Siemens Drager medical Carina Bedienungsanleitung

The Carina Guidelines are not a replacement or

substitute for the Instructions for Use.

Any use of the device requires full understanding

and strict observation of the Instructions for Use.

The user must be familiar with the device according

to the national and local laws and recommendations.

Carina Guidelines

Page

1 Table of contents 2

2 Intended Use Carina 3

3 What is what 4

3.1 Control panel, top 4

3.2 Carina underside 4

3.3 Front connection block 5

3.4 Rear connection block 5

3.5 Trolley 1-78 cm 6

3.6 Screen Layout 6

3.7 Status line for displaying current device settings 6

4 Preparation 7

4.1 Connecting electrical power 7

4.2 Connecting the oxygen supply 7

4.3 Setting up the ventilator breathing circuit 8

4.4 Powering up the ventilator 9

4.5 Ventilator setting 10

4.6 Setting alarm limit 11

4.7 Displaying set value and measured value 11

4.8 Configuration 12

4.9 Locking bottons 12

5 Alarm handling 13

5.1 In the event of alarm 13

5.2 Suppressing the alarm tone 13

6 Standby and switch OFF 14

6.1 Switching Carina to Standby 14

6.2 Switching OFF the device 14

7 Cleaning and maintenance 15

7.1 Cleaning intervals 15

7.2 Maintenance intervals 15

8 Alarm message Cause & Remedy 16

9 Accessories 18

9.1 Accessories for Carina 18

9.2 Mask cleaning 19

10 Preparation procedure 20

Table of contents

Intended Use

Carina – long-term ventilator for ventilator-

dependent patients or ventilator-assisted patients.

• For treatment of sub-acute care patients in

hospital or medical rooms.

• For invasive ventilation or non-invasive

ventilation.

• For patients with a tidal volume of at least 100 mL.

• For use by qualified medical personnel.

WARNING!

Not intended for acute inpatient care of

nonstabilized patients who require ventilation

with comprehensive continuous monitoring

according to IEC 60601-2-12 or EN 794-1.

Sub-acute care definition

Sub-acute care is comprehensive, inpatient care for

patients who:

• Have had an acute event resulting from injury,

illness or exacerbation of a decease process;

• Have a determined course of treatment;

• Though stable, require diagnostics or invasive

procedures, but not intensive procedures

requiring an acute level of care.

• The severity of the patient’s condition requires:

• Active physician direction with frequent

on-site visits;

• Professional nurse care;

• Complex medical and/or rehabilitative care.

Typically sub-acute care is designed to return

patients to the community or transition them to a

lower level of care.

2 Intended Use

3 What is what

3.1 Control panel, top

Carrying handle

Screen

Buttons for functions and parameters

Rotary knob

Audio paused 2 min. button

LED for indicating power supply:

• LED lit = External power supply (mains/external

battery), internal battery is charged

• LED flashes = External power supply

(mains/external battery), internal battery

is being charged

• LED off = battery operation

»Start/Standby« button

»Select Menu« button

3.2 Carina underside

Switch for hose system with leak valve or hose

system with expiration valve masked by sliding cover

(not illustrated)

Future functions

Holes for positioning on the trolley (4 off)

3.3 Front connection block

Ventilation hose connection

Emergency air inlet and oxygen overflow

Connection for control hose

(for hose system with expiration valve)

3 What is what

3.4 Rear connection block

Not assigned

Connection for nurse call system

RS 232 serial port (MEDIBUS)

Not assigned

Inlet filter (HEPA filter)

Connection for HPO oxygen supply

Connection for LPO oxygen supply

Mains switch

Connection for external battery

Power cable connection

3.5 Trolly

Carina bracket

Standard rail grip

Universal bracket

with standard rail, optional

Trolley column

Pedestal

Red locking lever of the

column mount closed

(under pedestal)

Dual rollers with locking

brakes, 4 each

1 2 3 4

3 What is what

3.6 Screen layout

Alarm line for alarm message

Status line for current device settings

Display for real-time waveforms of flow and pressure

Display for 2 measured values, configurable

Information line

Display of ventilation parameters

3.7 Status line for displaying current device settings

LPO oxygen supply

Power supply

Charge of internal battery

Hose system – expiration valve or leak valve

Ventilation method – tube or mask

Set ventilation mode

Patient effort detection

int Internal battery

ext External battery

Mains

1 2 3 4 5 6 7

4 Preparation

4.1 Connecting electrical power

• Plug the ventilator power cable into device

AC power

• Secure with the wire clip.

• Insert the mains plug into a power socket.

• The LED flashes or lights up according to the

charge of the internal battery.

• If you are using an External battery or heated

humidifier, plug their power cord to AC power

as well.

4.2 Connecting the oxygen supply

• Screw the O2compressed gas hose onto the

HPO nozzle or tube from O2gas cylinder

onto the LPO nozzle of Carina.

• Supply with oxygen from the central supply

or from the O2gas cylinder/concentrator .

4.3 Setting up the ventilator breathing circuit

Select hose system Leak valve system or expiration

valve system

Open the sliding cover on the underside of Carina.

Using a coin, turn the switch to your hose system

Close the sliding cover.

Leak valve hose system:

Connect the filter to socket.

Connect the ventilation hose: VentStar Carina LV

(MP00312) to filter.

The hose system is displayed on the status line of the

screen as follows: »LeakV«.

or:

Expiration valve hose system:

Connect the filter to socket.

Connect the ventilation hose: VentStar Carina EV

(MP00313) to filter

Connect the pilot line of the expiration valve to

pilot hose socket.

The hose system is displayed on the status line of the

screen as follows: »ExpV«.

4 Preparation

4.4 Powering up the ventilator

Carina switching on

Set the mains switch to

Carina conducts a self-test.

During the self-test the screen indicates the

progress of the self-test.

That is followed by the screen showing the

ventilation mode and parameters last set.

The device is in standby mode.

Starting ventilation

Press the »Start/Standby« key.

Carina ventilates at the ventilation parameters set.

The screen shows the current ventilation waveforms

and values. For configuration of the screen display,

see page 86 Instruction for Use.

4 Preparation

VC-SIMV AF Volume Control – Synchronized Intermittent Mandatory

Ventilation

AF - AutoFlow

Trigger can be switched OFF VC-CMV

PC-BIPAP*Pressure Control – Biphasic Positive Airway Pressure

Trigger can be switched OFF PC-CMV

PC-AC Pressure-controlled, assisted ventilation

SPN-PS Spontaneous - Pressure Support

For patients with sufficient spontaneous breathing.

Volume guarantee VG can be switched on in ventilation mode SPN-PS.

Tidal volume guarantee

SPN-CPAP Spontaneous - Continuous Positive Airway Pressure

Apnoea ventilation For automatically switching to volume-controlled,

mandatory ventilation (VC-SIMV AF) in the event

of apnoea.

Only on SPN-PS and SPN-CPAP

* Trademark used under license

4.5 Ventilator settings

Vent.

Settings Alarms Values Config. Un

locked

Push „Menu“ key

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