US E2d Capno Plus

Evita 2 dura CapnoPlus
Addendum to
Evita 2 dura
Operating Instructions
1-256-96
NOTICE
Proprietary Information
This document contains information in which Draeger Medical, Inc.
claimed proprietary rights. The information may not be reproduced in
whole or in part except as authorized in writing by Draeger. This infor-
mation is the property of Draeger Medical, Inc., it is provided solely for
the use intended.
Repairs/Modifications
Repairs on this device shall be performed only by DraegerService or its
Authorized Service Centers. Information about repairs can be obtained
from Draeger or Authorized Dealers. Draeger Medical, Inc. will not be
responsible for injury to persons or damage to property arising directly
or indirectly out of unauthorized repairs or modifications to this device.
Furthermore, any unauthorized repairs or modifications void any warran-
ty extended by Draeger.
This document is provided for your information only. It will not be

exchanged or updated without request.
Trademarks
The Draeger name and logo are registered trademarks of Drägerwerk
Aktiengesellschaft.
CapnoPlus is a trademark of Drägerwerk Aktiengesellschaft.
 Dräger Medizintechnik GmbH,1999
All rights reserved, Subject to modifications
Contents
Contents
Important Safety Information READ THIS FIRST....... 4

Operator's Responsibility for Patient Safety.................. 4
Limitation of Liability..................................................... 4
Warranty...................................................................... 5
Definitions.................................................................... 6
General WARNINGS and CAUTIONS......................... 6
Precautions During Preparation.................................... 7
Precautions During Operation...................................... 7
Precautions During Care.............................................. 7
Precautions During Maintenance.................................. 7
Intended Use.............................................................. 8
Preparation................................................................. 9
Before First Use........................................................... 9
Installing Cuvette and CO2 Sensor............................ 10
Configuring CO2 Waveform....................................... 11
CO2 Calibration......................................................... 11
Measuring CO2..........................................................13
Displaying CO2 Waveform ........................................ 13
Setting Alarm Limits for etCO2 .................................. 13
Switching Off Monitoring Functions ........................... 12
Testing/Calibrating the CO2 Sensor.........................15

Testing CO2 Calibration With Test Filter.....................15
Testing CO2 Calibration With Calibration Gas............ 16
Calibrating CO2 Sensor............................................. 18
Resetting CO2 Calibration.......................................... 19
Care...........................................................................20
Disassembly............................................................... 20
Disinfecting/Cleaning................................................. 21
Troubleshooting ....................................................... 23
Maintenance..............................................................24
Maintenance Intervals................................................. 24
Operating Instructions Evita 2 dura CapnoPlus
Technical Data.......................................................... 25
Theory of Operation.................................................. 27
Physiological Capnogram........................................... 27
Abbreviations Explained..............................................29
Bibliography............................................................... 29
Ordering Information................................................ 30
Index......................................................................... 31
3
Important Safety Information
Operator's Responsibility for Patient Safety
Limitation of Liability
Operator's Responsibility for Patient Safety Limitation of Liability
For correct and effective use of the product and in Draeger Medical, Inc.'s liability, whether arising out of
order to avoid hazards it is mandatory to carefully or related to manufacture and sale of the goods, their
read and to observe all portions of this manual. installation, demonstration, sales representation, use,
performance, or otherwise, including any liability based
upon Draeger Medical, Inc.'s Product Warranty, is sub-
The design of the intensive care ventilators this device ject to and limited to the exclusive terms and conditions
is intended to be used with, accompanying literature, as set forth, whether based upon breach of warranty or
and the labeling on the equipment take into considera- any other cause of action whatsoever, regardless of
tion that the purchase and use of the equipment are any fault attributable to Draeger Medical, Inc. and re-
restricted to trained professionals, and that certain gardless of the form of action (including, without
inherent characteristics of the equipment are known to limitation, breach of warranty, negligence, strict liability,
the trained operator. Instructions, warnings, and or otherwise).
caution statements are limited, therefore, largely to the
THE STATED EXPRESSED WARRANTlES ARE IN
specifics of the Draeger design. This publication
LlEU OF ALL OTHER WARRANTIES, EXPRESSED
excludes references to various hazards which are
OR IMPLIED, INCLUDING, WITHOUT LIMITATION,
obvious to a medical professional and operator of
respiratory care equipment, to the consequences of WARRANTlES OF MERCHANTABILITY, FITNESS
misuse of such equipment, and to potentially adverse FOR ANY PARTICULAR PURPOSE, OR
effects in patients with abnormal conditions. Product NONINFRINGEMENT.
modification or misuse can be dangerous. Draeger Draeger Medical, Inc. shall not be liable for, nor shall
Medical, Inc. disclaims all liability for the consequences buyer be entitled to recover any special incidental, or
of product alterations or modifications, as well as for consequential damages or for any liability incurred by
the consequences which might result from uses of the buyer to any third party in any way arising out of or re-
product not covered by its intended use or from the lating to the goods.
combination of this product with other products
whether supplied by Draeger or by other manufacturers
if such a combination is not endorsed by Draeger Medi-
cal, Inc..
The operators of ventilator systems must recognize

their responsibility for choosing appropriate safety
monitoring that supplies adequate information on
equipment performance and patient condition. Patient
safety may be achieved through a wide variety of
different means ranging from electronic surveillance of
equipment performance and patient condition to simple,

direct observation of clinical signs. The responsibility
for the selection of the best level of patient monitoring
lies solely with the equipment operator.
4
Warranty
Warranty
All Draeger products are guaranteed to be free of Application of this warranty is subject to the following
defects for a period of one year from date of delivery. conditions:
The following are exceptions to this warranty:
1. Draeger Medical, Inc. or its authorized representa-
1. The defect shall be a result of workmanship or tive must be promptly notified, in writing, upon de-
material. Defects caused by misuse, mishandling, tection of the defective material or equipment.
tampering, or by modifications not authorized by
2. Defective material or equipment must be returned,
Draeger Medical, Inc. or its representatives are not
shipping prepaid, to Draeger or its authorized
covered.
representative.
2. Rubber and plastic components and materials are-
3. Examination by Draeger Medical, Inc. or its author-
warranted to be free of defects at time of delivery.
ized representative must confirm that the defect is
3. Oxygen sensors capsules have a six-month limited covered by the terms of this warranty.
warranty from the date of delivery.
4. Notification in writing, of defective material or
Any product which proves to be defective in workman- equipment must be received by Draeger Medical,
ship or material will be replaced, credited, or repaired Inc. or its authorized representative no later than
with Draeger Medical, Inc. holding the option. Draeger two (2) weeks following expiration of this warranty.
Medical, Inc. is not responsible for deterioration, wear, or
In order to assure complete protection under this
abuse. In any case, Draeger Medical, Inc. will not be li-
warranty, the Customer Registration Card and/or Peri-
able beyond the original selling price.
odic Manufacturer's Service Record (if applicable)
must be returned to Draeger within ten (10) days of
receipt of the equipment.
The above is the sole warranty provided by Draeger
Medical, Inc. No other warranty expressed or implied is
intended. Representatives of Draeger are not autho-
rized to modify the terms of this warranty.
Draeger Medical, Inc., Telford, PA

5
Definitions
General WARNINGS and CAUTIONS
Definitions General WARNINGS and CAUTIONS
WARNING ! WARNING !
A WARNING statement refers to conditions Strictly follow Operator's Instruction Manuals
with a possibility of personal injury if dis- Any use of the product requires full under-
regarded. standing and strict observation of all portions
of these instructions as well as the Operating
Instructions of the Evita 2 dura ventilator. The
equipment is only to be used for the purpose
specified under "Intended Use" (page 8). Ob-
serve all WARNINGS and CAUTIONS as ren-
dered throughout the manuals and on labels
CAUTION ! on the equipment.
A CAUTION statement designates the possibility
of damage to equipment if disregarded.
WARNING !
DANGER, risk of explosion if used in the
presence of flammable anesthetics.
NOTE: A NOTE provides additional information
intended to avoid inconveniences during operation. The equipment is neither approved nor certi-
fied for use in areas where combustible or
explosive gas mixtures with air or with nitrous
oxide are likely.
Inspection = examination of actual condition
Service = measures to maintain specified
condition WARNING !
Repair = measures to restore specified Electrical connections to equipment which is
condition not listed in these Operating Instructions
should only be made following consultations
Maintenance = inspection, service, and repair, with the respective manufacturers or a
where necessary qualified expert.
Preventive = Maintenance measures at regular

Maintenance intervals
CAUTION !
Restriction of Distribution
Typing conventions in this manual Federal Law and Regulations in the United
States and Canada restrict this device to sale
Controls ("hard" keys and screen keys / fields) are by or on the order of a physician.
designated as »Control Name«, e.g.
»Calib./Config.«
Screen pages are indicated as »Screen page«, e.g. CAUTION !
Traceability
»Limits«
Federal Law in the United States requires trace-
On-screen messages are printed in bold, e.g. ability of this equipment. Please return the self
addressed registration card included with the
etCO2 calibration OK. product and fill in the required information.
CAUTION !
Accessories
Use only accessories listed in the Ordering
Information (page 30).
6
Introduction
Precautions During Preparation
Precautions During Preparation Precautions During Maintenance
WARNING ! WARNING !
Installation of the Evita 2 dura CapnoPlus Op- To avoid any risk of infection, clean and dis-
tion may be performed by factory trained and infect ventilator and accessories before any
authorized service personnel only. maintenance according to established hos-
pital procedures - this applies also when
returning ventilators or parts for repair.
Precautions During Operation

WARNING !
WARNING ! Preventive Maintenance work on the Evita 2
dura ventilator and its components may be
In case of malfunction of any of the built-in performed by trained and factory authorized
monitoring a substitute has to be provided in staff only.
order to maintain an adequate level of moni-
toring. The operator of the ventilator must still
assume full responsibility for proper ventila-
tion and patient safety in all situations.
WARNING !
Never operate the ventilator if it has suffered
physical damage or does not seem to operate
Precautions During Care properly. In this case always refer servicing to
properly trained and factory authorized service
personnel.
WARNING !
Always follow accepted hospital procedures
for handling equipment contaminated with CAUTION !
body fluids.
Maintenance
In case of malfunction of this device, contact
your local DraegerService or our Factory
WARNING ! Authorized Technical Service Center.
Follow all accepted hospital procedures for The device must be inspected and serviced (pre-
disinfecting parts contaminated by body fluids ventive maintenance) by competent and factory
(protective clothing, eyewear, etc.). authorized technical service representatives at
regular 6 month intervals. A record must be kept
on this preventive maintenance. We recommend
obtaining a service contract through your vendor.
CAUTION ! Maintenance or repair of the Evita 2 dura ventila-
tor and its installed options shall be performed
Certain components of the ventilator and its only by Draeger authorized technical service
accessories consist of materials that are sensi- representatives.
tive to certain organic solvents sometimes used
for cleaning and disinfec-ting (e.g., phenols,

halogen releasing com-pounds, oxygen releasing
compounds, strong organic acids, etc.). Expo-
sure to such substances may cause damage that
is not always immediately recognized.
Sterilization with ethylene oxide (EtO) is also not
recommended.
7
Intended Use
Intended Use
Evita 2 dura CapnoPlus – optional mainstream CO2

monitoring for Evita 2 dura.
– For continuous, real time measurement of CO2 partial
pressure in a patient's breathing gas.
– For measuring endexpiratory CO2 partial pressure
etCO2.
– For monitoring endexpiratory CO2 partial pressure
etCO2 with upper and lower alarm limits.
– For calculating CO2 production.
– For calculating serial deadspace.
8
Preparation
Installation
Before First Use
Preparation
Installation
WARNING !
Installation of the Evita 2 dura CapnoPlus
option may be performed by factory trained
and authorized service personnel only.
Before First Use
Selecting a unit of measurement for CO2

At the time of delivery, mmHg is preset,
kPA or Vol% may alternatively be selected.
● Press »Calib./Config.« menu key.

● Press »Device« menu key.
● With the »Device j« menu key, select «Country«
menu.
Display (example):
Under Units:
● Select »CO2« screen field = turn dial knob.
Confirm = press dial knob.
The list of available units of measurement will appear.
Display (example):
● Select unit = turn dial knob.

Vol.%
mmHg
kPa
9
Preparation
Installing Cuvette and CO2 Sensor
Installing Cuvette and CO2 Sensor
With an adult patient circuit

1 Insert cuvette into the patient connection of the wye,
with the cuvette windows facing sideways 2
2 Push CO2 sensor onto the cuvette, with its cable
towards the ventilator.
1
With an pediatric patient circuit

1 Insert cuvette into the patient connection of the wye
with the cuvette windows facing sideways
2 Push CO2 sensor onto the cuvette, with its cable
towards the wye.
● Insert CO2 sensor probe connector into the socket

marked CO2 on the rear panel of the ventilator.
10
Preparation
Configuring CO2 Waveform
Configuring CO2 Waveform

● Press »Display« menu key.
The »Waveforms« menu page appears.
To replace a waveform display with the CO2 waveform:

● Select respective screen field = turn dial knob
The list of all available waveforms will be displayed on
the screen to the right.
● Select CO2 waveform = turn dial knob.
CO2 Calibration
– if the ventilator requests CO2 calibration with the
screen message: CO2 calibration?
– if the CO2 waveform no longer returns to zero after
each expiration
– before each test of CO2 calibration, see page 15,16.
– before each CO2 sensor calibration, see page 18.
After switching on Evita 2 dura, wait for the 3 minute
warm-up phase to be completed, until message:
CO2 warm-up has disappeared.
At the beginnign of warm-up, no values are displayed for

CO2 (display: 0).
After a few seconds, a minute at the most, the ventilator
will be ready for measuring and will display measured
values for CO2.
After approximately 3 minutes, measured values will be
within the specified accuracy.
11
Preparation
CO2 Calibration

The »Sensor« menu page will appear.
● Select »CO2« menu key = turn dial knob.
● Start calibration = press dial knob.
Display (example):
Message:
Park CO2 sensor. Confirm with
1 Remove sensor from cuvette

2 Fit sensor on park bracket.
● Confirm = press dial knob. 1
CO2 calibration is now performed.
2
Evita 2 dura
Message:
CO2 zero calibration
After approximately 5 seconds, the ventilator confirms:

CO2 calibration OK
● Re-attach sensor to cuvette
The ventilator signals an unsuccessful calibration attempt

with the message:
CO2 calibration not OK
See "Troubleshooting", page 23.
● Repeat CO2 calibration.
12
Measuring CO2
Displaying CO2 Waveform
Setting Alarm Limits for etCO2
Measuring CO2
Displaying CO2 Waveform
● Press »Waves« key.
mmHg CO2
80
60
40
20
0
0 2 4 s
Setting Alarm Limits for etCO2

Set alarm limits are maintained even when the ventilator
is switched off.
Evita 2 dura will generate an alarm if the value for etCO2
remains continuously outside the set alarm limits for
longer than 15 seconds.
Adjustment Factory-set
range start-up defaults
1 to 100 mmHg 30 mmHg

0.1 to 15 kPa
etCO2 _
0 to 99 mmHg 60 mmHg
0 to 14.9 kPa
● Press »Alarms« menu key.

The »Limits« menu page will appear
● Set alarm limit with the dial knob and press to

confirm. The new alarm limit will now be in effect.
––––––––––––––––
* see also Theory of Operation, "Physiological Capnogram, p. 27
13
Measuring CO2
Switching Off Monitoring Functions
Switching Off Monitoring Functions

if CO2 measurement temporarily is not going to be used.
WARNING !
In case of malfunction of any of the built-in
monitoring a substitute has to be provided in
order to maintain an adequate level of moni-
toring. The operator of the ventilator must still
assume full responsibility for proper ventila-
tion and patient safety in all situations.
Example: Switching off CO2 monitoring.

● Using the »Sensor jj« menu key, select »On/Off«
menu page.
Display (example):
● Select »CO2« screen key = turn dial knob.
● Switch off CO2 monitoring = press dial knob.
To switch monitoring back on:

● Select respective screen key = turn dial knob.
● Switch on monitoring = press dial knob.
14
Testing/Calibrating the CO2 Sensor
Testing CO2 Calibration With Test Filter

The CO2 sensor is factory calibrated and can be used
without further calibration on any Evita 2 dura ventilator.
A CO2 calibration is performed as part of the ventilator
check.
Calibration of the CO2 sensor is only required:
– if, upon checking calibration with a test filter or
with test gas, the specified test values are not met
– during the half-yearly preventive maintenance
inspections.
The calibration check or calibration may be performed
during ventilation.
Testing CO2 Calibration With Test Filter

● Perform CO2 calibration, see pages 11,12.
After the CO2 calibration:

● Using the »Sensor jj« menu key, select »CO2 Test«
menu page.
Display (example):
● Activate »Measure« screen key = press dial knob.

15
Testing CO2 Calibration With Calibration Gas
● Place test filter into the CO2 sensor.
The screen displays the test value of the CO2 concen-

tration FCO2.
4,1 Vol%
This value must agree with the specification on the test
filter within ± 0.3 Vol.%.
Example: 4.1 Vol.% on the filter:
permitted values: 3.8 to 4.4 Vol.%
● Push CO2 sensor back onto cuvette.
If the test value is outside the permitted tolerance, a test
with calibration gas must be performed or the sensor
must be calibrated.

– if the specified calibration value was not met when
testing with the test filter.

● Using the »Sensor jj« menu key, select
»CO2 Calib.« screen menu.
Display (example):
16
● Connect calibration gas supply.

Use the cuvette from the calibration set!
1 Connect calibration gas cylinder and cuvette of the
calibration set to the hose.
2
2 Remove CO2 sensor from its park bracket and fit it
on cuvette of the calibration set. 1
● Read CO2, O2 and N2O concentrations (Vol.%) of
calibration gas from the test cylinder.
● Select screen field for respective parameter Kalibriergas
Calibration gas,z.B.:
e.g.
= turn dial knob, 55Vol.-%
9595 Vol.-%
CO
Vol.-% CO
Vol.-% NN
22
22
activate = press dial knob
● Set concentration = turn dial knob,
confirm = press dial knob
NOTE: If the calibration gas consists only of CO2 and
N2, set O2 and N2O concentrations to 0.
● Select »Start Calib.« screen key = turn dial knob.
● Confirm »Start Calib.« = press dial knob.
The CO2 concentration FCO2 is displayed on-screen.

After about 10 seconds, the value of FCO2 must match
the CO2 content of the calibration gas within
±0.2 Vol.% .
If the calibration value is outside the permitted tolerance,
the CO2 sensor must be recalibrated with calibration
gas.
● Push CO2 sensor back onto cuvette.
17
Calibrating CO2 Sensor
Calibrating CO2 Sensor

The CO2 sensor must be calibrated:
– if the specified calibration values are not met when
checking calibration with filter or calibration gas.

● Using the »Sensor jj« menu key, select »CO2 calib.«
menu page.
Display (example):
● Connect calibration gas supply.

Use cuvette from the calibration set!
1 Connect calibration gas cylinder and cuvette of the
calibration set to the hose.
2
2 Remove CO2 sensor from its park bracket
and fit it onto the calibration set cuvette. 1
● Read CO2, O2 and N2O concentrations (Vol.%)

of calibration gas from test cylinder
Kalibriergas
Calibration gas,z.B.:
e.g.
55Vol.-% CO2 2
Vol.-% CO
9595Vol.-%
Vol.-% NN2 2
18
Checking/Calibrating the CO2 Sensor
Resetting CO2 Calibration
● Select screen field for respective parameter

= turn dial knob,
activate = press dial knob
● Set concentration = turn dial knob,
confirm = press dial knob
NOTE: If the calibration gas consists only of CO2 and
N2, set O2 and N2O concentrations to 0.
● Select »Start Calib.« screen key = turn dial knob.
● Confirm start of calibration = press dial knob.
During calibration, the following message is displayed:

CO2 calibration. Please wait
Evita 2 dura performs calibration and confirms with the
message:
CO2 calibration OK
Failed calibration is indicated by the ventilator with the

message:
CO2 calibration interrupted
or
CO2 calibration not OK
Calibration of the CO2 sensor must then be repeated.
Resetting CO2 Calibration

– If calibration with calibration gas proved unsuccessful,
the factory default calibration value may temporarily be
used.
● Using the »Sensor jj« menu key, select

»CO2 Calib.« menu page.
Display (example):
● Select »Reset« screen key = turn dial knob.

● Reset calibration value = press dial knob.
After about 5 seconds, resetting is complete, and the
factory set calibration value is reactivated.
Recover the correct calibration as soon as possible!
19
Care
Disassembly
Care
Disassembly
Clean and process ventilator after each patient.
WARNING !
Always follow accepted hospital procedures
for handling equipment contaminated with
body fluids.
For both adult and pediatric sensor configurations:

1 Remove CO2 sensor from cuvette
Unplug sensor connector on the rear panel of
Evita 2 dura.
2 Detach CO2 sensor cuvette from wye. 1
3 2
3 Remove ET-tube connector from cuvette.
3
20
Care
Disinfecting/Cleaning
CAUTION !
Certain components of the ventilator and its
accessories consist of materials that are sensi-
tive to certain organic solvents sometimes used
for cleaning and disinfec-ting (e.g., phenols,
halogen releasing com-pounds, oxygen releasing
compounds, strong organic acids, etc.). Expo-
sure to such substan-ces may cause damage
that is not always immediately recognized.
Sterilization with ethylene oxide (EtO) is also not
recommended.
To prevent any damage, we recommend that only deter-

gents and disinfectants are used that are compatible with
the device, e.g. surface disinfectants on the basis of
aldehydes or quarternary ammonium compounds for
disinfection.
Ensure that all disinfectants are registered with the U.S.
Environmental Protection Agency for use as intended.
Always follow the instruction labels specifically with
respect to prescribed concentrations and the necessary
exposure times.
Disinfectants often contain – besides their main active
agents – additives that can also damage materials. If in
doubt, ask the supplier/manufacturer of the disinfectant/
cleaning agent.
WARNING !
Follow all accepted hospital procedures for
disinfecting parts contaminated by body fluids
(protective clothing, eyewear, etc.).
21
Care
CO2 Cuvette
● Wipe off any obvious soiling with disposable tissue
and cotton swabs, in particular inside and outside the
windows.
● Disinfect in a moisture saturated environment at
93 °C (200 °F) for 10 minutes using a cleaning and
disinfecting machine. Use detergent only.
Or:
● Bath disinfect using a disinfectant based on the
suggested active substances, e.g. Cidex, Johnson &
Johnson
Or:
● Steam-autoclave at 134 °C (273 °F).
CO2 Sensor
● Wipe off any obvious soiling with cotton swabs, in
particular on the windows of the CO2 sensor.
● Wipe-disinfect, e.g. with 70% ethanol or a similar
agent.
After processing
● Reinstall cuvette and CO2 sensor, see page 10.
22
Troubleshooting
Troubleshooting
Alarm messages in the alarm display field are displayed In the table below, the messages are listed in alpha-
in hierarchical order. betical order.
If, for example, two faults are detected at the same time, The table should help you to identify the cause of an
the more urgent of the two is displayed. alarm and to ensure rapid remedy of the problem.
The priority for alarm messages is indicated by
exclamation marks:
Warning = Message with top priority !!!
Caution = Message with medium priority !!
Advisory = Message with low priority !
Message Cause Remedy
CO2 sensor !!! CO2 sensor probe removed during Reinsert probe.
operation.
CO2 sensor not positioned on cuvette. Place CO2 sensor on cuvette.
CO2 sensor defective. Replace defective CO2 sensor.
Clean CO2 cuvette !!! Cuvette window dirty. Use a clean cuvette.
Sensor window dirty Clean CO2 sensor
CO2 calibration? !!! Zero point out of tolerance. Perform CO2 calibration, pages 11,12.
CO2 monitoring off ! CO2 monitoring is switched off. Switch CO2 monitoring back on, see
page 14 or immediately provide adequate
external monitoring
Calibration was not successful Perform CO2 calibration correctly, pages

11,12.
CO2 measurement inop !!! CO2 sensor defective. Replace defective CO2 sensor.
CO2 measurement defective. Call DraegerService.
etCO2 high !!! Check patient condition,

End-expiratory CO2 concentration above
check ventilation pattern,
upper alarm limit.
correct alarm limit if necessary.
etCO2 low !!! Check patient condition,

End-expiratory CO2 concentration below
check ventilation pattern,
lower alarm limit.
correct alarm limit if necessary.
23
Maintenance
Maintenance Intervals
Maintenance Maintenance Intervals
Preventive maintenance Every 6 months by trained

and factory authorized
CAUTION !
service personnel.
Maintenance
The Evita 2 dura CapnoPlus option is serviced as part of
In case of malfunction of this component,
contact your local DraegerService or our Facto- the scheduled preventive maintenance of the Evita 2 dura
ry Authorized Technical Service Center. ventilator every six months.
The Evita 2 dura ventilator must be inspected
and serviced (preventive maintenance) by
competent and factory authorized technical
service representatives at regular 6 month
intervals. A record must be kept on this
preventive maintenance. We recommend
obtaining a service contract through your vendor.
Maintenance or repair of the Evita 2 dura ventila-
tor shall be performed only by Draeger autho-
rized technical service representatives.
WARNING !
To avoid any risk of infection, clean and
disinfect ventilator and accessories before any
maintenance according to established
hospital procedures - this applies also when
retur-ning ventilators or parts for repair.
WARNING !
Preventive Maintenance work on the Evita 2
dura ventilator and its components may be
performed by trained and factory authorized
staff only.
WARNING !
Never operate the ventilator if it has suffered
physical damage or does not seem to operate
properly. In this case always refer servicing to
properly trained and factory authorized service
personnel.
24
Technical Data
Technical Data
Environmental conditions
During operation
Temperature 10 to 40 °C (50 to 104 °F)
Atmospheric pressure 670 to 1200 hPa
Rel. humidity 10 to 100 % (no condensation)
During storage and transport
Temperature –10 to 60 °C (14 to 140 °F)
Atmospheric pressure 670 to 1200 hPa
Rel. humidity 10 to 100 % (no condensation)
Performance data
End-expiratory CO2 concentration etCO2
Range 0 to 100 mmHg or
0 to 13.3 Vol.% or
0 to 13.3 kPa
Resolution 1 mmHg or
0.1 Vol.% or
0.1 kPa
Accuracy
for 0 to 40 mmHg ±2 mmHg
for 40 to 100 mmHg ±5 % of measured value
T 10...90 ≤ 25 ms
Warm-up time max. 3 minutes
CO2 production * CO2
Range 0 to 999 mL/min, (STPD)*
Resolution 1 mL/min
Accuracy ±9 % of measured value
T 10...90 12 minutes
Serial dead space Vds
Range 0 to 999 mL, (STPD)*
Resolution 0.1 mL
Accuracy ±10 % of measured value or ±10 mL,
whichever is greater
Dead space ventilation Vds/VT
Range 0 to 99 %
Resolution 1%
Accuracy ±10 % of measured value
––––––––––
* STPD = Standard Temperature Pressure, Dry
Measured values referred to standard physical conditions: 0 °C, 1013 mbar, dry.
25
Technical Data
Dead space:
including adult size cuvette 16 mL
including pediatric size cuvette 6 mL
Weight
Sensor 30 g (1.1 oz.)
Cuvette 8 g (0.3 oz.)
Alarm at upper alarm limit for etCO2 when upper threshold is exceeded
Setting range 1 to 100 mmHg
or
0 to 15 kPa
or
0 to 15 Vol.%
Factory-set default at start-up 60 mmHg
Alarm at lower alarm limit for etCO2 when lower threshold is exceeded
Setting range 0 to 99 mmHg
or
0 to 14.9 kPa
or
0 to 14.9 Vol.%
Factory-set default at start-up 30 mmHg
Protection class I, type BF
CO2 sensor type BF m
Materials:
CO2 cuvette polysulphone with glass windows
CO2 sensor and cable polyurethane
26
Theory of Operation
Physiological Capnogram
Theory of Operation
Waveform segment 1 - 2
Emptying upper airway deadspace
CO2 concentration during this waveform segment is
zero. This is the initial expiratory phase where the CO2
analyzed gas comes from the upper airways and the ET-
3 4
tube and has not participated in alveolar gas exchange.
1 2 5
Gas from lower airways and alveoli
Expiration Inspiration
CO2 concentration shows a sharp rise because the
analyzed gas partially comes from the lower airways and
partially from CO2-rich alveoli.
Alveolar gas
This pase is called the "alveolar plateau".
CO2 concentration increases only gradually. Analyzed
gas is mostly from alveolar areas of the lung.
Time mark 4
endexpiratory CO2 partial pressure
Marks the highest concentration of exhaled CO2 and is
reached at the end of expiration. This value is known as
end-tidal CO2 (etCO2) and represents the last portion of
gas that has participated in alveolar gas exchange.
In humans with healthy lungs, endexpiratory CO2 partial
pressure is, on average, 4 mmHg lower than arterial
CO2 pressure. It is therefore an indicator for CO2 partial
pressure in arterial blood.
The difference between CO2 partial pressure as meas-
ured arterially or in the endexpiratory gas can increase
significantly in the presence of an impaired perfusion
ventilation ratio.
Inspiration
CO2 concentration falls quickly as fresh, CO2-free gas
enters the airways.
––––––––––––––
* J. Baum, Anaesthesiol. Reanimation. 16 (1991) No. 1. 12-22
27
Theory of Operation
Serial deadspace (Vds) is the volume that is expired

when expiratory CO2 concentration has reached 50% of Expiratory
FeCO2 CO2 concentration
endexpiratory CO2 concentration.
Dead space ventilation in % characterizes the ratio of Endexp. CO2 concentration A
serial deadspace to total expiratory tidal volume.
50%
The calculated value of CO2 production (* * CO2) Expiratory Flow

*exp.
represents expired volume of CO2 per minute.
CO2 production results from the integration of CO2
concentration (trace A) multiplied with the simultaneously
measured flow (trace B).
B
t
Vexp. Expiratory
Volume
VT C
During expiration, CO2 produced through a patient's
metabolism is transported to the environment via
pulmonic circulation and the lungs. VDS
It is therefore that endexpiratory CO2 concentration
(etCO2) and the shape of the expiratory CO2 wave-
form (capnogram) provide rapid diagnostic information t
TE
about all three areas (ventilation, perfusion, and metabo-
lism).
28
Theory of Operation
Abbreviations Explained
Bibliography
Abbreviations Explained
BTPS Body Temperatur, Pressure, Saturated

Measured values refer to conditions in a
patient's lung, at body temperature of
37 °C, water vapor saturated gas,
ambient pressure
etCO2 Endexpiratoy CO2 concentration
NN height above sea level (m)
STPD Standard Temperature (0 °C),
Pressure (1013 hPa), Dry (dry gas)
TE Expiratory time
TI Inspiratory time
* CO2 CO2-production L/min
Vexsp Expiratory volume
Vds Serial deadspace
VT Tidal volume
Bibliography
J. Baum, Anaesthesiol. Reanimation. 16 (1991)
No. 1. 12-22
29
Ordering Information
Ordering Information
Item/Description Part No.
Evita 2 dura CapnoPlus
Capnography option for Evita 2 dura 84 13 780
Test filter 68 70 281

Calibration kit 84 12 710
Calibration gas cylinder 5 Vol.% CO2

95 Vol.% N2 68 50 435
Mainstream sensor 68 70 300
Park bracket for sensor 84 12 840
Replacement parts:
Cuvette, adult size 68 70 279
Cuvette, pediatric size 68 70 280
30
Index
Index
Abbreviations............................................................. 29
Advisory....................................................................... 6
Alarm..........................................................................23
Alarm limits................................................................. 13
Bibliography............................................................... 29
Capnogram................................................................ 27
Care........................................................................... 20
Caution........................................................................ 6
CO2 calibration...........................................................11
CO2 calibration, checking with test filter..................... 15
CO2 calibration, checking with test gas...................... 16
CO2 calibration, reset................................................. 19
CO2 waveform, displaying......................................... 13
CO2 waveform, configuring........................................ 11
CO2, units of measurement.......................................... 9
CO2 sensor, installing.................................................10
CO2 sensor, calibrating.............................................. 18
Cuvette, installing....................................................... 10
Disassembly............................................................... 20
Disinfecting/cleaning...................................................21
First use....................................................................... 9
Intended use................................................................ 8
Literature.................................................................... 29
Monitoring function, switching off............................... 12
Ordering information...................................................30
Preparation.................................................................. 9
Safety information.........................................................4
Technical data............................................................ 25
Testing/Calibrating......................................................15
Troubleshooting.......................................................... 23
Warning....................................................................... 6
31
These Operating Instructions apply only
to Evita 2 dura with Serial No.:
Without entry of a Serial No. by Draeger
these Operating Instructions are provided
for general information only and are not
intended for use with a specific device.
Draeger Medical, Inc.

H 3136 Quarry Road
Telford, PA 18969
T 215-721-6910
FAX 215-721-6915
90 28 759 - GA 5664.804 enUS

 Dräger Medizintechnik GmbH
2nd edition - November 1999
Subject to modifications

US E2d Capno Plus

Uploaded by

Copyright:

Available Formats

US E2d Capno Plus

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

US E2d Capno Plus

Uploaded by

Copyright:

Available Formats

Evita 2 dura CapnoPlus

This document is provided for your information only. It will not be

Important Safety Information READ THIS FIRST....... 4

Testing/Calibrating the CO2 Sensor.........................15

Important Safety Information

Operator's Responsibility for Patient Safety Limitation of Liability

The operators of ventilator systems must recognize

equipment performance and patient condition to simple,

Draeger Medical, Inc., Telford, PA

Definitions General WARNINGS and CAUTIONS

Preventive = Maintenance measures at regular

Precautions During Preparation Precautions During Maintenance

Precautions During Operation

for cleaning and disinfec-ting (e.g., phenols,

Evita 2 dura CapnoPlus – optional mainstream CO2

Operating Instructions Evita 2 dura CapnoPlus

Before First Use

Selecting a unit of measurement for CO2

● Press »Calib./Config.« menu key.

● Select unit = turn dial knob.

Installing Cuvette and CO2 Sensor

With an adult patient circuit

With an pediatric patient circuit

● Insert CO2 sensor probe connector into the socket

Operating Instructions Evita 2 dura CapnoPlus

Configuring CO2 Waveform

To replace a waveform display with the CO2 waveform:

At the beginnign of warm-up, no values are displayed for

● Press »Calib./Config.« menu key.

1 Remove sensor from cuvette

After approximately 5 seconds, the ventilator confirms:

The ventilator signals an unsuccessful calibration attempt

Setting Alarm Limits for etCO2

1 to 100 mmHg 30 mmHg

● Press »Alarms« menu key.

● Set alarm limit with the dial knob and press to

Switching Off Monitoring Functions

Example: Switching off CO2 monitoring.

Operating Instructions Evita 2 dura CapnoPlus

To switch monitoring back on:

Testing/Calibrating the CO2 Sensor

Testing CO2 Calibration With Test Filter

After the CO2 calibration:

● Activate »Measure« screen key = press dial knob.

● Place test filter into the CO2 sensor.

The screen displays the test value of the CO2 concen-

Testing CO2 Calibration With Calibration Gas

● Perform CO2 calibration, see pages 11,12.

After the CO2 calibration:

● Connect calibration gas supply.

The CO2 concentration FCO2 is displayed on-screen.

Calibrating CO2 Sensor

● Perform CO2 calibration, see pages 11,12.

After the CO2 calibration:

● Connect calibration gas supply.

● Read CO2, O2 and N2O concentrations (Vol.%)

● Select screen field for respective parameter

During calibration, the following message is displayed:

Failed calibration is indicated by the ventilator with the

Resetting CO2 Calibration