Every breath is vitalDräger – Gas Management Systems for hospitals

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»Every breath is vital.«

02 | DRÄGER – GAS MANAGEMENT SYSTEMS | EVERY BREATH IS VITAL

| 03DRÄGER – GAS MANAGEMENT SYSTEMS | EVERY BREATH IS VITAL

A reliable Gas Management System is vital

The Gas Management System is a key element of every hospital. It is at the beginningof a supply chain whose last link is the patient and provides vital medical gases. This involves a great deal of responsibility, which we are happy to take on for you – with specialist knowledge, outstanding system expertise, and a comprehensive range of services.

Living means breathing. People breathe constantly,mostly without even noticing. They often do notrealize how important breathing is to their lives untilit is under threat. Accordingly, ventilation of patientsduring treatment in hospital is of vital importance:When a new-born baby receives oxygen through thenose, every breath must be monitored. The sameapplies when a coma patient is artificially ventilatedor a patient is anaesthetized for an operation.

In all such cases, the health and life of the personbeing treated depends on reliably functioning ventilation and anaesthesia machines as well as asafe and constant supply of medical gases. Thisrequires a Gas Management System that can meetthe demands of everyday life in a hospital at alltimes.

Dräger assumes responsibility for every breath. Wehave been planning and building Gas ManagementSystems for hospitals for more than 50 years and wecontinue to set trends with our pioneering technolo-gy. As market leader in Germany, we supply custo-mized system solutions from one single source andare on hand to advise you every step of the way,from planning and installation to after-sales service.This is how we make sure that medical gases andvacuum are always supplied to patients in the prescribed quality and at the right pressure –around the clock, 365 days a year.

04 | DRÄGER – GAS MANAGEMENT SYSTEMS | CONCEPT

What is a Gas Management System?

The Gas Management System from Dräger is made up of many different componentsthat all smoothly interconnect to ensure that compressed air, oxygen, and other medical gases as well as vacuum are permanently available in every department.

GAS

Examples of medical gases include oxygen, compressed air, nitrous oxide,and carbon dioxide. The Gas Manage-ment System is also responsible for thevacuum supply.

SYSTEM

Dräger offers you a fully integral solutionfor supplying medical gases centrally inthe hospital.

MANAGEMENT

The medical gases and vacuum are produced, distributed, and monitoredwithin the hospital.

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Management

System

Gas

| 05DRÄGER – GAS MANAGEMENT SYSTEMS | USAGE

Medical gases are indispensable to everyday lifein a hospital

Medical gases are used in many different situations and in all areas of a hospital – in the operating theatre, on intensive care units, and for therapeutic treatment. A well-functioning Gas Management System is essential for all of these uses.

VENTILATION AND OXYGEN SUPPLY

Whether on the intensive care unit or duringan operation under anaesthetic, many hospitalpatients – from premature babies to patientswith serious lung disease – rely on artificialventilation with medical air and oxygen.

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ANAESTHESIA

For the anaesthesia in the operating theatre, a defined quantity of nitrous oxide andvolatile anaesthetic agents are added to theset mix of compressed air and oxygen. Theconcentration of the anaesthetic gas is carefully monitored at all times.

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SURGERY

During minimally invasive surgery the stomach of the patient is filled with carbondioxide to create space to examine theaffected area. In addition, some surgicalinstruments are driven by medical com-pressed air at seven or eight bar which isalso supplied by the Gas Management System. Special air motor terminal units areinstalled for this purpose. Vacuum is alsoregularly needed in the operating theatre tosuction the wound area and airway.

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THERAPY

Medical gases are used in various forms oftherapy. One such example is oxygen therapyto improve the oxygen supply to patientswith restricted lung function.

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»When it comes to central gas supply,safety is a matter

of experience and system competence.«

06 | DRÄGER – GAS MANAGEMENT SYSTEMS | SYSTEM EXPERTISE

| 07DRÄGER – GAS MANAGEMENT SYSTEMS | SYSTEM EXPERTISE

A safe supply rests on joined-up thinking

Supplying the right quality and quantity of medicalgases at the right pressure forms the basis for thefunctional operation of ventilation and anaesthesiamachines in the operating theatre, on intensive careunits and in treatment rooms. In order to ensure thatall the required gases are available at the many different terminal units at all times, a complex Gas Management System is needed that can permanently produce, distribute, and monitor them.

Around 300 m³ of medical gases are needed everyday for ventilation and anaesthesia in a medium-sized hospital. Approximately 20 kilometres of copper piping are installed to distribute them topatients at around 2,000 gas terminal units. Morethan 100 operating and emergency signals must beread, transmitted, and displayed for monitoring purposes. These figures provide some idea of the capability and complexity of a modern GasManagement System.

All components are systematically designed to provide an uninterrupted supply. Each one not onlyhas to meet the highest standards, but also workperfectly with the others in order to ensure that themedical gases are of the same quality when theyreach the patients as when they left the central supply unit. In addition, we offer highly secure system concepts that ensure an uninterrupted supply even in the event of the loss of entire equipment rooms, for instance as a result of a fire.

A Gas Management System is more than the sum of its individual parts. It takes extensive system expertise to manage it reliably. As an experienced system supplier,Dräger offers you integral solutions that ensure a safe supply of medical gases in your hospital at all times.

08 | DRÄGER – GAS MANAGEMENT SYSTEMS | SYSTEM EXPERTISE

DISTRIBUTION SYSTEMThe role of the pipeline distribution network is tosend the medical gases and vacuum where theyare needed. The safety of the entire hospital iscompromised without a professionally designed,installed, and maintained distribution system.Accordingly, Dräger only ever uses thoroughlytested copper piping with a defined degree ofpurity that has been approved for medical applications in accordance with EN 13348.

The quality and performance of the entire systemis ensured by professional system planning inaccordance with Dräger design guidelines andinternational standards as well as extensive testing and high-quality installation (e.g. inert gassoldering).

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Many different elements, one main purpose:To preserve life

The Gas Management System (GMS) extends throughout the entire hospital, from the basement, where thegases are produced, via the pipeline system, the Area Control Units on the corridors, the monitoring screens,and the control room to the terminal units in the operating room, on intensive care units, and in treatmentrooms. The critical system components are designed to be multiple redundant so that the entire system continues to function in the event of a fault or during maintenance work.

TERMINAL UNITSWhen planning your Gas Management System,we make sure that the terminal units are locatedexactly where they are needed to ensure apatient supply that is both ergonomic and suitedto the clinical workflows. Different gases are nee-ded in different hospital areas, depending on theclinical discipline and application, and the numberof units provided must correspond to the proces-ses and machines used there. Dräger has beenbuilding world-renowned terminal units for morethan 40 years and supplies connections in linewith DIN and British Standards, as well as otherinternational types.

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AREA CONTROL UNITSAll clinical areas must be individually monitoredby Area Control Units. The extremely compactArea Control Units from Dräger can control upto five gases while occupying minimal space.Electronic pressure sensors provide highly precise measurement values and activate a visu-al and acoustic alarm in the event of abnormalpressure changes.

An emergency button permits fast access incase of an emergency so that the gas supplycan be interrupted at the shut-off valves andconnected to external gas sources at the emer-gency inlet points. The optional consumptionmonitoring VoluCount records gas consumptionfor individual areas. This allows you to monitorthe consumption of medical gases more precise-ly to increase the system transparency and iden-tify potential savings.

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| 09DRÄGER – GAS MANAGEMENT SYSTEMS | SYSTEM EXPERTISE

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COMPRESSED AIR SYSTEMDräger compressed air systems provide a continu-ous supply of medical compressed air for ventilationpurposes and for operating surgical instruments.They comply with all relevant standards, particularlyISO 7396-1. The quality of breathing air as a phar-maceutical is governed by the quality standards setout in the European Pharmacopoeia. Its purity canbe monitored continuously and fully automaticallyby the Dräger Medical Air Guard.

Our flexible system concepts enable us to takeyour individual requirements into considerationduring the planning stage and provide you withthe most efficient solution for your needs. Thesystem is designed to ensure smooth and reliableoperation as well as maximum security of supply.It has also been designed to ensure that mainten-ance and repair work can be carried out withoutinterrupting operations.

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CYLINDER MANIFOLD SYSTEMS Cylinder manifold systems ensure the supply ofmedical gases such as oxygen, nitrous oxide, andcarbon dioxide from cylinder manifolds or a liquidgas tank. At the heart of the system is the GasControl Station (GCS), which reduces and monitors the gas pressure and automatically swit-ches between various sources. It is capable of aflow rate of up to 120 m³/h. All GCS operatingparameters are displayed centrally on the electro-nic control unit or on analogue gauges.

In addition, the GSC can be incorporated in theAlarm Management System and linked to the buil-ding management system via interfaces. Thanksto the upgradable platform concept the cylindermanifold system can be individually configured tomeet gas supply requirements in your hospital andeven adapted at a later stage while still in operati-on in the event of any changes.

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ALARM MANAGEMENT SYSTEMThe Alarm Management System makes sure thattechnical and clinical personnel are kept informedabout the status of the central gas supply at alltimes. It monitors the GMS in all areas andrecords all signals such as operating and emer-gency alarms. Analogue operating values (e.g.pressure and flow rate) can be easily integrated.

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All information is clearly displayed on LED, text,or touch-screen monitors, which means that messages and measurement values are alwaysavailable exactly where you need them. It is alsopossible to access all information via your internalnetwork and store it for your documentation. Furthermore, relevant alarm messages can beforwarded via SMS and e-mail so that you arealways immediately informed of a fault whereveryou are and can react quickly.

VACUUM SYSTEMVacuum is indispensable for surgical applications(wound area suction) and for suctioning airwaysin anaesthesia and intensive care. Dräger vacuumsystems conform to ISO 7396-1 (Medical gaspipeline systems) and meet all safety and efficiency requirements.

Depending on the design, three or four pumps,each with power consumption ranging from 1.1 to18.5 kW, generate the necessary vacuum. Withthe Dräger Medical Vacuum Control™ each vacu-um system has a modern and intelligent controlunit that ensures fully automatic operation andmaximum safety.

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10 | DRÄGER – GAS MANAGEMENT SYSTEMS | SERVICES

»Completion on time and future-proofness

makes Dräger a commercially profitable

partner.«

| 11DRÄGER – GAS MANAGEMENT SYSTEMS | SERVICES

Extensive expertise from one single source

A Gas Management System is a complex structure, but it must function as one coherent unit. That is why we offer you everything from one single source: consulting,planning, project management, installation, testing and commissioning as well as after-sales service. Our total service pays off for you in three different ways – when it comes to quality, safety, and efficiency.

As a system supplier geared towards integral solu-tions, we keep a constant eye not only on the indivi-dual components of your Gas Management System,but also the complex way in which they work toget-her as well as legal requirements. This allows us togive you both comprehensive and specific advicefrom the very start and provide one contact personto deal with all matters. In addition, our experts pos-sess the necessary experience to carry out all workswiftly and reliably throughout all project phasesand at all levels.

Beyond actually building the systems, we haveextensive practical expertise in clinical areas suchas ventilation, anaesthesia, and neonatology. Closeinternal dialog between our departments producessynergy effects from which you directly benefit. Forinstance, the latest findings and innovations in relati-on to ventilation and anaesthesia machines influen-ce the planning of central medical supply systems.On the basis of this knowledge we produce state-of-the-art systems that are optimally configured tothe clinical applications in your hospital.

Word of the lasting success of our solutions hasspread. More than 1,000 Gas Management Systemsfrom Dräger are now in use all over the world. Whynot also rely on our extensive expertise. Whetherconstructing, extending, or renovating a building, orupdating old existing systems, we will assist you inall matters concerning central medical gas supplyas well as related product and application fields.

12 | DRÄGER – GAS MANAGEMENT SYSTEMS | SERVICES

PLANNING AND PROJECT SUPPORT

Our technically accomplished and experi-enced project experts take care of the plan-ning, dimensioning, and design of the sys-tems in line with the framework conditionsat your hospital. In doing so, they ensurethat all the project guidelines in relation toapproval, quality, and risk management areobserved. Even when certain specificationsare tendered out, we always check whetherthe customer’s requirements comply withstatutory standards and regulations. Finally,once the project has been completed andapproved, we certify the entire set-up andensure that you commission a tested andsafe system.

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CONSULTING

We are on hand to offer advice throughoutevery project phase and take a flexibleapproach to your requirements. Thanks to our extensive sales and service infra-structure, there is always a contact personin your area. It goes without saying that weintensively instruct your employees on howto operate all elements of the system. Inaddition, we can advise you on how to handle alarms correctly.

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INSTALLATION

The installation of medical systems requireshighly specialized knowledge and tools.Accordingly, at Dräger only experienced,Dräger-certified installers who specialize inbuilding Dräger systems are charged withthis task. Through regular follow-up trainingat the Dräger Academy we make sure thatour installers and service technicians arealways familiar with the latest requirementsin relation to Gas Management Systems andoptimally prepared for the task. After all, realquality often only shows after installation.

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Step by step towards a customized system solution

A Gas Management System that perfectly meets your needs requires wide-rangingexpertise – from consulting and planning to installation and after-sales service. We offer you every service from one single source.

Dräger sites

Headquarters in Lübeck, Germany

Production sites in Europe, America, Africa and Asia

Logistic centers in Europe and the USA

Sales and service organizations worldwide

Excellent support can only be provided while being on site. That is why today, we are active in over 190 countries around the worldand operate our own sales and service branches in more than 50 countries.

| 13DRÄGER – GAS MANAGEMENT SYSTEMS | SERVICES

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Consulting

Planning and project support

Installation

Testing and commissioning

Handing over

After-sales service

TESTING AND COMMISSIONING

It goes without saying that we only usecomponents in our systems that have beenapproved in line with the relevant standardsand provisions and are of the required qua-lity. Dräger inspects and approves theinstalled systems before they are handedover to the operator and commissioned.Since we are highly familiar with statutoryprovisions, with us as your partner you avoidpotential approval-related problems fromthe very start and prevent the risk of havingto subsequently modify the system.

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HANDING OVER

After installation, Dräger Service carefullyinspects all the system’s functions in accor-dance with detailed approval protocols andinspection instructions. The system is onlyhanded over once all the provisions havebeen met. As part of the handover, we giveyour employees detailed instructions onhow to operate the entire system. Thismeans that you can be one hundred per-cent sure that your Gas Management System is fully functional when handedover, and your employees know how to operate it.

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AFTER-SALES SERVICE

We offer our customers comprehensive services for medical gas supply systems.Regular inspections by Dräger Service ensure that the systems are permanentlyready for operation. Our service techniciansare quickly on-site when repairs are needed.

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14 | DRÄGER – GAS MANAGEMENT SYSTEMS | QUALITY AWARENESS

»When it comes to a patient life,

there can be no compromise.«

| 15DRÄGER – GAS MANAGEMENT SYSTEMS | QUALITY AWARENESS

Quality is a question of responsibility

Vital medical systems are governed by the strictestquality and risk management requirements. As amanufacturer of medical systems, we test and ana-lyze every single component used in our GasManagement Systems in line with strict uniformstandards, regardless of whether it has been madeby Dräger or another manufacturer. If necessary,modifications are made to ensure that all compo-nents work optimally together and to minimize risks.Only components that meet the relevant standardsfor medical products and our own strict quality criteria are approved for use in our systems.

Equally strict guidelines also apply to every taskperformed. We ensure compliance with all provisions and standards in every project phase byadhering to defined processes when planning,installing, and commissioning systems. In addition,we set standards in relation to the quality and relia-bility of Gas Management Systems with our ownstrict safety requirements. By doing so, we ensuremaximum safety and efficiency throughout everystage, from planning and installation to approval aswell as during operation.

Gas management systems are an essential part of any medical infrastructure and aresubject to a number of different standards and provisions. We ensure compliance withthese not only with consistent quality and risk management, but also with our internalsafety standards.

16 | DRÄGER – GAS MANAGEMENT SYSTEMS | QUALITY AWARENESS

We set standards when it comes to patient safety

The quality and reliability of your medical gas supply is our top priority. Accordingly, we not only strictly adhere to the relevant standards, but often also exceed them with our own safety requirements.

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RISK MANAGEMENT

As part of our risk management concept,we subject every GMS product and systemto a detailed risk assessment in accordancewith EN ISO 14971 (Application of riskmanagement to medical devices). If neces-sary, we draw up and implement suitablemeasures for minimizing and monitoringrisks.

Dräger appoints risk managers with long-standing experience and extensivetechnical expertise for each product area.They not only assess every single compo-nent individually, but also how it affects theentire system in terms of compatibility.Through regular updates, we make surethat our risk management concept alwaystakes into consideration the latest technicaldevelopments when assessing componentsand systems.

QUALITY MANAGEMENT

Dräger has an integral and certified qualitymanagement system for medical productsbased on EN ISO 13485, which governs allprocesses related to the planning, testing,and documentation down to the last detail.Regulated documents such as technicalspecifications, planning and project guideli-nes, installation instructions, and mainten-ance and commissioning documentationensure constant compliance with the provi-sions at the project planning stage, in thearea of sales, and during installation andservicing.

This gives you the peace of mind that allsystems and products in your Gas Manage-ment System have undergone a detailedapproval process and meet the strictestinternational regulations as well as Dräger’shigh internal quality standards.

QUALITY AND SAFETY STANDARDS

Dräger is a pioneer in safety and qualitymatters. Our own high standards some-times even exceed statutory provisions. Forexample, Dräger’s internal regulation on thepurity of parts that come into contact withgas is much stricter than the correspondinginternational standard.

Our technical innovations consistentlyexceed existing safety standards. With theMedical Air Guard , for instance, we havedeveloped a solution for continuously andcomprehensively monitoring the purity ofmedical compressed air in accordance withthe European Pharmacopoeia. The uninter-rupted monitoring offers you greater trans-parency in relation to the quality of yourcompressed air. This allows you to reactmore quickly if thresholds are exceeded inorder to protect the health of your patients.

| 17DRÄGER – GAS MANAGEMENT SYSTEMS | QUALITY AWARENESS

Medical Air Guard – Continuous monitoring of purity

in accordance with the EuropeanPharmacopoeia

– Automatic alarm when limits areexceeded

– Complete documentation possible

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BROAD RESPONSIBILITY

As a system supplier with long-standingexperience, we possess the necessaryexpertise and authorization to verify compli-ance with provisions and issue approvals.EC certification in accordance with EC Directive 93/42/EEC authorizes us toissue a medical CE conformity declarationin accordance with ISO 7396-1 for the products used in our medical gas supplysystems.

Critical components in our Gas Manage-ment Systems are extensively tested in physical and chemical processes at our ownaccredited and independent testing centre.Hence we assume broad responsibility forensuring that our systems and all their individual components are suitable formedical use.

APPROVAL OF INDIVIDUAL COMPONENTS

In its entirety, the Gas Management Systemis a medical system whose individual com-ponents do not necessarily have to original-ly come from a medical environment. Accor-dingly, as a system supplier we carry outthe vital assessment and approval of eachindividual component in accordance withmedical standards.

One such example is the compressor control unit. It is responsible for the reliableand efficient operation of compressed airsystems and is thus a key part of any GasManagement System. If it breaks down ormalfunctions, the supply of medical com-pressed air is directly compromised. Inorder to minimize this risk, we make surethat the control software meets the requi-rements of IEC 62304 (Medical devicesoftware) before using it in our systemsand also incorporate additional safetymechanisms, if necessary. This ensuresthat the supply of medical compressed airautomatically continues even in the eventof the control unit malfunctioning.

18 | DRÄGER – GAS MANAGEMENT SYSTEME | PARTNERSHIP

At your side in a mission to protect life

Dräger medical technology is renowned for being extremely reliable. Our solutionssafeguard the health and lives of your patients. We help you to improve the productivity and quality of patient care on a lasting basis with our extensive range of products and services.

REASONS FOR CHOOSING

DRÄGER:

• Over 50 years of experience in planning and installing medicalGas Management Systems

• Extensive system expertiseensures that all components work together smoothly

• Comprehensive clinicalapplication knowledge ensures that systems are optimallyplanned and designed for their intended use

• An integral solution from onesingle source, including planning,installation, testing, commissioning,and after-sales service

• Maximum security of supplythanks to consistent quality andrisk management and highstandards of quality and safety

Modern hospitals are complex, highlytechnical service centres. They not onlyneed profound medical knowledge toensure optimal patient care, but also anextensive range of systems and devices.Our integral solutions provide optimalsupport for your clinical staff and maketheir job easier.

For over 100 years our innovations havebeen pushing the boundaries of medicaltechnology. We help hospitals to impro-ve the quality and productivity of theirpatient care in more than 190 countries.As market leader in German-speakingcountries, we set standards in relation tosecurity of supply and efficiency withour Gas Management Systems.

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Furthermore, we possess comprehensi-ve expertise in key clinical product andapplication areas such as anaesthesia,ventilation, monitoring, surgical lights,and supply units. As a supplier of sys-tem solutions, we optimally harmonizeindividual application areas and improvework processes with integral and appli-cation-based solutions.

Trust in our wealth of experience in plan-ning, installing, and operating GasManagement Systems. As a reliablepartner by your side, we help you to fullymeet your responsibility for the lives ofyour patients.

| 19DRÄGER – GAS MANAGEMENT SYSTEME | PARTNERSHIP

Dräger – Gas Management Systems for hospitals:

Talk to us!

We will be happy to give you detailed advice on the subject of Gas Management Systems. We look forward to your enquiry!

You can find further information and your nearest Dräger partner at: www.draeger.com

Why not take a look at our detailed information material,including system brochures, product catalogues, and planning documentation.Your nearest Dräger partner will be pleased to advise you.

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REGION NORTH AMERICADraeger, Inc.3135 Quarry RoadTelford, PA 18969-1042, USATel +1 215 721 5400Toll-free+1 800 437 2437Fax +1 215 723 5935info.usa@draeger.com

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CORPORATE HEADQUARTERSDrägerwerk AG & Co. KGaAMoislinger Allee 53–5523558 Lübeck, Germany

www.draeger.com

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Locate your Regional Sales Representative at:www.draeger.com/contact