babylog VN500 displays a correspond- ing message in the message field (D). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 37: Preparation

  Using the MEDIBUS protocol ….43 LAN and USB interfaces of Infinity C500 ..43 Preparing Babylog VN500 ….44 Preparing the Infinity ID neonatal expiratory valve .

• Page 38: Safety Information On Preparation

  Con- tact DrägerService. WARNING Do not lean, press, push or pull against the trolley above the marking points on the trolley. The trolley could topple over. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 39: Connecting The Universal Holder With Standard Rail To The Trolley

  Observe the maximum load! See chapter Technical Data, «Maximum load» on page 228. 2 Adjust the height of the universal holder (C). 3 Align the universal holder horizontally. 4 Retighten the adjusting screw (A). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 40: Securing The Compressed Air Cylinders To

  The lower part of the trolley is designed to protect against collisions. Take particular care when the compressed air cylinders being used are too large. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 41: Preparing Infinity C500

  Babylog VN500. The system cable is fixed in a 4 Tighten the locking screw. clamp. 5 Make sure that Infinity C500 is securely at- tached to the standard rail. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 42
  Align the protective sleeve so that the slots of 1 Open the clamp cover. the protective sleeve are facing downwards and upwards. 2 Remove the cable from the clamp. 3 Close the clamp cover and engage. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 43: Using The Medibus Protocol

  Connecting an external device for using MEDIBUS Connect an external device to the interface COM 1, COM 2 or COM 3 (A) of Infinity C500. Use MEDIBUS cable 8416326. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 44: Preparing Babylog Vn500

  2 If the silencer (B) has been removed, fit the si- lencer. Lift the flap (D) by the lower edge and pivot it up- wards. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 45: Safety Information For The Use Of Hmes, Bacterial Filters And Breathing Circuits

  Check the condition of the patient and the de- Leave the flap closed during ventilation. vice’s measured values for volume and resis- tance more frequently. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 46: Preparing The Breathing Gas Humidifier

  2 Turn the clamping screw (C) until the holder is fixed securely on the rail. 3 Attach the breathing gas humidifier to the mount (D). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 47: Attaching Breathing Hoses

  Start/Standby > Br. circuit/ Humidifier. 2 Connect breathing hoses to the inspiratory port Set the breathing circuit according to the patient (B) and to the expiratory port (C). category. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 48: Installing A Neonatal Flow Sensor

  2 Connect plug (C) of the flow sensor cable to the flow sensor. 5 Insert the connector (F) of the flow sensor cable into the socket (G) at the rear of Babylog VN500. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 49: Replacing The Neonatal Flow Sensor Insert

  «Calibrating the CO sensor» on page 131. cantly increases the dead space. For the order numbers of the accessories for the application, see the list of accessories. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 50: Connecting The Electrical Mains Power

  Insert the mains plug into the mains power socket. The LED on Infinity C500 lights up green. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 51: Power Supply Unit Ps500

  For more information on the power supply unit, see PS500 Checking the toggle switch on PS500 See «Power supply unit PS500» on page 107. CAUTION Do not press the toggle switch during ventilation. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 52: Failure Of The Electrical Power Supply

  For the order numbers of the compressed gas hos- es, see the list of accessories. Gas supply from cylinders If the central gas supply fails or is not available, the gas can be supplied from cylinders. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 53: Connecting The Nurse Call

  The connector must engage audibly into the sock- et to ensure all alarm messages are transmitted properly. 2 Check the correct operation of connected nurse call system. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 54: Transportation Of Patients Within The Hospital

  Otherwise there is an increased The trolley could topple over. risk of the device toppling over. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 55
  1 Hinged arm set to minimum deflection. 2 Hoses and cables hooked as close as possible to the trolley. 3 Humidifier secured to the trolley, not to the lat- eral rails of Babylog VN500. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
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• Page 57: Getting Started

  Start therapy ……70 Displaying the status of accessories ..71 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 58: Safety Information On Getting Started

  If the Start dialog is closed via the X (D) button, The system is started. The Start dialog is dis- Babylog VN500 adopts the settings of the previous played. patient. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 59: Select Patient

  When a new patient is admitted, the settings and trend data of the previous patient are deleted. Babylog VN500 displays the ventilation parameter start-up settings (C). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 60
  1 Touch the button for the desired patient weight is set directly. The Start/Standby page (C) category (D) or (E). contains the button for this start-up body weight (I). 2 Confirm with the rotary knob. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 61
  3 seconds. No entries can be made during this time. Whenever the patient category has been changed Check the breathing circuit, see «Performing the breathing circuit check» on page 66. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 62: Selecting The Breathing Circuit And The Breathing Gas Humidifier

  (D). Babylog VN500 automatically selects the corre- sponding humidification type based on the breath- ing circuit (E) selected. Some breathing circuits provide the selection of HME/Filter and None. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 63: Check Readiness For Operation

  2 Touch the Start (D) button. 3 Confirm with the rotary knob. Babylog VN500 displays the date, time and results of the last system check on the Overview (B) page. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 64
  A test step is also skipped if the necessary prereq- continued when the Device check page is called uisites have not been met. again. 1 Touch the Repeat (I) button. 2 Confirm with the rotary knob. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 65
  Calibration Keep flow sensor sealed gaged. during calibration. sensor: Check whether the com- Check whether the flow Calibration pressed gas hoses are con- sensor cable is connected. nected. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 66: Performing The Breathing Circuit Check

  If Babylog VN500 requires the O sensor to be calibrated and the test step is still skipped with Next test, the test step is displayed as incorrect (red dot). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 67
  When using Infinity ID breathing cir- cuits, the default values of the breathing circuit de- tected are used. The leakage measurement be- comes invalid. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 68: Selecting Tube Or Niv Application Mode

  Additional information For information on using the NIV application mode for non-invasive ventilation, see «NIV – Non-inva- sive ventilation» on page 82. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 69: Select Therapy Type

  Start/Standby 2 Touch the Ventilation (B) or O Therapy (C) button. 3 Confirm with the rotary knob. Additional information Therapy, see page 100. Setting ventilation, see page 74. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 70: Start Therapy

  When the Start button is no longer preset After 15 seconds the Start button is no longer pre- set. 1 Touch the Start (B) button. 2 Confirm with the rotary knob. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 71: Displaying The Status Of Accessories

  Infinity ID accessories is not displayed. Additional information The time for the exchange interval can be config- ured on the System setup > Exchange intervals page. See «Exchange intervals» on page 161. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 72
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• Page 73: Operation

  Display curves and measured values..85 Storing Babylog VN500….104 Overview……85 Changing the screen view .

• Page 74: Setting Ventilation

  The following 4 ventilation modes are preset at the Babylog VN500 opens the Ventilation settings di- factory: alog window. – PC-CMV – PC-AC – PC-SIMV – PC-PSV Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 75: Setting Ventilation Parameters

  «Exceeding the set limit of a ventilation parameter» The ventilation mode is active. The settings are ap- on page 35. plied to the patient. «Direct setting of ventilation parameters (Quick- Set)» on page 35. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 76: Basic Settings For Ventilation

  CPAP with the use of a nasopharyngeal tube, use a separate monitoring device. CAUTION Only remove the water trap of the expiratory valve briefly during ventilation. Otherwise, ventilation will be impaired. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 77
  5) in the Neo. patient category in the Tube application mode, or in the Ped. pat. patient category in the NIV application mode 6) If AutoRelease is switched off 7) if AutoRelease is switched on Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 78
  1) only available in the Neo. patient category in the NIV application mode 2) in the NIV application mode or in the Neo. patient category 3) depending on configuration, Slope adjustment 4) if Pmax/Paw high autoset is activated Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 79: Additional Settings For Ventilation

  4 Touch the corresponding therapy control (D). 5 Set the value by turning the rotary knob and push to confirm. 2 Touch the tab of the respective additional set- ting (B). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 80
  Tlow max If AutoRelease is switched on HFO-Sigh Psigh RRsigh Tisigh Flowsigh If Insp. flow is configured, see page 158 Slopesigh If Slope is configured, see page 158 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 81
  Set the amplitude before switching off the Volume Guarantee (HFO) Additional information For a detailed description of the additional settings, see in chapter «Additional settings for ventilation» on page 249. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 82: Niv — Non-Invasive Ventilation

  Babylog VN500 is in standby mode. Application mode NIV must not be activated with intubated patients! CAUTION Use of masks increases the dead space. Note the mask manufacturer’s instructions! Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 83: Starting Niv Ventilation

  During manual inspiration, the duration of the man- The Start (B) button remains preset for datory breath is determined by the TmanInsp ther- 15 seconds. apy control (B). 2 Confirm with the rotary knob. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 84: Monitoring During Niv

  A time-lag Tdisconnect between 0 and 60 seconds can be set for the lower alarm limit of the airway pressure. Additional information «Setting the alarm limits» on page 114. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 85: Display Curves And Measured Values

  Trend for measured values Trend for setting values Tabular trend Multi-trend Alarm history Smart Pulmonary View The parameters can be displayed in parameter fields (A) and in the curve field (B). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 86: Evaluating Loops

  Recording the current loop in order to freeze, display and save it afterwards 7 Touch the X button. The dialog is closed. Touch the Capture loop (B) button. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 87: Freeze Waveforms

  The Freeze waveforms function can be configured are displayed above the curve. as a button in the main menu bar to enable direct access. See «Assigning functions to additional but- tons» on page 146. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 88: Smart Pulmonary View

  If the measured values for R and Cdyn are outside the current display range, a red line ap- pears and calibration is required. Babylog VN500 displays the following information Calibrate lung display. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 89: Help

  (C) to scroll forward – Content (D) to open the table of contents – Index (E) to open the index Touch the appropriate button. Closing Help Touch the (F) button. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 90: Oxygen Enrichment For Suction Maneuver

  1 Touch the Special procedures… button in the 180 seconds. During this time Babylog VN500 main menu bar. waits for a disconnection for suction. The oxygen Babylog VN500 opens the Special procedures di- alog window. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 91: Automatic Interruption Of Oxygen Enrichment

  The Suction maneuver function can be configured as a O suction button in the main menu bar to en- able direct access. See «Assigning functions to ad- ditional buttons» on page 146. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 92: Manual Inspiration — Manual Inspiration/Hold92

  Touch and hold the Man. insp./hold (B) button for the desired inspiratory time. Babylog VN500 triggers an extended breath or ex- tends an already triggered automatic breath. Babylog VN500 automatically ends inspiration: Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 93: Medication Nebulization

  Instructions for Use. NOTE Aerosols can impair the proper functioning of the expiratory valve. When using medication nebuliza- tion, shorten the reprocessing cycles for the expi- ratory valve. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 94: Connecting The Medication Nebulizer To The Breathing Circuit

  2 Place the medication nebulizer in the vertical to the inspiratory port of the Y-piece. position. Additional information For the order numbers of catheter connector (A) and adapter (B), see the list of accessories. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 95: Switching On Medication Nebulization

  A medication nebulizer fault is not detected by Babylog VN500. Switching on medication nebulization 1 Touch the Special procedures… button in the main menu bar. 2 Touch the Med. nebulization (A) tab. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 96
  After removing the neonatal flow sensor: Touch the Done (E) button. Babylog VN500 starts nebulization. The sym- bol and the remaining nebulization time is dis- played in the screen header bar. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 97: Aborting Medication Nebulization

  The minute volume is not monitored without the neonatal flow sensor and apnea monitor- ing is limited! Use additional monitoring. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 98
  See «Neonatal flow sen- sor calibration» on page 129. Additional information For the order number of the nebulizer Aeroneb Pro, see the list of accessories. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 99: Gas Supply Unit Gs500

  In the event of failure of the central gas supply, or if the connectors of the compressed gas hoses be- come detached from the wall outlets of the central Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 100: O 2 Therapy

  The alarm limits for MV, Paw, RR, Tapn are not ac- tive. The alarm limits for O monitoring are auto- matically set by the device. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 101: Switching On O 2 Therapy

  (F) for the The FiO concentration is represented graphically therapy. The header bar (G) displays the mes- (C). sage O Therapy. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 102: Standby Mode

  1 Touch the Start/ Standby… button in the main displayed in the screen header bar. menu bar. Babylog VN500 opens the Start/Standby dialog window. The Start/Standby (A) page appears by default. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 103: Ending Operation

  When Babylog VN500 is not in standby mode and 2 Press the (A) button on Infinity C500. (A) button is pressed, the Start/Standby Babylog VN500 opens the Shutdown dialog. page is opened. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 104: Storing Babylog Vn500

  3 If the power supply unit PS500 is connected, also set the toggle switch at the rear of PS500 (off). 4 Disconnect the mains plug from the mains pow- er socket. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 105: Mains Power Supply / Dc Power Supply

  30 minutes. source. Observe the maintenance intervals. – If mains power supply is not sufficient, the inter- nal battery is used. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 106
  Battery maintenance To ensure a maximum service life, the following is recommended: Always fully charge the internal battery. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 107: Power Supply Unit Ps500

  (provided that the batteries are fully charged and new). Battery operation is possible for longer in the absence of the gas supply unit GS500. The internal batteries are always contained in the Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 108
  CAUTION power supply immediately. Leave PS500 connected to the mains power sup- ply for at least 8 hours so that the internal batter- ies can be fully charged. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 109: Fault — Cause — Remedy On Ps500

  Connect PS500 to the mains power supply after a maximum of 30 days. Leave PS500 connect- ed to the mains power supply for at least 8 hours in order to charge the internal batteries. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 110
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• Page 111: Alarms

  Position of the user to the alarm system . . . 117 Failure of the acoustic alarm… . . 117 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 112: Overview

  Babylog VN500 generates different alarm tone se- quences to display alarms acoustically. The alarm tone sequences can be configured, see «Selecting alarm tone sequences» on page 151. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 113: Displaying Information On Alarms

  For a list of causes and remedies, see chapter alarms. However, Babylog VN500 records all alarm «Alarm – Cause – Remedy» on page 165. messages in the alarm history. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 114: Alarm History

  Setting extreme alarm limits can render the alarm system useless. : Lower alarm limit The alarm limits are displayed depending on the ventilation parameter in the parameter field. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 115: Deactivating Alarm Limits

  5 deactivated alarm limits. Response to power failure Alarm limits are also retained in the event of a pow- er failure, e. g., caused by a defective internal bat- tery. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 116: Setting The Volume Of The Alarm Tone

  Audio paused (A) key. This suppresses the acoustic alarm for 2 minutes. Babylog VN500 displays the symbol in the header bar and the remaining time for the sup- pressed alarm tone. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 117: Position Of The User To The Alarm System

  This intermittent tone is also used for the power fail- ure alarm. Additional information on the power failure alarm See «Failure of the electrical power supply» on page 52. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 118
  This page intentionally left blank Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 119: Trends And Data

  Data export ……126 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 120: Overview

  Graphic trends 1 Touch the Trends/Data… button in the main menu bar. Babylog VN500 opens the Trends (A) page with the Graphics 1 (B) page. Trends/Data Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 121
  (2, 4, 8, 12 hours; 1 day, 7 days). Another dialog containing all the parameters of the selected parameter type is displayed. 3 Touch the desired parameter. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 122: Apnea Trend, Apnea Ventilation Trend

  Prerequisite: The Graphics 1 or Graphics 2 page is opened. 1 Touch the button. 2 In the Setup dialog under Values, touch the Events parameter type. 3 Select the Apnea or Apnea Vent.. event. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 123: Tabular Trend

  Position the cursor (F) on the time by turning the rotary knob or touching the time. Additional information «Configuring the display of hospital-specific mea- sured values and settings» on page 146. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 124: Display Data

  Babylog VN500 displays the hospital-specific mea- sured and setting values (C)selected in the system setup. Additional information «Configuring the display of hospital-specific mea- sured values and settings» on page 146. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 125: Display Logbook

  Select the row by turning the rotary knob or touching the row. With the button (D) the cursor can be moved back- wards or forwards by least 24 hours. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 126: Data Export

  Babylog VN500 displays a message in the (H) message field. After the data export Remove the USB storage media from the USB port at the earliest after 2 seconds. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 127: Monitoring

  Neonatal flow monitoring ….139 Possible displays for measured values ..140 Display of etCO measured values ..140 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 128: Information On Calibrating The Sensors

  The calibration or zero-checking values of the sen- sors that were last determined remain stored until the next calibration or zero check, even if the device is switched off. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 129: Neonatal Flow Sensor Calibration

  This ensures that the requirement for calibration pears by default. (flow = 0) is met. Performing calibration 7 Press the rotary knob. Babylog VN500 calibrates the neonatal flow sen- sor. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 130: Calibrating The O 2 Sensor

  O sensor with calibration gas (100 % O ). Otherwise this may result in an incorrect calibration. Additional information «Performing a device check» on page 63. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 131: Calibrating The Co 2 Sensor

  2 Touch the CO (A) tab. The Zero calib. on/off (B) page appears by default. Sensors/Parameters 3 Touch the Reusable (C) or Disposable button (D) and confirm with the rotary knob. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 132: Information On Checking The Co

  Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 133: Zero Calibration

  1 Check whether the sensor is soiled and clean it if necessary. If the sensor is defective, replace the sensor. 2 Repeat zero calibration. 3 Touch the Start (C) button. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 134: Test Filter

  (D). 2 On the Zero calib. on/off page, select the cu- vette type Reusable. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 135: Perform Calibration Of The Co

  1 Use the reusable cuvette from the calibration with the rotary knob. set! Babylog VN500 displays the measured CO con- 2 On the Zero calib. on/off page, select the cu- centration (I). vette type Reusable. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 136
  Prerequisite: The Calibration page is opened. 3 About 1 minute after setting the test gas flow, touch the Start (I) button and confirm with the Touch the Reset calibration (K) button. rotary knob. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 137: Deactivating Or Activating Monitoring

  Babylog VN500 deactivates neonatal flow monitor- ing. Patient-triggered ventilation is not possible when neonatal flow monitoring is deactivated. The venti- lation functions and ventilation monitoring are limit- ed without neonatal flow monitoring. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 138: Deactivating Or Activating O

  1 Touch the Sensors/ Parameters… button in the main menu bar. 2 Touch the FiO (A) tab. Sensors/Parameters 3 Touch the Off (B) button and confirm with the ro- tary knob. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 139: Neonatal Flow Monitoring

  In order to avoid nuisance alarms and assure prop- er monitoring, the following settings are required: Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 140: Possible Displays For Measured Values

  The measured value for etCO can be displayed in Vol% and additionally in kPa or mmHg. Display in kPa or mmHg is configurable, see «Con- figuring units» on page 163. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 141: Configuration

  Service dialog ……164 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 142: Information On Configuration

  The other customized screen display settings are immediately effective. Touch the System setup… button. Babylog VN500 opens the System setup dialog window. The Screen layout page appears by default. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 143: Adjusting Lighting And Brightness

  2 Set the time by turning the rotary knob and push to confirm. If the automatic changeover for the lighting of the screen is switched on, the system will change over at the times entered. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 144: Configuring The Screen View

  6 Select the desired template by turning the rotary 1 Touch the Load (J) button. knob and push to confirm. 2 Confirm with the rotary knob. The selected format template is displayed (E). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 145
  2x is required. To display double parameters, field size 1x is re- quired. All fields can also be configured without contents. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 146: Configuring The Display Of Hospital-Specific Measured Values And Settings

  Prerequisite: The desired row is marked. 1 Touch the Settings (E) button. 2 Select the parameter from the selection list with the rotary knob and push to confirm. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 147: Selecting Parameters For The Graphic Trend

  1 Touch the (E) button. Babylog VN500 opens the Setup dialog with the buttons for Meas. (F) and Settings (G). Flow 3 Touch the parameter. The button turns dark green. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 148: Locking Of Therapy Controls In Therapy Bar

  On the Therapy bar page, touch the Off (D) button. 7 Touch the (L) button. Select the time interval from the selection list: 2, 4, 8, 12 hours, 1 day, 7 days. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 149: Configuring Alarm Settings

  Prerequisite: The Alarms (A) page is opened. 1 Touch the Preset limits (B) tab. System setup Babylog VN500 displays the start-up values used for the alarm limits. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 150
  To configure RR, see «Configuring start-up settings for the ventilation parameters» on page 153. For an overview of device’s internal alarm limits, see chapter «Automatic alarm limits» on page 231. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 151: Configuring Ventilation Settings

  – Configuration of start-up ventilation settings – Configuration of general settings for ventilation 2 Touch the Ventilation tab. – Configuration of settings for maneuvers 3 Enter password and confirm with Enter. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 152: Configuring Start-Up Settings For The Patient

  Other settings may jeopar- dize the patient. Depending on configuration, the number of dis- played ventilation modes can vary between 1 and 4. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 153: Configuring Start-Up Settings For The Ventilation Parameters

  Babylog VN500 displays the start-up values for the different patient categories (E). 2 Touch the appropriate button (E). 3 Set the value by turning the rotary knob and push to confirm. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 154
  Radford nomogram: Factory-set start-up value Hospital-specific set start-up value Weight Slope Flow Slope Flow trigger trigger (kg) (mL) (/min) (L/min) (mL) (/min) (L/min) 0.05 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 155
  5 mbar (5 cmH ΔPsupp 0 mbar (0 cmH Pinsp 15 mbar (15 cmH Pmax 40 mbar (40 cmH Plow 5 mbar (5 cmH Phigh 15 mbar (15 cmH Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 156
  Alarms page, the settings are type: also set to the factory settings. 4 Touch the ET (G) or Trach. (H) button and and confirm. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 157
  When you touch the Dräger default button on an- other page, the settings for inspiratory and expira- tory compensation are also set to the factory set- tings. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 158: Configuring General Settings

  – Insp. flow (I) Babylog VN500 starts with the selected start-up 3 Touch the appropriate button and confirm with settings. the rotary knob. Babylog VN500 starts with the selected settings. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 159: Importing And Exporting Configurations

  Babylog VN500 displays the configuration on the device (B) and the configuration available on the USB storage media (C). The date of the import and export is displayed. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 160: Installing Applications

  The installed application is displayed in the (B) list. 3 Install the next applications (repeat steps 1 to 3). 4 After all applications are installed, restart Babylog VN500. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 161: Exchange Intervals

  The setting is effective immediately. Setting the exchange interval 4 Touch the (C) button. 5 Set the value by turning the rotary knob and push to confirm. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 162: System Settings

  Selecting the screen text language Babylog VN500 is factory set to the customer’s own language. The current language is displayed in the (C) field. Selecting a different language: Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 163: Configuring Units

  3 Select the setting with the rotary knob and push to confirm. 2 Touch the relevant button for the unit. The unit selected for the CO measured value is adopted for selection of the alarm limit. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 164: Service Dialog

  Prerequisite: The System (A) page is opened. GS500″ on page 99. Touch the Supply units (B) tab. Service dialog The service dialog is password-protected and re- served for DrägerService or trained service person- nel. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 165: Alarm — Cause — Remedy

  If an alarm occurs, the ta- ble helps to identify causes and remedies. The dif- ferent causes and remedies should be worked through in the order listed until the alarm has been resolved. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 166
  Make sure that the supply Driver gas for active expira- pressure is greater than tion during HFO is O only. 3 bar (43.5 psi). Acknowledge message by touching «ALARM RESET» and confirm. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 167
  Check patient condition. airway pressure has been Check ventilation settings. exceeded. The patient is Adjust alarm limit if neces- breathing against the venti- sary. lation unit or coughing. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 168
  Ambient pressure sensor Accuracy of measured val- failure. ues depending on the atmo- spheric pressure could be impaired (e.g., MV, O con- centration). Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 169
  «ALARM RESET» button and confirm with rota- ry knob. Call DrägerService. Application installation Acknowledge message by failed. touching «ALARM RESET» button and confirm with rota- ry knob. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 170
  Inspiratory and expiratory Connect inspiratory and ex- changed limbs of the breathing circuit piratory limbs of the breath- are connected reversely to ing circuit correctly. the ventilation unit. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 171
  Calibration of gas delivery before device check is per- system failed. formed: Ventilation will not be possible. If alarm cannot be resolved by performing device check, call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 172
  Check CO cuvette The selected type of CO Select the correct type of cuvette is not correct. cuvette. cuvette or sensor Clean the CO cuvette or soiled. sensor. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 173
  Perform zero calibration. tion. measurement failed sensor faulty. Replace faulty CO sensor. measurement incor- Use external CO monitor- rect. ing and deactivate integrat- ed CO monitoring. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 174
  To continue ventilation with tected. this device, continuously monitor the device func- tions. Downgrade alarm priority by touching «ALARM RESET» button and confirm with rota- ry knob. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 175
  Call DrägerService. Device failure (3) Internal communication fail- Disconnect patient from the ure. device and continue ventila- tion without delay using an- other independent ventilator. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 176
  The internal device temper- Disconnect patient from the ature is too high. device and continue ventila- tion without delay using an- other independent ventilator. Switch off the device. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 177
  Expiratory valve malfunc- Expiratory valve is not prop- Insert expiratory valve cor- tion erly connected to the sock- rectly. Expiratory valve faulty. Replace expiratory valve. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 178
  GS500. If the condition persists, call DrägerService. GS500 temperature too Gas supply unit GS500 tem- Switch off the device. high perature is too high. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 179
  Connect device to the mains ered by the internal battery supply. as there is no mains supply. The maximum operating time with power from the in- ternal battery is 30 minutes. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 180
  Check breathing circuit for (5 cmH O) less than set tight connections. Pmean. Check whether the expirato- ry valve is properly en- gaged. Make sure that the tube is connected correctly. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 181
  Make sure supply pressure zation. is greater than 3 bar (43.5 psi). Acknowledge message by touching «ALARM RESET» button and confirm with rota- ry knob. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 182
  Medication nebulizer is sup- (43.5 psi). plied with Air only. Downgrade alarm priority by Increased deviation from touching «ALARM RESET» the set FiO button and confirm with rota- ry knob. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 183
  Make sure that the tube or mask is connected correctly. Device failure. Disconnect patient from the device and continue ventila- tion without delay using an- other independent ventilator. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 184
  Ventilation functions are not affected. To continue ventilation with this device, use external flow monitoring and deacti- vate the integrated neonatal flow monitoring. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 185
  Neonatal flow sensor Water or secretion in the Replace neonatal flow sen- soiled neonatal flow sensor. sor or sensor insert and cal- ibrate the new sensor. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 186
  (43.5 psi). Ventilation continues with Consider readjusting venti- Air only. lation settings. Remove connection to O supply if alarm condition persists (to avoid reverse flow into the O supply). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 187
  Check viral/bacterial filter. creased. Replace it if necessary. Device failure. Disconnect patient from the device and continue ventila- tion without delay using an- other independent ventilator. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 188
  The pressure of a breath is Check patient condition. limited by the set «Paw high» Check ventilation settings. limit or Pmax. Adjust «Paw high» alarm limit or Pmax. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 189
  Adjust alarm limit if neces- sary. Auto triggering caused by Drain water trap of breathing water in the breathing cir- circuit. Dry flow sensor. cuit. Check breathing circuit. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 190
  SET» button and confirm with rotary knob. Suction maneuver failed Internal error during suction Do not perform suction ma- maneuver. neuver until the device was checked. Call DrägerService. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 191
  Check ventilation settings. resistance. Tidal volume could not be Reduce fhf or increase I:Ehf reached due to pressure towards 1:1. limitation of the device. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 192
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• Page 193: Cleaning, Disinfection And Sterilization

  Assembling accessories ….205 Before reusing on patient ….206 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 194: Safety Information On Reprocessing

  3 Pull housing (D) out of the Y-piece. vice. Reprocessing the ISO 15 neonatal flow sensor (8411130) Observe related instructions for use. Reprocess the insert of the neonatal flow sen- sor immediately after every use. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 195: Dismantling The Pneumatic Medication

  1 Remove the nebulizer hose (A) from the medi- cation nebulizer (B) and from the nebulizer port on the device. 2 Remove the medication nebulizer (B) from the breathing circuit. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 196: Disconnecting The Breathing Circuit

  Reprocessing the breathing circuit Reprocess the breathing hoses, water trap and collection container and also the Y-piece in ac- cordance with the reprocessing list, see page 202. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 197: Valve

  2 Remove the diaphragm (C). tive internal batteries) Removing the inspiratory unit The inspiratory unit should only be removed when the device is switched off. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 198: Dismantling And Reprocessing Accessories

  After cleaning, always sterilize the inspiratory unit in hot steam at 134 °C (273.2 °F) to ensure all remaining liquid is dried completely in the in- terior areas. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 199: Reprocessing Methods

  2 Carry out final rinsing with deionized water. After ending cleaning and disinfection program 1 Immediately remove parts from washer-disin- fector. 2 Inspect parts for visible soiling. If necessary, re- peat cycle or clean manually. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 200: Manual Disinfection

  Disinfectants The material compatibility and effectiveness of var- ious disinfectants was tested for Dräger accesso- ries to be reprocessed. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 201: Visual Inspection

  Infinity ID breathing is connected, use a different Infinity ID breathing circuit. If the message is still not displayed, replace the Infinity ID neonatal expiratory valve or inspiratory valve. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 202: Reprocessing List

  Y-piece Water traps Collection container Expiratory valve Per patient/ Possible Possible weekly Diaphragm Silencer Collection container of the water trap Inspiratory unit If soiled Possible Possible Diaphragm Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 203
  200. 5) Only detergent, and not clear rinsing agent, must be use for automatically cleaning the cuvette. Otherwise there is a danger of cracks being formed. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 204: Assembling Parts

  4 Check that it is properly secured by gently pull- ing on the expiratory valve. 5 Close the flap. 4 Fit the collection container for the water trap (C). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 205: Assembling The Inspiratory Unit

  Connecting the medication nebulizer to the breathing circuit, see page 94. Preparing the breathing gas humidifier, see page 46. 4 Fit the diaphragm onto the edge of the fitting (D). Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 206: Before Reusing On Patient

  1 For information on assembling the scope of equipment, see chapter «Preparation» on page 37. 2 For information on readiness for operation, see chapter «Getting Started» on page 57. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 207: Maintenance

  Exchanging the diaphragm of the expiratory valve ….. . . 210 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 208: Maintenance Intervals For Babylog Vn500

  To be exchanged every 2 years by trained service personnel. Device Inspection and Servicing Every year by trained service personnel. Safety inspections Every year by trained service personnel. Scope see «Safety inspections» on page 209. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 209: Safety Inspections

  6 Check for correct functioning according to the Instructions for Use: – Perform a device check and a breathing cir- cuit check according to the Instructions for Use. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 210: Exchanging The Ambient Air Filter

  3 Dispose of used diaphragm with domestic waste. 4 Fit the expiratory valve, see «Insert the expiratory valve into the ventilation unit» on page 45. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 211: Disposal

  Disposal of a neonatal flow sensor ..213 Disposal of the medical device … 213 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 212: Safety Information On Disposal

  DrägerService before the apparatus can be dis- posed of. In countries other than the Federal Re- public of Germany, the respective national regula- tions must be observed. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 213: Disposal Of A Neonatal Flow Sensor

  Low-emission combustion at over 800 °C (1472 °F). Disposal of the medical device When disposing of the medical device: Consult the relevant waste disposal company for appropriate disposal. Note the applicable statutory regulations. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 214
  This page intentionally left blank Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 215: Technical Data

  Device ports ……229 Automatic alarm limits ….231 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 216: Ambient Conditions

  0.02 to 0.3 L under BTPS ±5 % of set value, or ±10 mL, whichever is greater Neonates 0.002 to 0.1 L under BTPS ±8 % of set value, or ±0.5 mL, whichever is greater Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 217
  Automatic Tube Compensation ATC Inner tube diameter Tube Ø Endotracheal tube ET Pediatric patients 2 to 8 mm (0.08 to 0.31 inch) Neonates 2 to 5 mm (0.08 to 0.2 inch) Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 218
  0 to 1.5 s Sigh inspiratory time in HFO Tisigh 0.1 to 3 s Leakage compensation on / off on = full compensation active off = only trigger compensation active Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 219: Performance Characteristics

  During operation with Fisher & Paykel humidi- fier Pediatric patients, maximum value <6 mbar at 15 L/min <6 hPa at 15 L/min <6 cmH O at 15 L/min Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 220
  Safety valve Opens if medical compressed air supply fails (sup- ply gas flow is not sufficient to provide the breathing flow required), enables spontaneous breathing with ambient air Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 221: Displayed Measured Values

  3 minutes, typ. 1 minute Flow measurement (proximal) Minute volume measurement Total minute volume Mandatory minute volume MVmand Spontaneous minute volume MVspon Range 0 to 99 L/min BTPS Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 222
  Interference with gases and vapors Freon R21 100 Vol% 0.07 Vol% Freon R134a 100 Vol% 0.19 Vol% Ethanol 4 ‰ (concentration in blood) 0.00 Vol% Isopropanol 1 Vol% 0.00 Vol% Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 223: Displayed Calculated Values

  –30 to 100 mbar (or hPa or cmH Flow (t) –40 to 40 L/min Volume V (t) 2 to 300 mL 0 to 100 mmHg (or 0 to 15 Vol% or 0 to 13 kPa) Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 224: Monitoring

  30 seconds Lower alarm limit alarm if the value falls below the lower alarm limit for at least 30 seconds Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 225
  Apnea alarm time Tapn Alarm if no breathing activity is detected Setting range 5 to 60 seconds, Off Disconnect alarm delay time Tdisconnect Setting range 0 to 60 seconds Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 226: Operating Data

  Ventilation Unit Babylog VN500 Class I Medical Cockpit Infinity C500 Gas Supply Unit GS500 Power Supply Unit PS500 sensor (sensor connected) Type BF Proximal flow sensor (sensor connected) Type BF Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 227
  180 L/min (at 4.0 bar (58.0 psi) input pressure) Air connection depending on configuration: DIN, NIST, DISS, Air Liquide Dew point 5 °C (41 °F) below ambient temperature Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 228
  European Directive 89/336/EEC) Classification as per EC Directive 93/42/EEC An- II b nex IX UMDNS code Universal Medical Device Nomenc- 17-429 lature System — Nomenclature for medical devices Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 229: Device Ports

  Cable 1 (normally open): white Cable 2 (common): brown Cable 3 (normally closed): green Device ports Outputs System cable V2, V3 not used Nurse call Neonatal flow sensor not used sensor Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 230
  The port is not electrically isolated from the device electronics. not used The port is electrically isolated from the device electronics. The test voltage for electrical isolation is 500 V. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 231: Automatic Alarm Limits

  PEEP or Plow level. The alarm limit is smaller than the set value by 5 mbar (5 cmH O) in each case. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 232
  The alarm limit is set at the set value for the volume. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 233
  55 % of relative Leakage. Leakages during NIV are not monitored. Airway obstructed? Obstructions in the breathing circuit are monitored by observing the Flow delivered to the patient during a defined period. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 234
  An alarm is generated after 60 s if the sensor is removed from the cu- vette or the sensor does not detect any breathing movements. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 235: Description

  Main menu bar structure ….271 Factory-set screen views….275 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 236: Description Of The Ventilation Modes

  > Pressures, O , I:E. The mandatory breaths are time-cycled and are not triggered by the patient. The number of mandatory breaths is determined by the respiratory rate RR. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 237: Pc-Simv

  The mandatory breaths can be triggered by the pa- the respiratory rate RR. tient’s inspiratory effort on PEEP level. By setting the trigger level, the mandatory breaths can be syn- chronized with the patient’s inspiratory effort. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 238
  1.5 seconds. In the Neo. pa- tient category, the maximum inspiratory time is lim- ited to 130 % of Ti, maximum of 1.5 seconds. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 239: Pc-Ac

  Thus, the time and number of mandatory breaths are de- termined by the patient. The trigger window covers the expiratory time minus a refractory period for the Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 240: Pc-Psv

  The pressure rise from the lower pressure level PEEP to the upper pressure level Pinsp is controlled by the Slope or Insp. flow setting. The Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 241: Pc-Mmv

  Paw high. vided. The minimum ventilation is determined by the setting of the tidal volume VT and the respirato- ry rate RR. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 242
  Ped. pat. patient category is limited to 1.5 seconds. In the Neo. pa- tient category, the maximum inspiratory time is lim- ited to 130 % of Ti, maximum 1.5 seconds. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 243: Pc-Hfo

  I:E ratios to choose from: I:Ehf Oscillation frequency 5 to 20 Hz 5 to 15 Hz 5 to 10 Hz Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 244: Pc-Aprv

  Slope or Insp. flow setting. The start setting can be configured on the page System setup > Ventilation > Start settings > Pressures, O , I:E. Literature references [1], [2], [3], [4], see page 276. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 245: Spn-Cpap/Ps

  System setup > Ventilation > Start settings > Pressures, O , I:E. The pressure support is terminated as soon as the inspiratory flow falls below 15 % of the maximum inspiratory flow. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 246: Spn-Cpap/Vs

  Timax to a maximum of 1.5 seconds. The set tidal volume of the supported breaths is reached through the automatically selected pres- sure level of the volume support. With volume sup- Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 247: Spn-Pps

  Mo- Assist component. This support is only effective nitoring of apnea and minute volume must there- during inspiration. fore be set appropriately. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 248
  The maximum pressure that can be applied is limited to 5 mbar (5 cmH below the upper alarm limit. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 249: Additional Settings For Ventilation

  RRapn remains constant. spontaneous breathing is resumed. The following Babylog VN500 provides synchronized intermittent conditions must be met: mandatory ventilation. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 250
  Vent. function is disabled until apnea ventilation is terminated manually or another ventilation mode is selected. For configuration of the Auto return from Apnea Vent. function, see «Configuring general settings» on page 158. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 251: Flow Trigger

  Ventilation > Start settings > VT, RR, Trigger. Spontaneous breathing activity by the patient is in- dicated on screen by the brief appearance of the symbol. The flow trigger is automatically leakage compen- sated. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 252: Inspiratory Termination

  This value is set at 15 % by default and is automat- ically leakage compensated. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 253: Sigh

  The average airway pressure is higher, and a longer filling time is normally available. In pressure-controlled ventilation, the inspiratory pressures Pinsp, Psupp increase by the amount Δ intPEEP. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 254: Hfo-Sigh

  The sigh can also be triggered with the Man. in- sp./hold function. The duration of the sigh is deter- mined by touching and holding the Man. insp./hold button. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 255: Volume Guarantee

  – 5 mbar (5 cmH O)). Using the setting Pmax or the alarm limit Paw high – 5 mbar (5 cmH O), the user limits the maximum pressure of the device. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 256: Volume Guarantee (Hfo)

  VT exceeds the set VT by an amount depen- dent on the actual leakage rate, Babylog VN500 terminates the inspiration and starts the expiration. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 257: Atc

  The selected degree of sure. This is required for correct tube compensa- compensation is not considered when displaying tion. tracheal pressure or when determining leakage and lung mechanics. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 258
  When setting Pmax, be aware that this value may actually be reached in contrast to the value for Paw high. Literature reference [5], see page 276 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 259
  5.00 30.96 5.00 30.96 5.50 23.70 5.50 15.40 6.00 17.21 6.00 10.00 6.50 13.05 6.50 7.90 7.00 10.56 7.00 6.38 7.50 8.41 7.50 5.20 8.00 6.57 8.00 4.50 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 260: Autorelease

  The synchronization of the mandatory breath reduces the time on the upper pressure level. Babylog VN500 prolongs the subsequent ventila- tion time on the upper pressure level by the missing time. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 261: Special Procedures

  Babylog VN500 uses a gas mixture to drive the medication nebulizer. The gas mixture is gener- ated by switching over between compressed air and O in short time intervals. Set O concentration FiO in Vol%. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 262: C20/C

  The diaphragm is displayed schematically under- neath the representation of the lung. The move- ment of the diaphragm indicates synchronized mandatory breaths or supported (triggered) breaths. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 263
  Furthermore, individual patient situations cannot be displayed, such as the condition after a pneumec- tomy or a diaphragmatic hernia. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 264: Description Of The Therapy Types

  Babylog VN500 switches off the neonatal flow monitoring. Flow reduction If a disconnection is detected, flow delivery is re- duced until after reconnection. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 265: Automatic Leakage Compensation

  VTi and VTe. Activating or deactivating leakage compensation on page System setup > Ventilation > General settings. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 266: Measurements

  The thermal con- ductivity of O changes due to the magnetic field. The change in thermal conductivity is a measure for the O concentration. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 267: Airway Pressure Measurement

  Paw: Airway pressure at the Y-piece Pinsp: Airway pressure at the inspiratory pres- sure sensor Flow resistance of the inspiratory breath- insp ing hose Flow Basic flow Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 268: Pneumatic Functional Description

  26 Nebulizer changeover valve 12 Patient’s lungs 27 Ejector changeover valve 13 Expiratory valve 28 Ejector 14 Non-return valve 29 Silencer 15 Neonatal flow sensor 30 CO sensor Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 269
  In conjunction with the spring-loaded valve of the emergency air outlet (10), the non-return valve (14) prevents pendulum breathing during sponta- Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 270
  Babylog VN500 works at an elevated positive pres- sure of up to 10 bar (1000 kPa or 145 psi) without restrictions. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 271: Main Menu Bar Structure

  Apnea Ventilation Trigger Sigh Volume Guarantee Auto Release Mode 5 (e.g. PC-HFO) Basic settings Additional settings Overview Volume Guarantee (HFO) HFO-Sigh Other modes Trigger Apnea continue next page Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 272
  Customized data Special procedures… Functions Med. nebulization Nebulization suction Man. insp./hold Sensors/ Neonatal flow Parameters… Zero calib. on/off Check sensor Calibration Neo. flow sensor sensor sensor continue next page Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 273
  Ventilation Overview Patient category Modes Start settings VT, RR, Trigger Pressures, O , I:E Other settings General settings Maneuver Config. exchange Applications Exchange intervals System continue next page Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 274
  Supply units Service System Information Operating Data Options Service Call Applications Start/ Standby… Start/Standby Tube/NIV Br. circuit/ Humidifier System check Overview Device check Breathing circ. check Accessory status Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 275: Factory-Set Screen Views

  View 1 Waveform Paw Pmean Waveform Flow View 2 Waveform Paw Pmean Waveform Flow Cdyn Waveform Volume View 3 Waveform Paw Cdyn C20/Cdyn Loop Pressure Volume Τau % leak Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 276: Literature References

  A prospective multicenter trial. Critical Care Medicine 19:1234 — 1241 Guttmann, Wolf et al: Continuous Calculation of Tracheal Pressure in Tracheally Intubated Patients, Anesthesiology, Vol.79, Sept. 1993. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 277: Index

  Connection with other electrical equipment ..8 Contraindications ….. . . 16 Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 278
  Freeze curves ……87 Front, Babylog VN500 ….19 Fuse .
• Page 279
  Disposal ……213 Rear, Babylog VN500 ….20 Install .
• Page 280
  System overview Babylog VN500 ….. . 19 Infinity Acute Care System … . . 18 Trolley 2 — 90 cm .

• Page 281: Password

  If the area with the password has been removed, ask the person responsible for your device about making adjustments to the screens specified. Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…

• Page 282
  This page intentionally left blank Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 283
  This page intentionally left blank Instructions for Use Infinity Acute Care System – Babylog VN500 SW 2.n…
• Page 284
  These Instructions for Use only apply to Babylog VN500 SW 2.n with the Serial No.: If no Serial No. has been filled in by Dräger, these Instructions for Use are provided for gen- eral information only and are not intended for use with any specific device or unit.

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