Babylog 1 Veiitilator A6: Operating Manual

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‘OPERATING MANUAL

Babylog 1 Veiitilator
A6
From Drgger:
Babylog 1 Ventilator
OPERATING INSTRUCTIONS

Important Notice
For correct and effective use of the device, entering into an Inspection Service Con-
and to avoid hazards, we would point out tract with the Technical Customer Ser-
the following: vice of your Drager Branch or Agent.
1 Any use of the device requires precise 6 Responsibility for the reliable function of
knowledge and observation of these the device passes to the owner or
operating instructions. operator in all cases where the device
2 The device is intended only for the has been inexpertly maintained or
purposes specified in the Operating repaired by persons not employed by
Manual or for purposes confirmed in the Drager Organization or where it has
writing by Dr~gerwerk AG. been used in a manner which does not
3 The device should be inspected by conform to the normal conditions of use.
experts at regular time intervals. An 7 For reasons of safety, pressure reduc-
official report of the inspections should ers should be overhauled at least every
be drawn up. 6 years.
4 Only original Dreger spare parts should 8 The oxygen blender is to be overhauled
be used for maintenance and repairs. every 4 years for safety reasons.
Repairs and maintenance, and the 9 This device is intended only for use in
replacement of spare parts should only areas without danger of explosion.
be carried out by experts. We would also point out that the national
5 We recommend having inspections and recommendations, regulations and laws
repair work carried out by the Technical governing the use of technical equipment
Customer Sewice of your Drager should be obsewed.
Branch or Agent.
Regular inspection is best ensured by DRiiGERWERK AG LiJBECK

We would like to point out the recommenda- air. If the vital function is no longer ensured in
tions of DGAI (Deutsche Gesellschaft fiir case of a recognizable fault of the ventilator,
Anaesthesie und Intensivmedizin, or German ventilation of the patient with the separate
Association for Anaesthesia and lntensiw manual ventilator must be started without
Care Medicine) which urge that a manual delay. if necessary with PEEP and/or a higher
ventilator should be available which is inde- inspiratory O2 concentration (cf. operating
pendent of the automatic ventilator and instructions for the manual ventilator).
ensures ventilation of the patient with ambient

Contents Page Page

Important Notice ................. 2 Operation ...................... 8


IntendedUse ................... 3 Care .......................... 9
Technical Data .................. 3 Maintenance, Inspection. .......... 9
What’sWhat?, .................. 4 Troubleshooting ................. 9
Functioning Principleof Babylog 1 .... 4 Order List ...................... 10
Initial Preparation ................ 6 Parts Lists ..................... 11

2
intended Use Technical Data
Clinical ventilator for premature and new-
born babies and infants up to 2 years, Control principle continuous flow
corresponding to 15 kg body weight, to Inspiration start time-controlled or manual start
carry out IPPV. CPAP or IMV, with inte-
Expiration start time-controlled
grated PEEP valve.
lnspiratoiy pressure characteristics linear pressure increase with possibility
Key to abbreviations used of continuous plateau adjustment

MV = Minute volume (Urnin) Expiratory pressure PEEP/CPAP endexpiratory pressure


from 0 to 10 mbar
CPAP = Continuous Positive Airway
PresStIre Airway pressure adjustment during continuous from 10 to 60 mbar plateau
inspiration Pi. pressure; pressure indication by
IPPV = Intermittent Positive Pressure pressure gauge, pick-up in expiration
Ventilation section
IMV = Intermittent Mandatory lnspiratory flow and expiratory flow for continuous from 2 to 20 Umin
Ventilation IPPV, IMV or CPAP
PEEP = Positive Endexpiratory lnspiratory time 1, continuous from 0.3 to 2 seconds
Pressure
Expiratory time t., continuous from 0.5 to 6 seconds
or
continuous from 5 to 60 seconds
(depending on the position of the range
selector switch t.,)
Oxygen concentration via O2 blender
Drive gas, operating pressure dry compressed air, free of oil and dust,
or Oz (2 to 6 bar) from a central supply
system
Connecting an O2 blender
a) Using Dreger Polymed (Fig. 11): O2 switch 16 to left
An intake pressure of between 2 and
6 bar must be ensured at the left
connection 15.
The O2 blender must be capable of
supplying at least 20 Umin on a
continuous basis
b) Using the blending device with
flowmeter unit (Fig. 12): O2 switch 16 to right
Connect the outlet of the flowmeter
unit to the right connection 17 (intake
pressure c: 100 mbar)
In order to ensure the control
function of the device, it is neces-
sary to feed 0, (2 to 6 bar) to the
device through the left-hand
screw connection 15 (see rear of
unit)
Compressed-gas consumption Since the unit operates on the continu-
ous flow principle, gas consumption
does not depend on the MV. but
matches the set flow directly (flow knob)
PPV-IMVGPAP switch forIPPV-IMVorcontinuousflow (CPAP)
‘Manual inspiration” button for starting manual inspiration and
“inflation hold”
The settings to the green dot correspond
o the following values:
nspiratofy pressure limit Pi, approx. 20 mbar
Ixpiratory pressure PEEP/CPAP 0 mbar
nspiratory time tin approx. 0.7 s
Ixpiratory time t., with range selector
switch in position “0.5 to 6 s” approx. 1.1 s
Neight approx. 5 kg

1
What’s What?
(Figs. 1 and 21

1 Expiratory valve (removable)


2 Expiration nozzle
3 Inspiration nozzle
4 Knob for inspiratory time 1.
5 Airway pressure gauge
6 lnspiratory pressure limit Pi.
7 Expiratory pressure PEEP/CPAP
6 Switch IPPV-IMWCPAP
9 Knob for expiratory time t,,
10 Range selector switch t,,
11 Switch (On/Off)
12 Key for manual inspiration
13 Carriage
14 Flow knob
15 Connection M 15 x 1 for
a) mixed gas: compressed air/O*,
2 to 6 bar (from Polymed blender)
b) O2 (or compressed air), 2 to 6 bar
as drive gas (if mixed gas is fed
from the flowmeter blender via
connection 17)
16 Selector switch for O2 blender
17 Connection M 16 x 1.5formixed gas: Fig. 1 Front view of Babylog 1
compressed air/OS (< 100 mbar)
16 Retaining screws

Functioning Principle
of Babylog 1
.The Babylog 1 is a continuous-flow unit,
i.e., respiratory gas flows continuously
from the inspiratory nozzle of the Babylog
1 into the hose system (in contrast to the
“intermittent operation” in a flow chopper,
such as the Babylog 2), through the Y
piece to the patient, and back to the
expiratory valve. The inspiratory and
expiratory phases are generated when the
expiratory valve closes and opens.

During inspiration, the expiratory valve is


actuated by a pneumatic signal of low
pressure level. Thus auscultation is not Fig. 2 Rear view of Babylog 1
disturbed by a sound wave caused by the
pneumatic signal.
The frequency table shown in Fig. 13 to patient during inspiration. through the
The PEEP function is also implemented by
determine the ventilation rate and I:E ratio expiratory valve to the outside during
activating the expiratory valve by means of
is located on the right side of the Babylog 1, expiration. Measurement of the patient’s
a pneumatic signal of very low pressure
Example: For a setting corresponding volumetric parameters, e.g., by means of a
level (in the range of the PEEP) during the
to the green dots, with tin = 0.7 s and Spirolog or volumeter, is not possible due
expiratofy phase.
t,, = 1 .l s, theventilation rate isf = 33/min, to the continuous-flow principle.
The pressure limiting valve (Pi,) is installed and the breathing time ratio has the value However, the method described below
in the unit in the inspiration section so that 1:1.6. The inspiration pressure limitation allows foreasypresettingof the Babylog 1.
the patient is protected from unduly high P. can be varied continuously between 10 Assumption:
pressure, e.g., when a hose is kinked. and 60 mbar, thus making it possible to set
Patient neonate
a plateau in the ventilation pressure curve
or to set a safety pressure. Body weight (BW) 3 kg
Controlled ventilation - IPPV
Specific
The ventilation rate and I:E phase time
respiratory volume (V) 10 m L I kg BW
ratio are provided by presetting the inspira- Flow
tion (tin) and expiration (1.J times which The flow can be set between 2 and 20 U Ventilation rate (f) 35/min
can be set separately. min. The gas flows continuously: to the I:E phase time ratio 1:l

4
Flow setting
- Tidal volume V, = BW x V = 30 mL
- Minute volume MV = VT x f PA
= 1.05 Umin I
-Flow=MVx(I+E)=1.05x2 I
20 mbar 1 end inspiratory airway pressure
= 2.1 Umin.
For a selected I:E ratio = 1:I .5, the flow is
calculated as follows:
flow = 1.05 X 2.5 = 2.6 Umin.

The settings of the ventilation patterns in


the Babylog 1 can be classified as follows:
I

1. Ventilation without assumed leakage 4’


Fig. 3 Airway pressurecurve for assumedsetting without leakage
and without pressure limitation. The (pressure limitation P, to “max”)
calculated and set flow leads to an end
inSpiratory pressure at the end of the
set inspiratory time, if there is no
leakage. The end inspiratory pressure PA I
depends on the compliance and resist- I
ance of the patient’s lungs (Fig. 3). I

2. Ventilation with leakage (a ventilation 15 mbar 1 end inspiratory airway pressure


gas loss of up to 50% may occur due to
leakage at the tube). Any leakage
results in a lowervolume per breath; the
end inspiratory airway pressure is
reduced at the same time (Fig. 4).

3. Ventilation with higher flow setting to


compensate the leakage, with inspira
tory pressure limitation P,. A greatel L1,
Fig. 4 Airway pressurecurve with leakage(cf. Fig. 3)
flow is selected to compensate the
ventilation gas losses at, for instance,
the tube. In order to avoid an unwanted
pressure increase at decreasing leak-
age, the airway pressure must thus be
limited by an appropriate setting at the
P I
I

knob Pi, (e.g., 20 mbar, Fig. 5). t I


An end inspiratory pressure plateau is 20 mbar pressure limit = end inspiratory airway pressure
formed in the airway pressure CUN~
(Fig. 5). Even with relatively heavy
leakage, ventilation is sufficient as long WithoUt
leakage
as a plateau exists.

4. Ventilation in case of changes in com-


pliance of the lungs.
If compliance changes in the lungs
have to be expected during ventilation.
a different basic setting of the Babylog
111
must be chosen. Proceed as follows: 1.5 Airway pressure curve with plateau (cf. Figs. 3 and 4)
With deteriorating compliance, a higher
airway pressure is required so that the
same volume per breath can be
applied. P I
An attempt is thus made to obtain an
25...30
--- mbar t _ _ _ 1 XrEsxre IimJt Pi,
airway pressure curve of the type
shown in Fig. 3. In order to limit the
airway pressure upwards, the pressure
limit Pi. is set about 5 to 10 mbar above
the end inspiratory airway pressure.
I
The setting can be checked by pressing
the key12“Manualinspiration”(Fig. 6).
If the airway pressure drops, this may
be due to an improvement in wm-
pliance, but possibly also to leakage at -t
the tube. In this case, proceed in the I
manner described in Fig. 5. Fig. 6 Setting of the pressure limit Pi. if changes in complianceof the lungs occur .‘I
Respirator Weaning Method Spontaneous breathing witn
IMV CPAP
The IMV method consists of the combined The parameters for the controlled ventila- Breathing gas flows continuously to the
application 01spontaneous respiration and tion are the inspiratory time ti, (knob 4) and patient connection during spontaneous
controlled ventilation. With progressive the flow (knob 14). Since both setting breathing (switch 6 in position CPAP),
weaning, the phases of SpOntanaOUs variables are not changed, there is a without actuating the expiratory valve.
respiration are gradually extended. until constant mandatory tidal volume through- A reference pressure acts continuously on
straight spontaneous breathing (CPAP out the IMV weaning. This v&me is the expiratory valve to generate a positive
method) is possible. applied at gradually increasing intervals airway pressure (CPAP) up to about 10
Owing to the continuous-flow principle, the (Fig. 7). The IMV rate can also be deter- mbar max. In case of spontaneous brea-
Babylog 1 supplies breathing gas even mined from Fig. 13. There is a small table thing withCPAP, theflowsertingshould be
during the expiratoty time Lx, If the expirat- at the top right, in which the assignment of selected in such a manner that the
ory time t,, is extended by means of the the IMV rate and the set Lx times is listed. pressure difference shown in Fig. 6 is
knob 9, the patient is given progressively At,, value of 0.7 s for the mandatory tidal about AP = 5 mbar.
more time for spontaneous respiration. volume is included in the calculated IMV Adjusting aids:
At the end of the time t., for the spontane- rate. AP too small - flow set too high
ous breathing, there is one controlled AP too large - flow set too low
ventilation each time.

P*

t,, = spontaneous tet = extended


tin respiration time tin spontaneous respiration time
-t -1
0.7 s 3s 0.7 s 6s

11
Fig. 7 Respirator weaning method - IMV during 1,: mandatory stroke
during t,,: spontaneous breathing

expiration Precom setting


i I I

CPAP-
setting-

I I b
inspiration t
I

Fig. 6 Precom setting in CPAP

Initial Preparation
Gas supply Note!
(connectlon of an O2 blender): When using the ffowmeter blender When a flowmeter blender is used (02
(Fia. 12) switch position 16 to the right), the flow is
When using the Polymed (Fig. 11) - &-switch 16 to right position. set only at the flowmeter bl&der. The flow
- O2 switch 16 to left position. - Connect blenderoutlettothe right screw knob 14 on the front of the Babylog 1 is
- Connect the blender outlet to the left connection 17 (< 100 mbar). inoperative. The O2 concentration can be
screw connection 15 (2 to 6 bar). - Feed O2 or compressed air to the left determined by means of the table attached
screw connection 15 (2 to 6 bar). to the blender.

6
Preparations at the Babylog
Install the expiratoryvalve 1 in the manner
shown in Figs. 9 and 10.

The following humidifiers can be used:


- Aquapor humidifier (included in the
accessory set 3) or
- humidifier 19 (included in the accessory
set 1, cf. order list).
A plastic sheet is supplied with the respec-
tive accessory set. The connection of the
humidifier to the Babylog 1 as well as
assembly of the entire system of hoses is
presented schematically on this sheet; the Fig. 9 Expiratory valve 1 with diaphragm SW Fig. 10 Expiratory valve 1 being
inserted in unit
frequency table is provided on the back of
the sheet (cf. Fig. 13).

When the units are mounted on the car-


riage, the following points must be
observed:
- For safety reasons, maintain the se-
quence Babylog 1, Polymed and finally
(from bottom to top) an electrically oper-
ated unit (e.g., Barolog A) (cf. Fig. 11).
- Attach the units to one another and to
the carriage by means of the securing
screws 18 (Fig. 2).

When assembling the system of hoses,


note
- that the “Inspiration” outlet of the Elaby-
log 1 is connected to the humidifier inlet
(in the Aquapor: nozzle at the top, cf.
Fig. 14; in the Humidifier 19: nozzle with
the small diameter, cf. Fig. 15),
- that the largewatertrap is inserted in the
expiratory hose,
- that the connection for the hose link
to the airway pressuregauge (Barolog A
or Precom) is inserted into the cone
marked “expiration” of the Babylog
expiratory valve,
that the breathing gas temperature is
measured in the inspiratory hose (using
the AWT 01 measuring instrument at the
Aquapor, cf. Fig. 11).

The airway pressure gauge 5 should be set


to 0 mbar.

0, switch
Make sure to place the O2 switch 16 to the
correct position as per the illustration on
the rear of the unit (depending on the u/Y;: I
Fig. 11 Babylog 1 on carriage with 0, blender Polymed, Barolog A,
blender connected). Oxycom 100 D and humidifier Aquapor with AWT 01 I

Functional check
- Check system for completeness and
correct assembly (cf. initial preparation), to about 60 mbar; if it does not, there is - set the PEEPICPAP knob 7 to max-
- set all knobs and switches to the settings some leakage in the hose system or imum: the PEEP pressure should be
marked by a green dot, humidifier, approx. 10 mbar,
- connect the bellows 84 03 208 to the - reset all knobs to the green dot, - set the switch 8 to CPAP: the CPAP
patient Y piece. - the indicated inspiratory pressure value should be about 10 mbar,
- Leak test: should be approx. 20 mbar; the unit - actuate the manual inspiration 12: the
knob Pi. to maximum, should switch from inspiration to expira- unit should switch to inspiration; the
set flow knob to minimum, tion at the rate of the ventilation time set. inspiratoly pressure should be approx.
press manual inspiration 12, The indicated airway pressure should 20 mbar.
the airway pressure display 5 must rise bee1 mbarduring theexpiratoryphase,
Operation
Operale the unit according to the doctor’s
instructions. For operating the humidifier,
gas blender, airway pressure gauge and
O2 meter, follow the respective operating
instructions. Check the breathing gas
temperature at the thermometer.

Instrument settings
Controlled ventilation - IPPV
Switch on
Eabylog -switch 11 to “1”
Select IPPV - switch 8 to “IPPV” and
range selector switch t.,
lo to “0.5 to 6 set”
The five knobs should be set to values
suited for the patient.

Spontaneous breathing with Intermit-


tent ventilation - “IMV”
Settings as in “IPPV”. If a spontaneous
breathing time over 6 seconds is required,
the range selector switch t., 10 must be set
to the range “5 to 60 set”, and the knob 9
for the time tex is set to a desired value on
the outer scale of knob 9.

Spontaneous breathing - “CPAP”


Settings as in “IPPV”, but CPAP switch 8
to “CPAP”.
Caution! For safety reasons, the knob Pi,
must be set to the wean dot during CPAP
operation, so that ihepatient is not given
an excessive airway pressure by mistake
when a switch to IPPV is made. Fig. 12 Babylog 1 with O2 flowmeter blender

r
Respiratory
setting for
texw
4
:
2.5 i :

65

Fig. 13 Frequency table


The cleaned and dried connection hose:
Manual inspiration
Since the manual inspiration can be trig-
Care are pushed over the suction nozzles in the
gered in IPPV as well as in IMV and CPAP, Dismantling Aseptor.
the knobs Pi, and ti, in particular should After ventilation the equipment should be Place the Babylog 1, humidifier and car-
remain set to values’suited to the patient taken apart as follows: riage in the Aseptor. Before being reus?c
even during CPAP. - Disconnect all hose connections, on a patient, correct functioning of the unil
- Dismantle the expiratory valve 1 by must be ascertained in the manner
Setting of the airway pressure gauge unscrewing the two knurled screws, described in the chapter “Functiona
with alarm device- Precom in IPPVilMV - Remove the diaphragm. Check”.
The Precom has a large knurk?d“&?tting Care and maintenance of the humidifier
ring. When this ring is turned, a red pointer are described separately in the enclosed Steam sterilization
marker (lower limit) moves along above operating manual. The ventilation unit itself and the ther-
the scale. This red pointer should be set to mometer are not sterilizable in an auto.
a value which is approx. 3 mbar below the Note! claw. All other parts (patient system
peak inspiratory airway pressure. If this The thermometer in the patient hose sys- including expiratory valve 1) can be
pressure drops to a value below the set tem is to be checked for proper function sterilized in superheated steam up to
limit value because of a disconnection, an after each cleaning operation: Compared 134°C. These parts must be prepared for
acoustic alarm is sounded after about 15 with room temperature, the indicator must steam sterilization as described under
seconds. The alarm goes off as soon as an not deviate by more than 1“C below or 2°C “dismantling” and “cleaning”.
airway pressure has been built up which is above room temperature. Use a calibrated
higher than the limit value (red mark). thermometer! Note!
Note: In case of IMV. the Precom sounds Any superheated steam sterilisation sub-
an alarm in case of expiratory times t,, in Cleaning jects enamelled surfaces to severe stress
excess of 15 seconds, even if there is no All dismantled parts are to be subjected to and affects their appearance. The natural
disconnection. a thorough cleaning in running water. aging process of rubber parts is acceler-
Afterwards, all parts are to be dried ated, and their working life shortened.
Precom setting in CPAP (Drtiger 2 M 8220 Drying Unit). By drying,
An ailway pressure curve in case of bacterial growth and corrosion are
spontaneous breathing with CPAP is minim&d. Dirt on the unit can be removed
shown in Fig. 6. with a damp cloth impregnated with a
The red pointer of the Precom should be normal detergent (wetting agent).
set approx. 1 mbar below the maximum
airway pressure value (pointer indication) Disinfection in the Aseptor
of expiration. The unit is to be prepared for disinfection Maintenance,
In order to check the correct Precom as described under “Cleaning”. The unit
setting, the patient’s hose system can be and small component parts have to be dry,
Inspection
disconnected at any desired point. An because unpleasant odours may other- The rubber diaphragm of the expiratory
alarm must be sounded after 15 seconds. wise result after disinfection. Electrically valve should be inspected regularly for
Setting aid: If the airway pressure curve operated units, like the humidifier, must cracks if it is frequently steam 9erilized in
does not display in spontaneous breathing have been out of operation at least 1% an autoclave and should be replaced every
the pressure differences between inspira- hours before disinfection and must have six months. No other maintenance work is
tion and expiration shown in Fig. 6 (AP cooled off, otherwise the condensation necessary on the part of the clinic staff,
should be approx. 5 mbar), the flow setting effect will not be perfect and disinfection apart from normal care and cleaning. The
14 may have been set too high and should will be questionable. The cleaned parts are unit should be inspected and serviced
be somewhat reduced. then placed on the drainer of the Aseptor. twice a year by trained personnel.

Trouble Shooting Remedy


Before a possible breakdown of the unit
can be analyzed, check to see if thesupply Ailway pressure Leakage in system Check all hose and plug con-
gases are available at the prescribed build up unsatisfactory nections. Check humidifier
pressure (2 to 6 bar). Especially if operated system. Check expiratory
with an O2 blender, correct functioning of valve diaphragm for correct fit
this blender should be checked; in case of and satisfactory condition.
operation with a flowmeter blender, make
sure connection 15 at the Babylog 1 is In the case of control defects, the Dragerwerk AG Technical Customer Service
supplied with compressed gas (drive gas should be contacted
oxygen: 2 to 6 bar).
Order List
lame and description Order No. lame and description Order No.
I
3asic units 1. Mounts
84 03 300 1ption of:
3abylog 1
lentil&x for premature end newborn babies and Qbylog 1 with Humidifier 19:
niants to carry out intermittent positive pressure rrolley CS Humidifier 19 2M17475
rentilaiion (IPPV), es well es CPAP or IMV with :omprises stand holder and stand bracket 10eccom-
ntegrated PEEP valve. The device operates
nodale Humidifier 19
meumatically in the continuous-flow principle,
acilitating inspiratory plateau-pressure limitation. 1,
3witching from inspiration to expiration is effected by Nell-rail bracket 2 M 18285
ime-cycling featuring the additional possibility of vith drawer
nanual inspiration triggering (inflation hold). 3ail bracket, Humidifier 19 84 06 299
3abylog 1 HF 59 85 071 -or connection of Humidifier 19 to wall rail
denlilator for premature end newborn babies and ‘“eCesSZ%y)
niants to carry out intermittent positive pressure
ventilation (IPPV) es well as for CPAP or IMV with 3abylog I wifh Aquapoc
ntegrated PEEP valve. The device operates hiiey cs Aquapor 84 05 818
meumatically in the continuous-flow principle, Wght permanenlly set
acilitating inspiratofy plateau-pressure limitation. x
switching from inspiration to expiration is effected by
ime-cycling, whereby inspiration can be adjusted
wiey a4 05 759
with latch-on plate and 2 laterally arranged rails,
mm 0.1-2 set and expiration from O.Z-3secand with
wight-adjustable
MV from Z-30 sec. Additional possibility is rendered
or manual triggering of inspiration (inflation hold).
2MlS285

Accessories required for operation Required for ventilation outside incubator:


Hinged errn for rell a4 01860
1. Humificafio”
I
,ption of:
kcessory 3, Aquapor 84 05 820
Comprising complete tubing system, 5 cannulae and
Accessories recommended
mellows K (children), Aquapor for monitoring
Replacement set BOllAquapor 84 06110 1. For continuous measuremenf and monitodng
Contains all parts coming into contact with the air of 0, in ws inhaled:
exhaled by the patient
Dxydlg, c&plete 83 03 236
3, 3xygen meter and monitor with cable, eeneor housing
Acceeeory set 1, Humidifier 19 84 05 130 and sensor capsule for continuous monitoring of
zomprising a complete tubing system, B-stage supply xxygen content in blended gas inhaled. Measuring
unit, 5 cannulae and bellows K (children), Humidifier ‘age O-100% OS.With upper and lower elerm limit
19 Nhich indicate the crossing both visually end audibly
84 05 033 (in accordance with DGAI Recommendations) as well
Replacement set Humidifier 19
3s battery recharge alarm and lnop alarm in the case
Contains all parts coming into contact with the air
31censor defects.
exhaled by the patient
Come&g elements require&
2. 0,.compressed-air blending
0, meter holder 2 M 17770
Polymed 201
Gas blender for blending oxygen end compressed air
D 21800
Setfor O2 measurement a4 03 370
Humidifier 19
for ventilators with a range of adjustment (infinitely
variable) from 21-100 vol.% Oz. The device features o* COnnectIon 84 05 754
en automatic bypass and audible alarm signal as well Aquapor
es gas deficiency indicator in the event of gas failure.
2 For conrinuous measurement and monitodng
Blending accuracy: of airway pressure:
+ 4 vol.% O2 (in the range 21-40 vol.% 0,) I
+ 6 vol.% O2 (in the range 41-100 vol.% 0,) For Sabvlw I and Babylog I HF:
output (constant flow): Beroloi A-
min. 0.5 L/min The Bar&g A is designed for measuring and monitor-
max. 90 L/min (at 5.0 bar supply pressure) ing of airway pressure in breathing systems as well es
max. 60 Llmin (at 2.7 bar supply pressure) for determination of ventilation frequency. With visual
end audible alarm in the case of disconnection/
Output (bypass operation):
obstruction (in accordance with DGAI Recommen-
max. 50 L/min (at 2.7 bar supply pressure)
dations). The parameters are indicated on en inertia-
max. 90 L/min (at 3.5 bar supply pressure)
free linear analog display. Also equipped with data
Outlet pressure of mixed gee: nutnut iack for recorder connection RSwell as central-
2.0 bar + I”% alarm connection facility. The Bar&g A conforms to
Connectlon hose 84 03 343 VDE 0750/IEC 601/I
between ventilator and blender Dimensions:
(not applicable il medicaments “ebulizer ordered) height 90 mm, width 212 mm, depth 300 mm
Babylog 1 - Barolog adaptation set 84 05 260
3. Gas suppty CS
or
option of
On/y for Baby/og 1:
01 connecting hose, 3 m M 22346
Precom airway pressure gauge E 11431
(angled plug connector) effects audible ‘alarm ii set pressure is not atained
O2 connecting hose, 5 m M 22347 within 15 sec. The device is batiery operated and thus
(angled plug connector) independent of the mains. The front section is easily
Compressed-air connecting hose, 3 m M 22495 detached from the alarm facility for sterilization
(angled plug connector) purposes.
Compressed-air connecting hose, 5 m Y 22497 Precom holder S4 06 599
(angled plug connector) Mount for Precom airway pressure gauge with alarm

10
r Name and description Order NO.

84 05 370
For continuous measurement and monitoring of brea
thing-gas temperature. With adjustable upper alerr
limit and audible alarm.
Temperature sensor 84 05 371
Battery 13 35 612
Required in conjunction with Aquapor:
Conversion kit, Babylog 1 (Aquapor) 04 05 676
Required for adaptation of AWT 01 with Aquapor
Required in conjuncfion with Humidifier 19:
Conversion kli, Babylog 1 (Humldifler 19) a4 05 874
Required for adaptation of AWT 01 with Humidifier I<

t Special accessories
I Medlcaments nebullzer set, Aquapor 64 05 504
Contains medicaments nebulizer and connectim
hose between ventilator and blender with plug-i;
I coupling.
Medlcaments nebullzer set, Humldffler 19 64 05 SO6
Contains medicaments nebulizer and connectinc
hose between ventilator and blender with plug-i;
coupling.
Depositing tray, 0.5 B 2 M 17680
Stainless-steel depositing tray207 mm width, 297 mm
depth
CPAP noseplece. large 2 M 17230
ConVerSIon kit, lockable ceslors 84 08311
For conversion from h’umidilier 19 fo Aquapor:
Conversion set 601 10 mm 84 06 115
Convereion set Aquapor trolley 84 06 117
%r conversion of Humidifier 19
7 mm to spira/ tubing 10 mm:
:onverslon set 601 10 mm 34 06115
4dapter 34 05 463

Parts list (cf. Fig. 14) Parts list (cf. Fig. 15)

No. in Order NO. No. in Name Order NO,


Fig. 14 Fig. 15

Babyfog 1 complete 84 03 300 Babylog 1 complete 64 03 3oc


Accesswy Set 3 (Aquapor) 64 05620 Z--:4 Accessory set 1 (Humidifier 19) 84 05 130
Clamp set 64 03345 supply unit 84 03 712
Filling kit a4 05 031 Cannula (set Of 50) 64 02916
Bellows K 64 03 206 4 Humidlfler 19 04 02 020
Aquapor 64 05 020 Catheter sleeve size 9 M 19347
Babylog 1 hoee system 84 05 805 6” Bellows K 84 03 208
Diaphragm (set of 5) 04 03 945 7 tnstructions 64 05 766
cover, explratory valve 84 03 943 for assembling the Babylog 1 and
Bolt, washer (set of 2) 84 03944 humidifier 19
IlnstruCtlons 84 05622 6-24 Babylog 1 replacement set 64 05 033
Ifor assembling the Babvloo 1 and 8 Catheter sleeve size 11 M 19351
4quapor - ’ - 9 Silicone hose K, 60 cm 64 03 073
10 Silicone hose K, 60 cm 84 03 073 IO Sillcone hose K, 35 cm 84 03 070
11 ,Cone 22a 64 05 752 11 water trap 04 04 985
12 ,Catheter sleeve size 9 M 19347 12 Sleeve 64 05 483
13 ,Satheter sleeve size 11 M 19351 13 Diaphragm (set of 5) 84 03 945
l&24 IDatient connection K 64 05808 14 cover, expiratory valve 64 03943
14 ;illcone hose K, 35 cm 84 03 070 15 Bolt, washer (set of 2) 84 03 944
15 ,lvater trap 84 04 985 1624 Patlent connection K 64 04 800
16 ;llicone hose K, 1 m 34 03060 16 Sttlcone hose K, 1 m 64 03 080
17 ,:ondensate trap 34 04 760 17 Condensate trap 84 04 760
18 ,:orrugated hose 34 03 333 16 cap (set Of 5) 94 02 953
i4dapter K 90” 34 03 075 Adapter T 64 03 056
:: at Of caps (set Of 5) ?4 02 953 Thermometer 2 M 13259
;Thermometer 2 M 13259 Corrugated hose 14 cm 84 03 333
E! Idapter T I4 03 056 Adapter K 90” 84 03075
:iose clamp I4 05 768 Catheter sleeve size 1.5-5.5 64 03 684
2 iet of catheter sleeves (set 01 9) I4 03 654 Catheter sleeve stze 11 M 19351
25 i I* ConnectIon I4 05754 0, Sensw housing 84 03370
26 I \dapter f4 05 023 Adapter 64 05 023
:
,
1..
I
I

--Lo

3-
4

12
0

‘_1
N

0
m DiliiGERWERK AG LiiBECK ES3
Postfach 1339, T@ M&linger Allee 53/55

Lz-’ FEDERAL REPUBLIC OF GERMANY j


D-2400 Liibeck 1
52 (451) 662-0, q 26607-0, FAX (451) 682-2080

Operating Manual 6173.1e


5th Edition. November 1984

Subject to modifications

BSI

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