"Only for internal use by Draeger. Not applicable as Instructions for Use!

"

Julian
Anaesthetic Workstation
Instructions for Use
Software 2.n

1-36-96

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 How to use these Instructions for Use

How to use these Instructions for Use

In the header is the subject… Operation

Selecting the ventilation mode
of the main chapter. MAN/SPONT

Underneath is the title of the subchapter, to help you

find your way around quickly.
1 Press the »MAN/SPONT« key,
Julian
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

2 and confirm with the rotary knob.

On each page…
the instructions for use
combining text with illustrations. The information is
translated directly into actions to enable the user to 2
1
learn „hands-on“ how to use the workstation.

Left-hand column: the text…

Display (example):
provides explanations and guides the user clearly and MAN/SPONT
Pleth
SpO2 98 67
ergonomically with brief directions on the use of the et Freq
Grenzen

CO2-Al.
CO2 38 aus/ein

product. 40 CO2
AMV 5.2 8 Alarm
Info

Bullet points indicate the steps to be followed, and 0

VT O2 40
Fi Fet

36
Liste

Kurven

where there are several steps, numbers refer to the 0.35 0 0.5
Volumeter --s
1
Hal. 0.8 0.6 Konfig.
-- N 2O 58 56
illustration and indicate the sequence. Volumeter starten:
0 5

Bestätigen!
10

Frischgas O2 + N2O
Frischgas
O2 % L/min intern
30 4.00 extern

Right-hand column: the illustration…

provides the link with the text and serves as a guide
O2 flush
to the workstation. Points mentioned in the text are
– For flushing and rapidly filling the breathing
emphasised and non-essential information is omitted. system and breathing bag with O2 while
D Julian

bypassing the Vapor unit.

Screen displays guide the user and confirm the steps 3 Press the »O2 +« button.
O2 flows into the breathing system without
to be followed. anaesthetic gas as long as the button is held
down.

2
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 Contents

Contents
For Your Safety and that of Your Patients 5

Intended Use 7

Operating Concept 11
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Before Using for the First Time 19

Preparation 21

Starting Up 25

Operation 35

Monitoring 55

Configuring in Standby Mode 81

Care 95

Julian as Wall-mounted Unit 113

Maintenance Intervals 115

Fault – Cause – Remedy 119

What's what 125

Technical Data 131

Abbreviations / Symbols 139

Index 142

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 "Only for internal use by Draeger. Not applicable as Instructions for Use!"

4
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 For Your Safety and that of Your Patients

For Your Safety and that of Your

Patients
Strictly follow the Instructions for Use
Any use of the apparatus requires full understanding and
strict observation of these instructions.
The apparatus is only to be used for purposes specified
here.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Maintenance
The apparatus must be inspected and serviced regularly
by trained service personnel at six monthly intervals
(and a record kept).
Repair and general overhaul of the apparatus may only
be carried out by trained service personnel.
We recommend that a service contract be obtained with
DrägerService and that all repairs also be carried out by
them. Only authentic Dräger spare parts may be used for
maintenance.
Observe chapter "Maintenance Intervals".

Accessories
Do not use accessory parts other than those in the
order list.

Not for use in areas of explosion hazard

This apparatus is neither approved nor certified for use in
areas where combustible or explosive gas mixtures are
likely to occur.

Safe connection with other electrical equipment

Electrical connections to equipment which is not listed in
these Instructions for Use should only be made following
consultations with the respective manufacturers or an
expert.

Liability for proper function or damage

The liability for the proper function of the apparatus is
irrevocably transferred to the owner or operator to the
extent that the apparatus is serviced or repaired by
personnel not employed or authorized by DrägerService
or if the apparatus is used in a manner not conforming to
its intended use.
Dräger cannot be held responsible for damage caused
by non-compliance with the recommendations given
above. The warranty and liability provisions of the terms
of sale and delivery of Dräger are likewise not modified
by the recommendations given above.
Dräger Medizintechnik GmbH

5
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 "Only for internal use by Draeger. Not applicable as Instructions for Use!"

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 Intended Use
Contents

Intended Use

Contents

Intended Use............................................................................................. 9
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

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 "Only for internal use by Draeger. Not applicable as Instructions for Use!"

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 Intended Use Intended Use

Intended Use

Julian Anaesthetic Workstation for patients with a body Monitoring

weight of 5 kg and over with the use of IPPV ventilation. by means of adjustable alarm limits that are automatically
adapted to the ventilation mode.
For the use of:
– Inhalation anaesthesia in rebreathing systems
– Inhalation anaesthesia in semi-closed to virtually The workstation may only be used under the
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

closed systems with "low flow" and "minimal flow" supervision of qualified medical personnel, so that
techniques (for minimal gas and anaesthetic agent assistance can be provided immediately in the event
consumption). of any malfunctions.
– Inhalation anaesthesia in non-rebreathing systems,
with separate fresh gas outlet for the connection of
e.g. the Bain system or Magill system
with a fresh gas flow of 0.5 to 12 L/min.

Ventilation modes:
– Automatic ventilation (IPPV)
and Explosive anaesthetics, such as ether or cyclo-
pressure-controlled ventilation (PCV). propane, must not be used due to the risk of fire.
– Manual ventilation (MAN).
Mobile radio telephones must not be used within
– Spontaneous ventilation (SPONT).
10 metres of the workstation!
Mobile telephones may interfere with the operation of
electrical and electronic medical equipment.
The following measured values are displayed:
– Peak pressure, mean pressure, plateau pressure and
PEEP Julian must not be used with nuclear spin
tomography (MRT, NMR, NMI)!
– Expiratory minute ventilation
Operation of the apparatus may be impaired.
Tidal volume VT
Breathing rate
Patient compliance
– Inspiratory and expiratory concentration of O2, N2O,
anaesthetic gas and CO2
optional:
– Functional oxygen saturation (SpO2) and pulse rate.

The following parameters are displayed as curves:

– Airway pressure
– Expiratory flow
– Inspiratory and expiratory concentration of O2, CO2
and anaesthetic gas
optional:
– Plethysmogram
Trend curves and measured value lists are also available.

9
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 "Only for internal use by Draeger. Not applicable as Instructions for Use!"

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 Operating Concept
Contents

Operating Concept

Contents

Screen ergonomics.................................................................................12
Selecting / setting ventilation parameters.................................................. 14
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Selecting / setting monitoring functions.....................................................15

Screen layout.......................................................................................... 16
Three basic screens for monitoring........................................................... 17
The standard screen.................................................................................17
The data screen....................................................................................... 17
The trend screen...................................................................................... 18

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 Operating Concept
Screen ergonomics

Operating Concept

Screen ergonomics
Monitoring
All the settings required for
IPPV
– Fresh gas delivery Pleth
SpO2 98 67 alarm
limits
– Ventilation CO2 auto set
38 _ freq
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

etCO2 limits
CO2 Ve
– Monitoring 40
MV 6.0 10 alarm
info
Fi Fet list ..
12...
are entered on the system screen using the appropriate 0
PAW O2 40 36
20 curves
keys and the rotary knob. Hal. 0.8 0.6 config.
The keys are grouped in function fields: 0
N 2O 58 56
Left-hand field
Freshgas O2+N2O
Fresh gas delivery O2 % L/min
Pmax
mbar
VT
mL
Freq.
1/min
TI:TE TIP:TI
%
PEEP
mbar

30 4.00 25 600 10 1:2 10 0

Right-hand field
Ventilation
Middle field N 2O AIR
MAN
IPPV PCV
SPONT
Monitoring
Fresh gas
Ventilation
delivery

The main functions for anaesthesia, e.g. selection of

N2O or AIR, or selection of ventilation modes, can be IPPV
Pleth
selected directly by keys with permanently defined SpO2 98 67 alarm
limits
functions ("hardkeys"): CO2 auto set

CO2
etCO2 38 _ freq limits
Ve
1 Left-hand block 40
MV 6.0 10 alarm
info

The »N2O« or »AIR« keys are used to select the gas 0

Fi Fet list ..
12...

to be mixed with O2 for the fresh gas mix. 20 PAW O2 40 36 curves

Hal. 0.8 0.6 config.
2 Right-hand block 0
N 2O 58 56
The »MAN SPONT«, »IPPV« oder »PCV«
keys select the ventilation mode. Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

These function keys are located in the bottom row on the 30 4.00 25 600 10 1:2 10 0
control panel.
Left-hand block for fresh gas setting
Right-hand block for ventilation N 2O AIR
MAN
IPPV PCV
SPONT

1 2

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 Operating Concept
Screen ergonomics

Complementary "softkeys" with variable functions are

IPPV
provided at the bottom edge of the screen, above each Pleth

group of hardkeys. These softkeys are used to set the SpO2 98 67 alarm
limits
CO2
fresh gas delivery parameters and ventilation parameters. etCO2 38 _ freq
auto set
limits
CO2 Ve

1 Left-hand block:
40
MV 6.0 10 alarm
info
Fi Fet list
The keys for setting the O2 concentration and fresh 0
..
12...

PAW O2 40 36
gas flow. 20 curves
Hal. 0.8 0.6 config.
0
2 Right-hand block: N 2O 58 56
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

The keys for setting the parameters for the relevant

Freshgas O2+N2O
ventilation mode. The example shows the parameters Pmax
mbar
VT
mL
Freq.
1/min
TI:TE TIP:TI
%
PEEP
mbar
O2 % L/min
for IPPV controlled ventilation. 30 4.00 25 600 10 1:2 10 0
These softkeys have different functions, depending on 1 2
the operating status or ventilation mode.
MAN
N 2O AIR IPPV PCV
The current parameter values are displayed in the softkey SPONT

field.

In a prominent position at the bottom right-hand side: IPPV

Pleth
SpO2 98 67
The "turn-and-push" rotary knob alarm
limits
CO2
is the main operating control of the apparatus and has the etCO2 38 _ freq
auto set
limits
CO2 Ve
following functions in all setting operations: 40
MV 6.0 10 alarm
info
Fi Fet list
3 select = turn 0
..
12...

20 PAW O2 40 36 curves

4 confirm = press Hal. 0.8 0.6 config.

0
N 2O 58 56
– to confirm the selected carrier gas or a ventilation
mode, Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

– to set and confirm the parameters for fresh gas and 30 4.00 25 600 10 1:2 10 0
ventilation modes,
– to set and confirm the monitoring functions. 3
MAN
N 2O AIR IPPV PCV
SPONT

Beside the rotary knob:

The standby key E for switching over to standby mode. 5
5 Press standby key E and confirm by pressing the 4
rotary knob.

13
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 Operating Concept
Screen ergonomics

Selecting / setting ventilation parameters

Julian
Example: PEEP ventilation parameter
1 Press the softkey »PEEP«.
2 Select the PEEP value = turn the rotary knob.
3 Confirm the PEEP value = press the rotary knob.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1
2

The keys for the various monitoring functions are located

on the right-hand side of the screen. IPPV
Pleth
SpO2 98 67 alarm
These keys also have different functions = softkeys, limits
CO2 auto set
depending on the monitoring screen required. etCO2 38 _ freq limits
CO2 Ve
40
MV 6.0 10 alarm
info
Fi Fet list ..
12...
0

20 PAW O2 40 36 curves
Hal. 0.8 0.6 config.
0
N 2O 58 56

Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

30 4.00 25 600 10 1:2 10 0

MAN
N 2O AIR IPPV PCV
SPONT

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 Operating Concept
Screen ergonomics

Selecting / setting monitoring functions

Julian
For example, to change the lower alarm limit of the end-
tidal CO2 concentration. 1
1 Press the »alarm limits« softkey. The alarm limits
menu is displayed on the screen.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

IPPV
Pleth
-- alarm
SpO2 98 95 limits

67 120
50
auto set
limits
CO2 42
40 etCO2 38 30
alarm
info
--
MV 6.0 3.0 list
0 --
20 PAW FiO2 29 20 curves

FiHal. 0.8 1.0

0.0
config.
0
40
PAW 8

Select limit: Turn and confirm ! !

Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

● Select the alarm limit value = turn the rotary knob.

Confirm the selection = press the rotary knob.
The limit value is highlighted.
Example: lower alarm limit etCO2: <30 IPPV
Pleth
● Set the alarm limit value = turn the rotary knob. -- alarm
SpO2 98 95 limits
● Confirm the new alarm limit = press the rotary knob.
67 120
50
auto set
limits
The cursor returns to the zsymbol. CO2 42
40 etCO2 38 30
alarm
info
--
MV 6.0 3.0 list
0 --

20
PAW FiO2 29 20
curves
FiHal. 0.8 1.0
0.0
config.
0 40
PAW 8

Adjust limit value: Turn and confirm !

Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

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 Operating Concept
Screen ergonomics
Screen layout

Exit the alarm limits menu: Julian

1 Press the rotary knob
or
2 Press the Q key.

2
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

The function keys for standard functions are located on

the right-hand side of the control panel. IPPV
Pleth
98 67
G Suppress the acoustic alarm for 2 minutes.
SpO2 alarm
limits
CO2 auto set
38
S Select the screen page.
etCO2 _ freq limits
CO2 Ve
40
MV 6.0 10 alarm
info

Q Back to standard page. 0

Fi Fet list ..
12...

20 PAW O2 40 36 curves
Hal. 0.8 0.6 config.
0
N 2O 58 56

Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

30 4.00 25 600 10 1:2 10 0

MAN
N 2O AIR IPPV PCV
SPONT

Screen layout
➀ Status field: ➀ ➁ ➂ ➃
Displays information on the current operating mode IPPV
➁ Graphics field: Pleth
SpO2 98 67 alarm
For curves and bargraphs CO2
limits
auto set

➂ Alarm field: CO2

etCO2 38 _ freq limits
Ve

Displays information on the alarms, warnings, etc.

40
MV 6.0 10 alarm
info

and their priority 0

Fi Fet list

PAW O2 40 36
➃ Numerical value field: 20 curves

For numerical values

Hal. 0.8 0.6 config.
0
N 2O 58 56
➄ Lower softkeys – for fresh gas parameters
➅ Prompt field: Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
mbar mL 1/min % mbar
For user guidance O2 % L/min

30 4.00 25 600 10 1:2 10 0

➆ Lower softkeys – for ventilation parameters
➇ Right-hand softkeys – for monitoring:
For rapid selection of the desired monitoring function
➄ ➅ ➆ ➇

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 Operating Concept
Screen layout

Three basic screens for monitoring

To call up the standard screen, data screen and trend
screen in succession: Julian

1 Briefly press the S key until the desired screen is

displayed.

2
1
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Back to the standard screen:

2 Press the Q key.

The fresh gas and ventilation parameters can be set by

means of the softkeys in each of the three basic screens.

The standard screen IPPV

with three selectable curves. Pleth
The most important numerical values are displayed in SpO2 98 67 alarm
limits
groups on the right-hand side of the screen. CO2 auto set

CO2
etCO2 38 _ freq
limits
Ve alarm
40
MV 6.0 10 info

Fi Fet list
0

20 PAW O2 40 36 curves

Hal. 0.8 0.6 config.

0
N 2O 58 56

Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

30 4.00 25 600 10 1:2 10 0

The data screen IPPV

contains all the numerical values with their units of PAW peak 27 mbar SpO2 98 67
measure. % 1/min alarm
plat. 20 Fi Fet
limits
40
PEEP 5 CO2 auto set

mean 15 mmHg 0 36 limits

O2 alarm
compliance 65 mL/mbar % 40 33 info

20 Hal. list
MV 6.0 L/min % 0.8 0.6
VT 0.60 L N2O
% 58 56
0
freq 10 1/min 01. Nov. 98 12 : 00 config.
sys. comp. 6.40 mL/mbar 01-10
AW-temp. 34 °C leckage 10 mL/min 8 : 00

Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

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 Operating Concept
Screen layout

The trend screen IPPV

displays the recorded progress of the numerical values PAW 60
CO2

over time since measurement started. The current SpO2 98 67 alarm

limits
measured values are displayed on the right-hand side. 40 30
CO2 CO2
etCO2 38 _ freq
MV
Display (example): Ve AGas
0
11:00 12:00 13:00 MV 6.0 10 N 2O
Trends for CO2 and minute ventilation MV 20 MV Fi Fet
O2
compl.
15

10
O2 40 36 SpO2
pulse
0.8 0.6
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Iso. full
5
0 trend
0
N 2O 58 56
Select zoom area: Turn ! Zoom in: Press !
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

18
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 Before Using for the First Time
Contents

Before Using for the First Time

Contents

Charging the battery for emergency operation...................................... 20

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

When Julian is not in use........................................................................ 20

19
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 Before Using for the First Time
Charging the battery for emergency operation
When Julian is not in use

Before Using for the First Time

Fit the enclosed O2 sensor,

page 117 "Replacing O2 sensor"
Fit the flow sensor, page 106

Charging the battery for emergency

operation
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Julian has a built-in uninterruptible power supply UPS

which maintains the power supply for 30 minutes in the
event of a mains failure, provided that the battery is
charged.
The switch-over to the battery-powered UPS is automatic
and is indicated on the screen by the message:
POWER FAIL!
The battery recharges automatically when the workstation
is plugged into the mains.

1
The battery must be charged for 10 hours before using
the Workstation for the first time.
● Plug the mains plug of the Julian workstation into the
mains socket. The mains voltage must correspond to
the voltage specified on the nameplate.
1 The green LED N lights up.
● Leave Julian connected to the mains for 10 hours.
The workstation does not have to be switched on.
The devices connected to auxiliary power sockets will
not be powered by the UPS in the event of a power
failure.

When Julian is not in use

● Charge battery at least every 4 weeks.
Allowing it to run down can lead to damage.
If Julian is out of use for an extended period:
● Leave the workstation connected to the mains at all
times.
1 The green LED N is lit.

20
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 Preparation
Contents

Preparation

Contents

Connecting the gas supply..................................................................... 22

Connecting the backup gas cylinders for O2 and N2O .............................23
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Caution when handling O2 cylinders......................................................... 23

Connecting the anaesthetic gas scavenging system............................. 23

Connecting the power supply................................................................. 24

Connecting auxiliary systems.................................................................... 24
Equipotential bonding............................................................................... 24
Connecting the power supply................................................................... 24

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 Preparation
Connecting the gas supply

Preparation

Use only cleaned and disinfected parts!

Connecting the gas supply

1 Screw the central gas supply pressure hoses for O2,
AIR and N2O into the ports on the back of the gas
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

supply block. 1 2
The two ports at the front are reserved for the backup N2O AIR O2 VAC
gas cylinders.
2 The vacuum supply block (VAC) is available as option
for secretion aspiration.
Plug the other end of the pressure hoses into the wall
supply points.

● Make sure the gas pressures of the central gas

supply are between 2.7 and 5.5 bar: D Julian

3 All three pressure gauges in the green zone.

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 Preparation
Connecting the gas supply
Connecting the anaesthetic gas scavenging system

Connecting the backup gas cylinders for O2 and N2O

Even if the workstation is connected to a central gas
supply, the cylinders must remain on the apparatus as 2 2
backup supply.
● On the back of the workstation:
place full cylinders in the cylinder holders and secure
in position.
1 Screw the pressure reducing adapters onto the
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

cylinder valves.
2 Screw the gas hoses into the ports on the front of the 1 1
gas supply block.
Switch over immediately to cylinder supply if the central
gas supply fails:
● Open the cylinder valves.

N2O O2
Caution when handling O2 cylinders
● Do not oil or grease the O2 cylinder valves or O2
pressure reducing adapters, and do not handle with
greasy fingers.
Danger of explosion!
● The cylinder valves must be opened / closed by hand.
Do not use tools.
● If a cylinder valve is leaky or difficult to operate, it
must be repaired by an expert.

Connecting the anaesthetic gas scavenging

system
3 Connect the transfer hose to the waste gas port and
to the port of the scavenging system.
3
4 Connect the scavenging hose to the port of the
scavenging system.
5 Connect the anaesthetic waste gas probe to the 3
aspirating hose.
5
6 Ensure that the second connection to the scavenging
system is sealed by a screw plug.
● Follow the Instructions for Use of the anaesthetic gas
6
scavenging system.
3 4

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 Preparation
Connecting the power supply

Connecting the power supply

Connecting auxiliary systems

1
1 connect to auxiliary sockets on the back of the
workstation.
The auxiliary sockets are not powered by the 2
uninterruptible power supply UPS in the event of a
power failure!
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Do not connect HF surgical devices to the auxiliary

sockets!
Connecting equipment to the auxiliary sockets may cause
the patient leakage current to rise above the permitted
values in the event of failure of a protective earth
conductor.
The risk of electric shock cannot be excluded in such
cases.
Additional power adapter sockets must not be connected
to the auxiliary sockets.

Equipotential bonding
e.g. for intracardial or intracranial operations.
2 Connect one end of the earth cable to one of the
connecting pins on the back of the workstation.
● Connect the other end of the earth cable to the
specified equipotential bonding point, e.g. on the
operating table or ceiling lamp.

Connecting the power supply

The mains voltage must be the same as specified on the
nameplate on the back of the workstation.
Voltage range: 90 to 265 V
● Plug the mains plug into the wall socket.

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 Starting Up
Contents

Starting Up

Contents
Checking the workstation against the checklist.................................... 26
Switching on............................................................................................ 26
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Gas pressures.........................................................................................29
Central gas supply................................................................................... 29
Backup gas cylinders............................................................................... 29
Suction system.........................................................................................30
O2 flush .................................................................................................. 30
O2 emergency metering........................................................................... 30
Preparing Julian for the self-test................................................................ 31

Self-test...................................................................................................31
Electronics............................................................................................... 31
Fresh gas mixer........................................................................................31
Ventilator and breathing system ............................................................... 31

System compliance................................................................................ 32
Leakage................................................................................................... 32

Emergency start......................................................................................33

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 Starting Up
Checking the workstation against the checklist

Starting Up

Checking the workstation against the

checklist
Preconditions: D Julian

The workstation must be prepared as described on

pages 95 to 105 and assembled ready for operation as
described on pages 106 to 111.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

The gas supply and power supply must be connected.

Switching on
1 Switch on Julian: press the power switch » «.

1
Version without rotary knob for O2 emergency
metering:
After switching on, Julian delivers an O2 flow of 4 L/min
for manual ventilation.
This O2 flow is switched off automatically by Julian as
soon as the »cancel test« key appears after
acknowledging the checklist.
The opening screen appears with the current software
version after about 10 seconds. Julian now loads its
software and tests its internal memory.

Technology for life

Julian
SW-version 2.0
01. Nov. 98

Please wait !

The checklist is displayed after about 40 seconds.

Check-list Julian
● Check the components as instructed in the checklist Examine machine according to check-list prior to operation
Before commencing test, close y-piece, connect gas sample-line
on the screen. and set APL valve to 30 mbar and "Man"
Vapor Handwheel set to zero,
If the self-test has to be interrupted, e.g. for a quick start fill level o.k.
Safety fill Stopper inserted and locked
in an emergency: into position
Vapor Mont Vaporiser present and locked
into position
● Acknowledge the checklist: Interlock system non used vapor blocked

Press the rotary knob. Watertrap level ok ?

Gas scavenging system connected and ready fir use
After a few seconds, the »cancel test« softkey Breathing system complete and fixed in place
Soda lime no colour change
appears on the right-hand edge of the screen. Emergency breathing bag present and functional

● Press the »cancel test« key. See "Emergency start" Central gas supply O2 pressure, AIR, N2O pressure, 2,7 bar
Back up cylinders O2 pressure > 50 bar, N2O pressure > 30 bar
on page 33 to continue. Suction unit
O2-Flush
functional
audible flow, breathing bag fills

Julian o.k. according to check-list? Please confirm !

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 Starting Up
Checking the workstation against the checklist

"Vapor" anaesthetic vaporizer (example: Vapor 19.3) 4 4

Only use Vapor 19.3, Vapor 2000 or Devapor.
Follow the Instructions for Use for the particular 5
vaporizer used. 1 1
1 Handwheel to "0" and engaged.
2 Filled to sufficient level.
3 Sealing slide valve inserted and screwed tight.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

● The plug-in adapter must fit evenly on the connection

block.
2 2
4 The locking lever must point to the left = locked.
5 The unused Vapor unit must be locked by the 3 3
interlock slider (example: left-hand Vapor locked).

Water trap
● Remove water trap container by pulling downwards
and empty if necessary.
● Observe the hygiene regulations of the hospital.
● Replace container from below.

When using the "Waterlock" water trap

● See separate Instructions for Use

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 Starting Up
Checking the workstation against the checklist

AGS anaesthetic gas scavenging system

1 The transfer hose from the waste gas port must be
connected. 1
2 The scavenging hose must be connected;
the anaesthetic waste gas probe must be plugged
into the Dräger wall socket and the indicator must be
green.
2
3 The float must be between the two marks.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1 2

Breathing system
● Complete and engaged, with both valve discs
inserted, bellows fitted and hoses securely
connected.
● Soda lime renewed, no violet discoloration.

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 Starting Up
Checking the workstation against the checklist

Emergency ventilating bag

Example: Dräger Resutator 2000
● Ready for operation.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Central gas supply

Gas pressures:
D Julian
1 All pressure gauges in the green zone.

Backup gas cylinders

2 Slowly open the cylinder valves.
4 2 2 3
Check the cylinder pressure gauges:
3 O2 pressure greater than 50 bar,
4 N2O pressure greater than 30 bar.

2 Reclose the cylinder valves.

N2O O2

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 Starting Up
Checking the workstation against the checklist

Suction system D Julian

1 Switch to I.
2 Set suction pressure with rotary knob »Vac.«.
3 Block the secretion viewing window or kink the
suction hose.
4 Measure the suction pressure on the pressure gauge.
1 Switch to 0. 4
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1
3 2

O2 flush
D Julian

5 Press »O2 +« button.

6 The breathing bag inflates.
7 O2 flows from the Y-piece.

Version with rotary knob for O2 emergency metering

8 Turn on rotary knob »Safety O2« for O2 emergency 8 5
metering.
6 The breathing bag inflates.
7
7 O2 flows from the Y-piece.
6
8 Turn off rotary knob »Safety O2« for O2 emergency
metering again.

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 Starting Up
Checking the workstation against the checklist

Preparing Julian for the self-test

2
● Make sure that the breathing system is securely
connected.
1 Close the Y-piece = plug firmly on to the cone. 2
2 Ensure that the sample line is connected to the
Y-piece and to the water trap on the back of the 1
workstation.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Self-test
If all points on the checklist are OK:
● Confirm = press the rotary knob.
The self-test is started.
The self-test is run automatically
and takes 3 to 4 minutes.
Julian carries out the following automatic tests and
actions:
Electronics
– Testing and calibration of gas metering bench
– Testing and calibration of O2 sensor
– Testing of pressure sensor for airway pressure
measurement
– Testing the flow sensor
– Testing the battery
– Activating the default settings for alarm limits,
monitoring parameters and the default settings of
the ventilator and fresh gas settings
Fresh gas mixer
– Testing of gas supply O2, N2O, AIR
– Testing of gas inlet valves
– Calibration of pressures sensors in the compressed
air supply
– Testing of O2 emergency metering
– Testing of fresh gas failure monitoring (optional)
Ventilator and breathing system
– Testing and calibration of PEEP/Pmax valves
– Testing of safety valve
– Testing of MAN/AUTO switch-over valve
– Calibration of flow monitoring valve
– Testing of time monitoring valve
– Testing of bellows

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 Starting Up
Checking the workstation against the checklist

System compliance
Julian determines the current system compliance.
Depending on the breathing hoses used, the system
compliance is 5 to 6 mL/bar.

Leakage
Julian determines the current leakage of the breathing
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

system and breathing hoses.

The system tolerates leaks of up to 150 mL/min.
For leaks of more than 150 mL/min:
● Check the breathing system and repeat the leak test.

Display (example):

A tick (✓) indicates that the relevant test point has been
completed successfully.
The clock symbol u indicates the test stage is currently
in progress. Self-test
Malfunctions detected in the self-test and any gas failures
are displayed on the screen. Some malfunctions can be
ventilator ✓
accepted by confirming = pressing the rotary knob, for and
breathing system
example no AIR supply (AIR FAILURE!!!).
Other malfunctions need to be corrected before starting electronics ✓ system 3.40 mL/mbar cancel
compliance test
up the workstation, for example no O2 supply
freshgas ✓ leakage 20 mL/mbar
(O2 FAILURE!!!). mixer

Julian switches to standby after the self-test.

Display:
Standby

Julian leakage
test
SW-version 2.0
delete
01. Nov. 98
trend

config.

MAN
Operation with SPONT , IPPV or PCV

Freshgas O2+N2O
O2 % L/min

30 4.00

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 Starting Up
Emergency start

Emergency start
This procedure should only be used when there is no
D Julian
time for the self-test!
1 Switch on the workstation.

Version without rotary knob for O2 emergency

metering:
After switching on, Julian delivers an O2 flow of
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

4 L/min for manual ventilation.

Version with rotary knob for O2 emergency 1

metering:
2 Set rotary knob »Safety-O2« for O2 emergency 2
metering to the desired O2 flow.
Range 0 to 12 L/min.

● Wait for the software to be internally loaded and for

the electronics to be self-tested.
The checklist appears after about 40 seconds.
● Confirm the checklist: press the rotary knob.
After a few seconds, the »Cancel test« softkey is
displayed on the right-hand edge of the screen.

Display:

Self-test
39

● Press the softkey »Cancel test«. ventilator

and
breathing system
The apparatus only runs through a minimal test.
electronics ✓ cancel
Julian is ready for operation about 1 minute after test

switching on. Calibration of the O2 sensor is complete freshgas

mixer
after about 2 minutes.
The leakage and compliance test is not performed.
The accuracy levels specified in the "Technical Data"
cannot be guaranteed.

To prevent abuse of this facility, the self-test can only

be cancelled 10 times in succession.
The self-test cannot be cancelled the next time that Julian
is started and a complete self-test must be run through.

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 Starting Up
Emergency start

The workstation switches to standby mode after

completing the minimal test.
Display (example):
Standby
First interruption of self-test

Julian leakage
test
SW version 2.0
delete
01. Nov. 98
trend
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

config.

MAN
Operation with SPONT , IPPV or PCV

Freshgas O2

If no key is pressed in standby mode for two minutes, O2 % L/min

the standby screen is switched off and a screen saver 100 2.00
with the Dräger logo is displayed instead.

To switch the standby screen on again:

● Press the rotary knob or any other key.

To start Julian:
Version with rotary knob for O2 emergency metering:
● Turn rotary knob for O2 emergency metering to 0.

● Select fresh gas setting and ventilation mode.

See »Operation«, page 36 onwards.

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 Operation
Contents

Operation

Contents
Setting the fresh gas concentrations..................................................... 36
Adjustment ranges................................................................................... 36
Selecting the carrier gas...........................................................................36
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Setting the O2 concentration.................................................................... 36

Setting the fresh gas flow......................................................................... 37

Selecting the ventilation mode............................................................... 37

MAN/SPONT ventilation mode................................................................. 37
Manual ventilation..................................................................................... 37
Spontaneous breathing.............................................................................37
IPPV ventilation mode...............................................................................40
Starting IPPV............................................................................................41
PCV ventilation mode............................................................................... 43
Starting PCV............................................................................................ 44

Setting the Vapor unit............................................................................. 46

Aspirating secretion................................................................................ 46

Changing patients...................................................................................47

Changing soda lime................................................................................ 47

Leakage test........................................................................................... 48

Ventilating children................................................................................. 49
Connecting the breathing hoses............................................................... 49

Using non-rebreathing systems..............................................................50

In the event of a power failure................................................................52

In the event of a gas failure.................................................................... 53

In the event of a Major Hardware Fault.................................................. 53

End of Operation.....................................................................................54

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 Operation
Setting the fresh gas concentrations

Operation

Setting the fresh gas concentrations

The fresh gas settings are displayed in the Standby
screen:
– »Fresh gas O2 + N2O«
or Standby
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

»Fresh gas O2 + AIR«

– O2 concentration »O2 %« Julian leakage
test
SW-version 2.0
– Fresh gas flow »L/min« 01. Nov. 98
delete
trend

The settings correspond to the configurable default config.

values after switching on and after entering standby

mode. The fresh gas settings can be modified before MAN
Operation with SPONT , IPPV or PCV
selecting the ventilation mode. Freshgas O2+N2O
Fresh gas does not flow in standby mode. The fresh gas O2 % L/min
flow is not enabled until a ventilation mode has been 30 4.00
started.

Adjustment ranges and default settings on delivery

Fresh gas Adjustment Default setting

parameters range on delivery

Carrier gas AIR or N2O N2O

O2 % 25 to 100 100

Fresh gas flow 0* ; 0,5 to 12 2

L/min

Selecting the carrier gas

1 Press the »N2O« or »AIR« hardkey.
The yellow LED in the selected key flashes. Julian
● Press the rotary knob to confirm. The yellow LED
lights up constantly.
The selected fresh gas components are displayed on the
screen.

Setting the O2 concentration

2
2 Press the softkey »O2%«.
The key field is highlighted against a white
background.
1
● Set and confirm the O2 concentration by means of the
rotary knob.

* Only in MAN/SPONT mode

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 Operation
Setting the fresh gas flow
Selecting the ventilation mode
MAN/SPONT

Setting the fresh gas flow

Julian
1 Press the softkey »L/min«.
The key field is highlighted against a light background.
● Set and confirm the fresh gas flow by means of the
rotary knob.
Julian is fitted with an electronic O2 minimum dosing
system to avoid hypoxic gas mixtures. For fresh gas flow
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

settings below 1 L/min, the O2 concentration is

automatically increased to a value corresponding to an 1
O2 flow of 250 mL/min. If this control system is
activated, the O2 value is highlighted in addition to the
active softkey »L/min«.
Version with fresh gas failure detection (optional):
During operation, Julian checks that the bellows are
sufficiently full.

If the message „Fresh gas ? !!“ appears:

● Increase the fresh gas flow
The default settings valid whenever Julian is switched on
can also be modified; see "Setting default values" on
page 82.

Selecting the ventilation mode

MAN/SPONT ventilation mode
Choose between manual ventilation MAN and sponta-
neous breathing SPONT on the APL pressure-limiting
valve.

Manual ventilation
2 Set the lever of the APL pressure-limiting valve to 2
MAN.
MAN

MAN

3 Set the pressure limit = rotate lever.

3

Spontaneous breathing
4
4 Set the lever of the APL pressure-limiting valve to
SPONT.
SPONT
SPONT

The valve is open for a free spontaneous breathing

stroke regardless of the set pressure limit.

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 Operation
Selecting the ventilation mode
MAN/SPONT

1 Press the »MAN/SPONT« key,

Julian
2 and confirm with the rotary knob.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

2
1

Display (example): MAN/SPONT

Pleth
SpO2 98 67 alarm
limits
CO2 CO2-al.
etCO2 38 _ freq
on/off
40
CO2 Ve alarm
MV 5.2 8 info

Fi Fet list
0

VT O2 40 36 curves
0.35 0 0.5
Volumeter --s
1
Hal. 0.8 0.6 config.
-- 0 5 10
N 2O 58 56
Start volumeter: Confirm !

Freshgas O2 + N2O
fresh gas
O2 % L/min internal
30 4.00 external

O2 flush
D Julian
– For flushing and rapidly filling the breathing system
and breathing bag with O2 while bypassing the
Vapor unit.
3 Press the »O2 +« button.
O2 flows into the breathing system without
anaesthetic gas as long as the button is held down.

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 Operation
Selecting the ventilation mode
MAN/SPONT

Certain alarms are automatically switched off in

MAN/SPONT ventilation mode in order to avoid artefacts.
The deactivated alarms are identified by the grey back-
ground in the table.

Alarm limits in MAN/SPONT Default setting

mode on delivery

SpO2 ON ––
_
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

ON 92
Pulse H _ ON 120
ON 50
etCO2 ON 50 (mmHg)
_ ON ––
FiCO2 > OFF

MV _ OFF ––
OFF ––
FiO2 _ OFF ––
ON 20
Fi Hal. _ ON 1.5
OFF ––
Fi Iso. _ ON 2.3
OFF ––
Fi Enf. _ ON 3.4
OFF ––
Fi Des. _ ON
OFF
12.0
––
Fi Sev. _ ON 3.4
OFF ––
PAW _ ON 40
OFF ––
Apnoea pressure OFF
Apnoea flow OFF
Apnoea CO2 ON activated after
60 seconds

– – : The default setting on delivery is outside the

monitoring range and the corresponding alarm limit
is switched off.
To set the values of the alarm limits during operation see
page 60.
To set the default alarm limits see page 86.

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 Operation
Selecting the ventilation mode
IPPV

IPPV ventilation mode

Julian
IPPV = Intermittent Positive Pressure Ventilation
Volume-controlled ventilation with fixed mandatory minute
volume (MV), set with the tidal volume (VT), breathing
rate (Freq.) and the ratio of inspiration time to expiration
(TI:TE ).

Presetting the ventilation parameters for IPPV

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1 Press the »IPPV« hardkey; its LED flashes. 2

● The six ventilation parameters for IPPV are displayed
on the screen with their default settings. 3
1
2 Press the softkey for the desired ventilation
parameter.
3 Set and confirm the ventilation parameter with the
rotary knob.

Display (example):

Standby

Adjustment ranges and default settings on delivery Julian leakage

test
SW- version 2.0
Ventilation parameters Adjustment Default setting 01. Nov. 98
delete
trend
range on delivery *
config.

Pressure limit 10 to 70 25 To Start IPPV: Confirm !

Pmax [mbar]
Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
Tidal volume VT 50 to 1400 600 O2 % L/min mbar mL 1/min % mbar

[mL]
30 4.00 25 600 12 1:2 10 0
Frequency Freq. 6 to 60 12
[1/min]
Insp/Exp ratio 2 : 1, 1 : 1, 1:2
TI : TE 1 : 2, 1 : 3,
1:4
Insp. pause time : 0 to 50 10
Insp. time TIP : TI [%]
PEEP [mbar] 0 to 20 0

For tidal volumes VT of less than 200 mL:

● Use the paediatric hose set,
see "Ventilating children", page 49.

In IPPV ventilation mode, automatic system compliance

compensation takes place, and the applied tidal volume
therefore corresponds to the set volume.

* The default values can be set specifically for each hospital,

see page 82.

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 Operation
Selecting the ventilation mode
IPPV

Starting IPPV
Julian
1 Press the »IPPV« hardkey
2 and confirm with the rotary knob.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1 2

Display (example): IPPV

Pleth
SpO2 98 67 alarm
limits
CO2 auto set

The preset ventilation parameters are displayed on the CO2

etCO2 38 _ freq
limits
Ve alarm
screen.
40
MV 6.0 10 info

Fi Fet list
The symbol rotates in the softkey »L/min« to indicate 0

that fresh gas is flowing. 20 PAW O2 40 36 curves

Hal. 0.8 0.6 config.

0
N 2O 58 56
If a change in ventilation parameters is required:
● Press the corresponding softkey. Set and confirm the Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
ventilation parameter with the rotary knob. O2 % L/min mbar mL 1/min % mbar

30 4.00 25 600 10 1:2 10 0

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 Operation
Selecting the ventilation mode
IPPV

Alarms effective in IPPV mode

Alarm limits In IPPV mode Default setting

on delivery

SpO2 ON ––
_ ON 92

Pulse H _ ON 120
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

ON 50
etCO2 _ ON 50 (mmHg)
ON ––
FiCO2 > ON Fixed upper alarm
limit 5 mmHg
MV _ ON ––
ON 3.0
FiO2 _ ON ––
ON 20
Fi Hal. _ ON 1.5
ON ––
Fi Iso. _ ON
ON
2.3
––
Fi Enf. _ ON 3.4
ON ––
Fi Des. _ ON 12.0
ON ––
Fi Sev. _ ON 3.4
ON ––
PAW _ ON 40
ON 8
Apnoea pressure ON Active after
15 seconds
Apnoea flow ON Active after
15 seconds
Apnoea CO2 ON Active after
30 seconds

– – : The default setting on delivery is outside the

monitoring range and the corresponding alarm limit
is switched off.
To set the values of the alarm limits during operation see
page 60.
To set the default alarm limits see page 86.

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 Operation
Selecting the ventilation mode
PCV

PCV ventilation mode

Julian
PCV = Pressure Controlled Ventilation

In pressure controlled ventilation mode, the applied tidal

volume depends on the ventilation parameters Pmax,
insp. Flow, insp. Time, PEEP and the lung compliance.
Changes in ventilation parameters or lung compliance
influence the tidal volume and the MV minute volume
must therefore be monitored constantly.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

2
Presetting ventilation parameters for PCV
1 Press »PCV« its LED flashes. 3
1
● The five ventilation parameters for PCV appear on the
screen with the default settings.
2 Press the softkey of the relevant ventilation parameter.
3 Set and confirm the ventilation parameter with the
rotary knob.
Standby
Display (example):
Julian leakage
test
SW version 2.0
delete
01. Nov. 98
trend

config.

To Start PCV : Confirm !

Freshgas O2+N2O
Pmax Freq. TI:TE Insp.Flow PEEP
O2 % L/min mbar 1/min L/min mbar

30 4.00 15 12 1:2 30 0

Adjustment ranges and default settings on delivery

Ventilation parameter Adjustment Default setting

range on delivery*

Pressure limit (PEEP+1) 15

Pmax [mbar] to 70
Frequency Freq. 6 to 60 12
[1/min]
Insp./Exp. ratio 2: 1, 1: 1, 1: 2, 1:2
[TI : TE] 1: 3, 1: 4
Insp. flow [L/min] 5 to 50 (75**) 30
PEEP [mbar] 0 to 20 0

When ventilating infants weighing less than 20 kg:

● Use the paediatric hose set;
see page 49 "Ventilating children".

–––––––––––
* The default settings can be set specifically for each hospital,
see page 82.
** Can be set by DrägerService.

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 Operation
Selecting the ventilation mode
PCV

Starting PCV
Julian
1 Press »PCV«.
2 Confirm by pressing the rotary knob.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1 2

Display (example): PCV

Pleth
SpO2 98 67 alarm
limits
The preset ventilation parameters appear on the screen. CO2

Fresh gas flows, as indicated by the rotating symbol CO2

etCO2 38 _ freq
Ve alarm
in the softkey »L/min«.
40
MV 4.3 10 info

Fi Fet list
If a change in ventilation parameters is required: 0

20 PAW O2 40 36 curves
● Press the relevant softkey. Set and confirm the Hal. 0.8 0.6 config.
ventilation parameter with the rotary knob. 0
N 2O 58 56

Freshgas O2 + N2O
Pmax Freq. TI:TE Insp. flow PEEP
O2 % L/min mbar 1/min L/min mbar

30 4.00 18 10 1:2 30 0

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 Operation
Selecting the ventilation mode
PCV

Alarms effective in PCV mode

Alarm limits In PCV mode Default setting on

delivery

SpO2 ON ––
_ ON 92
Pulse H _ ON 120
ON 50
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

etCO2 _ ON 50 (mmHg)
ON ––
FiCO2 > ON Fixed upper alarm
limit 5 mmHg
MV _ ON ––
ON 3.0
FiO2 _ ON ––
ON 20
Fi Hal. _ ON 1.5
ON ––
Fi Iso. ON 2.3
_ ON ––
Fi Enf. ON 3.4
_ ON ––
Fi Des. _ ON 12.0
ON ––
Fi Sev. _ ON
ON
3.4
––
PAW _ ON 40
ON 8
Apnoea pressure ON Active after
15 seconds
Apnoea flow ON Active after
15 seconds
Apnoea CO2 ON Active after
30 seconds

– – : The default setting on delivery is outside the

monitoring range and the corresponding alarm limit
is switched off.
To set the values of the alarm limits during operation see
page 60.
To set the default alarm limits see page 86.

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 Operation
Setting the Vapor unit
Aspirating secretion

Setting the Vapor unit

1 Lock the unused Vapor unit
= push lever fully in the direction of the unused Vapor 1
(example: left-hand Vapor locked).
3
2 Press the O button and
3 set the handwheel to the required anaesthetic agent
concentration. 2
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Aspirating secretion
● Swing the bottles forwards.
D Julian
1 Set the switch to I.
2 Seal the "fingertip" or kink the suction hose and
3 Set the appropriate suction pressure for the patient
with the rotary knob »Vac.« and
4 check on the pressure gauge.

4
Observe the hygiene regulations of the hospital!
1
2 3

After aspirating
● Rinse the suction hose with the water purifier.
1 Set the switch to 0.

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 Operation
Changing patients
Changing soda lime

Changing patients
To switch Julian to standby:
● Press the Standby key E and confirm with the
rotary knob.
Standby
The functions of the workstation are switched off.
The set alarm limits are cancelled and the default alarm
settings are valid again. Julian leakage
test
SW-version 2.0
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

The default settings are loaded for dosing anaesthetic 01. Nov. 98
delete
trend
gas and for the ventilation parameters.
config.

If the ventilation hoses have been changed:

● Perform a leakage test, page 48. Operation with
MAN
SPONT , IPPV or PCV

Freshgas O2+N2O
O2 % L/min

30 4.00

Changing soda lime

– If 2/3 of the absorber charge has turned violet.
1
– If the inspiratory CO2 concentration FiCO2 equals
5 mmHg or more.

● Press the Standby key E and confirm by pressing

the rotary knob.
1 Raise the writing top.
2 Pull the catch and draw out the breathing system at
the same time.
2

3 Turn the absorber counterclockwise and pull it out

downwards.
● Drain the used soda lime and dispose of with
domestic waste.
● Fill the absorber with fresh soda lime up to the MAX MAX
mark.
3
● Fit the absorber to the breathing system from below
and turn it clockwise as far as it will go.
● Push the breathing system inwards until it clicks into
place.
● Fold down the writing top.

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 Operation
Leakage test

Leakage test
Must not be performed when a patient is connected to
the workstation!
– When the soda lime has been changed
or
– when the breathing hoses have been changed.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1 Close the Y-piece = place firmly on the cone. 2

2 Ensure that the sample line is connected to the 2
Y-piece and to the water trap at the back of the
workstation.
1
● Press the softkey »leakage«.
Julian performs the leakage test for IPPV/PCV, duration
approx. 30 seconds.
The breathing bag and its hose are not included in the
test.

Display:
After the test has been successfully completed, the clock
symbol disappears and Julian displays the values for
leakage and system compliance for a few seconds. Leakage test
The results of the leakage test are continually displayed
on the data screen.
System-
compliance
To return to the standby screen: Leakage

● Press the rotary knob.

Please wait.

48
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 Operation
Ventilating children

Ventilating children
For tidal volumes VT of less than 200 mL:
● Use paediatric hoses.

Connecting the breathing hoses

1 Use Y-piece with connection for sample line.
3
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

● The inspiratory and expiratory 1

microbial filter 654 St should not be used – this
reduces the system compliance.
2
2 Connect 0.5 L breathing bag with socket to the
breathing hose with the large connection sleeves.
Slip the breathing hose over the angled socket.
Hang the 0.5 L breathing bag onto the hook.
3 Slip the breathing hoses with the large sleeves onto
the inspiratory and expiratory sockets and connect the
small sleeves to the Y-piece.

4 Connect the sample line to the Y-piece and water

trap. 4
● Set the sample rate to 200 mL/min, page 84.

If the measured gas is not recirculated:

● Increase the tidal volume VT in accordance with the
sample rate.

Volumeter function:
● Select »Child« scale, page 67.

To determine system compliance and leakage:

5 Firmly connect the Y-piece to the cone.
5
● Determine the system compliance and leakage,
see „Leakage test“ on page 48.
Set a correspondingly higher tidal volume VT in
accordance with the airway pressure PAW.
● Use PCV or IPPV ventilation mode.

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 Operation
Using non-rebreathing systems

Using non-rebreathing systems

Example: Bain system
2
● Prepare the Bain system in accordance with the
separate Instructions for Use.
3
For the specified monitoring of O2, CO2 and anaesthetic 1
agents:
1 Screw the sample line to the Luer lock connection of
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

the mask manifold pipe and to the water trap on the

back of the workstation.

For mask pipes without sample line connector:

● Place a T-piece with filter between the mask pipe and
fresh gas connection port.
or:
● where applicable, use the Luer lock connection of a
filter.

2 Connect the fresh gas hose of the Bain system to the

fresh gas outlet.
3 Connect the anaesthetic gas scavenging system AGS
to the Bain system.
● Note the Instructions for Use of the Bain system.

Display (example): MAN/SPONT

Pleth
SpO2 98 67 alarm
limits
In MAN/SPONT ventilation mode: CO2 CO2-al.
etCO2 38 _ freq
on/off
● Press the softkey »Fresh gas internal/external«, 40
CO2 Ve alarm
select »Fresh gas external« and confirm by pressing MV 5.2 8 info

the rotary knob. 0

Fi Fet list

VT O2 40 36 curves
0.35 0
Volumeter --s
0.5 1
Hal. 0.8 0.6 config.
-- 0 5 10
N 2O 58 56
Start volumeter: Confirm !

Freshgas O2 + N2O
fresh gas
O2 % L/min internal
30 4.00 external

50
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 Operation
Using non-rebreathing systems

Display (example): FRESHGAS EXTERNAL

Pleth
The airway pressure (PAW), minute volume (MV) and SpO2 98 67 alarm
limit
frequency are not measured.
CO2
CO2 al.

CO2
etCO2 38 _ freq on/off
Ve alarm
● Set the fresh gas flow. The fresh gas supply must be
40
MV -- -- info
at least twice the minute volume in order to prevent Fi Fet list
0
rebreathing. 30 28
O2 curves

0.8 0.8
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Hal.
config.
N 2O 58 57
Freshgas O2 + N2O
fresh gas
O2 % L/min internal
30 6.00 external
Certain alarms are automatically switched off in order to
avoid artefacts.
The inactive alarm limits are highlighted by the grey
background in the following table.

Alarm limits In external fresh Default setting

gas mode on delivery

SpO2 ON ––
_ ON 92
Pulse H _ ON 120
ON 50
etCO2 ON 50 (mmHg)
_ ON ––
FiCO2 > ON Fixed upper alarm
limit 5 mmHg
MV OFF ––
_ OFF ––
FiO2 OFF ––
_ ON 20
Fi Hal. ON 1.5
_ OFF ––
Fi Iso. ON 2.3
_ OFF ––
Fi Enf. ON 3.4
_ OFF ––
Fi Des. ON 12.0
_ OFF ––
Fi Sev. ON 3.4
_ AUS ––
PAW ON 40
_ OFF ––
Apnoea pressure OFF
Apnoea flow OFF
Apnoea CO2 ON

51
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 Operation
Using non-rebreathing systems
In the event of a power failure

Switch off the external fresh gas output:

● Press the softkey »Fresh gas internal/external« and
confirm by pressing the rotary knob.
Julian switches over to MAN/SPONT ventilation mode
or
● Press the »IPPV« or »PCV« key and confirm with
the rotary knob.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Julian then switches over directly to controlled

ventilation via the original rebreathing system.
When changing from the external non-rebreathing system
to the rebreathing system of the Julian:
● Reconnect the sample line to the Y-piece.

In the event of a power failure

Julian automatically switches over to the integrated
uninterruptible power supply (UPS).
IPPV
Pleth
POWER FAIL ! J
95 %

If the battery is charged, operation will be maintained for SpO2 98 67 alarm

limits
an average of 30 minutes. CO2 auto set

The message CO2

etCO2 38 _ freq
limits
Ve alarm
40
MV 6.0 10 info
POWER FAIL! Fi Fet list
0
appears on the screen 20 PAW O2 40 36 curves

together with the remaining available battery capacity in Hal. 0.8 0.6 config.
0
percent. N 2O 58 56
Example:
J Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
95 % O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

If the battery is almost completely discharged, the
message BATTERY LOW !!! appears on the screen.
In the event of a power failure if the battery is discharged,
Julian switches over automatically to MAN/SPONT D Julian

ventilation mode. The fresh gas mixer is deactivated.

Version without rotary knob for O2 emergency
metering:
Julian automatically delivers an O2 flow of 4 L/min.
This O2 flow bypasses the Vapor unit, and so the patient
no longer receives any anaesthetic agent.
Version with rotary knob for O2 emergency metering:
● Set rotary knob »Safety-O2« for O2 emergency
metering to the desired O2 flow.
Range 0 to 12 L/min.
This O2 flow flows through the Vapor unit.
● Check Vapor unit setting.

● Ventilate patient manually!

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 Operation
In the event of a gas failure
In the Event of a Major Hardware Fault

In the event of a gas failure

Julian activates an alarm if the O2 or AIR or N2O supply
fails.
● Open the valve on the corresponding backup gas
cylinder on the rear of the workstation.
● Reconnect the central gas supply.
If there is no backup supply of gas available, Julian
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

replaces the set gas mixture with AIR or O2:

Julian delivers 100 % AIR if the O2 supply fails.
N2O O2
Julian delivers 100 % O2 if the N2O supply fails.
Julian delivers 100 % O2 if the AIR supply fails.
The amount of fresh gas flow (L/min) remains constant.
Fresh gas metering is still possible even in the event of
failure of one of the gases. For example, if the N2O
supply fails, AIR can be selected as the carrier gas.

In the event of a Major Hardware Fault

such as the failure of the fresh gas mixer, the message:
SYSTEM FAULT!!!
will be displayed.

In the event of total system failure including the screen,

an alarm will sound for about 30 seconds.
In such cases Julian switches to MAN/SPONT ventilation
mode.
Version without rotary knob for O2 emergency
metering:
Julian automatically delivers an O2 flow of 4 L/min*.
This O2 flow bypasses the Vapor unit, and so the patient
no longer receives any anaesthetic agent.
Version with rotary knob for O2 emergency metering:
● Set rotary knob for O2 emergency metering to the
desired O2 flow.
Range 0 to 12 L/min.
This O2 flow flows through the Vapor unit.
● Check the Vapor unit setting.

● Ventilate the patient manually!

* Can be adjusted to up to 8 L/min O2 by DrägerService.

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 End of Operation

End of Operation

To switch Julian to Standby:

● Press the standby key E and confirm by pressing
the rotary knob.
The workstation is now on standby.
The fresh gas flow is switched off.
Manual ventilation is not possible!
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

The following default values are activated in standby

mode:
Fresh gas default values
Ventilation parameters
Alarm limits

To switch Julian off:

● Press the power switch » « down completely.
The apparatus is switched off after 10 seconds.
● Remove the gas supply probes from the wall sockets.
● Leave Julian plugged into the power supply in order to
charge the uninterruptible power supply (UPS).

To switch off the anaesthetic gas scavenging system

AGS:
● Pull back the black sleeve on the connector of the
suction hose to release the connector.

Julian is equipped with a switch-off time-lag. The

message "System will be closed down and switched off"
appears for 10 seconds after pressing the main power
switch. Julian can immediately be restarted by pressing
the main power switch again during this time.
The switch-off time-lag is not active during the self-test.

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 Monitoring
Contents

Monitoring

Contents
Selecting the standard screen................................................................56

Selecting the data screen.......................................................................57

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Selecting the trend screen..................................................................... 58

Zoom function.......................................................................................... 59
To delete the trend memory...................................................................... 59

Alarms..................................................................................................... 60
Displaying and setting alarm limits............................................................ 60
Adapting limits – AutoSet......................................................................... 62

If an alarm occurs................................................................................... 63

Alarm info................................................................................................64

CO2 alarms on /off................................................................................. 64

List display.............................................................................................. 65
Delete list................................................................................................. 65

Selecting curves..................................................................................... 66

Using the volumeter function................................................................. 67

Starting the volumeter...............................................................................67

Configuring in operation......................................................................... 68
Setting the monitoring functions................................................................69
Setting the pulse tone...............................................................................69
Setting the alarm sound............................................................................69
Selecting the scale................................................................................... 69
Setting the measuring parameters............................................................ 70
Record..................................................................................................... 71
Time.........................................................................................................71
Activating monitor defaults........................................................................71

Selecting alarms..................................................................................... 72
Default..................................................................................................... 72
Alarm mode for the heart-lung machine HLM............................................ 73

Selecting the anaesthetic agent............................................................. 74

Manual calibration...................................................................................75

SpO2 Measurement (optional)................................................................. 76

Sensor selection.......................................................................................76
C-lock-ECG synchronization (optional)..................................................... 77
Tips to prevent artefacts........................................................................... 78
Applying the Durasensor DS-100 A.......................................................... 79

Airway temperature measurement (optional)..........................................80

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 Monitoring
Selecting the standard screen

Monitoring

Selecting the standard screen

The standard screen is automatically displayed on the
screen whenever a ventilation mode is selected Julian
(MAN/SPONT or IPPV or PCV). This page can always
be selected during operation:
1 Press the Q key
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

or
2 Press the S key several times. 2
1

Display (example): IPPV

Pleth
The most important parameters are grouped together on SpO2 98 67 alarm
the right-hand side of the screen. limits
CO2 auto set
Three curves are displayed on the left-hand side CO2
etCO2 38 _ freq
limits
Ve alarm
(to select other curves, see page 66). 40
MV 6.0 10 info

Fi Fet list
0

Measured values shown in grey 20 PAW O2 40 36 curves

Hal. 0.8 0.6 config.

Calibration is performed automatically by Julian. The 0

measured values are shown in grey until sufficient data

N 2O 58 56
are available and until the sensors have reached their
operating temperature. Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
In this way, Julian indicates that the accuracy of these O2 % L/min mbar mL 1/min % mbar

data is still reduced in comparison with the "Technical 30 4.00 25 600 10 1:2 10 0
data".
For maximum accuracy the sensors can be calibrated
manually – see page 75.
When measuring CO2, anaesthetic agent and N2O, their
numerical values are shown in grey during the warm-up
phase whenever the workstation is switched on.
The display CAL appears instead of the numerical value
during automatic calibration of the O2 sensor (every
24 hours).
The flow sensor is automatically calibrated as soon as a
CO2 signal is detected by the gas measuring system.
Julian takes account of the relevant gas mixture when
calculating the volumetric concentrations.

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 Monitoring
Selecting the data screen

Selecting the data screen

● Press the S key several times until the data page
IPPV
appears. PAW peak 27 mbar SpO2 98 67 alarm
% 1/min
Display (example): plat. 20 Fi Fet
limits
40
PEEP 5 CO2 auto set
All numerical values are displayed on the data screen
mean 15 mmHg 0 36 limits

with their units of measure. The bar display on the left of O2 alarm

the screen shows the change in airway pressure PAW compliance 65 mL/mbar % 40 33 info

20 Hal. list
over time. The lines cutting across the bar graph mark 6.0 0.8 0.6
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

MV L/min %
the upper and lower alarm limits. To set the alarm limits 0.60 N 2O
VT L
% 58 56
for PAW, see page 60. freq 10 1/min 01. Nov. 98 12 : 00 config.
0
sys. comp. 6.40 mL/mbar 01-10
The system compliance (Sys.-Compl.) and leakage are AW-temp. 34 °C leckage 10 mL/min 8 : 00

displayed in the right-hand field, together with the time of

the last test. Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

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 Monitoring
Selecting the trend screen

Selecting the trend screen

Displays the measured values over time since the start of
measurement.
Maximum storable time: 8 hours.
The following display combinations can be selected:
– CO2/MV
– AGas/N2O
– O2/compliance*
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

– SpO2/pulse rate
● Press the S key several times until the trend screen
appears.
AMV and compliance trends are scaled in accordance
with the setting in the configuration menu for adults or
children.
AMV trend scale:
0 to 3 L/min for children
0 to 15 L/min for adults
Compliance trend scale:
0 to 20 mL/mbar for children
0 to 100 mL/mbar for adults

Display (example): IPPV

PAW CO2
Trend CO2 and MV 60
SpO2 98 67 alarm
limits
40 30 CO2
CO2

Selecting other display combinations

etCO2 38 _ freq
MV
Ve AGas
0
11:00 12:00 13:00 MV 6.0 10 N 2O
● Press the appropriate softkey: 20 Fi Fet
O2
MV compl.
15
»AGas N2O« O2 40 36 SpO2
10 pulse
or Iso. 0.8 0.6 full
»O2 compl.« 0
5
trend
or 0
N 2O 58 56
»SpO2 pulse« Select zoom area: Turn ! Zoom in: Press !
Freshgas O2 + N2O
The softkey disappears if a measuring function is not Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
available.
50 1.00 25 600 10 1:2 10 0

____________
* Lung properties can be monitored continuously with the compliance
trend display so that ventilation can be adjusted accordingly.
Patient compliance is not measured in MAN/SPONT ventilation
mode.

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 Monitoring
Selecting the trend screen

Zoom function
IPPV
PAW CO2
The trend display can be magnified with the zoom 60

function after half-an-hour of operation.

SpO2 98 67 alarm
limits
40 30 CO2
CO2
To select the range: etCO2 38 _ freq
MV
Ve AGas
● Turn the rotary knob = the dashed frames move.
0
11:00 12:00 13:00 MV 6.0 10 N 2O

20
O2
MV Fi Fet compl.
15

To enlarge the selected area to the full width of the 10

O2 40 36 SpO2
pulse
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

display: 5
Iso. 0.8 0.6 full
0 trend
● Press the rotary knob. 0
N 2O 58 56
A new dashed frame appears after a corresponding Select zoom area: Turn ! Zoom in: Press !
period of operation and can also be enlarged. Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

To return to the overall trend: 50 1.00 25 600 10 1:2 10 0

● Press the softkey »full trend« and the complete trend
is displayed again.

To delete the trend memory

Only possible in standby mode.
The trend memory and list are deleted together!
Standby
In standby mode:
● Press the softkey »delete trend«.
Julian leakage
test
SW-version 2.0
delete
01. Nov. 98
trend

config.

MAN
Operation with SPONT , IPPV or PCV

Freshgas O2+N2O
O2 % L/min

30 4.00
The system asks you to confirm that the trend is really to
be deleted.
To delete:
Standby
● Press the softkey »delete«.
The stored trend for the anaesthetic gas concentration is
deleted automatically when a new anaesthetic gas is Julian delete
SW-version 2.0
selected. 01. Nov. 98
do not
delete

config.

MAN
Operation with SPONT , IPPV or PCV

Freshgas O2+N2O
O2 % L/min

30 4.00

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 Monitoring
Alarms

Alarms
Displaying and setting alarm limits
Alarms can be displayed and set from all three basic
screens (standard, data and trend screen) during
operation.
The default alarm limits for the ventilation mode are
activated automatically when changing from standby to a
ventilation mode.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

These default alarm limits can be used unchanged or they

can be set individually for the patient.
The individual settings are deleted on changing from
ventilation mode to standby and the default alarm limits
are reactivated.

To call up alarm limits:

● Press the softkey »alarm limits«.
Display (example): IPPV
Pleth
-- alarm
The measured values and their alarm limits are shown on SpO2 98 95 limits
the right-hand side.
The curves with the alarm limits represented by dashed
67 120
50
auto set
limits
CO2 42
lines are shown on the left. 40 etCO2 38 30
alarm
info
--
MV 6.0 3.0 list
0 --

20
PAW FiO2 29 20
curves
FiHal. 0.8 1.0
0.0
config.
0 40
PAW 8

Adjust limit value: Turn and confirm !

Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

42
Example etCO2:
The upper alarm limit (42 mmHg) and the lower alarm etCO2 38 30
limit (30 mmHg) are shown alongside the measured value
(38 mmHg).
A deactivated alarm limit is indicated by two dashes (– –).

To set an alarm limit:

● Place the cursor bar on the alarm limit by turning the
rotary knob and press to confirm.
The alarm limit is highlighted.
● Set the new value by turning the rotary knob and
press to confirm.
The new alarm limit is now effective. The cursor bar
returns to the z symbol.

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 Monitoring
Alarms

Adjustment range of the alarm limits

Alarm limit Adjustment range

SpO2 51 to 100
[%] _ 50 to 99
Pulse H _ 21 to 250
[1/min] 20 to 249
etCO2 1 to 75
_
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

[mmHg] 0 to 74
MV 0.1 to 39
[L/min] _ 0 to 38.9
FiO2 _ 19 to 100
[Vol.%] 18 to 99
Fi Hal. 0.1 to 7
[Vol.%]
_ 0 to 6.9
Fi Iso. 0.1 to 7
[Vol.%] _ 0 to 6.9
Fi Enf. 0.1 to 7
[Vol.%] _ 0 to 6.9
Fi Des. 0.1 to 21.9
[Vol.%] _ 0 to 21.8
Fi Sev. 0.1 to 9.9
[Vol.%]
_ 0 to 9.8
PAW 5 to 98
[mbar] _ 0 to 35

To quit the alarm limits menu:

● Press the rotary knob
or
● Press the Q key.

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 Monitoring
Alarms

Adapting limits – AutoSet

When the ventilation settings have been made, Julian can
automatically adapt the alarm limits for the minute volume
(MV) and airway pressure (PAW) to the current
ventilation settings in IPPV mode.
● Press the softkey »auto set limits«.
The new alarm limits for the set MV and PAW are
calculated by Julian as follows:
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Upper alarm limit Lower alarm limit

MV VT x f x 1.4 VT x f x 0.6
[L/min] At least 2.0 At least 0.5

PAW (Pmax + 10) PEEP + Pmax – PEEP

[mbar] 4

To reset individual alarm limits for MV and PAW:

● See "Displaying and setting alarm limits"
on page 60.
To reuse all default alarm limits:
● See "Configuring in standby mode,
setting default alarm limits" on page 72.

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 Monitoring
If an alarm occurs

If an alarm occurs
Alarm messages are assigned to three priority classes
by Julian, depending on their urgency, and identified by
exclamation marks:

Warning !!! = message with top priority

A warning message requires immediate action
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Caution !! = message with medium priority

A caution message requires prompt action

Advisory ! = message with lowest priority

An advisory message requires to be noted and action
taken if necessary

If several alarms occur simultaneously, Julian displays the

alarm with the highest priority. The others are not
displayed.
All warning, caution and advisory messages that have
been emitted can be displayed by pressing the
»alarm Info« softkey.
Each time an alarm message is displayed, the alarm lamp
either flashes or lights up continuously and an audible
tone sequence is emitted to indicate the alarm priority
class:

Warning:
1 Red lamp flashes, accompanied by a continuous tone. Julian

Caution: 1
1 Yellow lamp flashes, accompanied by an intermittent
2
tone every 30 seconds.
Advisory:
1 Yellow lamp lights up continuously, accompanied by a
single tone.

The alarm tone can be suppressed for two minutes:

2 Press the G key and its yellow LED lights up.
To reactivate the alarm tone:
2 Press the G key and its yellow LED goes out.
A list of alarm messages can be found on page 120,
"Message – Cause – Remedy".

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 Monitoring
CO 2 alarms on/off
Alarm info

Alarm info IPPV FIO2 !!!

Pleth
This function is used to list all active alarms / warnings in FIO2 !!! alarm
order of priority. ETCO2 !! limits
auto set
limits
● Press and hold the softkey »alarm info«. CO2
40
alarm
info
Display (example):
list
Active alarms: 0

20 PAW curves
FIO2 < !!!
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

config.
Active warning: 0

ETCO2 < !!

Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

The display only remains visible as long as the softkey is 50 1.00 25 600 10 1:2 10 0
pressed.

CO2 alarms on /off

The alarm limits for etCO2, insp. CO2 and CO2 apnoea MAN/SPONT
monitoring can be switched off with the softkey Pleth

»CO2-al. on/off« in MAN/SPONT mode. SpO2 98 67 alarm

limits

CO2 CO2-al.
In this case, the symbol CO2 g appears alongside the CO2 etCO2 38 _ freq on /off
alarm
measured end-expiratory CO2 concentration. 40
MV 5.2 Ve
8 Info

The CO2 alarm limits are reactivated by pressing the 0

Fi Fet list

softkey again. The deactivated CO2 alarm limits are VT O2 40 36 curves

reactivated automatically when changing to a different 0.35 0 0.5
Volumeter --s
1
Hal. 0.8 0.6 config.
ventilation mode.
-- 0 5 10 N 2O 58 56
The CO2 alarm limits can also be activated and Start volumeter: Confirm !
deactivated under "Alarm limits" in the configuration
Freshgas O2 + N2O
screen in all ventilation modes, see page 72. fresh gas
O2 % L/min internal
National and European standards require a minimum 30 4.00 external

monitoring with alarm function. These standards may not

be met if the alarm function of the etCO2 monitoring
parameter is deactivated.

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 Monitoring
List display

List display
Record of measured values, alarms and ventilation
modes to facilitate compilation of the anaesthetic record.
The control criteria for entries can be configured, see
"Record" on page 71.
● Press the softkey »list«.
Display (example): IPPV
PAW next page previous page
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

time alarm HR/Puls NiBP/mmHg SpO2 etCO2 MV O2 AGAS PAW

Sys/M/Dia Fi/Fet Fi/Fet Peak/Peep
40

12:13 FI HAL !!! 65 99 40 6.0 30/26 1.6/0.6 33/10

"Open" the previous page: 12:15 FI O2 !!! 65 98 38 5.9 25/20 0.8/0.7 30/10
12:20 66 99 40 6.1 30/26 0.8/0.7 30/10

● Select »previous page« by turning the rotary knob 20

and press to confirm.

"Open" the next page:
0
● Select »next page« by turning the rotary knob and
press to confirm.
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

Return to the standard page: 50 1.00 25 600 10 1:2 10 0

● Place cursor on the z symbol by turning the rotary
knob and press to confirm.
or
● Press the Q key.

Delete list
The list and trend memory are deleted together!
Only possible in standby!
Standby

In standby:
Julian leakage
test
● Press the softkey »delete trend«. SW-version 2.0
delete
01. Nov. 98
trend

config.
Delete trends and list:
● Press the softkey »delete«. Operation with
MAN
SPONT , IPPV or PCV

Freshgas O2+N2O
O2 % L/min

30 4.00

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 Monitoring
Selecting curves

Selecting curves
Only possible from the standard screen!
Three curves can be selected and positioned for the
momentary ventilation mode in this menu.
The following curves can be selected:
AGas Curve of anaesthetic agent concentration at
the Y-piece
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

CO2 Curve of CO2 concentration at the Y-piece

Flow Expiration flow
O2 Curve of O2 concentration at the Y-piece
PAW Airway pressure
Pleth The plethysmogram derived from SpO2
measurement (optional)
Volumeter A display mode showing the minute volume
and tidal volume VT as bar graphs
Pressures Digital indication of the measured value for
PPEAK, PPLAT, PMEAN and PEEP
blank Blank field

● Press the softkey »curves«. IPPV

Pleth
Display (example):
SpO2 98 67 alarm
limits
The names of the curves in each curve field are displayed auto set
CO2
together with the choice of possible parameters. The etCO2 38 _ freq limits
alarm
current curves are highlighted by a grey background. AGas MV 6.0 Ve
10 info
Pleth
CO2
In the example, the PAW curve is to be replaced by the CO2 Flow Fi Fet list
O2
volumeter display. PAW PAW O2 40 36 curves
Pleth
● Turn the rotary knob to select the required Volumeter Hal. 0.8 0.6 config.
Pressures
parameter (»volumeter« ) and press to confirm. blank N 2O 58 56
The cursor jumps to the z symbol of the positioning Select curve: Turn and confirm !

menu. Freshgas O2 + N2O

Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
● Select the desired position with the rotary knob and
press to confirm. 50 1.00 25 600 10 1:2 10 0
Display (example): IPPV
Pleth
The curve is replaced and the cursor returns to the z SpO2 98 67 alarm
symbol in the selection menu. limits

CO2 auto set

To return to the standard page: etCO2 38 _ freq limits
Ve alarm
● Press the rotary knob. Pleth
AGas MV 6.0 10 info
CO2
CO2 Flow Fi Fet list
O2

If a curve field is to remain blank:

Volumeter
PAW O2 40 36 curves
Pleth
Volumeter Hal. 0.8 0.6 config.
● Select »blank« with the rotary knob and Pressures

press to confirm. blank N2O 58 56

Select curve position: Turn and confirm !

Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

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 Monitoring
Using the volumeter function

Using the volumeter function MAN/SPONT

Pleth
To observe and assess ventilation in manual and SpO2 98 67 alarm
limits
pressure controlled ventilation modes and during
CO2
CO2-al.
spontaneous breathing. etCO2 38 _ freq
on / off
CO2 Ve alarm
➀ Upper bar:
40
MV 5.2 8 info
Current tidal volume VT, preceded by the numerical Fi Fet list
0
value.
VT O2 40 36 curves
➁ Lower bar: 0.35 Volumeter 0.5
0.8 0.6
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

0 1
46 s Hal.
config.
Volumeter (minute volume measurement), preceded
4.1 N 2O 58 56
by the numerical value. 0 5 10

Volumeter started. To re-start: Confirm !

The scale of the bar display depends on the default Freshgas O2 + N2O
setting, see "Configuring in operation, selecting the O2 % L/min
fresh gas
internal
scale" on page 69
and "Configuring in standby mode, selecting the scale"
30 4.00 external

on page 83.

Setting Tidal volume VT Minute

VT
➀
in L volume MV
0.35 Volumeter
0 0.5
46 s
1

in L/min 4.1 ➁
0 5 10

Scale 0.2 2
for children
Scale 1.0 10
for adults

Starting the volumeter

● Press the rotary knob.
The values are deleted and volumeter restarted if the
rotary knob is pressed again before
60 seconds have elapsed.
The elapsed time in seconds is displayed above the bar
with the summed volume on the left. The individual
breaths are separated by segments in the bar. The
volumeter stops automatically with an acoustic signal
after 60 seconds.
The measured values are displayed for 4 minutes and
then erased.

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 Monitoring
Configuring in operation

Configuring in operation
The configuration menus are used to select or modify
individual monitoring functions for the measurements in
progress.
The settings entered here are only valid while measu-
rement is in progress and are deleted on switching to
standby mode.
In the standard screen (example) or data screen: IPPV
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Pleth
● Press the softkey »config.«. SpO2 98 67 alarm
limits
CO2 auto set

CO2
etCO2 38 _ freq
limits
Ve alarm
40
MV 6.0 10 info

Fi Fet list
0

20 PAW O2 40 36 curves

Hal. 0.8 0.6 config.

0
N 2O 58 56

Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

30 4.00 25 600 10 1:2 10 0

Display (example): IPPV

PAW anesth. agent alarms calibration settings
The softkeys for fresh gas and ventilation parameters
remain active.
40 selection default O2-Sensor pulse tone 0 1 2 3 4 5 6 7 8 9
21 Vol.% ✓ alarm sound 1 2 3 4 5 6 7 8 9
The values highlighted in grey represent the current auto man
CO2 on off scale adult child
settings. gas sensor ✓
parameters
SpO2 on off
Isoflurane record
20 activate monitor defaults
The anesthetic HLM on off
agent is automati-
cally selected by
gas identification

Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

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 Monitoring
Configuring in operation
Setting the monitoring functions

Setting the monitoring functions

● Select the »settings« column by turning the rotary
knob and press to confirm.
Display (example): IPPV
PAW anesth. agent alarms calibration settings

40 selection Standard O2-Sensor pulse tone 0 1 2 3 4 5 6 7 8 9

auto man 21 Vol.% ✓ alarm sound 1 2 3 4 5 6 7 8 9
CO2 on off scale adult. child
gas sensor ✓
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

parameters
SpO2 on off
Isoflurane record
20 activate monitor defaults
The anesthetic HLM on off
agent is automati-
cally selected by
gas identification

Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

Setting the pulse tone
0 = OFF
9 = Maximum volume
● Select the line »pulse tone« by turning the rotary knob
and press to confirm. The cursor automatically jumps
to the last value selected (in the example: setting 5).
● Set the value with the rotary knob and press to
confirm.

Setting the alarm sound

1 = Minimum volume
9 = Maximum volume
● Select the line »alarm sound« by turning the rotary
knob and press to confirm. The cursor automatically
jumps to the last value selected (in the example:
setting 4).
● Set the value with the rotary knob and press to
confirm.
Set a sufficiently loud alarm sound!
The audible »NO O2« and »NO FRESH GAS« alarms are
always sounded at maximum volume.
Julian complies with national regulations in certain
countries that stipulate a minimum volume of 45 dB (A).
Settings 1 to 4 are programmed at 45 dB (A) for these
countries.

Selecting the scale

To adapt the scale for the volumeter function and trend
curve.
● Select the line »scale« with the rotary knob and press
to confirm.
● Select »adult« or »child« with the rotary knob and
press to confirm.

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 Monitoring
Configuring in operation
Setting the monitoring functions

Setting the measuring parameters

● Select the line »parameters« with the rotary knob and
press to confirm.
The »parameters« menu appears in the left-hand field.
Display (example): IPPV
PAW anesth. agent alarms calibration settings

40 puls tone 0 1 2 3 4 5 6 7 8 9
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

alarm sound 1 2 3 4 5 6 7 8 9
SpO2-measure. on off Scale adult child
parameter
sample rate 60 200 mL/min
record
20 activate monitor defaults
CO2 unit mmHg kPa vol%

Switch SpO2 measurement (optional) on/off:

Menu for configuration of measurement parameters.
● Select the line »SpO2 measurement« with the rotary Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
knob and press to confirm. O2 % L/min mbar mL 1/min % mbar

● Select »on« or »off« with the rotary knob and press to 50 1.00 25 600 10 1:2 10 0
confirm.

Select the sample rate for gas measurement:

● Select the line »sample rate« with the rotary knob and
press to confirm.
● Select »60« or »200 mL/min« with the rotary knob
and press to confirm.

For paediatric use:

● Select a sample rate of 200 mL/min in order to obtain
more accurate values on account of the high frequen-
cies and time constant of the measuring system.
● Recirculate the measured gas, see page 109.
If the measured gas is not recirculated:
● Increase the minute volume accordingly in order to
maintain the volume balance.

For adult use:

● Select a sample rate of 60 or 200 mL/min.
Recommendation: select 200 mL/min and recirculate
the measured gas, see page 109.

Set CO2 unit:

● Select the line »CO2 unit« with the rotary knob and
press to confirm. The last value selected is highlighted
by a grey background.
● Select the required unit of measure by turning the
rotary knob and press to confirm.

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 Monitoring
Configuring in operation
Setting the monitoring functions

Record
This function is used to determine the type of event that
triggers an entry in the record list or a printout on the
connected logging printer.
● Select the line »record« with the rotary knob and
press to confirm.
The »record« menu appears on the left-hand side.
Display (example): IPPV
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

PAW anesth. agent alarms calibration settings

40 list entry: puls tone 0 1 2 3 4 5 6 7 8 9

Time time alarm sound 1 2 3 4 5 6 7 8 9
intervall (min) 1 2 5 10 off Scale adult child
interval-started (min) NiBP started on off parameter
A list entry is activated after a fixed time interval in warning started
caution started
on
on
off
off
record
20
minutes. activate monitor defaults
printer entry:
time
NiBP-started intervall (min) 1 2 5 10 off
An entry is made after every NiBP measurement with new 0
NiBP started on off
warning started on off
measured values. This entry can be read by an external caution started on off
Dräger monitor via the MEDIBUS interface. Menu for configuration of measurement parameters.
Freshgas O2 + N2O
warning-started Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
An entry is made whenever an alarm is triggered.
50 1.00 25 600 10 1:2 10 0
caution-started
An entry is made whenever a caution message is
triggered.

● Turn the rotary knob to select the event triggering the

entry and press to confirm.

Activating monitor defaults

This function is used to activate the default monitoring
settings configured in standby mode and active whenever
the apparatus is switched on.
● Select the line »activate monitor defaults« with the
rotary knob and press to confirm.

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 Monitoring
Configuring in operation
Selecting alarms

Selecting alarms
● Turn the rotary knob to select the column »alarms«
and press to confirm.

Default
This function is used to activate the default alarm limits
set in the standby configuration which are effective
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

whenever the apparatus is switched to standby.

Setting default alarm limits:
● Select the »default settings« menu by turning the
rotary knob and press to confirm.
See page 86 for the further procedure.
IPPV
PAW anesth. agent alarms calibration settings

CO2 alarms on/off 40 selection Standard O2-Sensor pulse tone 0 1 2 3 4 5 6 7 8 9

auto man 21 Vol.% ✓ alarm sound 1 2 3 4 5 6 7 8 9
To activate / deactivate all CO2 alarms, including the CO2 on off
gas sensor ✓
scale adult. child
parameters
apnoea alarm. Isoflurane
SpO2 on off
record
20 activate monitor defaults
HLM on off
● Turn the rotary knob to select »CO2 on« or »CO2 off«
The anesthetic
and press to confirm. agent is automati-
cally selected by
gas identification
0

SpO2 alarms on/off

To activate/deactivate all SpO2 alarms. Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
● Turn the rotary knob to select »SpO2 on« or »SpO2
off« and press to confirm. 50 1.00 25 600 10 1:2 10 0

Deactivated alarms are indicated by the symbol _ in the

measurement field.
National and European standards require minimum
monitoring with alarm function. These standards may not
be met when the alarm function of the monitoring
parameter etCO2 or SpO2 is deactivated.

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 Monitoring
Configuring in operation
Selecting alarms

Alarm mode for the heart-lung machine HLM

HLM alarm mode can be used independently of the
active ventilation mode for patient monitoring when using
the heart-lung machine.
In HLM alarm mode,
– all apnoea alarms are deactivated.
– the gas concentrations are measured continuously
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

regardless of the respiratory phase.

– the SpO2 alarms are deactivated.
They are reactivated automatically when pulsations
are detected by the apparatus again after switching
off the HLM alarm mode.

Selecting HLM alarm mode

● Press the softkey »config«.
● Turn the rotary knob to select the column »alarms«
and press to confirm.
● Turn the rotary knob to select the line »HLM on« and
press to confirm.

● Display (example): MAN/SPONT HLM

CO2
40 SpO2 _ -- _ -- alarm
limit
The lung is kept open with constant airway pressure. HLM
0 etCO2 5 freq off
alarm
20 PAW
MV -.- -- info

0
Fi Fet list

O2 30 30 curves

Hal. 0.8 0.8 config.

N 2O 0.0 0.0
Freshgas O2 + AIR
fresh gas
HLM alarm mode can be switched off at any time: O2 % L/min internal

● Press the softkey »HLM off«. 30 6.00 external

In standby mode, the HLM alarm mode is automatically

deactivated.

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 Monitoring
Configuring in operation
Selecting the anaesthetic agent

Selecting the anaesthetic agent

Julian automatically recognizes the anaesthetic gas used
and switches measurement and monitoring of the
anaesthetic gas concentration to the identified gas.
If a mixture of two anaesthetic agents is detected,
the system generates a caution message:
AGAS MIXTURE !!
The anaesthetic agent with the higher concentration is
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

monitored and displayed. As long as a mixture of two

anaesthetic agents is present (e.g. after changing the
anaesthetic agent), the values of the anaesthetic agent
concentration are displayed in grey = reduced accuracy.
IPPV
Pleth

Displays Fi and Fet give information about the SpO2 98 67 alarm

limits
anaesthetic agent mixture situation: CO2 auto set

CO2
etCO2 38 _ freq
limits
Ve alarm
Fi display Fet display Situation 40
MV 6.0 10 info

Fi Fet list
grey light AGAS mixture 0

inspiratory only 20 PAW O2 40 36 curves

grey grey AGAS mixture Hal. 0.8 0.6 config.

0
inspiratory and expiratory N 2O 58 56
light grey AGAS mixture
expiratory only Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar
light light No more AGAS mixture
30 4.00 25 600 10 1:2 10 0

The anaesthetic agent can also be selected manually: IPPV

PAW anesth. agent alarms calibration settings
● Turn the rotary knob to select the column »anasth.
agent« and press to confirm.
40 selection Standard O2-Sensor pulse tone 0 1 2 3 4 5 6 7 8 9
21 Vol.% ✓ alarm sound 1 2 3 4 5 6 7 8 9
● Turn the rotary knob to select the line »man« and auto man
CO2 on off scale adult. child
gas sensor ✓
press to confirm. gas
SpO2 on off
parameters
Isoflurane record
● Turn the rotary knob to select the column »gas« and 20
HLM on off activate monitor defaults

press to confirm.
● Turn the rotary knob until the required gas appears in
0
the display window.
Press the rotary knob to confirm the selection. Confirm to select Isoflurane.
Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

The user is responsible for manual selection of the

anaesthetic agent and for correctly filling of the
anaesthetic vaporizer!

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 Monitoring
Configuring in operation
Manual calibration

Manual calibration
Julian calibrates its sensors automatically during IPPV
operation. The message CAL appears instead of the PAW anesth. agent alarms calibration settings
current measured value during a calibration process.
Calibration of the O2 sensor and zero calibration of the 40 selection default O2-Sensor pulse tone 0 1 2 3 4 5 6 7 8 9
21 Vol.% ✓ alarm sound 1 2 3 4 5 6 7 8 9
other gas sensors can be repeated manually, for instance auto man
CO2 on off scale adult child
gas sensor ✓
if automatic calibration was unsuccessful. SpO2 on off
parameters
Isoflurane record
20 activate monitor defaults
The anesthetic HLM on off
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

agent is automati-
cally selected by
● Turn the rotary knob to select the »calibration« gas identification

column and press to confirm.

0

● Select and confirm the appropriate line with the rotary

knob, for example:
Freshgas O2 + N2O
»O2-Sensor Pmax VT Freq. TI:TE TIP:TI PEEP
21 vol.%« O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

The calibration process is started when the selection is IPPV

confirmed. The clock symbol U appears after the PAW calibration
relevant line, i.e. calibration is in progress.
40 O2-sensor
When calibration is complete, a tick (✓) appears instead 21 Vol.%
of the clock symbol. A question mark (?) indicates that gas sensor ✓
calibration must be repeated because the previous
calibration was defective. 20

Other settings can already be made during the calibration

process.
0

Freshgas O2 + N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

50 1.00 25 600 10 1:2 10 0

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 Monitoring
SpO 2 Measurement

SpO2 Measurement (optional)

Sensor selection
Only use Nellcor sensors.
Note the Instructions for Use of the sensors –
incorrect positioning or use can cause tissue damage.

Select the sensor according to the following criteria:

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

– Patient weight
– Patient mobility
– Possible application site
– Patient perfusion
– Duration of use

The following table listing the specific sensor types

available and their characteristics is intended as an aid
for selection.

Sensor type OXISENSOR OXISENSOR DURASENSOR OXISENSOR OXISENSOR

I-20 D-20 DS-100 A D-25 R-15

Age group Infants Children Adults Adults Adults

Patient 1 to 20 kg 10 to 50 kg >40 kg >30 kg >50 kg

weight

Duration Short and long-term Short and long-term Short-term Short and long-term Short and long-term
of use monitoring monitoring monitoring zeitüberwachung monitoring

Patient Limited Limited Immobile Limited Immobile

mobility mobility mobility patients only mobility patients only

Preferred Toe Finger Finger Finger Nose

measuring site

Sterility1) Sterile packaging Sterile packaging ____ Sterile packaging Sterile packaging

OXISENSOR  I-20, OXISENSOR  D-20,

DURASENSOR  DS-100 A, OXISENSOR  D-25 and
OXISENSOR  R-15 are registered trademarks.

–––––––––––––
1) in unopened, undamaged packaging

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 Monitoring
SpO 2 Measurement

● Select the appropriate sensor.

On the back of the Julian:

1 Swing the flap over the socket »SpO2« to the left and
insert the sensor plug.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

C-lock-ECG synchronization (optional)

If the patient is highly agitated or the arterial flow is very
low, the measurement signals of the SpO2 measurement
can be improved with the C-Lock-ECG synchronization.
In this case, Julian receives two separate signals that
transmit the heart activity:
– An optical signal from the SpO2 sensor
and 2
– An electrical signal from the separate ECG monitor. EKG
Monitor

Julian uses the R-wave of the ECG signal to identify the

pulse and to synchronize with the SpO2 measurement.
2 Channel the ECG signal of the ECG monitor with the
cable andyesck-plug to the back of the Julian
(»Sync.« socket).
See the "Technical data" on page 131 for the
requirements for the electrical signal and plug layout.

In the event of a delayed ECG signal

Synchronization may be impaired if the ECG signal is
delayed by more than 40 milliseconds to the QRS
complex.
If you suspect a fault of this kind:
● Use the Julian without C-Lock-ECG synchronization.

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 Monitoring
SpO 2 Measurement

Tips to prevent artefacts

Only use Nellcor sensors in the recommended positions,
otherwise incorrect measurements and tissue damage
may result.
Damaged sensors with exposed electrical contacts must
not be used – danger of electric shock.
Used adhesive strips of the Oxiband-OXI-A/N and
OXI-P/I sensor must not be reused, as they may not
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

adhere properly.
The strips must not be stretched unduly.
Never use two strips together, as this may lead to venous
pulsation and failure of the pulse signal.
High intrathoracic pressure, pressure on the thorax and
other consecutive impairments of the venous flow can
lead to venous pulsation with failure of the pulse signal.
The pulse signal may fail in the presence of shock, low
blood pressure, severe vasoconstriction, major anaemia,
hypothermia, arterial occlusion proximal to the sensor and
asystolia.
The sensor must be protected from exposure to bright
light (e.g. surgical lamps and direct sunlight), otherwise
the pulse signal may fail or inaccurate results may be
obtained.
The sensor should not be positioned on limbs together
with an arterial catheter, sphygmomanometer cuff or
intravascular venous infusion, otherwise the pulse signal
may fail and measurement become inaccurate.
Measurement accuracy may be reduced in the presence
of significant concentrations of dyshaemoglobins, such
as carboxyhaemoglobin or methaemoglobin.
Intravascular dyes, such as methylene blue, may also
impair measurement accuracy.
Electrocautery can impair the measuring accuracy; the
leads and sensor should therefore be positioned as far
away as possible from the electrocautery and its neutral
electrode.
Sensor performance may be impaired and lead to
inaccurate results if the patient moves violently. The
sensor should be applied to a different site in such cases
in order to reduce the risk of artefacts due to movement.

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 Monitoring
SpO 2 Measurement

Applying the Durasensor DS-100 A

Reusable sensor for short-term monitoring of relatively
quiet patients weighing over 40 kg.
The sensor is preferably positioned on the index finger,
although other fingers can also be used. The little finger
should be used if the patient is particularly large or
obese.
● Open the clip slightly and slide the sensor onto the
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

finger. The tip of the finger must touch the end and
the soft padding should rest on the nail and tip of the
finger. The lead should be on top of the finger.
● Ensure that the finger is not compressed or hurt by
the clip.
● Change the application site after not more than
4 hours in order to avoid a build-up of blood pressure
(blocked circulation).

Follow the specific Instructions for Use when using other

Nellcor sensors!

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 Monitoring
Airway temperature measurement

Airway temperature measurement (optional)

Parts required:
– Temperature sensor 84 05 371
– Y-piece with connection
for temperature sensor M 30 543
– T-piece 86 00 224
– Filter 86 00 225
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1 Connect Y-piece to respiratory hoses. 4

2 Insert T-piece into Y-piece.
3 Insert filter into T-piece. 1
4 Insert temperature sensor into Y-piece.

2
3

5 Connect temperature sensor plug to »Temp.« socket

at the back of the workstation.
● The airway temperature is displayed in the data
section of the screen:
AW temp. XX °C
The upper alarm limit is fixed. If the airway temperature
exceeds 40°C, the »AW Temp > !!!« alarm will be
activated.

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 Configuring in Standby Mode
Contents

Configuring in Standby Mode

Contents
Setting default values............................................................................. 82
Setting the pulse tone...............................................................................83
Setting the alarm sound............................................................................83
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Selecting the scale................................................................................... 83

Setting the measuring parameters............................................................ 84
Record..................................................................................................... 85
Time.........................................................................................................85
Configuring the interfaces........................................................................ 85
Interface...................................................................................................86
Setting default alarm limits........................................................................ 86
Setting default alarm limits for anaesthetic agents..................................... 86
Adjustment range for default alarm limits...................................................87
Configuring curves................................................................................... 88
Setting basic configurations......................................................................88
IPPV default settings................................................................................ 90
PCV default settings.................................................................................90
Setting the fresh gas default settings........................................................ 91

Manual calibration...................................................................................92
100 Vol.% O2 calibration..........................................................................92
O2 linearity test........................................................................................ 93

Selecting anaesthetic agent................................................................... 93

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 Configuring in Standby Mode
Setting default values

Configuring in Standby Mode

The default settings for the monitoring functions and the

fresh gas and ventilation parameters can be configured in
standby mode. The default settings for the monitoring
functions and the choice of anaesthetic gas are valid
whenever the apparatus is switched on. The default
values for the alarm limits, fresh gas parameters and
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

ventilation parameters are valid after each standby.

● Switch Julian to standby mode.
● Press the softkey »config.«.
Display (example): Standby / Configuration
anesth. agent calibration default settings

The following settings can be made in the menu: selection O2-sensor ✓ pulse tone 0 1 2 3 4 5 6 7 8 9
auto man 21 vol.% alarm sound 1 2 3 4 5 6 7 8 9
– Default settings gas sensor ✓
scale adult child
parameters
Isoflurane record
– Calibration more
interfaces
The anesthetic
agent is automati- alarm limits
– Anaesth. agent cally selected by curves
gas identification
basic configurations
Fields highlighted by a grey background contain the IPPV default settings
PCV default settings
currently valid settings. fresh gas delivery

The symbol z indicates a return to the previous

menu level.
● Select, set and confirm the new settings with the
rotary knob.

Setting default values

Default values are valid whenever the apparatus is Standby / Configuration
switched on. The default monitoring settings can be anesth. agent calibration default settings
activated during operation with activate monitor
defaults, see "Activating monitor defaults" on page 71. selection O2-sensor ✓ These default settings are password
auto man 21 vol.% protected.
● Select and confirm the default settings with the The default settings are active
gas sensor ✓ on start-up.
rotary knob. Isoflurane
more To change the default settings
The anesthetic
Display (example): agent is automati- enter the password:
cally selected by
gas identification
0 1 2 3 4 5 6 7 8 9

***

Turn and confirm .

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 Configuring in Standby Mode
Setting default values

The menu requests the user to enter a 4-digit password

in order to prevent unauthorized tampering with the basic
settings. This password is notified during system training.
The function can be disabled by DrägerService if
required.
● Turn the rotary knob to select the digits con-secutively
from the line provided and press to confirm. The pass-
word is indicated underneath with asterisks (* * * *).
The menu for selecting the default settings appears
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

when the password has been entered correctly.

Display (example): Standby / Configuration
anesth. agent calibration default settings

pulse tone 0 1 2 3 4 5 6 7 8 9
alarm sound 1 2 3 4 5 6 7 8 9
scale adult child
parameters
record
Setting the pulse tone (optional) interfaces
alarm limits
0 = OFF curves
9 = Maximum volume basic configurations
IPPV default settings
● Select the line »pulse tone« by turning the rotary knob PCV default settings
fresh gas delivery
and press to confirm. The cursor automatically jumps
to the last value selected (example 5).
● Set the value with the rotary knob and press to
confirm.

Setting the alarm sound

1 = Minimum volume
9 = Maximum volume
● Select the line »alarm sound« by turning the rotary
knob and press to confirm. The cursor automatically
jumps to the last value selected (example 4).
● Set the value with the rotary knob and press to
confirm.
Set a sufficiently loud alarm sound!
The audible »NO O2« and »NO FRESH GAS« alarms are
always sounded at maximum volume.
Julian complies with national regulations in certain
countries that stipulate a minimum volume of 45 dB (A).
Settings 1 to 4 are programmed at 45 dB (A) for these
countries.

Selecting the scale

To adapt the scale for the volumeter function and trend
curve.
● Select the line »scale« with the rotary knob and press
to confirm.
● Select »adult« or »child« with the rotary knob and
press to confirm.

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 Configuring in Standby Mode
Setting default values

Setting the measuring parameters

● Select the line »parameters« with the rotary knob and
press to confirm.
The »parameters« menu appears in the left-hand field.
Display (example): Standby / Configuration
anesth. agent calibration default settings

pulse tone 0 1 2 3 4 5 6 7 8 9
SpO2-measure. on off
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

alarm sound 1 2 3 4 5 6 7 8 9
sample rate 60 200 mL/min scale adult child
parameters
CO2 unit mmHg kPa vol% record
interfaces
alarm limits
curves
basic configurations
IPPV default settings
PCV default settings
Switch SpO2 measurement (optional) on/off: fresh gas delivery

Menu for configuration of measurement parameters.

● Select the line »SpO2 measurement« with the rotary
knob and press to confirm.
● Select »on« or »off« with the rotary knob and press
to confirm.

Select the sample rate for gas measurement:

● Select the line »sample rate« with the rotary knob
and press to confirm.
● Select »60« or »200 mL/min« with the rotary knob
and press to confirm.

For paediatric use:

● Select a sample rate of 200 mL/min in order to obtain
more accurate values on account of the high frequen-
cies and time constant of the measuring system.
● Recirculate the measured gas, see page 109.
If the measured gas is not recirculated:
● Increase the minute volume accordingly in order to
maintain the volume balance.

For adult use:

● Select a sample rate of 60 or 200 mL/min.
Recommendation: select 200 mL/min and recirculate
the measured gas, see page 109.

Set CO2 unit:

● Select the line »CO2 unit« with the rotary knob and
press to confirm. The last value selected is highlighted
by a grey background.
● Select the required unit of measure by turning the
rotary knob and press to confirm.

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 Configuring in Standby Mode
Setting default values

Record
This function is used to determine the type of event that
triggers an entry in the record list or a printout on the
connected record printer.
● Select the line »record« with the rotary knob and
press to confirm.
The »record« menu appears on the left-hand side.
Display (example):
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Standby / Configuration
anesth. agent calibration default settings

Time list entry: pulse tone 0 1 2 3 4 5 6 7 8 9

time alarm sound 1 2 3 4 5 6 7 8 9
interval-started (min) intervall (min) 1 2 5 10 off scale adult child
A list entry is activated after a fixed time interval in NiBP started
warning started
on
on
off
off
parameters
record
minutes. caution started on off
interfaces
printer entry: alarm limits
NiBP-started time curves
An entry is made after every NiBP measurement with new intervall (min) 1 2 5 10 off basic configurations
NiBP started on off IPPV default settings
measured values. This entry can be read by an external warning started on off PCV default settings
on
Dräger monitor via the MEDIBUS interface. caution started off fresh gas delivery

Menu for configuration of list and printer entries.

Warning-started
An entry is made whenever an alarm is triggered.
Caution-started
An entry is made whenever a caution message is
triggered.

● Turn the rotary knob to select the event triggering the

entry and press to confirm.

Configuring the interfaces

Julian has three serial interfaces:
COM1, COM2, COM3.
COM2 and COM3 are configured as MEDIBUS*
interfaces and COM1 as printer interface. The interfaces Standby / Configuration
can be adapted to the connected equipment. anesth. agent calibration default settings

● Turn the rotary knob to select the line »interfaces«

COM 2 (Medibus): pulse tone 0 1 2 3 4 5 6 7 8 9
and press to confirm. baud rate 1.2 9.6 alarm sound 1 2 3 4 5 6 7 8 9
The »interfaces« menu appears in the left-hand field. parity even scale adult child
data bits 8 parameters
stop bits 1 record
Display (example): interfaces
COM 1 (printer), COM 3 (Medibus): alarm limits
COM2 is configured in the upper half of the menu and config. of: COM 1 COM 3 curves
COM1 and COM3 in the bottom half. baude rate 1.2 2.4 4.8 9.6 19.2 basic configurations
parity odd even none IPPV default settings
data bits 7 8 PCV default settings
stop bits 1 2 fresh gas delivery

Menu for configuration of Medibus and printer ports.

_____________
* MEDIBUS: Dräger communications protocol for medical equipment.

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 Configuring in Standby Mode
Setting default values

Interface
Choice between configuration of COM2 or COM3.
Baud rate
Transmission speed (variable, see Instructions for Use of
the equipment to be connected).
Parity
This display is invariable for MEDIBUS and is shown only
for information.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Data bits
This display is invariable for MEDIBUS and is shown only
for information.
Stop bits
This display is invariable for MEDIBUS and is shown only
for information.

Setting default alarm limits Standby / Configuration

anesth. agent calibration default settings
● Turn the rotary knob to select the line »alarm limits«
and press to confirm. -- pulse tone 0 1 2 3 4 5 6 7 8 9
SpO2
The »alarm limits« menu appears in the left-hand field. 95
alarm sound 1 2 3 4 5 6 7 8 9
120
50 scale adult child
Display (example): 40 parameters
etCO2 30 record
-- interfaces
MV 3.0 alarm limits
● Select and confirm the required alarm limit with the -- curves
Fi O2 20
rotary knob. 40
basic configurations
PAW IPPV default settings
The default alarm limit is highlighted against a white 8
PCV default settings
anaesth. agent
background. fresh gas delivery

Menu for configuration of default alarm limits.

● Set and confirm the value with the rotary knob. The
value is then displayed in normal mode.
The cursor bar jumps to the next default alarm limit.
● Set the next default alarm limit as described above.

Setting default alarm limits for anaesthetic agents

● Turn the rotary knob to select the line
»anaesth. agent« and press to confirm.
The corresponding menu is displayed.

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 Configuring in Standby Mode
Setting default values

Adjustment range for default alarm limits

Alarm limit Adjustment range Default value

set on delivery
SpO2 51 to 100 ––
[%] _ 50 to 99 92
Pulse H 31 to 300 120
[1/min] _ 30 to 299 50
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

etCO2 1 to 75 50 (mmHg)
[mmHg] _ 0 to 74 ––
MV 0.1 to 39 12
[L/min] _ 0 to 38.9 3.0
FiO2 19 to 100 ––
[Vol.%]
_ 18 to 99 20
Fi Hal. 0.1 to 7 1.5
[Vol.%] _ 0 to 6.9 ––
Fi Iso. 0.1 to 7 2.3
[Vol.%] _ 0 to 6.9 ––
Fi Enf. 0.1 to 7 3.4
[Vol.%] _ 0 to 6.9 ––
Fi Des. 0.1 to 21.9 12.0
[Vol.%]
_ 0 to 21.8 ––
Fi Sev. _ 0.1 to 9.9 3.4
[Vol.%] 0 to 9.8 ––
PAW _ 5 to 98 40
[mbar] 0 to 35 8

Fixed alarm limits / times:

FiCO2 Fixed upper alarm limit 5 mmHg
(deactivated in MAN/SPONT).
Apnoea pressure after 15 seconds
Apnoea flow after 15 seconds
Apnoea CO2 after 15 seconds
(after 60 seconds in MAN/SPONT)

– – : The default value set on delivery is outside the

monitoring range and the corresponding alarm limit
is therefore switched off.

The newly set default alarm limits are valid whenever

the apparatus is switched on or started up from
standby mode.
Certain alarm limits are switched off automatically in
MAN/SPONT ventilation mode and when using the
external fresh gas outlet:
see tables, alarm limits for MAN/SPONT, page 39
and alarm limits for non-rebreathing systems, page 51.

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 Configuring in Standby Mode
Setting default values

Configuring curves
Three standard curves can be configured for each of the
ventilation modes: MAN/SPONT, IPPV, PCV and Fresh
gas external.
● Turn the rotary knob to select the line »curves« and
press to confirm.
The selection menu appears in the left-hand field.
Display (example):
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Standby / Configuration
anesth. agent calibration default settings

● Select the required ventilation mode with the rotary pulse tone 0 1 2 3 4 5 6 7 8 9
alarm sound 1 2 3 4 5 6 7 8 9
knob: default curves Man./Spont. scale adult child
parameters
default curves IPPV
record
default curves PCV interfaces
default curves freshgas external alarm limits
curves
basic configurations
IPPV default settings
PCV default settings
fresh gas delivery

Screen configuration menu.

The »Standard IPPV screen« has been selected in the Standby / Configuration
example: anesth. agent calibration default settings

The currently selected parameters appear in the left-hand

default curves IPPV pulse tone 0 1 2 3 4 5 6 7 8 9
field, followed by the selection menu with the curves alarm sound 1 2 3 4 5 6 7 8 9
which can be selected. scale adult child
AGas parameters
Pleth
CO2 record
● Select the required parameter in the selection menu CO2 Flow interfaces
with the aid of the rotary knob and press to confirm. PAW
O2 alarm limits
PAW curves
The parameter appears against a white background. Pleth basic configurations
Volumeter
IPPV default settings
● Select and confirm the position of the new parameter Pressures
PCV default settings
blank
with the rotary knob. fresh gas delivery

The corresponding position remains unused if »blank« To select curve position: turn and confirm .
is selected.

Setting basic configurations Standby / configuration

anesth. agent Calibration default settings
for time, date, language and tone sequence.
● Turn the rotary knob to select the line pulse tone 0 1 2 3 4 5 6 7 8 9
alarm sound 1 2 3 4 5 6 7 8 9
»basic configurations« and press to confirm. time 08 : 15
scale adult child
day month year
The selection menu appears in the left-hand field. date 27 - 10 - 98
parameters
record
language English (GB)
Display (example): tone sequence Dräger Euro-stand.
interfaces
alarm limits
curves
basic configurations
IPPV default settings
PCV default settings
fresh gas delivery

Menu for setting time, date, language and tone sequence.

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 Configuring in Standby Mode
Setting default values

Setting the date/time:

● Select and confirm the »time« line with the rotary
knob.
The cursor bar marks the hours.
● Press the rotary knob to confirm and the value is
highlighted against a white background. It can now be
adjusted and confirmed with the rotary knob.
The minutes are adjusted and confirmed in the same
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

way.
● Set and confirm the date as described above.

Setting the language of the display texts:

The last language selected is highlighted by a grey
background.
The following alternatives can be selected:
English (GB) Swedish (SW)
French (F) Norwegian (N)
German (D) Portuguese (P)
Dutch (NL) Polish (PL)
Italian (I) English (USA)
Spanish (E) Japanese (Kanji) (JP)
Danish (DK)

To change the language setting:

● Turn the rotary knob to select the line »language« and
press to confirm.
● Select and confirm the relevant country code with the
rotary knob. The texts in the menu now appear in the
language selected.

Setting the tone sequence:

● Turn the rotary knob to select the line
»tone sequence« and press to confirm.
● Select and confirm either the Dräger alarm tone
sequence or the standard European alarm tone
sequence.

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 Configuring in Standby Mode
Setting default values

IPPV default settings

● Select and confirm the line »IPPV default settings«
with the rotary knob.
The softkeys for IPPV are displayed:
Display (example): Standby / Configuration
anesth. agent calibration default settings

selection O2-sensor ✓ pulse tone 0 1 2 3 4 5 6 7 8 9

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

auto man 21 vol.% alarm sound 1 2 3 4 5 6 7 8 9

To modify the settings: gas sensor ✓
scale adult child
parameters
Isoflurane record
● Press the relevant softkey. more
interfaces
The anesthetic
agent is automati- alarm limits
● Set and confirm with the rotary knob. cally selected by curves
gas identification
basic configurations
IPPV default settings
PCV default settings
To return to the »default settings«: fresh gas delivery

Modify default settings or confirm .

● Press the rotary knob.
Pmax VT Freq. TI:TE TIP:TI PEEP
mbar mL 1/min % mbar

25 600 12 1:2 10 0

PCV default settings

● Select and confirm the line »PCV default settings«
with the rotary knob.
The softkeys for PCV are displayed:
Display (example): Standby / Configuration
anesth. agent calibration default settings

selection O2-sensor ✓ pulse tone 0 1 2 3 4 5 6 7 8 9

auto man 21 vol.% alarm sound 1 2 3 4 5 6 7 8 9
To modify the settings*: ✓
scale adult child
gas sensor parameters
record
● Press the relevant softkey. Isoflurane
more interfaces
The anesthetic
agent is automati- alarm limits
● Set and confirm with the rotary knob. cally selected by curves
gas identification
basic configurations
IPPV default settings
PCV default settings
fresh gas delivery

Modify default settings or confirm .

Pmax freq. TI:TE Insp. flow PEEP

To return to the »default settings« menu: mbar 1/min L/min mbar

15 12 1:2 10 0
● Press the rotary knob.

_____________
* Maximum setting for Pmax: 30 mbar.

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 Configuring in Standby Mode
Setting default values

Setting the fresh gas default settings

● Select and confirm the line
»fresh gas default settings« with the rotary knob.
The softkeys for the fresh gas settings are displayed:
Display (example): Standby / Configuration
anesth. agent calibration default settings

selection O2-sensor ✓ pulse tone 0 1 2 3 4 5 6 7 8 9

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

auto man 21 vol.% alarm sound 1 2 3 4 5 6 7 8 9

scale adult child
gas sensor ✓ parameters
Isoflurane record
more
interfaces
The anesthetic
agent is automati- alarm limits
cally selected by curves
gas identification
basic configurations
IPPV default settings
PCV default settings
fresh gas delivery

Modify default settings or confirm ! Carrier gas selection via hardkey.

Freshgas O2

O2 % L/min

100 2.00

To modify the settings:

Julian
1 Press the keys »N2O« or »Air« to select the default
carrier gas and press the rotary knob to confirm.
2 Press the softkey »O2 %«.
Set the default O2 concentration with the rotary knob
and press to confirm.
3 Press the softkey »L/min«.
Set and confirm the default fresh gas flow with the 2 3
rotary knob.

To return to the »fresh gas default settings« menu: 1

● Press the rotary knob.

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 Configuring in Standby Mode
Manual calibration

Manual calibration
Julian calibrates its sensors automatically during opera- Standby / Configuration
tion. The message CAL appears instead of the current anesth. agent calibration default settings

measured value during a calibration process.

Calibration of the O2 sensor and zero calibration of the selection O2-sensor ✓ pulse tone 0 1 2 3 4 5 6 7 8 9
auto man 21 vol.% alarm sound 1 2 3 4 5 6 7 8 9
other gas sensors can be repeated manually, for instance scale adult child
if automatic calibration was unsuccessful. gas sensor ✓ parameters
Isoflurane record
more
In standby / configuration mode: The anesthetic
interfaces
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

agent is automati- alarm limits

cally selected by curves
● Turn the rotary knob to select the »calibration« gas identification
basic configurations
column and press to confirm. IPPV default settings
PCV default settings
● Select and confirm the appropriate line with the rotary fresh gas delivery

knob, for example:

»O2-sensor
21 vol.%«
The calibration process is started when the selection is
confirmed. The clock symbol Uappears after the relevant
line, i.e. calibration is in progress.
When calibration is complete, a tick (✓) appears instead
of the clock symbol. A question mark (?) indicates that
calibration must be repeated because the previous
calibration was defective.
To improve the measuring accuracy of high O2 concen- Standby / Configuration
trations, an additional 100 vol% O2 calibration and a calibration

linearity test of the O2 sensor can be performed under

the menu option »more«. O2-sensor
21 Vol.% ✓

Other settings can already be made during the calibration gas sensor ✓
process.
more

O2-sensor
100 Vol.%

linearity
100 Vol.% O2 calibration test O2

● Use a separate O2 source, e.g. O2 flowmeter.

O2 from the Julian breathing system is not suitable, as
it still contains traces of anaesthetic gas.
● Unscrew the sample line from the Y-piece and place it
in the continuous flow of the O2 source.
● Turn the rotary knob to select the line
»O2-sensor
100 vol.%«
and press to confirm.
● Allow the O2 flow to continue flowing into the sample
line.
A tick (✓) appears after the field when calibration is
complete.
● Screw the sample line back on to the Y-piece.

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 Configuring in Standby Mode
Manual calibration
Selecting anaesthetic agent

O2 linearity test Standby / Configuration

calibration
● First perform the "100 vol.% O2 calibration".
Then: O2-sensor
First calibrate with 100 vol.% O2
then expose sample-line to
21 Vol.% ✓ to ambient air for about 2 minutes !
● Turn the rotary knob to select the line
»linearity
gas sensor ✓ O2 21 Vol. %
test O2« more
If the displayed value is outside
the range 18 to 24 vol.% O2
and press to confirm. the sensor is defective.
O2-sensor
100 Vol.%
After approx. 20 seconds:
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

linearity
● Display (example): test O2

O2 21 vol.%
A display in the range between 18 and 24 vol.% is
correct.
If the display is outside this range, the O2 sensor is
defective or spent
(replace O2 sensor, see page 117).

Selecting anaesthetic agent

Julian automatically recognizes the anaesthetic agent Standby / Configuration
used and switches measurement and monitoring of the anesth. agent calibration default settings
anaesthetic agent concentration to the identified gas.
selection O2-sensor ✓ pulse tone 0 1 2 3 4 5 6 7 8 9
If »auto« is selected in the menu »anesth. agent«, the auto man 21 vol.% alarm sound 1 2 3 4 5 6 7 8 9
anaesthetic agent is selected automatically. scale adult child
gas gas sensor ✓ parameters
The anaesthetic agent can also be selected manually: Isoflurane
more
record
interfaces
alarm limits
● Turn the rotary knob to select the column curves
»anaesth. agent« and press to confirm. basic configurations
IPPV default settings
Under the »selection« line: PCV default settings
fresh gas delivery

● Turn the rotary knob to select »man« and press to Confirm to select Isoflurane.

confirm.
● Turn the rotary knob to select the line »gas« and press
to confirm.
● Turn the rotary knob until the required gas appears in
the display window.
Press the rotary knob to confirm the selection.
● Check that the manually selected anaesthetic agent is
compatible with the Vapor unit.

The user is responsible for manual selection of the

anaesthetic agent and for correctly filling the
anaesthetic vaporizer!

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 "Only for internal use by Draeger. Not applicable as Instructions for Use!"

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94
 Care
Contents

Care

Contents

Dismantling components........................................................................96
Dismantling sample line............................................................................ 96
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Removing water trap container................................................................. 96

Removing breathing hoses........................................................................96
Removing microbial filters......................................................................... 97
Dismantling the suction system................................................................. 98
Dismantling the breathing system..............................................................99
Removing the flow sensor.........................................................................99
Removing the absorber and bellows......................................................... 99
Opening the breathing system................................................................ 100
Dismantle the anaesthetic gas scavenging system AGS..........................100
Removing waste gas connector..............................................................101
Dismantling emergency ventilation bag................................................... 101

Disinfecting / cleaning / sterilizing...................................................... 102

Breathing system................................................................................... 102
Surfaces................................................................................................ 102
Flow-Sensor.......................................................................................... 102
Microbial filter 654 St............................................................................. 103

Care list for Julian anaesthetic workstation......................................... 104

Assembling........................................................................................... 106
Installing the breathing system................................................................106
Inserting the flow sensor........................................................................ 106
Installing the bellows.............................................................................. 107
Filling and installing the absorber............................................................107
Installing the breathing hoses................................................................. 108
Preparing the suction system..................................................................108
Connecting the measured gas recirculation system................................ 109
Fitting waste gas connector....................................................................110
Sample gas scavenging..........................................................................110
Fitting emergency ventilation bag............................................................111
Connecting the anaesthetic gas scavenging system AGS.......................111

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 Care
Dismantling components

Care

Dismantling components
Dismantling sample line
● Unscrew the sample line from the Y-piece and water
trap on the back of the unit.
The sample line is not reusable and can be disposed
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

of with ordinary domestic waste.

Removing water trap container

● Pull the container of the water trap down and off, and
empty it.
Note the hygiene regulations of the hospital!
● Prepare the container of the water trap for disinfection
and cleaning in a washing machine.

When using the "Waterlock" water trap

● See separate Instructions for Use.

Removing breathing hoses

● Remove the breathing hoses and breathing bag.
● Dismantle Y-piece and connector.
● Prepare the breathing hoses, breathing bag and
Y-piece for disinfection and cleaning in a washing
machine.

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 Care
Dismantling components

● Do not damage the breathing hoses!

Always hold the hoses by the connection sleeve and
not by the spiral ribbing when removing and
connecting the breathing hoses, otherwise the spiral
ribbing may be torn off the sleeve.
Breathing hoses with damaged spiral ribbing can
easily be kinked and interrupt ventilation!
Always check the breathing hoses for damage prior to
use.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Damaged breathing hoses must not be used.

Removing microbial filters

On the sleeve of the microbial filter:
● Press together the surfaces marked »PRESS« and
pull the filter off the connection at the same time.
Do not use force, otherwise the sleeve may be
damaged.
● Prepare the microbial filter for conditioning in
accordance with the separate Instructions for Use.

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 Care
Dismantling components

Dismantling the suction system

1 Remove the suction hose and vacuum hose.
1
2 Grip the silicone sleeve of the bottle cap and pull it
off.
1
3 Remove the secretion collecting bottle and flushing
bottle from the bracket and empty them.
Note the hygiene regulations of the hospital. 2
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

3 3

4 Remove the silicone sleeve from the lid of the

secretion collecting bottle.
5 Remove the overflow protection float from the rising
pipe.
Store the parts together for disinfection and cleaning
in a washing machine. 5
4

6 Replace the bacterial filter in the back panel of the

Julian – if soaked through or if contamination is
suspected.
The filter must be replaced at the latest every two
weeks.
● The bacterial filter must be disposed of as infectious
special waste. It can be incinerated with little pollution 6
at temperatures of more than 800 °C.

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 Care
Dismantling components

Dismantling the breathing system

7
7 Fold up the writing top.
8 Pull the catch and at the same time pull out the slot-in
module. 9
9 Hold breathing system by the handle and pull
upwards to remove.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Removing the flow sensor

1 Unscrew the expiration port.
2 Remove the flow sensor.
The flow sensor cannot be disinfected / cleaned in a
washing machine, nor can it be sterilized in high-
temperature steam.
● The flow sensor must be disinfected in 70 % ethanol
solution for approx. 1 hour.
Leave the sensor to dry in air for at least 30 minutes,
otherwise the remaining alcohol can damage the 2
sensor when calibrated.
1
● The flow sensor can be reused as long as it can be
calibrated successfully.

Removing the absorber and bellows

3 Turn the absorber counterclockwise and pull it
downwards.
4
● Empty the soda lime; it can be disposed of with
ordinary domestic waste.
4 Remove the insert from the absorber. MAX
5 Turn the container of the bellows counterclockwise
and pull it downwards. 6
6 Remove the bellows. 3
● Prepare the absorber, container of the bellows and
the bellows for disinfection and cleaning in a washing 5
machine.

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 Care
Dismantling components

Opening the breathing system

– Weekly
1 Loosen the five sealing screws a quarter-turn with the
key supplied.
● Remove the cover. 1 1

1
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1 1

2 Remove the two valve discs.

● Lift off the metal valve plate.
● Keep the valve discs in a cassette to protect them 2
against damage and prepare them for disinfection
and cleaning in a washing machine. 2
● Prepare the housing parts for disinfection and
cleaning in a washing machine.

Dismantle the anaesthetic gas scavenging system

AGS
3 Remove the scavenging hose.
4 Remove the transfer hose.
4
5 Remove the anaesthetic gas scavenging system.
● Prepare the individual parts for disinfection and
cleaning in a washing machine.

4 3

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 Care
Dismantling components

Removing waste gas connector 1

1 Pull hose off connector.
2 Remove waste gas connector completely.
2
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Dismantling emergency ventilation bag

Example: Dräger Resutator 2000
● Disconnect the mask or ventilation tube from the
patient valve.
● Pull the patient valve out of the bag.
● Compress the retaining ring on the bag completely
and remove it.
● Pull the adapter out of the bag.

● Unscrew the bottom part of the valve and remove the

diaphragm.
The small diaphragm must remain in the upper
part of the valve
● Prepare the individual parts for disinfection and
cleaning in a washing machine.

101
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 Care
Disinfecting / cleaning / sterilizing

Disinfecting / cleaning / sterilizing

Only products from the list of surface disinfectants may Surfaces of Julian, compressed gas hoses, cables and
be used for disinfection. To ensure material compatiblity, Vapor 19.3 / Vapor 2000 / Devapor
products based on the following agents may be used:
The surface of the apparatus must not be treated with
– Aldehydes agents containing alcohol.
– Alcohols
● Wipe off impurities with a damp disposable cloth.
– Quaternary ammonium compounds.
● Disinfect with a wipe-on disinfectant, e.g.
The following products are not suitable:
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Buraton 10 F
– Compounds containing alkylamines (made by Schülke & Mayr GmbH).
– Compounds containing phenols Note the manufacturer's Instructions for Use.
– Halogen-releasing compounds Do not allow any liquids to enter openings in the
– Strong organic acids apparatus.
– Oxygen-releasing compounds.
Users in the Federal Republic of Germany are advised to
use disinfectants specified in the current list published by
Flow-Sensor
the German Society for Hygiene and Microbiology
(DGHM). The DGHM list also specifies the active agent ● Disinfect for approx. 1 hour in 70 % ethanol solution.
of each disinfectant. Leave the sensor to dry in air for at least 30 minutes,
Users in countries in which the DGHM list is not available otherwise the remaining alcohol can damage the
are advised to use the agents mentioned above. sensor when calibrated.
The flow sensor cannot be autoclaved.
Alcohols and agents containing alcohol must not be
allowed to seep into the sample line! ● The flow sensor can be reused as long as it can be
Alcohol can distort the measurement results. calibrated successfully.
● The flow sensor must be disposed of as infectious
special waste. It can be incinerated with little pollution
Breathing system
at temperatures of more than 800 °C.
All parts of the breathing system, valve discs, bellows,
bellows container, Y-piece, breathing hoses, water
trap containers, breathing bag, parts of the absorber
and Resutator 2000, parts of the secretion aspirator
and parts of the anaesthetic gas scavenging system
● Disinfect in hot liquid disinfectant – in a disinfecting
machine at 93 °C for 10 minutes.
Only use cleaning agent, no alkaline or chlorine-
releasing substances – risk of corrosion!

All parts of the breathing system (except the flow

sensor!), Y-piece, breathing hoses, water trap
containers, breathing bag, parts of the absorber, parts
of the secretion aspirator and parts of the anaesthetic
gas scavenging system
● can be sterilized in hot steam at 134 °C.

102
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 Care
Disinfecting / cleaning / sterilizing

Microbial filter 654 St

● Wipe the surface with a disposable cloth.
Do not clean with solvents such as naphtha, alcohol or
ether.
Do not clean the filter in cleaning and disinfecting
machines.
Do not immerse the filter in disinfectant solution.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

● Sterilize the filter at max. 134 °C in a hot steam

sterilizer.
Do not use ethylene oxide sterilization!
Do not sterilize when connected!
● Mark each sterilization in the corresponding field on
the filter housing (e.g. with a water-resistant pen).
The filter can be sterilized up to 24 times.

The filter must be discarded:

– if the pressure rise in the resistance test is greater
than 2 mbar.
– after being sterilized 24 times at the most.

● The filter must be sterilized once more in hot steam at

134 °C after use and can then be disposed of as
plastic with ordinary domestic waste.
Note the hygiene regulations of the hospital.

All the components are listed in the care list for Juian on
pages 104 and 105, together with the corresponding
intervals and appropriate means.

103
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 Care
Care list

Care list for Julian anaesthetic workstation

Only applies for non-infectious patients.
When used with infectious patients, all parts in contact with breathing gas must additionally be
sterilized after disinfection and cleaning.

What How often

Components which Conditioning intervals1)
can be conditioned Filter on Filter on inspiration Without filter
Y-piece and expiration port
Julian workstation Front daily, other surfaces weekly
Vapor 19.3 / Devapor unit Daily
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Power cable, compressed gas hoses,

equipotential bonding lead Monthly

Breathing bag with twin connector Daily Daily Per patient

and hose
Breathing hoses Daily Per patient Per patient
Bellows Weekly Weekly Daily
Y-piece Daily Per patient Per patient
Cover of breathing system with Weekly Weekly Daily
APL valve
Middle and bottom part of breathing Weekly Weekly Daily
system
Container of bellows Weekly Weekly Weekly
Valve discs (use a cassette) Weekly Weekly Daily
Expiration port Weekly Weekly Daily
Absorber and insert Weekly Weekly Daily
Water trap (monitoring) Daily Daily Daily
Microbial filter 654 St ––– Daily –––
Filter of the measured gas Weekly Weekly Weekly
recirculation system
Flow sensor Weekly Weekly Daily
AGS housing Weekly
AGS flow tube (without filter) Weekly
Container for AGS buffer volume Weekly
AGS transfer hose Weekly
Scavenging hose with connector Monthly
Waste gas connector with tube Weekly
Hose of sample gas return or hose of Weekly
sample gas scavenging
Emergency breathing bag, its After each use
diaphragm, upper and lower valve
parts (Dräger Resutator 2000)
Silicone sleeve of secretion collecting
bottle and rinsing bottle, their lid with As required,
float, suction hose and inspection but at least daily
window
1) The conditioning intervals depend on the use and position of the filters. The table is
merely intended as a rough guide. The instructions of the hospital's hygiene officer shall
prevail!

104
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 Care
Care list

The parts should preferably be cleaned and disinfected in a washing machine, otherwise by
immersion.
Julian and its components must not be treated with formaldehyde vapours or ethylene oxide!

How
Disinfection and cleaning4) Sterilization
Washing machine2) Wiping3) Immersion3) Steam, 134 °C,
93 °C 10 minutes 10 minutes
no outside no no
no outside no no
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

no yes no no
yes no possible yes

yes no possible yes

yes no possible yes
yes no possible yes

yes no possible yes

yes no possible yes

yes no possible yes
yes no possible yes
yes no possible yes
yes no possible yes
yes no possible yes
no outside4) no yes, max. 24 times
no outside no yes, max. 10 times

no outside possible 5) no
yes no possible no
no yes no no
yes no possible yes
yes no possible no
yes no possible no
yes no possible no
yes no possible yes

yes no possible yes

yes no possible yes

2) Only use cleaning 3) Surface disinfectants 5) Disinfect the flow

agents, no alkaline or based on aldehydes, sensor in 70% ethanol
chlorine-releasing alcohols and quaternary solution for approx.
substances. Risk of ammonium compounds, 1 hour and leave
corrosion! such as Buraton 10 F to dry in air for at least
(Schülke & Mayr GmbH) 30 minutes.
or Incidin Perfect
(Henkel Hygiene GmbH)
can be used to ensure
compatibility.
4) Do not use any agents
containing alcohol.

105
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 Care
Assembling

Assembling
Installing the breathing system
1 Place the bottom section on a flat surface.
2 Fit the valve plate on the bottom section. 5
3 Insert both valve discs.
4 Tightly fit the cover. 5 5
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

5 Tighten all five sealing screws a quarter-turn. 4

5 5

3
2
3

6 Hang the breathing system into the slot-in unit.

Inserting the flow sensor

7 Insert the flow sensor with the electric connection in
the slot.
8 Push in the expiration port with the nose of the port in
the slot.
● Tighten the knurled nut by hand.

106
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 Care
Assembling

Installing the bellows

● Hold the breathing system from above to prevent it
dropping out and
1
1 uniformly slide the tightly compressed bellows onto
the connector.
2 Insert the container in the breathing system from
below and turn it clockwise as far as possible.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Filling and installing the absorber

3 Push the insert fully into the absorber.
● Fill the absorber with fresh soda lime MAX
– up to the MAX mark.
Only use Drägersorb 800!
3 4
If the breathing system is to remain unused during the
next 24 hours:
● Only fill with soda lime immediately before use!
Soda lime dries out when exposed to ambient air
and sun for a longer period of time. This reduces
the CO2 absorption capacity and the effectiveness
of the indicator.
4 Insert the absorber in the breathing system from
below and turn clockwise as far as possible.

5 Slot in the breathing system – as far as possible.

6 Fold down the writing top. 6

5
5

107
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 Care
Assembling

Installing the breathing hoses 1

1 Fit the microbial filters on the inspiration and
3
expiration ports of the breathing system until they
audibly engage.
2 Connect the 2.3 L breathing bag to the breathing 2
hose with a connecting sleeve. Plug the breathing
hose onto the angled connector and hang the
breathing bag on the hook.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

3 Plug the breathing hoses into the microbial filters

and connect them to the Y-piece.
● Do not use antistatic or conductive breathing
hoses!
Fire hazard when using HF electrosurgery.

4 Fit the water trap container from underneath.

5 Screw the sample line onto the Y-piece and water
trap.
Only use original sample line. Other lines may 5 5
change the technical data of the device. 4

Alcohol and agents containing alcohol must not be

allowed to penetrate the sample line!
Alcohol distorts the results of the concentration
measurement.

Preparing the suction system

6 Plug the bacterial filter into the port on the back panel
of the Julian.
● Replace the bacterial filter every two weeks.
● The filter must be disposed of as infectious special
waste. It can be incinerated with little pollution at
temperatures of more than 800 °C. 6

108
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 Care
Assembling

1 Press the overflow protection float into the rising pipe

until it clicks into place. The float must move freely
without falling out.
2 Uniformly button the silicone sleeve onto the cover.

51
42
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

● Connect the bottle cap to the secretion collecting

bottles.
3
● Place the secretion collecting bottle in the inner 5
sleeve and the rinsing bottle in the outer sleeve.
3 Fit the vacuum hose to the port on the Julian and to
the thin port on the cap.
4 Fit the suction hose to the thick port on the cap. 4 3
5 Fit the secretion inspection window in the suction
hose.

Connecting the measured gas recirculation system

6 Fit the short hose to the port of the measured gas
outlet. 6
7 Fit the long hose to the port of the recirculation
system.

109
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 Care
Assembling

Fitting waste gas connector 1

1 Push waste gas connector into the aperture all the
way to the stop, angle downwards.
2 Fit hose to connector. 2
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Sample gas scavenging

If the sample gas is not to be recirculated:
● Use hose 11 90 520, connector M 33 151 and
sealing cap (optional). 2
2 Connect the hose to the port of the sample gas
outlet port.
3 Fit the connector with sleeve to the free end of the
hose.
Insert the connector in the coupling of the anaesthetic 4
gas scavenging system until it clicks into place.
4 Fit the cap to seal the port.

110
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 Care
Assembling

Fitting emergency ventilation bag

Example: Dräger Resutator 2000
● Insert the adapter in the bag so that the rubber flange
is uniformly located in the groove of the adapter.
● Press the retaining ring together completely with the
large eyelet pointing towards the bag and clamp it
over the bead on the bag.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

1 Place the diaphragm in the bottom part of the valve

with the lip facing downwards.
Screw the upper part of the valve onto the bottom
part.
1

2 Plug the patient valve into the bag adapter.

Connecting the anaesthetic gas scavenging system

AGS
3 Connect the transfer hose to the excess gas
connector and to the port of the scavenging system.
3
4 Connect the suction hose to the port of the
scavenging system.
5 Connect the anaesthetic waste gas connector to the
suction hose. 3
6 Ensure that the second port on the scavenging 5
system is sealed with the sealing screw.
● Note the Instructions for Use of the anaesthetic gas
scavenging system AGS.
6

3 4

111
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 "Only for internal use by Draeger. Not applicable as Instructions for Use!"

112
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 Julian as Wall-mounted Unit
Contents

Julian as Wall-mounted Unit

Contents
Features................................................................................................ 114
Preparation............................................................................................ 114
Anaesthetic gas aspiration......................................................................114
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

113
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 Julian as Wall-mounted Unit

Julian as Wall-mounted Unit

Features
The wall-mounted unit is fixed to the wall and is available
in left or right-hand hinged versions.
The supply lines are permanently connected to the wall-
mounted unit.
The auxiliary power sockets and the grounding pins for
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

earth leads are located on the left and right sides of the
lower half of the unit.
The AGS anaesthetic gas scavenging line is built into the
unit.
The on/off switch and display symbols for anaesthetic
gas aspiration are located in the lower half of the unit.
The bacterial filter for secretion aspiration is located on
the left side of the unit.
The wall-mounted unit must be installed by qualified
personnel only.
We recommend DrägerService.

Preparation
Julian can be swung clear of the wall on its hinges to gain
access to the back panel.
1 Pull the handle to swing the unit about 30° clear of the
wall. D Julian

● Connect the sampling line for anaesthetic gas

measurement to the back panel.
After connecting the sample line:
● Swing the unit back against the wall until it latches
into place.
1
● Pull gently to check that Julian is fixed to the wall.
● Always return the device to the wall position in order
to save space and avoid damage.

Anaesthetic gas aspiration

2 Switch on = switch pointing upwards,
symbol lights up green.
Switch off = switch pointing downwards,
symbol unlit.
2

Operation and Care as per standard Julian

model.

114
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 Maintenance Intervals
Contents

Maintenance Intervals

Contents

Cleaning the cooling air filters..............................................................117

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Replacing the water separator............................................................. 117

Replacing the O2 sensor.......................................................................117

Disposing of batteries and O2 sensors................................................ 118

Disposing of the used device............................................................... 118

115
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 Maintenance Intervals

Maintenance Intervals

The workstation and its components must be cleaned and disinfected before every maintenance operation -
even when returning for repair!

Water separator Replace when dirty or when

the message CO2 line?! is displayed
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

(if the sample line is correctly installed and free of any blockage).
Can be disposed of as domestic waste.
O2 sensor Replace when calibration is no longer possible or when
the message FIO2 INOP! is displayed.
Disposal, see page 118.

Flow sensor Replace when calibration is no longer possible or when

the message FLOW INOP! is displayed.
Can be incinerated with little pollution at temperatures of more
than 800 °C.
Bacterial filter for secretion aspiration Replace after two weeks.
Must be disposed of as infectious special waste.
Can be incinerated with little pollution at temperatures of more
than 800 °C.
Bacterial filter Replace every six months.
for measured gas recirculation Can be incinerated with little pollution at temperatures of more
than 800 °C.
Cooling air filter (set of 3) Should be cleaned and thoroughly dried or replaced every month.
Must be replaced after one year at the latest.
Can be disposed of as domestic waste.
Lithium battery for data backup (set of 2) Must be replaced by professionals after two years.
Must be disposed of in accordance with local waste disposal regulations.
Lead gel battery in power pack (set of 2) Julian should be used in battery mode without a patient at least every
4 weeks.
A fully charged battery should keep the workstation operating for at least
30 minutes.
If not, get lead gel battery (set of 2) replaced by professionals.
Must be replaced by professionals after 2 years.
Must be disposed of in accordance with local waste disposal regulations.
Optical measuring set for determining
the anaesthetic gas concentration Must be checked by professionals every six months.
Time-keeper RAM Must be replaced by professionals after three years.
Must be disposed of in accordance with the local waste disposal
regulations.
Inspection and maintenance Must be carried out by professionals every six months

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 Maintenance Intervals
Cleaning the cooling air filters
Replacing the water separator
Replacing the O2 sensor

Cleaning the cooling air filters

– clean filters monthly.
1 Remove all three cooling air filters from their mount.
1
● Clean in warm water to which a detergent has been
added; dry thoroughly.
● Insert the cooling air filters in their mount without
creasing.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

● Replace the cooling air filters after not more than one 1
year. The filters can be disposed of as domestic
waste.

Replacing the water separator

– When soiled
or
– when the message
CO2 line? ! is displayed
(if the sample line is correctly installed and free of any
blockage).
● Grip the water separator by its sides and pull it out.
● Push the new water separator into the holder as far as
possible.
● The old water separator can be disposed of as
domestic waste.

Replacing the "Waterlock" water trap:

● See separate Instructions for Use.

Replacing the O2 sensor

– When the message
FIO2 INOP! is displayed
or
– when the sensor can no longer be calibrated.
1 Remove the screw.
2 Remove the spent O2 sensor from the screw and 2
insert a new O2 sensor in the screw.
1 Refit the screw. 1
● Dispose of the spent O2 sensor, see page 118.

117
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 Maintenance Intervals
Disposing of batteries and O2 sensors
Disposing of the used device

Disposing of batteries and O2 sensors

Batteries and O2 sensors:
● must not be incinerated or thrown into a fire – risk of
explosion!
● must not be opened forcibly – danger of chemical
burns!
● must not be recharged.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Batteries must be handled as special waste:

● They must be disposed of in conformity with the local
waste disposal regulations.
Spent O2 sensors can also be returned to Dräger
Medizintechnik GmbH.

Disposing of the used device

– At the end of its useful life.
Julian can be returned to Dräger Medizintechnik GmbH
for disposal.

118
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 Fault – Cause – Remedy
Contents

Fault – Cause – Remedy

Contents

Fault – Cause – Remedy..............................................................................120

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

119
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 Fault – Cause – Remedy

Fault – Cause – Remedy

Julian divides the alarm messages into three priority The messages are listed below in alphabetical order.
classes identified by exclamation marks: The list is intended to help identify the cause of an alarm
!!! Warning = Message with top priority message and to remedy the fault rapidly.
!! Caution = Message with middle priority
! Advisory = Message with least priority
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Message Cause Remedy

AGAS INOP ! Anaesthetic gas measurement faulty. Call DrägerService.

AGT NOT SEL ! The manually selected anaesthetic gas Check and select the anaesthetic agent
does not correspond to the gas or switch over to automatic anaesthetic
identified by the measurement. gas identification.
AIR SUPPLY !!! Compressed air supply has failed. Check connection to central supply.
or Central supply connector not plugged
AIR SUPPLY ! in.
Compressed air hose kinked.
Air compressor failure. Check compressor.
APNEA CO2 !!! Breathing/ventilation has stopped. Patient must immediately be
No breath detected for 30 seconds. ventilated by hand!
Check ventilator setting. Ensure it is not
disconnected.
No breath detected for 60 seconds in Patient must immediately be
the "MAN/SPONT alarm limits" alarm ventilated by hand!
mode. Check patient's spontaneous breathing
ability.
APNEA PRESSURE !!! Breathing/ventilation has stopped. Patient must immediately be
No change of pressure detected for ventilated by hand!
15 seconds.
Inadequate supply of fresh gas. Check fresh gas setting.
Leak in hose system. Check that hose system is not
disconnected.
APNEA VOL !!! Breathing/ventilation has stopped. Patient must immediately be
No expiratory tidal volume for ventilated by hand!
15 seconds.
Check patient's spontaneous breathing
ability.
Check ventilator setting.
Inadequate supply of fresh gas. Check fresh gas setting.
Tube kinked. Check hose system.
AW Temp > !!! Breathing gas temperature above If using a breathing gas humidifier:
40 °C. disconnect humidifier.
If using heated breathing hoses: remove
plug of hose heater.
AW TEMP INOP ! Airway temperature sensor defective. Check sensor lead.
Replace sensor.
BATTERY LOW !!! The battery capacity of the uninterrup- Check patient's condition!
tible power supply is almost exhausted. Prepare manual ventilation with 100 %
O2.

120
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 Fault – Cause – Remedy

Message Cause Remedy

CO2/AGA INOP ! CO2 / anaesthetic gas measurement Call DrägerService.

faulty, and consequently:
aspiratory O2 measurement faulty.
CO2 INOP ! CO2 gas measurement faulty. Call DrägerService.
CO2 LINE? ! Sample line blocked. Check sample line, filter in T-piece and
water separator; replace if necessary.
Check that hose to anaesthetic gas
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

scavenging system is not kinked.

COOLING ? ! Internal temperature in apparatus is too Clean filter on the back panel.
high or fan for mixer electronics is Call DrägerService.
defective.
EMERGENCY O2 OPEN ! O2 emergency metering has opened in Close O2 emergency metering.
normal operation.
ET CO2 > !! Upper alarm limit for end-expiratory Check ventilation.
CO2 concentration has been exceeded
for at least two breaths.
ET CO2 < !! End-expiratory CO2 concentration has Check ventilation.
fallen below lower alarm limit for at least
two breaths.
FI HAL > !!! The inspiratory gas concentration of the Check setting of anaesthetic vaporizer.
relevant anaesthetic agent exceeds the
FI ISO > !!! upper alarm limit.
FI ENF > !!! The upper alarm limit has been
FI DES > !!! exceeded for at least two breaths.
FI SEV > !!!
FI HAL < !! Inspiratory gas concentration of the Check setting of anaesthetic vaporizer.
relevant anaesthetic agent is below the
FI ISO < !! lower alarm limit.
FI ENF < !! The value has remained below the lower
FI DES < !! alarm limit for at least two breaths.
FI SEV < !!
FI O2 < !!! Inspiratory O2 concentration is below Check O2 supply.
the lower alarm limit.
Check O2 concentration in fresh gas
flow.
FI O2 > !! Inspiratory O2 concentration exceeds Check O2 concentration in fresh gas
upper alarm limit. flow.
O2 flush used.
FI O2 INOP ! Aspirating O2 measurement defective. Call DrägerService.
O2 sensor exhausted. Replace O2 sensor, page 117.
O2 sensor not used. Use O2 sensor, page 117.
FLOW INOP ! Flow sensor defective. Replace flow sensor, page 106.
GAS FAILURE !!! Failure of the O2 and AIR supply. Open backup O2 cylinder.
Check connection to central supply.
INSP CO2 > !! The inspiratory CO2 concentration Replace the soda lime in the anaesthetic
exceeds the fixed upper limit of 5 mmHg. unit system.

Valve discs in breathing system

defective.
Set sample rate to 200 mL/min due to
high frequency and time constant of
CO2 sensor.

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 Fault – Cause – Remedy

Message Cause Remedy

JULIAN COM 2 ! Communication via the RS 232 inter- Check the plug connection on Julian and
face COM 2 has been interrupted. the connected device.
MV < !! Minute volume below the lower alarm Check breathing system.
limit. Check setting of ventilator.
Tube blocked/kinked. Check tube.
Leak in breathing system. Seal breathing system.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Ventilation volume reduced by pressure Correct ventilation pattern.

limitation.
Inadequate fresh gas flow. Increase fresh gas flow.

MV > !! Minute volume exceeds upper alarm Correct tidal volume or respiration rate.
limit.
MIXED AGENT ! The anaesthetic gas has been Check fresh gas setting. Wait a while.
confused. Mixture of two anaesthetic
agent present.

MIXER INOP !!! Fault in the fresh gas mixer system. Patient must immediately be
Automatic switchover to MAN/SPONT. ventilated by hand!
A constant flow of 4 L/min O2 is Call DrägerService.
maintained.
N2O INOP ! N2O gas measurement faulty. Call DrägerService.
N2O SUPPLY !!! N2O supply has failed. Open the N2O backup cylinder.
The central supply connector is not Check connection to central supply.
plugged in or the N2O hose is kinked. Restore N2O supply.
N2O cylinder empty. Connect a full N2O cylinder.
NO FRESHGAS !!! Fault on switching over to the external Call Dräger Service.
fresh gas outlet.
O2 INOP ! O2 sensor worn or defective Replace O2 sensor, page 117
O2 SUPPLY !!! The oxygen supply has failed. Open the O2 backup cylinder.
The central supply connector is not Check connection to central supply.
plugged in or the O2 hose is kinked. Restore O2 supply.
O2 cylinder empty. Connect a full O2 cylinder.
PAW > !!! Airway pressure exceeds upper alarm Check hose system.
limit.
Ventilation hose kinked.
Stenosis.
Pressure limit set too high. Correct pressure limit.
PAW NEGATIVE !!! Inadequate supply of fresh gas. Set adequate fresh gas flow on the
anaesthetic unit.
Mean pressure pmean less than –2 mbar.
Airway pressure PAW less than
–7 mbar.
P MAX? ! PCV pressure limit not reached. Check stroke volume.
Correct pressure limit, inspiratory flow
or inspiration time if necessary.
POWER FAIL ! Power supply failure. Check battery capacity.
Prepare manual ventilation.
Short-circuit in one of the devices Remove the device plug from the
connected to the auxiliary sockets. auxiliary socket. Press the switch on the
back panel.

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 Fault – Cause – Remedy

Message Cause Remedy

PRESSURE LIMIT !! The ventilator is operating in pressure-
limited mode.
Lung compliance has changed.
Tube kinked. Check tube/microbial filter.
Microbial filter clogged on the inspiratory If necessary, increase Pmax or reduce
side. VT
PRESSURE ERR ! Pressure sensor defective. Call DrägerService.
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

PRESSURE EXP > !!! End-expiratory pressure is more than Increase expiration time.
10 mbar above the set PEEP. Check hose system and microbial filter.
Drain water trap.
PULSE SPO2 < !!! Pulse rate has dropped below the set Check patient's condition!
alarm limit.
PULSE SPO2 > !! Pulse rate exceeds upper alarm limit. Check patient's condition!
Correct alarm limit if necessary.
SPO2 < !!! Oxygen saturation is below the set lower Check ventilation.
alarm limit.
Check O2 concentration of the fresh
gas.
SPO2 > !! Oxygen saturation exceeds the upper Check O2 concentration of the fresh
alarm limit. gas flow.
Check ventilation.
SPO2 INOP ! SpO2 measurement faulty. Call DrägerService.
SPO2 PULSE ? !!! No pulse signal detected by SpO2 Check patient's condition!
measurement for approx. 10 seconds.
Check SpO2 sensor!
SPO2 SENSOR? ! SpO2 sensor not plugged in. Check sensor connection.
SPEAKER FAIL ! No alarm tone, loudspeaker faulty. Call DrägerService.
SYSTEM ERROR !!! Internal device error.
Automatic switchover to MAN/SPONT.
Version without rotary knob for O2 Immediately ventilate the patient by
emergency metering: hand.
Julian automatically delivers an O2 flow
of 4 L/min.
Version with rotary knob for O2 Set »Safety O2« rotary knob for O2
emergency metering: emergency metering to desired O2 flow.
Set »Safety O2« rotary knob to desired Range 0 to 12 L/min.
O2 flow. Range 0 to 12 L/min. Immediately ventilate the patient by
This O2 flow flows through the Vapor hand.
unit. Check Vapor unit setting.
Call DrägerService.
VENT INOP !!! The ventilator control unit is performing After about 15 seconds, Julian is
an internal restart. This restart procedure restored to its previous operating mode.
takes about 15 seconds.
WATER TRAP ! The collecting jar of the water trap at Empty the jar.
the back of the unit is full.
The prism of the water trap is misted Wipe the prism dry.
over with condensation.

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 What's what
Contents

What's what

Contents

Front view............................................................................................. 126

Gas supply panel................................................................................... 127
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Screen with user interface......................................................................128

Rear view.............................................................................................. 129

Interface panel....................................................................................... 130

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 What's what

What's what

Front view

14
13 1
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

12
2

11

10 5

9
1-36-96 8

1 Screen with user interface 10 Compact breathing system

2 Rotary knob for selection, setting and confirmation 11 Gas supply panel
3 Main power switch 12 Vapors with interlock system
4 Writing top 13 Mounting rail for accessories
5 Catch to unlock the breathing system 14 Shelf for patient monitor
6 Bellows
7 Absorber
8 Drawer
9 Suction system

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 What's what

Gas supply panel

6 7 8

O2 Air N2O

2.5 6 2.5 6 2.5 6

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

kPa x 100 kPa x 100 kPa x 100

bar bar bar

5
Safety-O 2
6 4 2
8

Vac. 10 0 O2
12 +
L/min

4 3 2 1

1 O2 flush
2 O2 emergency metering
3 Secretion aspiration on/off switch
4 Rotary knob for secretion aspiration suction
5 Secretion aspiration pressure gauge
6 Central gas supply O2 pressure gauge
7 Central gas supply AIR pressure gauge
8 Central gas supply N2O pressure gauge

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 What's what

Screen with user interface

1 2 3 4 5
11

IPPV 12
Pleth
SpO2 98 67 alarm
13
limits
CO2 auto set
38 _
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

etCO2 freq limits

CO2 Ve
40
MV 6.0 10 alarm
info

0
Fi Fet list ..
12... 14
20 PAW O2 40 36 curves
Hal. 0.8 0.6 config. 15
0
N 2O 58 56
16
Freshgas O2+N2O
Pmax VT Freq. TI:TE TIP:TI PEEP
O2 % L/min mbar mL 1/min % mbar

30 4.00 25 600 10 1:2 10 0

MAN
N 2O AIR
SPONT
IPPV PCV 17

18

6 7 8 9 10

1 Status field showing the current ventilation mode 10 Softkeys for setting ventilation
2 Curve field for curves and bar graphs 11 Power supply indicator
3 Alarm field for alarm messages and their priority 12 Alarm indication LEDs
4 Measurement field for numerical values 13 Key for suppressing the acoustic alarm for 2 minutes
5 Softkeys for monitoring functions 14 Key for changing monitoring screen pages
6 Keys for selecting the carrier gas (N2O or AIR) 15 Key for calling up the standard screen
7 Softkeys for setting the fresh gas flow 16 User advisory field
8 Status line for fresh gas 17 Rotary knob for selection, setting and confirmation
9 Keys for selecting the ventilation mode 18 Key for switching to standby mode

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 What's what

Rear view
11 12 13

1
2
3
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

5
10 6

7
9

MT-490-98

1 Gas supply ports 8 Anaesthetic gas scavenging system AGS

2 Sample gas return with filter 9 Power cable
3 O2 sensor (behind the sealing screw) 10 Cooling air filters
4 Interface panel 11 Connection for sample line with water separator
5 Bacterial filter for suction system and water trap

6 Waste gas connector 12 Auxiliary power sockets

13 Pin for earth cable
7 Transfer hose to anaesthetic gas scavenging system
AGS

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 What's what

Interface panel

Analog 1
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

[
Sync.

CAN 2 COM 3 2
SpO2
m
CAN 1 COM 2 3
Temp.

COM 1 4

SA-Bus 5

6 7 8 9 10

1 Analog Analog output for three curves

2 COM3 RS232 interface for MEDIBUS
3 COM2 RS232 interface for MEDIBUS
4 COM1 RS232 interface for printer
5 SA-Bus For DrägerService only
6 CAN1 Interface for PM 8060 vitara
(haemodynamic screen), optional
7 CAN2 Interface for parameter box PB 8800, optional
8 Temp Socket for temperature sensor, optional
9 SpO2 Socket for SpO2 sensor, optional
10 Sync Socket for C-Lock-ECG synchronization of the optional
SpO2 measurement

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 Technical Data
Contents

Technical Data

Contents

Ambient conditions...............................................................................132
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Fresh gas.............................................................................................. 132

Ventilator...............................................................................................132

Breathing system..................................................................................133

Measuring systems...............................................................................133
Pressure measurement ..........................................................................133
O2 measurement....................................................................................133
Flow measurement................................................................................. 134

Airway temperature measurement....................................................... 134

CO2 measurement................................................................................. 134
Anaesthetic gas measurement................................................................ 135
SpO2 measurement............................................................................... 135
C-Lock-ECG synchronization (optional)..................................................136

Interfaces.............................................................................................. 136

Operating data...................................................................................... 137

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 Technical Data

Technical Data

Ambient conditions
In operation:
Temperature 10 to 35 °C
Air pressure 700 to 1060 hPa
Rel. humidity 20 to 80 % (no condensation)
CO2 concentration of ambient air 300 to 800 ppm
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

In storage:
Temperature –20 to 60 °C
O2 sensor max. 50 °C
Air pressure 500 to 1100 hPa
Rel. humidity <98 % (no condensation)

Fresh gas
(electronic mixer)
Settings:
O2 concentration 25 to 100% by vol., at least 25% by vol., 250 mL/min.
± 5% of set value
Fresh gas flow 0 and 0.5 to 12 L/min
± 10% of set value or max. ±100 mL
O2 flush >35 L/min

Ventilator
(electronically controlled, pneumatically
driven bellows in bottle ventilator)
Settings:
Pressure limit Pmax
for IPPV 10 to 70 mbar
±10 % of setting or at least ±2 mbar
for PCV (PEEP+1) to 70 mbar
±10 % of setting or at least ±2 mbar
Tidal volume 50 to 1400 mL
± 15% of the setting for inspiration flows ≥ 10 L/min.
Ventilation frequency 6 to 60 per minute
Tinsp 0.2 to 6.7 seconds
Texp 0.33 to 8 seconds
Insp/Exp. time ratio TI : TE 1 : 4 to 2 : 1 with automatic ventilation

Plateau time ratio TIP : TI 0 to 50 %

Inspiratory flow (PCV) 5 to 50 L/min ±10 %
Can be set to up to 75 L/min by DrägerService
Inspiratory flow (IPPV) 3 to 75 L/min
(cannot be set directly; depends on
the setting for VT, Freq. TI:TE and TIP:TI)
PEEP 0 to 20 mbar
±10 % of setting or at least ±2 mbar

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 Technical Data

Breathing system
Total gas volume Approx. 4.5 L enclosed gas volume
Compliance with filled absorber container,
without breathing hoses Approx. 4.5 mL/mbar
Absorber volume 1.5 L
Leakage (EN 740) <150 mL/30 mbar
Pressure limiting valve APL
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Adjustment range 5 to 70 mbar

±15 % of setting
Exp. resistance (EN 740) 4.87 hPa at 60 L/min
Insp. resistance (EN 740) 4.65 hPa at 60 L/min
absorber container filled with DrägerSorb 800

Measuring systems
Pressure measurement
(piezoresistive)
Airway pressure –10 to 99 mbar
Resolution 1 mbar
Accuracy Better than ±4 % of measured value or at least 1 mbar,
the larger value applies.

O2 measurement
(fuel cell in sidestream)
Sample rate 60 mL/min or 200 mL/min
Delay time for sampling Less than 1 second
Measuring range 5 to 100 vol%
Resolution 1 vol%
Accuracy Calibration in air:
±3 vol% in the range from 5 to 50 vol%
±5 vol% in the range from 50 to 100 vol%
Calibration with 100 % O2:
±3 vol% in the range from 5 to 100 vol%
Drift Within the ranges specified above
Response time t10...90
at 200 mL/min 500 ms
at 60 mL/min 1s

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 Technical Data

Flow measurement
(hot wire anemometry)
Tidal volume VT
Range 0.02 to 9.99 L
Resolution 0.01 L
Accuracy (under calibration conditions Better than ±8 % of the measured value or 0.01 L, the larger value
and 1013 hPa) applies
Minute volume MV
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Range 0 to 99.9 L/min

Resolution 0.1 L/min
Accuracy Better than ±8 % of the measured value
(under calibration conditions and BTPS*)
Respiration rate
Range 0 to 60 per minute
Resolution ±1 per minute
Accuracy ±1 per minute

Airway temperature measurement

(NTC resistance)
Measuring range 20 to 50 °C
Resolution 1K
Accuracy ±0.5 K in the range from 30 to 41 °C

CO2 measurement
(infrared spectrometry)
Sample rate 60 mL/min or
(selectable) 200 mL/min
Delay time for sampling Less than 1 s
Measuring range 0 to 9.9 kPa (0 to 80 mmHg)
Resolution 0.1 kPa
Accuracy ±0.2 vol% or 5 % of measured value
Response time t10...90
at 200 mL/min 300 ms
at 60 mL/min 1s
Warm-up phase 4 min (accuracy as specified by DIN EN 864)
2 min for first measured values
Zero drift Within the ranges specified above

___________

* BTPS: Body temperature, current atmospheric pressure, gas saturated

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 Technical Data

Anaesthetic gas measurement

(infrared spectrometry)
Sample rate (selectable) 60 mL/min or 200 mL/min
Delay time for sampling Less than 1 s
Display range for N2O 0 to 100 vol%
Accuracy Better than ±2.5 vol% absolute or 4 % of measured value
Resolution 0.1 vol%
Display range for halothane and isoflurane 0 to 8.5 vol%
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Accuracy for
0 to 4 vol% Better than ±0.2 vol% absolute
4 to 8.5 vol% Better than 10 % of measured value
Display range for enflurane and sevoflurane 0 to 9.9 vol%
Accuracy for
0 to 4 vol% Better than ±0.2 vol% absolute
4 to 9.9 vol% Better than 10% of measured value
Display range for desflurane 0 to 22 vol%
Accuracy for
0 to 8 vol% Better than ±0.4 vol% absolute
8 to 22 vol% Better than 10 % of measured value
Response time t 10...90
at 200 mL/min 350 ms
at 60 mL/min 1s
Warm-up phase 4 min (accuracy as specified by DIN ISO 11196)
for first measured values
Zero drift Within the ranges specified above
Automatic anaesthetic gas identification The measurement accuracy required by ISO standards
is attained at the latest 4 minutes after switching on the
apparatus. The threshold level for automatic identification
equals 0.15 % by volume.
Anaesthetic gases are identified from a concentration of
0.4 % by volume upwards. If a mixture is present, the gas
with the higher concentration is measured.

SpO2 measurement, optional

(light absorption)
Display range 0 to 100 % SpO2
Accuracy (adults)
between 70 and 100 % SpO2 Better than ±2 % SpO2
between 50 and 70 % SpO2 Better than ±3 % SpO2
between 0 and 50 % SpO2 Not specified
Accuracy (neonates)
between 70 and 95 % SpO2 Better than ±3 % SpO2
between 0 and 70 % SpO2 Not specified
between 95 and 100 % SpO2 Not specified
Actualization time Once per heartbeat

Pulse rate 20 to 250 per minute

Accuracy ±2 per minute

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 Technical Data

Sensors
Type Compatible with Nellcor sensors
Oxisensor, Oxiband and Durasensor
Wavelengths 660 nm (red)
920 nm (infrared)
Acoustic pulse signal A tone is produced for each detected pulse,
tone pitch proportional to oxygen saturation
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

C-Lock-ECG synchronization (optional)

Requirements for ECG
synchronization signal Pos. pulse with voltage >4.5 V,
>10 ms duration for driving 2 mA
Max. permissible signal delay
with reference to current
QRS complex 40 ms
Socket for 2-pin jack-plug, Ground
dia. 3.5
Jack layout
Signal isolation from other Signal
electronic components
Dielectric strength 4 kV

Interfaces
Analog output
Plug connector 9-pin sub-D, electrical isolation 1.5 kV
PAW 0 to 100 mbar; 0 to 5 V =; PIN 3
Flow 0 to 150 L/min; 0 to 5 V=; PIN 6
CO2 0 to 10 kPa; 0 to 5 V=; PIN 9
Earth PIN 1, 4, 7
COM1 record (printer)
Connector 9-pin sub-D, electrical isolation 1.5 kV
Pin assignment 1 shield
2 TxD
3 RxD
5 GND
COM2 (MEDIBUS 1)
Connector 9-pin sub-D, electrical isolation 1.5 kV
Pin assignment 1 shield
2 TxD
3 RxD
5 GND
COM3 (MEDIBUS 2)
Connector 9-pin sub-D, electrical isolation 1.5 kV
Pin assignment 1 shield
2 TxD
3 RxD
5 GND

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 Technical Data

Operating data
Operating voltage 90 – 265 V~
Power input 400 W typically, max. 2.3 kW
Uninterruptible power supply with fully charged battery: typically 30 min
(auxiliary sockets are not powered!)

Mains fuse Automatic circuit-breaker 10 A

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Auxiliary sockets Each with two fuses 2 A T2L 250V

DIN 41662, IEC 127-2/III
Medical gas supply
O2 2.7 to 5.5 bar
N2O 2.7 to 5.5 bar
AIR 2.7 to 5.5 bar
Drive gas consumption
Operation MV ±1 L/min AIR or O2
Standby and MAN/SPONT 0 L/min
Dimensions of Julian W x H x D 68 cm x 133 cm x 68 cm
Dimensions of the storage tray W x D 43 cm x 29 cm
Dimensions of the breathing system W x H x D 31 cm x 35 cm x 21 cm
Weight of Julian Approx. 90 kg
(Ready for operation without
Vapor units and gas cylinders)
Weight of breathing system without soda lime 4.8 kg
Screen Electro-luminescent screen, 10.4" diagonal
Protection class
Device I, type B conforming to EN 60601-1

SpO2 sensor Type BF

electrically isolated from protective earth

Electromagnetic compatibility EMC Tested to EN 60601-1-2

Classification II b
according to Directive 93/42/EC
Appendix IX

UMDNS Code 10-134

Universal Medical Device
Nomenclature System

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 "Only for internal use by Draeger. Not applicable as Instructions for Use!"

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 Abbreviations / Symbols
Contents

Abbreviations / Symbols

Contents

Abbreviations........................................................................................ 140
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Symbols ............................................................................................... 141

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 Abbreviations

Abbreviations

Abbreviation Meaning Abbreviation Meaning

AGas Anaesthetic gas MAN/SPONT Manual ventilation / spontaneous
breathing
AGS Anaesthesia Gas Scavenging System
MEAN Mean pressure
AIR Compressed air for medical use
MV Expiratory minute volume
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

APL Adjustable Pressure Limitation

N2O Nitrous oxide (laughing gas)
BTPS Measuring condition at body temperature,
current atmospheric pressure and NiBP Non-invasive blood pressure

ç
saturated gas
O2 Oxygen
Conformité Européenne
PAW Airway pressure
Directive 93/42/EC
on Medical Products PCV Pressure Controlled Ventilation
CC-Lock The SpO2 signal is synchronized with the PEAK Peak pressure
ECG signal
PEEP Positive end-expiratory pressure
Compl. Compliance
PLAT Plateau pressure
Des. Desflurane
Pleth Plethysmogram
etCO2 End-expiratory CO2 concentration
Pmax Maximum pressure
Enf. Enflurane
Sev. Sevoflurane
Fet End-expiratory fraction
SpO2 Functional O2 saturation
Fi Inspiratory fraction
Tip:Ti Ratio of inspiratory pause time to
Fi Des Inspiratory desflurane concentration inspiration time
Fi Enf Inspiratory enflurane concentration TI:TE Ratio of inspiration time to expiration time
Fi Hal Inspiratory halothane concentration USV Uninterruptible power supply
Fi Iso Inspiratory isoflurane concentration VAC Vacuum (e.g. for secretion aspiration)
Fi Sev Inspiratory sevoflurane concentration VT Tidal volume
FLOW Expiration flow ZV Piped medical gas supply for O2, N2O,
AIR and vacuum
Fi O2 Inspiratory O2 concentration
Hal. Halothane
HLM Alarm mode for heart-lung machine
INOP Function failure
IPPV Intermittent Positive Pressure Ventilation
Iso. Isoflurane

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 Symbols

Symbols

Symbol Meaning

G Suppress alarm tone for 2 minutes

Q Call up standard page

S Call up basic pages in succession

"Only for internal use by Draeger. Not applicable as Instructions for Use!"

E Standby / operation switch

ª Pulse rate

Fresh gas flowing

u Action in progress

✓ Action has been completed successfully

? Repeat calibration

_ Upper and lower alarm limits

> Upper alarm limit only

< Lower alarm limit only

_ Alarm monitoring inactive

–– Alarm limit deactivated

**** Enter 4-digit password

! Advisory message

!! Caution message

!!! Warning message

m Protection class type B (body)

m Protection class type BF (body floating)

P Connection for equipotential bonding

Connection for equipotential bonding

z Close menu, back to previous menu

Connection for non-rebreathing

systems

J Available operating time with

>XX min uninterruptible power supply UPS

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 Index

Index
Abbreviations ......................................................... 140 COM3 ..................................................................... 85
Absorber, dismantling ............................................... 99 Compliance ...................................................... 32, 133
Absorber, filling and installing ................................. 107 Configuring in operation ........................................... 68
Accessories ................................................................ 5 Configuring in standby .............................................. 82
Advisory ........................................................... 63, 120 Connection ................................................................. 5
Airway temperature measurement ............................. 80 Cooling air filter, cleaning ............................... 116, 117
Alarm ................................................................. 63, 75 Curves ............................................................... 66, 88
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Alarm info ........................................................... 64, 52

Alarm limits ............................................................... 61 Data page .......................................................... 17, 57
Alarm sound, setting ........................................... 69, 83 Date ......................................................................... 89
Alarm tone sequence ................................................ 64 Default alarm limits, setting ................................. 86, 87
Alarms ...................................................................... 63 Default setting, fresh gas .......................................... 91
Alarms, FRESH GAS EXTERNAL ............................ 51 Default setting, IPPV ................................................. 90
Alarms, IPPV ............................................................ 42 Default setting, PCV ................................................. 90
Alarms, MAN/SPONT .............................................. 39 Default values ........................................................... 82
Alarms, PCV ............................................................ 45 Disinfecting ............................................................ 102
Alarms, selecting ................................................ 60, 72 Disposal ................................................................. 118
Ambient conditions ................................................. 132 Disposing of the used device .................................. 118
Anaesthetic agent ....................................... 74, 93, 114
Anaesthetic agent scavenging ECG signal .............................................................. 77
system AGS ....................................... 23, 28, 100, 111 Emergency ......................................................... 33, 52
AutoSet .................................................................... 62 Emergency metering ................................................. 30
Auxiliary devices ....................................................... 24 Emergency mode ..................................................... 52
Auxiliary power socket .............................................. 24 Emergency ventilation bag ........................ 29, 101, 111
End of operation ....................................................... 54
Backup gas cylinders ............................................... 29 Equipotential bonding ............................................... 24
Basic configurations ................................................. 88 Explosion hazard areas ............................................... 5
Basic pages ............................................................. 17
Batteries ................................................................. 118 First-time operation .................................................. 20
Battery ..................................................................... 19 Flow sensor, installation .......................................... 106
Bellows, installation ................................................ 107 Flow sensor, removal ............................................... 99
Bellows, removal ...................................................... 99 For your safety and that of your patients ...................... 5
Breathing bag ......................................................... 108 Fresh gas flow, setting ............................................. 36
Breathing hoses ..................................................... 108 Fresh gas metering ........................................... 91, 132
Breathing hoses, installing ...................................... 108 Fresh gas, setting ..................................................... 36
Breathing system .............................................. 28, 133
Breathing system, dismantling .................................. 98 Gas cylinders ........................................................... 23
Breathing system, installing ..................................... 106 Gas cylinders ........................................................... 23
Breathing system, opening ...................................... 100 Gas failure ................................................................ 53
Gas supply ....................................................... 22, 127
C-Lock ECG synchronization ........................... 77, 136
Calibration ......................................................... 75, 92 HLM alarm mode ..................................................... 73
Care ......................................................................... 96 HLM mode ............................................................... 73
Care list .................................................................. 104
Carrier gas, selecting ............................................... 36 Intended use .............................................................. 9
Caution ............................................................ 63, 120 Intended use ............................................................... 9
Checking against checklist ....................................... 26 Interfaces ............................................................... 130
Checklist .................................................................. 26 Interfaces, configuring ........................................ 85, 86
Children, ventilating .................................................. 49 IPPV ......................................................................... 40
Classification .......................................................... 137
Cleaning ................................................................. 102 Language ................................................................. 89
CO2 alarms on/off .............................................. 64, 72 Leakage test ............................................................. 48
CO2 unit, setting ................................................ 70, 84 Liability ....................................................................... 5
CO2, setting ............................................................. 84 Limits ....................................................................... 60
COM1 ..................................................................... 85 Limits, adjusting ....................................................... 62
COM2 ..................................................................... 85 List ........................................................................... 65

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 Index

Maintenance ...................................................... 5, 116 Standby ............................................................. 47, 54

Maintenance intervals ............................................. 116 Starting up ......................................................... 26, 33
Major hardware fault ................................................. 53 Sterilization ............................................................. 102
MAN/SPONT ........................................................... 37 Suction rate .............................................................. 84
Manual calibration .............................................. 75, 92 Switch-off time lag .................................................... 54
Manual ventilation ..................................................... 37 Symbols ................................................................. 141
Measured gas recirculation system, connecting ...... 109 System compliance ............................... 32, 39, 40, 133
Measured gas, scavenging ..................................... 110
Measuring parameters, setting ............................ 70, 84 Technical data ........................................................ 132
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Measuring systems ................................................. 133 Time ......................................................................... 89

MEDIBUS ................................................................ 85 Trend memory, deleting ............................................ 59
Message – Cause – Remedy .................................. 120 Trend page ........................................................ 17, 58
Microbial filter ................................................... 97, 103
Microbial filter 654 St ....................................... 97, 103 UMDNS code ........................................................ 137
Mobile telephones ...................................................... 9 Uninterruptible power supply UPS ...................... 20, 52
Monitor defaults, activating ....................................... 71
Monitoring functions, selecting/setting ...................... 15 Vapor ................................................................. 27, 46
Vapor, setting ........................................................... 46
Non-rebreathing systems .......................................... 50 Ventilation mode ....................................................... 37
Nuclear spin tomography ............................................ 9 Ventilation mode IPPV .............................................. 40
Ventilation mode MAN/SPONT ................................. 37
O2 concentration, setting ......................................... 36 Ventilation mode PCV ............................................... 43
O2 cylinders ............................................................. 23 Ventilation parameters for IPPV .......................... 40, 90
O2 emergency metering ........................................... 30 Ventilation parameters for PCV ........................... 43, 90
O2 flush ............................................................. 23, 30 Ventilation parameters, selecting/setting ................... 14
O2 sensor, replacing .............................................. 117 Ventilator ................................................................ 132
Operating characteristics ........................................ 137 Volumeter function .................................................... 67
Operating concept ................................................... 12
Wall-mounted unit ................................................... 114
Paediatric hoses ...................................................... 49 Waste gas connector ..................................... 101, 110
Patient, change ........................................................ 47 Water separator, replacing .................................... 117
PCV ......................................................................... 43 Water trap ................................................................ 27
Power failure ............................................................ 20 What‘s what ........................................................... 126
Power failure ............................................................ 52
Power supply ........................................................... 24 Zoom function .......................................................... 59
Preparation ............................................................... 22
Pulse tone, setting .............................................. 69, 83

Record ............................................................... 71, 85

Safety checks ............................................................ 5

Sample line ........................................................ 79, 96
Scale, selecting .................................................. 69, 83
Screen ergonomics .................................................. 12
Screen layout ........................................................... 16
Secretion aspiration .................................................. 30
Secretion aspiration, dismantling .............................. 98
Secretion aspiration, preparation ............................ 108
Secretion, aspirating ................................................. 46
Self-test .................................................................... 31
Soda lime, changing ................................................. 47
SpO2 alarms on/off .................................................. 72
SpO2 measurement .......................................... 76, 135
SpO2 sensor ............................................................ 76
Spontaneous breathing ............................................. 37
Standard page ................................................... 17, 56
Standard screen ....................................................... 88

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 These Instructions for Use apply only to
Julian
with Serial No.:
If no Serial No. has been filled in by
Dräger these Instructions for Use are
provided for general information only and
are not intended for use with any specific

ç
machine or device.

Directive 93/42/EEC
concerning Medical Devices
"Only for internal use by Draeger. Not applicable as Instructions for Use!"

Dräger Medizintechnik GmbH

Germany
H Moislinger Allee 53 – 55
D-23542 Lübeck
T (4 51) 8 82 - 0
X 26 80 70
FAX (4 51) 8 82-20 80
! http://www.draeger.com

90 29 439 - GA 5132.005 en
 Dräger Medizintechnik GmbH
1st edition - December 1998
Subject to alteration

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