Maquet Servo-i Adult User Manual Download Page 243

Page: 243 / 283

241

Contents

ontents

ntents

tents

ents

nts

Servo

…

User´s manual

US edition
Order No: 66 00 261

Infant

Adult

Universal

Options

11.

1..Technical data

echnical data

chnical data

hnical data

nical data

ical data

cal data

al data

l data

data

ata

The system

he system

e system

system

ystem

stem

tem

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The ventilator

he ventilator

e ventilator

ventilator

entilator

ntilator

tilator

ilator

lator

ator

tor

orr . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Standard condition specification

tandard condition specification

andard condition specification

ndard condition specification

dard condition specification

ard condition specification

rd condition specification

d condition specification

condition specification

ondition specification

ndition specification

dition specification

ition specification

tion specification

ion specification

on specification

n specification

specification

pecification

ecification

cification

ification

fication

ication

cation

ation

tion

ion

n . . . . . . . . . . . .

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Inspiratory channel

nspiratory channel

spiratory channel

piratory channel

iratory channel

ratory channel

atory channel

tory channel

ory channel

ry channel

y channel

channel

hannel

annel

nnel

nel

ell. . . . . . . . . . . . . . . . . . . . . . .

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Expiratory channel

xpiratory channel

piratory channel

iratory channel

ratory channel

atory channel

tory channel

ory channel

ry channel

y channel

channel

hannel

annel

nnel

nel

ell . . . . . . . . . . . . . . . . . . . . . . .

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Monitoring

onitoring

nitoring

itoring

toring

oring

ring

ing

g . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Alarms

larms

arms

rms

s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Ventilation modes

entilation modes

ntilation modes

tilation modes

ilation modes

lation modes

ation modes

tion modes

ion modes

on modes

n modes

modes

odes

des

s. . . . . . . . . . . . . . . . . . . . . . . .

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Trend function

rend function

end function

nd function

d function

function

unction

nction

ction

tion

ion

n . . . . . . . . . . . . . . . . . . . . . . . . . .

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Log function

og function

g function

function

unction

nction

ction

tion

ion

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Communication/Interface

ommunication/Interface

mmunication/Interface

munication/Interface

unication/Interface

nication/Interface

ication/Interface

cation/Interface

ation/Interface

tion/Interface

ion/Interface

on/Interface

n/Interface

/Interface

Interface

nterface

terface

erface

rface

face

ace

e. . . . . . . . . . . . . . . . . .

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Servo Ultra Nebulizer

ervo Ultra Nebulizer

rvo Ultra Nebulizer

vo Ultra Nebulizer

o Ultra Nebulizer

Ultra Nebulizer

ltra Nebulizer

tra Nebulizer

ra Nebulizer

a Nebulizer

Nebulizer

ebulizer

bulizer

ulizer

lizer

izer

zer

err . . . . . . . . . . . . . . . . . . . . .

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Analyzer Servo

nalyzer Servo

alyzer Servo

lyzer Servo

yzer Servo

zer Servo

er Servo

r Servo

Servo

ervo

rvo

o-ii . . . . . . . . . . . . . . . . . . . . .

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Y Sensor measuring

Sensor measuring

ensor measuring

nsor measuring

sor measuring

or measuring

r measuring

measuring

easuring

asuring

suring

uring

ring

ing

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Drawer Kit Servo

rawer Kit Servo

awer Kit Servo

wer Kit Servo

er Kit Servo

r Kit Servo

Kit Servo

it Servo

t Servo

Servo

ervo

rvo

o-ii . . . . . . . . . . . . . . . . . . . . . . .

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Holder Servo

older Servo

lder Servo

der Servo

er Servo

r Servo

Servo

ervo

rvo

o-ii . . . . . . . . . . . . . . . . . . . . . . . . . .

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Shelf base Servo

helf base Servo

elf base Servo

lf base Servo

f base Servo

base Servo

ase Servo

se Servo

e Servo

Servo

ervo

rvo

o-ii . . . . . . . . . . . . . . . . . . . . . . .

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Gas cylinder restrainer Servo

as cylinder restrainer Servo

s cylinder restrainer Servo

cylinder restrainer Servo

ylinder restrainer Servo

linder restrainer Servo

inder restrainer Servo

nder restrainer Servo

der restrainer Servo

er restrainer Servo

r restrainer Servo

restrainer Servo

estrainer Servo

strainer Servo

trainer Servo

rainer Servo

ainer Servo

iner Servo

ner Servo

er Servo

r Servo

Servo

ervo

rvo

o-ii. . . . . . . . . . . . . .

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IV Pole

V Pole

Pole

ole

e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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248

Gas trolley Servo

as trolley Servo

s trolley Servo

trolley Servo

rolley Servo

olley Servo

lley Servo

ley Servo

ey Servo

y Servo

Servo

ervo

rvo

o-ii . . . . . . . . . . . . . . . . . . . . . . .

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Compressor Mini

ompressor Mini

mpressor Mini

pressor Mini

ressor Mini

essor Mini

ssor Mini

sor Mini

or Mini

r Mini

Mini

ini

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Default values and parameter settings

efault values and parameter settings

fault values and parameter settings

ault values and parameter settings

ult values and parameter settings

lt values and parameter settings

t values and parameter settings

values and parameter settings

alues and parameter settings

lues and parameter settings

ues and parameter settings

es and parameter settings

s and parameter settings

and parameter settings

nd parameter settings

d parameter settings

parameter settings

arameter settings

rameter settings

ameter settings

meter settings

eter settings

ter settings

er settings

r settings

settings

ettings

ttings

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Alarm limits

larm limits

arm limits

rm limits

m limits

limits

imits

mits

its

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Summary of Contents for Servo-i Adult

Page 1: ...User s manual US Version Version VENTILATOR SYSTEM OR SYSTEM M SERVO i V3 0 3 0...

Page 2: ......

Page 3: ...g Routine cleaning Routine cleaning outine cleaning utine cleaning tine cleaning ine cleaning ne cleaning e cleaning cleaning cleaning leaning eaning aning ning ing ng g 191 91 1 9 Maintenance Mainten...

Page 4: ...2 Servo User s manual US edition Order No 66 00 261 Infant Adult Universal Options...

Page 5: ...his manual mportant in this manual portant in this manual ortant in this manual rtant in this manual tant in this manual ant in this manual nt in this manual t in this manual in this manual in this ma...

Page 6: ...health care facilities and for in hospital transport Note The Servo i Ventilator System is not intended to be used with any anesthetic with any anesthetic agents Intended user ntended user tended use...

Page 7: ...on Invasive d field during Non Invasive Ventilation Patient Unit CE label The device complies with he device complies with the requirements of the Medical f the Medical Device Directive 93 42 EEC 42 E...

Page 8: ...n nnection option External alarm output communication In this manual manual Adult Information valid for the Adult d for the Adult configuration Infant Information valid for the Infant configuration Un...

Page 9: ...l garded as all inclusive within the very complex field of mplex field of ventilatory treatment Clinical judgements or judgements or settings are therefore not described in this manual Authorized medi...

Page 10: ...use Checklist for the experienced user klist for the experienced user Ventilator Information entilator Information ntilator Information tilator Information ilator Information lator Information ator I...

Page 11: ...ng adverse events barotrauma hypoventilation ma hypoventilation hyperventilation or circulatory impairment The Servo i Ventilator System is verified Servo i Ventilator System is verified against and c...

Page 12: ...left unattended be left unattended The nebulizer module is inoperative when perative when the ventilator is running on batteries to reduce the power consumption ce the power consumption The Expirator...

Page 13: ...measured parameters g measured parameters shall continously be compared by the be compared by the operator Important This symbol on the unit means n the unit means Attention consult accompanying docu...

Page 14: ...is is also important during during transport as the movement of the body y and the breathing system may lead to false triggering When you turn a Direct Access Knob Knob ventilation will change accordi...

Page 15: ...bulizer is tilted the drug can flow into the patient s lungs patient s lungs or the ventilator The nebulizer must not be left unattended must not be left unattended when connected to a patient Continu...

Page 16: ...14 Servo User s manual US edition Order No 66 00 261 1 Infant Adult Universal Options Notes otes tes es s...

Page 17: ...d ventilation Volume Support orted ventilation Volume Support rted ventilation Volume Support ted ventilation Volume Support ed ventilation Volume Support d ventilation Volume Support ventilation Volu...

Page 18: ...e ventilatory needs cope ventilatory needs ope ventilatory needs pe ventilatory needs e ventilatory needs ventilatory needs ventilatory needs ventilatory needs ventilatory needs entilatory needs ntila...

Page 19: ...focus w volume in focus In the flow volume oriented modes a w volume oriented modes a constant inspiratory volume is maintained y volume is maintained The inspiratory flow is constant during each flow...

Page 20: ...rview ctionality An overview tionality An overview ionality An overview onality An overview nality An overview ality An overview lity An overview ity An overview ty An overview y An overview An overvi...

Page 21: ...icient inspiratory volumes are y volumes are achieved spontaneous breathing without breathing without ventilator support is allowed for in Volume for in Volume Support 5 Pressure Control ontrol Breath...

Page 22: ...the patient is pport mode of ventilation If the patient is not making any breathing effort the y breathing effort the ventilator will return to the controlled mode d mode and deliver controlled breath...

Page 23: ...and Points and regions of interest f interest X Inspiration time X Inspiration time Y Pause time Z Expiration time Expiration time 7 Peak inspiratory flow flow 8 Zero flow phase 9 Peak expiratory flow...

Page 24: ...regions of interest egions of interest X Inspiration time Z Expiration time 4 Peak inspiratory flow y flow 5 End inspiratory flow 6 Peak expiratory flow 7 End expiratory flow d expiratory flow Volume...

Page 25: ...white area on the bar When the trigger sensitivity is set above 0 gger sensitivity is set above 0 green and red area on the bar flow flow triggering is set i e the amount of the bias flow that the pa...

Page 26: ...m and not by the patient This should always be avoided by ways be avoided by decreasing the trigger sensitivity Stronger patient effort ger patient effort 1 At a Trigger sensitivity level below zero z...

Page 27: ...seconds and for infants the range is 0 for infants the range is 0 0 2 seconds Note When the ventilator is configured for setting of Inspiration time the unit for piration time the unit for Inspirator...

Page 28: ...meout r timeout timeout timeout imeout meout eout out ut t Trigger Timeout is the maximum allowed apnea time in Automode before controlled pnea time in Automode before controlled ventilation is activa...

Page 29: ...Volume Note The configuration is done by a service s done by a service technician with a service card Controlled supported ontrolled supported ntrolled supported trolled supported rolled supported oll...

Page 30: ...ntilation mode 3 Activate the previous used ventilation ntilation mode settings by pressing the Accept pad Note The previous ventilation mode function is not available after a Pre use check ble after...

Page 31: ...old 4 Inspiratory hold can all be chosen by manually pressing the respective fixed key ve fixed key Start breath breath The ventilator will initiate a new breath cycle breath cycle according to the cu...

Page 32: ...d Expiratory and inspiratory valves are closed xpiratory and inspiratory valves are closed after the expiration phase is completed for for as long as the fixed key is depressed up to a up to a maximum...

Page 33: ...up ventilation is available in all support ble in all support modes not applicable in Automode and NIV NIV Pressure Support mode The Back up function switches Volume Volume Support to Volume Control P...

Page 34: ...ume ml or Minute Volume l olume ml or Minute Volume l min 2 Respiratory Rate b min spiratory Rate b min 3 PEEP cmH2O 4 Oxygen concentration en concentration 5 I E ratio Insp time me 6 Inspiratory rise...

Page 35: ...breath by breath to match the patient s lung mechanical properties for target volume for target volume delivery 3 Inspiration starts according to a preset piration starts according to a preset freque...

Page 36: ...l pressure level required to achieve the set target volume cannot be delivered due to a lower setting of nnot be delivered due to a lower setting of the upper pressure limit 5 cmH pper pressure limit...

Page 37: ...d red An increase in the resistance and decrease in compliance will lead to an increased airway pressure To protect the y pressure To protect the patient s lungs from excessive pressure it is m excess...

Page 38: ...a situation where the patient maintains a flow rate patient maintains a flow rate higher than the calculated target value d target value The set Tidal Volume has been delivered been delivered when cal...

Page 39: ...When the preset tidal volume is ume is delivered and after the preset pause time b When the flow returns to the set value after the preset tidal volume is me is delivered and after the preset pause ti...

Page 40: ...s leakage in the breathing system e g due to uncuffed ue to uncuffed endotracheal tube or in situations when the maximum airway pressure must be y pressure must be controlled The flow during inspirati...

Page 41: ...upper pressure limit is exceeded ceeded Active expiratory valve y valve If a patient tries to exhale during the inspiration pressure increases When it When it increases 3 cmH2O above the set inspirat...

Page 42: ...Trigg Pressure ure 6 Inspiratory Cycle off If the patient s activity increases the inspiratory pressure support will decrease ure support will decrease provided the set Tidal Volume is maintained me i...

Page 43: ...e pressure level he pressure level required to achieve the set target volume cannot be delivered due to a lower setting of nnot be delivered due to a lower setting of the upper pressure limit 5 cmH pp...

Page 44: ...rt starts When the patient triggers Expiration starts on starts a When the inspiratory flow decreases decreases below a preset fraction of the inspiratory peak flow k flow Inspiratory ory cycle off b...

Page 45: ...r the pre set inspiratory The higher the pre set inspiratory pressure level from the ventilator the more m the ventilator the more gas flows into the patient As the patient becomes more active the pre...

Page 46: ...t is exceeded mit is exceeded If the flow drops to a flow range between ge between 25 of the peak flow and lower limit for k flow and lower limit for Inspiratory Cycle off fraction level and Cycle off...

Page 47: ...starts a When the inspiratory flow decreases decreases below a preset fraction of the inspiratory peak flow k flow Inspiratory cycle off b If the upper pressure limit is exceeded xceeded 1 2 3 SVX 90...

Page 48: ...4 Inspiratory rise time s me s 5 Trigg Flow Trigg Pressure ure 6 Inspiratory Cycle off 7 PC pressure control level above PEEP vel above PEEP cmH2O A continuous positive pressure is maintained in the...

Page 49: ...ur ll occur a In Volume Support when the target get volume is maintained without support automatically regulated by the ventilator ntilator b In Pressure Support when the hen the inspiratory pressure...

Page 50: ...n ion on n Automode is a ventilator functionality where r functionality where the ventilator adapts to the patient s varying g breathing capacity and automatically shifts shifts between a control mode...

Page 51: ...reath PRVC Volume Support Volume Support pport The first supported breath delivered to the first supported breath delivered to the patient has the same pressure level as the preceding PRVC breath g PR...

Page 52: ...breath to assure the preset target volume get volume b In Pressure Support the ventilator he ventilator assures that the preset inspiratory pressure level is maintained constantly during the entire g...

Page 53: ...Support Volume Support Volume Support olume Support lume Support ume Support me Support e Support Support Support upport pport port ort rt t Pressure Control Pressure Support ressure Control Pressure...

Page 54: ...the table above Minute Volume Tidal Volume depending on Volume Tidal Volume depending on configuration PC above PEEP I E ratio figuration PC above PEEP I E ratio Inspiration time depending on configu...

Page 55: ...ng parameters are set wing parameters are set 1 Tidal Volume ml Minute Volume l min olume ml Minute Volume l min 2 SIMV rate b min ate b min 3 PEEP cmH2O 4 Oxygen concentration 5 I E ratio Insp time 6...

Page 56: ...il il l 1 This combined control and pressure pressure support spontaneous function allows for preset mandatory breaths synchronized y breaths synchronized with the patient s breathing g 2 If there is...

Page 57: ...ort Support upport pport port ort rt t The following parameters are set arameters are set 1 Tidal Volume ml Minute Volume l min Minute Volume l min 2 SIMV rate b min ate b min 3 PEEP cmH2O 4 Oxygen co...

Page 58: ...pport pport port ort rt t SIMV in detail IMV in detail MV in detail V in detail in detail in detail in detail in detail n detail detail detail etail tail ail il l 1 This combined control and pressure...

Page 59: ...rt re Support e Support Support Support upport pport port ort rt t The following parameters are set g parameters are set 1 PC Pressure Control level above PEEP vel above PEEP cmH2O 2 SIMV rate b min 3...

Page 60: ...t ure Support re Support e Support Support Support upport pport port ort rt t SIMV in detail IMV in detail MV in detail V in detail in detail in detail in detail in detail n detail detail detail etail...

Page 61: ...the Bi Vent mode the ventilator uses two ator uses two shifting pressure levels with the patient being able to breath spontaneously on both y on both these levels Since Bi Vent is basically a controll...

Page 62: ...ng pressure supported ventilation at g pressure supported ventilation at two different pressure levels These basic These basic levels are individually set as well as the time me in seconds at each lev...

Page 63: ...measurement will be affected by will be affected by mask prongs leakage ongs leakage Cautions Mask prongs leakage might affect the ffect the nebulizer efficiency It is not recommended to use the nebul...

Page 64: ...ation pad to start the ventilation During NIV the ventilator automatically NIV the ventilator automatically adapts to the variation of leakage in order dapts to the variation of leakage in order to ma...

Page 65: ...of leakage in order to maintain the required pressure and quired pressure and PEEP level If the leakage is excessive the kage is excessive the ventilator will issue a high priority alarm y alarm deli...

Page 66: ...be set ge and cannot be set in Nasal CPAP AP There is no backup ventilation available in p ventilation available in Nasal CPAP The following functions are not available during Nasal CPAP ventilation o...

Page 67: ...the Open re about the Open e about the Open about the Open about the Open bout the Open out the Open ut the Open t the Open the Open the Open he Open e Open Open Open pen en n Lung Tool ung Tool ng T...

Page 68: ...e Ti Time for active flow or for active flow or pressure delivery to the patient s s 8 Pause time Tpause Time for no flow or pressure delivery or s y or s 9 Trigger sensitivity nsitivity a Below zero...

Page 69: ...concentration O2 Conc Conc O2 concentration in inspiratory gas not shown in the figure figure SVX 218_EN SVX 203_EN Ventilatory parameters overview entilatory parameters overview ntilatory parameters...

Page 70: ...in Bi Vent cmH Vent cmH2O 19 Pressure high high PHigh Positive End Expiratory Pressure at the upper level in Bi vel in Bi Vent cmH2O 20 PEEP Positive ositive End Expiratory Pressure at the lower level...

Page 71: ...69 Servo User s manual US edition Order No 66 00 261 Infant Adult Universal Options 2 Notes otes tes es s...

Page 72: ...70 Servo User s manual US edition Order No 66 00 261 2 Infant Adult Universal Options Notes otes tes es s...

Page 73: ...ow he alarm window e alarm window alarm window alarm window larm window arm window rm window m window window window indow ndow dow ow w 74 74 4 Alarms Visual audible larms Visual audible arms Visual a...

Page 74: ...about the low priority alarms see page 234 y alarms see page 234 Technical alarms echnical alarms chnical alarms hnical alarms nical alarms ical alarms cal alarms al alarms l alarms alarms alarms larm...

Page 75: ...Ventilation on Invasive Ventilation n Invasive Ventilation Invasive Ventilation Invasive Ventilation nvasive Ventilation vasive Ventilation asive Ventilation sive Ventilation ive Ventilation ve Venti...

Page 76: ...alarm message ge pad 2 All alarms are shown in a window This is in a window This is dynamic and will be updated if more pdated if more alarms occur while the window is open The alarms are listed by p...

Page 77: ...he alarm text The alarm text remains even though the alarm condition dition ceases Note NIV alarm Leakage out of range Leakage out of range is not latched Two bells in the alarm message area indicate...

Page 78: ...t to the Audio Off state by Audio Off state by default Note When an alarm is silenced Audio off ff in the NIV mode a symbol will appear on the bol will appear on the screen next to the corresponding m...

Page 79: ...onds The active alarms are silenced Audio Audio pause i e a two minute period is started All other alarms are silenced her alarms are silenced Audio pause for 2 minutes except those for 2 minutes exce...

Page 80: ...of a mains failure and no Battery module has been inserted or been inserted or connected a high priority alarm is activated m is activated The inspiratory and expiratory valves are xpiratory valves ar...

Page 81: ...79 Servo User s manual US edition Order No 66 00 261 Infant Adult Universal Options 3 Notes otes tes es s...

Page 82: ...80 Servo User s manual US edition Order No 66 00 261 3 Infant Adult Universal Options Notes otes tes es s...

Page 83: ...Interface Accessories r Interface Accessories Interface Accessories Interface Accessories nterface Accessories terface Accessories erface Accessories rface Accessories face Accessories ace Accessories...

Page 84: ...ion is compared with the User Interface settings gs and a difference between the actual measured value and the preset calculated value and the preset calculated values will cause adjusted gas delivery...

Page 85: ...ator to be used with infants and be used with infants and adults Enhanced functionality i e a comprehensive array of different mprehensive array of different ventilation modes extended Tidal Tidal Vol...

Page 86: ...entilation record card for further processing and d card for further processing and storage 2 Signals are conveyed from the User he User Interface for controlling of drug nebulization zation Important...

Page 87: ...e pressure 0 0 0 page 48 Automode PRVC C 0 0 0 page 48 Automode volume volume 0 0 0 page 48 Bi Vent 0 0 0 0 page 59 CO2 Analyzer 0 0 0 0 pages s 104 151 NIV Non Invasive Ventilation 0 0 0 0 pages 61 1...

Page 88: ...126 248 8 Holder Servo i pages 100 124 24 248 Humidifier Holder pages 100 s 100 127 IV pole pages 100 248 Mobile Cart Servo i pages 97 97 123 248 O2 cell O2 Sensor sor pages 98 213 Patient tubing 10 1...

Page 89: ...e gathered in the User gathered in the User Interface Do not use sharp tools on the p tools on the screen Read more about the User ead more about the User ad more about the User d more about the User...

Page 90: ...ace Connections and labels erface Connections and labels rface Connections and labels face Connections and labels ace Connections and labels ce Connections and labels e Connections and labels Connecti...

Page 91: ...ues to show 21 Additional settings 22 Additional measured values 23 3 Loudspeaker 24 Cable reel for the control cable ble reel for the control cable 25 Slot for Ventilation record card with a d card w...

Page 92: ...er to page 145 5 Main Rotary Dial ain Rotary Dial in Rotary Dial n Rotary Dial Rotary Dial Rotary Dial otary Dial tary Dial ary Dial ry Dial y Dial Dial Dial ial al l 1 Turn the Main Rotary Dial until...

Page 93: ...ues r values values values alues lues ues es s Immediate adjustment ate adjustment 1 Turn the Direct Access Knob to the he Direct Access Knob to the desired value When you reach the alue When you reac...

Page 94: ...value boxes easured value boxes asured value boxes sured value boxes ured value boxes red value boxes ed value boxes d value boxes value boxes value boxes alue boxes lue boxes ue boxes e boxes boxes b...

Page 95: ...e 1 Lift the User Interface straight up User Interface straight up 2 Place the panel on a table shelf or on a on a table shelf or on a pipe and fasten it securely by turning the g the handle of the lo...

Page 96: ...dvertent activation Raise the cover to access the Direct Access Knobs Access Knobs User Interface Accessories ser Interface Accessories er Interface Accessories r Interface Accessories Interface Acces...

Page 97: ...Interface panel cover protects the Interface panel cover protects the screen from inadvertent activation of settings and mechanical damage during transport uring transport While attached the user can...

Page 98: ...labels ent Unit Connections and labels nt Unit Connections and labels t Unit Connections and labels Unit Connections and labels Unit Connections and labels nit Connections and labels it Connections a...

Page 99: ...r ulizer 26 Inspiratory outlet Read more about the patient ead more about the patient ad more about the patient d more about the patient more about the patient more about the patient ore about the pat...

Page 100: ...atory channel also contains a safety valve fety valve 8 The patient system s expiratory tubing is ory tubing is connected to the expiratory inlet The atory inlet The inlet also contains a moisture tra...

Page 101: ...e column for the Support Arm IV pole with holder etc Arm IV pole with holder etc Two of the wheels can be locked f the wheels can be locked Read more about the Mobile ead more about the Mobile ad more...

Page 102: ...llows for positioning of the g of the Patient Unit on a shelf Support Arm 177 t Arm 177 The Support Arm can be attached on the pport Arm can be attached on the Mobile Cart Cart Humidifier Holder fier...

Page 103: ...n the n be attached on the Mobile Cart or to a separate wall clamp wall clamp Servo i Gas cylinder restrainer cylinder restrainer The Gas cylinder restrainer is mounted onto r restrainer is mounted on...

Page 104: ...break may break When a Servo Ultra Nebulizer is used Ultra Nebulizer is used always consult the drug manufacturer onsult the drug manufacturer regarding the appropriateness of ultrasonic nebulization...

Page 105: ...are re nebulized 7 Injection membrane membrane Nebulizer Holder bulizer Holder The holder can be used when the Servo Ultra Servo Ultra Nebulizer is not in use or when filling with hen filling with med...

Page 106: ...ination ute elimination CO2 and Tidal CO2 elimination VTCO2 Elimination of CO2 from the body takes place via expired he body takes place via expired gas from the lung Production of CO CO2 takes place...

Page 107: ...flow through the airway adapter in w through the airway adapter in the Capnostat sensor 2 The sensor uses a solid state and IR based optical system with no moveable ptical system with no moveable par...

Page 108: ...w sensors are at all times active as back up Their readings are compared with the Y Y Sensor measurement and the Y Sensor is disabled if there is a significant deviation or f there is a significant de...

Page 109: ...parts 1 Y Sensor module sor module 2 Connector for sensor 3 Connector 4 Y piece 5 Y Sensor 6 Endotracheal tube acheal tube SVX 9037 Y Sensor measuring Sensor measuring Sensor measuring ensor measuring...

Page 110: ...settings and stored data remain intact gs and stored data remain intact The ventilator chooses the Battery module y module powered with the highest voltage to be the be the prime module for powering...

Page 111: ...ational time left and at least one battery module ft and at least one battery module must be replaced If possible connect the he ventilator to the mains power supply The Battery status window shows st...

Page 112: ...g Pre use check The remaining Pre use check is then completed pleted Access the Battery status window to ndow to identify the Battery module to be replaced placed See Battery status window on page 111...

Page 113: ...Battery status window is displayed layed Note The total usable backup time is the me is the sum of the estimated operation time displayed for each Battery module minus 10 Battery module minus 10 minu...

Page 114: ...ry status window to ensure safe battery operation Text message xt message Remedy Check battery status Mains voltage disappears Problem with ppears Problem with battery module One or more Battery ule O...

Page 115: ...apacity If Battery modules need modules need to be stored for short periods of time one week then store them fully charged in a cool k then store them fully charged in a cool d in a cool 15 20 C and d...

Page 116: ...s contents should be handled according to national regulations hospital routines and established routines for diskettes pc cards for diskettes pc cards Basic principles nciples Data can be copied to t...

Page 117: ...o mpressor Mini is fitted with two alarms a temperature alarm that is activated ure alarm that is activated if the compressor overheats and a pressure alarm that is activated if the air pressure drops...

Page 118: ...wing conditions are fulfilled ditions are fulfilled Gas cylinders are connected with a h a sufficient amount of gas the Battery module is charged and the resuscitator is dule is charged and the resusc...

Page 119: ...ted the ventilator should be connected to the mains when not in use The Battery when not in use The Battery modules are then charged automatically dules are then charged automatically Batteries and O2...

Page 120: ...118 Servo User s manual US edition Order No 66 00 261 4 Infant Adult Universal Options Notes otes tes es s...

Page 121: ...r Servo i Servo i Servo i ervo i rvo i vo i o i i i 134 134 34 4 Preparations Y Sensor measuring reparations Y Sensor measuring eparations Y Sensor measuring parations Y Sensor measuring arations Y S...

Page 122: ...connector pple connector 14 Water trap mandatory if a heated f a heated humidifier is used 15 Nipple connector onnector 16 Humidifier Fisher Paykel must not be her Paykel must not be be active during...

Page 123: ...used 12 Nipple connector 13 3 Humidifier Fisher Paykel must not be aykel must not be active during nebulization page 127 g nebulization page 127 14 4 Patient tube heater 15 Patient tube with probe ho...

Page 124: ...d humidifier is used 10 Nipple connector 11 Humidifier Fisher Paykel must not be Fisher Paykel must not be ot be active during nebulization page 127 27 12 Patient tube heater 13 Probe housing g 14 Y S...

Page 125: ...until you hear a click click 7 Lift the locking handle 8 Push in the Patient Unit to its end position until you hear a click click Cautions The ventilator must only be used in an be used in an uprigh...

Page 126: ...ositioning helf base positioning elf base positioning lf base positioning f base positioning base positioning base positioning ase positioning se positioning e positioning positioning positioning posi...

Page 127: ...patient from the weight of the tubing system bing system Ensure the Support Arm is firmly fixed ort Arm is firmly fixed before attaching the tubing ng the tubing When moving the Support Arm or rt Arm...

Page 128: ...t it up into up into locking position a click is heard 3 Secure the docking with the security y chains Note Press the brakes to lock the wheels on the Mobile Cart before positioning the gas Mobile Car...

Page 129: ...necessary emptied Important It is recommended only to use ommended only to use original tubing from MAQUET Soft tubing AQUET Soft tubing g may negatively effect the performance of the ventilator Humi...

Page 130: ...way pressure during nebulization during nebulization Increased airway pressure could be pressure could be caused by a clogged filter The filter should he filter should be replaced if the expiratory re...

Page 131: ...e with medication dication Note that the diameter of the needle must not be more than 1 0 mm 0 mm Carefully inject the medication into the on into the medication cup through the injection membrane Mak...

Page 132: ...aning and maintenance If any malfunction is detected the Servo Ultra he Servo Ultra Nebulizer must not be used before the st not be used before the malfunction is remedied SVX 144_XX SVX 631_XX SVX 56...

Page 133: ...Main Rotary Dial 8 To accept the time press Accept SVX 554_XX Preparations Servo Ultra Nebulizer reparations Servo Ultra Nebulizer eparations Servo Ultra Nebulizer parations Servo Ultra Nebulizer ara...

Page 134: ...Nebulizer eparations Servo Ultra Nebulizer parations Servo Ultra Nebulizer arations Servo Ultra Nebulizer rations Servo Ultra Nebulizer ations Servo Ultra Nebulizer tions Servo Ultra Nebulizer ions S...

Page 135: ...erting disconnecting erting disconnecting rting disconnecting ting disconnecting ing disconnecting ng disconnecting g disconnecting disconnecting disconnecting disconnecting disconnecting isconnecting...

Page 136: ...e Silence alarm permanently y is shown Cautions The Capnostat sensor with airway adapter should be removed during nebulization uld be removed during nebulization Do not insert two CO wo CO2 Analyzers...

Page 137: ...a long term drift Therefore it is recommended to always ys check if the sensor is affected by condensed water or other fluids before uids before adjusting settings Do not insert two Y Sensor modules...

Page 138: ...negatively effect the performance of the ormance of the ventilator Read more about the Servo ead more about the Servo ad more about the Servo d more about the Servo more about the Servo more about th...

Page 139: ...eplaced if the expiratory resistance increases or every 24 hours when the very 24 hours when the nebulizer is being used g used Change filter nge filter Disconnect and change filter Every 24 hours ver...

Page 140: ...patient tubing are in use and there is a draught from an air m an air condition patient cooling fan etc that cools down the expiratory outlet xpiratory outlet To avoid problems with condensation a wit...

Page 141: ...or Note On delivery one fixed battery module xed battery module is installed Dummy modules covers the vers the other slots Extra battery modules are delivered separately parately Read more about the B...

Page 142: ...move remove remove emove move ove ve e 1 Gently pull out the slot cover and turn d turn the slot cover aside 2 Insertion rtion Insert the Ventilation record card into the slot guide Gently push the ca...

Page 143: ...e changed by the user from a from a Biomed sub menu The Biomed submenus are Service ce Edit configuration Copy configuration y configuration Set date and clock Change access code Edit a Start up confi...

Page 144: ...uctions Note It is possible to either save or restore a configuration SVX 9048 Preparations Start up configuration reparations Start up configuration eparations Start up configuration parations Start...

Page 145: ...ically compensated for date for latest check sated for date for latest check below the touch pad After the Pre use check is completed or if a Pre use check d or if a Pre use check is not performed a d...

Page 146: ...144 Servo User s manual US edition Order No 66 00 261 5 Infant Adult Universal Options Notes otes tes es s...

Page 147: ...48 8 Compensate for circuit compliance ompensate for circuit compliance mpensate for circuit compliance pensate for circuit compliance ensate for circuit compliance nsate for circuit compliance sate f...

Page 148: ...unctions are detected during the he start up procedure please refer to Chapter 10 Troubleshooting Troubleshooting If a malfunction persists the ventilator persists the ventilator may not be connected...

Page 149: ...e If the Pre use check is not performed k is not performed a dialog will appear asking if old patient related data shall be erased or kept be erased or kept Internal tests nternal tests ternal tests e...

Page 150: ...fer to page 220 220 Patient breathing system Y Sensor atient breathing system Y Sensor tient breathing system Y Sensor ient breathing system Y Sensor ent breathing system Y Sensor nt breathing system...

Page 151: ...y flow passing from the m the patient through the expiratory channel By observing the difference between the Vti and bserving the difference between the Vti and Vte values presented on the User Interf...

Page 152: ...se check the Pre use check the Pre use check he Pre use check e Pre use check Pre use check Pre use check re use check e use check use check use check se check e check check check heck eck ck k A mess...

Page 153: ...st be warm warm before calibration can begin Values displayed during warm up have reduced ced accuracy If calibration is needed the operator will be notified with a message will be notified with a mes...

Page 154: ...ell zeroing verification against reference cell and adapter zeroing Note The verification calibration is bration is recommended A verification should always uld always be performed when the airway ada...

Page 155: ...zero zero cell Note For information about CO2 calibration error messages refer to page 221 ssages refer to page 221 SVX 5078_XX Calibration CO Calibration CO alibration CO libration CO ibration CO br...

Page 156: ...out CO ut CO2 calibration error messages refer to page 221 fer to page 221 Read more about the CO ead more about the CO ad more about the CO d more about the CO more about the CO more about the CO ore...

Page 157: ...155 Servo User s manual US edition Order No 66 00 261 Infant Adult Universal Options 6 Notes otes tes es s...

Page 158: ...156 Servo User s manual US edition Order No 66 00 261 6 Infant Adult Universal Options Notes otes tes es s...

Page 159: ...ttings onal settings nal settings al settings l settings settings settings ettings ttings tings ings ngs gs s 167 167 67 7 Initial settings Additional values nitial settings Additional values itial se...

Page 160: ...ave been processed in auxiliary y equipment must not be used as a substitute for therapeutic or diagnostic herapeutic or diagnostic decisions Such decisions can be made made only by staff with medical...

Page 161: ...continues to charge when connected to the mains when connected to the mains refer to page 88 88 2 Press Yes to perform a Pre use check k and follow the on line instructions Refer to page 145 page 145...

Page 162: ...n determines default values alarm limits and operating ranges Note The factory default values may have been changed in the Start up Configuration onfiguration Initial settings Type of ventilation niti...

Page 163: ...ng patient category Changing patient category ory In running mode 1 Press on the Menu pad 2 Press the Change patient category ge patient category pad 3 Press Yes to continue or 4 Press No to stop Note...

Page 164: ...to cancel the information mation press Cancel Important For Adult the weight is in kilograms and for d for Infant the weight is in grams Copy patient data before you enter a new py patient data befor...

Page 165: ...ore about NIV d more about NIV more about NIV more about NIV ore about NIV re about NIV e about NIV about NIV about NIV bout NIV out NIV ut NIV t NIV NIV NIV IV V NIV ventilation page 61 ge 61 Alarms...

Page 166: ...about ventilation more about ventilation ore about ventilation re about ventilation e about ventilation about ventilation about ventilation bout ventilation out ventilation ut ventilation t ventilati...

Page 167: ...arms rms ms s 1 Silence or pre silence Audio pause alarms for two minutes ms for two minutes 2 The Alarm Audio pause dio pause symbol is then shown the remaining time The high remaining time The high...

Page 168: ...signal and an advisory message When you come to a safety limit the knob is b is inactive during 2 seconds This is a safety his is a safety precaution intended to make you aware of ware of that you ha...

Page 169: ...mits advisory warning advisory warning accompanied by an audible signal and by an audible signal and an advisory message 6 Values are adjusted by turning the Main Main Rotary Dial 7 The waveforms and...

Page 170: ...e of additional values is shown In Nasal CPAP there is s is shown In Nasal CPAP there is no additional value page available dditional value page available SVX 5092_EN Initial settings nitial settings...

Page 171: ...r displayed waveforms auto scale is possible ble 1 Press the fixed key Quick access 2 Activate Scales 3 Press the touch pad for desired for desired waveform or sweep speed 6 10 or 20 20 mm s 4 Turn th...

Page 172: ...ncel pad will close down the Suction Support program gram Preparation phase paration phase The user has 120 seconds for preparation ds for preparation before the ventilator automatic returns to ventil...

Page 173: ...tion record tilation record card Note Copy screen only possible if a Ventilation record card is inserted Operating Saving data perating Saving data erating Saving data rating Saving data ating Saving...

Page 174: ...Press the Review pad 3 Press the Recorded waveform orded waveform pad 4 Vertical grey lines indicates the time when the Save key was pressed key was pressed 5 Measured calculated values are shown ted...

Page 175: ...Insert the Ventilation record card Refer to page 140 ge 140 1 Press the fixed key Menu 2 Press the Copy y pad 3 Press the Copy screen pad Insert the Ventilation record card Refer to cord card Refer to...

Page 176: ...efer to d card Refer to page 140 Read more about the ead more about the ad more about the d more about the more about the more about the ore about the re about the e about the about the about the bout...

Page 177: ...n Lung Tool to change g Tool to change 3 Activate Cursor to be able to analyze the ze the stored breath by breath data This may assist in identifying opening and g opening and collapse pressures of th...

Page 178: ...o 4 Note Out of range values will be lues will be indicated by a flashing set max value x value 5 For more information about Open Lung pen Lung Tool refer to page 65 Operating Open Lung Tool scales pe...

Page 179: ...ng ventilation By y activating this function the measured O O2 concentration will be adapted in relation to the set O2 concentration This adjustment This adjustment will only be valid until the ventil...

Page 180: ...line instructions Note Refer to page 145 for information about the Pre use check ut the Pre use check WARNING A Pre use check must always be done be done before connecting the ventilator to a patient...

Page 181: ...vent log refer to page 180 80 View configuration refer to page 184 ation refer to page 184 6 Options refer to page 151 51 7 Circuit compliance compensation e compensation refer to pages 86 149 229 49...

Page 182: ...t log nt log t log log log og g 1 Press the fixed key y Menu 2 Press the Review w pad 3 Press the Event log pad to view all w all logged events 4 Use the arrows to scroll list Monitoring Event log oni...

Page 183: ...e trend window press the pad Close 6 Use the Hours button to alter the resolution on the time axis alter with the Main Rotary Dial 7 When activating the en activating the Cursor a vertical cursor line...

Page 184: ...ress the fixed key Quick access ess 2 Press the Loops pad 3 Press Reference loop to store a reference loop Time for the reference loop is shown above the pad bove the pad 4 Press Overlay loops to see...

Page 185: ...e ventilator is on when the ventilator is running on external 12V DC DC Caution When external 12 V DC is used at V DC is used at least one installed Battery module is required module is required to en...

Page 186: ...s Invasive ventilation Infant alarm limits Displayed values NIV adult alarm limits NIV adult alarm limits NIV infant alarm limits Start up Configuration Configuration SVX 9015_XX Monitoring View confi...

Page 187: ...between ween spontaneous expired minute volume and total expired minute volume only y applicable in Bi Vent MVi Inspiratory Minute Volume ory Minute Volume MVe Expiratory Minute Volume Leakage Leakag...

Page 188: ...g nebulization during nebulization Increased airway pressure could be pressure could be caused by a clogged filter The filter should he filter should be replaced if the expiratory resistance increases...

Page 189: ...r with wn as a bar with the remaining nebulizing time Press the Nebulizer pad to change the time or me or cancel the operation Read more about the Servo ead more about the Servo ad more about the Serv...

Page 190: ...ured 1 Disconnect the patient 2 Press Standby 3 Press on the Yes pad to stop ventilation pad to stop ventilation 4 Set the ventilator to Off ff Use the On Off switch on the rear side to turn the venti...

Page 191: ...189 9 Servo User s manual US edition Order No 66 00 261 Infant Adult Universal Options 7 Notes otes tes es s...

Page 192: ...190 Servo User s manual US edition Order No 66 00 261 7 Infant Adult Universal Options Notes otes tes es s...

Page 193: ...not recommended cedure not recommended edure not recommended dure not recommended ure not recommended re not recommended e not recommended not recommended not recommended not recommended ot recommend...

Page 194: ...Y Sensor can be sterilized before use use by EtO or radiation using normal hospital mal hospital procedures When handling any part of the Servo i g any part of the Servo i Ventilator System always fol...

Page 195: ...s make sure that g always make sure that the cassette is dry If not the cassette may not the cassette may fail the Pre use check Never dry the cassette by applying high pressure air Internal tubing ma...

Page 196: ...dical dish disinfector when an external bacterial filter has been used used Refer to page 199 D2 Disinfecting with medical dish h medical dish disinfector when no external bacterial bacterial filter...

Page 197: ...bacterial filter has been used bacterial filter has been used Refer to page 201 01 Autoclaving reduces the lifetime of reduces the lifetime of of the expiratory cassette cassette Sterilization of the...

Page 198: ...fluid into the Expiratory cassette compartment Avoid contact with mpartment Avoid contact with electrical connectors s Important The Expiratory cassette is a precision instrument and must be handled c...

Page 199: ...ment it is recommended to regularly check that the filter looks clean i e gularly check that the filter looks clean i e black If dusty it can be removed snap off If dusty it can be removed snap off sn...

Page 200: ...been used has been used has been used as been used s been used been used been used een used en used n used used used sed ed d Important When ServoGuard filter or When ServoGuard filter or or equivalen...

Page 201: ...le Rinse before disinfection re disinfection Rinse the parts thoroughly in water Let the water Let the water flow through the parts Rinse the expiratory cassette with water 35 xpiratory cassette with...

Page 202: ...fectant Let the water flow through the parts parts Rinse the expiratory cassette by dip it in dip it in water and carefully shake and tilt the cassette holding it vertically in both y in both directio...

Page 203: ...tively y cassette may be negatively affected Before placing the Expiratory cassette in ore placing the Expiratory cassette in an autoclave make sure that no water make sure that no water remains insid...

Page 204: ...ubing Autoclave Instrument parts should be autoclaved in a validated process at a temperature of 134 f 134 C 273 F Typically 4 minutes at 134 C cally 4 minutes at 134 C 273 F 273 F Rubber parts should...

Page 205: ...ly the expiratory cassette does not have to be dried after sterilization as ve to be dried after sterilization as most steam autoclaves have a drying phase ying phase in the end of the autoclave cycle...

Page 206: ...g handle 4 Push back the unit until you hear a the unit until you hear a click Caution The Expiratory cassette must be ssette must be pressed all the way down into its bottom position Make sure that t...

Page 207: ...m a function test of the Servo Ultra orm a function test of the Servo Ultra Nebulizer after the cleaning Refer to page 130 The medication cup must not be disposed on cup must not be disposed of with o...

Page 208: ...n a medical T piece and nipples in a medical dish disinfector at a maximum temperature um temperature of 85 95 C 185 203 F 203 F Important Do not put the nebulizing zing chamber in a medical dish disi...

Page 209: ...parations arations rations ations tions ions ons ns s 1 Disconnect the Capnostat sensor and airway adapter from the ventilator y adapter from the ventilator Wiping iping ping ing ng g Wipe the adapter...

Page 210: ...dult adapter can be sterilized using pter can be sterilized using either Steam or ETO ethylene oxide gas m or ETO ethylene oxide gas gas methods The Neonate adapter can be sterilized r can be steriliz...

Page 211: ...209 Servo User s manual US edition Order No 66 00 261 Infant Adult Universal Options 8 Notes otes tes es s...

Page 212: ...210 Servo User s manual US edition Order No 66 00 261 8 Infant Adult Universal Options Notes otes tes es s...

Page 213: ...iratory channel tended cleaning of Inspiratory channel ended cleaning of Inspiratory channel nded cleaning of Inspiratory channel ded cleaning of Inspiratory channel ed cleaning of Inspiratory channel...

Page 214: ...aykel Humidifier her Paykel Humidifier er Paykel Humidifier r Paykel Humidifier Paykel Humidifier Paykel Humidifier Paykel Humidifier Paykel Humidifier aykel Humidifier ykel Humidifier kel Humidifier...

Page 215: ...vere burns to the skin and eyes In case of In case of contact immediately flush continuously with water for at least 15 minutes and seek 15 minutes and seek medical attention especially if the eyes ar...

Page 216: ...he ventilator to he ventilator to off by pressing the button at the back of k of the screen 2 Disconnect the ventilator from the mains and gas supply d gas supply 3 Lift the locking handle and pull ou...

Page 217: ...Lower the locking catch 2 Lift the O ft the O2 cell 3 Remove and discharge the bacteria filter scharge the bacteria filter Hazardous waste us waste infectious The filter must not be disposed must not...

Page 218: ...er and rubber seal filter and rubber seal ilter and rubber seal lter and rubber seal ter and rubber seal er and rubber seal r and rubber seal and rubber seal and rubber seal nd rubber seal d rubber se...

Page 219: ...ne ne e A faulty injection membrane on the Servo membrane on the Servo Ultra Nebulizer Servo i may cause system zer Servo i may cause system leakage and must be replaced nd must be replaced Replacemen...

Page 220: ...he expiration cassette 2 Loosen the screw 3 Lift off the cover SVX 589_XX SVX 254_XX Extended cleaning of Inspiratory channel xtended cleaning of Inspiratory channel tended cleaning of Inspiratory cha...

Page 221: ...tor and lift the O2 cell If an O f an O an O an O n O O O2 sensor is installed sensor is installed ensor is installed nsor is installed sor is installed or is installed r is installed is installed is...

Page 222: ...atory channel t the Inspiratory channel the Inspiratory channel the Inspiratory channel he Inspiratory channel e Inspiratory channel Inspiratory channel Inspiratory channel nspiratory channel spirator...

Page 223: ...the locking catch If an O f an O an O an O n O O O2 sensor is used sensor is used ensor is used nsor is used sor is used or is used r is used is used is used s used used used sed ed d 1 Put the O2 se...

Page 224: ...ft the locking handle and 5 push back the unit until you hear a sh back the unit until you hear a click After assembling fter assembling Note on a log sheet that a extended g sheet that a extended cle...

Page 225: ...223 Servo User s manual US edition Order No 66 00 261 Infant Adult Universal Options 9 Notes otes tes es s...

Page 226: ...224 Servo User s manual US edition Order No 66 00 261 9 Infant Adult Universal Options Notes otes tes es s...

Page 227: ...libration error messages nalyzer Calibration error messages alyzer Calibration error messages lyzer Calibration error messages yzer Calibration error messages zer Calibration error messages er Calibra...

Page 228: ...Expiratory cassette Perform a Pre use check if a new new Expiratory cassette is inserted Expiratory Minute Volume High lume High Preset or default alarm limit exceeded Increased patient activity Vent...

Page 229: ...er If the problem f the problem still remains contact a service technician No battery capacity Less than 3 minutes left of battery operation Connect to mains Insert charged Battery modules Recharge Ba...

Page 230: ...k If the problem still remains take the unit out of operation and contact a service technician Safety valve test failed y valve test failed During Pre use check the system found failures during the ch...

Page 231: ...ct this problem to avoid triggering the ggering the Low Expiratory Minute alarm If the leakage Minute alarm If the leakage still persists adjust the alarm limit right down djust the alarm limit right...

Page 232: ...is removed from the moved from the Capnostat or when there is an optical blockage on the windows of ge on the windows of the airway adapter May also be caused when changed the adapter type without pe...

Page 233: ...rventilation Leakage with high h high bias flow CO2 sensor Y piece HME Check patient circuit Ventilator settings gs Exp cassette exchanged Expiratory cassette has been exchanged during operation No Pr...

Page 234: ...set or default alarm limit for three consecutive breaths Note Setting the alarm to 0 zero is equal to alarm off Leakage in patient breathing kage in patient breathing system Leakage at patient connect...

Page 235: ...If the error persists it is probably hardware related Change bably hardware related Change module Contact a service technician Y Sensor Module temp p high Possible hardware error The Y Sensor module...

Page 236: ...d Screen or knob has been pressed pressed for more than one minute Screen or knob hardware time out Check screen and knobs If the problem still remains contact a service technician Low priority alarms...

Page 237: ...he message will be ge will be shown if The battery option is installed and the battery capacity is less than 10 minutes or 0 minutes or The test could not be completed due to a missing gas Note The ve...

Page 238: ...pecified range Check that the connected gas supply pressure Air and O Air and O2 is within the specified range Internal leakage test Checks the internal leakage with test tube connected using the insp...

Page 239: ...transducers If the Internal leakage test passed ge test passed see above Check replace Insp or Exp nsp or Exp pressure transducer Check that there is no excess water in the expiratory cassette Refer...

Page 240: ...ng the verification calibration adapter zero The airway adapter is occluded or CO O2 gas is present in the adapter The calibration was cancelled and old cell zero parameters were not restored meters w...

Page 241: ...ted Restart the ventilator and perform a form a Pre use check If the problem still remains take the unit out of operation and contact a service technician Technical error no 38 39 Barometer failures C...

Page 242: ...240 Servo User s manual US edition Order No 66 00 261 10 0 Infant Adult Universal Options Notes otes tes es s...

Page 243: ...a Nebulizer tra Nebulizer ra Nebulizer a Nebulizer Nebulizer Nebulizer ebulizer bulizer ulizer lizer izer zer er r 246 246 46 6 CO O2 Analyzer Servo Analyzer Servo nalyzer Servo alyzer Servo lyzer Ser...

Page 244: ...0Hz Battery backup 2 6 battery modules rechargable 12 V 3 5 odules rechargable 12 V 3 5 Ah each Recharge time approximately 3 h battery y 3 h battery Battery backup time approximately 3 h when using 6...

Page 245: ...Inaccuracy 6 2 Infant Setting range 0 3 20 l min Inaccuracy 6 3 Inspiratory Tidal Volume Adult Setting range 100 2000 4000 ml 4000 ml Inaccuracy 7 4 Infant Setting range 5 350 ml Inaccuracy 6 5 Expira...

Page 246: ...tidal carbon dioxide concentration etCO2 end tidal carbon dioxide concentration 25 Audio pause Alarm silence reset dio pause Alarm silence reset 2 minute silence and reset of latched alarms Ventilati...

Page 247: ...way Pressure CPAP Spontaneous breaths per minute RRspont Breathing frequency frequency RR Spontaneous Exp Minute Volume MVe sp Inspired Minute Volume MVi Expired Minute Volume MVe Leakage fraction Lea...

Page 248: ...oximately 5000 5000 hours of operation The current operating time is presented under the Status menu on the user interface Battery modules must be replaced after 3 years Original parts from MAQUET mus...

Page 249: ...ssure of 1013hPa ssure of 1013hPa Measuring range 0 to 100 mmHg CO2 partial pressure 0 to 13 3 kPa CO2 partial pressure 0 to 13 2 CO CO2 volume at a barometric pressure of 1013hPa Accuracy 0 to 40 mmH...

Page 250: ...240mm Holder Servo older Servo lder Servo der Servo er Servo r Servo Servo Servo ervo rvo vo o i Weight 3 5 kg Dimensions W 159 mm x L 247 mm x H 352 mm Shelf base Servo helf base Servo elf base Serv...

Page 251: ...4 1 1 10 4 1 Inspiratory cycle off of peak flow 30 30 30 30 1 70 1 70 1 70 1 70 Inspiratory cycle off of peak flow in NIV 30 50 30 50 10 70 10 70 10 70 10 70 Inspiratory rise time me 5 5 5 5 0 20 0 2...

Page 252: ...PEEP PS above Phigh cmH2O 0 0 0 0 0 80 PHigh 0 120 PHigh 0 80 PHigh 0 120 PHigh SIMV frequency uency b min 20 5 20 5 1 60 1 60 1 60 1 60 Thigh s 1 2 1 2 0 2 10 0 2 10 0 2 10 0 2 10 Ti s 0 5 0 9 0 5 0...

Page 253: ...gs fault values and parameter settings ault values and parameter settings ult values and parameter settings lt values and parameter settings t values and parameter settings values and parameter settin...

Page 254: ...larm to 0 zero is equal to alarm off 10 10 10 10 0 47 0 47 0 47 0 47 etCO2 lower limit 4 0 4 0 4 0 4 0 0 5 20 0 5 20 0 5 20 0 5 20 mmHg Hg 30 30 30 30 4 100 4 100 4 100 4 100 kPa 4 0 4 0 4 0 4 0 0 5 1...

Page 255: ...ower limit l min 2 0 5 0 2 0 5 0 0 01 20 0 0 5 40 0 0 01 20 0 0 5 40 0 Expired minute volume upper limit l min 5 0 40 0 5 0 40 0 0 01 30 0 0 5 60 0 0 01 30 0 0 5 60 0 Respiratory frequency lower limit...

Page 256: ...254 54 Servo User s manual US edition Order No 66 00 261 11 1 Infant Adult Universal Options Notes otes tes es s...

Page 257: ...ion tion Minute Volume Volume per minute or target volume l MVe expiratory Minute Volume y Minute Volume MVe sp sp Spontaneous expiratory minute xpiratory minute volume MVe sp MVe The relation between...

Page 258: ...s breathing Tidal Volume Volume per breath or target volume ml Thigh Time at Phigh level in Bi Vent s Bi Vent s TPEEP EEP Time at PEEP level in Bi Vent s Flow w CO2 CO2 Minute elimination leak Leakage...

Page 259: ...257 Servo User s manual US edition Order No 66 00 261 Infant Adult Universal Options 12 2 Notes otes tes es s...

Page 260: ...258 Servo User s manual US edition Order No 66 00 261 12 2 Infant Adult Universal Options Notes otes tes es s...

Page 261: ...access key uick access key ick access key ck access key k access key access key access key ccess key cess key ess key ss key s key key key ey y 266 266 66 6 Main Screen key ain Screen key in Screen ke...

Page 262: ...fixed keys There is a There is a Main Rotary Dial fixed keys and Direct xed keys and Direct Access Knobs which allow immediate obs which allow immediate adjustments Data can be shown as wave ve forms...

Page 263: ...alarm messages 4 Fixed keys 5 Waveform area orm area 6 Measured value boxes 7 Main Rotary Dial n Rotary Dial 8 Special function keys unction keys 9 Direct Access Knobs bs 10 Mains indicator green 11...

Page 264: ...selecting on screen ns of selecting on screen elements and changing values by turning and y turning and pressing The Main Rotary Dial can be turned Rotary Dial can be turned 1 either clockwise or cou...

Page 265: ...s dered safe limits 3 If the bar turns yellow the setting is too w the setting is too low or too high compared to what are generally considered safe limits y considered safe limits advisory informatio...

Page 266: ...keys d keys keys keys eys ys s Note Autoset is not possible in NIV The Save key can be used either to copy screen or save one recording 10 s before and 10 s after pressing the key Note In NIV the alar...

Page 267: ...Expiratory hold is activated by manually pressing the fixed key The maximum time is 30 seconds The inspiratory and expiratory valves close after expiration This function can provide an exact measurem...

Page 268: ...the patient from the ventilator and turning off the alarms for apnea minute volume frequency alarm check tubing EtCO2 low PEEP during suction support Note Suction Support is not available when NIV or...

Page 269: ...ey ain Screen key in Screen key n Screen key Screen key Screen key creen key reen key een key en key n key key key ey y Main screen Main screen The Main screen fixed key will return you to the Main sc...

Page 270: ...Note Autoset is not possible in NIV Note In NIV the alarm sound can be permanently silenced Audio off Alarm profile setup Possible selections Pressure upper Minute Volume lower and upper Respiratory...

Page 271: ...orms event log or configuration Copy data event log recordings trends OLT data Start up configuration to PC card Copy screen to PC card Note Autoset is not possible in NIV Note In NIV the alarm sound...

Page 272: ...de enu Standby mode nu Standby mode u Standby mode Standby mode Standby mode Standby mode tandby mode andby mode ndby mode dby mode by mode y mode mode mode ode de e Enter code 1973 to access the Biom...

Page 273: ...h pads h pads pads pads ads ds s CO Module 2 SVX 579_EN Note In NIV only one page is available NIV Backup This pad is only visible during NIV Pressure Support mode the bar is white when the pressure t...

Page 274: ...272 Servo User s manual US edition Order No 66 00 261 13 3 Infant Adult Universal Options Notes otes tes es s...

Page 275: ...2 Analyzer cleaning Analyzer cleaning 207 Disinfection procedures dures 199 Drying 202 203 Nebulizer cleaning cleaning 205 Preparation 196 Sterilization procedures dures 201 CO2 Analyzer Calibration o...

Page 276: ...rm 270 NIV Nasal CPAP range CPAP range 4 NIV rate 78 Non Invasive Ventilation ive Ventilation 61 73 163 Non operating conditions 242 O O2 breaths 30 O2 cell 177 213 216 O2 cell adaptation ptation 177...

Page 277: ...ty alarms dium priority alarms 230 Pre use check messages k messages 235 236 Technical errors 239 Type of ventilation ype of ventilation 160 U Universal range 4 User Interface 87 88 89 93 259 User s m...

Page 278: ...276 Servo User s manual US edition Order No 66 00 261 14 4 Infant Adult Universal Options Notes otes tes es s...

Page 279: ......

Page 280: ...parameters us parameters 7 Fixed keys for immediate access to keys for immediate access to special windows windows 8 The Main Rotary Dial Rotary Dial 9 Special function keys for immediate cial functio...

Page 281: ...User s manual US edition Order No 66 00 261 Infant Adult Universal Options Turn page according to picture above ding to picture above bove for more information about the User he User Interface SVX 70...

Page 282: ...quipment services and tech h nologies are supplied under the brands ARJO for patient hygiene patient handling and wound care GETINGE for infection control and prevention within healthcare and life sci...

Page 283: ...VENTILATOR SYSTEM V 3 0 USER S MANUAL US VERSION SERVO i...

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