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Technical Manual

Technical Manual Service
Copyright
© © All Rights Reserved
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Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
2K views184 pages

Technical Manual

Technical Manual Service
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 184

Technical Documentation IPM

Fabius plus
Inhalation Anesthesia Machine

Warning

All servicing and/or test procedures on the


device require detailed knowledge of this docu-
mentation. Use of the device requires detailed
knowledge and observance of the relevant
Instructions for Use.
– This page has been intentionally left blank –

No.0312_0000001949_Publication

2 Fabius plus 5330.450


Table of contents

Table of contents

General 5
1 General notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.1 Notes on use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.2 Copyright and other protected rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.3 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.4 General safety precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Function descriptions 9
1 System overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.2 Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.3 Functional principle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.4 Connections, interfaces, and components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2 Leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.1 System leakage (compliance calculation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.2 Ventilator leakage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.3 Valve test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
3 Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
3.1 Function Description: Manual ventilation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
3.2 Function Description: Spontaneous breathing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
3.3 Function Description: volume/pressure control ventilation mode . . . . . . . . . . . . . . . . . . 20
Function descriptions pneumatic assembly 23
1 Ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
1.1 Safety valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
1.2 Auxiliary air valve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
2 Pneumatic assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
2.1 PEEP/Pmax valve control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
2.2 APL bypass valve control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
3 Function description of the gas box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
4 SORC (Sensitive Oxygen Ratio Controller) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
5 Cosy 2.6 breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
6 Anaesthetic vaporizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
7 Semi-open adapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
7.1 Manual ventilation: General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
7.2 Manual ventilation: Inspiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
7.3 Manual ventilation: Expiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
7.4 Spontaneous breathing: General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
7.5 Spontaneous breathing: Inspiration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
7.6 Spontaneous breathing: Expiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
1.0No.0312_0000001949_Publication

8 Wall-mounted unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
8.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
8.2 Rotation function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Function descriptions electronics 43
1 Control PCB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
2 Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

5330.450 Fabius plus 3


Table of contents

3 Control unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
4 Battery backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
5 FiO2 measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
6 Respiratory Flow Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Annex 51

No.0312_0000001949_Publication

4 Fabius plus 5330.450


General

This chapter contains general notes and definitions that are important for the
use of this documentation.

General 5
1 General notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.1 Notes on use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.2 Copyright and other protected rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.3 Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
1.4 General safety precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
No.0312_0000001949_Publication

5330.450 Fabius plus 5


General
General notes

1 General notes

1.1 Notes on use Read through the following notes thoroughly before applying this documenta-
tion.

Dräger reserves the right to make changes to the device and/or to this docu-
mentation without prior notice. This documentation is intended solely as an
information resource for experts.

1.2 Copyright and other The content of this documentation, in particular its design, text, software,
protected rights technical drawings, configurations, graphics, images, data and their selection
and its composition and any amendments to it ("content") are protected by
copyright. The content must not (in whole or in part) be modified, copied, dis-
tributed, reproduced, republished, displayed, transmitted or sold without the
prior written consent of Dräger.

1.3 Definitions
WARNING!
A WARNING statement provides important information about a potentially
hazardous situation which, if not avoided, could result in death or serious
injury.

CAUTION
A CAUTION statement provides important information about a potentially
hazardous situation which, if not avoided, may result in minor or moderate
injury to the user or patient or in damage to the medical device or other
property.

NOTE
A NOTE provides additional information intended to avoid inconvenience
during operation and/or servicing.

Inspection = Identification of actual condition


Maintenance = Measures to maintain the speci-
fied condition
Repair = Measures to restore specified
condition
Servicing = Inspection, maintenance, repair

1.4 General safety pre- Read through each section thoroughly before beginning servicing. Always
cautions use the correct tools and the specified test equipment. Otherwise the device
may not work correctly or may be damaged.

WARNING!
Improper servicing
If the medical product is not properly serviced, the safety of the patient
No.0312_0000001949_Publication

and/or the operator may be put at risk.


– Have the medical product checked and maintained on a regular basis
by appropriately qualified experts, otherwise the proper functioning of
the device may be compromised.
– Have repairs to the medical product carried out only by personnel who
have undergone product-specific Dräger training.

6 Fabius plus 5330.450


General
General notes

NOTE
Dräger recommends entering into a service contract with DrägerService
and having all repairs likewise carried out by DrägerService.

WARNING!
Replacement parts not certified by Dräger standards
Dräger cannot guarantee or confirm the operational safety of third-party
replacement parts used on the device.
– Use only replacement parts certified to Dräger standards for servicing
of the device, otherwise the proper functioning of the device may be
compromised.
– Pay attention to the „Servicing“ section of the Instructions for Use.

WARNING!
Non-conforming test values
If test values do not conform to specifications, the safety of the patient may
be put at risk.
– Do not put the device into operation if test values do not conform to
specifications.
– Contact your local service organization.

WARNING!
Impermissible modifications to the device
If impermissible modifications are made to the device, the safety of the
patient may be put at risk.
– Do not modify the device without Dräger's permission.

WARNING!
Risk of infection
The device may transmit pathogens following use on the patient.
– Before carrying out any servicing, ensure that the device and its com-
ponents have been handed over by the user cleaned and disinfected.
– Service only cleaned and disinfected devices and device components.

WARNING!
Risk to patients
– Ensure that no patient is connected to the device before starting main-
tenance or repair work.

NOTE
Where reference is made to legislation, regulations and standards, in
respect of devices used and serviced in Germany they are based on the
1.0No.0312_0000001949_Publication

laws of Germany. Users and technicians in other countries must comply


with their national laws and/or international standards.

5330.450 Fabius plus 7


General
General notes

– This page has been intentionally left blank –

No.0312_0000001949_Publication

8 Fabius plus 5330.450


Function descriptions

This chapter contains descriptions of the device's technical functions.

Function descriptions 9
1 System overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.2 Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.3 Functional principle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
1.4 Connections, interfaces, and components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2 Leak test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.1 System leakage (compliance calculation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
2.2 Ventilator leakage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
2.3 Valve test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
3 Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
3.1 Function Description: Manual ventilation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
3.2 Function Description: Spontaneous breathing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
3.3 Function Description: volume/pressure control ventilation mode . . . . . . . . . . . . . . . . . . 20
No.0312_0000001949_Publication

5330.450 Fabius plus 9


Function descriptions
System overview

1 System overview

1.1 Introduction The following text describes the structure, the functional principle, and the
connections of the Fabius plus.

1.2 Design The Fabius plus comprises the following assemblies:


– Display unit and control panel
– Flowmeter block
– Gas inlet block
– Compact breathing system
– Pneumatic assembly
– Ventilator
– Vapor anaesthetic agent vaporizer
– Trolley

1.3 Functional principle The Fabius plus is an inspiratory anaesthetic unit with continuous flow.

The integrated components monitor the airway pressure, the volume, and the
fraction of inspired oxygen.

1.4 Connections, inter-


faces, and compo-
nents

Fig. 1 Front view of Fabius plus

No. Designation
No.0312_0000001949_Publication

1 Compact breathing system


2 Ventilator
3 Interlock Vapor mount
4 O2 flush

10 Fabius plus 5330.450


Function descriptions
System overview

No. Designation
5 Control panel (settings for ventilation parameters and airway
monitoring)
6 Monitor
7 Manometer for pin-index cylinders (O2, N2O)
8 Flowmeter block
9 Valves for fresh-gas metering
10 Trolley

Fig. 2 Rear view of Fabius plus, control box

No. Designation
1 COM1 (serial port)
2 APL (tube connector for APL bypass valve)
3 PEEP (tube connector for PEEP valve)
4 Oxygen sensor connection
5 Positive pressure ventilation (airway pressure connector)
6 Volume sensor (Spirolog sensor)
7 Power cord strain relief
8 Power cord connection (with fuses)
9 ON/OFF switch
10 Battery fuse
1.0No.0312_0000001949_Publication

5330.450 Fabius plus 11


Function descriptions
System overview

Fig. 3 Rear view of Fabius plus, gas inlet block

Item Designation
1 Three vertically-arranged inlets for pipeline gas supply (from top to
bottom: N2O, AIR and O2)
2 Three vertically-arranged inlets for the reserve gas cylinders (from
top to bottom: N2O, AIR and O2) (optional)
3 Pin-index connector for N2O or AIR (optional)
4 Pin-index connector for O2 (optional)

No.0312_0000001949_Publication

12 Fabius plus 5330.450


Function descriptions
Leak test

2 Leak test The „Leck-/Compl-Test” menu screen provides instructions on how to start
the leakage test.

The test starts after the device self-test.

If the measured leak is outside the tolerance range, an appropriate on-screen


message is displayed telling that the system leakage test has failed.

NOTE
With sidestream monitoring, seal off the sampling tube from the Y-piece,
otherwise there will be an additional leak rate of 150 mL/min to
200 mL/min.

2.1 System leakage The „Leck-/Compl-Test” menu prompts the user to do the following:
(compliance calcula- – Close the fresh gas valves.
tion) – Connect the Y-piece.
– Set the Man/Spont valve to „Man“.
– Set the pressure to 40 mbar to 50 mbar.

The motor control moves the piston upward.


– Activate the O2 flush to set a system pressure between 15 mbar and
30 mbar.

The software monitors the airway pressure.


– If the airway pressure is within permissible range, the airway pressure is
then allowed to drop for 15 seconds or by 1.5 mbar.

If no appreciable pressure drop occurred in 15 seconds, the leakage test is


considered „passed“.

If the pressure has decreased significantly (up to 1.5 mbar), the piston will
move upward until the airway pressure has increased 2 mbar, or the piston
has moved upward a specific volume of 160 mL, whichever comes first.

The upward piston movement in mL, divided by the increase in airway pres-
sure yields the system compliance value. This compliance value is used
when calculating the system leak rate only. The system compliance is calcu-
lated in the next step upon completion of the system leakage test.

A system compliance value of up to 6.5 mL/cmH2O (6.5 mL/hPa) is displayed


on-screen with the leak test results as »OK«.

The total time that elapsed between the start of the piston movement and the
transition pressure drop by 1.5 mbar is the time base for the leak calculation.

The result of the „system leakage“ test is displayed.


1.0No.0312_0000001949_Publication

System leak test value Displayed result


[mL/min] [mL/min]
d250 Measured value and "PASS"
251 to 350 Measured value and "FAIL"
>350 >350 and "FAIL"

5330.450 Fabius plus 13


Function descriptions
Leak test

High system leakage, alongside other leakage, may also be caused by a


faulty sum total flowmeter.

2.2 Ventilator leakage The ventilator leakage test is done in a similar way to the system leakage
test:

The PEEP/Pmax valve is used to close off the expiratory part of the pneu-
matic circuit. Only the patient circuit is tested.

The test begins by opening the PEEP valve. Also a check is made to locate
the piston.

If the piston is above the desired starting position the piston is servoed down-
ward.

If the piston is below the desired starting position the piston is servoed
upward.

Then the PEEP valve is closed and so only the ventilator circuit is checked.

The piston is moved upward.

When the airway pressure has reached 30 mbar, the piston is paused at that
position and maintained there by the servo function.

Once the pressure has stabilized, the state changes to „waiting for leak.“

When the airway pressure and ventilator pressure have dropped 1 mbar or
the elapsed waiting time exceeds 20 seconds, the state changes to calcula-
tion of the leak in mL and leak rate in mL/min.

The software detects that the completion state has gone to „Pass“ or „Fail“
and then displays the leakage test results on-screen, or displays an appropri-
ate error message if one of the error conditions is met.

The result of the „ventilator leakage test“ is displayed after each test.

Ventilator leak test value Displayed result


[mL/min] [mL/min]
d150 Measured value and "PASS"
151 to 250 Measured value and "FAIL"
>250 >250 and "FAIL"

2.3 Valve test After completion of the leakage test and compliance test, the auxiliary air
valve, the pressure limiting valve, and the PEEP/Pmax valve are tested.
No.0312_0000001949_Publication

14 Fabius plus 5330.450


Function descriptions
Ventilation modes

3 Ventilation modes

Fig. 4 Function diagram of ventilation modes

Key to all the following ventilation modes

Item Designation
1 Manual breathing bag
2 Fresh gas inlet
3 Fresh gas isolation
4 Ventilator
5 Inspiratory valve
6 Pressure sensor
7 Oxygen sensor
8 Inspiratory tube
9 Y-piece
10 Lung
11 Expiratory tube
12 Flow sensor
13 PEEP/Pmax valve
1.0No.0312_0000001949_Publication

14 Expiratory valve
15 APL bypass valve
16 APL valve
17 Non-return valve
18 Absorber

5330.450 Fabius plus 15


Function descriptions
Ventilation modes

3.1 Function Descrip-


tion: Manual ventila-
tion
Manual ventilation: Gen- During manual ventilation, the APL valve is set to the „MAN“ position. The
eral information safety valve of the ventilator is additionally active. The piston of the ventilator
has moved to the upper end position in order to reduce the ventilator volume.

The item numbers in the following paragraph refer to Fig. 5.

Manual ventilation: Inspira- During inspiration, expiratory valve 14 remains closed. When the operator
tion compresses the breathing bag 1 the gas mixture (expiratory gas and fresh
gas 2) flows through the fresh gas isolation valve 3, the inspiratory valve 5,
the O2 sensor 7, the inspiratory tube 8 and the Y-piece 9 into the patient’s
lung 10. The pressure sensor 6 measures the airway pressure. The ventila-
tion pressure is limited by the APL valve 16. Any excess amount of the gas
mixture flows through the APL valve and the non-return valve 17 to the
anaesthetic gas scavenging system.

Fig. 5 Manual ventilation (inspiration) - Cosy 2.6 breathing system


No.0312_0000001949_Publication

16 Fabius plus 5330.450


Function descriptions
Ventilation modes

Manual ventilation: Expira- During expiration, the inspiratory valve remains closed thus preventing the
tion – Cosy 2.6 breathing expiratory gas from flowing back into the inspiratory branch.
system
The item numbers in the following paragraph refer to Fig. 6.

After releasing the breathing bag 1, the expiratory gas from the lung 10 flows
through the expiratory tube 11, the flow sensor 12, the PEEP/Pmax valve 13,
the expiratory valve 14 and through the absorber 18 into the breathing bag.
At the same time, new fresh gas 2 flows into the manual ventilation bag.

Fig. 6 Manual ventilation (expiration) - Cosy 2.6 breathing system


1.0No.0312_0000001949_Publication

5330.450 Fabius plus 17


Function descriptions
Ventilation modes

3.2 Function Descrip-


tion: Spontaneous
breathing
Spontaneous breathing: A prerequisite for spontaneous breathing is that the patient is supplied with a
General information sufficient amount of fresh gas. The APL valve selector must be set to the
„SPONT“ position. No gas pressure builds up in the compact breathing sys-
tem.

Spontaneous breathing: During inspiration, the expiratory valve remains closed thus preventing
Inspiration rebreathing of expiratory gas containing CO2.

The item numbers in the following paragraph refer to Fig. 7.

The patient inhales the gas mixture (expiratory gas and fresh gas 2) from the
manual ventilation bag 1. The gas mixture flows through the fresh gas isola-
tion valve 3, the inspiratory valve 5, the O2 sensor 7, the inspiratory tube 8
and through the Y-piece 9 into the lung 10. The pressure sensor 6 measures
the airway pressure.

Fig. 7 Spontaneous breathing (inspiration) - Cosy 2.6 breathing system


No.0312_0000001949_Publication

18 Fabius plus 5330.450


Function descriptions
Ventilation modes

Spontaneous breathing: During expiration, the inspiratory valve remains closed thus preventing the
Expiration – Cosy 2.6 expiratory gas from flowing back into the inspiratory branch.
breathing system
The item numbers mentioned in the following paragraphs refer to Fig. 8.

The APL valve 16 is open, irrespective of its pressure setting.

The expiratory gas flows from the lung 10 through the expiratory tube 11, the
flow sensor 12, the PEEP control valve 13, the expiratory valve 14 into the
manual ventilation bag 1. At the same time, new fresh gas 2 flows through the
absorber 18 into the breathing bag.

When the manual ventilation bag is full, any excess gas mixture flows through
the non-return valve 17 into the anaesthetic gas scavenging system.

Fig. 8 Spontaneous breathing (expiration) - Cosy 2.6 breathing system


1.0No.0312_0000001949_Publication

5330.450 Fabius plus 19


Function descriptions
Ventilation modes

3.3 Function Descrip-


tion: volume/pres-
sure control
ventilation mode
Volume control ventilation A prerequisite for volume control ventilation is that the patient is supplied with
mode: General information a sufficient amount of fresh gas.

The APL bypass valve opens in volume ventilation mode, allowing excess
gas to be vented to the scavenging system regardless of the MAN/SPONT
valve setting.

The safety valve of the lung ventilator makes sure that no pressures greater
than 75 cmH2O (mbar) build up in the system.

During ventilation, the pressure limit (Pmax) can be adjusted at the user inter-
face.

Volume/pressure control During inspiration, the PEEP/Pmax valve remains closed. The control pres-
ventilation mode: Inspira- sure present at the PEEP/Pmax valve varies with the set pressure limit
tion (Pmax).

The item numbers mentioned in the following paragraphs refer to Fig. 9.

The pressure generated by the piston 4 of the ventilator closes the fresh gas
isolation valve 3. The gas mixture (expiratory gas and fresh gas 2) flows
through the inspiratory valve 5, the O2 sensor 7, the inspiratory tube 8, and
the Y-piece 9 into the lung 10. The pressure sensor 6 measures the airway
pressure. The ventilation pressure cannot exceed the pressure limit (Pmax)
set on the control box because the PEEP/Pmax valve 13 opens. The fresh
gas then fills the manual ventilation bag 1.

Any excess fresh gas flows through the open APL bypass valve 15, and the
non-return valve 17 into the anaesthetic gas scavenging system.

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Function descriptions
Ventilation modes

Fig. 9 Volume-controlled ventilation (inspiration) - Cosy 2.6 breathing sys-


tem
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Function descriptions
Ventilation modes

Volume/pressure control During expiration, the inspiratory valve remains closed thus preventing
ventilation mode: Expira- rebreathing into the inspiratory branch.
tion
The item numbers mentioned in the following paragraphs refer to Fig. 10.

The expiratory gas from the lung 10 flows through the expiratory tube 11, the
flow sensor 12, the PEEP/Pmax valve 13, the expiratory valve 14, and the
absorber 18 back into the manual ventilation bag 1 mixing with fresh gas 2
also flowing into the manual ventilation bag.

The ventilator's piston 4 moves back drawing the gas mixture needed for the
next inspiration into the piston space.

Any excess fresh gas flows through the open APL bypass valve 15, and the
non-return valve 17 into the anaesthetic gas scavenging system.

Fig. 10 Volume-controlled ventilation (expiration) - Cosy 2.6 breathing sys-


tem
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Function descriptions pneumatic assembly

This chapter contains descriptions of the device's technical functions.

Function descriptions pneumatic assembly 23


1 Ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
1.1 Safety valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
1.2 Auxiliary air valve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
2 Pneumatic assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
2.1 PEEP/Pmax valve control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
2.2 APL bypass valve control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
3 Function description of the gas box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
4 SORC (Sensitive Oxygen Ratio Controller) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
5 Cosy 2.6 breathing system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
6 Anaesthetic vaporizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
7 Semi-open adapter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
7.1 Manual ventilation: General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
7.2 Manual ventilation: Inspiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
7.3 Manual ventilation: Expiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
7.4 Spontaneous breathing: General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
7.5 Spontaneous breathing: Inspiration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
7.6 Spontaneous breathing: Expiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
8 Wall-mounted unit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
8.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
8.2 Rotation function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
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Function descriptions pneumatic assembly
Ventilator

1 Ventilator The ventilator is located in a swing-out compartment at the left side of the
Fabius. The ventilator is connected to the Cosy via a tube. Fresh gas is deliv-
ered to the patient by a piston that is driven by a motor and ball-screw
arrangement. A sight window on the compartment allows the operator to ver-
ify movement of the piston.

Two seals (upper and lower) form a bag-type rolling seal that surrounds the
piston. The pneumatic assembly generates a vacuum between the seal and
the cylinder, to ensure proper operation of the upper seal during piston move-
ment.

During inspiration, the ventilator delivers fresh gas at a given volume, pres-
sure and frequency. These parameters are set at the control panel. Refer to
the instructions for use for details on ventilator settings, displays and controls.

The ventilator motor is controlled by the Control PCB. A light barrier on the
ventilator signals the Control PCB when the piston reaches its lower limit. An
incremental encoder on the motor shaft determines the number of revolutions
and provides piston travel information to the Control PCB.

The ventilator pressure is monitored by a pressure sensor on the Control


PCB. When the auxiliary-air valve on the patient system opens, a fresh gas
low alarm is generated, provided that it has been enabled in the service
mode.

The ventilator pressure sensor is the same type as the one used for measur-
ing airway pressure. The ventilator pressure is picked up at the ventilator
cover. This sensor allows the software to detect a fresh gas low situation. In
normal use the primary cause for this condition is an insufficient amount of
reserve gas in the manual breathing bag. The operator is alerted when this
condition exists, with a medium priority „FRESH GAS LOW“ alarm. This
alarm can be disabled in service mode.

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Function descriptions pneumatic assembly
Ventilator

Fig. 11 Ventilator (piston shown in ‘down’ position)

Item Designation
1 Ventilator housing
2 Safety valve
3 Auxiliary air valve
4 Ventilator pressure sensor line
5 Vacuum line to the pneumatic assembly
6 Upper seal
7 Piston
8 Lower seal
9 Motor/ballscrew assembly
10 Incremental encoder
11 Light barrier
1.0No.0312_0000001949_Publication

The top of the ventilator assembly (patient system) contains two valves:

5330.450 Fabius plus 25


Function descriptions pneumatic assembly
Ventilator

1.1 Safety valve If the pressure limit control fails, the ventilator's safety valve limits the gas
pressure. This valve opens at approximately 75 cmH2O (mbar).

Fig. 12 Sectional view of the safety valve

Item Designation
1 Screw
2 Spring
3 Crater
4 Washer
5 Valve disk

1.2 Auxiliary air valve The auxiliary air valve allows infeed of ambient air if the fresh gas supply is
inadequate or the medical gas supply and/or the Fabius fail(s). The opening
pressure of this valve is -8 mbar.

Fig. 13 Sectional view of the auxiliary air valve

Item Designation
No.0312_0000001949_Publication

1 Threaded ring
2 Valve disk
3 Valve cross with spring
4 Connecting screw

26 Fabius plus 5330.450


Function descriptions pneumatic assembly
Pneumatic assembly

2 Pneumatic assembly The pneumatic assembly provides pressure for the PEEP valve control, and
also provides vacuum for the ventilator bag-type rolling seals and the APL
bypass valve control.

2.1 PEEP/Pmax valve When the Fabius is operating in automatic mode, the pump on the pneumatic
control assembly is running and the electronic PEEP valve is actuated by the Control
PCB. The current supplied to the coil of the electronic PEEP valve is propor-
tional to the set PEEP value, and controls the position of the diaphragm
within the electronic PEEP valve. This then determines the control pressure
applied to the proportional PEEP valve in the breathing system, which main-
tains the desired amount of PEEP during patient expiration. The volume V1+
V2 smoothes out pressure fluctuations caused by the pump on the pressure
side. See Fig. 14.

Fig. 14 Schematic of the pneumatic control


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Function descriptions pneumatic assembly
Pneumatic assembly

2.2 APL bypass valve When the Fabius is operating in automatic ventilation mode, the pneumatic
control assembly provides a vacuum signal to hold open the APL bypass valve in the
compact breathing system.

The volume V2 smoothes out pressure fluctuations on the intake side (old
version). The fixed metering smoothes out pressure fluctuations (new ver-
sion). The filter provides noise damping.

The variable restrictor is used to set the negative pressure level in a range of
–150 mbar (cmH2O) to –240 mbar (cmH2O).

When the device is operating in manual ventilation mode, the pump on the
pneumatic assembly (and the ventilator) is stopped, and the spring-loaded
APL bypass valve in the breathing system closes, directing exhaled gas
through the APL valve.

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Function descriptions pneumatic assembly
Function description of the gas box

3 Function descrip- The supply gases flow through the filters and non-return valves in the gas
tion of the gas box inlet assembly. Pipeline supply pressures are indicated on pipeline manome-
ters located on the flowmeter assembly. Cylinder manometers are located on
the trolley assembly. The pressures of O2 and N2O delivered to the flowme-
ter assembly are set by regulators on the gas inlet assembly.

If the O2 supply fails or its pressure decreases below a certain limit, the O2
low alarm switch generates an alarm.

Fig. 15 Gas box function diagram, part 1

If the O2 flush key is pressed, oxygen is delivered to the fresh gas outlet. The
fresh gas ejector prevents the fresh gas from flowing back into the anaes-
thetic vaporizer. This avoids an increase in anaesthetic gas concentration.
1.0No.0312_0000001949_Publication

Fig. 16 Gas box function diagram, part 2

5330.450 Fabius plus 29


Function descriptions pneumatic assembly
SORC (Sensitive Oxygen Ratio Controller)

4 SORC (Sensitive The SORC is a control element. The SORC makes sure the fresh gas always
Oxygen Ratio Con- contains a vital O2 concentration.
troller)
In the event of an O2 shortage, the SORC limits the N2O flow such that the
O2 concentration in the fresh gas does not decrease below 21 vol.%.

If the O2 flow control valve is closed or if the O2 flow is lower than or equal to
200 mL/min, the SORC interrupts the N2O flow.

N2O can be added as of an O2 flow of approx. 300 mL/min. In this case, the
SORC also prevents O2 concentrations below 21 vol.%.

The SORC bypass valve allows the oxygen to bypass the resistor in the
SORC when O2 flows above 10 L/min are needed.

Fig. 17 SORC function diagram, part 1

The O2 and N2O flows are adjusted with the flow control valves.

Resistors located at the outlets of the SORC generate back-pressures. These


back-pressures exert a force on the control diaphragms of the SORC. The O2
back-pressure opens the SORC. The N2O back-pressure closes the SORC.
The pressure ratio at the control diaphragm affects the N2O flow.

The resistors and the spring force are dimensioned such that a minimum con-
centration of 21 vol.% of O2 is always ensured. The maximum O2 flow is
approx. 12 L/min.
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Function descriptions pneumatic assembly
SORC (Sensitive Oxygen Ratio Controller)

Fig. 18 SORC function diagram, part 2

Item Designation
1 Control diaphragms
2 Resistors
3 N2O non-return valve
4 Operating-point adjusting screw
5 Flow control valves
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Function descriptions pneumatic assembly
Cosy 2.6 breathing system

5 Cosy 2.6 breathing The Cosy 2.6 breathing system is a semi-enclosed system.
system
Using a semi-open adapter, the Cosy 2.6 can be turned into a semi-open
breathing system.

On the Cosy 2.6 the absorber is between the manual breathing bag and the
fresh gas connector.

The Cosy 2.6 breathing system allows three modes of patient ventilation:
– manual ventilation and spontaneous breathing
– volume control ventilation
– pressure control ventilation

On APL valves with rotary knob, switching from „IPPV/SPONT“ to „MAN“ is


carried out by turning the knob.

In the „MAN“ position, the breathing system is closed to atmosphere. This


position is used for manual ventilation of the patient. The APL valve opening
pressure can be adjusted from 5 to 70 mbar.

In the „SPONT“ switch position the APL valve is open to atmosphere. This
position is used for spontaneous breathing.

Using the control box and the PEEP/Pmax valve, the pressure limit (Pmax)
can also be adjusted during volume controlled ventilation between 15 and
70 mbar via the keypad.

The absorber canister is filled with fresh soda lime. The CO2 is scrubbed
from the expiratory gas by the soda lime.

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Function descriptions pneumatic assembly
Cosy 2.6 breathing system

Fig. 19 Cosy 2.6 breathing system

Item Designation
1 Inspiratory connection
2 Pressure sensor connection (not visible)
3 Inspiratory valve and O2 sensor connection
4 Fresh gas isolation valve
5 APL bypass valve
6 PEEP/Pmax valve
7 MAN/SPONT APL valve
8 Anaesthesia monitor return line (only for systems outside the
USA)
9 Fresh gas port
10 Ventilator connection
11 Anaesthetic gas scavenging port
1.0No.0312_0000001949_Publication

12 Absorber
13 Breathing bag terminal and standby holder for Y-piece
14 Breathing bag hook
15 Flow sensor (Spirolog) (not shown)
16 Expiratory connection

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Function descriptions pneumatic assembly
Cosy 2.6 breathing system

Item Designation
17 Expiratory valve

Fig. 20 Function diagram of Fabius – Cosy 2.6 breathing system


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Function descriptions pneumatic assembly
Anaesthetic vaporizer

6 Anaesthetic vapor- Refer to separate technical documentation of the anaesthetic vaporizer.


izer
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Function descriptions pneumatic assembly
Semi-open adapter

7 Semi-open adapter The semi-open adapter is used in conjunction with the Cosy 2.6 patient sys-
tem.

7.1 Manual ventilation: The item numbers mentioned in the following paragraphs refer to Fig. 21.
General information
During manual ventilation, the APL valve 10 is set to the „MAN“ position. The
safety valve of the ventilator 4 is additionally active. The ventilator's piston
has moved to a lower position.

7.2 Manual ventilation: When the operator compresses the breathing bag 1 the gas mixture (expira-
Inspiration tory gas and fresh gas 2) flows through the fresh gas decoupling valve 3, the
inspiratory valve 5 and the O2 sensor 7 into the patient’s lung 8.

The pressure sensor 6 measures the airway pressure. The pressure exerted
on the manual breathing bag 1 closes the exhaust gas scavenging line in the
semi-open adapter 12. The ventilation pressure is limited by the APL valve
10. Any excess amount of the gas mixture flows through the APL valve 10
into the anaesthetic gas scavenging system 11.

Fig. 21 Manual ventilation, inspiration


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Function descriptions pneumatic assembly
Semi-open adapter

7.3 Manual ventilation: The item numbers mentioned in the following paragraphs refer to Fig. 22
Expiration
During expiration, the inspiratory valve 3 remains closed thus preventing the
expiratory gas from flowing back into the inspiratory branch.

After releasing the breathing bag 1, the expiratory gas from the lung 4 flows
through the flow sensor 5, the PEEP/Pmax valve 6, the expiratory valve 7
and anaesthetic gas scavenging line of the semi-open adapter 11. At the
same time, new fresh gas 2 flows into the manual breathing bag 1.

Fig. 22 Manual ventilation, expiration


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Function descriptions pneumatic assembly
Semi-open adapter

7.4 Spontaneous brea- The item numbers mentioned in the following paragraphs refer to Fig. 23.
thing: General infor-
mation A prerequisite for spontaneous breathing is that the patient is supplied with a
sufficient amount of fresh gas. The switch of the APL valve 11 must be set to
„SPONT“. No gas pressure builds up in the compact breathing system.

The piston of the ventilator 4 is at a lower position.

7.5 Spontaneous brea- During inspiration, the expiratory valve 10 remains closed thus preventing
thing: Inspiration rebreathing of expiratory gas containing CO2.

The patient inhales the gas mixture and fresh gas 2 from the manual brea-
thing bag 1. The gas mixture flows through the fresh gas decoupling valve 3,
the inspiratory valve 5 and the O2 sensor 7 into the lung 8. The pressure sen-
sor 6 measures the airway pressure.

Any excess amount of the gas mixture flows into the anaesthetic gas scav-
enging system 12 and13.

Fig. 23 Spontaneous breathing, inspiration


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Function descriptions pneumatic assembly
Semi-open adapter

7.6 Spontaneous brea- The item numbers mentioned in the following paragraphs refer to Fig. 24.
thing: Expiration
During expiration, the inspiratory valve 4 remains closed thus preventing the
expiratory gas from flowing back into the inspiratory branch.

The APL valve 10 is open. The expiratory gas flows from the lung 5 through
the flow sensor 6, the PEEP control valve 7, the expiratory valve 8 and the
semi-open adapter 12. At the same time, new fresh gas 2 flows into the man-
ual breathing bag 1.

When the manual breathing bag is full, any excess gas mixture flows through
the semi-open adapter 12 into the anaesthetic gas scavenging system 11.

Fig. 24 Spontaneous breathing, expiration


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Function descriptions pneumatic assembly
Wall-mounted unit

8 Wall-mounted unit The wall version of the Fabius plus does not include the trolley.

Fabius plus is mounted on a carrier plate. The carrier plate is attached by a


dovetail to a wall bracket.

An earthing cable and earthing pin provide the potential equalization.

8.1 Introduction The following describes the rotation function of the wall-mounted unit.

8.2 Rotation function

Fig. 25 Position of locking lever on rear of unit

1. To enable the unit to be rotated, turn the locking lever on the rear of the
unit 180° clockwise.
2. Rotate the unit left or right as desired, but not by more than 90°.
3. Make sure no cable or tubing is squeezed in the process.

Fabius plus can be used when set to the desired position.


4. On completing work, rotate Fabius plus back to its home position.
5. Turn the locking lever 180° anti-clockwise.
No.0312_0000001949_Publication

Fig. 26 Lock catch recess (1)

40 Fabius plus 5330.450


Function descriptions pneumatic assembly
Wall-mounted unit

6. Make sure the lock catch is engaged.

The unit is secure in this position.


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Function descriptions pneumatic assembly
Wall-mounted unit

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Function descriptions electronics

This chapter contains descriptions of the device's technical functions.

Function descriptions electronics 43


1 Control PCB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
2 Electrical block diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
3 Control unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
4 Battery backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
5 FiO2 measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
6 Respiratory Flow Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
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Function descriptions electronics
Control PCB

1 Control PCB The Control PCB contains the following functions:


– Motor control and monitoring
– Measurement of O2 and flow parameters
– Provision of one or two serial interfaces
– Evaluation of the O2 low signal
– PEEP valve control
– Pump control
– Front panel display control
– Evaluation of keypad and rotary encoder
– The required supply voltages are supplied by the power supply unit.

Fig. 27 Controller functional block diagram


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Function descriptions electronics
Electrical block diagram

2 Electrical block dia-


gram

Fig. 28 Electrical block diagram


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Function descriptions electronics
Control unit

3 Control unit The control panel comprises a graphical display, a membrane keypad, a
rotary encoder and a loudspeaker.

Data and power for the display comes from the Control PCB via a 20-conduc-
tor ribbon cable. The keypad interface is connected to the Control PCB by a
30-conductor ribbon cable. A block diagram of the control panel assembly is
shown in the following illustration.

Fig. 29 Control panel block diagram

Fig. 30 Fabius control unit („Standby” screen shown)

Item Function
1 Selects volume controlled ventilation mode

Refer to instructions for use


2 Selects pressure controlled ventilation mode

Refer to instructions for use


No.0312_0000001949_Publication

3 Pressure Support option


4 SIMV option
6 Switches the ventilator to MAN/SPONT mode

Refer to instructions for use

46 Fabius plus 5330.450


Function descriptions electronics
Control unit

Item Function
7 Programmable keys: Activate the corresponding function that
appears on screen above the key
8 For setting alarm limits

Refer to instructions for use


9 Setup key: Activates sub-screens for monitoring functions.

Refer to instructions for use


10 Home key: Returns display to main screen shown before standby
11 Rotary encoder: Moves the cursor on the screen; confirms selec-
tion when pressed
12 Alarm status indicators:

Flashing red: Warning; flashing yellow: Caution; solid yellow: Note


13 Alarm silence key: Silences all active alarms for two minutes
14 Power ON indicator: Lighted when device is plugged into an active
mains outlet
15 Switches the unit back to standby mode
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Function descriptions electronics
Battery backup

4 Battery backup The Fabius backup power is provided by two series-connected, 12-V
rechargeable batteries. These batteries remain on charge as long as the
device is connected to a live mains supply. Should power supply fail while the
device is in operation, the batteries will allow the device to continue operating
for a minimum of 45 minutes, provided that the batteries are fully charged.

The batteries are located inside the control box. The 3.15 A battery fuse is
located at the rear of the control box.

Fig. 31 Battery backup arrangement

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Function descriptions electronics
FiO2 measurement

5 FiO2 measurement The O2 sensor measures the O2 concentration in the respiratory gas (FiO2).

The O2 sensor contains a capsule with alkaline electrolyte, a lead anode, two
gold cathodes, and a Teflon membrane. The spatial separation of the two
gold cathodes allows to carry out a voltage comparison.

The O2 sensor is an electrochemical cell that generates a voltage from the


ion current.

Fig. 32 O2 sensor

Item Designation
1 Teflon membrane
2 Gold cathode A
3 Lead anode
4 Temperature compensation resistors
5 Alkaline electrolyte
6 Gold cathode B

The O2 to be measured diffuses through the Teflon membrane, undergoes a


chemical reaction at the gold cathodes (negative) and produces lead oxide
and water at the lead anode (positive). During this chemical process, a volt-
age is generated that is proportional to the O2 partial pressure.

The internal resistance of the cell is determined by the surface of the gold
cathodes, the O2 diffusion velocity, and the distance between the gold cath-
odes and the lead anode. This resistance is approximately 700 ohms.

The chemical process is temperature-sensitive. Therefore, compensation


resistors are connected in parallel to the O2 sensor. These resistors and the
internal resistor of the O2 sensor correct the measuring voltage. Since two
cathodes are used in the O2 sensor cell, two different voltages are gener-
1.0No.0312_0000001949_Publication

ated. These voltages are compared with each other. If their difference
exceeds a certain value, the device prompts the operator to check the cell.

If the O2 sensor fails, the control box will indicate an error on the graphics
display.

5330.450 Fabius plus 49


Function descriptions electronics
Respiratory Flow Measurement

6 Respiratory Flow The flow sensor functions according to the constant temperature hot-wire
Measurement anemometer principle. Respiratory gas flows past a thin platinum wire. This
platinum wire (Fig. 33/A) is located in a measuring tube and is electrically
heated. The platinum wire is held at a constant temperature. Gas flow
removes heat from the hot wire. The higher the gas flow rate, the greater the
heat removal. The amount of electrical current needed to maintain a constant
platinum wire temperature is thus proportional to the gas flow rate.

A second platinum wire (Fig. 33/B) in the measuring tube is used to compen-
sate for interference from different gases present in the respiratory gas. The
heat removed from the second platinum wire is measured during inspiration
when the gas flow is zero.

The different gases present in the respiratory gas have a different thermal
conductivity. The amount of heat removed from the second platinum wire is
thus an indicator of respiratory gas composition.

Internal calibration tables for O2/N2O mixtures, Air and 100% O2 are used to
linearize the measured flow.

Fig. 33 Respiratory flow sensor

Item Designation
„A“ Platinum wire „A“
„B“ Platinum wire „B“

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Annex

Parts catalog

This chapter contains a list of the device's orderable parts.

Test Instructions

This chapter contains the measures required to determine the actual condi-
tion of the device.

Annex 51
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Parts catalog

Fabius plus

Revision: 06
2010-06-11
5330.450

1/70
Parts catalog
Maintenance parts/Service kits

Item Order No. Description Qty. Qty.unit Remark


No.
Option, Drägersorb Clic 1.000 St
8413666 Pressure regulator 1.000 St
2M08777 O-RING SEAL 1.000 St
M23225 VALVE DISK 1.000 St
6850645 O2-Sensor (Capsule) 1.000 St
8403735 Spirolog Flow Sensor (5x) 1.000 St
1190520 HOSE 4X1,5-SI 50 SH A NF 1.000 m
M33294 FILTER 1.000 St
Sets and spare parts 1.000 St
8607055 Hose Asm PEEP-Pmax-APL Byp LH 1.000 St
Fabius GS(APL By-A ), 2-yearly 1.000 St
Fabius GS(APL By-N ), 2-yearly 1.000 St
Fabius GS, 3-yearly 1.000 St
Fabius GS, yearly 1.000 St
MX08834 Filter (37 mm) 1.000 St
Fabius GS, no Batt.,3-yearly 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

2/70
Parts catalog
Option, Drägersorb Clic

Item Order No. Description Qty. Qty.unit Remark


No.
1 MX08000 set gaskets annually 1.000 St
2 MX08001 Set gaskets biennial 1.000 St
3 M36045 set seals adapter annually 1.000 St
4 M35381 Set seals adapter biennial 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

3/70
Parts catalog
Sets and spare parts

Item Order No. Description Qty. Qty.unit Remark


No.
1 MP00106 E-Set G1/8 1.000 St
2 MX08060 SET OF LABELS 1.000 St
3 MX08649 Pressure-reducing valve 1.000 St
4 MX08653 E-set gasket 1.000 St
5 MX08654 Kit O-Ring ( Bady-Angle) 1.000 St
6 MX08158 REP.SET GASKET/C (USA) 1.000 St
7 MX08047 E-SET BASEOVERHAUL 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

4/70
Parts catalog
Fabius GS(APL By-A ), 2-yearly

Item Order No. Description Qty. Qty.unit Remark


No.
1 MX08833 FabiusGS SerSet 2y (APL By-A) 1.000 St
2 U04314 O-RING SEAL 4.000 St
3 2600650 Diaphragm, cup 1.000 St
4 8404065 GASKET 1.000 St
5 8603780 DIAPHRAGM 1.000 St
6 8410181 DIAPHRAGM 1.000 St
7 8407979 SEALING WASHER 1.000 St
8 8603781 SEALING WASHER 1.000 St
9 8604105 Valve disk 1.000 St
10 8402868 BACTERIA FILTER 2.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

5/70
Parts catalog
Fabius GS(APL By-N ), 2-yearly

Item Order No. Description Qty. Qty.unit Remark


No.
1 MX08832 FabiusGS ServSet 2y (APL By-N) 1.000 St
2 U04314 O-RING SEAL 4.000 St
3 2600650 Diaphragm, cup 1.000 St
4 8603781 SEALING WASHER 1.000 St
5 8404065 GASKET 1.000 St
6 8604105 Valve disk 1.000 St
7 8603780 DIAPHRAGM 2.000 St
8 8410181 DIAPHRAGM 1.000 St
9 8407979 SEALING WASHER 1.000 St
10 M23225 VALVE DISK 1.000 St FGE valve new
11 8402868 BACTERIA FILTER 2.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

6/70
Parts catalog
Fabius GS, 3-yearly

Item Order No. Description Qty. Qty.unit Remark


No.
1 MX08153 Fabius GS ServSet (3 year) 1.000 St Set kompl.
2 2600650 Diaphragm, cup 1.000 St
3 8402868 BACTERIA FILTER 1.000 St
4 8604831 O-RING 105 x 4 1.000 St
5 1866249 Batterie,Lithium 3V/260mAh 1.000 St
6 8404065 GASKET 1.000 St
7 U04314 O-RING SEAL 4.000 St
8 1841416 Lead-acid battery 12V/3.5AH 2.000 St
9 2600651 Diaphragm, Pisten 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

7/70
Parts catalog
Fabius GS, yearly

Item Order No. Description Qty. Qty.unit Remark


No.
1 MX08152 Fabius GS ServSet (1 year) 1.000 St Set kompl.
2 2600650 Diaphragm, cup 1.000 St
3 8404065 GASKET 1.000 St
4 8402868 BACTERIA FILTER 1.000 St
5 U04314 O-RING SEAL 4.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

8/70
Parts catalog
Fabius GS, no Batt.,3-yearly

Item Order No. Description Qty. Qty.unit Remark


No.
1 MX08856 Fabius GS ServSet w/o Batt. 3y 1.000 St
2 2600650 Diaphragm, cup 1.000 St
3 8402868 BACTERIA FILTER 2.000 St
4 8604831 O-RING 105 x 4 1.000 St
5 8404065 GASKET 1.000 St
6 U04314 O-RING SEAL 4.000 St
7 1841416 Lead-acid battery 12V/3.5AH 2.000 St
8 2600651 Diaphragm, Pisten 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

9/70
Parts catalog
Cosy2 holder

Item Order No. Description Qty. Qty.unit Remark


No.
1190520 HOSE 4X1,5-SI 50 SH A NF 1.000 m
8606184 Hose Asm-Fresh Gas-Fab GS 1.000 St
pressure
1 8604652 Patient Airway Gauge 1.000 St gauge,complete, old
version
2 MK02757 Pressure gauge 1.000 St
3 8607348 Arm 400 compl. 1.000 St
4 8402868 BACTERIA FILTER 1.000 St
5 6800187 T-SOCKET 1.000 St
6 8607347 Arm 200 compl 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

10/70
Parts catalog
Vapor,plug-in con.,double,auto

Item Order No. Description Qty. Qty.unit Remark


No.
1 1334514 SCREW AM2X4 DIN 963-A4 1.000 St
1-11 8605491 Double Vapor Mount Assy 1.000 St
2 M28935 Cam-lock 1.000 St
3 2600084 Plug of pin 1.000 St
4 U04314 O-RING SEAL 1.000 St
5 2600085 Tappet 1.000 St
6 M30751 Spring 1.000 St
7 M31692 VALVE SEAT RING 1.000 St
8 1298844 KUGEL 1.000 St
9 M30754 Spring 1.000 St
10 M34352 Label 1.000 St
11 8605662 Label 3 Vapor Mt Option FabGS 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

11/70
Parts catalog
Vapor, plug-in connector S

Item Order No. Description Qty. Qty.unit Remark


No.
1 M30748 Plug of pin 1.000 St
1-10 M35115 Double plug-in connector S 1.000 St
2 1202537 SILICO.GLUE ELASTOSIL E41 RoHS 1.000 St
3 M30749 Tappet 1.000 St
4 U04314 O-RING SEAL 1.000 St
5 1298844 KUGEL 1.000 St
6 1198165 THREADLOCKER LOCTITE 270 RoHS 1.000 St
7 M35121 Button 1.000 St
8 1330535 SCREW DIN 84-AM2,5X6-A4 1.000 St
9 M35122 S-SPRING 1.000 St
10 M31692 VALVE SEAT RING 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

12/70
Parts catalog
Vapor, plug-in connector

Item Order No. Description Qty. Qty.unit Remark


No.
0 M30176 L-SCREW-IN CONNECTION 1.000 St ohne Abbildung/item
not shown;
0 M31603 THRUST COLLAR 6, WHITE 1.000 St ohne Abbildung/item
not shown;
0 M31601 THRUST COLLAR 6 BLACK 1.000 St ohne Abbildung/item
not shown;
0 M30078 Reducerppiece 1.000 St ohne Abbildung/item
not shown;
1 M33065 Support 1.000 St
2 M35194 Warning label 1.000 St
3 M28935 Cam-lock 1.000 St
4 M30748 Plug of pin 1.000 St
5 1202537 SILICO.GLUE ELASTOSIL E41 RoHS 1.000 St
6 M30749 Tappet 1.000 St
7 M31692 VALVE SEAT RING 1.000 St
8 1298844 KUGEL 1.000 St
9 U04314 O-RING SEAL 1.000 St
10 M27266 COUPLING 1.000 St
11 A10594 SPRING 1.000 St
12 1270621 BALL 4 MM III DIN 5401-X45CR13 1.000 St
13 M27143 PIN 1.000 St
14 M27142 Pin 1.000 St
15 1334514 SCREW AM2X4 DIN 963-A4 1.000 St
16 M34352 Label 1.000 St
17 M34333 Double plug-in connector 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

13/70
Parts catalog
Vapor,plug-in con.,triple,auto

Item Order No. Description Qty. Qty.unit Remark


No.
1 1334514 SCREW AM2X4 DIN 963-A4 1.000 St
2 M28935 Cam-lock 1.000 St
3 2600084 Plug of pin 1.000 St
4 U04314 O-RING SEAL 1.000 St
5 2600085 Tappet 1.000 St
6 M30751 Spring 1.000 St
7 M31692 VALVE SEAT RING 1.000 St
8 1298844 KUGEL 1.000 St
9 M30754 Spring 1.000 St
10 8605662 Label 3 Vapor Mt Option FabGS 1.000 St
11 M34352 Label 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

14/70
Parts catalog
gas box

Item Order No. Description Qty. Qty.unit Remark


No.
1 8604889 hose asm-fresh gas-fab gs 1.000 St
2 8606409 Hose asm-fresh gas-tiro rhs 1.000 St
3 M30953 ANGLE CONNECTION 1.000 St
4 1210157 HOSE 2,7X0,65 PAE WHITE 1.000 m
5 M31602 THRUST COLLAR 4, WHITE 1.000 St
6 M30952 PLUG-TYPE CONNECTION 1.000 St
7 M31774 O2 Flush Assembly 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

15/70
Parts catalog
Flowmeter block

Item Order No. Description Qty. Qty.unit Remark


No.
1 8604156 PRESSURE GAUGE 1.000 St
1 M33402 PRESSURE GAUGE 1.000 St
2 2603547 Measuring Tube N2O (0,02 to 0,5L/min) 1.000 St
3 2603546 Measuring Tube N2O (0,55 to 10L/min) 1.000 St
4 M24901 CAP 1,BLUE 1.000 St
5 M26205 CAP 1,BLACK-WHITE 1.000 St
6 M31954 CONTROL KNOB ISO, WITHOUT CAP 1.000 St
7 M25146 CAP,WHITE 1.000 St
8 2603549 Measuring Tube O2 (0,02 to 0,5L/min) 1.000 St
9 2603548 Measuring Tube O2 (0,55 to 12L/min) 1.000 St
10 2603545 Measuring Tube AIR (0,2 to 12L/min) 1.000 St
11 M34329 O-RING SEAL 1.000 St
12 M12928 SPRING 1.000 St
13 M21683 SAFETY VALVE 1.000 St
14 M30297 PANE 1.000 St
15 2600321 Slow motion valve component 1.000 St
16 M30935 ANGLE CONNECTION 1.000 St
17 M30937 THRUST COLLAR 4, BLUE 1.000 St
18 M32940 S-ORC 1.000 St
19 E20274 O-ring 1.000 St
20 M30960 PLUG-TYPE CONNECTION 1.000 St
21 M31603 THRUST COLLAR 6, WHITE 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

16/70
Parts catalog
Flowmeter block

Item Order No. Description Qty. Qty.unit Remark


No.
17 M30937 THRUST COLLAR 4, BLUE 1.000 St
22 M30952 PLUG-TYPE CONNECTION 1.000 St
23 M31602 THRUST COLLAR 4, WHITE 1.000 St
24 M30963 THRUST COLLAR 4, BLACK 1.000 St
25 M30953 ANGLE CONNECTION 1.000 St
26 M28816 SCREW-IN CONNECTION 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

17/70
Parts catalog
Flowmeter block

Item Order No. Description Qty. Qty.unit Remark


No.
27 M25147 CAP 1,GREEN 1.000 St
28 M25797 CAP 1,YELLOW 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

18/70
Parts catalog
Control box

Item Order No. Description Qty. Qty.unit Remark


No.
2605133 Power Supply PCB Cable 1.000 St
2605138 Equipotential Connection Cable 1.000 St
1 pneumatic 1.000 St
2 8604607 Power-Supply 1.000 St
3 Rear panel 1.000 St
4 2605131 RS 232 Cable 1.000 St cable w/o filter
4 8607241 pba COM-filter 1.000 St cable with filter
5 2605134 O2 Interface Cable 1.000 St
6 1832662 Fuse holder with cap RoHS 1.000 St
6A 1815121 FUSE LINK T2,5A DIN41662 1.000 St
6B 1815148 FUSE LINK DIN 41662 T3,15A 1.000 St
7 2605132 Power Switch Cable 1.000 St
8 8604567 Recept-AC-Dbl Fuse-Line-Filter 1.000 St
9 1841416 Lead-acid battery 12V/3.5AH 1.000 St
10 2605135 Charge Capacitors Cable 1.000 St
11 1866249 Batterie,Lithium 3V/260mAh 1.000 St
12 8606491 pba LP Steuerung 1.000 St
13 2605107 Ribbon 20 Cond Cable 1.000 St
14 8608014 Spare part front panel 1.000 St
15 2605106 Ribbon 30 Cond Keyboard-Cable 1.000 St
16 1845845 SHAFT ENCODER 24POS 1.000 St
17 M29655 CONTROL KNOB 1.000 St
18 8607102 Display Fabius complete 6,5 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

19/70
Parts catalog
pneumatic

Item Order No. Description Qty. Qty.unit Remark


No.
1 1207679 HOSE 1.000 m
2 1190520 HOSE 4X1,5-SI 50 SH A NF 1.000 m
3 8604507 restrictor-variable 1/4 barb 1.000 St
4 8604533 manifold plate 1.000 St plate without
connectors/ old
5 8402868 BACTERIA FILTER 1.000 St old
6 2600573 Peep-valve assembly 1.000 St
7 8604247 muffler 1.000 St
8 8604532 gasket 1.000 St
9 8604844 bracket-mtg-pump adapter 1.000 St
10 1343068 Screw M3X8 DIN7985 1.000 St
11 8604842 pump assembly 1.000 St
12 1180614 HOSE 2X1-SI NF M17749 1.000 m
13 2600569 Damper Device 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

20/70
Parts catalog
Rear panel

Item Order No. Description Qty. Qty.unit Remark


No.
8607241 pba COM-filter 1.000 St cable with filter
2605138 Equipotential Connection Cable 1.000 St
1 8604753 Cable asm-flow sensor 1.000 St
2 2605131 RS 232 Cable 1.000 St cable w/o filter
3 2605134 O2 Interface Cable 1.000 St
4 1832662 Fuse holder with cap RoHS 1.000 St
4A 1815121 FUSE LINK T2,5A DIN41662 1.000 St
4B 1815148 FUSE LINK DIN 41662 T3,15A 1.000 St
5 2605132 Power Switch Cable 1.000 St
6 8604567 Recept-AC-Dbl Fuse-Line-Filter 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

21/70
Parts catalog
Gas block

Item Order No. Description Qty. Qty.unit Remark


No.
8606469 cable asm-O2 pressure 1.000 St without illustration
1 M32773 PILOT VALVE, CPL. 1.000 St
2 8413666 Pressure regulator 1.000 St
3 8607146 Pressure switch 1.000 St
4 M09361 TOROIDAL SEALING RING 1.000 St
5 1328689 CHEESE HEAD SCREW AM3X10 1.000 St
6 AF00352 O-RING SEAL 1.000 St
7 8602842 Housing O2,NIST 1.000 St
8 8602843 Housing N2O, NIST 1.000 St
9 8602844 Housing AIR, NIST 1.000 St
10 M19238 MESH BOTTOM 1.000 St
11 1285599 CIRCLIP 14X1 DIN472-X35CRMO17 1.000 St
12 AF00220 CUFF 1.000 St
13 M30430 O-ring 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

22/70
Parts catalog
Ventilator

Item Order No. Description Qty. Qty.unit Remark


No.
1 2600680 SAFETY VALVE 1.000 St
3 2605139 Light Barrier Cable 1.000 St
4 2605143 Incrementer_Cable 1.000 St
5 M09362 TOROIDAL SEALING RING 1.000 St
6 8605918 Auxiliary air valve 8mbar 1.000 St
7 2600650 Diaphragm, cup 1.000 St
8 2600639 Piston 1.000 St
9 8607211 Ventilator asm 1.000 St SW > 3.11 necessary
10 8604831 O-RING 105 x 4 1.000 St
11 2600651 Diaphragm, Pisten 1.000 St
12 2603587 CATCH ROTORY 1.000 St
14 2600771 Window 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

23/70
Parts catalog
Ventilator

Item Order No. Description Qty. Qty.unit Remark


No.
15 8404065 GASKET 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

24/70
Parts catalog
Breathing system COSY 2.6

Item Order No. Description Qty. Qty.unit Remark


No.
0 1340026 Pan-head screw M5X20 DIN912 1.000 St
ohne
Abbildung/without
0 1866273 Fuse link T2.5AH 1.000 St illustration, Sicherung
für Heizung/fuse for
heating
1 4115265 PLUG ASM-O2 SENSOR-BAIN CIRC 1.000 St
2 M30453 Union nut 1.000 St
3 8604344 Dome 1.000 St
4 M09230 CONTROL GLASS 1.000 St
5 M09231 PACKING RING 1.000 St
6 M23225 VALVE DISK 1.000 St
7 2600734 Locking Screw 1.000 St
8 8603336 O-RING SEAL 1.000 St
9 M17450 SPRING CROSS 1.000 St
10 8604105 Valve disk 1.000 St
11 8604387 Cap Asm-Bypass-Breathing Sys 1.000 St
12 8604394 Spring 1.000 St
13 8604390 Spacing ring 1.000 St
14 M30384 socket 1.000 St
for Peep-valve and
15 8603780 DIAPHRAGM 1.000 St new APL Bypass
valve
16 2600479 sealing ring 1.000 St
18 8604385 Screw plug with nozzle 1.000 St
19 8604412 Socket, compl. 1.000 St
22 M20622 O-RING SEAL 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

25/70
Parts catalog
Breathing system COSY 2.6

Item Order No. Description Qty. Qty.unit Remark


No.
27 2600478 locking screw 1.000 St
44 8604406 Membrane Asm 1.000 St
49 8605203 Plate 1.000 St
50 8603781 SEALING WASHER 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

26/70
Parts catalog
Breathing system COSY 2.6

Item Order No. Description Qty. Qty.unit Remark


No.
20 8603867 Elbow fitting 1.000 St
21 M29902 o_ring 1.000 St
22 M20622 O-RING SEAL 1.000 St
23 MK00625 APL valve 1.000 St
24 8604417 Plunger Knob 1.000 St
25 2600744 Locking Screw (G1/8) 1.000 St
26 M33149 COUPLING,F 1.000 St
27 2600478 locking screw 1.000 St
28 8604404 Port Asm Exhaust-Breathing Sys 1.000 St
29 2M08777 O-RING SEAL 1.000 St
30 8603868 elbow fitting asm 1.000 St
31 8603276 ANGULAR PORCELAIN BUSH 1.000 St
43 8606926 kit-sticker Fabius 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

27/70
Parts catalog
Breathing system COSY 2.6

Item Order No. Description Qty. Qty.unit Remark


No.
27 2600478 locking screw 1.000 St
28 8604404 Port Asm Exhaust-Breathing Sys 1.000 St
33 2600730 Locking Screw 1.000 St
35 M33719 ABSORBER POT 1.000 St
36 M33728 PACKING RING 1.000 St
37 M33720 ABSORBER INSERT, CPL. 1.000 St
38 M33723 ABSORBER WASHER 1.000 St
39 8602960 ABSORBER WASHER 1.000 St
40 8603737 WASHER 1.000 St
41 8605888 Absorber cover 1.000 St
42 8603113 GASKET 1.000 St
47 1329472 WASHER B 5,3 DIN 9021-A4 1.000 St
48 1345699 Pan-head screw M5X14 DIN6912 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

28/70
Parts catalog
Breathing system COSY 2.6

Item Order No. Description Qty. Qty.unit Remark


No.
1-50 8605797 Cosy2.6 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

29/70
Parts catalog
Trolley

Item Order No. Description Qty. Qty.unit Remark


No.
1 2605373 Deep Top Fabius Plus 1.000 St
2 8608187 Kit deep top fabius plus 1.000 St old version replaced
by modification set
3 2605365 Plug Fabius Plus 1.000 St
4 8603329 caster 1.000 St
5 8603330 caster brake 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

30/70
Parts catalog
Accessories/ consumables

Item Order No. Description Qty. Qty.unit Remark


No.
1841416 Lead-acid battery 12V/3.5AH 1.000 St
1866249 Batterie,Lithium 3V/260mAh 1.000 St
8607055 Hose Asm PEEP-Pmax-APL Byp LH 1.000 St
8402868 BACTERIA FILTER 1.000 St
1190520 HOSE 4X1,5-SI 50 SH A NF 1.000 m
MX22702 ANESTHESIA SET BASIC SMARTUBE 1.000 St
U04314 O-RING SEAL 1.000 St
M23225 VALVE DISK 1.000 St
2600651 Diaphragm, Pisten 1.000 St
8604831 O-RING 105 x 4 1.000 St
1836722 SUPPLY MAIN 3,5M 3G1 CRSW 1.000 St
1841793 PWR Cord 10A,3m,gr,USA/J RoHS 1.000 St
8604874 Hose Asm-PEEP/Pmax-APL Byp RHS 1.000 St
8301349 EARTHING CABLE, 3,2 M 1.000 St
6733895 SET MIC.FILTER 654ST-ISOCLICK 1.000 St
M30146 HOSE SET VENTILATION 1.000 St
M33681 PEDIATRIC ACCESSORY 1.000 St
M27542 HOSESET CIRCLESYSTEM CHILDREN 1.000 St
M33278 Y-PIECE ADULT,LUER LOCK 1.000 St
M25682 Y-PIECE ADULT 1.000 St
M25650 Y-PIECE ADULT,STRAIGHT 1.000 St
8403075 Y-PIECE 90DEGREE 1.000 St
M27077 Y-PIECE STRAIGHT PAED 1.000 St
M25647 NOZZLE 22/22 1.000 St
MX22700 Anesthesia Set Basic 150cm 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

31/70
Parts catalog
Accessories/ consumables

Item Order No. Description Qty. Qty.unit Remark


No.
MX22705 Anesthesia Set Complete 1.000 St
8301348 EARTHING CABLE, 0,8 M 1.000 St
2165732 Anesthesia mask size 1 (air cu 1.000 St
2165740 Anesthesia mask size 2 (air cu 1.000 St
2165759 Anaethesia mask size 3 (air cu 1.000 St
AB10048 CHILDREN-MASK SILICONE SIZE 1 1.000 St
AB10049 CHILDREN-MASK SILICONE SIZE 2 1.000 St
2166054 Breathing bag 0.5L ISO - silic 1.000 St
2166127 Breathing bag 1.5L ISO silicon 1.000 St
2166062 Breathing bag 2.3L ISO silicon 1.000 St
2166070 Breathing bag 3.0L ISO silicon 1.000 St
2165686 Breathing bag 0.5L ISO 1.000 St
2165953 thing bag 1.5L ISO 1.000 St
2165694 Breathing bag 2.0L ISO 1.000 St
2165708 Breathing bag 2.3L ISO 1.000 St
2165716 Breathing bag 3.0L ISO 1.000 St
Central Gas Supply 1.000 St
8604287 Fan hose right 1.000 St
8603839 Breathing hose E 85cm 1.000 St
1851713 Cable Great Britian,3m,10A 1.000 St
1851705 Cable Australia,3m,10A,C13 1.000 St
1851721 Power cable DK, 3 m, 10 A 1.000 St
1851691 Mains cable Swiss ,3m,10A 1.000 St
1859714 Power cable 10A,3m,black,China 1.000 St
4117266 POWER CORD ASM- 15FT FABIUS GS 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

32/70
Parts catalog
Accessories/ consumables

Item Order No. Description Qty. Qty.unit Remark


No.
8604310 hose-ventilator 110cm 1.000 St
1 8403735 Spirolog Flow Sensor (5x) 1.000 St
2 8606055 O2 sensor housing, right 1.000 St
3 6850645 O2-Sensor (Capsule) 1.000 St
4 8604369 O Ring 1.000 St
5 8604753 Cable asm-flow sensor 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

33/70
Parts catalog
Hose DIN, device NIST

Item Order No. Description Qty. Qty.unit Remark


No.
1 M32369 ADAPTOR VAC (DIN/NIST) 1.000 St Vacuum
2 M32368 ADAPTOR AIR (DIN/NIST) 1.000 St AIR
3 M32367 ADAPTOR N2O (DIN/NIST) 1.000 St N2O
4 M32366 ADAPTER O2 (DIN/NIST) 1.000 St Oxygen
5 M32370 ADAPTOR AIR/O2 (DIN/NIST) 1.000 St Air/O2

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

34/70
Parts catalog
Hose DISS, device NIST

Item Order No. Description Qty. Qty.unit Remark


No.
1 M34876 ADAPTOR-N2O,DISS-NIST 1.000 St N2O
2 M34875 ADAPTOR-O2,DISS-NIST 1.000 St Oxygen
3 M34877 ADAPTOR-AIR,DISS-NIST 1.000 St Air
4 M34878 ADAPTOR-VAC,DISS-NIST 1.000 St Vacuum

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

35/70
Parts catalog
Clutch adapter

Item Order No. Description Qty. Qty.unit Remark


No.
1 M23874 O2-COUPLING HOSE 0,15M 1.000 St
2 M35057 Adapter N2O NIST/DIN-coupling 1.000 St
3 M23875 Adapter N2O DIN/DIN-coupling 1.000 St
4 M35056 Adapter O2 NIST/DIN-coupling 1.000 St
5 M28031 Adapter AIR DIN/DIN-coupling 1.000 St
6 M35058 Adapter AIR NIST/DIN-coupling 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

36/70
Parts catalog
Without plug, no color

Item Order No. Description Qty. Qty.unit Remark


No.
M32037 O2-HOSE 5M NIST BL., NO PROBE 1.000 St 5m, NIST
M32038 N2O-HOSE 5M,NIST,BL.,NO PROBE 1.000 St 5m, NIST
M32039 AIR-HOSE 5M NIST BL., NO PROBE 1.000 St 5m, NIST
M32046 VAC.HOSE 5M,NIST,BL.,NO PROBE 1.000 St 5m, NIST
M32047 O2/AIR HOSE 5M NIST,BL.,NO PR. 1.000 St 5m, NIST

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

37/70
Parts catalog
Without plug, color EN 739

Item Order No. Description Qty. Qty.unit Remark


No.
M34416 CS-HOSE O2 5M, NO PROBE 1.000 St 5m, NIST
M34417 CS-HOSE N2O,5M,NO PLUG 1.000 St 5m, NIST
M34418 CS-HOSE AIR 5M, NO PROBE 1.000 St 5m, NIST

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

38/70
Parts catalog
AIR

Item Order No. Description Qty. Qty.unit Remark


No.
M29259 AIR-CONNECTING HOSE 5M 1.000 St 5m Yellow
M29239 AIR-CONNECTING HOSE 3M 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

39/70
Parts catalog
AIR/O2

Item Order No. Description Qty. Qty.unit Remark


No.
M29243 02/AIR-CONNECTING HOSE 3M 1.000 St 3m yellow/blue

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

40/70
Parts catalog
N2O

Item Order No. Description Qty. Qty.unit Remark


No.
M29235 N2O-CONNECTION HOSE 3M 1.000 St 3m grey
M29255 N2O-CONNECTING HOSE 5M 1.000 St 5m grey

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

41/70
Parts catalog
O2

Item Order No. Description Qty. Qty.unit Remark


No.
M29271 O2-CONNECTING HOSE 1,5M 1.000 St 1,5m blue
M29231 O2-CONNECTION HOSE 3M 1.000 St 3m blue
M29251 O2-CONNECTING HOSE 5M 1.000 St 5m blue

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

42/70
Parts catalog
AIR/O2

Item Order No. Description Qty. Qty.unit Remark


No.
M29285 O2-AIR-CONNECT.HOSE 1,5(BLACK) 1.000 St 1,5m
M29245 O2-AIR CONNECT.HOSE 3M(BLACK) 1.000 St 3m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

43/70
Parts catalog
O2

Item Order No. Description Qty. Qty.unit Remark


No.
M29273 O2-CONNECT.HOSE 1,5M (BLACK) 1.000 St 1,5m
M29233 O2-CONNECT.HOSE 3M (BLACK) 1.000 St 3m
M29253 O2-CONNECT.HOSE 5M (BLACK) 1.000 St 5m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

44/70
Parts catalog
VAC

Item Order No. Description Qty. Qty.unit Remark


No.
M29289 VAC.-CONNECT.HOSE 1,5M(BLACK) 1.000 St 1,5m
M29249 VAC.-CONNECT.HOSE 3M (BLACK) 1.000 St 3m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

45/70
Parts catalog
AIR/O2

Item Order No. Description Qty. Qty.unit Remark


No.
8602525 AIR/O2-ZV-HOSE 1,5M NIST EN-C. 1.000 St 1,5m
8602526 AIR/O2-ZV-HOSE 3M NIST EN-COL. 1.000 St 3m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

46/70
Parts catalog
N2O

Item Order No. Description Qty. Qty.unit Remark


No.
8602517 N2O-ZV-HOSE 3M NIST EN-COLOR 1.000 St 3m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

47/70
Parts catalog
AIR

Item Order No. Description Qty. Qty.unit Remark


No.
M34407 AIR-HOSE NIST 1,5M DIN PROBE 1.000 St 1,5m
M34408 AIR-HOSE NIST 3M DIN PROBE 1.000 St 3m
M34409 AIR-HOSE NIST 5M DIN PROBE 1.000 St 5m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

48/70
Parts catalog
AIR/O2

Item Order No. Description Qty. Qty.unit Remark


No.
M34410 O2/AIR-HOSE NIST 1,5MDIN PROBE 1.000 St 1,5m
M34411 O2/AIR-HOSE NIST 3M DIN PROBE 1.000 St 3m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

49/70
Parts catalog
N2O

Item Order No. Description Qty. Qty.unit Remark


No.
M34404 N2O-HOSE NIST 1,5M DIN PROBE 1.000 St 1,5m
M34405 N2O-HOSE NIST 3M DIN PROBE 1.000 St 3m
M34406 N2O-HOSE NIST 5M DIN PROBE 1.000 St 5m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

50/70
Parts catalog
O2

Item Order No. Description Qty. Qty.unit Remark


No.
M34401 O2-HOSE NIST 1,5M DIN-PROBE 1.000 St 1,5m
M34402 O2-HOSE NIST 3M DIN PROBE 1.000 St 3m
M34403 O2-HOSE NIST 5M DIN PROBE 1.000 St 5m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

51/70
Parts catalog
VAC

Item Order No. Description Qty. Qty.unit Remark


No.
M34413 VAC-HOSE NIST 1,5M DIN PROBE 1.000 St 1,5m
M34414 VAC-HOSE NIST 3M DIN PROBE 1.000 St 3m
M34415 VAC-HOSE NIST 5M DIN PROBE 1.000 St 5m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

52/70
Parts catalog
Central Air distributor

Item Order No. Description Qty. Qty.unit Remark


No.
M34562 AIR-DISTRIBUTOR 3M DIN-PROBE 1.000 St 3m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

53/70
Parts catalog
Central O2 distributor

Item Order No. Description Qty. Qty.unit Remark


No.
M34492 DIAPHRAGM SEPARATION 1.000 St 3m
M34403 O2-HOSE NIST 5M DIN PROBE 1.000 St 5m

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

54/70
Parts catalog
Modification kits/Options

Item Order No. Description Qty. Qty.unit Remark


No.
0 Sets and spare parts 1.000 St
0 Pressure reducer 1.000 St
0 Bronch succ. system 1.000 St
0 vac./eject. succ.system 1.000 St
0 Aux. outlet strips 1.000 St
0 8607486 auxiliary O2 flowmeter complet 1.000 St
0 8607517 auxiliary O2 flowmeter complete ISO 1.000 St
0 8607518 auxiliary O2 flowmeter complete US 1.000 St
0 8605554 Power Supply Asm-Heater 1.000 St
0 8607505 Mounting parts common gas outl 1.000 St
0 Kuhn system 1.000 St
0 8605534 Power Supply Asm-Heater-Intl 1.000 St
0 Pressure gauge 1.000 St
0 8607985 Upgrade kit acone - left 1.000 St
0 8607986 Upgrade kit acone - right 1.000 St
0 8607987 Upgrade kit acone switch-left 1.000 St
0 8607988 Upgrade kit acone switch-right 1.000 St
0 Absorber, Drägersorb Clic 1.000 St
0 AGS mounting system 1.000 St
0 8607218 KIT - ramming protection (COSY 1.000 St
0 8608087 Fabius 1.000 St
0 Software 1.000 St
0 8604652 Patient Airway Gauge 1.000 St
0 MX08842 Kit Ventilation Hose 60 1.000 St
0 MX08843 Kit Ventilation Hose 150 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

55/70
Parts catalog
Modification kits/Options

Item Order No. Description Qty. Qty.unit Remark


No.
0 MX08844 Kit Ventilation Hose 110 1.000 St
0 8608104 KIT-A-cone [ext. fresh gas outlet) 1.000 St
0 Flexible bag arm 1.000 St
0 Halogen lamps 1.000 St
0 Pin Index option 1.000 St
1 8608002 Semi open adapter 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

56/70
Parts catalog
Sets and spare parts

Item Order No. Description Qty. Qty.unit Remark


No.
1 MP00106 E-Set G1/8 1.000 St
2 MX08060 SET OF LABELS 1.000 St
3 MX08649 Pressure-reducing valve 1.000 St
4 MX08653 E-set gasket 1.000 St
5 MX08654 Kit O-Ring ( Bady-Angle) 1.000 St
6 MX08158 REP.SET GASKET/C (USA) 1.000 St
7 MX08047 E-SET BASEOVERHAUL 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

57/70
Parts catalog
Pressure reducer

Item Order No. Description Qty. Qty.unit Remark


No.
1 M34947 HOSELINE NIST-NIST N2O,1M 1.000 St
2 M32671 Hose asm NIST O2 1m 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

58/70
Parts catalog
Aux. outlet strips

Item Order No. Description Qty. Qty.unit Remark


No.
1 2603820 Power Strip F_B 1.000 St France,Belgium
2 2603821 Power Strip AUS 1.000 St Australia
3 G92202 Power Strip D_NL_A_SP 1.000 St
4 2603822 Power Strip CH 1.000 St Switzerland
5 G92558 Power Strip JP-USA-CAN 1.000 St USA,Japan,Canada

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

59/70
Parts catalog
Aux. outlet strips

Item Order No. Description Qty. Qty.unit Remark


No.
6 1841793 PWR Cord 10A,3m,gr,USA/J RoHS 1.000 St
7 8601481 SUPPLY CABLE TROLLEY 5M,CH 1.000 St
7 1851691 Mains cable Swiss ,3m,10A 1.000 St
8 1859714 Power cable 10A,3m,black,China 1.000 St
8 1859951 Power cable 10A,5m,black,China 1.000 St
8 1851705 Cable Australia,3m,10A,C13 1.000 St
8 1858149 Mains cable outer one, 3m, or, 1.000 St
9 8601449 SUPP.CABL.TROL.5M JPN,USA,KAN. 1.000 St
10 1851683 SUPPLY MAIN, 3m, 10A 1.000 St
10 8601589 SUPPLY CABLE TROLLEY 5M 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

60/70
Parts catalog
Bronch succ. system

Item Order No. Description Qty. Qty.unit Remark


No.
4118453 KIT - PIVOT RAIL ASM - GCX 1.000 St Halter Fl.Paket GCX
1 2M86036 Secretion jar set w. clamp 1.000 St
2 4117391 Adapter asm 3 way O2 NIST 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

61/70
Parts catalog
vac./eject. succ.system

Item Order No. Description Qty. Qty.unit Remark


No.
1 4116230 Adapter ASM - 3-way DISS 1.000 St
2 4117391 Adapter asm 3 way O2 NIST 1.000 St
3 4199905 Adapter asm 3-way O2 NIST UK 1.000 St
4 M33145 Hose asm NIST AIR/O2, 1.5m 1.000 St
5 M32497 ADAPTOR AIR/O2 (NIST/DIN) 1.000 St
6 M32496 ADAPTOR VAC (NIST/DIN) 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

62/70
Parts catalog
vac./eject. succ.system

Item Order No. Description Qty. Qty.unit Remark


No.
7 MK01418 Ejector type aspir. NIST Air O 1.000 St
8 MK01420 Ejector type aspir. Nist 1.000 St
9 MK03140 Vacuum type aspir. Diss 1.000 St
10 MK01422 Vacuum type aspir. Nist 1.000 St
11 MK03320 Vacuum type aspir. Diss Canada 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

63/70
Parts catalog
vac./eject. succ.system

Item Order No. Description Qty. Qty.unit Remark


No.
4118555 KIT-EURO RAIL-SHORT-GCX 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

64/70
Parts catalog
Kuhn system

Item Order No. Description Qty. Qty.unit Remark


No.
1 M34823 ANAEST.-SET KUHN TYPE K 1.000 St
2 M13506 35COUPLING SLEEVE 1.000 St
3 M25838 ANAESTHETIC-GAS SCAV.(KUHN) 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

65/70
Parts catalog
Pressure gauge

Item Order No. Description Qty. Qty.unit Remark


No.
1 MK02757 Pressure gauge 1.000 St
2 6800187 T-SOCKET 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

66/70
Parts catalog
Software

Item Order No. Description Qty. Qty.unit Remark


No.
8608103 CD SW 3.22 Fabius 1.000 St
8608207 CD SW 3.31 Fabius 1.000 St
8608151 CD SW 3.30 Fabius 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

67/70
Parts catalog
Flexible bag arm

Item Order No. Description Qty. Qty.unit Remark


No.
1 8605613 Elbow Fitting grey 1.000 St
2 M20622 O-RING SEAL 1.000 St
3 8605076 Flexible Bag Arm Asm 1.000 St
4 M23154 O-RING SEAL 1.000 St
5 8605408 Swivel Manifold Bag Mount VGC 1.000 St
6 8605122 O-Ring .921x.139 EPDM 1.000 St
7 8605675 Bearing Teflon Bag Arm 1.000 St
8 1346164 SET SCREW M5X5 DIN915 1.000 St
9 8605673 Manifold Asm Bag Mount VCG 1.000 St
10 1328999 Lock washer 4 DIN6799 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

68/70
Parts catalog
Halogen lamps

Item Order No. Description Qty. Qty.unit Remark


No.
1 8604119 Halogen lamp Euro (plug) 1.000 St
2 8604120 Halogen lamp british standard 1.000 St
3 8604122 Halogen lamp UL BULB 1.000 St
4 8607019 Halogen lamp mount asm. 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

69/70
Parts catalog
Pin Index option

Item Order No. Description Qty. Qty.unit Remark


No.
1 8604427 gauge-NMM 2.000 St
2 8604434 wrench-cylinder 1.000 St
3 8604430 handle-yoke 2.000 St
4 8604442 regulator-36 psi-N2O pressure 1.000 St only for O2 N2O
version
5 8604495 regulator-36 psi-O2 pressure 1.000 St
6 8604424 ftg-ell 3/16 tube x 1/4 NPT 1.000 St
7 8604494 fitting-reducer .250 MPT to .1 1.000 St
8 8604909 check valve asm 1.000 St

Items that are shown in the illustration but are not listed below the illustration are not available as spare parts
Fabius plus
Revision: 06

70/70
Test instructions / Service Card IPM
Fabius plus

NOTE
– Prior to using these test instructions, check that they are the latest revi-
sion (compare revision with current service documentation).
– All results and inputs must be documented in the „Test Report“ or „Result
Sheet“, as applicable.

NOTE
Do not use these test instructions for testing after a repair procedure.

For the devices listed below, use the test instructions specific to the relevant
device:
– Vapor 19.n
– Vapor 2000
– Devapor
– Connected monitoring systems
Conversion table: 1bar = 14,504 PSI / 1mbar = 1,01973 cm H2O.
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2 / 57 9500470 Fabius plus Revision 1.0


Table of contents

Table of contents

1 Device configuration 7
1.1 Basic device configuration ........................................................................................................ 8
1.1.1 Serial number / software (if not otherwise recorded).................................................. 8
2 Maintenance parts 9
2.1 Maintenance parts, every 12 months ....................................................................................... 10
2.1.1 Service set for Fabius................................................................................................. 10
2.2 Service parts, 2-yearly .............................................................................................................. 10
2.2.1 Fabius service set with APL bypass valve (old) ......................................................... 10
2.2.2 Fabius service set with APL bypass valve (new) ....................................................... 11
2.3 Service parts, 3-yearly .............................................................................................................. 11
2.3.1 Service set for Fabius................................................................................................. 11
2.4 Inlet pressure regulator test, 3-yearly ....................................................................................... 13
2.4.1 Downstream pressure of pipeline supply O2 inlet pressure regulator........................ 13
2.4.2 Downstream pressure of pipeline supply N2O inlet pressure regulator (not applicable 14
in nitrous-oxide-free mode)
2.5 Service parts, 6-yearly .............................................................................................................. 14
2.5.1 High-pressure cylinders option (SILVERLINE)........................................................... 14
2.6 Service parts as required.......................................................................................................... 15
2.6.1 Breathing system........................................................................................................ 15
2.6.2 Ventilator .................................................................................................................... 16
2.6.3 Optional anesthetic gas scavenging system (AGSS)................................................. 16
3 Electrical safety 17
3.1 Electrical safety, base unit, to DIN EN 62353 (IEC 62353) ...................................................... 18
3.1.1 Notes on the „Electrical safety to DIN EN 62353“ section.......................................... 18
3.1.2 Visual check ............................................................................................................... 18
3.1.3 Protective conductor resistance ................................................................................. 19
3.1.4 Protective conductor resistance measuring points..................................................... 20
3.1.5 Device leakage current............................................................................................... 20
3.2 Option: Electrical safety, power supply unit, to DIN EN 62353 (IEC 62353) ............................ 22
3.2.1 Visual check ............................................................................................................... 22
3.2.2 Protective conductor resistance ................................................................................. 22
3.2.3 Protective conductor resistance measuring points..................................................... 23
3.2.4 Device leakage current............................................................................................... 24
3.3 Electrical safety according to IEC 60601-1............................................................................... 25
3.3.1 Base unit .................................................................................................................... 25
3.3.2 Protective conductor resistance ................................................................................. 26
3.3.3 Ground leakage current.............................................................................................. 27
3.3.4 Optional power supply unit heater, protective earth conductor resistance................. 28
3.3.5 Optional power supply unit heater, earth leakage current.......................................... 29
17.11.09_0000000699_Publication

4 Function and condition test 31


4.1 Base unit................................................................................................................................... 32
4.1.1 Labels and Instructions for Use.................................................................................. 32
4.1.2 Condition and function of the base unit ...................................................................... 32
4.1.3 Tubing (PAE, PA, fabric-reinforced) ........................................................................... 32

9500470 Fabius plus Revision 1.0 3 / 57


Table of contents

4.1.4 Condition and function of vaporizer mount and interlock............................................ 32


4.2 Base unit self-test, calibration and leakage test........................................................................ 32
4.2.1 Self-test/system diagnostics of the base unit ............................................................. 32
4.2.2 O2 sensor calibration (not applicable to external O2 measurement).......................... 33
4.2.3 Flow sensor calibration............................................................................................... 33
4.2.4 Leak tightness of breathing system ............................................................................ 34
4.2.5 Fresh gas leakage test (with and without anesthetic vaporizer) ................................. 34
4.2.6 Nitrous oxide-free option ............................................................................................ 35
4.3 Service data and basic unit calibration ..................................................................................... 36
4.3.1 Service data................................................................................................................ 36
4.3.2 Pressure ..................................................................................................................... 36
4.3.3 Pump calibration and vacuum test ............................................................................. 36
4.3.4 PEEP calibration......................................................................................................... 37
4.3.5 O2 offset (not applicable to external O2 measurement) ............................................. 37
4.4 Power failure, O2 sensor, flow sensor alarms .......................................................................... 38
4.4.1 Power failure alarm, battery circuit ............................................................................. 38
4.4.2 O2 low alarm .............................................................................................................. 38
4.4.3 Flow sensor failure alarm ........................................................................................... 39
4.4.4 O2 sensor failure alarm (not applicable to external O2 measurement) ...................... 39
4.5 Testing the flowmeters.............................................................................................................. 39
4.5.1 Flowmeter block safety valve ..................................................................................... 39
4.6 SORC test (not applicable in nitrous-oxide-free mode) ............................................................ 39
4.6.1 N2O shut-off (not applicable in nitrous-oxide-free mode) ........................................... 39
4.6.2 O2 concentration and gas type test (not applicable in nitrous-oxide-free mode)........ 40
4.6.3 SORC function (not applicable in nitrous-oxide-free mode) ....................................... 41
4.7 Basic unit O2 flush / fresh-gas leakage .................................................................................... 41
4.7.1 Fresh gas leakage test (with and without anesthetic vaporizer) ................................. 42
4.7.2 Nitrous-oxide-free option: Fresh-gas leakage test...................................................... 43
4.8 Testing the gas inlet block ........................................................................................................ 43
4.8.1 Testing the pipeline supply leakage and the pipeline supply manometers................. 44
4.9 Additional tests.......................................................................................................................... 45
4.9.1 Pressure-limiting valve and auxiliary air valve ............................................................ 45
4.9.2 Pmax accuracy ........................................................................................................... 46
4.10 Ventilation modes ..................................................................................................................... 46
4.10.1 Manual ventilation....................................................................................................... 46
4.10.2 Spontaneous breathing .............................................................................................. 46
4.10.3 Lung ventilator performance ....................................................................................... 46
4.11 Optional PIN index cylinder connections, manometers, and pressure regulators .................... 47
4.11.1 Cylinder connections, non-return valves, manometers............................................... 47
4.12 Optional high-pressure cylinders, high-pressure regulators ..................................................... 47
17.11.09_0000000699_Publication

4.12.1 Condition of high-pressure cylinders .......................................................................... 48


4.12.2 High-pressure cylinders on the gas inlet block (non-return valves) ............................ 48
4.12.3 O2 high-pressure leakage .......................................................................................... 49
4.12.4 N2O high-pressure leakage (not applicable in nitrous-oxide-free mode) ................... 49
4.12.5 Blow-off valve of O2/N2O high-pressure regulator (every three years)...................... 50
Fabius plus
4.12.6 O2/N2O high-pressure regulator downstream pressure test (every three years)....... 51

4 / 57 9500470 Fabius plus Revision 1.0


Table of contents

4.12.7 O2/N2O high-pressure regulator performance test (every three years)..................... 52


4.13 Final action ............................................................................................................................... 52
4.13.1 Device handover with test label.................................................................................. 52
5 Test equipment 53
5.1 Test equipment ......................................................................................................................... 54
5.1.1 Test equipment subject to mandatory calibration....................................................... 54
5.1.2 Test equipment not subject to mandatory calibration................................................. 56
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Table of contents

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1 Device configuration
This chapter is used to record the device configuration.

1.1 Basic device configuration ........................................................................................................ 8


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9500470 Fabius plus Revision 1.0 7 / 57


Device configuration
Basic device configuration

1.1 Basic device configuration

1.1.1 Serial number / software (if not otherwise recorded)


NOTE
The serial number is located on the rear of the unit

Entry Serial number of the unit


[________txt]

NOTE
The serial number is located on the side of the breathing system.

Entry Serial number of the breathing system (Cosy)


[________txt]

Entry Serial number of optional bronchial suction device


[________txt]

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2 Maintenance parts
This chapter contains interval-related maintenance parts, measures, and tests that can only
be performed on an open device.

2.1 Maintenance parts, every 12 months ....................................................................................... 10


2.2 Service parts, 2-yearly .............................................................................................................. 10
2.3 Service parts, 3-yearly .............................................................................................................. 11
2.4 Inlet pressure regulator test, 3-yearly ....................................................................................... 13
2.5 Service parts, 6-yearly .............................................................................................................. 14
2.6 Service parts as required.......................................................................................................... 15
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Maintenance parts
Maintenance parts, every 12 months

2.1 Maintenance parts, every 12 months

2.1.1 Service set for Fabius


The service set (quantity 1) with the number MX08152 includes the following
items:

Quan- Designation Number Location/Remark


tity
2 Bacterial filter 8402868 Pressure line and pump
1 Patient seal 2600650 Ventilator
4 O-ring U04314 Vaporizer mount
1 Seal 8404065 If leaky, replace the seal on
the ventilator

Entry Next replacement: [________dat]

2.2 Service parts, 2-yearly

NOTE
Maintenance parts of shorter intervals, as applicable, must also be taken
into consideration.

2.2.1 Fabius service set with APL bypass valve (old)


The service set (quantity 1) with the number MX08833 includes the following
items:

Quan- Designation Number Location/Remark


tity
4 O-ring U04314 Vaporizer mount
1 Patient seal; cover 2600650 Ventilator
2 Bacterial filter 8402868 Pressure line and pump
1 Valve disk 8604105 FGE valve on breathing sys-
tem
1 Membrane 8603780 PEEP valve on breathing sys-
tem
1 Sealing washer 8605303 PEEP valve on breathing sys-
tem
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1 Membrane 8410181 APL bypass valve on breath-


ing system
1 Sealing washer 8407979 APL bypass valve on breath-
ing system
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Maintenance parts
Service parts, 3-yearly

Quan- Designation Number Location/Remark


tity
1 Seal 8404065 If leaky, replace the seal on
the ventilator

Entry Next replacement: [________dat]

2.2.2 Fabius service set with APL bypass valve (new)


The service set (quantity 1) with the number MX08832 includes the following
items:

Quan- Designation Number Location/Remark


tity
4 O-ring U04314 Vaporizer mount
1 Patient seal; cover 2600650 Ventilator
2 Bacterial filter 8402868 Pressure line and pump
1 Valve disk 8604105 FGE valve on breathing sys-
tem
2 Membrane 8603780 Breathing system APL bypass
valve and PEEP valve
2 Sealing washer 8605303 Breathing system APL bypass
valve and PEEP valve
1 Seal 8404065 If leaky, replace the seal on
the ventilator

Entry Next replacement: [________dat]

2.3 Service parts, 3-yearly

NOTE
Maintenance parts of shorter intervals, as applicable, must also be taken
into consideration.

2.3.1 Service set for Fabius


NOTE
Batteries are special waste. Dispose of batteries according to local waste
disposal regulations.

This service set (quantity 1) with the number MX08153 includes the following
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items:

Quan- Designation Number Location/Remark


tity
1 Membrane 2600651 Ventilator piston

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Maintenance parts
Service parts, 3-yearly

Quan- Designation Number Location/Remark


tity
1 O-ring 8604831 Ventilator piston
2 12-V battery 1841416 Behind the ventilator
1 Lithium battery 1866249 On Control PCB (If battery is
soldered onto Control PCB,
read values before replacing
and enter in appended cus-
tomer settings form)
4 O-ring UO4314 Vapor anesthetic vaporizer
block
1 Rolling seal 2600650 Ventilator
2 Bacterial filter 8402868 Pressure tube to the pressure
sensor and at the pump.

After replacement of the bac-


terial filter, adjust the pump as
specified in the repair instruc-
tions.
1 Seal 8404065 If leaky, replace the seal on
the ventilator

Entry Next replacement: [________dat]

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Maintenance parts
Inlet pressure regulator test, 3-yearly

2.4 Inlet pressure regulator test, 3-yearly


Prerequisites Pressure regulators are freely accessible.

2.4.1 Downstream pressure of pipeline supply O2 inlet pressure regulator


Test set-up

Fig. 1 Test set-up for the inlet pressure regulator

Item Designation
1 N2O outlet (to the N2O flow-control valve)
2 Gas inlet assembly
3 N2O inlet pressure regulator
4 O2 inlet pressure regulator
5 O2 outlet (to the O2 flow-control valve)
6 T-connector (7901458)
7 to the O2 flow-control valve
8 to the N2O flow-control valve
9 Digital manometer (7910724)

Action • Deplete all cylinder and pipeline supply pressures.


• Disconnect all cylinders and pipeline supply tubes.
• Prepare the test set-up for the O2 inlet pressure regulator (see "Fig. 1").
• Connect the O2 pipeline supply to the gas inlet assembly.
• Set the O2 flow at the flow control valve to 2.5 ± 0.5 L/min.
Test The O2 pressure regulator output pressure is 2.2 to 2.6 bar.
Entry [________OK]

Action • Deplete the O2 pressure from the pipeline supply.


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• Close the O2 flow control valve and disconnect the O2 pipeline supply tube
from the inlet.
• Remove the test equipment, and then reconnect the O2 pressure tube
leading from the O2 flow control valve to the O2 connector on the inlet
block.

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Maintenance parts
Service parts, 6-yearly

2.4.2 Downstream pressure of pipeline supply N2O inlet pressure regula-


tor (not applicable in nitrous-oxide-free mode)
Action • Remove the N2O pressure tube from the N2O outlet of the gas inlet block
and interconnect the digital manometer. Refer to the previous illustration.
• Reconnect the O2 and N2O pipeline tube to the pipeline supply inlet ports
and activate the pipeline supplies.
• Set the O2 and N2O flows at the flow control valves to 2.5 ± 0.5 L/min.
Test The N2O pressure regulator output pressure is 2.2 to 2.6 bar.
Entry [________OK]

Action • Deplete the O2 and N2O pipeline pressures.


• Close the O2 and N2O flow control valves and disconnect both pipeline
supply tubes from the inlet block.
• Remove the test equipment, and then reconnect the N2O tube from the
flow control valve to the N2O outlet on the inlet block.

2.5 Service parts, 6-yearly

NOTE
Maintenance parts of shorter intervals, as applicable, must also be taken
into consideration.

2.5.1 High-pressure cylinders option (SILVERLINE)

Quan- Designation Number Location/Remark


tity
1 General overhaul MX08047 On the cylinder connections
service set

Entry Next replacement: [________dat]

Quan- Designation Number Location/Remark


tity
1 Gas type labels MX08060 On the cylinder connections
service set

Entry Next replacement: [________dat]


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Maintenance parts
Service parts as required

2.6 Service parts as required

2.6.1 Breathing system

Quan- Designation Number Location/Remark


tity
5 Flow sensor 8403735 Breathing system

Entry Replaced on: [________dat]

NOTE
O2 sensors are special waste. Dispose of the O2 sensors according to local
waste disposal regulations.

Quan- Designation Number Location/Remark


tity
1 O2 sensor 6850645 Breathing system

Entry Replaced on: [________dat]

Quan- Designation Number Location/Remark


tity
1 PEEP/APL tube, 8607054 Breathing system
right

Entry Replaced on: [________dat]

Quan- Designation Number Location/Remark


tity
1 PEEP/APL tube, 8607055 Breathing system
left

Entry Replaced on: [________dat]

Quan- Designation Number Location/Remark


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tity
1 Ventilator tube Breathing system

Entry Replaced on: [________dat]

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Maintenance parts
Service parts as required

Quan- Designation Number Location/Remark


tity
1 Pressure tube 1190520 Breathing system

Entry Replaced on: [________dat]

2.6.2 Ventilator

Quan- Designation Number Location/Remark


tity
1 Seal 8404065 Ventilator

Entry Replaced on: [________dat]

2.6.3 Optional anesthetic gas scavenging system (AGSS)

Quan- Designation Number Location/Remark


tity
1 Filter M33294 AGS

Entry Next replacement: [________dat]

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3 Electrical safety
This chapter contains tests that need to be performed in order to verify that the medical elec-
trical system is operational.

3.1 Electrical safety, base unit, to DIN EN 62353 (IEC 62353) ...................................................... 18
3.2 Option: Electrical safety, power supply unit, to DIN EN 62353 (IEC 62353) ............................ 22
3.3 Electrical safety according to IEC 60601-1............................................................................... 25
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Electrical safety
Electrical safety, base unit, to DIN EN 62353 (IEC 62353)

3.1 Electrical safety, base unit, to DIN EN 62353 (IEC 62353)

NOTE
The device conforms to the conditions of protection class I, type B.

3.1.1 Notes on the „Electrical safety to DIN EN 62353“ section


Introduction The test of electrical safety following maintenance procedures as per
DIN EN 62353 also fulfills the requirements of VDE 0751-1 and IEC 60601-1.
NOTE
All measures labelled in these test instructions with (applied parts) must only
be performed if the device is fitted with applied parts.

NOTE
The tester, e.g. SECUTEST, must be correctly configured for all measure-
ments. If implausible measurement results are obtained, such as a leakage
current of 0.0 μA, check the tester configuration in addition to the test setup!

NOTE
The following presents a description of the electrical safety tests according
to DIN EN 62353 (IEC 62353). Whether the standard is applicable or not de-
pends on national regulations and its use must be decided on site under
consideration of applicable national regulations.

NOTE
– In testing to DIN EN 62353, not only the medical electrical device (ME
device) but also the medical electrical system (ME system) must be
tested.
– ME systems must be treated like ME devices.
– An ME system is a combination of several devices, as specified by the
manufacturer, of which at least one must be an ME device, which are
interconnected by a functional connection or by means of a multiple
socket outlet.

NOTE
With devices that are connected to other devices by means of a data cable,
this connection must be disconnected prior to performing the electrical safe-
ty check, in order to avoid incorrect measurements.

3.1.2 Visual check


Prerequisites The tester and the device under test are switched off.
Action • Disconnect the power plug from the mains socket.

WARNING!
Hazardous voltage.
Touching live components can lead to serious injury or death.
– Disconnect the power cord from the AC outlet before checking the power
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fuse-links.

Test – The power fuse-links of the device under test match the specifications on
the rating plate.
– The power cable and plug are not dirty or damaged.
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Electrical safety
Electrical safety, base unit, to DIN EN 62353 (IEC 62353)

Result Condition checked.


[________OK]

3.1.3 Protective conductor resistance


Test set-up

Fig. 2 Protective conductor resistance

Item Designation
1 Tester, e.g. SECUTEST
2 Device under test
3 Tester probe cable
L Conductor
N Neutral conductor
PE (Protective earth) conductor

Action • Prepare the test setup.


• Switch the tester on.
NOTE
The test can be performed optionally with 200 mA DC or 10 A AC (tester
configuration!). When measuring with 200 mA, the measurement is per-
formed a second time with reversed polarity (see instructions on tester dis-
play!). The higher measured value must be documented.

• Configure the tester appropriately and follow the instructions on the tester.
• Using the tip of the probe cable, scan each measurement points listed in
section "Protective conductor resistance measuring points" on the device
under test one after the other, moving the mains power cable along the
entire length during the measurement. The resistance must not change
when you do so.
Test The protective conductor resistance of devices with detachable but con-
nected mains power cables must not exceed 0.3 Ohm in each case.
Entry Maximum measured value of device with power supply cord.
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[________Ohm]

Test The protective conductor resistance of each additional detachable power


cable available for use must not exceed 0.1 Ohm. Move the power cable
along the entire length during the measurement. The resistance must not
change when you do so.

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Electrical safety
Electrical safety, base unit, to DIN EN 62353 (IEC 62353)

Result Maximum measured value of power cable.


[________Ohm]

Test In devices with detachable mains power cables calculate the protective earth
conductor resistance using the following formula:
Calculated value of the device without mains power cable = (maximum mea-
sured value of the device with mains power cable) minus (maximum mea-
sured value of the mains power cable).
The calculated value of the device without mains power cable must not
exceed 0.2 Ohm.
Result Calculated value of the device without mains power cable.
[________Ohm]

or
Test The protective conductor resistance of ME systems (including mains power
cable) must not exceed 0.5 Ohm in each case.
Entry Maximum measured value of ME system.
[________Ohm]

3.1.4 Protective conductor resistance measuring points


Action • Scan the following measurement points for protective earth conductor
resistance measurement one after the other using the tip of the probe
cable:
– Potential equalization pin on the trolley
– Potential equalization pins on the convenience socket-outlets.
– PE conductor contacts on convenience socket-outlets.
– Screws on O2 inlet block
– Pin index connection (where fitted)
– Potential equalization pin in fan interior
– Screws on control box rear panel
– Vapor plug-in system
– Screws on control box rail
Entry Measurement points scanned.
[________OK]

3.1.5 Device leakage current


NOTE
– The device leakage current can be tested by the differential measure-
ment method or the direct measurement method.
– For direct measurement, set up the device under test so that it is insu-
lated!
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Prerequisites The tester is switched on.

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Electrical safety
Electrical safety, base unit, to DIN EN 62353 (IEC 62353)

Test set-up

Fig. 3 Device leakage current

Item Designation
1 Tester, e.g., SECUTEST
2 Device under test
3 (applied part) Device-specific test adapter for tester
4 (applied part) Configurable sockets for applied parts
L Conductor
N Neutral conductor
PE (Protective earth) conductor

Action • Prepare the test setup.


• (applied part) Connect the device-specific test adapter on one end to the
device under test and on the other end to the tester's configurable socket
„A“ for applied parts (paying attention to the configuration!).
• Follow the instructions on the tester.

NOTE
The test must be performed twice! The second test is performed with the
plug reversed 180° in the socket. In many test devices the mains plug rota-
tion is simulated by means of a built-in selector switch. The higher measured
value must be documented.

NOTE
The reference value (initial measured value) must always be transmitted!

NOTE
If the measured values are between 90% and 100% of the permissible limit
value, the reference value and the previously measured values of the recur-
rent test should be applied to assess electrical safety!

Test The reference value must not exceed 500 μA.


Entry Reference value
[________μA]
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Test The recurrent measurement value must not exceed 500 μA.
Entry Recurrent measurement
[________μA]

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Electrical safety
Option: Electrical safety, power supply unit, to DIN EN 62353 (IEC 62353)

3.2 Option: Electrical safety, power supply unit, to DIN EN 62353


(IEC 62353)

NOTE
The device conforms to the conditions of protection class I, type B.

3.2.1 Visual check


Prerequisites The tester and the device under test are switched off.
Action • Disconnect the power plug from the mains socket.
WARNING!
Hazardous voltage.
Touching live components can lead to serious injury or death.
– Disconnect the power cord from the AC outlet before checking the power
fuse-links.

Test – The power fuse-links of the device under test match the specifications on
the rating plate.
– The power cable and plug are not dirty or damaged.
Result Condition checked.
[________OK]

3.2.2 Protective conductor resistance


Test set-up

Fig. 4 Protective conductor resistance

Item Designation
1 Tester, e.g. SECUTEST
2 Device under test
3 Tester probe cable
L Conductor
N Neutral conductor
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PE (Protective earth) conductor

Action • Prepare the test setup.

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Electrical safety
Option: Electrical safety, power supply unit, to DIN EN 62353 (IEC 62353)

• Switch the tester on.


NOTE
The test can be performed optionally with 200 mA DC or 10 A AC (tester
configuration!). When measuring with 200 mA, the measurement is per-
formed a second time with reversed polarity (see instructions on tester dis-
play!). The higher measured value must be documented.

• Configure the tester appropriately and follow the instructions on the tester.
• Using the tip of the probe cable, scan each measurement points listed in
section "Protective conductor resistance measuring points" on the device
under test one after the other, moving the mains power cable along the
entire length during the measurement. The resistance must not change
when you do so.
Test The protective conductor resistance of devices with detachable but con-
nected mains power cables must not exceed 0.3 Ohm in each case.
Entry Maximum measured value of device with power supply cord.
[________Ohm]

Test The protective conductor resistance of each additional detachable power


cable available for use must not exceed 0.1 Ohm. Move the power cable
along the entire length during the measurement. The resistance must not
change when you do so.
Result Maximum measured value of power cable.
[________Ohm]

Test In devices with detachable mains power cables calculate the protective earth
conductor resistance using the following formula:
Calculated value of the device without mains power cable = (maximum mea-
sured value of the device with mains power cable) minus (maximum mea-
sured value of the mains power cable).
The calculated value of the device without mains power cable must not
exceed 0.2 Ohm.
Result Calculated value of the device without mains power cable.
[________Ohm]

or
Test The protective conductor resistance of ME systems (including mains power
cable) must not exceed 0.5 Ohm in each case.
Entry Maximum measured value of ME system.
[________Ohm]

3.2.3 Protective conductor resistance measuring points


Action • Touch the following protective conductor resistance measuring points one
after the other with the tip of the test probe:
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– Screw heads at the power supply unit housing


Entry Measuring points touched.
[________OK]

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Electrical safety
Option: Electrical safety, power supply unit, to DIN EN 62353 (IEC 62353)

3.2.4 Device leakage current


NOTE
– The device leakage current can be tested by the differential measure-
ment method or the direct measurement method.
– For direct measurement, set up the device under test so that it is insu-
lated!

Prerequisites The tester is switched on.


Test set-up

Fig. 5 Device leakage current

Item Designation
1 Tester, e.g., SECUTEST
2 Device under test
3 (applied part) Device-specific test adapter for tester
4 (applied part) Configurable sockets for applied parts
L Conductor
N Neutral conductor
PE (Protective earth) conductor

Action • Prepare the test setup.


• (applied part) Connect the device-specific test adapter on one end to the
device under test and on the other end to the tester's configurable socket
„A“ for applied parts (paying attention to the configuration!).
• Follow the instructions on the tester.

NOTE
The test must be performed twice! The second test is performed with the
plug reversed 180° in the socket. In many test devices the mains plug rota-
tion is simulated by means of a built-in selector switch. The higher measured
value must be documented.

NOTE
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The reference value (initial measured value) must always be transmitted!

NOTE
If the measured values are between 90% and 100% of the permissible limit
value, the reference value and the previously measured values of the recur-
rent test should be applied to assess electrical safety!
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Electrical safety
Electrical safety according to IEC 60601-1

Entry Reference value


[________μA]

Test The recurrent measurement value must not exceed 500 μA.
Entry Recurrent measurement
[________μA]

3.3 Electrical safety according to IEC 60601-1


Introduction
NOTE
– The Fabius conforms to the requirements of protection class I, type B.
– The test to UL2601-1 is satisfied by testing to IEC 60-601-1.
– Differing limit values are marked.
– Fabius is to be tested as a medical system with connected devices and
additional sockets.

NOTE
– The following tests are based on testing with the SECUTEST tester. This
tester allows simulation of the power plug rotation. With other testers, it
may be necessary to rotate it manually (the higher measured value shall
be documented).
– With devices that are connected to other devices by means of a data
cable, this connection must be disconnected prior to performing the elec-
trical safety check, in order to avoid incorrect measurements.

3.3.1 Base unit


Action • Check power fuses, plugs for non-heating apparatus, power supply cord,
convenience socket-outlets, and ground stud.
Test The power fuse-links match the specifications on the rating plate. The plugs
for non-heating apparatus, power supply cord, and the ground pins are nei-
ther contaminated nor damaged.
Entry [________OK]
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Electrical safety
Electrical safety according to IEC 60601-1

3.3.2 Protective conductor resistance


Test set-up

Fig. 6 Test set-up for the protective earth conductor

Item Designation
1 Tester, e.g. SECUTEST, 7910594
2 Fabius under test
3 Test probe with tip (e.g. SECUTEST accessories)
L Conductor
N Neutral conductor
PE (Protective earth) conductor

Action • Prepare the test setup.


• Switch on the SECUTEST and the Fabius.
• Using the tip of the test probe, scan each of the following points on the
Fabius one after the other:
– Screws on O2 inlet block
– Pin index connection (where fitted)
– Power supply unit potential equalization pin
– Potential equalization pins on the convenience socket-outlets.
– PE conductor contacts on convenience socket-outlets.
– Potential equalization pin in fan interior
– Screws on control box rear panel
– Vapor plug-in system
– Screws on control box rail
Test The protective conductor resistance must not exceed 0.2 Ohm (including
mains power cable) in each case.
Entry Protective conductor resistance
[________Ohm]
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Electrical safety
Electrical safety according to IEC 60601-1

3.3.3 Ground leakage current


Test set-up
NOTE
Set up the Fabius so that it is insulated.

Fig. 7 Ground leakage current test setup

Item Designation
1 Tester, e.g. SECUTEST, 7910594
2 Fabius under test
L Conductor
N Neutral conductor
PE (Protective earth) conductor

Action • Prepare the test set-up.


Test In normal condition (N.C.), the value must not exceed 500 μA.
Entry Normal condition (N.C.)
[________μA]

Test In single fault condition (S.F.C.), the value must not exceed 1000 μA.
Entry Single fault condition (S.F.C.)
[________μA]

Action • Switch off the SECUTEST and the Fabius.


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Electrical safety
Electrical safety according to IEC 60601-1

3.3.4 Optional power supply unit heater, protective earth conductor resis-
tance
Test set-up

Fig. 8 Test set-up for the protective earth conductor

Item Designation
1 Tester, e.g. SECUTEST, 7910594
2 Power supply unit heater under test
3 Test probe with tip (e.g. SECUTEST accessories)
L Conductor
N Neutral conductor
PE (Protective earth) conductor

Action • Prepare the test setup.


• Switch on the SECUTEST and the heater.
• Using the tip of the test probe, scan the screw heads on the power supply
unit housing.
Test The protective conductor resistance must not exceed 0.2 Ohm (including
mains power cable) in each case.
Entry Protective conductor resistance
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Electrical safety
Electrical safety according to IEC 60601-1

3.3.5 Optional power supply unit heater, earth leakage current


Test set-up
NOTE
Set up the Fabius so that it is insulated.

Fig. 9 Ground leakage current test setup

Item Designation
1 Tester, e.g. SECUTEST, 7910594
2 Power supply unit heater under test
L Conductor
N Neutral conductor
PE (Protective earth) conductor

Action • Prepare the test set-up.


Test In normal condition (N.C.), the value must not exceed 500 μA.
Entry Normal condition (N.C.)
[________μA]

Test In single fault condition (S.F.C.), the value must not exceed 1000 μA.
Entry Single fault condition (S.F.C.)
[________μA]

Action • Switch off the SECUTEST and the power supply unit heater.
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Electrical safety
Electrical safety according to IEC 60601-1

– This page has been intentionally left blank –

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4 Function and condition test
This chapter contains tests that need to be performed in order to verify that the function and
condition of the device and the accessories used meet the specifications according to the
Instructions for Use.

4.1 Base unit................................................................................................................................... 32


4.2 Base unit self-test, calibration and leakage test ....................................................................... 32
4.3 Service data and basic unit calibration ..................................................................................... 36
4.4 Power failure, O2 sensor, flow sensor alarms .......................................................................... 38
4.5 Testing the flowmeters ............................................................................................................. 39
4.6 SORC test (not applicable in nitrous-oxide-free mode) ............................................................ 39
4.7 Basic unit O2 flush / fresh-gas leakage .................................................................................... 41
4.8 Testing the gas inlet block ........................................................................................................ 43
4.9 Additional tests ......................................................................................................................... 45
4.10 Ventilation modes ..................................................................................................................... 46
4.11 Optional PIN index cylinder connections, manometers, and pressure regulators .................... 47
4.12 Optional high-pressure cylinders, high-pressure regulators ..................................................... 47
4.13 Final action ............................................................................................................................... 52
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Function and condition test
Base unit

4.1 Base unit


Prerequisites The device is fully assembled.

4.1.1 Labels and Instructions for Use


Test Labels and markings are complete and legible.
The instructions for use are available, according to the user/owner.
Result Condition checked.
[________OK]

4.1.2 Condition and function of the base unit


Test – Castors and brakes
– Wall/ceiling mounting (if present)
– Resuscitator bag
– Cosy heater power supply unit (if present)
– Convenience socket-outlets (optional)
– Nitrous oxide-free option: N2O sealing plug secure
Entry Condition and function checked.
[________OK]

4.1.3 Tubing (PAE, PA, fabric-reinforced)


Test Check tubing, tube fittings and color coding for perfect condition.
Entry Condition and function checked.
[________OK]

4.1.4 Condition and function of vaporizer mount and interlock


Test Vaporizer mount and interlock
Entry Condition and function checked.
[________OK]

4.2 Base unit self-test, calibration and leakage test


Prerequisites The device is connected to the mains power supply.
The device is connected to the pipeline supply system or the cylinders are
open, as applicable.

4.2.1 Self-test/system diagnostics of the base unit


Action • Turn the device power switch to "ON".
Test Check that the Fabius completes the self-test and that all tests indicate
"pass".
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Entry Entering the software version


[________txt]

Entry Self-test successfully completed.


[________OK]
Fabius plus

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Function and condition test
Base unit self-test, calibration and leakage test

4.2.2 O2 sensor calibration (not applicable to external O2 measurement)


Action • After the self-test, the Fabius is in the "Standby" screen.
• Press the "Calibrate O2 sensor" key and follow the on-screen instruc-
tions.
Test After calibration is completed, verify the "O2 sensor error" message has dis-
appeared and calibration was successful.
Entry [________OK]

Checking concentration at 100% O2


Action
NOTE
During the following calibration it is possible to avoid long time constants
and to save O2 by using the housing front part of an older Dräger sensor
housing and the adapter top M27961 instead of the original O2 sensor hous-
ing, and by carrying out the measurements at the fresh gas outlet (instead
of at the COSY2) using the test adapter 7900138 (see Figure).

Fig. 10 Test setup for O2 sensor calibration

• Insert the O2 sensor into the COSY2.


• Set an O2 flow of 4 L/min. (The Fabius switches to „Man/Spont“ mode).
• Press the O2 flush button for 1 minute.
Test The O2 concentration reaches 97 to 100% within 3 minutes.
Entry [________%O2]

4.2.3 Flow sensor calibration


Action • Disconnect the expiratory hose from the breathing system.
• Press the "Calibrate Flow Sensor" key and perform the on-screen instruc-
tions.
Test At completion of calibration verify "Flow Calibration Completed" message
appears.
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Entry [________OK]

Action • Reconnect the expiratory hose to the expiratory connection of the breath-
ing system.

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Function and condition test
Base unit self-test, calibration and leakage test

4.2.4 Leak tightness of breathing system


Introduction
NOTE
With all subsequent measurements make sure the pressure in the COSY2
never exceeds 80 mbar. Otherwise, an optional manometer could be dam-
aged.

Action • Fully mount the breathing system's components.


• Call the "Standby" screen.
• Press the "Leak/Compl.Test" key on the "Standby" screen.
• Follow the on-screen instructions.
Test Leakage test successfully completed.
Entry
[________OK]

4.2.5 Fresh gas leakage test (with and without anesthetic vaporizer)
NOTE
Carry out this test once with the anesthetic vaporizer fitted and once without
anesthetic vaporizer.

Test set-up

Fig. 11 Test setup for the fresh gas leakage test

Item Designation
1 Digital manometer 7910722
2 Fresh gas tube
3 Kuhn connector M28189
4 T-piece 6800187
5 Blower ball M16118

Action • Disconnect the pipeline supply.


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• Close any cylinders on the Fabius.


• Set the device’s power switch to the OFF position.
• Close the flow control valves.
• Unscrew the fresh gas hose from the COSY breathing system.
Fabius plus
• Prepare the test setup.

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Function and condition test
Base unit self-test, calibration and leakage test

• Using the blower ball, apply a pressure of 50 mbar to the system.


Test After 30 seconds, the pressure indicated on the manometer must be greater
than/equal to 40 mbar.
Entry Fresh gas leakage with Vapor.
[________mbar]

Entry Fresh gas leakage without Vapor.


[________mbar]

Action • Connect the fresh gas tube to the breathing system (COSY).

4.2.6 Nitrous oxide-free option


NOTE
Carry out this test without the Vapor connected.

Test set-up

Fig. 12 Test setup for the fresh gas leakage test

Item Designation
1 Digital manometer 7910722
2 Fresh gas tube
3 Kuhn connector M28189
4 T-piece 6800187
5 Blower ball M16118

Action • Disconnect the pipeline supply.


• Close any cylinders on the Fabius.
• Set the device’s power switch to the OFF position.
• Fully open the N2O flow control valve.
• Unscrew the fresh gas hose from the COSY breathing system.
• Prepare the test setup.
• Using the blower ball, apply a pressure of 50 mbar to the system.
Test After 30 seconds, the pressure indicated on the manometer must be greater
than/equal to 40 mbar.
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Entry Fresh gas leakage


[________mbar]

Action • Close the N2O flow control valve again.


• Connect the fresh gas tube to the breathing system (COSY).

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Function and condition test
Service data and basic unit calibration

4.3 Service data and basic unit calibration


Prerequisites The device is connected to the mains power supply.
The device is connected to the pipeline supply system or the cylinders are
open, as applicable.
The Fabius is switched on and in „Standby“ mode.

4.3.1 Service data


Action • Press and hold the Home and Standby buttons, and then press the rotary
button to access the system service screen.
Entry Read the last service date under "Last Service date", and enter it in the test
report.
[________dat]

Entry Set the next due service date, and enter it in the test report
[________dat]

Action • Use the rotary knob to navigate to the "main service screen".

4.3.2 Pressure
Action • Scroll to “Calibration” and confirm.
• Scroll to "Pressure" and confirm.
• Follow the on-screen instructions and perform the Zero calibration.

Remove pressure sample line and Disconnect the pressure measuring


ventilator hose from breathing sys- line and the ventilator tube from the
tem. Expose to air. breathing system. Expose to ambi-
ent air.
Let current pressure value stabilize. Wait until the current pressure value
has stabilized.
Touch "Store Zero" key to enter the Press the „Store Zero” key to store
current values as the calibration the current values as calibration
zero. zero.

• Reconnect pressure line and lung ventilator tube to breathing system.


Test "INVALID" does not display.
Result Zero calibration complete.
[________OK]

Action • Press the "Exit" key.

4.3.3 Pump calibration and vacuum test


NOTE
Before performing the pump calibration/test, a valid pressure calibration
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must be performed.

Action • Scroll to "Service Log" and confirm.


• Scroll to "Real Time Value" and confirm.
• Connect a pressure gauge (7910722) to the hose connection (large diame-
ter)plus
Fabius APLvalve of the breathing system.

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Function and condition test
Service data and basic unit calibration

Test The pressure as indicated is between -180 and -220 mbar.


Action • If the values are not attained, calibrate the pump and pump output accord-
ing to the repair instructions to Ppump 200 ± 10mbar.
• Turn the rotary knob to access the "Main" screen.
Test The „pressure“ indicated is between -180 and -220 mbar.
Result Vacuum test and pump calibration performed (key background white).
[________OK]

4.3.4 PEEP calibration


NOTE
– Before performing the PEEP valve calibration, a valid pressure calibra-
tion must be performed. Otherwise an "Inv pres. Cal" message will
appear.
– Use a short hose for the subsequent connection between the expiratory
and inspiratory valves.

Action • Scroll to “Calibration” and confirm.


• Scroll to "PEEP" and confirm.
• Follow the on-screen instructions to calibrate the PEEP value.

Attach breathing hose from expira- Connect the expiratory valve and the
tory valve to inspiratory valve and inspiratory valve with the breathing
remove breathing bag. system tube, and remove the breath-
ing bag.
Touch "Calibrate" key. Press the „Calibrate” key.
At completion of calibration "Calibra- After completion of the calibration,
tion" shall indicate Pass/Fail. „Calibrate”must display „Pass” or
„Fail”.

Test Verify "PEEP Calibration" indicates "pass".


Result PEEP valve calibration complete.
[________OK]

Action • Press the "Exit" key.


• Reconnect the tubes to the breathing system.

4.3.5 O2 offset (not applicable to external O2 measurement)


Action • Scroll to "O2" and confirm.
• Follow the on-screen instructions and perform the O2 zero calibration.

Remove O2 cell from housing. Remove the O2 cell from the hous-
ing.
Let current cell valus stabilize. Wait for the values to stabilize.
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Touch "Store Zero" key to enter the Press the „Store Zero” key to store
current values as the calibration the current values as calibration
zero. zero.
Reinstall O2 cell in sensor housing Reinstall the O2 cell into the sensor
housing.

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Function and condition test
Power failure, O2 sensor, flow sensor alarms

Test O2 zero calibration is complete, when values are displayed under "Stored
zero cell A/B" and no "INVALID" is displayed.
Result O2 zero calibration complete.
[________OK]

Action • Reassemble the O2 sensor housing, and then install the O2 sensor hous-
ing onto the inspiratory dome of the breathing system.
• Press the "Exit" key.

4.4 Power failure, O2 sensor, flow sensor alarms


Prerequisites The device is switched on.

4.4.1 Power failure alarm, battery circuit


Action • Press the "Standby" key to access Standby mode.
• Press the MAN/SPONT key on the control unit, and then confirm the dis-
played message using the rotary knob.
Test Disconnect the power plug to check that the "power failure" message appears
and the acoustic alarm sounds within one minute of disconnecting the power
plug.
On the Standby screen, check the battery state of charge.
Connect the power plug and check that the "power failure" message disap-
pears.
Entry [________OK]

4.4.2 O2 low alarm


NOTE
Unless already selected, set "O2 whistle" to "Enable" under "Configure" in
service mode.

Action • Connect the O2 pipeline supply tube to the gas distributor 7901495.
• Set the O2 flow to 0.5 L/min.
• Open and close the O2 cylinder valve.
Test At an indicated pressure of 1.1 to 1.65 bar the alarm message "LOW O2
SUPPLY PRESSURE!!!" appears, an acoustic alarm sounds and the red
alarm LED comes on.
Entry [________bar]

Action • Bleed the remaining O2 pressure from the system, and close the flow con-
trol valve.
• Remove the gas manifold from the device and reconnect the pipeline sup-
ply tubes.
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NOTE
Reset "O2 whistle" to customer settings.

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Function and condition test
Testing the flowmeters

4.4.3 Flow sensor failure alarm


Action • Disconnect the flow sensor cable from the breathing system.
Test The "FLOW SENSOR ERROR !" message appears and an acoustic alarm
sounds.
Action • Connect the flow sensor cable to the breathing system.
Entry [________OK]

4.4.4 O2 sensor failure alarm (not applicable to external O2 measurement)


Action • Disconnect the O2 sensor cable at the back of the Fabius.
Test The "O2 SENSOR ERROR !" message appears and an acoustic alarm
sounds.
Make sure that the sensor has stabilized in ambient air for several minutes.
Action • Reconnect and calibrate the O2 sensor.
Entry The "O2 sensor error" message has disappeared.
[________OK]

4.5 Testing the flowmeters


Prerequisites The device is switched on and in „Standby“ mode.
The APL valve is set to „SPONT“.

4.5.1 Flowmeter block safety valve


Action • Connect the mixed-gas socket to pressure gauge +1 bar (7910722).
• Disconnect the Vapor.
• Close the N2O flow control valve.
• Use the O2 flow control valve to set a flow of 9 L/min.
Test The safety valve opens at a pressure of less than 1.0 bar.
Entry Tests within tolerance.
[________OK]

4.6 SORC test (not applicable in nitrous-oxide-free mode)


Introduction These instructions describe the SORC test.
Prerequisites The device is switched on and in „Man/Spont“ ventilation mode.
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4.6.1 N2O shut-off (not applicable in nitrous-oxide-free mode)


Action • Connect the O2 pipeline supply.
• Connect the N2O pipeline supply.
• Set the O2 and N2O flow control valves to 4 L/min.
• Disconnect the O2 pipeline supply.

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Function and condition test
SORC test (not applicable in nitrous-oxide-free mode)

Test The N2O flow ceases when the O2 flow is depleted.


Action • Close the N2O flow control valve.
Entry [________OK]

4.6.2 O2 concentration and gas type test (not applicable in nitrous-oxide-


free mode)
Prerequisites Fabius is in "Man/Spont" ventilation mode.
Test set-up

Fig. 13 Test set-up for O2 sensor calibration

Item Designation
1 O2 sensor
2 Connector M27961
3 Test adapter 7900138
4 Tube
5 Kuhn connector M2796
6 Fresh-gas tube

Action • Prepare the test setup for O2 sensor calibration.


• Connect the AIR pipeline supply.
• Set the AIR flow valve to 4 L/min.
Test AIR pipeline supply manometer indicates pipeline pressure.
O2 and N2O flow on flowmeter block is equal to 0 L/min.
Entry [________OK]
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Action • Unplug AIR CS.


• Connect the O2 pipeline supply.
• Set the O2 flow valve to 4 L/min.
Entry O2 pipeline
Fabius plus supply manometer indicates pipeline pressure.
[________OK]

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Function and condition test
Basic unit O2 flush / fresh-gas leakage

Action • Connect the N2O pipeline supply (not applicable in nitrous-oxide-free


mode)
• Set the N2O flow valve to 2 L/min.
Test The O2 concentration is 61 to 71%.
Entry [________%O2]

Action • Close the N2O flow control valve.


• Reconnect AIR central supply.
• Set the Air flow to 2 L/min.
Test The O2 concentration is 69 to 79%.
Entry [________%O2]

Action • Close the Air and O2 flow control valves.

4.6.3 SORC function (not applicable in nitrous-oxide-free mode)


Action • Press the O2 flush button for 5 seconds.
• Set the O2 and N2O flow control valves to maximum.
• Set the following flow values one after the other, and check the respective
O2 concentration.
• Set the O2 flow control valve to 0.5 L/min; the O2 concentration is 22-33
% by vol..
• The N2O flow on flowmeter block is equal to 1-1,8 L/min.
• Set the O2 flow to 1 L/min; the O2 concentration is 22-29 % by vol..
• Set the O2 flow so that 3 L/min N2O is reached; the O2 concentration is
22-33 % by vol..
Test The O2 concentration corresponds to the spezified values.
Entry [________OK]

Action • Reduce the O2 flow to zero.


Test The reading on the N2O flowmeter is equal to 0 L/min.
Action • Slowly increase the O2 flow until there is no more N2O flow left.
Test N2O starts flowing when the O2 flow is in the range of 0.13 to 0.27 L/min.
Entry [________L/min]

Action • Close the O2 and N2O flow control valves.

4.7 Basic unit O2 flush / fresh-gas leakage


Introduction These procedure describes the leakage test of the tubing and hose system
via the fresh-gas connection of the device as well as the O2 flush function
test.
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Prerequisites Device is fully assembled.


Y-piece is closed.
Vapor anesthetic vaporizer is not installed.

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Function and condition test
Basic unit O2 flush / fresh-gas leakage

4.7.1 Fresh gas leakage test (with and without anesthetic vaporizer)
NOTE
Carry out this test once with the anesthetic vaporizer fitted and once without
anesthetic vaporizer.

Test set-up

Fig. 14 Test set-up for the fresh-gas leakage test

Item Designation
1 Digital manometer 7910722
2 Fresh-gas tube
3 Kuhn connector M28189
4 T-piece 6800187
5 Blower ball M16118

Action • Disconnect the pipeline supply.


• Close any cylinders on the Fabius.
• Set the device’s power switch to the OFF position.
• Flow control valves are closed.
• Unscrew the fresh gas hose from the COSY breathing system.
• Prepare the test setup.
• Using the blower ball, apply a pressure of 50 mbar to the system.
Test After 30 seconds, the pressure indicated on the manometer must be greater
than/equal to 40 mbar.
Entry Fresh gas leakage with Vapor.
[________mbar]

Entry Fresh gas leakage without Vapor.


[________mbar]
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Action • Connect the fresh-gas tube to the breathing system (COSY).

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Function and condition test
Testing the gas inlet block

4.7.2 Nitrous-oxide-free option: Fresh-gas leakage test


NOTE
Carry out this test without the Vapor connected.

Test set-up

Fig. 15 Test set-up for the fresh-gas leakage test

Item Designation
1 Digital manometer 7910722
2 Fresh-gas tube
3 Kuhn connector M28189
4 T-piece 6800187
5 Blower ball M16118

Action • Disconnect the pipeline supply.


• Close any cylinders on the Fabius.
• Set the device’s power switch to the OFF position.
• The N2O flow control valve is fully open.
• Unscrew the fresh gas hose from the COSY breathing system.
• Prepare the test setup.
• Using the blower ball, apply a pressure of 50 mbar to the system.
Test After 30 seconds, the pressure indicated on the manometer must be greater
than/equal to 40 mbar.
Entry Fresh-gas leakage
[________mbar]

Action • Close the N2O flow control valve.


• Connect the fresh-gas tube to the breathing system (COSY).
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4.8 Testing the gas inlet block


Introduction This procedure describes the function and condition test of the pressure reg-
ulators on the gas inlet block, the leakage test, and the non-return valves test.
Prerequisites Unit is switched on.

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Function and condition test
Testing the gas inlet block

4.8.1 Testing the pipeline supply leakage and the pipeline supply manom-
eters
Test set-up

Fig. 16 Test set-up for the pipeline supply leakage

Item Designation
1 Test cylinder
2 High-pressure regulator
3 Test adapter (7901495)
4 Device inlet
5 O2 pipeline supply

Action • Close the cylinder valves of the PIN index and high-pressure cylinders.
• Disconnect cylinders from Fabius.
• Bleed the pressure in the system by opening all flow valves.
Test The pipeline supply manometers do not indicate any pressure.
Close all flow control valves.
Action • Connect the test cylinder and gas manifold, one after the other, to the
respective pipeline supply gas inlet on the device.
• Open the valve of the test cylinder.
• Set a pressure of of 5 bar.
Test The indicator of the relevant manometer is in the green working range of 2.8
to 6.0 bar.
Action • Close the valve of the test cylinder.
Test The high-pressure manometer of the test pressure regulator must not drop by
more than 10 bar within 2 minutes.
Entry O2 manometer / O2 leakage
[________OK]

Entry N2O manometer/N2O leakage (not applicable in nitrous-oxide-free


mode)
[________OK]

Entry AIR manometer / AIR leakage


[________OK]
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Function and condition test
Additional tests

4.9 Additional tests


Prerequisites The device is switched on, has successfully completed the self-test, and is in
"Standby" mode.
The breathing system is fitted.

4.9.1 Pressure-limiting valve and auxiliary air valve


Test set-up

Fig. 17 Test setup for the pressure-limiting valve

Item Designation
1 Test connector M13506
2 Digital manometer 7910722

Action • Adjust the following values:


• IPPV (VC) ventilation mode.

Pmax = 70 mbar
Vt = 1400 mL
Freq = 4 BPM
TI:TE = 1:1
TIP:TI = 0%
PEEP = 0 mbar (cmH2O)

• Prepare the test setup for the pressure-limiting valve.


Test The pressure-limiting valve opens between 70 and 80 mbar (cm H2O)
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when the ventilator is in the inspiratory phase.


Test The auxiliary air valve opens between -6 and -10.0 mbar (cm H2O) when
the ventilator is in the expiratory phase.
Result The pressure-limiting valve and the auxiliary air valve are working prop-
erly.
[________OK]

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Function and condition test
Ventilation modes

Action • Remove the test setup. Assemble the Cosy.

4.9.2 Pmax accuracy


Action • IPPV (VC) ventilation mode.
• Connect a manometer (7910722) to the Y-piece.
Test Verify test manometer display and breathing gauge values for the following
Pmax settings:

Pmax setting Displayed value (mbar)


25 20 to 30
70 65 to 75

Result [________OK]

4.10 Ventilation modes


Prerequisites The device is switched on, has successfully completed the self-test, and is in
"Standby" mode.
The breathing system is fitted.

4.10.1 Manual ventilation


Action • Connect a test lung to the Y-piece of the breathing system.
• Select Man/Spont mode.
• Set the O2 fresh-gas flow to 3 L/min.
• Set APL valve to MAN, 30 mbar.
Test Manual ventilation can be applied by squeezing the manual breathing bag.
Entry [________OK]

4.10.2 Spontaneous breathing

Action • Set the APL valve to SPONT.


Test Spontaneous breathing with the connected test lung is possible.
Entry [________OK]

Action • Close the O2 flow control valve.

4.10.3 Lung ventilator performance


Action • Switch to IPPV (VC) mode.
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• Press the flush button briefly to inflate the bag.


• Adjust the following values:

pmax = 70 mbar
Fabius plus
Vt = 380 mL

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Function and condition test
Optional PIN index cylinder connections, manometers, and pressure regulators

Freq = 12 BPM
TI:TE = 1:1
TIP:TI = 10%
PEEP = 0 mbar

• Confirm settings with the rotary knob.


Test IPPV (VC) mode is indicated.
Ventilation starts.
The lung ventilator is running softly and smoothly.
Entry [________OK]

Test Volume delivery Vte 300 to 450 mL


Entry [________mL]

4.11 Optional PIN index cylinder connections, manometers, and


pressure regulators
Introduction These instructions describe the functional and condition test of the optional
PIN index cylinder connectors, manometers, and pressure regulators. The
PIN index connectors are located on the rear panel of the Fabius.

4.11.1 Cylinder connections, non-return valves, manometers


Test – Handles on cylinder connection function smoothly.
– Pins on cylinder connection are in perfect condition.
– Cylinder seal is fitted on each cylinder connection assembly and is OK;
replace as necessary.
– Cylinder connection plug is fitted.
– Gas type identification label attached.
– Cylinder spanner is present.
Entry Condition of cylinder connections checked.
[________OK]

4.12 Optional high-pressure cylinders, high-pressure regulators


Introduction This procedure describes the condition test for the optional O2 and N2O high-
pressure cylinders, if fitted, and the function of the high-pressure regulators.
The high-pressure cylinder connections are located on the gas inlet block of
the Fabius.
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Function and condition test
Optional high-pressure cylinders, high-pressure regulators

4.12.1 Condition of high-pressure cylinders


Test – Cylinder pressure regulator
– Labeling
– HP connecting tubes
– HP manometer
– Cylinder jackets
– Caps
– Cylinder holder
Entry The high-pressure cylinders and cylinder pressure regulators are in
perfect condition.
[________OK]

Entry TÜV for O2 high-pressure cylinder


[________OK]

Entry TÜV N2O high-pressure cylinder (not applicable in nitrous-oxide-free


mode)
[________OK]

Entry Use-by-date for O2 high-pressure cylinder


[________dat]

Entry Use-by date N2O high-pressure cylinder (not applicable in nitrous-


oxide-free mode)
[________dat]

4.12.2 High-pressure cylinders on the gas inlet block (non-return valves)


Test set-up

Fig. 18 Test setup for pipeline supply non-return valves

Item Designation
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1 Flowmeter (7901161)
2 Connecting sleeve (M13506)
3 Reducing sleeve (7900034) / N2O adapter / AIR adapter

Action • Connect
Fabius plus the O2/N2O high-pressure cylinder available to the gas inlet
block.

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Function and condition test
Optional high-pressure cylinders, high-pressure regulators

• Connect the test setup in sequence to the O2 and N2O pipeline supply
connectors on the gas inlet block.
• Open the O2/N2O high-pressure cylinder available.
Test The flow rate indicated on the flowmeter (1) is less than/equal to 5 mL/min.
Entry Pipeline supply O2 connector max. 5 mL/min.
[________mL/min]

Entry Pipeline supply N2O connector (not applicable in nitrous-oxide-free


mode) max. 5 mL/min .
[________mL/min]

Action • Remove the existing O2/N2O high-pressure cylinder from the gas inlet
block.
• Connect the pipeline supply to the O2 and N2O connectors of the gas inlet
block.
• Connect the test setup in sequence to the O2 and N2O high-pressure cyl-
inder connectors on the gas inlet block.
Test The flow rate indicated on the flowmeter (1) is less than/equal to 5 mL/min.
Entry O2 high-pressure cylinder connector max. 5 mL/min.
[________mL/min]

Entry N2O high-pressure cylinder connector (not applicable in nitrous-oxide-


free mode) max. 5 mL/min.
[________mL/min]

4.12.3 O2 high-pressure leakage


Action • Disconnect the pipeline supply tubes from the gas inlet block.
• Make sure that the Fabius is switched off at the mains power switch.
• Open the O2 cylinder valve and allow the pressure to stabilize.
• Close the O2 cylinder valve.
• Observe the O2 cylinder manometer.
Test The pressure loss must not exceed 10 bar/min.
Entry O2 pressure loss is within tolerance.
[________OK]

4.12.4 N2O high-pressure leakage (not applicable in nitrous-oxide-free


mode)
Action • Switch on the Fabius at the power switch.
• Open the N2O cylinder valve.
• Close the N2O cylinder valve.
• Observe the N2O cylinder manometer.
Test The pressure loss must not exceed 10 bar/min.
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Entry N2O pressure loss is within tolerance.


[________OK]

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Function and condition test
Optional high-pressure cylinders, high-pressure regulators

4.12.5 Blow-off valve of O2/N2O high-pressure regulator (every three years)


Test set-up

Fig. 19 Test setup for the blow-off valve test

Item Designation
1 Adapter O2 DIN/NIST M32366 und connector 7901433

Adapter N2O DIN/NIST M32367 und connector 7901440


2 High-pressure pump with connecting tube (7911389)

Action • Prepare the test setup.


• Build up a pressure using the high-pressure pump.
Test The blow-off valve opening pressure at the O2 high-pressure regulator
should be 7.5 to 8.0 bar.
Result O2 blow-off valve opening pressure.
[________bar]

Test The blow-off valve opening pressure at the N2O high-pressure regulator
should be 7.5 to 8.0 bar (not applicable in nitrous-oxide-free mode).
Result N2O blow-off valve opening pressure.
[________bar]
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Function and condition test
Optional high-pressure cylinders, high-pressure regulators

4.12.6 O2/N2O high-pressure regulator downstream pressure test (every


three years)
Test set-up

Fig. 20 Test setup for the downstream pressure test

Item Designation
1 Test pressure regulator 7901482
2 Reducer 7900044
3 Connector 7901430
4 PU tube, 2.7 mm, 1194925
5 Adapter 7901435 (installed on the high-pressure regulator instead of
the hexagon socket screw)
6 High-pressure regulator
7 Distributor V04380

Action • Close the high-pressure cylinder.


• Prepare the test set-up for the downstream pressure test.
• Connect the high-pressure regulator connecting tube (6) to the Fabius.
• Close the valve on the distributor (7).
• Open the high-pressure cylinder.
NOTE
– The downstream pressure of the high-pressure regulator (6) is indicated
via the PU tube (4) on the downstream pressure manometer of the test
pressure regulator (1).
17.11.09_0000000699_Publication

– The high-pressure regulators are available as 2.5-bar and 5-bar models.


The model can be read on the name plate of the relevant high-pressure
regulator.

Test Check downstream pressure on O2 high-pressure regulator.


High-pressure regulator version 5 bar, downstream pressure 5 to 6 bar

9500470 Fabius plus Revision 1.0 51 / 57


Function and condition test
Final action

High-pressure regulator version 2.5 bar, downstream pressure 2.4 to


2.95 bar
Entry [________bar]

Test Check downstream pressure on N2O high-pressure regulator (not appli-


cable in nitrous-oxide-free mode).
High-pressure regulator version 5 bar, downstream pressure 5 to 6 bar
High-pressure regulator version 2.5 bar, downstream pressure 2.4 to
2.95 bar
Entry [________bar]

Entry Next test


[________dat]

4.12.7 O2/N2O high-pressure regulator performance test (every three years)


Action • Close the high-pressure cylinder.
• Disconnect the connecting tube of the high-pressure regulator being tested
from the Fabius and connect it to the flowmeter (7900718) using a breath-
ing tube.
• Slowly open the high-pressure cylinder until a supply pressure of 10 bar is
achieved.
Test Check O2 high-pressure regulator performance on flowmeter.
High-pressure regulator version 5 bar > 75 L/min.
High-pressure regulator version 2.5 bar > 40 L/min.
Entry [________OK]

Test Check N2O high-pressure regulator performance (not applicable in


nitrous-oxide-free mode) on flowmeter.
High-pressure regulator version 5 bar > 60 L/min.
High-pressure regulator version 2.5 bar > 35 L/min.
Entry [________OK]

4.13 Final action


Prerequisites – The test instructions have been performed as specified.
– All tests performed were passed successfully.

4.13.1 Device handover with test label


Action • Place the fully functional device at the user's/owner's disposal.
• Attach a test label to the device.
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Result
[________OK]

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52 / 57 9500470 Fabius plus Revision 1.0


5 Test equipment
This chapter lists the service equipment required to perform the tests specified in these test
instructions.

5.1 Test equipment ......................................................................................................................... 54


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Test equipment
Test equipment

5.1 Test equipment

5.1.1 Test equipment subject to mandatory calibration


NOTE
Tests must be performed using validly calibrated test equipment.

Designation Part number Comments


Multimeter 7901021

Measuring equipment for electrical 7910594 or equivalent


safety

O2 test pressure regulator 7901482 or equivalent

Flowmeter block 0-250ml 7901161 or equivalent


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Test equipment
Test equipment

Designation Part number Comments


Digital manometers 7910722 and 7910724 or
equivalent

Flowmeter 7900718 or equivalent

Entry Valid calibrated test equipment used


[________OK]
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Test equipment
Test equipment

5.1.2 Test equipment not subject to mandatory calibration

Designation Part number


Test lung 7911140 or equivalent

Gas distributor 7901495 or equivalent

Reducer 7900044 or equivalent

Fitting 7901430 or equivalent

Fitting 7901435 or equivalent


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Test equipment
Test equipment

Designation Part number


T-connector 7901458

PU tube, 2.7 mm 1194925

Breathing bag, 3-liter


Tube, corrugated, 22 mm x 12 in long.
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Result Sheet Test instructions / Service Card IPM

Fabius plus
Order number: 9500470

Location: Serial no. (basic unit):

Department: Cust. invent. no.:

Maintenance interval: Other / Delivery date:

Key

9 / OK = OK
Applies to Test instructions / Service Card IPM Revision 1.n + = Spare part used
! = Error / Report
/ = Accessory not available
- = Not applicable

OK Result OK Result
1 Device configuration 3.1.3 Protective conductor resistance
1.1 Basic device configuration 3.1.3.1 Maximum measured value of device with pow- Ohm
er supply cord.
1.1.1 Serial number / software (if not otherwise record-
ed) 3.1.3.2 Maximum measured value of power cable. Ohm
1.1.1.1 Serial number of the unit txt 3.1.3.3 Calculated value of the device without mains Ohm
power cable.
1.1.1.2 Serial number of the breathing system (Cosy) txt
txt 3.1.3.4 Maximum measured value of ME system. Ohm
1.1.1.3 Serial number of optional bronchial suction de-
vice 3.1.4 Protective conductor resistance measuring OK
2 Maintenance parts points

2.1 Maintenance parts, every 12 months 3.1.5 Device leakage current

2.1.1 Service set for Fabius dat 3.1.5.1 Reference value μA

2.2 Service parts, 2-yearly 3.1.5.2 Recurrent measurement μA

2.2.1 Fabius service set with APL bypass valve (old) dat 3.2 Option: Electrical safety, power supply unit, to DIN
EN 62353 (IEC 62353)
2.2.2 Fabius service set with APL bypass valve (new) dat
3.2.1 Visual check OK
2.3 Service parts, 3-yearly
3.2.2 Protective conductor resistance
2.3.1 Service set for Fabius dat
3.2.2.1 Maximum measured value of device with pow- Ohm
2.4 Inlet pressure regulator test, 3-yearly er supply cord.
2.4.1 Downstream pressure of pipeline supply O2 inlet OK 3.2.2.2 Maximum measured value of power cable. Ohm
pressure regulator
3.2.2.3 Calculated value of the device without mains Ohm
2.4.2 Downstream pressure of pipeline supply N2O in- OK power cable.
let pressure regulator (not applicable in nitrous-
oxide-free mode) 3.2.2.4 Maximum measured value of ME system. Ohm

2.5 Service parts, 6-yearly 3.2.3 Protective conductor resistance measuring OK


points
2.5.1 High-pressure cylinders option (SILVERLINE)
3.2.4 Device leakage current
2.5.1.1 General overhaul service set dat
3.2.4.1 Reference value μA
2.5.1.2 Gas type labels service set dat
3.2.4.2 Recurrent measurement μA
2.6 Service parts as required
3.3 Electrical safety according to IEC 60601-1
2.6.1 Breathing system
3.3.1 Base unit OK
2.6.1.1 Flow sensor dat
3.3.2 Protective conductor resistance Ohm
2.6.1.2 O2 sensor dat
3.3.3 Ground leakage current
2.6.1.3 PEEP/APL tube, right dat
3.3.3.1 Normal condition (N.C.) μA
2.6.1.4 PEEP/APL tube, left dat
3.3.3.2 Single fault condition (S.F.C.) μA
2.6.1.5 Ventilator tube dat
3.3.4 Optional power supply unit heater, protective Ohm
2.6.1.6 Pressure tube dat
earth conductor resistance
2.6.2 Ventilator 3.3.5 Optional power supply unit heater, earth leakage
2.6.2.1 Seal dat current
2.6.3 Optional anesthetic gas scavenging system 3.3.5.1 Normal condition (N.C.) μA
(AGSS)
3.3.5.2 Single fault condition (S.F.C.) μA
2.6.3.1 Filter dat
4 Function and condition test
3 Electrical safety 4.1 Base unit
3.1 Electrical safety, base unit, to DIN EN 62353 (IEC
4.1.1 Labels and Instructions for Use OK
62353)
4.1.2 Condition and function of the base unit OK
3.1.1 Notes on the Electrical safety to DIN EN 62353
section 4.1.3 Tubing (PAE, PA, fabric-reinforced) OK
3.1.2 Visual check OK

Revision 1.0 Fabius plus 1/3


OK Result OK Result
4.1.4 Condition and function of vaporizer mount and in- OK 4.8.1.2 N2O manometer/N2O leakage (not applicable OK
terlock in nitrous-oxide-free mode)
4.2 Base unit self-test, calibration and leakage test 4.8.1.3 AIR manometer / AIR leakage OK
4.2.1 Self-test/system diagnostics of the base unit 4.9 Additional tests
4.2.1.1 Entering the software version txt 4.9.1 Pressure-limiting valve and auxiliary air valve OK
4.2.1.2 Self-test successfully completed. OK 4.9.2 Pmax accuracy OK
4.2.2 O2 sensor calibration (not applicable to external 4.10 Ventilation modes
O2 measurement)
4.10.1 Manual ventilation OK
4.2.2.1 Calibrate O2 sensor OK
4.10.2 Spontaneous breathing OK
4.2.2.2 O2 concentration %O2
4.10.3 Lung ventilator performance
4.2.3 Flow sensor calibration OK
OK
4.10.3.1 lung ventilator is running softly and smoothly
4.2.4 Leak tightness of breathing system OK
mL
4.10.3.2 Volume delivery
4.2.5 Fresh gas leakage test (with and without anesthet-
4.11 Optional PIN index cylinder connections, manome-
ic vaporizer)
ters, and pressure regulators
4.2.5.1 Fresh gas leakage with Vapor. mbar
4.11.1 Cylinder connections, non-return valves, manom-
4.2.5.2 Fresh gas leakage without Vapor. mbar eters
4.2.6 Nitrous oxide-free option 4.11.1.1 cylinder connections OK
4.2.6.1 Fresh gas leakage mbar 4.12 Optional high-pressure cylinders, high-pressure
regulators
4.3 Service data and basic unit calibration
4.12.1 Condition of high-pressure cylinders
4.3.1 Service data
dat 4.12.1.1 The high-pressure cylinders and cylinder pres- OK
4.3.1.1 last service date
sure regulators are in perfect condition.
4.3.1.2 next due service date dat
4.12.1.2 TÜV for O2 high-pressure cylinder OK
4.3.2 Pressure OK
4.12.1.3 TÜV N2O high-pressure cylinder (not applica- OK
4.3.3 Pump calibration and vacuum test OK ble in nitrous-oxide-free mode)
4.3.4 PEEP calibration OK 4.12.1.4 Use-by-date for O2 high-pressure cylinder dat
4.3.5 O2 offset (not applicable to external O2 measure- OK 4.12.1.5 Use-by date N2O high-pressure cylinder (not dat
ment) applicable in nitrous-oxide-free mode)
4.4 Power failure, O2 sensor, flow sensor alarms 4.12.2 High-pressure cylinders on the gas inlet block
(non-return valves)
4.4.1 Power failure alarm, battery circuit OK
4.12.2.1 Pipeline supply O2 connector mL/min
4.4.2 O2 low alarm bar
4.12.2.2 Pipeline supply N2O connector (not applicable mL/min
4.4.3 Flow sensor failure alarm OK
in nitrous-oxide-free mode)
4.4.4 O2 sensor failure alarm (not applicable to exter- OK
4.12.2.3 O2 high-pressure cylinder connector mL/min
nal O2 measurement)
4.5 Testing the flowmeters 4.12.2.4 N2O high-pressure cylinder connector (not ap- mL/min
plicable in nitrous-oxide-free mode)
4.5.1 Flowmeter block safety valve OK
4.12.3 O2 high-pressure leakage OK
4.6 SORC test (not applicable in nitrous-oxide-free
mode) 4.12.4 N2O high-pressure leakage (not applicable in ni- OK
trous-oxide-free mode)
4.6.1 N2O shut-off (not applicable in nitrous-oxide-free OK
mode) 4.12.5 Blow-off valve of O2/N2O high-pressure regulator
(every three years)
4.6.2 O2 concentration and gas type test (not applicable
in nitrous-oxide-free mode) 4.12.5.1 blow-off valve opening pressure at the O2 bar
high-pressure regulator
4.6.2.1 AIR pipeline supply manometer indicates pipe- OK
line pressure 4.12.5.2 blow-off valve opening pressure at the N2O bar
high-pressure regulator
4.6.2.2 O2 pipeline supply manometer indicates pipe- OK
line pressure 4.12.6 O2/N2O high-pressure regulator downstream
pressure test (every three years)
4.6.2.3 O2 concentration %O2
4.12.6.1 downstream pressure on O2 high-pressure bar
4.6.2.4 O2 concentration %O2 regulator
4.6.3 SORC function (not applicable in nitrous-oxide- 4.12.6.2 downstream pressure on N2O high-pressure bar
free mode) regulator (not applicable in nitrous-oxide-free
4.6.3.1 O2 concentration OK mode)
4.6.3.2 O2 flow L/min 4.12.6.3 Next test dat

4.7 Basic unit O2 flush / fresh-gas leakage 4.12.7 O2/N2O high-pressure regulator performance test
(every three years)
4.7.1 Fresh gas leakage test (with and without anesthet-
ic vaporizer) 4.12.7.1 O2 high-pressure regulator performance OK
4.7.1.1 Fresh gas leakage with Vapor. mbar 4.12.7.2 N2O high-pressure regulator performance (not OK
applicable in nitrous-oxide-free mode)
4.7.1.2 Fresh gas leakage without Vapor. mbar
4.13 Final action
4.7.2 Nitrous-oxide-free option: Fresh-gas leakage test
4.13.1 Device handover with test label OK
4.7.2.1 Fresh-gas leakage mbar
5 Test equipment
4.8 Testing the gas inlet block
5.1 Test equipment
4.8.1 Testing the pipeline supply leakage and the pipe-
line supply manometers 5.1.1 Test equipment subject to mandatory calibration
4.8.1.1 O2 manometer / O2 leakage OK 5.1.1.1 Valid calibrated test equipment used OK

Revision 1.0 Fabius plus 2/3


Report:

Test has been performed according to the test instructions.

Name: ............................. __________________________________________________________


Date/Signature:............... __________________________________________________________

Revision 1.0 Fabius plus 3/3


- This page has been intentionally left blank -
Manufacturer:

Dräger Medical GmbH


Moislinger Allee 53 – 55
23542 Lübeck
Germany

+49 1805 3723437

FAX +49 451 882 - 3779

http://www.draeger.com

Subject to change without notice


Will not be replaced in the event of modifications.

© Copyright 2010 by Dräger Medical GmbH, Lübeck, Germany.

Revision 1.0
9036798
5330.450
No.0312_0000001949_Publication

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