Primus Family Quick Guide

Primus Workbook

Workbook
V2.1

Warning: For full information concerning the

performance characteristics of the Dräger
Medical devices described in this Quick Guide,
each user must first carefully read and fully
comprehend the Instructions for Use before
operating the device.
 A quick guide to provide information
on the basic functions of the Primus.

This guide presupposes a knowledge

of the Primus Instructions for Use
and is not intended to replace them!

2
Contents

Preparation for Use 4

• Checking Cylinder Supply and Central Gas Supply 4

• Checking Electrical Supply 4
• Checking Compact Breathing System 5
• In Addition … 5

Start Up 6

• Self Test 7
• Leak Test 8

Operation 10

• Monitoring 10
• Setting Fresh Gas Concentrations 10
• Selecting a Ventilation Mode 12
– Spontaneous Breathing “SPONT” 12
– Manual Ventilation “MAN” 12
– Mechanical Ventilation 13
• Switching to Standby 15
• End of Operation 15
• Switch Off 15

Emergency Scenarios 16

• Emergency Start Ups 16

• Power Failure 17
• Gas Supply Failure 18
• Ventilator Failure 19
• Mixer Failure 20
Cleaning 21
Consumable Items 24

3
 Preparation for Use

Checking Cylinder Supply 1

and Central Gas Supply
(if available)

• Connect hose fittings for O2

Air and N2O to corresponding
fittings on the back of the
machine (1).

• Plug wall fittings for O2, Air

and N2O into central supply
wall outlets.

• Observe LEDs for the supply

pressure, they must be green (2).

• Open back up gas cylinder valves

to check cylinder pressure.

• The LEDs for the O2, Air and

N2O cylinder pressure must
be green (3).

• Close the cylinder pressure

valves again.

Checking Electrical Supply

• Ensure that main power cord

is plugged in.
2 3 4
• Green LED is illuminated
whenever main power is
available (4).

4
Preparation for Use

1 34
Checking Compact Breathing
System 5
• Ensure that the compact
breathing system (1) is connected
and the ventilator is locked in place.
6
• Check status of CO2
absorbent (2), breathing bag 7
and patient hoses.

In Addition …

• Test the oxygen flush (3).

• Check oxygen safety control (4).

• Make sure vaporisers are in

position, locked and filled (5). 2

• Check water trap level and the

sample gas line connection (6).

• Check function of suction

system (7). Your suction system may
differ from the system shown.

• Connect anaesthetic gas

scavenging system.

5
 Start Up

Start Up

• Switch on Primus using the

ON/OFF switch (1).

• Close Y-piece (place firmly

onto the corresponding cone
of the breathing system).

• Set the APL valve to MAN

and 30 mbar (2). There are
two versions of the APL valve.
Your version may differ from
the one shown. 2 3 1

• Close oxygen safety control

valve (3).

• Confirm the checklist,

if all points are OK.

• Primus will run internal

system tests.

Note: During this start up

procedure and up until the
checklist is confirmed, manual
ventilation is always possible. The
oxygen safety flow can be set to
0 -12 L/min and will be channelled
through the vaporiser.

6
Start Up

Self Test

• Follow the self test instructions

on the screen.
Information about system leaks
and compliance will be displayed.
Primus will accept leaks of up to
150 mL/min. The most common
causes of leakage are:

• Faulty breathing hoses or breathing bag

• Sample gas line
• Filter
• Incorrectly connected absorber
• Flow sensors
• Breathing system
• Vaporisers
• Water trap
• Oxygen sensor

Potential Test Results

All test results are colour coded and 1

are displayed next to each specific
test function. An advisory window
containing information on how to
remedy the problem accompanies
any error detected during the self test.

7
 Start Up

There are three potential outcomes of the self test:

Self Test Colour Result Action Example
Outcome
Green Test completed No action 100% functional
successfully required
Yellow Primus can be Faults must be Loudspeaker failure
used with reported or remedied
restrictions immediately after use
Red The device has If the fault is recognised O2 failure
a malfunction immediately and can be
instantly corrected, the
test is repeated.
If operation is not
possible or not permitted
the test cannot be
repeated and the device
is taken out of use

Leak Test

The leak test should be carried out after the patient hoses, vaporisers or soda lime have
been replaced. In addition, it should be performed following the self test.

To perform the leak test:

• In the standby screen, press the leak test soft key
• Follow the on screen instructions
• Push the rotary control knob to start the leak test

Self test results can be displayed, see page 7

8
Operation

Standby Screen

Primus activates the standby mode after successful test completion,

and will display the standby screen.

From the standby screen, you can access the following functions:

• Pre set carrier gas, O2 concentration and fresh gas flow

• Set age
• Set ideal body weight
• Restore site default settings
• Set alarm limits
• Self test results display
• Perform the leak test
• Delete trends
• Default configuration
(password protected - held by Key Users and Dräger)
• Access monitoring mode

Monitoring Mode

In monitoring mode, the Primus will measure and display gas measurements.
There is no fresh gas delivery or ventilation capability. If ventilation is required,
set the appropriate gas flow, select the appropriate ventilation mode and
press the rotary control knob to confirm.

9
 Operation

• To begin monitoring without

ventilation and fresh gas flow
press the key while in standby.

• To return to standby: press the

key again and confirm using
the rotary knob.

Setting Fresh Gas

Concentrations

These may be preset in standby.

• Carrier gas: press and confirm

either N2O or Air (1).

• Oxygen concentration: press

O2%, set the concentration
with the rotary knob and
confirm (2).

• Fresh gas flow: press flow

l/min, set desired flow
and confirm (3).

• Fresh gas flow will start as

soon as a ventilation mode
is activated and is indicated
1 2 1 3
in virtual flow tubes on display screen.

10
Operation

Hypoxic Guard Function (SORC)

Primus is fitted with a hypoxic guard function

(SORC). This is an electronic O2 minimum
delivery system that guarantees at least
25% O2 whenever N20 is used as the
carrier gas. This prevents the delivery
of hypoxic gas mixtures.

11
 Operation

Spontaneous Breathing
“SPONT”

• Switch the APL (pressure limiting

valve) to “SPONT”. The
breathing system is open for
spontaneous breathing.

• Press the “Man. Spont.”

key and confirm with the
rotary knob.

Manual Ventilation “MAN”

• Switch APL pressure limiting

valve to “MAN”. There are
two types of APL. Please
familiarise yourself with
your own device.

• Press “Man. Spont.” key and

confirm with the rotary knob.
Note: the breathing system
can be quickly depressurised
by pressing the lever of the
APL valve or pulling the APL
valve upwards dependant on
the type of APL valve installed.

12
Operation

Mechanical Ventilation

• Press the desired key e.g.

Press. Mode.

• Using the soft key, select the

ventilation parameter to be
preset, then set and confirm
with the rotary knob.

• To start the ventilation mode

confirm with the rotary knob.

To return to Man/Spont mode:

• Press Man/Spont hard key

• Press rotary control knob to confirm

Fresh Gas Outlet (optional)

The Primus has an external fresh

gas outlet to allow the user to use
non rebreathing systems such as a
Bain circuit or Ayres T-piece.

• Prepare the circuit in accordance

with the manufacturers instructions.

• Attach the circuit to the external fresh

gas outlet located on the left hand side
of the Primus.

• Press the external fresh gas outlet hard

key and confirm by pressing the rotary
control knob.
13
 Operation

Alarms Setting

All alarms can be displayed and set from

all 3 basic screens (standard/data/trend)

• Press the alarm limits soft key

• Use the rotary control to select the

alarm limit you wish to change

• Confirm change by pressing the

rotary control

Auto Set Alarm Limits

The auto set limits soft key can be

used to adapt minute volume and
airway pressure when a ventilation
mode is selected.

14
Operation

Switching to Standby/
End of Operation

• To activate Standby mode,

press hard key and press rotary
knob to confirm.

• To switch off Primus press the

ON/OFF knob.

• You will hear a series of beeps when

you switch the Primus off. During
these beeps, you can switch the
Primus back on and the device will
continue in the mode it was in.

15
 Emergency Scenarios

Emergency Start Ups

• Release the oxygen safety

control knob by pressing and
set to desired oxygen flow,
between 0 and 12 l/min.

The oxygen flow is channelled

through the vaporiser.

Manual ventilation is available

at any time. 1

• Switch on Primus.

After approximately 35 seconds the checklist will appear.

• Press the cancel test key (1).

You can cancel the self test up
to 10 times. After that, it is
mandatory to perform a self test.

• Primus switches to standby

mode after completing the
minimal test (duration 10 seconds).

• Close safety O2 flow control.

• Continue as in normal
operation.

16
Emergency Scenarios

Power Failure

In the event of central power supply

the message “POWER FAIL”
appears on the screen.

If the battery is fully charged,

Primus can continue operating for
at least 30 minutes (typically
90 minutes). Remaining battery
capacity will be shown on the
screen. When the battery is
almost empty, the message
BATTERY LOW will be displayed.

If the battery is completely

empty, the device automatically
switches to Man.Spont.

Manual ventilation is available at

any time.

• Release the oxygen safety

control knob by pressing and
set to desired oxygen flow,
between 0 and 12 l/min. The
oxygen flow is channelled
through the vaporiser.

17
 Emergency Scenarios

Gas Supply Failure

If the central gas supply fails, the

message “No N2O, O2 or AIR
DELIVERY” appears on the
screen.

Air or oxygen will be delivered in

place of the gas mixture
previously delivered; the amount
of fresh gas flow (l/min)
will remain the same.

100% Air will be delivered if

O2 fails.

100% O2 will be delivered if N2O

or air fails.

• Open the appropriate backup

gas cylinder valve for O2 or
N2O, or reconnect the central
gas supply.

If the carrier gas N2O fails, you are

able to use Air and vice versa.

18
Emergency Scenarios

Ventilator Failure

In case of ventilator error, the

ventilator will stop and display the
error message “VENTILATOR
FAIL” on the screen.

• Fresh gas flow and full

monitoring functionality are
not affected.

Operation automatically switches

to Man. Spont.; only manual
ventilation is possible.

19
 Emergency Scenarios

Mixer Failure

The message “GAS MIXER FAIL”

appears on the screen.

• Ventilation and full monitoring

functionality are not affected.

• Release the oxygen safety

control knob by pressing and
set to desired oxygen flow,
between 0 and 12 L/min.
The oxygen flow is channelled
through the vaporiser.

20
Cleaning

Please refer to the Primus Instructions

for Use for full cleaning and disinfection
information. This is intended as a quick
guide to disassembling/reassembling
the breathing system.

Disassembly instructions
Removing the Breathing System from
the Primus

• Remove accessory items such as

flow sensors, breathing circuit, filters etc
• Remove the inspiratory and expiratory ports
• Remove the Breathing System from the
Primus as shown below

21
 Cleaning

Disassembly of the Breathing System

• Loosen the 5 sealing screws (A) using

the Allen Key (B) – Diagram 1
• Remove the cover
• Lift off the metal heater plate
• Loosen the 3 remaining sealing screws
to access the ventilator diaphragm and
remove – Diagram 2 Diagram 1
• Prepare all parts for cleaning &
disinfection process as per Hospital policy

Diagram 2

22
Cleaning

Reassembly instructions

• Replace the ventilator diaphragm

• Replace the breathing block (A)
and tighten the 3 sealing screws
• Replace the metal heater plate (B)
• Replace the cover and tighten the
5 sealing screws (C)
• Replace the inspiratory and
expiratory ports
• Replace the accessory items

23
 Consumable Items

The items below are the most frequently used

consumables on the Primus.

Part Number Description Pack Size

MP00301 Anaesthesia Set Basic 25
150cm (Latex Free)
MP01805 Twinstar® HME Filter 50
MP01850 Ergostar® CM50 (catheter mount) 50
8290286 Sample Line 10
8403735 Spirolog flow sensor 5
8401892 Adult Test Lung 1
MX00001 Drägersorb 800+ Soda 1
Lime (5 litre)
MX00004 Drägersorb Soda Lime Clic 6
Canister (1.3 litre)
6872130 Watertrap 12

MP00301 MP01805 MP01850 8290286

8403735 8401892 MX00001 MX00004 6872130

24
Notes

25
 Notes

26
Draeger Medical UK Ltd
The Willows, Mark Road
Hemel Hempstead
Herts, HP2 7BW

T: 01442 213542
F: 01442 240327
E: [email protected]
W: www.draeger.co.uk

Version 2.0
Reference Number ATT005