Pemeliharaan dan Perbaikan

Ventilator
untuk Teknisi Rumah sakit
(IKATEMI SEMARANG)
Fendri

© Drägerwerk AG & Co. KGaA, 2019

 Draeger Service

© Drägerwerk AG & Co. KGaA, 2019

 DrägerService®

How it assist Hospitals to manage the

investment
Andi Jaya - Draeger Service

© Drägerwerk AG & Co. KGaA, 2019

 Management of Service portfolio

© Drägerwerk AG & Co. KGaA, 2019 2

 Service Maintenance, concept

Why.. What.. How..

Why we need service excellent. What we do during maintenance. How we can do it.
− To ensure equipment in “operational” − Inspection, Fix it before it break − Plan, make schedule to inspection
condition − Preventive, Replace it before it fail − Comprehensive, test procedure must be
− To ensure patient safety − Correction, Repair it to make its function comprehensive and detail
− Security budget back to normal − Test Equipment, using tools properly
− Increase productivity (downtime ,etc) − Reports, test result in documentation
− Analysis and decision

© Drägerwerk AG & Co. KGaA, 2019 6

 Overview of service activity two different customers perspective

© Drägerwerk AG & Co. KGaA, 2019

Overview of portfolio service costs depending on device configuration

a) basic: b) advanced:
▪ Evita V500 excl. nebulizer ▪ Evita V500 incl. nebulizer
▪ Cockpit C500 (self test) ▪ Cockpit C500 (self test)
▪ Function test ▪ Electrical test (grounding,etc)
▪ HIT Software
▪ Internal – External battery
▪ Gas Supply 500
▪ Internal calibration and adjust
▪ Test SV loop
▪ Test performance
▪ MCable CO2
▪ CS hoses
▪ …

>>> difference in inspection time up to 130% <<<

 Overview of service portfolio
Options

Options Options can be add in a contract to cover individual

Hospital customer specific requirements.
(Examples)

Support Digital Services Training Software Documentation Consulting

Connected Execution of Update Customer gets Regular reviews
Customer
gets access to Maintenance regular Device will be access to online with the
(e.g. Help Application or documentation customer and
an extended Ticket), Data Technical
updated on (e.g. IFU and hand out of
help desk Analytics Trainings (e.g. latest SW. First Line) management
(24/7) or (service First Line reports
loaner devices connect Service)
gateway), Asset
© Drägerwerk AG & Co. KGaA, 2019
Information
© Drägerwerk AG & Co. KGaA, 2019
 The

idea
Dräger Contract
Service

© Drägerwerk AG & Co. KGaA, 2019 11

 Contract Service
Service packages
Inspection Care Preventive Care Total Care

✓ Up to date list inventory and ✓ Complete service documentation ✓ Comprehensive inspection

allocation of regulatory relevant ✓ Inspection labor and preventive according to legal requirements
reports labor include preventive routine ✓ Service documentation with
✓ Inspection labour, does not parts complete device history
cover preventive and corrective ✓ Does not cover corrective parts ✓ Cost preventive maintenance
parts and corrective parts.
Customer benefit: Customer benefit:
- Compliance with highest ensure - Timely schedule preventive Customer benefit:
standard quality maintenance with Draeger - Budget security
- Complete inspection history original parts. - Free preventive parts and al
record. - Low administrative efforts breakdown parts
- Access to Draeger service global
support

Additional Options
✓ Calibration with external institution base on Customer benefit:
Calibration Option standard regulatory. Ease of mind – no organization,
✓ Can be combined with any package management on customer site required
✓ Provision of necessary accessories in case of Customer benefit:
Accessories Option a recommissioning Ease of mind – Security of supply for
✓ Can be combined with any package accessories
✓ Provision of a reserve of personal protective Customer benefit:
PPE Option equipment in case of a pandemic Ease of mind – Security of supply for
✓ Can be combined with any package personal protective equipment
© Drägerwerk AG & Co. KGaA, 2019 12
 Overview of contract portfolio

Repair Parts Repair Parts

Repair
Repair
Repair
Prevention Labour Labour

Preventive Preventive
Parts Parts
and/or and/or
Preventive Preventive
Labour Labour

Inspection
Inspection

Labour Inspection Inspection

Labour Labour

Extended Inspection Preventive TotalCare

Care Care Care

Regulatory calibration / test result

Operational Continuity
Budget Security

© Drägerwerk AG & Co. KGaA, 2019 13

 Service Contract and Non-Service Contract
Service Contract Non-Service Contract

• Fixed cost for annual maintenance ensures budget • Unexpected cost for maintenance.
security.
• Visited if device problem (case by case)
• Timely scheduled preventive maintenance and
corrective maintenance with original Dräger® parts • Spare parts installed after confirm Purchase Order
maximizes equipment uptime.
• Labor cost per each call (chargeable)
• Minimal administrative effort.

• Fast service response time supports in house workflow

(24/7).

• Complete service documentation and access to

technical support.

• Backup Spare parts during administration

• Parts and Labor included (Term and Condition)

© Drägerwerk AG & Co. KGaA, 2019
 02
Maintenance Ventilator V
Series

© Drägerwerk AG & Co. KGaA, 2019

 Maintenance Interval

© Drägerwerk AG & Co. KGaA, 2019 16

 Ambient Filter / Dust Filter

− Savina 300

© Drägerwerk AG & Co. KGaA, 2019 17

 Air & Oxygen
Filter
Gas supply Filter

✓ O2 Supply Filter
Open Air & Oxygen Filter
✓ Air Filter

Oxygen Filter

Air Filter

© Drägerwerk AG & Co. KGaA, 2019 18

 Expiration membran

© Drägerwerk AG & Co. KGaA, 2019 19

 Fan

Function :

• Cooler
• Release oxygen (if leaked)

© Drägerwerk AG & Co. KGaA, 2019 20

 Battery

- The Association for the Advancement of Medical Instrumentation

(AAMI) rates battery management as one of the top ten
challenges for hospital’s biomedical departments. A US Food &
Drug Administration (FDA) survey says that up to 50% of service
calls in hospitals relate to battery issues.

- A reduction in the capacity of batteries due to ageing and

utilization is normal. As a greatly simplified approximation, an
average linear reduction in capacity can be assumed. The current
individual capacity of a battery depends on the following factors,
among others:
-Age
-Utilization (frequency, duration and power consumption)
-Battery charge
-Ambient temperature

© Drägerwerk AG & Co. KGaA, 2019 21

 Battery babylog VN500 / Evita V300

Aged batteries, e.g. 2 years old

© Drägerwerk AG & Co. KGaA, 2019

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 News battery concept

With our integrated battery check you will be able

to determine the actual current operating time. All
data is displayed in a practical overview in the
battery check dialog screen. Additionally, you have
the possibility to configure your screen with a
specified parameter box where the current
operating time is displayed in percent of capacity
and in minutes

© Drägerwerk AG & Co. KGaA, 2019 24

 Battery check

© Drägerwerk AG & Co. KGaA, 2019 25

 Battery Maintenance

❑ Always fully charge the batteries.

❑ Connect the device to the mains power supply at the latest after 5 days to charge the batteries. Observe the required
charging time.
❑ Perform regularly the battery check.
❑ Replace batteries prior to the mandatory exchange intervals if necessary.

© Drägerwerk AG & Co. KGaA, 2019 26

 03
Repair V Series

IKATEMI SEMARANG
© Drägerwerk AG & Co. KGaA, 2019 27 | 4
 Device operation
Preparation
Device Check
▪ The device check is performed semi automatically
by babylog VN500 in dialog
with the operator

It must be carried out:

▪ Every time before using Babylog VN500 on
a patient

The test steps alongside are carried out during the

device check

© Drägerwerk AG & Co. KGaA, 2019 28

 Auxiliary Alarm

-The function of the piezo alarm is checked by way of the

"GC Test" signal to the piezo circuit. A short pulse from the
Gold Cap controls the piezo buzzer

© Drägerwerk AG & Co. KGaA, 2019 29

 Inspiratory calibration

❑ Acknowledge the Do you want to calibrate the inspiratory flow

(may take 3 minutes) by clicking" Yes". (This calibration must be
performed every three months
❑ Calibration Internal Flowsensor
❑ Calibration Mixer Tank
❑ Test leak tank

© Drägerwerk AG & Co. KGaA, 2019 30

 O2 Supply
❑ M1_3 delivers 100% O2 at a flow of 40 L/min.
❑ The inspiratory flow measured value is checked for 40 L/min + 12%.
❑ The O2 measured value of the O2 sensor (Pato) is checked for a concentration of >94% O2.

© Drägerwerk AG & Co. KGaA, 2019 31

 Air Supply

❑ M1_3 delivers 21% O2 at a flow of 40 L/min.

❑ The inspiratory flow measured value is checked for 40 L/min + 12%.
❑ The O2 measured value of the O2 sensor (Pato) is checked for a concentration of <23%.

© Drägerwerk AG & Co. KGaA, 2019 32

 Pressure sensor calibration valve

✓ A pressure of 50 mbar (tolerance 50-40 mbar) is built

up in the respiratory system.
✓ When the pressure has been reached, V6 and V8 are
opened in sequence against ambient pressure.
✓ Ambient pressure is connected to pressure sensors S6
and S9.
✓ Pressure sensors S6 and S9 are balanced to ambient
pressure

© Drägerwerk AG & Co. KGaA, 2019 33

 Expiratory valve

➢ The expiratory valve is actuated (closed) with 50 mbar pressure.

➢ M1_3 delivers a flow of 40 L/min.
➢ After 5 seconds a check is made whether a pressure of at least 40 mbar
has been reached. At a pressure of <40 mbar the test is aborted, as
there is probably leakage in the system or from the expiratory valve.
➢ The flow from M1_3 is reduced to 4 L/min.
➢ Wait 5 seconds: If the pressure has risen to >60 mbar, the test is
aborted, as there is probably a blockage of the expiratory valve.
➢ The inspiratory and expiratory flows (4 L/min) are compared: The
expiratory flow must not be less than 80% of the inspiratory flow. If that
value is not attained the test is aborted.
➢ The expiratory valve is opened and the pressure (reduction to ambient
pressure) must fall to less than 5 mbar within 1 second.

© Drägerwerk AG & Co. KGaA, 2019 34

 Safety valve / Inspiration Valve

• The expiratory valve is actuated (closed) with 30 mbar

pressure.
• GDM delivers a flow of 6 L/min.
• After 5 seconds, a check confirms whether a pressure of
at least 20 mbar has been reached. At a pressure of <20
mbar the test is aborted, as there is probably a leakage in
the system or at the expiratory valve.
• The flow from GDM is reduced to 6 L/min.
• Wait 5 seconds: If the pressure has risen to >40 mbar, the
test is aborted, as there is probably a blockage of the
expiratory valve.
• The safety valve is opened via the lift magnet M15_2
(diaphragm lifts from crater) and vented.

© Drägerwerk AG & Co. KGaA, 2019 35

 O2 sensor calibration

• The O2 sensor is flushed with 100% O2.

• The O2 sensor is calibrated with 100% O2. (This lasts

approx. 1 min.)

© Drägerwerk AG & Co. KGaA, 2019 36

 Nebulizer

• V15 is open (switches PATO measurement to

nebulizer/ejector branch).
• V10 switches to AIR
• With AIR pipeline supply: The O2 sensor (Pato) measures
for < 28% O2.
• With AIR pipeline supply: S2 measures the pressure of PR1
(0.8-2.5 bar).
• If no O2 pipeline supply pressure is present: V9 is opened
and the pressure at S2 must fall by at least 50 mbar - V9
has switched.
• V10 switches to O2.
• If no O2 pipeline supply pressure is present: Test complete.
• With O2 pipeline supply: The O2 sensor (Pato) measures for
> 80% O2.
• With O2 pipeline supply: S2 measures the pressure of PR2
(0.8-2.5 bar).
• With O2 pipeline supply: V9 is opened and the pressure at
S2 must fall by at least 50 mbar - V9 has switched

© Drägerwerk AG & Co. KGaA, 2019 37

 Device operation
Operating concept

Calibrating the Infinity C500 screen

Prerequisite:
▪ Evita V500 is in standby mode

1. Keep the “Audio paused” and the rotary

knob pressed for approximately twenty
seconds
→ After approximately ten seconds an
alarm will appear
2. Continue pressing the two buttons.
After approximately twenty seconds
the alarm decreases in preparation
for calibration

38 | 4 IKATEMI SEMARANG
 Device operation
Operating concept

Calibrating the Infinity C500 screen

Prerequisite:
▪ Evita V500 is in standby mode

1. Keep the “Audio paused” and the

rotary knob pressed for approximately
twenty seconds
→ After approximately ten seconds a
medium priority alarm will appear
2. Continue pressing the two buttons.
After approximately twenty seconds
the alarm decreases in preparation
for calibration

39 | 4 IKATEMI SEMARANG
 Device operation
Operating concept

Calibrating the Infinity C500 screen

Prerequisite:
▪ Evita V500 is in standby mode

1. Keep the “Audio paused” and the

rotary knob pressed for approximately
twenty seconds
→ After approximately ten seconds a
medium priority alarm will appear
2. Continue pressing the two buttons.
After approximately twenty seconds
the alarm decreases in preparation
for calibration

40 | 4 IKATEMI SEMARANG
 Device operation
Operating concept

Calibrating the Infinity C500 screen

3. Touch “Calibrate”
→ A red and white colored target appears
on the screen
4. Touch the target within the given amount
of time at three different positions and
confirm calibration by pressing the
green checkmark appearing in
the center of the screen
→ Screen calibration is now successfully
completed

41 | 4 IKATEMI SEMARANG
 Device operation
Operating concept
Calibrating the Infinity C500 screen
3. Touch “Calibrate”
→ A red and white colored target appears on the
screen
4. Touch the target within the given amount of time at
three different positions and confirm calibration by
pressing the green checkmark appearing in
the center of the screen
→ Screen calibration is now successfully completed

© Drägerwerk AG & Co. KGaA, 2019 42

 Overview

1.Internal baterai
2.Power supply
3.Power PCB
4.Therapy PCB
5.Sys Con PCB
6.Main PCB
7.Connector PCB
8.Oled PCB
9.RFID PCB
10.PVT monitoring
11.Neo flow PCB
12.Interface Box

43 | 4 IKATEMI SEMARANG
 Overview

A.Gas Metering M1.3

B.inspiratory valve
C.Exp valve
D.Silencer
E.Barometer pressure sensor
F.PVT monitoring
G.Calibration Unit
H.Pato ( Oksigen sensor)
I.Nebulizer & ejector Option
J.bypass filter
K.Blower adapter

44 | 4 IKATEMI SEMARANG
 Pneumatic

Trainingmaterial_V-Unit_Gasflow_EN.avi

© Drägerwerk AG & Co. KGaA, 2019 45