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Maquet SERVO-i, User Manual

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Maquet SERVO-i User Manual Download Page 14

14

MCV00020395 REVA

CONTROLLED MODES

1.

Tidal Volume (ml) 

2.

Respiratory Rate (b/min)

3.

PEEP (cmH

2

O)

4.

Oxygen concentration (%)

5.

I:E ratio / Insp. time

6.

Pause time (s)

7.

Inspiratory rise time (s)

8.

Trigg. Flow / Trigg. Pressure

Volume Control — vent settings:

CONTROLLED MODES OF VENTILATION

Summary of Contents for SERVO-i

Page 1: ...1 MCV00020395 REVA THE ABCs OF VENTILATOR MODES MCV00020395 REVA MCV00020395 REVA VENTILATOR MONITOR DISPLAY...

Page 2: ...2 MCV00020395 REVA VENTILATOR PARAMETERS MCV00020395 REVA MCV00020395 REVA VENTILATION PARAMETERS...

Page 3: ...ventilator delivers Ventilator can provide all patient s ventilation or patient may be able to breath spontaneously between ventilator breaths May titrate adjust rate to control carbon dioxide CO2 lev...

Page 4: ...al volume Tidal Volume TV MCV00020395 REVA VENTILATOR PARAMETERS Devine Men 50 kg 2 3 height in 60 Women 45 5 kg 2 3 height in 60 Robinson Men 52 kg 1 9 kg for each inch over 5 ft Women 49 kg 1 7 kg f...

Page 5: ...ATOR PARAMETERS MCV00020395 REVA VENTILATOR PARAMETERS Volume of gas the ventilator will deliver to the patient in one minute Minute volume respiratory rate x tidal volume Example RR 10 x 600 ml TV 6...

Page 6: ...amount of oxygen ventilator delivers Expressed as a percentage room air is 21 FiO2 varies widely depending on patient s condition Arterial blood gases and pulse oximetry values will help determine FiO...

Page 7: ...0395 REVA VENTILATOR PARAMETERS PEEP maintains small end expiratory pressure to help prevent alveolar collapse and improve oxygenation Most patients are started on 5 cmH2O of PEEP Range on SERVO i 0 t...

Page 8: ...0395 REVA VENTILATOR PARAMETERS Definition Reflects airway resistance and lung compliance work required to move air through airways and into alveoli Elevated with either increased resistance or decrea...

Page 9: ...OR PARAMETERS MCV00020395 REVA VENTILATOR PARAMETERS Method or way a breath is delivered Mode of ventilation should be tailored to needs of the patient Controlled mode Supported spontaneous mode Combi...

Page 10: ...10 MCV00020395 REVA VENTILATOR PARAMETERS MCV00020395 REVA MCV00020395 REVA CATEGORIES OF VENTILATION MODES...

Page 11: ...SIMV PC PS SIMV PRVC PS Bi vent MCV00020395 REVA CATEGORIES OF VENTILATION MODES Controlled modes Every breath delivered to patient is a mechanical breath breath may be triggered by a timing mechanism...

Page 12: ...CV00020395 REVA MCV00020395 REVA CONTROLLED MODES MCV00020395 REVA CONTROLLED MODES Every breath delivered to patient is a mechanical breath breath may be triggered by a timing mechanism or patient ef...

Page 13: ...NTROLLED MODES A minute or tidal volume is preset Breaths are delivered at a preset frequency rate Pressure is variable throughout the delivered breath Flow is constant throughout the breath Volume Co...

Page 14: ...ES 1 Tidal Volume ml 2 Respiratory Rate b min 3 PEEP cmH2O 4 Oxygen concentration 5 I E ratio Insp time 6 Pause time s 7 Inspiratory rise time s 8 Trigg Flow Trigg Pressure Volume Control vent setting...

Page 15: ...5 REVA CONTROLLED MODES Part or portion of the ventilatory cycle necessary for inspiration Setting 0 1 to 5 00 sec Maintain an I E of 1 2 or greater 1 3 1 4 etc Ti Inspiratory Time CONTROLLED MODES OF...

Page 16: ...16 MCV00020395 REVA CONTROLLED MODES Time for no flow or pressure delivery Setting 0 0 to 30 or 0 00 to 1 50 sec T pause CONTROLLED MODES OF VENTILATION...

Page 17: ...Pressure Control Volume Control PRVC SIMV Volume Control SIMV Pressure Control SIMV PRVC Setting can be in the range 0 to 20 of the respiratory cycle time Inspiratory Rise Time set in seconds is appli...

Page 18: ...le as this enables the patient to breathe with less effort The higher the number above 0 the more sensitive the ventilator is to patient efforts The sensitivity is set as high as possible without self...

Page 19: ...pressure level is preset Breaths are delivered at a preset frequency rate Pressure is constant throughout the delivered breath Tidal and minute volume are variable Flow is variable throughout the bre...

Page 20: ...395 REVA CONTROLLED MODES 1 PC Pressure Control level above PEEP cmH2O 2 Respiratory Rate b min 3 PEEP cmH2O 4 Oxygen concentration 5 I E ratio Insp time 6 Inspiratory rise time s Pressure Control ven...

Page 21: ...tory pressure level for each mandatory breath Setting Infant range is 0 to 80 cmH2O Adult range is 0 to 120 cmH2O PC Pressure Control level above PEEP cmH2O MCV00020395 REVA CONTROLLED MODES P CMV PCV...

Page 22: ...Control In this mode we attempt to obtain best of both volume and pressure control PRVC regulates pressure to changing compliance of lungs to adjust inspiratory flow and pressure to maintain a set ti...

Page 23: ...95 REVA MCV00020395 REVA CONTROLLED MODES 1 Tidal Volume 2 Respiratory Rate b min 3 PEEP cmH2O 4 Oxygen concentration 5 I E ratio Insp time 6 Inspiratory rise time s 7 Trigg Flow Trigg Pressure PRVC v...

Page 24: ...24 MCV00020395 REVA CONTROLLED MODES Adaptive Pressure Ventilation CMV PRVC A C Autoflow Volume Control Plus VC Similar names for PRVC MCV00020395 REVA MCV00020395 REVA SUPPORTED SPONTANEOUS MODE...

Page 25: ...r MCV00020395 REVA SPONTANEOUS SUPPORTED MODES Pressure Support is a patient initiated breathing mode in which ventilator supports patient effort Provides a small amount of pressure during inspiration...

Page 26: ...mH2O 2 PEEP cmH2O 3 Oxygen concentration 4 Inspiratory rise time s 5 Trigg Flow Trigg Pressure 6 Inspiratory Cycle off Backup Ventilation 1 PC pressure control level above PEEP cmH2O in backup ventila...

Page 27: ...27 MCV00020395 REVA MCV00020395 REVA SPONTANEOUS SUPPORTED MODES Assisted Spontaneous Breathing Spontaneous Mode Pressure Support Ventilation Similar names for Pressure Support CPAP...

Page 28: ...pport is supplied when activated by patient effort Volume is continuously monitored and inspiratory pressure automatically adjusts to maintain targeted tidal volume Patient determines frequency Pressu...

Page 29: ...ygen concentration 4 Inspiratory rise time s 5 Trigg Flow Trigg Pressure 6 Inspiratory Cycle off Backup Ventilation 1 Tidal Volume in backup ventilation 2 Resp Rate b min in backup ventilation 3 I E T...

Page 30: ...athing mode Breathing support is triggered by the electrical activity of the diaphragm Edi Patient controls the respiratory rate inspiratory time and the tidal volume with assist from the ventilator O...

Page 31: ...20395 REVA SPONTANEOUS SUPPORTED MODES NAVA ventilation delivers ventilatory assist in proportion and synchronized to the patient s Edi the electrical activity of the diaphragm NAVA objectives MCV0002...

Page 32: ...32 MCV00020395 REVA 64 MCV00020395 REVA SPONTANEOUS SUPPORTED MODES No other vendor has a similar mode Similar names for NAVA...

Page 33: ...33 MCV00020395 REVA MCV00020395 REVA COMBINATION MODES MCV00020395 REVA COMBINATION MODES Combination of both controlled and supported...

Page 34: ...on Volume Control Pressure Support Mandatory breaths are Volume Control breaths controlled Spontaneous breaths are pressure support supported Ventilator provides mandatory breaths which are synchroniz...

Page 35: ...concentration 5 I E ratio Insp time 6 Pause time s 7 Inspiratory rise time s 8 Breath cycle time s 9 Trigg Flow Trigg Pressure 10 Inspiratory Cycle off Supported Breath 1 PS Pressure Support above PEE...

Page 36: ...Pressure Control Pressure Support Mandatory breaths are pressure control breaths controlled Spontaneous breaths are pressure support supported Ventilator provides mandatory breaths which are synchron...

Page 37: ...2O 4 Oxygen concentration 5 I E ratio Insp time 6 Inspiratory rise time s 7 Breath cycle time s 8 Trigg Flow Trigg Pressure 9 Inspiratory Cycle off Supported Breath 1 PS Pressure Support above PEEP fo...

Page 38: ...essure Regulated Volume Control Pressure Support Mandatory breaths are PRVC breaths controlled Spontaneous breaths are pressure support supported Ventilator provides mandatory breaths which are synchr...

Page 39: ...des MCV00020395 REVA COMBINATION MODES Bi Vent description Pressure controlled breathing that allows the patient the opportunity of unrestricted spontaneous breathing Two pressure levels are set toget...

Page 40: ...re level cmH2O 3 Oxygen concentration 4 Time at the higher pressure THigh level s 5 Time at the lower pressure TPEEP level s 6 Inspiratory rise time s 7 Trigg Flow Trigg Pressure Supported Breath 1 Pr...

Page 41: ...41 MCV00020395 REVA MCV00020395 REVA COMBINATION MODES APRV BiLevel BiPhasic DuoPAP Similar names for Bi Vent...

Page 42: ...PS Bi Vent MCV00020395 REVA MAQUET would like to thank for participating in today s Web Seminar In order to receive your certificate please complete the evaluation online http maquet training no com...

Page 43: ...User s manual VENTILATOR SYSTEM SERVO i V3 0...

Page 44: ......

Page 45: ...igurations 4 1 4 About this Manual 6 2 System Overview 7 2 1 Ventilator 7 2 2 User Interface 8 2 2 1 User Interface Components 8 2 2 2 User Interface Diagram 9 2 2 3 User Interface Symbols 10 2 3 Navi...

Page 46: ...tart up Configuration 31 4 5 Entering Patient Data 34 4 6 Setting Ventilation Mode 35 4 7 Setting Alarm Limits 36 4 8 Starting Ventilation 37 4 8 1 Starting Invasive Ventilation 37 4 8 2 Starting Noni...

Page 47: ...a Previous Ventilation Mode 56 6 2 3 Special Functions 56 6 2 4 Backup Ventilation 57 6 3 Breathing Parameters 57 7 Alarms 61 7 1 Introduction 61 7 1 1 Alarm Output Connection Option 61 7 1 2 Visual A...

Page 48: ...9 3 Medium Priority Alarms 78 9 4 Low Priority Alarms 81 9 5 Pre Use Check Messages General 82 9 6 Pre Use Check Messages Specific 83 9 7 CO2 Analyzer Calibration Error Messages 85 9 8 Technical Error...

Page 49: ...cation Interface 92 10 14 Servo Ultra Nebulizer 92 10 15 CO2 Analyzer 93 10 16 Y Sensor Measuring 94 10 17 Accessories 94 10 18 Breathing Parameters Default Values Allowed Settings Standard Configurat...

Page 50: ...vi...

Page 51: ...system and have experience with ventilation treatment 1 1 5 Intended Use Environment The Servo i Ventilator System should be used only in hospitals in facilities whose primary purpose is to provide he...

Page 52: ...ctions and safety features of the Servo i Ventilator System It is not all inclusive and should not be construed as a substitute for training Always perform a Pre use Check before connecting the ventil...

Page 53: ...ses used in the system must conform to the following standards for concentrations of water vapor and oil Air H2O 7 g m3 Oil 0 5 mg m3 Oxygen H2O 20 mg m3 The system is not intended to be used with any...

Page 54: ...tions The Main Rotary Dial and Direct Access Knobs become inoperative for 2 seconds when the user reaches a defined safety limit for the parameter being adjusted Table 1 1 shows the patient weight ran...

Page 55: ...Vent t t t t CO2 Analyzer t t t t NIV Non Invasive Ventilation t t t t Nasal CPAP t t t Open Lung Tool t t t Pressure Control t Pressure Support PRVC Pressure Reg Volume Control t t t SIMV PC Pressure...

Page 56: ...by the ventilator Provides procedures for saving and recording data Chapter 6 Ventilation Modes Lists all available ventilation modes along with important reminders applicable to each mode Lists sett...

Page 57: ...edback system in the Patient Unit The ventilator responds to a difference between the actual measured value of a parameter and the preset or calculated value by adjusting gas delivery to achieve the t...

Page 58: ...g parameters 11 AC Power indicator green 12 Standby indicator yellow 13 Start Stop Standby ventilation key 14 On Off switch rear side 15 Slot for Ventilation Record Card 16 Luminescence detector for a...

Page 59: ...9 Servo User s manual English edition Order No 65 14 892 E313E Infant Adult Universal Options 2 2 2 User Interface Diagram...

Page 60: ...mbol appears in the Mode pad field during Non Invasive Ventilation 2 3 Navigating the User Interface The following subsections provide general procedures for working with the user interface More detai...

Page 61: ...t to activate your settings or Cancel to start over Note When you reach the defined safety limits for a given parameter the Main Rotary Dial becomes inoperative for 2 seconds to indicate that a limit...

Page 62: ...f the screen with color coded bars that indicate whether the parameter values are within generally recognized safety limits The figure above shows the following components 1 A Direct Access Knob 2 A w...

Page 63: ...ration copy configuration Set date and clock Change access code 10 Panel lock 11 Change patient category 2 3 6 Status Touchpad The Status touchpad indicates the power supply currently being used by th...

Page 64: ...for air 3 Gas inlet for O2 4 Air Luft 5 O2 6 Model number 7 Serial number 8 Manufacturing information 9 Equipotentiality terminal label 10 Fuse label T 2 5AL 11 AC power supply voltage 12 AC power sup...

Page 65: ...15 Servo User s manual English edition Order No 65 14 892 E313E Infant Adult Universal Options 2 4 2 Patient Unit Diagram...

Page 66: ...ol may be different depending on panel version Optional connector Expansion Note This symbol may be different depending on panel version 10A Fuse for external DC power supply 12V DC Ext bat 12V Extern...

Page 67: ...linders so that the cylinders do not move during transport 2 5 2 During Transport While transporting the ventilator with or without a patient connected follow facility guidelines and Use the handles o...

Page 68: ...18 Servo User s manual English edition Order No 65 14 892 E313E Infant Adult Universal Options...

Page 69: ...C power failure and ventilator settings and stored data remain intact 3 1 1 Power Supply Specifications Power supply automatic range selection 100 120V 10 220 240 V 10 AC 50 60Hz Battery backup Two to...

Page 70: ...mounted battery module Slot number Serial number Charge indicator where 0 boxes filled 10 relative charge 1 box filled 10 25 relative charge 2 boxes filled 26 50 relative charge 3 boxes filled 51 75 r...

Page 71: ...r failure with no charged battery module connected the ventilator will activate the following high priority alarm No battery capacity Complete loss of power is imminent or has already occurred If this...

Page 72: ...y to use the Nebulizer connect to AC power Battery operation Medium Priority Alarm AC power is off line due to a power failure or disconnection Check the connection to AC power Limited battery capacit...

Page 73: ...tion Support 12 During ventilation if necessary adjust the O2 cell 13 When appropriate disconnect the patient The following sections describe each of the above steps in more detail 4 2 Pre Use Check T...

Page 74: ...ilator on 3 Start the automatic test by pressing Yes Follow the on screen instructions Internal Tests 4 Connect the blue test tube between the inspiratory outlet and the expiratory inlet Important Use...

Page 75: ...humidifier and a Servo Ultra Nebulizer Important When blocking the Y piece or Y Sensor make sure there is no leakage Leakage will affect the circuit compliance compensation calculation If no Y Sensor...

Page 76: ...Note Circuit compliance compensation is not available in NIV modes Test Alarm Output Connection Option If the Alarm Output Connection option is installed a dialog for the external alarm system test a...

Page 77: ...lem persists contact a service technician Not completed The test was not completed The test case passed with some reservations This message appears when A battery module is installed and the battery c...

Page 78: ...upply pressure Checks that the gas supply pressures air and O2 measured by the internal gas supply pressure transducers are within the specified range Check that the gas supply pressure air and O2 is...

Page 79: ...r Check Y module and Y Sensor If the problem persists change the Y Module Sensor Pressure transducer Calibrates and checks the inspiratory and expiratory pressure transducers If the Internal leakage t...

Page 80: ...and activated compliance compensation may trigger the Low Expiratory Minute Volume alarm due to a very low expiratory flow passing from the patient through the expiratory channel By observing the diff...

Page 81: ...st be in Standby mode 1 Press the fixed key Menu 2 Press the Biomed pad and enter the access code the factory setting is 1973 The Biomed submenu consists of the following touchpads Service Edit config...

Page 82: ...guration press the Patient category touchpad and follow the on screen instructions To change the patient category in Running mode during ventilation 1 Press the fixed key menu 2 Press the Change patie...

Page 83: ...lation OR 2 Press NIV Non Invasive Ventilation Note The background color on the touch pads changes when NIV is activated 3 After confirming the start up configuration press the Standby key when ready...

Page 84: ...to enter the patient s name 10 Press Close keyboard when entry is complete 11 When the ID touchpad is pressed a keypad appears in the window 12 Press Accept to confirm new data 13 Press Cancel to canc...

Page 85: ...available modes are NIV Pressure Support NIV Pressure Control and Nasal CPAP 4 If Automode is selected a green indicator mark will appear Note Automode is not available in NIV 5 When a ventilation mod...

Page 86: ...ortant Before accepting Autoset values make sure they are appropriate for the patient If not enter settings manually 6 Press Accept to activate Autoset limits Notes Autoset is not possible in Standby...

Page 87: ...2 Ventilator is warming up 3 Pre Use Check completed ventilator is ready to operate Push the fixed key Standby to start ventilation 4 Press Yes to confirm and start ventilation Note The Standby key is...

Page 88: ...arning bar indicates that the selected setting is significantly beyond generally recognized safety limits this warning is accompanied by an audio signal and text message 6 Turning and pressing the Mai...

Page 89: ...0 seconds If the patient has not been reconnected within 60 seconds all alarms are activated Note Suction Support is not available in NIV mode or when the O2 Breaths function is activated Note During...

Page 90: ...seconds the system automatically returns to ventilation using the previous oxygen setting 4 11 Recalibrating the Oxygen Cell If the ventilator has been in continuous use for an extended period the mea...

Page 91: ...lation 1 Physically disconnect the patient from the ventilator 2 Press the fixed key Standby 3 Press Yes to stop ventilation 4 Turn the ventilator off using the On Off switch behind the user interface...

Page 92: ...42 Servo User s manual English edition Order No 65 14 892 E313E Infant Adult Universal Options...

Page 93: ...displayed If a high priority alarm limit is exceeded the box turns red If a medium priority alarm limit is exceeded the box turns yellow An up or down arrow indicates whether the upper or lower alarm...

Page 94: ...time during spontaneous breathing and Bi Vent MVe sp Spontaneous expiratory minute volume Bi Vent MVe sp MVe The relation between spontaneous expired minute volume and total expired minute volume Bi...

Page 95: ...of a measured parameter vs time is displayed The displayed parameter and the scale are indicated on the y axis The pressure vs time display is dark yellow The flow vs time display is green The volume...

Page 96: ...eform whose scale you wish to change or select a sweep speed 6 10 or 20 mm s 4 To adjust the scale of a waveform turn the Main Rotary Dial to the desired value or use auto scale press Auto Important M...

Page 97: ...ck as 24 hours Stored events and system changes are shown as event stamps To show trends 1 Press the fixed key Trends 2 Use the Main Rotary Dial to adjust display parameters 3 View trended measured va...

Page 98: ...ge 5 6 1 Using the Open Lung Tool To use the Open Lung Tool 1 Press the fixed key Quick access 2 Press the Open Lung Tool touchpad 3 Activate Cursor Mode by pressing the Cursor touchpad Move the curso...

Page 99: ...n the screen filling process The breaths parameter displayed in the lower right corner of the user interface screen indicates the number of breaths at the current respiratory rate required for the wav...

Page 100: ...tary Dial 7 Press Close to quit the Recorded Waveform Window 5 7 3 Ventilation Record Card The Ventilation Record Card VRC can be used in Standby mode or during ventilation The following data can be s...

Page 101: ...reconfigured to save a recording 5 7 3 2 Copying Patient Data to a Ventilation Record Card The following patient data may be copied to a VRC Event Log Trends Recordings Open Lung Tool data Patient Na...

Page 102: ...52 Servo User s manual English edition Order No 65 14 892 E313E Infant Adult Universal Options...

Page 103: ...Time Breathing parameters are determined using either Minute Volume or Tidal Volume 6 1 1 Warnings Note Not all warnings apply to all modes Be sure to set alarm limits as appropriate for each mode It...

Page 104: ...PS SIMV PC PS SIMV PC PS TV MV SIMVR O2 IE IT IRT BCT TF TP ICO PS Bi Vent BV P_HIGH PEEP_LOW O2 T_HIGH T_PEEP IRT TF TP ICO P_HIGH PS Non Invasive Ventilation PC NIV PC PC RR PEEP O2 IE IT IRT NIV PS...

Page 105: ...and pressure support spontaneous function SIMV PC PS SIMV PC PS comb control and pressure support spontaneous function Bi Vent BV IMPORTANT to set alarm limits for MVol Auto Scale not recommended Apn...

Page 106: ...settings by pressing the Accept touchpad Notes The previous ventilation mode function is not available after a Pre Use Check changing of patient category admitting a new patient using the same ventila...

Page 107: ...which is independent of operating settings Respiratory rate RR Rate of controlled mandatory breaths Used for calculating target volume b min Tidal volume VT Volume per breath or target volume ml Minu...

Page 108: ...nto the red area the trigger sensitivity increases so that the inhaled fraction of the bias flow leading to triggering is reduced The allowed range is 100 to 0 of the bias flow Note You can t set trig...

Page 109: ...e Support above Pressure high PS above PHigh Inspiratory pressure support level for breaths triggered during the THigh period in Bi Vent cmH2O Pressure Support above PEEP PS above PEEP Inspiratory pre...

Page 110: ...60 Servo User s manual English edition Order No 65 14 892 E313E Infant Adult Universal Options...

Page 111: ...es Important Those responding to alarms must be health care professionals who have experience in ventilation treatment and who have been trained in the use of the Servo i Ventilator System 7 1 1 Alarm...

Page 112: ...n even if the alarm condition ceases Medium and Low Priority alarms are not latched The fixed key Audio Pause resets latched alarms and clears the alarm message from the screen The Audio Pause key is...

Page 113: ...Pause fixed key for more than two seconds This action has the following results All alarms active and inactive are silenced for two minutes from the time the key was pressed A double crossed bell symb...

Page 114: ...arm settings 7 3 1 Viewing Alarm Limits Alarm limits may be viewed in the Measured Values Display on the right side of the screen See the Monitoring and Recording chapter for details on the Measured V...

Page 115: ...4 892 E313E Infant Adult Universal Options 7 3 4 Conditions Leading to Default Alarm Settings Alarm limits become set to their default values when restarting the ventilator admitting a new patient cha...

Page 116: ...l min 5 Infant 0 01 20 l min 2 Yes Respiratory rate high MP Adult 1 160 b min 30 Infant 1 160 b min 50 Yes Respiratory rate low MP Adult 1 160 b min 5 Infant 1 160 b min 20 Yes PEEP high MP 0 55 cmH2O...

Page 117: ...automatically start again when the buffer water has cooled During this short period of time no alarm is activated and the timer is not interrupted Note The nebulizer module becomes disabled whenever...

Page 118: ...ication mist is carried to the patient by the inspiratory flow 6 T piece with mechanical particle separation system baffles The system ensures a mass median diameter MMD of approximately 4 0 m for dro...

Page 119: ...only handle one CO2 module at a time Use only a MAQUET airway adapter with the capnostat sensor 8 2 2 CO2 Analyzer Components 1 Gas flow through the airway adapter in the capnostat sensor 2 The senso...

Page 120: ...Diagram CO2 Analyzer Calibration Notes The etCO2 concentration low alarm can be permanently silenced Audio off when the message Silence alarm permanently is shown During calibration no CO2 waveforms...

Page 121: ...2 Place the capnostat sensor on the zero cell 8 2 3 3 Verification Calibration 1 Press the Verification touchpad wait for on screen instructions 2 Place the capnostat sensor on the zero cell wait for...

Page 122: ...quired to prior to using the Y Sensor 8 3 1 Y Sensor Use Guidelines These guidelines are reminders for health care professionals who have already been trained to use the Y Sensor The Y Sensor is inten...

Page 123: ...technical messages The lists also provide suggested actions in response to the messages Note Most technical errors require the attention of a service technician WARNING Always disconnect the ventilat...

Page 124: ...heck connections of tubing and expiratory cassette Expiratory cassette disconnected The expiratory cassette is disconnected or not connected properly Connect the expiratory cassette Replace the expira...

Page 125: ...are fully charged Nebulizer hardware error Technical problem with nebulizer hardware Temperature too high Change the nebulizer Contact a service technician No battery capacity Less than 3 minutes lef...

Page 126: ...atory filter Check patient and breathing system Check ventilator settings and alarm limits Restart ventilator Software error Restart the ventilator and perform a Pre Use Check Contact a service techni...

Page 127: ...ti and Vte values presented on the screen a leakage can be detected and its extent easily controlled The first time an unacceptably large leakage occurs around the tube correct this problem to avoid t...

Page 128: ...nterrupted Check the connection to AC power Check alarm limits The persistent memory has corrupt contents Check the alarm limits Check CO2 airway adapter The data reference channel or both are out of...

Page 129: ...t Check ventilator settings etCO2 low Hyperventilation Leakage with high bias flow CO2 sensor Y piece HME Check patient circuit Check ventilator settings Exp cassette exchanged Expiratory cassette has...

Page 130: ...or settings Check alarm settings PEEP Low The measured end expiratory pressure is below the preset or default alarm limit for three consecutive breaths Note Setting the alarm to zero turns the alarm o...

Page 131: ...ardware error in the Y Sensor measuring module Unplug and reinsert the module Change the module Contact a service technician Y Sensor Module temp high Possible hardware error The Y Sensor module tempe...

Page 132: ...Check again Contact a service technician Not completed The test was not completed The test case passed with some reservations This message appears when the battery option is installed and the battery...

Page 133: ...ir and O2 measured by the internal gas supply pressure transducers are within the specified range Check that the connected gas supply pressure air and O2 is within the specified range Internal leakage...

Page 134: ...ensor Check Y module and Y Sensor Change Y Sensor and or Y module Pressure transducer test Calibrates and checks the inspiratory and expiratory pressure transducers If the Internal leakage test passed...

Page 135: ...d and old cell zero parameters were not restored Perform a verification calibration Hardware problem contact a service technician CO2 cell zero failed An error was found during cell zero calibration T...

Page 136: ...t down ventilator and contact a service technician 28 20004 Alarm sound level too low Check that the loudspeaker outlet is not obstructed Restart the ventilator and perform a Pre Use Check Shut down v...

Page 137: ...ture range 10 to 40 C Relative humidity 15 to 95 noncondensing Atmospheric pressure 60 to 1060hPa Low est pressure in patient circuit 400 cmH2O Impact Peak acceleration 15 g Pulse duration 6 ms Number...

Page 138: ...rrors are summarized positive Statistically 95 of all values will be within 2 3 of the given error Ambient pressure 101 3 kPa Room temperature 20 C Dry gases in patient system Inlet pressure 4 3 kPa x...

Page 139: ...larm Settings Airway Pressure upper Adult 16 120 cmH2O Infant 16 90 cmH2O High Continuous Pressure 15 sec Set PEEP level 15 cmH2O O2 Concentration Set value 6vol or 18 vol Expired Minute Volume Upper...

Page 140: ...sive pressure controlled ventilation 10 8 2 Supported ventilation Volume Support VS Volume supported ventilation Pressure Support PS CPAP Pressure supported ventilation Continuous positive airway pres...

Page 141: ...d Minute Volume MVe Leakage fraction Leakage Inspired Tidal Volume VTi Expired Tidal Volume VTe End Expiratory Flow ee Measured Oxygen Concentration O2 CO2 End Tidal Concentration etCO2 CO2 Minute Eli...

Page 142: ...terface shows the current operating time Battery modules must be replaced every 3 years Original parts from MAQUET must be used Service repair must be performed by MAQUET authorized personnel only Ser...

Page 143: ...e of 1013hPa Measuring range 0 to 100 mmHg CO2 partial pressure 0 to 13 3 kPa CO2 partial pressure 0 to 13 2 CO2 volume at a barometric pressure of 1013hPa Accuracy 0 to 40 mmHg 2mmHg 41 to 70 mmHg 5...

Page 144: ...asuring Range Adult 2 to 180 liters min Infant 0 125 to 40 liters min Airway Adapter Dead Space Adult 9 0 ml Infant 0 45 ml 10 17 Accessories Mobile Cart Weight kg 20 Dimensions mm 542 W x 622 L x 101...

Page 145: ...15 1 15 CMV frequency b min 30 15 30 15 4 150 4 100 4 150 4 150 Compensate for compliance OFF OFF OFF OFF ON OFF ON OFF ON OFF ON OFF CPAP cmH2O in NIV Nasal CPAP 5 5 2 20 2 20 Flow trig sensitivity l...

Page 146: ...evel above PEEP cmH2O 20 20 20 20 0 80 PEEP 0 120 PEEP 0 80 PEEP 0 120 PEEP Pressure level above PEEP in NIV cmH2O 5 5 5 5 0 32 PEEP 0 32 PEEP 0 32 PEEP 0 32 PEEP PS above PEEP cmH2O 0 0 0 0 0 80 PEEP...

Page 147: ...0 10 10 10 0 55 0 55 0 55 0 55 End expiratory pressure lower limit cmH2O Note Setting the alarm to zero turns off the alarm 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...

Page 148: ...anging type of ventilation or when changing patient category Always make sure relevant values are set Respiratory frequency lower limit b min 20 5 20 5 1 160 1 160 1 160 1 160 Respiratory frequency up...

Page 149: ...to expiration Inspiratory rise time Time to full inspiratory flow or pressure at the start of each breath as a percentage or in seconds of the breath cycle time or s Leakage Leakage during inspiratio...

Page 150: ...red set breath T Time Tc Time constant Ti Inspiration time Ti Ttot Duty cycle or ratio of inspiration time to total breathing cycle time only during spontaneous breathing Tidal Volume Volume per breat...

Page 151: ...o copy screen or save one recording 10 s before and 10 s after pressing the key Note In NIV the alarm sound can be permanently silenced Audio off Audio off Audio pause Silence or pre silence alarms No...

Page 152: ...rms for apnea minute volume frequency alarm check tubing EtCO2 low PEEP during suction support Note Suction Support is not available when NIV or O2 Breaths is activated The sweep speed mm s can be set...

Page 153: ...ble selections Pressure upper Minute Volume lower and upper Respiratory Rate lower and upper End Expiratory Pressure lower Alarm sound level 20 100 End Tidal CO2 lower and upper By pressing the autose...

Page 154: ...the alarm sound can be permanently silenced Audio off Alarm profile setup Possible selections Pressure upper Minute Volume lower and upper Respiratory Rate lower and upper End Expiratory Pressure lowe...

Page 155: ...omed Menu Standby Mode Enter code 1973 to access the Biomed menues Note The access code can be change by the user Change acces code Change access code to Biomed menu Start up configuration NIV infant...

Page 156: ...Pads CO Module 2 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 triggering is selected Batteries Y Sens...

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