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6.6 Inspiratory rise time

The inspiratory rise time (T

insp.rise

•

is the time taken to reach peak inspiratory

flow or pressure at the start of each breath

•

is expressed in seconds or as a percentage

of the respiratory cycle time depending on

how the ventilator is configured

0.10

An increased inspiratory rise time will affect

the rate of flow/pressure increase and can be

evaluated by the shape of the flow and

pressure waveforms.

In supported modes, the inspiratory rise time

should normally be increased from the default

setting to enhance patient comfort.

Inspiratory rise time set as a percentage is

applicable in:

•

PRVC

•

all SIMV modes

•

all Automode modes

Inspiratory rise time set in seconds is

applicable in:

•

Bi-Vent/APRV

Note: When the ventilator system is

configured for setting of inspiration time

rather than I:E ratio, the unit for inspiratory

rise time automatically switches to seconds

for all ventilation modes.

SERVO-air Ventilator System v2.2, User's Manual

Ventilatory settings and functions

| 6 |

Содержание SERVO-air

Страница 1: ...x User s Manual SERVO air Ventilator System v2 2...

Страница 2: ......

Страница 3: ...n overview 3 47 Displaying and saving data 4 57 Ventilation modes 5 85 Ventilatory settings and functions 6 111 Alarm handling 7 125 Service Settings 8 133 Technical data 9 161 Index 10 SERVO air Vent...

Страница 4: ...4 SERVO air Ventilator System v2 2 User s Manual Infologic 1 48 TABLE OF CONTENTS...

Страница 5: ...1 Introduction Table of contents 6 Device description 1 1 8 Safety guidelines 1 2 15 Version and configurations 1 3 SERVO air Ventilator System v2 2 User s Manual 5 Introduction 1...

Страница 6: ...gas delivery 3 a patient circuit for delivering and exchanging gases 1 2 3 1 1 2 Intended use The SERVO air Ventilator System is intended for respiratory support monitoring and treatment of pediatric...

Страница 7: ...e ventilator system must be recorded in a service log in accordance with hospital procedures and local and national regulations Service Contract It is strongly recommended that all service on the vent...

Страница 8: ...e instructions in this User s Manual After unpacking perform a routine cleaning and a pre use check Always perform a pre use check before connecting the ventilator system to a patient Secure all tubin...

Страница 9: ...ters During humidification carefully monitor the airway pressure Increased airway pressure could result from a clogged filter Replace the filter if the expiratory resistance increases or according to...

Страница 10: ...m is in use the wheels of the mobile cart must be locked and the mobile cart must be in a horizontal position When the ventilator system is connected to a patient Do not lift or disconnect the expirat...

Страница 11: ...ry filter connection is mandatory during nebulization A water trap is recommended if a single heated patient circuit is used Thermoshell expiratory cassette must be used when using heated expiratory t...

Страница 12: ...use Do not expose the batteries to water fire or excessive heat Do not crush disassemble puncture or short circuit the connector terminals One battery can be added to an available slot during operatio...

Страница 13: ...ssible 1 2 4 Gases WARNING The ventilator system must not be used with helium or any gas mixture containing helium Refer to section Ventilator system on page 136 1 2 5 Auxiliary equipment CAUTION Meas...

Страница 14: ...n alarm condition the following essential performance IEC 60601 1 has been monitored during electromagnetic immunity tests Delivered volume Monitoring of Oxygen concentration Airway pressure Expired v...

Страница 15: ...ncludes adult and pediatric Refer to section System on page 134 1 3 2 Available modes and functions Patient category Modes Functions Adult Pediatric X X PC O O PRVC X X VC O O Bi Vent APRV X X PS CPAP...

Страница 16: ...16 SERVO air Ventilator System v2 2 User s Manual 1 Introduction...

Страница 17: ...verview Table of contents 18 Ventilator 2 1 20 Patient unit 2 2 24 Batteries 2 3 26 Patient circuit 2 4 31 User interface 2 5 37 Transport 2 6 SERVO air Ventilator System v2 2 User s Manual 17 System...

Страница 18: ...obile cart Stand directly in front of the mobile cart when mounting the ventilator system Tilt the ventilator system to fit the two front clamps in position on the mobile cart Press down the rear end...

Страница 19: ...Inspiratory outlet 5 Emergency air intake 6 Air inlet 7 Battery compartment 8 Patient circuit 9 AC mains power 10 O2 supply 11 Wheel lock Note Lock the wheels whenever the ventilator system is standi...

Страница 20: ...h fuse 7 Alarm output connection 8 External 12V DC inlet 9 Fuse for external DC power 10 Ethernet connection 11 Battery compartments 12 USB ports 13 Gas inlet for O2 14 Gas inlet for air including air...

Страница 21: ...pplied part indicates classification according to IEC 60601 1 Potential equalization terminal Note The potential equalization terminal is designed for the connection of a potential equalization conduc...

Страница 22: ...and environmental standards Caution Consult instructions for use Consult accompanying documentation Locked Unlocked Serial number Order number Weight of patient unit with user interface and ventilato...

Страница 23: ...inspiratory channel delivers gas to the patient circuit inspiratory tubing and contains a safety valve 10 The expiratory inlet in the expiratory cassette contains a moisture trap 11 The ultrasonic tra...

Страница 24: ...he battery in slot 2 is in place as a backup at all times during ventilation Refer to section Battery on page 12 1 2 1 2 The battery module in slot 1 may be exchanged during ventilation To remove a ba...

Страница 25: ...utes is always displayed regardless of the power supply in use The battery symbol also functions as a shortcut to the window otherwise accessed via SYSTEM STATUS Batteries The following information is...

Страница 26: ...ing heated expiratory tubing or Expiratory heater Servo Duo Guard To ensure that the inspiratory gas temperature is below 43 C the patient circuit inspiratory tube must be at least 1 2 m to let the ga...

Страница 27: ...4 4 6 5 Aerogen Pro 6 Expiratory patient tube 7 Expiratory filter 1 Inspiratory patient tube 2 Y piece 3 Heat and moisture exchanger HME 4 Angled adapter for endotracheal tube SERVO air Ventilator Sy...

Страница 28: ...en Solo 9 Expiratory patient tube 10 Expiratory filter 11 Expiratory heater Servo Duo Guard 12 Thermoshell expiratory cassette 1 Inspiratory patient tube 2 Water autofill 3 Humidification chamber 4 Ac...

Страница 29: ...tube 8 Pressure line connection port 9 Aerogen Pro 10 Expiratory patient tube 11 Water trap 12 Expiratory filter 1 Inspiratory patient tube 2 Water autofill 3 Humidification chamber 4 Active humidifi...

Страница 30: ...t tube 13 Expiratory filter 14 Expiratory heater Servo Duo Guard 15 Thermoshell expiratory cassette 1 Inspiratory patient tube 2 Water autofill 3 Humidification chamber 4 Active humidifier 5 Cuff with...

Страница 31: ...ed into different positions 2 5 2 Interactive areas 1 3 2 4 5 The user interface is completely touch based and is divided into the following areas 1 Status bar 2 Quick menu extended menu 3 Display are...

Страница 32: ...drop 2 5 4 User support The user is supported by the following Alarm management Safety scales Dynamic images Information texts Pre use check instructions Shortcuts Prompts Note The following colors a...

Страница 33: ...n text is available 2 Indication that more information is available by scrolling vertically in the middle of the information window Shortcuts Some frequently used functions can be accessed via a short...

Страница 34: ...m limits Alarm limits shortcut Audio pause Audio paused Audio off Audio pause all alarms active and inactive are pre silenced Alarm on Alarm off Check alarms Alarm sound level Alarm history Message Nu...

Страница 35: ...Maneuvers Media Modes Patient data System status Trends logs Views Description Symbol Screen layout Disconnect Service Settings Biomed Service Remote services Exit Nebulization period Nebulization sho...

Страница 36: ...Single use only Do not use if packaging is damaged Consult accompanying documentation Keep away from sunlight Manufacturer The symbol is accompanied by manufacturer address and manufacturing date Man...

Страница 37: ...1 Before intrahospital transport Before transporting the ventilator system with or without a patient connected follow facility guidelines and Be sure that the patient unit is securely attached and lo...

Страница 38: ...occurs If triggering problems occur during intrahospital transport because of extreme vibrations Pressure Control mode is recommended or to set the trigger so that it is less sensitive Be careful not...

Страница 39: ...Patient circuit test 3 3 42 Select patient category 3 4 42 Select ventilation type 3 5 43 Set ventilation mode 3 6 44 Set alarm limits 3 7 45 Enter patient data 3 8 46 Start ventilation 3 9 46 Stop v...

Страница 40: ...n page 142 Each test starts automatically when the previous test is completed To ensure correct system functionality optimal performance and patient safety a pre use check must be performed WARNINGS A...

Страница 41: ...be performed separately from the pre use check CAUTION The patient circuit test must be performed with a complete patient circuit including all accessories e g active humidifier filled with water fil...

Страница 42: ...alues for ventilatory settings allowed ranges for ventilatory settings pressure and flow regulation scaling The default values may have been changed by a previous user 3 4 1 Change patient category To...

Страница 43: ...nsidered for adjustment as the values entered there may have been carried over from the previous mode Refer to section Ventilatory settings on page 144 3 6 2 Safety scales 35 1 3 4 2 5 1 Slide the bar...

Страница 44: ...pears tap plus or minus or slide the bar to set the value Confirm each setting by tapping Accept Tap Autoset all alarms if desired to get alarm limit proposals for the following modes VC PC PRVC Impor...

Страница 45: ...el bar to set appropriate alarm sound level Tap Accept 3 8 Enter patient data Tap the patient data shortcut in the status bar or tap PATIENT DATA in the quick menu Tap in the selected input field to o...

Страница 46: ...ted manually when a patient is connected to the ventilator system 3 10 Stop ventilation To disconnect and stop ventilation Physically disconnect the patient from the ventilator system Tap STANDBY in t...

Страница 47: ...4 1 51 Displaying waveforms 4 2 52 Displaying numerical values 4 3 52 Trends and logs 4 4 53 Saving and exporting data 4 5 55 Ventilator configuration 4 6 56 System status 4 7 SERVO air Ventilator Sy...

Страница 48: ...e All non invasive ventilation modes start in the BASIC view It is possible to adjust the layout by tapping either SCREEN LAYOUT in the extended menu or VIEWS Screen layout in the quick menu This make...

Страница 49: ...e flow pressure volume and volume flow The view consists of up to three loops pressure flow pressure volume and volume flow two to three waveforms pressure and flow waveforms are always present togeth...

Страница 50: ...ed during family visits to hide the standard user interface Displayed information is minimized to one column of numerical values the direct access bar alarms and messages in the status bar a dynamic r...

Страница 51: ...w that opens adjust the scaling function manually or use Auto to scale automatically To close the window tap anywhere on the screen other than the opened window Alternatively Adjust the layout by tapp...

Страница 52: ...y 60 seconds and retained for a maximum of 72 hours Stored events and system changes are also displayed here To view trends In the extended menu tap TRENDS LOGS TRENDS To adjust the time resolution ta...

Страница 53: ...ent log on page 151 4 5 Saving and exporting data Data can be saved in a number of ways as screenshots as recordings as files for export including event log trends and both the above The screenshots a...

Страница 54: ...space for 40 recordings under this tab When the space is full the next recording made will erase the oldest one 4 5 4 Viewing recordings To view recordings tap TRENDS LOGS MEDIA Recordings in the exte...

Страница 55: ...reens recordings Important Only one USB memory stick may be connected to the USB ports at the same time 4 6 Ventilator configuration The ventilator system will always start up with the stored configur...

Страница 56: ...Standby Tap SYSTEM STATUS in the extended menu during ventilation The SYSTEM STATUS window that opens contains 1 Installed options 2 General 3 Batteries 4 Expiratory cassette 5 Pre use check 6 O2 cel...

Страница 57: ...l PRVC 5 3 63 Volume Control VC 5 4 65 Bi Vent APRV 5 5 67 Pressure Support PS CPAP 5 6 70 Volume Support VS 5 7 73 Automode 5 8 76 SIMV 5 9 80 Non Invasive Ventilation NIV 5 10 82 NIV Pressure Contro...

Страница 58: ...the upper pressure limit to a suitable value It is important to avoid leakage so as to ensure the proper functioning of modes such as PRVC VS Automode PRVC VS SIMV PRVC PS The circuit compensation fu...

Страница 59: ...n vary The flow during inspiration is decelerating The patient can trigger extra breaths As the delivered tidal volume can vary it is very important to set alarm limits for the minute volume to adequa...

Страница 60: ...decelerating flow The preset pressure level is controlled by the ventilator system The resulting volume depends on the set pressure level the inspiration time and the mechanical properties of the pat...

Страница 61: ...er to section Settings on page 43 The ventilator system delivers a preset tidal volume The pressure is automatically regulated to deliver this volume but limited to 5 cmH2O below the set upper pressur...

Страница 62: ...during each breath but automatically adapts in small increments on a breath by breath basis to match the mechanical properties of the patient s lungs thus ensuring delivery of the target volume Inspi...

Страница 63: ...d compliance of the respiratory system The set tidal volume will always be delivered An increase in resistance and decrease in compliance will lead to an increased airway pressure The delivered pressu...

Страница 64: ...iratory period when flow adaption is enabled and flow pattern is 100 the ventilator system will switch to PS to satisfy the patient s flow demand as shown in the second breath in the figure Expiration...

Страница 65: ...le alternates between two levels of positive airway pressure with the main time on the high level and a brief expiratory release to facilitate ventilation differs from Bi Vent in that it uses an inver...

Страница 66: ...backup ventilation are not available It is also very important to set the lower and upper alarm limit for expired minute volume Each Bi Vent APRV cycle is regarded as autonomous and therefore most of...

Страница 67: ...inspiration can be adjusted with the help of the End inspiration setting CPAP may be seen as a special case of PS in which the inspiratory pressure level is set to zero and is used when the patient i...

Страница 68: ...e should normally be increased The End inspiration setting is important to patient comfort and ventilator synchronization with the patient If the patient s expiratory resistance is high the End inspir...

Страница 69: ...flow will decrease until the level set for End inspiration is reached For CPAP inspiration starts upon patient effort Expiration starts When the inspiratory flow decreases below a preset fraction of t...

Страница 70: ...n activated by patient effort The resulting volume is continuously monitored and the constant inspiratory pressure automatically adjusts to the required level The patient determines the frequency and...

Страница 71: ...ure needed to deliver the preset tidal volume An alarm is activated if the set target volume cannot be delivered due to the fact that the pressure required to deliver it is higher than 5 cmH2O below t...

Страница 72: ...lungs Inspiration starts when the patient triggers Expiration starts When the inspiratory flow decreases below a preset fraction of the peak inspiratory flow End inspiration If the upper pressure lim...

Страница 73: ...weaning period adapts to the patient s breathing capacity Automode PRVC VS is an interactive mode automatically switching between the controlled mode PRVC and supported mode VS based on patient trigge...

Страница 74: ...ation 3 The ventilator system initially adapts with an increasing apnea time This means that for the spontaneously triggering patient the apnea time increases successively until the level set in the s...

Страница 75: ...d to the patient has the same pressure level as the preceding PRVC breath VC VS 1 2a 4a 3 In the AutomodeVC VS combination the ventilator system uses the plateau pressure in the VC breath as a referen...

Страница 76: ...hs using a preset respiratory rate and a preset pressure delivers inspiratory support PS during spontaneous breaths taken between the mandatory breaths SIMV PRVC PS delivers mandatory controlled breat...

Страница 77: ...e Minute volume X X X SIMV rate X 1 X 1 X 1 Breath cycle time X X X I E ratio Inspiration time X X X Insp rise time X 1 Pause time 1 Only when the ventilator system is configured for setting the I E r...

Страница 78: ...2 will be used to estimate the breath cycle time The spontaneous Pressure Support breaths are defined by setting the level for Pressure Support above PEEP PS above PEEP 5 9 1 SIMV in detail This comb...

Страница 79: ...ndicate patient triggering 5 9 3 SIMV PRVC PS 90 The circles in the figure indicate patient triggering 5 9 4 SIMV VC PS 90 The circles in the figure indicate patient triggering SERVO air Ventilator Sy...

Страница 80: ...inimize leakage When selecting the mask prongs it is essential to consider such things as proper size and accurate adaptation to the patient CO2 rebreathing will increase during NIV and use of a face...

Страница 81: ...patient triggering function the PEEP level should never be set below 3 cmH2O When helmets with a safety valve are used it is recommended to set a PEEP level of at least 5 cmH2O Alarms related to volu...

Страница 82: ...piratory rate b min 4 PC above PEEP cmH2O 5 I E ratio or Inspiration time s 6 Inspiratory rise time or s Refer to section Settings on page 43 Differences compared with invasive PC When START VENTILATI...

Страница 83: ...ime or s 6 Apnea time s 7 Backup respiratory rate b min 8 Backup PC above PEEP cmH2O 9 Backup I E or Ti s Refer to section Settings on page 43 Differences compared with invasive PS When START VENTILAT...

Страница 84: ...84 SERVO air Ventilator System v2 2 User s Manual 5 Ventilation modes...

Страница 85: ...89 Inspiratory rise time 6 6 90 Trigger 6 7 92 Apnea time 6 8 92 SIMV breath cycle time 6 9 93 Predicted body weight PBW 6 10 93 Maneuvers 6 11 96 Compensation functions 6 12 97 Disconnection Suction...

Страница 86: ...the inspiratory volume can be set as either tidal volume or minute volume Whichever of these is set the other will be displayed in the lower right information area of the mode settings window 6 3 Pre...

Страница 87: ...ation which may be helpful if the lungs are very stiff but requires low respiratory rates to avoid gas trapping A prolonged expiration time e g 1 3 may be used for weaning and in case of obstructive l...

Страница 88: ...there will therefore be an indication when the resulting I E ratio passes 1 1 in either direction Note When the inspiration time is directly set the breath cycle time parameter is not displayed when a...

Страница 89: ...d pressure waveforms In supported modes the inspiratory rise time should normally be increased from the default setting to enhance patient comfort Inspiratory rise time set as a percentage is applicab...

Страница 90: ...el of patient effort needed to trigger the ventilator to inspiration may be set as either flow or pressure triggering where flow triggering allows the patient to breathe with less effort should genera...

Страница 91: ...breath is displayed when the setting is made The further to the right on the scale the greater the patient effort required to trigger The trigger scale has different colors based on the setting Green...

Страница 92: ...In Automode the apnea time becomes longer as spontaneous breathing becomes more regular It is therefore set in Automode only as Max apnea time 6 9 SIMV breath cycle time The SIMV breath cycle time is...

Страница 93: ...and requires that height and gender are entered The tidal volume setting will when tapped present a calculated value for VT PBW if the necessary patient data has been entered under PATIENT DATA The v...

Страница 94: ...e Inspiratory hold This function is activated by pressing INSPIRATORY HOLD for a maximum of 30 seconds The inspiratory and expiratory valves close after inspiration This function can provide an exact...

Страница 95: ...0 and the O2 boost level is 30 the O2 boost function will when tapped deliver 70 O2 The O2 boost function figure displayed will change accordingly Since the minimum O2 concentration is 21 the O2 boost...

Страница 96: ...ach the patient because of gas compression in the ventilator and expansion of the tubing All components in the patient circuit affect such losses When circuit compensation is activated the delivered a...

Страница 97: ...Patient disconnected phase for a maximum of 60 seconds If the patient has not been reconnected within 60 seconds alarms are activated The minimum PEEP level during disconnection is 3 cmH2O The ventil...

Страница 98: ...disconnected during the pre oxygenation phase During the Patient disconnected phase the following alarms are turned off for up to 60 seconds apnea minute volume respiratory rate PEEP When the patient...

Страница 99: ...ode is invasive or vice versa it is necessary to go to Standby and choose the relevant ventilation type to find the previous mode To recall the previous ventilation mode used Tap the tile marked with...

Страница 100: ...No patient effort alarm is activated and the ventilator system switches to the backup mode The relevant backup mode is highlighted in white in the heading on the screen and the alarm No patient effort...

Страница 101: ...te is also trended No consistent patient effort This alarm occurs in invasive ventilation only If the patient fulfils the criteria for the No consistent patient effort alarm the ventilator system will...

Страница 102: ...d at the top right of the mode settings window during ventilation To deactivate backup ventilation Tap Deactivate backup ventilation in the mode settings window A confirmation dialog Do you really wan...

Страница 103: ...way pressure Increased airway pressure could result from a clogged expiratory filter Replace the filter if the expiratory resistance increases The ventilator system accuracy can be affected by the gas...

Страница 104: ...ntain circuit pressure The nebulizer unit and T piece as packaged are not sterile Never use reusable connectors with disposable nebulizer units and vice versa Refer to section Nebulizer function test...

Страница 105: ...a function test prior to first use or at any time to verify proper operation Visually inspect each part of the system for cracks or damage and replace if any defects are visible Pour 1 6 ml of sterile...

Страница 106: ...certain period of time continuous only Aerogen Solo Nebulization On Off To operate the nebulizer for a specific period of time on off 1 Tap MANEUVERS NEBULIZATION 2 Tap Time if more or less than 10 mi...

Страница 107: ...tion rate is 0 2 ml min fill the medication cup and set the nebulization time accordingly 6 16 5 Solo nebulizer unit Important The nebulizer unit holds up to 6 ml of liquid medication When the nebuliz...

Страница 108: ...ate of medication into the nebulizer unit during continuous nebulization must not exceed 0 2 ml per minute or 12 ml per hour Dose volumes and concentrations must be determined accordingly To operate t...

Страница 109: ...ell is adjusted so that the current measured O2 concentration is equal to the set O2 concentration This temporary adjustment will be valid until the ventilator system is switched off Important Before...

Страница 110: ...110 SERVO air Ventilator System v2 2 User s Manual 6 Ventilatory settings and functions...

Страница 111: ...ble of contents 112 Introduction 7 1 113 Handling alarms 7 2 116 Permanently silencing alarms 7 3 117 Alarms 7 4 124 Alarm output connection option 7 5 SERVO air Ventilator System v2 2 User s Manual 1...

Страница 112: ...sure relevant values are set Extreme settings may render the alarm system unusable Important Those responding to alarms must be healthcare professionals who have experience in ventilation treatment a...

Страница 113: ...ameter causing the alarm flashes with the color of the alarm priority and the exceeded alarm limit is circled in the same color 25 20 Alarm sound level When one or more alarms are activated the system...

Страница 114: ...lent period are displayed 2 00 2 00 Audio pause must be tapped for each alarm that is activated If Audio Paused is tapped before the silent period has expired then the alarm signal will be turned on a...

Страница 115: ...te taking the ventilator system out of operation and having it serviced Refer to section Technical error alarms on page 122 7 2 6 Resetting Check alarms Check alarms is an indication of high priority...

Страница 116: ...larm limit setting and select Audio off Tap Accept Audio off is displayed in the corresponding parameter in the numerical values area and a message is displayed in the status bar A message indicating...

Страница 117: ...clogged expiratory filter Excessive leakage Patient circuit disconnected Connect patient Check patient circuit Time in waiting position is exceeded Patient is not connected to the ventilator or leakag...

Страница 118: ...supply line is not O2 O2 cell uncalibrated Gas module for O2 faulty O2 concentration low Reconnect patient Check patient circuit Patient circuit disconnected Patient disconnected 1 min Replace the ve...

Страница 119: ...measured end expiratory pressure is above the preset or default alarm limit for three consecutive breaths PEEP high Check patient circuit Check alarm settings Check ventilator settings The measured e...

Страница 120: ...tilator settings An apnea has caused the ventilator to switch to backup ventilation No patient effort The ventilator has switched between supported and backup ventilation four times in two minutes The...

Страница 121: ...uring operation A pre use check is not performed after the replacement Expiratory cassette replaced Check air inlet filter and patient circuit Check ambient temperature close to air inlet Check ventil...

Страница 122: ...nal memory error 42 44 10003 Replace the ventilator immediately Internal communication error 16 25 35 43 55 20005 Replace the ventilator immediately Timeout error 8 9 Replace the ventilator immediatel...

Страница 123: ...the patient O2 evac fan failure 84 Replace the ventilator as soon as it is safe for the patient O2 cell missing or disconnected O2 cell failure TE x Contact service technician Technical problem with n...

Страница 124: ...ve on the ventilator system WARNING Never leave the patient unattended The external alarm is designed to alert those already in attendance CAUTION The manufacturer cannot guarantee a distributed alarm...

Страница 125: ...8 Service Settings Table of contents 126 Introduction 8 1 126 Biomed 8 2 130 Service 8 3 131 Remote Services 8 4 131 License 8 5 SERVO air Ventilator System v2 2 User s Manual 125 Service Settings 8...

Страница 126: ...To acces BIOMED Tap BIOMED Enter the access code the factory setting is 1973 and tap Accept The following choices are available STATUS LOGS SERVICE REPORT CONFIGURATION COPY CONFIGURATION EXIT 8 2 1 S...

Страница 127: ...ON is used for viewing and editing the startup configuration settings and alarms as well as for setting date and time and the biomed code To access CONFIGURATION Tap BIOMED CONFIGURATION 2 1 3 4 5 6 T...

Страница 128: ...Disabled or High flow 5 Breath cycle setting I E Ti 6 Extended leakage test Off On 7 Temporary O2 increase 8 Use 0 s as default pause time Off On 9 Deactivation of backup function Not allowed Allowed...

Страница 129: ...must be restarted to activate the new settings Alarms The alarm settings are the default settings that the ventilator system is delivered with These defaults can be changed To access ALARMS Tap BIOMED...

Страница 130: ...to enter and save a new access code To access BIOMED CODE Tap BIOMED CONFIGURATION BIOMED CODE 8 2 5 Copy configuration The configuration settings can be copied from or to a USB memory stick To access...

Страница 131: ...nded menu The following message appears Running When the transfer is complete the following message appears Completed Tap OK Note The ventilator system is prepared for the MCare Remote Services functi...

Страница 132: ...132 SERVO air Ventilator System v2 2 User s Manual 8 Service Settings...

Страница 133: ...xpiratory channel 9 7 141 Monitoring 9 8 144 Ventilatory settings 9 9 147 Alarms 9 10 149 Functions in ventilation modes 9 11 150 Trends 9 12 151 Logs 9 13 152 Service 9 14 153 Aerogen nebulizer 9 15...

Страница 134: ...ectromagnetic compatibility EMC Tidal volume Pediatric 20 350 ml Adult 100 2000 ml Patient category IP 21 The IP 21 classification implies that the enclosure is protected against solid foreign objects...

Страница 135: ...fully charged Typical recharge time approximately 2 h battery 90 up to 3 h 100 if battery is completely discharged Usable backup time depends on set mode and selected ventilation settings When the ve...

Страница 136: ...ards Gas quality O2 H2O 20 mg m 3 Oil 0 3 mg m 3 Maximum level O2 Pressure 2 0 6 0 kPa x 100 29 87 psi Maximum continuous flow 60 l min Inlet gas O2 AGA DISS NIST or French Connection standards availa...

Страница 137: ...ettings Set I E is less than 1 1 I E Set ventilatory frequency is less than or equal to 100 breaths minute Ventilatory frequency Constant leakage below 30 in NIV modes Leakage All measured preset and...

Страница 138: ...lumes 100 2000 ml Range of inspired tidal volumes Refer to System Flow Chart SERVO air for information regarding patient circuit configurations to be used with the ventilator system 9 5 1 Patient circ...

Страница 139: ...5 60 l min Inspiratory minute volume Pediatric 1 cmH2O 5 of set value for 50 ml VT 300 ml Adult 1 cmH2O 5 of set value for VT 300 ml Maximum inaccuracy of PEEP Patient category and breathing circuit c...

Страница 140: ...rolled valve PEEP regulation 1 50 cmH2O Inaccuracy 1 cmH2O 5 of set value 6 PEEP setting range 0 192 l min Rise time flow of 3 192 l min 12 ms for 10 90 response Expiratory flow measurements 2 l min B...

Страница 141: ...red with a maximum inaccuracy of 1 b min Respiratory rate Range 0 100 Inaccuracy 2 5 vol 2 5 of actual gas concentration Stability within 8 hour period 2 5 volume 2 5 of actual gas concentration The i...

Страница 142: ...barometric pressure value in the extended menu Status System Info window Checks the barometric pressure measured by the internal barometer Barometer If message Leakage or Excessive leakage appears ch...

Страница 143: ...sette is correctly seated in the expiratory cassette compartment Calibrates inspiratory and expiratory flow meters If O2 is missing no calibration of the expiratory flow transducer will be performed F...

Страница 144: ...min Note Flow trigger is not available in NIV 1 10 4 1 1 10 4 1 1 2 1 2 I E ratio 1 10 4 1 1 10 4 1 1 2 1 2 I E ratio in backup 1 70 1 70 30 30 End inspiration of peak flow 10 70 10 70 30 30 End insp...

Страница 145: ...above PEEP cmH2O 0 60 0 60 5 5 Pressure level above PEEP in NIV cmH2O 5 99 5 79 15 10 Pressure level above PEEP in backup cmH2O 5 60 5 60 5 5 Pressure level above PEEP in NIV backup cmH2O 0 99 0 79 0...

Страница 146: ...alues Standard configuration Parameter Adult Pediatric Adult Pediatric 0 30 0 30 10 10 Tpause 0 1 5 0 1 5 0 0 Tpause s 0 1 10 0 1 10 2 1 TPEEP s 10 250 2 100 Weight kg 146 SERVO air Ventilator System...

Страница 147: ...concentration lower alarm limit vol No Set value 5 vol 18 O2 concentration upper alarm limit vol 2 0 kPa x 100 or 6 0 kPa x 100 O2 gas supply No Obstruction leading to constant high airway pressure P...

Страница 148: ...pper alarm limit Mean respiratory rate 40 Respiratory rate lower alarm limit Mean end expiratory pressure 5 cmH2O End expiratory pressure upper alarm limit Mean end expiratory pressure 3 cmH2O End exp...

Страница 149: ...min High flow 15 l min Disabled the ventilator system will continue to deliver assist even when leakage is excessive Adult Low flow 7 5 l min High flow 40 l min Disabled the ventilator system will con...

Страница 150: ...ired tidal volume VTe Expired tidal volume Flowee End expiratory flow O2 conc Measured oxygen concentration Cdyn Dynamic compliance Cstatic Static compliance Ri Inspiratory resistance Re Expiratory re...

Страница 151: ...urning backup on off Operator initiated return from backup to supported ventilation Automatic return from backup to supported ventilation Disconnection and reconnection of patient Activation deactivat...

Страница 152: ...by the manufacturer Service and settings should only be used without a patient connected to the ventilator system CAUTIONS All technical documentation is available for use by personnel authorized by t...

Страница 153: ...volume medication cup 0 1 ml for 3 ml dose Residual volume 1 8 m Control cable 0 24 ml min with starting dose 2 ml Aerosol output rate 1 08 ml with starting dose 2 ml Aerosol output The temperature o...

Страница 154: ...0 2 average 0 38 ml min Flow rate 6 ml Max volume medication cup 0 1 ml for 3 ml dose Residual volume 1 8 m Control cable 0 30 ml min with starting dose 2 ml Aerosol output rate 1 02 ml with starting...

Страница 155: ...or service purposes Data Transfer via USB port Isolated The network connection LAN port is for service use and should only be used by personnel trained and authorized by the manufacturer Ethernet port...

Страница 156: ...ened it also releases the lock to the column Water bag IV pole option 0 4 kg Weight W 148 x L 26 x H 1007 Dimensions 1 5 kg Maximum load Gas cylinder restrainer kit option Make sure that the gas cylin...

Страница 157: ...Duo Guard User s Manual Expiratory heater Servo Duo Guard Refer to the Servo Duo Guard User s Manual Servo Duo Guard Refer to the Servo Guard User s Manual Servo Guard Refer to System Flow Chart SERV...

Страница 158: ...Republic of China Electronic Industry Standard SJ T11364 2014 Hazardous substances PBDE PBB Cr 6 Cd Hg Pb Parts 0 0 0 0 0 0 Metal parts 0 0 0 0 0 0 Plastic and polymeric parts 0 0 0 0 0 0 Electrical c...

Страница 159: ...ch referred to by their AI number Application Identifier AI GTIN Global Trade Item Number 01 Part number 241 Batch no 10 Manufacturing date YYMMDD 11 Exp date YYMMDD 17 Revision 20 Serial number 21 Co...

Страница 160: ...quipment Consult accompanying documents Mechanical stability Protective packaging Refer to sections SERVO air Ventilator System v2 2 on page 1 and Version and configurations on page 15 Identification...

Страница 161: ...on 108 control cable 154 dimensions 154 flow rate 154 lifetime 154 medication cup 154 medication temperature 154 particle size 154 residual volume 154 specification range 154 154 weight 153 154 Aeroso...

Страница 162: ...Aerogen Solo nebulizer 154 D Default alarm settings 112 Dimensions cable holder for handle 157 gas cylinder restrainer kit 156 humidfier holder 156 156 mobile cart 156 156 shelf base 156 156 support a...

Страница 163: ...ter bag IV pole 156 Y piece 156 I I E ratio 87 137 Important general 10 Ingress protection 134 Inlet pressure 137 Inspiration time 88 Inspiratory hold 94 rise time 89 tidal volume 141 Intended use 6 I...

Страница 164: ...onnection function edit 128 Noise 134 Non invasive ventilation 80 Non operating conditions atmospheric pressure 135 relative humidity 135 temperature 135 Notes general 11 power supply 12 Numerical val...

Страница 165: ...rt 156 Previous mode 99 R Relative humidity 135 135 Remote Services 131 Residual volume Aerogen Pro nebulizer 153 Aerogen Solo nebulizer 154 Respiratory rate 141 Room temperature 137 S Safety scales 3...

Страница 166: ...riority alarms 117 low priority alarms 121 123 medium priority alarms 119 123 Technical error alarms 122 Temperature range 135 Temporary O2 increase edit 129 Tidal volume 86 Transport 37 Transport bef...

Страница 167: ...Pro nebulizer 153 153 Aerogen Solo nebulizer 154 154 cable holder for handle 157 gas cylinder restrainer kit 156 humidifier holder 156 mobile cart 156 shelf base 156 support arm 156 ventilator 136 wat...

Страница 168: ...168 SERVO air Ventilator System v2 2 User s Manual 10 Index...

Страница 169: ...x...

Страница 170: ...of innovative solutions for operating rooms intensive care units hospital wards sterilization departments elderly care and for life science companies and institutions With a genuine passion for life w...

Страница 171: ...SERVO air Ventilator System v2 2 User s Manual...

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