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Drager Babylog 8000 Plus ICU Ventilator for Neonates - Brochure 1 Download. Drager Babylog 8000 Plus ICU Ventilator for Neonates - Brochure 2 Download. Drager Babylog 8000 Plus ICU Ventilator for Neonates - User Manual Download. Drager Babylog 8000 Plus ICU Ventilator for Neonates - Service Manual Download. The Isolette 8000 plus now also includes features to support your unit's developmental care practices. More so than ever before, families are being incorporated into the care team and the Isolette 8000 plus makes their integration that much easier.
If you do not yet have a Babylog 8000 plus unit, the photograph on the fold-out page will help you to understand this manual. How to use this manual 4 Calibration For oxygen measurement: – This is done automatically every 24 hours during operation. – It must be done manually each time the sensor is replaced. – It may be done manually at. Jun 12, 2012 Drager Baby log 8000 plus demonestration by Dr: Abd Rahman Golhom - Duration: 41:34. أطباء المبتسرين بمستشفى أحمد ماهر التعليمي 10,771 views.
More than 40 years of experience in neonatal ventilation and a century of expertise in breathing technology have gone into Dräger Medical’s Babylog® gone into Dräger’s Babylog® plus. Guarantee – the Babylog plus meets the demands. the need to manually adjust a trigger sensitivity has. Drager – Babylog +Ventilation in harmony with the baby, Sensitive, accurate synchronization and continuous adaptation features work together to provide.
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Accessories for neonatal and pediatric care. Relay And Valve Monitoring Preparation Calibration To clear the text message on the screen: Set the following rotary knobs where the green LEDs are lit as follows: Printing Everything Operation Analogue and digital interfaces optional Printing everything This babylob is used to print the report, the trends and the curves.
DRäGER BABYLOG PLUS INSTRUCTIONS FOR USE MANUAL Pdf Download.
Re-calibrate flow sensor if During operation: Printing reports This function is used for documenting measured values, settings and the status of the ventilator. Page Connection plug SMB-Subclic Signal delay Electronic filter circuits in the Babylog plus delay the signals for airway pressure and flow draged about 15 ms with respect to the sensor signals.
Preparation Assembly Installing the Y-piece and the flow sensor Plug the Y-piece into the ventilation hoses.
O 2 Calibration The Babylog plus can be equipped with an interface for Use of the ventilation modes the transfer of measured data and settings to units such as — The Volume Guarantee VG feature combines the advantages of pressure and volume controlled ventilation.
Parameters – Ranges, Resolution And Accuracy The result is a neonatal ventilator that satisfies the extremely high standards you set in caring for your little patients.
Drager – Babylog + Community, Manuals and Specifications | MedWrench
Hfv With Imv Switch on CPAP page Inspiratory Pressure Limit p Insp Monitoring With Hfv 80000 the water trap and the Y-piece and pull the collecting jar from the water trap. Adjusting The Screen Contrast Overview Of The Ventilation Modes Operation Overview of the ventilation modes Overview of the ventilation modes The Babylog plus can operate in five different ventilation modes, which can also be modified by drwger additional functions.
Cpu Pcb Equipment Parameters Technical Data Equipment parameters Equipment manuall Principle of operation Babylog plus ventilates on the continuous-flow principle with time control and and is pressure limited.
Technical Data EMC Declaration Electromagnetic environment The medical device is intended for use in an electromagnetic environment as specified below.
Dräger Babylog 8000 plus Manuals
Description Pneumatic circuits Inspiration Expiration Gas supply Controlled ventilation The compressed gases air and oxygen are bablyog via the There is a continuous flow of gas through the inspiration hose filters 1 and the non-return valves 2 to the pressure to the Y-piece. Ventilating With Pressure Plateau BabylogRecycling Pass, en. Page 74 Operation Transmitting data to a patient monitor The following signals and scales can be selected: Alarms, Cautions And Advisory Messages Page Technical Data EMC Declaration Electromagnetic immunity The medical device is intended for use in an electromagnetic environment as specified below.
Configuring the RS interface: Suitable for patients with a body weight of up to about 2 kg, for ventilating with reduced stress on the lungs. Operating Voltage Monitoring Configuring The Interfaces E-Mail Us Request a Quote. Breathing-gas conveying parts, e. Airway Pressure Monitoring In order to reliably detect inspira Operator’s Responsibility For Patient Safety Re-insert the flow sensor after nebulization.
Configuring Pulse Output Operation Transmitting data to a patient monitor To select the default settings during operation: This mode is useful for weaning the patient from ventilation.
Care Checking readiness for use Testing alarm limits Alarm limits for apnoea: Layout Of The Screen The inspira- insp tory flow is effective during ventilation strokes, while the expira- tory flow is effective during spontaneous breathing phases and in CPAP mode.
The user must ensure its use in such an environment.
Drager Babylog 8000+ DrägerService Manual
Measurement Of Airway Pressure mwnual Table of contents Table Of Contents Operation Nebulizing medicaments optional Pneumatic medicament nebulizer 84 11 Prerequisite: Technical Data Equipment parameters Equipment parameters Principle of operation Babylog plus ventilates on the continuous-flow principle with time control and and is pressure limited.
Description Monitoring functions Trigger function The Babylog plus detects spontaneous breathing by measuring the flow.
Printing A Trend Displaying Lung Values Operation Displaying curves and measured values Displaying lung values The Babylog plus calculates the resistance and compli- ance of the patient’s lung using linear regression analysis. The unit executes a self-test of its internal memory.
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Drager Babylog 8000 Plus Manual
Introduction
As a successor of Babylog(R) 8000plus, Babylog VN500 took over the same operation principle of Evita series which were the high-end ventilators for adult patients. HFO performance of Babylog 8000plus was improved with VN500. New ventilation mode, VG (Volume Gurantee) combined with HFO is available. VN500 provides excellent conventional ventilation with “automatic leak compensation” and “VG”. In addition to those functions, VN offers extensive neonatal ventilation therapy, including MMV (Mandatory Minute Volume Ventilation), APRV (Airway Pressure Release Ventilation), PPS (Proportional Pressure Support), Sigh, HFO VG and ATC(Automatic Tube Compensation)as options. In Neonatal Care Area, there are several functions that its intended use or its efficacy of therapy is not defined, yet. Therefore, correct knowledge of each function is necessary. This manual is divided into 2 courses (“Basic” and “Advance”) and describes the operation of VN500.
Names of components & specifications
The user interface of the device is a touch screen. The user simply selects items on the screen and confirms the selected value or changes by pressing a rotary knob. Monitoring area and main menu bar in the main display can be customized. Because 3 screen configurations can be pre-set, for instance, the user can easily switch the screen display between normal ventilation mode and HFO mode by touching a single button.
Caution
The device contains internal battery and it should be charged even when it is not in use.
System overview and names of components
Specifications
Main screen
Hint
3 screen configurations can be pre-set at the system set-up menu.
Setting items
Hint
With VN500, though PSV is basically named as “PC-PSV”, the name would be changed to “PS” when it is used during SIMV.
Available functions
1. Switching on the device – Start / Standby (Admission of a new patient)
The device records the previous patient information or ventilation settings. The instruction of how to admit new patient is explained in below.
By pressing the main power button, the system gets started and opens up the start dialog window which shows selections of “Current patient” (previous patient) or “new patient”. Once “new patient” is selected, the new screen (Figure 1-a) will be displayed. For the first time use, please press “System check” tab to start up the device check and the breathing circuit check before starting ventilation. Steps of the device check will be instructed by screen dialog. The following breathing circuit check should be conducted as steps described in table 1-b. In principle, those inspections should be conducted for the first-time use.
By pressing the main power button, the system gets started and opens up the start dialog window which shows selections of “Current patient” (previous patient) or “new patient”. Once “new patient” is selected, the new screen (Figure 1-a) will be displayed. For the first time use, please press “System check” tab to start up the device check and the breathing circuit check before starting ventilation. Steps of the device check will be instructed by screen dialog. The following breathing circuit check should be conducted as steps described in table 1-b. In principle, those inspections should be conducted for the first-time use.
Figure 1 a) b)
Hint
By selecting “Current patient” button, the device automatically starts ventilation with the last used patient-related settings including ventilation settings and circuit information.
Caution
If preventive system check is not possible, biomed can conduct the system check and setting previously.
2. System setup (refer the chart “Overview & cautions of system setup window”)
The system setup offers the configuration options to set. The user can activate or deactivate a short cut key to be shown, however, those displayed icons to show categories are not able to hide and further categories are displayed under the icon. The chart “Overview & cautions of system setup window” shows the recommended configuration settings.
Chart Overview & cautions of system setup window
Hint
3 kinds of screen configuration can be pre-set. For instance, you can set different monitoring screen configurations CMV and HFO, depends on the ventilation mode.
Hint
The system setup has no icon, and its button cannot be hidden. The system setup is special for that the user is not able to set up anything without this setup button.
Useful Tips : Automatic return from apnea ventilation
Prerequisite conditions for automatic return from apnea ventilation are:
1) Apnea ventilation must have been active for at least 2 minutes
2) The alarm message MV low is not active
3) One of the following conditions must additionally be met:
The ratio of MVespon to MVe is greater than 25 % and the ratio of MVleak to MVe is less than 40 %, 80 % of the mandatory breaths are triggered as spontaneous breathing.
2) The alarm message MV low is not active
3) One of the following conditions must additionally be met:
The ratio of MVespon to MVe is greater than 25 % and the ratio of MVleak to MVe is less than 40 %, 80 % of the mandatory breaths are triggered as spontaneous breathing.
Because this condition is very high, the user has to deactivate Apnea ventilation manually to switch back to normal ventilation. For this reason, Apnea ventilation setting needs to be adjusted carefully.
Pitfalls : 2 leakage compensation
The device contains 2 types of leakage compensation. One is automatic leak adaptation which supports trigger sensitivity for inspiratory trigger or expiratory termination during PSV, and this function was already installed in Babylog(R) 8000plus.
It is described in my previous course “Babylog(R) 8000plus Basic”, when there is a leak with the uncuffed tube, the inspiratory flow would be increased because of leak flow. As the result, the basic line of flow curve will be positioned higher than before. Babylog(R) series adjust this basic line automatically (Zero flow calibration) so that the user does not re-set the trigger sensitivity or termination level even when a leak occur (Figure 2).
Another one is new function which is introduced with VN500. That is “Leak compensation” which compensates the tidal volume while a leak occurs (Figure 3). The delivered volume is equal to the area on the flow curve. When we divide this area by Inspiratory and Expiratory, the area above the basic line is “VTi” and below the basic line is “VTe”. If a leak occurs, the expiratory VT might be underestimated. With the leakage compensation “ON”, the tidal volume measurement would be more precise by re-setting a baseline of the flow curve. As the terminology of this device, various names such as VTi, VTe and VT are used. Though VTi and VTe are values before the leak compensation, VT will be either the value after the leak compensation when the leak compensation is ON, or equals to VTe when the leak compensation is OFF. This function made VG available with the leakage rate 30-60%.
It is described in my previous course “Babylog(R) 8000plus Basic”, when there is a leak with the uncuffed tube, the inspiratory flow would be increased because of leak flow. As the result, the basic line of flow curve will be positioned higher than before. Babylog(R) series adjust this basic line automatically (Zero flow calibration) so that the user does not re-set the trigger sensitivity or termination level even when a leak occur (Figure 2).
Another one is new function which is introduced with VN500. That is “Leak compensation” which compensates the tidal volume while a leak occurs (Figure 3). The delivered volume is equal to the area on the flow curve. When we divide this area by Inspiratory and Expiratory, the area above the basic line is “VTi” and below the basic line is “VTe”. If a leak occurs, the expiratory VT might be underestimated. With the leakage compensation “ON”, the tidal volume measurement would be more precise by re-setting a baseline of the flow curve. As the terminology of this device, various names such as VTi, VTe and VT are used. Though VTi and VTe are values before the leak compensation, VT will be either the value after the leak compensation when the leak compensation is ON, or equals to VTe when the leak compensation is OFF. This function made VG available with the leakage rate 30-60%.
Figure 2 Automatic leakage compensation
(Compensate “trigger sensitivity”, same as Babylog 8000plus)
(Compensate “trigger sensitivity”, same as Babylog 8000plus)
Figure 3 Automatic volume compensation
(Compensates “tidal volume”)
(Compensates “tidal volume”)
Caution
These 2 compensations are difficult to recognize differences. The function which appears in the initial configuration setting in the system setup => general settings for ventilation => Leak compensation means “Leak compensation in VT”. On the condition of switching off this function, “Automatic leak compensation” for trigger sensitivity compensation is still active.
Caution
Under the ATC tab in the system setup screen, there are buttons named “Inspiratory compensation” and “Expiratory compensation”. These buttons are nothing to do with the leak compensation.
Hint
As the terminology, there are “Inspiratory MV”, “Expiratory MV” and “minute volume” for “MV” group. They can be differentiated themselves from each other in the same way as “VT” group. Leakage rate is measured constantly and calculated the average value for 18 seconds. Leakage rate = 100 % x (MVi – MVe) / MVi.
Useful Tips
VG behavior changes according to presence or absence of spontaneous breathing(Figure 4)
VG is the function which automatically adjusts the inspiratory pressure between PEEP and PIP to reach the set tidal volume. This function was described in “Babylog 8000plus Advance course”. In addition to the explanation of the previous course, VG has another unique point to adjust a delivery pressure depends on presence or absence of spontaneous breathing.
Generally, more volume will be delivered during mandatory ventilation mode when a spontaneous breathing is triggered than without any spontaneous breathing. To maintain the same amount of volume with VG, it has to be distinguished between presence and absence of spontaneous breathing; otherwise, Pulmonary hyperinflation or lack of pressure may occur. To avoid them, the inspiratory pressure of VG is adjusted a breath by breath according to each breath of with or without spontaneous breathing.
Generally, more volume will be delivered during mandatory ventilation mode when a spontaneous breathing is triggered than without any spontaneous breathing. To maintain the same amount of volume with VG, it has to be distinguished between presence and absence of spontaneous breathing; otherwise, Pulmonary hyperinflation or lack of pressure may occur. To avoid them, the inspiratory pressure of VG is adjusted a breath by breath according to each breath of with or without spontaneous breathing.
Figure 4
Reference
1)Infinity Acute Care System – Babylog VN500 Instruction for Use (Draeger Medical)
2)Callion NM、et al:Neonatal volume guarantee ventilation: effects of spontaneous breathing, triggered and untriggered inflations、Arch. Dis. Child. Fetal Neonatal Ed、93.2008, 36-39.
2)Callion NM、et al:Neonatal volume guarantee ventilation: effects of spontaneous breathing, triggered and untriggered inflations、Arch. Dis. Child. Fetal Neonatal Ed、93.2008, 36-39.