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MEDIBUS

Instructions for Use


Part Number: 4117877
Rev: A
Date: 22 July 2002
© 2002 Draeger Medical, Inc.

Fabius GS
www.FabiusGS.com
MEDIBUS for Fabius GS Contents

MEDIBUS for Fabius GS

Contents
For Your Safety and that of Your Patients ................................................................. 3
Strictly Follow the Instructions for Use .................................................................... 3
Liability for Proper Function or Damage ................................................................. 3
Intended Use ............................................................................................................. 4
MEDIBUS ............................................................................................................... 4
Note about Using MEDIBUS .................................................................................. 4
Existing MEDIBUS Contracts with External Manufacturers (May 2001) ................ 5
Note about Using MEDIBUS without a Patient ....................................................... 5
Device Connections .................................................................................................. 6
Port Specification .................................................................................................... 6
Port Configuration ................................................................................................... 6
Device Identification ............................................................................................... 6
Data Formats .......................................................................................................... 6
Languages .............................................................................................................. 6
Applications ............................................................................................................ 7
Alarm-Phrases ........................................................................................................ 7
Available Data ........................................................................................................ 7
Commands ................................................................................................................ 8
Part Number: 4117877 Rev: A

Transmitted Commands ......................................................................................... 8


Processed and Responded Commands ................................................................. 8
Data and Limits .......................................................................................................... 9
Airway Related Data and Limits ............................................................................. 9
O2 Related Data and Limits ................................................................................... 9
Freshgas Related Data and Limits ......................................................................... 9
Device Settings ....................................................................................................... 10
Alarm Messages ...................................................................................................... 10
Airway Related Alarms ......................................................................................... 10
Miscellaneous Alarms ........................................................................................... 11
O2 Related Alarms ............................................................................................... 11
Ventilator Related Alarms ..................................................................................... 11
Text messages ........................................................................................................ 12
Fabius GS Operator’s Manual www.FabiusGS.com 1
For Your Safety and that of Your Patients MEDIBUS for Fabius GS

For Your Safety and that of Your


Patients
For correct and effective use of the apparatus and to
avoid hazards, it is essential to read the following
recommendations and to act accordingly.

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.

Liability for Proper Function or Damage


The liability for the proper function of the software
protocol is irrevocably transferred to the owner or
operator if the software protocol is used in a manner
not conforming to its intended use.
Draeger Medical, Inc. cannot be held responsible for
damage caused by noncompliance with the
recommendations given above. The warranty and
liability provisions of the terms of sale and delivery of
Draeger Medical, Inc. are likewise not modified by
the recommendations given above.
Part Number: 4117877 Rev: A

Fabius GS Operator’s Manual www.FabiusGS.com 3


MEDIBUS for Fabius GS Intended Use

Intended Use
MEDIBUS
MEDIBUS is a software protocol used in transferring
data between the Fabius GS anesthesia machine
and an external medical or non-medical device (e.g.
hemodynamic monitors, data management systems,
or a Microsoft-Windows ®-based computer) via the
RS 232 interface.
These Instructions for Use describe the commands,
data groups, interface hardware, and configurations
for the Fabius GS anesthesia machine. A general
description of the protocol necessary for developing
important software for the data transfer can be found
in the Instructions for Use - "Draeger Medical, Inc.
RS 232 MEDIBUS Protocol Definitions" (item
number 90 28 320).
Warning: Data transferred via MEDIBUS interfaces
are for information only and are not
intended as a basis for diagnosis or
therapy decisions.

Note about Using MEDIBUS


The MEDIBUS interface is an interface for
connecting those devices used in the OR to Draeger
Medical, Inc. devices. In order to legally use the
MEDIBUS protocol, the appropriate contract must be
drawn up between Draeger Medical, Inc. and its
contract partners. Existing contract partners may be
taken from “Existing MEDIBUS Contracts with
External Manufacturers (May 2001)” on page 5. Note
that all Draeger Medical, Inc. guarantees end with
the MEDIBUS interface (RS 232).
Decisions concerning connections to various

Part Number: 4117877 Rev: A


monitors, as well as the data processing necessary
to perform this, are strictly the responsibility of the
external (foreign) manufacturers and cannot be
influenced by Draeger Medical, Inc.
Additionally, all necessary software adaptations of
connected devices affected by the scope of software
upgrades initiated by Draeger Medical, Inc. must be
carried out and released by the responsible external
(foreign) manufacturers. Draeger Medical, Inc. will
inform said external (foreign) manufacturers before
upgrading existing protocols.

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Intended Use MEDIBUS for Fabius GS

Existing MEDIBUS Contracts with


External Manufacturers (May 2001)
• GE Medical Systems Information Technology,
Milwaukee, U.S.A.
• Agilent Technologies, Böblingen, Germany
• Spacelabs Medical, Redmont, U.S.A.
• PICIS, Paris La Defense, France
• WM-Data Public Partner AB, Kristianssand,
Norway
• Informatics Europe PLC, Glasgow, UK
• Lohmeier Medizin Elektronik, München,
Germany
• Jostra Medizintechnik GmbH, Hirrlingen,
Germany
• Datex-Ohmeda Division, Helsinki, Finnland
• Siemens Medical Systems, Danvers, U.S.A.
• Datascope GmbH, Bensheim, Germany
• Mennen Medical LTD, Rehovot, Israel
• CliniComp, San Diego, U.S.A.
• Kontron Instruments, Walford, UK
• Nihon Kohden, Tokyo, Japan

Note about Using MEDIBUS without a Patient


For research purposes, Draeger Medical, Inc. offers
a MEDIBUS software version (Proto 99) for use
(connecting) with Microsoft-Windows ®-based
computers.This software is only intended for use in
research-related projects and must not be used on
patients.
Part Number: 4117877 Rev: A

Fabius GS Operator’s Manual www.FabiusGS.com 5


MEDIBUS for Fabius GS Device Connections

Device Connections
Port Specification
Connector
Type RS-232-C
9-pin Sub D (male)
Pins Shield on connector's housing
Pin 2 RXD
Pin 3 TXD
Pin 5 GND
Galvanic Isolation 500 V
Position rear of Fabius GS, labeled with:
COM 1

Port Configuration
Baudrate 1200,2400,4800,9600,
19200,38400 Baud
Data-bits 7,8
Start-bits 1
Stop-bits 1,2
Parity none, even, odd

Device Identification
ID-Number 8088
Name 'Fabius GS’
MEDIBUS Version 3.00

Data Formats

Part Number: 4117877 Rev: A


The underscore character used in the format column
in lists of measured data and alarm limits is
transmitted as an ASCII "space" character (20H).
A '*' ahead of the format indicates that the value may
be negative. In that case, a '-' character will appear at
the first space of the respective format.

Languages
The Fabius GS will support a large set of languages.
Generally, MEDIBUS will output alarm strings and
text messages in the language that is currently
selected for the display. All languages that use the
'ASCII/Western European' character set will be

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Device Connections MEDIBUS for Fabius GS

supported in MEDIBUS. When the selected display


language uses a different character set, MEDIBUS
alarm strings and text messages will be output in
English.
Languages that are supported in the initial release of
Fabius GS: American English, Spanish, German,
French, British English.
Additional languages that use the 'ASCII/Western
European' character set: Portuguese, Dutch, Italian,
Danish, Swedish, Norwegian, Polish.
Languages that do not use the 'ASCII/Western
European' character set: Russian, Hungarian,
Romanian, Japanese, Chinese.
This manual lists the alarm strings and text
messages for the languages in the initial release.

Applications
The Fabius GS attempts to receive gas
concentration data values from the connected
device. In the case where it can receive valid
expiratory Desflurane, CO2, and N2O percentage
concentration values, it will use these values to
enhance the accuracy of the Spirolog expiratory flow
sensor.
The Fabius GS will cooperate with a Central Alarm
Device. It will disable alarm audio annunciation when
the connected device continues to transmit an Alarm
Audio Disable command within each 15 second
period.

Alarm-Phrases
Part Number: 4117877 Rev: A

Some alarm phrases contain abbreviations as


follows:

ASCII Short Form Meaning

$& LOW

"# HIGH

'@ ALARM

Available Data
Current Measured Data, Low and High Alarm Limits,
Device Settings, and Text Messages are available
from Fabius GS Device Version 1.3.

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MEDIBUS for Fabius GS Commands

Commands
Transmitted Commands

Code Command Specification

24H Request Current Measured Data

30H Do nothing (NOP)

51H Initialize Communication (ICC)

52H Request Device Identification

Processed and Responded Commands

Code Command Specification

24H Request current Measured Data

25H Request current LOW ALARM LIMITS

26H Request current HIGH ALARM LIMITS

27H Request current ALARMS

28H Request current DATE and TIME

29H Request current DEVICE SETTINGS

2AH Request current TEXT MESSAGES

30H Do nothing (NOP)

51H Initialize Communication (ICC)

52H Request Device Identification

55H Stop Communication

Part Number: 4117877 Rev: A

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Data and Limits MEDIBUS for Fabius GS

Data and Limits


Note: M = Measured Data
LL = Low Alarm Limit
HL = High Alarm Limit

Airway Related Data and Limits

Code Data Description Unit Format M LL HL

73H Mean Breathing Pressure mbar * _XX_ x x

74H Plateau Pressure mbar * _XX_ x

78H PEEP Breathing Pressure mbar * _XX_ x

7DH Peak Breathing Pressure mbar * _XX_ x

82H Tidal Volume L X.XX x

B9H Respiratory Minute Volume L XX.X x x x

D7H Respiratory Rate (Volume/Flow) 1/min XX__ x

O2 Related Data and Limits

Code Data Description Unit Format M LL HL

F0H Inspiratory O2% XXX_ x x x

Freshgas Related Data and Limits

Code Data Description Unit Format M LL HL

DDH N2O Flow mL/min XXXX x


Part Number: 4117877 Rev: A

DEH Air Flow mL/min XXXX x

E2H O2 Flow mL/min XXXX x

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MEDIBUS for Fabius GS Device Settings

Device Settings
Code Device Setting Unit Format

04H Inspiratory Tidal Volume L X.XXX

07H I:E I Part no units XX.X

08H I:E E Part no units XXX.X

0AH Frequency IPPV 1/min XXX.X

0CH Intermittent PEEP mbar _XX.X

13H Maximum Inspiratory Airway Pressure mbar XXX.X

27H Inspiratory Pause/Inspiratory Time % __XXX

45H Inspiratory Pressure mbar XXX.X

4CH Inspiratory Flow L/sec X.XXX

Alarm Messages
Airway Related Alarms

Code Prior Description German French USA / British Spanish

0E 23/31 Apnea - No Vol. APNOE VOL APNEE SPIRO APNEA VOL APNEA VOL

0F 24/31 Apnea - Pressure APNOE DRUCK APNEE PRESS APNEA PRES APNEA PRES

10 27 Airway Pressure > High Limit PAW "# PRES RESP "# PAW HIGH PVR "#

19 22 Minute Volume < Low Limit AMV $& VOL MIN $& MIN VOL LOW MIN VOL $&

5E 1 Volume Alarm Disabled VOL '@ AUS ARR '@ SPIRO VOL ALRM OFF '@ VOL DESC

9B 13 Minute Volume > High Limit AMV "# VOL MIN "# MIN VOL HIGH MIN VOL "#

A2 4 Flow Calibration Necessary KALIB FLOW ? CAL SPIRO ? VOL CAL ? CAL FLUJO ?

A3 31 Mean Airway Pressure < -2 mbar PAW NEGATIV PRES RESP <0 PAW NEGATIVE PVR NEGATIVO

Part Number: 4117877 Rev: A


AD 8 Pressure Measurement Inoperable DRUCK INOP PRESS INOP PRESS ERR PRES INOP

C1 8 Flow Measurement Inoperable FLOW INOP SPIRO INOP VOL ERR FLUJO INOP

DA 7 PEEP > 4 while in Man/Spont PEEP "# PEP "# PEEP HIGH PEEP "#

F8 31 PEEP > Pressure Threshold for 15 sec KONT DRUCK PRESS CONT CONT PRES PRES CONT

F9 5 Pressure Apnea Alarm Disabled DRUCKAP AUS ARR PRES APN APN PRES OFF DESC APN PRE

FA 7 Threshold Low Compared to Peak DRKSCH NIEDR SEUIL BAS THRESHOLD LO UMBRAL BAJO

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Alarm Messages MEDIBUS for Fabius GS

Miscellaneous Alarms

Code Prior Description German French USA / British Spanish

4B 7/12 Battery Low BATT. LEER BAT. VIDE BATTERY LOW BAT. VACIA

4B 1 Battery Inoperable BAT INOP BAT INOP BATTERY ERR BAT INOP

65 1 Primary Speaker Failure HUPE INOP ALR SON INOP SPEAKER FAIL ALARMA INOP

78 7 Communication Error RS232 Port RS232 KOM? ERR RS232 RS232COM ERR COM RS232 ?

EF 7 Power Fail NETZAUSFALL PANNE SECT. POWER FAIL ALIM. ELECT

O2 Related Alarms

Code Prior Description German French USA / British Spanish

08 31 Inspiratory Oxygen < Low Limit FI O2 $& FI O2 $& % O2 LOW O2 INSP $&

37 12 Inspiratory Oxygen > High Limit FI O2 "# FI O2 "# % O2 HIGH O2 INSP "#

3B 4 Oxygen Analyzer Not Calibrated KALIB FI O2? CAL FI O2 ? CAL % O2 ? CAL O2 INSP?

BE 8 O2 Measurement Inoperable FI O2 INOP FI O2 INOP % O2 ERR O2 INSP INOP

Ventilator Related Alarms

Code Prior Description German French USA / British Spanish

13 31 O2 Supply Press Low (Warning) SAUERSTOFF ? ALIM O2 ? LO O2 SUPPLY OXIGENO ?

11 11 Check Gas Supply FRISCHGAS ? GAZ FRAIS ? FRESH GAS ? GAS FRESCO ?

18 12 Expiratory Pressure > High Limit DRUCK EXSP"# PRESS EXP"# PRESS EXP HI PRES ESP "#

9F 25 Problems with Respirator VENT INOP VENTIL INOP VENT ERR VENT INOP
Part Number: 4117877 Rev: A

B0 14 Check Expiration-Valve EXSP-V. INOP VALVE EXP ? EXP-VALVE ? VALVULA ESP?

C3 7 Time Limited Resipratory Volume ZEIT LIMIT. TEMPS LIMITE TIME LIMITED TIEMPO LIMIT

C4 9 Pressure Limited Respiratory DRUCK LIMIT. PRESS LIMITE PRESSURE PRES LIMITDA
Volume LIM

F3 30 No Freshgas KEIN FRISCHG GAZ FRAIS NO GAS FRESCO


FRESHGAS

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MEDIBUS for Fabius GS Text messages

Text messages
CODE Description German British French Spanish USA

01 Ventilation Mode Beatmungsmode Ventilationmode mode ventilatoire Modo de Ventilationmode


IPPV IPPV IPPV VC ventilacion IPPV CMV

1E Ventilator is in Ventilator Ventilator Ventilateur Ventilador Ventilator


Standby-Mode STANDBY STANDBY ATTENTE STANDBY STANDBY

2B Ventilation Mode Beatmungsmode Ventilationmode mode ventilatoire Modo de Ventilationmode


Man./Spont. Man./Spont. man./spont. Man./Spont. ventilacion man./ man./spont.
espont.

2C Selected deutsch English francais espanol English


Language

34 Ventilation Mode Beatmungsmode Ventilationmode mode ventilatoire Modo de Ventilationmode


PCV PCV PCV VPC ventilacion PCV PCV

Part Number: 4117877 Rev: A

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c
0344

Directive 93/42/EEC
Concerning Medical Devices

The CE mark applies to


Fabius GS Anesthesia Machines
equipped with gas color codes
in compliance with EN 1089-3.

Draeger Medical, Inc.


3135 Quarry Road
Telford, PA 18969
USA
(215) 721-5400
(215) 721-9561 (Sales Fax)
(215) 723-5935 (Service Fax)
http://www.draegermedical.com

EC Representative:
Dräger Medical AG & Co. KGaA
Germany
Moislinger Allee 53 – 55
D-23542 Lübeck
(451) 882 - 0
FAX(451) 882-2080
http://www.draeger.com